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1702316

	registered interest
	date	18/04/2024
	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	Magnetic Resonance Imagers: Helium
	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 minimal usage of helium in MRI scanners in NHS facilities in the light of the global shortage of helium; and what steps they are taking to ensure all helium in scanners being replaced is reused appropriately.
	tabling member printed	Baroness Bennett of Manor Castle
	uin	HL3927
	answer	answer is ministerial correction date of answer 25/04/2024 answer text <p>Suppliers of magnetic resonance imaging (MRI) scanners are moving to a sealed helium solution, whereby the helium required to cool the magnet is approximately 0.5% of the current levels. These sealed systems will also ensure MRI scanners do not require further helium to be added during years of operational use.</p><p>Furthermore, suppliers are now replacing MRI scanners without requiring the magnet to be replaced, though this is only available for the first replacement cycle, whereby the scanner is fully replaced, but the existing magnet and helium are retained.</p><p>With regards to the Department, as set out in the recent Medical Technology Strategy: One Year On publication, the Design for Life Programme has been stood up to work with industry, the health and care sector, and academic partners to develop medical technology systems that support reuse, remanufacture, and material recovery becoming the default. This includes developing regulatory, commercial, digital, and policy environments that support this aim. The Department’s intention is to publish a roadmap later this year to articulate our relevant findings and plans moving forward.</p> answering member printed Lord Markham question first answered 25/04/2024 14:24:02 answering member 4948 label Biography information for Lord Markham
	tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1702348

	registered interest
	date	18/04/2024
	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	Hospital Wards: Gender
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government whether they plan to direct NHS England to withdraw Annex B of its guidance Delivering same-sex accommodation, published in September 2019.
	tabling member printed	Baroness Nicholson of Winterbourne
	uin	HL3959
	answer	answer is ministerial correction date of answer 26/04/2024 answer text <p>NHS England is updating their Delivering Same-Sex Accommodation guidance, and a revised version will be published in due course. It is imperative that National Health Service trusts respect the privacy and dignity of patients. The Government has been clear that patients should not have to share sleeping accommodation with others of the opposite sex, and should have access to segregated bathroom and toilet facilities.</p><p>As previously announced, proposals to protect the privacy, dignity, and safety of patients will be brought forward soon as part of the review of the NHS Constitution and its handbook. Any measures consulted on will be in line with the Equality Act 2010, respecting the rights of all patients in hospital settings.</p> answering member printed Lord Markham question first answered 26/04/2024 13:22:14 answering member 4948 label Biography information for Lord Markham
	tabling member	1164 label Biography information for Baroness Nicholson of Winterbourne

1702353

	registered interest
	date	18/04/2024
	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	Health Services and Social Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what progress they have made on integrating social care and the NHS.
	tabling member printed	Lord Swire
	uin	HL3964
	answer	answer is ministerial correction date of answer 25/04/2024 answer text <p>The Health and Care Act 2022 established integrated care systems, reforming how health and adult social care work together by putting partnership at the heart of planning. The Government has published guidance for integrated care partnerships (ICPs), on the statutory requirement for each ICP to publish an Integrated Care Strategy to address the health, social care, and public health needs of their system. All ICPs have now published their integrated care strategies.</p><p>The integration of health and social care is often best achieved through collaboration across smaller geographies within integrated care systems called places. Since the Health and Care Act 2022, we have seen good progress in the development of place-based arrangements to integrate health and social care. In October 2023, we published our Shared Outcomes Toolkit designed to help place-based partnerships develop shared outcomes as a powerful means of promoting integrated working and joined up care. We also issued a call for evidence as part of our review of Section 75 of the NHS Act 2006, which permits local authorities and National Health Service bodies to pool budgets, enabling joint commissioning and the commissioning of integrated services. The findings of this review will be shared in due course.</p> answering member printed Lord Markham question first answered 25/04/2024 14:16:30 answering member 4948 label Biography information for Lord Markham
	tabling member	1408 label Biography information for Lord Swire

1702354

	registered interest
	date	18/04/2024
	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	Social Services: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what discussions they have had with local authorities about the financing of those in social care.
	tabling member printed	Lord Swire
	uin	HL3965
	answer	answer is ministerial correction date of answer 26/04/2024 answer text <p>Ministers and officials in the Department have regular conversations with representatives of local government, including the Local Government Association and the Association for Directors of Adult Social Services, regarding the costs of meeting the needs of adults who draw on care and support. The Department regularly engages with local authorities, who are responsible for assessing eligibility for financial assistance as set out in the Care Act, to understand the impact charging policy has on individuals who draw on care. The Department also regularly engages with individual local authorities to better understand their financial plans for commissioning and delivering adult social care.</p> answering member printed Lord Markham question first answered 26/04/2024 11:10:33 answering member 4948 label Biography information for Lord Markham
	tabling member	1408 label Biography information for Lord Swire

1701967

	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	Health Services: Waiting Lists
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government when they expect updated NHS wait times to be published for 2022 and 2023.
	tabling member printed	Baroness Goudie
	uin	HL3882
	answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>NHS England publishes Referral to Treatment Waiting Times data for elective treatment monthly in an online-only format, including for 2022 and 2023. There are no plans to revise waiting times figures for these years.</p> answering member printed Lord Markham question first answered 23/04/2024 11:39:06 answering member 4948 label Biography information for Lord Markham
	tabling member	3575 label Biography information for Baroness Goudie

1701968

	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	Dementia: Diagnosis
	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 NHS is prepared for the arrival of new diagnostic innovations for dementia.
	tabling member printed	Baroness Goudie
	uin	HL3883
	answer	answer is ministerial correction date of answer 25/04/2024 answer text <p>The National Health Service is a world leader in rolling out innovative treatments and has established a dedicated national programme team which is working in partnership with other national agencies and with local health systems to prepare for the potential roll out of new treatments for use in the earlier stages of Alzheimer’s disease. These plans assume that, if these new treatments are approved by the regulators, significant additional diagnostic capacity, including amyloid positron emission tomography–computed tomography, lumbar puncture and magnetic resonance imaging, will be needed both to identify patients who are most able to benefit and to provide important safety monitoring.</p><p>The national programme team is conducting preparations across the country, working alongside clinicians and local teams to identify where further funding will be required to roll out the additional tests and services needed to introduce these new and complex treatments.</p><p>NHS England is also working with partner agencies to support and inform further research into other diagnostic modalities, including blood-based biomarker and digital tests, which will help improve identification and management of Alzheimer’s disease.</p> answering member printed Lord Markham question first answered 25/04/2024 14:26:03 answering member 4948 label Biography information for Lord Markham
	tabling member	3575 label Biography information for Baroness Goudie

1701979

	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	Health Services: Staff
	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 potential impact on the mental health and wellbeing of secondary care staff if their partnership with NHS Practitioner Health is ended after the 12-month review period.
	tabling member printed	Baroness Merron
	uin	HL3894
	answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>We recognise that the NHS Practitioner Health service is valued by many doctors. NHS England is reviewing the service as part of a wider review of its mental health and wellbeing offer to National Health Service staff. It was confirmed on 15 April 2024 that the service will continue to accept new patients from primary and secondary care whilst this review is undertaken over the next 12 months. NHS England will assess the impact and confirm future arrangements once the review has been completed.</p> answering member printed Lord Markham question first answered 23/04/2024 16:06:17 answering member 4948 label Biography information for Lord Markham
	tabling member	347 label Biography information for Baroness Merron

1701981

	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	Health Insurance: Private Sector
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what regulations are in place to ensure that the care and treatment provided by private medical insurers are the most appropriate for a specific patient.
	tabling member printed	Baroness Merron
	uin	HL3896
	answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>Private medical insurers purchase services from independent sector providers who are responsible for delivering healthcare.</p><p>All providers of healthcare are regulated by the Care Quality Commission and follow a set of fundamental standards of safety and quality below which care should never fall, while the General Medical Council is responsible for regulating doctors in the United Kingdom.</p> answering member printed Lord Markham question first answered 23/04/2024 16:04:59 answering member 4948 label Biography information for Lord Markham
	tabling member	347 label Biography information for Baroness Merron

1701989

	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	Pharmacy: Rural Areas
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government whether they have made an assessment of the impact of rural pharmacy closures on access to primary care.
	tabling member printed	The Lord Bishop of St Albans
	uin	HL3904
	answer	answer is ministerial correction date of answer 26/04/2024 answer text <p>It is the statutory duty of every local authority in England to undertake pharmaceutical needs assessments for their areas including those that are rural in nature, every three years, to ensure provision continues to meet their population’s needs. Integrated care boards have regard to those assessments when commissioning services and where a pharmacy closure impacts on the access to services, a new contractor can apply to open a pharmacy in the area.</p><p>Patients who struggle to access pharmacy premises can access pharmacy services remotely through any of the over 400 online pharmacies that are contractually required to deliver medicines free of charge. Alternatively, in some rural areas, doctors are permitted to dispense medication to patients.</p><p>The Pharmacy Access scheme provides additional funding to pharmacies in the areas where there are fewer pharmacies.</p> answering member printed Lord Markham question first answered 26/04/2024 13:21:30 answering member 4948 label Biography information for Lord Markham
	tabling member	4308 label Biography information for The Lord Bishop of St Albans

1701999

	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	Market Sustainability and Improvement Fund
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what progress they have made in allocating the Market Sustainability and Improvement Fund 2023 to 2024 for adult social care; and what are their plans for allocation in the financial year 2024–25.
	tabling member printed	The Lord Bishop of Southwark
	uin	HL3914
	answer	answer is ministerial correction date of answer 24/04/2024 answer text <p>The Market Sustainability and Improvement Fund (MSIF) gives an overall profile of almost £2 billion over two years. Local authorities can choose to use the funding to increase fee rates paid to adult social care providers, increase adult social care workforce capacity and retention, and reduce adult social care waiting times.</p><p>In 2023/34, a total of £927 million was made available to local authorities via MSIF, with a further £1.05 billion being made available in 2024/25. The funding has been distributed using the adult social care relative needs formula. Full local authority allocations for 2024/25 are available in the Market Sustainability and Improvement Fund Grant Determination 2024 to 2025 on GOV.UK in an online-only format.</p> answering member printed Lord Markham question first answered 24/04/2024 11:45:14 answering member 4948 label Biography information for Lord Markham
	tabling member	4345 label Biography information for The Lord Bishop of Southwark