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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
	type	WrittenParliamentaryQuestion
	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
	type	WrittenParliamentaryQuestion
	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

748184

	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	Depressive Illnesses
	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 National Institute for Health and Care Excellence on the forthcoming consultation on guidelines for treating depression in adults.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	type	WrittenParliamentaryQuestion
	uin	2874
	answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>Ministers and officials have regular discussions with the National Institute of Health and Care Excellence (NICE) on forthcoming pieces of guidance. NICE is an independent body and develops its guidance on the basis of an assessment of the available evidence through consultation with stakeholders, including the Department.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 12/07/2017 09:16:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1588 label Biography information for Barbara Keeley

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
	type	WrittenParliamentaryQuestion
	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

748197

	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 estimate he has made of how many suicides involving (a) 10 to 14-year olds and (b) 15 to 19-year olds were the result of online bullying.
	tabling member constituency	Manchester Central
	tabling member printed	Lucy Powell
	type	WrittenParliamentaryQuestion
	uin	2721
	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 2728 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

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
	type	WrittenParliamentaryQuestion
	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
	type	WrittenParliamentaryQuestion
	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
	type	WrittenParliamentaryQuestion
	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
	type	WrittenParliamentaryQuestion
	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
	type	WrittenParliamentaryQuestion
	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