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1121911

registered interest
date	18/04/2019
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	Maternal Mortality: Ethnic Groups
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 reduce maternal mortality among BAME women.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	245968
answer	answer is ministerial correction date of answer 25/04/2019 answer text <p>The higher rates of maternal mortality experienced by black, Asian and minority ethnic (BAME) women is a complex and serious issue. The Department has commissioned the Policy Research Unit in Maternal and Neonatal Health and Care at Oxford University to undertake a research project in 2019-20 to investigate the factors associated with excess perinatal and maternal mortality. The Department will use findings from research to inform future maternity policies.</p><p>Current plans to reduce inequalities are set out in the NHS Long Term Plan, we aim to tackle maternal mortality inequality through the introduction of an enhanced continuity of carer model. By 2024, 75% of women from BAME communities and other vulnerable women will receive continuity of care from their midwife. This will also help reduce pre-term births, hospital admissions, and the need for intervention during labour.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 245969 question first answered 25/04/2019 10:33:15 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4657 label Biography information for Anneliese Dodds

1121914

registered interest
date	18/04/2019
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	Maternal Mortality: Ethnic Groups
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 maternal mortality rates are higher among BAME women.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	245969
answer	answer is ministerial correction date of answer 25/04/2019 answer text <p>The higher rates of maternal mortality experienced by black, Asian and minority ethnic (BAME) women is a complex and serious issue. The Department has commissioned the Policy Research Unit in Maternal and Neonatal Health and Care at Oxford University to undertake a research project in 2019-20 to investigate the factors associated with excess perinatal and maternal mortality. The Department will use findings from research to inform future maternity policies.</p><p>Current plans to reduce inequalities are set out in the NHS Long Term Plan, we aim to tackle maternal mortality inequality through the introduction of an enhanced continuity of carer model. By 2024, 75% of women from BAME communities and other vulnerable women will receive continuity of care from their midwife. This will also help reduce pre-term births, hospital admissions, and the need for intervention during labour.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 245968 question first answered 25/04/2019 10:33:15 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4657 label Biography information for Anneliese Dodds

1121337

registered interest
date	11/04/2019
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	Asthma: Prescriptions
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 prescription charges do not have an impact on health inequalities in people with asthma, following Asthma UK’s recent report Paying to Breathe: Why unfair asthma prescription charges must be stopped?.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	244090
answer	answer is ministerial correction date of answer 24/04/2019 answer text <p>Extensive arrangements are already in place to help people afford National Health Service prescriptions. These include a broad range of NHS prescription charge exemptions, for which someone with asthma may qualify.</p><p>To support those with greatest need who do not qualify for an exemption, prescription prepayment certificates are available. A holder of a 12-month certificate can get all the prescriptions they need for just £2 per week.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/04/2019 12:31:38 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1121352

registered interest
date	11/04/2019
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	Heroin and Morphine: Death
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 reduce the numbers of deaths from misuse of heroin and morphine in (a) coastal communities and (b) Portsmouth.
tabling member constituency	Portsmouth South
tabling member printed	Stephen Morgan
uin	244175
answer	answer is ministerial correction date of answer 23/04/2019 answer text <p>Local authorities are responsible for assessing local needs and commissioning drug prevention, treatment and harm reduction services to meet these needs. This includes helping to prevent drug-related deaths from the misuse of heroin and morphine in coastal communities. Public Health England (PHE) supports local authorities to do this by providing advice, guidance and tools.</p><p>Locally, PHE is supporting the South East substance misuse network, which includes Portsmouth, to review a range of opportunities to prevent drug misuse deaths including engaging more people at risk in treatment, improving the physical and mental wellbeing of people in treatment, improving access to naloxone, developing local arrangements for reviewing deaths and near misses, and developing drug alert and early warning systems.</p><p>Nationally, the Department and PHE have made it easier for drug services to supply naloxone, published updated clinical guidelines for drug treatment and worked with a network of treatment providers to establish good practice guidance on managing drug-related death risk factors and to improve partnership between treatment providers and other healthcare services. Updated clinical guidelines can be viewed at the following link:</p><p><a href="https://www.gov.uk/government/publications/drug-misuse-and-dependence-uk-guidelines-on-clinical-management" target="_blank">https://www.gov.uk/government/publications/drug-misuse-and-dependence-uk-guidelines-on-clinical-management</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 23/04/2019 13:59:41 answering member 4455 label Biography information for Seema Kennedy
tabling member	4653 label Biography information for Stephen Morgan

