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748193

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	Visual Impairment: Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when magnetic implants to improve eyesight will be available on the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2707
answer	answer is ministerial correction date of answer 07/07/2017 answer text <p>It is for local National Health Service commissioners to make decisions on whether to fund new treatments, taking into account National Institute for Health and Care Excellence guidance, available evidence and individual patient’s clinical circumstances.</p><p> </p><p>The future availability of any new or novel treatments would be subject to large scale clinical trials demonstrating the safety and efficacy of the treatment approach and subsequent assessments of its cost effectiveness for routine use.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/07/2017 09:56:28 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

748194

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	Mental Health Services
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 mental health patients can receive treatment closer to where they live.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2708
answer	answer is ministerial correction date of answer 07/07/2017 answer text <p>My Rt. hon. Friend the Secretary of State for Health is committed to ensuring that patients with mental health conditions can receive treatment as close as possible to where they live. Inappropriate out of area placements are unacceptable and the Government has set a target to eliminate these in non-specialist, acute mental health care by 2020/21.</p><p> </p><p>To support the delivery of this ambition, in October 2016 the Government put in place the first data collection to secure much-needed national transparency on the number of patients that are sent out of their local area for acute inpatient treatment.</p><p> </p><p>NHS England is using this new data to support local health systems to develop and deliver trajectories to eliminate inappropriate out of area placements.</p><p> </p><p>More than £400 million which has been made available for investment in mental health crisis resolution home treatment teams over the next four years, enabling them to provide 24/7 crisis response and intensive home treatment as a genuine alternative to admission where appropriate.</p><p> </p><p>Shared learning and best-practice advice on reducing out of area placements through improved system capacity management will be included in acute care commissioning guidance.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/07/2017 09:57:21 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

748195

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	HIV Infection
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 continue the reduction in the number of HIV cases in the UK.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2709
answer	answer is ministerial correction date of answer 11/07/2017 answer text <p>Good practice followed at five specialist sexual health clinics (SHCs) that saw a large fall in new diagnoses of HIV among gay and bisexual men will be promoted at other SHCs across the country. The practices include increasing the uptake of testing for all gay and bisexual men by promoting repeat testing among those at higher risk of HIV acquisition and the early commencement of treatment for those who are diagnosed.</p><p> </p><p>In addition to HIV testing at SHCs and self-sampling funded by local authorities Public Health England (PHE) has contracted HIV Prevention England to undertake a national programme of HIV prevention for high risk populations to promote key HIV prevention messages including HIV testing and safer sexual behaviours. PHE is also working with NHS England to clarify commissioning arrangements for treatment as prevention to accelerate this progress.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/07/2017 09:51:11 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

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

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