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1718366

registered interest
date	15/05/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Coronavirus: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps NHS England took to ensure that informed consent was given by recipients of the Oxford-AstraZeneca covid-19 vaccine.
tabling member constituency	Christchurch
tabling member printed	Sir Christopher Chope
uin	26323
answer	answer is ministerial correction date of answer 24/05/2024 answer text <p>To ensure informed consent was given by patients who received the AstraZeneca COVID-19 vaccine, all vaccination sites were instructed to follow consent guidance in line with the recommendations set out in chapter two of the UK Health Security Agency Green Book on vaccinations and immunisations.</p><p>Healthcare organisations administering any COVID-19 vaccinations are responsible for drawing up their own policies for obtaining informed consent, and health professionals overseeing or administering COVID-19 vaccines are responsible for ensuring that valid consent has been obtained. This would normally involve a discussion with the clinician prior to the administration of the vaccine, and individuals will also have had access to guides and patient information leaflets which provided details about the vaccine, how it is administered, possible side effects, and other warnings and precautions to take.</p><p>Regarding the very rare adverse events of concurrent thrombosis and thrombocytopenia associated with the AstraZeneca COVID-19 vaccine, NHS England notified healthcare organisations administering the COVID-19 vaccinations immediately following the updated advice from the independent Joint Committee on Vaccination and Immunisation published on 7 April 2021, and then again following updated advice on 7 May 2021. In these updates, sent via system letters, NHS England set out the next steps for healthcare organisations and clinicians, including on the consent process.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 26324 question first answered 24/05/2024 08:24:20 answering member 4492 label Biography information for Maria Caulfield previous answer version 35277 answering member constituency Faversham and Mid Kent answering member printed Helen Whately answering member 4527 label Biography information for Helen Whately
tabling member	242 label Biography information for Sir Christopher Chope

1718367

registered interest
date	15/05/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Coronavirus: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, on what date NHS England informed patients receiving the Oxford-AstraZeneca Covid-19 vaccine that there were safety risks of vaccine-induced thrombosis with thrombocytopenia associated with the vaccine.
tabling member constituency	Christchurch
tabling member printed	Sir Christopher Chope
uin	26324
answer	answer is ministerial correction date of answer 24/05/2024 answer text <p>To ensure informed consent was given by patients who received the AstraZeneca COVID-19 vaccine, all vaccination sites were instructed to follow consent guidance in line with the recommendations set out in chapter two of the UK Health Security Agency Green Book on vaccinations and immunisations.</p><p>Healthcare organisations administering any COVID-19 vaccinations are responsible for drawing up their own policies for obtaining informed consent, and health professionals overseeing or administering COVID-19 vaccines are responsible for ensuring that valid consent has been obtained. This would normally involve a discussion with the clinician prior to the administration of the vaccine, and individuals will also have had access to guides and patient information leaflets which provided details about the vaccine, how it is administered, possible side effects, and other warnings and precautions to take.</p><p>Regarding the very rare adverse events of concurrent thrombosis and thrombocytopenia associated with the AstraZeneca COVID-19 vaccine, NHS England notified healthcare organisations administering the COVID-19 vaccinations immediately following the updated advice from the independent Joint Committee on Vaccination and Immunisation published on 7 April 2021, and then again following updated advice on 7 May 2021. In these updates, sent via system letters, NHS England set out the next steps for healthcare organisations and clinicians, including on the consent process.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 26323 question first answered 24/05/2024 08:24:21 answering member 4492 label Biography information for Maria Caulfield previous answer version 35278 answering member constituency Faversham and Mid Kent answering member printed Helen Whately answering member 4527 label Biography information for Helen Whately
tabling member	242 label Biography information for Sir Christopher Chope

1718027

registered interest
date	14/05/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Mental Health Services: Death
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many people have died while in the care of community mental health teams in the last 12 months; and if she will make an assessment of the implications for her policies of this data.
tabling member constituency	Tooting
tabling member printed	Dr Rosena Allin-Khan
uin	26301
answer	answer is ministerial correction date of answer 23/05/2024 answer text <p>The following table shows the number of people who died between 1 April 2023 and 31 March 2024, who had an active referral to community mental health teams at the time of death, as well as the numbers of those who had a care contact or an attended care contact at the time of death:</p><table><tbody><tr><td><p>Number of deaths recorded in 2023/24 whilst having a referral to community mental health teams</p></td><td><p>10,127</p></td></tr><tr><td><p>Number of deaths recorded in 2023/24 whilst having a referral to community mental health teams with a care contact recorded as part of the referral</p></td><td><p>9,944</p></td></tr><tr><td><p>Number of deaths recorded in 2023/24 whilst having a referral to community mental health teams with an attended care contact recorded as part of the referral</p></td><td><p>9,586</p></td></tr></tbody></table><p>Source: data comes from the Office for National Statistics’ deaths data and the Mental Health Services Dataset.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 23/05/2024 12:50:49 answering member 4492 label Biography information for Maria Caulfield previous answer version 34882 answering member constituency Faversham and Mid Kent answering member printed Helen Whately answering member 4527 label Biography information for Helen Whately
tabling member	4573 label Biography information for Dr Rosena Allin-Khan

1716836

registered interest
date	09/05/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential impact of joint commissioning on the 59 specialised services approved by the NHS England Board in February 2023.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	25500
answer	answer is ministerial correction date of answer 16/05/2024 answer text <p>The nine joint committee arrangements arose from a robust process, which included a readiness assessment, the Pre-Delegation Assessment Framework, made between integrated care boards (ICBs) and NHS England regional teams, followed by a National Moderation Panel and final decision taken by the NHS England Board. The NHS England Board papers for February 2023, December 2023, and March 2024 are available respectively at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-delegation-of-spec-comm.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-delegation-of-spec-comm.pdf</a></p><p><a href="https://www.england.nhs.uk/long-read/specialised-commissioning-2024-25-next-steps-with-delegation-to-integrated-care-boards/" target="_blank">https://www.england.nhs.uk/long-read/specialised-commissioning-2024-25-next-steps-with-delegation-to-integrated-care-boards/</a></p><p><a href="https://www.england.nhs.uk/long-read/specialised-commissioning-update-on-specialised-services-for-delegation/" target="_blank">https://www.england.nhs.uk/long-read/specialised-commissioning-update-on-specialised-services-for-delegation/</a></p><p>The process concluded that a transitional year of joint commissioning would offer the most secure and stable transition towards delegation. NHS England is working alongside ICBs to ensure that delegation agreements are in place, including ensuring appropriate collaborative arrangements are developed to support ICB commissioning of specialised services. These arrangements will be monitored by NHS England through its assurance processes for specialised services.</p><p>On 28 March 2024, the NHS England Board approved the recommendation that the 32 specialised services listed in Annex A of Item 7 of Specialised Commissioning: update on specialised services for delegation, would be retained by NHS England.</p><p>Regardless of delegation status, NHS England will remain the accountable commissioner for the entire portfolio of specialised services, and as part of this role, will monitor the effectiveness of delegation and the lists of services. It should be noted that NHS England does have the ability to bring a service back under national commissioning control, under the safeguards put in place to support delegation.</p><p>All specialised services, whether retained or delegated, must comply with nationally developed standards, including service specifications and clinical commissioning polices. ICBs will be able to use specialised services funding to transform and develop services and pathways across their core and specialised responsibilities, to improve quality of care and equity of access and value, whilst also complying with national standards.</p><p>Whilst delegation is not an end in itself, moving to ICB-led commissioning supports a focus on population health management across whole pathways of care, and gives ICBs the powers they need to improve the quality of services, tackle health inequalities, and ensure best value. NHS England set out in detail the benefits of greater ICB involvement in the commissioning of appropriate specialised services in the Roadmap for Integrating Specialised Services within Integrated Care Systems, and subsequent board papers. This roadmap is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdf</a></p><p>These plans have been developed in close collaboration with NHS England’s regional teams, ICBs, specialised service providers, clinicians, and patients, and represent the outcome of a thorough assessment of ICB system readiness, and a comprehensive analysis of services to determine their suitability and readiness for more integrated commissioning. During 2024/25, specialised services commissioning teams will remain employed by NHS England. NHS England has a framework for commissioning support, and accesses a range of services from commissioning support units. For example, data and business intelligence, and programme and project management expertise and resources.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 25501 25502 25503 25504 question first answered 16/05/2024 12:41:48 answering member 4527 label Biography information for Helen Whately previous answer version 33816 answering member constituency Faversham and Mid Kent answering member printed Helen Whately answering member 4527 label Biography information for Helen Whately
tabling member	4444 label Biography information for Karin Smyth