1121363

registered interest
date	11/04/2019
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	NHS 111: Ambulance 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 proportion of calls to the (a) NHS 111 and (b) NHS 111 BSL service resulted in the dispatch of an ambulance in the last year for which figures are available.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	244042
answer	answer is ministerial correction date of answer 23/04/2019 answer text <p>NHS England publishes monthly performance data for the NHS 111 service at the following link:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-111-minimum-data-set/statistical-work-areas-nhs-111-minimum-data-set-nhs-111-minimum-data-set-2018-19/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-111-minimum-data-set/statistical-work-areas-nhs-111-minimum-data-set-nhs-111-minimum-data-set-2018-19/</a></p><p>The following table provides the latest data available for ambulance dispositions from NHS 111 and NHS 111 British Sign Language (BSL).</p><table><tbody><tr><td><p> </p></td><td><p>Total calls to NHS 111</p></td><td><p>Calls to the NHS 111 BSL Service (including in total calls)1</p></td><td><p>Number of calls triaged2</p></td><td><p>Ambulance dispatches3</p></td><td><p>Ambulance dispatches (% of calls triaged)</p></td></tr><tr><td><p>2018-19 to date</p></td><td><p>16,782,181</p></td><td><p>476</p></td><td><p>13,135,711</p></td><td><p>1,742,056</p></td><td><p>13.3%</p></td></tr></tbody></table><p> </p><p><em>Source</em>: NHS England</p><p><em>Notes</em>:</p><p>1 NHS 111 BSL call data is currently only available up to February 2019.</p><p>2 A triaged call is one where the clinical assessment tool has been opened and used.</p><p>3 Final NHS Pathways disposition was a referral to the Ambulance Service: Further clinical assessment within the Integrated Urgent Care (NHS 111) or 999 service areas may have indicated that an ambulance response and/or conveyance was not required. The actual percentage resulting in an ambulance being dispatched may therefore be lower.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 23/04/2019 09:46:04 answering member 1585 label Biography information for Stephen Hammond
tabling member	1538 label Biography information for Rosie Cooper

1121376

registered interest
date	11/04/2019
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	Social Workers: Agency Workers
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 had made of the trends in the level of agency social workers in English councils.
tabling member constituency	Dulwich and West Norwood
tabling member printed	Helen Hayes
uin	244169
answer	answer is ministerial correction date of answer 23/04/2019 answer text <p>The adult social care workforce is vital and local authorities, like any employer, need to ensure they have the right numbers of staff with the right skills.</p><p>Between 2012/13 and 2017/18, the number of agency social workers increased from 2% to 6.8% (330 – 1,100 jobs)</p><p>Across Government, we are continuing our ambitious programme to deliver improvements to the status and standing of the social work profession and increase numbers, including providing funding for the social work bursary and providing support to social workers who have left the profession and want to return through a Return to Practice programme.</p><p>In the last year for which we have data, the level of agency social workers has fallen by 0.6% (90 jobs). This decrease corresponds with a rise in the number of social workers employed by local authorities, by 800 jobs since September 2017.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/04/2019 08:47:28 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4510 label Biography information for Helen Hayes

