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1063965

registered interest
date	19/02/2019
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	Abortion
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 217544 on Spina Bifida: Surgery, if his Department will make it its policy to provide pain relief to unborn babies of a similar age undergoing a termination.
tabling member constituency	Gainsborough
tabling member printed	Sir Edward Leigh
uin	223137
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The Department does not set clinical practice. To support clinical practice, the Royal College of Obstetricians and Gynaecologists has considered the issue of fetal pain and awareness in its guidelines ‘The Care of Women Requesting Induced Abortion’ and ‘Fetal Awareness: Review of Research and Recommendations for Practice’, which are available at the following links:</p><p> </p><p><a href="https://www.rcog.org.uk/globalassets/documents/guidelines/abortion-guideline_web_1.pdf" target="_blank">https://www.rcog.org.uk/globalassets/documents/guidelines/abortion-guideline_web_1.pdf</a></p><p> </p><p><a href="https://www.rcog.org.uk/globalassets/documents/guidelines/rcogfetalawarenesswpr0610.pdf" target="_blank">https://www.rcog.org.uk/globalassets/documents/guidelines/rcogfetalawarenesswpr0610.pdf</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/02/2019 12:06:32 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	345 label Biography information for Sir Edward Leigh

1064077

registered interest
date	19/02/2019
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: Health Education
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 oral contribution of the Parliamentary Under-Secretary of State for Health and Social Care of 17 January 2019, Official Report, column 1431, on Foetal Alcohol Spectrum Disorder, what progress the alcohol industry is making on meeting the Government's September 2019 deadline on alcohol labelling to (a) include the latest low-risk drinking guidelines and (b) remove the old drinking guidelines.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	223477
answer	answer is ministerial correction date of answer 27/02/2019 answer text <p>In March 2017, the Department issued guidance to the public and industry setting out how the UK Chief Medical Officers’ (CMO) low risk drinking guidelines can best be communicated on the labels of alcoholic drinks to the public. The Department agreed a transitional period with industry until 1 September 2019 to reflect the new guidelines.</p><p> </p><p>The Food Standards Agency issued a note on the 7 September 2017 to Heads of Environmental Health Service and Directors of Trading Standards Services that no action is taken before the 1 September 2019 against manufacturers or retailers who continue to provide previous CMO advice as voluntary information on pre-packaged alcoholic beverages. The note is available at the following link:</p><p> </p><p><a href="https://webarchive.nationalarchives.gov.uk/20171207200436/https:/www.food.gov.uk/sites/default/files/enf-e-17-055.pdf" target="_blank">https://webarchive.nationalarchives.gov.uk/20171207200436/https:/www.food.gov.uk/sites/default/files/enf-e-17-055.pdf</a></p><p> </p><p>Increasingly alcohol labels are reflecting the new guidelines. Officials have recently written to the alcohol industry trade bodies to remind them of the 1 September 2019 deadline. There are no current plans to introduce legislation to mandate the guidelines.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 223478 question first answered 27/02/2019 16:16:02 answering member 4067 label Biography information for Steve Brine
tabling member	481 label Biography information for Sir George Howarth

1064078

registered interest
date	19/02/2019
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: Health Education
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 oral contribution of the Parliamentary Under-Secretary of State for Health and Social Care of 17 January 2019, Official Report, column 1431, on Foetal Alcohol Spectrum Disorder, what steps the Government plans to take after September 2019 in the event that the alcohol industry does not update alcohol labelling to (a) reflect the low-risk drinking guidelines and (b) remove the old drinking guidelines; and if the Government will make an assessment of the potential merits of bringing forward legislative proposals relating to such labelling in the event that the alcohol industry fails to meet those requirements by that deadline.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	223478
answer	answer is ministerial correction date of answer 27/02/2019 answer text <p>In March 2017, the Department issued guidance to the public and industry setting out how the UK Chief Medical Officers’ (CMO) low risk drinking guidelines can best be communicated on the labels of alcoholic drinks to the public. The Department agreed a transitional period with industry until 1 September 2019 to reflect the new guidelines.</p><p> </p><p>The Food Standards Agency issued a note on the 7 September 2017 to Heads of Environmental Health Service and Directors of Trading Standards Services that no action is taken before the 1 September 2019 against manufacturers or retailers who continue to provide previous CMO advice as voluntary information on pre-packaged alcoholic beverages. The note is available at the following link:</p><p> </p><p><a href="https://webarchive.nationalarchives.gov.uk/20171207200436/https:/www.food.gov.uk/sites/default/files/enf-e-17-055.pdf" target="_blank">https://webarchive.nationalarchives.gov.uk/20171207200436/https:/www.food.gov.uk/sites/default/files/enf-e-17-055.pdf</a></p><p> </p><p>Increasingly alcohol labels are reflecting the new guidelines. Officials have recently written to the alcohol industry trade bodies to remind them of the 1 September 2019 deadline. There are no current plans to introduce legislation to mandate the guidelines.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 223477 question first answered 27/02/2019 16:16:02 answering member 4067 label Biography information for Steve Brine
tabling member	481 label Biography information for Sir George Howarth

1064079

registered interest
date	19/02/2019
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	Breast Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reasons the Central and East London Breast Screening Service was transferred from Barts Health NHS Trust to Royal Free London NHS Foundation Trust on 1 April 2018; and what benefits were anticipated from that transfer.
tabling member constituency	East Ham
tabling member printed	Stephen Timms
uin	223479
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>Under the Public Contract Regulations 2015 and the NHS (Procurement, Patient Choice and Competition) (No. 2) Regulations 2013, NHS commissioners are duty bound to ensure all contracts for National Health Service healthcare services are able to demonstrate value for money and to deliver the best possible service to all patients that access the services, in line with the requirements of the commissioner.</p><p> </p><p>The contract for Central and East London Service was put out to tender in November 2016 and a procurement process, in line with the Public Contract regulations, was conducted. The procurement was open to any suitably capable provider. Following the successful conclusion of the procurement, the Royal Free London NHS Foundation Trust was identified as the provider that demonstrated value for money, offered the most suitable service provision, and ability to deliver the service as commissioners had designed it, against the required criteria. Hence the service delivery passed from Barts Health NHS Trust to Royal Free London NHS Foundation Trust.</p><p> </p><p>As standards were not being met at the time of the transfer of the service, the Royal Free London NHS Foundation Trust was commissioned to deliver against an agreed recovery plan which runs until September 2019. The service is currently achieving monthly trajectories for improvement and meeting key performance indicators. It is subject to monitoring on a monthly basis by both NHS England and the London Breast Screening Quality Assurance Service.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/02/2019 17:43:47 answering member 4067 label Biography information for Steve Brine
tabling member	163 label Biography information for Sir Stephen Timms

1064116

registered interest
date	19/02/2019
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	Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when he plans to publish the second cancer workforce plan; and whether the Government plans to allocate funding to support the implementation of that plan.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	223527
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>Health Education England (HEE) published its first ever Cancer Workforce Plan in December 2017 and is making significant additional investment in the cancer workforce, £8.6 million in 2018/19. HEE intended to publish a second phase, longer-term strategy that looked at the cancer workforce needs beyond 2021. This work was started and stakeholders from within the National Health Service and the charitable sector contributed to the early discussions. This work has since been superseded by publication of the NHS Long Term Plan in January 2019.</p><p> </p><p>My Rt. hon. Friend the Secretary of State for Health and Social Care has subsequently commissioned Baroness Dido Harding, working closely with Sir David Behan, to lead a number of programmes to engage with key NHS interests to develop a detailed workforce implementation plan. These programmes will consider detailed proposals to grow the workforce rapidly, including staff working on cancer, consider additional staff and skills required, build a supportive working culture in the NHS and ensure first rate leadership for NHS staff.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/02/2019 17:44:29 answering member 4067 label Biography information for Steve Brine
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1063970

registered interest
date	19/02/2019
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	Cannabis: Medical Treatments
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 prevent patients from being incorrectly denied access to medicinal cannabis.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	223142
answer	answer is ministerial correction date of answer 27/02/2019 answer text <p>The decision to prescribe a cannabis-based product for medicinal use is one for individual clinicians to make, as part of a multidisciplinary team and in partnership with patients and their families.</p><p> </p><p>It would be inappropriate to second-guess the prescribing decisions of clinicians, who will be experts in their area and bear responsibility for prescribing.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 27/02/2019 16:19:18 answering member 4067 label Biography information for Steve Brine
tabling member	478 label Biography information for Lord Field of Birkenhead

