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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

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

748234

registered interest
date	04/07/2017
answering body	Ministry of Justice
answering dept id	54
answering dept short name	Justice
answering dept sort name	Justice
hansard heading	Terrorism: Victim Support Schemes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Justice, what long-term assistance is available for victims of terrorism in the UK.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2669
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>The Government is committed to making sure that victims of terrorism and bereaved families receive the best possible support both in the immediate aftermath, and in the long term. The appalling attacks in Manchester and London, just as previous attacks such as in Sousse, Tunisia, demonstrate how vital it is that support is available to victims and their families.</p><p> </p><p>In 2017, we established a cross-HMG Victims of Terrorism unit to co-ordinate support to UK citizens directly affected by terrorist events at home or overseas. It is working across Government, the voluntary sector and with local authorities to ensure that support to victims of terrorism is comprehensive, coordinated and clearly communicated.</p><p> </p><p>We have developed gov.uk webpages</p><p>(see <a href="https://www.gov.uk/government/collections/terror-attacks-support-for-people-affected" target="_blank">https://www.gov.uk/government/collections/terror-attacks-support-for-people-affected</a>) to provide comprehensive advice to victims and to signpost them to support services in the UK. We have also been working closely with local authorities to highlight the support available, and will make sure that payments from the We Love Manchester Emergency Fund and the UK Solidarity Fund do not affect benefits payments.</p> answering member constituency Bracknell answering member printed Dr Phillip Lee question first answered 12/07/2017 15:03:05 answering member 3921 label Biography information for Dr Phillip Lee
tabling member	4131 label Biography information for Jim Shannon