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1011423

registered interest
date	21/11/2018
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: Finance
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 report entitled Fair funding for mental health: Putting parity into practice, published by IPPR in October 2018, if he will make an assessment of the implications for his policies of the finding in that report that NHS mental health services require an increase in spending of at least (a) five per cent up to 2023-24 and (b) 5.5 per cent by 2030-31 to achieve parity of esteem.
tabling member constituency	Brighton, Kemptown
tabling member printed	Lloyd Russell-Moyle
uin	194122
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>The Government recognises the need for additional investment in mental health services and the Institute for Public Policy Research report represents a valuable contribution to the debate.</p><p> </p><p>The Government announced its long term financial settlement for the National Health Service in June. This will represent an increase of £20.5 billion in real terms by 2023/24 and the chancellor has already announced that at least a further £2 billion of this will go to fund mental health, including expanding crisis services and supporting more people with severe mental illness into employment.</p><p> </p><p>The Government has asked the NHS to develop a long term plan which will set out a vision for the health service and ensure every penny is well spent. The Government has been clear that better access to mental health services, to help achieve the Government’s commitment to parity of esteem between mental and physical health, is one of the principles which must underpin the plan. Further details will follow when the plan is published in due course.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/11/2018 14:22:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4615 label Biography information for Lloyd Russell-Moyle

1011452

registered interest
date	21/11/2018
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	Incinerators: Health Hazards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether Public Health England has made an assessment of the financial cost to society of emissions from waste incinerators.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	194030
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>Public Health England (PHE) has not made an assessment of the financial cost to society of emissions from waste incinerators. PHE’s position is that well run and regulated modern municipal waste incinerators are not a significant risk to public health.</p><p> </p><p>Waste management facilities are regulated in England by the Environment Agency (EA) under the Environmental Permitting (England and Wales) Regulations 2010. When consulted, PHE provides an expert and independent opinion to the regulator (EA) on the potential impacts on human health of emissions arising from existing or proposed regulated facilities. PHE will comment on the applicants’ risk assessments and how they demonstrate the installation’s impacts on human health, and when requested, any additional modelling and assessments conducted by the EA, providing health advice that is clear, concise and based on best available evidence and expert judgement.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 194037 question first answered 29/11/2018 14:13:49 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

1011502

registered interest
date	21/11/2018
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	Disability: Children
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 improve the quality of health and social care services for disabled children.
tabling member constituency	Kingston upon Hull West and Hessle
tabling member printed	Emma Hardy
uin	194150
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>In 2014, the Government introduced a new statutory framework requiring local authorities and clinical commissioning groups to commission jointly services for children with special educational needs and disability, across health, social care and education. Since 2014, £327 million has been given to local areas to support implementation of these new arrangements, in addition to the high needs budget for placements for pupils with complex special educational needs.</p><p> </p><p>In addition to their role inspecting providers, Ofsted and the Care Quality Commission are jointly inspecting every local area’s arrangements. The inspections assess the effectiveness of joint arrangements by commissioners of health, education and social care to support children with special educational needs, with written statements of action required where improvement is needed.</p><p> </p><p>Improving wheelchair access for children has been included as a ‘must do’ in NHS England’s planning guidance for clinical commissioning groups (CCGs) for 2017/18 – 2018/19, which was issued in September 2016. Each CCG is required to set out improvement plans showing how they would halve the number of children waiting 18 weeks by Q4 2017/18 and eliminate 18 week waits for wheelchairs by the end of 2018/19.</p><p> </p><p>In April 2018, we announced investment of £1.5 million in child sports prostheses across 2018/19 and 2019/20 for the provision of child sports protheses and research.</p><p> </p><p>In 2019 we will be consulting on introducing mandatory learning disability training for health and care staff.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 28/11/2018 14:19:55 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4645 label Biography information for Emma Hardy

