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946771

registered interest
date	23/07/2018
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	Abortion Act 1967
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 adequacy of the provisions of the Abortion Act 1967.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	167388
answer	answer is ministerial correction date of answer 05/09/2018 answer text <p>Under the Abortion Act 1967, women have early access to safe, legal, high quality abortion services. There were 194,668 abortions performed under the provisions of the Abortion Act in England and Wales in 2017, with 98% of abortions being funded by the National Health Service.</p><p> </p><p>Abortion is an issue on which the Government adopts a neutral stance. Proposals for legislative change are a matter for backbenchers to bring forward and decisions are made on the basis of free votes.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/09/2018 12:41:12 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4658 label Biography information for Alex Sobel

832930

registered interest
date	29/01/2018
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	Mental Health Services: Transgender 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 steps his Department is taking to improve the provision of mental health support for young people who identify as transgender.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	125246
answer	answer is ministerial correction date of answer 02/02/2018 answer text <p>The National Health Service is providing new services to support transgender children and young people. The Gender Identity Development Service is a national specialist service directly commissioned by NHS England, based in London and Leeds. It is for children and young people up to 18 years of age, and their families, who experience difficulties in the development of their gender identity.</p><p> </p><p>The service is holistic and tailored to the needs of the individual and the family. Young people are seen individually and with their families for assessment and psychosocial intervention by members of the Multi-Disciplinary Team which includes psychiatry, psychology, psychotherapy and social work.</p><p> </p><p>The Government is aware that transgender people have a higher reported incidence of mental ill health, attempted suicide and self-harm. The Government published ‘Transforming children and young people’s mental health provision: a green paper’ on 4 December 2017. This green paper sets out an ambitious set of proposals to transform support for all children and young people’s mental health, including those who identify as lesbian, gay, bisexual and transgender.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 125601 question first answered 02/02/2018 12:01:55 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4658 label Biography information for Alex Sobel

827948

registered interest
date	22/01/2018
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	Mortality Rates
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 effect of changes in the level of public expenditure on health and social care on rates of mortality.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	123908
answer	answer is ministerial correction date of answer 30/01/2018 answer text <p>The Department continues to increase investment in health and social care and has committed to backing the National Health Service with an additional £10 billion, in real terms, by 2020/21. At the spring Budget we announced an additional £2 billion will be given to councils over the next three years for social care. In total, we have given councils access to £9.25 billion more dedicated funding for social care between 2017/18 and 2019/20.</p><p> </p><p>The Department also monitors and publishes wider quarterly wider health outcome measures including mortality statistics in the NHS Outcomes Frameworks. The NHS Outcomes Framework is a set of indicators developed by the Department to monitor the health outcomes of adults and children in England.</p><p> </p><p>The Framework sets out health outcome measures including mortality statistics in the NHS. The latest statistics among those aged under 75 show that the mortality rates from the two largest causes of death (cancer and cardiovascular disease) have reduced between 2010 and 2016 (by 12.2 and 16.8 deaths per 100,000 population, respectively).</p><p> </p><p>The rates for the next two (respiratory disease and liver disease) have increased over the same period. However, the increases for respiratory and liver disease are smaller than the falls for cancer and cardiovascular disease (by 1.6 and 0.5 deaths per 100,000 population, respectively).</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/01/2018 14:32:12 answering member 4067 label Biography information for Steve Brine
tabling member	4658 label Biography information for Alex Sobel

827955

registered interest
date	22/01/2018
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	Department of Health and Social Care: Staff
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what evidence base was used to inform the reduction of 600 staff in his Department in 2016-17.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	123915
answer	answer is ministerial correction date of answer 30/01/2018 answer text <p>The 2015 Spending Review announced that the Department would be required to reduce its core running costs by 30% by the financial year 2019-20.</p><p> </p><p>This announcement, combined with the impact of changes to the way the Department operated with its arm’s length bodies following the implementation of the Health and Social Care Act (2012), led to a review of the Department’s role, purpose and priorities. The outcome of this review was the establishment of a change programme which was launched in February 2016 as ‘Our Plan for Change: the Department of Health in 2020’. The primary focus of this plan and its supporting programme was on ensuring the Department could meet the reduced costs target by 2019-20 but it also set out how the Department would stringently reprioritise its resources and ensure staff with the necessary skills and capability could be retained to meet these challenges in a much smaller organisation in the future.</p><p> </p><p>An important element of the programme was therefore a restructuring exercise which would help to deliver target savings as well as ensure that the Department retained staff with the right capability and flexibility to be posted to areas of work that would fully support its new priorities. The Plan for Change set out a proposal to develop a new structure for the Department of about 1,300 to 1,400 posts which would be a reduction of between 600 and 700 posts from the baseline of 2,000 posts.</p><p> </p><p>The outcome of the prioritisation exercise and proposed structure was shared with staff at the end of summer 2016 so they could easily see the types of roles needed in the future and how they would be assessed should they decide to compete for one of the roles remaining in the Department. The Department undertook work with its heads of professions to help determine the precise professional skills and capabilities needed in the future as well as applying criteria from the Civil Service core competency framework.</p><p> </p><p>As a first step towards achieving these target reductions the Department launched a voluntary exit scheme in September 2016. The newly defined and rigorous assessments of capability were applied to the selection of staff, both to this voluntary exit scheme and to the subsequent selection process for staff who eventually competed for roles in the new structures.</p><p> </p><p>The restructuring process was completed by February 2017 with majority of the reduction in posts being achieved through voluntary exits.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 30/01/2018 12:15:29 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4658 label Biography information for Alex Sobel

822867

registered interest
date	15/01/2018
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 Depression
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 are taking to improve post-natal mental health care provision.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	122550
answer	answer is ministerial correction date of answer 22/01/2018 answer text <p>This Government is committed to improving perinatal mental health services for women during pregnancy and in the first postnatal year, so that women are able to access the right care at the right time and close to home.</p><p> </p><p>The Department is investing £365 million from 2015/16 to 2020/21 in perinatal mental health services, and NHS England is leading a transformation programme to ensure that by 2020/21 at least 30,000 more women each year are able to access evidence-based specialist mental health care during the perinatal period. This includes access to psychological therapies and specialist community or inpatient care.</p><p> </p><p>A key element of the programme is to increase awareness and skills across the workforce, supporting better identification of perinatal mental illness, early intervention and consequently improved recovery rates. In addition, there are over 570 perinatal mental health visitor champions. Their role is to support health visitors with the identification and management of anxiety, mild to moderate depression and other perinatal mental disorders, and know when to refer on.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/01/2018 11:54:38 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4658 label Biography information for Alex Sobel