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967406
registered interest false more like this
date remove filter
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care remove filter
hansard heading Public Health more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government what has been the process for developing Public Health England’s upcoming reproductive health action plan referenced on page 5 of Public Health England’s A consensus statement: reproductive health is a public issue; and when will that action plan be published. more like this
tabling member printed
Baroness Barker more like this
uin HL9907 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-09-17more like thismore than 2018-09-17
answer text <p>Public Health England (PHE) has created a task and finish group made up of representatives from organisations across the sector including the Department, NHS England, the Local Government Association, the Association of Directors of Public Health, the Faculty of Sexual and Reproductive Health, the Royal College of General Practitioners, the Royal College of Nursing, the Royal College of Midwives, the Royal College of Gynaecology, Brook, and the Family Planning Association. The task and finish group will work together to inform the development and implementation of the reproductive health action plan. Alongside this, PHE is also working with a user reference group, made up of women who have experienced severe reproductive health issues in order to ensure the action plan reflects service users’ needs. The action plan is due to be published in March 2019.</p><p>In addition, PHE’s regional centres are developing an approach for localising the national research conducted and developing locally appropriate actions in addition to those being driven nationally. PHE are consulting with commissioners and providers in developing the action plan through workshops and presentations across the country and to ensure implementation of the action plan from 2019 onwards.</p>
answering member printed Lord O'Shaughnessy more like this
grouped question UIN
HL9908 more like this
HL9909 more like this
question first answered
less than 2018-09-17T14:03:21.89Zmore like thismore than 2018-09-17T14:03:21.89Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
2501
label Biography information for Baroness Barker more like this
967407
registered interest false more like this
date remove filter
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care remove filter
hansard heading Public Health more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government whether Public Health England will consult external stakeholders during the development of the reproductive health action plan referenced on page 5 of Public Health England’s A consensus statement: reproductive health is a public issue. more like this
tabling member printed
Baroness Barker more like this
uin HL9908 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-09-17more like thismore than 2018-09-17
answer text <p>Public Health England (PHE) has created a task and finish group made up of representatives from organisations across the sector including the Department, NHS England, the Local Government Association, the Association of Directors of Public Health, the Faculty of Sexual and Reproductive Health, the Royal College of General Practitioners, the Royal College of Nursing, the Royal College of Midwives, the Royal College of Gynaecology, Brook, and the Family Planning Association. The task and finish group will work together to inform the development and implementation of the reproductive health action plan. Alongside this, PHE is also working with a user reference group, made up of women who have experienced severe reproductive health issues in order to ensure the action plan reflects service users’ needs. The action plan is due to be published in March 2019.</p><p>In addition, PHE’s regional centres are developing an approach for localising the national research conducted and developing locally appropriate actions in addition to those being driven nationally. PHE are consulting with commissioners and providers in developing the action plan through workshops and presentations across the country and to ensure implementation of the action plan from 2019 onwards.</p>
answering member printed Lord O'Shaughnessy more like this
grouped question UIN
HL9907 more like this
HL9909 more like this
question first answered
less than 2018-09-17T14:03:21.937Zmore like thismore than 2018-09-17T14:03:21.937Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
2501
label Biography information for Baroness Barker more like this
967408
registered interest false more like this
date remove filter
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care remove filter
hansard heading Public Health more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government what steps they are taking to implement the proposals in Public Health England’s A consensus statement: reproductive health is a public issue, published on 26 June. more like this
tabling member printed
Baroness Barker more like this
uin HL9909 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-09-17more like thismore than 2018-09-17
answer text <p>Public Health England (PHE) has created a task and finish group made up of representatives from organisations across the sector including the Department, NHS England, the Local Government Association, the Association of Directors of Public Health, the Faculty of Sexual and Reproductive Health, the Royal College of General Practitioners, the Royal College of Nursing, the Royal College of Midwives, the Royal College of Gynaecology, Brook, and the Family Planning Association. The task and finish group will work together to inform the development and implementation of the reproductive health action plan. Alongside this, PHE is also working with a user reference group, made up of women who have experienced severe reproductive health issues in order to ensure the action plan reflects service users’ needs. The action plan is due to be published in March 2019.</p><p>In addition, PHE’s regional centres are developing an approach for localising the national research conducted and developing locally appropriate actions in addition to those being driven nationally. PHE are consulting with commissioners and providers in developing the action plan through workshops and presentations across the country and to ensure implementation of the action plan from 2019 onwards.</p>
answering member printed Lord O'Shaughnessy more like this
grouped question UIN
HL9907 more like this
HL9908 more like this
question first answered
less than 2018-09-17T14:03:21.827Zmore like thismore than 2018-09-17T14:03:21.827Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
2501
label Biography information for Baroness Barker more like this
967409
registered interest false more like this
date remove filter
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care remove filter
hansard heading Public Health more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government how much funding is being made available to Public Health England to support the implementation of proposals contained in their report A consensus statement: reproductive health is a public issue, published on 26 June. more like this
tabling member printed
Baroness Barker more like this
uin HL9910 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-09-17more like thismore than 2018-09-17
answer text <p>Implementation of the proposals in Public Health England’s <em>A consensus statement: reproductive health is a public issue</em> will be funded from existing budgets.</p><p>Funding allocations for sexual and reproductive health are not set centrally by the Department and will be determined within the organisations concerned.</p> more like this
answering member printed Lord O'Shaughnessy more like this
grouped question UIN HL9911 more like this
question first answered
less than 2018-09-17T13:54:05.873Zmore like thismore than 2018-09-17T13:54:05.873Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
2501
label Biography information for Baroness Barker more like this
967410
registered interest false more like this
date remove filter
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care remove filter
hansard heading Public Health more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government how much additional funding, if any, is being made available to local authorities to support the implementation of proposals in Public Health England’s A consensus statement: reproductive health is a public issue, published on 26 June. more like this
tabling member printed
Baroness Barker more like this
uin HL9911 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-09-17more like thismore than 2018-09-17
answer text <p>Implementation of the proposals in Public Health England’s <em>A consensus statement: reproductive health is a public issue</em> will be funded from existing budgets.</p><p>Funding allocations for sexual and reproductive health are not set centrally by the Department and will be determined within the organisations concerned.</p> more like this
answering member printed Lord O'Shaughnessy more like this
grouped question UIN HL9910 more like this
question first answered
less than 2018-09-17T13:54:05.937Zmore like thismore than 2018-09-17T13:54:05.937Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
2501
label Biography information for Baroness Barker more like this
967440
registered interest false more like this
date remove filter
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care remove filter
hansard heading Community Nurses more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government whether the number of district nurses in England in community service organisations, such as NHS Community Healthcare Trusts, has reduced since 2010; and, if so, what measures they are taking to address any problems caused by such a reduction. more like this
tabling member printed
Baroness Cox more like this
uin HL9937 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-09-18more like thismore than 2018-09-18
answer text <p>Community health care services are a crucial part of the health and social care system that allows patients to be cared for at the right time in the right place.</p><p>NHS Digital data shows a reduction in the number of full time equivalent district nurses in England from 7,546 in September 2010 to 4,587 in May 2018. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care or in general practitioner surgeries, local authorities or other providers. The number of district nurses in independent healthcare providers increased by 273, from September 2010 to September 2017. As a result of changes made in 2009 to the ways in which community services are provided – i.e. from a range of different types of provider – this does not represent the full picture and there will be a number of district nurses providing National Health Service services in organisations that do not provide a return to the Electronic Staff Records.</p><p>The training of new district nurses is important in maintaining a workforce that can deliver the needs of the population in the community. Health Education England has commissioned and funded the District Nursing Specialist Practice Qualification at a steady state over the last six years. These are based upon the requirements that local providers have informed Health Education England. However, year on year these commissions are not fully taken up and therefore Health Education England is working to better understand the reasons this may be.</p><p>Health Education England is now exploring the capacity and capability required of our community workforce to best meet the future needs of the population. Health Education England is evaluating the skills and knowledge required within the wider community workforce including district nurses. This has involved extensive engagement across England to understand how best to meet to needs of the local population, as well as develop a role that has a more desirable career pathway for prospective healthcare professionals. The Government is also supporting incentives for postgraduates who go on to work in community nursing roles, including ‘golden hellos’.</p><p>Patient safety remains a key priority for the Department and in 2017 we restated our commitment to the NHS being the “safest healthcare system in the world”. The Care Quality Commission (CQC) assesses all registered providers that deliver regulated activities against the Fundamental Standards, below which the standard of care must not fall. Staffing is one of the Standards, and the CQC inspections check that sufficient numbers of suitably qualified, competent, skilled and experienced staff are deployed within service providers. To this effect we would expect providers to continue to ensure patient safety in the community.</p>
answering member printed Lord O'Shaughnessy more like this
grouped question UIN HL9938 more like this
question first answered
less than 2018-09-18T11:36:58.973Zmore like thismore than 2018-09-18T11:36:58.973Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
3364
label Biography information for Baroness Cox more like this
967441
registered interest false more like this
date remove filter
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care remove filter
hansard heading Community Nurses more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government what measures they are taking to ensure patient safety and wellbeing in the light of the expected reduction in funding for district nurse training in England from September 2019. more like this
tabling member printed
Baroness Cox more like this
uin HL9938 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-09-18more like thismore than 2018-09-18
answer text <p>Community health care services are a crucial part of the health and social care system that allows patients to be cared for at the right time in the right place.</p><p>NHS Digital data shows a reduction in the number of full time equivalent district nurses in England from 7,546 in September 2010 to 4,587 in May 2018. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care or in general practitioner surgeries, local authorities or other providers. The number of district nurses in independent healthcare providers increased by 273, from September 2010 to September 2017. As a result of changes made in 2009 to the ways in which community services are provided – i.e. from a range of different types of provider – this does not represent the full picture and there will be a number of district nurses providing National Health Service services in organisations that do not provide a return to the Electronic Staff Records.</p><p>The training of new district nurses is important in maintaining a workforce that can deliver the needs of the population in the community. Health Education England has commissioned and funded the District Nursing Specialist Practice Qualification at a steady state over the last six years. These are based upon the requirements that local providers have informed Health Education England. However, year on year these commissions are not fully taken up and therefore Health Education England is working to better understand the reasons this may be.</p><p>Health Education England is now exploring the capacity and capability required of our community workforce to best meet the future needs of the population. Health Education England is evaluating the skills and knowledge required within the wider community workforce including district nurses. This has involved extensive engagement across England to understand how best to meet to needs of the local population, as well as develop a role that has a more desirable career pathway for prospective healthcare professionals. The Government is also supporting incentives for postgraduates who go on to work in community nursing roles, including ‘golden hellos’.</p><p>Patient safety remains a key priority for the Department and in 2017 we restated our commitment to the NHS being the “safest healthcare system in the world”. The Care Quality Commission (CQC) assesses all registered providers that deliver regulated activities against the Fundamental Standards, below which the standard of care must not fall. Staffing is one of the Standards, and the CQC inspections check that sufficient numbers of suitably qualified, competent, skilled and experienced staff are deployed within service providers. To this effect we would expect providers to continue to ensure patient safety in the community.</p>
answering member printed Lord O'Shaughnessy more like this
grouped question UIN HL9937 more like this
question first answered
less than 2018-09-18T11:36:58.927Zmore like thismore than 2018-09-18T11:36:58.927Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
3364
label Biography information for Baroness Cox more like this
967468
registered interest false more like this
date remove filter
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care remove filter
hansard heading Postnatal Depression more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 23 July (HL9378), what steps they intend to take to address the under-diagnosis of maternal mental illness and, in particular, to ensure that those suffering from post-natal depression are diagnosed and able to access treatment. more like this
tabling member printed
Baroness Hodgson of Abinger more like this
uin HL9962 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-09-17more like thismore than 2018-09-17
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. 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.</p><p>A key aim of this transformation programme is to take a preventative approach wherever possible, including: earlier diagnosis and intervention; support for recovery; and reducing avoidable harm.</p><p>To drive forward change, NHS England is also investing in multidisciplinary perinatal mental health clinical networks across the country, which includes general practitioners as part of the networks. These clinical networks focus on collaborative working to develop local, integrated pathways and to support early identification of those at risk of mental illness in the perinatal period, to enable better outcomes for women in all communities.</p><p>Looking ahead, we are continuing to work with the National Health Service to develop a 10 year plan for the future of the health service, underpinned by a five-year funding offer which will see the NHS budget grow by over £20 billion a year in real terms by 2023-24. The NHS will work closely with Government to produce the plan, which will set out how the money will be used to deliver our vision for the health service and to ensure every penny is well spent.</p><p>The plan will be published later this year. Better access to mental health services is one of the priorities to help achieve the Government’s commitment for parity of esteem between mental and physical health. This will be a significant step forward towards improving, and continuing to deliver, high-quality mental health support services.</p>
answering member printed Lord O'Shaughnessy more like this
question first answered
less than 2018-09-17T13:51:53.167Zmore like thismore than 2018-09-17T13:51:53.167Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
4301
label Biography information for Baroness Hodgson of Abinger more like this
967469
registered interest false more like this
date remove filter
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care remove filter
hansard heading Health Visitors more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government how many visits from a health visitor a new mother in England should receive in the three months after giving birth; what is the length of each visit; and how these visits are monitored. more like this
tabling member printed
Baroness Hodgson of Abinger more like this
uin HL9963 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-09-17more like thismore than 2018-09-17
answer text <p>Health visitors undertake five mandated visits between the ages of zero to five. Three of these mandated visits occur during the first three months after birth which are the antenatal health visit, new baby review and six to eight-week assessment. The length of each visit will be entirely dependent on the individual needs of the mother and baby. Some families will require additional visits and support, the health visitor will use their professional judgement and public health expertise to determine need and support. Local authorities are responsible for commissioning health visiting services, local monitoring of service delivery and commissioning compliance should be undertaken locally as part of contract management.</p> more like this
answering member printed Lord O'Shaughnessy more like this
question first answered
less than 2018-09-17T13:56:16.423Zmore like thismore than 2018-09-17T13:56:16.423Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
4301
label Biography information for Baroness Hodgson of Abinger more like this
967470
registered interest false more like this
date remove filter
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care remove filter
hansard heading Health Visitors more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government what training health visitors receive to enable them to identify incipient and actual cases of ante-natal depression, post-natal depression, and other maternal mental health issues. more like this
tabling member printed
Baroness Hodgson of Abinger more like this
uin HL9964 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-09-17more like thismore than 2018-09-17
answer text <p>Health visitors are part of the nursing profession and regulated by the Nursing and Midwifery Council (NMC). Health visitors are qualified and registered nurses or midwives who have undertaken an approved training programme in Specialist Community Public Health Nursing - Health Visiting.</p><p>The NMC has the general function of promoting high standards of education and coordinating all stages of education to ensure that health visitors are equipped with the knowledge, skills and attitudes essential for professional practice, including continuous professional development (CPD). The NMC set the standards of education and training for the nursing profession expected at undergraduate and postgraduate level and approve curricula set by individual higher education institutes. In so doing, they set out the knowledge, skills and behaviours that both postgraduate and undergraduate nurses must be able to demonstrate.</p><p>CPD is a term used to describe a number of different training and development activities which may be required for the purposes of professional practice in the National Health Service. The NMC requires 35 hours of CPD relevant to scope of practice in the three year period since registration was last renewed, or joining the register.</p><p>The NMC are in the process of rewriting their standards. For example, in the new pre-registration nursing standards the NMC specify that registrants must have proficiencies in identifying risk and vulnerability, in all settings and across the lifespan and would expect post-natal depression to be included in the curriculum.</p>
answering member printed Lord O'Shaughnessy more like this
grouped question UIN HL9965 more like this
question first answered
less than 2018-09-17T13:50:13.717Zmore like thismore than 2018-09-17T13:50:13.717Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
4301
label Biography information for Baroness Hodgson of Abinger more like this