Andrew Gwynne Alert Sample


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Information between 3rd August 2025 - 2nd September 2025

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Written Answers
Heart Diseases: Young People
Asked by: Andrew Gwynne (Independent - Gorton and Denton)
Tuesday 5th August 2025

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 level of awareness amongst medical professional of (a) youth sudden cardiac death, (b) the symptoms of cardiac conditions in the young and (c) the referral pathways for people who have lost a relative under the age of 35 to a cardiac condition.

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

The Department expects National Institute for Health and Care Excellence guidance on the use of electrocardiograms for young people presenting with certain symptoms to be followed.

To stop sudden cardiac death (SCD) in young people, the current consensus is to focus on the rapid identification and care of people who are likely to be at risk of SCD due to a family link or because they have had symptoms, and to train people to carry out cardiopulmonary resuscitation and to use defibrillators.

NHS England has published the national service specification Inherited Cardiac Conditions (All Ages) that covers patients who often present as young adults with previously undiagnosed cardiac disease and families requiring follow up due to a death from this cause. This describes the service model and guidance that should be followed to support the diagnosis and treatment of patients or family members. It also includes the requirement for specialised inherited cardiac conditions services to investigate suspected cases. NHS England is currently reviewing this service specification in line with the national service specification methods review process. NHS England is working with a broad range of stakeholders as part of this review including National Health Service clinical experts, the Association of Inherited Cardiac Conditions, Cardiomyopathy UK, Heart Valve Voice, and the British Heart Foundation. The Inherited Cardiac Conditions (All Ages) service specification is available at the following link:

https://www.england.nhs.uk/wp-content/uploads/2017/11/cardiology-inherited-cardiac-conditions.pdf

These documents describe the service model and guidance that should be followed to support the diagnosis and treatment of patients. They cover all paediatric cardiac activity, including both surgery and cardiology, taking place in the Specialist Children’s Surgical Centres, which are Level 1 services, the Specialist Children’s Cardiology Centres, Level 2 services, and the Local Children’s Cardiac Centres, Level 3 services, including activity undertaken by the specialist centres on an outreach basis, where it is delivered as part of a provider network, with the aim of ensuring that all patient care is of a consistently high quality.

Heart Diseases: Young People
Asked by: Andrew Gwynne (Independent - Gorton and Denton)
Tuesday 5th August 2025

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether sudden cardiac death in young men is being considered as part of the Men's Health Strategy.

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

We are developing a Men's Health Strategy which will seek to improve the health and wellbeing of all men in England, and which will be informed by a call for evidence. This includes finding the right ways to promote healthier behaviours, improving outcomes for health conditions that hit men harder, and improving engagement with healthcare. The call for evidence closed on 17 July 2025 and we are now analysing the responses to inform the development of the strategy. The UK National Screening Committee (UK NSC) is currently examining the evidence for screening for sudden cardiac death in people under 39 years old. This will consider screening the whole population under 39 years old and will therefore include young men. The UK NSC will open a public consultation to seek comments from members of the public and stakeholders on this in due course.

Heart Diseases: Young People
Asked by: Andrew Gwynne (Independent - Gorton and Denton)
Tuesday 5th August 2025

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will issue guidance on health screening for people who have had a family member die from sudden cardiac death under the age of 35.

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

NHS England has published the national service specification Inherited Cardiac Conditions (All Ages), which covers patients who often present as young adults with previously undiagnosed cardiac disease and families requiring follow up due to a death from this cause. This describes the service model and mandated guidelines and guidance that should be followed to support the diagnosis and treatment of patients or family members. It also includes the requirement for inherited cardiac conditions services to investigate suspected cases. Further information on the Inherited Cardiac Conditions (All Ages) service specification is available at the following link:

https://www.england.nhs.uk/wp-content/uploads/2017/11/cardiology-inherited-cardiac-conditions.pdf

Genomic testing in the National Health Service in England is provided through the NHS Genomic Medicine Service and is delivered by a national genomic testing network of seven NHS Genomic Laboratory Hubs (GLHs). The NHS GLHs deliver testing as directed by the National Genomic Test Directory (the Test Directory), which includes tests for over 7000 rare diseases with an associated genetic cause and over 200 cancer clinical indications, including both whole genome sequencing (WGS) and non-WGS testing. Further information on the Test Directory is available at the following link:

https://www.england.nhs.uk/publication/national-genomic-test-directories/

A robust and evidence-based process and policy is in place to routinely review the Test Directory to ensure that genomic testing continues to be available for all patients for whom it would be of clinical benefit, while delivering value for money for the NHS. Further information on this process is available at the following link:

https://www.england.nhs.uk/genomics/the-national-genomic-test-directory/

Genomics has an important role to play in diagnosing and supporting the treatment and management of a number of cardiac conditions. The Test Directory sets out the eligibility criteria for patients to access testing, as well as the genomic targets to be tested and the method that should be used, and this includes genomic testing for a number of conditions which affect the heart, such as testing for familial hypercholesteremia, cardiomyopathies, Long QT syndrome, Brugada syndrome, and others.

