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, if she will make an assessment of the potential implications for her policies of the report by the APPG for Hospice and End of Life Care entitled Government funding for hospices, to be published in February 2024.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
The Department is already taking actions which will address many of the recommendations of the All-Party Parliamentary Group’s report. 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.
The majority of palliative and end of life care is provided by National Health Service 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 NHS services. 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, and consequently, the funding arrangements reflect this.
NHS England has commissioned the development 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.
In July 2022, NHS England published statutory guidance and service specifications for commissioners on palliative and end of life care, setting out the considerations for ICBs to meet their legal duties. The guidance makes specific reference to commissioners defining how their services will meet population needs 24 hours a day, seven days a week.
The Government have also provided additional funding to help deliver the one-off payments to eligible staff employed by non-NHS organisations, who 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.
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 take steps to provide the same (a) terms and conditions and (b) job evaluation systems to (i) Anaesthesia Associates and Physician Associates and (ii) junior doctors.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The role of medical associates is to work with and support doctors and not to replace them. Physician Associates, Anaesthesia Associates, and doctors in training are employed under different contractual arrangements. Physician Associates and Anaesthesia Associates are employed on the Agenda for Change (AfC) contract. Doctors in training follow a distinct medical training pathway, and are employed on the NHS Doctors and Dentists in Training (2016) contract.
The National Health Service contracts reflect the different needs of different members of the workforce, and are managed by different collective bargaining structures. The AfC contract is managed by the NHS Staff Council and is underpinned by the NHS Job Evaluation Scheme. There is no equivalent job evaluation scheme for doctors and dentists’ terms and conditions.
There are currently no plans for Physician Associates, Anaesthesia Associates, and doctors in training to be employed under the same terms and conditions, with the same job evaluation system.
Oct. 12 2009
Source Page: The use of 084 telephone numbers in the NHS. Incl. annex. 18 p.Found: The use of 084 telephone numbers in the NHS. Incl. annex. 18 p.
Asked by: Sara Britcliffe (Conservative - Hyndburn)
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 (a) effectiveness of and (b) equity of access to the application process for the backlog bonus payment under the NHS Agenda for Change umbrella for (i) the third sector and (ii) social enterprises.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Department developed clear and transparent criteria for the application process, which was published by NHS England and accessible to all non-National Health Service organisations. The criteria was agreed to ensure that the funding was given to those most impacted by the NHS pay deal, due to the nature of their contracts and their financial circumstances.
Outcomes of applications will be communicated directly to organisations by the end of the financial year. Organisations will be entitled to seek a review of the decision, which will be undertaken by the Department, to determine if the decision has been reached correctly in accordance with the guidance.
Asked by: Gordon Henderson (Conservative - Sittingbourne and Sheppey)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the NHS England net zero supplier roadmap, for what reason NHS England’s (a) target date for reaching net zero emissions by 2045 and (b) scope to include reporting of global emissions differ from the requirements laid out in the guidance entitled Procurement Policy Note 06/21: Taking account of Carbon Reduction Plans in the procurement of major government contracts.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Health and Care Act 2022 compels the National Health Service to take action on climate and environmental issues, including by reducing its emissions. The NHS is committed to reducing its environmental impact, whilst delivering the best possible patient care and outcomes, as well as the best possible value for taxpayers.
The Climate Change Act 2008 requires all areas of the public sector to reduce their emissions, although the pace of change will differ between different segments of the public sector, depending on cost, feasibility, and innovation. The NHS in England has committed to reaching Net Zero by 2045. To achieve these goals, the NHS will require the support of its suppliers. In 2021, NHS England published the NHS Net Zero Supplier Roadmap, which sets out a series of milestones to support NHS suppliers in aligning with the NHS’s Net Zero ambitions. Further information is available at the following link:
https://www.england.nhs.uk/greenernhs/get-involved/suppliers/
The latest milestone, implemented from April 2024, sets out Carbon Reduction Plan (CRP) requirements for NHS suppliers aligned to the Procurement Policy Note (PPN) 06/21. As set out in PPN 06/21, NHS suppliers’ CRPs need to cover, at a minimum, their emissions in the United Kingdom, and outline their commitment to achieve Net Zero by 2050.
NHS England launched the Evergreen Sustainable Supplier Assessment in June 2023, which enables a two-way conversion with suppliers and the NHS. This online, voluntary self-assessment and reporting tool allows suppliers to understand how to align with the NHS Net Zero and sustainability ambitions. NHS England will continue to engage with regulators, suppliers, and industry bodies ahead of implementing future roadmap milestones, to inform policy development. Guidance setting out the detailed requirements of April 2027 will take into account suppliers’ feedback and readiness, and NHS England will aim to publish it well in advance of April 2027 to ensure suppliers have sufficient time to prepare.
Asked by: Barry Sheerman (Labour (Co-op) - Huddersfield)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether all NHS hospitals provide the right for patients to choose where they receive treatment; and whether this right is affected by where a patient lives.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
In England, the NHS Constitution allows patients to be treated by any provider who holds a contract for the provision of National Health Services. This includes the independent sector, who already hold multiple contracts with integrated care boards (ICBs) across the country to provide additional capacity to the NHS.
Last year, the Government set out how it will make it easier for patients to exercise their choice by improving the NHS App, increasing choice for patients already on waiting lists, and raising awareness of patients’ right to choose.
At the point of referral, for example at a general practice appointment, patients will be actively offered a list of providers which are clinically appropriate for their condition. This will be a minimum of five providers where possible. Patients will also be informed of their right to choose, and encouraged to raise this at the time of the referral.
Patients can be referred to services outside of their local ICB geography when exercising their legal right of choice of provider and team, if the service meets the criteria to be an appropriate choice for patients. Where there is limited choice in the local vicinity or region of a patient, alternative national providers will be offered.
Mentions:
1: None The NHS steps into contracts to get good patient outcomes. That is where we start. - Speech Link
2: None In my years in the NHS, we have always used procurement to try to get best value delivery. - Speech Link
3: Smyth, Colin (Lab - South Scotland) The NHS varied from board to board. - Speech Link
4: None We work closely with NHS Fife, where we have a requirement for a new baker. - Speech Link
Asked by: Gordon Henderson (Conservative - Sittingbourne and Sheppey)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether her Department has made an assessment with NHS England of the impact of companies being unable to comply with the NHS England requirement for suppliers to commit globally by 2027 to achieve net zero by 2045 on NHS (a) supply and (b) services.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
In 2021, NHS England published the NHS Net Zero Supplier Roadmap, which sets out a series of milestones to support National Health Service suppliers to align with the NHS’s net zero ambitions. The 2027 requirement for suppliers to publicly report targets, emissions, and publish a Carbon Reduction Plan (CRP) for global emissions aligned to the NHS net zero target, will build on milestones implemented in 2023 and 2024.
The milestone of 1 April 2023 required that suppliers bidding for any new contracts above £5 million per annum publish a CRP for their UK Scope 1 and 2 emissions, and a subset of scope 3 emissions as a minimum. This requirement was proportionately extended to all new procurements from April 2024, with a full CRP required for new procurements above £5 million per annum, and new frameworks operated by in-scope organisations. A Net Zero Commitment is required for procurements of lower value, as set out in the above-mentioned guidance.
NHS England has proactively engaged with suppliers since the launch of the NHS Net Zero Supplier Roadmap, and continues to engage with regulators, suppliers, and industry bodies, ahead of implementing future roadmap milestones, such as the April 2027 milestone. NHS England’s engagement approach has included regular supplier forums with trade bodies, external webinars, and horizon scanning of both the global and the United Kingdom’s regulatory and reporting landscapes.
NHS England launched the Evergreen Sustainable Supplier Assessment in June 2023, which enables a two-way conversation with suppliers and the NHS. This online voluntary, self-assessment and reporting tool allows suppliers to understand how to align with the NHS net zero and sustainability ambitions. After completing the assessment, suppliers receive a sustainability maturity score, valid for 12 months, against NHS priorities, and which signposts their current position and pathway to progress.
The April 2027 milestone is anticipated to build on the approach set out in the published guidance on implementing the April 2023 and April 2024 NHS Net Zero Supplier Roadmap requirements, which includes consideration of the relevant and proportionate application of the policy within procurements.
Asked by: Gordon Henderson (Conservative - Sittingbourne and Sheppey)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what progress her Department has made on ensuring compliance by NHS suppliers with NHS England’s target for all suppliers to publicly report targets, emissions and publish a Carbon Reduction Plan for global emissions aligned to the NHS net zero target, for all of their Scope 1, 2 and 3 emissions by 2027.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
In 2021, NHS England published the NHS Net Zero Supplier Roadmap, which sets out a series of milestones to support National Health Service suppliers to align with the NHS’s net zero ambitions. The 2027 requirement for suppliers to publicly report targets, emissions, and publish a Carbon Reduction Plan (CRP) for global emissions aligned to the NHS net zero target, will build on milestones implemented in 2023 and 2024.
The milestone of 1 April 2023 required that suppliers bidding for any new contracts above £5 million per annum publish a CRP for their UK Scope 1 and 2 emissions, and a subset of scope 3 emissions as a minimum. This requirement was proportionately extended to all new procurements from April 2024, with a full CRP required for new procurements above £5 million per annum, and new frameworks operated by in-scope organisations. A Net Zero Commitment is required for procurements of lower value, as set out in the above-mentioned guidance.
NHS England has proactively engaged with suppliers since the launch of the NHS Net Zero Supplier Roadmap, and continues to engage with regulators, suppliers, and industry bodies, ahead of implementing future roadmap milestones, such as the April 2027 milestone. NHS England’s engagement approach has included regular supplier forums with trade bodies, external webinars, and horizon scanning of both the global and the United Kingdom’s regulatory and reporting landscapes.
NHS England launched the Evergreen Sustainable Supplier Assessment in June 2023, which enables a two-way conversation with suppliers and the NHS. This online voluntary, self-assessment and reporting tool allows suppliers to understand how to align with the NHS net zero and sustainability ambitions. After completing the assessment, suppliers receive a sustainability maturity score, valid for 12 months, against NHS priorities, and which signposts their current position and pathway to progress.
The April 2027 milestone is anticipated to build on the approach set out in the published guidance on implementing the April 2023 and April 2024 NHS Net Zero Supplier Roadmap requirements, which includes consideration of the relevant and proportionate application of the policy within procurements.
Mentions:
1: Leonard, Richard (Lab - Central Scotland) The then First Minister Nicola Sturgeon announced that that hospital was going to be taken back into NHS - Speech Link
2: None That team also includes NHS Scotland Assure colleagues, who are focused specifically on this issue and - Speech Link
3: None For example, we have worked with NHS Highland and the Highland Council to help them put in place arrangements - Speech Link
4: None Obviously there is a distinction to be drawn between NHS projects and the ones in education and justice - Speech Link
5: Leonard, Richard (Lab - Central Scotland) We have the chief executive of NHS Scotland coming before the committee before we break for summer recess - Speech Link