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1699274

	registered interest
	date	27/03/2024
	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, further to the Written Answer by Lord Markham on 25 March (HL2978), why they have specified how physician associates (PAs) are to be used, specifically with undifferentiated patients, rather than allowing GP practices to make their own decisions about the use of PAs.
	tabling member printed	Baroness Bennett of Manor Castle
	uin	HL3652
	answer	answer is ministerial correction date of answer 05/04/2024 answer text <p>Physician Associates (PAs) work within a defined scope of practice and limits of competence. NHS England has provided recent guidance on the use of PAs in general practice (GP) teams. As set out in the Network Contract Directed Enhanced Service, PAs should be adequately supervised by a GP when providing care for undifferentiated patients.</p><p>In terms of employment choices, GPs are self-employed contractors to the National Health Service, and it is largely up to employers to determine how best to staff their primary care network or GP, to best meet the needs of their population.</p> answering member printed Lord Markham question first answered 05/04/2024 13:32:33 answering member 4948 label Biography information for Lord Markham
	tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1699315

	registered interest
	date	27/03/2024
	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	Cancer: Medical Treatments
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made, in each of the past five years, of the economic costs of the effects of post-operative cancer treatments.
	tabling member printed	Lord Wills
	uin	HL3712
	answer	answer is ministerial correction date of answer 05/04/2024 answer text <p>The Department is working jointly with NHS England and Cancer Alliances to ensure every person receives personalised care and support from cancer diagnosis onwards, including post-treatment. As outlined in the NHS Long Term Plan for cancer, where appropriate, every person diagnosed with cancer will have access to personalised care, including needs assessment, a care plan and health and wellbeing information and support. After treatment, the person will move to a follow-up pathway that suits their needs, and ensures they can get rapid access to clinical support, where they are worried that their cancer may have recurred.</p><p>Post-operative cancer treatments encompass a wide variety of care, depending on the type and stage of cancer, the treatment the patient has had, and the patient’s needs. Follow-up care often includes regular check-ups, blood tests, scans, and procedures. It may also involve further treatments to deal with late and long-term side effects, including chemotherapy or radiotherapy to reduce the risk of cancer coming back. These highly individualised treatments have varying economic costs.</p> answering member printed Lord Markham question first answered 05/04/2024 13:26:44 answering member 4948 label Biography information for Lord Markham
	tabling member	260 label Biography information for Lord Wills

1699316

	registered interest
	date	27/03/2024
	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	Medical Equipment: Storage
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, further to the Written Answer by Lord Markham on 9 February (HL2216), why the information mentioned in the Answer on government expenditure is commercially sensitive.
	tabling member printed	Baroness Wolf of Dulwich
	uin	HL3713
	answer	answer is ministerial correction date of answer 09/04/2024 answer text <p>At the time of answering, the Department was engaged in commercial negotiations with NHS Supply Chain and their sub-contractors, relating to ongoing storage requirements for the COVID Strategic Intensive Care Unit. In December 2023, the average per pallet per week cost for equipment in the COVID Strategic Intensive Care Unit was £5.52.</p><p>The Department currently makes payments to NHS Supply Chain in relation to storage of personal protective equipment (PPE). At end of December 2023 there were 492,259 pallets, or 5.1 billion items, of COVID-19 PPE remining in storage. This includes both business as usual and excess stock.</p> answering member printed Lord Markham question first answered 09/04/2024 13:31:41 answering member 4948 label Biography information for Lord Markham
	tabling member	4347 label Biography information for Baroness Wolf of Dulwich

1699327

	registered interest
	date	27/03/2024
	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	Population
	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 impact on the UK of the global decline in fertility rates.
	tabling member printed	Lord Farmer
	uin	HL3671
	answer	answer is ministerial correction date of answer 10/04/2024 answer text <p>No such assessment has been made.</p> answering member printed Lord Markham question first answered 10/04/2024 12:43:43 answering member 4948 label Biography information for Lord Markham
	tabling member	4321 label Biography information for Lord Farmer

1699328

	registered interest
	date	27/03/2024
	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	Birth Rate
	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 impact of the Abortion Act 1967 on UK birth rates.
	tabling member printed	Lord Farmer
	uin	HL3672
	answer	answer is ministerial correction date of answer 10/04/2024 answer text <p>No assessment has been made of the impact of the Abortion Act 1967 on United Kingdom birth rates. Parliament decided the circumstances under which abortion can legally be undertaken. Under the act, women have access to safe, legal, regulated abortion services.</p> answering member printed Lord Markham question first answered 10/04/2024 11:07:17 answering member 4948 label Biography information for Lord Markham
	tabling member	4321 label Biography information for Lord Farmer

1699329

	registered interest
	date	27/03/2024
	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	Mental Health: Boys
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what action they are taking to help the mental health of boys who were impacted by the lockdown restrictions.
	tabling member printed	Lord Farmer
	uin	HL3673
	answer	answer is ministerial correction date of answer 10/04/2024 answer text <p>We want to ensure that all children and young people get the mental health support they need, including boys.</p><p>By the end of 2023/24 the overall spending on mental health has increased by more than £4.7 billion in cash terms since 2018/19 (before the COVID-19 lockdown restrictions were introduced).</p><p>There are now around 400 mental health support teams in place across England, covering 3.4 million children or around 35% of pupils in schools and colleges. We estimate this will increase to 44% by April 2024 and we are working to increase this coverage to 50% of pupils by March 2025.</p><p>There are also currently around 65 locally funded early support hubs in England. These hubs are open to those aged 11 to 25 years old and, importantly, they are for anyone who may not meet the threshold to receive National Health Service support. Following a competitive commercial process from hubs across the country, the government is now providing up to £8 million to 24 existing hubs to provide even more support. This means children and young people, including boys, who are experiencing feelings of anxiety or stress will have a physical space to go to in their community when their problems first emerge, without the need for a referral.</p> answering member printed Lord Markham question first answered 10/04/2024 11:07:05 answering member 4948 label Biography information for Lord Markham
	tabling member	4321 label Biography information for Lord Farmer

1698892

	registered interest
	date	26/03/2024
	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	Anaesthesia Associates and Physician Associates
	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 discussions she has had with the General Medical Council on (a) regulating (i) physician and (ii) anaesthesia associates and (b) ensuring that increased use of these roles in hospitals does not impact (A) the professional competence of other healthcare professionals and (B) patient safety.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	20681
	answer	answer is ministerial correction date of answer 15/04/2024 answer text <p>The Department has been working closely with the General Medical Council (GMC) since 2019, on the regulation of Anaesthesia Associates (AAs) and Physician Associates (PAs). Regulation with the GMC will provide set standards of practice, education, and training for AAs and PAs, as well as requirements around continual professional development (CPD) and conduct. Regulation with the GMC will mean that individual AAs and PAs can be held to account if serious concerns are raised.</p><p> </p><p>The NHS Long Term Workforce Plan commits to growing these roles alongside recruiting and training more doctors, nurses, and allied health and other professionals. NHS England is working with partners, including the GMC, royal colleges, trade unions, doctors, and medical associate professional groups to develop comprehensive curricula, core capability frameworks, standards for CPD, assessment and appraisal, and supervision guidance for AAs and PAs, ensuring the roles are expanded safely and effectively.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 15/04/2024 08:29:10 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4471 label Biography information for Rachael Maskell

1698899

	registered interest
	date	26/03/2024
	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	Health Professions
	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 she is having with professional bodies on ensuring that the public have a clear understanding of (a) professional titles and (b) the services they can expect from the holders of such titles.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	20682
	answer	answer is ministerial correction date of answer 15/04/2024 answer text <p>It is the responsibility of professionals and their employers to ensure professional titles are used appropriately, and are not misleading to patients. National Institute for Health and Care Excellence (NICE) guidelines set out that all healthcare professionals directly involved in a patient's care should introduce themselves and explain to the patient: who is responsible for their clinical care and treatment; the roles and responsibilities of the different members of the healthcare team; and the communication about their care that takes place between members of the healthcare team.</p><p> </p><p>Professions that are regulated in statute have titles that are protected by law, and professionals must be registered with a statutory regulator to use them. It is an offence for a person to use a title they are not legally permitted to use, or to otherwise hold themselves out to be a regulated professional.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 15/04/2024 08:28:46 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4471 label Biography information for Rachael Maskell

1698907

	registered interest
	date	26/03/2024
	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	Social Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether she has made an assessment of the potential impact of her policies on social care on (a) staff recruitment and retention and (b) service user outcomes.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	20683
	answer	answer is ministerial correction date of answer 15/04/2024 answer text <p>Preliminary findings for the Department's workforce reform programme have indicated that workers with multiple positive employment factors, including increasing access to training and qualifications, were more likely to stay in employment. Planned evaluation of the reforms will aim to measure the impact on intention to leave, and actual turnover, along with other outcomes.</p><p>We anticipate benefits from the workforce reform programme will include a reduction in staff turnover, improved quality of care from a better trained and more stable workforce, increased workforce productivity, and an increase in efficiency savings for social care providers as they reduce the amount of retraining and recruitment needed. These all contribute to our wider goals of improvements in the quality-of-care provision and improved access to care.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 15/04/2024 08:28:23 answering member 4527 label Biography information for Helen Whately
	tabling member	4471 label Biography information for Rachael Maskell

1698922

	registered interest
	date	26/03/2024
	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	Opioids: Overdoses
	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 is collating data from toxicology reports of non-fatal overdose incidents to assess the risk from synthetic opioids.
	tabling member constituency	Brighton, Pavilion
	tabling member printed	Caroline Lucas
	uin	20589
	answer	answer is ministerial correction date of answer 15/04/2024 answer text <p>The Government is undertaking a number of actions to address the risk that synthetic opioids pose. The Department has a longstanding surveillance system in place to collect information on the nature and location of novel drug use, drug markets, and reports alerting us to drug harms experienced. We continue to monitor the threat posed by synthetic opioids, and are working to improve drug surveillance on synthetic opioids through the development of an early warning system. This will include, with the permission of coroners, toxicology results for fatal overdose cases from across England as soon as the information is available, enabling the Department to closely monitor the substances causing deaths.</p><p> </p><p>We know that most overdoses take place when individuals are alone, or accompanied by others also using drugs. This means they are largely transitory and hidden events, with no opportunity for sampling. A key indicator, therefore, is those who do come into contact with first responders, who are administered the lifesaving opioid reversal drug naloxone, or who are admitted to hospital. Ambulance data represents an opportunity for rapidly identifying local spikes in overdoses and, for this purpose, we are establishing data feeds with ambulance trusts in England, on callouts where naloxone has been administered.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 15/04/2024 08:51:23 answering member 4117 label Biography information for Andrea Leadsom
	tabling member	3930 label Biography information for Caroline Lucas