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1121416

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	Maternity Services: Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much funding his Department has allocated to HSIB maternity investigation teams until 2023.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	243997
answer	answer is ministerial correction date of answer 26/04/2019 answer text <p>As from 1 April 2019, the Healthcare Safety Investigation Branch (HSIB) maternity investigations programme is fully staffed and operational in every healthcare region in England.</p><p>The HSIB is estimated to undertake 1,000 investigations in 2019. Work will be undertaken to forecast future estimates for the next three years based on the most recent datasets held by the HSIB.</p><p>Since the start of the HSIB maternity investigations programme up until 12 April 2019, a total of 401 investigations have gone live and four investigations have been completed. From 1 April 2019 HSIB will be operating at full capacity and is continuously refining its methodology to improve the turn-around time for completing investigations. As a result, the number of investigations completed are expected to increase in 2019.</p><p>The 60-day timeframe applies to the current NHS Serious Incident Framework. In line with the National Health Service Trust Development Authority (Healthcare Safety Investigation Branch) (Additional Investigatory Functions in respect of Maternity Cases) Directions 2018, HSIB is required to complete investigations within 6 months. <strong> </strong></p><p>The HSIB’s investigations will replace hospital reviews of intrapartum stillbirths only for cases which fall within scope of the Royal College of Obstetricians and Gynaecologists’ Each Baby Counts criteria. This criterion includes all term babies (at least 37 completed weeks of gestation) born following labour who have one of the following outcomes: intrapartum stillbirth or where the baby was thought to be alive at the start of labour but was born with no signs of life.</p><p>The HSIB was allocated £10 million in 2018/19 for the maternity investigations programme. A final budget for 2019/20 is to be finalised. Budgets for future years have not been determined.</p><p>The National Health Service Trust Development Authority (Healthcare Safety Investigation Branch) (Additional Investigatory Functions in respect of Maternity Cases) Directions 2018 states that “In carrying out the additional investigatory functions, the ‘safe space principle’ as described at paragraph 6(1) of HSIB Directions does not apply.”</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 243991 243992 243993 243994 243995 243996 243998 question first answered 26/04/2019 13:10:58 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	114 label Biography information for Tim Loughton

1121417

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	Maternity Services: Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the HSIB Safe Space Principle will be extended to maternity investigations undertaken under the Each Baby Counts definition.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	243998
answer	answer is ministerial correction date of answer 26/04/2019 answer text <p>As from 1 April 2019, the Healthcare Safety Investigation Branch (HSIB) maternity investigations programme is fully staffed and operational in every healthcare region in England.</p><p>The HSIB is estimated to undertake 1,000 investigations in 2019. Work will be undertaken to forecast future estimates for the next three years based on the most recent datasets held by the HSIB.</p><p>Since the start of the HSIB maternity investigations programme up until 12 April 2019, a total of 401 investigations have gone live and four investigations have been completed. From 1 April 2019 HSIB will be operating at full capacity and is continuously refining its methodology to improve the turn-around time for completing investigations. As a result, the number of investigations completed are expected to increase in 2019.</p><p>The 60-day timeframe applies to the current NHS Serious Incident Framework. In line with the National Health Service Trust Development Authority (Healthcare Safety Investigation Branch) (Additional Investigatory Functions in respect of Maternity Cases) Directions 2018, HSIB is required to complete investigations within 6 months. <strong> </strong></p><p>The HSIB’s investigations will replace hospital reviews of intrapartum stillbirths only for cases which fall within scope of the Royal College of Obstetricians and Gynaecologists’ Each Baby Counts criteria. This criterion includes all term babies (at least 37 completed weeks of gestation) born following labour who have one of the following outcomes: intrapartum stillbirth or where the baby was thought to be alive at the start of labour but was born with no signs of life.</p><p>The HSIB was allocated £10 million in 2018/19 for the maternity investigations programme. A final budget for 2019/20 is to be finalised. Budgets for future years have not been determined.</p><p>The National Health Service Trust Development Authority (Healthcare Safety Investigation Branch) (Additional Investigatory Functions in respect of Maternity Cases) Directions 2018 states that “In carrying out the additional investigatory functions, the ‘safe space principle’ as described at paragraph 6(1) of HSIB Directions does not apply.”</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 243991 243992 243993 243994 243995 243996 243997 question first answered 26/04/2019 13:10:58 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	114 label Biography information for Tim Loughton

1121592

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	General Practitioners: Fees and Charges
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what progress they have made in preventing victims of domestic abuse from being charged by GPs for letters needed to access legal and other professional services.
tabling member printed	Lord Kennedy of Southwark
uin	HL15243
answer	answer is ministerial correction date of answer 29/04/2019 answer text <p>We recognise the importance of tackling domestic abuse. General practitioners (GPs) can have an important role in supporting victims, including by providing evidence to enable them to access services. As providing evidence for victims of domestic abuse is not a contractual obligation for GPs they are able to charge, though not all will. GP provision of evidence was discussed as part of the 2019/20 GP contract negotiations and work is ongoing to improve the process.</p><p>Charges for provision of evidence of domestic abuse are not a specific requirement of the contractual relationship between GPs and the National Health Service. The Ministry of Justice and the General Practitioners Council are currently working together to clarify and improve the process for GPs and applicants in relation to evidence of domestic violence for legal aid applications.</p><p>The Government is absolutely clear that victims of domestic violence must have access to the help that they need, including access to legal aid. In January 2018 we made changes to legislation which introduced new forms of evidence, expanded the scope of existing evidence and completely removed the time limit from all forms of evidence for domestic violence. These changes aimed to make it easier for victims, or those at risk, of domestic violence to obtain and provide the evidence required to access legal aid, and reduce the risk of genuine victims not being able to obtain the required evidence.</p><p>These changes included broadening the categories of health professionals that can provide evidence to reduce the reliance on letters from GPs. Medical practitioners are able to confirm injuries or conditions consistent with domestic violence without suggesting that abuse is solely physical.</p> answering member printed Baroness Blackwood of North Oxford question first answered 29/04/2019 14:49:55 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4153 label Biography information for Lord Kennedy of Southwark

1121601

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	Mental Health Services: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of the causes of the fall in real-terms funding per child for low-level mental health services in 60 per cent of local authorities in England given the £226 million reported as planned spending for 2018/19.
tabling member printed	The Lord Bishop of Newcastle
uin	HL15252
answer	answer is ministerial correction date of answer 29/04/2019 answer text <p>Local authority funding is a matter for the Ministry of Housing, Communities and Local Government.</p><p>The Department recognises the need to increase funding for National Health Service mental health services for children and young people. The planned spend by NHS clinical commissioning groups on children and young people’s mental health for 2018/19 is £727.3 million. This represents an increase of around 40% from the spend in 2015/16, which was £516 million.</p> answering member printed Baroness Blackwood of North Oxford question first answered 29/04/2019 14:48:19 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4568 label Biography information for The Lord Bishop of Newcastle