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 address regional disparities in (a) funding and (b) staffing levels for the (i) diagnosis and (ii) treatment of congenital heart disease for (A) all patients and (B) paediatric services in the North West..

The Office for Health Improvement and Disparities’ North West Regional Team provides system leadership for population health and reducing health inequalities across the North West. This includes working with local authorities and integrated care systems to develop and deliver population health programmes at a local level, supporting regional NHS England priorities and long-term planning on prevention and health inequalities.

NHS England undertook a national review of congenital heart disease from 2014 to 2016 which created a new service specification for the provision of congenital heart disease services. This new service specification identifies minimum activity levels for each centre to achieve optimum outcomes, and the review identified planning footprints for clinical networks to achieve this level of activity.

Specialised commissioners, namely NHS England and the integrated care boards, have been working with North West providers and the North West Congenital Heart Disease Clinical Network to ensure adherence to these standards within local provision. Proposals are in development to support the creation of a single networked pathway of care for patients, delivered across designated specialised healthcare services, which includes plans for staffing and workforce development to consistently deliver national standards for all patients in the North West.

NHS England works closely with the Congenital Heart Networks to support work to maintain and monitor elective congenital heart disease surgery activity, waiting lists, and waiting times across England, noting that there are interdependencies with critical care capacity. Clinical heart disease constitutes the bulk of paediatric cardiac cases.