Heart Diseases: Young People
Asked by: Andrew Gwynne (Independent - Gorton and Denton)
Tuesday 5th August 2025

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to reduce misdiagnoses of people under the age of 35 with cardiac symptoms.

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

NHS England has published the national service specification Inherited Cardiac Conditions (All Ages) that covers patients who often present as young adults with previously undiagnosed cardiac disease and families requiring follow up due to a death from this cause. This describes the service model and guidance that should be followed to support the diagnosis and treatment of patients or family members. It also includes the requirement for specialised inherited cardiac conditions services to investigate suspected cases. NHS England is currently reviewing this service specification in line with the national service specification methods review process. NHS England is working with a broad range of stakeholders as part of this review including National Health Service clinical experts, the Association of Inherited Cardiac Conditions, Cardiomyopathy UK, Heart Valve Voice, and the British Heart Foundation. The Inherited Cardiac Conditions (All Ages) service specification is available at the following link:

https://www.england.nhs.uk/wp-content/uploads/2017/11/cardiology-inherited-cardiac-conditions.pdf

These documents describe the service model and guidance that should be followed to support the diagnosis and treatment of patients. They cover all paediatric cardiac activity, including both surgery and cardiology, taking place in the Specialist Children’s Surgical Centres, which are Level 1 services, the Specialist Children’s Cardiology Centres, Level 2 services, and the Local Children’s Cardiac Centres, Level 3 services, including activity undertaken by the specialist centres on an outreach basis, where it is delivered as part of a provider network, with the aim of ensuring that all patient care is of a consistently high quality.

Heart Diseases: Young People
Asked by: Andrew Gwynne (Independent - Gorton and Denton)
Tuesday 5th August 2025

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will take steps to implement a specialist pathway for people under the age of 35 with a cardiac abnormality detected on electrocardiogram.

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

NHS England has published the national service specification Inherited Cardiac Conditions (All Ages), that covers patients who often present as young adults with previously undiagnosed cardiac disease and families requiring follow up due to a death from this cause. This describes the service model and mandated guidelines and guidance that should be followed to support the diagnosis and treatment of patients or family members. It also includes the requirement for inherited cardiac conditions services to investigate suspected cases. Further information on the Inherited Cardiac Conditions (All Ages) service specification is available at the following link:

https://www.england.nhs.uk/wp-content/uploads/2017/11/cardiology-inherited-cardiac-conditions.pdf

NHS England has published a suite of national service specifications and standards for congenital heart disease, which define the standards of care expected from all organisations funded by NHS England, to support and improve the diagnosis and treatment of patients with congenital cardiac problems.

There are no plans to publish further specific information on people under the age of 35 years old with cardiac abnormalities, over and above those who would be covered by the service specifications referenced above.


Data shows that in 2022, there were 939 people under the age of 35 years old who died due to heart and circulatory conditions. Further information, including historic data and a breakdown of death by high level condition, is available on the British Heart Failure website, at the following link:

https://www.bhf.org.uk/-/media/files/for-professionals/research/heart-statistics/bhf-cvd-statistics-compendium-2024-v3.pdf?rev=c72e2593b0ac4f2b999ad2f5999d8c07&hash=7DCC7E6832AA9495B0F5E720357DB9FB


NHS England does not hold the data for the number of deaths following out of hospital cardiac arrests (OHCAs). The following table shows the number of cardiac arrest patients in England receiving an organised emergency medical services response, whether resuscitation was attempted, continued, terminated, or not attempted, the number where resuscitation was commenced or continued by an ambulance service, and the number of those with survival at 30 days, from 2020 to 2024:

2020

2021

2022

2023

2024

Cardiac arrest patients in England receiving an organised emergency medical services response, whether resuscitation was attempted, continued, terminated, or not attempted

