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1167195

registered interest
date	29/10/2019
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	Palliative Care
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 ensure the equity of access to (a) general and (b) specialist palliative care throughout England.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	7118
answer	answer is ministerial correction date of answer 04/11/2019 answer text <p><strong> </strong></p><p>The Government and the National Health Service are highly committed to everyone having access to high quality personalised end of life care built around their individual needs and preferences. NHS England has produced a number of resources for commissioners, service providers and health, care and support staff focused on ensuring equality in end of life care. More recently, the publication of the NHS Long Term Plan and associated document, Universal Personalised Care, make clear that the NHS wants to put health inequalities at the core of the personalised care agenda.</p><p> </p><p>As outlined in the NHS Long Term Plan, this will be achieved by working with patients, families, local authorities and our voluntary sector partners both nationally and locally to roll out training to help staff identify and support relevant patients and to introduce proactive and personalised care planning for everyone identified as being in their last year of life.</p><p> </p><p>NHS England and NHS Improvement Specialised Services is currently reviewing its published Specialised Palliative Care Service Specification (published in 2013).</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/11/2019 18:27:11 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	3958 label Biography information for Fiona Bruce

1167197

registered interest
date	29/10/2019
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	Palliative Care
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 he has to require NHS clinical commissioners to provide 24-hour specialist advice services for generalist palliative care providers.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	7119
answer	answer is ministerial correction date of answer 04/11/2019 answer text <p>In 2016, NHS England published guidance prepared in collaboration with expert reference groups, and led by the National Clinical Director for End of Life Care, in response to requests by commissioners, service providers and clinicians for a clear description of what should be provided in terms of specialist level palliative care for people with progressive, life-limiting illness who have complex needs, and/or those whose usual care teams require the expert advice, guidance and support of those with specialist knowledge and skills in palliative care. The guidance states that ‘arrangements should be in place for specialist support to the wider care team at all times, 24 hours a day, seven days a week. The service should have access to all essential specialists to constitute a specialist level palliative care team’. The guidance also includes the provision of “medical and nursing cover to allow assessment, advice and active management seven days a week, and 24 hour telephone advice” as an expected service characteristic.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/11/2019 18:37:27 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	3958 label Biography information for Fiona Bruce

1156444

registered interest
date	25/10/2019
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: Postnatal Care
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 he has made of the medical effectiveness of post-natal physical and mental health checks for new mothers, carried out by GPs.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	5429
answer	answer is ministerial correction date of answer 30/10/2019 answer text <p>Post-natal care can be delivered by a number of different providers, including midwives, health visitors and general practitioners (GPs). Commissioners and providers should ensure that women are offered a review of their physical, emotional and social wellbeing by a healthcare professional at the end of the postnatal period (between 6-8 weeks).</p><p> </p><p>NHS England and NHS Improvement expects commissioners and providers of maternity care to pay due regard to the National Institute for Health and Care Excellence (NICE) guidelines. NICE guidance on ‘Postnatal care up to 8 weeks after birth’ states that at each postnatal contact, women should be asked about their emotional wellbeing, what family and social support they have and their usual coping strategies for dealing with day-to-day matters. At the end of the postnatal period, the coordinating healthcare professional should ensure that the woman’s physical, emotional and social wellbeing is reviewed. NHS England and NHS Improvement have been reviewing the available evidence to establish a clearer picture of current practice in this area. NHS England has been working with the National Childbirth Trust on developing the evidence base, and we are following this important work closely.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 30/10/2019 12:37:42 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	3958 label Biography information for Fiona Bruce

1156445

registered interest
date	25/10/2019
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: Postnatal Care
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 he has made of the potential merits of including maternal post-natal mental health checks in the next GP contract.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	5430
answer	answer is ministerial correction date of answer 30/10/2019 answer text <p>The potential for a six-week post-natal maternal health check for all mothers is the subject of further work by NHS England and NHS Improvement.</p><p>Decisions on changes to the general practitioner (GP) contract for 2020/21 will be made following negotiations between NHS England and the British Medical Association (BMA). NHS England will soon start formal negotiations with the General Practitioner Committee of the BMA on the 2020/21 GP contract.</p><p>Support from health visitors and other professionals at the universal 6-8 week review is an important time for assessing the health and wellbeing of new parents, particularly in looking for signs of postnatal depression.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 30/10/2019 17:44:18 answering member 4380 label Biography information for Jo Churchill
tabling member	3958 label Biography information for Fiona Bruce

