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1057048

	registered interest
	date	08/02/2019
	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	Hearing Impairment: Merseyside
	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 adequacy of the provision of deaf support services (a) to constituents in Wallasey, (b) in Liverpool City Region and (c) in Merseyside.
	tabling member constituency	Wallasey
	tabling member printed	Ms Angela Eagle
	uin	218760
	answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>The Care Quality Commission is responsible for assessing the quality of health and social care support, including for those who are deaf. Clinical commissioning groups (CCGs) are responsible for assessing locally what health services should be commissioned to meet needs; local authorities have duties under the Care Act 2014 for assessing people’s need for social care support.</p><p> </p><p>NHS Wirral CCG recently completed a consultation in relation to Urgent Care Services. This consultation had significant representation from members of the deaf community as well as British Sign Language (BSL) interpreters. They spoke of consistent difficulties in accessing local NHS services, more specifically on provision and quality of BSL interpreters; this was not specific to urgent care services but spanned the range of NHS services in Wirral. A subsequent meeting was held with representatives of the deaf community on 21 December 2018 and the CCG agreed to facilitate an engagement process to include providers in 2019 to understand the issues in more detail and plan actions for providers to take forward over the longer term. A further meeting has been arranged for 18 February 2019. This meeting will be attended by members of the deaf community, BSL interpreters and NHS providers in Wirral.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 13/02/2019 17:09:28 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	491 label Biography information for Dame Angela Eagle

1057103

	registered interest
	date	08/02/2019
	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 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 the timeframe is for his Department's publication of its social care green paper.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	218808
	answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>The Social Care Green Paper remains a priority for this Government and we will be publishing a Green Paper setting out proposals for reform at the earliest opportunity.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 13/02/2019 17:10:21 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4036 label Biography information for Luciana Berger

1057095

	registered interest
	date	08/02/2019
	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	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 comparative assessment his Department has made of the relative safety of surgical operations carried out in the daytime and overnight.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	218751
	answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>The Department has not conducted any comparative assessment centrally concerning the relative safety of surgical operations carried out in the daytime and overnight.</p><p> </p><p>Safeguards apply to all surgery and it is the responsibility of the professionals involved to ensure that they operate to the right level of competence, and of the organisations they work for to ensure that they have in place effective forms of oversight at all times.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 13/02/2019 17:04:02 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	308 label Biography information for Mr Jim Cunningham

1057002

	registered interest
	date	08/02/2019
	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	Endometriosis
	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 11 January 2019 on Question 206437 on Endometriosis, if he will undertake a full review of the number of women affected by Endometriosis to be held centrally.
	tabling member constituency	Sheffield, Brightside and Hillsborough
	tabling member printed	Gill Furniss
	uin	218837
	answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>The Department has not made an estimate of the number of women living with endometriosis in the United Kingdom.</p><p> </p><p>However, the Hospital Episode Statistics database contains a count of finished consultant episodes (FCEs) with a primary diagnosis of endometriosis broken down by financial year. The last three years of this data are provided in the following table.</p><p> </p><table><tbody><tr><td><p>Financial year</p></td><td><p>Count of FCEs</p></td></tr><tr><td><p>2015-16</p></td><td><p>20,613</p></td></tr><tr><td><p>2016-17</p></td><td><p>21,050</p></td></tr><tr><td><p>2017-18</p></td><td><p>21,777</p></td></tr></tbody></table><p> </p><p>This data is not a count of people as the same person may have been admitted on one or more occasion. This may not be an accurate reflection of the number of diagnosed incidents of this condition, as not all patients will be admitted to hospital for treatment.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 13/02/2019 17:27:59 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4571 label Biography information for Gill Furniss

1057071

	registered interest
	date	08/02/2019
	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	Accident and Emergency Departments: North West
	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 achieve the 95 per cent four-hour A&E waiting time in (a) Merseyside and (b) the North West.
	tabling member constituency	Wallasey
	tabling member printed	Ms Angela Eagle
	uin	218762
	answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>The NHS Improvement Emergency Care Intensive Support Team is currently working to provide specialist support to systems across the North West region. Six trusts<sup>1 </sup>with challenged Emergency Departments routinely reporting ambulance-hospital handover delays are engaging with North West Ambulance Service as part of an initial 90-day improvement programme, which has now been extended further. In addition, eight trusts<sup>2 </sup>have received Urgent and Emergency Care capital investment this winter to make improvements to accident and emergency.</p><p> </p><p>NHS England’s ‘Operational and Planning Guidance for 2019/20’ sets out deliverables against key performance areas and the Government expects the National Health Service to deliver these actions in full as key steps towards fully recovering performance against core access standards.</p><p><strong> </strong></p><p>Notes:</p><p><sup>1</sup>Blackpool Teaching Hospitals NHS Foundation Trust, East Lancashire Hospital NHS Trust, Lancashire Teaching Hospitals Trust, Aintree University Hospital NHS Foundation Trust, Wirral University Teaching Hospital NHS Foundation Trust, and Wrightington, Wigan and Leigh NHS Foundation Trust.</p><p><sup>2</sup>Aintree University Hospital NHS Foundation Trust, Countess of Chester Hospital NHS Foundation Trust, Southport and Ormskirk Hospital NHS Trust, Wirral University Teaching NHS Foundation Trust, Lancashire Teaching Hospitals Trust, University Hospitals of Morecambe Bay, Stockport NHS Foundation Trust, and Tameside and Glossop Integrated Care NHS Foundation Trust.</p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 13/02/2019 15:07:40 answering member 1585 label Biography information for Stephen Hammond
	tabling member	491 label Biography information for Dame Angela Eagle

1057102

	registered interest
	date	08/02/2019
	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	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 6 February 2019 to Question 216353 on sexual health clinicians, what the timeframe is for the publication of the findings of Baroness Harding's work.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	218807
	answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>Baroness Harding will present initial recommendations to the Department in spring 2019. A final workforce implementation plan will follow later in the year, taking into account the outcomes of the Spending Review.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 13/02/2019 15:03:17 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4036 label Biography information for Luciana Berger

1057001

	registered interest
	date	08/02/2019
	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	Health Services: Reciprocal Arrangements
	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 ensure that British citizens can access medical treatment in EU countries (a) for free or (b) at a reduced cost after 29 March 2019.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	218765
	answer	answer is ministerial correction date of answer 15/02/2019 answer text <p>The United Kingdom Government appreciates the importance of retaining reciprocal healthcare arrangements with the European Union and has been clear in the negotiations that it wants to protect the rights of UK citizens in the EU.</p><p>Subject to the Withdrawal Agreement being agreed by Parliament, during the implementation period the current rules on reciprocal healthcare will continue until December 2020. The rights of UK nationals living in the EU, and who fall within the scope of the Withdrawal Agreement, will continue to be protected after December 2020, for as long as these individuals remain in scope of the Withdrawal Agreement.</p><p>In the event that the UK exits the EU without a deal, EU citizens resident in the UK by 29 March 2019 will be able to stay and continue to access in country benefits and services, including healthcare, on broadly the same terms as now. This demonstrates the UK Government’s ongoing commitment to citizens and removes any ambiguity over their future. We are engaging with EU counterparts to urge them to make the same commitment to protect the rights of UK nationals in the EU. The UK Government is seeking agreements with Member States, so that no individual will face sudden changes to their healthcare cover.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 15/02/2019 11:07:37 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1436 label Biography information for Paul Farrelly

1057104

	registered interest
	date	08/02/2019
	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: Managers
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, when his Department plans to publish new standards for NHS leaders.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	218809
	answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>In 2018, the Government had asked Tom Kark QC to carry out a review of the scope, operation and purpose of the Fit and Proper Person Requirement. The review, which was published on 6 February 2019, made seven recommendations, including to develop specified standards of competence that all directors, who sit on the Board, of any health providing organisation, should meet.</p><p> </p><p>The Government accepts this recommendation in principle, and has asked Baroness Dido Harding, the chair of the system-wide Workforce Implementation Steering Group, to look at how best to introduce new standards alongside other proposals on leadership and development of National Health Service managers, which is set out in the NHS Long Term Plan.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 13/02/2019 15:01:58 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4036 label Biography information for Luciana Berger

1057031

	registered interest
	date	08/02/2019
	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	Air Pollution: Health Hazards
	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 4 February 2019 to Question 212585 on Air Pollution: Health Hazards, what steps (a) his Department and (b) Public Health England are taking to compile sufficient evidence to enable further quantification.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	218747
	answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>The Committee on the Medical Effects of Air Pollutants (COMEAP) work programme is agreed annually to ensure this meets changing priorities. The committee is not scheduled to engage in further work on the differential health effects of particulate air pollution according to source or components. The Committee’s work programme is reviewed annually to ensure that the work is based on existing priorities. Current topics being considered by COMEAP are available at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/653713/COMEAP_work_program.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/653713/COMEAP_work_program.pdf</a></p><p> </p><p>Recent assessments have been undertaken of the health effects of long-term exposure to the air pollution mixture in the United Kingdom. This was based on studies reporting associations of mortality risk with fine particulate matter (PM<sub>2.5</sub>) and nitrogen dioxide (NO<sub>2</sub>). Further information is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/nitrogen-dioxide-effects-on-mortality" target="_blank">https://www.gov.uk/government/publications/nitrogen-dioxide-effects-on-mortality</a></p><p> </p><p>Recent reviews by the Health Effects Institute and World Health Organization of the effects of different components of air pollution, including ultrafine particles (PM0.1), concluded that there is currently limited evidence on the effects on health of ultrafine particles. These reviews can be viewed at the following links:</p><p> </p><p><a href="https://www.healtheffects.org/publication/understanding-health-effects-ambient-ultrafine-particles" target="_blank">https://www.healtheffects.org/publication/understanding-health-effects-ambient-ultrafine-particles</a></p><p> </p><p><a href="http://www.euro.who.int/__data/assets/pdf_file/0004/193108/REVIHAAP-Final-technical-report-final-version.pdf?ua=1" target="_blank">http://www.euro.who.int/__data/assets/pdf_file/0004/193108/REVIHAAP-Final-technical-report-final-version.pdf?ua=1</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/02/2019 17:31:47 answering member 4067 label Biography information for Steve Brine
	tabling member	252 label Biography information for Dr David Drew

1057040

	registered interest
	date	08/02/2019
	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	Alcoholic Drinks: Misuse
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether his Department has plans to assist local authorities in providing support for children in homes where there is parental alcohol misuse.
	tabling member constituency	Houghton and Sunderland South
	tabling member printed	Bridget Phillipson
	uin	218810
	answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>Public Health England (PHE) is working with nine areas (covering 13 local authorities) to help improve the lives of children impacted by their parents’ alcohol dependency through a £4.5 million innovation fund which runs over three financial years. Further information on the nine areas can be found at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/news/funding-to-help-improve-the-lives-of-those-affected-by-alcohol" target="_blank">https://www.gov.uk/government/news/funding-to-help-improve-the-lives-of-those-affected-by-alcohol</a></p><p> </p><p>To support all local authorities, PHE has produced a toolkit for commissioners of alcohol and drug services and commissioners of children and family services. It helps them to understand the extent of the problem of parental alcohol and drug use in their area, the number of children in those households and how this can impact them and provides advice on responding to local need.</p><p> </p><p>PHE has also produced guidance for substance misuse services and children’s services to help them work together to safeguard and promote the welfare of children.</p><p> </p><p>The PHE toolkit and the guidance can be viewed at the following links:</p><p> </p><p><a href="https://publichealthmatters.blog.gov.uk/2016/01/21/health-matters-your-alcohol-treatment-services-toolkit/" target="_blank">https://publichealthmatters.blog.gov.uk/2016/01/21/health-matters-your-alcohol-treatment-services-toolkit/</a></p><p> </p><p><a href="https://www.gov.uk/government/publications/safeguarding-children-affected-by-parental-alcohol-and-drug-use" target="_blank">https://www.gov.uk/government/publications/safeguarding-children-affected-by-parental-alcohol-and-drug-use</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/02/2019 16:29:55 answering member 4067 label Biography information for Steve Brine
	tabling member	4046 label Biography information for Bridget Phillipson