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Written Question
National Institute for Health and Care Excellence: Vertex
Thursday 29th February 2024

Asked by: Feryal Clark (Labour - Enfield North)

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 effectiveness of NICE's commercial negotiations with Vertex on NHS contracts.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The Government wants National Health Service patients to benefit from effective treatments, in a way that represents value, and is fair to all parties. The National Institute of Health and Care Excellence (NICE) makes recommendations on whether medicines should be routinely funded by the NHS, based on an assessment of their costs and benefits. The NICE develops its recommendations independently based on an assessment of the available evidence, and through engagement with interested parties.

The NICE is currently developing guidance for the NHS on whether the disease modifying treatments Symkevi, Orkambi, and Kaftrio, which contains elexacaftor, tezacaftor and ivacaftor, should be routinely funded by the NHS. Following a recent consultation on its draft recommendations, the NICE has now reached a point in the process where it can pause guidance development to allow further commercial negotiations between NHS England and the company. An update on the anticipated date for the publication of final guidance will be provided by the NICE once timelines are confirmed.

NHS England has been able to reach commercial agreements with many companies for medicines being evaluated by the NICE, that have enabled the NICE to recommend them for NHS use.


Written Statements
Specialist, Associate Specialist and Specialty Doctors: Revised Pay Offer - Thu 16 May 2024
Department of Health and Social Care

Mentions:
1: Victoria Atkins (Con - Louth and Horncastle) their members for a vote with a recommendation that they accept.SAS doctors are a vital part of the NHS - Speech Link


Written Question
Hospices
Tuesday 6th February 2024

Asked by: Neil Hudson (Conservative - Penrith and The Border)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent steps her Department has taken to support hospices.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

As part of the Health and Care Act 2022, the Government added palliative care services to the list of services an integrated care board (ICB) must commission, which will ensure a more consistent national approach and support commissioners in prioritising palliative and end of life care, including from hospices.

The majority of palliative and end of life care is provided by NHS staff and services. However, we also recognise the vital part that voluntary sector organisations, including hospices, play in providing support to people at end of life and their families. Most hospices are charitable, independent organisations which receive some statutory funding for providing services within the National Health Service. The amount of funding hospices receive is dependent on many factors, including what other statutory services are available within the ICB footprint. Charitable hospices provide a range of services which go beyond that which statutory services are legally required to provide. Consequently, the funding arrangements reflect this.

At a national level, NHS England supports children’s hospices through the Children and Young People’s hospice grant. It has confirmed that it will be renewing the grant for 2024/25, once again allocating £25 million of grant funding for children’s hospices using the same prevalence-based allocation approach as in 2022/23 and 2023/24.

The Government has provided additional funding to help deliver the one-off payments to eligible staff employed by non-NHS organisations, which employ their staff on dynamically linked Agenda for Change contracts. Organisations, such as hospices, were able to apply for the funding if they were able to show they had been negatively financially impacted by the pay deal, and that their staff are employed on dynamically linked Agenda for Change contracts.


Scottish Parliament Select Committee
Letter from the Cabinet Secretary for NHS Recovery, Health and Social Care to the HSCS Convener concerning the National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Miscellaneous Amendments) (Scotland) Regulations 2023, 6 December 2023
National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Miscellaneous Amendments) (Scotland) Regulations 2023

Correspondence Dec. 06 2023

Committee: Health, Social Care and Sport Committee

Found: National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C


Written Question
Dental Services: Contracts
Thursday 28th March 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many NHS dental contracts have been changed following a request from dental practices since 7 February 2024.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Monthly data on the Units of Dental Activity (UDA) delivered is published by the NHS Business Services Authority, although this data has an approximate two-month time lag, and therefore we expect data for February 2024 to be published around Mid-May. Otherwise, UDA delivery data is available at the following link:

https://opendata.nhsbsa.net/dataset/english-contractor-monthly-general-dental-activity


Written Question
Hospices: Finance
Tuesday 6th February 2024

Asked by: Bill Wiggin (Conservative - North Herefordshire)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps her Department (a) is taking and (b) plans to take to ensure the long-term sustainability of the hospice sector.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

While no specific assessment has been made recently of the equity of funding provided to hospices across England or the sustainability of the funding model for hospices, there are several steps that the Department is taking to ensure the equity and sustainability of funding for hospices.

Integrated care boards (ICBs) are responsible for determining the level of National Health Service funded palliative and end of life care, including hospice care, locally, and they are responsible for ensuring that the services they commission meet the needs of their local population.

The majority of palliative and end of life care is provided by NHS staff and services. However, we also recognise the vital part that voluntary sector organisations, including hospices, play in providing support to people at end of life and their loved ones. Most hospices are charitable, independent organisations which receive some statutory funding for providing NHS services. Charitable hospices provide a range of services which go beyond that which statutory services are legally required to provide and, consequently, the funding arrangements reflect this.

NHS England has developed of a palliative and end of life care dashboard, which brings together all relevant local data in one place. The dashboard helps commissioners understand the palliative and end of life care needs of their local population, enabling ICBs to put plans in place to address and track the improvement of health inequalities and ensure that funding is distributed fairly based on prevalence.

At a national level, NHS England supports palliative and end of life care for children and young people through the Children and Young People’s hospice grant. It has confirmed that it will be renewing the grant for 2024/25, once again allocating £25 million of grant funding for children’s hospices using the same prevalence-based allocation approach as in 2022/23 and 2023/24.

