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1656519

registered interest
date	01/09/2023
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	Cervical Cancer: Screening
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 he is taking to make cervical smear tests more accessible for women with (a) newborn babies and (b) young children.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	196347
answer	answer is ministerial correction date of answer 07/09/2023 answer text <p>The cervical screening programme uses the HPV test not the cervical smear test. This has been in place since late 2019 and detects the HPV virus which causes 99.7% of cervical cancers.</p><p>We are committed to improving the uptake of the cervical screening programme, in line with the long term plan aim of detecting more people at risk of developing cervical cancer and facilitating their treatment to prevent cancer developing.</p><p>Local NHS services have a duty to ensure that their services are as accessible as possible for their local populations and that any appropriate support is in place, depending on individual need.</p><p>We are working to test the effectiveness of HPV self-sampling as a primary cervical screening option. The findings from this evaluation will be used to inform a UK National Screening Committee recommendation and it is expected that self-sampling could lead to an increase in uptake as it will reduce some of the barriers that prevent people from attending for screening.</p> answering member constituency Colchester answering member printed Will Quince question first answered 07/09/2023 16:06:29 answering member 4423 label Biography information for Will Quince
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1654671

registered interest
date	20/07/2023
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	Department of Health and Social Care: Contracts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 19 July 2023 to Question 193672 on Department of Health and Social Care: Contracts, how many contracts worth more than £1 million his Department has entered into where the (a) goods and (b) services contracted for have not been received and are no longer expected to be received in the last 12 months.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	195429
answer	answer is ministerial correction date of answer 04/09/2023 answer text <p>In relation to Question <a href="https://questions-statements.parliament.uk/written-questions/detail/2023-07-12/193672" target="_blank">193672</a>, there were 405 contracts which were active with a value of over £1 million on the Department’s central procurement and contract management database over the last five years. To provide an answer on whether “the goods and services contracted for have not been received and are no longer expected to be received in the last five years” we would have to consult all the individual contract managers for these contracts to obtain this type of information, which would then have to be properly collated and validated.</p><p>The contract manager would need to liaise with colleagues in the Department’s Finance directorate to find the relevant purchase orders to link spend to associated contracts and then make an assessment on whether goods and services were no longer expected to be received. We estimate that this would take a minimum of two hours per contract; multiplied by the number of contracts (405) this would total 810 hours. At a cost of £25 per hour this would equate to £20,250, which exceeds the disproportionate cost threshold of £850.</p><p>Presently, the Department has 249 contracts over £1 million which were active in the last 12 months. In a similar fashion to the above, the information requested for these contracts regarding goods and services not being received or not expected to be received is not held centrally and can only be obtained at disproportionate cost.</p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 195430 question first answered 04/09/2023 08:09:33 answering member 4423 label Biography information for Will Quince
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1654672

registered interest
date	20/07/2023
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	Department of Health and Social Care: Written Questions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 19 July 2023 to Question 193672 on Department of Health and Social Care: Contracts, what estimate he has made of the cost of providing an answer to that Question.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	195430
answer	answer is ministerial correction date of answer 04/09/2023 answer text <p>In relation to Question <a href="https://questions-statements.parliament.uk/written-questions/detail/2023-07-12/193672" target="_blank">193672</a>, there were 405 contracts which were active with a value of over £1 million on the Department’s central procurement and contract management database over the last five years. To provide an answer on whether “the goods and services contracted for have not been received and are no longer expected to be received in the last five years” we would have to consult all the individual contract managers for these contracts to obtain this type of information, which would then have to be properly collated and validated.</p><p>The contract manager would need to liaise with colleagues in the Department’s Finance directorate to find the relevant purchase orders to link spend to associated contracts and then make an assessment on whether goods and services were no longer expected to be received. We estimate that this would take a minimum of two hours per contract; multiplied by the number of contracts (405) this would total 810 hours. At a cost of £25 per hour this would equate to £20,250, which exceeds the disproportionate cost threshold of £850.</p><p>Presently, the Department has 249 contracts over £1 million which were active in the last 12 months. In a similar fashion to the above, the information requested for these contracts regarding goods and services not being received or not expected to be received is not held centrally and can only be obtained at disproportionate cost.</p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 195429 question first answered 04/09/2023 08:09:33 answering member 4423 label Biography information for Will Quince
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1654676

