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Written Question
Abortion
Monday 18th April 2016

Asked by: Robert Flello (Labour - Stoke-on-Trent South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, with reference to the Care Quality Commission report, British Pregnancy Advisory Service, BPAS-Richmond, Quality Report, published in November 2015, whether his Department plans to issue guidance to abortion clinics on consultation on disposal arrangement following terminations.

Answered by Jane Ellison

The termination of pregnancies is a regulated activity. All providers of regulated activities must be registered with the Care Quality Commission (CQC) and must meet all of the relevant Regulations under the Health and Social Care Act 2008, including meeting the fundamental standards of quality and safety, which includes independent sector termination of pregnancy providers and managers. The CQC is responsible for monitoring and, where appropriate, inspecting providers in relation to their ongoing compliance with meeting those requirements. Independent sector providers are also required to comply with the Department’s Required Standard Operating Procedures which the CQC inspect against.

The CQC has made a public commitment to undertake inspection of all independent providers of termination of pregnancy services using their new inspection approach and will continue to respond to risk as appropriate and take regulatory action as required.

On the issue of whether the Department plans to issue guidance to abortion clinics on consultation on disposal arrangements following termination, I refer the hon. Member to the answer I gave on 11 April 2016 to Question 32357.

We have no plans to issue guidance to abortion clinics on the administration of drugs. The administration of drugs is managed through the CQC’s fundamental standards and through inspection visits.


Written Question
Abortion
Monday 18th April 2016

Asked by: Robert Flello (Labour - Stoke-on-Trent South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, with reference to the Care Quality Commission report, British Pregnancy Advisory Service, BPAS-Richmond, Quality Report, published in November 2015, whether his Department plans to issue guidance to abortion clinics on the administration of drugs.

Answered by Jane Ellison

The termination of pregnancies is a regulated activity. All providers of regulated activities must be registered with the Care Quality Commission (CQC) and must meet all of the relevant Regulations under the Health and Social Care Act 2008, including meeting the fundamental standards of quality and safety, which includes independent sector termination of pregnancy providers and managers. The CQC is responsible for monitoring and, where appropriate, inspecting providers in relation to their ongoing compliance with meeting those requirements. Independent sector providers are also required to comply with the Department’s Required Standard Operating Procedures which the CQC inspect against.

The CQC has made a public commitment to undertake inspection of all independent providers of termination of pregnancy services using their new inspection approach and will continue to respond to risk as appropriate and take regulatory action as required.

On the issue of whether the Department plans to issue guidance to abortion clinics on consultation on disposal arrangements following termination, I refer the hon. Member to the answer I gave on 11 April 2016 to Question 32357.

We have no plans to issue guidance to abortion clinics on the administration of drugs. The administration of drugs is managed through the CQC’s fundamental standards and through inspection visits.


Written Question
Abortion
Monday 18th April 2016

Asked by: Robert Flello (Labour - Stoke-on-Trent South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, whether his Department is taking steps to ensure that abortion clinics transfer women to hospital at the earliest stage necessary in the case of serious incidents.

Answered by Jane Ellison

The termination of pregnancies is a regulated activity. All providers of regulated activities must be registered with the Care Quality Commission (CQC) and must meet all of the relevant Regulations under the Health and Social Care Act 2008, including meeting the fundamental standards of quality and safety, which includes independent sector termination of pregnancy providers and managers. The CQC is responsible for monitoring and, where appropriate, inspecting providers in relation to their ongoing compliance with meeting those requirements. Independent sector providers are also required to comply with the Department’s Required Standard Operating Procedures which the CQC inspect against.

The CQC has made a public commitment to undertake inspection of all independent providers of termination of pregnancy services using their new inspection approach and will continue to respond to risk as appropriate and take regulatory action as required.

On the issue of whether the Department plans to issue guidance to abortion clinics on consultation on disposal arrangements following termination, I refer the hon. Member to the answer I gave on 11 April 2016 to Question 32357.

We have no plans to issue guidance to abortion clinics on the administration of drugs. The administration of drugs is managed through the CQC’s fundamental standards and through inspection visits.


Written Question
Abortion
Tuesday 12th April 2016

Asked by: Robert Flello (Labour - Stoke-on-Trent South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what assessment he has made of the time taken to transfer women from abortion clinics to hospitals in cases of serious complications following abortions; and if he will make a statement.

Answered by Jane Ellison

In May 2014, the Department published updated requirements (Procedures for the Approval of Independent Sector Places for the Termination of Pregnancy (Abortion)) which the providers of independent sector abortion services must agree to comply with to be approved by the Secretary of State to perform abortions. This includes the requirement to have in place procedures and protocols to deal with emergencies and the transfer to specialist services. A copy of the guidance is attached.


Written Question
Abortion
Tuesday 12th April 2016

Asked by: Robert Flello (Labour - Stoke-on-Trent South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what steps he is taking to ensure that women are appropriately transferred from abortion clinics to hospitals at the earliest point in the case of emergencies.

Answered by Jane Ellison

In May 2014, the Department published updated requirements (Procedures for the Approval of Independent Sector Places for the Termination of Pregnancy (Abortion)) which the providers of independent sector abortion services must agree to comply with to be approved by the Secretary of State to perform abortions. This includes the requirement to have in place procedures and protocols to deal with emergencies and the transfer to specialist services. A copy of the guidance is attached.


Written Question
Abortion
Tuesday 12th April 2016

Asked by: Robert Flello (Labour - Stoke-on-Trent South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what steps he is taking to ensure that safeguarding policies at British Pregnancy Advisory Service abortion clinics reflect national guidance on sexual exploitation of children and risks of female genital mutilation.

Answered by Jane Ellison

In May 2014, the Department published updated requirements (Procedures for the Approval of Independent Sector Places for the Termination of Pregnancy (Abortion)) which the providers of independent sector abortion services, including the British Pregnancy Advisory Service, must agree to comply with to be approved by the Secretary of State to perform abortions. This includes compliance with legal requirements and having regard to any statutory guidance relating to children, young people and vulnerable adults and having policies and protocols in place for dealing with these groups. A copy of the guidance is attached.

All clinical staff working in abortion services should be trained to at least level 3 of the intercollegiate framework, Safeguarding Children and Young people: roles and competences for health care staff.


Written Question
Abortion
Monday 11th April 2016

Asked by: Robert Flello (Labour - Stoke-on-Trent South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what steps he is taking to ensure that all women undergoing abortions are given the opportunity to decide on disposal arrangements following a termination.

Answered by Jane Ellison

The Human Tissue Authority has produced guidance The disposal of pregnancy remains following pregnancy loss or termination. A copy of the guidance can be found at:

https://www.hta.gov.uk/faqs/disposal-pregnancy-remains-faqs

All providers of termination of pregnancy services are expected to follow this guidance.


Written Question
Abortion: Greater London
Monday 11th April 2016

Asked by: Robert Flello (Labour - Stoke-on-Trent South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what representations he has received about concerns identified by the Care Quality Commission at a British Pregnancy Advisory Service abortion clinic in Richmond; and if he will make a statement.

Answered by Jane Ellison

One representation has been received in relation to the Care Quality Commission’s (CQC) inspection of BPAS Richmond. The CQC is responsible for ensuring that requirements under the Health and Social Care (HSC) Act 2008 are met by the providers of termination of pregnancy services including meeting the fundamental standards of quality and safety as set out in Part 3 to the 2014 Regulations, and Regulation 20 of the Care Quality Commission (Registration) Regulations 2009, which is specific to independent sector termination of pregnancy providers. The CQC is responsible for ensuring that the requirements under the HSC Act 2008 are maintained through a system of monitoring and, where appropriate, inspection visits. It is for the CQC and the provider to address required and recommended actions identified following an inspection.

Independent sector providers are also required to comply with the Department of Health’s Required Standard Operating Procedures.

Departmental officials meet regularly with representatives from the British Pregnancy Advisory Service (BPAS) but have not met since the CQC report on BPAS Richmond was published.


Written Question
Abortion: Greater London
Monday 11th April 2016

Asked by: Robert Flello (Labour - Stoke-on-Trent South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what representations he has received on Care Quality Commission findings that it was policy for a British Pregnancy Advisory Service clinic in Richmond to act outside of the licence for an anaesthetic; and if he will make a statement.

Answered by Jane Ellison

One representation has been received in relation to the Care Quality Commission’s (CQC) inspection of BPAS Richmond. The CQC is responsible for ensuring that requirements under the Health and Social Care (HSC) Act 2008 are met by the providers of termination of pregnancy services including meeting the fundamental standards of quality and safety as set out in Part 3 to the 2014 Regulations, and Regulation 20 of the Care Quality Commission (Registration) Regulations 2009, which is specific to independent sector termination of pregnancy providers. The CQC is responsible for ensuring that the requirements under the HSC Act 2008 are maintained through a system of monitoring and, where appropriate, inspection visits. It is for the CQC and the provider to address required and recommended actions identified following an inspection.

Independent sector providers are also required to comply with the Department of Health’s Required Standard Operating Procedures.

Departmental officials meet regularly with representatives from the British Pregnancy Advisory Service (BPAS) but have not met since the CQC report on BPAS Richmond was published.


Written Question
Abortion: Greater London
Monday 11th April 2016

Asked by: Robert Flello (Labour - Stoke-on-Trent South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what recent discussions he has had with British Pregnancy Advisory Service (BPAS) about safety concerns in the Care Quality Commission Report on the BPAS abortion clinic in Richmond.

Answered by Jane Ellison

One representation has been received in relation to the Care Quality Commission’s (CQC) inspection of BPAS Richmond. The CQC is responsible for ensuring that requirements under the Health and Social Care (HSC) Act 2008 are met by the providers of termination of pregnancy services including meeting the fundamental standards of quality and safety as set out in Part 3 to the 2014 Regulations, and Regulation 20 of the Care Quality Commission (Registration) Regulations 2009, which is specific to independent sector termination of pregnancy providers. The CQC is responsible for ensuring that the requirements under the HSC Act 2008 are maintained through a system of monitoring and, where appropriate, inspection visits. It is for the CQC and the provider to address required and recommended actions identified following an inspection.

Independent sector providers are also required to comply with the Department of Health’s Required Standard Operating Procedures.

Departmental officials meet regularly with representatives from the British Pregnancy Advisory Service (BPAS) but have not met since the CQC report on BPAS Richmond was published.