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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

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
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

748198

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	East and North Hertfordshire NHS Trust
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether East and North Hertfordshire NHS Trust is required to consult on proposed changes to delivery of acute services in South-West Hertfordshire.
tabling member constituency	Hemel Hempstead
tabling member printed	Mike Penning
uin	2702
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>All service changes should be based on clear evidence that they will deliver better outcomes for patients. It is right that these decisions are led by local clinicians, who best understand the healthcare needs of their local populations, and in consultation with local people.</p><p> </p><p>Any changes should meet the four Government tests for significant service change: they should have support from general practitioner commissioners, be based on clinical evidence, demonstrate public and patient engagement, and consider patient choice. There is additional NHS England guidance which means that proposed service reconfigurations should be tested for their impact on overall bed numbers in the area.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 10/07/2017 14:57:49 answering member 1542 label Biography information for Philip Dunne
tabling member	1528 label Biography information for Sir Mike Penning

748199

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: Hertfordshire
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the annual administration costs are for the NHS in Hertfordshire.
tabling member constituency	Hemel Hempstead
tabling member printed	Mike Penning
uin	2703
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>The administration costs for Hertfordshire clinical commissioning groups in 2016-17 was:</p><p> </p><table><tbody><tr><td><p>Clinical Commissioning Group</p></td><td><p>Administrative Costs</p></td></tr><tr><td><p>East and North Hertfordshire</p></td><td><p>£11.0 million</p></td></tr><tr><td><p>Herts Valleys</p></td><td><p>£13.2 million</p></td></tr></tbody></table><p> </p><p>The Department does not hold administration costs for National Health Service trusts or foundation trusts.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 2704 question first answered 10/07/2017 14:54:40 answering member 1542 label Biography information for Philip Dunne
tabling member	1528 label Biography information for Sir Mike Penning

748200

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	Clinical Commissioning Groups: Hertfordshire
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the annual administration costs are of each clinical commissioning group in Hertfordshire.
tabling member constituency	Hemel Hempstead
tabling member printed	Mike Penning
uin	2704
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>The administration costs for Hertfordshire clinical commissioning groups in 2016-17 was:</p><p> </p><table><tbody><tr><td><p>Clinical Commissioning Group</p></td><td><p>Administrative Costs</p></td></tr><tr><td><p>East and North Hertfordshire</p></td><td><p>£11.0 million</p></td></tr><tr><td><p>Herts Valleys</p></td><td><p>£13.2 million</p></td></tr></tbody></table><p> </p><p>The Department does not hold administration costs for National Health Service trusts or foundation trusts.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 2703 question first answered 10/07/2017 14:54:40 answering member 1542 label Biography information for Philip Dunne
tabling member	1528 label Biography information for Sir Mike Penning

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