registered interest
date	20/07/2023
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	Department of Health and Social Care: Contracts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 19 July 2023 to Question 193672 on Department of Health and Social Care: Contracts, what systems are in place for Ministers to track spending on (a) all contracts and (b) contracts where problems are encountered.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	195434
answer	answer is ministerial correction date of answer 04/09/2023 answer text <p>A post award assessment is made on the risks to contract delivery and each contract is given a classification which determines the nature and intensity of the contract management support from officials at the department. The Departments contract management operating model includes tools such as a contract management plan, balanced scorecard, risk register and issues log, business continuity plans and exit plans. Scorecards are produced which provide a balanced view of performance, risks and issues, finances and spending, which inform an overall risk profile and which can be provided to Ministers on request.</p><p>Contract performance for high-risk contracts is reported to the Department’s Performance and Risk Committee as well as to Permanent Secretaries ahead of the bi-annual accountability meetings they hold with Directors. Whilst there isn’t systematic reporting to Ministers across all contracts, Ministers have been provided with ad-hoc reporting on expenditure and savings options against certain categories of contracts (consultancy and professional services for example).</p><p>The Department has introduced a system to attach contract references to all new individual purchase orders raised in the payment system from June 2021 where associated to a contract. The project is due to be completed within the next 12 months which will enable the central collation and validation of spend against the Department’s full portfolio of contracts.</p><p>The Department operates its commercial activities in accordance with the good practice set out by the Government Commercial Function, and our approach has been reviewed by both the National Audit Office and Government Internal Audit Agency.</p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 195435 question first answered 04/09/2023 09:24:32 answering member 4423 label Biography information for Will Quince
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1654677

registered interest
date	20/07/2023
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	Department of Health and Social Care: Contracts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer to Question 193672 on Department of Health and Social Care: Contracts, if he will seek advice from (a) the National Audit Office and (b) other external bodies on improving the financial monitoring of contracts entered into by his Department.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	195435
answer	answer is ministerial correction date of answer 04/09/2023 answer text <p>A post award assessment is made on the risks to contract delivery and each contract is given a classification which determines the nature and intensity of the contract management support from officials at the department. The Departments contract management operating model includes tools such as a contract management plan, balanced scorecard, risk register and issues log, business continuity plans and exit plans. Scorecards are produced which provide a balanced view of performance, risks and issues, finances and spending, which inform an overall risk profile and which can be provided to Ministers on request.</p><p>Contract performance for high-risk contracts is reported to the Department’s Performance and Risk Committee as well as to Permanent Secretaries ahead of the bi-annual accountability meetings they hold with Directors. Whilst there isn’t systematic reporting to Ministers across all contracts, Ministers have been provided with ad-hoc reporting on expenditure and savings options against certain categories of contracts (consultancy and professional services for example).</p><p>The Department has introduced a system to attach contract references to all new individual purchase orders raised in the payment system from June 2021 where associated to a contract. The project is due to be completed within the next 12 months which will enable the central collation and validation of spend against the Department’s full portfolio of contracts.</p><p>The Department operates its commercial activities in accordance with the good practice set out by the Government Commercial Function, and our approach has been reviewed by both the National Audit Office and Government Internal Audit Agency.</p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 195434 question first answered 04/09/2023 09:24:32 answering member 4423 label Biography information for Will Quince
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1654684

registered interest
date	20/07/2023
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	Surgery
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 NHS operations have been postponed as a result of strikes by doctors in the last six months.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	195442
answer	answer is ministerial correction date of answer 04/09/2023 answer text <p>Despite best efforts by organisations to mitigate the impacts of all strike action, in the last six months approximately 645,001 appointments have been rescheduled due to strike action from doctors.</p> answering member constituency Colchester answering member printed Will Quince question first answered 04/09/2023 12:09:07 answering member 4423 label Biography information for Will Quince
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1654203

registered interest
date	19/07/2023
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	Continuing Care
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 his Department's National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care, revised in July 2022, whether integrated care boards that do not comply with that framework can be sanctioned.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	195090
answer	answer is ministerial correction date of answer 04/09/2023 answer text <p>The Department is responsible for NHS Continuing Healthcare (CHC) policy, legislation and guidance on the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care.</p><p>This guidance sets out clear processes for CHC assessment that all integrated care boards (ICBs) must follow. Operational delivery of CHC is the responsibility of ICBs with oversight from NHS England.</p><p>As set out in the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012, ICBs must have regard to the National Framework.</p><p>Although there are no sanctions in place for ICBs that do not comply with the National Framework, NHS England has powers under the National Health Service Act 2006, as amended by the Health and Care Act 2022, to direct ICBs when it has duly identified that (a) an ICB is failing, or (b) is at risk of failing, to discharge its functions.</p><p>NHS England has an assurance regime in place to ensure that individuals are assessed for CHC in a timely manner and that these assessments are undertaken at the right time and in the right place. This ensures an accurate assessment, equal access, standardisation, and consistency within CHC.</p><p>Data on NHS Continuing Healthcare, including ICB delivery of NHS CHC assurance standards, is published quarterly and available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-chc-fnc/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-chc-fnc/</a></p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 195091 question first answered 04/09/2023 09:17:04 answering member 4527 label Biography information for Helen Whately
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1654204

registered interest
date	19/07/2023
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	Continuing Care
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 he has made of the rates of compliance with the National Framework for NHS Continuing Healthcare and NHS funded Nursing Care by Integrated Care Boards.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	195091
answer	answer is ministerial correction date of answer 04/09/2023 answer text <p>The Department is responsible for NHS Continuing Healthcare (CHC) policy, legislation and guidance on the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care.</p><p>This guidance sets out clear processes for CHC assessment that all integrated care boards (ICBs) must follow. Operational delivery of CHC is the responsibility of ICBs with oversight from NHS England.</p><p>As set out in the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012, ICBs must have regard to the National Framework.</p><p>Although there are no sanctions in place for ICBs that do not comply with the National Framework, NHS England has powers under the National Health Service Act 2006, as amended by the Health and Care Act 2022, to direct ICBs when it has duly identified that (a) an ICB is failing, or (b) is at risk of failing, to discharge its functions.</p><p>NHS England has an assurance regime in place to ensure that individuals are assessed for CHC in a timely manner and that these assessments are undertaken at the right time and in the right place. This ensures an accurate assessment, equal access, standardisation, and consistency within CHC.</p><p>Data on NHS Continuing Healthcare, including ICB delivery of NHS CHC assurance standards, is published quarterly and available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-chc-fnc/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-chc-fnc/</a></p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 195090 question first answered 04/09/2023 09:17:04 answering member 4527 label Biography information for Helen Whately
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1653815

registered interest
date	18/07/2023
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	Continuing Care
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 he is taking to ensure that Integrated Care Boards comply with his Department's guidance entitled National framework for NHS continuing healthcare and NHS-funded nursing care.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	194781
answer	answer is ministerial correction date of answer 24/07/2023 answer text <p>The Department is responsible for NHS Continuing Healthcare (NHS CHC) policy, legislation and guidance on the ‘National framework for NHS continuing healthcare and NHS-funded nursing care’. This guidance sets out clear processes for NHS CHC assessment that all integrated care boards (ICBs) must follow, and is available at the following link:</p><p><a href="https://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-care" target="_blank">https://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-care</a></p><p>Operational delivery of NHS CHC is the responsibility of ICBs, with oversight from NHS England. NHS England’s functions include ensuring that local systems operate effectively and holding non-compliant ICBs to account.</p><p>NHS England has an assurance regime in place to ensure that individuals are assessed for NHS CHC in a timely manner and that these assessments are undertaken at the right time and in the right place. This ensures an accurate assessment, equal access, standardisation, and consistency within NHS CHC.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 24/07/2023 09:26:35 answering member 4527 label Biography information for Helen Whately
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1653486

registered interest
date	17/07/2023
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	Continuing Care: Older People
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 he is taking to increase access to long-term care for older people in (a) Slough constituency, (b) the South East, and (c) England and Wales.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	194453
answer	answer is ministerial correction date of answer 24/07/2023 answer text <p>The Government has made available up to £7.5 billion of additional funding over two years for local authorities in England to support adult social care and discharge, including £1.4 billion through the Market Sustainability and Improvement Fund (MSIF).</p><p>Specifically, as part of MSIF, in 2023/24 Slough Borough Council will receive £1.2 million, and local authorities in the South East region will receive £78.43 million. Allocations for MSIF in 2024/25, when the fund increases the £845 million, will be released at a later date.</p><p>As part of the MSIF Capacity Plan exercise all local authorities were asked to assess the anticipated demand for long-term care in their area and their current market capacity to meet this need, and to outline steps they planned to take to address any gaps in capacity for various services.</p><p>We expect local authorities to use this funding to drive improvements in key areas, including reducing waiting lists for both older people and working age adults. We are also supporting local authorities to better streamline their assessment processes, and are delivering workforce reforms which will improve the sector’s ability to recruit and retain staff in the longer-term, supporting increased capacity and access to care.</p><p>In addition, the new duty for the Care Quality Commission to assess local authorities’ delivery of their Care Act duties, which went live in April 2023, will help ensure people have access to the consistent high-quality care and support they deserve, irrespective of where they live.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 24/07/2023 13:41:51 answering member 4527 label Biography information for Helen Whately previous answer version 89346 answering member constituency Faversham and Mid Kent answering member printed Helen Whately answering member 4527 label Biography information for Helen Whately
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi