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1007774

registered interest
date	15/11/2018
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	NHS
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when he plans to publish the long-term plan for the NHS.
tabling member constituency	Washington and Sunderland West
tabling member printed	Mrs Sharon Hodgson
uin	191894
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The Government expects National Health Service leaders, clinicians and experts to develop the long-term plan to ensure that the NHS can cope with the serious demand and cost pressures it faces in the future. It will be published later this year.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 20/11/2018 11:14:52 answering member 1585 label Biography information for Stephen Hammond
tabling member	1521 label Biography information for Mrs Sharon Hodgson

1006862

registered interest
date	14/11/2018
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: Children
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 his tweet at 2pm on 25 September 2018 on the Panorama programme, Kids in Crisis, broadcast on 24 September 2018, what action he has taken to ensure children have the mental health support they need; and if he will meet with Sean Fletcher, the presenter of that programme.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	191394
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>The Government is making an additional £1.4 billion available for children’s mental health service transformation. Clinical commissioning group spend on children’s mental health has increased by 35% since 2015/16 and we are on target to see an additional 70,000 children annually in specialist NHS health services by 2020/21.</p><p> </p><p>We published ‘Transforming Children and Young People’s Mental Health Provision: a Green Paper’ in December last year. This set out ambitious proposals to fill the gap in support for children and young people’s mental health. We are:</p><p>- Incentivising and supporting all schools and colleges to identify and train a Designated Senior Lead for Mental Health - funding new training to help leads put in place whole school approaches to mental health;</p><p>- Introducing new Mental Health Support Teams working in or near schools and colleges to provide earlier access to a wider range of support and treatments; and</p><p>- Piloting a new four week waiting time for NHS children and young people’s mental health services so that specialist help is available sooner.</p><p> </p><p> </p><p>We will pilot our proposals through our trailblazer sites, which will be announced soon. I will be meeting with Sean Fletcher, on behalf of the Secretary of State, to discuss children and young people’s mental health.</p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/11/2018 17:35:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

1006869

registered interest
date	14/11/2018
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: 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 finding in the National Audit Office’s report, Improving children and young people’s mental health services, published in October 2018, that the Government’s programmes will not deliver the Future in Mind proposals in full, what assessment he has made of the implications for his policies of that finding.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	191396
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>We welcome the National Audit Office’s (NAO) focus in this important area and their recognition of the Government’s ambition to achieve parity of esteem for mental health. We accept that there are challenges and far more for Government to do in relation to children and young people’s mental health services.</p><p> </p><p>We are taking forward the headline commitment, made in Future in Mind, to improve access to children and young people’s mental health services, by enabling an additional 70,000 children and young people each year to access services. This commitment was re-stated as a recommendation within the Five Year Forward View for Mental Health, which has been accepted by the Government and NHS England and we are on track to enable an extra 70,000 children and young people to access care by 2020/21. The Five Year Forward View is the cornerstone of the Government’s current ambitions to transform mental health services.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/11/2018 17:31:55 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

1007096

registered interest
date	14/11/2018
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	Cervical 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, what steps his Department is taking to prevent system errors occurring in the correspondence sent to women relating to cervical cancer screening.
tabling member constituency	Blackburn
tabling member printed	Kate Hollern
uin	191469
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>Following the recent cervical screening incident, announced on 15 November 2018, Capita has confirmed they have put in place daily audits to ensure all women’s files are accounted for and are looking at how automated processes can be used to reduce errors. Additionally, the checks within the Capita call and recall service have been upgraded at every stage of the process and Capita has appointed an independent audit team to carry out a detailed review into operation systems and processes in Primary Care Support England.</p><p> </p><p>I laid a Written Ministerial Statement on 15 November, <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2018-11-15/HCWS1086/" target="_blank">HCWS1086</a>, explaining the incident and the steps being taken to address it, offering reassurances to the women affected. All individual women affected have been written to directly and Capita has issued an apology.</p><p> </p><p>NHS England has set up a multiagency clinical panel to manage the response to the incident and, separately, has announced an independent expert review into cancer screening programmes.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:18:02 answering member 4067 label Biography information for Steve Brine previous answer version 85823 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4363 label Biography information for Kate Hollern

1007099

registered interest
date	14/11/2018
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	Cervical 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, how many women later died after missing an early cervical cancer screening as a result of not being sent a letter notifying them of the early screening.
tabling member constituency	Blackburn
tabling member printed	Kate Hollern
uin	191470
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>To date no serious harm has been identified following the recent serious incident whereby a number of cervical screening invitations, reminders and results letters were not sent to women. All women affected by this incident have been written to and the file of any woman needing a follow up is being checked to ensure they have been referred appropriately. Assessments of harm as a result of not being sent a letter are ongoing.</p><p> </p><p>The public health advice from Public Health England is that the risk posed by missing these letters remains low.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:19:34 answering member 4067 label Biography information for Steve Brine previous answer version 85825 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4363 label Biography information for Kate Hollern

1007152

registered interest
date	14/11/2018
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	Postnatal Care
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 plans to include a maternal six-week check in the new General Medical Services contract; and when the current negotiations will conclude.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	191473
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The inclusion of a requirement to carry out the six-week maternal postnatal check for all mothers in the general medical services contract would need to be negotiated and agreed, as part of the annual contract negotiations. We have asked for this issue to be considered in the contract negotiations for 2019/20. The negotiations are expected to be concluded before the end of the year. The details of those negotiations are not generally discussed until an agreement on the way forward has been reached.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:25:47 answering member 4067 label Biography information for Steve Brine previous answer version 85824 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4656 label Biography information for Layla Moran

1007155

registered interest
date	14/11/2018
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: 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, what guidance his Department has provided to Child and adolescent mental health services on acceptable waiting times for clinical assessments from the date of referral.
tabling member constituency	Sheffield, Brightside and Hillsborough
tabling member printed	Gill Furniss
uin	191475
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>Consultant-led non-urgent mental health treatments are covered by the general National Health Service 18 week waiting time standard.</p><p> </p><p>Additionally, in 2016 NHS England published the Five Year Forward View for Mental Health which includes the following waiting times targets for mental health services, to be achieved by 2020/21:</p><p>- For accessing ‘Improving Access to Psychological Therapies’ services 75% of referrals should be seen within six weeks and 95% should be seen within 18 weeks;</p><p>- For eating disorder services 95% of referrals should be seen within four weeks for routine cases and 95% of urgent referrals should be seen within one week; and</p><p>- For the Early Intervention in Psychosis programme 50% of people experiencing a first episode of psychosis should start a National Institute for Health and Care Excellence recommended package of care within two weeks of referral, rising to 60%.</p><p> </p><p>We are on track to meet these targets, which are tracked on the Five Year Forward View dashboard, available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/" target="_blank">https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/11/2018 17:38:36 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4571 label Biography information for Gill Furniss

1007175

registered interest
date	14/11/2018
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	Chronic Obstructive Pulmonary Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of patients with chronic obstructive pulmonary disease have been referred for pulmonary rehabilitation in accordance with NICE guidelines in the most recent period for which figures are available; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	191255
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>National Institute for Health and Care Excellence (NICE) Guidelines state that “Pulmonary rehabilitation should be made available to all appropriate people with chronic obstructive pulmonary disease (COPD) including those who have had a recent hospitalisation for an acute exacerbation” <sup>1</sup>.</p><p> </p><p>NHS England supports the national Asthma and COPD Audit Programme – led by the Royal College of Physicians – which provides data on a range of indicators to show opportunities for improving COPD outcomes. The audit shows that 13% of people with COPD are referred to pulmonary rehabilitation services<sup>2</sup>. A continuous clinical audit of service provision and delivery of pulmonary rehabilitation is due to start in March 2019.</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>Chronic obstructive pulmonary disease in over 16s: diagnosis and management Clinical guideline Published 23 June 2010 <a href="http://www.nice.org.uk/guidance/cg101" target="_blank">www.nice.org.uk/guidance/cg101</a></p><p> </p><p><sup>2</sup><a href="https://www.rcplondon.ac.uk/projects/national-asthma-and-copd-audit-programme-nacap-pulmonary-rehabilitation-workstream" target="_blank">https://www.rcplondon.ac.uk/projects/national-asthma-and-copd-audit-programme-nacap-pulmonary-rehabilitation-workstream</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:24:39 answering member 4067 label Biography information for Steve Brine previous answer version 85821 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	165 label Biography information for Clive Efford

1007176

registered interest
date	14/11/2018
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	Chronic Obstructive Pulmonary Disease
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 ensure that all patients diagnosed with chronic obstructive pulmonary disease have access to community rehabilitation in accordance with NICE guidelines; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	191256
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>Pulmonary rehabilitation (PR) is one of the most effective treatments for chronic obstructive pulmonary disease (COPD). The Department supports the National Health Service to increase access to PR and improve the quality of care for people with long-term respiratory conditions.</p><p> </p><p>Respiratory disease is clinical priority in the NHS Long Term Plan. A working group has been developing policy proposals with the aim of delivering specific improvements in respiratory disease. One of the areas under review is the current service provision for PR services in England.</p><p> </p><p>The NHS RightCare COPD pathway, which is now being rolled out nationally through clinical commissioning groups, includes timely access to PR as part of the optimal treatment pathway.</p><p> </p><p>NHS England is working with NHS Improvement, Public Health England and the third sector to ensure all components of the COPD pathway including identification, diagnosis, treatment and management of respiratory conditions are coordinated across the health system.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:21:40 answering member 4067 label Biography information for Steve Brine previous answer version 85827 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	165 label Biography information for Clive Efford

1006021

registered interest
date	13/11/2018
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	Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to Answer of 12 November to Questions 188813 and 188814 on Cancer, what assessment he has made of the potential effect of implementing the national data guardian opt-out on the quality of the National Cancer Patient Experience Survey data.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	190871
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>We are giving full consideration to the potential advantages and disadvantages of the application of the national data opt-out to the national cancer patient experience survey beyond 2018/19, including the quality and completeness of data, and a decision on this will be communicated in due course.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/11/2018 17:27:48 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4056 label Biography information for Nic Dakin