1716837

registered interest
date	09/05/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to Annex A of the NHS publication entitled Specialised Commissioning – update on specialised services for delegation, published on 28 March 2024, whether she plans for the 32 specialised services retained by NHS England from April 2025 to be (a) delegated or (b) retained in perpetuity.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	25501
answer	answer is ministerial correction date of answer 16/05/2024 answer text <p>The nine joint committee arrangements arose from a robust process, which included a readiness assessment, the Pre-Delegation Assessment Framework, made between integrated care boards (ICBs) and NHS England regional teams, followed by a National Moderation Panel and final decision taken by the NHS England Board. The NHS England Board papers for February 2023, December 2023, and March 2024 are available respectively at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-delegation-of-spec-comm.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-delegation-of-spec-comm.pdf</a></p><p><a href="https://www.england.nhs.uk/long-read/specialised-commissioning-2024-25-next-steps-with-delegation-to-integrated-care-boards/" target="_blank">https://www.england.nhs.uk/long-read/specialised-commissioning-2024-25-next-steps-with-delegation-to-integrated-care-boards/</a></p><p><a href="https://www.england.nhs.uk/long-read/specialised-commissioning-update-on-specialised-services-for-delegation/" target="_blank">https://www.england.nhs.uk/long-read/specialised-commissioning-update-on-specialised-services-for-delegation/</a></p><p>The process concluded that a transitional year of joint commissioning would offer the most secure and stable transition towards delegation. NHS England is working alongside ICBs to ensure that delegation agreements are in place, including ensuring appropriate collaborative arrangements are developed to support ICB commissioning of specialised services. These arrangements will be monitored by NHS England through its assurance processes for specialised services.</p><p>On 28 March 2024, the NHS England Board approved the recommendation that the 32 specialised services listed in Annex A of Item 7 of Specialised Commissioning: update on specialised services for delegation, would be retained by NHS England.</p><p>Regardless of delegation status, NHS England will remain the accountable commissioner for the entire portfolio of specialised services, and as part of this role, will monitor the effectiveness of delegation and the lists of services. It should be noted that NHS England does have the ability to bring a service back under national commissioning control, under the safeguards put in place to support delegation.</p><p>All specialised services, whether retained or delegated, must comply with nationally developed standards, including service specifications and clinical commissioning polices. ICBs will be able to use specialised services funding to transform and develop services and pathways across their core and specialised responsibilities, to improve quality of care and equity of access and value, whilst also complying with national standards.</p><p>Whilst delegation is not an end in itself, moving to ICB-led commissioning supports a focus on population health management across whole pathways of care, and gives ICBs the powers they need to improve the quality of services, tackle health inequalities, and ensure best value. NHS England set out in detail the benefits of greater ICB involvement in the commissioning of appropriate specialised services in the Roadmap for Integrating Specialised Services within Integrated Care Systems, and subsequent board papers. This roadmap is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdf</a></p><p>These plans have been developed in close collaboration with NHS England’s regional teams, ICBs, specialised service providers, clinicians, and patients, and represent the outcome of a thorough assessment of ICB system readiness, and a comprehensive analysis of services to determine their suitability and readiness for more integrated commissioning. During 2024/25, specialised services commissioning teams will remain employed by NHS England. NHS England has a framework for commissioning support, and accesses a range of services from commissioning support units. For example, data and business intelligence, and programme and project management expertise and resources.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 25500 25502 25503 25504 question first answered 16/05/2024 12:41:48 answering member 4527 label Biography information for Helen Whately previous answer version 33818 answering member constituency Faversham and Mid Kent answering member printed Helen Whately answering member 4527 label Biography information for Helen Whately
tabling member	4444 label Biography information for Karin Smyth

1716838

registered interest
date	09/05/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Integrated Care Systems
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential imapct of delegating specialised services to Integrated Care Systems on continuity of care for patients.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	25502
answer	answer is ministerial correction date of answer 16/05/2024 answer text <p>The nine joint committee arrangements arose from a robust process, which included a readiness assessment, the Pre-Delegation Assessment Framework, made between integrated care boards (ICBs) and NHS England regional teams, followed by a National Moderation Panel and final decision taken by the NHS England Board. The NHS England Board papers for February 2023, December 2023, and March 2024 are available respectively at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-delegation-of-spec-comm.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-delegation-of-spec-comm.pdf</a></p><p><a href="https://www.england.nhs.uk/long-read/specialised-commissioning-2024-25-next-steps-with-delegation-to-integrated-care-boards/" target="_blank">https://www.england.nhs.uk/long-read/specialised-commissioning-2024-25-next-steps-with-delegation-to-integrated-care-boards/</a></p><p><a href="https://www.england.nhs.uk/long-read/specialised-commissioning-update-on-specialised-services-for-delegation/" target="_blank">https://www.england.nhs.uk/long-read/specialised-commissioning-update-on-specialised-services-for-delegation/</a></p><p>The process concluded that a transitional year of joint commissioning would offer the most secure and stable transition towards delegation. NHS England is working alongside ICBs to ensure that delegation agreements are in place, including ensuring appropriate collaborative arrangements are developed to support ICB commissioning of specialised services. These arrangements will be monitored by NHS England through its assurance processes for specialised services.</p><p>On 28 March 2024, the NHS England Board approved the recommendation that the 32 specialised services listed in Annex A of Item 7 of Specialised Commissioning: update on specialised services for delegation, would be retained by NHS England.</p><p>Regardless of delegation status, NHS England will remain the accountable commissioner for the entire portfolio of specialised services, and as part of this role, will monitor the effectiveness of delegation and the lists of services. It should be noted that NHS England does have the ability to bring a service back under national commissioning control, under the safeguards put in place to support delegation.</p><p>All specialised services, whether retained or delegated, must comply with nationally developed standards, including service specifications and clinical commissioning polices. ICBs will be able to use specialised services funding to transform and develop services and pathways across their core and specialised responsibilities, to improve quality of care and equity of access and value, whilst also complying with national standards.</p><p>Whilst delegation is not an end in itself, moving to ICB-led commissioning supports a focus on population health management across whole pathways of care, and gives ICBs the powers they need to improve the quality of services, tackle health inequalities, and ensure best value. NHS England set out in detail the benefits of greater ICB involvement in the commissioning of appropriate specialised services in the Roadmap for Integrating Specialised Services within Integrated Care Systems, and subsequent board papers. This roadmap is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdf</a></p><p>These plans have been developed in close collaboration with NHS England’s regional teams, ICBs, specialised service providers, clinicians, and patients, and represent the outcome of a thorough assessment of ICB system readiness, and a comprehensive analysis of services to determine their suitability and readiness for more integrated commissioning. During 2024/25, specialised services commissioning teams will remain employed by NHS England. NHS England has a framework for commissioning support, and accesses a range of services from commissioning support units. For example, data and business intelligence, and programme and project management expertise and resources.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 25500 25501 25503 25504 question first answered 16/05/2024 12:41:49 answering member 4527 label Biography information for Helen Whately previous answer version 33819 answering member constituency Faversham and Mid Kent answering member printed Helen Whately answering member 4527 label Biography information for Helen Whately
tabling member	4444 label Biography information for Karin Smyth

