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1087041

registered interest
date	12/03/2019
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
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 make an assessment of the effectiveness of the PACE trial of therapies on reducing the effects of (a) myalgic encephalomyelitis and (b) chronic fatigue syndrome.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	231512
answer	answer is ministerial correction date of answer 20/03/2019 answer text <p>The PACE trial, undertaken by Queen Mary University of London, was the largest ever trial of therapies for chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME). The trial aimed to test and compare the effectiveness of four of the main treatments available for people CFS/ME. These were adaptive pacing therapy, cognitive behaviour therapy (CBT), graded exercise therapy, and standardised specialist medical care (SMC).</p><p> </p><p>The five-year trial involved over 600 participants, aged 18 and over, in Scotland and England. The first set of results from the trial were published in 2011 in the Lancet, and a number of other evaluations based on the trial have been published since. The trial results found both CBT and GET were moderately effective when provided alongside SMC and were better than adaptive pacing therapy or SMC alone in improving both symptoms and disability.</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) guideline ‘Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): Diagnosis and management of CFS/ME in adults and children’, sets outs best practice for clinicians on the diagnosis, treatment, care and support of people with the condition. The guideline recommends CBT and GET as appropriate treatments for mild to moderate CFS/ME, in line with the best available evidence.</p><p> </p><p>The NICE guideline acknowledges that there is no one form of treatment to suit every patient and that treatment and care should take into account the personal needs and preferences of the patient. Decisions concerning the appropriateness of treatments should be made on a case by case basis.</p><p> </p><p>On 20 September 2017, NICE announced its decision to undertake a full update of the guideline, following a review of the latest available evidence on the diagnosis and management of CFS/ME and a public consultation. New guidance is expected in October 2020. More information on this decision can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/news/article/nice-to-begin-review-of-its-guidance-on-the-diagnosis-and-treatment-of-cfs-me" target="_blank">www.nice.org.uk/news/article/nice-to-begin-review-of-its-guidance-on-the-diagnosis-and-treatment-of-cfs-me</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/03/2019 16:33:27 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

1087043

registered interest
date	12/03/2019
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	Health: Disadvantaged
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 allocate funding for the ten-year review of progress on reducing health inequalities since the publication of the report entitled Fair Society, Healthy Lives, published by Michael Marmot.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	231513
answer	answer is ministerial correction date of answer 20/03/2019 answer text <p>We have no current plans to allocate funding to the Institute of Health Equity and Health Foundation review of Fair Society, Healthy Lives. We look forward to seeing the review’s conclusions in February 2020. Reducing health inequalities remains a priority for the Department and is central to the NHS Long Term Plan and the Secretary of State’s prevention priority.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/03/2019 16:24:12 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4433 label Biography information for Thangam Debbonaire

1087065

registered interest
date	12/03/2019
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	Health Services: Birmingham
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 specifications of the Clinical Commissioning Group plans to improve medical services for homeless citizens in Birmingham; and if he will make a statement.
tabling member constituency	Birmingham, Hodge Hill
tabling member printed	Liam Byrne
uin	231370
answer	answer is ministerial correction date of answer 15/03/2019 answer text <p>There is a dedicated and specialist service for homeless patients, and rough sleepers, in central Birmingham. The clinical commissioning group has established a project group, which includes a range of stakeholders (health, social care and third sector), to inform the development of the health contribution to an integrated homeless service model.</p><p> </p><p>The Department has made no specific assessment of the plans. However, the clinical commissioning group will continue to carefully monitor the quality of services provided.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/03/2019 13:46:23 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1171 label Biography information for Liam Byrne

1087066

registered interest
date	12/03/2019
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	Health Services: Birmingham
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 Care Quality Commission report on medical services for homeless citizens in Birmingham, published in October 2018, when he plans to re-tender the service; and if he will lay a copy of the specification for their service in the Library.
tabling member constituency	Birmingham, Hodge Hill
tabling member printed	Liam Byrne
uin	231371
answer	answer is ministerial correction date of answer 20/03/2019 answer text <p>The provision of this service is the responsibility of the local clinical commissioning group, (Birmingham and Solihull Clinical Commissioning Group). The current service will remain in place until the clinical commissioning group considers and agrees its commissioning plan for the service going forward; it is anticipated that the plan will be agreed in the very near future.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/03/2019 16:38:35 answering member 4067 label Biography information for Steve Brine
tabling member	1171 label Biography information for Liam Byrne

1087074

registered interest
date	12/03/2019
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	Blood: Contamination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the UK Government has accepted responsibility for the contaiminated blood products that were imported from the US during the 1970s and 1980s that caused some people in the UK to be infected with both HIV and Hepatitis.
tabling member constituency	Portsmouth South
tabling member printed	Stephen Morgan
uin	231547
answer	answer is ministerial correction date of answer 15/03/2019 answer text <p>In July 2017 the Prime Minister announced a full public inquiry, under the Inquiries Act 2005, to conduct an independent review of all the events surrounding the tragedy of infection with blood products.</p><p> </p><p>Following a consultation, the Inquiry’s wide ranging, and United Kingdom-wide terms of reference were presented to Parliament by the Chancellor of the Duchy of Lancaster (Rt. hon David Lidington MP), and published in July 2018.</p><p> </p><p>Those terms of reference include to “…identify…any individual responsibilities, as well as organisational and systemic failures.”</p><p> </p><p>Further information is available on the Inquiry’s website at the following link:</p><p><a href="https://www.infectedbloodinquiry.org.uk/" target="_blank">https://www.infectedbloodinquiry.org.uk/</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/03/2019 13:51:16 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4653 label Biography information for Stephen Morgan

