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1138996

	registered interest
	date	15/07/2019
	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	Anorexia: Research
	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 implications for treating anorexia of the research published in July 2019 in the journal Nature Genetics entitled genome-wide association study identifies eight risk loci and implicates metabo-psychiatric origins for anorexia nervosa.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	277123
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>The Department has not made any assessment of this research. However, its findings are a useful addition to the evidence base and should be considered by clinicians and other researchers alongside the rest of the evidence on the management of anorexia nervosa.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/07/2019 14:49:53 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1137022

	registered interest
	date	04/07/2019
	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	Social Services: Children
	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 by the Children's Commissioner entitled vulnerable children: time for action, published in July 2019, what steps his Department is taking to support children’s social care services to meet their statutory duties.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	273350
	answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>The Government is determined to improve the way local agencies work together to identify and protect people at risk. We are implementing reforms following the Children and Social Work Act 2017, placing a responsibility on health and other partners to work together to develop effective, multi-agency arrangements.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 09/07/2019 13:22:28 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1132420

	registered interest
	date	17/06/2019
	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	NHS: Digital Technology
	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 ensure the NHS has access to faster digital technology systems to enable practices to be run more efficiently.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	265459
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>We are committed to ensuring that all practices have access to faster digital technology systems to enable to high quality, effective healthcare services that are responsive to all patients’ needs.</p><p>We have rolled out National Health Service WiFi across 96.8% of general practitioner (GP) practices, benefiting the care of an estimated 57.8 million patients. The new Health and Social Care Network (HSCN) arrangements are enabling clinical commissioning groups (CCGs) to obtain faster data network connections for GPs and all GP practices are expected to have migrated from their legacy connectivity to new HSCN services by the end of 2020.</p><p>The fourth edition of the GP IT Operating Model requires CCGs to adopt appropriately-sized HSCN connectivity capable of supporting their current and future GP business needs and states they should upgrade any existing copper-based asymmetric digital subscriber line (ADSL) connections providing primary connectivity to practice premises to fibre-based connections such as Fibre to the Cabinet (FTTC) or Fibre to the Premise (FTTP) as a minimum.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/06/2019 16:00:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1132109

	registered interest
	date	13/06/2019
	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 Health: Economic Situation
	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 study entitled Recession, recovery and suicide in mental health patients in England: time trend analysis, published in the British Journal of Psychiatry on 13 June 2019, what assessment he has made of the effect of economic pressures on male adults' mental health; and what steps he is taking to provide support and targeted interventions for patients experiencing financial difficulties.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	264352
	answer	answer is ministerial correction date of answer 19/06/2019 answer text <p>The Government recognises the impact that debt and financial difficulty can have on men’s mental health and wellbeing and that men are at a higher risk of suicide.</p><p> </p><p>The National Suicide Prevention Strategy highlights groups that need tailored approaches to address their mental health needs to reduce their suicide risk, including men. Every local authority has a suicide prevention plan in place and we are investing £25 million over the next three years to support these local plans. We have worked with NHS England and Public Health England to ensure that this funding is used to test different approaches to reaching men in local communities.</p><p> </p><p>We are working with the local government sector to assess the effectiveness of those plans, and a report will be published shortly that will highlight areas of best practice and areas for improvement. This report will include an analysis of the extent to which local authority plans are addressing high risk groups.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/06/2019 16:40:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price previous answer version 123848 answering member constituency Thurrock answering member printed Jackie Doyle-Price answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1131729

	registered interest
	date	12/06/2019
	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	Health: 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 assessment he has made of the implications for his policies of the findings on children's mental and physical health in Poverty dynamics and health in late childhood in the UK: evidence from the Millennium Cohort Study, published by the British Medical Journal on June 11th 2019; and if he will make a statement.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	263746
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>There has been no current assessment of this report. The evidence is clear that income and physical and mental health outcomes are closely associated. The NHS Long Term Plan for the National Health Service, backed by an extra £33.9 billion a year in cash terms by 2023/24, puts prevention at its heart and early intervention is key. The Government is supporting this with an additional £2.3 billion a year to expand mental health services and help ensure 345,000 more children and young people under 25 receive mental health support by 2023/24. Tackling the root cause of poverty remains a priority for this Government and some families need more support. The Government is continuing to spend £95 billion a year on working-age benefits and provide free school meals to more than one million of the country’s most disadvantaged children.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/06/2019 15:51:19 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1130021

	registered interest
	date	05/06/2019
	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	Self-harm: Mental 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 assessment he has made of the implications for his policies on increasing support for people who are self-harming of the Lancet article, Prevalence of non-suicidal self-harm and service contact in England, 2000–14: repeated cross-sectional surveys of the general population, published on 4 June 2019.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	260566
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>We are aware of the rise in young people self-harming, which is why we included a new key area for action to address self-harming in the cross-government National Suicide Prevention Strategy in 2017.</p><p>Our close work with the Department for Digital, Culture, Media and Sport on its Online Harms White Paper will also help to tackle online harms associated with harmful suicide and self-harm content across the internet, including social media.</p><p>We continue to fund research into self-harming through the multi-centre study for self-harm in England, which will look at self-harming in children and young people in more detail over the next two years.</p><p>Through the NHS Long Term Plan we have also invested £249 million to ensure every emergency department has a mental health liaison team in place by 2020/21, which are well placed to treat people who present at hospital for self-harm. The Plan also commits to developing integrated models of primary and community care to support people with complex needs, including self-harming.</p><p>Investment in the Mental Health Five Year Forward View and NHS Long Term Plan will deliver timely, high-quality mental health support, including by 2023/24. By expanding services and working with schools and colleges an additional 345,000 children and young people aged 0-25 will be able to access comprehensive support.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 11/06/2019 16:10:51 answering member 4065 label Biography information for Dame Jackie Doyle-Price previous answer version 121596 answering member constituency Thurrock answering member printed Jackie Doyle-Price answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1128594

	registered interest
	date	23/05/2019
	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	Steroid Drugs: Side Effects
	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 potential (a) health risks and (b) psychiatric side effects of oral corticosteroid treatments.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	257661
	answer	answer is ministerial correction date of answer 05/06/2019 answer text <p>Oral corticosteroids have been used for many years in the treatment of a wide range of illnesses including allergic and inflammatory diseases, immune reactions and certain cancers, and for replacement therapy where the body does not produce enough cortisol.</p><p>Corticosteroids are life-saving medicines but have a wide range of side effects, including psychiatric side effects. These can include serious effects such as suicidal thoughts, psychotic reactions and behavioural disturbances. Symptoms typically emerge within a few days or weeks of starting the treatment. Patients and/or their carers should be warned by the prescribing physician that potentially severe psychiatric adverse reactions may occur with oral corticosteroids and encouraged to seek medical advice if any worrying psychological symptoms develop.</p><p>Other side effects of corticosteroids, particularly when taken long-term, include increased susceptibility to infection, disturbances of the nervous system, osteoporosis, muscle weakness, suppression of the adrenal glands, stomach ulcers and changes to the eye (glaucoma and cataract).</p><p>A detailed list of the side effects known to occur with corticosteroids is available in the product information for prescribers (the Summary of Product Characteristics and Patient Information Leaflet which are produced by the manufacturer and authorised by the Medicines and Healthcare products Regulatory Agency (MHRA) for each product. Key side effects are also detailed in the British National Formulary. As with all medicines, the safety of corticosteroids is kept under review by the MHRA and product information is updated and warnings issued when necessary.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/06/2019 16:47:11 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1128427

	registered interest
	date	22/05/2019
	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	Eating Disorders
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent steps his Department has taken to improve outpatient waiting times for adults suffering from an eating disorder.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	257505
	answer	answer is ministerial correction date of answer 05/06/2019 answer text <p>The Government is committed to reducing waiting times for people of all age groups who suffer with an eating disorder. Within the NHS Long Term Plan ambitions, the Clinical Review of NHS Access Standards aims to “test four-week waiting times for adult and older adult community mental health teams, with selected local areas”. This will form part of wider testing of the new and integrated models of primary and community mental health care.</p><p>The recently-published ‘Guidance for operational and activity plans: assurance statements’, to accompany the NHS Planning Guidance for 2019/20, makes clear that these new models will include services for adults with eating disorders.</p><p>In 2019-20, NHS England will begin funding a number of pilot sites for these new models across the country, including services for adults with eating disorders. Selected sites will work towards maximising access and minimising waits to improve patient care. Sites will be selected within regions over the coming months and will be given pump prime funding.</p><p>In parallel to this, NHS England is rolling out the New Care Models in Mental Health programme, delegating specialised commissioning budgets for adult eating disorder inpatient services to provider collaboratives. These collaboratives will have the power to transform pathways of care and maximise access to dedicated community-based provision to avoid need for admissions as far as possible, building on the success of pilot sites where this work is already underway.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/06/2019 14:12:54 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1127680

	registered interest
	date	20/05/2019
	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	Psychiatric Hospitals: 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 ensure that children are not unnecessarily admitted to mental health hospitals.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	256250
	answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>The Department is committing increased expenditure to support the provision of mental health services in the community, to reduce the need for children to be admitted to mental health hospitals unless absolutely necessary.</p><p>Through the NHS Long Term Plan, published in January 2019, mental health funding will grow by at least £2.3 billion a year by 2023/24, with funding for children and young people’s mental health services growing faster than both overall National Health Service funding and total mental health spending. This extra investment will mean an extra 345,000 children and young people aged 0-25 will receive mental health support by 2023/24.</p><p>The key proposals in ‘Transforming children and young people’s mental health provision: a green paper’ aim to improve early intervention. New mental health support teams will deliver evidence-based interventions in or close to schools and colleges for those with mild to moderate mental health issues in 25 trailblazer areas in England. 12 of the 25 trailblazer sites will pilot a four-week waiting time to speed up children and young people’s access to NHS mental health services.</p><p>Over the next five years, the NHS will therefore continue to invest in expanding access to community-based mental health services to meet the needs of more children and young people.</p><p>The NHS Long Term Plan prioritises services for children and young people, providing a clear focus on improving the health and wellbeing of children and young people with learning disabilities and/or autism, as well as committing to implementing ‘Building the right support’ in full, achieving at least a 50% reduction in the number of people with a learning disability or autism who are inpatients, compared to the figure in 2015, by the end of 2023/24.</p><p>The Long Term Plan sets out specific commitments to achieve this by developing new models of care to provide care closer to home and investing in intensive, crisis and forensic community support. By 2023/24 children and young people with a learning disability, autism or both with the most complex needs will also have a designated keyworker. These will be initially provided to children and young people who are inpatients or at risk of being admitted to hospital.</p><p>Furthermore, the Government is committed to reviewing mental health legislation so that it works better for both adults and children. We are currently considering the findings from the independent review of the Mental Health Act 1983, which covers how a person can be detained or sectioned for treatment and will respond in due course.</p><p> </p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 23/05/2019 16:47:51 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1127334

	registered interest
	date	17/05/2019
	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	Isotretinoin: Side Effects
	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 potential health risks and psychiatric side-effects of the drug Roaccutane.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	255661
	answer	answer is ministerial correction date of answer 22/05/2019 answer text <p>As with all medicines in the United Kingdom, the Medicines and Healthcare products Regulatory Agency continuously monitors the safety of isotretinoin-containing medicines. This includes reports of suspected adverse drug reactions submitted by healthcare professionals, patients and carers through the Yellow Card scheme, as well as published and unpublished data. As new evidence on safety emerges it is carefully evaluated and, where appropriate, product information is updated and advice for prescribers and patients is issued.</p><p>Specific assessments of possible psychiatric side effects associated with isotretinoin were considered by an Expert Working Group of the Commission on Human Medicines in 2005 and 2014. In addition, the risk of neuropsychiatric disorders was evaluated in a European review which was completed in 2018. This review concluded that the warnings in the product information for medicines containing isotretinoin regarding possible psychiatric adverse effects reflected what was known.</p><p>Since 1998, warnings regarding the possible risk of developing depression and other psychiatric side effects have been included in the product information for Roaccutane and the generic versions of isotretinoin (the Summary of Product Characteristics for healthcare professionals and the patient information leaflet). The product information for isotretinoin warns that treatment may be associated with possible psychiatric side effects, that particular care needs to be taken in patients with a history of depression; and that all patients on isotretinoin should be monitored for signs of depression and referred for appropriate treatment if necessary. It also states that stopping isotretinoin may not lead to improvement and therefore further psychiatric or psychological evaluation may be necessary.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/05/2019 16:42:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly