Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
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 consistency of provision of palliative and end of life care across the prison estate.
Answered by Caroline Johnson
No specific assessments have been made.
However, the ‘National Partnership Agreement for Prison Healthcare in England 2018 – 2021’ has supported the implementation of the Dying Well in Custody Charter in the English estate. The National Partnership Agreement's workplan sets out how NHS England and HM Prison and Probation Service can continue improvements to health and social care outcomes for older people and those with serious illnesses, including palliative and end of life care. A revised workplan for 2022 to 2025 is currently being developed.
NHS England is convening a joint working group with HM Prison and Probation Service to conduct a review of current progress in delivering the Dying Well in Custody Charter workplan. This group will also consider opportunities to develop networks and forums for sharing good practice. The Ministry of Justice will publish the Aging Prison Population Strategy in due course and how the Dying Well in Custody Charter will be embedded within prisons.
Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what comparative assessment she has made of the (a) access to and (b) quality of palliative and end of life care in (i) prisons and (ii) the community.
Answered by Caroline Johnson
No specific assessments have been made.
However, the ‘National Partnership Agreement for Prison Healthcare in England 2018 – 2021’ has supported the implementation of the Dying Well in Custody Charter in the English estate. The National Partnership Agreement's workplan sets out how NHS England and HM Prison and Probation Service can continue improvements to health and social care outcomes for older people and those with serious illnesses, including palliative and end of life care. A revised workplan for 2022 to 2025 is currently being developed.
NHS England is convening a joint working group with HM Prison and Probation Service to conduct a review of current progress in delivering the Dying Well in Custody Charter workplan. This group will also consider opportunities to develop networks and forums for sharing good practice. The Ministry of Justice will publish the Aging Prison Population Strategy in due course and how the Dying Well in Custody Charter will be embedded within prisons.
Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking to ensure that every prison in England is (a) aware of the Dying Well in Custody Charter and (b) uses the Charter to improve the palliative and end of life care their prisoners receive.
Answered by Caroline Johnson
No specific assessments have been made.
However, the ‘National Partnership Agreement for Prison Healthcare in England 2018 – 2021’ has supported the implementation of the Dying Well in Custody Charter in the English estate. The National Partnership Agreement's workplan sets out how NHS England and HM Prison and Probation Service can continue improvements to health and social care outcomes for older people and those with serious illnesses, including palliative and end of life care. A revised workplan for 2022 to 2025 is currently being developed.
NHS England is convening a joint working group with HM Prison and Probation Service to conduct a review of current progress in delivering the Dying Well in Custody Charter workplan. This group will also consider opportunities to develop networks and forums for sharing good practice. The Ministry of Justice will publish the Aging Prison Population Strategy in due course and how the Dying Well in Custody Charter will be embedded within prisons.
Asked by: Nusrat Ghani (Conservative - Wealden)
Question to the Home Office:
To ask the Secretary of State for the Home Department, if she will publish the number of Afghan Citizen Resettlement Scheme (ACRS) cases that were formerly ARAP cases; when the oldest ACRS application still in process was submitted; the number of staff appointed to deal with the ACRS cases; the number of ACRS applications that have been closed due to the applicant either being killed or dying; and the number of ACRS applicants on the Taliban Kill list.
Answered by Kevin Foster
Over 15,000 people were supported to come to the UK directly following the evacuation of Afghanistan, and more than 4,000 have since arrived.
Work is underway to ensure information relating to all the individuals relocated under all schemes are recorded on case working systems. Once this work concludes, statistics on ACRS and ARAP will be included in future editions of the Immigration Statistics. We will publish resettlement figures in line with the Code of Practice for Official Statistics, allowing transparent progress-monitoring.
The ACRS is not application-based. Instead, eligible people will be prioritised for resettlement through three referral pathways.
Some of those brought to safety in the UK during and after the evacuation are eligible for the ACRS under Pathway 1. They include women’s rights activists, journalists, and prosecutors, as well as the Afghan families of British Nationals. We have now granted many of these ILR under the ACRS.
Under the newly-opened second pathway, we are now able to begin receiving referrals from the United Nations High Commissioner for Refugees (UNHCR) of vulnerable refugees who have fled Afghanistan for resettlement to the UK.
The FCDO have also launched the third referral pathway, which will see eligible British Council and GardaWorld contractors and Chevening alumni considered for resettlement to the UK.
We are committed to ensuring our operational teams have the resources they need to run an efficient and effective system, and we actively monitor workflows to ensure sufficient resources are in place to meet demand, including from pressures relating to the situations in Afghanistan and Ukraine.
Asked by: Daisy Cooper (Liberal Democrat - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he has taken to implement the recommendations from the Care Quality Commission's report Protect, respect, connect – decisions about living and dying well during COVID-19 published in March 2021 to (a) establish a Ministerial Oversight Group to look into the issues of end of life care in more detail, (b) support people, their families and their representatives to understand good practice when reaching DNACPR decisions, and (c) work with health service and care partners, voluntary sector organisations and advocacy services to establish a unified approach to guidance that supports DNACPR decisions for service users.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Department established a Ministerial Oversight Group responsible for the delivery of the recommendations of the Care Quality Commission’s report. The first meeting was held on 8 June and will meet quarterly to monitor progress.
NHS England and NHS Improvement have published patient-facing information on Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) to support people in understanding good practice around such decisions, which is available at the following link:
https://www.nhs.uk/conditions/do-not-attempt-cardiopulmonary-resuscitation-dnacpr-decisions/
The Ministerial Oversight Group is working closely with health and care partners, voluntary sector organisations and advocacy groups to ensure adherence to guidance on how DNACPR decisions are used.
Asked by: Esther McVey (Conservative - Tatton)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the Care Quality Commission's report Protect, respect, connect - decisions about living and dying well during covid-19, what estimate he has made of the number of patients who died as a result of a Do Not Resuscitate order at the beginning of the covid-19 outbreak.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
In October 2020, the Department asked the Care Quality Commission to review how Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions were made during the COVID 19 pandemic. The review focused on whether DNACPR decisions had been inappropriately applied. The Department does not hold data on the numbers or assessment of DNACPRs.
Asked by: Vicky Foxcroft (Labour - Lewisham, Deptford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the implications for his policies of the findings of the CQC's report, entitled Protect, respect, connect: decisions about living and dying well during COVID-19, published on 18 March 2021.
Answered by Nadine Dorries
The Department is committed to driving forward the recommendations set out in the Care Quality Commission’s report through the establishment of a Ministerial Oversight Group. This group will bring together partners across health and social care to implement improvements in Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions and ensure everyone receives the compassionate care they deserve.
The Department does not hold data on the numbers of DNACPR decisions. However, we remain clear that it is unacceptable for DNACPR decisions to be applied in a blanket fashion to any group of people and have taken continued action over the last year, alongside clinical leaders, to clarify best practice. The Adult Social Care Winter Plan reinforces that any advance care decision, including DNACPR decisions, should be fully discussed with the individual and their family where possible and appropriate, and signed by the clinician responsible for their care.
The 2020/21 General Medical Services contract Quality and Outcomes Framework includes a requirement for all DNACPR decisions for people with learning disabilities to be reviewed. We continue to monitor the situation and have invited charities to inform us where cases of inappropriate practice are identified so that action can be taken.
Asked by: Vicky Foxcroft (Labour - Lewisham, Deptford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the CQC report, Protect, respect, connect – decisions about living and dying well during covid-19, published 18 March 2021, what steps she will take to address outstanding inappropriate or blanket do not attempt CPR decisions taken as a result of the covid-19 outbreak.
Answered by Nadine Dorries
The Department is committed to driving forward the recommendations set out in the Care Quality Commission’s report through the establishment of a Ministerial Oversight Group. This group will bring together partners across health and social care to implement improvements in Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions and ensure everyone receives the compassionate care they deserve.
The Department does not hold data on the numbers of DNACPR decisions. However, we remain clear that it is unacceptable for DNACPR decisions to be applied in a blanket fashion to any group of people and have taken continued action over the last year, alongside clinical leaders, to clarify best practice. The Adult Social Care Winter Plan reinforces that any advance care decision, including DNACPR decisions, should be fully discussed with the individual and their family where possible and appropriate, and signed by the clinician responsible for their care.
The 2020/21 General Medical Services contract Quality and Outcomes Framework includes a requirement for all DNACPR decisions for people with learning disabilities to be reviewed. We continue to monitor the situation and have invited charities to inform us where cases of inappropriate practice are identified so that action can be taken.
Asked by: Vicky Foxcroft (Labour - Lewisham, Deptford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the CQC report, Protect, respect, connect – decisions about living and dying well during covid-19, published 18 March 2021, what estimate he has made of the number of inappropriate or blanket Do Not Attempt CPR decisions taken during the covid-19 outbreak.
Answered by Nadine Dorries
The Department is committed to driving forward the recommendations set out in the Care Quality Commission’s report through the establishment of a Ministerial Oversight Group. This group will bring together partners across health and social care to implement improvements in Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions and ensure everyone receives the compassionate care they deserve.
The Department does not hold data on the numbers of DNACPR decisions. However, we remain clear that it is unacceptable for DNACPR decisions to be applied in a blanket fashion to any group of people and have taken continued action over the last year, alongside clinical leaders, to clarify best practice. The Adult Social Care Winter Plan reinforces that any advance care decision, including DNACPR decisions, should be fully discussed with the individual and their family where possible and appropriate, and signed by the clinician responsible for their care.
The 2020/21 General Medical Services contract Quality and Outcomes Framework includes a requirement for all DNACPR decisions for people with learning disabilities to be reviewed. We continue to monitor the situation and have invited charities to inform us where cases of inappropriate practice are identified so that action can be taken.
Asked by: Vicky Foxcroft (Labour - Lewisham, Deptford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department has taken to implement the recommendations of the Care Quality Commission report, Protect, respect, connect – decisions about living and dying well during COVID-19, published 18 March 2021.
Answered by Nadine Dorries
The Department is committed to driving forward the recommendations set out in the Care Quality Commission’s report through the establishment of a Ministerial Oversight Group. This group will bring together partners across health and social care to implement improvements in Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions and ensure everyone receives the compassionate care they deserve.
The Department does not hold data on the numbers of DNACPR decisions. However, we remain clear that it is unacceptable for DNACPR decisions to be applied in a blanket fashion to any group of people and have taken continued action over the last year, alongside clinical leaders, to clarify best practice. The Adult Social Care Winter Plan reinforces that any advance care decision, including DNACPR decisions, should be fully discussed with the individual and their family where possible and appropriate, and signed by the clinician responsible for their care.
The 2020/21 General Medical Services contract Quality and Outcomes Framework includes a requirement for all DNACPR decisions for people with learning disabilities to be reviewed. We continue to monitor the situation and have invited charities to inform us where cases of inappropriate practice are identified so that action can be taken.