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Written Question
Health Services: Coastal Areas
Monday 27th January 2025

Asked by: Steff Aquarone (Liberal Democrat - North Norfolk)

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 cross-Government strategy on the health and wellbeing of coastal communities.

Answered by Andrew Gwynne - Parliamentary Under-Secretary (Department of Health and Social Care)

We are taking action across Government to address the environmental and socio-economic determinants of health, and are aiming to halve the gap in healthy life expectancy between the richest and poorest regions. We know that targeted action to tackle health inequalities will facilitate economic opportunities, and support a National Health Service fit for the future.

Addressing healthcare inequity is a core focus of the 10-Year Health Plan, to ensure the NHS is there for anyone who needs it, whenever they need it. We have established 11 working groups to take forward policy development that will feed into the plan. This includes working groups focused on how care should be designed and delivered to improve healthcare equity, alongside ensuring that access to healthcare services is effective and responsive.


Written Question
Pancreatic Enzyme Replacement Therapy: Norfolk
Monday 27th January 2025

Asked by: Steff Aquarone (Liberal Democrat - North Norfolk)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many prescriptions for pancreatic enzyme replacement therapy were dispensed by Norfolk and Waveney (a) integrated care board and (b) clinical commissioning group in each year between 2019 and 2024.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The Prescription Cost Analysis (PCA) provided by the NHS Business Services Authority gives the total number of prescription items of each medicine dispensed in the community in England. The following data relates to prescriptions for products that fall within the definition as set out in Paragraph 010904, related to pancreatin, in the British National Formulary.

The following table shows the total number of National Health Service prescription items that were dispensed in the Norfolk and Waveney Integrated Care Board, regardless of where prescribed, from January 2019 to November 2024

Year

Number of prescription items

2019

14,291

2020

13,587

2021

13,933

2022

13,933

2023

14,460

2024

14,698

Note: data for 2024 is from January to November.

The Clinical Commissioning Group (CCG) relates to the prescribing organisation, so the following statistics are consistent with the English Prescribing datasets rather than the dispensing organisation shown in PCA.

The following table shows the total number of NHS prescription items that were prescribed by cost centres linked to the Sub Integrated Care Board Location (SICBL), or prior to 2020 the CCG area of Norfolk and Waveney, from January 2019 to November 2024:

Year

Number of prescription items

2019

14,290

2020

13,727

2021

14,238

2022

14,387

2023

14,904

2024

14,935

Note: data for 2024 is from January to November.

Historical data has been re-presented using the latest NHS organisation structure. These two tables are not directly comparable as the data available for integrated care boards relates to dispensing, whereas the data available at the SICBL or CCG level relates to items prescribed.


Written Question
Research: Coastal Areas
Monday 27th January 2025

Asked by: Steff Aquarone (Liberal Democrat - North Norfolk)

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 (a) data for and (b) research into coastal communities.

Answered by Andrew Gwynne - Parliamentary Under-Secretary (Department of Health and Social Care)

The National Institute for Heath and Care Research (NIHR) has funded a range of research specifically focusing on coastal populations, including investing in local authority and higher education partnerships, as well as studies that focussed on health care in these areas. Further information about this research is available at the following link:

https://nihr.opendatasoft.com/pages/homepage/

The NIHR has a Research Inclusion Strategy which, amongst other objectives, aims to widen research access and participation for greater diversity and inclusion, including for populations in coastal communities. Further information on the strategy is available at the following link:

https://www.nihr.ac.uk/about-us/who-we-are/research-inclusion/strategy-2022-27

The NIHR’s research funding guidance requires researchers to show how they will make sure their research is inclusive and addresses inequalities in health and care, with further information available at the following link:

https://www.nihr.ac.uk/about-us/who-we-are/research-inclusion/funding-application-guidance


Written Question
Coastal Erosion and Flood Control: Finance
Thursday 23rd January 2025

Asked by: Steff Aquarone (Liberal Democrat - North Norfolk)

Question to the Department for Environment, Food and Rural Affairs:

To ask the Secretary of State for Environment, Food and Rural Affairs, whether he plans to make an assessment of the potential (a) cultural and (b) historic merits of protecting areas from flooding and coastal erosion in a future review of the flooding formula.

Answered by Emma Hardy - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)

We will launch a consultation in the coming months which will include a review of the existing flood funding formula to ensure that the challenges facing businesses and rural and coastal communities are adequately taken into account when delivering flood protection. Feedback will be sought on the advantages and disadvantages of potential reforms to the flood funding formula.


Written Question
Flood Control: Finance
Thursday 23rd January 2025

Asked by: Steff Aquarone (Liberal Democrat - North Norfolk)

Question to the Department for Environment, Food and Rural Affairs:

To ask the Secretary of State for Environment, Food and Rural Affairs, when he plans to open the consultation on the flooding funding formula; and how long the consultation will last.

Answered by Emma Hardy - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)

We will launch a consultation in the coming months which will include a review of the existing flood funding formula to ensure that the challenges facing businesses and rural and coastal communities are adequately taken into account when delivering flood protection. Feedback will be sought on the advantages and disadvantages of potential reforms to the flood funding formula.


Written Question
Members: Correspondence
Thursday 23rd January 2025

Asked by: Steff Aquarone (Liberal Democrat - North Norfolk)

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, when she plans to respond to the correspondence of 26 November 2024 from the hon. Member for North Norfolk, reference SA01948.

Answered by Darren Jones - Chief Secretary to the Treasury

This correspondence is receiving urgent attention and a response will be sent from the Chief Secretary to the Treasury to the hon. Member for North Norfolk in due course.


Written Question
Methylphenidate: Norfolk
Thursday 16th January 2025

Asked by: Steff Aquarone (Liberal Democrat - North Norfolk)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 8 January 2025 to Question 21526 on Methylphenidate: Norfolk, how many prescriptions for methylphenidate were dispensed by Norfolk and Waveney (a) integrated care board and (b) clinical commissioning group in each year between 2019 and 2024.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The Prescription Cost Analysis (PCA) from the NHS Business Services Authority provides the total number of prescription items of each medicine dispensed in the community in England. The following table shows the total number of National Health Service prescription items for the chemical substance methylphenidate that were dispensed in the Norfolk and Waveney Integrated Care Board (ICB) area from January 2019 to October 2024, latest data available, regardless of where prescribed:

Total prescription items dispensed in Norfolk and Waveney ICB

2019

33,733

2020

30,723

2021

31,320

2022

31,267

2023

32,138

2024

28,249

Note: data for 2024 is from January to October.

In addition, the following table shows the total number of NHS prescription items for the chemical substance methylphenidate that were prescribed by cost centres linked to the Sub ICB Location (SICBL), or prior to 2020, the Clinical Commissioning Group (CCG) area of Norfolk and Waveney, from January 2019 to October 2024:

Total prescription items prescribed in Norfolk and Waveney SICBL

2019

31,751

2020

29,665

2021

30,334

2022

30,431

2023

31,233

2024

27,086

Notes:

  1. data for 2024 is from January to October; and
  2. historical data has been re-presented using the latest NHS organisation structure.

The CCG relates to the prescribing organisation, so the statistics are consistent with the English prescribing datasets rather than the dispensing organisation shown in PCA.


Written Question
Local Government: Devolution
Thursday 16th January 2025

Asked by: Steff Aquarone (Liberal Democrat - North Norfolk)

Question to the Ministry of Housing, Communities and Local Government:

To ask the Secretary of State for Housing, Communities and Local Government, when she plans to announce which local authorities have been selected for the devolution priority programme.

Answered by Jim McMahon - Minister of State (Housing, Communities and Local Government)

We received proposals from a number of local authorities on 10 January expressing interest in joining the Devolution Priority Programme. We are reviewing these at pace, and we hope to announce places on the Programme in the coming weeks.


Written Question
National Parks: Audit
Thursday 9th January 2025

Asked by: Steff Aquarone (Liberal Democrat - North Norfolk)

Question to the Department for Environment, Food and Rural Affairs:

To ask the Secretary of State for Environment, Food and Rural Affairs, what assessment he has made of the potential impact of trends in levels of costs for statutory external audit fees levied on National Park authorities on those authorities; and if he will make an assessment of the adequacy of the (a) levels of those fees and (b) breadth of those statutory requirements.

Answered by Mary Creagh - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)

Defra acknowledges that rising costs, including to fees required to fulfil statutory obligations, increase the funding pressures on National Park authorities.

Public Sector Audit Appointments Limited (PSAA) independently sets fees for eligible bodies defined in the Local Audit and Accountability Act 2014, including National Park authorities. PSAA is responsible for setting the scales of fees for the audit of accounts of authorities who have opted into its services. PSAA consults on and publishes its fee scales - 99% of eligible local bodies opted into its national scheme for the appointing period 2023/24 to 2027/28, including all National Park authorities in England.

The Ministry of Housing, Communities and Local Government launched a strategy in December to overhaul the local audit system in England. The strategy commits to a series of measures to fix the broken system and consults on several specific proposals.

https://www.gov.uk/government/consultations/local-audit-reform-a-strategy-for-overhauling-the-local-audit-system-in-england


Written Question
Methylphenidate: Norfolk
Wednesday 8th January 2025

Asked by: Steff Aquarone (Liberal Democrat - North Norfolk)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 29 November 2024 to Question 16285 on Methylphenidate: Shortages, what estimate he has made of the number of prescriptions for methylphenidate (a) successfully and (b) unsuccessfully fulfilled in Norfolk in 2024.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The Prescription Cost Analysis, produced by the NHS Business Services Authority (NHSBSA), provides the total number of prescription items of each medicine dispensed in the community in England.

There were 28,249 National Health Service prescription items for the chemical substance methylphenidate dispensed by contractors in the Norfolk and Waveney Integrated Care Board, regardless of where prescribed, from January 2024 to October 2024. The NHSBSA does not hold data on unsuccessfully fulfilled prescriptions.