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1109401

registered interest
date	03/04/2019
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: Pastoral 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 confidential pastoral services are provided for NHS staff.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	240490
answer	answer is ministerial correction date of answer 08/04/2019 answer text <p>The Department does not collect data on whether National Health Service organisations, who are responsible for helping their staff maintain and improve their physical and mental health and wellbeing, provide confidential pastoral care. Some trusts may offer local chaplaincy and/or counselling services to their staff.</p><p> </p><p>We are supporting the NHS in making decisions on the type of services they offer their staff including confidential pastoral care through the NHS staff health and wellbeing framework and NHS Improvement’s health and wellbeing collaborative. Both incorporate the mental health standards in ‘Thriving at Work – a review of mental health and employers’ commissioned by the Government.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 08/04/2019 14:02:17 answering member 1585 label Biography information for Stephen Hammond
tabling member	308 label Biography information for Mr Jim Cunningham

1109402

registered interest
date	03/04/2019
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: Sexual Harassment
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 sexual harassment and misconduct within the NHS.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	240491
answer	answer is ministerial correction date of answer 08/04/2019 answer text <p>National Health Service organisations are responsible for dealing with sexual harassment and misconduct.</p><p> </p><p>In relation to harassment by members of the public or patients, NHS organisations work with their staff, their security teams, their accredited security management advisors, the Police and Crown Prosecution Service to ensure appropriate action is taken to prevent sexual harassment and misconduct in the first place and robust sanctions are taken against perpetrators.</p><p> </p><p>In relation to employees, each NHS trust has appropriate local Dignity at Work and Disciplinary policies in place to respond to issues relating to misconduct, including any type of alleged harassment. These policies are developed in partnership with staff side and reflect Advisory Conciliation and Arbitration Service guidance on best practice. All trusts have a duty to protect staff from harassment and are advised to ensure they adhere to the Equalities Act in regard to protected characteristics, and training in equality and diversity and the application of associated policies is mandatory in the NHS.</p><p> </p><p>Staff concerned would be dealt with via appropriate trust policies dealing with conduct and would be referred to professional regulatory bodies. Health care professionals are required to register with the relevant professional regulator and to meet standards for registration, and where these standards are not met the regulators can take action.</p><p> </p><p>The NHS nationally is providing support through our programmes to tackle bullying, harassment, violence and abuse.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 08/04/2019 13:58:38 answering member 1585 label Biography information for Stephen Hammond
tabling member	308 label Biography information for Mr Jim Cunningham

1109405

registered interest
date	03/04/2019
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: Equal Pay
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 address the gender pay gap in the NHS.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	240492
answer	answer is ministerial correction date of answer 08/04/2019 answer text <p>The gender pay gap in the health and social care sector, according to the Office of National Statistics, Annual Survey of Hours and Earning is 17.3%. Although this figure has reduced from the previous year, it is still a concern, particularly given that this sector employs a much higher proportion of women than men.</p><p> </p><p>The findings of the Gender Pay Gap in Medicine Review will have implications not only for medicine but across the wider National Health Service workforce and will closely examine the issues that make progression in medicine problematic for women. Possible interventions have already been identified that can help reduce the gender pay gap in medicine and the wider NHS including more transparency in pay, promotion and reward.</p><p> </p><p>The Government Equalities Office have published evidence based guidance on practical actions employers can take to close the gap, alongside help to diagnose their gaps and develop an action plan. The Department is working with the Government Equalities Office, NHS employers and arm’s length bodies to ensure the good practice is disseminated across the NHS. We expect all NHS employers to have a clear action plan to address their gender pay gap.</p><p> </p><p>Developments in improving the work life balance in the NHS will also contribute to a reduction in the gender pay gap in the NHS. The extension of shared parental leave to new doctors and dentists in training from 1 April is an important step towards our health service being a more flexible and responsive employer, giving greater choice of how their employees juggle the demands of work and family.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 08/04/2019 14:01:00 answering member 1585 label Biography information for Stephen Hammond
tabling member	308 label Biography information for Mr Jim Cunningham

