Asked by: Gill Furniss (Labour - Sheffield, Brightside and Hillsborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department has taken to improve awareness of sickle cell disease among healthcare professionals.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Government is committed to improving the lives of those living with rare diseases such as sickle cell disease, and published the UK Rare Diseases Framework in January 2021, providing the high-level approach for rare diseases. The framework outlines future priorities including increasing awareness of rare diseases among healthcare professionals. In England we publish action plans annually to address these priorities. As part of this plan we committed to developing an innovative digital educational resource, ‘GeNotes’, providing healthcare professionals with relevant and concise information to support patient management, linking to the NHS Genomic Test Directories, and signposting to extended learning opportunities. This resource includes information on sickle cell disease and is updated regularly.
There have been recent improvements to the haematology medical curriculum, with understanding sickle cell disease now described in the curriculum as a core competency. The National Healthcare Inequalities Improvement Programme has launched several products to support NHS England in raising awareness of sickle cell disease among healthcare professionals including NHS England’s Can you tell it's Sickle Cell campaign and e-learning module and a communications campaign to raise awareness of existing NHS England arrangements to support people with sickle cell disease to save money on the costs of regular prescriptions.
Asked by: Lord Jackson of Peterborough (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what steps they are taking to address complication rates identified in the Office for Health Improvement and Disparities statistics published 23 November 2023 (1) for women under 20 in home and clinical settings, and (2) for those who had abortions after more than ten weeks gestation in a clinical setting.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department’s comparison of statistics on abortion complications in England, using data from the Abortion Notification System, compared to data on hospital admissions for abortion complications from Hospital Episode Statistics for the years 2017 to 2021, found that women under 20 years old had the lowest complication rates of any age group.
Abortion continues to be a very safe procedure for which major complications are rare at all gestations. However, it is known that the risk of complications increases at higher gestations. The Department works closely with NHS England, the Care Quality Commission, and abortion providers to ensure that abortions are provided safely, in accordance with the legal framework set by the Abortion Act 1967.
It is a legal requirement under the 1967 Abortion Act that the Chief Medical Officer must be notified of all abortions within 14 days of the procedure. The Department provides the HSA4 abortion notification form for this purpose. HSA4 forms record known complications, up until the time of the patient’s discharge from the abortion service.
To consider the completeness of abortion complications data submitted via abortion notifications, the Department committed to publishing a one-time analysis comparing data from the Department’s Abortion Notification System and the Hospital Episode Statistics. This was published in November 2023. The Department is inviting views on abortion statistics for England and Wales, including the future publication of abortion complications data, via an online user engagement survey and via email. We welcome responses from abortion providers and all interested parties on this matter.
Asked by: Lord Jackson of Peterborough (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what steps they are taking to ensure statistics on abortion complications are accurately collected and analysed to develop policies to improve women's health.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department’s comparison of statistics on abortion complications in England, using data from the Abortion Notification System, compared to data on hospital admissions for abortion complications from Hospital Episode Statistics for the years 2017 to 2021, found that women under 20 years old had the lowest complication rates of any age group.
Abortion continues to be a very safe procedure for which major complications are rare at all gestations. However, it is known that the risk of complications increases at higher gestations. The Department works closely with NHS England, the Care Quality Commission, and abortion providers to ensure that abortions are provided safely, in accordance with the legal framework set by the Abortion Act 1967.
It is a legal requirement under the 1967 Abortion Act that the Chief Medical Officer must be notified of all abortions within 14 days of the procedure. The Department provides the HSA4 abortion notification form for this purpose. HSA4 forms record known complications, up until the time of the patient’s discharge from the abortion service.
To consider the completeness of abortion complications data submitted via abortion notifications, the Department committed to publishing a one-time analysis comparing data from the Department’s Abortion Notification System and the Hospital Episode Statistics. This was published in November 2023. The Department is inviting views on abortion statistics for England and Wales, including the future publication of abortion complications data, via an online user engagement survey and via email. We welcome responses from abortion providers and all interested parties on this matter.
Asked by: Lord Hunt of Kings Heath (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government whether they intend to have any discussions with the National Institute for Health and Care Excellence about routinely taking into consideration the impact on the physical and mental health of the person with a rare condition and their wider family.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Institute for Health and Care Excellence (NICE) develops its guidance independently, in line with its established methods and processes, which have been developed through extensive engagement with interested parties. In developing its guidance, the NICE takes into account all physical and mental health-related costs and benefits including, where relevant, the health-related benefits to carers and the wider family.
Asked by: Beth Winter (Labour - Cynon Valley)
Question to the Ministry of Justice:
To ask the Secretary of State for Justice, when the next inspection by HM Inspectorate of Prisons of HMP Parc will occur.
Answered by Edward Argar - Minister of State (Ministry of Justice)
His Majesty’s Inspectorate of Prisons (HMIP) is operationally independent of Government and is responsible for deciding its own inspection programme. Therefore, the Government is not normally notified of inspections in advance, except in rare cases where the Chief Inspector believes a notice period might specifically help promote improvement at a particular institution.
Under HMIP's framework each prison should be inspected at least once every five years and in practice most prisons can expect to be inspected every two to three years. HMI Prisons last inspected HMP Parc in June 2022.
Asked by: Baroness Bennett of Manor Castle (Green Party - Life peer)
Question to the Department for Environment, Food and Rural Affairs:
To ask His Majesty's Government what assessment they have made of the risk posed by avian flu, given its spread through the US cattle herd and reports that many infected cattle are asymptomatic; what monitoring is being carried out on UK cattle and other farm animals, wild mammals, and the humans that come into contact with them; and what additional biosecurity measures they are planning or developing.
Answered by Lord Douglas-Miller - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)
The Government is in close contact with counterparts in the United States on the incidents of influenza of avian origin in cattle in the USA. We know that the strain of virus (Highly Pathogenic Avian Influenza (HPAI) strain B3.13) involved has not been detected in the UK.
Defra is working closely with the Department of Health and Social Care (DHSC), the UK Health Security Agency (UKHSA), the Food Standards Agency, the Cabinet Office and with international partners on risk assessments to consider the routes of incursion, animal to animal spread and animal to human spill-over and to review our well-tested surveillance mechanisms and preparedness activities in light of this emerging situation.
The Animal and Plant Health Agency (APHA) has assessed the risk to Great Britain of this outbreak in the USA of Influenza A (H5N1) of avian origin in livestock to our own livestock as very low (event is very rare but cannot be excluded). The assessment has been published on gov.uk Avian influenza in cattle in USA (publishing.service.gov.uk) (see attached). The Food Standards Agency (FSA) have assessed the risk to UK consumers from HPAI strain B3.13 in imported milk, dairy products, colostrum and colostrum-based products originating from US dairy cattle as very low with medium uncertainty (Rapid Risk Assessment: Risk to UK consumers from Highly Pathogenic Avian Influenza (HPAI) H5N1 B3.13 in US dairy products | Food Standards Agency) (see attached).
In response to the unprecedented global outbreaks of highly pathogenic avian influenza (HPAI) H5N1 in wild and kept birds, the UK's avian influenza national reference laboratory at the Animal and Plant Health Agency Weybridge laboratory has increased its surveillance in both wild birds and wild mammals and genome analysis of the virus itself while keeping a close eye on its spread in global populations of wildlife. In addition, we have published an ‘Influenza A (H5N1) infection in mammals: suspect case definition and diagnostic testing criteria’ on gov.uk to support veterinary professionals and others in knowing when to report suspicion. The UK case definition for influenza of avian origin in mammals has been updated and now includes a case definition for ungulates including dairy cattle, this in response the emerging situation in cattle in the USA and will be kept under regular review as further information becomes available.
We are monitoring the situation closely but at this time have no reason to suspect the virus is circulating in our cattle, nor is this strain of the virus circulating in Europe. We have had no recent cases of avian influenza in kept birds, or findings of influenza of avian origin in kept or wild mammals, and the risk level from wild birds is low. We have discussed the need for surveillance in wildlife, domestic animals and humans with DHSC and UKHSA and are considering the case for additional surveillance for influenza of avian origin in cattle and how best such animal health surveillance could be undertaken.
Asked by: Nadia Whittome (Labour - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what support her Department is providing to children experiencing addiction issues.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Alcohol or drug dependence is rare in children and young people under the age of 18 years old, although they may be drinking problematically. Children may also experience second-hand harms of parental alcohol or drug dependence. The most effective and sustainable approach to reducing alcohol and drug harms in children is by giving them the best start in life, the best education possible, and keeping them safe, well, and happy.
Statutory guidance on relationships, sex, and health education requires all primary and secondary school pupils to be taught the key facts and risks of alcohol and drug use, as well as how to manage influences and pressure, and keep themselves healthy and safe. The Department has worked with the PSHE Association to develop the lesson plans on alcohol and is currently commissioning an update of the resources to be published later this year. Current resources are available at the following link:
https://pshe-association.org.uk/drugeducation
Through the cross-Government Drug Strategy, the Department has allocated £532 million of additional funding through to 2024/25, to support improvements in alcohol and drug treatment, including facilitating 5,000 more young people into age-appropriate treatment by 2024/25. Local authorities can also invest their allocation in options from a menu of interventions, some of which include strengthening the services available to children and families.
The Government also has an information and advice service called Talk to FRANK, which aims to reduce alcohol and drug use and its harms, by providing awareness to young people, parents, and concerned others. Further information is available at the following link:
Asked by: Carla Lockhart (Democratic Unionist Party - Upper Bann)
Question to the Department for Environment, Food and Rural Affairs:
To ask the Secretary of State for Environment, Food and Rural Affairs, what discussions officials in his Department (a) have had and (b) plan to have with their counterparts in Northern Ireland on equine (i) sales and (ii) transport between Great Britain and Northern Ireland.
Answered by Mark Spencer - Minister of State (Department for Environment, Food and Rural Affairs)
The Government engages regularly with Northern Ireland stakeholders and would welcome ongoing engagement with those transporting equines between Northern Ireland and Great Britain. Indeed, the Northern Ireland Office’s Minister of State, Steve Baker MP, recently met with the Equine and Rare Breeds Society alongside the honourable member during a visit to Northern Ireland to discuss this issue.
As said in PQ 16046, the Movement Assistance Scheme is available to reimburse costs (including veterinary checks) for horses moving from Great Britain to Northern Ireland, and horses moving from Northern Ireland to Great Britain have unfettered access.
Asked by: Carla Lockhart (Democratic Unionist Party - Upper Bann)
Question to the Department for Environment, Food and Rural Affairs:
To ask the Secretary of State for Environment, Food and Rural Affairs, whether he (a) has had and (b) plans to have discussions with relevant stakeholders on equine transport between Northern Ireland and Great Britain.
Answered by Mark Spencer - Minister of State (Department for Environment, Food and Rural Affairs)
The Government engages regularly with Northern Ireland stakeholders and would welcome ongoing engagement with those transporting equines between Northern Ireland and Great Britain. Indeed, the Northern Ireland Office’s Minister of State, Steve Baker MP, recently met with the Equine and Rare Breeds Society alongside the honourable member during a visit to Northern Ireland to discuss this issue.
As said in PQ 16046, the Movement Assistance Scheme is available to reimburse costs (including veterinary checks) for horses moving from Great Britain to Northern Ireland, and horses moving from Northern Ireland to Great Britain have unfettered access.
Asked by: Claire Hanna (Social Democratic & Labour Party - Belfast South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment she has given to the potential merits of increasing the level of funding for research into (a) pancreatic cancer and (b) other cancers with lower survival rates.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Government is proud to invest £1.3 billion per year on health research through the National Institute for Health and Care Research (NIHR). NIHR research expenditure for all cancers was over £121.8 million for 2022/23, and more is spent on cancer than any other disease group. Our investments in cancer, including rare and less survivable cancers such as pancreatic cancer, are pivotal to informing efforts to improve cancer prevention, treatment, and care.
As part of our commitment to driving more and better research into less survivable cancers, the Government awarded £2 million to new interdisciplinary research teams tackling hard to treat cancers via the Medical Research Council’s two-day cancer sandpit strategic funding opportunity in 2023, which focused on technological innovation for understanding cancers, including pancreatic cancer, with the poorest survival rates.
The NIHR continues to encourage and welcome applications for research into any aspect of human health, including pancreatic cancer and other cancers with lower survival rates. Applications are subject to peer review and judged in open competition, with awards made on the basis of the importance of the topic to patients and health and care services, value for money, and scientific quality, rather than against specific disease funding allocations. We would welcome more applications from researchers working on pancreatic cancer prevention, treatment, and care.