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1135745

registered interest
date	01/07/2019
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	Sexually Transmitted Infections
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to tackle the increasing number of cases of sexually transmitted infections in England.
tabling member printed	Baroness Masham of Ilton
uin	HL16838
answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>The total number of those attending sexual health services, including consultations via e-Sexual Health Services in England increased by 7% between 2017 and 2018 (from 3,337,677 to 3,561,548), continuing the increasing trend over the past five years. Early detection and prompt treatment is vital to control transmission of sexually transmitted infections (STIs).</p><p>We are concerned to see the increase in STIs which highlights the importance of people practicing safe sex by using condoms. Local councils are increasingly offering a range of options including online testing to improve choice and convenience, with almost a fifth of chlamydia tests now accessed online and there are many schemes that offer free condoms to young people, gay men and other higher risk groups.</p> answering member printed Baroness Blackwood of North Oxford question first answered 10/07/2019 15:10:32 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1850 label Biography information for Baroness Masham of Ilton

1135746

registered interest
date	01/07/2019
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	Genito-urinary Medicine
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to develop a national sexual health strategy.
tabling member printed	Baroness Masham of Ilton
uin	HL16839
answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>The development of a national sexual health strategy is a key recommendation in the Health and Social Care Committee’s report on sexual health, which was published on 2 June 2019. The Government is currently considering the report’s recommendations and will publish a formal response shortly.</p> answering member printed Baroness Blackwood of North Oxford question first answered 10/07/2019 15:09:54 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1850 label Biography information for Baroness Masham of Ilton

1135747

registered interest
date	01/07/2019
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	Genito-urinary Medicine: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to increase funding for sexual health services in England.
tabling member printed	Baroness Masham of Ilton
uin	HL16840
answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>The Government provides funding to local authorities for their public health responsibilities, including sexual health services, through a public health grant. It is for individual local authorities to decide their spending priorities based on an assessment of local need, including the need for sexual health services taking account of their statutory duties. They are required by regulations to provide services for sexually transmitted infection testing and treatment and contraception.</p><p>Future funding for local authorities’ public health responsibilities will be considered carefully in the next spending review, taking full account of the available evidence.</p> answering member printed Baroness Blackwood of North Oxford question first answered 10/07/2019 15:10:11 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1850 label Biography information for Baroness Masham of Ilton

1135751

registered interest
date	01/07/2019
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	100,000 Genomes Project
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether those who have taken part in the NHS 100,000 Genome Project are being denied access to their own genome data; and if so, why.
tabling member printed	Lord Scriven
uin	HL16844
answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>Genomics England is committed to returning results to every patient in the 100,000 Genomes Project via their National Health Service clinical team. All of the patient results will have been returned to the NHS by the end of the year.</p><p>Under the Data Protection Legislation, participants in the 100,000 Genomes Project can request their genomic and clinical data. However, a whole genome sequence is around 3 billion letters long and written in code so it is very difficult to interpret. Genomics England can provide access to a visual representation on request or provide access to the raw data. A NHS clinical team is the best route to providing a clinical interpretation of the genome results.</p> answering member printed Baroness Blackwood of North Oxford question first answered 10/07/2019 15:26:14 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4333 label Biography information for Lord Scriven

1135767

registered interest
date	01/07/2019
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	Self-harm: Mental Health 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 steps his Department is taking to support people who self-harm.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	271449
answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>The Prime Minister recently announced that tailored advice will be provided to parents on supporting their children’s mental health and well-being, including information on subjects such as stress, screen time, online bullying, body image and self-harm. This will be developed by Public Health England by 2020. This will accompany advice provided to children and young people through Public Health England’s Rise Above programme on dealing with difficult emotions and situations that can lead to problems such as stress, bullying and self-harm.</p><p> </p><p>We are aware of a rise in young people self-harming, which is why we included a new key area for action to address self-harming in the cross-Government National Suicide Prevention Strategy in 2017. Our close work with the Home Office and the Department for Digital, Culture, Media and Sport on their Online Harms White Paper will also help to tackle online harms associated with harmful suicide and self-harm content across the internet, including social media.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 09/07/2019 13:37:18 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

1135774

registered interest
date	01/07/2019
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: 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 steps is he taking to improve retention of NHS staff.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	271455
answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>NHS Improvement and NHS Employers have been leading programmes of support with trusts, working to improve the retention of the nursing workforce. A universal offer of support has been provided to all trusts, and NHS Improvement continues to provide a direct programme of support to trusts with the highest attrition rates in order to support improvements in retention.</p><p>Strategies include targeted support on areas such as flexible working, supporting new starters and older workers, and development and career planning. NHS Improvement and NHS Employers are releasing resources and case studies to disseminate best practice models.</p><p>The new contract for junior doctors (2016) enshrines safe working, high quality training and ensures fair pay for work done.</p><p>We are also committed to offering improved working lives, flexible training options, and rewarding careers and conditions. On 24 June, Health Education England published ‘Enhancing Junior Doctors’ Working Lives – annual progress report 2019’ and the work it has undertaken in this area. The programme includes a range of initiatives to help to retain doctors in the National Health Service, ensuring that the junior doctors who work so hard throughout their training feel supported at work. The report is available at the following link:</p><p><a href="https://www.hee.nhs.uk/news-blogs-events/news/greater-flexibility-doctors-training" target="_blank">https://www.hee.nhs.uk/news-blogs-events/news/greater-flexibility-doctors-training</a></p><p>NHS England and Health Education England are working together with the medical profession to increase the general practitioner (GP) workforce and support GPs to remain in the NHS. Actions include a GP Retention Scheme, the GP Retention Fund, the GP Health Service and the Releasing Time for Care Programme.</p><p>Action to improve NHS staff retention in Northern Ireland, Scotland and Wales is a matter for each of the devolved administrations in that country.</p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 09/07/2019 15:54:55 answering member 1585 label Biography information for Stephen Hammond
tabling member	4131 label Biography information for Jim Shannon

1135775

registered interest
date	01/07/2019
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	Nurses: Training
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will reinstate the student nurse bursary.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	271456
answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>The Government has no plans to reinstate the bursaries for nursing degrees in England. The tuition fee model means universities can offer more training places removing the cap that was in place under the previous centrally funded system. Eligible pre-registration nursing and midwifery students can now receive more funding than under the National Health Service bursary system through tuition fee loans and living cost support from the Student Loans Company.</p><p>The interim People Plan published on 3 June 2019 sets out some of the steps needed to ensure the NHS have the staff they need to deliver high quality care, including growing our nursing workforce by 40,000 in the next five years.</p><p>Nurse education, training and funding in Northern Ireland, Scotland and Wales is a matter for each of the devolved administrations in that country.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 09/07/2019 15:58:19 answering member 1585 label Biography information for Stephen Hammond
tabling member	4131 label Biography information for Jim Shannon

1135824

registered interest
date	01/07/2019
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	Doctors: Training
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 level of availability of (a) places on UK Foundation Programme F1 and F2 courses and (b) work within the NHS for course graduates.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	271363
answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>The UK Foundation Programme can be under- or over-subscribed as it is subject to variation for a number of reasons. In 2018 there was a fill rate of 98.6%<sup>1</sup>, however in 2019 there were initially more eligible applicants than available places. Additional places have now been provided, meaning all eligible graduates have been allocated a Foundation Programme post to start from August 2019.</p><p>For specialty training programmes, the current overall fill rate is slightly higher than in 2018, with 83.8% of training posts currently accepted for programmes beginning in 2019, compared to 81.9% at the same stage last year<sup>2</sup>. Some specialties will continue to recruit through further rounds, and therefore the number of trainees is likely to rise.</p><p> </p><p>Notes:</p><p><sup>1</sup>http://www.foundationprogramme.nhs.uk/sites/default/files/2018-09/2018%20Recruitment%20Summary%20Report.pdf</p><p><sup>2</sup>https://www.hee.nhs.uk/our-work/medical-recruitment/specialty-recruitment-round-1-acceptance-fill-rate</p><p><strong> </strong></p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 09/07/2019 16:04:12 answering member 1585 label Biography information for Stephen Hammond
tabling member	478 label Biography information for Lord Field of Birkenhead

1135846

registered interest
date	01/07/2019
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	Haemochromatosis: Health 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 steps he is taking to improve the (a) rates of diagnosis and (b) management of genetic haemochromatosis.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	271374
answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>The Government is committed to making the United Kingdom a leader in embedding genomics in healthcare and offer a consistent, world class approach to the genetic identification of rare diseases, including genetic hemochromatosis. The Genomics Medicine Service was announced in October 2018, supported by the National Genomic Test Directory which specifies which genomic tests are commissioned by the National Health Service in England, the technology by which they are available, and the patients who will be eligible to access a test. Genetic haemochromatosis is included in the National Genomic Test Directory.</p><p>Services for patients with genetic haemochromatosis are commissioned locally through clinical commissioning groups with sustainability and transformation partnerships (STPs) enabling service coordination across wider footprints. The NHS Long Term Plan set out the ambition for all STPs to evolve into Integrated Care Systems (ICSs) by April 2021. ICSs are an ‘evolved’ form of an STP, making faster progress in integrating care across their area, bringing together organisations to provide more seamless care for patients.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 09/07/2019 16:14:46 answering member 4455 label Biography information for Seema Kennedy
tabling member	478 label Biography information for Lord Field of Birkenhead

1135855

registered interest
date	01/07/2019
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: Pensions
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 help mitigate the effect of pension taxation on the NHS.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	271375
answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>I laid provided a Written Ministerial Statement (<a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2019-06-04/HCWS1587/" target="_blank">HCWS1587</a>) on 4 June 2019 setting out the interim People Plan for the National Health Service. As part of this, it was announced that the Department would publish a consultation exploring proposals to introduce greater pension flexibility for clinicians in the NHS Pension Scheme. Increased flexibility is designed to address disincentives that may encourage senior clinicians to limit or reduce their workloads whilst participating in the NHS Pension Scheme.</p><p>The consultation will propose a 50:50 option which is intended to provide increased flexibility to clinicians regarding the growth of their NHS Pension Scheme benefits. This option will offer a 50% pension accrual and halved contributions. It was requested by the British Medical Association earlier this year, and they have welcomed this as a step in the right direction.</p><p>Retaining and maximising the contribution of our highly-skilled clinical workforce is crucial to the delivery of the ambitions for patient care set out in the Long Term Plan for the NHS. Accordingly, the Government is prepared to provide pension flexibility that appropriately balances the benefit of new flexibilities with their affordability to the public purse.</p><p>The consultation period will be an opportunity to listen to a range of views before reaching a final proposition that works for both staff and taxpayers. The Department encourages staff and employers to engage with our consultation when it opens this month.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 09/07/2019 16:05:14 answering member 1585 label Biography information for Stephen Hammond
tabling member	478 label Biography information for Lord Field of Birkenhead