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747967

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
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government whether civil servants in the Department of Health are permitted to use the term “hard Brexit” in official briefing papers.
tabling member printed	Lord Blencathra
uin	HL421
answer	answer is ministerial correction date of answer 17/07/2017 answer text <p>The Government is committed to seizing the opportunities arising from exiting the European Union, and to ensuring that we exit smoothly on the best possible terms. The terms 'hard' and 'soft' are commonly used outside the Civil Service and within discussions around EU exit.</p><p> </p><p>The role of the Civil Service is to provide impartial advice and to deliver Government policy, and is focused on delivering this Government’s commitment to leave the EU and get the very best deal for the United Kingdom.</p> answering member printed Lord O'Shaughnessy question first answered 17/07/2017 11:52:06 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	497 label Biography information for Lord Blencathra

747971

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
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what assessment they have made of the age profile of mental health nurses employed by the NHS in England in each of the last ten years.
tabling member printed	Lord Bradley
uin	HL425
answer	answer is ministerial correction date of answer 17/07/2017 answer text <p>NHS Digital publishes workforce statistics and the attached table shows the age profile of mental health nurses in the National Health Service in England at 30 September 2007 to 2016. Data for March 2017 is also provided as this is the latest available.</p><p> </p><p>The data is headcount because equality data relates to individuals.</p> answering member printed Lord O'Shaughnessy question first answered 17/07/2017 11:51:03 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name HL425 table formatted.xlsx title Age profile of mental health nurses
tabling member	452 label Biography information for Lord Bradley

748026

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
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what plans they have to introduce in England legislation analogous to the Nurse Staffing Levels (Wales) Act 2016 to make provision for safe nurse staffing levels in hospitals in England.
tabling member printed	Lord Wigley
uin	HL480
answer	answer is ministerial correction date of answer 18/07/2017 answer text <p>Appropriate staffing levels are already a core element of the Care Quality Commission’s (CQC’s) registration regime underpinned by legislation. All providers of regulated activities must be registered with the CQC and meet the registration requirements. The 16 safety and quality requirements set out in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 include a requirement for the deployment of sufficient numbers of suitably qualified, competent, skilled and experienced persons.</p><p> </p><p>In July 2016, the National Quality Board published <em>Supporting NHS providers to deliver the right staff, with the right skills, in the right place at the right time: Safe, sustainable and productive staffing</em>. This safe staffing improvement resource provides an updated set of expectations for nursing and midwifery care staffing, to help National Health Service provider boards make local decisions that will support the delivery of high quality care for patients within the available staffing resource.</p><p> </p><p>A copy of <em>Supporting NHS providers to deliver the right staff, with the right skills, in the right place at the right time: Safe, sustainable and productive staffing</em> is attached.</p><p><strong> </strong></p><p>We now have 13,100 more nurses on our wards than in 2010.</p> answering member printed Lord O'Shaughnessy question first answered 18/07/2017 10:45:53 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name nqb-guidance.pdf title Supporting NHS providers guidance
tabling member	547 label Biography information for Lord Wigley

748174

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	Department of Health: Disclosure of Information
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many protected disclosures were made by staff in his Department in each of the last three years for which figures are available; how many such disclosures were found to be valid; how many staff alleged detriment as a result of making such a disclosure; and how many staff who (a) made such a disclosure and (b) alleged detriment as a result of a disclosure subsequently left the employment of the Department.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	2833
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>The core Department had one protected disclosure where the investigation has concluded and was found to be unsubstantiated.</p><p> </p><p>It would not be appropriate to release additional information as it is necessary to protect the identity of individuals who have made disclosures.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 12/07/2017 13:32:16 answering member 1542 label Biography information for Philip Dunne
tabling member	4418 label Biography information for Justin Madders

748183

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	NHS: Negligence
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 Secretary of State for Justice on preventing escalating clinical negligence costs in the NHS.
tabling member constituency	Tooting
tabling member printed	Dr Rosena Allin-Khan
uin	2889
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>The costs of clinical negligence are rising due to a range of factors such as rising activity in the National Health Service, increasing life expectancy, costs of care and factors within the legal environment. We need to tackle this rising expenditure whilst ensuring that patients harmed by the NHS can access appropriate compensation and that the NHS is able to learn from mistakes and improve patient care.</p><p> </p><p>In February my Rt. hon. Friend the Secretary of State for Health met with the former Secretary of State for Justice (Elizabeth Truss) at which the Secretary of State for Health was informed that that there would be a change in the personal injury discount rate. This change will have a significant impact on the cost of clinical negligence and the effect on general practice indemnity costs is of particular concern. This is why alongside the announcement of a change to the rate the government announced that the Department will work closely with general practitioners (GPs) and Medical Defence Organisations to ensure that appropriate funding is available to meet additional costs to GPs, recognising the crucial role they play in the delivery of the NHS. Since that time the Ministry of Justice (MoJ) have consulted on proposals to change how the discount rate is set in future.</p><p>The Department is working closely with MoJ on proposals to introduce fixed recoverable costs in clinical negligence cases which, if implemented, would reduce the disproportionality between damages and costs in lower value claims. The Department also recently completed a consultation on proposals to introduce a ‘Rapid Resolution and Redress’ scheme which, if implemented, would be an alternative compensation scheme for families who haveexperienced severe avoidable birth injury. This scheme is aimed at delivering a long-term reduction in these harmful events through investigation and learning and providing an improved experience for affected families. This would be a voluntary scheme which would not affect an individual's right to litigate.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 2890 question first answered 12/07/2017 13:29:39 answering member 1542 label Biography information for Philip Dunne
tabling member	4573 label Biography information for Dr Rosena Allin-Khan

748196

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	Antenatal Care
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 the occurrence of post-natal illness.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2710
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>The Department is committed to improving maternity outcomes and experience of care for women and babies.</p><p> </p><p>In November 2015, my Rt. hon. Friend the Secretary of State 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. Action includes tackling issues of culture, leadership and learning, to improve safety in maternity units as well as the outcomes and experience of care for mothers and babies.</p><p> </p><p>The Our Chance campaign promotes advice about healthy pregnancy, highlighting the crucial risk factors during pregnancy and the postnatal period which may lead to adverse outcomes for mother and baby. In addition, the Avoiding Term Admission in Neonatal Units programme seeks to prevent the separation of mother and baby (except in cases with a compelling medical reason) and avoid admissions of full-term babies to neonatal units.</p><p> </p><p>The Department has invested £365 million from 2015/16 to 2020/21 in perinatal mental health services, and NHS England is leading a transformation programme to ensure that by 2020/21 at least 30,000 more women each year are able to access evidence-based specialist mental health care during the perinatal period.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 12/07/2017 13:44:23 answering member 1542 label Biography information for Philip Dunne
tabling member	4131 label Biography information for Jim Shannon

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

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

748276

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	NHS: Negligence
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 reasons for the increasing cost of clinical negligence cases.
tabling member constituency	Tooting
tabling member printed	Dr Rosena Allin-Khan
uin	2890
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>The costs of clinical negligence are rising due to a range of factors such as rising activity in the National Health Service, increasing life expectancy, costs of care and factors within the legal environment. We need to tackle this rising expenditure whilst ensuring that patients harmed by the NHS can access appropriate compensation and that the NHS is able to learn from mistakes and improve patient care.</p><p> </p><p>In February my Rt. hon. Friend the Secretary of State for Health met with the former Secretary of State for Justice (Elizabeth Truss) at which the Secretary of State for Health was informed that that there would be a change in the personal injury discount rate. This change will have a significant impact on the cost of clinical negligence and the effect on general practice indemnity costs is of particular concern. This is why alongside the announcement of a change to the rate the government announced that the Department will work closely with general practitioners (GPs) and Medical Defence Organisations to ensure that appropriate funding is available to meet additional costs to GPs, recognising the crucial role they play in the delivery of the NHS. Since that time the Ministry of Justice (MoJ) have consulted on proposals to change how the discount rate is set in future.</p><p>The Department is working closely with MoJ on proposals to introduce fixed recoverable costs in clinical negligence cases which, if implemented, would reduce the disproportionality between damages and costs in lower value claims. The Department also recently completed a consultation on proposals to introduce a ‘Rapid Resolution and Redress’ scheme which, if implemented, would be an alternative compensation scheme for families who haveexperienced severe avoidable birth injury. This scheme is aimed at delivering a long-term reduction in these harmful events through investigation and learning and providing an improved experience for affected families. This would be a voluntary scheme which would not affect an individual's right to litigate.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 2889 question first answered 12/07/2017 13:29:39 answering member 1542 label Biography information for Philip Dunne
tabling member	4573 label Biography information for Dr Rosena Allin-Khan