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1715925

registered interest
date	07/05/2024
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	General Practitioners: Unemployment
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of the number of GPs now seeking and unable to obtain employment.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL4372
answer	answer is ministerial correction date of answer 21/05/2024 answer text <p>There is no centrally held data on the number of general practice vacancies.</p><p>The Government remains committed to growing the number of doctors working in general practice. NHS England has made available a number of recruitment schemes, including the Targeted Enhanced Recruitment Scheme and the Return to Practice Programme.</p><p>The headcount of doctors working in general practice in March 2024 was 4,282 more, including 2,709 full time equivalent (FTE) doctors, than in March 2019.</p><p>The latest available data, as of March 2024, shows that the headcount of doctors in general practice in England was 47,173, including 37,235 FTE doctors, of whom 37,399 (27,574 FTE) were fully qualified general practioners.</p> answering member printed Lord Markham grouped question UIN HL4019 question first answered 21/05/2024 11:16:59 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1715926

registered interest
date	07/05/2024
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	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government which profession has primary responsibility for providing initial point of contact care for patients presenting with undifferentiated, undiagnosed problems, and whether physician associates are the appropriate profession for this work.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL4373
answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>While general practice (GP) remains at the heart of primary care, a wide range of clinicians are well suited to supporting patients in GP, as part of multi-disciplinary teams. This includes Physician Associates (PAs), who work alongside GPs and the wider practice teams, to provide care. PAs are not substitutes for GPs or doctors in training, rather they are specifically trained to work collaboratively with doctors and others. PAs work within a defined scope of practice and limits of competence. NHS England has provided recent guidance on the use of PAs in GP teams.</p><p>As set out in the Network Contract Directed Enhanced Service, where their named GP supervisor is satisfied that adequate supervision, supporting governance and systems are in place, PAs can provide first point of contact care for patients presenting with undifferentiated, undiagnosed problems. Underpinning this is the supervising GP’s confidence in the PA’s competence, based on the knowledge and skills gained through their training and development.</p> answering member printed Lord Markham question first answered 20/05/2024 10:36:03 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1715948

registered interest
date	07/05/2024
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	Obesity: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they have, if any, to undertake a review into levels of childhood obesity and the role that the promotion of meals, snacks and drinks in early years settings can play in combatting this trend.
tabling member printed	Baroness Goudie
uin	HL4398
answer	answer is ministerial correction date of answer 17/05/2024 answer text <p>The Early Years Foundation Stage Statutory Framework (EYFS) sets the standards that all early years providers must meet, for the learning, development, and care of children from birth to five years old. The EYFS requires that where children are provided with meals, snacks, and drinks, they must be healthy, balanced, and nutritious. The EYFS also refers to example menus and guidance, which support parents, carers, and anyone working with children, to provide healthy food options. The Department for Education has also very recently published a range of tools and advice to support childminders, nursery leaders, and pre-school practitioners to improve the food offered in early years settings on the Help for early years providers platform.</p> answering member printed Lord Markham question first answered 17/05/2024 11:51:56 answering member 4948 label Biography information for Lord Markham
tabling member	3575 label Biography information for Baroness Goudie

1715969

registered interest
date	07/05/2024
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	Radiotherapy: Waiting Lists
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of the proportion of cancer patients currently waiting more than 31 days for radiotherapy treatment.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL4423
answer	answer is ministerial correction date of answer 13/05/2024 answer text <p>According to the latest data, of those 10,328 cancer patients referred for first or subsequent treatment for radiotherapy in March 2024, 89.7% were treated within 31 days. The proportion of patients waiting more than 31 days for radiotherapy treatment in March 2024 was therefore 10.3%. This has decreased by 4.5% since January 2024.</p><p>We are aware of regional disparities in wait times for cancer treatment through NHS England’s data, and are considering the findings made by the Royal College of Radiologists. Tackling inequalities in outcomes, experience, and access of cancer diagnostics, including regional disparities, is a key focus of the Government. NHS England has commissioned six new cancer clinical audits in breast cancer, both primary and metastatic, as well as ovarian, pancreatic, non-Hodgkin lymphoma, and kidney cancer. These will provide timely evidence for cancer service providers of where patterns of care in England may vary, increase the consistency of access to treatments, and help stimulate improvements in cancer treatments and outcomes for patients. The first outcomes of these audits are expected in September 2024.</p><p>The Department is working closely with NHS England to make sure we have the right workforce with the right skills up and down the country. In 2023/24, NHS England invested an additional £50 million to increase the number of cancer and diagnostic specialists.</p><p>The Government is also backing the NHS Long Term Workforce Plan, with over £2.4 billion over the next five years to fund additional education and training places. The plan sets out an aim to double the number of medical school places in England to 15,000 places a year by 2031/32, and to work towards this expansion by increasing places by a third, to 10,000 a year, by 2028/29.</p><p>We are building our cancer workforce. In January 2024 there were over 35,200 full-time equivalent (FTE) staff in the cancer workforce, an increase of over 13,300, or 60.7% since January 2010. Regarding clinical oncology specifically, as of January 2024, there are currently over 1,600 FTE doctors working in the speciality of clinical oncology in National Health Service trusts and other core organisations in England. This is over 30, or 2.2%, more than last year, over 300, or 27.7%, more than 2019, and over 600, 66.5%, more than in 2010. This includes over 900 FTE consultants. This is over 40, or 5.1%, more than last year, over 100, 22.0%, more than in 2019, and over 400, 80.2%, more than in 2010.</p> answering member printed Lord Markham grouped question UIN HL4424 HL4425 question first answered 13/05/2024 11:23:46 answering member 4948 label Biography information for Lord Markham
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1715970

