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1138053

	registered interest
	date	10/07/2019
	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	Smoking: Pregnancy
	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 projected change in smoking rates among pregnant women is over the next two years.
	tabling member constituency	East Londonderry
	tabling member printed	Mr Gregory Campbell
	uin	275697
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>As outlined in the Tobacco Control Plan for England, published in 2017, the Government is committed to reducing the prevalence of women smoking during pregnancy to 6% or less by the end of 2022.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:30:57 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1409 label Biography information for Mr Gregory Campbell

1138072

	registered interest
	date	10/07/2019
	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	Special Educational Needs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what outcomes NHS England plans to achieve for children and young people with special educational needs and disabilities during the lifespan of the NHS Long Term Plan.
	tabling member constituency	Newcastle upon Tyne North
	tabling member printed	Catherine McKinnell
	uin	275749
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>Aspirations for children and young people are set out in the NHS Long Term Plan and the recently published Implementation Framework. Services for children and young people with special educational needs and disabilities and learning disabilities and autism are separate workstreams under the new Children and Young People Transformation Board.</p><p>Funding to deliver the improvements set out in the Long Term Plan will be provided through clinical commissioning groups allocations and additional service development funding.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 275750 question first answered 15/07/2019 15:30:31 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4125 label Biography information for Catherine McKinnell

1138073

	registered interest
	date	10/07/2019
	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	Special Educational Needs: Finance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how much funding NHS England has allocated to improving outcomes for children and young people with special educational needs and disabilities during the lifespan of the NHS Long-Term Plan.
	tabling member constituency	Newcastle upon Tyne North
	tabling member printed	Catherine McKinnell
	uin	275750
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>Aspirations for children and young people are set out in the NHS Long Term Plan and the recently published Implementation Framework. Services for children and young people with special educational needs and disabilities and learning disabilities and autism are separate workstreams under the new Children and Young People Transformation Board.</p><p>Funding to deliver the improvements set out in the Long Term Plan will be provided through clinical commissioning groups allocations and additional service development funding.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 275749 question first answered 15/07/2019 15:30:31 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4125 label Biography information for Catherine McKinnell

1138078

	registered interest
	date	10/07/2019
	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: Prisons
	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 improve the mental health of prisoners.
	tabling member constituency	Richmond Park
	tabling member printed	Zac Goldsmith
	uin	275743
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>NHS England and NHS Improvement are currently working across the entire criminal justice pathway to develop and improve services for offenders with mental health difficulties.</p><p> </p><p>NHS England and NHS Improvement are working with partners to intervene at the earliest opportunity to ensure that offenders receive the right care, in the right place, at the right time.</p><p> </p><p>Liaison and Diversion Services operate in police stations and courts to identify and assess people with vulnerabilities including mental health issues. Where that individual is subsequently sent to prison the receiving prison will have the relevant information of the individual’s mental health needs to inform the reception healthcare staff so that they can implement appropriate interventions as soon as possible after they arrive.</p><p> </p><p>Health services are available across the estate where assessment identifies treatment needs.</p><p> </p><p>The service specification for prison mental health services was reviewed in 2017-18. This review, led by clinicians in conjunction with stakeholders and informed by experts with experience, was published in March 2018, with all new services being commissioned against it from April 2018. The new specification includes the Royal College of Psychiatrists Quality Network for Prison Mental Health Services standards, ensuring equity of quality across the estate.</p><p> </p><p>NHS England and NHS Improvement are currently consulting on revised Transfer and Remission guidance to ensure that new clinically developed timescales are set which ensure timely and appropriate access to mental health treatment in hospital when necessary, in a clinically safe and well managed way. The consultation ends on 19 July 2019.</p><p> </p><p>The NHS Long Term Plan committed to a new service to support people leaving custody to remain engaged with community-based healthcare services. The reconnect service will support continuity of care when people return to the community.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/07/2019 13:33:03 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4062 label Biography information for Lord Goldsmith of Richmond Park

1138079

	registered interest
	date	10/07/2019
	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 Illness: Prisoners
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the proportion of the prison population with mental health problems.
	tabling member constituency	Richmond Park
	tabling member printed	Zac Goldsmith
	uin	275744
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>No estimate has been made of the proportion of the prison health population with mental health problems.</p><p> </p><p>Currently a closed system is used to record clinical data in prisons. The Health and Justice Information Service system, being rolled out between 2018-20, will have the ability to share information with community healthcare services; this is integral to the collection of relevant data that is quality assured and robust.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/07/2019 13:33:41 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4062 label Biography information for Lord Goldsmith of Richmond Park

1138091

	registered interest
	date	10/07/2019
	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	Cannabis: Analgesics
	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 he has made of the potential merits of using medicinal cannabis for pain relief.
	tabling member constituency	Brigg and Goole
	tabling member printed	Andrew Percy
	uin	275737
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>An initial impact assessment Rescheduling of cannabis-based products for medicinal use under the Misuse of Drugs Regulations 2001 was published alongside The Misuse of Drugs (Amendments) (Cannabis and Licence Fees) (England, Wales and Scotland) Regulations 2018. A copy of this impact assessment is available at the following link:</p><p> </p><p><a href="http://www.legislation.gov.uk/uksi/2018/1055/impacts" target="_blank">http://www.legislation.gov.uk/uksi/2018/1055/impacts</a></p><p> </p><p>This set out the approach that the Government proposed to take in assessing the costs and benefits of the change in the law at a population level, with regard to the rescheduling of CBPM. The analysis is limited to the five medical conditions where there is most evidence. These five conditions are multiple sclerosis – pain or muscle spasticity; chemotherapy-induced nausea and vomiting; severe treatment-resistant epilepsy in children - specifically Dravet Syndrome and Lennox-Gastaut Syndrome only; chronic pain in adults and appetite and weight loss associated with HIV/AIDS.</p><p>To further the evidence-base, the National Institute for Health Research has issued two calls for research in this area and is working with the industry and researchers to ensure that the evidence is developed in a way that will inform decisions on public funding. This research will be open to all good quality proposals covering any indication, including pain and other disorders unresponsive to existing treatments.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 275738 question first answered 18/07/2019 09:33:54 answering member 4455 label Biography information for Seema Kennedy
	tabling member	3939 label Biography information for Andrew Percy

1138094

	registered interest
	date	10/07/2019
	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	Irritable Bowel Syndrome: Cannabis
	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 potential merits of using medicinal cannabis to treat Irritable Bowel Syndrome.
	tabling member constituency	Brigg and Goole
	tabling member printed	Andrew Percy
	uin	275738
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>An initial impact assessment Rescheduling of cannabis-based products for medicinal use under the Misuse of Drugs Regulations 2001 was published alongside The Misuse of Drugs (Amendments) (Cannabis and Licence Fees) (England, Wales and Scotland) Regulations 2018. A copy of this impact assessment is available at the following link:</p><p> </p><p><a href="http://www.legislation.gov.uk/uksi/2018/1055/impacts" target="_blank">http://www.legislation.gov.uk/uksi/2018/1055/impacts</a></p><p> </p><p>This set out the approach that the Government proposed to take in assessing the costs and benefits of the change in the law at a population level, with regard to the rescheduling of CBPM. The analysis is limited to the five medical conditions where there is most evidence. These five conditions are multiple sclerosis – pain or muscle spasticity; chemotherapy-induced nausea and vomiting; severe treatment-resistant epilepsy in children - specifically Dravet Syndrome and Lennox-Gastaut Syndrome only; chronic pain in adults and appetite and weight loss associated with HIV/AIDS.</p><p>To further the evidence-base, the National Institute for Health Research has issued two calls for research in this area and is working with the industry and researchers to ensure that the evidence is developed in a way that will inform decisions on public funding. This research will be open to all good quality proposals covering any indication, including pain and other disorders unresponsive to existing treatments.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 275737 question first answered 18/07/2019 09:33:54 answering member 4455 label Biography information for Seema Kennedy
	tabling member	3939 label Biography information for Andrew Percy

1138107

	registered interest
	date	10/07/2019
	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, when details of the funding arrangements for the planned pilots of four week waiting time standards to access adult community eating disorder services will be made available.
	tabling member constituency	Brighton, Pavilion
	tabling member printed	Caroline Lucas
	uin	275724
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>For adults with an eating disorder, the NHS Long Term Plan has made a renewed commitment that mental health services will grow faster than the overall National Health Service budget, with additional investment worth at least £2.3 billion a year by 2023/24. This includes investment in community-based adult eating disorder services as part of the Plan’s commitment to transform community-based care for adults with mental health needs.</p><p> </p><p>The NHS is also investing over £30 million in services every year to meet and maintain ambitious waiting targets, with 70 community treatment teams now covering the whole of the country so that more children and young people can get eating disorder care closer to home and out of hospital.</p><p> </p><p>As part of a broader programme of work on community based mental health care for adults, alongside work to explore the effectiveness of different approaches to integrated delivery with primary care and starting this summer, NHS England will test four-week waiting times for adult and older adult community mental health teams with selected local areas to build understanding of how best to introduce ambitious but achievable improvements to access, quality of care and outcomes. In doing so, NHS England will also consider the interfaces with specialist community mental health services, particularly where there is an existing evidence base for rapid direct access (such as eating disorders).</p><p> </p><p>Learning from these test sites about the required inputs to increase access and reduce waits will inform future policy discussions about a suitable timeframe for implementation of any future access and waiting time targets, for core community provision or for specialist provision.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 275725 question first answered 15/07/2019 13:30:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	3930 label Biography information for Caroline Lucas

1138108

	registered interest
	date	10/07/2019
	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: Waiting Lists
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, when he will announce the (a) scope and (b) timelines of the pilots of four week waiting time standards for adult and older adult community mental health teams, including for adult community eating disorder services.
	tabling member constituency	Brighton, Pavilion
	tabling member printed	Caroline Lucas
	uin	275725
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>For adults with an eating disorder, the NHS Long Term Plan has made a renewed commitment that mental health services will grow faster than the overall National Health Service budget, with additional investment worth at least £2.3 billion a year by 2023/24. This includes investment in community-based adult eating disorder services as part of the Plan’s commitment to transform community-based care for adults with mental health needs.</p><p> </p><p>The NHS is also investing over £30 million in services every year to meet and maintain ambitious waiting targets, with 70 community treatment teams now covering the whole of the country so that more children and young people can get eating disorder care closer to home and out of hospital.</p><p> </p><p>As part of a broader programme of work on community based mental health care for adults, alongside work to explore the effectiveness of different approaches to integrated delivery with primary care and starting this summer, NHS England will test four-week waiting times for adult and older adult community mental health teams with selected local areas to build understanding of how best to introduce ambitious but achievable improvements to access, quality of care and outcomes. In doing so, NHS England will also consider the interfaces with specialist community mental health services, particularly where there is an existing evidence base for rapid direct access (such as eating disorders).</p><p> </p><p>Learning from these test sites about the required inputs to increase access and reduce waits will inform future policy discussions about a suitable timeframe for implementation of any future access and waiting time targets, for core community provision or for specialist provision.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 275724 question first answered 15/07/2019 13:30:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	3930 label Biography information for Caroline Lucas

1138110

	registered interest
	date	10/07/2019
	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	Measles: Disease Control
	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 reduce the number of measles cases in England.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	275669
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>In January 2019 Public Health England, Public Health Wales, the Public Health Agency in Northern Ireland and Health Protection Scotland published the United Kingdom Measles and rubella elimination strategy, which is available at the following link:</p><p><a href="https://www.gov.uk/government/publications/measles-and-rubella-elimination-uk-strategy" target="_blank">https://www.gov.uk/government/publications/measles-and-rubella-elimination-uk-strategy</a></p><p>This strategy sets out four core components required to maintain elimination of measles and rubella:</p><p>- achieving and sustaining very high coverage of greater than or equal to 95% with two doses of measles, mumps and rubella (MMR) through the routine childhood immunisation programme for those children less than five years old;</p><p>- providing opportunities for MMR catch-up to all population groups at risk for and susceptible to measles and/or rubella for those over five years old;</p><p>- strengthening surveillance systems by rigorous case investigation and laboratory confirmation of suspected sporadic cases and outbreaks; and</p><p>- improving the availability and use of high-quality, evidence-based information for health professionals and the public on the measles and MMR.</p><p>A multi-agency implementation board is working with national and local stakeholders to take forward the actions of the strategy.</p><p> </p><p> </p><p> </p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:40:56 answering member 4455 label Biography information for Seema Kennedy
	tabling member	308 label Biography information for Mr Jim Cunningham