Asked by: Chris Bloore (Labour - Redditch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of increasing access to long-acting reversible contraception for heavy menstrual bleeding in primary care on (a) waiting times and (b) demand for secondary care gynaecology services.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The National Institute for Health and Care Excellence’s guideline on heavy menstrual bleeding recommends an intrauterine system or hormonal coil, which is a form of long-acting reversible contraception (LARC), as a first line treatment. In the women’s health strategy call for evidence, held in 2021, we heard about the challenges women faced accessing LARCs for the management of menstrual problems.
A cost benefit analysis on women’s health hubs conducted by the Department estimated that if 50% of LARC procedures for gynaecology were provided in women’s health hubs, it would produce a net saving of £1.8 million, and reduce pressures on secondary care gynaecology services. The cost benefit analysis is available at the following link:
The Department is continuing to work with NHS England to support the establishment of at least one pilot women’s health hub in every integrated care system, following a £25 million investment. Pilot women’s health hubs provide intermediate and streamlined care in the community, which reduces pressures on services such as secondary care referrals and general practice appointments. A core service offered by hubs is treatment for heavy menstrual bleeding, and the fitting or removal of a LARC. Cutting waiting lists, including for gynaecology, is a key part of our Health Mission and a top priority for the Government.
Asked by: Chris Bloore (Labour - Redditch)
Question to the Department for Science, Innovation & Technology:
To ask the Secretary of State for Science, Innovation and Technology, what discussions he has had with (a) civil society and (b) animal protection organisations on ending animal testing.
Answered by Feryal Clark - Parliamentary Under Secretary of State (Department for Science, Innovation and Technology)
The Government is committed to supporting the use of alternative methods to the use of animals in science and the Labour Manifesto includes a commitment to “partner with scientists, industry, and civil society as we work towards the phasing out of animal testing”, which is a long-term goal. The government will be consulting civil society and animal protection organisations as this process unfolds.
Asked by: Chris Bloore (Labour - Redditch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the recommendations of the report by the Getting It Right First Time programme entitled Maternity and Gynaecology, published in September 2021, what steps his Department is taking to provide primary care practitioners with (a) training and (b) other resources to deliver long-acting reversible contraception as part of treatment options for women with heavy menstrual bleeding.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The 2021 Getting It Right First Time national report for maternity and gynaecology recommended that clinical commissioning groups, now integrated care boards (ICBs), commission contraceptive and sexual health services to provide intrauterine devices, which are a form of long-acting reversible contraception (LARC) for heavy menstrual bleeding, in relevant cases. ICBs may commission sexual health services or general practices (GPs) to offer LARC as a locally enhanced service to their local population. It is for ICBs to decide on commissioning arrangements for their area, based on an assessment of local need.
The Department is continuing to work with NHS England to support the establishment of at least one pilot women’s health hub in every integrated care system, following a £25 million investment. A core service offered by hubs is treatment for heavy menstrual bleeding and provision of LARC. By providing an enhanced and more specialist service through hubs in the community, they enable women to be more effectively diagnosed and treated promptly in the community. The hubs also provide a centre for the training and support to GPs to help with upskilling, and reduce variation in the care that women can expect to receive.
Other training and guidance are available for primary care practitioners. For example, the Royal College of General Practitioners has developed a Women’s Health Library, drawing together educational resources and guidelines on women’s health, so primary healthcare professionals have the most up-to-date information for their patients. The Faculty of Sexual and Reproductive Healthcare also offers a range of contraception qualifications that healthcare professionals can undertake.
Asked by: Chris Bloore (Labour - Redditch)
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 implications for his policies of Getting It Right First Time's guidance entitled Heavy Menstrual Bleeding, published in October 2021; and whether he plans to implement their recommendations.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Getting It Right First Time’s (GIRFT) 2021 report into maternity and gynaecology identified a key barrier in treating heavy menstrual bleeding as the commissioning arrangements for contraceptive and sexual health services. The report recommended the lifting of restrictions on providing long-acting reversible contraception (LARC) for non-contraceptive purposes, such as treatment for heavy menstrual bleeding.
The commissioning of LARC is a decision for individual integrated care boards, who can decide whether to offer LARC through general practices or sexual health services, or both, based on an assessment of population need.
Additionally, £25 million has been invested by the Department to support the development of at least one pilot women’s health hub in every integrated care system, and work is ongoing with NHS England to provide this. Women’s health hubs bring together healthcare professionals and existing services to address fragmentation in reproductive health care and remove the barriers women face accessing treatment. Providing care and treatment for heavy menstrual bleeding is a core service of the hubs, and this includes treatment with LARCs.