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1006201

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	Fertility: Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the incident reporting requirements are for recording Human Fertilisation and Embryology Authority of adverse clinical effects associated with fertility treatment for (a) the HFEA and (b) hospitals; and who is responsible for such incident reporting when a patient is no longer receiving treatment at a fertility clinic.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	190845
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>The Human Fertilisation and Embryology Act 1990 requires the Human Fertilisation and Embryology Authority (HFEA) to investigate all serious adverse events that take place in its licensed establishments and all serious adverse reactions to treatment suffered by patients. The conditions of a HFEA licence require Persons Responsible at licensed establishments to report all serious adverse events, including near misses, and reactions to the HFEA. Licensed establishments are required to report any serious adverse reactions to treatment, that they are made aware of, even if the patient is no longer receiving fertility treatment. There is no duty on any other medical establishment to make reports to the HFEA.</p><p> </p><p>Cases of severe or critical Ovarian Hyperstimulation Syndrome (OHSS) are considered to be serious adverse reactions to treatment. The information requested is shown in the following table:</p><table><tbody><tr><td><p><strong> </strong></p></td><td><p>Mild*</p></td><td><p>Mild/moderate*</p></td><td><p>Moderate*</p></td><td><p>Moderate*/severe</p></td><td><p>Severe</p></td><td><p>Critical</p></td></tr><tr><td><p>2011</p></td><td><p>96</p></td><td><p>21</p></td><td><p>65</p></td><td><p>9</p></td><td><p>46</p></td><td><p>0</p></td></tr><tr><td><p>2012</p></td><td><p>41</p></td><td><p>20</p></td><td><p>93</p></td><td><p>10</p></td><td><p>33</p></td><td><p>0</p></td></tr><tr><td><p>2013</p></td><td><p>40</p></td><td><p>22</p></td><td><p>85</p></td><td><p>7</p></td><td><p>46</p></td><td><p>0</p></td></tr><tr><td><p>2014</p></td><td><p>41 (one intrauterine insemination)</p></td><td><p>8</p></td><td><p>50</p></td><td><p>14</p></td><td><p>34</p></td><td><p>0</p></td></tr><tr><td><p>2015</p></td><td><p>20</p></td><td><p>8</p></td><td><p>42</p></td><td><p>11</p></td><td><p>56</p></td><td><p>0</p></td></tr><tr><td><p>2016</p></td><td><p>29</p></td><td><p>12</p></td><td><p>46</p></td><td><p>5</p></td><td><p>40</p></td><td><p>0</p></td></tr><tr><td><p>2017</p></td><td><p>24</p></td><td><p>11</p></td><td><p>42</p></td><td><p>7</p></td><td><p>47</p></td><td><p>0</p></td></tr><tr><td><p>2018 (to 14 November 2018)</p></td><td><p>14</p></td><td><p>7</p></td><td><p>27</p></td><td><p>5</p></td><td><p>75</p></td><td><p>0</p></td></tr></tbody></table><p>Source: HFEA</p><p> </p><p>Notes:</p><ol><li>The HFEA only requires clinics to report cases of severe or critical OHSS, although some clinics do report mild through to moderate cases. For that reason, this is not a complete picture of the occurrence of OHSS.</li><li>The HFEA has advised that it believes the increase in the number of reports of severe OHSS in 2018 is the result of clearer guidance in its code of practice, linking to the Royal College of Obstetricians and Gynaecologists’ “Green Top” guidance on OHSS that includes a severity grading definition</li></ol><p> </p><p>Identifying patient information, held on the HFEA’s register, can only be disclosed without the patient’s consent in very limited circumstances. The Government has no plans to lift those restrictions to enable the data to be routinely linked with other health or mortality registers.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 190847 190848 question first answered 19/11/2018 17:42:50 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1006202

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	IVF
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what information his Department holds on the number of IVF cycles in which 15 or more eggs were collected where at least some of which were used for (a) egg sharing, (b) donation and (c) research purposes since 2013.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	190846
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>The information requested is shown in the following table:</p><table><tbody><tr><td rowspan="2"><p>Year of cycle</p></td><td rowspan="2"><p>All cycles where 15 or more eggs were collected</p></td><td colspan="3"><p>Fresh cycles where 15 or more eggs where collected</p></td></tr><tr><td><p>The cycle was an egg share cycle</p></td><td><p>Eggs were donated for treatment (non egg share cycles)</p></td><td><p>Eggs were donated for research</p></td></tr><tr><td><p>2013</p></td><td><p>10,114</p></td><td><p>408</p></td><td><p>483</p></td><td><p>23</p></td></tr><tr><td><p>2014</p></td><td><p>10,141</p></td><td><p>316</p></td><td><p>615</p></td><td><p>28</p></td></tr><tr><td><p>2015</p></td><td><p>10,668</p></td><td><p>307</p></td><td><p>640</p></td><td><p>19</p></td></tr><tr><td><p>2016</p></td><td><p>10,557</p></td><td><p>280</p></td><td><p>665</p></td><td><p>18</p></td></tr><tr><td><p>2017</p></td><td><p>11,207</p></td><td><p>247</p></td><td><p>762</p></td><td><p>20</p></td></tr><tr><td><p>2018 (to 14 November2018)</p></td><td><p>9,503</p></td><td><p>174</p></td><td><p>696</p></td><td><p>20</p></td></tr></tbody></table><p>Source: The Human Fertilisation and Embryology Authority.</p><p> </p><p>Note:</p><p>The data includes fresh only cycles and includes only the initial usage of fresh eggs collected, not any subsequent changes in usage. The data is accurate as at 14 November 2018.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/11/2018 17:34:42 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1006203

