Asked by: Baroness Gould of Potternewton (Labour - Life peer)
Question to the Home Office:
To ask Her Majesty’s Government how much funding, and what resources, are allocated to providing training for teachers and those working in the care and medical professions to recognise female genital mutilation.
Answered by Lord Ahmad of Wimbledon - Minister of State (Foreign, Commonwealth and Development Office)
We are clear that Female Genital Mutilation (FGM) is a crime and it is child abuse. On 1 April we published updated multi-agency statutory guidance on FGM including information to help professionals understand the risk factors that they should be looking out for and what action they should take. In addition, free e-learning is available to all professionals, providing training on how to recognise and respond to FGM. To date the course has been completed by over 30,000 people. In addition, the Department of Health’s £3M FGM Prevention Programme is focused on improving the NHS response and includes free e-learning for healthcare professionals. A new mandatory reporting duty requiring regulated health and social care professionals and teachers to report known cases of FGM in under 18s to the police came into force on 31 October 2015. Professionals encountering instances of FGM in women over 18, or who believe that a girl or woman is at risk, should follow established safeguarding procedures. Anyone who is concerned that a girl or woman has undergone FGM or is at risk can contact the NSPCC FGM helpline. Reports to this helpline can be made anonymously. The Home Office’s Border Force plays a vital role in helping to identify and protect potential victims of FGM travelling to and from the UK. Border Force work with the police in protecting girls and young women at risk of FGM, including carrying out joint operations. FGM Protection Orders (FGMPOs) were fast-tracked for implementation last July and are being used to protect girls at risk of FGM, including those who may be taken abroad. Ministry of Justice data released on 31 March shows 32 FGMPOs were issued between July and December 2015.
Asked by: Baroness Gould of Potternewton (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government what action they are taking to prevent the spread of gonorrhoea in England.
Answered by Lord Prior of Brampton
Public Health England (PHE) undertakes a number of actions to limit the spread of gonorrhoea and other sexually transmitted infections in populations most at risk of infection in England, which are outlined in PHE’s Strategic Action Plan for Health promotion for sexual and reproductive health and HIV. These activities are focused on (i) developing and providing high quality surveillance data to monitor rates of gonorrhoea and related antimicrobial resistance, (ii) producing national guidance and a service specification template to optimise infection detection, (iii) maintaining effective treatment by advising on national treatment guidelines, promoting good prescribing practice and updating national guidance on the management of gonorrhoea in primary care, (iv) leading the public health response to local and national outbreaks to control wider dissemination in the population (v) supporting high quality case and partner management by providing expert advice, (vi) improving prevention by raising awareness in professionals and affected communities through local and national campaigns, and (vii) co-leading research to improve the evidence base. A copy of the Strategic Action Plan is attached.
Asked by: Baroness Gould of Potternewton (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government what is the status of Public Health England's Missed Opportunity Programme referenced in the 2014 Annual Report of the Chief Medical Officer, and whether they will place in the Library of the House any research findings related to that programme.
Answered by Lord Prior of Brampton
The Government’s Framework for Sexual Health Improvement in England sets out the need to increase access to all methods of contraception including long acting (LARC) methods and that better support is needed to access contraception after childbirth. Local authorities are mandated to provide access to the full range of contraception services and should work with clinical commissioning groups to ensure that contraception is discussed and all methods of contraception, including LARC, are accessible as part of the post-natal maternity pathway. Further guidance will be available in Public Health England’s Missed Opportunities in Pregnancy report. This addresses the missed opportunities for the provision of contraception along the maternity, abortion and early pregnancy loss pathways, and is now in the final stage of revisions and is expected to be published later in 2016.
Asked by: Baroness Gould of Potternewton (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government what consideration they have given to increasing access to long-acting reversible contraception post-pregnancy as recommended in the 2014 Annual Report of the Chief Medical Officer, <i>The Health of the 51%: Women</i>, and in NICE guidelines on postnatal care.
Answered by Lord Prior of Brampton
The Government’s Framework for Sexual Health Improvement in England sets out the need to increase access to all methods of contraception including long acting (LARC) methods and that better support is needed to access contraception after childbirth. Local authorities are mandated to provide access to the full range of contraception services and should work with clinical commissioning groups to ensure that contraception is discussed and all methods of contraception, including LARC, are accessible as part of the post-natal maternity pathway. Further guidance will be available in Public Health England’s Missed Opportunities in Pregnancy report. This addresses the missed opportunities for the provision of contraception along the maternity, abortion and early pregnancy loss pathways, and is now in the final stage of revisions and is expected to be published later in 2016.
Asked by: Baroness Gould of Potternewton (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government what steps they are taking to encourage health trusts to include (1) advice on and (2) access to postpartum contraception in maternity care contracts.
Answered by Lord Prior of Brampton
The Government’s Framework for Sexual Health Improvement in England sets out the need to increase access to all methods of contraception including long acting (LARC) methods and that better support is needed to access contraception after childbirth. Local authorities are mandated to provide access to the full range of contraception services and should work with clinical commissioning groups to ensure that contraception is discussed and all methods of contraception, including LARC, are accessible as part of the post-natal maternity pathway. Further guidance will be available in Public Health England’s Missed Opportunities in Pregnancy report. This addresses the missed opportunities for the provision of contraception along the maternity, abortion and early pregnancy loss pathways, and is now in the final stage of revisions and is expected to be published later in 2016.
Asked by: Baroness Gould of Potternewton (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government what are the arrangements for assessing whether pre-exposure prophylaxis (PrEP) should be nationally commissioned in England following the NHS England statement that they were withdrawing PrEP from consideration by them.
Answered by Lord Prior of Brampton
NHS England has agreed to carefully consider their position on commissioning Pre-exposure prophylaxis (PrEP). Planning continues on the early implementer tests sites in the meantime. Irrespective of the commissioning arrangements for PrEP, decisions to fund will depend on full assessment of clinical and cost effectiveness and how it can be integrated with other HIV prevention efforts.
The Government is investing £2.4 million in HIV prevention nationally and through this will fund a number of innovative local projects and set up a new HIV home sampling service - one of the first of its kind. National investment in home sampling has been significantly enhanced by local investment from local authorities.
Asked by: Baroness Gould of Potternewton (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government why NHS England does not intend to reimburse some sexual health clinics for the provision of post-exposure prophylaxis.
Answered by Lord Prior of Brampton
NHS England has advised that it is not changing its commissioning policy in relation to post exposure prophylaxis after sexual exposure to HIV (PEPSE). However, NHS England is aiming to produce guidance to clarify how contractual arrangement for PEPSE can work in sexual health services that are no longer provided by the National Health Service and or have no experience of prescribing of antiretroviral drugs to enable appropriate levels of monitoring for quality and safety. NHS England remains committed to reimbursement for the appropriate use of PEPSE.
Asked by: Baroness Gould of Potternewton (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government how many sexual health clinics will no longer be reimbursed by NHS England for the provision of post-exposure prophylaxis following the announcement by NHS England of its change of commissioning policy.
Answered by Lord Prior of Brampton
NHS England has advised that it is not changing its commissioning policy in relation to post exposure prophylaxis after sexual exposure to HIV (PEPSE). However, NHS England is aiming to produce guidance to clarify how contractual arrangement for PEPSE can work in sexual health services that are no longer provided by the National Health Service and or have no experience of prescribing of antiretroviral drugs to enable appropriate levels of monitoring for quality and safety. NHS England remains committed to reimbursement for the appropriate use of PEPSE.
Asked by: Baroness Gould of Potternewton (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government with which groups officials from (1) Public Health England, and (2) the Department of Health have met regarding local authorities not meeting their mandatory requirements for sexual health services; what steps that department will take to ensure that local authorities are meeting their mandatory requirements for sexual health services; and what steps they will take if a local authority is found not to be meeting mandatory requirements to commission open-access sexual health services.
Answered by Lord Prior of Brampton
Department of Health officials meet regularly with Public Health England (PHE) to discuss progress on sexual health, including the ambitions in the Sexual Health Improvement Framework (SHIF). Since the Framework was published PHE has developed Sexual and Reproductive Health Profiles to support local authorities, public health leads and others to monitor the sexual and reproductive health of their local population and the contribution of local public health related systems. Trends are shown at both England and local authority level for a range of indictors that match the ambitions in the SHIF where data is available. A further annual progress report on the Framework would duplicate this work. Whilst there are no current plans to update the SHIF, in December 2015 PHE published their Health promotion for sexual and reproductive health and HIV, strategic action plan, 2016 to 2019, which complements the SHIF. A copy of the plan is attached.
Departmental and PHE officials have met with the Local Government Association, English HIV and Sexual Health Commissioners Group, British Association for Sexual Health and HIV and the Faculty of Sexual and Reproductive Health where open access sexual health services were discussed. PHE has undertaken a survey of local commissioning arrangements for sexual health.
Local democratic accountability is at the heart of the accountability of local authorities for their statutory duty to improve the public’s health. PHE has a specific role in assurance of the ring-fence grant and that local authorities are meeting the grant conditions and the terms of the associated statutory regulations. PHE publishes data on outcomes from services for each local authority in England and can provide support and advice where necessary.
Asked by: Baroness Gould of Potternewton (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty’s Government why the Framework for Sexual Health Improvement in England is not being reviewed annually; what meetings have taken place between Public Health England and the Department of Health since March 2013 to review that framework; and whether the Department of Health has any plans to update that framework.
Answered by Lord Prior of Brampton
Department of Health officials meet regularly with Public Health England (PHE) to discuss progress on sexual health, including the ambitions in the Sexual Health Improvement Framework (SHIF). Since the Framework was published PHE has developed Sexual and Reproductive Health Profiles to support local authorities, public health leads and others to monitor the sexual and reproductive health of their local population and the contribution of local public health related systems. Trends are shown at both England and local authority level for a range of indictors that match the ambitions in the SHIF where data is available. A further annual progress report on the Framework would duplicate this work. Whilst there are no current plans to update the SHIF, in December 2015 PHE published their Health promotion for sexual and reproductive health and HIV, strategic action plan, 2016 to 2019, which complements the SHIF. A copy of the plan is attached.
Departmental and PHE officials have met with the Local Government Association, English HIV and Sexual Health Commissioners Group, British Association for Sexual Health and HIV and the Faculty of Sexual and Reproductive Health where open access sexual health services were discussed. PHE has undertaken a survey of local commissioning arrangements for sexual health.
Local democratic accountability is at the heart of the accountability of local authorities for their statutory duty to improve the public’s health. PHE has a specific role in assurance of the ring-fence grant and that local authorities are meeting the grant conditions and the terms of the associated statutory regulations. PHE publishes data on outcomes from services for each local authority in England and can provide support and advice where necessary.