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1718510

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	HIV Infection: Females
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 implications for her policies of the (a) outcomes and (b) experiences of women with HIV; and what steps she plans to take to reflect those in the next HIV action plan.
tabling member constituency	Streatham
tabling member printed	Bell Ribeiro-Addy
uin	26611
answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>The Government is committed to ensuring everyone benefits equally from progress on human immunodeficiency virus (HIV), including women, as set out in our HIV Action Plan. In collaboration with the UK Health Security Agency, we are continuing to monitor the experiences of people living with HIV within the health and social care system, as well as within community settings, via the Positive Voices survey. Data from the latest Positive Voices report, published in January 2024, revealed that HIV treatment and care service provision has continued to be highly rated and equitable across the country.</p><p>We are encouraged by the progress made to date by the HIV Action Plan, driven by excellent leadership and joint efforts with partners across the system. We will be working closely together with our HIV Action Plan Implementation Steering Group partners and other key stakeholders, to understand the data trends and agree on the most effective strategies to continue driving our way forward. We will be considering and sharing next steps for the HIV Action Plan shortly.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 20/05/2024 16:23:22 answering member 4117 label Biography information for Andrea Leadsom
tabling member	4764 label Biography information for Bell Ribeiro-Addy

1718511

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	HIV Infection: Females
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 help ensure that HIV testing rates among women (a) return to and (b) exceed pre covid-19 levels.
tabling member constituency	Streatham
tabling member printed	Bell Ribeiro-Addy
uin	26612
answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>The HIV Action Plan is the cornerstone of our approach to drive forward progress and achieve our goal of ending new human immunodeficiency viruses (HIV) transmissions, and acquired immune deficiency syndrome (AIDS) and HIV-related deaths within England by 2030. A key principle of our approach is to ensure that all populations benefit equally from improvements made in HIV outcomes, including through testing, and high-quality care for those with a positive HIV status.</p><p>While the disruption of the COVID-19 pandemic has resulted in a significant drop in HIV testing, we are pleased that services are recovering, and testing rates among gay and bisexual men are now at the highest level on record, with a 23% increase from 2019 to 2022. However, more progress is needed across all groups, which we are targeting through various initiatives.</p><p>As part of the HIV Action Plan, the Department funds the HIV Prevention Programme, which annually runs a National HIV Testing Week (NHTW) campaign to encourage those in underrepresented groups, such as women and black ethnic groups, to test for HIV. In 2023, we introduced the self-testing option, which we know is very popular with harder to reach groups. During the 2024 NHTW campaign, self-testing orders from black African women nearly doubled when compared with 2023, and orders of these kits by heterosexual women increased by 39%.</p><p>The introduction of opt-out testing for HIV in emergency departments, in the areas with extremely high diagnosed HIV prevalence, is also a crucial strategy to help us identify those living with undiagnosed or untreated HIV. By normalising testing as part of an emergency department attendance when blood is drawn, we help reach communities that are currently underserved by testing opportunities, such as black African and black Caribbean ethnic groups and women, and reduce the number of people presenting with a late HIV diagnosis.</p><p>A subgroup of the HIV Action Plan Implementation Steering Group (ISG), the Retention and Re-engagement in Care Task and Finish Group, is providing advice on increasing the number of people retained and re-engaged in care and receiving effective medical care, in particularly considering women and other groups disproportionally affected by HIV, which will be reviewed by the ISG in due course.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom grouped question UIN 26613 question first answered 20/05/2024 16:19:04 answering member 4117 label Biography information for Andrea Leadsom
tabling member	4764 label Biography information for Bell Ribeiro-Addy

1718512

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	HIV Infection: Females
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 improve rates of retention in HIV care among (a) Black African women, (b) Black Caribbean women, (c) White women and (d) women of other ethnicities.
tabling member constituency	Streatham
tabling member printed	Bell Ribeiro-Addy
uin	26613
answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>The HIV Action Plan is the cornerstone of our approach to drive forward progress and achieve our goal of ending new human immunodeficiency viruses (HIV) transmissions, and acquired immune deficiency syndrome (AIDS) and HIV-related deaths within England by 2030. A key principle of our approach is to ensure that all populations benefit equally from improvements made in HIV outcomes, including through testing, and high-quality care for those with a positive HIV status.</p><p>While the disruption of the COVID-19 pandemic has resulted in a significant drop in HIV testing, we are pleased that services are recovering, and testing rates among gay and bisexual men are now at the highest level on record, with a 23% increase from 2019 to 2022. However, more progress is needed across all groups, which we are targeting through various initiatives.</p><p>As part of the HIV Action Plan, the Department funds the HIV Prevention Programme, which annually runs a National HIV Testing Week (NHTW) campaign to encourage those in underrepresented groups, such as women and black ethnic groups, to test for HIV. In 2023, we introduced the self-testing option, which we know is very popular with harder to reach groups. During the 2024 NHTW campaign, self-testing orders from black African women nearly doubled when compared with 2023, and orders of these kits by heterosexual women increased by 39%.</p><p>The introduction of opt-out testing for HIV in emergency departments, in the areas with extremely high diagnosed HIV prevalence, is also a crucial strategy to help us identify those living with undiagnosed or untreated HIV. By normalising testing as part of an emergency department attendance when blood is drawn, we help reach communities that are currently underserved by testing opportunities, such as black African and black Caribbean ethnic groups and women, and reduce the number of people presenting with a late HIV diagnosis.</p><p>A subgroup of the HIV Action Plan Implementation Steering Group (ISG), the Retention and Re-engagement in Care Task and Finish Group, is providing advice on increasing the number of people retained and re-engaged in care and receiving effective medical care, in particularly considering women and other groups disproportionally affected by HIV, which will be reviewed by the ISG in due course.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom grouped question UIN 26612 question first answered 20/05/2024 16:19:04 answering member 4117 label Biography information for Andrea Leadsom
tabling member	4764 label Biography information for Bell Ribeiro-Addy

1712880

registered interest
date	22/04/2024
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	Palliative Care: Integrated Care Boards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what funding support her Department is providing to Integrated Care Boards on the operation of (a) hospices, (b) palliative care and (c) end-of-life services.
tabling member constituency	Streatham
tabling member printed	Bell Ribeiro-Addy
uin	23036
answer	answer is ministerial correction date of answer 25/04/2024 answer text <p>The majority of palliative and end of life care is provided by core National Health Service staff and services. However, we also recognise the vital part that voluntary sector organisations, including hospices, play in providing support to people at end of life, and their families. Most hospices are charitable, independent organisations which receive some statutory funding for providing NHS services.</p><p>The amount of funding hospices receive is dependent on many factors, including what other statutory services are available within the integrated care board (ICB) footprint. Charitable hospices provide a range of services which go beyond that which statutory services are legally required to provide, and consequently, the funding arrangements reflect this.</p><p>However, since 2020, NHS England has provided hospices with over £350 million to secure and increase NHS capacity, and to support hospital discharge, as part of the COVID-19 response. In addition, since 2021/22, nearly £63 million has been provided to children’s hospices as part of the Children and Young People’s Hospice Grant. Furthermore, additional investment in children and young people’s palliative and end of life care, including hospices, has also been made through the NHS Long Term Plan’s commitment to match-fund clinical commissioning groups, and subsequently ICBs, totalling over £23 million.</p><p>As set out in the Health and Care Act 2022, ICBs are responsible for determining the level of NHS-funded palliative and end of life care locally, including hospice care, and are responsible for ensuring that the services they commission meet the needs of their local population.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 25/04/2024 11:12:02 answering member 4527 label Biography information for Helen Whately
tabling member	4764 label Biography information for Bell Ribeiro-Addy

1712884

registered interest
date	22/04/2024
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	Palliative 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 her Department is taking to help support (a) hospice and (b) other end-of-life services.
tabling member constituency	Streatham
tabling member printed	Bell Ribeiro-Addy
uin	23039
answer	answer is ministerial correction date of answer 25/04/2024 answer text <p>As part of the Health and Care Act 2022, the Government added palliative care services to the list of services an integrated care board (ICB) must commission, promoting a more consistent national approach, and supporting commissioners in prioritising palliative and end of life care.</p><p>The majority of palliative and end of life care is provided by National Health Service staff and services. However, we also recognise the vital part that voluntary sector organisations, including hospices, play in providing support to people at end of life, and their families. Most hospices are charitable, independent organisations which receive some statutory funding for providing NHS services. The amount of funding hospices receive is dependent on many factors, including what other statutory services are available within the ICB footprint. Charitable hospices provide a range of services which go beyond that which statutory services are legally required to provide, and consequently, the funding arrangements reflect this.</p><p>To support ICBs, NHS England has published statutory guidance and service specifications for both adults and children. NHS England has also commissioned the development of a palliative and end of life care dashboard, which brings together relevant, all age local data in one place. The dashboard helps commissioners understand the palliative and end of life care needs of both adults and children in their local population, enabling ICBs to put plans in place to address and track the improvement of health inequalities.</p><p>NHS England has also funded seven strategic clinical networks for palliative and end of life care. These networks support commissioners in the delivery of outstanding clinical and personalised care for people in the last years of life, and reduce local variation.</p><p>At a national level, NHS England has confirmed it will renew the Children and Young People’s hospice funding for 2024/25, again allocating £25 million of grant funding for children’s hospices, using the same prevalence-based allocation approach as in 2022/23 and 2023/24. The Government has provided £60 million of additional funding to help deliver the one-off payments to over 27,000 eligible staff employed on dynamically linked Agenda for Change contracts by non-NHS organisations, including some hospices.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 25/04/2024 11:18:08 answering member 4527 label Biography information for Helen Whately
tabling member	4764 label Biography information for Bell Ribeiro-Addy

1712932

registered interest
date	17/04/2024
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	Kidney Diseases: 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 outsourcing dialysis services in Lambeth on patient care.
tabling member constituency	Streatham
tabling member printed	Bell Ribeiro-Addy
uin	902449
answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>Any service changes should be based on clear evidence that they will deliver better patient outcomes.</p><p> </p><p>Within Lambeth, patients who will receive dialysis at the new site in Brixton will receive care in a significantly improved environment within brand new facilities in a great example of innovative public/private partnership.</p><p> </p><p>NHS England has established the Renal Services Transformation Programme to reduce unwarranted variation in the quality and accessibility of renal care.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 23/04/2024 15:19:41 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4764 label Biography information for Bell Ribeiro-Addy

1700437

registered interest
date	12/04/2024
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: Children
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 ensure that seriously ill children and their families can access information on how to access emotional and psychological support.
tabling member constituency	Streatham
tabling member printed	Bell Ribeiro-Addy
uin	21324
answer	answer is ministerial correction date of answer 19/04/2024 answer text <p>The clinical team responsible for a seriously ill child’s physical healthcare should discuss and review their emotional and psychological status regularly with them, or their family, and support them with access to information and services for their mental health if needed. Commissioners are encouraged to ensure local pathways include assessment and ongoing support of patients’ mental and psychological wellbeing and cognitive status.</p><p>The Health and Care Act 2022 placed a legal duty on integrated care boards (ICBs) to commission palliative and end of life care services, which meet the needs of their whole population. To support ICBs in this, NHS England has published statutory guidance, along with service specifications for children and young people, which make reference to including a holistic approach to care. This includes links to social prescribing, assessing, and addressing the needs of children, young people and families, and clear referral pathways to other services such as children and young people’s mental health services. The statutory guidance and the service specifications for children and young people are available respectively at the following links:</p><p><a href="https://eur03.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.england.nhs.uk%2Fpublication%2Fpalliative-and-end-of-life-care-statutory-guidance-for-integrated-care-boards-icbs%2F&amp;data=05%7C02%7CShirley.Tobin%40dhsc.gov.uk%7C0cf52c00176d4207242208dc5e4f4e74%7C61278c3091a84c318c1fef4de8973a1c%7C1%7C0%7C638488941907386165%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&amp;sdata=Y2NBku%2BN73Psi5%2BuBNW0dCaPOjecLKzotN6jJcs3n%2BU%3D&amp;reserved=0" target="_blank">https://www.england.nhs.uk/publication/palliative-and-end-of-life-care-statutory-guidance-for-integrated-care-boards-icbs/</a></p><p><a href="https://www.england.nhs.uk/publication/service-specifications-for-palliative-and-end-of-life-care-children-and-young-people-cyp/" target="_blank">https://www.england.nhs.uk/publication/service-specifications-for-palliative-and-end-of-life-care-children-and-young-people-cyp/</a></p><p>Patients’ family members who feel they need emotional and psychological support should speak to their general practice, or can self-refer to NHS Talking Therapies online. Details are available on the NHS website.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 19/04/2024 10:05:11 answering member 4492 label Biography information for Maria Caulfield
tabling member	4764 label Biography information for Bell Ribeiro-Addy

1700438

registered interest
date	12/04/2024
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	Perinatal Mortality: Ethnic Groups
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 paragraph 4.2 of the report entitled A comparison of the care of Asian and White women who have experienced a stillbirth or neonatal death, published by the MBRRACE-UK Perinatal Confidential Enquiry on 14 December 2023, whether her Department has had discussions with NHS England on taking steps to improve how ethnicity data is recorded.
tabling member constituency	Streatham
tabling member printed	Bell Ribeiro-Addy
uin	21325
answer	answer is ministerial correction date of answer 19/04/2024 answer text <p>The Department has regular and ongoing discussions with NHS England, and other relevant bodies, on improving neonatal and maternity data quality. This includes discussions on how to improve the recording of ethnicity data. NHS Equity and Equality Guidance, produced as part of NHS England’s three-year delivery plan for maternity and neonatal services, includes ethnic coding data completeness to better understand local populations and their health outcomes. Ethnic coding data completeness has improved year on year, from 85% in 2019 to 93% in 2022.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 19/04/2024 13:21:58 answering member 4492 label Biography information for Maria Caulfield
tabling member	4764 label Biography information for Bell Ribeiro-Addy

1700439

registered interest
date	12/04/2024
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	Maternity Services: Interpreters
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 paragraph 1.10 of the Three-year delivery plan for maternity and neonatal services, published on 30 March 2023, what steps her Department is taking with NHS England to monitor the provision of access to interpreters for patients in maternity services by NHS trusts.
tabling member constituency	Streatham
tabling member printed	Bell Ribeiro-Addy
uin	21326
answer	answer is ministerial correction date of answer 13/05/2024 answer text <p>Integrated care boards and National Health Service providers are responsible for ensuring that translation and interpretation services are in place, as they are better placed to make decisions about how they use their funding based on the needs of their local populations. To support them in this, NHS England has developed a framework agreement with suppliers of translation and interpretation services, whose experience and capability has been robustly tested. The services include face to face spoken language, British sign language, telephone interpretation and translation, document translation, and video translation and interpretation. Further information is available at the following link:</p><p><a href="https://www.sbs.nhs.uk/services/framework-agreements/interpretation-and-translation-services/" target="_blank">https://www.sbs.nhs.uk/services/framework-agreements/interpretation-and-translation-services/</a></p><p>To identify the most effective way to improve interpretation provision across all clinical services, including maternity and neonatal care, NHS England has completed a strategic review during 2023/24. The review considered the breadth and complexity of issues across the patient pathway, and completed an options appraisal of potential interventions. The review will inform how we best help improve interpretation services so that they meet the needs of communities and support equitable access, experience, and outcomes for all, and includes the development of an NHS Framework for Action for Community Language Translation and Interpreting during 2024/25.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 13/05/2024 11:01:13 answering member 4492 label Biography information for Maria Caulfield
tabling member	4764 label Biography information for Bell Ribeiro-Addy

1700440

registered interest
date	12/04/2024
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	Perinatal Mortality
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 report entitled A comparison of the care of Asian and White women who have experienced a stillbirth or neonatal death, published by the MBRRACE-UK Perinatal Confidential Enquiry on 14 December 2023, what recent discussions her Department has had with NHS England on ensuring that women (a) from lower socioeconomic backgrounds and (b) at risk of premature birth are offered the (i) tests and (ii) medication that are recommended by NHS guidelines.
tabling member constituency	Streatham
tabling member printed	Bell Ribeiro-Addy
uin	21327
answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>Departmental and NHS England colleagues meet regularly to discuss initiatives to reduce disparities in maternity and neonatal outcomes, and pre-term births. NHS England has invested £6.8 million into their Equity and Equality guidance, which focuses on actions to reduce disparities for women and babies, including for those living in the most deprived areas. It sets out actions and expectations on Local Maternity and Neonatal Systems to consider complex social factors and adhere to the National Institute for Health and Care Excellence’s guidelines regarding maternity care.</p><p>All National Health Service trusts are now implementing the Saving Babies’ Lives Care Bundle (SBLCB), which provides up-to-date, evidence-based best practice regarding reducing perinatal mortality, including guidance around reducing preterm birth. The SBLCB recommends a universal risk assessment of all women for preterm birth at their antenatal booking appointment, with those at higher and intermediate risk being offered a care pathway designed to reduce the chances of preterm birth.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 23/04/2024 16:30:14 answering member 4492 label Biography information for Maria Caulfield
tabling member	4764 label Biography information for Bell Ribeiro-Addy