registered interest
date	07/05/2024
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	Cancer: North East
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of findings from the Royal College of Radiologists, published in May, showing a regional disparity in wait times for cancer treatment in 2023, with 11 per cent of patients in England waiting more than 31 days for treatment after the decision to treat had been confirmed, compared to 19 per cent of patients in the North East and Yorkshire.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL4424
answer	answer is ministerial correction date of answer 13/05/2024 answer text <p>According to the latest data, of those 10,328 cancer patients referred for first or subsequent treatment for radiotherapy in March 2024, 89.7% were treated within 31 days. The proportion of patients waiting more than 31 days for radiotherapy treatment in March 2024 was therefore 10.3%. This has decreased by 4.5% since January 2024.</p><p>We are aware of regional disparities in wait times for cancer treatment through NHS England’s data, and are considering the findings made by the Royal College of Radiologists. Tackling inequalities in outcomes, experience, and access of cancer diagnostics, including regional disparities, is a key focus of the Government. NHS England has commissioned six new cancer clinical audits in breast cancer, both primary and metastatic, as well as ovarian, pancreatic, non-Hodgkin lymphoma, and kidney cancer. These will provide timely evidence for cancer service providers of where patterns of care in England may vary, increase the consistency of access to treatments, and help stimulate improvements in cancer treatments and outcomes for patients. The first outcomes of these audits are expected in September 2024.</p><p>The Department is working closely with NHS England to make sure we have the right workforce with the right skills up and down the country. In 2023/24, NHS England invested an additional £50 million to increase the number of cancer and diagnostic specialists.</p><p>The Government is also backing the NHS Long Term Workforce Plan, with over £2.4 billion over the next five years to fund additional education and training places. The plan sets out an aim to double the number of medical school places in England to 15,000 places a year by 2031/32, and to work towards this expansion by increasing places by a third, to 10,000 a year, by 2028/29.</p><p>We are building our cancer workforce. In January 2024 there were over 35,200 full-time equivalent (FTE) staff in the cancer workforce, an increase of over 13,300, or 60.7% since January 2010. Regarding clinical oncology specifically, as of January 2024, there are currently over 1,600 FTE doctors working in the speciality of clinical oncology in National Health Service trusts and other core organisations in England. This is over 30, or 2.2%, more than last year, over 300, or 27.7%, more than 2019, and over 600, 66.5%, more than in 2010. This includes over 900 FTE consultants. This is over 40, or 5.1%, more than last year, over 100, 22.0%, more than in 2019, and over 400, 80.2%, more than in 2010.</p> answering member printed Lord Markham grouped question UIN HL4423 HL4425 question first answered 13/05/2024 11:23:46 answering member 4948 label Biography information for Lord Markham
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1715971

