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1138685

registered interest
date	12/07/2019
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	IVF
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the (a) financial, (b) emotional and (c) medical implications for couples experiencing infertility problems of IVF services being decommissioned by clinical commissioning groups.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	276551
answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Infertility is recognised as a disease by all mainstream international health organisations. In the United Kingdom, infertility affects one in seven of all couples of child-bearing age. It can cause great psychological distress for those seeking to start a family, if not addressed. There are effective treatments and the National Institute for Health and Care Excellence (NICE) Fertility Guidelines set out clearly how the treatment can be offered in the most clinically and cost-effective way. The Government recognises that there is variation in the commissioning of National Health Service fertility services across England. Patients with infertility have every right to expect NHS services based on clinical need.</p><p> </p><p>Clinical commissioning groups (CCGs) have a statutory responsibility to commission healthcare services that meet the needs of their whole population, including fertility services. The Human Fertilisation and Embryology Authority’s guidance for commissioners is a new tool to help them implement NICE Fertility Guidelines and use the benchmark price treatments.</p><p> </p><p>I wrote to the Chief Executives of all CCGs in England on 17 June 2019 to promote the guidance and benchmark price, and strongly encourage them to implement fully the NICE Fertility Guidelines.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 276552 276556 question first answered 16/07/2019 14:53:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4378 label Biography information for Colleen Fletcher

1138686

registered interest
date	12/07/2019
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	IVF
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 steps his Department has take to ensure equity of access to IVF treatment throughout England.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	276552
answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Infertility is recognised as a disease by all mainstream international health organisations. In the United Kingdom, infertility affects one in seven of all couples of child-bearing age. It can cause great psychological distress for those seeking to start a family, if not addressed. There are effective treatments and the National Institute for Health and Care Excellence (NICE) Fertility Guidelines set out clearly how the treatment can be offered in the most clinically and cost-effective way. The Government recognises that there is variation in the commissioning of National Health Service fertility services across England. Patients with infertility have every right to expect NHS services based on clinical need.</p><p> </p><p>Clinical commissioning groups (CCGs) have a statutory responsibility to commission healthcare services that meet the needs of their whole population, including fertility services. The Human Fertilisation and Embryology Authority’s guidance for commissioners is a new tool to help them implement NICE Fertility Guidelines and use the benchmark price treatments.</p><p> </p><p>I wrote to the Chief Executives of all CCGs in England on 17 June 2019 to promote the guidance and benchmark price, and strongly encourage them to implement fully the NICE Fertility Guidelines.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 276551 276556 question first answered 16/07/2019 14:53:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4378 label Biography information for Colleen Fletcher

1138687

registered interest
date	12/07/2019
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: Vacancies
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 help fill vacancies for medical staff in the NHS.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	276553
answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The Government has committed to funding for universities to offer an extra 1,500 undergraduate medical school places for domestic students. The first 630 places were taken up in September 2018 and the remaining additional places will have been made available by universities by 2020/21. By 2020, five new medical schools will have opened in England to help deliver the expansion.</p><p>The number of medical specialty training places that are available each year is set by Health Education England and based on their assessment of service gaps and predicted workforce needs.</p><p>However, it is the responsibility of National Health Service trusts to have staffing arrangements in place that deliver safe and effective care. This includes recruiting the staff needed to support these levels and meet local needs.</p><p>The NHS Long Term Plan set out the need to ensure a sustainable overall balance between supply and demand across all staff groups.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:42:34 answering member 1585 label Biography information for Stephen Hammond
tabling member	4378 label Biography information for Colleen Fletcher

1138689

registered interest
date	12/07/2019
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	Dental Services: Coventry
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many children aged 4 and under were admitted to hospital for a tooth extraction as a result of decay in (a) Coventry North East constituency and (b) Coventry local authority area in each of the last five years.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	276554
answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The data is not held in the format requested.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 22/07/2019 14:31:56 answering member 4455 label Biography information for Seema Kennedy
tabling member	4378 label Biography information for Colleen Fletcher

1138690

registered interest
date	12/07/2019
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: Vacancies
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many and what proportion of NHS hospitals have had vacancies for medical staff unfilled for more than (a) one, (b) two, (c) three and (d) four years.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	276555
answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>NHS Improvement does not hold data for the length of time vacancies have been unfilled for, nor does it hold vacancy data for individual hospitals.</p><p>NHS Improvement collects vacancy data for three staff groups; doctors, nurses and ‘other staff’. These vacancy statistics are published for England and at the regional level of North, Midlands and East, London and South.</p><p>NHS Digital published the latest NHS Improvement vacancy data which can be found in the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/nhs-vacancies-survey/february-2015---march-2019-provisional-experimental-statistics" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/nhs-vacancies-survey/february-2015---march-2019-provisional-experimental-statistics</a></p><p>Vacancies are filled by a combination of bank (82,900) and agency staff (28,900). There are more temporary staff than vacancies because bank and agency staff are also used to provide cover for short and long-term sickness absence, and maternity and paternity leave.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:37:51 answering member 1585 label Biography information for Stephen Hammond
tabling member	4378 label Biography information for Colleen Fletcher

1138691

registered interest
date	12/07/2019
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	IVF
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 has taken to prevent clinical commissioning groups from decommissioning IVF services.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	276556
answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Infertility is recognised as a disease by all mainstream international health organisations. In the United Kingdom, infertility affects one in seven of all couples of child-bearing age. It can cause great psychological distress for those seeking to start a family, if not addressed. There are effective treatments and the National Institute for Health and Care Excellence (NICE) Fertility Guidelines set out clearly how the treatment can be offered in the most clinically and cost-effective way. The Government recognises that there is variation in the commissioning of National Health Service fertility services across England. Patients with infertility have every right to expect NHS services based on clinical need.</p><p> </p><p>Clinical commissioning groups (CCGs) have a statutory responsibility to commission healthcare services that meet the needs of their whole population, including fertility services. The Human Fertilisation and Embryology Authority’s guidance for commissioners is a new tool to help them implement NICE Fertility Guidelines and use the benchmark price treatments.</p><p> </p><p>I wrote to the Chief Executives of all CCGs in England on 17 June 2019 to promote the guidance and benchmark price, and strongly encourage them to implement fully the NICE Fertility Guidelines.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 276551 276552 question first answered 16/07/2019 14:53:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4378 label Biography information for Colleen Fletcher

1131710

registered interest
date	12/06/2019
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	Blood 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, how many people who have been diagnosed with blood cancer were offered a holistic needs assessment in (a) 2016, (b) 2017 and (c) 2018.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	263851
answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>Data is currently being analysed on the number of Holistic Needs Assessments (HNAs) being recorded by National Health Service trusts. This data only became required from April 2018 as part of the Public Health England Cancer Outcomes and Services Dataset therefore figures from before this date will be incomplete. A baseline survey of NHS trusts for January to March 2017 indicated that around 30% of blood cancer patients are offered an HNA. Since then, Cancer Alliances have been rolling out HNA along with other personalised care interventions, therefore it is expected that this figure will now be higher.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/06/2019 15:33:40 answering member 4455 label Biography information for Seema Kennedy
tabling member	4378 label Biography information for Colleen Fletcher

1131714

registered interest
date	12/06/2019
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 is routinely offered to patients as part of the holistic needs assessment to help provide emotional and psychological support during and after a cancer diagnosis and treatment.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	263855
answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>When a person has a Holistic Needs Assessments (HNA) they are asked to identify any concerns from a checklist which will normally include emotional, relationship and spiritual concerns. People can of course, raise concerns at any time with their general practitioner or hospital team, not just when an HNA is being done. This should lead to actions being agreed in a personalised care and support plan that includes appropriate action to support the person with their psychosocial or mental health needs. For example:</p><p>- Signposting a person to peer support or cancer ‘buddies’ through patient groups, online forums etc;</p><p>- Signposting a person to a cancer support centre such as Maggie’s or a Macmillan Information centre;</p><p>- Providing training in relaxation techniques, problem solving and coping strategies;</p><p>- Referring a person to professional support in the form of emotional and basic psychological support from a clinical nurse specialist, or counselling from a trained professional such as a clinical psychologist; and</p><p>- Referring a person to professional support in the form of services for more serious mental health needs.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/06/2019 15:23:12 answering member 4455 label Biography information for Seema Kennedy
tabling member	4378 label Biography information for Colleen Fletcher

1131717

registered interest
date	12/06/2019
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: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many times on average children and young people have seen their GP before being diagnosed with (a) cancer and (b) blood cancer in each of the last five years.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	263858
answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The information requested is not held centrally.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 263859 question first answered 17/06/2019 15:21:46 answering member 4455 label Biography information for Seema Kennedy
tabling member	4378 label Biography information for Colleen Fletcher

1131718

registered interest
date	12/06/2019
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: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the average stage is of (a) cancer and (b) blood cancer diagnosed in children and young people.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	263859
answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The information requested is not held centrally.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 263858 question first answered 17/06/2019 15:21:46 answering member 4455 label Biography information for Seema Kennedy
tabling member	4378 label Biography information for Colleen Fletcher