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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

1121409

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 all healthcare regions of England have fully (a) staffed and (b) operational Healthcare Safety Investigation Branch maternity investigation teams.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	243991
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 243992 243993 243994 243995 243996 243997 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

1121411

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, what estimate he has made of the number of maternity investigations to be undertaken by the HSIB Maternity Investigation teams in (a) 2019 and (b) the next three years.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	243992
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 243993 243994 243995 243996 243997 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

1121412

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 many HSIB maternity investigations have been (a) undertaken and (b) completed since its inception.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	243993
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 243994 243995 243996 243997 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