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853331

registered interest
date	02/03/2018
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	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 events Ministers of his Department attended during Eating Disorders Week between 26 February and 4 March 2018.
tabling member constituency	Preston
tabling member printed	Sir Mark Hendrick
uin	130780
answer	answer is ministerial correction date of answer 07/03/2018 answer text <p>I responded to a parliamentary debate marking Eating Disorders Awareness Week on 27 February, paying tribute to the work of BEAT and their ambassadors.</p><p> </p><p>A scheduled visit during Eating Disorders Week to Bristol Eating Disorders Health Integration Team had to be postponed due to the inclement weather.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/03/2018 10:07:39 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	473 label Biography information for Sir Mark Hendrick

852596

registered interest
date	01/03/2018
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	NHS Trusts: Migrant Workers
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 his Department has made of the effect of immigration caps on the ability of NHS Trusts to recruit staff from non-EU countries.
tabling member constituency	Cardiff Central
tabling member printed	Jo Stevens
uin	130592
answer	answer is ministerial correction date of answer 06/03/2018 answer text <p>The Department continues to monitor and analyse overall staffing levels across the National Health Service and adult social care. We work across Government to ensure there will continue to be sufficient staff to deliver safe, high quality, efficient services on which patients rely.</p><p> </p><p>We are working closely with the Home Office who will continue to monitor the operation of the Tier 2 visa route to ensure it attracts the best and brightest migrants.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 06/03/2018 15:59:02 answering member 4095 label Biography information for Steve Barclay
tabling member	4425 label Biography information for Jo Stevens

852661

registered interest
date	01/03/2018
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	Breast 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 recent discussions he has had with NHS England on the timetable for the introduction of Herceptin (trastuzumab) biosimilars for use in the NHS.
tabling member constituency	West Ham
tabling member printed	Lyn Brown
uin	130657
answer	answer is ministerial correction date of answer 06/03/2018 answer text <p>The Department has had no such discussions. We are informed by NHS England that discussions with biosimilar companies are ongoing and, as of yet, have no definitive date for launch of any of the biosimilar trastuzumab products. Once it is known when companies are likely to launch, NHS England can then look at a timetable for implementation.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/03/2018 16:19:01 answering member 4067 label Biography information for Steve Brine
tabling member	1583 label Biography information for Ms Lyn Brown

852683

registered interest
date	01/03/2018
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	Medicines and Medical Devices Safety Independent Review
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reason Baroness Cumberlege's review of vaginal mesh implants will not include an audit of ventral mesh rectopexy surgery.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	130679
answer	answer is ministerial correction date of answer 06/03/2018 answer text <p>Using Hospital Episodes Statistics (HES), NHS Digital is already in the process of undertaking a retrospective audit (secondary analysis of existing data) of surgery for stress urinary incontinence and vaginal prolapse, which will help the National Health Service to better understand complications related to surgery using vaginal mesh. Analysis will include the number of patients who have undergone an operation and will investigate in part their subsequent interactions with the NHS through hospital outpatient appointments. This approach to the analysis of HES is novel and the results will be classified as experimental statistics.</p><p> </p><p>The retrospective audit will not include patients that have undergone rectopexy, as this is a procedure used to treat rectal prolapse rather than stress urinary incontinence or vaginal prolapse (although on occasion, rectopexy may be undertaken with stress urinary incontinence or vaginal prolapse procedures).</p><p> </p><p>Adding the entirety of the rectal prolapse patient cohort to this particular data set may distort the results and therefore impact the ability to draw conclusions specifically for stress urinary incontinence and vaginal prolapse. The focus at this point is on stress urinary incontinence and vaginal prolapse.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/03/2018 16:43:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4656 label Biography information for Layla Moran

850659

registered interest
date	27/02/2018
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	Eating Disorders: Children and Young People
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 all community eating disorders services for children and young people are sufficiently staffed so that they are able to offer treatment in line with National Institute for Health and Care Excellence guidelines to all young people with a clinical need.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	129910
answer	answer is ministerial correction date of answer 07/03/2018 answer text <p>For children and young people with a suspected eating disorder (up to 19 years), the Government is investing £150 million to expand eating disorder services and staff for 70 extended or new established community eating disorder services. This means at least 3,350 children and young people a year will receive swift, effective eating disorder treatment in the community.</p><p>The Government has commissioned Health Education England to repeat the 2015 baseline audit of the children and young people’s mental health workforce, across all statutory and voluntary sector providers. This will include staff delivering care in the new or extended community eating disorder services. This data will allow NHS England to monitor progress with increasing the staffing of eating disorders services to improve access and deliver care in line with the published pathway guidance and National Institute for Health and Care Excellence clinical guidance.</p><p>The planned spend by clinical commissioning groups on children and young people’s eating disorders in 2017/18 is £46,717,000 which includes the £30 million per year in clinical commissioning group baselines. This additional funding contributes to increasing staff to create the community eating disorder multidisciplinary teams. Further information is available at:</p><p><a href="https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/" target="_blank">https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/03/2018 11:09:52 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1588 label Biography information for Barbara Keeley

850664

registered interest
date	27/02/2018
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	Ambulance Services: Rural Areas
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 assessment he has made of the efficiency of ambulance services in rural areas.
tabling member constituency	North West Durham
tabling member printed	Laura Pidcock
uin	129914
answer	answer is ministerial correction date of answer 07/03/2018 answer text <p>Following the Ambulance Response Programme (ARP), ambulance services in England are currently adapting their operating models to optimise performance against the revised national performance framework and make the best use of resources in order to meet clinical need.</p><p>The impact of ARP on rural response times was independently reviewed by Sheffield University. This analysis showed that with the introduction of the new prioritisation system, differences between rural and urban populations were reduced, suggesting that the response to urban and rural populations will be more similar in the future.</p><p>A review of the impact of the new performance framework will be undertaken in the spring.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 07/03/2018 10:38:09 answering member 4095 label Biography information for Steve Barclay
tabling member	4665 label Biography information for Laura Pidcock

850670

registered interest
date	27/02/2018
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	Mental Health Services: Portsmouth
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 his Department has made of the effect on the provision of mental health services in Portsmouth of the fall in the real terms income of Solent NHS Trust between 2011-12 and 2016-17.
tabling member constituency	Portsmouth South
tabling member printed	Stephen Morgan
uin	129919
answer	answer is ministerial correction date of answer 07/03/2018 answer text <p>NHS England advises that it monitors all clinical commissioning groups’ (CCG) compliance with the Mental Health Investment Standard (MHIS). The MHIS requires that each CCG’s level of investment in mental health services is at least in line with the level of overall funding growth they have received.</p><p>For 2015/16 and 2016/17 NHS England can confirm that the CCGs in the Portsmouth and South East Hampshire system have met this requirement.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/03/2018 11:14:03 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4653 label Biography information for Stephen Morgan

850674

registered interest
date	27/02/2018
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	NHS Trusts: Subsidiary Companies
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether those NHS trusts which have created subsidiary companies have conducted an equalities impact assessment regarding that change.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	129923
answer	answer is ministerial correction date of answer 07/03/2018 answer text <p>Where trusts are in the process of setting up subsidiary companies, they are required under section 149 of the Equality Act 2010 to conduct an equalities impact assessment regarding that change.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 07/03/2018 10:36:06 answering member 4095 label Biography information for Steve Barclay
tabling member	252 label Biography information for Dr David Drew

850693

registered interest
date	27/02/2018
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 Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reasons the GP contract includes a postnatal check for babies but not for mothers.
tabling member constituency	Cambridge
tabling member printed	Daniel Zeichner
uin	129939
answer	answer is ministerial correction date of answer 07/03/2018 answer text <p>Under the contracts between general practitioner (GP) practices and NHS England, where a practice provides maternity medical services, the practice is required to provide to female patients and their babies all necessary maternity medical services throughout the postnatal period other than neonatal checks.</p><p>The GP contract regulations define the postnatal period as <em>“</em>the period beginning with the conclusion of the delivery of the baby or the patient’s discharge from secondary care services (whichever is the later) and ending on the fourteenth day after the birth<em>”.</em></p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/03/2018 10:31:48 answering member 4067 label Biography information for Steve Brine
tabling member	4382 label Biography information for Daniel Zeichner

850731

registered interest
date	27/02/2018
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	Dental 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, what steps his Department is taking to ensure all children have access to NHS dental services.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	129971
answer	answer is ministerial correction date of answer 07/03/2018 answer text <p>NHS England has a legal duty to commission National Health Service dental services to meet the needs of the local population. NHS England also has arrangements in place to help patients who cannot find a local dentist that is accepting new patients.</p><p> </p><p>The proportion of children seeing a dentist at least once a year is already high with 6.8 million children having seen a dentist in the 12 months ending 31 December 2017. This is 110,767 more children than saw a dentist in the 12 month period ending 31 December 2016.</p><p> </p><p>Survey data suggests 75% of children are now decay free at five years old. But there is further to go to ensure all children benefit from this improvement. The proposed new contract being tested includes a clinical pathway which supports dentists to provide the most appropriate preventative care as well as active treatment. Alongside this NHS England is targeting children in areas of particularly high need.</p><p> </p><p>The ‘Starting Well’ programme has been launched in 13 high needs areas and aims to reach children not currently being seen regularly by a dentist. Starting Well core, a complementary programme NHS England is developing, will take the principles of approach and make it available as a broader model to any commissioner based on local assessment of need and priorities. This is expected to be available later in 2018.</p><p><strong> </strong></p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/03/2018 10:31:58 answering member 4067 label Biography information for Steve Brine
tabling member	4079 label Biography information for Julian Sturdy