Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to help increase the number of dietetic apprenticeships.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
We will refresh the NHS Long Term Workforce Plan next summer, to ensure the National Health Service has the right people, in the right places, with the right skills to deliver the care patients need, when they need it. This will include how we ensure that we train, through all training routes, and provide the staff the NHS needs, including allied health professionals such as dieticians, to care for patients across our communities.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what training the NHS offers on pathological demand avoidance.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Pathological Demand Avoidance (PDA) is most often understood as a characteristic experienced by or observed, or both, in some autistic people, but professional consensus on its status is still required. PDA is not a recognised and stand-alone diagnosis within the Diagnostic and Statistical Manual of Mental Disorders or the International Classification of Disease.
There is a variety of training available for staff providing care to autistic people, although not specifically for PDA. The Health and Care Act 2022 requires that, from 1 July 2022, Care Quality Commission registered providers must ensure staff receive specific training on learning disability and autism, appropriate to their role. Individual employers are responsible for ensuring their staff are trained and competent to carry out their role.
The standard of training for health care professionals is the responsibility of the respective independent statutory regulatory bodies, who set the outcome standards expected at undergraduate level and approve courses. It is the responsibility of higher education institutions to write and teach the curricula content that enables their students to meet the regulators’ outcome standards.
Whilst not all curricula may necessarily highlight a specific condition, they all emphasise the skills and approaches a healthcare practitioner must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department has taken to support (a) people diagnosed with pathological demand avoidance and (b) their carers.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Pathological Demand Avoidance (PDA) is most often understood as a characteristic experienced by or observed, or both, in some autistic people, but professional consensus on its status is still required. PDA is not a recognised and stand-alone diagnosis within the Diagnostic and Statistical Manual of Mental Disorders or the International Classification of Disease.
It is the responsibility of integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including support for autistic people, in line with National Institute for Health and Care Excellence (NICE) guidelines.
The NICE guideline, Autism spectrum disorder in under 19s: recognition, referral and diagnosis, recommends that as part of autism assessments, healthcare workers should consider PDA and carry out appropriate referrals.
In respect of carers, the Care Act 2014 requires local authorities to deliver a wide range of sustainable, high-quality care and support services, including support for carers. Local authorities are required to undertake Carer’s Assessments to support people caring for their family and friends who appear to have a need for support, and to meet their eligible needs on request from them.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if his Department will make an assessment of the potential merits of introducing mandatory menopause training for GPs.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Royal College of General Practitioners (RCGP) has a holistic curriculum of training that all GPs must cover before they are able to pass the examination to become a member of the RCGP and work independently as a GP. There is a specific section on women’s health, including the menopause. As a result, the menopause is already a core competency of all qualified GPs.
To support practicing GPs, the RCGP has developed a Women’s Health Library drawing together educational resources and guidelines on women’s health so primary healthcare professionals have the most up-to-date information. This includes a specific section on menopause, and more information on the Library is available at the following link:
https://elearning.rcgp.org.uk/course/index.php?categoryid=57
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to help reduce health inequalities for women managing menopause in areas of high health inequalities.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government is committed to prioritising women’s health as we build a National Health Service fit for the future, and women’s equality will be at the heart of our missions.
Integrated care boards (ICBs) are responsible for providing services that meet the needs of their local population, including menopause services. ICBs are also expected to have a dedicated focus on tackling health inequalities.
A recent rise in prescriptions for Hormone Replacement Therapy (HRT) is a promising sign that more women are getting the advice and help they need. The HRT Prescription Pre Payment-Certificate continues to provide significant savings for patients who are prescribed applicable HRT medications.
The Department has invested £25 million over 2023/24 and 2024/25 to support the establishment of at least one pilot women’s health hub in every integrated care system. One of the aims of women’s health hubs is to improve health outcomes and reduce health inequalities. Menopause care is a core service for pilot women’s health hubs.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will make an assessment of the potential merits of a permanent national menopause network supported by specialist nurses to (a) support and (b) offer advice on (i) diet, (ii) exercise, (iii) the workplace and (iv) other issues to people going through the menopause.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
No specific assessment has been made. The Government sympathises with the difficulties women experiencing menopausal symptoms face, and we are committed to prioritising women’s health as we reform the National Health Service.
The NHS website provides information and advice for women on menopause symptoms, healthcare support, including treatment options, and advice on lifestyles changes, including diet and exercise. NHS England has also developed a self-care fact sheet. This fact sheet is available at the following link:
https://www.selfcareforum.org/menopause/
Women should not have to suffer in silence and anyone needing advice on managing symptoms should seek advice from their general practitioner or other healthcare professional. In addition, the Department has invested £25 million over 2023/24 and 2024/25 to support the establishment of at least one pilot women’s health hub in every integrated care system. Menopause care is a core service for the pilot women’s health hubs.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if his Department will make an assessment of the potential impact of the temporary suspension of non-urgent adult referrals by the adult ADHD service in Leeds on people with ADHD in that area.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department is currently considering next steps to improve access to attention deficit hyperactivity disorder (ADHD) services. It is the responsibility of integrated care boards (ICBs) to make appropriate provision to meet the health and care needs of their local population, including ADHD care pathways, in line with relevant National Institute for Health and Care Excellence guidelines.
We are supporting a taskforce that NHS England is establishing to look at ADHD service provision and its impact on patient experience. The taskforce will bring together expertise from across a broad range of sectors, including the National Health Service, education, and justice, to better understand the challenges affecting people with ADHD and help provide a joined-up approach in response to concerns around rising demand.
The West Yorkshire ICB advises that the Leeds and York Partnership NHS Foundation Trust (LYPFT) is taking steps to assess and respond to the impact of the suspension of non-urgent referrals. This includes working to redesign the adult ADHD pathway in Leeds and setting up a new care navigator service for people on the waiting list who would like to discuss what support they need and their options under the NHS Choice Framework.
The ICB will be working with the ADHD patient support groups for Leeds and West Yorkshire on what they can do collectively to support patients during the pause to referrals, as well as involving them in the redesign of the local service.
A quality impact assessment and an equality impact assessment have been completed by the LYPFT, which will continue to be updated as the local NHS learns more about the impact of the suspension.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department (a) is taking and (b) plans to take steps to support increased capacity for adult ADHD assessments in (i) Leeds and (ii) England.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department is currently considering next steps to improve access to attention deficit hyperactivity disorder (ADHD) services. It is the responsibility of integrated care boards (ICBs) to make appropriate provision to meet the health and care needs of their local population, including ADHD care pathways, in line with relevant National Institute for Health and Care Excellence guidelines.
We are supporting a taskforce that NHS England is establishing to look at ADHD service provision and its impact on patient experience. The taskforce will bring together expertise from across a broad range of sectors, including the National Health Service, education, and justice, to better understand the challenges affecting people with ADHD and help provide a joined-up approach in response to concerns around rising demand.
The West Yorkshire ICB advises that the Leeds and York Partnership NHS Foundation Trust (LYPFT) is taking steps to assess and respond to the impact of the suspension of non-urgent referrals. This includes working to redesign the adult ADHD pathway in Leeds and setting up a new care navigator service for people on the waiting list who would like to discuss what support they need and their options under the NHS Choice Framework.
The ICB will be working with the ADHD patient support groups for Leeds and West Yorkshire on what they can do collectively to support patients during the pause to referrals, as well as involving them in the redesign of the local service.
A quality impact assessment and an equality impact assessment have been completed by the LYPFT, which will continue to be updated as the local NHS learns more about the impact of the suspension.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department (a) is taking steps and (b) plans to take steps to support the adult ADHD service in Leeds to reopen their referrals.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department is currently considering next steps to improve access to attention deficit hyperactivity disorder (ADHD) services. It is the responsibility of integrated care boards (ICBs) to make appropriate provision to meet the health and care needs of their local population, including ADHD care pathways, in line with relevant National Institute for Health and Care Excellence guidelines.
We are supporting a taskforce that NHS England is establishing to look at ADHD service provision and its impact on patient experience. The taskforce will bring together expertise from across a broad range of sectors, including the National Health Service, education, and justice, to better understand the challenges affecting people with ADHD and help provide a joined-up approach in response to concerns around rising demand.
The West Yorkshire ICB advises that the Leeds and York Partnership NHS Foundation Trust (LYPFT) is taking steps to assess and respond to the impact of the suspension of non-urgent referrals. This includes working to redesign the adult ADHD pathway in Leeds and setting up a new care navigator service for people on the waiting list who would like to discuss what support they need and their options under the NHS Choice Framework.
The ICB will be working with the ADHD patient support groups for Leeds and West Yorkshire on what they can do collectively to support patients during the pause to referrals, as well as involving them in the redesign of the local service.
A quality impact assessment and an equality impact assessment have been completed by the LYPFT, which will continue to be updated as the local NHS learns more about the impact of the suspension.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what his Department's latest estimate is of the total cost of the rebuild of Leeds General Infirmary.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The standard process confirming the total funding amount for major infrastructure projects involves review and approval of a Full Business Case. All trusts in the Programme have previously received indicative funding allocations to support planning, however these are commercially sensitive. The New Hospital Programme had confirmed £3.7 billion in funding up to the end of 2024/25.
Up to the end of 2023/24, the total amount received by Leeds Teaching Hospitals NHS Trust in funding for their new hospital schemes is £32.8 million.
The breakdown of how much the Trust received for its new hospital scheme is published annually as part of the Department’s Annual Reports and Accounts, with Public Dividend Capital to individual Trusts included in the Financial Assistance Report under section 40 of the National Health Service Act 2006. The 2022/23 report is available at the following link:
https://www.gov.uk/government/publications/dhsc-annual-report-and-accounts-2022-to-2023
The Trust is currently developing its Outline Business Case for the new Leeds General Infirmary scheme and is at Royal Institute of British Architects (RIBA) stage 2.