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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

748202

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	Cancer: Tomography
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 MRI scans can better detect cancer tumours.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2677
answer	answer is ministerial correction date of answer 11/07/2017 answer text <p>Magnetic Resonance Imaging (MRI) scanning is an increasingly important element of cancer diagnosis and assessment for cancer treatment. It allows detailed imaging of tumours and in some cases the detection of possible spread. This is important for accurate diagnosis and effective treatment.</p><p> </p><p>NHS England’s National Cancer Programme has a number of initiatives underway to support the delivery of key strategic priorities including the National Diagnostic Capacity Fund. The fund is an investment in specific projects and interventions to change the way we deliver diagnostic services and unlock capacity by delivering more efficiently. The fund is focusing on redesigning and streamlining patient pathways, to ensure that patients receive the right tests at the right time, including MRI scans, as efficiently as possible.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/07/2017 09:32:17 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

748203

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	Parkinson's Disease
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 Royal Colleges on any connection between Parkinson's disease and faulty immune cells.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2680
answer	answer is ministerial correction date of answer 11/07/2017 answer text <p>No discussions have taken place between Ministers of the Department and the Royal Colleges on this matter.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/07/2017 09:29:33 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

748204

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	Perinatal Mortality
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 further reduce the incidence of still births.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2681
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>My Rt. hon. Friend the Secretary of State is committed to reducing the rates of stillbirth in England and improving maternity outcomes for women and babies. In November 2015, he 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. The Safer Maternity Care: next steps towards the national maternity ambition, published in October 2016, then set out a suite of initiatives, including actions to tackle issues of culture, leadership, and learning, in order to improve safety in maternity units and the outcomes and experience of care for mothers and babies.</p><p>The action plan included the Saving Babies’ Lives Care Bundle which is designed to support midwives and other clinicians to identify risks and implement care to prevent stillbirths and neonatal deaths in a focused way. The four interventions included in the Care Bundle are:</p><p> </p><p>- Reducing Smoking In Pregnancy;</p><p>- Detecting Fetal Growth Restriction;</p><p>- Raising Awareness Of Reduced Fetal Movement; and</p><p>- Improving Effective Fetal Monitoring During Labour.</p><p>The Care Bundle is being tested and piloted by volunteer maternity care providers. NHS England will then consider how to support implementation nationwide, as part of the Maternity Transformation Programme.</p><p>The Department has also funded the National Perinatal Epidemiology Unit at the University of Oxford to develop a national standardised Perinatal Mortality Review Tool to support local perinatal death reviews. This is an important contribution to the efforts to reduce stillbirths as the tool will ensure systematic, multidisciplinary, high quality reviews are carried out on the circumstances and care leading up to and surrounding each stillbirth and neonatal death. It will then enable maternity and neonatal staff to identify emerging themes across a number of deaths to support learning and changes in the delivery and commissioning of care, to improve future care and prevent future deaths which are avoidable.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 12/07/2017 13:35:55 answering member 1542 label Biography information for Philip Dunne
tabling member	4131 label Biography information for Jim Shannon

748205

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	Pregnancy: Paracetamol
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 Royal Colleges on the potential effect of pregnant women taking paracetamol and its effect on unborn boys.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2682
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) continuously monitors the safety of all medicines on the market in the United Kingdom and seeks independent expert advice from the Commission on Human Medicines on important new safety issues. The MHRA is aware of recently published research looking at the effect on male offspring of giving paracetamol to pregnant mice. All new evidence on the safety of paracetamol is kept under close review and this latest study will be carefully considered and any new advice will be communicated.</p><p> </p><p>There have not been any discussions with the Royal Colleges on this issue yet.</p><p> </p><p>Pregnant women should speak to their doctor or midwife before taking any medicine, including paracetamol.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/07/2017 09:46:19 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

748206

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 assessment he has made of the effect of (a) online and (b) offline bullying on the incidence of suicide among children and young people.
tabling member constituency	Manchester Central
tabling member printed	Lucy Powell
uin	2728
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 2721 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

748207

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	Innovative Medicines and Medical Technology Review
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when he plans to publish the Government's response to the Accelerated Access Review, published in October 2016.
tabling member constituency	Inverclyde
tabling member printed	Ronnie Cowan
uin	2743
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>We are considering the recommendations carefully and will provide a formal response in due course. Taking forward the Accelerated Access Review remains an important manifesto commitment, ensuring patients can access new cost-effective drugs and treatments faster.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/07/2017 09:15:08 answering member 4067 label Biography information for Steve Brine
tabling member	4465 label Biography information for Ronnie Cowan

748208

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	Drugs: Misuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, why expenditure on adult drug misuse services in England has fallen by over £42 million since 2013-14.
tabling member constituency	Inverclyde
tabling member printed	Ronnie Cowan
uin	2963
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 2783 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

748209

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	Lumacaftor/ivacaftor
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 secure an affordable price for Orkambi, to make it available to people with cystic fibrosis.
tabling member constituency	Tooting
tabling member printed	Dr Rosena Allin-Khan
uin	2960
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>Ministers and Government officials have had a number of discussions with Vertex and NHS England in which the availability of Orkambi for the treatment of cystic fibrosis was raised.</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) is the independent body that develops guidance for the National Health Service on whether new drugs and treatments represent a clinically and cost effective use of resources.</p><p> </p><p>NICE published final guidance on the use of Orkambi (lumacaftor-ivacaftor) for treating cystic fibrosis homozygous for the F508del mutation in July 2016 that does not recommend this treatment.</p><p> </p><p>Where NICE has not been able to recommend a treatment, funding decisions should be made by the relevant NHS commissioner, based on an assessment of the available evidence.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/07/2017 09:12:44 answering member 4067 label Biography information for Steve Brine
tabling member	4573 label Biography information for Dr Rosena Allin-Khan

748210

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	Doctors: EU Nationals
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many doctors from the EU countries newly registered with the General Medical Council in each month in the last two years.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	2940
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>The information requested is not collected by the Department.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 10/07/2017 15:42:09 answering member 1542 label Biography information for Philip Dunne
tabling member	4244 label Biography information for Jonathan Ashworth