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1029389

registered interest
date	20/12/2018
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: Veterans
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 potential merits of an independent inquiry on the treatment of ex-service personnel with mental health issues.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	204508
answer	answer is ministerial correction date of answer 07/01/2019 answer text <p>There are no current plans for such an inquiry.</p><p> </p><p>The Government and the National Health Service are taking forward a number of initiatives to support ex-service personnel with mental health issues.</p><p> </p><p>NHS England commissions two bespoke services for ex-service personnel. The first is the Transition, Intervention and Liaison Service, which supports serving personnel who need additional support as they are leaving the armed forces and veterans who have mental health issues. The second is the NHS Veterans’ Mental Health Complex Treatment Service, which is a community-based service providing a range of more intensive care and treatment for ex-service personnel with military attributable complex mental health problems that have not improved with earlier care and treatment.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/01/2019 15:24:27 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4243 label Biography information for Dan Jarvis

1029392

registered interest
date	20/12/2018
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: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the Independent Breast Screening Review report, published on gov.uk on 13 December 2018, what discussions his Department has had with (a) Public Health England and (b) NHS England on communicating the findings that report to women who were informed they may have been affected by a screening invitation error.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	204445
answer	answer is ministerial correction date of answer 07/01/2019 answer text <p>The Department is discussing with Public Health England and NHS England about communicating the implications of the report from the Independent Review of Breast Screening Incident and will be providing a formal response from the Government to the review in early 2019.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/01/2019 13:33:55 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

1029410

registered interest
date	20/12/2018
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	Nabiximols
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 (a) effectiveness of Sativex as a treatment for and (b) adequacy of access to Savitex on the NHS by patients with aggressively advancing relapsing-remitting multiple sclerosis.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	204491
answer	answer is ministerial correction date of answer 07/01/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) considered the clinical and cost effectiveness of Sativex in the development of its clinical guideline on the management of multiple sclerosis published in 2014. NICE was not able to recommend Sativex as a cost effective use of National Health Service resources for the treatment of spasticity in people with multiple sclerosis. Sativex is not therefore likely to be routinely funded by the NHS for use in the treatment of multiple sclerosis, although clinicians are able to make a request for exceptional funding for individual patients who they think may benefit from treatment.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/01/2019 13:31:20 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin

1029418

registered interest
date	20/12/2018
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	Blood: Contamination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant the Answer of 26 November 2018 to Question 194124 on Blood: Contamination, what plans he has to increase the level of financial support provide to people affected by infected blood and blood products; and if he will make a statement.
tabling member constituency	Edinburgh East
tabling member printed	Tommy Sheppard
uin	204532
answer	answer is ministerial correction date of answer 07/01/2019 answer text <p>The England Infected Blood Support Scheme (EIBSS), administered by NHS Business Services Authority, was launched on 1 November 2017 following two public consultations in 2016 and 2017. These consultations sought views on the proposed reforms to the EIBSS and the new special appeals mechanisms for those with chronic hepatitis C infection. Over the period of the current spending review, the launch of the EIBSS was part of the Government’s commitment, in January 2016, to provide an extra £125 million to support people affected by infected blood and blood products.</p><p> </p><p>The Infected Blood Inquiry, announced in July 2017, has included examination of the support provided to people affected by infected blood in its terms of reference. The Department continues to follow the Inquiry closely and will careful consider any views from the Inquiry on where further improvements to the EIBSS could be made.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/01/2019 15:15:32 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4453 label Biography information for Tommy Sheppard

1029461

registered interest
date	20/12/2018
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: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, on what advice his predecessor made the decision to announce a serious incident in the NHS Breast Screening Programme when full information about the incident was not yet available.
tabling member constituency	Dulwich and West Norwood
tabling member printed	Helen Hayes
uin	204588
answer	answer is ministerial correction date of answer 07/01/2019 answer text <p>Based on the available clinical evidence and given the complexity of the case and the potential harm to the public, a judgement was made to announce a serious incident in the National Health Service Breast Screening Programme before all relevant factors had been comprehensively and exhaustively investigated.</p><p> </p><p>The Independent Breast Screening review has concluded that it was the right decision to update Parliament and to inform the women potentially affected, based on the information available at the time.</p><p> </p><p>Throughout the incident, the protection of the public’s health has been, and remains, the Government’s top priority and we have asked Public Health England, with NHS, to progress the clinical review of all women who may have suffered harm as quickly and as sensitively as possible.</p><p> </p><p>The review’s report and its recommendations will be considered in detail over the coming weeks and we will be publishing a full response on behalf of the Government in the new year.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/01/2019 13:36:38 answering member 4067 label Biography information for Steve Brine
tabling member	4510 label Biography information for Helen Hayes

1029462

registered interest
date	20/12/2018
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	Independent Breast Screening Review
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether organisations such as charities and the Advisory Committee for Breast Cancer Screening will have an opportunity to respond officially to the independent review of the breast screening incident.
tabling member constituency	Dulwich and West Norwood
tabling member printed	Helen Hayes
uin	204589
answer	answer is ministerial correction date of answer 07/01/2019 answer text <p>Charities and other organisations with an interest in this area were briefed on the Independent Breast Screening Review and its recommendations when it was published on 13 December, and will come to their own decisions about how they wish to respond to the Review.</p><p> </p><p>The Department will consider the report of the Independent Breast Screening Review and its recommendations in detail and will be publishing a full response on behalf of the Government shortly.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/01/2019 13:37:51 answering member 4067 label Biography information for Steve Brine
tabling member	4510 label Biography information for Helen Hayes

1029493

registered interest
date	20/12/2018
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	Infant Mortality
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 increase support for families who have suffered baby loss.
tabling member constituency	Cardiff West
tabling member printed	Kevin Brennan
uin	204429
answer	answer is ministerial correction date of answer 07/01/2019 answer text <p>The Government is working to improve the care and support received by families who experience baby loss. The Department has provided funding to Sands, the stillbirth and neonatal death charity, to work with other baby loss charities and Royal Colleges to produce the National Bereavement Care Pathway (NBCP) to reduce the variation in the quality of bereavement care provided by the National Health Service.</p><p> </p><p>The NBCP helps professionals to support families in their bereavement after any pregnancy or baby loss, be that miscarriage (including ectopic and molar pregnancy), termination of pregnancy for fetal anomaly, stillbirth, neonatal death or sudden unexpected death in infancy. In October 2018, all of the NBCP guidance materials and tools were published online.</p><p> </p><p>In addition, NHS England’s Perinatal Mental Health Team has been working with Sands to ensure that the NBCP guidelines effectively signpost universal mental health screening and referral to evidence-based interventions and support.</p><p> </p><p>Furthermore, the Pregnancy Loss Review which the Department commissioned earlier this year, has been considering the question of whether legislation should provide new rights to bereaved parents to register pregnancy loss occurring before 24 weeks gestation, as well as investigating the impact of such losses on families and how care can be improved for parents who experience this. The review has been widely consulting with parents, charities and medical professionals and is currently scheduled to be completed in early 2019.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/01/2019 15:16:42 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1400 label Biography information for Kevin Brennan

1029539

registered interest
date	20/12/2018
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: Older People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the implications for his policies of the Royal College of Psychiatrists report Suffering in Silence: age inequality in older people’s mental health care which concluded that older adults are the least likely group to seek treatment for mental health care despite being the group who achieve the highest recovery rates in services provided under the Improving Access to Psychological Therapies programme.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	204487
answer	answer is ministerial correction date of answer 07/01/2019 answer text <p>The Government recognises the findings in the Royal College of Psychiatrists’ report that older people are less likely to seek mental health treatment and are therefore under-represented in mental health services and do not access them as readily as people who are under 65 years of age.</p><p> </p><p>As part of Improving Access to Psychological Therapies (IAPT), NHS England introduced financial incentives through the Mental Health Premium in 2017-18 and 2018-19, to ensure clinical commissioning groups (CCGs) improve access and outcomes for under-represented groups, particularly older people. The Mental Health Premium Guidance is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2018/04/annx-b-quality-premium-april-18.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2018/04/annx-b-quality-premium-april-18.pdf</a></p><p> </p><p>Also in June 2018, NHS England, with support from the National Collaborating Centre for Mental Health, published its Improving Access to Psychological Therapies Manual, which includes a section dedicated to improving and adapting IAPT services for older people. This manual aims to help commissioners, managers and clinicians improve and expand their local IAPT services. The manual is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2018/06/the-iapt-manual.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2018/06/the-iapt-manual.pdf</a></p><p> </p><p>Since April 2018 all CCGs have been expected to expand IAPT by commissioning services that are integrated into physical healthcare pathways. These services are designed to support people with combined physical health long term conditions (LTCs) and depression and anxiety disorders. We anticipate this expansion will further increase access for older people, who are more likely than working age people to live with one or more LTCs.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/01/2019 15:20:39 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

1029541

registered interest
date	20/12/2018
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: 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, with reference to the December 2017 Green Paper entitled Transforming the Mental Health of Children and Young People, what progress has been made on implementing the four-week waiting time target.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	204489
answer	answer is ministerial correction date of answer 07/01/2019 answer text <p>On 20 December we announced the first wave of 25 trailblazer sites that will test the plans set out in the Green Paper on children and young people’s mental health which have three key components: creating new mental health support teams working in and near schools and colleges to support children and young people with mild to moderate mental health conditions; piloting a four week waiting time for access to specialist NHS children’s mental health services; and training Designated Senior Leads in mental health in schools and colleges.</p><p> </p><p>Twelve of the 25 areas have been chosen to pilot a four-week waiting time. The 12 clinical commissioning group pilot areas are Bromley, Buckinghamshire, Camden, Doncaster and Rotherham, Gloucestershire, Haringey, Greater Manchester Health and Social Care Partnership, Northumberland, Oxfordshire, South Warwickshire, Stoke on Trent and Tower Hamlets.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/01/2019 15:21:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

1029562

registered interest
date	20/12/2018
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	University Hospital Southampton NHS Foundation Trust
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 (a) investigate claims about patient safety in the Eye Department of University Hospital Southampton NHS Foundation Trust (UHS); (b) protect patients treated in that Department from harm; (c) assure whistle-blowers that they will not suffer reprisals for speaking out; (d) inquire into above average sight loss amongst patients operated on by a particular surgeon in the Department; (e) investigate the alleged use of NHS lists by the same individual for use by a private practice; (f) establish why external experts were not invited to inspect the clinical records of patients who had lost their sight; (g) protect patients from further risk by conducting an independent inquiry; (h) draw lessons for the future from this situation and the treatment by UHS of a senior consultant who attempted to blow the whistle three years ago; and if he will make a statement.
tabling member constituency	New Forest East
tabling member printed	Dr Julian Lewis
uin	204355
answer	answer is ministerial correction date of answer 07/01/2019 answer text <p>As the independent regulator of health and adult social care in England the Care Quality Commission (CQC) make sure health and social care services provide people with safe, effective, compassionate, high-quality care and encourage care services to improve.</p><p> </p><p>The CQC is regularly meeting with Southampton NHS Foundation Trust, including holding regular monthly detailed updates and a quarterly engagement meeting. The CQC are also in regular contact with Southampton City Clinical Commissioning Group (CCG) at the Wessex Quality Surveillance Group, who have been looking into the trust performance and raised the matter of issues with ophthalmology at the trust.</p><p> </p><p>Speaking up and raising concerns should be routine in the National Health Service and is a key part of ensuring patient safety and improving the quality of services. The Government is clear no one should suffer detriment from speaking up in the NHS. The CQC are assured that the Trust has: demonstrated their awareness and application of protected disclosure in relation to the Public Interest Disclosure Act 1998 and updated their whistleblowing policy. The CQC will follow up the Trust’s management of whistleblowers at the planned ‘well-led’ inspection of the Trust in January 2019. The CQC met with a whistleblower who raised concerns about patient safety in the Southampton eye unit in early 2017. The CQC closed the whistleblowing inquiry following investigation by the Trust.</p><p> </p><p>The Trust and key stakeholders have informed the CQC of concerns regarding patient waiting times for ophthalmology, including incidences where harm has happened to patients as a result. The CQC are unable to currently make an assessment regarding the levels of sight loss, however the Trust have told the CQC that they have reviewed how harm is assessed. The CQC is monitoring the concerns regarding the ophthalmology department.</p><p> </p><p>During an ophthalmology consultants meeting in August 2016, the CQC highlighted that individuals at the Trust should not conduct private work on NHS lists or when on call, and that private lists should be clearly distinguished from NHS operations.</p><p> </p><p>The CQC are aware of two ‘never events’ within ophthalmology in 2017 and July 2018. It was, however, concluded patients did not sustain harm to the incorrect eye. A serious incident also occurred on 7 December 2018, which the CQC understands the Trust plans to investigate. The CQC have requested a copy of the full investigation following the ‘serious incident’ on 7 December 2018, and depending on the outcome, they may take regulatory action.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 07/01/2019 15:13:24 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	54 label Biography information for Sir Julian Lewis