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1123377

	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	Palliative Care
	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 the NHS Long Term Plan in achieving the Government’s commitment to end variation in end-of-life care by 2020.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	248012
	answer	answer is ministerial correction date of answer 07/05/2019 answer text <p>‘Our Commitment to you for end of life care’, published in July 2016, set out what everyone should expect from their care at the end of life and the actions we are taking to make high quality care a reality for all. Since its publication, NHS England has been working to deliver the Choice Commitment, as set out in the Government’s Mandate to the National Health Service. Through its National Programme Board for End of life Care, a range of activity has been coordinated and undertaken with all key system partners care and stakeholders to improve equity of access to, and experience of, palliative and end of life care. A progress report was published the following year on 21 September 2017.</p><p> </p><p>Key to reducing variation and delivering personalised care is ensuring that patients are identified as likely to be in their last year of life. This means their end of life care can be improved by personalising it according to their needs and preferences at an earlier stage. However, it is also vital that services are available to provide the care to people in the community and in their homes in a timely way. The Long Term Plan published on 7 January 2019, set out significant investment and activity to drive further improvement in both these areas in support of the Government’s Choice Commitment.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 07/05/2019 11:00:31 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1538 label Biography information for Rosie Cooper

1123375

	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	Antimicrobials: Drug Resistance
	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 increase the uptake of (a) new and (b) underused vaccines to tackle antimicrobial resistance.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	248010
	answer	answer is ministerial correction date of answer 07/05/2019 answer text <p>‘Contained and controlled: The UK’s 20-year vision for antimicrobial resistance’ recognises the important role of vaccines in tackling antimicrobial resistance (AMR).</p><p>The United Kingdom supports the delivery and uptake of vaccines internationally through UK Aid programmes, including the Global AMR Innovation Fund, the UK Vaccine Network, Gavi, the Vaccine Alliance and the Global Vaccine Action Plan. Through these programmes UK Aid supports initiatives to ensure that all low and middle-income countries have introduced one or more new or underused vaccines by 2020.</p><p>In addition, our expert advisory committees are considering how vaccines can be better employed to support the control of AMR in the UK.</p><p>More generally, vaccinations are a key part of the prevention strategy in the NHS Long Term Plan. To help increase immunisation uptake, NHS England will undertake a fundamental review of general practitioner vaccinations and immunisation standards, funding and procurement. This will support the goal of preventing primary and secondary infections.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 07/05/2019 16:52:25 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1538 label Biography information for Rosie Cooper

1123379

	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	Cancer: Social Security Benefits
	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 discussions he has had with the Secretary of State for Work and Pensions to ensure that the needs of cancer patients are addressed in the benefits system.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	248014
	answer	answer is ministerial correction date of answer 07/05/2019 answer text <p>There are regular discussions with Cabinet ministers on a wide range of subjects but no specific discussions have taken place on the support for cancer patients within the benefits system.</p><p>As described in the NHS Long Term Plan, personalised care and support planning is being rolled out across the country, based upon the completion of holistic needs assessment and provision of ongoing support to self-manage their health and wellbeing. This will help ensure that the patient is signposted or referred to community support, including information on financial matters, such as benefits, and psychological support.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 07/05/2019 16:48:00 answering member 4455 label Biography information for Seema Kennedy
	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

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

1123378

	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	Cancer
	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 adequacy of the time frame for improving cancer outcomes in the NHS Long Term Plan.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	248013
	answer	answer is ministerial correction date of answer 07/05/2019 answer text <p>The National Health Service can deliver on the ambitions to improve cancer outcomes within England, set out within the NHS Long Term Plan, by rolling out the interventions set out in the Long Term Plan; reducing variation across the country; ensuring the right workforce is in place and is well supported; and harnessing and quickly adopting research and innovation. Delivery of these actions is underway.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 07/05/2019 16:46:48 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

1123384

	registered interest
	date	26/04/2019
	answering body	Department for Business, Energy and Industrial Strategy
	answering dept id	201
	answering dept short name	Business, Energy and Industrial Strategy
	answering dept sort name	Business, Energy and Industrial Strategy
	hansard heading	Post Offices: Closures and Franchises
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Business, Energy and Industrial Strategy, what assessment he has made of the effect of closing Crown post offices and franchising services to WHSmith on the sustainability of the post office network.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	248017
	answer	answer is ministerial correction date of answer 07/05/2019 answer text <p>The Government recognises the critical role that post offices play in communities and for small businesses across the UK. This is why the Government committed to safeguard the post office network and protect existing rural services. The overall number of post offices across the UK remains at its most stable in decades with over 11,500 branches thanks to significant Government investment of over £2 billion since 2010.</p><p> </p><p>While the Government sets the strategic direction for the Post Office, it allows the company the commercial freedom to deliver this strategy as an independent business and the management of the network is an operational matter for Post Office Limited. A report by Citizen’s Advice in June 2017 stated that franchised branches are performing in line with, or better than Directly Managed branches. As part of its ongoing monitoring role Citizens Advice will continue to track the impact of post office changes on consumers and customer satisfaction of post offices, including with the franchising of Directly Managed branches.</p> answering member constituency Rochester and Strood answering member printed Kelly Tolhurst question first answered 07/05/2019 16:05:45 answering member 4487 label Biography information for Kelly Tolhurst
	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