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Written Question
IVF
Wednesday 21st May 2025

Asked by: Alice Macdonald (Labour (Co-op) - Norwich North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many people have accessed NHS funded IVF treatment in each year since 2021; and how many people have accessed privately funded IVF treatment in each year since 2021.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The following table shows the number of National Health Service funded and privately funded in vitro fertilization (IVF) patients each year since 2021 for which information is published:

Year of treatment

NHS-funded IVF patients

Private funded IVF patients

2022

15,212

38,555

2021

15,543

38,706

Source: provided by the Human Fertilisation and Embryology Authority (HFEA) Register.

Notes:

  1. the data is as recorded by the HFEA on 1 May 2025 and reflects the data on this date, and may change over time;
  2. the data is preliminary and quality assurance processes with clinics have not yet completed, and will be available in due course for 2023 and 2024;
  3. this data includes patients undergoing treatment where the cycle was begun with the intention of immediate treatment, instead of storing eggs or embryos for future use; and
  4. data from one clinic is excluded due to data reporting issues.

Written Question
IVF
Tuesday 20th May 2025

Asked by: Alice Macdonald (Labour (Co-op) - Norwich North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many cycles of NHS funded IVF treatment as recommended by NICE guidelines are provided in each integrated care board.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

Information about integrated care board commissioning policy for National Health Service funded fertility services is available at the following link:

https://www.gov.uk/government/publications/nhs-funded-ivf-in-england/nhs-funded-in-vitro-fertilisation-ivf-in-england


Written Question
Miscarriage: Databases
Wednesday 23rd April 2025

Asked by: Alice Macdonald (Labour (Co-op) - Norwich North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 25 February 2025 to Question 30835 on Miscarriages: databases, what discussions his Department has had with NHS England on including a question on experiences of miscarriage in the annual health survey for England as a way of capturing miscarriage data (a) in healthcare settings and (b) outside of healthcare settings.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The Department has not held discussions with NHS England on specifically including a question on experiences of miscarriage in the annual health survey for England, as a way of capturing miscarriage data, either in healthcare settings or outside of healthcare settings.

The reproductive health survey conducted by the Department in 2023 included a question on the experience of pregnancy loss, which including miscarriage, ectopic pregnancy, or stillbirth. The survey reached 52,000 women, and showed that among those between 30 and 40 years old, more than one in 10 reported experience of pregnancy loss or infertility in the last year. The Department will update on plans to conduct the survey again in due course.


Written Question
Miscarriage: Databases
Wednesday 26th February 2025

Asked by: Alice Macdonald (Labour (Co-op) - Norwich North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what discussions his Department has had with the National Institute for Health and Care Research on research into the feasibility of pre-12-week pregnancy loss data collection.

Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)

The Department commissions research through the National Institute for Health and Care Research (NIHR).

While miscarriage hospital stay data is collected, the majority of baby losses occur outside of healthcare settings, and it is rightly the choice of the individual who has experienced the loss to disclose this information to healthcare professionals. It is therefore not possible to gather accurate and comprehensive data on miscarriages.

The Department has not explicitly discussed the feasibility of pre-12-week pregnancy loss data collection with the NIHR, but further data is being collected to help fill the current gap. For example, the Digital Maternity Record Standard Release 2 was updated in 2024 and recommends that a code for birth outcome, including miscarriage, is recorded as well as information on previous miscarriage or pregnancy loss.

The NIHR welcomes funding applications for research into any aspect of maternal health, including pregnancy loss.


Written Question
Miscarriage: Databases
Tuesday 25th February 2025

Asked by: Alice Macdonald (Labour (Co-op) - Norwich North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what discussions his Department has had with NHS England on improving the recording of miscarriage data in cases where women have had contact with health services.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

Some data on hospital stays related to miscarriage is collected, but the majority of baby losses occur outside of healthcare settings, and it is rightly the choice of the individual who has experienced the loss to disclose this information to healthcare professionals.

Discussions between the Department and NHS England specifically about improving the recording of miscarriage data in cases where women have had contact with health services have not taken place.

In line with the priorities outlined in NHS England’s three-year delivery plan for maternity and neonatal services, the Digital Maternity Record Standard (DMRS) Release 2 was updated in 2024 to improve the recording of miscarriage data in cases where women have had contact with health services. The new models of care to be added to the DMRS include women suffering from bereavement or loss. The new standard also recommends that a code for birth outcome, including miscarriage, is recorded, as well as information on previous miscarriage or pregnancy loss.


Written Question
Health Services: Women
Tuesday 4th February 2025

Asked by: Alice Macdonald (Labour (Co-op) - Norwich North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential benefits of extending the funding for women's health hubs beyond March 2025.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

At the Autumn Budget, the Government announced a £22.6 billion increase in day-to-day health spending and a £3.1 billion increase in the capital budget over this year and the next. Building a National Health Service fit for the future is one of the five missions of the Government.

Women’s health hubs aim to improve access to and experiences of care, improve health outcomes for women, and reduce health inequalities. Integrated care boards are responsible for commissioning services to meet the health care needs of their local population, which includes women's health hubs.


Written Question
Health Services: Women
Tuesday 21st January 2025

Asked by: Alice Macdonald (Labour (Co-op) - Norwich North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment he has made of the effectiveness of women’s health hubs.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The Department has commissioned research and undertaken analysis to assess the effectiveness of women’s health hubs.

The Department commissions research through the National Institute for Health and Care Research (NIHR). In 2023, a rapid mixed methods evaluation was undertaken by the NIHR’s Birmingham RAND and Cambridge Evaluation Rapid Evaluation Centre to explore the current state and experiences of delivering and using women’s health hubs. It identified 17 women’s health hubs in England which were established between 2001 and 2022. The final report was published in September 2024, and is available at the following link:

https://www.journalslibrary.nihr.ac.uk/hsdr/JYFT5036#/abstract

The Department has published a cost benefit analysis, which estimated that for every £1 spent on implementing a primary care network-sized hub, there are estimated to be £5 of benefits. The cost benefit analysis is available at the following link:

https://www.gov.uk/government/publications/womens-health-hubs-information-and-guidance/womens-health-hubs-cost-benefit-analysis

The Department and NHS England are also committed to learning from the ongoing two-year women’s health hubs pilot programme, in 2023/24 and 2024/25. For example, the NIHR has commissioned two projects through the Policy Research Unit in Reproductive Health and the Policy Innovation Unit, which will explore mechanisms for commissioning women’s reproductive health services in England and what influences choice of, access to, and satisfaction with these services, including women’s health hubs.


Written Question
Migraines: Health Services
Monday 20th January 2025

Asked by: Alice Macdonald (Labour (Co-op) - Norwich North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to reduce waiting lists for treatment for chronic migraines.

Answered by Andrew Gwynne

The Government does recognise that patients, including those with migraines, have been let down for too long whilst they wait for the care they need. The Government is committed to putting patients first. This means making sure that patients are seen on time, and ensuring that people have the best possible experience during their care.

We have made a commitment that 92% of patients should wait no longer than 18 weeks from Referral to Treatment within our first term. This includes those waiting for treatment for migraines. As a first step to achieving this, we will deliver an additional 2 million operations, scans, and appointments across all specialities during our first year in Government, which is equivalent to 40,000 per week.  The Government announced £1.5 billion of new capital investment in the Autumn Budget, including investment for new diagnostic scanners and surgical hubs. This investment in scanners will build capacity for over 30,000 additional procedures and 1.25 million diagnostic tests as they come online.

There are a number of initiatives supporting service improvement and better care for patients with migraines in England, including the Getting It Right First Time (GIRFT) Programme for Neurology, the RightCare Headache and Migraine Toolkit, and the Neurology Transformation Programme (NTP).

The GIRFT National Specialty Report made recommendations designed to improve services nationally and to support the National Health Service to deliver care more equitably across the country. It makes several recommendations in relation to improving recognition and diagnosis of migraines by general practitioners. Additionally, the RightCare Headache and Migraine Toolkit sets out key priorities for improving care for patients with migraines, which includes correct identification and diagnosis of headache disorders.

The NTP has developed a model of integrated care for neurology services to support integrated care boards to deliver the right service, at the right time, for all neurology patients, including providing care closer to home. The NTP has developed an online, interactive adult neurology dashboard to support systems to understand their local neurology landscape and benchmark against other integrated care boards in England. It sets out key metrics and visualisations for neurology services locally, providing information about the scope and quality of local neurology services using existing whole population, whole pathway data.

The Royal College of General Practitioners has developed two e-learning modules about migraines and cluster headaches, which the aim to raise awareness amongst primary care clinicians about the different types of migraines and their associated symptoms, and how to differentiate.

Over the last four years, a new class of drugs, calcitonin gene-related peptide (CGRP) inhibitors, have been made available on the NHS for the prevention and treatment of episodic and chronic migraines. On 15 May 2024, Atogepant became the latest CGRP inhibitor for which the National Institute for Health and Care Excellence (NICE) has published guidance. The NICE recommended Atogepant for use as a preventive medication for the treatment of migraines on the NHS in England.


Written Question
Migraines: Research
Monday 20th January 2025

Asked by: Alice Macdonald (Labour (Co-op) - Norwich North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to fund research into new treatments for chronic migraines to (a) increase quality of life and (b) reduce the number of patients experiencing side effects.

Answered by Andrew Gwynne

The National Institute for Health and Care Research has funded a number of research projects on the prevention and treatment of chronic and episodic migraines. The relevant awards are named the Co-production and testing of an online resource to support the diagnosis and self-management of migraine, with an award number of NIHR202614, and the What is the comparative clinical and cost- effectiveness of pharmacological treatments for adults with chronic migraine?, with an award number of NIHR132803. Further information is available at the following links:

https://fundingawards.nihr.ac.uk/award/NIHR202614

https://fundingawards.nihr.ac.uk/award/NIHR132803


Written Question
Dental Services: Pregnancy
Wednesday 4th December 2024

Asked by: Alice Macdonald (Labour (Co-op) - Norwich North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what data his Department holds on the number of (a) pregnant women and (b) new mothers receiving free dental treatment on the NHS (i) nationally and (ii) by region.

Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)

Pregnant women and new mothers are entitled to free National Health Service dental care. The following table shows the total number of Courses of Treatment delivered nationally to new mothers and pregnant women over the last five years:

Patient type

2019/20

2020/21

2021/22

2022/23

2023/24

Expectant mother

304,536

104,659

204,229

215,528

211,935

Mother of child born in the year before treatment started

471,033

144,737

289,624

330,000

321,718

Source: Data is published by the NHS Business Services Authority, and is available at the following link: https://www.nhsbsa.nhs.uk/statistical-collections/dental-england/dental-statistics-england-202324

We do not hold data for each region.