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1139192

	registered interest
	date	16/07/2019
	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	Eating Disorders: Mental 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 he is taking to ensure that people with eating disorders receive treatment based on their mental state.
	tabling member constituency	Peterborough
	tabling member printed	Ms Lisa Forbes
	uin	277857
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>All patients should receive necessary treatment appropriate to their individual circumstances.</p><p>National Institute for Health and Care Excellence guidelines suggest that eating disorder specialists and other healthcare teams should collaborate to support effective treatment of physical or mental health comorbidities in people with an eating disorder.</p><p>When collaborating, teams should use outcome measures for both the eating disorder and the physical and mental health comorbidities, to monitor the effectiveness of treatments for each condition and the potential impact they have on each other.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/07/2019 10:03:55 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4717 label Biography information for Ms Lisa Forbes

1139219

	registered interest
	date	16/07/2019
	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	Medical Equipment: UK Notified Bodies
	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 representations he has received from the medical technology sector on the capacity of Notified Bodies to meet the demand for their services under the provisions of the Medical Devices Regulation; and if he will make a statement.
	tabling member constituency	Bolton West
	tabling member printed	Chris Green
	uin	277763
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>New European Union Regulations for medical devices (MDR) entered into force in May 2017 and will fully apply from May 2020.</p><p>The new Regulations substantially strengthen the regulatory framework for medical devices and notified bodies are having to make significant changes to meet the enhanced requirements. These changes have the aim of improving the quality, consistency and rigour of notified body assessments, which was one of the Government’s key aims for the new legislation.</p><p>Ministers have met with and received letters from industry representatives who have raised concerns about capacity in the notified body sector across the EU to support the implementation of the MDR. The Government recognises the importance of having competent notified bodies across the EU in place in sufficient time to ensure continuity of supply of products to the United Kingdom market.</p><p>For this reason, at the Employment, Social Policy, Health and Consumer Affairs (EPSCO) Council on 14 June, the Parliamentary Under-Secretary of State (Baroness Blackwood of North Oxford) raised the Government’s concerns about the readiness of critical infrastructure required to implement the MDR and the risk that some existing and new to market products will not be available to patients as a result.</p><p>We very much recognise the benefits of the new Regulations and the imperative of full implementation as soon as possible in the interests of patient safety. Therefore, at EPSCO the Government emphasised the importance of finding a coordinated solution at an EU level and we will continue to do what we can to influence these discussions.</p><p>In parallel with this activity, the Medicines and Healthcare products Regulatory Agency (MHRA) has been engaging with its notified bodies on an ongoing basis to ensure that sufficient resources are in place and notified bodies are prepared for the implementation of the new EU legislation. The MHRA is also offering a substantial amount of resource to the EU in order to support and expedite the designation process.</p><p>Through the Office for Life Sciences, the Government plans to work with stakeholders to come to a shared understanding of the issues and discuss what further mitigating action could be taken. Further engagement with industry will therefore take place in the short term.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 277764 278523 question first answered 25/07/2019 10:00:04 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4398 label Biography information for Chris Green

1139220

	registered interest
	date	16/07/2019
	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	Medical Devices (Amendment etc.) (EU Exit) Regulations 2019
	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 plans to seek an extension to the implementation period of the Medical Devices Regulation from the EU.
	tabling member constituency	Bolton West
	tabling member printed	Chris Green
	uin	277764
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>New European Union Regulations for medical devices (MDR) entered into force in May 2017 and will fully apply from May 2020.</p><p>The new Regulations substantially strengthen the regulatory framework for medical devices and notified bodies are having to make significant changes to meet the enhanced requirements. These changes have the aim of improving the quality, consistency and rigour of notified body assessments, which was one of the Government’s key aims for the new legislation.</p><p>Ministers have met with and received letters from industry representatives who have raised concerns about capacity in the notified body sector across the EU to support the implementation of the MDR. The Government recognises the importance of having competent notified bodies across the EU in place in sufficient time to ensure continuity of supply of products to the United Kingdom market.</p><p>For this reason, at the Employment, Social Policy, Health and Consumer Affairs (EPSCO) Council on 14 June, the Parliamentary Under-Secretary of State (Baroness Blackwood of North Oxford) raised the Government’s concerns about the readiness of critical infrastructure required to implement the MDR and the risk that some existing and new to market products will not be available to patients as a result.</p><p>We very much recognise the benefits of the new Regulations and the imperative of full implementation as soon as possible in the interests of patient safety. Therefore, at EPSCO the Government emphasised the importance of finding a coordinated solution at an EU level and we will continue to do what we can to influence these discussions.</p><p>In parallel with this activity, the Medicines and Healthcare products Regulatory Agency (MHRA) has been engaging with its notified bodies on an ongoing basis to ensure that sufficient resources are in place and notified bodies are prepared for the implementation of the new EU legislation. The MHRA is also offering a substantial amount of resource to the EU in order to support and expedite the designation process.</p><p>Through the Office for Life Sciences, the Government plans to work with stakeholders to come to a shared understanding of the issues and discuss what further mitigating action could be taken. Further engagement with industry will therefore take place in the short term.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 277763 278523 question first answered 25/07/2019 10:00:04 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4398 label Biography information for Chris Green

1139449

	registered interest
	date	16/07/2019
	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	Health Visitors
	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 in place to tackle the variation in the (a) quality of health visiting services and (b) delivery of the Health Child Programme among local authorities in England.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	277600
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The Government wants children to get the best start in life, recognising the lasting impact this has on health outcomes and life chances. The Department is working in partnership with Public Health England, the National Health Service and Local Government Association to modernise the Healthy Child Programme, with an initial focus on the first 1,001 days and early years, to improve a range of childhood outcomes including early development and school readiness. Health visitors, with other professionals, have an essential role supporting babies and their families.</p><p>The Interim People Plan, published in June, sets out the vision for people who work in the NHS to enable them to deliver the NHS Long Term Plan. Within this are specific plans for supporting community nurses, through growing pre-registration clinical placement capacity, a clear emphasis on high-quality learning experiences being provided within community settings. There is also a clear commitment to work with partners to identify how to support growth in the community workforce including district nursing, general practice nursing, health visitors and school nursing.</p><p>A Specialist Community and Public Health Nurse apprenticeship (Level 7) is currently in development. This will offer an alternative route directly into the health visiting profession. There are also nursing apprenticeship pathways currently in place to become a Registered Nurse, following which an individual has the option to choose to complete a postgraduate course to go onto qualify as a health visitor.</p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 277601 277602 question first answered 25/07/2019 10:01:36 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	114 label Biography information for Tim Loughton

1139450

	registered interest
	date	16/07/2019
	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	Health Visitors
	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 estimate he has made of the deficit in trained health visitors.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	277601
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The Government wants children to get the best start in life, recognising the lasting impact this has on health outcomes and life chances. The Department is working in partnership with Public Health England, the National Health Service and Local Government Association to modernise the Healthy Child Programme, with an initial focus on the first 1,001 days and early years, to improve a range of childhood outcomes including early development and school readiness. Health visitors, with other professionals, have an essential role supporting babies and their families.</p><p>The Interim People Plan, published in June, sets out the vision for people who work in the NHS to enable them to deliver the NHS Long Term Plan. Within this are specific plans for supporting community nurses, through growing pre-registration clinical placement capacity, a clear emphasis on high-quality learning experiences being provided within community settings. There is also a clear commitment to work with partners to identify how to support growth in the community workforce including district nursing, general practice nursing, health visitors and school nursing.</p><p>A Specialist Community and Public Health Nurse apprenticeship (Level 7) is currently in development. This will offer an alternative route directly into the health visiting profession. There are also nursing apprenticeship pathways currently in place to become a Registered Nurse, following which an individual has the option to choose to complete a postgraduate course to go onto qualify as a health visitor.</p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 277600 277602 question first answered 25/07/2019 10:01:36 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	114 label Biography information for Tim Loughton

1139451

	registered interest
	date	16/07/2019
	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	Health Visitors
	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 measure the adequacy of the health visitor workforce to implement the Healthy Child Programme.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	277602
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The Government wants children to get the best start in life, recognising the lasting impact this has on health outcomes and life chances. The Department is working in partnership with Public Health England, the National Health Service and Local Government Association to modernise the Healthy Child Programme, with an initial focus on the first 1,001 days and early years, to improve a range of childhood outcomes including early development and school readiness. Health visitors, with other professionals, have an essential role supporting babies and their families.</p><p>The Interim People Plan, published in June, sets out the vision for people who work in the NHS to enable them to deliver the NHS Long Term Plan. Within this are specific plans for supporting community nurses, through growing pre-registration clinical placement capacity, a clear emphasis on high-quality learning experiences being provided within community settings. There is also a clear commitment to work with partners to identify how to support growth in the community workforce including district nursing, general practice nursing, health visitors and school nursing.</p><p>A Specialist Community and Public Health Nurse apprenticeship (Level 7) is currently in development. This will offer an alternative route directly into the health visiting profession. There are also nursing apprenticeship pathways currently in place to become a Registered Nurse, following which an individual has the option to choose to complete a postgraduate course to go onto qualify as a health visitor.</p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 277600 277601 question first answered 25/07/2019 10:01:36 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	114 label Biography information for Tim Loughton

1139686

	registered interest
	date	17/07/2019
	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	Medical Equipment: UK Notified Bodies
	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 adequacy of the number of notified bodies to service medical devices under the terms of the Medical Devices Regulation.
	tabling member constituency	Bolton West
	tabling member printed	Chris Green
	uin	278523
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>New European Union Regulations for medical devices (MDR) entered into force in May 2017 and will fully apply from May 2020.</p><p>The new Regulations substantially strengthen the regulatory framework for medical devices and notified bodies are having to make significant changes to meet the enhanced requirements. These changes have the aim of improving the quality, consistency and rigour of notified body assessments, which was one of the Government’s key aims for the new legislation.</p><p>Ministers have met with and received letters from industry representatives who have raised concerns about capacity in the notified body sector across the EU to support the implementation of the MDR. The Government recognises the importance of having competent notified bodies across the EU in place in sufficient time to ensure continuity of supply of products to the United Kingdom market.</p><p>For this reason, at the Employment, Social Policy, Health and Consumer Affairs (EPSCO) Council on 14 June, the Parliamentary Under-Secretary of State (Baroness Blackwood of North Oxford) raised the Government’s concerns about the readiness of critical infrastructure required to implement the MDR and the risk that some existing and new to market products will not be available to patients as a result.</p><p>We very much recognise the benefits of the new Regulations and the imperative of full implementation as soon as possible in the interests of patient safety. Therefore, at EPSCO the Government emphasised the importance of finding a coordinated solution at an EU level and we will continue to do what we can to influence these discussions.</p><p>In parallel with this activity, the Medicines and Healthcare products Regulatory Agency (MHRA) has been engaging with its notified bodies on an ongoing basis to ensure that sufficient resources are in place and notified bodies are prepared for the implementation of the new EU legislation. The MHRA is also offering a substantial amount of resource to the EU in order to support and expedite the designation process.</p><p>Through the Office for Life Sciences, the Government plans to work with stakeholders to come to a shared understanding of the issues and discuss what further mitigating action could be taken. Further engagement with industry will therefore take place in the short term.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 277763 277764 question first answered 25/07/2019 10:00:04 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4398 label Biography information for Chris Green

1139924

	registered interest
	date	17/07/2019
	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	Health: 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, whether the Government has made an assessment of the effect of trends in the level of poverty on the health of children and young people throughout the UK.
	tabling member constituency	Workington
	tabling member printed	Sue Hayman
	uin	278519
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The circumstances we are born in to and the conditions in which we live all have a major bearing on our health and wellbeing. The Government remains committed to tackling poverty so that we can make a lasting difference to long-term outcomes. There is clear evidence about the importance of work in tackling poverty now and in the future. Households where all adults are in work are around six times less likely to be in relative poverty than adults in a household where nobody works. The Government has lifted 400,000 people out of absolute poverty since 2010 and the number of people in employment has increased by over 3.7 million, there are around one million fewer workless households and around 667,000 fewer children in such households.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/07/2019 10:18:25 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4395 label Biography information for Baroness Hayman of Ullock

1139926

	registered interest
	date	17/07/2019
	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	Health: 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 assessment he has made of the implications for his policies of the conclusions in the report entitled, State of Child Health: Two years on, published by the Royal College of Paediatrics and Child Health.
	tabling member constituency	Workington
	tabling member printed	Sue Hayman
	uin	278520
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The Department welcomes the contribution provided by the Royal College of Paediatrics and Child Health (RCPCH), which has highlighted a number of challenges that must be addressed. We are pleased with the progress noted by the RCPCH in the most recent assessment, particularly on the NHS Long Term Plan including its focus on maternity, support for mental health, learning disabilities and cancer.</p><p>There are no current plans to introduce a separate children and young people’s health strategy as suggested by the RCPCH and other bodies. Our Prevention Vision is clear on the importance of action in our earliest experiences, the environment around us and from the services we receive. We are focussed on tackling the root causes of poor health, not just treating the symptoms and will continue to lead a range of policies to influence the wider issues that impact on child health.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 278522 question first answered 25/07/2019 10:12:17 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4395 label Biography information for Baroness Hayman of Ullock

1139931

	registered interest
	date	17/07/2019
	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	Health: 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, if the Government will introduce a children and young people's health strategy to link policies that affect child health and to tackle the social determinants of health outcomes.
	tabling member constituency	Workington
	tabling member printed	Sue Hayman
	uin	278522
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The Department welcomes the contribution provided by the Royal College of Paediatrics and Child Health (RCPCH), which has highlighted a number of challenges that must be addressed. We are pleased with the progress noted by the RCPCH in the most recent assessment, particularly on the NHS Long Term Plan including its focus on maternity, support for mental health, learning disabilities and cancer.</p><p>There are no current plans to introduce a separate children and young people’s health strategy as suggested by the RCPCH and other bodies. Our Prevention Vision is clear on the importance of action in our earliest experiences, the environment around us and from the services we receive. We are focussed on tackling the root causes of poor health, not just treating the symptoms and will continue to lead a range of policies to influence the wider issues that impact on child health.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 278520 question first answered 25/07/2019 10:12:17 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4395 label Biography information for Baroness Hayman of Ullock