Asked by: Chris Bloore (Labour - Redditch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will take steps to extend independent prescribing responsibilities to Occupational Therapists under the Medicines and Medical Devices Act (2021) where it is safe to do so.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Appropriately trained occupational therapists can already supply/administer medicines under a Patient Specific Direction (PSD) or a Patient Group Direction (PGD). A PSD is a written instruction from a prescriber for medicines to be supplied or administered to a specific patient or person. PGDs are a set of instructions which allow healthcare professionals to supply and administer specific medicines to pre-defined groups of patients without the need for them to be referred to a prescriber.
There is a process in place for making changes to prescribing responsibilities to ensure those changes are safe and beneficial for patients.
In late 2020, NHS England launched a series of public consultations seeking views on proposals to amend responsibilities for the prescribing, supply and/or administration of medicines for specific healthcare professionals.
The Department is working with NHS England to consider these consultations and other requests to progress the extension of responsibilities to supply, administer or prescribe medicines under the Human Medicines Regulations 2012 to regulated healthcare professionals, where a clear need and benefits have been identified.
Asked by: Chris Bloore (Labour - Redditch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to promote the use of Prescription Prepayment Certificates.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The NHS Business Services Authority (NHS BSA) promotes prescription prepayment certificates (PPCs) as part of a wider communications plan for all of the Help with Health Costs services that it delivers. The NHS BSA and the National Health Service use social media, online resources, media releases, and healthcare bulletins to promote the PPC to professionals and patients, to ensure both groups are aware of their availability.
Asked by: Chris Bloore (Labour - Redditch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of the affordability of prescriptions on people with long-term conditions.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Approximately 89% of prescription items are dispensed free of charge in the community in England. There are a wide range of exemptions from prescription charges already in place, for which those with long-term conditions may be eligible, to support the affordability of prescriptions. Eligibility depends on the patient’s age, whether they are in qualifying full-time education, whether they are pregnant or have recently given birth, or whether they are in receipt of certain benefits or a war pension.
People on low incomes can apply for help with their health costs through the NHS Low Income Scheme. Prescription prepayment certificates (PPCs) are also available. PPCs allow people to claim as many prescriptions as they need for a set cost, with three month and 12-month certificates available, and PPCs can be paid for in 10 direct debit instalments.
Asked by: Chris Bloore (Labour - Redditch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to improve health outcomes for survivors of acquired brain injuries.
Answered by Andrew Gwynne
The Government wants a society where every person, including those with a long-term condition such as an acquired brain injury (ABI), receives high-quality, compassionate continuity of care, with their families and carers supported.
We will change the National Health Service so that it becomes not just a sickness service, but able to prevent ill health in the first place. This will help us be better prepared for the change in nature of disease and allow our services to focus more on the management of chronic, long-term conditions, like ABI, including rehabilitation where appropriate.
The National Institute for Health and Care Excellence is currently developing guidance ‘Rehabilitation for chronic neurological disorders including acquired brain injury’, which is expected to be published on 16 July 2025. More information is available at the following link:
https://www.nice.org.uk/guidance/indevelopment/gid-ng10181
I met the original proponent of the ABI strategy, my Hon. Friend, Sir Chris Bryant MP, on 27 November 2024 to discuss ABI and we had a very fruitful discussion about what might be achievable in the both the short term and the longer term. Sir Chris remains a huge advocate for those that have suffered an ABI and I fully agree with him that the Government should, and importantly will, do more, including showcasing those areas that have effectively integrated post-hospital care and support, including rehabilitation, to other areas where patients are not getting the care and support they deserve.
A decision on next steps on ABI at the national level will be taken in due course.
Meanwhile, we have committed to develop a 10-year plan to deliver an NHS fit for the future. We will be carefully considering input from the public, patients, health staff, and our stakeholders as we develop the plan over the coming months. The engagement process has been launched and I would encourage stakeholders to engage with that process to allow us to fully understand what is not working as well as it should and what the potential solutions are, including on ABI. More information is available at the following link:
Asked by: Chris Bloore (Labour - Redditch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what his Department's timetable is for the commencement of dentist contract renegotiations.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
To rebuild dentistry in the long term and increase access to National Health Service dental care, we will reform the dental contract, with a shift to focus on prevention and the retention of NHS dentists.
There are no perfect payment systems and careful consideration needs to be given to any potential changes to the complex dental system so that we deliver a system better for patients and the profession. We continue to meet the British Dental Association and other representatives of the dental sector to discuss how we can best deliver our shared ambition to improve access for NHS dental patients.
Asked by: Chris Bloore (Labour - Redditch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of increasing access to long-acting reversible contraception for heavy menstrual bleeding in primary care on (a) waiting times and (b) demand for secondary care gynaecology services.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The National Institute for Health and Care Excellence’s guideline on heavy menstrual bleeding recommends an intrauterine system or hormonal coil, which is a form of long-acting reversible contraception (LARC), as a first line treatment. In the women’s health strategy call for evidence, held in 2021, we heard about the challenges women faced accessing LARCs for the management of menstrual problems.
A cost benefit analysis on women’s health hubs conducted by the Department estimated that if 50% of LARC procedures for gynaecology were provided in women’s health hubs, it would produce a net saving of £1.8 million, and reduce pressures on secondary care gynaecology services. The cost benefit analysis is available at the following link:
The Department is continuing to work with NHS England to support the establishment of at least one pilot women’s health hub in every integrated care system, following a £25 million investment. Pilot women’s health hubs provide intermediate and streamlined care in the community, which reduces pressures on services such as secondary care referrals and general practice appointments. A core service offered by hubs is treatment for heavy menstrual bleeding, and the fitting or removal of a LARC. Cutting waiting lists, including for gynaecology, is a key part of our Health Mission and a top priority for the Government.
Asked by: Chris Bloore (Labour - Redditch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the recommendations of the report by the Getting It Right First Time programme entitled Maternity and Gynaecology, published in September 2021, what steps his Department is taking to provide primary care practitioners with (a) training and (b) other resources to deliver long-acting reversible contraception as part of treatment options for women with heavy menstrual bleeding.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The 2021 Getting It Right First Time national report for maternity and gynaecology recommended that clinical commissioning groups, now integrated care boards (ICBs), commission contraceptive and sexual health services to provide intrauterine devices, which are a form of long-acting reversible contraception (LARC) for heavy menstrual bleeding, in relevant cases. ICBs may commission sexual health services or general practices (GPs) to offer LARC as a locally enhanced service to their local population. It is for ICBs to decide on commissioning arrangements for their area, based on an assessment of local need.
The Department is continuing to work with NHS England to support the establishment of at least one pilot women’s health hub in every integrated care system, following a £25 million investment. A core service offered by hubs is treatment for heavy menstrual bleeding and provision of LARC. By providing an enhanced and more specialist service through hubs in the community, they enable women to be more effectively diagnosed and treated promptly in the community. The hubs also provide a centre for the training and support to GPs to help with upskilling, and reduce variation in the care that women can expect to receive.
Other training and guidance are available for primary care practitioners. For example, the Royal College of General Practitioners 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 for their patients. The Faculty of Sexual and Reproductive Healthcare also offers a range of contraception qualifications that healthcare professionals can undertake.
Asked by: Chris Bloore (Labour - Redditch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential implications for his policies of Getting It Right First Time's guidance entitled Heavy Menstrual Bleeding, published in October 2021; and whether he plans to implement their recommendations.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Getting It Right First Time’s (GIRFT) 2021 report into maternity and gynaecology identified a key barrier in treating heavy menstrual bleeding as the commissioning arrangements for contraceptive and sexual health services. The report recommended the lifting of restrictions on providing long-acting reversible contraception (LARC) for non-contraceptive purposes, such as treatment for heavy menstrual bleeding.
The commissioning of LARC is a decision for individual integrated care boards, who can decide whether to offer LARC through general practices or sexual health services, or both, based on an assessment of population need.
Additionally, £25 million has been invested by the Department to support the development of at least one pilot women’s health hub in every integrated care system, and work is ongoing with NHS England to provide this. Women’s health hubs bring together healthcare professionals and existing services to address fragmentation in reproductive health care and remove the barriers women face accessing treatment. Providing care and treatment for heavy menstrual bleeding is a core service of the hubs, and this includes treatment with LARCs.
Asked by: Chris Bloore (Labour - Redditch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will publish a cancer strategy which includes measures on tackling (a) pancreatic and (b) other less survivable cancers.
Answered by Andrew Gwynne
The Health Mission sets the objective of building a National Health Service fit for the future. As part of that work, and in response to Lord Darzi’s report, we have launched an extensive programme of engagement to develop a 10-Year Health Plan to reform the NHS. The plan will set out a bold agenda to deliver on the three big shifts, from hospital to community, from analogue to digital, and from sickness to prevention.
In addition, following publication of the 10-Year Health Plan, we will develop a new national cancer plan, which will include further details on how we will improve outcomes for cancer patients, including those with pancreatic and other less survivable cancers.
We are now in discussions about what form that plan should take, and what its relationship to the 10-Year Health Plan and the Government’s wider Health Mission should be, and will provide updates on this in due course.
NHS England is delivering a range of interventions that are expected to improve early diagnosis and treatment for patients with suspected and diagnosed pancreatic cancer. This includes providing a route into pancreatic cancer surveillance for patients at inherited high-risk, to identify lesions before they develop into cancer, and diagnose cancers sooner.
In March 2024, NHS England published guidance for providers and systems to implement a timed Hepato-Pancreato-Biliary cancer pathway with the aim of ensuring that patients with some suspected tumour types, including suspected pancreatic cancer, receive a diagnosis or have cancer ruled out within 28 days of urgent referral.
Asked by: Chris Bloore (Labour - Redditch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what discussions his Department has had with NHS England on (a) renewing the national maternity safety ambitions beyond 2025 and (b) amending those ambitions to include reducing inequalities.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government is committed to ensuring that all women and babies received safe, personalised, equitable, and compassionate care. I am urgently considering, with my officials and NHS England, the immediate action needed across maternity and neonatal services to improve outcomes and address the stark inequalities that persist for women and babies, including what targets are needed.
This includes consideration of what comes beyond the national maternity safety ambition, ensuring that we take an evidence-based approach, and that any targets set are women and baby-centred and focused on tackling inequalities.