{ "format" : "linked-data-api", "version" : "0.2", "result" : {"_about" : "https://eldaddp.azurewebsites.net/answeredquestions.text?max-ddpCreated=2019-03-13T22%3A03%3A23.100Z&houseId=1&answeringDeptId=17&min-ddpCreated=2018-12-05T21%3A54%3A01.503Z", "definition" : "https://eldaddp.azurewebsites.net/meta/answeredquestions.text?max-ddpCreated=2019-03-13T22%3A03%3A23.100Z&houseId=1&answeringDeptId=17&min-ddpCreated=2018-12-05T21%3A54%3A01.503Z", "extendedMetadataVersion" : "https://eldaddp.azurewebsites.net/answeredquestions.text?max-ddpCreated=2019-03-13T22%3A03%3A23.100Z&houseId=1&answeringDeptId=17&min-ddpCreated=2018-12-05T21%3A54%3A01.503Z&_metadata=all", "first" : "https://eldaddp.azurewebsites.net/answeredquestions.text?_page=0&max-ddpCreated=2019-03-13T22%3A03%3A23.100Z&houseId=1&answeringDeptId=17&min-ddpCreated=2018-12-05T21%3A54%3A01.503Z", "hasPart" : "https://eldaddp.azurewebsites.net/answeredquestions.text?max-ddpCreated=2019-03-13T22%3A03%3A23.100Z&houseId=1&answeringDeptId=17&min-ddpCreated=2018-12-05T21%3A54%3A01.503Z", "isPartOf" : "https://eldaddp.azurewebsites.net/answeredquestions.text?max-ddpCreated=2019-03-13T22%3A03%3A23.100Z&houseId=1&answeringDeptId=17&min-ddpCreated=2018-12-05T21%3A54%3A01.503Z", "items" : [{"_about" : "http://data.parliament.uk/resources/1088233", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1088233/answer", "answerText" : {"_value" : "

No assessment has been made of the potential merits of increasing the proportion of specialised social care in community hospitals.<\/p>

<\/p>

Local authorities have duties under the Care Act 2014 to meet the eligible needs of the people in their local area, subject to a financial assessment. Local authorities should ensure that they commission appropriate and effective services for people with eligible care and support needs.<\/p>

<\/p>

Integrated Care Systems (ICSs) bring together local organisations to redesign care and improve population health, creating shared leadership and action. They are a pragmatic and practical way of delivering the \u2018triple integration\u2019 of primary and acute care, physical and mental health services, and health with social care. ICSs will have a key role in working with local authorities at \u2018place\u2019 level and through ICSs, the National Health Service and local government will work together to design services and improve population health. The NHS Long Term Plan set out a vision for ICSs to cover the whole country by April 2021.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4008", "label" : {"_value" : "Biography information for Dame Caroline Dinenage"} } , "answeringMemberConstituency" : {"_value" : "Gosport"} , "answeringMemberPrinted" : {"_value" : "Caroline Dinenage"} , "dateOfAnswer" : {"_value" : "2019-03-19", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "previousAnswerVersion" : {"_about" : "http://data.parliament.uk/resources/1088233/answer/previousversion/108485", "answeringMember" : {"_about" : "http://data.parliament.uk/members/4008", "label" : {"_value" : "Biography information for Dame Caroline Dinenage"} } , "answeringMemberConstituency" : {"_value" : "Gosport"} , "answeringMemberPrinted" : {"_value" : "Caroline Dinenage"} } , "questionFirstAnswered" : [{"_value" : "2019-03-19T11:09:06.577Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-03-13", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Community Hospitals: Social 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 and Social Care, what assessment he has made of the potential merits of increasing the proportion of specialised social care provided by community hospitals.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1436", "label" : {"_value" : "Biography information for Paul Farrelly"} } , "tablingMemberConstituency" : {"_value" : "Newcastle-under-Lyme"} , "tablingMemberPrinted" : [{"_value" : "Paul Farrelly"} ], "uin" : "231928"} , {"_about" : "http://data.parliament.uk/resources/1088234", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1088234/answer", "answerText" : {"_value" : "

The number of active European Health Insurance Cards issued to people over 70 is as follows:<\/p>

Northern Ireland<\/p><\/td>

60,132<\/p><\/td><\/tr>

England<\/p><\/td>

2,391,876<\/p><\/td><\/tr>

Scotland<\/p><\/td>

219,675<\/p><\/td><\/tr>

Wales<\/p><\/td>

140,439<\/p><\/td><\/tr><\/tbody><\/table>


The data by region is not available.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1585", "label" : {"_value" : "Biography information for Stephen Hammond"} } , "answeringMemberConstituency" : {"_value" : "Wimbledon"} , "answeringMemberPrinted" : {"_value" : "Stephen Hammond"} , "dateOfAnswer" : {"_value" : "2019-03-18", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-03-18T11:28:47.9Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-03-13", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Health Services: Reciprocal Arrangements"} , "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 and Social Care, pursuant to the Answer of 26 February 2019 to Question 224304 on Health Services: Reciprocal Arrangements, how many European Health Insurance Cards have been issued to people over the age of 70 in each of the nations and regions of the UK.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1463", "label" : {"_value" : "Biography information for Lord Watson of Wyre Forest"} } , "tablingMemberConstituency" : {"_value" : "West Bromwich East"} , "tablingMemberPrinted" : [{"_value" : "Tom Watson"} ], "uin" : "231936"} , {"_about" : "http://data.parliament.uk/resources/1088242", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1088242/answer", "answerText" : {"_value" : "

Undergraduate medical schools determine the content of their own curricula but are required to integrate the General Medical Council\u2019s \u2018Outcomes for Graduates\u2019. These Outcomes include the knowledge, skills and behaviour that graduates must be able to demonstrate before gaining a licence to practise medicine.<\/p>

The Outcomes were updated in 2018, with the integration of mental and social health care and caring for people with multiple morbidities, including mental health conditions, being key drivers for the update.<\/p>

The new Outcomes specify that newly qualified doctors must explain and illustrate by professional experience the principles for the identification, safe management and referral of patients with mental health conditions. They must also take action in response to factors suggesting patient vulnerability, including assessing the needs of, and support required, for people with mental health conditions. Newly qualified doctors must be able to explain the relationship between psychological and medical conditions and how psychological factors impact on risk and treatment outcome. Finally the Outcomes take into account multi-professional working, noting that newly qualified doctors must work effectively within a multi-professional and multi-disciplinary team and across multiple care settings.<\/p>

Medical schools have to design their curricula and assessments in order for their students to be able to meet all of the Outcomes by the time they complete their course. Schools have until summer 2020 to make sure their curriculum meets the new outcomes.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1585", "label" : {"_value" : "Biography information for Stephen Hammond"} } , "answeringMemberConstituency" : {"_value" : "Wimbledon"} , "answeringMemberPrinted" : {"_value" : "Stephen Hammond"} , "dateOfAnswer" : {"_value" : "2019-03-18", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-03-18T11:30:33.58Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-03-13", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Eating Disorders"} , "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 and Social Care, whether he plans to ensure that on medicine courses the effect of eating disorders on mental health is given parity of esteem with their effect on physical health; and if he will make a statement.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1436", "label" : {"_value" : "Biography information for Paul Farrelly"} } , "tablingMemberConstituency" : {"_value" : "Newcastle-under-Lyme"} , "tablingMemberPrinted" : [{"_value" : "Paul Farrelly"} ], "uin" : "231929"} , {"_about" : "http://data.parliament.uk/resources/1088268", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1088268/answer", "answerText" : {"_value" : "

Public Health England publishes cervical screening coverage by clinical commissioning group (CCG), which shows coverage by practice for the current period and the previous screening interval period of 3.5 years or 5.5 years. The information is available at the following link:<\/p>

<\/p>

https://www.gov.uk/government/publications/cervical-screening-coverage-and-data<\/a><\/p>

<\/p>

NHS England commissioners oversee services so that performance and trends can be monitored locally.<\/p>

<\/p>

NHS England is accountable to the Secretary of State for Health and Social Care for how well it performs its responsibilities under the Public Health Functions Agreement including to commission high quality public health services, with efficient use of resources, seeking to achieve positive health outcomes and to promote equality and reduce health inequalities. Quarterly assurance reports, produced jointly by NHS England and Public Health England, include a performance indicator on cervical screening coverage rates.<\/p>

<\/p>

In addition, a range of national statistics and other data on cervical screening including coverage rates at primary care and CCG levels is published by NHS Digital and is available at the following link:<\/p>

<\/p>

https://digital.nhs.uk/data-and-information/publications/statistical/cervical-screening-programme<\/a><\/p>

<\/p>

As part of the delivery of the General Practitioner Five Year Forward View, the National Health Service is investing more than £258 million to improve access to general practice. Patients are now benefitting from improved access to all routine appointments (including cervical screening), at evening and/or weekends.<\/p>

<\/p>

The NHS Cervical Cancer screening programme saves an estimated 5,000 lives a year by detecting abnormalities of the cervix early and referring women for effective treatment.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"} } , "answeringMemberConstituency" : {"_value" : "Winchester"} , "answeringMemberPrinted" : {"_value" : "Steve Brine"} , "dateOfAnswer" : {"_value" : "2019-03-21", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-03-21T16:22:48.23Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-03-13", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Cervical Cancer: Screening"} , "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 and Social Care, pursuant to the Answer of 28 February 2019 to Question 223982 on Cervical Cancer: Screening, if he will make it his policy to (a) require CCGs to monitor and report to him on the availability of cervical screening appointments at GP surgeries and (b) request the information necessary to allow him to monitor regularly the rates of attendance for cervical screening appointments.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/3930", "label" : {"_value" : "Biography information for Caroline Lucas"} } , "tablingMemberConstituency" : {"_value" : "Brighton, Pavilion"} , "tablingMemberPrinted" : [{"_value" : "Caroline Lucas"} ], "uin" : "231979"} , {"_about" : "http://data.parliament.uk/resources/1088277", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1088277/answer", "answerText" : {"_value" : "

NHS England\u2019s focus on improving the physical needs of this patient population have resulted in the development of a dedicated medicine improvement programme for those in an immigration removal centre (IRC).<\/p>

<\/p>

The programme aims to improve the optimisation of medicines for people in immigration removal centres and has been underpinned by specific professional medicines optimisation standards published in partnership with the Royal Pharmaceutical Society (2017).<\/p>

<\/p>

The programme aims to improve the optimisation of medicines for people in IRCs to deliver:<\/p>

<\/p>

- A clear understanding of current provision of pharmacy services, including on-site services, and medicines handling and use in IRCs;<\/p>

- An audit of the medicines standards in all IRCs to support quality improvement in pharmacy services and medicines optimisation;<\/p>

- Identification of key improvement priorities for each IRC based on the gap analysis between provision and expected standards;<\/p>

- Introduction by providers of policies and an IT-based risk assessment tools to enable as many detainees as possible to self-administer their medicines;<\/p>

- Provide medicines in an environment where people can maintain confidentiality and access support from pharmacy staff about their medicines; and<\/p>

- Improve continuity of medicines on admission through more effective electronic recording during their period of detention in IRCs as well as on their release and transfer or deportation.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4065", "label" : {"_value" : "Biography information for Dame Jackie Doyle-Price"} } , "answeringMemberConstituency" : {"_value" : "Thurrock"} , "answeringMemberPrinted" : {"_value" : "Jackie Doyle-Price"} , "dateOfAnswer" : {"_value" : "2019-03-18", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-03-18T14:19:34.24Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-03-13", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Migrants: Detainees"} , "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 and Social Care, what steps are taken to ensure that people in immigration removal centres have uninterrupted access to prescribed medication.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4571", "label" : {"_value" : "Biography information for Gill Furniss"} } , "tablingMemberConstituency" : {"_value" : "Sheffield, Brightside and Hillsborough"} , "tablingMemberPrinted" : [{"_value" : "Gill Furniss"} ], "uin" : "232076"} , {"_about" : "http://data.parliament.uk/resources/1088329", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1088329/answer", "answerText" : {"_value" : "

The Department of Health and Social Care is working closely with the Department for Education to improve the mental health of undergraduate students. Our joint document, \u2018Transforming children and young people\u2019s mental health provision: a green paper\u2019, includes a commitment to build a new national strategic partnership with key stakeholders to improve the mental health of 16 to 25 year olds in schools, colleges and universities, by facilitating coordinated action, experimentation and robust evaluation on leadership, prevention and improved data collection.<\/p>

To support this, the NHS Long Term Plan commits to a comprehensive expansion of mental health services, including a new approach to mental health services for people aged 18-25, supporting transitions to college and to adulthood, with services being adapted to create a comprehensive offer for 0-25-year olds.<\/p>

NHS England is working closely with Universities UK through the Mental Health in Higher Education programme to build the capability and capacity of universities to improve student welfare services and improve access to mental health services for the student population, including focusing on suicide reduction, and improving access to psychological therapies to support treat students suffering from stress and anxiety.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4065", "label" : {"_value" : "Biography information for Dame Jackie Doyle-Price"} } , "answeringMemberConstituency" : {"_value" : "Thurrock"} , "answeringMemberPrinted" : {"_value" : "Jackie Doyle-Price"} , "dateOfAnswer" : {"_value" : "2019-03-18", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-03-18T14:21:04.897Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-03-13", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Health: Students"} , "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 and Social Care, what steps the Government is taking to reduce the prevelance of (a) stress, (b) loneliness, (c) anxiety, and (d) substance misuse among undergraduate students.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/534", "label" : {"_value" : "Biography information for Chris Ruane"} } , "tablingMemberConstituency" : {"_value" : "Vale of Clwyd"} , "tablingMemberPrinted" : [{"_value" : "Chris Ruane"} ], "uin" : "231917"} , {"_about" : "http://data.parliament.uk/resources/1088345", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1088345/answer", "answerText" : {"_value" : "

NHS England does not hold information on the number of National Health Service trusts in England that have outsourced cancer treatment services.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"} } , "answeringMemberConstituency" : {"_value" : "Winchester"} , "answeringMemberPrinted" : {"_value" : "Steve Brine"} , "dateOfAnswer" : {"_value" : "2019-03-18", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-03-18T16:25:54.653Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-03-13", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Cancer: 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 and Social Care, what recent estimate his Department has made of the number of NHS trusts in England that have outsourced cancer treatment services, in part or in whole, to private sector providers.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/308", "label" : {"_value" : "Biography information for Mr Jim Cunningham"} } , "tablingMemberConstituency" : {"_value" : "Coventry South"} , "tablingMemberPrinted" : [{"_value" : "Mr Jim Cunningham"} ], "uin" : "231900"} , {"_about" : "http://data.parliament.uk/resources/1088401", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1088401/answer", "answerText" : {"_value" : "

In April 2018, strengthened regulatory measures for valproate were introduced following a European-wide review of the latest evidence on harms from valproate exposure during pregnancy, including congenital anomalies and neurodevelopmental disorders including autism in children. These measures include the valproate Pregnancy Prevention Programme, the goal of which is to rapidly reduce and eventually eliminate pregnancies exposed to valproate.<\/p>

<\/p>

The Medicines and Healthcare products Regulatory Agency (MHRA) is monitoring the impact of, and adherence to, the strengthened regulatory recommendations for valproate including the Pregnancy Prevention Programme, using research studies and routinely collected healthcare data. These include data from the Clinical Practice Research Datalink, national databases in England (NHS Business Services Authority and NHS Digital), Scotland (Information Services Division), and Northern Ireland (Health and Social Care Northern Ireland) linking community drug dispensing and maternity services data where these are available. The MHRA is also accessing data on valproate from clinical audits run by healthcare professional organisations, and information on patients\u2019 experience of introduction of the strengthened regulatory measures via surveys conducted by charitable organisations and patient groups.<\/p>

<\/p>

Monitoring of prescribing of valproate has shown a slow, continued decline in women of childbearing age. Data show variability in levels of prescribing of valproate to women of childbearing age across different clinical commissioning groups in England. The current monitoring methods used by the MHRA do not enable comprehensive monitoring of compliance at the prescriber or patient level. It is therefore not possible to estimate the number of healthcare professionals who are not complying with all aspects of the Pregnancy Prevention Programme. Surveys of patient experiences have shown some evidence of non-compliance amongst healthcare professionals with the valproate Pregnancy Prevention Programme. Actions are being taken by the relevant professional regulators to follow up and address this.<\/p>

<\/p>

The recent European review of valproate in pregnancy considered a possible association between birth defects and persistent developmental disorders associated with paternal valproate treatment at the time of conception. The review concluded that there was insufficient evidence at present to establish such a link. A retrospective observational study is to be undertaken to further investigate this issue for which a study protocol is currently being agreed by the European Medicines Agency.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4065", "label" : {"_value" : "Biography information for Dame Jackie Doyle-Price"} } , "answeringMemberConstituency" : {"_value" : "Thurrock"} , "answeringMemberPrinted" : {"_value" : "Jackie Doyle-Price"} , "dateOfAnswer" : {"_value" : "2019-03-21", "_datatype" : "dateTime"} , "groupedQuestionUIN" : [{"_value" : "232044"} , {"_value" : "232045"} ], "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-03-21T12:14:16.81Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-03-13", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Pregnancy: Sodium Valproate"} , "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 and Social Care, what assessment he has made of the effectiveness of the valproate pregnancy prevention programme in reducing the number of children born with birth defects and persistent developmental disorders.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4436", "label" : {"_value" : "Biography information for Cat Smith"} } , "tablingMemberConstituency" : {"_value" : "Lancaster and Fleetwood"} , "tablingMemberPrinted" : [{"_value" : "Cat Smith"} ], "uin" : "232043"} , {"_about" : "http://data.parliament.uk/resources/1088402", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1088402/answer", "answerText" : {"_value" : "

In April 2018, strengthened regulatory measures for valproate were introduced following a European-wide review of the latest evidence on harms from valproate exposure during pregnancy, including congenital anomalies and neurodevelopmental disorders including autism in children. These measures include the valproate Pregnancy Prevention Programme, the goal of which is to rapidly reduce and eventually eliminate pregnancies exposed to valproate.<\/p>

<\/p>

The Medicines and Healthcare products Regulatory Agency (MHRA) is monitoring the impact of, and adherence to, the strengthened regulatory recommendations for valproate including the Pregnancy Prevention Programme, using research studies and routinely collected healthcare data. These include data from the Clinical Practice Research Datalink, national databases in England (NHS Business Services Authority and NHS Digital), Scotland (Information Services Division), and Northern Ireland (Health and Social Care Northern Ireland) linking community drug dispensing and maternity services data where these are available. The MHRA is also accessing data on valproate from clinical audits run by healthcare professional organisations, and information on patients\u2019 experience of introduction of the strengthened regulatory measures via surveys conducted by charitable organisations and patient groups.<\/p>

<\/p>

Monitoring of prescribing of valproate has shown a slow, continued decline in women of childbearing age. Data show variability in levels of prescribing of valproate to women of childbearing age across different clinical commissioning groups in England. The current monitoring methods used by the MHRA do not enable comprehensive monitoring of compliance at the prescriber or patient level. It is therefore not possible to estimate the number of healthcare professionals who are not complying with all aspects of the Pregnancy Prevention Programme. Surveys of patient experiences have shown some evidence of non-compliance amongst healthcare professionals with the valproate Pregnancy Prevention Programme. Actions are being taken by the relevant professional regulators to follow up and address this.<\/p>

<\/p>

The recent European review of valproate in pregnancy considered a possible association between birth defects and persistent developmental disorders associated with paternal valproate treatment at the time of conception. The review concluded that there was insufficient evidence at present to establish such a link. A retrospective observational study is to be undertaken to further investigate this issue for which a study protocol is currently being agreed by the European Medicines Agency.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4065", "label" : {"_value" : "Biography information for Dame Jackie Doyle-Price"} } , "answeringMemberConstituency" : {"_value" : "Thurrock"} , "answeringMemberPrinted" : {"_value" : "Jackie Doyle-Price"} , "dateOfAnswer" : {"_value" : "2019-03-21", "_datatype" : "dateTime"} , "groupedQuestionUIN" : [{"_value" : "232043"} , {"_value" : "232045"} ], "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-03-21T12:14:16.873Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-03-13", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Pregnancy: Sodium Valproate"} , "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 and Social Care, what estimate he has made on the number of healthcare professionals that are not complying with the requirements of the valproate pregnancy prevention programme.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4436", "label" : {"_value" : "Biography information for Cat Smith"} } , "tablingMemberConstituency" : {"_value" : "Lancaster and Fleetwood"} , "tablingMemberPrinted" : [{"_value" : "Cat Smith"} ], "uin" : "232044"} , {"_about" : "http://data.parliament.uk/resources/1088403", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1088403/answer", "answerText" : {"_value" : "

In April 2018, strengthened regulatory measures for valproate were introduced following a European-wide review of the latest evidence on harms from valproate exposure during pregnancy, including congenital anomalies and neurodevelopmental disorders including autism in children. These measures include the valproate Pregnancy Prevention Programme, the goal of which is to rapidly reduce and eventually eliminate pregnancies exposed to valproate.<\/p>

<\/p>

The Medicines and Healthcare products Regulatory Agency (MHRA) is monitoring the impact of, and adherence to, the strengthened regulatory recommendations for valproate including the Pregnancy Prevention Programme, using research studies and routinely collected healthcare data. These include data from the Clinical Practice Research Datalink, national databases in England (NHS Business Services Authority and NHS Digital), Scotland (Information Services Division), and Northern Ireland (Health and Social Care Northern Ireland) linking community drug dispensing and maternity services data where these are available. The MHRA is also accessing data on valproate from clinical audits run by healthcare professional organisations, and information on patients\u2019 experience of introduction of the strengthened regulatory measures via surveys conducted by charitable organisations and patient groups.<\/p>

<\/p>

Monitoring of prescribing of valproate has shown a slow, continued decline in women of childbearing age. Data show variability in levels of prescribing of valproate to women of childbearing age across different clinical commissioning groups in England. The current monitoring methods used by the MHRA do not enable comprehensive monitoring of compliance at the prescriber or patient level. It is therefore not possible to estimate the number of healthcare professionals who are not complying with all aspects of the Pregnancy Prevention Programme. Surveys of patient experiences have shown some evidence of non-compliance amongst healthcare professionals with the valproate Pregnancy Prevention Programme. Actions are being taken by the relevant professional regulators to follow up and address this.<\/p>

<\/p>

The recent European review of valproate in pregnancy considered a possible association between birth defects and persistent developmental disorders associated with paternal valproate treatment at the time of conception. The review concluded that there was insufficient evidence at present to establish such a link. A retrospective observational study is to be undertaken to further investigate this issue for which a study protocol is currently being agreed by the European Medicines Agency.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4065", "label" : {"_value" : "Biography information for Dame Jackie Doyle-Price"} } , "answeringMemberConstituency" : {"_value" : "Thurrock"} , "answeringMemberPrinted" : {"_value" : "Jackie Doyle-Price"} , "dateOfAnswer" : {"_value" : "2019-03-21", "_datatype" : "dateTime"} , "groupedQuestionUIN" : [{"_value" : "232043"} , {"_value" : "232044"} ], "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-03-21T12:14:16.92Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-03-13", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Pregnancy: Sodium Valproate"} , "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 and Social Care, what assessment he has made of link between birth defects and persistent developmental disorders and fathers taking valproate at the time of conception.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4436", "label" : {"_value" : "Biography information for Cat Smith"} } , "tablingMemberConstituency" : {"_value" : "Lancaster and Fleetwood"} , "tablingMemberPrinted" : [{"_value" : "Cat Smith"} ], "uin" : "232045"} ], "itemsPerPage" : 10, "next" : "https://eldaddp.azurewebsites.net/answeredquestions.text?_page=1&max-ddpCreated=2019-03-13T22%3A03%3A23.100Z&houseId=1&answeringDeptId=17&min-ddpCreated=2018-12-05T21%3A54%3A01.503Z", "page" : 0, "startIndex" : 1, "totalResults" : 2013, "type" : ["http://purl.org/linked-data/api/vocab#ListEndpoint", "http://purl.org/linked-data/api/vocab#Page"]} }