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1047861

registered interest
date	24/01/2019
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	Postnatal Care
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether contraception advice is provided in postnatal care; and if so, what consideration they give as to when to provide such advice.
tabling member printed	Baroness Tonge
uin	HL13139
answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>The National Health Service advises women of the importance of using some form of contraception during sex after giving birth, including the first time, if they do not wish to become pregnant. Women will usually have had a chance to discuss contraception before leaving hospital after birth, and again at their postnatal check at six-eight weeks. They can also talk about contraception with their general practitioner or health visitor, or go to a family planning or local contraception clinic, at any time, including whilst still pregnant.</p><p>National Institute for Health and Care Excellence guidance for postnatal care specifically recommends that methods and timing of resumption of contraception should be discussed within the first week of the birth. The coordinating healthcare professional should provide proactive assistance to women who may have difficulty accessing contraceptive care. This includes providing contact details for expert contraceptive advice.</p> answering member printed Baroness Blackwood of North Oxford question first answered 07/02/2019 14:02:44 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	200 label Biography information for Baroness Tonge

1047590

registered interest
date	23/01/2019
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	Postnatal Care
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether the NHS provides post-natal examinations of mothers and babies.
tabling member printed	Baroness Tonge
uin	HL13083
answer	answer is ministerial correction date of answer 06/02/2019 answer text <p>Commissioners and providers should ensure that services offer a review of a woman’s physical, emotional and social wellbeing by a healthcare professional at the end of the postnatal period (six-eight weeks). National Institute for Health and Care Excellence guidelines on postnatal care stipulate that a documented, individualised postnatal care plan should be developed with the woman ideally in the antenatal period or as soon as possible after birth.</p><p>All parents are also offered a thorough physical examination for their baby within 72 hours of giving birth. This examination includes screening tests to find out if a baby has any problems with their eyes, heart, hips and, in boys, the testicles (testes). Parents are offered another physical examination for their baby at the end of the postnatal period, as some of the conditions the NHS screens for can take time to develop. This second examination is usually done at a general practitioner’s (GP) surgery.</p><p>GPs may combine the two checks, for parent and baby, at the same appointment.</p> answering member printed Baroness Blackwood of North Oxford question first answered 06/02/2019 16:32:32 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	200 label Biography information for Baroness Tonge

1047591

registered interest
date	23/01/2019
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	Postnatal Care
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government who is responsible for enabling that women have post-natal examinations to detect any birth injury which may have gone unnoticed at delivery.
tabling member printed	Baroness Tonge
uin	HL13084
answer	answer is ministerial correction date of answer 06/02/2019 answer text <p>Commissioners and providers should ensure that services offer a review of a woman’s physical, emotional and social wellbeing by a healthcare professional at the end of the postnatal period (six-eight weeks).</p><p>Relevant National Institute for Health and Care Excellence guidelines stipulate that postnatal care for women needs to address any deviation from expected recovery after birth and any symptoms reported by the woman or identified through clinical observations should be assessed. Women should be advised of the signs and symptoms of potentially life-threatening conditions, including those that may arise as a result of birth injury, and to contact their healthcare professional immediately or call for emergency help if any signs and symptoms occur. Signs and symptoms of infection, inadequate repair, wound breakdown or non-healing should be evaluated and urgent action taken. Additionally, women may be offered an examination to see if their stitches have healed if they had an episiotomy or caesarean section.</p> answering member printed Baroness Blackwood of North Oxford question first answered 06/02/2019 16:32:11 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	200 label Biography information for Baroness Tonge

1041325

registered interest
date	14/01/2019
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	Postnatal Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reason there is no reference to maternal postnatal checks in the NHS Long Term Plan, and what plans his Department has to introduce such checks for new mothers.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	208248
answer	answer is ministerial correction date of answer 22/01/2019 answer text <p>Commissioners and providers should ensure that services offer a review of a woman’s physical, emotional and social wellbeing by a healthcare professional at the end of the postnatal period (6-8 weeks). National Institute for Health and Care Excellence guidelines on postnatal care stipulate that a documented, individualised postnatal care plan should be developed with the woman ideally in the antenatal period or as soon as possible after birth.</p><p> </p><p>The Long Term Plan highlights that we will continue to work with midwives, mothers and their families to implement continuity of carer so that, by March 2021, most women receive continuity of the person caring for them during pregnancy, during birth and postnatally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/01/2019 15:15:49 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

1010304

registered interest
date	19/11/2018
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	Postnatal Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether NHS England has put forward the inclusion of a maternal six-week postnatal check in negotiations on the General Medical Services contract; and what recent progress has been made in those negotiations.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	192896
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>The inclusion of a requirement to carry out a six-week postnatal check for all mothers in the general medical services contract would need to be negotiated and agreed, as part of the annual contract negotiations. We have asked for this issue to be considered in the contract negotiations for 2019/20. The details of those negotiations are not generally discussed until an agreement on the way forward has been reached.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 192897 question first answered 22/11/2018 11:40:36 answering member 4067 label Biography information for Steve Brine
tabling member	4658 label Biography information for Alex Sobel

1010305

registered interest
date	19/11/2018
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	Postnatal Care
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 a maternal six-week postnatal check is included in the General Medical Services contract; and what funding he plans to allocate for the provision of those checks.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	192897
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>The inclusion of a requirement to carry out a six-week postnatal check for all mothers in the general medical services contract would need to be negotiated and agreed, as part of the annual contract negotiations. We have asked for this issue to be considered in the contract negotiations for 2019/20. The details of those negotiations are not generally discussed until an agreement on the way forward has been reached.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 192896 question first answered 22/11/2018 11:40:36 answering member 4067 label Biography information for Steve Brine
tabling member	4658 label Biography information for Alex Sobel

1007152

registered interest
date	14/11/2018
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	Postnatal Care
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 include a maternal six-week check in the new General Medical Services contract; and when the current negotiations will conclude.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	191473
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The inclusion of a requirement to carry out the six-week maternal postnatal check for all mothers in the general medical services contract would need to be negotiated and agreed, as part of the annual contract negotiations. We have asked for this issue to be considered in the contract negotiations for 2019/20. The negotiations are expected to be concluded before the end of the year. The details of those negotiations are not generally discussed until an agreement on the way forward has been reached.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:25:47 answering member 4067 label Biography information for Steve Brine previous answer version 85824 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4656 label Biography information for Layla Moran

997711

registered interest
date	30/10/2018
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	Postnatal Care
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 is taking to ensure that the maternal six-week check is included in the GP contract when such contracts are negotiated.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	185610
answer	answer is ministerial correction date of answer 05/11/2018 answer text <p>The inclusion of a requirement to carry out the six-week maternal postnatal check for all mothers in the general medical services contract would need to be negotiated and agreed, as part of the annual contract negotiations. We have asked for this issue to be considered in the contract negotiations for 2019/20. The details of those negotiations are not generally discussed until an agreement on the way forward has been reached.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/11/2018 11:09:13 answering member 4067 label Biography information for Steve Brine
tabling member	4243 label Biography information for Dan Jarvis

992638

registered interest
date	22/10/2018
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	Postnatal Care
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 17 May 2018 to Question 142448 on Postnatal Care, whether the General Medical Services contract sets out that GPs must provide the (a) six week postnatal check for new mothers and (b) six to eight week check for babies.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	182198
answer	answer is ministerial correction date of answer 30/10/2018 answer text <p>A six-week postnatal check for all mothers and a six to eight-week check for all babies are not currently specified in the General Medical Services contract as something which general practitioners are required to provide. However, we have asked for the six-week maternal postnatal check, as recommended by the National Childbirth Trust, to be considered in the general practice contract negotiations for 2019/20.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/10/2018 15:53:20 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

984578

registered interest
date	09/10/2018
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	Postnatal Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether (a) the six-week maternal postnatal check is excluded from Maternity Medical Services under the General Medical Services contract and (b) GPs are not mandated or funded to provide that check.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	177317
answer	answer is ministerial correction date of answer 17/10/2018 answer text <p>The six-week maternal postnatal check is not currently included in the General Medical Services contract as something which general practitioners (GPs) are required, or funded, to provide. However, we have asked for this issue to be considered in the contract negotiations for 2019/20, as any changes to the contracting arrangements, and associated reimbursement need to be negotiated and agreed, as part of the annual contract negotiations.</p><p> </p><p>While there is no specific requirement for GP practices to provide the six-week maternal postnatal check, GPs are still required to provide the usual services, set out in their contract, to that patient should the need arise.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/10/2018 13:42:13 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon