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 rates of respiratory-related hospital admissions in Birmingham.

System partners are working collaboratively to improve pathways between health care professionals, and to remove barriers in referrals to community-based services and hospital acute setting clinics. This will support admission avoidance, and ensure that patients are receiving the right care in the right place, more quickly.

An example of this is the work between the West Midlands Ambulance Service University NHS Foundation Trust (WMAS) and urgent community response, who are supporting the WMAS with direct referrals into their service, and providing a call before you convey the telephone line for ambulance clinicians on the scene with patients. Increasing the workforce skill mix in the urgent community response to support with decision making will avoid admissions. Support to care homes to ensure they can safely monitor and escalate, where patients become unwell, to appropriate health care professionals has been supported by urgent community response teams and virtual ward teams. We are also improving respiratory virtual ward utilisation in collaboration with both the University Hospitals Birmingham NHS Foundation Trust and the Birmingham Community Healthcare NHS Foundation Trust.