1121377

registered interest
date	11/04/2019
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	Social Workers: Recruitment
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 his Department has to support local councils in the recruitment of permanent social workers.
tabling member constituency	Dulwich and West Norwood
tabling member printed	Helen Hayes
uin	244170
answer	answer is ministerial correction date of answer 23/04/2019 answer text <p>The adult social work workforce is vital and local authorities, like any employer, need to ensure they have the right staff with the right skills. The Government has provided councils with access to up to £3.6 billion more dedicated funding for adult social care in 2018/19 and up to £3.9 billion for this year.</p><p>We have also invested £3 million in a national adult social care recruitment campaign during 2018/19 to raise the profile of the adult social care sector and attract more people to a range of jobs in adult social care.</p><p>Across Government, we are continuing our ambitious programme to improve the status and standing of the social work profession, including:</p><p>- Ensuring we have sufficient supply of social workers, through provision of the £58 million Social Work Bursary and £20 million Education Support Grant to support student placements;</p><p>- Introducing diverse entry routes for people wanting to qualify as social workers, including fast-track graduate programmes such as Think Ahead and Frontline and a new Degree Apprenticeship from 2018/19;</p><p>- Supporting the Assessed Supported Year in Employment for newly qualified social workers, providing them with valuable additional support during their first year in practice. The programme has benefitted over 20,000 child and family and adult social workers since 2012, helping to improve recruitment, retention and performance management;</p><p>- Funding assessment and development programmes for established social workers to enable them to progress into more specialist or senior roles;</p><p>- Supporting a Return to Practice programme for social workers who have left the profession and want to return; and</p><p>- Establishing Social Work England as the new specialist regulator for social workers, ensuring clear standards for the knowledge, skills, values and behaviours required to become and remain a registered social worker.</p><p>Thanks to these actions we have begun to see an impact - local authorities have been able to recruit an additional 3,000 jobs since last year, including 1,000 more professionals such as social workers and occupational therapists.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/04/2019 08:42:20 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4510 label Biography information for Helen Hayes

1121380

registered interest
date	11/04/2019
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	Radioisotopes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions his Department has with NHS England on ensuring adequate supplies of Choline for cancer (a) scans and (b) diagnoses.
tabling member constituency	Dulwich and West Norwood
tabling member printed	Helen Hayes
uin	244179
answer	answer is ministerial correction date of answer 23/04/2019 answer text <p>The Department has been in regular contact with NHS England regarding the availability of Choline used for PET scanning. Choline supplies are currently available and NHS England has taken a number of steps to stabilise the availability of Choline going forward to ensure adequate supply remains available for PET scanning.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 23/04/2019 14:02:40 answering member 4455 label Biography information for Seema Kennedy
tabling member	4510 label Biography information for Helen Hayes

1121381

registered interest
date	11/04/2019
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	Cataracts: Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what guideline his Department has issued to Hospitals and Care Commissioning Groups on operations for cataracts.
tabling member constituency	Warley
tabling member printed	John Spellar
uin	244016
answer	answer is ministerial correction date of answer 23/04/2019 answer text <p>We are committed to the prevention and detection of eye disease, which are both key to preserving sight along with access to timely treatment.</p><p> </p><p>National Institute for Health and Care Excellence (NICE) guidelines published in 2017 make clear the expectations on cataract surgery. The guidelines can be found at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/ng77" target="_blank">https://www.nice.org.uk/guidance/ng77</a></p><p> </p><p>While commissioning decisions must remain a matter for individual clinical commissioning groups all National Health Service bodies are required to carefully consider NICE guidelines in making such decisions.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 23/04/2019 14:05:52 answering member 4455 label Biography information for Seema Kennedy
tabling member	318 label Biography information for John Spellar

1121421

registered interest
date	11/04/2019
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	Surgery: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the recommendation of the Royal College of Surgeons in its report entitled, Recommendations for assuring standards in the independent sector, whether his Department has plans to require all new surgical procedures used in (a) the NHS and (b) private health providers to be registered before being offered to patients.
tabling member constituency	Cynon Valley
tabling member printed	Ann Clwyd
uin	244030
answer	answer is ministerial correction date of answer 23/04/2019 answer text <p>There are currently no plans to require all new surgical procedures used in either National Health Service or private health circles to be registered before being offered to patients.</p><p>The National Institute for Health and Care Excellence provides technology appraisals that indicate which devices are suitable for routine use and which require more supervised evaluation. This applies to NHS care commissioned from NHS or independent sector providers.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 23/04/2019 13:12:16 answering member 1585 label Biography information for Stephen Hammond
tabling member	553 label Biography information for Ann Clwyd