Asked by: Olivia Blake (Labour - Sheffield Hallam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if his Department will take steps to improve data collection on suicide rates of (a) asylum seekers and (b) refugees.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The cross-Government suicide prevention strategy for England sets the direction for departments and a wide range of other organisations, and makes clear that nobody should be left out of suicide prevention efforts. This includes being responsive to the needs of marginalised communities and addressing inequalities in access to effective interventions to prevent suicides, including for vulnerable groups like refugees and asylum seekers.
The ambitions in the strategy include more comprehensive research on, and better understanding of, national trends and suicide rates in particular groups of people, with a focus on at-risk groups that include refugees and asylum seekers.
Official statistics on deaths by suicide for England are collected and published by the Office for National Statistics, and not by the Department. The official statistics are based on information recorded when deaths occur, are certified, and then registered. For deaths by suicide, registration can occur up to two years after the date of death, and on occasion longer. There is no information recorded as part of the death registration process to inform if a person was a refugee or an asylum seeker.
Improved data collection is part of ongoing wider action. This includes the development of the near to Real Time Suspected Suicide Surveillance (nRTSSS) system. Drawing upon data collected by the local police force attending deaths considered a ‘suspected suicide’, the nRTSSS provides an early warning system for potential changes in trends in suicides. There are current efforts to investigate the potential for this system to include intelligence relating to refugee and asylum seekers.
Asked by: Olivia Blake (Labour - Sheffield Hallam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will undertake a review of the adequacy of the National Institute for Health and Care Excellence severity modifier in the context of secondary breast cancer.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department has no plans to conduct an equalities impact assessment on the National Institute for Health and Care Excellence (NICE) severity modifier, or to undertake a review of its adequacy in the context of secondary breast cancer.
The NICE is responsible for developing the methods and processes it uses in its evaluations independently and in consultation with stakeholders. The severity modifier that the NICE introduced in 2022 is based on evidence of societal preferences and was introduced as part of a comprehensive review of the NICE’s methods and processes, following extensive public and stakeholder engagement. The NICE considered equality issues in an equality impact document that accompanied the introduction of its new methods and processes, including the severity modifier.
The NICE recently concluded a review of the severity modifier and found that it is operating as intended. Since its introduction, the severity modifier has resulted in a higher approval rate for cancer medicines than under the NICE’s previous methods, and has also allowed greater weight to be applied to non-cancer medicines that address a broader range of severe diseases, enabling the NICE to recommend medicines for conditions such as cystic fibrosis and hepatitis D. The NICE is keeping the impact of the severity modifier under review and is scoping further research into society’s preferences on how much additional weighting to give to health benefits for people with severe diseases.
Asked by: Olivia Blake (Labour - Sheffield Hallam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department has conducted an equalities impact assessment on the NICE severity modifier for secondary breast cancer.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department has no plans to conduct an equalities impact assessment on the National Institute for Health and Care Excellence (NICE) severity modifier, or to undertake a review of its adequacy in the context of secondary breast cancer.
The NICE is responsible for developing the methods and processes it uses in its evaluations independently and in consultation with stakeholders. The severity modifier that the NICE introduced in 2022 is based on evidence of societal preferences and was introduced as part of a comprehensive review of the NICE’s methods and processes, following extensive public and stakeholder engagement. The NICE considered equality issues in an equality impact document that accompanied the introduction of its new methods and processes, including the severity modifier.
The NICE recently concluded a review of the severity modifier and found that it is operating as intended. Since its introduction, the severity modifier has resulted in a higher approval rate for cancer medicines than under the NICE’s previous methods, and has also allowed greater weight to be applied to non-cancer medicines that address a broader range of severe diseases, enabling the NICE to recommend medicines for conditions such as cystic fibrosis and hepatitis D. The NICE is keeping the impact of the severity modifier under review and is scoping further research into society’s preferences on how much additional weighting to give to health benefits for people with severe diseases.
Asked by: Olivia Blake (Labour - Sheffield Hallam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential impact of maternity and neonatal safety improvement schemes on mitigating the effects of inequalities in perinatal deaths.
Answered by Maria Caulfield
In March 2023, NHS England published its three-year delivery plan for maternity and neonatal services. This sets out how the National Health Service will make maternity and neonatal care more equitable, as well as safer and more personalised.
The three-year delivery plan is based on evidence, including the impact on inequalities where available, and wide consultation. NHS England is tracking the impact on maternity and neonatal outcomes based on ethnicity and deprivation.
A central ambition of the delivery plan is to reduce inequalities in access, experience and outcomes for women and babies. This is being delivered through the implementation of Local Maternity and Neonatal Systems equity and equality action plans and advocating a proportionate universalism approach, alongside targeted service models designed to reduce inequalities, including enhanced midwifery continuity of carer and culturally sensitive genetics services for high need areas.
NHS England is also providing training and resources for all maternity and neonatal staff, so they can deliver culturally competent and sensitive care. This includes access to cultural competence training, developed in partnership with the Royal College of Midwives, and provision of clinical training aids to support care for women and babies with black or dark skin. In November 2023, NHS England offered £50,000 funding to each NHS England regional team in England to implement ethnic minority workforce training to upskill staff and promote more equitable experience for service users.
In January 2024, the NHS Race and Health Observatory launched the Learning and Action Network in partnership with the Institute for Healthcare Improvement and the Health Foundation. The Learning and Action Network will utilise an anti-racism approach to quality improvement to drive clinical transformation and enable system-wide change. It will work with nine healthcare systems to improve maternal and neonatal health outcomes.
Additionally, the Care Quality Commission’s (CQC’s) national maternity inspection programme, which completed in December 2023, looked at how services are addressing inequalities in maternity care through a safety and leadership lens. The CQC will be reporting on their findings from the inspection programme later this year and will include findings relating to inequalities.
Asked by: Olivia Blake (Labour - Sheffield Hallam)
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 ensure that maternity and neonatal safety improvement schemes include a focus on mitigating the effects of inequalities.
Answered by Maria Caulfield
In March 2023, NHS England published its three-year delivery plan for maternity and neonatal services. This sets out how the National Health Service will make maternity and neonatal care more equitable, as well as safer and more personalised.
The three-year delivery plan is based on evidence, including the impact on inequalities where available, and wide consultation. NHS England is tracking the impact on maternity and neonatal outcomes based on ethnicity and deprivation.
A central ambition of the delivery plan is to reduce inequalities in access, experience and outcomes for women and babies. This is being delivered through the implementation of Local Maternity and Neonatal Systems equity and equality action plans and advocating a proportionate universalism approach, alongside targeted service models designed to reduce inequalities, including enhanced midwifery continuity of carer and culturally sensitive genetics services for high need areas.
NHS England is also providing training and resources for all maternity and neonatal staff, so they can deliver culturally competent and sensitive care. This includes access to cultural competence training, developed in partnership with the Royal College of Midwives, and provision of clinical training aids to support care for women and babies with black or dark skin. In November 2023, NHS England offered £50,000 funding to each NHS England regional team in England to implement ethnic minority workforce training to upskill staff and promote more equitable experience for service users.
In January 2024, the NHS Race and Health Observatory launched the Learning and Action Network in partnership with the Institute for Healthcare Improvement and the Health Foundation. The Learning and Action Network will utilise an anti-racism approach to quality improvement to drive clinical transformation and enable system-wide change. It will work with nine healthcare systems to improve maternal and neonatal health outcomes.
Additionally, the Care Quality Commission’s (CQC’s) national maternity inspection programme, which completed in December 2023, looked at how services are addressing inequalities in maternity care through a safety and leadership lens. The CQC will be reporting on their findings from the inspection programme later this year and will include findings relating to inequalities.
Asked by: Olivia Blake (Labour - Sheffield Hallam)
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 (a) monitor the progress of and (b) evaluate maternity and neonatal safety improvement schemes.
Answered by Maria Caulfield
Improving safety and outcomes for women and babies is central to NHS England’s Three year delivery plan for maternity and neonatal services, which is built on recommendations from recent maternity safety inquiries and specifically addresses the key themes raised in them.
The Plan includes determining success measures that will be used to monitor outcomes and progress in achieving key objectives on the plan. To facilitate monitoring against the key objectives, NHS England published technical guidance which includes information to provide clarity on the data sources and indicator construction for these measures.
Asked by: Olivia Blake (Labour - Sheffield Hallam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many complaints her Department received about the (a) processing and (b) administration of GP pensions in each of the last five years.
Answered by Andrea Leadsom
The NHS Business Services Authority (NHSBSA) administers the NHS Pension Scheme. NHS England act as the host board for general practitioners (GPs) and are responsible for local pension administration for GPs. This is provided through the Primary Care Support England contract they hold with Capita. Complaints about the processing and administration of GP pensions may be directed to the NHSBSA or NHS England. The NHSBSA and NHS England operate their own complaints processes.
The Department does not routinely receive complaints on GP pension matters, but it does receive items of correspondence on this issue. However, it is not possible to isolate items of correspondence relating to GP pension processing and administration from other items of correspondence relating to NHS Pension Scheme policy.
Asked by: Olivia Blake (Labour - Sheffield Hallam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, in which areas of England bilateral hearing aids (a) are and (b) are not provided to all patients with hearing loss in both ears who wish to receive them.
Answered by Helen Whately - Shadow Secretary of State for Work and Pensions
Audiology services are locally commissioned services and responsibility for provision of hearing aids, including bilateral hearing aids, lies with local National Health Service commissioners. Data on provision of bilateral hearing aids is not held centrally, although this information may be collected locally.
Asked by: Olivia Blake (Labour - Sheffield Hallam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will provide (a) a list of all firms engaged on advisory or consultancy work by the new hospital building programme in the financial year (i) 2021/22 and (ii) 2022/23 to date, (b) the number of staff working on the programme from each firm, (c) a description of each contract, including the start and end date and (d) the total value of each contract.
Answered by Will Quince
The consultants the New Hospital Programme has engaged with have been specialists who have brought highly technical skills, support and experience needed for a programme of this size and complexity. The total spending on consultants to support specific, time-limited, critical elements of the Programme at this stage, particularly the set-up of the Programmatic approach, will enable an overall reduction in Programme costs compared to a traditional approach to building hospitals.
The New Hospital Programme is a joint unit between the Department and NHS England; as such, we have individuals employed directly by the Department and NHS England. The total headcount for the New Hospital Programme is 125 staff either permanent, temporary, or loaned. The Programme does not have consultants that form part of the headcount. There are 149 full-time equivalent consultants engaged with the Programme as of February 2023.
Disclosure of the lowest, highest, and average daily rates paid to consultants could hinder the Programme’s future purchasing position in relation to the procurement of similar services and release would prejudice commercial interests. However, information on all contract award notices can be found on Contracts Finder at GOV.UK under ‘NHP’ and awarded by either the Department or NHS England & NHS Improvement (this does not include individual trust contracts).
Asked by: Olivia Blake (Labour - Sheffield Hallam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many and what proportion of staff working on the new hospitals programme are (a) management consultants, (b) NHS officials and (c) other civil servants.
Answered by Will Quince
The consultants the New Hospital Programme has engaged with have been specialists who have brought highly technical skills, support and experience needed for a programme of this size and complexity. The total spending on consultants to support specific, time-limited, critical elements of the Programme at this stage, particularly the set-up of the Programmatic approach, will enable an overall reduction in Programme costs compared to a traditional approach to building hospitals.
The New Hospital Programme is a joint unit between the Department and NHS England; as such, we have individuals employed directly by the Department and NHS England. The total headcount for the New Hospital Programme is 125 staff either permanent, temporary, or loaned. The Programme does not have consultants that form part of the headcount. There are 149 full-time equivalent consultants engaged with the Programme as of February 2023.
Disclosure of the lowest, highest, and average daily rates paid to consultants could hinder the Programme’s future purchasing position in relation to the procurement of similar services and release would prejudice commercial interests. However, information on all contract award notices can be found on Contracts Finder at GOV.UK under ‘NHP’ and awarded by either the Department or NHS England & NHS Improvement (this does not include individual trust contracts).