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748173

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Addictions: Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to increase funding for addiction services in England.
tabling member constituency	Inverclyde
tabling member printed	Ronnie Cowan
uin	2783
answer	answer is ministerial correction date of answer 11/07/2017 answer text <p>The Government has committed £16 billion in funding to local councils over the current five year spending review period to tackle public health issues. Any decisions on commission of effective drug and alcohol prevention and treatment services are the responsibility of local authorities based on an assessment of local need.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 2963 question first answered 11/07/2017 09:49:47 answering member 4067 label Biography information for Steve Brine
tabling member	4465 label Biography information for Ronnie Cowan

748174

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Department of Health: Disclosure of Information
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many protected disclosures were made by staff in his Department in each of the last three years for which figures are available; how many such disclosures were found to be valid; how many staff alleged detriment as a result of making such a disclosure; and how many staff who (a) made such a disclosure and (b) alleged detriment as a result of a disclosure subsequently left the employment of the Department.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	2833
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>The core Department had one protected disclosure where the investigation has concluded and was found to be unsubstantiated.</p><p> </p><p>It would not be appropriate to release additional information as it is necessary to protect the identity of individuals who have made disclosures.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 12/07/2017 13:32:16 answering member 1542 label Biography information for Philip Dunne
tabling member	4418 label Biography information for Justin Madders

748183

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Negligence
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions he has had with the Secretary of State for Justice on preventing escalating clinical negligence costs in the NHS.
tabling member constituency	Tooting
tabling member printed	Dr Rosena Allin-Khan
uin	2889
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>The costs of clinical negligence are rising due to a range of factors such as rising activity in the National Health Service, increasing life expectancy, costs of care and factors within the legal environment. We need to tackle this rising expenditure whilst ensuring that patients harmed by the NHS can access appropriate compensation and that the NHS is able to learn from mistakes and improve patient care.</p><p> </p><p>In February my Rt. hon. Friend the Secretary of State for Health met with the former Secretary of State for Justice (Elizabeth Truss) at which the Secretary of State for Health was informed that that there would be a change in the personal injury discount rate. This change will have a significant impact on the cost of clinical negligence and the effect on general practice indemnity costs is of particular concern. This is why alongside the announcement of a change to the rate the government announced that the Department will work closely with general practitioners (GPs) and Medical Defence Organisations to ensure that appropriate funding is available to meet additional costs to GPs, recognising the crucial role they play in the delivery of the NHS. Since that time the Ministry of Justice (MoJ) have consulted on proposals to change how the discount rate is set in future.</p><p>The Department is working closely with MoJ on proposals to introduce fixed recoverable costs in clinical negligence cases which, if implemented, would reduce the disproportionality between damages and costs in lower value claims. The Department also recently completed a consultation on proposals to introduce a ‘Rapid Resolution and Redress’ scheme which, if implemented, would be an alternative compensation scheme for families who haveexperienced severe avoidable birth injury. This scheme is aimed at delivering a long-term reduction in these harmful events through investigation and learning and providing an improved experience for affected families. This would be a voluntary scheme which would not affect an individual's right to litigate.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 2890 question first answered 12/07/2017 13:29:39 answering member 1542 label Biography information for Philip Dunne
tabling member	4573 label Biography information for Dr Rosena Allin-Khan

748184

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Depressive Illnesses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions he has had with the National Institute for Health and Care Excellence on the forthcoming consultation on guidelines for treating depression in adults.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	2874
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>Ministers and officials have regular discussions with the National Institute of Health and Care Excellence (NICE) on forthcoming pieces of guidance. NICE is an independent body and develops its guidance on the basis of an assessment of the available evidence through consultation with stakeholders, including the Department.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 12/07/2017 09:16:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1588 label Biography information for Barbara Keeley

748193

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Visual Impairment: Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when magnetic implants to improve eyesight will be available on the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2707
answer	answer is ministerial correction date of answer 07/07/2017 answer text <p>It is for local National Health Service commissioners to make decisions on whether to fund new treatments, taking into account National Institute for Health and Care Excellence guidance, available evidence and individual patient’s clinical circumstances.</p><p> </p><p>The future availability of any new or novel treatments would be subject to large scale clinical trials demonstrating the safety and efficacy of the treatment approach and subsequent assessments of its cost effectiveness for routine use.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/07/2017 09:56:28 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

748194

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to ensure that mental health patients can receive treatment closer to where they live.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2708
answer	answer is ministerial correction date of answer 07/07/2017 answer text <p>My Rt. hon. Friend the Secretary of State for Health is committed to ensuring that patients with mental health conditions can receive treatment as close as possible to where they live. Inappropriate out of area placements are unacceptable and the Government has set a target to eliminate these in non-specialist, acute mental health care by 2020/21.</p><p> </p><p>To support the delivery of this ambition, in October 2016 the Government put in place the first data collection to secure much-needed national transparency on the number of patients that are sent out of their local area for acute inpatient treatment.</p><p> </p><p>NHS England is using this new data to support local health systems to develop and deliver trajectories to eliminate inappropriate out of area placements.</p><p> </p><p>More than £400 million which has been made available for investment in mental health crisis resolution home treatment teams over the next four years, enabling them to provide 24/7 crisis response and intensive home treatment as a genuine alternative to admission where appropriate.</p><p> </p><p>Shared learning and best-practice advice on reducing out of area placements through improved system capacity management will be included in acute care commissioning guidance.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/07/2017 09:57:21 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

748195

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	HIV Infection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to continue the reduction in the number of HIV cases in the UK.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2709
answer	answer is ministerial correction date of answer 11/07/2017 answer text <p>Good practice followed at five specialist sexual health clinics (SHCs) that saw a large fall in new diagnoses of HIV among gay and bisexual men will be promoted at other SHCs across the country. The practices include increasing the uptake of testing for all gay and bisexual men by promoting repeat testing among those at higher risk of HIV acquisition and the early commencement of treatment for those who are diagnosed.</p><p> </p><p>In addition to HIV testing at SHCs and self-sampling funded by local authorities Public Health England (PHE) has contracted HIV Prevention England to undertake a national programme of HIV prevention for high risk populations to promote key HIV prevention messages including HIV testing and safer sexual behaviours. PHE is also working with NHS England to clarify commissioning arrangements for treatment as prevention to accelerate this progress.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/07/2017 09:51:11 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

748196

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Antenatal Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to reduce the occurrence of post-natal illness.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2710
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>The Department is committed to improving maternity outcomes and experience of care for women and babies.</p><p> </p><p>In November 2015, my Rt. hon. Friend the Secretary of State announced a national ambition to halve the rates of stillbirths, neonatal and maternal deaths and brain injuries that occur during or soon after birth by 2030. Action includes tackling issues of culture, leadership and learning, to improve safety in maternity units as well as the outcomes and experience of care for mothers and babies.</p><p> </p><p>The Our Chance campaign promotes advice about healthy pregnancy, highlighting the crucial risk factors during pregnancy and the postnatal period which may lead to adverse outcomes for mother and baby. In addition, the Avoiding Term Admission in Neonatal Units programme seeks to prevent the separation of mother and baby (except in cases with a compelling medical reason) and avoid admissions of full-term babies to neonatal units.</p><p> </p><p>The Department has invested £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> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 12/07/2017 13:44:23 answering member 1542 label Biography information for Philip Dunne
tabling member	4131 label Biography information for Jim Shannon

748197

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Suicide: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of how many suicides involving (a) 10 to 14-year olds and (b) 15 to 19-year olds were the result of online bullying.
tabling member constituency	Manchester Central
tabling member printed	Lucy Powell
uin	2721
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>The Department does not hold information on the number of suicides by people aged 10-19 years of age as a result of online bullying.</p><p> </p><p>However, the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, which is commissioned by NHS England and supported by the Department, published a thematic review in 2016, Suicide by Children and Young People in England. A copy of the report is available at the following link:</p><p><a href="http://www.hqip.org.uk/resources/report-suicide-by-children-and-young-people-in-england/" target="_blank">http://www.hqip.org.uk/resources/report-suicide-by-children-and-young-people-in-england/</a></p><p> </p><p>The report identified ten common themes relating to suicides by people under 20 years of age between 2014 and 2015, including bullying (online and face-to-face) and suicide-related internet use.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 2728 question first answered 12/07/2017 09:38:45 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4263 label Biography information for Lucy Powell

748201

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pre-eclampsia
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to reduce pre-eclampsia in pregnant women.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2673
answer	answer is ministerial correction date of answer 12/07/2017 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:</p><p><a href="https://www.nice.org.uk/guidance/cg107" target="_blank">https://www.nice.org.uk/guidance/cg107</a></p><p> </p><p>The Maternity Transformation Programme led by NHS England is working to improve maternity services by 2020/21. It seeks to implement the recommendations of ‘Better Births’ (the report of the National Maternity Review) and ensure that maternity services across England become safer, more personalised, kinder, more professional and more family friendly. The programme aims to reduce health inequalities and ensure all women have access to high-quality maternity care wherever they live in England. In particular, the programme is working to ensure women are in good health before, during and after pregnancy so that families get off to the best possible start. It will do so through a range of interventions including improving preconception care and supporting positive health and wellbeing choices in pregnancy to reduce risk factors.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 12/07/2017 13:18:41 answering member 1542 label Biography information for Philip Dunne
tabling member	4131 label Biography information for Jim Shannon