1151905

registered interest
date	23/10/2019
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: Conditions of Employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress has been made in the renegotiation of the GP contract with the British Medical Association.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	4300
answer	answer is ministerial correction date of answer 28/10/2019 answer text <p>NHS England will soon start formal negotiations with the General Practitioner Committee of the British Medical Association on the 2020/21 GP contract. The Government is in the process of setting out to NHS England its priorities for the improvement and transformation of general practice. The 2020/21 contract will seek to build on the ambitious programme of reform that was set out in the five-year framework. This framework was published in January of this year. In particular, the 2020/21 contract will see the introduction of recommendations from the Review of Vaccination and Immunisations and the Access Review.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 28/10/2019 15:43:17 answering member 4380 label Biography information for Jo Churchill
tabling member	3958 label Biography information for Fiona Bruce

1151907

registered interest
date	23/10/2019
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 Illness: Mothers
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 tackle maternal mental illness.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	4301
answer	answer is ministerial correction date of answer 28/10/2019 answer text <p>We invested £11.98 billion into mental health care in 2017-18 and £12.5 billion in 18/19. These increases are being driven by the additional £1 billion between 2017-2021 to support the Five Year Forward View, which includes £290 million for perinatal services.</p><p> </p><p>From April 2019, new and expectant mothers have already been able to access specialist perinatal mental health community services in every part of the country.</p><p> </p><p>The NHS Long Term Plan includes a commitment for a further 24,000 women to be able to access specialist perinatal mental health care by 2023/24, building on the additional 30,000 women who will access these services each year by 2020/21 under pre-existing plans. Specialist care will also be available from preconception to 24 months after birth, which will provide an extra year of support.</p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 28/10/2019 16:35:51 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	3958 label Biography information for Fiona Bruce

1151911

registered interest
date	23/10/2019
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 Illness: Mothers
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 he has made of whether there is a link between maternal mental health and children's outcomes.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	4302
answer	answer is ministerial correction date of answer 28/10/2019 answer text <p>The Five Year Forward View for Mental Health (2016) recognises that maternal ‘mental health problems not only affect the health of mothers but can also have longstanding effects on children’s emotional, social and cognitive development.’</p><p> </p><p>The first 1,000 days of life are a critical time for brain development, and parents and carers have a fundamental role to play in supporting their child’s early development.</p><p> </p><p>Ensuring that all women receive access to the right type of care during the perinatal period is therefore a key Government priority. Reducing the impact of maternal mental health problems during pregnancy and the first two years of life is important for infant mental health and future adolescent and adult mental health.</p><p> </p><p>The NHS Long Term Plan includes a commitment for a further 24,000 women to be able to access specialist perinatal mental health care by 2023/24, building on the additional 30,000 women who will access these services each year by 2020/21 under pre-existing plans.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 28/10/2019 16:36:21 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	3958 label Biography information for Fiona Bruce

1151580

registered interest
date	22/10/2019
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	Abortion: Northern Ireland
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what comparative assessment the Government has made of the equity of provisions regulating providers of private abortion services in Northern Ireland and England and Wales from 22 October 2019 to 31 March 2020.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	3765
answer	answer is ministerial correction date of answer 28/10/2019 answer text <p>Given that the Northern Ireland Executive was not restored by 21 October 2019, section 9 of the Northern Ireland (Executive Formation etc) Act has now come into force, providing for the decriminalisation of abortion in Northern Ireland in relation to sections 58 and 59 of the Offences Against the Person Act 1861. The United Kingdom Government is now under a duty to bring forward regulations to introduce a new legal framework for abortion in Northern Ireland by 31 March 2020.</p><p> </p><p>The UK Government has also published guidance for healthcare professionals in Northern Ireland on abortion law for the period 22 October 2019 to 31 March 2020 which can be viewed at the following link:</p><p><a href="https://www.gov.uk/government/publications/changes-to-the-law-in-northern-ireland" target="_blank">https://www.gov.uk/government/publications/changes-to-the-law-in-northern-ireland</a></p><p>This makes clear that abortion services are not expected to be routinely available in Northern Ireland before 31 March 2020. Accordingly, no comparative assessment has been made of the equity of provisions regulating providers of private abortion services in Northern Ireland and England and Wales from 22 October 2019 to 31 March 2020.</p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 28/10/2019 17:22:08 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	3958 label Biography information for Fiona Bruce