More than 10% of women experience perinatal mental health problems or mental illness (i.e. during pregnancy or in the first postnatal year) and that is why improving diagnosis and services for women with perinatal mental health problems is one of the Department\u2019s key objectives for maternity care.<\/p>
<\/p>
<\/p>
<\/p>
Health Education England is working with partners to ensure that pre and post registration training in perinatal mental health is available to enable specialist staff to be available to every birthing unit by 2017.<\/p>
<\/p>
<\/p>
<\/p>
The ICD-10 classification system categorises conditions experienced by women during pregnancy and childbirth under \u2018mental and behavioural disorders in pregnancy, childbirth and the puerperium\u2019. There are eight ICD-10 codes for perinatal mental health diagnoses. F53.0 is the code assigned to postnatal depression.<\/p>
<\/p>
<\/p>
<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/3932", "label" : {"_value" : "Biography information for Dr Dan Poulter"} } , "answeringMemberConstituency" : {"_value" : "Central Suffolk and North Ipswich"} , "answeringMemberPrinted" : {"_value" : "Dr Daniel Poulter"} , "dateOfAnswer" : {"_value" : "2014-10-29", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2014-10-29T15:10:26.3121789Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2014-10-24", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Pregnancy: Mental Health Services"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, pursuant to the Answer of 23 October 2014 to Question 211152, which terms used to describe mental health conditions experienced by women during pregnancy and in the first year after their child is born are classifiable within the ICD-10 (International Classification of Diseases) classification system used to identify diagnoses in the Hospital Episode Statistics database.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4036", "label" : {"_value" : "Biography information for Luciana Berger"} } , "tablingMemberConstituency" : {"_value" : "Liverpool, Wavertree"} , "tablingMemberPrinted" : [{"_value" : "Luciana Berger"} ], "uin" : "211869"} , {"_about" : "http://data.parliament.uk/resources/100879", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/100879/answer", "answerText" : {"_value" : "
The Senior Responsible Officer at NHS England for perinatal mental health is Jane Cummings, the Chief Nursing Officer.<\/p>
<\/p>
<\/p>
<\/p>
NHS England is responsible for commissioning Specialised Perinatal Mental Health Services (In-patient Mother and Baby Units) nationally. Non-specialised services are commissioned by local clinical commissioning groups.<\/p>
<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/3932", "label" : {"_value" : "Biography information for Dr Dan Poulter"} } , "answeringMemberConstituency" : {"_value" : "Central Suffolk and North Ipswich"} , "answeringMemberPrinted" : {"_value" : "Dr Daniel Poulter"} , "dateOfAnswer" : {"_value" : "2014-10-29", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2014-10-29T14:28:27.8616709Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2014-10-24", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Pregnancy: Mental Health Services"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, pursuant to the Answer of 24 October 2014 to Question 211354, which official at NHS England has the lead responsibility for perinatal mental health services.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4036", "label" : {"_value" : "Biography information for Luciana Berger"} } , "tablingMemberConstituency" : {"_value" : "Liverpool, Wavertree"} , "tablingMemberPrinted" : [{"_value" : "Luciana Berger"} ], "uin" : "211870"} , {"_about" : "http://data.parliament.uk/resources/100884", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/100884/answer", "answerText" : {"_value" : "
Since September 2012, I have visited Ipswich Hospital twice in my ministerial capacity. This was on 25 December 2012 and 5 December 2013, and on many other occasions as a constituency MP, most recently on 10 October 2014.<\/p>
<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/3932", "label" : {"_value" : "Biography information for Dr Dan Poulter"} } , "answeringMemberConstituency" : {"_value" : "Central Suffolk and North Ipswich"} , "answeringMemberPrinted" : {"_value" : "Dr Daniel Poulter"} , "dateOfAnswer" : {"_value" : "2014-10-29", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2014-10-29T15:15:20.1222437Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2014-10-24", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Ipswich Hospital"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, how many times the Parliamentary Under-Secretary of State for Health has visited Ipswich Hospital in his ministerial capacity.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1503", "label" : {"_value" : "Biography information for Mr Jamie Reed"} } , "tablingMemberConstituency" : {"_value" : "Copeland"} , "tablingMemberPrinted" : [{"_value" : "Mr Jamie Reed"} ], "uin" : "211901"} , {"_about" : "http://data.parliament.uk/resources/100810", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/100810/answer", "answerText" : {"_value" : "
