Asked by: Colleen Fletcher (Labour - Coventry North East)
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 reduce waiting times for NHS treatment in (a) Coventry North East constituency, (b) Coventry, (c) the West Midlands and (d) England.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Cutting National Health Service waiting lists is one of the Government’s top priorities.
To facilitate this across elective services in England, we are increasing activity, with plans to spend more than £8 billion from 2022/23 to 2024/25, expanding capacity though creating a network of community diagnostic centres (CDCs), and maximising all available independent sector capacity. We are managing demand through specialised advice in primary care and giving patients more control over where they receive their care, and we are increasing productivity through: transforming outpatient services; developing new surgical hubs to increase theatre productivity, funded by part of £1.5 billion; and working actively with trusts to support and challenge on their performance.
We recognise that local areas were affected by COVID-19 differently, resulting in variation in elective waiting times across different parts of the country. Tackling inequalities in access to elective care has therefore been a key component of the Department’s and NHS England’s approach to recovery. This is supported by the creation and expansion of CDCs and surgical hubs. There are currently 94 surgical hubs and 136 CDCs operational across England.
In the West Midlands there are 16 surgical hubs and six operational CDCs. In Coventry North East Constituency there is one surgical hub and one CDC.
Asked by: Colleen Fletcher (Labour - Coventry 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 improve access to mental health services in (a) Coventry North East constituency, (b) Coventry, (c) the West Midlands and (d) England.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Through the NHS Long Term Plan, we are investing an additional £2.3 billion a year by 2023/24 to expand these services for adults, children and young people in England, including in Coventry North East constituency, Coventry and the West Midlands.
On top of this we provided an extra £500 million in 2021/22 to accelerate our expansion plans and address waiting times for mental health services, give more people the mental health support they need, and invest in the National Health Service workforce.
Asked by: Colleen Fletcher (Labour - Coventry 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 improve patient access to primary care in (a) Coventry North East constituency, (b) Coventry, (c) the West Midlands and (d) England.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
We recognise that despite the hard work of general practice teams, some patients are still struggling to access care in a timely way. That is why we have published our Delivery Plan for Recovering Access to Primary Care. The plan has two central ambitions to improve access both nationally and in Coventry and West Midlands, namely to tackle the 8am rush and reduce the number of people struggling to contact their practice, and for patients to know on the day they contact their practice how their request will be managed.
We will achieve this by modernising telephone systems which can help practices to better match their capacity to patient demand, backed by £240 million in retargeted funding. All practices have now signed up to transition to new digital systems. The plan will empower patients to do more themselves, cutting bureaucracy for general practitioners and building capacity to deliver more appointments. We have invested £1.5 billion and created an additional 50 million general practice appointments by increasing and diversifying the workforce.
Asked by: Colleen Fletcher (Labour - Coventry North East)
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 improve waiting times for cancer treatment in (a) Coventry North East constituency, (b) Coventry, (c) the West Midlands and (d) England.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Reducing cancer treatment waiting times is a priority for this Government. The Department is working jointly with NHS England on implementing the delivery plan for tackling the COVID-19 backlogs in elective care. The Government plans to spend more than £8 billion from 2022/23 to 2024/25 to help drive up and protect elective activity, including cancer diagnosis and treatment activity.
In the 2023/24 Operational Planning Guidance, NHS England announced it is providing over £390 million in cancer service development funding to Cancer Alliances in each of the next two years to support delivery of the strategy and the operational priorities for cancer which includes increasing and prioritising diagnostic and treatment capacity for cancer.
Additionally, the Government recently published the Major Conditions Strategy Case for Change and Our Strategic Framework on 14 August 2023 which sets out our approach to making the choices over the next 5 years that will deliver the most value in facing the health challenges of today and of the decades ahead, including for cancer.
Asked by: Colleen Fletcher (Labour - Coventry North East)
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 average waiting times for GP appointments in (a) Coventry North East constituency, (b) Coventry, (c) the West Midlands and (d) England in each of the last three years.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Information on the approximate length of time between appointments being booked and taking place is not held at constituency or city level. The following table shows the percentage of appointments taking place on the same day as booking and within two weeks of booking for England and the Office for National Statistics (ONS) Midlands region in each of the last three years:
Appointments - 12 months from November to October | National - Percentage of appointments occuring on the same day of booking | ONS Midlands Region - Percentage of appointments occuring on the same day of booking | National - Appointments occuring within two weeks of booking | ONS Midlands Region - Appointments occuring within two weeks of booking |
November 2020 - October 2021 | 45.2% | 47.2% | 88.6% | 88.7% |
November 2021 - October 2022 | 43.8% | 45.8% | 85.1% | 85.3% |
November 2022 - October 2023 | 43.1% | 44.7% | 82.5% | 82.6% |
Asked by: Colleen Fletcher (Labour - Coventry North East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the adequacy of treatment provision for people with endometriosis.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
No specific assessment has been made. Menstrual health and gynaecological conditions, including endometriosis, is a priority in the Women’s Health Strategy. We are investing £25 million in women’s health hubs, so that women can get better access to care for menstrual problems, including women with suspected or diagnosed endometriosis.
The National Institute for Health and Care Excellence (NICE) is in the process of updating its recommendations on diagnosing endometriosis and surgical management of endometriosis if fertility is a priority. NICE will provide information on the expected publication date of its final guidance in due course.
Additionally, NHS England is updating the service specification for severe endometriosis, which defines the expected standards of care. This update will ensure that specialist endometriosis services have access to the most up-to-date evidence and advice and will improve standards of care for women with severe endometriosis.
Asked by: Colleen Fletcher (Labour - Coventry North East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent estimate he has made of the number of NHS workforce vacancies in (a) Coventry, (b) the West Midlands and (c) England; and what steps he is taking to fill such vacancies in those areas.
Answered by Will Quince
NHS England publishes vacancy statistics for England on a quarterly basis. These present the difference between funded establishment posts and those filled by substantive staff. They do not indicate where vacancies are currently filled with temporary staffing and therefore do not equate to unfilled shifts.
The statistics are published at a national and a regional level. The data does not allow a differentiation between West and East Midlands. Data is also not available by city; however, NHS England has published trust level vacancy rates for March 2023.
The latest statistics show that as of June 2023, there are 125,572 full time equivalent (FTE) vacancies across National Health Service trusts in England, representing a rate of 8.9%. For NHS trusts in the Midlands, there are 23,639 FTE vacancies, also representing a rate of 8.9%. As of March 2023, the vacancy rate for University Hospitals Coventry and Warwickshire NHS Trust, was 6.3%.
The NHS published the Long Term Workforce Plan in June this year, backed by over £2.4 billion over the next five years to fund additional education and training places. The Long Term Workforce Plan will double medical school training places to 15,000 by 2031, increase the number of general practitioner training places by 50% to 6,000 by 2031 and almost double the number of adult nurse training places by 2031, with around 58,000 nurse and midwife training places a year by 2031/32.
Asked by: Colleen Fletcher (Labour - Coventry North East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what (a) financial and (b) other steps his Department is taking to increase access to NHS dentistry in (i) Coventry, (ii) the West Midlands and (iii) England.
Answered by Neil O'Brien
In July 2022, we announced a package of reforms to improve access to National Health Service dentistry, which outlined the steps we are taking to meet oral health need and increase access to dental care. The changes that have been implemented include improvements to ensure dentists are remunerated more fairly for more complex work.
From 1 April 2023, responsibility for commissioning primary care dentistry to meet the needs of the local population has been delegated to all integrated care boards (ICBs) across England. ICBs are responsible for having local processes in place to involve patient groups, and for undertaking oral health needs assessments, to identify areas of need and determine the priorities for investment. Coventry and Warwickshire ICB has proposals that include remobilisation of some dental activity and procurement of new services. The West Midlands ICB has increased investment through various initiatives to support recovery of NHS dental services.
The NHS Long Term Workforce Plan, published on 30 June 2023, sets out the steps the National Health Service and its partners need to take to deliver an NHS workforce that meets the changing needs of the population over the next 15 years. These include a 40% increase to dentistry undergraduate training places by 2031/32.
But we know we need to do more, and that there are some areas where access is particularly problematic. We are working on our Dentistry Recovery Plan which will address how we continue to improve access, particularly for new patients; and how we make NHS work more attractive to ensure NHS dentists are incentivised to deliver more NHS care.
Asked by: Colleen Fletcher (Labour - Coventry North East)
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 trends in the level of (a) verbal abuse and (b) physical attacks experienced by NHS staff in (i) Coventry, (ii) the West Midlands and (iii) England in each of the last three years; and what steps his Department is taking to protect NHS staff in those areas from such abuse.
Answered by Will Quince
We do not currently have a national mechanism to capture and report incidents of violence and aggression in the National Health Service, as data is held at a local level.
The NHS Staff Survey does ask questions relating to incidences of violence, harassment, and abuse. The 2022 NHS Staff Survey indicated that 14.7% of NHS staff have self-reported that they had experienced at least one incident of physical violence from patients, service users, relatives, or other members of the public in the last 12 months. In addition, 27.8% of NHS staff who completed the survey experience at least one incident of harassment, bullying or abuse in the last 12 months from patients/service users, their relatives, or members of the public. This figure is broadly consistent across previous years. Data extracted from the Staff Survey is provided below for England, Coventry and the West Midlands.
The following table shows the extracted data from the Staff Survey for England, Coventry and the West Midlands relating to Question 13a (‘In the last 12 months how many times have you personally experienced physical violence at work from: Patients / service users, their relatives or other members of the public?):
| 2020 | 2021 | 2022 |
England | 14.8% | 14.4% | 14.7% |
|
|
|
|
Coventry |
|
|
|
University Hospitals Coventry and Warwickshire NHS Trust | 13.9% | 15.3% | 15.0% |
|
|
|
|
West Midlands |
|
|
|
Birmingham and Solihull Mental Health NHS Foundation Trust | 21.6% | 18.6% | 20.3% |
Birmingham Community Healthcare NHS Foundation Trust | 9.2% | 9.7% | 11.1% |
Birmingham Women's and Children's NHS Foundation Trust | 8.4% | 6.4% | 7.8% |
Black Country Healthcare NHS Foundation Trust | 16.2% | 14.1% | 14.3% |
Coventry and Warwickshire Partnership NHS Trust | 15.0% | 14.3% | 14.5% |
Dudley Group NHS Foundation Trust | 14.8% | 14.2% | 12.7% |
Dudley Integrated Health and Care NHS Trust | - | 0.0% | 2.7% |
George Eliot Hospital NHS Trust | 15.2% | 13.6% | 15.0% |
Herefordshire and Worcestershire Health and Care NHS Trust | 13.4% | 11.9% | 11.6% |
Midlands Partnership NHS Foundation Trust | 10.5% | 9.9% | 9.5% |
North Staffordshire Combined Healthcare NHS Trust | 17.3% | 19.0% | 20.0% |
Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust | 5.8% | 4.6% | 6.0% |
Royal Orthopaedic Hospital NHS Foundation Trust | 3.4% | 4.8% | 7.4% |
Royal Wolverhampton NHS Trust | 11.6% | 12.4% | 10.9% |
Sandwell and West Birmingham Hospitals NHS Trust | 12.0% | 12.9% | 13.8% |
Shrewsbury and Telford Hospital NHS Trust | 13.0% | 14.1% | 14.1% |
Shropshire Community Health NHS Trust | 7.8% | 6.8% | 8.4% |
South Warwickshire NHS Foundation Trust | 10.1% | 11.3% | 12.2% |
University Hospitals Birmingham NHS Foundation Trust | 14.3% | 13.8% | 12.9% |
University Hospitals Coventry and Warwickshire NHS Trust | 13.9% | 15.3% | 15.0% |
University Hospitals of North Midlands NHS Trust | 16.9% | 14.3% | 16.4% |
Walsall Healthcare NHS Trust | 12.2% | 14.3% | 14.6% |
West Midlands Ambulance Service University NHS Foundation Trust | 36.3% | 37.4% | 35.1% |
Worcestershire Acute Hospitals NHS Trust | 12.6% | 13.4% | 12.3% |
Wye Valley NHS Trust | 13.4% | 14.4% | 11.9% |
The following table shows the extracted data from the Staff Survey for England, Coventry and the West Midlands relating to Question 14a (‘In the last 12 months how many times have you personally experienced harassment, bullying or abuse at work from patients/service users, their relatives or other members of the public?’):
| 2020 | 2021 | 2022 |
England | 27.0% | 27.7% | 27.8% |
|
|
|
|
Coventry |
|
|
|
University Hospitals Coventry and Warwickshire NHS Trust | 27.4% | 29.8% | 29.4% |
|
|
|
|
West Midlands |
|
|
|
Birmingham and Solihull Mental Health NHS Foundation Trust | 20.0% | 15.5% | 17.3% |
Birmingham Community Healthcare NHS Foundation Trust | 22.7% | 23.9% | 25.7% |
Birmingham Women's and Children's NHS Foundation Trust | 24.0% | 24.7% | 23.6% |
Black Country Healthcare NHS Foundation Trust | 27.0% | 26.1% | 26.3% |
Coventry and Warwickshire Partnership NHS Trust | 22.9% | 26.0% | 23.8% |
Dudley Group NHS Foundation Trust | 26.1% | 25.6% | 24.8% |
Dudley Integrated Health and Care NHS Trust | - | 20.0% | 23.9% |
George Eliot Hospital NHS Trust | 26.6% | 26.7% | 28.1% |
Herefordshire and Worcestershire Health and Care NHS Trust | 26.6% | 26.2% | 27.6% |
Midlands Partnership NHS Foundation Trust | 23.5% | 21.9% | 21.1% |
North Staffordshire Combined Healthcare NHS Trust | 26.5% | 28.6% | 25.7% |
Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust | 14.9% | 18.0% | 16.4% |
Royal Orthopaedic Hospital NHS Foundation Trust | 15.0% | 18.8% | 19.5% |
Royal Wolverhampton NHS Trust | 26.7% | 25.9% | 25.9% |
Sandwell and West Birmingham Hospitals NHS Trust | 28.7% | 29.6% | 29.8% |
Shrewsbury and Telford Hospital NHS Trust | 26.2% | 29.5% | 27.6% |
Shropshire Community Health NHS Trust | 19.1% | 19.8% | 21.1% |
South Warwickshire NHS Foundation Trust | 25.1% | 28.1% | 25.5% |
University Hospitals Birmingham NHS Foundation Trust | 25.2% | 25.0% | 26.2% |
University Hospitals Coventry and Warwickshire NHS Trust | 27.4% | 29.8% | 29.4% |
University Hospitals of North Midlands NHS Trust | 24.6% | 25.8% | 29.4% |
Walsall Healthcare NHS Trust | 30.0% | 29.7% | 27.3% |
West Midlands Ambulance Service University NHS Foundation Trust | 48.2% | 50.6% | 49.0% |
Worcestershire Acute Hospitals NHS Trust | 25.6% | 28.0% | 25.2% |
Wye Valley NHS Trust | 29.1% | 28.3% | 31.0% |
NHS England has commissioned several data insight workstreams to better understand the current landscape of statistics, data reporting and associated challenges. This includes a national review of all available data and intelligence sources and an analysis of the costs of violence to the health care system in England and a review of the impact on the safety and wellbeing of NHS staff.
Tackling violence against NHS staff is largely an employer led issue, with NHS organisations responsible for putting in place their own policies and procedures to support staff, giving them access to appropriate training and making appropriate arrangements for security.
NHS England established a NHS Violence Reduction Programme in 2019, which aims to prevent and reduce violence and aggression from patients, their families and the public, and mitigate the effects of violence and abuse on NHS staff.
In 2022, the Government legislated through the Police, Crime, Sentencing and Courts Act to double the sentence for assaults on emergency workers to a maximum of two years.
Asked by: Colleen Fletcher (Labour - Coventry North East)
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 tackle disparities in health outcomes for women in (a) Coventry North East constituency, (b) Coventry, (c) the West Midlands and (d) England.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Women’s Health Strategy sets out how the Government is tackling disparities in health outcomes for women across England. Achievements since the launch of the strategy include appointing the first Women’s Health Ambassador for England; investing £25 million funding in the expansion of women’s health hubs to improve women’s access to services and to create efficiencies for the National Health Service; reducing the cost of hormone replacement therapy (HRT) through the launch of the HRT prescription pre-payment certificate; and creating a women’s health area on NHS.uk to bring together women’s health content and create a first port of call for women seeking information.
Integrated care boards are responsible for commissioning services that meet the health needs of their local population.