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	Ovarian Hyperstimulation Syndrome
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 adverse ovarian hypersensitivity syndrome incidents were recorded in licensed human fertilisation embryology authority clinics between 2011 and 2018; and what the severity grading of each such incident was.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	190847
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>The Human Fertilisation and Embryology Act 1990 requires the Human Fertilisation and Embryology Authority (HFEA) to investigate all serious adverse events that take place in its licensed establishments and all serious adverse reactions to treatment suffered by patients. The conditions of a HFEA licence require Persons Responsible at licensed establishments to report all serious adverse events, including near misses, and reactions to the HFEA. Licensed establishments are required to report any serious adverse reactions to treatment, that they are made aware of, even if the patient is no longer receiving fertility treatment. There is no duty on any other medical establishment to make reports to the HFEA.</p><p> </p><p>Cases of severe or critical Ovarian Hyperstimulation Syndrome (OHSS) are considered to be serious adverse reactions to treatment. The information requested is shown in the following table:</p><table><tbody><tr><td><p><strong> </strong></p></td><td><p>Mild*</p></td><td><p>Mild/moderate*</p></td><td><p>Moderate*</p></td><td><p>Moderate*/severe</p></td><td><p>Severe</p></td><td><p>Critical</p></td></tr><tr><td><p>2011</p></td><td><p>96</p></td><td><p>21</p></td><td><p>65</p></td><td><p>9</p></td><td><p>46</p></td><td><p>0</p></td></tr><tr><td><p>2012</p></td><td><p>41</p></td><td><p>20</p></td><td><p>93</p></td><td><p>10</p></td><td><p>33</p></td><td><p>0</p></td></tr><tr><td><p>2013</p></td><td><p>40</p></td><td><p>22</p></td><td><p>85</p></td><td><p>7</p></td><td><p>46</p></td><td><p>0</p></td></tr><tr><td><p>2014</p></td><td><p>41 (one intrauterine insemination)</p></td><td><p>8</p></td><td><p>50</p></td><td><p>14</p></td><td><p>34</p></td><td><p>0</p></td></tr><tr><td><p>2015</p></td><td><p>20</p></td><td><p>8</p></td><td><p>42</p></td><td><p>11</p></td><td><p>56</p></td><td><p>0</p></td></tr><tr><td><p>2016</p></td><td><p>29</p></td><td><p>12</p></td><td><p>46</p></td><td><p>5</p></td><td><p>40</p></td><td><p>0</p></td></tr><tr><td><p>2017</p></td><td><p>24</p></td><td><p>11</p></td><td><p>42</p></td><td><p>7</p></td><td><p>47</p></td><td><p>0</p></td></tr><tr><td><p>2018 (to 14 November 2018)</p></td><td><p>14</p></td><td><p>7</p></td><td><p>27</p></td><td><p>5</p></td><td><p>75</p></td><td><p>0</p></td></tr></tbody></table><p>Source: HFEA</p><p> </p><p>Notes:</p><ol><li>The HFEA only requires clinics to report cases of severe or critical OHSS, although some clinics do report mild through to moderate cases. For that reason, this is not a complete picture of the occurrence of OHSS.</li><li>The HFEA has advised that it believes the increase in the number of reports of severe OHSS in 2018 is the result of clearer guidance in its code of practice, linking to the Royal College of Obstetricians and Gynaecologists’ “Green Top” guidance on OHSS that includes a severity grading definition</li></ol><p> </p><p>Identifying patient information, held on the HFEA’s register, can only be disclosed without the patient’s consent in very limited circumstances. The Government has no plans to lift those restrictions to enable the data to be routinely linked with other health or mortality registers.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 190845 190848 question first answered 19/11/2018 17:42:50 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1006204

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	IVF
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 link the human fertilisation and embryology authority registry with the hospital, cancer and death registries to record the links between IVF treatment cycles and the incidence of (a) severe or moderate ovarian hyperstimulation syndrome, (b) cancer and (c) mortality among women.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	190848
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>The Human Fertilisation and Embryology Act 1990 requires the Human Fertilisation and Embryology Authority (HFEA) to investigate all serious adverse events that take place in its licensed establishments and all serious adverse reactions to treatment suffered by patients. The conditions of a HFEA licence require Persons Responsible at licensed establishments to report all serious adverse events, including near misses, and reactions to the HFEA. Licensed establishments are required to report any serious adverse reactions to treatment, that they are made aware of, even if the patient is no longer receiving fertility treatment. There is no duty on any other medical establishment to make reports to the HFEA.</p><p> </p><p>Cases of severe or critical Ovarian Hyperstimulation Syndrome (OHSS) are considered to be serious adverse reactions to treatment. The information requested is shown in the following table:</p><table><tbody><tr><td><p><strong> </strong></p></td><td><p>Mild*</p></td><td><p>Mild/moderate*</p></td><td><p>Moderate*</p></td><td><p>Moderate*/severe</p></td><td><p>Severe</p></td><td><p>Critical</p></td></tr><tr><td><p>2011</p></td><td><p>96</p></td><td><p>21</p></td><td><p>65</p></td><td><p>9</p></td><td><p>46</p></td><td><p>0</p></td></tr><tr><td><p>2012</p></td><td><p>41</p></td><td><p>20</p></td><td><p>93</p></td><td><p>10</p></td><td><p>33</p></td><td><p>0</p></td></tr><tr><td><p>2013</p></td><td><p>40</p></td><td><p>22</p></td><td><p>85</p></td><td><p>7</p></td><td><p>46</p></td><td><p>0</p></td></tr><tr><td><p>2014</p></td><td><p>41 (one intrauterine insemination)</p></td><td><p>8</p></td><td><p>50</p></td><td><p>14</p></td><td><p>34</p></td><td><p>0</p></td></tr><tr><td><p>2015</p></td><td><p>20</p></td><td><p>8</p></td><td><p>42</p></td><td><p>11</p></td><td><p>56</p></td><td><p>0</p></td></tr><tr><td><p>2016</p></td><td><p>29</p></td><td><p>12</p></td><td><p>46</p></td><td><p>5</p></td><td><p>40</p></td><td><p>0</p></td></tr><tr><td><p>2017</p></td><td><p>24</p></td><td><p>11</p></td><td><p>42</p></td><td><p>7</p></td><td><p>47</p></td><td><p>0</p></td></tr><tr><td><p>2018 (to 14 November 2018)</p></td><td><p>14</p></td><td><p>7</p></td><td><p>27</p></td><td><p>5</p></td><td><p>75</p></td><td><p>0</p></td></tr></tbody></table><p>Source: HFEA</p><p> </p><p>Notes:</p><ol><li>The HFEA only requires clinics to report cases of severe or critical OHSS, although some clinics do report mild through to moderate cases. For that reason, this is not a complete picture of the occurrence of OHSS.</li><li>The HFEA has advised that it believes the increase in the number of reports of severe OHSS in 2018 is the result of clearer guidance in its code of practice, linking to the Royal College of Obstetricians and Gynaecologists’ “Green Top” guidance on OHSS that includes a severity grading definition</li></ol><p> </p><p>Identifying patient information, held on the HFEA’s register, can only be disclosed without the patient’s consent in very limited circumstances. The Government has no plans to lift those restrictions to enable the data to be routinely linked with other health or mortality registers.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 190845 190847 question first answered 19/11/2018 17:42:50 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1006206

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	Abortion
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 abortions (a) Marie Stopes International and (b) British Pregnancy Advisory Service carried out in each year between 2007 to 2017.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	190849
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>The number of abortions by Marie Stopes International (MSI) and British Pregnancy Advisory Service (BPAS) in England and Wales from 2007 to 2017 is shown in the following table:</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>MSI</p></td><td><p>BPAS</p></td></tr><tr><td><p>2007</p></td><td><p>63,262</p></td><td><p>50,465</p></td></tr><tr><td><p>2008</p></td><td><p>61,444</p></td><td><p>50,685</p></td></tr><tr><td><p>2009</p></td><td><p>57,680</p></td><td><p>52,013</p></td></tr><tr><td><p>2010</p></td><td><p>59,649</p></td><td><p>51,450</p></td></tr><tr><td><p>2011</p></td><td><p>57,332</p></td><td><p>54,774</p></td></tr><tr><td><p>2012*</p></td><td><p>58,003</p></td><td><p>57,131</p></td></tr><tr><td><p>2013</p></td><td><p>60,435</p></td><td><p>56,961</p></td></tr><tr><td><p>2014</p></td><td><p>60,327</p></td><td><p>58,271</p></td></tr><tr><td><p>2015</p></td><td><p>63,806</p></td><td><p>59,599</p></td></tr><tr><td><p>2016</p></td><td><p>61,764</p></td><td><p>62,528</p></td></tr><tr><td><p>2017</p></td><td><p>59,978</p></td><td><p>66,051</p></td></tr></tbody></table><p> </p><p>Note:</p><p>*Figures for 2012 have been estimated due to missing clinic information.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/11/2018 17:27:06 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce