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932172

registered interest
date	28/06/2018
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	IVF
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 multiple births in England in 2017 were a result of IVF treatment which took place outside the UK.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	158661
answer	answer is ministerial correction date of answer 06/07/2018 answer text <p>This information is not collected centrally.</p><p> </p><p>The Department has been made aware anecdotally of an increasing number of couples going outside of the regulated sector in the United Kingdom to have fertility treatment, which results in multiple pregnancies. The expectant mothers are returning to the UK to receive their maternity care within the National Health Service.</p><p> </p><p>Multiple births involve higher risks for mothers and babies. Prematurity and low birth weight are the main reason for increased mortality and disability for these children.</p><p> </p><p>The Human Fertilisation and Embryology Authority has worked in partnership with professional stakeholders and UK clinics over the last 10 years to significantly reduce multiple births in UK fertility treatment through a policy of single embryo transfer.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 158662 question first answered 06/07/2018 12:50:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe

932173

registered interest
date	28/06/2018
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	IVF
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what was the cost to the NHS of (a) multiple births resulting from IVF treatment outside the UK for mothers who were refused such treatment in the UK and (b) other multiple births resulting from IVF treatment outside the UK in the last period for which figures are available.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	158662
answer	answer is ministerial correction date of answer 06/07/2018 answer text <p>This information is not collected centrally.</p><p> </p><p>The Department has been made aware anecdotally of an increasing number of couples going outside of the regulated sector in the United Kingdom to have fertility treatment, which results in multiple pregnancies. The expectant mothers are returning to the UK to receive their maternity care within the National Health Service.</p><p> </p><p>Multiple births involve higher risks for mothers and babies. Prematurity and low birth weight are the main reason for increased mortality and disability for these children.</p><p> </p><p>The Human Fertilisation and Embryology Authority has worked in partnership with professional stakeholders and UK clinics over the last 10 years to significantly reduce multiple births in UK fertility treatment through a policy of single embryo transfer.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 158661 question first answered 06/07/2018 12:50:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe

928639

registered interest
date	21/06/2018
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	Multiple Births
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the cost to the NHS was of multiple births in each year since 2010.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	156326
answer	answer is ministerial correction date of answer 26/06/2018 answer text <p>The Department does not hold this data in the format requested. Maternity delivery episodes are not costed by multiple or singleton birth; they are costed by physiological delivery, assisted delivery and planned or emergency caesarean.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/06/2018 16:30:58 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe

926531

registered interest
date	18/06/2018
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	Childbirth
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the average cost to the NHS was of a (a) multiple birth, and (b) singleton birth in 2017.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	154585
answer	answer is ministerial correction date of answer 21/06/2018 answer text <p>Maternity delivery episodes are not costed by multiple or singleton birth. They are costed in three categories: normal delivery, assisted delivery and planned or emergency caesarean.</p><p> </p><p>The most recent statistics available relate to financial year of 2016-17. The following table shows the average cost of each delivery episode and the total cost of each category for 2016-17.</p><p> </p><table><tbody><tr><td rowspan="2"><p> </p></td><td colspan="3"><p>Total</p></td></tr><tr><td><p>Activity</p></td><td><p>Average cost per delivery episode (£)</p></td><td><p>Total cost (£ million)</p></td></tr><tr><td><p>Normal delivery episodes</p></td><td><p>380,010</p></td><td><p>2,288</p></td><td><p>869.34</p></td></tr><tr><td><p>Assisted delivery episodes</p></td><td><p>81,597</p></td><td><p>3,367</p></td><td><p>274.70</p></td></tr><tr><td><p>Caesarean episodes</p></td><td><p>172,794</p></td><td><p>4,248</p></td><td><p>734.00</p></td></tr><tr><td><p>Total delivery episodes</p></td><td><p>634,401</p></td><td><p>2,960</p></td><td><p>1,878.05</p></td></tr></tbody></table><p>Source: <a href="https://improvement.nhs.uk/resources/reference-costs" target="_blank">https://improvement.nhs.uk/resources/reference-costs</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 21/06/2018 11:38:30 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe

926532

registered interest
date	18/06/2018
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	IVF
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 value for money of the service provided by clinical commissioning groups that offer only partial cycles of IVF treatment.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	154586
answer	answer is ministerial correction date of answer 21/06/2018 answer text <p>The evidence reviews and recommendations of the National Institute for Health and Care Excellence (NICE) fertility guidance confirm that fertility problems can be managed cost effectively. Where NICE fertility guidance is not followed and an incomplete cycle of in vitro fertilisation, as defined by the NICE guidance, is offered this reduces the effectiveness, and thereby the value for money of the treatment.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 21/06/2018 11:29:07 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe

924122

registered interest
date	14/06/2018
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	IVF
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many clinical commissioning groups (CCGs) in England provide no IVF treatment for people with fertility problems; and what plans he has to ensure better provision of such treatment by CCGs.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	153728
answer	answer is ministerial correction date of answer 21/06/2018 answer text <p>The Department does not collect official data on this subject matter. However, we understand from data collected by Fertility Fairness from Freedom of Information requests that there are seven clinical commissioning groups in England that do not routinely provide in vitro fertilisation treatment for their local population.</p><p> </p><p>These are Croydon, Cambridge and Peterborough, Basildon and Brentwood, South Norfolk, Mid-Essex, North and East Essex, and Herts Valley.</p><p> </p><p>In the light of these disappointing local decisions, the Government will give further consideration to what might be agreed with NHS England to support National Health Service fertility services being available on a more equitable basis across England for all those with fertility problems.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 21/06/2018 11:25:22 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe

924124

registered interest
date	14/06/2018
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	IVF
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 standardise the amount the Clinical Commisioning Groups pay providers for the provision of IVF treatment and other fertility services.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	153729
answer	answer is ministerial correction date of answer 19/06/2018 answer text <p>NHS England and NHS Improvement are jointly undertaking a project to develop a benchmark price for National Health Service fertility treatments. NHS England have advised it is working with the sector to improve their reference costs for in-vitro fertilisation (IVF). It is NHS England’s intention to produce benchmark prices for IVF services by the end of the year.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/06/2018 16:17:56 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe

894740

registered interest
date	30/04/2018
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	IVF
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 31 January to Question 124439 on In Vitro Fertilisation, what assessment he has made of the potential merits on making NICE guidelines mandatory in cases where service provision has been (a) decommissioned and (b) reduced after a majority of views expressed in a public consultation supported the retention of that service.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	139359
answer	answer is ministerial correction date of answer 03/05/2018 answer text <p>We have made no such assessment. The National Institute for Health and Care Excellence (NICE) is an independent body and its clinical guidelines represent best practice, are based on the best available evidence and developed through wide consultation. NICE clinical guidelines are not mandatory, although National Health Service commissioners are expected to take them into account alongside local priorities in the design of services.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/05/2018 13:06:58 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe

860744

registered interest
date	12/03/2018
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	Endometriosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress is being made on reducing the diagnosis times and improving the eventual treatment for endometriosis.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	132101
answer	answer is ministerial correction date of answer 15/03/2018 answer text <p>To support women with endometriosis, all obstetricians and gynaecologists have been trained in the diagnosis, investigation and management of the condition, which is specifically listed as topic in the core curriculum for obstetrics and gynaecology. The European Society of Human Reproduction and Embryology has published clinical guidelines on the management of women with endometriosis to assist clinicians.</p><p> </p><p>Through its mandate to NHS England, the Government has set out ambitions to improve the care and support of people with long-term conditions in order to help them to live healthily and independently, with much better control over the care they receive.</p><p> </p><p>NHS England has developed a service specification for severe endometriosis under the specialised commissioning area of complex gynaecology. NHS England expects all units providing a service to women with severe endometriosis to provide care which meets the standards they have provided.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/03/2018 17:32:23 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe

858565

registered interest
date	09/03/2018
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	IVF
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 he has to reduce the number of clinical commissioning groups that have decommissioned IVF services.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	131820
answer	answer is ministerial correction date of answer 19/03/2018 answer text <p>The level of provision of infertility treatment is decided by local clinical commissioning groups (CCGs) and will take into account the needs of the population overall. NHS England has advised that it recognises that there is a great deal of interest in the quality and availability of in vitro fertilisation (IVF) services, and is developing a benchmark price that the National Health Service pays for fertility treatments, which will become available for use in 2018/19. NHS England is also working with CCGs and various stakeholders including the Human Fertilisation and Embryology Authority, to understand how best to help them commission IVF services.</p><p> </p><p>NHS England has advised that, because CCGs are responsible for the commissioning of IVF, it is essential that any support that is given is developed in partnership with them. That is why NHS England are now working with NHS clinical commissioners, the national member organisation for CCGs, to identify the best way of supporting CCGs. NHS England have advised that any guidance will be led by NHS clinical commissioners and will contribute to their work as appropriate.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 131821 question first answered 19/03/2018 11:36:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe