Asked by: Preet Kaur Gill (Labour (Co-op) - Birmingham, Edgbaston)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many courses of treatment were delivered by NHS general dental practitioners in each month between January 2019 to May 2024.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Dentistry Recovery Plan will make dental services faster, simpler, and fairer for patients, and will fund approximately 2.5 million additional appointments, or more than 1.5 million additional courses of dental treatment. We will further support dentists by raising the minimum Units of Dental Activity (UDA) rate to £28 this year, making National Health Service work more attractive and sustainable. NHS dental activity, as measured by Courses of Treatments delivered, has increased by 23% between 2021/22 and 2022/23. The number of UDAs commissioned and delivered is published each month on the NHS Business Services Authority Open Data Portal, which currently holds data from April 2016 to January 2024. Further information is available at the following link:
https://opendata.nhsbsa.net/dataset/english-contractor-monthly-general-dental-activity
Asked by: Robert Buckland (Conservative - South Swindon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to help ensure public (a) safety and (b) clarity in the healthcare roles of (i) physician associates and doctors and (ii) other NHS staff.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The introduction of regulation by the General Medical Council (GMC) will provide a standardised framework of governance and assurance for the clinical practice and professional conduct of Anaesthesia Associates (AAs) and Physician Associates (PAs), and make it easier for employers, patients, and the public to understand the relationship between these roles and that of doctors.
Whilst statutory regulation is an important part of ensuring patient safety, it is also achieved through robust clinical governance processes within healthcare organisations, which are required to have systems of oversight and supervision for their staff.
NHS England is working with the relevant professional colleges and regulators to ensure the use of associate roles is expanded safely and effectively, and that they are appropriately supported, supervised, and integrated into multidisciplinary teams. NHS England has written to trusts to remind them of their responsibilities in this area, with further information available at the following link:
We are clear that AAs and PAs are not, and should never be, referred to as medical practitioners, doctors, or consultants. It is the responsibility of professionals and their employers to ensure professional titles are used appropriately. As set out in the National Institute for Health and Care Excellence’s guidelines, all healthcare professionals directly involved in a patient's care should introduce themselves and explain their role to the patient. The GMC has published interim standards for AAs and PAs in advance of regulation, which make it clear that professionals should always introduce their role to patients and set out their responsibilities in the team.
Asked by: Helen Morgan (Liberal Democrat - North Shropshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to ensure there are effective pathways for early detection of liver disease in Shropshire.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Early detection of liver disease is vital to enable interventions, and encourage behavioural changes that can potentially lead to recovery. Liver disease is one of the primary risk factors for liver cancer. Across the Shropshire, Telford, and Wrekin Integrated Care Board (ICB) area, the early detection of liver disease is led by primary care partners, and the ICB encourages general practitioners to follow best practice in the delivery of patient care pathways, to ensure the early detection of liver disease in patients. The Shrewsbury and Telford Hospital NHS Trust is working with primary care partners to increase awareness and provide tools to support this work. The hospital also carries out active outreach into the community for drug and alcohol patients.
Asked by: Baroness Bennett of Manor Castle (Green Party - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government when they will publish their Social Care regulatory reform programme and what new protected professional medical titles they are considering introducing.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
There are no plans to publish a social care regulatory reform programme. However, the Government has consulted on its proposed approach to modernising the legislation of the professional health and care regulators. As part of this work, we will consider whether to make any changes to the medical titles protected in law. Any proposals will be subject to statutory consultation, and the affirmative parliamentary process.
The Anaesthesia Associates and Physician Associates Order 2024 was made on 13 March 2024, and will bring Aanaesthesia Associates and Physician Associates into regulation by the General Medical Council (GMC), under a reformed regulatory framework. We are currently working on the next phase of reform, which includes introducing a new regulatory framework for medical practitioners. The future GMC order relating to the medical profession will be drafted and published for consultation in due course.
Asked by: Gen Kitchen (Labour - Wellingborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will provide additional funding for the provision of out-of-hours GP appointments in (a) Wellingborough constituency and (b) Northamptonshire.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Under the general practice contract, practices must provide services during core hours, from 08:00 to 18:30 on all weekdays, except bank holidays. Out of hours services are those provided outside of core hours, which practices are paid for via the Global Sum Payment. Practices can opt out of providing these services with their commissioner’s approval, and the relevant deductions will be made to the Global Sum Payments. The amount of Global Sum funding received has been uplifted every year since 2013. Where a practice has opted out of delivering out of hours services, the commissioner must commission the services from an alternative provider, for that practice’s registered patients.
Asked by: Andrew Bridgen (Independent - North West Leicestershire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will publish a list of medical professionals (a) warned, (b) suspended and (c) with attempted suspensions for raising concerns over (i) covid-19 treatments and (ii) the pandemic response.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The General Medical Council (GMC) is the independent regulator of all medical doctors practising in the United Kingdom. It sets and enforces the standards all doctors must adhere to. The GMC is independent of Government, and directly accountable to Parliament. The Medical Practitioners Tribunal Service (MPTS) operates separately from the investigatory role of the GMC, and makes independent decisions about whether doctors are fit to practise medicine. The hearings and decisions of the MPTS are published and available to access online.
Asked by: Lord Hunt of Kings Heath (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what progress they have made in implementing the three year delivery plan for maternity and neonatal services, published on 30 March 2023.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England is making good progress in delivering its Three year delivery plan for maternity and neonatal services, a copy of which is attached. The plan is backed by £186 million of funding per year from April 2024, which sets out how maternity and neonatal care will be made safer, more personalised, and more equitable for women, babies, and families.
For example, many local maternity and neonatal systems have published Equity and Equality Action Plans to tackle disparities in outcomes and experiences of maternity care at a local level. NHS England has published new guidance for general practitioners on the 6-8 week postnatal check, all parts of England have begun rollout of perinatal pelvic health services and 39 maternal mental health services have been established.
All trusts are implementing the third version of the Saving Babies Lives Care Bundle which provides maternity units with detailed guidance to reduce stillbirths and neonatal deaths.
NHS England’s Digital Maternity Fund has awarded 128 funding bids to support the digitisation of maternity services across England and NHS England have established a new data taskforce to better detect and act sooner on safety issues.
Finally, to increase neonatal cot capacity, £45 million of capital was allocated across several providers to deliver an overall increase of more than 50 cots.
Asked by: Baroness Scott of Needham Market (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of hospital compliance with National Institute for Health and Care Excellence guidelines for the treatment of inpatients with severe myalgic encephalomyelitis.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Institute for Health and Care Excellence’s (NICE) guideline, Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management, published in October 2021, outlines the expectations for inpatient care for patients with severe myalgic encephalomyelitis (ME), also known as chronic fatigue syndrome (CFS), who require hospitalisation.
The National Health Service commissions services across England that provide support for people living with ME. In October 2023, the British Association of Clinicians in ME/CFS published the ME/CFS National Services Survey 2023. This report provides insight into the services being delivered for adults, children, and young people with ME.
No assessment has been made of the extent of hospital compliance with the NICE guidelines on ME. It is the duty of clinicians to keep themselves appraised of best practice, in particular guidance issued by the NICE. Whilst guidelines are not mandatory, clinicians and commissioners are expected to take them fully into account when designing services that meet the needs of their local population. The NICE promotes its guidance via its website, newsletters, and other media.
The Department is working with NHS England to develop an e-learning course on ME for healthcare professionals, with the aim of supporting staff to be able to provide better care, and improve patient outcomes. The Medical Schools Council will promote the NHS England e-learning package on ME to all United Kingdom medical schools, and encourage those schools to provide undergraduates with direct patient experience of ME.
Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) is used in the NHS to ensure accurate coding of medical conditions, including ME, in both primary and secondary care records. Within SNOMED CT, all content for ME is contained within a single overarching code, with linked codes for mild, moderate, and severe forms. These can be used by all NHS healthcare providers, including general practitioners. It is estimated that there are over 250,000 people in England and Wales with ME.
Asked by: Baroness Scott of Needham Market (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what steps they are taking to ensure accurate coding of a diagnosis of myalgic encephalomyelitis on both primary and secondary care records.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Institute for Health and Care Excellence’s (NICE) guideline, Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management, published in October 2021, outlines the expectations for inpatient care for patients with severe myalgic encephalomyelitis (ME), also known as chronic fatigue syndrome (CFS), who require hospitalisation.
The National Health Service commissions services across England that provide support for people living with ME. In October 2023, the British Association of Clinicians in ME/CFS published the ME/CFS National Services Survey 2023. This report provides insight into the services being delivered for adults, children, and young people with ME.
No assessment has been made of the extent of hospital compliance with the NICE guidelines on ME. It is the duty of clinicians to keep themselves appraised of best practice, in particular guidance issued by the NICE. Whilst guidelines are not mandatory, clinicians and commissioners are expected to take them fully into account when designing services that meet the needs of their local population. The NICE promotes its guidance via its website, newsletters, and other media.
The Department is working with NHS England to develop an e-learning course on ME for healthcare professionals, with the aim of supporting staff to be able to provide better care, and improve patient outcomes. The Medical Schools Council will promote the NHS England e-learning package on ME to all United Kingdom medical schools, and encourage those schools to provide undergraduates with direct patient experience of ME.
Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) is used in the NHS to ensure accurate coding of medical conditions, including ME, in both primary and secondary care records. Within SNOMED CT, all content for ME is contained within a single overarching code, with linked codes for mild, moderate, and severe forms. These can be used by all NHS healthcare providers, including general practitioners. It is estimated that there are over 250,000 people in England and Wales with ME.
Asked by: Baroness Scott of Needham Market (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what steps they are taking to develop a pathway of care for people with severe myalgic encephalomyelitis who require hospitalisation.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Institute for Health and Care Excellence’s (NICE) guideline, Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management, published in October 2021, outlines the expectations for inpatient care for patients with severe myalgic encephalomyelitis (ME), also known as chronic fatigue syndrome (CFS), who require hospitalisation.
The National Health Service commissions services across England that provide support for people living with ME. In October 2023, the British Association of Clinicians in ME/CFS published the ME/CFS National Services Survey 2023. This report provides insight into the services being delivered for adults, children, and young people with ME.
No assessment has been made of the extent of hospital compliance with the NICE guidelines on ME. It is the duty of clinicians to keep themselves appraised of best practice, in particular guidance issued by the NICE. Whilst guidelines are not mandatory, clinicians and commissioners are expected to take them fully into account when designing services that meet the needs of their local population. The NICE promotes its guidance via its website, newsletters, and other media.
The Department is working with NHS England to develop an e-learning course on ME for healthcare professionals, with the aim of supporting staff to be able to provide better care, and improve patient outcomes. The Medical Schools Council will promote the NHS England e-learning package on ME to all United Kingdom medical schools, and encourage those schools to provide undergraduates with direct patient experience of ME.
Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) is used in the NHS to ensure accurate coding of medical conditions, including ME, in both primary and secondary care records. Within SNOMED CT, all content for ME is contained within a single overarching code, with linked codes for mild, moderate, and severe forms. These can be used by all NHS healthcare providers, including general practitioners. It is estimated that there are over 250,000 people in England and Wales with ME.