1087075

registered interest
date	12/03/2019
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	England Infected Blood Support Scheme
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 his Department has made of the effectiveness of the support provided to people through the England Infected Blood Support Scheme.
tabling member constituency	Portsmouth South
tabling member printed	Stephen Morgan
uin	231548
answer	answer is ministerial correction date of answer 15/03/2019 answer text <p>Following two extensive public consultations in 2016 and 2017, the current infected blood support scheme for England was introduced in 2017. These reforms committed an additional £125 million of support to those affected over the Spending Review period to April 2021, more than doubling the Department’s annual spending on the scheme. New annual payments for people with stage 1 hepatitis C infection and a new one-off payment for bereaved partners and spouses were introduced. In addition, a new process for those with stage 1 hepatitis C infection who consider their infection, or its treatment, to have a substantial and long-term impact on their ability to carry out routine daily activities to apply for the higher payment amount was also announced. Alongside these reforms a single programme of discretionary support for all, infected and bereaved, was introduced with an increased level of funding available.</p><p> </p><p>The Government has noted recent concerns that have been raised through the Infected Blood Inquiry about the support provided. This matter is receiving careful consideration and an update will be provided as soon as practicable.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/03/2019 13:52:28 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4653 label Biography information for Stephen Morgan

1087078

registered interest
date	12/03/2019
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	Foetuses: Analgesics
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 the Answers of 6 February 2019 and 26 February 2019 to Question 214478 on Foetuses: Surgery and Question 223137 on Abortion, which establish a variation in practice for some procedures in the womb for the administration of pain relief for unborn babies of 20 weeks, for what reasons there are such variations in practice; what steps he is taking to tackle such variations in practice; and if he will make a statement.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	231425
answer	answer is ministerial correction date of answer 15/03/2019 answer text <p>The Department does not set clinical practice. It is for clinicians to determine whether it is appropriate to provide fetal pain relief. Decisions will be informed by the individual circumstances of each case and consideration of appropriate professional guidelines.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/03/2019 13:49:35 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1087083

registered interest
date	12/03/2019
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	Down's Syndrome: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what information he holds on the number of NHS hospitals that offer non-invasive pregnancy testing onsite; and what steps are being taken to monitor the effect of that onsite provision on the birth rate of babies with Down's syndrome.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	231429
answer	answer is ministerial correction date of answer 15/03/2019 answer text <p>The national evaluative roll out for non-invasive pregnancy testing (NIPT) as a contingent screening test is yet to be implemented into the NHS Fetal Anomaly Screening Programme. Therefore, no information is held on the effect of NIPT on the birth rate of babies with Down's syndrome or the number of National Health Service hospitals that offer non-invasive pregnancy testing onsite.</p><p> </p><p>Once NIPT is rolled out, data on the choices women make regarding screening and/or diagnosis will be collected. Data will also be collected on the pregnancy outcomes of women who choose to have screening, including babies born with Down’s syndrome.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/03/2019 13:47:33 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1087090

registered interest
date	12/03/2019
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	Hospitals: Infectious Diseases
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 effect of the proposed NHS Tariff and its alignment with the commitments set out in the NHS 10 Point Efficiency Plan on reducing infection rates in hospitals in the field of ophthalmology.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	231465
answer	answer is ministerial correction date of answer 20/03/2019 answer text <p>The national tariff is not designed to incentivise or reward providers around infection rates. Other mechanisms are employed to support the National Health Service to reduce infection rates.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 20/03/2019 16:20:16 answering member 1585 label Biography information for Stephen Hammond
tabling member	4131 label Biography information for Jim Shannon

1087091

registered interest
date	12/03/2019
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	Hospitals: Infectious Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress the Government has made on reducing infection rates in hospitals; and if he will make a statement.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	231466
answer	answer is ministerial correction date of answer 20/03/2019 answer text <p>Public Health England (PHE) collects data on the number of healthcare associated infections as part of the English Surveillance Programme for Antimicrobial Utilisation and Resistance, available at the following link:</p><p><a href="https://www.gov.uk/government/publications/english-surveillance-programme-antimicrobial-utilisation-and-resistance-espaur-report" target="_blank">https://www.gov.uk/government/publications/english-surveillance-programme-antimicrobial-utilisation-and-resistance-espaur-report</a></p><p>The latest data show cases of hospital-onset Clostridium difficile infection decreased by 18% from 1,149 in October-December 2017 to 938 in the same period in 2018. Hospital-onset Methicillin-resistant Staphylococcus aureus (MRSA) and Escherichia coli bloodstream infections remained stable over the last five years although hospital-onset Methicillin-sensitive Staphylococcus aureus (MSSA) cases have increased slightly. This data can be found in the Epidemiological Commentary on mandatory surveillance and is available to view at the following link:</p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/739910/Quarterley_Epidemiology_Commentary_September_18.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/739910/Quarterley_Epidemiology_Commentary_September_18.pdf</a></p><p>PHE supports NHS Improvement by making local data on rates of healthcare-associated infections available to hospitals and clinical commissioning groups via its Fingertips web portal available at the following link:</p><p><a href="https://fingertips.phe.org.uk/profile/amr-local-indicators" target="_blank">https://fingertips.phe.org.uk/profile/amr-local-indicators</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/03/2019 16:36:29 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon