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1000255

	registered interest
	date	02/11/2018
	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	Council of Europe Convention against Trafficking in Human Organs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, when the Government plans to ratify and implement the Council of Europe Convention against trafficking in human organs signed on 23 March 2015.
	tabling member constituency	Glasgow North
	tabling member printed	Patrick Grady
	uin	187376
	answer	answer is ministerial correction date of answer 12/11/2018 answer text <p>The United Kingdom formally signed the Council of Europe Convention on Organ Trafficking on 25 March 2015 and has legislation in place to ensure consent is always provided to prevent organ trafficking. The Government also supports the 2008 Declaration of Istanbul on Organ Trafficking and Transplant Tourism, which encourages all countries to draw up legal and professional frameworks to govern organ donation and transplantation activities.</p><p> </p><p>When the UK signed the convention, it did so on the basis that it reserved the right not to apply the jurisdiction rules laid down in paragraph 1.d and e of Article 10 of the convention. There are no current plans to ratify the convention.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 12/11/2018 10:23:38 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4432 label Biography information for Patrick Grady

1058934

	registered interest
	date	11/02/2019
	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	Secure Psychiatric Units: Autism and Learning Disability
	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 with (a) autism and (b) learning disabilities are being held in secure hospital units in England.
	tabling member constituency	Glasgow North
	tabling member printed	Patrick Grady
	uin	219481
	answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>The Assuring Transformation (AT) dataset provides data on the numbers of people with learning disability and/or autism receiving inpatient care commissioned by the National Health Service in England.</p><p> </p><p>The following table shows patient numbers in secure units by diagnosis, with data taken from the most recent AT publication which uses December 2018 data.</p><p> </p><p>Patients by diagnosis as of December 2018</p><table><tbody><tr><td><p><strong> </strong></p></td><td><p>Number of patients</p></td></tr><tr><td><p>Learning disability only</p></td><td><p>655</p></td></tr><tr><td><p>Autism only</p></td><td><p>245</p></td></tr><tr><td><p>Learning disability and autism</p></td><td><p>210</p></td></tr><tr><td><p>None of the above</p></td><td><p>10</p></td></tr><tr><td><p>Total</p></td><td><p>1,120</p></td></tr></tbody></table><p>Source: Learning Disability Services Monthly Statistics - Data from the Assuring Transformation Collection, December 2018 (NHS Digital)</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/02/2019 17:50:09 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4432 label Biography information for Patrick Grady

1059736

	registered interest
	date	12/02/2019
	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	Secure Psychiatric Units: Autism and Learning disability
	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 policy on closing secure health care units for people with autism and learning difficulties of the proposed opening by Elysium Healthcare of five new such units in England.
	tabling member constituency	Glasgow North
	tabling member printed	Patrick Grady
	uin	220278
	answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>We have made no such assessment.</p><p> </p><p>We remain committed to reducing the number of people with learning disabilities and/or autism who are inpatients in hospital, reducing the length of time those admitted spend there, and enhancing the quality of both hospital and community settings.</p><p> </p><p>Some people will continue to need access to time limited inpatient services for assessment of their needs and treatment where this is appropriate. In such circumstances, it is for National Health Service commissioners to take decisions on which providers to commission services from. Our position is that patients should receive the best possible service and outcomes irrespective of which organisation provides it.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 18/02/2019 17:56:31 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4432 label Biography information for Patrick Grady

1064020

	registered interest
	date	19/02/2019
	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	Secure Psychiatric Units: Private Companies
	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 Answer of 14 February 2019 to Question 219481 on Secure Psychiatric Units, how many secure unit hospital services in England are run by private health care companies.
	tabling member constituency	Glasgow North
	tabling member printed	Patrick Grady
	uin	223218
	answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>Adult secure learning disability and/or autism spectrum disorder (ASD) services are provided by a range of organisations, including National Health Service and independent sector providers. The term ‘independent sector’ covers both private and charitable organisations.</p><p> </p><p>All high secure services in England, including those for people with learning disabilities, are provided by NHS providers. There are currently six independent sector providers of adult medium and low secure learning disability and/or ASD services in England, delivering services through 14 units.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 25/02/2019 17:43:30 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4432 label Biography information for Patrick Grady

1105479

	registered interest
	date	27/03/2019
	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	Epilepsy: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what contingency plans are in place to ensure adequate supplies of epilepsy medication in the event of the UK leaving the EU without a deal.
	tabling member constituency	Glasgow North
	tabling member printed	Patrick Grady
	uin	237701
	answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>Leaving the European Union with a deal remains the Government’s top priority. However, as a responsible Government we must plan for every possible outcome including ‘no deal’. The Department has published guidance to industry and the health and care system to allow them to make informed plans and preparations. This is available on GOV.UK.</p><p> </p><p>The Government has been working closely with industry to ensure the supply of medicines, including epilepsy medication, can continue uninterrupted in the event of a ‘no deal’ EU exit.</p><p> </p><p>The Department wrote to all suppliers of medicines to the United Kingdom on 26 March to advise them of the changes to EU exit dates, and ask them to continue with preparations to protect patients in all possible outcomes.</p><p> </p><p>We are confident that, if everyone does what they need to do, the supply of medicines and medical products will be uninterrupted.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/04/2019 15:17:16 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4432 label Biography information for Patrick Grady

1105488

	registered interest
	date	27/03/2019
	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	Epilepsy: Drugs
	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 sustainability of access to medication to control epilepsy, including access to tegretol.
	tabling member constituency	Glasgow North
	tabling member printed	Patrick Grady
	uin	237706
	answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>The Department is responsible for the security of supply of medicines and ensuring continued access to medicines for all patients is a key priority. There is a team within the Department, which deals specifically with medicine supply issues arising both in the community and hospitals. It works closely with the Medicines and Healthcare products Regulatory Agency, the pharmaceutical industry, NHS England and others operating in the supply chain to help prevent shortages and to ensure that the risks to patients are minimised when they do arise.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 01/04/2019 16:51:28 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4432 label Biography information for Patrick Grady

909426

	registered interest
	date	22/05/2018
	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	Surgical Mesh Implants
	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 potential merits of conducting a retrospective audit of ventral mesh rectopexy to take account of its omission from the Government's audit into recovery after vaginal mesh surgery.
	tabling member constituency	Glasgow North
	tabling member printed	Patrick Grady
	uin	146919
	answer	answer is ministerial correction date of answer 06/06/2018 answer text <p>NHS Digital published an audit on 17 April 2018, titled ‘Retrospective Review of Surgery for Urogynaecological Prolapse and Stress Urinary Incontinence using Tape or Mesh’. An executive summary of the report is attached.</p><p> </p><p>The audit reviews Hospital Episode Statistics (HES) data. HES data contains details of all admissions, outpatient appointments and accident and emergency attendances at National Health Service hospitals in England. It includes private patients treated in NHS hospitals, patients who were resident outside of England and care delivered by treatment centres, including those in the independent sector, funded by the NHS.</p><p> </p><p>The Department is engaged in ongoing dialogue with arm’s length bodies to assess how it can continue to build on the evidence base for surgical mesh. This includes discussion of areas of concern beyond urogynaecological mesh – i.e. mesh used in surgical procedures to treat rectal prolapse.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/06/2018 10:22:36 answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name Exec Summary of Retro Review - PQ146919.pdf title PQ146919 attached document
	tabling member	4432 label Biography information for Patrick Grady

909427

	registered interest
	date	22/05/2018
	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	Surgical Mesh Implants
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether specific Hospital Episode Statistics codes are planned to be assigned to ventral mesh rectopexy procedures to allow clear identification and monitoring of the number of such procedures conducted.
	tabling member constituency	Glasgow North
	tabling member printed	Patrick Grady
	uin	146920
	answer	answer is ministerial correction date of answer 06/06/2018 answer text <p>Hospital Episode Statistics (HES) is a database containing details of all admissions, accident and emergency attendances and outpatient appointments at National Health Service hospitals in England. Procedural codes are not dictated by HES.</p><p> </p><p>The OPCS Classification of Interventions and Procedures (OPCS-4) is a Fundamental Information Standard which is used by clinical coders within the NHS. There is not one single code for ventral rectopexy in OPCS-4 and therefore the procedure cannot currently be identified through a single code. However, this procedure would be assigned a code based on whether it was for internal or external rectal prolapse, rectocele, obstructive defecation or faecal incontinence.</p><p> </p><p>Any member of the public can submit change requests to request changes to OPCS-4 using the NHS Digital Request Submission Portal. A request has been submitted through an NHS trust for the addition of ventral mesh rectopexy; the removal of the mesh inserted during ventral rectopexy will also be considered as part of this submission.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/06/2018 16:19:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4432 label Biography information for Patrick Grady

909428

	registered interest
	date	22/05/2018
	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	Surgical Mesh Implants
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether specific Hospital Episode Statistics removal codes are planned to be assigned to ventral mesh rectopexy as they are at present for TVT and TOT surgical mesh procedures.
	tabling member constituency	Glasgow North
	tabling member printed	Patrick Grady
	uin	146921
	answer	answer is ministerial correction date of answer 06/06/2018 answer text <p>Hospital Episode Statistics (HES) is a database containing details of all admissions, accident and emergency attendances and outpatient appointments at National Health Service hospitals in England. Procedural codes are not dictated by HES.</p><p> </p><p>The OPCS Classification of Interventions and Procedures (OPCS-4) is a Fundamental Information Standard which is used by clinical coders within the NHS.</p><p> </p><p>The OPCS-4 codes are categorised to provide a summary of a consultant episode of patient care for reporting and counting purposes. As such not every procedure has a unique code.</p><p> </p><p>The codes assigned are based on the information documented by the responsible consultant and classification business rules and standards for consistent coding. A combination of OPCS-4 codes may be used for coding ‘ventral mesh rectopexy’ dependent on how and why it was performed.</p><p> </p><p>Any member of the public can submit change requests to request changes to OPCS-4 using the NHS Digital Request Submission Portal. A request has been submitted through an NHS Trust for the addition of ventral mesh rectopexy; the removal of the mesh inserted during ventral rectopexy will also be considered as part of this submission.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/06/2018 16:16:42 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4432 label Biography information for Patrick Grady

909429

	registered interest
	date	22/05/2018
	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	Surgical Mesh Implants
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what procedures are in place to ensure that the correct Hospital Episode Statistics codes are being used so that accurate information is available for the Government's audit into recovery after vaginal mesh surgery.
	tabling member constituency	Glasgow North
	tabling member printed	Patrick Grady
	uin	146922
	answer	answer is ministerial correction date of answer 06/06/2018 answer text <p>The Information Governance Toolkit (IGT) is a Departmental policy delivery vehicle in England developed and maintained by NHS Digital. It is an online system which allows organisations to assess themselves or be assessed against Information Governance policies and standards. Within the toolkit IGT Requirements 510 and 505 are used as part of the Secondary Use Assurance of acute National Health Service trust clinical coded data.</p><p> </p><p>IGT Requirement 510 covers the training of clinical coders, maintenance of their skills and knowledge and also attaining the Institute of Health Records and Information Management (IHRIM) National Clinical Coding Qualification UK. IGT Requirement 505 covers audit of the clinical coded data.</p><p> </p><p>All acute trusts under Requirement 505 must have an annual clinical coding audit of a minimum of 200 finished consultant episodes undertaken by an approved clinical coding auditor. In addition, individual trusts undertake regular internal clinical coding on specific areas of local interest to ensure accurate and quality coded data and where necessary implement action plans for quality improvements.</p><p> </p><p>NHS Digital provides a helpdesk to address any queries, inconsistencies or requirement to published national clinical coding standards to improve the quality of coded data.</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) publish codes for the Interventional Procedure Guidance published on their website in collaboration with NHS Digital which coders can use to inform their code assignments. NICE procedure guidance is published for mesh procedures.</p><p> </p><p>The IGT is in the process of being replaced by the Data Security and Protection Toolkit and the Requirements 510 and 505 will continue under the new Data Security and Protection Toolkit.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/06/2018 16:18:20 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4432 label Biography information for Patrick Grady