The Department recognises that one of the keys to ensuring the long-term sustainability of the hospice sector is to ensure that it can maintain a sufficient workforce. The Government have also provided additional funding to help deliver the one-off payments to eligible staff employed by non-NHS organisations, which employ their staff on dynamically linked Agenda for Change contracts. Organisations were able to apply for the funding and needed to show they had been negatively financially impacted by the pay deal, and that their staff are employed on dynamically linked Agenda for Change contracts.


Written Question
Hospices: Finance
Tuesday 6th February 2024

Asked by: Bill Wiggin (Conservative - North Herefordshire)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent assessment her Department has made of the sustainability of the funding model for hospices in England.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

While no specific assessment has been made recently of the equity of funding provided to hospices across England or the sustainability of the funding model for hospices, there are several steps that the Department is taking to ensure the equity and sustainability of funding for hospices.

Integrated care boards (ICBs) are responsible for determining the level of National Health Service funded palliative and end of life care, including hospice care, locally, and they are responsible for ensuring that the services they commission meet the needs of their local population.

The majority of palliative and end of life care is provided by NHS staff and services. However, we also recognise the vital part that voluntary sector organisations, including hospices, play in providing support to people at end of life and their loved ones. Most hospices are charitable, independent organisations which receive some statutory funding for providing NHS services. Charitable hospices provide a range of services which go beyond that which statutory services are legally required to provide and, consequently, the funding arrangements reflect this.

NHS England has developed of a palliative and end of life care dashboard, which brings together all relevant local data in one place. The dashboard helps commissioners understand the palliative and end of life care needs of their local population, enabling ICBs to put plans in place to address and track the improvement of health inequalities and ensure that funding is distributed fairly based on prevalence.

At a national level, NHS England supports palliative and end of life care for children and young people through the Children and Young People’s hospice grant. It has confirmed that it will be renewing the grant for 2024/25, once again allocating £25 million of grant funding for children’s hospices using the same prevalence-based allocation approach as in 2022/23 and 2023/24.

The Department recognises that one of the keys to ensuring the long-term sustainability of the hospice sector is to ensure that it can maintain a sufficient workforce. The Government have also provided additional funding to help deliver the one-off payments to eligible staff employed by non-NHS organisations, which employ their staff on dynamically linked Agenda for Change contracts. Organisations were able to apply for the funding and needed to show they had been negatively financially impacted by the pay deal, and that their staff are employed on dynamically linked Agenda for Change contracts.


Written Question
Hospices: Finance
Tuesday 6th February 2024

Asked by: Bill Wiggin (Conservative - North Herefordshire)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent assessment her Department has made of the equity of funding provided to hospices across England.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

While no specific assessment has been made recently of the equity of funding provided to hospices across England or the sustainability of the funding model for hospices, there are several steps that the Department is taking to ensure the equity and sustainability of funding for hospices.

Integrated care boards (ICBs) are responsible for determining the level of National Health Service funded palliative and end of life care, including hospice care, locally, and they are responsible for ensuring that the services they commission meet the needs of their local population.

The majority of palliative and end of life care is provided by NHS staff and services. However, we also recognise the vital part that voluntary sector organisations, including hospices, play in providing support to people at end of life and their loved ones. Most hospices are charitable, independent organisations which receive some statutory funding for providing NHS services. Charitable hospices provide a range of services which go beyond that which statutory services are legally required to provide and, consequently, the funding arrangements reflect this.

NHS England has developed of a palliative and end of life care dashboard, which brings together all relevant local data in one place. The dashboard helps commissioners understand the palliative and end of life care needs of their local population, enabling ICBs to put plans in place to address and track the improvement of health inequalities and ensure that funding is distributed fairly based on prevalence.

At a national level, NHS England supports palliative and end of life care for children and young people through the Children and Young People’s hospice grant. It has confirmed that it will be renewing the grant for 2024/25, once again allocating £25 million of grant funding for children’s hospices using the same prevalence-based allocation approach as in 2022/23 and 2023/24.

The Department recognises that one of the keys to ensuring the long-term sustainability of the hospice sector is to ensure that it can maintain a sufficient workforce. The Government have also provided additional funding to help deliver the one-off payments to eligible staff employed by non-NHS organisations, which employ their staff on dynamically linked Agenda for Change contracts. Organisations were able to apply for the funding and needed to show they had been negatively financially impacted by the pay deal, and that their staff are employed on dynamically linked Agenda for Change contracts.


Written Question
Dental Services: Standards
Wednesday 17th April 2024

Asked by: Thérèse Coffey (Conservative - Suffolk Coastal)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will introduce a system of redress for NHS dentists that fulfil less than (a) 80%, (b) 50% and (c) 10% of their performance target.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

National Health Service dental contract holders are awarded funding at the start of each financial year, based on the contracted number of Units of Dental Activity (UDA). Contractors are required to deliver at least 96% of their contracted activity on an annual basis. Where this does not occur, the NHS reclaims the difference between the monies paid to contractors and the value of work which has been delivered. NHS England will encourage commissioners and contractors to work together to resolve underperformance against the contract at the mid-year review point, or by voluntarily rebasing their contract in the first instance. Where this is not possible, and where there have been three consecutive years of persistent underperformance, commissioners will be able to rebase contracts to the highest level of UDAs delivered over the three-year period from the following year, and recommission unused activity to other providers.


Written Question
Dental Services: Contracts
Thursday 28th March 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

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 the number of dental practices that have announced that they plan to withdraw from NHS contracts since 7 February 2024.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Monthly data on the Units of Dental Activity (UDA) delivered is published by the NHS Business Services Authority, although this data has an approximate two-month time lag, and therefore we expect data for February 2024 to be published around Mid-May. Otherwise, UDA delivery data is available at the following link:

https://opendata.nhsbsa.net/dataset/english-contractor-monthly-general-dental-activity