1063954

registered interest
date	19/02/2019
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	Cannabis: Mental Health
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 has made of links between cannabis use and mental health problems.
tabling member constituency	South Holland and The Deepings
tabling member printed	Sir John Hayes
uin	223126
answer	answer is ministerial correction date of answer 27/02/2019 answer text <p>The Department has not made a specific assessment of the links between cannabis use and mental health problems but is aware that there is evidence that people who use cannabis have an increased risk of psychosis, linked to an increase in the concentration of THC (tetrahydrocannabinol) appearing in cannabis available in many countries. In 2017, Public Health England published guidance, ‘Better care for people with co-occurring mental health and alcohol/drug use conditions’ to inform the commissioning and provision of effective care for people with co-occurring mental health and alcohol/drug use conditions. It also has relevance for all other services that have contact with people with co-occurring conditions, including people experiencing mental health crisis.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 27/02/2019 16:20:20 answering member 4067 label Biography information for Steve Brine
tabling member	350 label Biography information for Sir John Hayes

1064118

registered interest
date	19/02/2019
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	Care Workers: Registration
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 made an assessment of the potential merits of introducing a national registration and accreditation system for care workers.
tabling member constituency	Bristol North West
tabling member printed	Darren Jones
uin	223529
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>The Government has no plans to introduce a national registration and accreditation system for care workers in England at this time.</p><p> </p><p>The Government is committed to a proportionate system of safeguards for the professionals who work in the health and care system. Statutory professional regulation should only be used in cases where the risks to the public cannot be mitigated in other ways.</p><p> </p><p>Care workers in England are subject to employer checks and controls including a Disclosure and Barring Service check. And, since 2015, healthcare assistants and care support workers have been expected to achieve the care certificate before working unsupervised. This contains 15 standards setting out a common set of skills, knowledge and behaviours that are needed in order to provide safe, high quality and compassionate care.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/02/2019 16:57:41 answering member 1585 label Biography information for Stephen Hammond
tabling member	4621 label Biography information for Darren Jones

1063926

registered interest
date	19/02/2019
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	Continuing Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether a qualified witness independent of the relevant clinical commissioning group is required to be involved in a patient's continuing healthcare assessment.
tabling member constituency	Solihull
tabling member printed	Julian Knight
uin	223076
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The National Framework for Continuing Healthcare requires that a multidisciplinary team (MDT) must assess whether an individual has a primary health need. This MDT must comprise at least two professionals who are from different healthcare professions, or one professional who is from a healthcare profession and one person who is responsible for assessing persons who may have needs for care and support under part 1 of the Care Act 2014.</p><p> </p><p>The MDT should usually include both health and social care professionals and, as far as is reasonably practicable, the clinical commissioning group (CCG) must consult with the relevant local authority before making any decision about an individual’s eligibility for NHS Continuing Healthcare. A local authority must, when requested to do so by a CCG, co-operate with the CCG in arranging for persons to participate in a MDT. In addition to this, the individual and, where appropriate, their representative should be enabled to play a central role in the assessment process.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 26/02/2019 12:07:47 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4410 label Biography information for Julian Knight

1064025

registered interest
date	19/02/2019
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	Dementia
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 the report of the Alzheimer's Society entitled Dementia – the true cost: Fixing the care crisis, published in May 2018, whether the Government plans to (a) cover the extra health charges that dementia patients accrue as a result of their condition and (b) ensure that everyone with dementia has a care navigator to support access to timely, preventative and integrated support.
tabling member constituency	Bolton South East
tabling member printed	Yasmin Qureshi
uin	223223
answer	answer is ministerial correction date of answer 27/02/2019 answer text <p>The Green Paper on adult social care will bring forward proposals to ensure that all adults, including those living with dementia, receive high quality care whenever they need it. It will also bring forward ideas for including an element of risk pooling in the system, which will help to protect people from the highest costs.</p><p> </p><p>We remain committed to delivering the Challenge on Dementia 2020 in full to make England the best country in the world for dementia care by 2020. The March 2016 implementation plan details how the commitments in the Challenge, across four core themes of risk reduction, health and care, awareness and social action, and research will be met.</p><p> </p><p>The Implementation Plan envisages general practitioners (GPs) playing a leading role in ensuring coordination and continuity of care for people with dementia. We have recently undertaken a review of our implementation plan to reflect on what has been achieved so far and what more we need to do to achieve our goals by 2020. As a result of that we will be reviewing the role of GPs and whether they remain the staff group best placed to lead on care coordination in all cases.</p><p> </p><p>In addition, the NHS Long Term Plan commits to better support for people with dementia in the community and ongoing close work with the voluntary sector, for example supporting Alzheimer’s Society’s dementia connect programme.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 27/02/2019 11:12:07 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	3924 label Biography information for Yasmin Qureshi