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Written Question
Attention Deficit Hyperactivity Disorder: Wales
Tuesday 26th March 2024

Asked by: Beth Winter (Labour - Cynon Valley)

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 adequate availability of (a) atomoxetine, (b) lisdexamfetamine, (c) methylphenidate and (d) other Attention Deficit Hyperactivity Disorder medication within (i) NHS Wales and (ii) Cwm Taf Morgannwg Health Board.

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

Disruptions to the supply of medicines used for the management of attention deficit hyperactivity disorder (ADHD) have been primarily driven by issues which have resulted in capacity constraints at key manufacturing sites. The Department has been working hard with industry to help resolve those issues and expedite deliveries to boost supplies of medicines uses for the management of ADHD, as quickly as possible. We have been informed that these should largely be resolved by April or May 2024.

As a result of our ongoing activity and intensive work, some issues have been resolved. Certain strengths of lisdexamphetamine, guanfacine, and all strengths of atomoxetine capsules are now available. While supply issues remain for some ADHD medicines, we continue to escalate these issues with manufacturers to ensure action is taken to resolve regulatory issues and expedite deliveries, to alleviate these shortages as soon as possible.

Health is a devolved matter and as such decisions on availability of medicines in Wales are a matter for the devolved administrations. However, the Department works closely with suppliers, NHS England, the Medicines and Healthcare products Regulatory Agency, the devolved administrations, and other stakeholders to ensure patients continue to have access to the treatments they need.

The Department’s officials regularly discuss a range of issues with colleagues in the Welsh Health and Social Services, including on the access to medicines. The Department has had no specific discussions with the Welsh Minister for Health and Social Services.


Written Question
Attention Deficit Hyperactivity Disorder: Drugs
Tuesday 26th March 2024

Asked by: Beth Winter (Labour - Cynon Valley)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 15 January 2024 to Question 8042 on Attention Deficit Hyperactivity Disorder: Drugs, whether it remains her Department's policy to resolve disruptions with the supply of ADHD medication by April 2024.

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

Disruptions to the supply of medicines used for the management of attention deficit hyperactivity disorder (ADHD) have been primarily driven by issues which have resulted in capacity constraints at key manufacturing sites. The Department has been working hard with industry to help resolve those issues and expedite deliveries to boost supplies of medicines uses for the management of ADHD, as quickly as possible. We have been informed that these should largely be resolved by April or May 2024.

As a result of our ongoing activity and intensive work, some issues have been resolved. Certain strengths of lisdexamphetamine, guanfacine, and all strengths of atomoxetine capsules are now available. While supply issues remain for some ADHD medicines, we continue to escalate these issues with manufacturers to ensure action is taken to resolve regulatory issues and expedite deliveries, to alleviate these shortages as soon as possible.

Health is a devolved matter and as such decisions on availability of medicines in Wales are a matter for the devolved administrations. However, the Department works closely with suppliers, NHS England, the Medicines and Healthcare products Regulatory Agency, the devolved administrations, and other stakeholders to ensure patients continue to have access to the treatments they need.

The Department’s officials regularly discuss a range of issues with colleagues in the Welsh Health and Social Services, including on the access to medicines. The Department has had no specific discussions with the Welsh Minister for Health and Social Services.


Written Question
Attention Deficit Hyperactivity Disorder: Drugs
Tuesday 26th March 2024

Asked by: Beth Winter (Labour - Cynon Valley)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether she has had recent discussions with the Welsh Minister for Health and Social Services on the availability of (a) atomoxetine, (b) lisdexamfetamine, (c) methylphenidate and (d) other ADHD medication.

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

Disruptions to the supply of medicines used for the management of attention deficit hyperactivity disorder (ADHD) have been primarily driven by issues which have resulted in capacity constraints at key manufacturing sites. The Department has been working hard with industry to help resolve those issues and expedite deliveries to boost supplies of medicines uses for the management of ADHD, as quickly as possible. We have been informed that these should largely be resolved by April or May 2024.

As a result of our ongoing activity and intensive work, some issues have been resolved. Certain strengths of lisdexamphetamine, guanfacine, and all strengths of atomoxetine capsules are now available. While supply issues remain for some ADHD medicines, we continue to escalate these issues with manufacturers to ensure action is taken to resolve regulatory issues and expedite deliveries, to alleviate these shortages as soon as possible.

Health is a devolved matter and as such decisions on availability of medicines in Wales are a matter for the devolved administrations. However, the Department works closely with suppliers, NHS England, the Medicines and Healthcare products Regulatory Agency, the devolved administrations, and other stakeholders to ensure patients continue to have access to the treatments they need.

The Department’s officials regularly discuss a range of issues with colleagues in the Welsh Health and Social Services, including on the access to medicines. The Department has had no specific discussions with the Welsh Minister for Health and Social Services.


Written Question
Intensive Care: Disease Control
Monday 25th 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, what assessment she has made of the preparedness of intensive care services for a future pandemic.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

The Department continues to plan and prepare for a range of pandemic and emerging infectious disease scenarios, including those caused by respiratory contact, both influenza and non-influenza, and vector-borne pathogens, building on lessons learned from exercises and incidents, including the COVID-19 pandemic. The Department working with health and care partners is strengthening pandemic preparedness by considering the flexible and scalable response capabilities that can be adapted to any threat that the health and social care system needs.

This includes intensive care capacity that will continue to be an integral part of National Health Service resilience and pandemic planning. The urgent and emergency care recovery plan this year sought to strengthen capacity within the acute bed base, with 5,000 additional permanent staffed core general and acute beds delivered, compared to planned 2022/23 levels. Our preparedness also includes considering the medicines and other supporting products for intensive care services in a pandemic.


Written Question
Employment Schemes: Young People
Wednesday 20th March 2024

Asked by: Duncan Baker (Conservative - North Norfolk)

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, how many starts by region have been recorded for the youth offer as of 01 March 2024.

Answered by Mims Davies - Minister of State (Department for Work and Pensions)

The Youth Offer launched on the 20 September 2020 and provides support for 16–24-year-olds who are on Universal Credit to help them move into employment. It includes three elements:

  • The Youth Employment Programme, which provides young people dedicated intensive Work Coach support in finding & applying for jobs, with additional assistance available for those who have recently begun their Universal Credit claim.
  • Youth Hubs, which bring together in one location DWP services with local support provided by youth experts. This ensures that the needs of young people are matched to services that help them tackle barriers to employment.
  • Youth Employability Coaches, who are focused on supporting young people furthest from the labour market overcome complex challenges so that they can move into work.

As of 01 March 2024, there have been 1,123,000 starts on the Youth Offer.

Starts by strand nationally:

Starts between dates

Youth Employment Programme

Youth Hub

Youth Employability Coach

Youth Offer

21/09/2020 – 31/03/2021

206,700

206,700

01/04/2021 – 31/03/2022

259,300

14,800

21,700

295,800

01/04/2021 – 31/03/2023

272,700

15,100

18,300

306,200

01/04/2023 – 29/02/2024

282,800

13,000

18,500

314,300

Total Starts

1,021,500

43,000

58,500

1,123,000

Starts by strand and region:

Region

Youth Employment Programme

Youth Hub

Youth Employability Coach

Youth Offer

East Midlands

69,000

1,000

2,500

72,500

East of England

78,400

400

3,800

82,500

London

157,800

3,100

5,900

166,800

North East

51,100

2,800

3,300

57,200

North West

131,500

10,700

9,600

151,800

Scotland

85,300

3,000

7,900

96,200

South East

107,000

3,700

3,800

114,600

South West

64,700

700

4,100

69,500

Wales

51,500

300

2,200

54,000

West Midlands

108,900

8,900

7,800

125,600

Yorkshire and The Humber

96,400

8,200

7,300

112,000

Unknown

19,800

200

400

20,400

Total

1,021,500

43,000

58,500

1,123,000

Notes:

  1. Eligible claimants who have recently begun their Universal Credit claim, and are actively searching for work, start in the Youth Employment Programme element of the Youth Offer. A Work Coach may later refer them to a Youth Hub, Youth Employability Coach or other employment support as appropriate based on their needs.
  2. When a claimant starts on any of the three elements of the Youth Offer, this is recorded as a start on that element, as well as a start on the Youth Offer.
  3. A claimant may take part in multiple elements of the Youth Offer. They may start any element of the Youth Offer multiple times. Each of these starts is recorded as a start on the Youth Offer.
  4. Claimants do not take part in multiple elements of the Youth Offer simultaneously.
  5. Data for Youth Hubs and Youth Employability Coaches is not available prior to April-21.
  6. Youth Hub and Youth Employability Coach data is produced from a manual process and although care is taken when processing and analysing Youth Hub and Youth Employability Coach referrals, the data collected might be subject to the inaccuracies inherent in any large-scale recording system which features manual data. Therefore, Youth Hub and Youth Employability Coach figures are likely to underestimate the number of young people who have started at a Youth Hub and/or with a Youth Employability Coach.
  7. Figures have been rounded to the nearest 100. Therefore, the individual elements in the table may not sum to the total figure.
  8. Figures are subject to retrospective revision.
  9. Youth Offer starts are categorised as “unknown” in cases where limited data is available.

Written Question
Accident and Emergency Departments: North West
Tuesday 19th March 2024

Asked by: Cat Smith (Labour - Lancaster and Fleetwood)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what the average (a) daily cost per adult held in the emergency department and (b) length of stay was in that department in the latest period for which data is available in each acute trust within the Lancashire and South Cumbria integrated care system boundary.

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

The information is not available in the format requested. NHS England published the general and acute length of bed stay data for 2022/23, with data available at trust level but not an integrated care system level, which is available at the following link:

https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23

The length of stay in an adult intensive care unit hospital bed and an elderly care hospital bed is not collected centrally by the Department, or published by NHS England. NHS England publishes the median total time spent in accident and emergency, from arrival to admission, transfer, or discharge, and again with data available at trust level but not an integrated care system level, which is available at the following link:

https://digital.nhs.uk/data-and-information/publications/statistical/provisional-accident-and-emergency-quality-indicators-for-england/january-2024-by-provider

The information requested on average daily costs by acute trust and integrated care system is not collected centrally by the Department.


Written Question
Hospital Beds: North West
Tuesday 19th March 2024

Asked by: Cat Smith (Labour - Lancaster and Fleetwood)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what the average (a) daily cost is per adult elderly care hospital bed and (b) length of stay was in those beds in the latest period for which data is available in each acute trust within the Lancashire and South Cumbria integrated care system boundary.

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

The information is not available in the format requested. NHS England published the general and acute length of bed stay data for 2022/23, with data available at trust level but not an integrated care system level, which is available at the following link:

https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23

The length of stay in an adult intensive care unit hospital bed and an elderly care hospital bed is not collected centrally by the Department, or published by NHS England. NHS England publishes the median total time spent in accident and emergency, from arrival to admission, transfer, or discharge, and again with data available at trust level but not an integrated care system level, which is available at the following link:

https://digital.nhs.uk/data-and-information/publications/statistical/provisional-accident-and-emergency-quality-indicators-for-england/january-2024-by-provider

The information requested on average daily costs by acute trust and integrated care system is not collected centrally by the Department.


Written Question
Hospital Beds: North West
Tuesday 19th March 2024

Asked by: Cat Smith (Labour - Lancaster and Fleetwood)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what the average (a) daily cost is for an adult intensive care unit hospital bed and (b) length of stay was in those beds in the latest period for which data is available in each acute trust within the Lancashire and South Cumbria integrated care system boundary.

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

The information is not available in the format requested. NHS England published the general and acute length of bed stay data for 2022/23, with data available at trust level but not an integrated care system level, which is available at the following link:

https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23

The length of stay in an adult intensive care unit hospital bed and an elderly care hospital bed is not collected centrally by the Department, or published by NHS England. NHS England publishes the median total time spent in accident and emergency, from arrival to admission, transfer, or discharge, and again with data available at trust level but not an integrated care system level, which is available at the following link:

https://digital.nhs.uk/data-and-information/publications/statistical/provisional-accident-and-emergency-quality-indicators-for-england/january-2024-by-provider

The information requested on average daily costs by acute trust and integrated care system is not collected centrally by the Department.


Written Question
Acute Beds: North West
Tuesday 19th March 2024

Asked by: Cat Smith (Labour - Lancaster and Fleetwood)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what the average (a) cost per adult and (b) length of stay was for an acute hospital bed day in each acute trust within the Lancashire and South Cumbria integrated care system in the 2022-2023 financial year.

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

The information is not available in the format requested. NHS England published the general and acute length of bed stay data for 2022/23, with data available at trust level but not an integrated care system level, which is available at the following link:

https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23

The length of stay in an adult intensive care unit hospital bed and an elderly care hospital bed is not collected centrally by the Department, or published by NHS England. NHS England publishes the median total time spent in accident and emergency, from arrival to admission, transfer, or discharge, and again with data available at trust level but not an integrated care system level, which is available at the following link:

https://digital.nhs.uk/data-and-information/publications/statistical/provisional-accident-and-emergency-quality-indicators-for-england/january-2024-by-provider

The information requested on average daily costs by acute trust and integrated care system is not collected centrally by the Department.


Written Question
Acute Beds: North West
Tuesday 19th March 2024

Asked by: Cat Smith (Labour - Lancaster and Fleetwood)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what the average (a) cost per adult and (b) length of stay was for an acute hospital bed day in the Lancashire and South Cumbria integrated care system in the 2022-2023 financial year.

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

The information is not available in the format requested. NHS England published the general and acute length of bed stay data for 2022/23, with data available at trust level but not an integrated care system level, which is available at the following link:

https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23

The length of stay in an adult intensive care unit hospital bed and an elderly care hospital bed is not collected centrally by the Department, or published by NHS England. NHS England publishes the median total time spent in accident and emergency, from arrival to admission, transfer, or discharge, and again with data available at trust level but not an integrated care system level, which is available at the following link:

https://digital.nhs.uk/data-and-information/publications/statistical/provisional-accident-and-emergency-quality-indicators-for-england/january-2024-by-provider

The information requested on average daily costs by acute trust and integrated care system is not collected centrally by the Department.