1716839

registered interest
date	09/05/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Integrated Care Systems
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential impact of delegating specialised services to Integrated Care Systems on patient outcomes.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	25503
answer	answer is ministerial correction date of answer 16/05/2024 answer text <p>The nine joint committee arrangements arose from a robust process, which included a readiness assessment, the Pre-Delegation Assessment Framework, made between integrated care boards (ICBs) and NHS England regional teams, followed by a National Moderation Panel and final decision taken by the NHS England Board. The NHS England Board papers for February 2023, December 2023, and March 2024 are available respectively at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-delegation-of-spec-comm.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-delegation-of-spec-comm.pdf</a></p><p><a href="https://www.england.nhs.uk/long-read/specialised-commissioning-2024-25-next-steps-with-delegation-to-integrated-care-boards/" target="_blank">https://www.england.nhs.uk/long-read/specialised-commissioning-2024-25-next-steps-with-delegation-to-integrated-care-boards/</a></p><p><a href="https://www.england.nhs.uk/long-read/specialised-commissioning-update-on-specialised-services-for-delegation/" target="_blank">https://www.england.nhs.uk/long-read/specialised-commissioning-update-on-specialised-services-for-delegation/</a></p><p>The process concluded that a transitional year of joint commissioning would offer the most secure and stable transition towards delegation. NHS England is working alongside ICBs to ensure that delegation agreements are in place, including ensuring appropriate collaborative arrangements are developed to support ICB commissioning of specialised services. These arrangements will be monitored by NHS England through its assurance processes for specialised services.</p><p>On 28 March 2024, the NHS England Board approved the recommendation that the 32 specialised services listed in Annex A of Item 7 of Specialised Commissioning: update on specialised services for delegation, would be retained by NHS England.</p><p>Regardless of delegation status, NHS England will remain the accountable commissioner for the entire portfolio of specialised services, and as part of this role, will monitor the effectiveness of delegation and the lists of services. It should be noted that NHS England does have the ability to bring a service back under national commissioning control, under the safeguards put in place to support delegation.</p><p>All specialised services, whether retained or delegated, must comply with nationally developed standards, including service specifications and clinical commissioning polices. ICBs will be able to use specialised services funding to transform and develop services and pathways across their core and specialised responsibilities, to improve quality of care and equity of access and value, whilst also complying with national standards.</p><p>Whilst delegation is not an end in itself, moving to ICB-led commissioning supports a focus on population health management across whole pathways of care, and gives ICBs the powers they need to improve the quality of services, tackle health inequalities, and ensure best value. NHS England set out in detail the benefits of greater ICB involvement in the commissioning of appropriate specialised services in the Roadmap for Integrating Specialised Services within Integrated Care Systems, and subsequent board papers. This roadmap is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdf</a></p><p>These plans have been developed in close collaboration with NHS England’s regional teams, ICBs, specialised service providers, clinicians, and patients, and represent the outcome of a thorough assessment of ICB system readiness, and a comprehensive analysis of services to determine their suitability and readiness for more integrated commissioning. During 2024/25, specialised services commissioning teams will remain employed by NHS England. NHS England has a framework for commissioning support, and accesses a range of services from commissioning support units. For example, data and business intelligence, and programme and project management expertise and resources.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 25500 25501 25502 25504 question first answered 16/05/2024 12:41:49 answering member 4527 label Biography information for Helen Whately previous answer version 33820 answering member constituency Faversham and Mid Kent answering member printed Helen Whately answering member 4527 label Biography information for Helen Whately
tabling member	4444 label Biography information for Karin Smyth

1716840

registered interest
date	09/05/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what engagement commissioning hub teams looking at specialised commissioning have with commissioning support units.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	25504
answer	answer is ministerial correction date of answer 16/05/2024 answer text <p>The nine joint committee arrangements arose from a robust process, which included a readiness assessment, the Pre-Delegation Assessment Framework, made between integrated care boards (ICBs) and NHS England regional teams, followed by a National Moderation Panel and final decision taken by the NHS England Board. The NHS England Board papers for February 2023, December 2023, and March 2024 are available respectively at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-delegation-of-spec-comm.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-delegation-of-spec-comm.pdf</a></p><p><a href="https://www.england.nhs.uk/long-read/specialised-commissioning-2024-25-next-steps-with-delegation-to-integrated-care-boards/" target="_blank">https://www.england.nhs.uk/long-read/specialised-commissioning-2024-25-next-steps-with-delegation-to-integrated-care-boards/</a></p><p><a href="https://www.england.nhs.uk/long-read/specialised-commissioning-update-on-specialised-services-for-delegation/" target="_blank">https://www.england.nhs.uk/long-read/specialised-commissioning-update-on-specialised-services-for-delegation/</a></p><p>The process concluded that a transitional year of joint commissioning would offer the most secure and stable transition towards delegation. NHS England is working alongside ICBs to ensure that delegation agreements are in place, including ensuring appropriate collaborative arrangements are developed to support ICB commissioning of specialised services. These arrangements will be monitored by NHS England through its assurance processes for specialised services.</p><p>On 28 March 2024, the NHS England Board approved the recommendation that the 32 specialised services listed in Annex A of Item 7 of Specialised Commissioning: update on specialised services for delegation, would be retained by NHS England.</p><p>Regardless of delegation status, NHS England will remain the accountable commissioner for the entire portfolio of specialised services, and as part of this role, will monitor the effectiveness of delegation and the lists of services. It should be noted that NHS England does have the ability to bring a service back under national commissioning control, under the safeguards put in place to support delegation.</p><p>All specialised services, whether retained or delegated, must comply with nationally developed standards, including service specifications and clinical commissioning polices. ICBs will be able to use specialised services funding to transform and develop services and pathways across their core and specialised responsibilities, to improve quality of care and equity of access and value, whilst also complying with national standards.</p><p>Whilst delegation is not an end in itself, moving to ICB-led commissioning supports a focus on population health management across whole pathways of care, and gives ICBs the powers they need to improve the quality of services, tackle health inequalities, and ensure best value. NHS England set out in detail the benefits of greater ICB involvement in the commissioning of appropriate specialised services in the Roadmap for Integrating Specialised Services within Integrated Care Systems, and subsequent board papers. This roadmap is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdf</a></p><p>These plans have been developed in close collaboration with NHS England’s regional teams, ICBs, specialised service providers, clinicians, and patients, and represent the outcome of a thorough assessment of ICB system readiness, and a comprehensive analysis of services to determine their suitability and readiness for more integrated commissioning. During 2024/25, specialised services commissioning teams will remain employed by NHS England. NHS England has a framework for commissioning support, and accesses a range of services from commissioning support units. For example, data and business intelligence, and programme and project management expertise and resources.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 25500 25501 25502 25503 question first answered 16/05/2024 12:41:49 answering member 4527 label Biography information for Helen Whately previous answer version 33821 answering member constituency Faversham and Mid Kent answering member printed Helen Whately answering member 4527 label Biography information for Helen Whately
tabling member	4444 label Biography information for Karin Smyth

1715255

registered interest
date	01/05/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Community Diagnostic Centres: Osteoporosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many community diagnostic centres are providing bone density scans.
tabling member constituency	Ilford North
tabling member printed	Wes Streeting
uin	24497
answer	answer is ministerial correction date of answer 15/05/2024 answer text <p>As of May 2024, 19 community diagnostic centres (CDCs) are providing bone density scans, also known as DEXA scans. A total of 35 CDCs are planning to provide these scans in 2024/25.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 15/05/2024 15:15:57 answering member 4044 label Biography information for Andrew Stephenson previous answer version 32815 answering member constituency Faversham and Mid Kent answering member printed Helen Whately answering member 4527 label Biography information for Helen Whately
tabling member	4504 label Biography information for Wes Streeting

1715296

registered interest
date	01/05/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Accident and Emergency Departments and Ambulance Services: Yorkshire and the Humber
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps her Department is taking to help reduce waiting times in ambulance and emergency departments in Yorkshire.
tabling member constituency	East Yorkshire
tabling member printed	Sir Greg Knight
uin	24396
answer	answer is ministerial correction date of answer 08/05/2024 answer text <p>Our Delivery plan for recovering urgent and emergency care services sets out the range of measures being taken to reduce ambulance and emergency department waiting times, including in Yorkshire.</p><p>Backed by £1 billion of dedicated funding, we delivered 5,000 additional core hospital beds in 2023/24 and will maintain this capacity expansion in 2024/25. Ambulance trusts received £200 million of additional funding in 2023/24 to increase deployed hours and reduce response times, which will also be maintained this year.</p><p>Since we published our plan there have been significant improvements in emergency care performance, including in Yorkshire. In 2023/24, average Category 2 ambulance response times in Yorkshire were over nine minutes faster compared to the previous year, a reduction of 23%, and performance against the four-hour standard for accident and emergency care improved in each integrated care board area in Yorkshire.</p><p>The NHS Planning Guidance, published in March, commits to further improvements in emergency care performance in 2024/25, with more information available at the following link:</p><p><a href="https://www.england.nhs.uk/operational-planning-and-contracting/" target="_blank">https://www.england.nhs.uk/operational-planning-and-contracting/</a></p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 08/05/2024 10:50:59 answering member 4527 label Biography information for Helen Whately previous answer version 32551 answering member constituency Faversham and Mid Kent answering member printed Helen Whately answering member 4527 label Biography information for Helen Whately
tabling member	1200 label Biography information for Sir Greg Knight