1109407

registered interest
date	03/04/2019
answering body	Foreign and Commonwealth Office
answering dept id	16
answering dept short name	Foreign and Commonwealth Office
answering dept sort name	Foreign and Commonwealth Office
hansard heading	South Asia: Air Pollution
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Foreign and Commonwealth Affairs, what recent discussions he has had with his South Asian counterparts on the steps they are taking to reduce air pollution.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	240493
answer	answer is ministerial correction date of answer 08/04/2019 answer text <p>​The British Government has regular wide ranging conversations on climate and environment issues with our partners in the South Asian region. We remain committed to working with governments in the region on issues that help to reduce air pollution such as urban development, clean energy and transport.</p><p>The UK is among the largest global contributors of public climate finance to help countries both mitigate and adapt to the impacts of climate change – committing £5.8 billion from 2016 to 2020 from our Official Development Assistance budget.</p> answering member constituency Cities of London and Westminster answering member printed Mark Field question first answered 08/04/2019 15:42:41 answering member 1405 label Biography information for Mark Field
tabling member	308 label Biography information for Mr Jim Cunningham

1109066

registered interest
date	02/04/2019
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	Pancreatic Cancer
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 increase the survival rate of patients with pancreatic cancer.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	239856
answer	answer is ministerial correction date of answer 08/04/2019 answer text <p>Later this year, the Government will begin the roll-out of new Rapid Diagnostic Centres across the country to upgrade and bring together the latest diagnostic equipment and expertise, which focus on diagnosing cancers where patients often present with non-specific symptoms, like pancreatic cancer, and may go to their general practitioner (GP) many times before being sent for tests.</p><p> </p><p>This is part of the NHS Long Term Plan that was published in January 2019. It sets a new ambition that, by 2028, the proportion of cancers diagnosed at stages 1 and 2 will rise from around half now to three-quarters of cancer patients. Achieving this will mean that, from 2028, 55,000 more people each year will survive their cancer for at least five years after diagnosis. We will build on work to raise greater awareness of symptoms of cancer, lower the threshold for referral by GPs, accelerate access to diagnosis and treatment and maximise the number of cancers that we identify through screening. This includes the use of personalised and risk stratified screening and beginning to test the family members of cancer patients where they are at increased risk of cancer.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 08/04/2019 15:28:26 answering member 4455 label Biography information for Seema Kennedy
tabling member	308 label Biography information for Mr Jim Cunningham

1109073

registered interest
date	02/04/2019
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	Hyperkalaemia
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 reduce the prevalence of hyperkalaemia for patients with chronic kidney disease.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	239857
answer	answer is ministerial correction date of answer 08/04/2019 answer text <p>Hyperkalaemia usually occurs in patients with renal impairment which can be acute or chronic. In patients with chronic kidney disease (CKD), several factors increase susceptibility to hyperkalaemia including a high dietary potassium intake relative to residual renal function. When patients with CKD have other risk factors, for example treatment with drugs that interfere with the renin-angiotensin-aldosterone system, the risk of hyperkalaemia is further increased. Clinical presentation of hyperkalaemia is highly variable with some patients presenting with an acute illness whilst others may be asymptomatic.</p><p> </p><p>Although not completely preventable, the risk of developing hyperkalaemia can be reduced. Clinical practice guidelines treatment of acute hyperkalaemia in adults, a collaboration between the Renal Association and Resuscitation Council UK that is endorsed by a range of organisations, including the College of Emergency Medicine and the Faculty of Intensive Care medicine, sets out evidence-based guidance on the management of the condition. It was developed to improve the treatment of acute hyperkalaemia and to reduce the risk of complications associated with hyperkalaemia and its treatment. The main measures in primary prevention in patients with CKD are regular blood monitoring, careful drug prescribing and dietary advice. Patient information and education may reduce the risk of inadvertent hyperkalaemia. The guidance can be found at the following link:</p><p> </p><p><a href="https://renal.org/wp-content/uploads/2017/06/hyperkalaemia-guideline-1.pdf" target="_blank">https://renal.org/wp-content/uploads/2017/06/hyperkalaemia-guideline-1.pdf</a></p><p> </p><p>Information regarding the annual cost to the National Health Service of treating hyperkalaemia in Coventry South and England is not available. This answer covers England only. Funding of such services in the other United Kingdom nations is a matter for the respective devolved administrations.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 239865 question first answered 08/04/2019 15:20:04 answering member 4455 label Biography information for Seema Kennedy
tabling member	308 label Biography information for Mr Jim Cunningham

1109074

registered interest
date	02/04/2019
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Dogs: Smuggling
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Environment, Food and Rural Affairs, if his Department will make an assessment of the potential merits of longer sentences for people found guilty of puppy smuggling.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	239858
answer	answer is ministerial correction date of answer 08/04/2019 answer text <p>The Government has zero tolerance for unscrupulous dealers and breeders who abuse the Pet Travel Scheme to traffic underage puppies into the UK. This is an abhorrent trade which causes suffering to the smuggled dogs and puts the health of pets and people in the UK at risk. Defra is working hard to tackle the problem through a comprehensive approach that seeks to target both the supply and demand of illegally imported dogs. This approach includes international engagement, enforcement, public communications and tighter regulation.</p><p> </p><p>We are considering a number of options for improved enforcement as part of a long term strategy for pet travel. This includes the possibility of introducing Fixed Penalty Notices.</p><p> </p><p>We are committed to the highest standards of animal welfare and the Government has announced that it will increase the maximum custodial penalty for animal cruelty from 6 months to 5 years imprisonment as soon as Parliamentary time allows. This will help deter those motivated to traffic underage puppies into the UK at the expense of their welfare.</p> answering member constituency Macclesfield answering member printed David Rutley question first answered 08/04/2019 16:27:26 answering member 4033 label Biography information for David Rutley
tabling member	308 label Biography information for Mr Jim Cunningham

1109076

registered interest
date	02/04/2019
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Chancellor of the Exchequer, what recent assessment his Department has made of trends in the levels of pay since 2010.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	239859
answer	answer is ministerial correction date of answer 08/04/2019 answer text <p>The level of pay has continually increased since 2010, with average weekly earnings increasing by 20% over this period. Regular wages are currently growing at their fastest pace in over a decade and have outstripped inflation for 11 consecutive months. We’ve just seen another above inflation increase in the National Living Wage, to £8.21, meaning a full-time worker on the NLW will be earning £690 more over the coming year.</p> answering member constituency Salisbury answering member printed John Glen question first answered 08/04/2019 14:33:01 answering member 4051 label Biography information for John Glen
tabling member	308 label Biography information for Mr Jim Cunningham

1109077

registered interest
date	02/04/2019
answering body	Foreign and Commonwealth Office
answering dept id	16
answering dept short name	Foreign and Commonwealth Office
answering dept sort name	Foreign and Commonwealth Office
hansard heading	Najah Ahmed Yousif
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Foreign and Commonwealth Affairs, what discussions he has had with his Bahraini counterpart on the political prisoner Najah Yusuf.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	239860
answer	answer is ministerial correction date of answer 08/04/2019 answer text <p>Our Embassy in Bahrain continues to monitor the case of Najah Ahmed Yusuf and has raised her case at a senior level with the Government of Bahrain.</p> answering member constituency Cities of London and Westminster answering member printed Mark Field question first answered 08/04/2019 15:33:48 answering member 1405 label Biography information for Mark Field
tabling member	308 label Biography information for Mr Jim Cunningham

1109252

registered interest
date	02/04/2019
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Small Businesses: Loans
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Chancellor of the Exchequer, what steps his Department is taking to further regulate lending to small businesses.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	239861
answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>The Government set out its position on the regulation of lending to small businesses in its response to the Treasury Select Committee’s SME Finance Report. This is available here: <a href="https://publications.parliament.uk/pa/cm201719/cmselect/cmtreasy/1873/187302.htm" target="_blank">https://publications.parliament.uk/pa/cm201719/cmselect/cmtreasy/1873/187302.htm</a></p> answering member constituency Salisbury answering member printed John Glen question first answered 10/04/2019 15:26:29 answering member 4051 label Biography information for John Glen
tabling member	308 label Biography information for Mr Jim Cunningham