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, pursuant to the Answer of 4 March 2024 to Question 16199 on Alcoholic Drinks: Health, whether the post of (a) Head of Alcohol Policy and (b) Senior Policy Manager for Alcohol is (i) occupied and (ii) combined with other policy areas.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Health Improvement Directorate leads on public health policy to reduce alcohol-related health harm. Within the directorate, the Head of Alcohol and Gambling and the Head of Drug and Alcohol Treatment and Recovery, which have direct responsibility for aspects of alcohol policy, are occupied. There are several policy and programme leads working directly on different aspects of alcohol policy and programme delivery. There are two live vacancies in the alcohol and gambling policy and programme team, and we are recruiting staff to fill them.
Asked by: Chris Bryant (Labour - Rhondda)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, when she plans to lay regulations under the Health and Care Act introducing further advertising restrictions on TV and online for less healthy food products.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
On 1 October 2025, the Government will introduce a United Kingdom-wide 9:00pm television watershed for the advertising of less healthy products, and a restriction of paid-for advertising of these products online. The Government and regulators are working through the necessary steps to implement and enforce the regulations. These steps include consulting, finalising guidance, and laying regulations.
Asked by: Andrew Selous (Conservative - South West Bedfordshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate she has made of the (a) cost to the NHS of lack of specialist bowel care for patients with neurogenic bowel disorders and (b) additional costs incurred by (i) diagnosis and treatment of pressure sores resulting from inadequate care and (ii) other secondary complications.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Department has no plans at present to establish a national policy on neurogenic bowel disorder. To help ensure that patients with neurogenic bowel receive timely and appropriate care, NHS England has developed a range of guidance, including its Excellence in Continence Care guidance. NHS England has also published a service specification for spinal cord injury services, which makes specific reference to bowel care. It outlines that patients with spinal injury should be provided with advice and care by specialist nursing staff in specialist fields, including in the field of bladder and bowel management. In addition, National Institute for Health and Care Excellence guidelines on faecal incontinence set out the care that patients with neurogenic bowel should receive, including a neurological bowel management programme.
No estimate has been made of the cost to the National Health Service of a lack of specialist bowel care for patients with neurogenic bowel disorders. Nor has an estimate been made of the costs incurred by the diagnosis and treatment of pressure sores, resulting from inadequate care and other secondary complications.
Asked by: Andrew Selous (Conservative - South West Bedfordshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what her policy is on establishing a national policy for neurogenic bowel cancer; and what steps her Department is taking to ensure adequate care is available for people who need it.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Department has no plans at present to establish a national policy on neurogenic bowel disorder. To help ensure that patients with neurogenic bowel receive timely and appropriate care, NHS England has developed a range of guidance, including its Excellence in Continence Care guidance. NHS England has also published a service specification for spinal cord injury services, which makes specific reference to bowel care. It outlines that patients with spinal injury should be provided with advice and care by specialist nursing staff in specialist fields, including in the field of bladder and bowel management. In addition, National Institute for Health and Care Excellence guidelines on faecal incontinence set out the care that patients with neurogenic bowel should receive, including a neurological bowel management programme.
No estimate has been made of the cost to the National Health Service of a lack of specialist bowel care for patients with neurogenic bowel disorders. Nor has an estimate been made of the costs incurred by the diagnosis and treatment of pressure sores, resulting from inadequate care and other secondary complications.
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: Lord Bradley (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what was the financial position of each integrated care board at the end of financial year 2023–24.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The financial year-end reports for integrated care boards are still in progress and not yet finalised. We anticipate that final, audited reports will be completed and available in July 2024.
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: Lord Jackson of Peterborough (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government when they next expect to commission a foetal sentience evidence review and what organisations they will invite to undertake that and future reviews.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government does not formulate policy on foetal sentience. The review and determination of foetal sentience and its implications for abortion and clinical practice is reached through professional medical consensus and clinical guidance.
A recent and comprehensive review into Fetal Awareness Evidence was recently carried out by the Royal College of Obstetricians and Gynaecologists. Published in December 2022, the review concluded that evidence to date indicates the possibility of pain perception before 28 weeks of gestation is unlikely. A copy of the review is attached.
As an independent organisation responsible for producing clinical guidelines and setting standards for high quality women’s healthcare, the Government recognises their clinical expertise on this matter.
Asked by: Martyn Day (Scottish National Party - Linlithgow and East Falkirk)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the Answer of 14 March 2022 to Question 133232 on Antibiotics: Drug Resistance and to the policy paper entitled UK five-year action plan for antimicrobial resistance: 2019 to 2024, published on 24 January 2019, what recent progress her Department has made on halving healthcare-associated Gram-negative blood stream infections.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
As described in the answer of 14 March 2022 to Question 133232, progress towards the target of halving healthcare-associated Gram-negative bloodstream infections (GNBSI) has proved very challenging, in part due to the diverse nature of the underlying causes of these infections. Data on the incidence of these infections in England is published quarterly by the UK Health Security Agency, and is available at the following link:
Incidence of the three main healthcare-associated GNBSI organisms, E. coli, klebsiella pneumoniae, and pseudomonas aeruginosa, has fluctuated between 2019 and 2024, including a sharp decline in the incidence of E. coli seen during the COVID-19 pandemic. However, overall, the total incidence of healthcare associated GNBSI remains significantly above the target.
We are currently developing the 2024 to 2029 antimicrobial resistance national action plan. We anticipate that in the delivery of this plan, we will continue to focus on GNBSI, building on lessons learnt over the past five years.
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.