93,920

95,093

99,111

95,227

96,049

Number where resuscitation was commenced or continued by an Ambulance Service

30,841

32,486

34,195

32,031

32,932

Number of those with survival at 30 days

2,497

2,783

2,660

2,943

3,144

Source: NHS England’s Ambulance Quality Indicators, available at the following link:
https://www.england.nhs.uk/statistics/statistical-work-areas/ambulance-quality-indicators/

Notes:

  1. the 2020 figure is survival to discharge from hospital rather than survival at 30 days, and may be incomplete;
  2. during the COVID-19 pandemic, data suppliers in some hospitals were moved to other duties, making data on survival harder to obtain than data on deaths; and
  3. due to a trust-wide outage of the Electronic Patient Clinical Record, data is unavailable from 1 April to 30 September 2023 for the Isle of Wight, and incomplete for the South Central Ambulance Service from July to September 2023.

Publicly available data on OHCAs can also be found on the University of Warwick’s out-of-hospital cardiac arrest outcomes website, at the following link:

https://warwick.ac.uk/fac/sci/med/research/ctu/trials/ohcao/

Heart Diseases: Young People
Asked by: Andrew Gwynne (Independent - Gorton and Denton)
Tuesday 5th August 2025

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 people aged 14 to 35 who die each year as a result of a primarily cardiac health condition.

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

NHS England has published the national service specification Inherited Cardiac Conditions (All Ages), that covers patients who often present as young adults with previously undiagnosed cardiac disease and families requiring follow up due to a death from this cause. This describes the service model and mandated guidelines and guidance that should be followed to support the diagnosis and treatment of patients or family members. It also includes the requirement for inherited cardiac conditions services to investigate suspected cases. Further information on the Inherited Cardiac Conditions (All Ages) service specification is available at the following link:

https://www.england.nhs.uk/wp-content/uploads/2017/11/cardiology-inherited-cardiac-conditions.pdf

NHS England has published a suite of national service specifications and standards for congenital heart disease, which define the standards of care expected from all organisations funded by NHS England, to support and improve the diagnosis and treatment of patients with congenital cardiac problems.

There are no plans to publish further specific information on people under the age of 35 years old with cardiac abnormalities, over and above those who would be covered by the service specifications referenced above.


Data shows that in 2022, there were 939 people under the age of 35 years old who died due to heart and circulatory conditions. Further information, including historic data and a breakdown of death by high level condition, is available on the British Heart Failure website, at the following link:

https://www.bhf.org.uk/-/media/files/for-professionals/research/heart-statistics/bhf-cvd-statistics-compendium-2024-v3.pdf?rev=c72e2593b0ac4f2b999ad2f5999d8c07&hash=7DCC7E6832AA9495B0F5E720357DB9FB


NHS England does not hold the data for the number of deaths following out of hospital cardiac arrests (OHCAs). The following table shows the number of cardiac arrest patients in England receiving an organised emergency medical services response, whether resuscitation was attempted, continued, terminated, or not attempted, the number where resuscitation was commenced or continued by an ambulance service, and the number of those with survival at 30 days, from 2020 to 2024:

2020

2021

2022

2023

2024

Cardiac arrest patients in England receiving an organised emergency medical services response, whether resuscitation was attempted, continued, terminated, or not attempted

93,920

95,093

99,111

95,227

96,049

Number where resuscitation was commenced or continued by an Ambulance Service

30,841

32,486

34,195

32,031

32,932

Number of those with survival at 30 days

2,497

2,783

2,660

2,943

3,144

Source: NHS England’s Ambulance Quality Indicators, available at the following link:
https://www.england.nhs.uk/statistics/statistical-work-areas/ambulance-quality-indicators/

Notes:

  1. the 2020 figure is survival to discharge from hospital rather than survival at 30 days, and may be incomplete;
  2. during the COVID-19 pandemic, data suppliers in some hospitals were moved to other duties, making data on survival harder to obtain than data on deaths; and
  3. due to a trust-wide outage of the Electronic Patient Clinical Record, data is unavailable from 1 April to 30 September 2023 for the Isle of Wight, and incomplete for the South Central Ambulance Service from July to September 2023.

Publicly available data on OHCAs can also be found on the University of Warwick’s out-of-hospital cardiac arrest outcomes website, at the following link:

https://warwick.ac.uk/fac/sci/med/research/ctu/trials/ohcao/

Heart Diseases: Young People
Asked by: Andrew Gwynne (Independent - Gorton and Denton)
Tuesday 5th August 2025

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 adequacy of (a) specialist bereavement support and (b) familial screening services for the family members of a person who died from a cardiac condition under the age of 35.

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

NHS England has published the national service specification Inherited Cardiac Conditions (All Ages), which covers patients who often present as young adults with previously undiagnosed cardiac disease and families requiring follow up due to a death from this cause. This describes the service model and mandated guidelines and guidance that should be followed to support the diagnosis and treatment of patients or family members. It also includes the requirement for inherited cardiac conditions services to investigate suspected cases. Further information on the Inherited Cardiac Conditions (All Ages) service specification is available at the following link:

https://www.england.nhs.uk/wp-content/uploads/2017/11/cardiology-inherited-cardiac-conditions.pdf

Genomic testing in the National Health Service in England is provided through the NHS Genomic Medicine Service and is delivered by a national genomic testing network of seven NHS Genomic Laboratory Hubs (GLHs). The NHS GLHs deliver testing as directed by the National Genomic Test Directory (the Test Directory), which includes tests for over 7000 rare diseases with an associated genetic cause and over 200 cancer clinical indications, including both whole genome sequencing (WGS) and non-WGS testing. Further information on the Test Directory is available at the following link:

https://www.england.nhs.uk/publication/national-genomic-test-directories/

A robust and evidence-based process and policy is in place to routinely review the Test Directory to ensure that genomic testing continues to be available for all patients for whom it would be of clinical benefit, while delivering value for money for the NHS. Further information on this process is available at the following link:

https://www.england.nhs.uk/genomics/the-national-genomic-test-directory/

Genomics has an important role to play in diagnosing and supporting the treatment and management of a number of cardiac conditions. The Test Directory sets out the eligibility criteria for patients to access testing, as well as the genomic targets to be tested and the method that should be used, and this includes genomic testing for a number of conditions which affect the heart, such as testing for familial hypercholesteremia, cardiomyopathies, Long QT syndrome, Brugada syndrome, and others.

Foetal Valproate Spectrum Disorder
Asked by: Andrew Gwynne (Independent - Gorton and Denton)
Monday 4th August 2025

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 help ensure appropriate funding is allocated for (a) early diagnosis and (b) effective monitoring of foetal valproate spectrum disorder.

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

Everyone who has been harmed from sodium valproate has our deepest sympathies.

Early diagnosis and the effective monitoring of foetal valproate syndrome is being considered as part of NHS England’s commissioned Fetal Exposure to Medicine Pilot project. The pilot project is being led by the Newcastle Upon Tyne NHS Foundation Trust and the Manchester University NHS Foundation Trust. The pilot project started in December 2024 and will run for 18 months, and provides assessment, expert advice, and treatment planning for people impacted by sodium valproate and other anti-seizure medications. The pilot project will be presenting initial learning and key themes, including any additional investment requirements identified, to NHS England at the end of September to inform discussions about future service delivery models and options for wider coverage across England.

Commissioners will consider additional funding requests, alongside the need to maintain all existing services and other statutory funding duties.

Gaza: Aid Workers and Journalism
Asked by: Andrew Gwynne (Independent - Gorton and Denton)
Tuesday 5th August 2025

Question to the Foreign, Commonwealth & Development Office:

To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, what discussions he has had with his Israeli counterparts on the killing of (a) medical workers and (b) journalists in Gaza.

Answered by Hamish Falconer - Parliamentary Under-Secretary (Foreign, Commonwealth and Development Office)

Gaza remains the deadliest place for humanitarians, and we continue to urge that humanitarian workers must be protected, and medical and aid workers must be able to do their jobs safely.

The Foreign Secretary and I have also both paid tribute to journalists risking their lives to report in Gaza. Journalists covering conflicts and medical workers in conflict zones are afforded protection under humanitarian law. The media have a right to report freely, and we urge all parties to permit journalists to carry out their crucial role. The UK remains committed to media freedom and to championing democracy and human rights around the world. Independent media is essential to a functioning society and there must be safe access for journalists to conflict situations in order to independently cover events. We continue to engage with our Israeli counterparts on these issues, including when the Foreign Secretary spoke to Foreign Minister Sa'ar on 21 July to stress the need for an immediate ceasefire in Gaza.

Palestinians: Detainees
Asked by: Andrew Gwynne (Independent - Gorton and Denton)
Wednesday 6th August 2025

Question to the Foreign, Commonwealth & Development Office:

To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, what representations he has made to his Israeli counterpart on (a) the numbers of Palestinians detained without charge or trial, (b) the conditions of Israeli detention centres and (c) the treatment of prisoners under international law.

Answered by Hamish Falconer - Parliamentary Under-Secretary (Foreign, Commonwealth and Development Office)

We are deeply concerned by reports of the mistreatment of detainees. The UK continues to reiterate calls for Israel to allow the International Committee of the Red Cross (ICRC) unfettered and immediate access to detention facilities and we continue to raise this with the Israeli government as a priority. The UK reaffirms our support for the ICRC as the only humanitarian actor with the experience, capability, independence and mandate to carry out their important responsibilities. We believe it is critical that the ICRC is given regular access to detainees to deliver on their independent visiting role, as enshrined within the 1949 Geneva Conventions.

Foreign, Commonwealth and Development Office: Written Questions
Asked by: Andrew Gwynne (Independent - Gorton and Denton)
Wednesday 6th August 2025

Question to the Foreign, Commonwealth & Development Office:

To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, when he plans to respond to Questions (a) 58600 and (b) 58602 tabled by the hon. Member for Gorton and Denton on 10 June 2025.

Answered by Hamish Falconer - Parliamentary Under-Secretary (Foreign, Commonwealth and Development Office)

I apologise for the delay in responding to the hon. Member's written parliamentary questions. I issued responses to the hon. Member on 4 and 6 of August 2025.

Drugs: Side Effects
Asked by: Andrew Gwynne (Independent - Gorton and Denton)
Friday 8th August 2025

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to increase public awareness of (a) which medicines are known to have teratogenous effects and (b) the risks of taking teratogenous medicines during pregnancy.

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

The product information for each medicine possibly associated with teratogenic effects includes details about the nature and severity of the risk. The product information is intended to support and not replace the discussion between a healthcare professional and their patient regarding their treatment options.

The Medicines and Healthcare products Regulatory Agency continuously monitors the safety of medicines, including their use during pregnancy, ensuring the product information reflects what is known about each medicine.

Hysteroscopy: Standards
Asked by: Andrew Gwynne (Independent - Gorton and Denton)
Monday 1st September 2025

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what information his Department holds on the number of hysteroscopies that were stopped early because of intolerable patient pain in the NHS in England in 2024.

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

The data requested is not held.

Hysteroscopy: Correspondence
Asked by: Andrew Gwynne (Independent - Gorton and Denton)
Monday 1st September 2025

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will hold discussions with NHS Trusts on the adequacy of letters sent to patients before a hysteroscopy on (a) the procedure, (b) pain relief and (c) the principles of informed consent.

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

The Government recognises that some procedures, such as hysteroscopy, can result in pain, and the level of pain experienced will vary between individual women. It is important that healthcare professionals provide women with information prior to their procedure so that women can make an informed decisions about the procedure and pain relief options, including the option of local or general anaesthetic.

Clinical guidelines support healthcare professionals to provide evidence-based care. The Royal College of Obstetricians and Gynaecologists (RCOG) published an updated guideline on outpatient hysteroscopy in September 2024. The updated guideline has reference to minimising pain and discomfort during hysteroscopy procedures. While RCOG guidelines are not mandatory, they are designed to support high-quality care, and the Department and NHS England encourages local implementation tailored to patient needs. This is available at the following link:

https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/outpatient-hysteroscopy-green-top-guideline-no-59/

Letters and information sent to patients are determined at a local level by individual National Health Service trusts. A range of additional information is available for patients on hysteroscopy procedures, including on the NHS website, and the Royal College of Obstetricians and Gynaecologists has created a patient information resource on hysteroscopy. This is available at the following link:

https://www.rcog.org.uk/outpatient-hysteroscopy

As with all procedures, healthcare professionals are expected to fully explain the procedure in advance, including expected symptoms, side effects, and risks. These conversations should be undertaken using a shared decision-making approach that ensures individuals are supported to make decisions that are right for them. This provides a collaborative process through which a clinician supports a patient to reach a decision about their treatment, bringing together the clinician’s expertise, such as treatment options, evidence, risks and benefits, with the patient’s preferences, personal circumstances and values. NHS England has published guidelines on the use of shared decision making.

Hysteroscopy: Standards
Asked by: Andrew Gwynne (Independent - Gorton and Denton)
Monday 1st September 2025

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will have discussions with NHS Trusts on the adequacy of the processes used to obtain informed consent for hysteroscopy procedures.

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

The Government recognises that some procedures, such as hysteroscopy, can result in pain, and the level of pain experienced will vary between individual women. It is important that healthcare professionals provide women with information prior to their procedure so that women can make an informed decisions about the procedure and pain relief options, including the option of local or general anaesthetic.

Clinical guidelines support healthcare professionals to provide evidence-based care. The Royal College of Obstetricians and Gynaecologists (RCOG) published an updated guideline on outpatient hysteroscopy in September 2024. The updated guideline has reference to minimising pain and discomfort during hysteroscopy procedures. While RCOG guidelines are not mandatory, they are designed to support high-quality care, and the Department and NHS England encourages local implementation tailored to patient needs. This is available at the following link:

https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/outpatient-hysteroscopy-green-top-guideline-no-59/

Letters and information sent to patients are determined at a local level by individual National Health Service trusts. A range of additional information is available for patients on hysteroscopy procedures, including on the NHS website, and the Royal College of Obstetricians and Gynaecologists has created a patient information resource on hysteroscopy. This is available at the following link:

https://www.rcog.org.uk/outpatient-hysteroscopy

As with all procedures, healthcare professionals are expected to fully explain the procedure in advance, including expected symptoms, side effects, and risks. These conversations should be undertaken using a shared decision-making approach that ensures individuals are supported to make decisions that are right for them. This provides a collaborative process through which a clinician supports a patient to reach a decision about their treatment, bringing together the clinician’s expertise, such as treatment options, evidence, risks and benefits, with the patient’s preferences, personal circumstances and values. NHS England has published guidelines on the use of shared decision making.

Hysteroscopy: Standards
Asked by: Andrew Gwynne (Independent - Gorton and Denton)
Monday 1st September 2025

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will implement mandatory clinician guidelines for hysteroscopies to (a) minimise pain and (b) promote informed decision making.

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

The Government recognises that some procedures, such as hysteroscopy, can result in pain, and the level of pain experienced will vary between individual women. It is important that healthcare professionals provide women with information prior to their procedure so that women can make an informed decisions about the procedure and pain relief options, including the option of local or general anaesthetic.

Clinical guidelines support healthcare professionals to provide evidence-based care. The Royal College of Obstetricians and Gynaecologists (RCOG) published an updated guideline on outpatient hysteroscopy in September 2024. The updated guideline has reference to minimising pain and discomfort during hysteroscopy procedures. While RCOG guidelines are not mandatory, they are designed to support high-quality care, and the Department and NHS England encourages local implementation tailored to patient needs. This is available at the following link:

https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/outpatient-hysteroscopy-green-top-guideline-no-59/

Letters and information sent to patients are determined at a local level by individual National Health Service trusts. A range of additional information is available for patients on hysteroscopy procedures, including on the NHS website, and the Royal College of Obstetricians and Gynaecologists has created a patient information resource on hysteroscopy. This is available at the following link:

https://www.rcog.org.uk/outpatient-hysteroscopy

As with all procedures, healthcare professionals are expected to fully explain the procedure in advance, including expected symptoms, side effects, and risks. These conversations should be undertaken using a shared decision-making approach that ensures individuals are supported to make decisions that are right for them. This provides a collaborative process through which a clinician supports a patient to reach a decision about their treatment, bringing together the clinician’s expertise, such as treatment options, evidence, risks and benefits, with the patient’s preferences, personal circumstances and values. NHS England has published guidelines on the use of shared decision making.

Sodium Valproate: Women
Asked by: Andrew Gwynne (Independent - Gorton and Denton)
Monday 1st September 2025

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 22 July 2025 to Question 65734 on Sodium Valproate: Women, whether his Department holds information on the number of women between the ages of 18 and 52 who were prescribed sodium valproate in 2024.

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

The NHS Business Services Authority (NHSBSA) holds prescription data relating to drugs and appliances dispensed within a community setting in England.

The number of female patients between the ages of 18 and 52 years old who were prescribed sodium valproate in England in 2024 was approximately 14,600.

The data is based on figures extracted from the NHSBSA ePACT2 database, which includes all National Health Service prescriptions prescribed in England and dispensed within a community setting, held for the chemical substance of sodium valproate, where the prescriptions have been submitted to the NHSBSA by dispensing contractors for the payment of the supply of drugs and the associated services.



Early Day Motions Signed
Monday 1st September
Andrew Gwynne signed this EDM as a sponsor on Tuesday 2nd September 2025

Support for early years and the National Literacy Trust

13 signatures (Most recent: 12 Sep 2025)
Tabled by: Neil Duncan-Jordan (Independent - Poole)
That this House recognises the urgent need to address falling levels of early language in the UK, as highlighted by the National Literacy Trust; notes with concern that in 2024 187,542 five-year-olds started school without the communication and language skills they need to thrive; further notes the steep decline in …