Information about the number of iPads and iPhones procured by the Department and the Department\u2019s non-departmental public bodies is available in the attached table, broken down by financial years.<\/p>
<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/3932", "label" : {"_value" : "Biography information for Dr Dan Poulter"} } , "answeringMemberConstituency" : {"_value" : "Central Suffolk and North Ipswich"} , "answeringMemberPrinted" : {"_value" : "Dr Daniel Poulter"} , "attachment" : {"_about" : "http://data.parliament.uk/resources/100810/answer/attachment/1", "fileName" : {"_value" : "ipad and iphone Procurement Department of Health.docx"} , "title" : "iPhone & iPad Procurement Dept of Health"} , "dateOfAnswer" : {"_value" : "2014-10-28", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2014-10-28T17:48:50.4618488Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2014-10-23", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "ICT"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, how much (a) his Department, (b) Public Health England, (c) NHS England and (d) each non-departmental public body spent on (i) iPads and (ii)iPhones in each of the last five years; and how many of each were purchased in each of those years.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4036", "label" : {"_value" : "Biography information for Luciana Berger"} } , "tablingMemberConstituency" : {"_value" : "Liverpool, Wavertree"} , "tablingMemberPrinted" : [{"_value" : "Luciana Berger"} ], "uin" : "211806"} , {"_about" : "http://data.parliament.uk/resources/100815", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/100815/answer", "answerText" : {"_value" : "
The Government is working to improve perinatal mental health services, collaborating closely with partner organisations including NHS England, Health Education England and the Institute of Health Visiting.<\/p>
<\/p>
<\/p>
<\/p>
Specialised Perinatal Mental Health Services (Mother and Baby Units) are a part of a wider network of services that provide care for this patient group and the commissioning of the \u2018specialist\u2019 (local) and \u2018specialised\u2019 (national) pathway is a responsibility shared between NHS England, clinical commissioning groups and local authorities.<\/p>
<\/p>
<\/p>
<\/p>
Health Education England is working with partners to ensure that pre and post registration training in perinatal mental health is available to enable specialist staff to be available to every birthing unit by 2017.<\/p>
<\/p>
<\/p>
<\/p>
The Department has funded the Institute of Health Visitors to train a network of 375 perinatal mental health visitor champions. This training initiative addresses the requirements that are necessary for health visitors to manage anxiety, mild to moderate depression and other perinatal mental disorders and to understand the impact of these disorders on the child, the family and society, and to know when to refer on.<\/p>
<\/p>
<\/p>
<\/p>
NHS England will, through its Maternity and Children Strategic Clinical Networks support the continued development of maternity and perinatal mental health networks to drive improvements to access, quality of care and inter-service communication that enhances the experience of women and families generally, and more specifically for the large numbers of women who are at risk of poor mental health during pregnancy and following childbirth.<\/p>
<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/3932", "label" : {"_value" : "Biography information for Dr Dan Poulter"} } , "answeringMemberConstituency" : {"_value" : "Central Suffolk and North Ipswich"} , "answeringMemberPrinted" : {"_value" : "Dr Daniel Poulter"} , "dateOfAnswer" : {"_value" : "2014-10-28", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2014-10-28T14:52:39.5730094Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2014-10-23", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Pregnancy: Mental Health Services"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, pursuant to the oral Answer of 21 October 2014 from the Minister of State for Care and Support, Official Report, column 749, on mental health nurses, what significant improvements to perinatal mental services have been made.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4036", "label" : {"_value" : "Biography information for Luciana Berger"} } , "tablingMemberConstituency" : {"_value" : "Liverpool, Wavertree"} , "tablingMemberPrinted" : [{"_value" : "Luciana Berger"} ], "uin" : "211840"} , {"_about" : "http://data.parliament.uk/resources/100403", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/100403/answer", "answerText" : {"_value" : "
The National Health Service locally should ensure that appropriate facilities and services are in place to support bereaved parents following the death of a baby. In line with the Nursing and Midwifery Council\u2019s Standards of proficiency for pre-registration midwifery education, all midwives should be proficient in providing care for women who have suffered pregnancy loss, stillbirth or neonatal death. Health Education England has agreed to work with partners to ensure that pre and post registration training in perinatal mental health is available to enable specialist staff to be available to every birthing unit by 2017.<\/p>
To assist NHS commissioners and providers, the Royal College of Obstetricians and Gynaecologists\u2019 Standards for Gynaecology and Standards for Maternity sets out clear standards for the level of care provided to help women and their partners experiencing pregnancy loss, including the availability of skilled staff to support parents following a stillbirth or miscarriage. A number of trusts now employ specialist bereavement midwives to provide this support.<\/p>
To further assist NHS maternity services, NHS Improving Quality published \u2018A review of support available for loss in early and late pregnancy\u2019 in February 2014, which highlights areas of good practice and additional sources of support, such as the stillbirth and neonatal death charity, Sands.<\/p>
Local NHS maternity care providers are responsible for ensuring parents receive appropriate information on bereavement support and services following the death of a baby. To complement information provided locally, information on support for parents after a stillbirth is available on the NHS Choices website at:<\/p>
www.nhs.uk/Conditions/Stillbirth/Pages/Getting-help.aspx<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/3932", "label" : {"_value" : "Biography information for Dr Dan Poulter"} } , "answeringMemberConstituency" : {"_value" : "Central Suffolk and North Ipswich"} , "answeringMemberPrinted" : {"_value" : "Dr Daniel Poulter"} , "dateOfAnswer" : {"_value" : "2014-10-27", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2014-10-27T16:51:15.4183427Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2014-10-22", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Perinatal Mortality"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, what steps the NHS takes to assist mothers of stillborn children to come to terms with their grief.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4131", "label" : {"_value" : "Biography information for Jim Shannon"} } , "tablingMemberConstituency" : {"_value" : "Strangford"} , "tablingMemberPrinted" : [{"_value" : "Jim Shannon"} ], "uin" : "211575"} , {"_about" : "http://data.parliament.uk/resources/100406", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/100406/answer", "answerText" : {"_value" : "
In filling their vacancies, employers across the National Health Service in England are required to comply with employment law and ensure all applicants including citizens of, and others who demonstrate they are eligible to work in, the United Kingdom, are treated fairly and consistently.<\/p>
<\/p>
<\/p>
<\/p>
Health Education England[1]<\/sup><\/sup> has been tasked with reducing the number of health roles on the Home Office Shortage Occupation List by March 2015. Where roles remain on the list an action plan should be produced to ensure that work is done to ensure that they can be removed.<\/p> <\/p> [1] \u201dDelivering high quality effective, compassionate care: Developing the right people with the right skills and right values\u201d- A Mandate to Health Education England: April 2014 to March 2015<\/p> <\/p> <\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/3932", "label" : {"_value" : "Biography information for Dr Dan Poulter"}
}
, "answeringMemberConstituency" : {"_value" : "Central Suffolk and North Ipswich"}
, "answeringMemberPrinted" : {"_value" : "Dr Daniel Poulter"}
, "dateOfAnswer" : {"_value" : "2014-10-27", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2014-10-27T16:47:06.134716Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2014-10-22", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "NHS: Vacancies"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Health, if he will take steps to ensure that as many staff vacancies in the NHS as possible are filled by citizens of the UK.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4131", "label" : {"_value" : "Biography information for Jim Shannon"}
}
, "tablingMemberConstituency" : {"_value" : "Strangford"}
, "tablingMemberPrinted" : [{"_value" : "Jim Shannon"}
], "uin" : "211577"}
, {"_about" : "http://data.parliament.uk/resources/100408", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/100408/answer", "answerText" : {"_value" : " Following the Francis report[1] many trusts increased their spend on temporary staffing to meet safe staffing levels.<\/p> <\/p> <\/p> <\/p> The Department expects trusts to have a strong grip on their finances, and manage their contract and agency[2] staffing spend responsibly through effective and efficient workforce planning and management.<\/p> <\/p> <\/p> <\/p> The proportion of National Health Service foundation trusts staff budgets that consisted of expenditure on contract and agency staff in each of the last five financial years is set out in the following table:<\/p> <\/p> <\/p> <\/p> Year<\/p><\/td> Proportion<\/p><\/td><\/tr> 2013-14<\/p><\/td> 5.3%<\/p><\/td><\/tr> 2012-13<\/p><\/td> 4.5%<\/p><\/td><\/tr> 2011-12<\/p><\/td> 4.0%<\/p><\/td><\/tr> 2010-11<\/p><\/td> 4.4%<\/p><\/td><\/tr> 2009-10<\/p><\/td> 5.0%<\/p><\/td><\/tr><\/tbody><\/table> <\/p> The proportion of NHS trusts staff budgets that consisted of expenditure on contract and agency staff in 2013-14 is 6.3%. Previous years are not available as agency and contract staff were not identified separately from other non permanent staff[3].<\/p> <\/p>