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1697409

registered interest
date	20/03/2024
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 North Central London: Databases
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 North Central London Integrated Care Board's consultation entitled Start Well which closed on 17 March 2024, whether she has made an assessment of the effectiveness of the patient flow modelling methods used within that consultation.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	19595
answer	answer is ministerial correction date of answer 28/03/2024 answer text <p>The North Central London Integrated Care Board advise that the patient flow modelling approach was based on the combination of geographical proximity and service user choice.</p><p>The patient flow approach was tested with the Clinical Reference Group, Finance and Analytics Group, and Start Well Programme Board. The outputs were also tested with the Strategy Leads from each organisation, and the approach reviewed and assured by the London Clinical Senate and NHS England.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 28/03/2024 10:58:02 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4006 label Biography information for Dr Matthew Offord

1697152

registered interest
date	19/03/2024
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: Greater London
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 NHS' planned timetable is for a decision on the Start Well public consultation on the future of maternity, neonatal and children’s surgical services in north central London.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	19331
answer	answer is ministerial correction date of answer 27/03/2024 answer text <p>The Start Well public consultation on proposed changes to maternity, neonatal, and paediatric surgical services in North Central London closed on Sunday 17 March 2024. The responses received will now be analysed by an independent research agency, who will produce a report for the consulting bodies, North Central London Integrated Care Board, on behalf of the local integrated care system, and NHS London Specialised Commissioning. This report will be published and, along with a wide range of evidence and information, will be used to develop a decision-making business case for consideration by the integrated care board.</p><p>North Central London Integrated Care Board expect it will take some months to develop the decision-making business case. The meeting will be held in public, with further details published later this year.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 19330 question first answered 27/03/2024 15:44:26 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4006 label Biography information for Dr Matthew Offord

1697151

registered interest
date	19/03/2024
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: Greater London
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if she will take steps to publish all responses made to the Start Well public consultation on proposed changes to maternity, neonatal and children's surgical services in North Central London.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	19330
answer	answer is ministerial correction date of answer 27/03/2024 answer text <p>The Start Well public consultation on proposed changes to maternity, neonatal, and paediatric surgical services in North Central London closed on Sunday 17 March 2024. The responses received will now be analysed by an independent research agency, who will produce a report for the consulting bodies, North Central London Integrated Care Board, on behalf of the local integrated care system, and NHS London Specialised Commissioning. This report will be published and, along with a wide range of evidence and information, will be used to develop a decision-making business case for consideration by the integrated care board.</p><p>North Central London Integrated Care Board expect it will take some months to develop the decision-making business case. The meeting will be held in public, with further details published later this year.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 19331 question first answered 27/03/2024 15:44:26 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4006 label Biography information for Dr Matthew Offord

1697160

registered interest
date	19/03/2024
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	Radiology: Greater London
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 24-hr interventional radiology services are available in the North Central London area; and at what locations are those services.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	19335
answer	answer is ministerial correction date of answer 27/03/2024 answer text <p>Twenty-four-hour interventional radiology services are available on site in two hospitals in the North Central London area, namely the Royal Free Hospital and University College London Hospital. There are agreed referral pathways in place between providers across North Central London to access these services.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 27/03/2024 10:17:48 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4006 label Biography information for Dr Matthew Offord

1697156

registered interest
date	19/03/2024
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	Maternal Mortality
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 she has made of the potential implications for her Department's policies on preventing maternal deaths of MBRRACE-UK's report entitled Saving Lives, Improving Mothers’ Care, published in October 2023.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	19332
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>The Department is committed to reducing maternal mortality and improving outcomes for mothers and is working to fully understand why a recent increase in the maternal death rate has been reported, including considering the impact of the COVID-19 pandemic.</p><p>Several initiatives have already been introduced across the National Health Service to improve maternity safety as part of NHS England’s Three Year Delivery Plan for maternity and neonatal services, which is backed by £186 million a year from April.</p><p>Initiatives include the establishment of 14 maternal medicine networks which provide pregnant women who have medical conditions with specialist advice and support, and the publishing of local Equity and Equality Action Plans, which are tailored to meet the needs of that area. The Department also expects all 42 integrated care systems to have a Maternal Mental Health Service operational by the end of March 2024, which provide psychological therapy for women experiencing mental health difficulties related to their maternity experience.</p><p>On top of this, as announced at Spring Budget, the Government and NHS England are investing almost £35 million from 2024/25 to 2026/27 to further improve maternity safety across England, with specialist training for staff, additional numbers of midwives and support to ensure maternity services listen to and act on women’s experiences to improve care.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 26/03/2024 13:29:36 answering member 4492 label Biography information for Maria Caulfield
tabling member	4006 label Biography information for Dr Matthew Offord

1697161

registered interest
date	19/03/2024
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	Royal Free Hospital: Maternity Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether she has made an assessment of indices of deprivation of women who access maternity services at the Royal Free Hospital.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	19336
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>Population health trends in North Central London (NCL), including historic birth rates and the future projected population size, have informed proposals to improve maternity and neonatal services included in the NCL Integrated Care System’s (ICS) Start Well programme.</p><p>Modelling to inform the proposals included in the NCL Start Well programme has considered changing population demographics. This has included looking at changes to the size and birth rate of the populations living in NCL, as well as the complexity of births, which has included looking at factors such as caesarean rates.</p><p>The Department, along with NHS England, recognises that the foundations of lifelong health are built during pregnancy, at birth, and in childhood. This is why the NCL ICS’s Start Well programme has taken a population health approach, looking at data relating to ethnicity and deprivation, and impact on maternity outcomes across all units in NCL, including the Royal Free Hospital.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 19333 19334 question first answered 26/03/2024 13:15:31 answering member 4492 label Biography information for Maria Caulfield
tabling member	4006 label Biography information for Dr Matthew Offord

1697159

registered interest
date	19/03/2024
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	Childbirth: Greater London
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 the Department has made of (a) induction rates and (b) Caesarean rates in the North Central London area in each of the last five years.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	19334
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>Population health trends in North Central London (NCL), including historic birth rates and the future projected population size, have informed proposals to improve maternity and neonatal services included in the NCL Integrated Care System’s (ICS) Start Well programme.</p><p>Modelling to inform the proposals included in the NCL Start Well programme has considered changing population demographics. This has included looking at changes to the size and birth rate of the populations living in NCL, as well as the complexity of births, which has included looking at factors such as caesarean rates.</p><p>The Department, along with NHS England, recognises that the foundations of lifelong health are built during pregnancy, at birth, and in childhood. This is why the NCL ICS’s Start Well programme has taken a population health approach, looking at data relating to ethnicity and deprivation, and impact on maternity outcomes across all units in NCL, including the Royal Free Hospital.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 19333 19336 question first answered 26/03/2024 13:15:31 answering member 4492 label Biography information for Maria Caulfield
tabling member	4006 label Biography information for Dr Matthew Offord

1697158

registered interest
date	19/03/2024
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	Childbirth: Greater London
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 her Department has made of trends in the level of birth rates in North Central London in each of the last five years.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	19333
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>Population health trends in North Central London (NCL), including historic birth rates and the future projected population size, have informed proposals to improve maternity and neonatal services included in the NCL Integrated Care System’s (ICS) Start Well programme.</p><p>Modelling to inform the proposals included in the NCL Start Well programme has considered changing population demographics. This has included looking at changes to the size and birth rate of the populations living in NCL, as well as the complexity of births, which has included looking at factors such as caesarean rates.</p><p>The Department, along with NHS England, recognises that the foundations of lifelong health are built during pregnancy, at birth, and in childhood. This is why the NCL ICS’s Start Well programme has taken a population health approach, looking at data relating to ethnicity and deprivation, and impact on maternity outcomes across all units in NCL, including the Royal Free Hospital.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 19334 19336 question first answered 26/03/2024 13:15:31 answering member 4492 label Biography information for Maria Caulfield
tabling member	4006 label Biography information for Dr Matthew Offord

1697410

registered interest
date	20/03/2024
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	Maternity Services: Greater London
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if her Department will make an estimate of the number of women who have experienced medical complexities associated with pregnancy when accessing maternity care services in (a) north and (b) central London in each of the last five years.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	19596
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>The Department does not hold this information in the format requested. The North Central London Start Well programme has considered changing population demographics, including the birth rates of the populations living in North Central London and the complexity of births. This information is available at the following link:</p><p><a href="https://nclhealthandcare.org.uk/wp-content/uploads/2024/01/NCL_Start-Well-Case-for-Change_FINAL_ALT-TEXT.pdf" target="_blank">https://nclhealthandcare.org.uk/wp-content/uploads/2024/01/NCL_Start-Well-Case-for-Change_FINAL_ALT-TEXT.pdf</a></p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 26/03/2024 13:05:34 answering member 4492 label Biography information for Maria Caulfield
tabling member	4006 label Biography information for Dr Matthew Offord

1697150

registered interest
date	19/03/2024
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	Edgware Birth Centre: Staff
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 staff are employed at the birthing suites at Edgware Birth Centre.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	19329
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>The following table shows the numbers of births delivered at birthing suites at Edgware Birth Centre, in each of the last five years:</p><table><tbody><tr><td><p>Year</p></td><td><p>Births delivered</p></td></tr><tr><td><p>2018/19</p></td><td><p>68</p></td></tr><tr><td><p>2019/20</p></td><td><p>73</p></td></tr><tr><td><p>2020/21</p></td><td><p>18</p></td></tr><tr><td><p>2021/22</p></td><td><p>45</p></td></tr><tr><td><p>2022/23</p></td><td><p>34</p></td></tr></tbody></table><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p><p>Edgware Birth Centre is a standalone birth centre which is staffed by midwifery teams employed by the Royal Free London NHS Foundation Trust who work across a number of locations. Because of this it is difficult to determine the cost for the centre separately. The centre is the base for three teams that work across the maternity services provided by the Royal Free London NHS Foundation Trust. The staff are deployed across a number of birth settings, including home births, Edgware Birth Centre, and Barnet Hospital. Staff working at the centre also deliver antenatal and postnatal clinics.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 19327 19328 question first answered 26/03/2024 11:12:37 answering member 4492 label Biography information for Maria Caulfield
tabling member	4006 label Biography information for Dr Matthew Offord