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1173385

	registered interest
	date	27/01/2020
	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	General Practitioners: 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, what assessment he has made of the potential merits of GPs conducting a routine postnatal physical and mental health check for all new mothers.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	type	WrittenParliamentaryQuestion
	uin	8299
	answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>Post-natal care can be delivered by a number of different providers, including midwives, health visitors and general practitioners. NHS England and NHS Improvement expect commissioners and providers of maternity care to pay due regard to the National Institute for Health and Care Excellence (NICE) guidelines. NICE guidance on ‘Postnatal care up to eight weeks after birth’ states that at each postnatal contact, women should be asked about their emotional wellbeing, what family and social support they have and their usual coping strategies for dealing with day-to-day matters. At the end of the postnatal period, the coordinating healthcare professional should ensure that the woman’s physical, emotional and social wellbeing is reviewed. NHS England and NHS Improvement are reviewing the available evidence to establish a clearer picture of current practice in this area.</p><p> </p><p>A decision on whether to specifically include a six-week postnatal maternal health check in negotiations for changes to the 2020-21 contract has not yet been taken.</p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 04/02/2020 16:48:07 answering member 1481 label Biography information for Ms Nadine Dorries
	tabling member	4244 label Biography information for Jonathan Ashworth

1173390

	registered interest
	date	27/01/2020
	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	Hospitals: Harlow
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with the Chancellor of the Exchequer on funding for the development of the proposed new hospital in Harlow.
	tabling member constituency	Harlow
	tabling member printed	Robert Halfon
	type	WrittenParliamentaryQuestion
	uin	8240
	answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>In September 2019 the Government announced the Health Infrastructure Plan - a new, strategic approach to improving our hospitals and health infrastructure, and rolling programme of investment, to ensure that our health infrastructure is fit-for-purpose for decades to come.</p><p>The Princess Alexandra Hospitals NHS Trust’s major scheme is one of the six projects that will form the first £2.7 billion phase of the major hospital rebuilds. This money has been committed by the Government and gives the green light for a phased redevelopment of its estate.</p><p>The Trust are currently working with local clinical commissioning groups to finalise the Pre-Consultation Business Case, before progressing to consultation. After that, the Trust will work towards submission of the Outline Business Case, which will then go through a single Departmental/National Health Service process as part of the streamlined approvals that the Government is implementing.</p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 8242 question first answered 04/02/2020 11:33:08 answering member 4362 label Biography information for Edward Argar
	tabling member	3985 label Biography information for Robert Halfon

1173425

	registered interest
	date	27/01/2020
	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	Neurology
	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 adequacy of access to post traumatic care and rehabilitation for people with a neurological condition in (a) Lincolnshire and (b) the UK.
	tabling member constituency	South Holland and The Deepings
	tabling member printed	Sir John Hayes
	type	WrittenParliamentaryQuestion
	uin	8138
	answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>No specific assessment has been made on the cost-effectiveness of community rehabilitation. As the majority of rehabilitation services are provided locally, to support commissioners in the delivery of high-quality rehabilitation care, NHS England has provided guidance. In 2015, NHS England published ‘The Principles and Expectations for Good Adult Rehabilitation’ to support commissioners deliver suitable rehabilitation care locally. In 2016, NHS England published further rehabilitation guidance, setting out a commissioning model and the evidence base for delivering high quality, cost-effective rehabilitation services. Both sets of guidance can be found at the following links:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf</a><br> <a href="http://www.networks.nhs.uk/nhs-networks/clinical-commissioning-community/documents/principles-and-expectations" target="_blank">www.networks.nhs.uk/nhs-networks/clinical-commissioning-community/documents/principles-and-expectations</a></p><p>For patients with complex rehabilitation needs, NHS England commissions specialised rehabilitation services at a national level to an agreed service specification. These provide intensive treatment and expert support.</p><p>To access the adequacy of rehabilitation access, the Healthcare Quality Improvement Partnership, on behalf of NHS England, commissioned The National Clinical Audit of Specialist Rehabilitation for Patients with Complex Needs Following Major Injury. NHS England published three reports between June 2016 and April 2019, exploring service performance and outcomes for those receiving specialised rehabilitation care. The reports highlight a range of positive performance results as well as areas for improvement.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 8139 8140 question first answered 04/02/2020 17:03:52 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	350 label Biography information for Sir John Hayes

1173426

	registered interest
	date	27/01/2020
	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	Neurology
	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 cost-effectiveness of community rehabilitation and the associated reduction in hospital admissions and reliance on social care for people with neurological conditions.
	tabling member constituency	South Holland and The Deepings
	tabling member printed	Sir John Hayes
	type	WrittenParliamentaryQuestion
	uin	8139
	answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>No specific assessment has been made on the cost-effectiveness of community rehabilitation. As the majority of rehabilitation services are provided locally, to support commissioners in the delivery of high-quality rehabilitation care, NHS England has provided guidance. In 2015, NHS England published ‘The Principles and Expectations for Good Adult Rehabilitation’ to support commissioners deliver suitable rehabilitation care locally. In 2016, NHS England published further rehabilitation guidance, setting out a commissioning model and the evidence base for delivering high quality, cost-effective rehabilitation services. Both sets of guidance can be found at the following links:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf</a><br> <a href="http://www.networks.nhs.uk/nhs-networks/clinical-commissioning-community/documents/principles-and-expectations" target="_blank">www.networks.nhs.uk/nhs-networks/clinical-commissioning-community/documents/principles-and-expectations</a></p><p>For patients with complex rehabilitation needs, NHS England commissions specialised rehabilitation services at a national level to an agreed service specification. These provide intensive treatment and expert support.</p><p>To access the adequacy of rehabilitation access, the Healthcare Quality Improvement Partnership, on behalf of NHS England, commissioned The National Clinical Audit of Specialist Rehabilitation for Patients with Complex Needs Following Major Injury. NHS England published three reports between June 2016 and April 2019, exploring service performance and outcomes for those receiving specialised rehabilitation care. The reports highlight a range of positive performance results as well as areas for improvement.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 8138 8140 question first answered 04/02/2020 17:03:52 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	350 label Biography information for Sir John Hayes

1173427

	registered interest
	date	27/01/2020
	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	Neurology
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of people living with a neurological condition have access to community rehabilitation for that condition; and what plans his Department has to increase that proportion.
	tabling member constituency	South Holland and The Deepings
	tabling member printed	Sir John Hayes
	type	WrittenParliamentaryQuestion
	uin	8140
	answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>No specific assessment has been made on the cost-effectiveness of community rehabilitation. As the majority of rehabilitation services are provided locally, to support commissioners in the delivery of high-quality rehabilitation care, NHS England has provided guidance. In 2015, NHS England published ‘The Principles and Expectations for Good Adult Rehabilitation’ to support commissioners deliver suitable rehabilitation care locally. In 2016, NHS England published further rehabilitation guidance, setting out a commissioning model and the evidence base for delivering high quality, cost-effective rehabilitation services. Both sets of guidance can be found at the following links:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf</a><br> <a href="http://www.networks.nhs.uk/nhs-networks/clinical-commissioning-community/documents/principles-and-expectations" target="_blank">www.networks.nhs.uk/nhs-networks/clinical-commissioning-community/documents/principles-and-expectations</a></p><p>For patients with complex rehabilitation needs, NHS England commissions specialised rehabilitation services at a national level to an agreed service specification. These provide intensive treatment and expert support.</p><p>To access the adequacy of rehabilitation access, the Healthcare Quality Improvement Partnership, on behalf of NHS England, commissioned The National Clinical Audit of Specialist Rehabilitation for Patients with Complex Needs Following Major Injury. NHS England published three reports between June 2016 and April 2019, exploring service performance and outcomes for those receiving specialised rehabilitation care. The reports highlight a range of positive performance results as well as areas for improvement.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 8138 8139 question first answered 04/02/2020 17:03:52 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	350 label Biography information for Sir John Hayes

1173428

	registered interest
	date	27/01/2020
	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	Brain: Injuries
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of people living with acquired brain injury receive neuro-rehabilitation; and what plans his Department has to increase that proportion.
	tabling member constituency	South Holland and The Deepings
	tabling member printed	Sir John Hayes
	type	WrittenParliamentaryQuestion
	uin	8141
	answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>This information is not collected. However, the majority of patients with acquired brain injury can access the services they need routinely through secondary care and community services which are commissioned locally.</p><p>In 2015, NHS England published ‘The Principles and Expectations for Good Adult Rehabilitation’ to support commissioners on delivering rehabilitation care locally. Building on this, in 2016, NHS England published further rehabilitation guidance, setting out a commissioning model and the evidence base for delivering high quality rehabilitation services. The guidance can be found at the following link:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf</a></p><p> </p><p>For those with the most serious brain injuries and rehabilitation needs, NHS England commissions specialised rehabilitation services at a national level to an agreed service specification.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/02/2020 17:04:38 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	350 label Biography information for Sir John Hayes

1173431

	registered interest
	date	27/01/2020
	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	Neurology: Mortality Rates
	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 improve mortality rates for people with neurological conditions; and what recent assessment he has made of progress in meeting that objective.
	tabling member constituency	South Holland and The Deepings
	tabling member printed	Sir John Hayes
	type	WrittenParliamentaryQuestion
	uin	8143
	answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>As seen in a report from Public Health England in 2018, there has been an increase in deaths associated with neurological conditions. The report highlights two major factors that are likely to be contributing to the increase in associated deaths; the success of the National Health Service in improving survival rates from other conditions such as heart disease and cancer, and better diagnosis and recognition of neurological conditions, a range of which are progressive and cannot be cured.</p><p>The report provides important data in supporting commissioners and services planners to better understand the burden of disease, and services that are needed to our changing population. NHS England and NHS Improvement work to provide tailored national support which enables local commissioners and providers to drive improvement and ensure services best reflect the needs of individual communities.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 8145 question first answered 04/02/2020 17:01:50 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	350 label Biography information for Sir John Hayes

1173432

	registered interest
	date	27/01/2020
	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	Neurology
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what plans his Department has to require local authorities to record when someone they are providing services for has a neurological condition, to ensure that those needs are being met.
	tabling member constituency	South Holland and The Deepings
	tabling member printed	Sir John Hayes
	type	WrittenParliamentaryQuestion
	uin	8144
	answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>There are no current plans to collect this information within social care data returns from local authorities. However, local authorities can currently record this for their own internal use when providing services for individuals, in order to capture experiences and outcomes and identify whether their needs are being met.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/02/2020 13:38:14 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	350 label Biography information for Sir John Hayes

1173433

	registered interest
	date	27/01/2020
	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	Neurology
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if his Department will provide (a) clear commissioning guidance to clinical commissioning groups so that they are able to commission effectively for people with neurological conditions and (b) clarity on organisational responsibility for the provision of services for people with those conditions.
	tabling member constituency	South Holland and The Deepings
	tabling member printed	Sir John Hayes
	type	WrittenParliamentaryQuestion
	uin	8145
	answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>As seen in a report from Public Health England in 2018, there has been an increase in deaths associated with neurological conditions. The report highlights two major factors that are likely to be contributing to the increase in associated deaths; the success of the National Health Service in improving survival rates from other conditions such as heart disease and cancer, and better diagnosis and recognition of neurological conditions, a range of which are progressive and cannot be cured.</p><p>The report provides important data in supporting commissioners and services planners to better understand the burden of disease, and services that are needed to our changing population. NHS England and NHS Improvement work to provide tailored national support which enables local commissioners and providers to drive improvement and ensure services best reflect the needs of individual communities.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 8143 question first answered 04/02/2020 17:01:50 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	350 label Biography information for Sir John Hayes

1173475

	registered interest
	date	27/01/2020
	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	Urology: Vacancies
	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 tackle the shortage of clinicians in urology.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	type	WrittenParliamentaryQuestion
	uin	8275
	answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>It is the responsibility of National Health Service trusts to have staffing arrangements in place that deliver safe and effective care. This includes recruiting the appropriate professionals needed to support these levels and meet local needs.</p><p>Nationally, the number of training posts for each specialty is determined by Health Education England in the context of competing priorities, with reference to the NHS Long Term Plan.</p><p> </p><p>There are 942 full time equivalent (FTE) consultants in the urology group, up by 19% (307 FTE) since 2010.</p><p> </p><p>The NHS Long Term Plan set out the need to ensure a sustainable overall balance between supply and demand across all staff groups. For doctors, it will focus on reducing geographical and specialty imbalances.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 04/02/2020 15:21:32 answering member 4362 label Biography information for Edward Argar
	tabling member	4122 label Biography information for Alex Cunningham