Asked by: Peter Gibson (Conservative - Darlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many patients were admitted to hospital for palliative care in each of the last five years.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
The requested data is not available.
Asked by: Peter Gibson (Conservative - Darlington)
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 levels of liver disease in Darlington constituency.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Through the 2021 Drugs Strategy we are making the largest ever single increase in drug and alcohol treatment and recovery funding, with £780 million of additional investment. Of this, £532 million is being invested to rebuild local authority commissioned substance misuse treatment services in England. As alcohol and drug services are commissioned together, this will benefit people seeking treatment for alcohol use.
In the financial years 2022/23 to 2024/25, Darlington has been allocated just over £1.9 million through the Supplementary Substance Misuse Treatment and Recovery Grant and Inpatient Detoxification Grant, to increase the number of people benefiting from alcohol and drug treatment and recovery services, and the outcomes they achieve. This is additional to the amounts invested through the Public Health Grant.
Work in the National Health Service, specifically piloting early diagnosis and prevention through 19 community diagnostic hubs, is identifying undiagnosed liver disease. The North East and North Cumbria Integrated Care Board is enrolled in a Community Liver Health Check pilot in Newcastle, being delivered by the system’s Hepatitis C Operational Delivery Networks. This will provide FibroScans in one-stop community clinics, where patients also have other investigations, as required. The pilot has expanded into North Tyneside, and when resources allow, they intend to develop clinics elsewhere.
Beyond treatment, we are committed to tackling alcohol harms including reducing consumption levels, and in 2023 the Government introduced reforms to alcohol duty, meaning products are taxed directly in proportion to their alcohol content.
Asked by: Peter Gibson (Conservative - Darlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an estimate of average weekly expenditure on the NHS in real terms in each year since 2016.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The below table shows the average weekly and yearly expenditure on the National Health Service in real terms and nominally, each year since 2016, including spending against the Revenue Departmental Expenditure Limit (RDEL) by NHS England, the integrated care boards, and providers:
Year | RDEL spend per year in nominal terms | RDEL spend per year in real terms | RDEL spend per week in real terms |
2016/17 | £105,735,000,000 | £125,293,000,000 | £2,409,000,000 |
2017/18 | £109,605,000,000 | £127,879,000,000 | £2,459,000,000 |
2018/19 | £114,331,000,000 | £130,634,000,000 | £2,512,000,000 |
2019/20 | £123,750,000,000 | £138,145,000,000 | £2,657,000,000 |
2020/21 | £143,367,000,000 | £151,775,000,000 | £2,919,000,000 |
2021/22 | £149,322,000,000 | £159,379,000,000 | £3,065,000,000 |
2022/23 | £158,347,000,000 | £158,347,000,000 | £3,045,000,000 |
Source: table 66 of the Department of Health and Social Care’s annual report.
Note: figures have been adjusted for inflation using HM Treasury’s gross domestic product deflators, as of April 2024.
Asked by: Peter Gibson (Conservative - Darlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an assessment of the potential merits of providing lymphaticovenous anastomosis surgery on the NHS.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
No formal assessment has been made of the potential merits of providing lymphaticovenous anastomosis surgery on the National Health Service. On 16 April 2024, the National Institute for Health and Care Excellence (NICE) published interventional procedures guidance that states that lymphovenous anastomosis during axillary dissection for preventing secondary lymphoedema in adults with breast cancer, can be used in the NHS while more evidence is generated, and that it can only be used with special arrangements for clinical governance, consent and audit, or research. The NICE’s interventional procedures guidance makes recommendations for the NHS on whether procedures are sufficiently safe and efficacious for use in routine clinical practice.
Asked by: Peter Gibson (Conservative - Darlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if a Minister from her Department will visit Darlington to hold discussions with (a) the Police and (b) Trading Standards on the joint steps they are taking to help tackle the sale of illegal vapes and illicit tobacco.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Ministers in the department are always happy to consider meetings and visits to understand the impact of their policy areas, and we recommend reaching out to Ministers’ offices directly.
A strong approach to enforcement is vital if the smokefree generation policy is to have real impact. My Rt hon. Friend, the Secretary of State for Health and Social Care recently visited a cargo warehouse at Heathrow Airport with Hillingdon Trading Standards to see first-hand the work they are doing to seize illicit vapes at the border, and prevent these products from being sold in the United Kingdom.
Underage and illicit sales of tobacco products, and more recently vaping products, is undermining the work the Government is doing to regulate the industry and protect public health. It also deprives the UK of vital money that could be used to fund essential public services, instead, putting it in the hands of criminals.
This is why alongside the measures in the Tobacco and Vapes Bill, we are supporting enforcement agencies with up to £30 million a year, to scale up their existing activities. This increased investment will help to stamp out criminal activity by boosting enforcement capacity, and help local trading standards tackle underage sales at a local level. Of this funding, over £100 million over five years will support HM Revenue and Custom’s and Border Force’s new illicit tobacco strategy. As is the case with existing age of sale legislation, breaches of the new law will primarily be dealt with by local authority trading standards, rather than by local police forces.
Asked by: Peter Gibson (Conservative - Darlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent progress the cross-government bereavement working group has made on ensuring support is available to bereaved people.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The cross-Government bereavement group was established in preparation for publication of the UK Commission on Bereavement’s (UKCB), Bereavement is Everyone’s Business report, from October 2022. The group includes representatives from over 10 Government departments.
The cross-Government bereavement group enables Government departments to share the best practice about bereavement support in the sectors for which they are responsible. The UKCB Steering Group has presented to the cross-Government working group on several occasions, and last attended a meeting of the group in September 2023.
Asked by: Peter Gibson (Conservative - Darlington)
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 providers of NHS services are protecting the whereabouts of domestic abuse victims from perpetrators.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
There are security and legislative protections in place to protect patient data, and ensure data is used across the health and social care system in a safe, secure, and legal way. This includes data protection rules which prevent National Health Service employees from disclosing addresses of victims of domestic abuse.
Each organisation’s terms and conditions of employment include strict guidelines on how staff handle and protect patients’ information. Staff must also be regularly trained in information governance responsibilities. Professional bodies such as the General Medical Council also set out standards which their members must meet.
General practices have two options if they are worried that having access to their record might cause harm to a patient or another individual. They can either redact specific items on the record, or disable patient access entirely.
Asked by: Peter Gibson (Conservative - Darlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how much her Department spent in Darlington constituency in each financial year between 2019-20 and 2022-23.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Information on spending in the Darlington constituency is not available in the format requested. However, the following table shows the spend of the organisations that are the closest approximation to the Darlington constituency, each year from 2019/20 to 2022/23:
| 2019/20 | 2020/21 | 2021/22 | 2022/23 |
NHS Darlington Clinical Commissioning Group (CCG) | £177,000,000 | 0 | 0 | 0 |
NHS Tees Valley CCG | 0 | £1,293,000,000 | £1,502,000,000 | £341,000,000 |
NHS North East and North Cumbria Integrated Care Board (ICB) | 0 | 0 | 0 | £5,171,000,000 |
The number and commissioning responsibilities of the CCGs, now ICBs, have changed during the period requested, and expenditure levels set out in the table are not directly comparable year-on-year. On 1 July 2022, the NHS North East and North Cumbria ICB replaced and took on responsibility for eight CCGs, including Tees Valley, which is reflected in the higher level of spend in 2022/23.
Asked by: Peter Gibson (Conservative - Darlington)
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 adequacy of investment in establishing a vaccine library.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Development of a vaccine library, including the adequacy of investment, will be a collaborative, global effort. The Government provides funding to the Coalition for Epidemic Preparedness Innovations (CEPI) through the Department of Health and Social Care and the Foreign, Commonwealth and Development Office. The CEPI plays a key role in funding and coordinating the global research and development effort to develop a vaccine library.
The UK Health Security Agency’s (UKHSA) Vaccine Development and Evaluation Centre (VDEC) makes a significant contribution to the development of a vaccine library through work in developing and evaluating new vaccines and vaccine technologies, some of which is funded by the CEPI.
The UKHSA is also reviewing the recommendations from the International Pandemic Preparedness Secretariat (IPPS) report, in the context of the United Kingdom, and working across Government to strengthen our 100 Days Mission endeavours even further.
More broadly, an established clinical countermeasures programme, including vaccines, is a core component of our pandemic preparedness and response capability. The programme is informed by scientific and clinical assessment of the evidence base, and is kept under review, building on lessons learned from previous outbreaks including COVID-19.
Asked by: Peter Gibson (Conservative - Darlington)
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 reduce the waiting times for child and adolescent mental health services in the Tees Esk Wear Mental Health Trust region.
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 at least an additional £2.3 billion a year in expanding and transforming National Health Service mental health services by March 2024, compared to 2018/19. As part of this, an extra 345,000 more children and young people will be able to get the NHS-funded mental health support they need.
NHS England is working on implementing five new access and waiting time standards for mental health services, including one for children and their families and carers to start receiving community-based mental health care within four weeks of referral.
A consultation pilot began in Teesside in October 2023, which has allowed families to be re-directed to appropriate support, and for services to be able to reinvest time back into the backlog of assessments. The trust is currently reviewing the implementation and extension of this pilot into Durham and Darlington.