Asked by: Alison McGovern (Labour - Wirral South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to improve the treatment of Cholangiocarcinoma cancers; and whether a proportion of the additional funding allocated to her Department in the Spring Budget 2024 will be used to treat Cholangiocarcinoma cancers.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Cancer is being diagnosed at an earlier stage, more often, with survival rates improving across almost all types of cancer, and the National Health Service has been seeing and treating record numbers of cancer patients over the last two years. Improving early diagnosis of cancer, including cholangiocarcinoma cancers, is a priority for the NHS. The NHS has an ambition to diagnose 75% of cancers at stage 1 or 2 by 2028, which will help tens of thousands of people live for longer.
Although funding for treatment isn’t allocated for specific cancers, the Government has provided significant additional funding to the NHS and adult social care in England. Measures introduced at the Spring Budget will protect levels of funding for the NHS in England in real terms in 2024/25, by providing an extra £2.5 billion for 2024/25, meaning a total budget of £164.9 billion.
While this additional spending is needed, the Government recognises that more money cannot always be the answer to improving outcomes for patients. Alongside the £2.5 billion of extra funding for day-to-day activities, the Government will invest £3.4 billion to reform the way the NHS works. This funding will significantly reduce the 13 million hours of time doctors spend on poor IT, freeing up significant capacity, and revolutionising treatment for a range of illnesses such as cancer and strokes. This will double the investment in technological and digital transformation in the NHS in England, and turn the NHS into one of the most digitally enabled, productive healthcare systems in the world.
On 14 August 2023, the Government published the Major Conditions Strategy’s Case for Change and Our Strategic Framework, which sets out our approach to making the choices over the next five years that will deliver the most value when facing the health challenges of today and of the decades ahead, including for cancer. It will look at the treatment and prevention of cancer, covering the patient pathway. The strategy will look at a wide range of interventions and enablers, to improve outcomes and experience for cancer patients.
Asked by: Stuart C McDonald (Scottish National Party - Cumbernauld, Kilsyth and Kirkintilloch East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what progress she has made on implementing the mandatory fortification of flour with folic acid.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
I can assure the honourable Member that we remain firmly committed to the mandatory fortification of flour with folic acid. This will help to prevent around 200 neural tube defects each year.
This policy is being delivered across the UK as part of the wider review of the Bread and Flour Regulations. In January, we published the consultation response, and we will bring forward legislation to implement the policy later this year.
Asked by: Tanmanjeet Singh Dhesi (Labour - Slough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment her Department has made of the impact of the Strikes (Minimum Service Levels) Act 2023 on the ability of healthcare professionals to participate in industrial action.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Strikes (Minimum Service Levels) Act 2023 allows for regulations to be laid in Parliament in the health sector. The Strikes (Minimum Service Levels: NHS Ambulance Services and the NHS Patient Transport Service) Regulations 2023 came into force on 8 December 2023.
As we set out in in our consultation response on minimum service levels in the ambulance sector, in our engagement with representatives from ambulance trusts, they indicated that establishing a minimum service level at the level specified in the regulations would require approximately 80% of an ambulance service’s resources on a typical shift. Therefore, if an employer chose to issue work notices during a strike, it is likely that a high proportion of all levels of paramedics, emergency care assistants, and other staff in the ambulance teams rostered to work on a strike would be named, and this would have a significant impact on the ability of employees to participate in strike action. The Department has consulted on whether to implement similar regulations for hospital services, and will set out its response in due course.
Asked by: Tulip Siddiq (Labour - Hampstead and Kilburn)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to ensure that people operating as (a) hypnotherapists and (b) psychotherapists are (i) registered and (ii) regulated.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Hypnotherapists and Psychotherapists are not statutorily regulated, and there are no current plans to introduce statutory regulation for either profession. The Professional Standards Authority for health and social care operates an accredited voluntary registers programme, providing a proportionate means of assurance for unregulated professions, by setting standards for organisations holding voluntary registers. There are currently two accredited registers related to hypnotherapy, and twelve accredited registers related to psychotherapy.
The Government keeps the professions subject to statutory regulation under review, and in 2022, published the consultation Healthcare regulation: deciding when statutory regulation is appropriate, which sought views on the criteria used to decide when regulation is necessary, and whether there are any unregulated professions that should be brought into statutory regulation. The Government will publish its response to the consultation in due course.
Asked by: Lord Jackson of Peterborough (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government, further to remarks by Lord Markham on 22 March (HL Deb col 441), what is the legal or evidential basis of his assertion that the Government has a “duty of care not to legislate where other reasonable processes are available” and where this is further enunciated.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
When considering its approach to legislation, in all cases the Government must be guided by whether the aims of that potential bill can already be implemented through other reasonable and established non-legislative means.
Asked by: Fabian Hamilton (Labour - Leeds North East)
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 reduce Child and Adolescent Mental Health Services waiting lists.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
We are committed to expanding and transforming National Health Service mental health care through the NHS Long Term Plan so more people, including children and young people, can be supported more quickly. The NHS forecasts that, between 2018/19 and 2023/24, spending on mental health services has increased by £4.7 billion in cash terms, compared to the target of £3.4 billion set out at the time of the NHS Long Term Plan. Nationally, overall spend on children and young people’s mental health services has increased from £841 million in 2019/20 to just over £1 billion in 2022/23. In the year to December 2023, over 750,000 children and young people aged under 18 years old were supported through NHS funded mental health services, a 31% increase since March 2021.
We are rolling out Mental Health Support Teams in schools and colleges in England, and as of May 2023, these teams cover 3.4 million pupils in England, or the equivalent to 35% of pupils. We expect this to increase to 44% by spring 2024, and we are extending coverage to 50% of pupils by the end of March 2025. We are also providing £8 million to fund 24 early support hubs across the country. This will improve access for children and young people to vital mental health support in the community, offering early interventions to improve wellbeing before their condition escalates further.
In addition, the NHS is working towards implementing five new waiting time standards for people requiring mental healthcare in both accident and emergency and in the community, to ensure timely access to the most appropriate, high-quality support. Four of these include children and young people.
Asked by: Matt Hancock (Independent - West Suffolk)
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 15 April 2024 to Questions 18426 and 18425 on Laboratories: Disease Control, if she will publish a breakdown of each expense category of (a) expenditure and (b) maintenance costs; for what reason Porton Down and Colindale scientific campus sites do not have separate operational costs for the Category 4 laboratories; what plans she has to ensure the long-term sustainability and effectiveness of Cat 4 laboratory sites; and what steps she is taking to protect the UK from (i) synthetically designed viruses and (ii) other new and emerging biothreats.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Department of Health and Social Care has indicated that it will not be possible to answer this question within the usual time period. An answer is being prepared and will be provided as soon as it is available.
Asked by: Lord Jackson of Peterborough (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government, further to the remarks of Lord Markham on 22 March (HL Deb col 441), how they reconcile his assertion that “the Government do not set policy" on foetal sentience with the provisions of the Animal Welfare (Sentience) Act 2022 which included the establishment of an animal sentience committee.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department for Environment, Food and Rural Affairs formulates policy on animal welfare. The Animal Sentience Committee holds functions relating to the effect of government policy on the welfare of animals.
By contrast, the determination of foetal sentience and its implications for abortion and neonatal medical practice is reached through professional consensus and clinical guidance, rather than through policy. For example, the Royal College of Obstetricians and Gynaecologists’ most recent Fetal Awareness Evidence Review was published in December 2022, a copy of which is attached.
Asked by: Baroness Merron (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 potential impact on the mental health and wellbeing of secondary care staff if their partnership with NHS Practitioner Health is ended after the 12-month review period.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
We recognise that the NHS Practitioner Health service is valued by many doctors. NHS England is reviewing the service as part of a wider review of its mental health and wellbeing offer to National Health Service staff. It was confirmed on 15 April 2024 that the service will continue to accept new patients from primary and secondary care whilst this review is undertaken over the next 12 months. NHS England will assess the impact and confirm future arrangements once the review has been completed.
Asked by: Baroness Merron (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what regulations are in place to ensure that the care and treatment provided by private medical insurers are the most appropriate for a specific patient.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
Private medical insurers purchase services from independent sector providers who are responsible for delivering healthcare.
All providers of healthcare are regulated by the Care Quality Commission and follow a set of fundamental standards of safety and quality below which care should never fall, while the General Medical Council is responsible for regulating doctors in the United Kingdom.