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1017176

registered interest
date	29/11/2018
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, with reference to the recent Coroner's verdict in the case of Aisha Chithira, whether his Department will take steps to ensure that clinical staff providing abortion services are fully trained in post-operative observations.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	197359
answer	answer is ministerial correction date of answer 07/12/2018 answer text <p>In line with guidelines published by the Royal College of Obstetricians and Gynaecologists and Care Quality Commission regulations health professionals working within abortion services must be appropriately trained and experienced. Abortion service providers should ensure staff have the right competencies, knowledge, qualifications, skills and experience, including where appropriate in post-operation observations, to safeguard the health, safety and welfare of all who use the service. The guidelines and regulations are available at the following links:</p><p> </p><p><a href="https://www.rcog.org.uk/globalassets/documents/guidelines/abortion-guideline_web_1.pdf" target="_blank">https://www.rcog.org.uk/globalassets/documents/guidelines/abortion-guideline_web_1.pdf</a></p><p> </p><p><a href="https://www.cqc.org.uk/guidance-providers/regulations-enforcement/regulation-20-requirements-relating-termination" target="_blank">https://www.cqc.org.uk/guidance-providers/regulations-enforcement/regulation-20-requirements-relating-termination</a></p><p> </p><p>The methods used for legal late term abortions in England are safe when performed by staff with the relevant skills, training and experience in line with the Royal College of Obstetricians and Gynaecologists guidelines.</p><p> </p><p>All independent sector abortion providers must be approved by the Secretary of State for Health and Social Care and meet the conditions set by the Department’s Required Standard Operating Procedures which are attached. As set out in these procedures, providers are required to have protocols covering the support that should be in place for women following an abortion procedure. Where a pre-existing physical or mental health condition may exist, then the provider must ensure that there are clinical pathways in place for access to appropriate medical back up services, if needed.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 197360 197361 question first answered 07/12/2018 12:48:50 answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name RSOPs May 2018.pdf title PQ197359,360,361 attached document
tabling member	3958 label Biography information for Fiona Bruce

1017177

registered interest
date	29/11/2018
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, with reference to the recent Coroner's verdict in the case of Aisha Chithira, if his Department will review the methods used for late-term abortions.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	197360
answer	answer is ministerial correction date of answer 07/12/2018 answer text <p>In line with guidelines published by the Royal College of Obstetricians and Gynaecologists and Care Quality Commission regulations health professionals working within abortion services must be appropriately trained and experienced. Abortion service providers should ensure staff have the right competencies, knowledge, qualifications, skills and experience, including where appropriate in post-operation observations, to safeguard the health, safety and welfare of all who use the service. The guidelines and regulations are available at the following links:</p><p> </p><p><a href="https://www.rcog.org.uk/globalassets/documents/guidelines/abortion-guideline_web_1.pdf" target="_blank">https://www.rcog.org.uk/globalassets/documents/guidelines/abortion-guideline_web_1.pdf</a></p><p> </p><p><a href="https://www.cqc.org.uk/guidance-providers/regulations-enforcement/regulation-20-requirements-relating-termination" target="_blank">https://www.cqc.org.uk/guidance-providers/regulations-enforcement/regulation-20-requirements-relating-termination</a></p><p> </p><p>The methods used for legal late term abortions in England are safe when performed by staff with the relevant skills, training and experience in line with the Royal College of Obstetricians and Gynaecologists guidelines.</p><p> </p><p>All independent sector abortion providers must be approved by the Secretary of State for Health and Social Care and meet the conditions set by the Department’s Required Standard Operating Procedures which are attached. As set out in these procedures, providers are required to have protocols covering the support that should be in place for women following an abortion procedure. Where a pre-existing physical or mental health condition may exist, then the provider must ensure that there are clinical pathways in place for access to appropriate medical back up services, if needed.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 197359 197361 question first answered 07/12/2018 12:48:50 answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name RSOPs May 2018.pdf title PQ197359,360,361 attached document
tabling member	3958 label Biography information for Fiona Bruce

1017178

registered interest
date	29/11/2018
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, with reference to the recent Coroner's verdict in the case of Aisha Chithira, if he will ensure that all independent abortion providers give appropriate aftercare to women.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	197361
answer	answer is ministerial correction date of answer 07/12/2018 answer text <p>In line with guidelines published by the Royal College of Obstetricians and Gynaecologists and Care Quality Commission regulations health professionals working within abortion services must be appropriately trained and experienced. Abortion service providers should ensure staff have the right competencies, knowledge, qualifications, skills and experience, including where appropriate in post-operation observations, to safeguard the health, safety and welfare of all who use the service. The guidelines and regulations are available at the following links:</p><p> </p><p><a href="https://www.rcog.org.uk/globalassets/documents/guidelines/abortion-guideline_web_1.pdf" target="_blank">https://www.rcog.org.uk/globalassets/documents/guidelines/abortion-guideline_web_1.pdf</a></p><p> </p><p><a href="https://www.cqc.org.uk/guidance-providers/regulations-enforcement/regulation-20-requirements-relating-termination" target="_blank">https://www.cqc.org.uk/guidance-providers/regulations-enforcement/regulation-20-requirements-relating-termination</a></p><p> </p><p>The methods used for legal late term abortions in England are safe when performed by staff with the relevant skills, training and experience in line with the Royal College of Obstetricians and Gynaecologists guidelines.</p><p> </p><p>All independent sector abortion providers must be approved by the Secretary of State for Health and Social Care and meet the conditions set by the Department’s Required Standard Operating Procedures which are attached. As set out in these procedures, providers are required to have protocols covering the support that should be in place for women following an abortion procedure. Where a pre-existing physical or mental health condition may exist, then the provider must ensure that there are clinical pathways in place for access to appropriate medical back up services, if needed.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 197359 197360 question first answered 07/12/2018 12:48:50 answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name RSOPs May 2018.pdf title PQ197359,360,361 attached document
tabling member	3958 label Biography information for Fiona Bruce

1016338

registered interest
date	28/11/2018
answering body	Leader of the House
answering dept id	34
answering dept short name	Leader of the House
answering dept sort name	Leader of the House
hansard heading	Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Leader of the House, with reference to the Government's loneliness strategy, published in October 2018, what steps the Early Years Ministerial Group on Family Support is taking to (a) improve family support and (b) ensure local services work together in a more cost efficient and integrated way.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	196820
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>The Early Years Family Support Ministerial Group is considering how the Government can improve the coordination and cost-effectiveness of early years (conception to age 2) family support and identify gaps in available provision. The group is currently gathering evidence and engaging with external experts and academics on what more can be done in both areas to which the Honorable Member refers to, and will be making recommendations on this to relevant Secretaries of State in due course.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 03/12/2018 11:50:34 answering member 4117 label Biography information for Andrea Leadsom
tabling member	3958 label Biography information for Fiona Bruce

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

1001451

registered interest
date	05/11/2018
answering body	Ministry of Housing, Communities and Local Government
answering dept id	7
answering dept short name	Housing, Communities and Local Government
answering dept sort name	Housing, Communities and Local Government
hansard heading	Leasehold: Unfair Practices
house id	1
legislature	25259 pref label House of Commons
question text	What steps his Department is taking to tackle unfair practices in the leasehold system.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	907448
answer	answer is ministerial correction date of answer 05/11/2018 answer text <p>The Government is very clear that unjust practices in leasehold must come to an end. We have committed to banning new leasehold houses and restricting ground rents on future leases to a peppercorn. We launched our consultation on the details of these proposals on 15 October.</p> answering member constituency South Derbyshire answering member printed Mrs Heather Wheeler question first answered 05/11/2018 17:28:44 answering member 4053 label Biography information for Mrs Heather Wheeler
tabling member	3958 label Biography information for Fiona Bruce