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967470

	registered interest
	date	04/09/2018
	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	Health Visitors
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what training health visitors receive to enable them to identify incipient and actual cases of ante-natal depression, post-natal depression, and other maternal mental health issues.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL9964
	answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>Health visitors are part of the nursing profession and regulated by the Nursing and Midwifery Council (NMC). Health visitors are qualified and registered nurses or midwives who have undertaken an approved training programme in Specialist Community Public Health Nursing - Health Visiting.</p><p>The NMC has the general function of promoting high standards of education and coordinating all stages of education to ensure that health visitors are equipped with the knowledge, skills and attitudes essential for professional practice, including continuous professional development (CPD). The NMC set the standards of education and training for the nursing profession expected at undergraduate and postgraduate level and approve curricula set by individual higher education institutes. In so doing, they set out the knowledge, skills and behaviours that both postgraduate and undergraduate nurses must be able to demonstrate.</p><p>CPD is a term used to describe a number of different training and development activities which may be required for the purposes of professional practice in the National Health Service. The NMC requires 35 hours of CPD relevant to scope of practice in the three year period since registration was last renewed, or joining the register.</p><p>The NMC are in the process of rewriting their standards. For example, in the new pre-registration nursing standards the NMC specify that registrants must have proficiencies in identifying risk and vulnerability, in all settings and across the lifespan and would expect post-natal depression to be included in the curriculum.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9965 question first answered 17/09/2018 13:50:13 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger

967472

	registered interest
	date	04/09/2018
	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	Health Visitors
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what continuous professional development health visitors are required to undertake to enable them to identify incipient and actual cases of ante-natal depression, post-natal depression, and other maternal mental health issues.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL9965
	answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>Health visitors are part of the nursing profession and regulated by the Nursing and Midwifery Council (NMC). Health visitors are qualified and registered nurses or midwives who have undertaken an approved training programme in Specialist Community Public Health Nursing - Health Visiting.</p><p>The NMC has the general function of promoting high standards of education and coordinating all stages of education to ensure that health visitors are equipped with the knowledge, skills and attitudes essential for professional practice, including continuous professional development (CPD). The NMC set the standards of education and training for the nursing profession expected at undergraduate and postgraduate level and approve curricula set by individual higher education institutes. In so doing, they set out the knowledge, skills and behaviours that both postgraduate and undergraduate nurses must be able to demonstrate.</p><p>CPD is a term used to describe a number of different training and development activities which may be required for the purposes of professional practice in the National Health Service. The NMC requires 35 hours of CPD relevant to scope of practice in the three year period since registration was last renewed, or joining the register.</p><p>The NMC are in the process of rewriting their standards. For example, in the new pre-registration nursing standards the NMC specify that registrants must have proficiencies in identifying risk and vulnerability, in all settings and across the lifespan and would expect post-natal depression to be included in the curriculum.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9964 question first answered 17/09/2018 13:50:13 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger

757283

	registered interest
	date	05/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Anticoagulants
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether there have been any cases brought against the NHS during the past five years that have referenced (1) anticoagulation, (2) warfarin, or (3) non-vitamin K antagonist oral anticoagulants; and if so, how many of those cases were successful and what were the damages awarded.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL1268
	answer	answer is ministerial correction date of answer 14/09/2017 answer text <p>NHS Resolution (NHSR) provides indemnity cover for negligence claims against the NHS in England on behalf of member organisations. NHSR has provided the following information.</p><p> </p><p>The number of clinical claims received from 2012/13 to 2016/17 and payments made on successful cases where 'anticoagulation', ‘Warfarin’ or 'Non-Vitamin K antagonist' is mentioned in the incident details as at 31 August 2017 is shown in the attached table.</p><p> </p><p>Where a claim has been settled by way of a Periodical Payment Order the total value of the damages paid will not be realised until the patient dies. The information in the tables only includes payments to date on such cases.</p> answering member printed Lord O'Shaughnessy question first answered 14/09/2017 12:48:17 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name HL1268 attachment.docx title Clinical claims
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger

757284

	registered interest
	date	05/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Strokes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to ensure progress in the treatment of stroke throughout the country once the National Stroke Strategy comes to an end in December.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL1269
	answer	answer is ministerial correction date of answer 14/09/2017 answer text <p>Although the National Stroke Strategy comes to an end in December, NHS England continues to lead an effective programme of work on prevention and treatment.</p><p> </p><p>NHS England is improving acute treatment through the centralisation of care in centres that can provide the highest level of care at all times of the day and week. Stroke is one of the five conditions chosen to deliver the urgent and emergency care standards by this autumn.</p><p> </p><p>NHS England has established a cardiovascular disease (CVD) collaborative to bring together relevant stakeholders in the field of CVD and provide a forum where relevant work being undertaken in this area and potential new initiatives can be discussed and responsibilities for action determined.</p><p> </p><p>CVD prevention is a key theme in NHS England’s <em>Five Year Forward View</em> and its NHS RightCare programme.</p><p> </p><p>NHS England have also recently announced that it will be commissioning the new treatment of thrombectomy (extracting the blood clot causing the blockage to blood flow through a catheter inserted into the artery). This will initially be provided in the neuroscience centres, but in due course additional centres may need to provide this treatment to ensure complete population coverage.</p><p><strong><br> </strong></p><p><strong> </strong></p> answering member printed Lord O'Shaughnessy question first answered 14/09/2017 13:43:11 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger

757285

	registered interest
	date	05/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Strokes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to ensure that new treatments for stroke, including mechanical clot retrieval, will be available throughout the country once the National Stroke Strategy comes to an end in December.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL1270
	answer	answer is ministerial correction date of answer 15/09/2017 answer text <p>Although the National Stroke Strategy comes to an end in December, NHS England continues to lead an effective programme of work on prevention and treatment.</p><p> </p><p>NHS England is improving acute treatment through the centralisation of care in centres that can provide the highest level of care at all times of the day and week. Stroke is one of the five conditions chosen to deliver the urgent and emergency care standards by this autumn.</p><p> </p><p>NHS England has established a cardiovascular disease (CVD) collaborative to bring together relevant stakeholders in the field of CVD and provide a forum where relevant work being undertaken in this area and potential new initiatives can be discussed and responsibilities for action determined.</p><p> </p><p>CVD prevention is a key theme in NHS England’s <em>Five Year Forward View</em> and its NHS RightCare programme.</p><p> </p><p>NHS England have also recently announced that it will be commissioning the new treatment of thrombectomy (extracting the blood clot causing the blockage to blood flow through a catheter inserted into the artery). This will initially be provided in the neuroscience centres, but in due course additional centres may need to provide this treatment to ensure complete population coverage.</p> answering member printed Lord O'Shaughnessy question first answered 15/09/2017 11:15:17 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger

938072

	registered interest
	date	10/07/2018
	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	Pregnancy: Mental Illness
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they will take to tackle the under-diagnosis of perinatal mental illness.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL9378
	answer	answer is ministerial correction date of answer 23/07/2018 answer text <p>This Government is committed to improving perinatal mental health services for women during pregnancy and in the first postnatal year, so that women are able to access the right care at the right time and close to home.</p><p>The Department is investing £365 million from 2015/16 to 2020/21 in perinatal mental health services, and NHS England is leading a transformation programme to ensure that by 2020/21 at least 30,000 more women each year are able to access evidence-based specialist mental health care during the perinatal period.</p><p>Over £1.2 million was provided in 2017 to enable the training of primary care, maternity and mental health staff to increase awareness and skills related to perinatal mental health.</p> answering member printed Lord O'Shaughnessy question first answered 23/07/2018 14:04:39 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger

967468

	registered interest
	date	04/09/2018
	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	Postnatal Depression
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 23 July (HL9378), what steps they intend to take to address the under-diagnosis of maternal mental illness and, in particular, to ensure that those suffering from post-natal depression are diagnosed and able to access treatment.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL9962
	answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>This Government is committed to improving perinatal mental health services for women during pregnancy and in the first postnatal year, so that women are able to access the right care at the right time and close to home. The Department is investing £365 million from 2015/16 to 2020/21 in perinatal mental health services and NHS England is leading a transformation programme to ensure that, by 2020/21, at least 30,000 more women each year are able to access evidence-based specialist mental health care during the perinatal period.</p><p>A key aim of this transformation programme is to take a preventative approach wherever possible, including: earlier diagnosis and intervention; support for recovery; and reducing avoidable harm.</p><p>To drive forward change, NHS England is also investing in multidisciplinary perinatal mental health clinical networks across the country, which includes general practitioners as part of the networks. These clinical networks focus on collaborative working to develop local, integrated pathways and to support early identification of those at risk of mental illness in the perinatal period, to enable better outcomes for women in all communities.</p><p>Looking ahead, we are continuing to work with the National Health Service to develop a 10 year plan for the future of the health service, underpinned by a five-year funding offer which will see the NHS budget grow by over £20 billion a year in real terms by 2023-24. The NHS will work closely with Government to produce the plan, which will set out how the money will be used to deliver our vision for the health service and to ensure every penny is well spent.</p><p>The plan will be published later this year. Better access to mental health services is one of the priorities to help achieve the Government’s commitment for parity of esteem between mental and physical health. This will be a significant step forward towards improving, and continuing to deliver, high-quality mental health support services.</p> answering member printed Lord O'Shaughnessy question first answered 17/09/2018 13:51:53 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger

967469

	registered interest
	date	04/09/2018
	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	Health Visitors
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many visits from a health visitor a new mother in England should receive in the three months after giving birth; what is the length of each visit; and how these visits are monitored.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL9963
	answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>Health visitors undertake five mandated visits between the ages of zero to five. Three of these mandated visits occur during the first three months after birth which are the antenatal health visit, new baby review and six to eight-week assessment. The length of each visit will be entirely dependent on the individual needs of the mother and baby. Some families will require additional visits and support, the health visitor will use their professional judgement and public health expertise to determine need and support. Local authorities are responsible for commissioning health visiting services, local monitoring of service delivery and commissioning compliance should be undertaken locally as part of contract management.</p> answering member printed Lord O'Shaughnessy question first answered 17/09/2018 13:56:16 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger