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1661953

	registered interest
	date	19/09/2023
	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	Dental 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 (a) financial and (b) other steps his Department is taking to increase access to NHS dentistry in (i) Coventry, (ii) the West Midlands and (iii) England.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	200466
	answer	answer is ministerial correction date of answer 17/10/2023 answer text <p>In July 2022, we announced a package of reforms to improve access to National Health Service dentistry, which outlined the steps we are taking to meet oral health need and increase access to dental care. The changes that have been implemented include improvements to ensure dentists are remunerated more fairly for more complex work.</p><p>From 1 April 2023, responsibility for commissioning primary care dentistry to meet the needs of the local population has been delegated to all integrated care boards (ICBs) across England. ICBs are responsible for having local processes in place to involve patient groups, and for undertaking oral health needs assessments, to identify areas of need and determine the priorities for investment. Coventry and Warwickshire ICB has proposals that include remobilisation of some dental activity and procurement of new services. The West Midlands ICB has increased investment through various initiatives to support recovery of NHS dental services.</p><p>The NHS Long Term Workforce Plan, published on 30 June 2023, sets out the steps the National Health Service and its partners need to take to deliver an NHS workforce that meets the changing needs of the population over the next 15 years. These include a 40% increase to dentistry undergraduate training places by 2031/32.</p><p>But we know we need to do more, and that there are some areas where access is particularly problematic. We are working on our Dentistry Recovery Plan which will address how we continue to improve access, particularly for new patients; and how we make NHS work more attractive to ensure NHS dentists are incentivised to deliver more NHS care.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 17/10/2023 09:31:52 answering member 4679 label Biography information for Neil O'Brien
	tabling member	4378 label Biography information for Colleen Fletcher

1652820

	registered interest
	date	13/07/2023
	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	Health: Disadvantaged
	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 tackle health inequalities in (a) Coventry North East constituency, (b) Coventry, (c) the West Midlands and (d) England.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	193934
	answer	answer is ministerial correction date of answer 18/07/2023 answer text <p>In the white paper ‘Levelling Up the United Kingdom’, published in February 2022, the Government set out a levelling up health mission to narrow the gap in healthy life expectancy (HLE) between local areas where it is highest and lowest by 2030, and increase HLE by five years by 2035. A range of action is being taken forward which will support progress on the health mission, including the development of a Major Conditions Strategy on which an interim report will be published in the summer.</p><p>The Office of Health Improvement and Disparities’ (OHID) regional teams work closely with Local Directors of Public Health to ensure the ring-fenced public health grant funds evidence-based activity to improve health and tackle health inequalities. The public health grant funding allocated to Coventry for 2023/24 was £23,962,345. In addition to the grant, an additional £709,229 was allocated to invest in the local authority’s drug misuse services as part of the National Drug Strategy.</p><p>Coventry is one of 75 English local authority areas receiving funding through the Family Hubs and Start for Life programme. This programme aims to improve outcomes for babies, children and families by improving access to local services, with a particular focus on the first 1001 days from conception to age two. This will contribute to a reduction in inequalities in health and education outcomes in Coventry, the West Midlands, and across England. Coventry is also one of the existing Targeted Lung Health Check pilots which have been rolled out to deprived areas with the highest level of lung cancer mortality.</p><p> </p><p>TARGET DATE 18/07/2023</p><p>OHID’s regional team works alongside NHS England Midlands and integrated care systems to tackle healthcare inequalities embedding the Core20PLUS5 for children and adults. The approach defines a target population, the ‘Core20PLUS’, and identifies ‘5’ focus clinical areas requiring accelerated improvement. Work continues with West Midlands Combined Authority to take forward a health in all policies approach across the wider determinants of health.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 18/07/2023 11:58:31 answering member 4679 label Biography information for Neil O'Brien
	tabling member	4378 label Biography information for Colleen Fletcher

1652827

	registered interest
	date	13/07/2023
	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	Obesity: 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 assessment he has made of the implications for his policies of childhood obesity levels in (a) Coventry North East constituency, (b) Coventry, (c) the West Midlands and (d) England; and what steps his Department is taking to tackle childhood obesity in each of those areas.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	193937
	answer	answer is ministerial correction date of answer 18/07/2023 answer text <p>The National Child Measurement Programme (NCMP) collects data on children aged four to five years old (Reception) and 10 to 11 years old (Year 6). Data on obesity prevalence from the NCMP in the academic year 2021-22 is provided in the table below. Data is not available at Parliamentary constituency level but is available at local authority, regional and England levels.</p><p> </p><table><tbody><tr><td colspan="3"><p>Percentage of children living with obesity</p></td></tr><tr><td><p>Area</p></td><td><p>Reception (%)</p></td><td><p>Year 6 (%)</p></td></tr><tr><td><p>Coventry</p></td><td><p>10.4</p></td><td><p>26.7</p></td></tr><tr><td><p>West Midlands</p></td><td><p>11.3</p></td><td><p>26.2</p></td></tr><tr><td><p>England</p></td><td><p>10.1</p></td><td><p>23.4</p></td></tr></tbody></table><p> </p><p>Local authorities and the National Health Service provide weight management services to support children and families to achieve and maintain a healthier weight. Local authorities can fund behavioural weight management services from their Public Health Grant.</p><p> </p><p>In England, new regulations on out-of-home calorie labelling for food sold in large businesses, including restaurants, cafes and takeaways, came into force in April 2022. Restrictions on the placement of less healthy products in key selling locations in store and online came into force on 1 October 2022. The location restrictions are the single most impactful obesity policy in reducing children’s calorie consumption, and are expected to accrue health benefits of over £57 billion and provide NHS savings of over £4 billion over the next 25 years.</p><p> </p><p>We are also working with the food industry to make further progress on reformulation and ensure it is easier for the public to make healthier choices. We have seen important successes including the average sugar content of drinks subject to the Soft Drinks Industry Levy decreasing by 46% between 2015 and 2020. There has also been success in some categories of the sugar reduction programme, including a 14.9% reduction of sugar in retailer- and manufacturer-branded breakfast cereals and a 13.5% reduction in yogurts and fromage frais.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 18/07/2023 09:52:44 answering member 4679 label Biography information for Neil O'Brien
	tabling member	4378 label Biography information for Colleen Fletcher

1644247

	registered interest
	date	13/06/2023
	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	Stem Cells: Transplant Surgery
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of stem cell transplant patients and their families have accessed the NHS Healthcare Travel Costs Scheme in England in the last year.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	189361
	answer	answer is ministerial correction date of answer 19/06/2023 answer text <p>The information requested is not held centrally.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 19/06/2023 16:01:07 answering member 4679 label Biography information for Neil O'Brien
	tabling member	4378 label Biography information for Colleen Fletcher

1644248

	registered interest
	date	13/06/2023
	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	Stem Cells: Transplant Surgery
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will make an assessment of the potential cost of establishing a patient travel fund for (a) stem cell transplant and (b) chimeric antigen receptor T-cell therapy recipients.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	189362
	answer	answer is ministerial correction date of answer 19/06/2023 answer text <p>There are no plans to assess the potential cost of establishing a patient travel fund for stem cell transplant and chimeric antigen receptor T-cell (CAR-T) therapy recipients. The Non-Emergency Patient Transport Services (NEPTS) provide funded transport where it is considered essential to ensuring an individual’s safety, safe mobilisation, condition management or recovery.</p><p>Depending on a patient’s financial circumstances, they may be eligible for financial support with costs via the NHS Low Income Scheme and Healthcare Travel Costs Scheme. This is aimed specifically at those with a low income and allows patients to claim for all or part their travel costs should they meet the eligibility criteria.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 19/06/2023 15:48:25 answering member 4679 label Biography information for Neil O'Brien
	tabling member	4378 label Biography information for Colleen Fletcher

1582433

	registered interest
	date	31/01/2023
	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	General Practitioners: Labour Turnover
	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 level of retention was for GPs in the NHS in the latest period for which data is available; and if he will make an assessment of the reasons for this level.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	136700
	answer	answer is ministerial correction date of answer 07/02/2023 answer text <p>Between December 2021 and December 2022, 2,404 FTE fully-qualified GPs left general practice.</p><p>We remain committed to growing the GP workforce and number of doctors in general practice - the Government is determined to deliver this as soon as possible. There were 2,167 more full time equivalent (FTE) doctors working in general practice in December 2022 compared to December 2019.  We are working with NHSE and HEE to increase the general practice workforce in England. This includes measures to boost recruitment, address the reasons why doctors leave the profession, and encourage them to return to practice.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 07/02/2023 14:31:23 answering member 4679 label Biography information for Neil O'Brien previous answer version 52959 answering member constituency Harborough answering member printed Neil O'Brien answering member 4679 label Biography information for Neil O'Brien
	tabling member	4378 label Biography information for Colleen Fletcher

1580691

	registered interest
	date	25/01/2023
	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	General Practitioners: Labour Turnover
	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 is taking steps to improve the recruitment and retention of GPs in (a) Coventry North East constituency, (b) Coventry, (c) the West Midlands and (d) England.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	132452
	answer	answer is ministerial correction date of answer 30/01/2023 answer text <p>We are working with NHS England and Health Education England to increase the general practice (GP) workforce in England, including Coventry and the West Midlands. This includes measures to boost recruitment, address the reasons why doctors leave the profession, and encourage them to return to practice.</p><p>The updated GP Contract Framework announced a number of new schemes, alongside continued support for existing recruitment and retention schemes for the general practice workforce.</p><p>To boost recruitment, we have increased the number of GP training places. Last year, we saw the highest ever number of doctors accepting a place on GP training, a record 4,032 trainees, up from 2,671 in 2014.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 30/01/2023 16:19:57 answering member 4679 label Biography information for Neil O'Brien
	tabling member	4378 label Biography information for Colleen Fletcher

1580134

	registered interest
	date	24/01/2023
	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	General Practitioners
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of GPs (a) retiring and (b) leaving the profession in each of the last five years.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	131268
	answer	answer is ministerial correction date of answer 03/02/2023 answer text <p>As noted in the Government’s response to Question 132452, we remain committed to growing the workforce.</p><p>The number of general practitioners (GPs) leaving the profession in each of the last five years is shown in the table below.</p><p>Data on the number of GPs retiring is not held.</p><table><tbody><tr><td><p>Period</p></td><td><p>Fully qualified GP leavers, FTE</p></td><td><p>Fully qualified GP leavers, headcount</p></td></tr><tr><td><p>September 2017 - September 2018</p></td><td><p>2,676</p></td><td><p>3,891</p></td></tr><tr><td><p>September 2018 - September 2019</p></td><td><p>2,430</p></td><td><p>3,546</p></td></tr><tr><td><p>September 2019 - September 2020</p></td><td><p>2,242</p></td><td><p>3,385</p></td></tr><tr><td><p>September 2020 - September 2021</p></td><td><p>1,995</p></td><td><p>3,095</p></td></tr><tr><td><p>September 2021 - September 2022</p></td><td><p>2,351</p></td><td><p>3,657</p></td></tr></tbody></table><p> </p><p>The data shows GPs who left the cohort workforce between the beginning and end of each specified time period.</p><p>These figures do not capture GP migration between practices during this period.</p><p>Note: Due to data quality, a GP recorded as a leaver in these figures may have left one practice and joined another practice with poor data completion. In instances such as this, a GP will be incorrectly recorded as a leaver due to the identifying information no longer being present in the dataset. Conversely, a GP could appear in the practice cohort as a joiner but may have joined from a practice with poor data completion rather than being a new addition to the GP workforce.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 03/02/2023 13:10:07 answering member 4679 label Biography information for Neil O'Brien previous answer version 51423 answering member constituency Harborough answering member printed Neil O'Brien answering member 4679 label Biography information for Neil O'Brien
	tabling member	4378 label Biography information for Colleen Fletcher

1551573

	registered interest
	date	14/12/2022
	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	Dental Services: Coventry
	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 estimate his Department has made of the number of (a) adults and (b) children in (i) Coventry North East constituency and (ii) Coventry that (A) are not registered with an NHS dentist and (B) have been unable to access NHS dental treatment in each of the last two years; and what steps his Department is taking to improve access to NHS dentistry in these areas.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	110728
	answer	answer is ministerial correction date of answer 20/12/2022 answer text <p>No specific estimate has been made as the information requested is not collected centrally.</p><p>In September, we announced ‘Our plan for patients’, which outlines how we will meet oral health needs and increase access to dental care, including in Coventry. We have also introduced improvements to the National Health Service dental system which came into effect in November 2022. This will ensure that dentists are more fairly remunerated for NHS treatment of patients with higher care needs, improve access and make the NHS dental contract more attractive to dentists. Dentists are also legally required to update practice information for patients at NHS.UK at least every 90 days.</p><p>NHS England is holding further discussions on the NHS dental system with the British Dental Association and other stakeholders and additional reforms are planned in 2023.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 20/12/2022 16:23:53 answering member 4679 label Biography information for Neil O'Brien previous answer version 43425 answering member constituency Harborough answering member printed Neil O'Brien answering member 4679 label Biography information for Neil O'Brien
	tabling member	4378 label Biography information for Colleen Fletcher

1551575

	registered interest
	date	14/12/2022
	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
	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 GPs there were in (a) Coventry, (b) the West Midlands and (c) England in each of the last ten years; and how many GP vacancies there were in those areas in the same period.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	110730
	answer	answer is ministerial correction date of answer 22/12/2022 answer text <p>The information for Coventry and the West Midlands is not held in the format requested. However, the following table shows the number of full time equivalent (FTE) general practitioners in the Coventry and Warwickshire Integrated Care Board (ICB) and the Midlands in each year since September 2015 and in England since September 2012. Data prior to 2015 for Coventry and Warwickshire ICB and the Midlands is not held.</p><table><tbody><tr><td><p>Date</p></td><td><p>Coventry and Warwickshire ICB</p></td><td><p>Midlands</p></td><td><p>England</p></td></tr><tr><td><p>September 2022</p></td><td><p>705</p></td><td><p>7,238</p></td><td><p>37,026</p></td></tr><tr><td><p>September 2021</p></td><td><p>657</p></td><td><p>7,179</p></td><td><p>36,495</p></td></tr><tr><td><p>September 2020</p></td><td><p>636</p></td><td><p>6,901</p></td><td><p>35,393</p></td></tr><tr><td><p>September 2019</p></td><td><p>612</p></td><td><p>6,715</p></td><td><p>34,729</p></td></tr><tr><td><p>September 2018</p></td><td><p>618</p></td><td><p>6,687</p></td><td><p>34,369</p></td></tr><tr><td><p>September 2017</p></td><td><p>536</p></td><td><p>5,927</p></td><td><p>34,637</p></td></tr><tr><td><p>September 2016</p></td><td><p>544</p></td><td><p>6,115</p></td><td><p>35,206</p></td></tr><tr><td><p>September 2015</p></td><td><p>565</p></td><td><p>6,240</p></td><td><p>34,392</p></td></tr><tr><td><p>September 2014</p></td><td><p>N/A</p></td><td><p>N/A</p></td><td><p>36,920</p></td></tr><tr><td><p>September 2013</p></td><td><p>N/A</p></td><td><p>N/A</p></td><td><p>36,294</p></td></tr><tr><td><p>September 2012</p></td><td><p>N/A</p></td><td><p>N/A</p></td><td><p>35,871</p></td></tr></tbody></table><p> </p><p>Notes:</p><ul><li>The data does not correspond directly to constituency boundaries, hence data for the nearest ICB is given instead.</li><li>Data from September 2012 to September 2014 are not directly comparable with the data from September 2015 onwards. This is because a new methodology for collecting the workforce data was introduced in 2015, using the Primary Care Workforce Minimum Data Set.</li><li>Data from September 2015 onwards contains estimates for practices which did not provide fully valid staff records.</li><li>FTE refers to the proportion of full time contracted hours that the post holder is contracted to work. ‘1’ would indicate they work a full set of hours (37.5), 0.5 that they worked half time.</li><li>Figures shown do not include staff working in prisons, army bases, educational establishments, specialist care centres including drug rehabilitation centres, walk-in centres and other alternative settings outside of traditional general practice such as urgent treatment centres and minor injury units.</li><li>Figures from September 2015 and September 2016 should be treated with caution as the data submission rates from practices were appreciably lower than for subsequent reporting periods. This means that the reported figures for these periods may be lower than the true picture.</li><li>In September 2015, which was the first extract from the new Workforce Minimum Data Set, only three of four Health Education England regions submitted data. Consequently, September 2015 figures should be treated with additional caution.</li></ul><p> </p><p>The data for the number of vacancies is not held.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 22/12/2022 12:15:39 answering member 4679 label Biography information for Neil O'Brien previous answer version 43417 answering member constituency Harborough answering member printed Neil O'Brien answering member 4679 label Biography information for Neil O'Brien
	tabling member	4378 label Biography information for Colleen Fletcher