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1718235

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	Mental Health Services: Private Sector
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 (a) prevalence of the use of, (b) adequacy of the standards of service provided by and (c) potential impact on patient outcomes of the use of the private sector in the provision of mental health services in the NHS; and what steps she has taken to help ensure compliance by the private sector with the Code of Practice: Mental Health Act 1983.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	26363
answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>No such specific assessment has been made. Private companies have always played a role in the National Health Service, and patients should expect a safe and good quality service regardless of whether their care is delivered by private sector or public sector providers. Local integrated care boards are responsible for commissioning health and care services for their local populations, in line with the standards set out in the NHS Standard Contract.</p><p>The Care Quality Commission is the independent regulator of health and care services. All providers of regulated activities, including those in the private sector, must register with the Care Quality Commission, and follow a set of fundamental standards of safety and quality, below which care should never fall.</p><p>The Care Quality Commission also has a duty under the Mental Health Act 1983 to monitor how services exercise their powers and discharge their duties under the act when patients are detained in hospital or are subject to community treatment orders or guardianship.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 20/05/2024 17:05:21 answering member 4492 label Biography information for Maria Caulfield
tabling member	429 label Biography information for Derek Twigg

1714862

registered interest
date	30/04/2024
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	Elysium Healthcare: Contracts
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 annual cost to her Department is of contracts with Elysium Healthcare (a) nationally and (b) in Cheshire.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	24188
answer	answer is ministerial correction date of answer 07/05/2024 answer text <p>The Department does not and has not held any contracts with Elysium Healthcare. Contracts with Elysium Healthcare are held with local National Health Service bodies, for instance NHS trusts.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 07/05/2024 08:05:57 answering member 4044 label Biography information for Andrew Stephenson
tabling member	429 label Biography information for Derek Twigg

1714863

registered interest
date	30/04/2024
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	Elysium Healthcare: Contracts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions her Department has had with Elysium Healthcare on continuing its contract following the inquest into the death of Liam McGenity.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	24189
answer	answer is ministerial correction date of answer 13/05/2024 answer text <p>The Department has had no such discussions with Elysium Healthcare, individual National Health Service commissioning organisations hold contracts with NHS and non-NHS providers for specified services, as part of their commissioning function. NHS England has advised that NHS Cheshire and Merseyside Integrated Care Board (ICB) contracts with Elysium Healthcare under spot purchase agreements, which means that a contract is only ongoing for the duration of an individual patient’s placement.</p><p>The ICB continues to work with St Mary's Hospital in Warrington, part of the Elysium Healthcare Group. Quality visits have taken place at the St Mary’s Hospital estate, alongside visits by the NHS England Specialised Commissioning team, and Care Quality Commission (CQC) visits. All contracts with non-NHS providers are subject to NHS contract quality reviews, in addition to the regulatory regime of the CQC.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 13/05/2024 11:04:02 answering member 4492 label Biography information for Maria Caulfield previous answer version 32561 answering member constituency Lewes answering member printed Maria Caulfield answering member 4492 label Biography information for Maria Caulfield
tabling member	429 label Biography information for Derek Twigg

1692761

registered interest
date	29/02/2024
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	Attention Deficit Hyperactivity Disorder and Autism: Halton
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 children in the Borough of Halton are waiting for (a) autism and (b) ADHD assessments; and what the average waiting times are for such assessments.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	16282
answer	answer is ministerial correction date of answer 05/03/2024 answer text <p>Data on the number of children on a waiting list for an assessment for attention deficit hyperactivity disorder (ADHD) is not held centrally, but may be held locally by individual National Health Service trusts or commissioners. The Cheshire and Merseyside integrated care board (ICB) has provided data on the number of children awaiting an ADHD assessment, and state that at the end of January 2024, there were 230 children awaiting an assessment in Halton. The longest wait time for an ADHD assessment in Halton is 53 weeks, with an average wait time for assessment and outcome or diagnosis of 46 weeks.</p><p>The Department is exploring options for improving national data collection and reporting on waiting times for ADHD assessments, to help improve access to ADHD assessments in a timely way, and in line with the National Institute for Health and Care Excellence’s guideline on ADHD. The National Institute for Health and Care Research has commissioned a research project to provide initial insights into local ADHD assessment waiting time data collection.</p><p>With respect to autism, NHS England publishes data on how many people are waiting for an autism diagnosis and for how long, which provides useful information nationally and locally to support local areas in improving their performance and reducing assessment and diagnosis waiting times. Data is not available publicly for the Borough of Halton, but is available publicly for the Cheshire and Merseyside ICB, and therefore the ICB has provided data on numbers of children waiting for autism assessments in Halton. As of the end of January 2024, they state there were 848 children awaiting autism assessment in Halton. The longest wait time for an autism assessment panel and outcome or diagnosis in Halton is 107 weeks.</p><p>The NHS Cheshire and Merseyside ICB advises that it is working with providers to increase capacity, and has put waiting list initiatives in place to help reduce waiting times for autism assessments. The ICB also commissions pre and post diagnosis support for children and young people on autism and ADHD waiting lists, and is planning on commissioning a coordinator role to support families whilst they are waiting for neurodevelopmental assessments.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 05/03/2024 09:20:37 answering member 4492 label Biography information for Maria Caulfield
tabling member	429 label Biography information for Derek Twigg

1692763

registered interest
date	29/02/2024
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	Surgery: Halton
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 patients in Halton constituency have been waiting for elective care more that (a) 12 and (b) 18 months.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	16287
answer	answer is ministerial correction date of answer 05/03/2024 answer text <p>The information is not held in the format requested. Data is collected on patients waiting over 52 weeks, 65 weeks and 78 weeks, with more information available at the following link:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/rtt-data-2023-24/#Dec23" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/rtt-data-2023-24/#Dec23</a></p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 05/03/2024 09:22:34 answering member 4044 label Biography information for Andrew Stephenson
tabling member	429 label Biography information for Derek Twigg

1677715

registered interest
date	13/12/2023
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	Cancer: Research
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 made an assessment of the implications for its policies of the proposals set out in Cancer Research UK's report entitled Longer, better lives: A manifesto for cancer research and care; and what plans she has to fund cancer research in the next 10 years.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	6734
answer	answer is ministerial correction date of answer 18/12/2023 answer text <p>The Government welcomes Cancer Research UK’s report, which rightly highlights progress made in cancer diagnosis and care.</p><p>Cancer is a Government priority, demonstrated by the commitment to the ambition of diagnosing 75% of cancers at stages 1 and 2 by 2028. NHS England has implemented interventions to help achieve this ambition, such as Non-specific Symptom Pathways, and will continue to seek new ways to diagnose cancer earlier and save more lives, for example through the NHS-Galleri blood test trial.</p><p>Furthermore, the Department has invested over £100 million into cancer research in 2021/22 through the National Institute for Health and Care Research (NIHR). In January 2023<strong>, </strong>Cancer Research UK, NIHR and the devolved administrations jointly provided funding of £47.5 million to the Experimental Cancer Medicine Centre network over the next five years. The Department is working closely with research partners in all sectors, and the Government's continued commitment to cancer research will help to build on that progress, leading to continued improvements for all cancer patients.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 18/12/2023 17:19:58 answering member 4044 label Biography information for Andrew Stephenson
tabling member	429 label Biography information for Derek Twigg

1663101

registered interest
date	13/10/2023
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	Dementia: Lumbar Puncture
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 Alzheimer’s Research UK’s report entitled Tipping Point: The Future of Dementia, what steps he is taking to increase the number of lumbar punctures conducted to help identify people who may be eligible for new dementia treatments.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	200955
answer	answer is ministerial correction date of answer 18/10/2023 answer text <p>NHS England is monitoring the pipeline of prospective disease modifying treatments for early Alzheimer’s disease. NHS England is currently anticipating decisions on whether the first of these medicines will be licensed for use in the United Kingdom next year.</p><p>A dedicated programme team has been established within NHS England for early Alzheimer’s treatments. The team is working closely with the medicines manufacturers, patient groups and other key stakeholders to prepare in advance for the roll out of any new medicines in the National Health Service as and when they secure the necessary regulatory approvals. This includes securing additional diagnostic capacity including magnetic resonance imaging, lumbar puncture and positron emission tomography/computed topography.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 18/10/2023 16:29:14 answering member 4527 label Biography information for Helen Whately
tabling member	429 label Biography information for Derek Twigg

1661295

registered interest
date	18/09/2023
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	Radiotherapy: Halton
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has had recent discussions with (a) NHS Trusts and (b) Integrated Care Boards in Halton constituency on commissioning duties for radiotherapy treatment services.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	199866
answer	answer is ministerial correction date of answer 16/10/2023 answer text <p>The Department has not had any direct discussions with NHS trusts or integrated care boards (ICBs) on the delegation of commissioning duties for radiotherapy treatment services from NHS England to ICBs across the Halton constituency.</p><p>NHS England’s National Moderation Panel will determine how many ICBs will take on responsibility for specialised commissioning in October 2023. Following this moderation process, recommendations will be taken to the NHS England Board for final decisions in December 2023, before new arrangements go live from April 2024.</p><p>This process will consider the delegation of radiotherapy commissioning for ICBs across England including across the Halton constituency.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 16/10/2023 09:46:07 answering member 4527 label Biography information for Helen Whately
tabling member	429 label Biography information for Derek Twigg

1661296

registered interest
date	18/09/2023
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	Cancer: 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 his Department is taking to monitor the impact of changes to NHS cancer waiting time targets; and if he will make a statement.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	199867
answer	answer is ministerial correction date of answer 16/10/2023 answer text <p>On 17 August 2023, NHS England announced that cancer waiting times standards would be rationalised from 1 October 2023. This followed the clinically led review of standards across the National Health Service which recommended consolidating cancer waiting times from ten standards into three.</p><p>From October 2023, there will be a Faster Diagnosis Standard of a maximum 28-day wait for communication of a definitive cancer/not cancer diagnosis for patients referred urgently or those identified by NHS cancer screening. There will be a maximum 62-day wait to first treatment from urgent general practitioner referral, NHS cancer screening or consultant upgrade. There will be a maximum 31-day wait from decision to treat to any cancer treatment starting for all cancer patients.</p><p>These changes will allow a clearer focus on priorities and give clinicians greater flexibility to adopt new technologies such as remote image review and artificial intelligence, and avoid disincentivising modern working practices such as one-stop shops and straight-to-test.</p><p>Alongside the updated standards, the NHS has also committed to publishing a more detailed breakdown of the cancer statistics each month, increasing the number of cancer types for which separate data are published. Statistics on performance against the old standards will continue to be collected.</p> answering member constituency Colchester answering member printed Will Quince question first answered 16/10/2023 09:50:04 answering member 4423 label Biography information for Will Quince
tabling member	429 label Biography information for Derek Twigg

1660129

registered interest
date	12/09/2023
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	Breast Cancer: Diagnosis
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 progress his Department has made on increasing rates of early diagnosis for breast cancer.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	199028
answer	answer is ministerial correction date of answer 18/09/2023 answer text <p>Improving early diagnosis of cancer, including breast cancer, remains a priority. We are working towards the NHS Long Term Plan ambition of diagnosing 75% of stageable cancers at stage 1 and 2 by 2028. The latest published data shows this was 52% from January to December 2020. Achieving this will mean that, from 2028, 55,000 more people each year will survive their cancer for at least five years after diagnosis.</p><p>The Government has also expanded the Breast Screening programme, with an additional £10 million funding for 28 new breast screening units and nearly 60 life-saving upgrades to services in the areas where they are most needed.</p> answering member constituency Colchester answering member printed Will Quince question first answered 18/09/2023 09:23:54 answering member 4423 label Biography information for Will Quince
tabling member	429 label Biography information for Derek Twigg