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Written Question
Health Services: Finance
Thursday 28th March 2024

Asked by: Simon Jupp (Conservative - East Devon)

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 help support applicants for continued healthcare funding who appeal a decision to (a) NHS England and (b) the Parliamentary and Health Service Ombudsman.

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

A public information leaflet is on the GOV.UK website in multiple languages, explaining the full process for appealing to NHS England or to the Parliamentary and Health Service Ombudsman, as well as the eligibility decisions for NHS Continuing Healthcare (CHC). This leaflet is available at the following link:

https://www.gov.uk/government/publications/nhs-continuing-healthcare-and-nhs-funded-nursing-care-public-information-leaflet

CHC guidance, named the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care, states that any individual being considered for CHC at the screening or referral stage should be given a copy of this leaflet, along with any relevant local information about processes and contact details. This guidance is available at the following link:

https://assets.publishing.service.gov.uk/media/64b0f7cdc033c100108062f9/National-Framework-for-NHS-Continuing-Healthcare-and-NHS-funded-Nursing-Care_July-2022-revised_corrected-July-2023.pdf

NHS England has also commissioned a free Information and Advice Service for CHC from Beacon. This service provides independent and high-quality support on navigating CHC assessments and care planning, or to appeal against a decision about CHC eligibility. Further information is available at the following link:

https://beaconchc.co.uk/how-we-can-help/free-information-and-advice-on-nhs-continuing-healthcare/


Written Question
Hospitals: Dorset
Thursday 28th March 2024

Asked by: Christopher Chope (Conservative - Christchurch)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will make an assessment of the potential impact of the extra allocations of money made from the discharge fund to the (a) NHS and (b) local authorities in Dorset in the 2023-24 financial year on the (i) timeliness and (ii) effectiveness of the discharge of patients from NHS hospitals.

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

The Government is investing an additional £600 million for 2023/24 and £1 billion for 2024/25, through the Discharge Fund, to support the National Health Service and local authorities in ensuring timely and effective discharge from hospital. As part of their allocations for 2023/24, NHS Dorset Integrated Care Board received £5.7 million, Bournemouth, Christchurch and Poole Council received £1.9 million, and Dorset Council received £1.7 million. There will be an independent evaluation of the Discharge Fund for 2023/24 and 2024/25.

Nationally, this funding has supported more people to be discharged more quickly with more appropriate support. The number of people discharged from hospital with packages of health and social care support increased by 10% between the end of February 2023 and the end of February 2024. Thanks to this improved patient flow hospitals have been able to admit and treat more patients during this period.


Written Question
Dental Services
Thursday 28th 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 many extra (a) appointments and (b) treatments will be delivered through each element of the dentistry recovery plan.

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

We want to make sure that everyone needing a National Health Service dentist can access one. 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, or more than 1.5 million additional courses of dental treatment.

The methodology underpinning this modelling has been shared with the Health and Social Care Select Committee and has also been placed in the libraries for both Houses. This includes information on the estimated number of treatments and appointments delivered by each of the interventions in our dentistry recovery plan.


Written Question
NHS Walk-in Centres
Thursday 28th March 2024

Asked by: Simon Jupp (Conservative - East Devon)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will make it her policy to establish walk-in clinics in each Integrated Care Board; and what estimate she has made of the cost of doing so.

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

The commissioning of establishing local services in the National Health Service is a matter for integrated care boards. The Government has no plans at this time to roll out hubs nationally.

Based upon current schemes which are either operational or under development in England, and assuming a facility floorplan of 3,000 square metres, the construction of a single walk-in hub service would cost £21.4 million in 2024/25 prices. Ongoing running costs for each building could be approximately £2 million to £2.3 million dependent on whether it was operational seven days a week and included wider primary care services such as dentistry.


Written Question
Obesity: Children
Thursday 28th March 2024

Asked by: Mary Glindon (Labour - North Tyneside)

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 tackle childhood obesity; and if she will take steps to work with (a) other Departments and (b) community organisations to provide access to safe recreational spaces for children.

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

Addressing obesity remains a priority for the Government and we are taking strong action to support people, including children and their families, in achieving and maintaining a healthier weight. This action includes: the introduction of restrictions on the promotion by location of less healthy products in key selling locations in store and online; working with the food industry to make further progress on reformulation and making healthier choices easier; the introduction of out of home calorie labelling regulations for food sold in large businesses, including restaurants, cafes, and takeaways; and supporting three million children through the Healthy Food Schemes.

The Government has taken steps towards providing access to open spaces for communities including children, this includes putting policies in place to require local authorities to provide access to open spaces for sport and physical activity, which is important for the health and well-being of communities. This includes a duty for all local councils to produce a design code for their local area. Design codes will be prepared locally, reflect the local context, and be based on effective community involvement. Officials in the Department are engaging with stakeholders, including those across Government, on a wide range of issues, to promote healthier places.


Written Question
Dental Services: Migrant Workers
Thursday 28th 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, how many dentists were recruited from overseas by the NHS in the last 12 months; and if she will make an estimate of the number of dentists that will be recruited from overseas by the NHS in the next 12 months.

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

To legally practise dentistry in the United Kingdom, a dentist must be registered with the General Dental Council (GDC), the independent regulator of dentistry. Once registered with the GDC, dentists can choose whether to practise in the National Health Service or privately. To practise in the NHS, dentists must be on the dental performers list.

The Department does not hold the information requested on the number of overseas-qualified dentists that have joined the performers list in the last 12 months. No estimate has been made of the number of overseas-qualified dentists that will join the performers list in the next 12 months.


Written Question
Sickle Cell Diseases: Research
Thursday 28th March 2024

Asked by: Andrew Rosindell (Conservative - Romford)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she has taken to support (a) research into and (b) treatment of sickle cell disease in (i) England and (ii) Romford constituency.

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

We’re working hard to support research, and provide the best possible care to those living with sickle cell disease (SCD) across the country. The Department funds health and care research through the National Institute for Health and Care Research (NIHR). Over the past five financial years, the NIHR has invested more than £8 million in funding and support for SCD research.

NHS Blood and Transplant (NHSBT) is the largest provider of apheresis services, a blood transfusion used to treat SCD. NHSBT will be delivering projects over the next 12 months that will increase both nursing capacity and the physical space in which apheresis occurs. We are also working to increase Ro subtype blood donation numbers, the blood type used to treat SCD, identify opportunities to improve clinical pathways, and deliver world-leading treatments, such as the new blood matching genetic test announced by NHS England earlier this year, which will reduce the risk of side effects and offer more personalised care.

NHS England’s Chief Executive Officer has committed to improving the treatment and outcomes of patients with SCD, and has commissioned a Sickle Cell Pathway Quality Improvement work package. A quality improvement review of existing processes has led to a range of improvements including awareness, education, and training of both patients and professionals.

The National Healthcare Inequalities Improvement Programme (HiQiP) has recently introduced a number of initiatives as part of the wider aim of tackling inequalities for people living with SCD. This includes: piloting of urgent and emergency department bypass units in London and Manchester, which will ensure people with SCD with an uncomplicated vaso-occlusive crisis are assessed and given pain relief in a timely manner; the provision of a credit card sized Sickle Cell Alert Card to all people with SCD, to alert medical and clinical staff that the carrier is a registered SCD patient and that they should be managed as a medical emergency; a London wide commissioning for the design and upload of a patient care record onto an interoperable digital platform which, when fully operational, will give clinicians and medical personnel in different regions access to a patient’s personalised care and analgesia record, removing ambiguity on effective treatment; and several products to support the above, including a communications campaign to raise awareness of existing NHS England arrangements to support people with SCD to save money on the costs of regular prescriptions, as well as the Can you tell it's Sickle Cell campaign and an e-learning module, both from NHS England. Further information on the Can you tell it's Sickle Cell campaign and the e-learning module is available respectively, at the following links:

https://www.england.nhs.uk/2022/06/nhs-launches-lifesaving-sickle-cell-campaign/

https://www.e-lfh.org.uk/programmes/health-inequalities/


Written Question
Tobacco and Vapes Bill
Thursday 28th March 2024

Asked by: Christopher Chope (Conservative - Christchurch)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will publish the Regulatory Policy Committee's original opinion on the Tobacco and Vapes Bill submitted to her Department on 12 February 2024; if she will outline the changes she has made to that Bill since receiving that opinion; and what discussions she has had with the Regulatory Policy Committee on the expected timetable for their submission of the revised opinion.

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

Smoking is responsible for approximately 80,000 deaths a year in the United Kingdom, and causes around one in four cancer deaths in the UK. It also costs our country £17 billion a year, and puts a huge burden on the National Health Service. That is why we have introduced the Tobacco and Vapes Bill to create the first smokefree generation, and enable us to further crack down on youth vaping. The Tobacco and Vapes Bill is available at the following link:

https://bills.parliament.uk/bills/3703

On 12 February 2024 the Regulatory Policy Committee (RPC) gave opinion on the Tobacco and Vapes Bill impact assessment and rated it green (fit for purpose). However, on 19 March 2024, ahead of the introduction of the bill, a revised version was sent to the RPC for comment. This included changes to reflect the inclusion of Northern Ireland in the bill, following the formation of a Northern Ireland Executive, and a power in the bill to enable the current notification system for nicotine vapes to also cover non-nicotine vapes and other consumer nicotine products, for instance nicotine pouches. The RPC have publicly stated that they welcome the resubmission of the revised impact assessment, and we expect a revised opinion to be issued shortly. The statement from the RPC is available at the following link:

https://www.gov.uk/government/news/the-tobacco-and-vapes-bill-statement-from-the-rpc


Written Question
Tobacco and Vapes Bill
Thursday 28th March 2024

Asked by: Christopher Chope (Conservative - Christchurch)

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 the Regulatory Policy Committee's revised opinion on the Tobacco and Vapes Bill is published by 16 April 2024.

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

Smoking is responsible for approximately 80,000 deaths a year in the United Kingdom, and causes around one in four cancer deaths in the UK. It also costs our country £17 billion a year, and puts a huge burden on the National Health Service. That is why we have introduced the Tobacco and Vapes Bill to create the first smokefree generation, and enable us to further crack down on youth vaping. The Tobacco and Vapes Bill is available at the following link:

https://bills.parliament.uk/bills/3703

On 12 February 2024 the Regulatory Policy Committee (RPC) gave opinion on the Tobacco and Vapes Bill impact assessment and rated it green (fit for purpose). However, on 19 March 2024, ahead of the introduction of the bill, a revised version was sent to the RPC for comment. This included changes to reflect the inclusion of Northern Ireland in the bill, following the formation of a Northern Ireland Executive, and a power in the bill to enable the current notification system for nicotine vapes to also cover non-nicotine vapes and other consumer nicotine products, for instance nicotine pouches. The RPC have publicly stated that they welcome the resubmission of the revised impact assessment, and we expect a revised opinion to be issued shortly. The statement from the RPC is available at the following link:

https://www.gov.uk/government/news/the-tobacco-and-vapes-bill-statement-from-the-rpc


Written Question
Domestic Abuse: Data Protection
Thursday 28th March 2024

Asked by: Peter Gibson (Conservative - Darlington)

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 providers of NHS services are protecting the whereabouts of domestic abuse victims from perpetrators.

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

There are security and legislative protections in place to protect patient data, and ensure data is used across the health and social care system in a safe, secure, and legal way. This includes data protection rules which prevent National Health Service employees from disclosing addresses of victims of domestic abuse.

Each organisation’s terms and conditions of employment include strict guidelines on how staff handle and protect patients’ information. Staff must also be regularly trained in information governance responsibilities. Professional bodies such as the General Medical Council also set out standards which their members must meet.

General practices have two options if they are worried that having access to their record might cause harm to a patient or another individual. They can either redact specific items on the record, or disable patient access entirely.