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Written Question
Dental Services: Hornsey and Wood Green
Thursday 25th April 2024

Asked by: Catherine West (Labour - Hornsey and Wood Green)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking to help increase the availability of NHS dentistry in Hornsey and Wood Green constituency.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

In 2022/23, 954 dentists in the North Central London Integrated Care Board performed some National Health Service work, the equivalent to 62.5 dentists per 100,000 people. This is higher than the figure in 2021/22, when 891 dentists performed some NHS work, the equivalent to 58.4 dentists per 100,000 people.

Our plan to recover and reform NHS dentistry will make dental services faster, simpler, and fairer for patients, and will fund approximately 2.5 million additional appointments. The plan sets out a number of actions which will improve access for patients, by helping the sector to recover activity more quickly, addressing underlying issues, and setting out the action needed for longer term reform of the system.

A new patient premium will support dentists in taking on new patients, and a new marketing campaign will help people locate an NHS dentist as needed. New dental vans will bring dental care to our most isolated communities, and Golden Hello incentives will encourage dentists into under-served areas. We will further support dentists by raising the minimum Units of Dental Activity rate to £28 this year, making NHS work more attractive and sustainable.


Written Question
Nutrition
Thursday 25th April 2024

Asked by: Baroness Jenkin of Kennington (Conservative - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what steps they are taking to tackle diet-related ill-health, including type 2 diabetes and heart disease.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

We remain committed to promoting a healthy diet for adults and children and are delivering an ambitious programme of work to create a healthier environment to help people make healthy food choices to improve health and to tackle diet related ill health. There are a range of measures in place to support improving diets, promoting physical activity and reducing obesity.

Regulations on out of home calorie labelling for food sold in large businesses, including restaurants, cafes and takeaways, came into force in April 2022. Restrictions on the placement of products high in fat, sugar or salt in key selling locations, came into force on 1 October 2022.  We will be implementing restrictions on the sale of less healthy products by volume price such as ‘3 for 2’ and will introduce restrictions on the advertising of less healthy products before 9pm on TV and paid for less healthy product advertising online from 1 October 2025.

We are working with the food industry to make further progress on reformulation and ensure it is easier for the public to make healthier choices. The Food Data Transparency Partnership will help enable and encourage food companies to voluntarily demonstrate progress on the healthiness of their sales.

The Government continues to promote the Eatwell Guide principles through the NHS.UK website and government social marketing campaigns such as Better Health Healthier Families and Start for Life. We are also supporting more than three million children through the Healthy Foods Schemes and helping schools boost physical activity to help children maintain a healthy weight and good overall health through the Primary School PE and Sport Premium and the School Games Organiser Network.

We are continuing to support local authorities to improve the uptake of the NHS Health Check, England's cardiovascular disease prevention programme. The NHS Health Check helps to prevent a range of conditions including heart disease and type 2 diabetes. Each year the programme engages over 1 million people and prevents around 400 heart attacks or strokes.


Written Question
Food Data Transparency Partnership
Thursday 25th April 2024

Asked by: Baroness Jenkin of Kennington (Conservative - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government, following the Food Data Transparency Partnership’s decision not to make reporting on health data mandatory, what steps they are taking to ensure enforcement of and consistency in the voluntary scheme.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

The Food Data Transparency Partnership’s (FDTP) Health Working Group (HWG) has been testing the effectiveness and quality of potential standardised metrics that food and drink companies can use to report on the healthiness of their sales. This is an important part of government’s strategy to address poor diet and reduce obesity and was restated in the Major Conditions Strategy interim report August 2023.

Once a recommended set of metrics and reporting guidance has been produced and approved by Ministers, the expectation is that businesses who voluntarily report will all follow this standardised approach.

A key commitment of the HWG is timely and transparent communication so that wider food sector stakeholders can input into each stage of the process in order to ensure recommendations around comparability and enforcement will be as viable and effective as possible. Alongside engagement with industry, the FDTP also regularly engages civil society organisations and investor groups to gather and integrate wider feedback into discussions. Summaries of these HWG discussions are published online on the FDTP GOV.UK page.


Written Question
Health Services and Social Services
Thursday 25th April 2024

Asked by: Lord Swire (Conservative - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what progress they have made on integrating social care and the NHS.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

The Health and Care Act 2022 established integrated care systems, reforming how health and adult social care work together by putting partnership at the heart of planning. The Government has published guidance for integrated care partnerships (ICPs), on the statutory requirement for each ICP to publish an Integrated Care Strategy to address the health, social care, and public health needs of their system. All ICPs have now published their integrated care strategies.

The integration of health and social care is often best achieved through collaboration across smaller geographies within integrated care systems called places. Since the Health and Care Act 2022, we have seen good progress in the development of place-based arrangements to integrate health and social care. In October 2023, we published our Shared Outcomes Toolkit designed to help place-based partnerships develop shared outcomes as a powerful means of promoting integrated working and joined up care. We also issued a call for evidence as part of our review of Section 75 of the NHS Act 2006, which permits local authorities and National Health Service bodies to pool budgets, enabling joint commissioning and the commissioning of integrated services. The findings of this review will be shared in due course.


Written Question
Suicide: Coastal Areas
Thursday 25th April 2024

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, with reference to research by Christine Camacho and Luke Munford at the University of Manchester showing that deaths from drugs, alcohol and suicide are higher in northern and coastal local authorities, what steps they are taking to address that regional inequality.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

The Levelling Up the United Kingdom white paper sets out the Government’s ambition to improve living standards and wellbeing across the UK, invest in communities, and improve public services. It sets mutually reinforcing levelling up missions to focus Government action, including a health mission to narrow the gap in healthy life expectancy by 2030, and increase healthy life expectancy by five years by 2035.

The Government has published a 10-year drug strategy and is investing an extra £532 million between 2022/23 to 2024/25 to improve drug and alcohol treatment and recovery services. This funding is being used by local authorities to create places for an additional 54,500 people in drug and alcohol treatment services and bolster the workforce, seeking to prevent nearly 1,000 deaths. This funding is being targeted to areas of highest need first.

The Department is increasingly focusing on supporting local areas, including better meeting the needs of vulnerable groups. Current work includes: providing targeted support to local areas; enhancing data tools to better inform local needs assessments; supporting workforce development; implementation of the commissioning quality standard; and sharing good practice. Implementation support will adapt over the course of the 10-year strategy in response to need, to ensure we reach the drug strategy goals.

We also published our new Suicide Prevention Strategy for England in September 2023, setting out the actions we will take to save lives and reduce suicides within the next few years, and have set out our intention in the strategy to write guidance for local areas to support them in aligning their own strategies with the national strategy. We have also established a £10 million Suicide Prevention Grant Fund to run from 2023 to March 2025, and on 4 March 2024 we announced the 79 organisations across the country that have been allocated funding. We have also launched a new nationwide, near real-time suspected suicide surveillance system, that will improve the early detection of, and timely action to, address changes in suicide rates or trends.


Written Question
Mental Health: Equality
Thursday 25th April 2024

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, with reference to research by Christine Camacho and Luke Munford at the University of Manchester, what steps they are taking to reduce regional inequalities in what those researchers refer to as "Deaths of Despair".

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

The Levelling Up the United Kingdom white paper sets out the Government’s ambition to improve living standards and wellbeing across the UK, invest in communities, and improve public services. It sets mutually reinforcing levelling up missions to focus Government action, including a health mission to narrow the gap in healthy life expectancy by 2030, and increase healthy life expectancy by five years by 2035.

The Government has published a 10-year drug strategy and is investing an extra £532 million between 2022/23 to 2024/25 to improve drug and alcohol treatment and recovery services. This funding is being used by local authorities to create places for an additional 54,500 people in drug and alcohol treatment services and bolster the workforce, seeking to prevent nearly 1,000 deaths. This funding is being targeted to areas of highest need first.

The Department is increasingly focusing on supporting local areas, including better meeting the needs of vulnerable groups. Current work includes: providing targeted support to local areas; enhancing data tools to better inform local needs assessments; supporting workforce development; implementation of the commissioning quality standard; and sharing good practice. Implementation support will adapt over the course of the 10-year strategy in response to need, to ensure we reach the drug strategy goals.

We also published our new Suicide Prevention Strategy for England in September 2023, setting out the actions we will take to save lives and reduce suicides within the next few years, and have set out our intention in the strategy to write guidance for local areas to support them in aligning their own strategies with the national strategy. We have also established a £10 million Suicide Prevention Grant Fund to run from 2023 to March 2025, and on 4 March 2024 we announced the 79 organisations across the country that have been allocated funding. We have also launched a new nationwide, near real-time suspected suicide surveillance system, that will improve the early detection of, and timely action to, address changes in suicide rates or trends.


Written Question
Pregnancy: Smoking
Thursday 25th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking to encourage pregnant women to undertake smoking cessation programmes.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Smoking is the number one entirely preventable cause of ill-health, disability, and death in this country. It is responsible for 80,000 yearly deaths in the United Kingdom, and one in four of all UK cancer deaths. Smoking in pregnancy increases the risk of stillbirth, miscarriage, and sudden infant death.

As set out in Stopping the Start: our new plan to create a smokefree generation, we are establishing a financially incentivised scheme to help pregnant smokers and their partners to quit smoking, with smoking cessation support. This evidence-based intervention will encourage pregnant women to give up smoking, and remain smokefree throughout pregnancy and beyond, helping to improve the health and wellbeing of both mother and baby.

The objective is to have all maternity trusts that wish to participate in the scheme signed up by the end of 2024, so that all pregnant women who smoke in participating areas will be offered the opportunity to join the incentive scheme by December 2024.

This financial incentive scheme builds upon the NHS Long Term Plan’s ambition to ensure that all pregnant smokers can access behavioural support to quit from within maternity services, as well as additional funding for mass marketing campaigns on stopping smoking.


Written Question
Health Services: Rehabilitation
Thursday 25th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will develop a (a) rehabilitation strategy and (b) single accountable lead in every NHS Trust and Integrated Care Board area.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

National Health Service bodies and local authorities should ensure local recovery, rehabilitation, and reablement services are commissioned effectively and sustainably, and meet the needs of their local population. This may be provided as part of intermediate care services, and should be done in collaboration with relevant organisations, including the voluntary and community sector, and care providers.

NHS England has published the Intermediate care framework for rehabilitation, reablement and recovery following hospital discharge, which recommends systems identify an Allied Health Professional lead to progress implementation of the new model, both within the hospital and in the community.

Integrated care boards have flexibility over the arrangements of their own governance, including board membership, and are able to go beyond the statutory minimums to appoint more local authority, NHS provider, or primary care representatives to board membership, in order to tackle local priority issues.


Written Question
Paediatrics: Waiting Lists
Thursday 25th April 2024

Asked by: Karin Smyth (Labour - Bristol South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many children have been waiting longer than (a) 18 and (b) 24 months for a community paediatric appointment as of 17 April 2024.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

Monthly information on waiting lists and times for community health services in England can be found at the following link:

https://www.england.nhs.uk/statistics/statistical-work-areas/community-health-services-waiting-lists/.


Written Question
Intensive Care: Rehabilitation
Thursday 25th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what guidance her Department provides to NHS trusts on ensuring that patients transitioning from intensive care units to hospital wards receive the necessary specialist care on those wards.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

A quality standard for patient transfers, from critical care to general wards, has been published by the National Institute for Health and Care Excellence, and endorsed by NHS England. The quality standard, which emphasises the importance of continuity in rehabilitation, is available at the following link:

https://www.nice.org.uk/guidance/qs158/chapter/Quality-statement-2-Transfer-from-critical-care-to-a-general-ward