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1696559

registered interest
date	18/03/2024
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	Physician Associates
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, in view of the expected growth in the supply of physician associates (PAs) to 10,000 by 2036–37 under the NHS Long Term Workforce Plan, how many PAs are expected to work in each setting.
tabling member printed	The Lord Bishop of Chelmsford
uin	HL3316
answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>Physician Associates (PAs) currently work in over 40 specialties across primary, secondary, and community care, each determined by local needs and decisions. The largest proportion of the PA workforce works with doctors and other colleagues in primary care, followed by emergency and acute medicine. Other specialties include geriatrics, stroke, community, dermatology, and ear, nose, and throat. We have not made a central assessment of where we expect PAs to work in 2036/37. PAs' work must be undertaken within local clinical governance rules, and under the supervision or oversight of a senior doctor.</p> answering member printed Lord Markham question first answered 25/03/2024 12:53:28 answering member 4948 label Biography information for Lord Markham
tabling member	4922 label Biography information for The Lord Bishop of Chelmsford

1696560

registered interest
date	18/03/2024
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	NHS: Staff
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to ensure that NHS staff have sufficient capacity to supervise and support new associate staff.
tabling member printed	The Lord Bishop of Chelmsford
uin	HL3317
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>Anaesthesia Associates (AAs) and Physician Associates (PAs) are supervised by a designated senior doctor, in the role of a consultant, registrar, or general practitioner. The NHS Long Term Workforce Plan sets out plans to increase the PA workforce to 10,000 by 2036/37, and the AA workforce to 2,000 over the same period. The plan also calls for 60,000 more doctors, for a factor of five to one in favour of more doctors, which will contribute to the sustainable implementation of this multidisciplinary model and deliver increased capacity to supervise and support new associate staff.</p><p>NHS England is working with the relevant professional colleges and regulators to ensure the use of associate roles is expanded safely and effectively, and that they are appropriately supported, supervised, and integrated into multidisciplinary teams.</p><p>The introduction of regulation by the General Medical Council (GMC) will provide a standardised framework of governance and assurance for the clinical practice and professional conduct of AAs and PAs, and make it easier for employers, patients, and the public to understand the relationship between these roles and that of doctors.</p><p>As set out in National Institute for Health and Care Excellence’s guidelines, all healthcare professionals should introduce themselves and explain their role to the patient regardless of their job title. In addition, the GMC has published interim standards for AAs and PAs in advance of regulation which makes it clear that professionals should always introduce their role to patients, and set out their responsibilities in the team.</p> answering member printed Lord Markham grouped question UIN HL3318 question first answered 26/03/2024 14:37:25 answering member 4948 label Biography information for Lord Markham
tabling member	4922 label Biography information for The Lord Bishop of Chelmsford

1696561

registered interest
date	18/03/2024
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	NHS: Staff
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to ensure that there is clarity for patients about different roles within clinical teams in healthcare settings, including regarding anaesthesia and physician associates.
tabling member printed	The Lord Bishop of Chelmsford
uin	HL3318
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>Anaesthesia Associates (AAs) and Physician Associates (PAs) are supervised by a designated senior doctor, in the role of a consultant, registrar, or general practitioner. The NHS Long Term Workforce Plan sets out plans to increase the PA workforce to 10,000 by 2036/37, and the AA workforce to 2,000 over the same period. The plan also calls for 60,000 more doctors, for a factor of five to one in favour of more doctors, which will contribute to the sustainable implementation of this multidisciplinary model and deliver increased capacity to supervise and support new associate staff.</p><p>NHS England is working with the relevant professional colleges and regulators to ensure the use of associate roles is expanded safely and effectively, and that they are appropriately supported, supervised, and integrated into multidisciplinary teams.</p><p>The introduction of regulation by the General Medical Council (GMC) will provide a standardised framework of governance and assurance for the clinical practice and professional conduct of AAs and PAs, and make it easier for employers, patients, and the public to understand the relationship between these roles and that of doctors.</p><p>As set out in National Institute for Health and Care Excellence’s guidelines, all healthcare professionals should introduce themselves and explain their role to the patient regardless of their job title. In addition, the GMC has published interim standards for AAs and PAs in advance of regulation which makes it clear that professionals should always introduce their role to patients, and set out their responsibilities in the team.</p> answering member printed Lord Markham grouped question UIN HL3317 question first answered 26/03/2024 14:37:25 answering member 4948 label Biography information for Lord Markham
tabling member	4922 label Biography information for The Lord Bishop of Chelmsford

1696606

registered interest
date	18/03/2024
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	Asthma
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what guidance her Department plans to issue to asthmatic people on projected high pollen levels this summer.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	19057
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>At present, NHS England has no plans to issue guidance to asthmatic people on projected high pollen levels this summer. However, the National Health Service website contains advice on asthma, which includes advice on understanding and managing triggers, such as pollen. The NHS site also links to Asthma and Lung UK’s advice on asthma management, which contains more detailed information on managing triggers, and how best to reduce risk when pollen levels are high.</p><p>The UK Health Security Agency (UKHSA) has new capabilities for monitoring real-time pollen levels for this year’s pollen season. This adds to the UKHSA’s Real-time Syndromic Surveillance, which includes the monitoring of presentations of asthma to the NHS. The UKHSA also provides weekly updates via publicly available surveillance bulletins, which are available at the following link:</p><p><a href="https://www.gov.uk/government/collections/syndromic-surveillance-systems-and-analyses" target="_blank">https://www.gov.uk/government/collections/syndromic-surveillance-systems-and-analyses</a>.</p><p>In addition to this work, the Met Office provides alerts and advice when pollen levels are high. These alerts provide valuable information on pollen levels over the next five days for asthmatics and hayfever sufferers, so they can appropriately modify their planned future activities, and ensure they use or have their medication with them.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 26/03/2024 13:47:43 answering member 4492 label Biography information for Maria Caulfield
tabling member	4131 label Biography information for Jim Shannon

1696609

registered interest
date	18/03/2024
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	Autism and Learning Disability: Community Care
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 26 February 2024 to Question 15040 on Autism and Learning Disability: Community Care, whether the funding flows task and finish group have developed plans to (a) fund support effectively across the health and social care system and (b) improve oversight of expenditure on the Building the Right Support Action Plan.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	19025
answer	answer is ministerial correction date of answer 21/03/2024 answer text <p>The aim of the Funding Flows task and finish group was to look at how to improve national oversight of the National Health Service and local authority spend on services and support for people with a learning disability and autistic people who are, or are at risk of being, admitted to mental health inpatient services.</p><p>The Funding Flows task and finish group has been looking at relevant data currently collected for the NHS and local government, to explore whether it could be brought together to help meet this objective. The final report from the Funding Flows task and finish group will be shared with the Building the Right Support Delivery Board in due course.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 21/03/2024 12:09:57 answering member 4492 label Biography information for Maria Caulfield
tabling member	1588 label Biography information for Barbara Keeley

1696620

registered interest
date	18/03/2024
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	Electronic Cigarettes: Retail Trade
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether her Department has had discussions with the UK Vaping Industry Association on its proposals for a vape retail licence.
tabling member constituency	Windsor
tabling member printed	Adam Afriyie
uin	19019
answer	answer is ministerial correction date of answer 21/03/2024 answer text <p>The Department has not had any discussions with the UK Vaping Industry Association on its proposals for a vape retail license, though we have received written representations on this issue. There are no current plans to introduce a licensing scheme. However, the Government recognises that strong enforcement is needed to tackle underage and illicit vape sales. The new Tobacco and Vapes Bill includes provisions to issue fixed penalty notices for underage tobacco and vape sales. This will complement existing powers that local authorities have to enforce age of sale legislation including fines of up to £2,500, and for the most serious offences, court orders to prevent the offending retailer from opening for a period.</p><p>In addition, we have committed to increasing investment for our enforcement agencies by £30 million per year, and at Spring Budget the Chancellor announced that the Government will introduce a new duty on vaping products, giving HM Revenue and Customs further powers to minimise fraud, introduce civil and criminal powers to seize illicit products and equipment, and issue penalties.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 21/03/2024 11:15:54 answering member 4117 label Biography information for Andrea Leadsom
tabling member	1586 label Biography information for Adam Afriyie

1696623

registered interest
date	18/03/2024
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	Audiology: 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 steps her Department is taking to reduce waiting times for hospital hearing (a) tests and (b) aid fitting in areas where no community audiology service is commissioned.
tabling member constituency	Bolton South East
tabling member printed	Yasmin Qureshi
uin	19029
answer	answer is ministerial correction date of answer 21/03/2024 answer text <p>Audiology services are locally commissioned by the 42 integrated care boards (ICBs) across England. Waiting times for audiology assessments are recorded through the national diagnostic activity and waiting times collection. This data is reviewed and monitored monthly across the ICBs and NHS England.</p><p>NHS England has been working to enable improvement in access to audiology services including through developing an improvement guide, endorsed by the British Audiology Association, which outlines approaches the ICBs can take to address waiting times. NHS England’s National Diagnostics programme has supported implementation of this guide through a series of webinars and case studies to share learning.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 21/03/2024 12:06:26 answering member 4527 label Biography information for Helen Whately
tabling member	3924 label Biography information for Yasmin Qureshi

1696624

registered interest
date	18/03/2024
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	Audiology: 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, how many integrated care boards have introduced (a) community audiology services and (b) self-referral for community audiology.
tabling member constituency	Bolton South East
tabling member printed	Yasmin Qureshi
uin	19030
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>Information on how many integrated care boards (ICBs) have introduced community audiology services is not held centrally by the Department or NHS England. As part of an ICB self-assessment on the introduction of self-referral, conducted in September 2023, 26 ICBs reported having self-referral in place for community audiology in one or more services, with more ICBs reporting they had plans to introduce it later in the year, or as part of recommissioning arrangements for 2024/25.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 26/03/2024 11:06:09 answering member 4527 label Biography information for Helen Whately
tabling member	3924 label Biography information for Yasmin Qureshi

1696649

registered interest
date	18/03/2024
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	Care Workers: Visas
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent assessment she has made of the potential impact of the removal of (a) overseas and (b) senior care workers’ rights to bring dependants on main applicant flows for the health and social care visa.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	19011
answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>We expect social care visa volumes will remain resilient to removing the eligibility for new care and senior care workers to bring dependants. This is in the context of a strong global labour supply, possible changes in migrant behaviour in response, and that a proportion of recruits are estimated to already come without dependants. The Home Office has published estimates of the impact these changes might have on the number of people applying to work in the sector from outside the United Kingdom, which are available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/legal-migration-statement-estimated-immigration-impacts" target="_blank">https://www.gov.uk/government/publications/legal-migration-statement-estimated-immigration-impacts</a></p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 25/03/2024 16:58:07 answering member 4527 label Biography information for Helen Whately
tabling member	1506 label Biography information for Andrew Gwynne

1696658

registered interest
date	18/03/2024
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	Department of Health and Social Care: Legal Costs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the total cost to the public purse was of legal (a) support and (b) representation to Ministers in her Department in relation to their official conduct in each of the last three years.
tabling member constituency	Torfaen
tabling member printed	Nick Thomas-Symonds
uin	19107
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>The information is not held centrally or collated in the format requested. More generally, I would refer the hon. Member to the long-standing policies on legal expenditure, as set out recently by Cabinet Office Ministers on 12 March 2024, Official Report, Question <a href="https://questions-statements.parliament.uk/written-questions/detail/2024-03-07/17709" target="_blank">17709</a> and 12 March 2024, Official Report, House of Lords, Cols. 1901-1904.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 26/03/2024 17:50:29 answering member 4044 label Biography information for Andrew Stephenson previous answer version 25893 answering member constituency Pendle answering member printed Andrew Stephenson answering member 4044 label Biography information for Andrew Stephenson
tabling member	4479 label Biography information for Nick Thomas-Symonds