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Written Question
Gender Recognition: Children and Young People
Thursday 14th January 2021

Asked by: Crispin Blunt (Independent - Reigate)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether (a) his Department and (b) NHS England undertook an equalities impact assessment of the amendments to NHS England’s service specification for Gender Identity Development Services for children and adolescents published on 1 December 2020; and if he will make a statement.

Answered by Jo Churchill - Minister of State (Department for Work and Pensions)

No equalities impact assessment was undertaken by the Department or NHS England and NHS Improvement.

NHS England and NHS Improvement took immediate action following the High Court Ruling on 1 December. Their amendment to the service specification for gender identity services for children and young people was published on the day of the judgement in order to protect patients and clinicians given the significant safeguarding, clinical and legal issues raised. The Tavistock and Portman NHS Foundation Trust will be conducting a clinical risk assessment of every young person who is immediately affected by the decision.


Written Question
Gender Recognition: Clinics
Thursday 14th January 2021

Asked by: Crispin Blunt (Independent - Reigate)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the oral response of the Minister for Women and Equalities to the Urgent Question from the hon. Member for Reigate of 24 September 2020, Official Report, column 1137, on the Gender Recognition Act Consultation, whether the three clinics announced by the Minister for Women and Equalities in her Written Ministerial Statement of 22 September 2020 were originally identified as pilot clinics by his Department.

Answered by Jo Churchill - Minister of State (Department for Work and Pensions)

In 2018 a new service specification was developed for gender identity clinics, this new specification concluded that access to specialist interventions by trained healthcare professionals was needed within primary care and other local health settings.

Three new clinics were announced earlier this year. The new services will provide the range of services available from an established gender dysphoria clinic. The clinics are based in London, Manchester, and Cheshire and Merseyside. The first of these services began in July 2020 in London. These services will be evaluated as pilots over a period of up to three years to determine how they could be expanded nationally.

These services were referenced by the Minister for Women and Equalities in her response of 24 September.


Written Question
Continuing Care
Tuesday 29th December 2020

Asked by: Crispin Blunt (Independent - Reigate)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department and NHS England are taking to ensure continuity of care for patients affected by the recent court ruling in Bell v Tavistock.

Answered by Jo Churchill - Minister of State (Department for Work and Pensions)

A full clinical review must be carried out for all patients under the age of 16 years old who are currently receiving puberty blockers. If the patient intends to continue on puberty blockers or progress onto cross sex hormones, the lead clinician must make a ‘best interests’ application to the Court for final determination of that individual’s needs. No patients will have puberty blockers withdrawn unless, as a result of the clinical review, a clinical decision, in consultation with the patient, is made to withdraw puberty blockers, or a court considers a ‘best interest’ decision and decides it is not in the patient’s interest to remain on puberty blockers.


Written Question
Mental Health Services
Tuesday 22nd December 2020

Asked by: Crispin Blunt (Independent - Reigate)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department and NHS England are taking to support the mental health and wellbeing of patients whose treatment has been suspended or cancelled following the judgment in Bell v Tavistock.

Answered by Jo Churchill - Minister of State (Department for Work and Pensions)

The Gender Identity Development Service will ensure that appropriate psychosocial support and psychological therapies are available to patients who are removed from puberty blockers, as well as to their families and carers.


Written Question
Coronavirus: Funerals
Thursday 29th October 2020

Asked by: Crispin Blunt (Independent - Reigate)

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 16 October 2020 to Question 98661 on Funerals: Coronavirus, what is defined as a funeral for the purposes of covid-19 restrictions on attendance, and what the policy is on multiple events for one deceased individual.

Answered by Nadine Dorries

The current restrictions on social contact include an exemption for gathering to attend a funeral. Such a gathering can include no more than 30 people and must be held at a COVID-19 secure venue, not a private dwelling.

A ‘commemorative event following a person’s death’ may be held following the funeral including a wake, stone setting or scattering of ashes. Commemorative events are limited to 15 people and also must be held at a COVID-19 secure venue and not a private dwelling.


Written Question
Medical Treatments: Innovation
Friday 23rd October 2020

Asked by: Crispin Blunt (Independent - Reigate)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what the (a) budget and (b) scope is of the planned Innovative Medicines Fund; what funding will be allocated to (a) promising innovative medicines within or outside the Early Access to Medicines Scheme, (b) medicines for rare diseases and (c) support for research into, rescheduling of and licensing of compounds classified as Schedule 1 under the Misuse of Drugs Regulations 2001.

Answered by Jo Churchill - Minister of State (Department for Work and Pensions)

Proposals for the Innovative Medicines Fund (IMF) are in development and will take full account of stakeholder views to ensure best use of the Fund. The budget for the fund will be confirmed in due course.

Alongside the IMF, we will continue to support the Early Access to Medicines Scheme, which is a key part of the Government’s commitment to accelerating patient access to innovative, life-changing treatments.

The National Institute for Health Research welcomes funding applications for research into any aspect of human health; it is not usual practice to ring-fence funds for particular topics or conditions. Applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.


Written Question
Rare Diseases
Friday 23rd October 2020

Asked by: Crispin Blunt (Independent - Reigate)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether he plans to update the National Institute for Health and Care Excellence (Constitution and Functions) and the Health and Social Care Information Centre (Functions) Regulations 2013 with respect to appropriate pathways for the National Institute for Health and Care Excellence (NICE) to appraise technologies for both rare and very rare conditions.

Answered by Jo Churchill - Minister of State (Department for Work and Pensions)

There are no plans to update the National Institute for Health and Care Excellence (Constitution and Functions) and the Health and Social Care Information Centre (Functions) Regulations 2013.


Written Question
Cancer: Drugs
Friday 23rd October 2020

Asked by: Crispin Blunt (Independent - Reigate)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what the Cancer Drugs Fund (CDF) expenditure was between (a) April 2019 to March 2020 and (b) April 2020 to September 2020.

Answered by Jo Churchill - Minister of State (Department for Work and Pensions)

Between April 2019 to March 2020, the expenditure for the Cancer Drugs Fund was £317 million.

For the year 2020/21, data is only available for Q1 (April to June), during which period expenditure was £82 million.


Written Question
Coronavirus: Funerals
Friday 16th October 2020

Asked by: Crispin Blunt (Independent - Reigate)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether it is permitted for up to 30 people attending a funeral to attend a memorial on (a) the same day and (b) a future day during the covid-19 outbreak.

Answered by Nadine Dorries

We recognise how important it is to be able to attend the funeral of a loved one. That is why there is an exemption so that up to 30 people can attend a funeral.

Pre-funeral and post-funeral ceremonies may be held for up to 15 people in line with the guidance on staying alert and safe (social distancing). However, families may consider deferring a celebration or memorial service, until further social restrictions are lifted and at a time when attendance can take place safely.

Guidance can be found at the following link:

https://www.gov.uk/government/publications/staying-alert-and-safe-social-distancing/staying-alert-and-safe-social-distancing-after-4-july


Written Question
Coronavirus: LGBT People
Tuesday 22nd September 2020

Asked by: Crispin Blunt (Independent - Reigate)

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 health effects of the Covid-19 outbreak on (a) LGBT+ people and (b) other people with protected characteristics; and if he will make a statement.

Answered by Jo Churchill - Minister of State (Department for Work and Pensions)

Public Health England (PHE) has conducted a rapid review to better understand how different factors such as ethnicity, deprivation, age, gender and obesity can impact on how people are affected by COVID-19. The review’s findings, published on 2 June 2020, are available at the following link:

https://www.gov.uk/government/publications/covid-19-review-of-disparities-in-risks-and-outcomes

PHE publishes a weekly epidemiological surveillance report with information about cases and deaths by sex, age, ethnicity and other characteristics. This report is available at the following link:

https://www.gov.uk/government/publications/national-covid-19-surveillance-reports