Asked by: Lord Crisp (Crossbench - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what was the cost in NHS and social services staff time and resources in administering NHS Continuing Healthcare, and undertaking the necessary patient assessments, in each of the past two financial years.
Answered by Lord Markham
The Department does not collect data on the cost of administering NHS Continuing Healthcare (CHC) or undertaking CHC assessments.
Asked by: Lord Crisp (Crossbench - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what was the financial value of support provided to patients through NHS Continuing Healthcare scheme in each of the past two financial years.
Answered by Lord Markham
The cost of NHS Continuing Healthcare (CHC) to NHS England was £4.42 billion in 2022/23 and £4.27 billion in 2021/22. This includes Standard and Fast Track CHC, and the personal health budgets relating to these costs. These figures do not include costs for joint funded packages of care, children’s continuing care, assessments and support, or any other CHC related costs.
Asked by: Lord Crisp (Crossbench - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government how many people applied for assistance through NHS Continuing Healthcare in each of the past two financial years.
Answered by Lord Markham
Standard NHS Continuing Healthcare (CHC) is a package of National Health Service funded ongoing care for adults with the highest levels of complex, intense or unpredictable needs, who have been assessed as having a primary health need. Fast Track CHC is for adults who have a primary health need resulting from a rapidly deteriorating condition, who are nearing the end of their life. This aims to put an appropriate care and support package in place as soon as possible. The following table shows the number of new referrals for both Standard and Fast Track CHC, and the percentage of those found eligible, for each quarter over the last two financial years in England:
Period | Standard CHC | Fast Track | Standard CHC | Fast Track | |
2022/23 | Q4 | 16,578 | 28,797 | 16% | 96% |
Q3 | 15,383 | 27,727 | 18% | 95% | |
Q2 | 15,062 | 26,683 | 17% | 95% | |
Q1 | 15,498 | 25,936 | 18% | 96% | |
2021/22 | Q4 | 14,653 | 25,910 | 17% | 95% |
Q3 | 14,636 | 25,793 | 17% | 95% | |
Q2 | 15,178 | 25,746 | 20% | 96% | |
Q1 | 16,001 | 24,664 | 19% | 96% |
Note: the number of new referrals does not include referrals for assessments of previously unassessed periods of care.
Asked by: Lord Crisp (Crossbench - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what criteria they use to assess the success of NHS Continuing Healthcare.
Answered by Lord Markham
The Department is responsible for NHS Continuing Healthcare (CHC) policy and legislation, which includes the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care. We work with partners to ensure that the core principles and values of CHC are upheld as set out in the framework, a copy of which is attached.
Operational delivery of CHC is the responsibility of integrated care boards (ICBs) with oversight from NHS England. NHS England holds ICBs accountable, engages with them to ensure that they discharge their functions, and monitors performance through well-established assurance mechanisms.
Asked by: Lord Crisp (Crossbench - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what percentage of people who applied for assistance through NHS Continuing Healthcare in each of the past two financial years were successful in their application.
Answered by Lord Markham
Standard NHS Continuing Healthcare (CHC) is a package of National Health Service funded ongoing care for adults with the highest levels of complex, intense or unpredictable needs, who have been assessed as having a primary health need. Fast Track CHC is for adults who have a primary health need resulting from a rapidly deteriorating condition, who are nearing the end of their life. This aims to put an appropriate care and support package in place as soon as possible. The following table shows the number of new referrals for both Standard and Fast Track CHC, and the percentage of those found eligible, for each quarter over the last two financial years in England:
Period | Standard CHC | Fast Track | Standard CHC | Fast Track | |
2022/23 | Q4 | 16,578 | 28,797 | 16% | 96% |
Q3 | 15,383 | 27,727 | 18% | 95% | |
Q2 | 15,062 | 26,683 | 17% | 95% | |
Q1 | 15,498 | 25,936 | 18% | 96% | |
2021/22 | Q4 | 14,653 | 25,910 | 17% | 95% |
Q3 | 14,636 | 25,793 | 17% | 95% | |
Q2 | 15,178 | 25,746 | 20% | 96% | |
Q1 | 16,001 | 24,664 | 19% | 96% |
Note: the number of new referrals does not include referrals for assessments of previously unassessed periods of care.
Asked by: Lord Crisp (Crossbench - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of reports by the BBC on 10 October that doctors are being recruited illegally from Africa by private sector companies to work in the UK; and that such doctors are expected to work in private hospitals under conditions not allowed in the NHS.
Answered by Lord Markham
No specific assessment has been made. All United Kingdom-based organisations recruiting and employing international doctors should follow the Code of Practice on Ethical International Recruitment. The Code includes a ‘red-list’ of countries from which health and care workers should not be actively recruited.
National Health Service organisations only use recruiters on the Ethical Recruiters List and breaching the Code may result in removal from the Ethical Recruiters List. All employers must abide by the legislation regarding workers’ rights in the UK.
Asked by: Lord Crisp (Crossbench - Life peer)
Question to the Home Office:
To ask Her Majesty's Government what is the reason for delaying the decision about granting British-Hong Kong Servicemen and families British citizenship.
Answered by Baroness Williams of Trafford - Shadow Chief Whip (Lords)
The government remains extremely grateful to those who served in the Hong Kong Military Service Corps.
Under the British Nationality Selection Scheme, introduced in 1990 and run until 1 July 1997, a limited number of Hong Kong Military Service Corps personnel who were settled in Hong Kong could apply to register as British citizens.
We give careful consideration to representations made on behalf of those former Hong Kong Military Service Corps personnel.
Hong Kong Military Service Corps personnel who hold British National (Overseas) status, or are an immediate family member of someone who holds this status, may be eligible for the Hong Kong British National (Overseas) route which was launched on 31 January 2021.
Asked by: Lord Crisp (Crossbench - Life peer)
Question to the Home Office:
To ask Her Majesty's Government when a decision will be made about granting British-Hong Kong Servicemen and families British citizenship.
Answered by Baroness Williams of Trafford - Shadow Chief Whip (Lords)
The government remains extremely grateful to those who served in the Hong Kong Military Service Corps.
Under the British Nationality Selection Scheme, introduced in 1990 and run until 1 July 1997, a limited number of Hong Kong Military Service Corps personnel who were settled in Hong Kong could apply to register as British citizens.
We give careful consideration to representations made on behalf of those former Hong Kong Military Service Corps personnel.
Hong Kong Military Service Corps personnel who hold British National (Overseas) status, or are an immediate family member of someone who holds this status, may be eligible for the Hong Kong British National (Overseas) route which was launched on 31 January 2021.
Asked by: Lord Crisp (Crossbench - Life peer)
Question to the Home Office:
To ask Her Majesty's Government what plans they have to grant British citizenship to British-Hong Kong Servicemen and their families.
Answered by Baroness Williams of Trafford - Shadow Chief Whip (Lords)
The government remains extremely grateful to those who served in the Hong Kong Military Service Corps.
Under the British Nationality Selection Scheme, introduced in 1990 and run until 1 July 1997, a limited number of Hong Kong Military Service Corps personnel who were settled in Hong Kong could apply to register as British citizens.
We give careful consideration to representations made on behalf of those former Hong Kong Military Service Corps personnel.
Hong Kong Military Service Corps personnel who hold British National (Overseas) status, or are an immediate family member of someone who holds this status, may be eligible for the Hong Kong British National (Overseas) route which was launched on 31 January 2021.
Asked by: Lord Crisp (Crossbench - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what steps they have taken to ensure that Integrated Care Systems (1) adopt, and (2) support, health creation.
Answered by Lord Bethell
Many of the principles of ‘health creation’ align with the proposals for integrated care systems (ICS) we have set out in the Health and Care White Paper Bill, in particular by improving the role of community and place-based working by ensuring that health and social care services are delivered in a way that works best for a local area and their population. ICSs will strengthen partnerships between the National Health Service and local authorities and with local partners, including groups representing the public and patient perspective, the voluntary sector and wider public service provision.