1011507

registered interest
date	21/11/2018
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: Drugs
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 effect of delays in drug supply chains on access to medicines for breast cancer patients in the event that the UK leaves the EU without a deal.
tabling member constituency	Neath
tabling member printed	Christina Rees
uin	194155
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>On 23 August 2018 the Department wrote to all pharmaceutical companies that supply the United Kingdom with prescription only or pharmacy medicines from, or via, the European Union/European Economic Area, asking them to ensure they have a minimum of six weeks’ additional supply in the UK, over and above their business as usual operational buffer stocks, by 29 March 2019 in the unlikely the event that the UK were to leave the EU without a deal.</p><p> </p><p>Since then, we have received very good engagement from industry who share our aims of ensuring continuity of medicines supply for patients is maintained and able to cope with any potential delays at the border that may arise in the short term in the event of a no-deal Brexit.</p><p> </p><p>We understand medicines for breast cancer patients are vitally important to many people in this country. However, the Department recognises that through its medicines supply contingency programme, it is requesting sensitive commercial information from pharmaceutical companies. To reassure participating companies, we have committed to treating all information received confidentially, securely and to using it only for the purposes of the Department’s programme. That means not introducing information about a company, specific medicine or their supply routes into the public domain.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 194160 question first answered 28/11/2018 14:02:20 answering member 1585 label Biography information for Stephen Hammond
tabling member	4525 label Biography information for Christina Rees

1011508

registered interest
date	21/11/2018
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	Maternity Services: Fees and Charges
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of women who do not access maternity care because of concerns about NHS charging policies.
tabling member constituency	Birmingham, Hall Green
tabling member printed	Mr Roger Godsiff
uin	194039
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>The Department has recently reviewed the impact of changes introduced by the Amendment Regulations with a particular focus on the extent to which there are any unintended consequences for the most vulnerable. The outcomes of this review will be published in due course.</p><p> </p><p>The Department does not collect data on the number of women who do not access maternity care because of concerns about National Health Service charging policies.</p><p> </p><p>The national guidance is clear that NHS maternity treatment should always be considered as immediately necessary and provided to all patients regardless of whether or not they are entitled to receive it free of charge or there are doubts about whether they could pay if subsequently found to be chargeable under the National Health Service (Charges to Overseas Visitors) Regulations 2015, as amended.</p><p> </p><p>Providers of NHS care need to ensure that they take necessary and appropriate steps to recover the cost of providing treatment to those not entitled to NHS-funded care. National guidance recommends that providers of NHS care should consider employing the services of a debt recovery agency that specialises in the recovery of overseas debt except in relation to persons whom it is clear to the relevant body will be unable to pay.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 194046 194047 question first answered 29/11/2018 13:59:45 answering member 1585 label Biography information for Stephen Hammond
tabling member	304 label Biography information for Mr Roger Godsiff

1011513

registered interest
date	21/11/2018
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: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with pharmaceutical companies on stockpiling breast cancer medicines to prepare for the possibility of the UK leaving the EU without a deal.
tabling member constituency	Neath
tabling member printed	Christina Rees
uin	194160
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>On 23 August 2018 the Department wrote to all pharmaceutical companies that supply the United Kingdom with prescription only or pharmacy medicines from, or via, the European Union/European Economic Area, asking them to ensure they have a minimum of six weeks’ additional supply in the UK, over and above their business as usual operational buffer stocks, by 29 March 2019 in the unlikely the event that the UK were to leave the EU without a deal.</p><p> </p><p>Since then, we have received very good engagement from industry who share our aims of ensuring continuity of medicines supply for patients is maintained and able to cope with any potential delays at the border that may arise in the short term in the event of a no-deal Brexit.</p><p> </p><p>We understand medicines for breast cancer patients are vitally important to many people in this country. However, the Department recognises that through its medicines supply contingency programme, it is requesting sensitive commercial information from pharmaceutical companies. To reassure participating companies, we have committed to treating all information received confidentially, securely and to using it only for the purposes of the Department’s programme. That means not introducing information about a company, specific medicine or their supply routes into the public domain.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 194155 question first answered 28/11/2018 14:02:20 answering member 1585 label Biography information for Stephen Hammond
tabling member	4525 label Biography information for Christina Rees

1011517

registered interest
date	21/11/2018
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	Palliative Care: Children
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 taken steps to encourage Clinical Commissioning Groups and local authorities to jointly commission (a) short breaks for respite and (b) other children’s palliative care services.
tabling member constituency	Loughborough
tabling member printed	Nicky Morgan
uin	194164
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>NHS England and the Department expects clinical commissioning groups (CCGs) and local authorities to work collaboratively to commission appropriate respite and palliative care services for children with life-limiting conditions, to make the most efficient and effective use of health and social care funding.</p><p> </p><p>NHS England’s ‘Choice Commitment for end of life care’ document recognises that children’s palliative care is particularly dependent on this good collaboration between clinical and non-clinical services across a variety of settings. NHS England has also provided support to CCGs in this area in the form of a joint NHS 10 Point Efficiency Plan with NHS Improvement.</p><p> </p><p>NHS England is also working with colleagues across the National Health Service and local authorities to ensure the health and care needs of specific patient groups, including children’s palliative care services, are planned collaboratively where appropriate. This includes working with commissioners, clinicians, voluntary, community and social enterprises, local authorities and people with lived experience to refresh the children’s palliative and end of life care service specification and the commissioning pathway to reflect collective responsibilities across health and social care. Work will continue on this until spring 2019.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 28/11/2018 14:16:28 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4027 label Biography information for Baroness Morgan of Cotes

1011543

registered interest
date	21/11/2018
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	Maternity Services: Fees and Charges
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will make an (a) assessment of the effect on the health and wellbeing of vulnerable women and (b) equalities impact assessment of charging those women for maternity care.
tabling member constituency	Birmingham, Hall Green
tabling member printed	Mr Roger Godsiff
uin	194046
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>The Department has recently reviewed the impact of changes introduced by the Amendment Regulations with a particular focus on the extent to which there are any unintended consequences for the most vulnerable. The outcomes of this review will be published in due course.</p><p> </p><p>The Department does not collect data on the number of women who do not access maternity care because of concerns about National Health Service charging policies.</p><p> </p><p>The national guidance is clear that NHS maternity treatment should always be considered as immediately necessary and provided to all patients regardless of whether or not they are entitled to receive it free of charge or there are doubts about whether they could pay if subsequently found to be chargeable under the National Health Service (Charges to Overseas Visitors) Regulations 2015, as amended.</p><p> </p><p>Providers of NHS care need to ensure that they take necessary and appropriate steps to recover the cost of providing treatment to those not entitled to NHS-funded care. National guidance recommends that providers of NHS care should consider employing the services of a debt recovery agency that specialises in the recovery of overseas debt except in relation to persons whom it is clear to the relevant body will be unable to pay.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 194039 194047 question first answered 29/11/2018 13:59:45 answering member 1585 label Biography information for Stephen Hammond
tabling member	304 label Biography information for Mr Roger Godsiff

1011547

registered interest
date	21/11/2018
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	Baby Care Units
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 neonatal units are able to provide parents with access to a trained mental health professional to support their mental health and wellbeing when their baby is born needing neonatal care.
tabling member constituency	Glasgow East
tabling member printed	David Linden
uin	194171
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>The information requested is not available.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/11/2018 14:25:18 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4640 label Biography information for David Linden

1011548

registered interest
date	21/11/2018
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	Baby Care Units
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much of the £365 million perinatal mental health fund has been allocated to the development of psychological support services in neonatal units; and how many neonatal units have benefited from that perinatal mental health funding.
tabling member constituency	Glasgow East
tabling member printed	David Linden
uin	194172
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>All specialist inpatient and community perinatal mental health services commissioned as part of the Five Year Forward View for Mental Health transformation programme, which is backed by a £365 million investment covering the period from 2015/16 to 2020/21, are for women in the perinatal period with moderate to severe mental illness. This includes women accessing neonatal units. By April 2019, all clinical commissioning groups in the country will have at least one specialist community perinatal mental health service, and therefore all neonatal units will be able to draw on the expertise of the staff at these services.</p><p> </p><p>NHS England has also invested in multidisciplinary perinatal mental health clinical networks across the country to drive forward change, focusing on collaborative working to develop local, integrated pathways and support early identification of those at risk of mental illness in the perinatal period to enable better outcomes for women in all communities.</p><p> </p><p>Mothers with a baby in a neonatal unit and also accessing specialist perinatal mental health community teams are equally able to engage with the perinatal mental health care pathway.</p><p> </p><p>Further information about the pathway is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2018/05/perinatal-mental-health-care-pathway.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2018/05/perinatal-mental-health-care-pathway.pdf</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/11/2018 14:26:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4640 label Biography information for David Linden