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Written Question
Pharmacy: ICT
Wednesday 27th March 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 what were the circumstances behind Pharmacy First claims recently appearing incorrectly in the NHS Business Services Authority’s 'Manage Your Service' portal; and what assessment they have made of the impact of this on the workload of community pharmacies.

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

Some pharmacy contractors have experienced a discrepancy between the data that they have entered, and the data received by the NHS Business Services Authority (NHSBSA). This has affected February claims for Urgent Medicines Supply. This was caused by the new formatting of data received by the NHSBSA resulting from changes made by some IT system suppliers when implementing Pharmacy First.

The NHSBSA has been working closely with IT system suppliers to resolve the issues and identify the affected contractors. They have extended the deadline for claiming February activity. Contractors will be paid for all Pharmacy First consultations undertaken.

The contractual relationship for the provision of IT to support the new services is between pharmacy contractors and IT system suppliers. Any concerns should be raised by the contractor with their chosen IT system supplier.

The Department is aware of the disruption to service this has caused to some contractors, and the concerns that contractors have overpaid. That is why the claim window has been extended, and the NHSBSA is working closely with contractors’ IT suppliers to reconcile the data to ensure every consultation is captured and paid. We are keeping the situation under close review.


Written Question
Brain: Tumours
Wednesday 27th March 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 how much funding they have allocated for research into the (1) cause, and (2) treatment, of astrocytoma brain tumours in each of the past ten years; and to which organisations and projects and those funds were allocated.

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

Research is crucial in tackling cancer, which is why the Department invests over £1 billion per year in health research through the National Institute for Health and Care Research (NIHR). NIHR research expenditure for all cancers was £121.8 million in 2022/23. The NIHR spends more on cancer than any other disease group.

The NIHR funds and supports health, public health and social care research that leads to improved outcomes for patients and the public and makes the health and social care system more efficient, effective, and safe. Research evidence is vital for improving treatments and outcomes for people, including those with astrocytoma brain tumours.

The following table shows NIHR-funded research into astrocytoma brain tumours since 2013/14:

Award Title

Contractor

Start Date

End Date

Status

Total Award Budget

Dabrafenib with trametinib for treating BRAF V600E mutation-positive glioma in children and young people aged 1 to 17 [ID5104]

The University of Sheffield

12/10/2023

12/03/2024

Active

£70,000

A randomized, double-blind, parallel group, placebo-controlled trial of metformin in tuberous sclerosis complex.

University Hospitals Bristol and Weston NHS Foundation Trust

1/8/2012

28/2/2017

Closed

£239,665

Grand total

-

-

-

-

£309,665

The NIHR funds research in response to proposals received from scientists rather than allocating funding to specific disease areas. The NIHR welcomes funding applications for research into any aspect of human health, including astrocytoma brain tumours. 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 based on the importance of the topic to patients and health and care services, value for money and scientific quality.

It is worth noting that all applications that were fundable in open competition have been funded. The Department works closely with research funding partners such as Cancer Research UK and the Medical Research Council, who fund research into new scientific discoveries.


Written Question
Electronic Cigarettes
Wednesday 27th March 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 assessment she has made of the potential merits of taking steps to create a vape-free generation.

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

Smoking is the number one cause of ill-health, disability, and death, responsible for approximately 80,000 deaths a year in the United Kingdom, causing around one in four cancer deaths. It costs our country £17 billion a year, and puts a huge burden on the National Health Service. There is no more dangerous product that is legally sold in our shops than tobacco, a product that will kill two thirds of its users.

The health advice on vaping is clear, vaping can play a role in helping adult smokers to quit, but if you don’t smoke, don’t vape. Vaping should never be used by, or targeted at, children, especially given the highly addictive nature of nicotine.

This is why we have announced strong measures to reduce the appeal, availability, and affordability of vapes to children, whilst ensuring that vapes remain an available quit aid for adult smokers. We will also ban the sale and supply of disposable vapes, which are clearly linked to the recent rise in vaping in children.


Written Question
Electronic Cigarettes and Tobacco: Trading Standards
Wednesday 27th March 2024

Asked by: Adam Afriyie (Conservative - Windsor)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how much funding will be allocated to each local authority trading standards for enforcing the (a) disposable vapes ban and (b) generational tobacco ban.

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

The Government has committed to increasing investment for enforcement agencies by £30 million per year. The additional funding in England will boost agencies such as local trading standards, to enforce the new age of sale and vaping measures. It will also scale up HM Revenue and Customs and Border Force activity, to stamp out opportunities for criminals in the illicit tobacco trade.

Of this funding, over £100 million over five years will support HM Revenue and Custom’s and Border Force’s new illicit tobacco strategy, published on 29 January 2024. We are working closely with Trading Standards to consider how the new funding can best support their programmes of local-level enforcement.


Written Question
Nutrition
Wednesday 27th March 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, whether she has had recent discussions with the food and drink sector on taking steps to provide healthy alternatives to products that are high in (a) fat, (b) sugar and (c) salt.

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

Discussions have been held by officials with the food and drink sector on taking steps to provide healthier alternatives to products that are high in salt since 2004, high in sugar since 2014, and high in calories since 2017. Provision of healthier alternatives to products that are high in saturated fat have been part of those discussions.

My Rt hon. Friend, the Secretary of State for Health and Social Care meets regularly with external stakeholders on a variety of issues. These ministerial meetings are routinely published on a quarterly basis in arrears on the GOV.UK website. However, my Rt hon. Friend, the Secretary of State for Health and Social Care will recuse herself on departmental issues relating to outside interests, all of which have been declared to the House and under the Ministerial Code.


Written Question
Pharmacy: Finance
Wednesday 27th March 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 what assessment they have made of the impact on community pharmacies, in particular in relation to funding reductions, of technical problems preventing such pharmacies from submitting accurate data for Pharmacy First consultations in February.

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

Some pharmacy contractors have experienced a discrepancy between the data that they have entered, and the data received by the NHS Business Services Authority (NHSBSA). This has affected February claims for Urgent Medicines Supply. This was caused by the new formatting of data received by the NHSBSA resulting from changes made by some IT system suppliers when implementing Pharmacy First.

The NHSBSA has been working closely with IT system suppliers to resolve the issues and identify the affected contractors. They have extended the deadline for claiming February activity. Contractors will be paid for all Pharmacy First consultations undertaken.

The contractual relationship for the provision of IT to support the new services is between pharmacy contractors and IT system suppliers. Any concerns should be raised by the contractor with their chosen IT system supplier.

The Department is aware of the disruption to service this has caused to some contractors, and the concerns that contractors have overpaid. That is why the claim window has been extended, and the NHSBSA is working closely with contractors’ IT suppliers to reconcile the data to ensure every consultation is captured and paid. We are keeping the situation under close review.


Written Question
Health Services: Greater London
Wednesday 27th March 2024

Asked by: Matthew Offord (Conservative - Hendon)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what the NHS' planned timetable is for a decision on the Start Well public consultation on the future of maternity, neonatal and children’s surgical services in north central London.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The Start Well public consultation on proposed changes to maternity, neonatal, and paediatric surgical services in North Central London closed on Sunday 17 March 2024. The responses received will now be analysed by an independent research agency, who will produce a report for the consulting bodies, North Central London Integrated Care Board, on behalf of the local integrated care system, and NHS London Specialised Commissioning. This report will be published and, along with a wide range of evidence and information, will be used to develop a decision-making business case for consideration by the integrated care board.

North Central London Integrated Care Board expect it will take some months to develop the decision-making business case. The meeting will be held in public, with further details published later this year.


Written Question
Healthy Start Scheme
Wednesday 27th March 2024

Asked by: Emma Lewell-Buck (Labour - South Shields)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many people were eligible for Healthy Start vouchers in January (a) 2022 and (b) 2023.

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

The number of those eligible for Healthy Start in January 2022 was 553,601, and the number of those eligible in January 2023 was 578,067.


Written Question
Dental Services
Wednesday 27th March 2024

Asked by: Preet Kaur Gill (Labour (Co-op) - Birmingham, Edgbaston)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how much (a) NHS and (b) private work was completed by GDC registered dentists who qualified (i) in the UK, (ii) overseas and (iii) in total in each of the last 10 years.

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

Primary care dentistry in the National Health Service is delivered through contracts structured around Units of Dental Activity (UDAs). Each treatment is allocated a number of UDAs in proportion to the complexity and amount of work required. The following table shows the number of UDAs delivered by dentists who have qualified within the United Kingdom and outside thereof whilst working in the NHS in England for 2016/17 onwards:

Year

UK Qualified UDA Delivered

Non-UK Qualified UDA Delivered

Other UDA Delivered

Total UDA Delivered

2016/17

48,825,392

26,394,403

10,644,608

85,864,403

2017/18

48,640,153

26,323,343

8,363,069

83,326,565

2018/19

49,482,862

27,192,292

6,528,618

83,203,772

2019/20

48,144,326

27,032,548

4,666,855

79,843,728

2020/21

15,260,168

8,265,064

927,591

24,452,823

2021/22

35,781,811

20,777,093

1,210,218

57,769,122

2022/23

43,918,652

25,763,340

486,695

70,168,687

Source: NHS Business Services Authority

Notes:

  1. The dentist’s region of qualification is based on that as provided on the General Dental Council (GDC) register. It is important to note that not all dentists have a country of qualification on the GDC register as supplied to the NHS Business Services Authority, and so these dentists are placed into “other” as their region of qualification.
  2. The Department does not hold data on how much private dental work was completed in the last 10 years.

Written Question
Babies
Wednesday 27th March 2024

Asked by: Lord Alton of Liverpool (Crossbench - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of the five recommendations made in the report by the First 1001 Days Movement, A Manifesto for Babies, published on 19 March; and whether they intend to respond to each recommendation.

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

There is strong evidence that the 1,001 days from pregnancy to the age of two years old set the foundations for our cognitive, emotional, and physical development. Investing in this critical period presents a real opportunity to improve outcomes and tackle health disparities by ensuring that thousands of babies and families have improved access to quality support and services. The Government is therefore already taking forward a range of actions in line with recommendations in the report by the First 1001 Days Movement to ensure that every baby gets the best start in life.

For example, in March 2021, the Government published The best start for life: a vision for the 1,001 critical days, a copy of which is attached. This vision sets out six action areas for improving support for families during the 1,001 critical days to ensure every baby in England is given the best possible start in life, regardless of background.

The Government is also investing approximately £300 million to improve support for families though the Family Hubs and Start for Life programme. The programme is implementing many elements of the Best Start for Life Vision and is delivering a step change in outcomes for babies, children and their parents and carers in 75 local authorities in England, including those with high levels of deprivation. Many local authorities without funding have also chosen to implement elements of the vision.

The programme funding package includes £10 million to enable five local authorities and their partners to pilot innovative early years workforce models, with the aim of improving the access, experience and outcomes of babies, children, and families, and supporting the capacity and job satisfaction of the workforces involved.

To support new parents, Statutory Maternity Pay is paid by employers to qualifying employed women for a maximum of 39 weeks, the first six weeks of which are paid at 90% of the women’s salary followed by 33 weeks at the lower of either the standard rate or 90% of the woman’s average weekly earnings. For those who cannot get Statutory Maternity Pay, Maternity Allowance may be available. This is a benefit paid by the Department for Work and Pensions to eligible women and is intended for those who cannot get Statutory Maternity Pay. The standard rate of maternity pay is reviewed annually.

Paternity Leave arrangements enable employed fathers and partners, including same sex partners, who meet the qualifying conditions to take up to two weeks of paid leave within the first eight weeks following the birth of their child or placement for adoption. The Government has recently announced changes to make Paternity Leave and Pay more flexible for working families from April 2024. This includes allowing fathers and partners to take their leave and pay at any point in the first year after the birth or adoption of their child.

A Shared Parental Leave and Pay scheme is also available, giving working families much more choice and flexibility about who cares for their child in the first year, and when.