registered interest
date	07/05/2024
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	Radiotherapy: 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 the 15 per cent shortfall in clinical oncologists, as estimated in the Royal College of Radiologists workforce census, does not impact the operational performance of radiotherapy services.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL4425
answer	answer is ministerial correction date of answer 13/05/2024 answer text <p>According to the latest data, of those 10,328 cancer patients referred for first or subsequent treatment for radiotherapy in March 2024, 89.7% were treated within 31 days. The proportion of patients waiting more than 31 days for radiotherapy treatment in March 2024 was therefore 10.3%. This has decreased by 4.5% since January 2024.</p><p>We are aware of regional disparities in wait times for cancer treatment through NHS England’s data, and are considering the findings made by the Royal College of Radiologists. Tackling inequalities in outcomes, experience, and access of cancer diagnostics, including regional disparities, is a key focus of the Government. NHS England has commissioned six new cancer clinical audits in breast cancer, both primary and metastatic, as well as ovarian, pancreatic, non-Hodgkin lymphoma, and kidney cancer. These will provide timely evidence for cancer service providers of where patterns of care in England may vary, increase the consistency of access to treatments, and help stimulate improvements in cancer treatments and outcomes for patients. The first outcomes of these audits are expected in September 2024.</p><p>The Department is working closely with NHS England to make sure we have the right workforce with the right skills up and down the country. In 2023/24, NHS England invested an additional £50 million to increase the number of cancer and diagnostic specialists.</p><p>The Government is also backing the NHS Long Term Workforce Plan, with over £2.4 billion over the next five years to fund additional education and training places. The plan sets out an aim to double the number of medical school places in England to 15,000 places a year by 2031/32, and to work towards this expansion by increasing places by a third, to 10,000 a year, by 2028/29.</p><p>We are building our cancer workforce. In January 2024 there were over 35,200 full-time equivalent (FTE) staff in the cancer workforce, an increase of over 13,300, or 60.7% since January 2010. Regarding clinical oncology specifically, as of January 2024, there are currently over 1,600 FTE doctors working in the speciality of clinical oncology in National Health Service trusts and other core organisations in England. This is over 30, or 2.2%, more than last year, over 300, or 27.7%, more than 2019, and over 600, 66.5%, more than in 2010. This includes over 900 FTE consultants. This is over 40, or 5.1%, more than last year, over 100, 22.0%, more than in 2019, and over 400, 80.2%, more than in 2010.</p> answering member printed Lord Markham grouped question UIN HL4423 HL4424 question first answered 13/05/2024 11:23:46 answering member 4948 label Biography information for Lord Markham
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1715757

registered interest
date	03/05/2024
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	NHS: Carbon Emissions
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 the NHS England net zero supplier roadmap, for what reason NHS England’s (a) target date for reaching net zero emissions by 2045 and (b) scope to include reporting of global emissions differ from the requirements laid out in the guidance entitled Procurement Policy Note 06/21: Taking account of Carbon Reduction Plans in the procurement of major government contracts.
tabling member constituency	Sittingbourne and Sheppey
tabling member printed	Gordon Henderson
uin	24753
answer	answer is ministerial correction date of answer 14/05/2024 answer text <p>The Health and Care Act 2022 compels the National Health Service to take action on climate and environmental issues, including by reducing its emissions. The NHS is committed to reducing its environmental impact, whilst delivering the best possible patient care and outcomes, as well as the best possible value for taxpayers.</p><p>The Climate Change Act 2008 requires all areas of the public sector to reduce their emissions, although the pace of change will differ between different segments of the public sector, depending on cost, feasibility, and innovation. The NHS in England has committed to reaching Net Zero by 2045. To achieve these goals, the NHS will require the support of its suppliers. In 2021, NHS England published the NHS Net Zero Supplier Roadmap, which sets out a series of milestones to support NHS suppliers in aligning with the NHS’s Net Zero ambitions. Further information is available at the following link:</p><p><a href="https://www.england.nhs.uk/greenernhs/get-involved/suppliers/" target="_blank">https://www.england.nhs.uk/greenernhs/get-involved/suppliers/</a></p><p>The latest milestone, implemented from April 2024, sets out Carbon Reduction Plan (CRP) requirements for NHS suppliers aligned to the Procurement Policy Note (PPN) 06/21. As set out in PPN 06/21, NHS suppliers’ CRPs need to cover, at a minimum, their emissions in the United Kingdom, and outline their commitment to achieve Net Zero by 2050.</p><p>NHS England launched the Evergreen Sustainable Supplier Assessment in June 2023, which enables a two-way conversion with suppliers and the NHS. This online, voluntary self-assessment and reporting tool allows suppliers to understand how to align with the NHS Net Zero and sustainability ambitions. NHS England will continue to engage with regulators, suppliers, and industry bodies ahead of implementing future roadmap milestones, to inform policy development. Guidance setting out the detailed requirements of April 2027 will take into account suppliers’ feedback and readiness, and NHS England will aim to publish it well in advance of April 2027 to ensure suppliers have sufficient time to prepare.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 24754 question first answered 14/05/2024 16:35:48 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4050 label Biography information for Gordon Henderson

1715769

registered interest
date	03/05/2024
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	Hospitals: Radio
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 support hospital radio stations.
tabling member constituency	South Swindon
tabling member printed	Sir Robert Buckland
uin	24755
answer	answer is ministerial correction date of answer 09/05/2024 answer text <p>Hospital radio can provide National Health Service patients and visitors with a positive experience at a time when they are feeling vulnerable. NHS trusts work locally with volunteers and organisations to provide this service. Decisions about supporting the service are made most appropriately at a local level.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 09/05/2024 13:35:23 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4106 label Biography information for Sir Robert Buckland

1715770

registered interest
date	03/05/2024
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	Ambulance Services: Databases
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 29 April 2024 to Question 23378 on Ambulance Services: Databases, which directive issued under section 254 of the Health and Social Care 2012 Act NHS England is using to process de-identified data for use in the ambulance data services dashboard in the federated data platform product.
tabling member constituency	Haltemprice and Howden
tabling member printed	Sir David Davis
uin	24737
answer	answer is ministerial correction date of answer 09/05/2024 answer text <p>The Federated Data Platform will bring together information on services, waiting times, equipment, and medicines, allowing the National Health Service to use data to improve outcomes for patients. The directions used to process de-identified data for use in the ambulance data services dashboard in the Federated Data Platform, is NHS England’s De-Identified Data Analytics and Publication Directions 2023, which is available at the following link:</p><p><a href="https://digital.nhs.uk/about-nhs-digital/corporate-information-and-documents/directions-and-data-provision-notices/secretary-of-state-directions/nhs-england-de-identified-data-analytics-and-publication-directions-2023" target="_blank">https://digital.nhs.uk/about-nhs-digital/corporate-information-and-documents/directions-and-data-provision-notices/secretary-of-state-directions/nhs-england-de-identified-data-analytics-and-publication-directions-2023</a></p><p>These are directions given by my Rt hon. Friend, the Secretary of State for Health and Social Care, to establish arrangements for the governance of the ongoing processing of de-identified data, and to act as a framework for the future analysis, linkage, and de-identification of data for analysis by NHS England. The Ambulance Data Services Dashboard in the Federated Data Platform also aligns to the Ambulance Data Set Directions 2022, which is available at the following link:</p><p><a href="https://digital.nhs.uk/about-nhs-digital/corporate-information-and-documents/directions-and-data-provision-notices/nhs-england-directions/ambulance-data-set-directions-2022" target="_blank">https://digital.nhs.uk/about-nhs-digital/corporate-information-and-documents/directions-and-data-provision-notices/nhs-england-directions/ambulance-data-set-directions-2022</a></p><p>These are directions originally given by NHS England to NHS Digital, to establish and operate a system for the collection and analysis of nationally consistent operational and clinical data from all ambulance services in England.</p><p>The legal bases for these specific directions are s261(5)(d) and s13Z3 (e) and (f), of the Health and Social Care Act 2012. Further information on the legal grounds for data processing in relation to the Ambulance Data Services Dashboard can be found in the privacy notice. This is available at the following link:</p><p><a href="https://www.england.nhs.uk/contact-us/privacy-notice/how-we-use-your-information/nhs-federated-data-platform-privacy-notice/fdp-products-and-product-privacy-notices/ambulance-data-services-ads-dashboard-fdp-product-privacy-notice/" target="_blank">https://www.england.nhs.uk/contact-us/privacy-notice/how-we-use-your-information/nhs-federated-data-platform-privacy-notice/fdp-products-and-product-privacy-notices/ambulance-data-services-ads-dashboard-fdp-product-privacy-notice/</a></p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 09/05/2024 17:03:38 answering member 4044 label Biography information for Andrew Stephenson
tabling member	373 label Biography information for Sir David Davis

1715785

registered interest
date	03/05/2024
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	Liver Diseases: Washington and Sunderland West
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 she is taking to support the detection of liver disease in Washington and Sunderland West constituency.
tabling member constituency	Washington and Sunderland West
tabling member printed	Mrs Sharon Hodgson
uin	24742
answer	answer is ministerial correction date of answer 09/05/2024 answer text <p>The Northern Cancer Alliance (NCA) is supporting services to enable the early detection of liver disease across the North East and North Cumbria (NENC) Integrated Care Board (ICB), including in the Washington and Sunderland West Constituency. The focus of work has been to support liver services across NENC to invite more than 80% of patients with cirrhosis, a type of liver disease, to monthly ultrasound surveillance. For 2024/25, the NCA has invested just over £200,000 into trusts across NENC to help improve their monitoring systems for cirrhosis patients.</p><p> </p><p>The NENC ICB is also enrolled in a Community Liver Health Check pilot in Newcastle, being delivered by the system’s Hepatitis C Operational Delivery Networks. This will provide FibroScans in one stop community clinics where patients have relevant blood testing, liver ultrasound, and other investigations, as required. The pilot has expanded into North Tyneside and when resources allow, they intend to develop additional clinics across the area.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 09/05/2024 13:25:17 answering member 4044 label Biography information for Andrew Stephenson
tabling member	1521 label Biography information for Mrs Sharon Hodgson