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1010609

registered interest
date	20/11/2018
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: 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 improve treatment for children after surgery.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	193429
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>Medical staff are responsible for the clinical care of the patient throughout their treatment. There are a basic set of expectations for nursing and medical care post-surgery which apply to children. For example, they must be anaesthetised by anaesthetists competent in its administration; be looked after by teams dedicated to their care, who have received the necessary training; and be cared for in an appropriate environment. This is all part of good quality care.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/11/2018 17:28:52 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

1010610

registered interest
date	20/11/2018
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	Wild Boar: African Swine Fever
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Environment, Food and Rural Affairs, what steps his Department is taking to prevent African swine fever in wild boar entering the UK.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	193430
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>Defra has robust contingency plans in place to respond to outbreaks of disease such as African swine fever (ASF) and these plans are regularly tested. The disease control measures are set out in the Great Britain African and Classical swine fever control strategy.</p><p> </p><p> </p><p> </p><p>In response to the spread of ASF in Eastern Europe, and confirmation of the disease in feral pigs in Belgium, Defra’s risk assessment level has been raised to medium. This has been widely communicated to the industry and pig keepers. Disease control measures put in place in affected countries in Europe should ensure that no live pigs or wild boar, meat or products reach the UK through legal trade. It is already illegal to import any wild boar into the UK.</p><p> </p><p> </p><p> </p><p>An ongoing communications campaign organised by Defra, the Scottish Government, Welsh Government, and DAERA in Northern Ireland, together with the pig industry and veterinary bodies, has been raising awareness of the risks of the introduction of ASF to the UK. Messages have been communicated using a variety of channels and have targeted key audiences, including all pig keepers, smallholders, vets, slaughterhouses, hunters and transport operators. These included measures that pig keepers can take to protect their pigs, reminding them of the ban on swill feeding, reporting clinical disease promptly, not allowing people on farm who have had a history of recent travel to ASF affected areas, as well as the risks posed by personal imports of meat from these areas.</p><p> </p><p> </p><p> </p><p>Hunters and hauliers were also reminded to clean their equipment and vehicles before returning to the UK from affected countries to help prevent the spread of ASF, not just to the UK, but also to other EU countries. Other messages and signs have been targeted at the public more widely.</p><p> </p> answering member constituency Camborne and Redruth answering member printed George Eustice question first answered 28/11/2018 15:31:15 answering member 3934 label Biography information for George Eustice
tabling member	4131 label Biography information for Jim Shannon

1010683

registered interest
date	20/11/2018
answering body	Cabinet Office
answering dept id	53
answering dept short name	Cabinet Office
answering dept sort name	Cabinet Office
hansard heading	Cancer: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Minister for the Cabinet Office, what estimate his Department has made of the number of children with cancer in the UK.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	193438
answer	answer is ministerial correction date of answer 27/11/2018 answer text <p>The information requested falls within the responsibility of the UK Statistics Authority. I have asked the Authority to reply.</p> answering member constituency Norwich North answering member printed Chloe Smith question first answered 27/11/2018 15:49:44 answering member 1609 label Biography information for Chloe Smith attachment 1 file name PQ193438.pdf title UKSA response
tabling member	4131 label Biography information for Jim Shannon

1010686

registered interest
date	20/11/2018
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: Health 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 steps his Department is taking to tackle dementia.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	193567
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>Dementia remains a key priority for the Government. We will implement the Government’s Challenge on Dementia 2020 (published in February 2015) in full to make this the best country to live in with dementia by 2020.</p><p> </p><p>Working with our partners, we continue to make progress against the ambitions set out in the March 2016 Implementation Plan which details how the commitments in the Challenge, across the four core themes of risk reduction, health and care, awareness and social action, and research will be met.</p><p> </p><p>We have 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. We will publish a revised plan by the end of the calendar year.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 28/11/2018 14:12:18 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

1010687

registered interest
date	20/11/2018
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	Pre-eclampsia
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what training is delivered to nurses to inform their treatment of pre-eclampsia.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	193568
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>The devolved administrations in Northern Ireland, Scotland and Wales are responsible for the training of staff working in the National Health Service in that country and the content of training curriculum.</p><p> </p><p>In England, all midwives receive training on the care of women with pre-eclampsia as part of the education programme they complete to become a registered midwife. Each nursing school sets its own curriculum. These have to meet the standards set by the Nursing and Midwifery Council.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/11/2018 17:29:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

1010688

registered interest
date	20/11/2018
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	Pre-eclampsia
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 reduce the number of people experiencing pre-eclampsia.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	193569
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>Hypertension or high blood pressure during pregnancy (known as pre-eclampsia) is the most common medical problem that is encountered in pregnancy. The National Institute for Health and Care Excellence (NICE) guidance, ‘Hypertension in pregnancy: diagnosis and management’, is aimed at healthcare professionals and women who develop hypertension during pregnancy. The guidance aims to improve care during pregnancy, labour and birth for women and their babies.</p><p> </p><p>Most clinical activity relating to pre-eclampsia is focused on diagnosing the condition as early as possible and managing the condition when it has been identified. NHS England expects providers of maternity care to pay due regard to NICE guidelines on diagnosing and managing pre-eclampsia. These are set out at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/cg107" target="_blank">https://www.nice.org.uk/guidance/cg107</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/11/2018 17:30:47 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

1010689

registered interest
date	20/11/2018
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	Autism: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many autistic children are in solitary confinement in assessment and treatment units.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	193570
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>This information is not collected centrally.</p><p> </p><p>We have asked the Care Quality Commission to undertake an in-depth review into the use of long term segregation and prolonged seclusion in health and care settings. Its recommendations will help to eliminate inappropriate restrictive practices and ensure that vulnerable people are provided with dignified and compassionate care.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 28/11/2018 14:10:21 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

1010691

registered interest
date	20/11/2018
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: Negligence
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much has been disbursed by the NHS in relation to medical negligence claims in the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	193572
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>NHS Resolution handles clinical negligence claims on behalf of the National Health Service in England.</p><p> </p><p>The following table shows NHS Resolution spending on clinical negligence as managed through the Clinical Negligence Scheme for Trusts (CNST) for the last five years.</p><p> </p><table><tbody><tr><td><p>Financial Year</p></td><td><p>CNST spending on clinical negligence (£ billion)</p></td></tr><tr><td><p>2013-14</p></td><td><p>1.1</p></td></tr><tr><td><p>2014-15</p></td><td><p>1.1</p></td></tr><tr><td><p>2015-16</p></td><td><p>1.4</p></td></tr><tr><td><p>2016-17</p></td><td><p>1.6</p></td></tr><tr><td><p>2017-18</p></td><td><p>2.1</p></td></tr></tbody></table><p> </p><p>Notes:</p><ol><li>The spending figures only cover spending specifically attributed to clinical negligence, principally pay-outs pertaining to CNST as managed by NHS Resolution plus associated administration costs, claimant legal and defence legal costs.</li><li>The figures are for the NHS in England only and do not include any unrecorded costs, for example staff employed by trusts to deal with claims.</li><li>The figures do not include the cost of clinical negligence claims in primary care as primary care funding includes an unspecified element for indemnity premia.</li><li>The figures do not include clinical negligence pay-outs relating to Department-funded indemnity schemes in respect of legacy bodies such as primary care trusts and strategic or regional health authorities.</li></ol> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 28/11/2018 14:27:46 answering member 1585 label Biography information for Stephen Hammond
tabling member	4131 label Biography information for Jim Shannon

1010694

registered interest
date	20/11/2018
answering body	Department for Education
answering dept id	60
answering dept short name	Education
answering dept sort name	Education
hansard heading	Adoption
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Education, what steps his Department is taking to increase the number of children being adopted.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	193574
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>Decisions on adoption in England are made by local authorities based on children’s individual needs.</p><p>In 2016 the government published ‘Adoption – A vision for change’ which set out how we intend to radically redesign the whole adoption system in England – the structures, systems and workforce – to ensure we have the foundations in place to build lasting change.</p><p>We have enabled more children to be placed in stable homes earlier by requiring local authorities to consider a fostering for adoption placement wherever possible. We funded a significant growth in the use of innovative adopter-led matching through National Exchange Days and Adoption Activity Days. We have also introduced a new, quicker two-stage process for approving adopters.</p><p>The result has been that the average time taken from entering care to a child being placed with their adopted family has decreased since 2012-13 by 7 months to 14 months in 2017-18. The children waiting in care with a placement order but not yet placed with adopters has dropped from 5,300 reported at 31 March 2013 to 2,760 at the end of 2017-18.[1]</p><p>We are driving further improvements in local adoption recruitment, matching and support through the introduction of Regional Adoption Agencies.</p><p> </p><p>[1] <a href="https://www.gov.uk/government/statistics/children-looked-after-in-england-including-adoption-2017-to-2018" target="_blank">https://www.gov.uk/government/statistics/children-looked-after-in-england-including-adoption-2017-to-2018</a>.</p> answering member constituency Stratford-on-Avon answering member printed Nadhim Zahawi question first answered 28/11/2018 15:40:20 answering member 4113 label Biography information for Nadhim Zahawi
tabling member	4131 label Biography information for Jim Shannon

1010695

registered interest
date	20/11/2018
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	Diabetes: 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 his Department is taking to tackle diabetes experienced by children to help ensure they live long lives.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	193575
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>Preventing diabetes and promoting the best possible care for people with diabetes is a priority for this Government. NHS England is developing a diabetes management and care programme aimed at reducing variation and improving outcomes for people with diabetes. An additional £44 million Transformation Funding is being made available to support the delivery of the programme which will focus on four areas: reducing variation in the achievement of the three National Institute for Health and Care Excellence treatment targets, improving take up of structured education, improving access to multi-disciplinary foot care teams for people with diabetic foot disease and improving access to specialist inpatient support.</p><p> </p><p>95% of children with diabetes have type 1 diabetes and there have been year-on-year improvements in care process delivery and in HbA1c reduction for this group. Further information is available in the National Paediatric Diabetes Audit at the following link:</p><p> </p><p><a href="https://www.rcpch.ac.uk/sites/default/files/2018-07/npda_annual_report_2016_-_2017_april_2018_final_updated_2.pdf" target="_blank">https://www.rcpch.ac.uk/sites/default/files/2018-07/npda_annual_report_2016_-_2017_april_2018_final_updated_2.pdf</a></p><p> </p><p>For children with type 2 diabetes, the Government is committed to halving childhood obesity by 2030, which was recently reiterated in the document ‘Prevention is better than cure’ published on 5 November. The upcoming National Health Service long-term plan will have prevention at its core and build on existing work to keep people healthy and well. Chapter 2 of the Government’s Childhood Obesity Plan also aims to tackle childhood obesity and outlines the actions the Government will take towards its goal of halving childhood obesity and reducing the gap in obesity between children from the most and least deprived areas by 2030.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 28/11/2018 17:33:23 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon