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1123363

registered interest
date	26/04/2019
answering body	Department for International Development
answering dept id	20
answering dept short name	International Development
answering dept sort name	International Development
hansard heading	Gavi, the Vaccine Alliance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for International Development, what her Department’s priorities are for the replenishment period and strategy review with Gavi, The Vaccine Alliance.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	248000
answer	answer is ministerial correction date of answer 07/05/2019 answer text <p>The UK is delighted to be hosting the Gavi Replenishment in 2020. Gavi has immunised over 700 million children, saving 10 million lives from preventable diseases. The UK is proud to have played a significant role in delivering these extraordinary results.</p><p> </p><p>As hosts of the Replenishment Conference, our priority will be to help Gavi secure the funding it needs to further deliver its life-saving work. The replenishment period is also a terrific opportunity to demonstrate the impact of the UK’s contribution to Gavi for the world’s poorest and to recognise the extraordinary work done by British innovators, academics and health advocates to support Gavi’s mission.</p><p> </p><p>The next strategic period for Gavi is critically important and the UK will continue to press for further improvements. This includes promoting equitable coverage of immunisation to leave no-one behind and ensure vaccines are available for the most vulnerable. The UK will also prioritise ensuring our investment in Gavi is sustainable and delivers maximum value for money by supporting countries to effectively transition from Gavi support to increased domestic funding.</p> answering member constituency West Worcestershire answering member printed Harriett Baldwin question first answered 07/05/2019 15:25:59 answering member 4107 label Biography information for Dame Harriett Baldwin
tabling member	1538 label Biography information for Rosie Cooper

1123364

registered interest
date	26/04/2019
answering body	Department for International Development
answering dept id	20
answering dept short name	International Development
answering dept sort name	International Development
hansard heading	Developing Countries: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for International Development, what steps her Department is taking to provide marginalised children with access to vaccines.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	248001
answer	answer is ministerial correction date of answer 07/05/2019 answer text <p>The UK believes all children should have access to lifesaving vaccines, no matter where they live. Equitable vaccine coverage is therefore a key priority for the UK’s support for Gavi, the Vaccine Alliance. This investment provides immunisation to the poorest children in 68 of the world’s poorest countries. Gavi will vaccinate an additional 76 million children by 2020, preventing 1.4 million deaths from vaccine preventable diseases.</p><p> </p><p>As well as providing support to strengthen the overall health system, Gavi focuses on improving access and equity by identifying the populations and geographical areas most likely to be under immunised and at risk of outbreaks. Gavi have also adapted their model to include a Fragility, Emergency and Refugees policy which provides a more quick and flexible response in fragile countries. This has helped reach unimmunised children in places like Syria and in Rohingya refugee camps in Bangladesh.</p><p> </p><p>As a Gavi Board member, the UK advocates for equitable coverage as a core priority both now and in the future strategy.</p> answering member constituency West Worcestershire answering member printed Harriett Baldwin question first answered 07/05/2019 15:27:07 answering member 4107 label Biography information for Dame Harriett Baldwin
tabling member	1538 label Biography information for Rosie Cooper

1123365

registered interest
date	26/04/2019
answering body	Department for International Development
answering dept id	20
answering dept short name	International Development
answering dept sort name	International Development
hansard heading	Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for International Development, whether her Department is taking steps to promote competition in the vaccines market.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	248002
answer	answer is ministerial correction date of answer 07/05/2019 answer text <p>Healthy vaccine markets are essential to provide adequate supplies of vaccines at affordable prices for poor countries. This, in turn, improves availability and drives demand for immunisation. The UK supports healthy vaccine market competition through our investment in Gavi, the Vaccine Alliance.</p><p> </p><p>A core part of Gavi’s mission is to promote competition and reduce the cost of vaccines. Gavi now supports 17 manufacturers to provide critical vaccines at a lower cost. Many of these manufacturers are now based in low and middle income countries. This has successfully generated over US$764 million in cost savings in 2017 alone and has reduced the cost of immunising a child by 17% since 2016.</p><p> </p><p>The UK also supports Gavi’s Advanced Market Commitment for Pneumococcal Vaccines (AMC), an innovative approach to fostering market competition. By incentivising investment in research and development in the pneumococcal vaccine, the AMC has expanded manufacturing capacity and helped develop a healthy pipeline for vaccine production. This has helped enable 143 million children in 58 countries to be vaccinated against severe pneumonia.</p> answering member constituency West Worcestershire answering member printed Harriett Baldwin question first answered 07/05/2019 15:27:50 answering member 4107 label Biography information for Dame Harriett Baldwin
tabling member	1538 label Biography information for Rosie Cooper

1123366

registered interest
date	26/04/2019
answering body	Department for International Development
answering dept id	20
answering dept short name	International Development
answering dept sort name	International Development
hansard heading	Vaccination: Prices
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for International Development, what steps her Department is taking to increase price transparency for vaccines.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	248003
answer	answer is ministerial correction date of answer 07/05/2019 answer text <p>The UK recognises the importance of providing affordable vaccines for the poorest nations. Through UK support to Gavi, the Vaccine Alliance, the price of common childhood vaccines has reduced by 17% since 2016. Bringing down vaccine prices is part of a wider strategy in Gavi to increase access to vaccines and our significant investment supports global initiatives to increase vaccine transparency and help ensure their affordability.</p><p> </p><p>Gavi helps secure the lowest price for vaccines for 68 of the world’s poorest countries. Gavi procures its vaccines through UNICEF, which makes public its historic, current and future prices for vaccines. For countries who are not eligible for Gavi-subsidised vaccines, the UK also advocates and supports its partners to make prices publicly available online. This helps establish benchmark prices so countries can negotiate better deals.</p><p> </p><p>Outside of Gavi supported countries, the UK is supportive of the World Health Organisation’s Global Strategy and Plan of Action and Roadmap for Access to Medicines. These plans help increase global price transparency whist also encouraging innovation that is crucial for future vaccine development.</p> answering member constituency West Worcestershire answering member printed Harriett Baldwin question first answered 07/05/2019 15:29:19 answering member 4107 label Biography information for Dame Harriett Baldwin
tabling member	1538 label Biography information for Rosie Cooper

1123369

registered interest
date	26/04/2019
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	Mental Illness: Children
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 identify a potential link between perinatal mental illness and emotional and behavioural problems in children.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	248004
answer	answer is ministerial correction date of answer 07/05/2019 answer text <p>The Chief Medical Officer found in her 2014 annual report, ‘The health of the 51%: women’, that the evidence shows that mental health problems in pregnancy and the first year after birth are experienced by up to 20% of women, and if untreated, this can affect the emotional and reasoning development in their children. Perinatal mental illnesses are associated with risks of negative child outcomes, which can persist into late adolescence and adulthood. These risks are more likely in children of women with chronic mental illness or who are living in poverty. Further information is available in the report which is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/chief-medical-officer-annual-report-2014-womens-health" target="_blank">https://www.gov.uk/government/publications/chief-medical-officer-annual-report-2014-womens-health</a></p><p> </p><p>In addition, the costs of perinatal mental health problems, a 2014 report by the Centre for Mental Health and London School of Economics identified that 72% of the cost of untreated mental illness relates to adverse impact on the child. This report is available at the following link:</p><p><a href="https://www.centreformentalhealth.org.uk/publications/costs-of-perinatal-mental-health-problems" target="_blank">https://www.centreformentalhealth.org.uk/publications/costs-of-perinatal-mental-health-problems</a></p><p>The NHS is implementing its plans to identify and treat more people with perinatal mental illnesses. The NHS Five Year Forward View for Mental Health included a commitment to increase access to perinatal mental health services to an additional 30,000 women by 2020/21. The work is underway to build capacity and capability in specialist perinatal mental health services. In April 2019, NHS England confirmed that new and expectant mothers are now able to access specialist perinatal mental health community services in every part of the country.</p><p>The NHS Long Term Plan contains an ambition to build on this with a further 24,000 women to be able to access specialist perinatal mental health care by 2023/24. Specialist care will also be available from preconception to 24 months after birth, which will provide an extra year of support.</p><p>Public Health England leads on the Improving Prevention and Population Health work stream of the National Health Service Maternity Transformation Programme. One of its priority areas is to reduce the impact of perinatal mental illness. This can be viewed at the following link:</p><p><a href="https://www.england.nhs.uk/mat-transformation/" target="_blank">https://www.england.nhs.uk/mat-transformation/</a></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 248005 248006 question first answered 07/05/2019 16:04:45 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1538 label Biography information for Rosie Cooper

1123370

registered interest
date	26/04/2019
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	Pregnancy: Mental Illness
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 effectiveness of NHS services to (a) identify and (b) treat perinatal mental illnesses.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	248005
answer	answer is ministerial correction date of answer 07/05/2019 answer text <p>The Chief Medical Officer found in her 2014 annual report, ‘The health of the 51%: women’, that the evidence shows that mental health problems in pregnancy and the first year after birth are experienced by up to 20% of women, and if untreated, this can affect the emotional and reasoning development in their children. Perinatal mental illnesses are associated with risks of negative child outcomes, which can persist into late adolescence and adulthood. These risks are more likely in children of women with chronic mental illness or who are living in poverty. Further information is available in the report which is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/chief-medical-officer-annual-report-2014-womens-health" target="_blank">https://www.gov.uk/government/publications/chief-medical-officer-annual-report-2014-womens-health</a></p><p> </p><p>In addition, the costs of perinatal mental health problems, a 2014 report by the Centre for Mental Health and London School of Economics identified that 72% of the cost of untreated mental illness relates to adverse impact on the child. This report is available at the following link:</p><p><a href="https://www.centreformentalhealth.org.uk/publications/costs-of-perinatal-mental-health-problems" target="_blank">https://www.centreformentalhealth.org.uk/publications/costs-of-perinatal-mental-health-problems</a></p><p>The NHS is implementing its plans to identify and treat more people with perinatal mental illnesses. The NHS Five Year Forward View for Mental Health included a commitment to increase access to perinatal mental health services to an additional 30,000 women by 2020/21. The work is underway to build capacity and capability in specialist perinatal mental health services. In April 2019, NHS England confirmed that new and expectant mothers are now able to access specialist perinatal mental health community services in every part of the country.</p><p>The NHS Long Term Plan contains an ambition to build on this with a further 24,000 women to be able to access specialist perinatal mental health care by 2023/24. Specialist care will also be available from preconception to 24 months after birth, which will provide an extra year of support.</p><p>Public Health England leads on the Improving Prevention and Population Health work stream of the National Health Service Maternity Transformation Programme. One of its priority areas is to reduce the impact of perinatal mental illness. This can be viewed at the following link:</p><p><a href="https://www.england.nhs.uk/mat-transformation/" target="_blank">https://www.england.nhs.uk/mat-transformation/</a></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 248004 248006 question first answered 07/05/2019 16:04:45 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1538 label Biography information for Rosie Cooper

1123371

registered interest
date	26/04/2019
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	Mental Illness: Children
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 link between perinatal mental illness and emotional and behavioural problems in children.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	248006
answer	answer is ministerial correction date of answer 07/05/2019 answer text <p>The Chief Medical Officer found in her 2014 annual report, ‘The health of the 51%: women’, that the evidence shows that mental health problems in pregnancy and the first year after birth are experienced by up to 20% of women, and if untreated, this can affect the emotional and reasoning development in their children. Perinatal mental illnesses are associated with risks of negative child outcomes, which can persist into late adolescence and adulthood. These risks are more likely in children of women with chronic mental illness or who are living in poverty. Further information is available in the report which is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/chief-medical-officer-annual-report-2014-womens-health" target="_blank">https://www.gov.uk/government/publications/chief-medical-officer-annual-report-2014-womens-health</a></p><p> </p><p>In addition, the costs of perinatal mental health problems, a 2014 report by the Centre for Mental Health and London School of Economics identified that 72% of the cost of untreated mental illness relates to adverse impact on the child. This report is available at the following link:</p><p><a href="https://www.centreformentalhealth.org.uk/publications/costs-of-perinatal-mental-health-problems" target="_blank">https://www.centreformentalhealth.org.uk/publications/costs-of-perinatal-mental-health-problems</a></p><p>The NHS is implementing its plans to identify and treat more people with perinatal mental illnesses. The NHS Five Year Forward View for Mental Health included a commitment to increase access to perinatal mental health services to an additional 30,000 women by 2020/21. The work is underway to build capacity and capability in specialist perinatal mental health services. In April 2019, NHS England confirmed that new and expectant mothers are now able to access specialist perinatal mental health community services in every part of the country.</p><p>The NHS Long Term Plan contains an ambition to build on this with a further 24,000 women to be able to access specialist perinatal mental health care by 2023/24. Specialist care will also be available from preconception to 24 months after birth, which will provide an extra year of support.</p><p>Public Health England leads on the Improving Prevention and Population Health work stream of the National Health Service Maternity Transformation Programme. One of its priority areas is to reduce the impact of perinatal mental illness. This can be viewed at the following link:</p><p><a href="https://www.england.nhs.uk/mat-transformation/" target="_blank">https://www.england.nhs.uk/mat-transformation/</a></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 248004 248005 question first answered 07/05/2019 16:04:45 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1538 label Biography information for Rosie Cooper

1123372

registered interest
date	26/04/2019
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	Vaccination
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 respond to the consultation on the cost-effectiveness methodology for vaccination programmes.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	248007
answer	answer is ministerial correction date of answer 07/05/2019 answer text <p>Although we had hoped to publish the Government’s response to the report of the Committee on Cost Effectiveness Methodology for Immunisation Programmes and Procurement in April, alongside a summary of consultation responses, the Government’s response is still being considered, and a publication date is still to be decided.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 07/05/2019 16:41:59 answering member 4455 label Biography information for Seema Kennedy
tabling member	1538 label Biography information for Rosie Cooper

1123373

registered interest
date	26/04/2019
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	Vaccination
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 trends in the level of vaccination in England.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	248008
answer	answer is ministerial correction date of answer 07/05/2019 answer text <p>Public Health England monitors trends in vaccine coverage levels and works with NHS England to increase vaccine uptake to offer the best possible protection against vaccine preventable diseases.</p><p> </p><p>Coverage for most routine universal childhood vaccination programmes is reported through the COVER (cover of vaccination Evaluated Rapidly) programme. Coverage data can be found at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/collections/vaccine-uptake#cover-of-vaccination-evaluated-rapidly-programme" target="_blank">https://www.gov.uk/government/collections/vaccine-uptake#cover-of-vaccination-evaluated-rapidly-programme</a></p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 07/05/2019 16:41:06 answering member 4455 label Biography information for Seema Kennedy
tabling member	1538 label Biography information for Rosie Cooper

1123374

registered interest
date	26/04/2019
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	Pneumococcal Diseases: Vaccination
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 effect on public health of changing the dosing schedule for pneumococcal conjugate vaccine from three to two doses.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	248009
answer	answer is ministerial correction date of answer 07/05/2019 answer text <p>The Joint Committee on Vaccination and Immunisation (JCVI) advised that a two-dose schedule for the infant pneumococcal conjugate vaccine Prevenar13 is appropriate for the United Kingdom.</p><p>The JCVI’s advice was given full consideration, taking into account the potential public health implications, such as impact on cases of pneumococcal disease, before a decision was made to implement it. The decision is based on the effectiveness of the vaccine and years of high uptake, which has helped to provide protection to the rest of the population and has successfully controlled many types of pneumococcal disease in this country.</p><p>The evidence shows that two doses will sustain the excellent results we have already seen. We are confident that the world-class disease surveillance system we have in this country means our expert committee can closely monitor the impact of this change.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 07/05/2019 16:49:24 answering member 4455 label Biography information for Seema Kennedy
tabling member	1538 label Biography information for Rosie Cooper