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1137729

registered interest
date	09/07/2019
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	Mental Health Services: Mothers
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 he is taking to (a) improve identification of maternal mental health problems and (b) increase funding maternal postnatal checks.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	275192
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>This Government is committed to preventing mental illness and improving health outcomes for new parents and their children.</p><p>The NHS Long Term Plan commits to improving access to and the quality of perinatal mental health care for mothers, their partners and children with the ambition to increase access to perinatal mental health services to an additional 30,000 women by 2020/21, with a further 24,000 women to be able to access specialist perinatal mental health care by 2023/24.</p><p>From April 2019, new and expectant parents are able to access specialist perinatal mental health community services across England. Specialist care will also be available from preconception to 24 months after birth, which will provide an extra year of support (care is currently provided from preconception to 12 months after birth).</p><p>The potential for a six week post-natal maternal health check for all mothers that includes questions relating to mental health, is the subject of further work by NHS England and NHS Improvement to establish a clearer picture of current practice in the area. If taken forward, the check could be introduced from April 2020.</p><p>The NHS Long Term Plan Implementation Framework set out plans to provide all areas with an additional funding to support the delivery of mental health priorities – including an expansion of access to specialist community perinatal mental health services in 2019/20.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/07/2019 14:08:26 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

1137731

registered interest
date	09/07/2019
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: Sign Language
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent assessment his Department has made of the adequacy of the procurement processes operated by NHS trusts for the purpose of hiring British Sign Language translators.
tabling member constituency	Wansbeck
tabling member printed	Ian Lavery
uin	275195
answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Many National Health Service trusts use framework agreements for the procurement of translation services which are put in place either by Crown Commercial Service or their local procurement hub. These central purchasing bodies undertake assessments of companies to ensure that they meet the minimum standards and are able to track performance across a number of NHS trusts.</p><p>The Department does not review NHS procurement practices on a trust by trust basis.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 16/07/2019 08:43:29 answering member 1585 label Biography information for Stephen Hammond
tabling member	4139 label Biography information for Ian Lavery

1137733

registered interest
date	09/07/2019
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	Palliative Care: Children
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 bring forward legislative proposals to ensure that parents are responsible for the end-of-life decisions for their child.
tabling member constituency	Wansbeck
tabling member printed	Ian Lavery
uin	275196
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>There are no plans to change the existing well-established principles around consent to treatment on behalf of children or to bring forward legislation. The principles around consent to treatment or refusal of treatment apply to both general treatment and the very difficult decisions around end of life.</p><p>It is a general legal and ethical principle that valid consent must be obtained from an individual or, where the individual is not competent to make such decisions, from someone acting on the individual’s behalf, before starting a treatment or physical intervention.</p><p>However, those under 16 are not automatically presumed to be legally competent to make decisions about their healthcare. Where someone under 16 is not considered competent to give consent for themselves, the existing principle is that consent should be sought from a person with parental responsibility although in certain circumstances this can be overruled by the courts.</p><p>In ‘Our Commitment to you for end of life care’, we set out what everyone should expect from their care at the end of life and the actions we are taking to make high quality personalised care a reality for all. This includes ensuring that patients, careers and families, including parents, are at the centre of care decision making.</p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 15/07/2019 15:20:35 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4139 label Biography information for Ian Lavery

1137738

registered interest
date	09/07/2019
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	Insomnia: Melatonin
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reasons Circadin is available in Scotland for the treatment of insomnia caused as a result of dementia but not in England.
tabling member constituency	Salford and Eccles
tabling member printed	Rebecca Long Bailey
uin	275216
answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>The availability of treatments in Scotland is a matter for the devolved administration.</p><p>In England, the National Institute for Health and Care Excellence (NICE) is the independent body that develops authoritative, evidence-based guidance on best practice in health and social care. NICE’s guideline on the assessment, management and support for people living with dementia and their carers, published in 2018, recommends that Circadin (melatonin) should not be offered to manage insomnia in people living with Alzheimer's disease, and that a personalised multicomponent sleep management approach that includes sleep hygiene education, exposure to daylight, exercise and personalised activities should be considered for people living with dementia who have sleep problems.</p><p>Further information about the evidence underpinning NICE’s guideline is available at the following link:</p><p><a href="https://www.nice.org.uk/guidance/ng97/evidence/full-guideline-pdf-4852695709" target="_blank">https://www.nice.org.uk/guidance/ng97/evidence/full-guideline-pdf-4852695709</a></p><p>NICE does not make recommendations on the use of melatonin in the treatment of patients living with other types of dementia who have sleep problems.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 275217 question first answered 16/07/2019 14:42:57 answering member 4455 label Biography information for Seema Kennedy
tabling member	4396 label Biography information for Rebecca Long Bailey

1137739

registered interest
date	09/07/2019
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	Insomnia: Melatonin
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans he has to make Circadin available in England to people suffering from insomnia caused by dementia.
tabling member constituency	Salford and Eccles
tabling member printed	Rebecca Long Bailey
uin	275217
answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>The availability of treatments in Scotland is a matter for the devolved administration.</p><p>In England, the National Institute for Health and Care Excellence (NICE) is the independent body that develops authoritative, evidence-based guidance on best practice in health and social care. NICE’s guideline on the assessment, management and support for people living with dementia and their carers, published in 2018, recommends that Circadin (melatonin) should not be offered to manage insomnia in people living with Alzheimer's disease, and that a personalised multicomponent sleep management approach that includes sleep hygiene education, exposure to daylight, exercise and personalised activities should be considered for people living with dementia who have sleep problems.</p><p>Further information about the evidence underpinning NICE’s guideline is available at the following link:</p><p><a href="https://www.nice.org.uk/guidance/ng97/evidence/full-guideline-pdf-4852695709" target="_blank">https://www.nice.org.uk/guidance/ng97/evidence/full-guideline-pdf-4852695709</a></p><p>NICE does not make recommendations on the use of melatonin in the treatment of patients living with other types of dementia who have sleep problems.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 275216 question first answered 16/07/2019 14:42:57 answering member 4455 label Biography information for Seema Kennedy
tabling member	4396 label Biography information for Rebecca Long Bailey

1137745

registered interest
date	09/07/2019
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	Influenza: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the level of (a) preparedness and (b) stocks of medicine for the administration of the winter flu jab in each of the last three years.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	275128
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>NHS England has for the last three years carried out a ‘state of readiness’ assessment for the administration of the winter flu vaccine with the NHS England local public health commissioning teams.</p><p>Public Health England (PHE) supplies flu vaccines for the children’s flu programme. Sufficient vaccine has been procured in the last three years to ensure that all eligible children who present for vaccination can be offered the appropriate vaccine.</p><p>General practitioners are responsible for ordering from manufacturers sufficient flu vaccinations for other eligible groups in their population. PHE and NHS England have for the last three years worked closely with the flu vaccine manufacturers on the supply of sufficient vaccines. In particular, in 2018/19, NHS England worked closely with the manufacturer of the vaccines for the over 65s and service providers to manage the phased delivery of supplies to ensure satisfactory uptake rates were achieved.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:33:58 answering member 4455 label Biography information for Seema Kennedy
tabling member	1409 label Biography information for Mr Gregory Campbell

1137750

registered interest
date	09/07/2019
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	Cancer: 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 discussions (a) Sustainability and Transformation Partnerships and (b) Integrated Care Systems have had with Cancer Alliances to refine planning and prioritisation for the delivery of the cancer commitments within the NHS Long-Term Plan.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	275164
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>As set out in the NHS Long Term Plan Implementation Framework, local systems, including sustainability and transformation partnerships and integrated care systems, should engage with their Cancer Alliances to set out practically how they will deliver the Long Term Plan commitments for cancer over the next five years including on early diagnosis and survival, while improving operational performance.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:35:54 answering member 4455 label Biography information for Seema Kennedy
tabling member	1533 label Biography information for Dame Diana Johnson

1137754

registered interest
date	09/07/2019
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	HIV Infection: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reason the Morpeth Clinic, Northumberland Sexual Health Services to not provide services to Gay and Bisexual men on the PrEP impact trial.
tabling member constituency	Wansbeck
tabling member printed	Ian Lavery
uin	275198
answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Pre-exposure prophylaxis (PrEP) is not currently a routinely commissioned service, but is provided by the National Health Service through the three year PrEP Impact Trial. Participation in the trial is on a voluntary basis and it is for clinics and local authorities to decide whether they wish to take part.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 275199 question first answered 16/07/2019 14:43:12 answering member 4455 label Biography information for Seema Kennedy
tabling member	4139 label Biography information for Ian Lavery

1137755

registered interest
date	09/07/2019
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	HIV Infection: Morpeth
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 he is taking to ensure that Gay and Bisexual men accessing the Morpeth Clinic, Northumberland Sexual Health Services have access to PrEP.
tabling member constituency	Wansbeck
tabling member printed	Ian Lavery
uin	275199
answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Pre-exposure prophylaxis (PrEP) is not currently a routinely commissioned service, but is provided by the National Health Service through the three year PrEP Impact Trial. Participation in the trial is on a voluntary basis and it is for clinics and local authorities to decide whether they wish to take part.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 275198 question first answered 16/07/2019 14:43:12 answering member 4455 label Biography information for Seema Kennedy
tabling member	4139 label Biography information for Ian Lavery

1137763

registered interest
date	09/07/2019
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	Endoscopy and Radiography: Recruitment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to his oral statement of 1 July 2019, Official Report, columns 929-930, what recent assessment he has made of whether recruitment of (a) 400 clinical endoscopists and (b) 300 reporting radiographers is sufficient deliver on the ambitions of the NHS Long-Term Plan.
tabling member constituency	Wantage
tabling member printed	Mr Edward Vaizey
uin	275166
answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>No overall assessment has been made.</p><p>Health Education England’s (HEE) statutory responsibility is to ensure that an effective education and training system is in place for the National Health Service, which includes funding the training of pre and post registered professions based on current and future needs of patients. Funding for training and recruitment of endoscopists and radiographers will come out of the HEE yearly core funding.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 275167 question first answered 16/07/2019 14:45:22 answering member 4455 label Biography information for Seema Kennedy
tabling member	1580 label Biography information for Lord Vaizey of Didcot