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1109797

registered interest
date	04/04/2019
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	Haemophilia
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 13 March 2019 to Question 230073 on Haemophilia, if he will place copies in the library of National Haemophilia Database data on the average number of bleeds people with (a) mild, (b) moderate and (c) severe (i) Haemophilia A and (ii) Haemophilia B had in the latest year for which data is available.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	240995
answer	answer is ministerial correction date of answer 09/04/2019 answer text <p>Data on the average number of bleeds for people with severe haemophilia A and haemophilia B is shown in the following table.</p><table><tbody><tr><td rowspan="2"><p>Diagnosis</p></td><td rowspan="2"><p>Patients treated 2018<br> (number)</p></td><td colspan="3"><p>Bleed count 2018</p></td></tr><tr><td><p>Mean</p></td><td><p>Standard deviation</p></td><td><p>Median (interquartile range)</p></td></tr><tr><td><p>Severe Haemophilia A</p></td><td><p>1,553</p></td><td><p>4.1</p></td><td><p>8.2</p></td><td><p>1 (0 - 5)</p></td></tr><tr><td><p>Severe Haemophilia B</p></td><td><p>263</p></td><td><p>3.7</p></td><td><p>7.6</p></td><td><p>1 (0 - 4)</p></td></tr></tbody></table><p> </p><p>The National Haemophilia Database have very limited bleed-level data for patients with mild or moderate haemophilia, as these patients do not bleed frequently and therefore do not generally require home therapy. The non-severe patients using Haemtrack are skewed towards the severe end of moderate and anyone with zero bleeds is very unlikely to be reporting. For this reason, they have excluded non-severe patients from these results, as they would make the data unlikely to be robust.</p><p> </p><p>It should be noted that the following limitations apply to this data:</p><p> </p><p>1. The data is derived from patient-reported Haemtrack home therapy diary data.</p><p>2. The data is limited to patients who require home-therapy.</p><p>3. These results are prone to reporting bias since uncompliant patients and patients treated on-demand, treated only when they bleed, are under-represented in this sample. The data may therefore paint a slightly optimistic picture.</p><p>4. About 85-90% of clinically severely affected (less than 2% VIII/IX) patients are managed with regular prophylaxis to prevent bleeding. Prior to prophylaxis, patients treated on-demand bled between twice a week and once a fortnight and, as the figures show, the mean annualised bleed rate has been dramatically reduced to about four per year. However, our aim is for the patients to be bleed free, without which the joints will not be fully protected from bleeding.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 09/04/2019 14:43:25 answering member 4455 label Biography information for Seema Kennedy
tabling member	1533 label Biography information for Dame Diana Johnson

1109799

registered interest
date	04/04/2019
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	Haemophilia
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 13 March 2019 to Question 230073 on Haemophilia, if he will place copies in the library of National Haemophilia Database data on the number and patients with (a) mild, (b) moderate and (c) severe (i) haemophilia A and (ii) haemophilia B by the number of bleeds they had in the most recent year for which data is available.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	240996
answer	answer is ministerial correction date of answer 09/04/2019 answer text <p>The data on the number of patients with severe haemophilia A and haemophilia B by the number of bleeds is attached.</p><p> </p><p>The National Haemophilia Database (NHD) have very limited bleed-level data for patients with mild or moderate haemophilia since these patients do not bleed frequently and do not generally require home therapy. The non-severe patients using Haemtrack are skewed towards the severe end of moderate and anyone with zero bleeds is very unlikely to be reporting. For this reason, the NHD have excluded non-severe patients from this data, as it makes the data unlikely to be robust.</p><p> </p><p>It should be noted that the following limitations apply to this data:</p><ol><li>The data are derived from patient-reported Haemtrack home therapy diary data.</li><li>The data is limited to patients who require home-therapy.</li><li>These results are prone to reporting bias since uncompliant patients and patients treated on-demand, treated only when they bleed, are under-represented in this sample. The data may therefore paint a slightly optimistic picture.</li><li>About 85-90% of clinically severely affected (less than 2% VIII/IX) patients are managed with regular prophylaxis to prevent bleeding. Prior to prophylaxis, patients treated on-demand bled between twice a week and once a fortnight and, as the figures show, the mean annualised bleed rate has been dramatically reduced to about four per year. However, our aim is for the patients to be bleed free, without which the joints will not be fully protected from bleeding.</li></ol> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 09/04/2019 14:50:49 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name Pq240996 - bleeds for severe haemophilia.xlsx title PQ240996 attached information
tabling member	1533 label Biography information for Dame Diana Johnson

1109800

registered interest
date	04/04/2019
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	Haemophilia
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 13 March 2019 to Question 230073 on Haemophilia, if he will publish the number of patients with (a) mild, (b) moderate and (c) severe (i) haemophilia A and (ii) haemophilia B by (A) the number of bleeds they had in the most recent year for which data is available and (B) age groups (1) 0 to 18 and (2) over 18.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	240997
answer	answer is ministerial correction date of answer 09/04/2019 answer text <p>The number of patients with severe haemophilia A and haemophilia B for 2018 by the number of bleeds they had and age groups 0 to 18 and over 18, is attached.</p><p> </p><p>The National Haemophilia Database (NHD) have very limited bleed-level data for patients with mild or moderate haemophilia who do not bleed frequently and do not generally require home therapy. The non-severe patients using Haemtrack are skewed towards the severe end of moderate and anyone with zero bleeds is very unlikely to be reporting. For this reason, the NHD have excluded non-severe patients from these results, as it makes the data unlikely to be robust.</p><p> </p><p>It should be noted that the following limitations apply to this data:</p><p>1. The data is derived from patient-reported Haemtrack home therapy diary data.</p><p>2. The data is limited to patients who require home-therapy.</p><p>3. These results are prone to reporting bias since uncompliant patients and patients treated on-demand, treated only when they bleed, are under-represented in this sample. The data may therefore paint a slightly optimistic picture.</p><p>4. About 85-90% of clinically severely affected (less than 2% VIII/IX) patients are managed with regular prophylaxis to prevent bleeding. Prior to prophylaxis, patients treated on-demand bled between twice a week and once a fortnight and, as the figures show, the mean annualised bleed rate has been dramatically reduced to about four per year. However, our aim is for the patients to be bleed free, without which the joints will not be fully protected from bleeding.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 09/04/2019 14:59:08 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name PQ240997 - data by age.xlsx title PQ240997 attached data
tabling member	1533 label Biography information for Dame Diana Johnson

1109801

registered interest
date	04/04/2019
answering body	Department for Business, Energy and Industrial Strategy
answering dept id	201
answering dept short name	Business, Energy and Industrial Strategy
answering dept sort name	Business, Energy and Industrial Strategy
hansard heading	Paternity Leave
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Business, Energy and Industrial Strategy, whether his Department plans to increase statutory paid paternity leave from two weeks.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	240998
answer	answer is ministerial correction date of answer 09/04/2019 answer text <p>The Department for Business, Energy and Industrial Strategy is currently carrying out an evaluation of the Shared Parental Leave and Pay scheme, collecting and analysing information from a variety of sources, including a large scale survey of around 4,500 parents.</p><p> </p><p>This will provide information on various entitlements to family-related time off work, including Paternity Leave and Pay. We expect to report on the findings of the evaluation later this year.</p> answering member constituency Rochester and Strood answering member printed Kelly Tolhurst question first answered 09/04/2019 16:01:16 answering member 4487 label Biography information for Kelly Tolhurst
tabling member	1533 label Biography information for Dame Diana Johnson

1109802

registered interest
date	04/04/2019
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	Postnatal Depression: Fathers
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 fathers with paternal depression.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	240999
answer	answer is ministerial correction date of answer 09/04/2019 answer text <p>The Department recognises that becoming a parent can have significant impact on an individual’s mental health. NHS England has invested in better perinatal mental health care for new and expectant mothers, with at least 9,000 additional women receiving treatment last year. This is significant progress against the target set out in the Five Year Forward View for Mental Health for at least 30,000 additional women each year to access evidence-based specialist perinatal mental health treatment.</p><p> </p><p>The NHS Long Term Plan commits to extend this support, including by offering fathers and partners of women accessing specialist perinatal mental health services and maternity outreach clinics evidence-based assessment for their mental health and signposting to support as required. This will contribute to helping to care for the 5-10% of fathers who experience mental health difficulties during the perinatal period.</p><p> </p><p>Parents are also able to access care and support, including talking therapies or specific community mental health support, the same as any other patient group.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 09/04/2019 15:19:48 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1533 label Biography information for Dame Diana Johnson

1105779

registered interest
date	28/03/2019
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Coastal Erosion and Floods
house id	1
legislature	25259 pref label House of Commons
question text	What steps he is taking to tackle coastal erosion and flooding.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	910084
answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>Local Authorities have direct responsibility to produce shoreline management plans covering the entire coast of England. These plans provide a long term, sustainable policy framework for local authorities, to manage the risk of coastal change over the next 100 years.</p><p> </p><p>Government is working closely with coastal authorities on a review of shoreline management plans to ensure they are up to date and using the best evidence. Schemes within the current capital investment programme to 2021 benefit from £1.2 billion of investment in coastal erosion and sea flooding projects which will better protect over 170,000 properties.</p><p> </p> answering member constituency Suffolk Coastal answering member printed Dr Thérèse Coffey question first answered 28/03/2019 17:02:11 answering member 4098 label Biography information for Dr Thérèse Coffey
tabling member	1533 label Biography information for Dame Diana Johnson

1105918

registered interest
date	28/03/2019
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	Dermatology: Consultants
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 improve the national coverage of consultant dermatologists, particularly in rural or remote areas.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	238299
answer	answer is ministerial correction date of answer 02/04/2019 answer text <p>Dermatology is a highly competitive specialty training pathway and often oversubscribed. Nationally and locally there has been a 100% fill rate in dermatology training for the past four years.</p><p> </p><p>There has been a 22% increase in full time equivalent (FTE) dermatologists (doctors at the consultant grade) in post since September 2010, with 1,049 FTE dermatologists working in the National Health Service in November 2018.</p><p> </p><p>The number of medical specialty training places that are available each year is set by Health Education England and is based on their assessment of service gaps and predicted workforce needs.</p><p> </p><p>It is the responsibility of individual NHS trusts to have staffing arrangements in place that deliver safe and effective care. This includes recruiting the staff needed to support these levels and meet local needs.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 02/04/2019 14:06:56 answering member 1585 label Biography information for Stephen Hammond
tabling member	1533 label Biography information for Dame Diana Johnson

1105947

registered interest
date	28/03/2019
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	Hospitals: Fire Prevention
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 hospital buildings, of all heights, that use combustible cladding or combustible insulation.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	238300
answer	answer is ministerial correction date of answer 02/04/2019 answer text <p>The regulations implementing the ban on the use of combustible materials in the external walls of certain new high rise buildings, including hospitals, came into force on 21 December 2018. The Government is committed to reviewing the regulations after a year of their operation. The Department of Health and Social Care and the Ministry of Housing, Communities and Local Government continue to discuss these matters.</p><p> </p><p>Data is not held centrally on hospitals or other National Health Service buildings that have combustible cladding.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 238301 question first answered 02/04/2019 11:31:50 answering member 1585 label Biography information for Stephen Hammond
tabling member	1533 label Biography information for Dame Diana Johnson

1105948

registered interest
date	28/03/2019
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	Care Homes and Hospitals: Fire Prevention
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 had with the Ministry of Housing, Communities and Local Government on extending the scope of the ban on combustible materials to hospitals and care homes.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	238301
answer	answer is ministerial correction date of answer 02/04/2019 answer text <p>The regulations implementing the ban on the use of combustible materials in the external walls of certain new high rise buildings, including hospitals, came into force on 21 December 2018. The Government is committed to reviewing the regulations after a year of their operation. The Department of Health and Social Care and the Ministry of Housing, Communities and Local Government continue to discuss these matters.</p><p> </p><p>Data is not held centrally on hospitals or other National Health Service buildings that have combustible cladding.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 238300 question first answered 02/04/2019 11:31:50 answering member 1585 label Biography information for Stephen Hammond
tabling member	1533 label Biography information for Dame Diana Johnson

1088721

registered interest
date	14/03/2019
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	Primary Care Networks
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to NHS England’s document, Investment and evolution: A five-year framework for GP contract reform to implement the NHS Long Term Plan, published on 31 January 2019, what plans his Department has to ensure the integration of local authority-commissioned public health services within the new Primary Care Networks.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	232537
answer	answer is ministerial correction date of answer 19/03/2019 answer text <p>Primary Care Networks (PCNs) are collaborations between general practitioner (GP) practices and a range of other local providers, typically serving a population of between 30,000 and 50,000. The Network Contract Direct Enhanced Service payment for PCNs is in final development and will be published in due course.</p><p> </p><p>It is expected that PCNs should engage with local authorities as a key local partner in the delivery of integrated health and care services in order to support the objectives in the NHS Long Term Plan.</p><p> </p><p>From <del class="ministerial">April</del> <ins class="ministerial">October</ins> 2019, contraception services will no longer be an Additional Service under the Regulations governing the General Medical Services contract but will become part of Essential Services for GP contractors.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/03/2019 16:38:30 question first ministerially corrected 08/04/2019 09:35:05 answering member 4067 label Biography information for Steve Brine previous answer version 108779 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson