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1105058

registered interest
date	26/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS: Staff
house id	1
legislature	25259 pref label House of Commons
question text	What steps he is taking to help protect the mental health of NHS staff.
tabling member constituency	Shrewsbury and Atcham
tabling member printed	Daniel Kawczynski
uin	910041
answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>Protecting the mental health of our hard-working National Health Service staff is very important. That’s why the Workforce Implementation Plan, led by Baroness Harding, will outline proposals for making the NHS ‘the best place to work’. Through this, we will be supporting employers who are responsible for staff mental health by investing in an expanded programme to implement the NHS staff health and wellbeing framework launched last year.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/03/2019 16:31:28 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1566 label Biography information for Daniel Kawczynski

1105059

registered interest
date	26/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Chronic Fatigue Syndrome: Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	What recent progress has been made on the treatment of myalgic encephalomyelitis.
tabling member constituency	West Bromwich West
tabling member printed	Mr Adrian Bailey
uin	910043
answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>In September 2017, the National Institute for Health and Care Excellence announced its plans for a full update to the existing clinical guideline on the diagnosis and management of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) to ensure that treatment reflects the latest available evidence. The revised guideline will be published in 2020.</p><p>Since 2011, we have also invested £6 million into research into CFS/ME via the Medical Research Council and the National Institute for Health Research.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 26/03/2019 15:46:59 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	320 label Biography information for Mr Adrian Bailey

1105060

registered interest
date	26/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Alcoholic Drinks: Misuse
house id	1
legislature	25259 pref label House of Commons
question text	What steps he is taking to support children living with alcohol-dependent parents.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	910044
answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>Alcohol addiction has a devastating impact on individuals and their families and it is unacceptable that children bear the brunt of their parents’ condition.</p><p>This is why we have set up a £6 million three-year programme to improve outcomes for vulnerable children living with alcohol dependent parents.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 26/03/2019 14:04:44 answering member 4070 label Biography information for Matt Hancock
tabling member	3958 label Biography information for Fiona Bruce

1105061

registered interest
date	26/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS
house id	1
legislature	25259 pref label House of Commons
question text	What recent assessment he has made of the effect on the NHS of the UK leaving the EU; and if he will make a statement.
tabling member constituency	Kensington
tabling member printed	Emma Dent Coad
uin	910046
answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>As a responsible Government, we are continuing to prepare for all eventualities. We have put detailed ‘no deal’ contingency plans in place for the continuity of supply of medicines and medical products, continuity of reciprocal healthcare arrangements, and the health and social care workforce.</p><p>We recognise that a ‘no deal’ exit would affect a wide range of areas across the health and care system, and the Department is working hard to mitigate these risks.</p><p>We are asking the National Health Service, and everyone in the health and social care system, to continue their planning. We are confident that if everyone does what they need to do, the potential risks of leaving without a deal can be mitigated successfully.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 26/03/2019 14:07:32 answering member 1585 label Biography information for Stephen Hammond
tabling member	4683 label Biography information for Emma Dent Coad

1105144

registered interest
date	26/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Home Care Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the implications for his policies of the recommendations in the Red Cross report entitled Home to the Unknown: Getting hospital discharge right; and whether he is taking steps to introduce an independence check prior to discharge or within 72 hours of going home, as recommended by the Red Cross.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	237050
answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>The Department agrees that it is important that there is appropriate support for patients on discharge from hospital. All patients should have a discharge assessment to determine the level of care they will need upon discharge from hospital, including whether a care plan is needed.</p><p> </p><p>The NHS Long Term Plan makes clear the importance of moving care into the community, and this Government is committed to achieving this. It commits an extra £4.5 billion a year by 2023/24 of investment in primary care and community health services.</p><p> </p><p>The National Health Service is currently developing the Implementation Framework for the Long Term Plan. Improving discharge from hospital and supporting patients to recover their independence in the most appropriate setting will be taken into account within this framework.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 01/04/2019 11:45:27 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1436 label Biography information for Paul Farrelly

1105160

registered interest
date	26/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Veganism
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will (a) take steps to ensure that vegan meals are offered to inpatients diagnosed with eating disorders and (b) encourage drug companies to develop vegan-friendly prescription (i) medications, (ii) supplement drinks and (iii) feeds.
tabling member constituency	Bristol East
tabling member printed	Kerry McCarthy
uin	237052
answer	answer is ministerial correction date of answer 02/04/2019 answer text <p>National Health Service trusts have mechanisms in place for vegan dietary requirements which would be flagged up as a special diet on admission. The kitchens would then provide suitable plant based substitutes to meet nutritional requirements. Each trust will have in place a special menu which will have been signed off by the dietician but would normally be ordered as a special diet. Currently, main ward menus would not provide a vegan choice specifically on the main menu although some vegetarian options would be suitable and marked as such. The new healthcare food standards and strategy group is looking at how all special diets are provided and will cover guidance for trusts around areas such as vegan diets.</p><p> </p><p>Medicines manufacturers are to some extent already moving towards animal free products where possible. This allows access to all global markets and reduces regulatory burden. The direction of travel is towards vegetarian/vegan-friendly medicines and this may be aided by future regulatory developments. Technical considerations may make animal-derived ingredients necessary in a few cases, until scientific developments allow substitution.</p><p> </p><p>The Department does not offer any vegan supplement drinks or feeds that are either freely available or via prescription.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 02/04/2019 11:30:28 answering member 1585 label Biography information for Stephen Hammond
tabling member	1491 label Biography information for Kerry McCarthy

1105191

registered interest
date	26/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Epilepsy: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that all children with epilepsy have access to effective epilepsy services.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	236998
answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>The Government is committed to ensuring all children living with epilepsy in England have access to effective epilepsy services.</p><p> </p><p>NHS England is responsible for securing and supporting high quality outcomes for people with epilepsy, and the vast majority of services for people with the condition are planned and commissioned by local clinical commissioning groups from their respective budgets.</p><p> </p><p>Once diagnosed, and with a management strategy in place, the majority of people with epilepsy can have their epilepsy controlled satisfactorily with anti-epileptic drugs, and be cared for through routine access to primary and secondary care.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 01/04/2019 16:44:50 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	308 label Biography information for Mr Jim Cunningham

1105195

registered interest
date	26/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Autism: Health Education
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the 2018 finding of the National Autistic Society that half of autistic people report not leaving the house because they are worried about society's reaction to them, what steps the Government is taking to increase awareness of autism.
tabling member constituency	Glasgow North East
tabling member printed	Mr Paul Sweeney
uin	237143
answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>The Government is committed to raising awareness and understanding of autism in line with the autism strategy and Autism Act (2009). On 21 March 2019, I responded to the backbench business debate on autism services on behalf of the Government. This debate has helped to raise awareness and understanding of autism ahead of Autism Awareness Week 2019.</p><p> </p><p>On 13 February 2019, the Department launched an eight-week consultation on learning disability and autism training for health and care staff. We are consulting on proposals for introducing mandatory learning disability and autism training to ensure that staff across health and social care have the right skills and we have overall the right culture, to provide better support. The consultation is available at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/778129/Learning_disability_and_autism_training_for_health_and_care_staff_consultation_document.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/778129/Learning_disability_and_autism_training_for_health_and_care_staff_consultation_document.pdf</a></p><p> </p><p>Government Departments are taking forward actions and strategies to raise awareness and understanding of autism, and to adjust services to make them more accessible to autistic people. For example, these include:</p><p> </p><p>- In July 2018, the Department for Transport published its, ‘Inclusive Transport Strategy: Achieving Equal Access for Disabled People.’ The Department for Transport is committed to ensuring that disabled people and those with hidden impairments such as autistic people have the same access to transport and opportunities to travel as everyone else; and</p><p> </p><p>- Through the Disability Confident scheme, the Department for Work and Pensions is engaging with employers, offering guidance and helping to promote the skills, talents and abilities of autistic people and associated hidden impairment conditions. Over 11,000 employers have signed up. A Disability Confident Toolkit has also been developed to provide comprehensive information on autism and hidden impairments, as well as guidance on employment and local authority services. In addition, Access to Work has a hidden impairment support team that aims to give advice and guidance to help employers support employees with conditions such as autism, learning disability and/or mental health conditions and it offers eligible people an assessment to find out their needs at work and help to develop a support plan</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 01/04/2019 11:43:59 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4642 label Biography information for Mr Paul Sweeney

1105196

registered interest
date	26/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Autism: Diagnosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps the Government is taking to reduce the time that people have to wait for a diagnosis of autism.
tabling member constituency	Glasgow North East
tabling member printed	Mr Paul Sweeney
uin	237144
answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>We are committed to ensuring adults and children receive a timely autism diagnosis in line with National Institute for Health and Care Excellence (NICE) guidance.</p><p> </p><p>The NHS Long Term Plan was published on 7 January 2019. The Plan commits to improving autism diagnostic pathways in England and ensuring autistic people have access to high-quality care and support in the community. Over the next three years, autism diagnosis will be included alongside work with children and young people’s mental health services to test and implement the most effective ways to reduce waiting times for specialist services. This will be a step towards achieving timely diagnostic assessments in line with best practice guidelines.</p><p> </p><p>The Department is determined to drive up performance on autism diagnosis nationally. To support this NHS Digital began formally collecting autism diagnosis waiting time data from mental health provider trusts for the first time through the Mental Health Services Data Set in April 2018. Data is submitted on behalf of autism diagnostic services, in line with issued guidance. The current plan is to publish a report after a year’s data has been collected and analysed, in September/October 2019. As this is the first time this data is being submitted, some work to improve its quality may be necessary.</p><p> </p><p>The data being collected covers both adults and children and includes:</p><p>- The length of time people with suspected autism wait following referral for a diagnosis before an assessment is started (to compare with the 13 week NICE Recommendation);</p><p>- The number of people within the reporting period receiving an autism diagnosis and the time it took to get the diagnosis;</p><p>- Profiled information (gender, age, other recorded diagnosis etc);</p><p>- The number of autistic people seen by mental health services within the reporting period; and</p><p>- Referrals to NHS services due to autism diagnosis or because autism diagnosis not confirmed, or where no further assessment or treatment was appropriate.</p><p> </p><p>In addition, the Department is developing guidance on autism and an accompanying toolkit to support local health and care commissioners with commissioning diagnostic and post-diagnosis services. The guidance will bring together existing guidelines, standards and best practice examples on how to commission effective, high quality services for autistic people. This will include setting out care pathways to support timely diagnosis of autism and effective post-diagnosis support services. We expect the guidance and toolkit to be available by this summer.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 01/04/2019 11:46:42 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4642 label Biography information for Mr Paul Sweeney

1105206

registered interest
date	26/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Epilepsy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps the Government is taking to maintain levels of funding for epilepsy (a) research and (b) treatment after the UK leaves the EU.
tabling member constituency	Bury South
tabling member printed	Mr Ivan Lewis
uin	237016
answer	answer is ministerial correction date of answer 03/04/2019 answer text <p>The Government funds research on health and social care through the National Institute for Health Research (NIHR). The NIHR welcomes funding applications for research into any aspect of human health and the healthcare system, including epilepsy. It is not usual practice to ring-fence funds for particular topics. After the United Kingdom leaves the European Union, the NIHR will continue to welcome applications for funding, which will be subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money, and scientific quality.</p><p> </p><p>There have been 10 studies directly funded by the NIHR relating to epilepsy in the last five financial years, from 2013/14 to 2017/18, with total spend of £9.4 million. Additionally, over the same period, there has been support through the NIHR Clinical Research Networks for 180 studies, with total expenditure of £16.7 million, as well as support for 95 studies through other NIHR infrastructure. There are a further four NIHR-funded studies starting in 2019 related to epilepsy.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 03/04/2019 16:07:16 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	441 label Biography information for Mr Ivan Lewis