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1127515

	registered interest
	date	20/05/2019
	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	Pathology: Vacancies
	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 he is taking to tackle the shortage of pathologists that can carry out post-mortem examinations for coroners.
	tabling member constituency	Stafford
	tabling member printed	Jeremy Lefroy
	uin	256258
	answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>Most post-mortem examinations are carried out by pathologists who specialise in histopathology. However, post-mortems are not a requirement of the Certificate of Completion of Training in histopathology, therefore, the number of histopathologists who are qualified to carry out post-mortem examinations for coroners is not held centrally.</p><p>Overall, in January 2019, there were 1,206 full time equivalent (FTE) consultant histopathologists in the National Health Service in England. This represents a 10% (119 FTE) increase compared to January 2010.</p><p>Health Education England has committed to attract and retain more histopathologists by 2021 as part of its Cancer Workforce Plan for England published in December 2017. In 2019, 100% of specialist histopathology training places were filled.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 256259 question first answered 23/05/2019 14:54:15 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4109 label Biography information for Jeremy Lefroy

1127516

	registered interest
	date	20/05/2019
	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	Pathology
	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 pathologists available to conduct post-mortem examinations for coroners.
	tabling member constituency	Stafford
	tabling member printed	Jeremy Lefroy
	uin	256259
	answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>Most post-mortem examinations are carried out by pathologists who specialise in histopathology. However, post-mortems are not a requirement of the Certificate of Completion of Training in histopathology, therefore, the number of histopathologists who are qualified to carry out post-mortem examinations for coroners is not held centrally.</p><p>Overall, in January 2019, there were 1,206 full time equivalent (FTE) consultant histopathologists in the National Health Service in England. This represents a 10% (119 FTE) increase compared to January 2010.</p><p>Health Education England has committed to attract and retain more histopathologists by 2021 as part of its Cancer Workforce Plan for England published in December 2017. In 2019, 100% of specialist histopathology training places were filled.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 256258 question first answered 23/05/2019 14:54:15 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4109 label Biography information for Jeremy Lefroy

1127528

	registered interest
	date	20/05/2019
	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	Hospices: Children
	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 additional funding for children’s palliative care announced in the NHS Long-Term Plan, whether he plans to allocate additional funding to children’s hospices in England in 2019-20.
	tabling member constituency	Bury North
	tabling member printed	James Frith
	uin	256338
	answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>As part of the NHS Long Term Plan, NHS England committed to increase its investment in children’s palliative care over the next five years by match funding clinical commissioning groups (CCGs) who commit to increase their investment in local children’s palliative and end of life care services.</p><p> </p><p>Subject to CCGs increasing investment, NHS England will match this by up to £7 million a year by 2023/24. This increase is in addition to the Children’s Hospice Grant, which provides an annual contribution of £11 million. NHS England is currently establishing financial reporting systems to monitor the baseline investment of CCGs in children’s palliative and end of life care services. This will enable match funding payments made to CCGs where the investments are increased above the investment baseline in the previous year. As baselining will be ongoing through 2019/20, and therefore match funding will not be available in this year, NHS England will be increasing the children’s hospice grant to £12 million for this period.</p><p> </p><p>With regards to financial sustainability of hospices, these are primarily charity-funded but receive some statutory funding from CCGS for providing local services. The amount of funding varies between CCGs, but on average adult hospices receive approximately 30% of their overall funding from National Health Service sources. CCGs are responsible for determining the level of NHS-funded hospice care locally and they are responsible for ensuring that the services they commission meet the needs of their local population.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 256339 question first answered 23/05/2019 10:16:42 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4637 label Biography information for James Frith

1127529

	registered interest
	date	20/05/2019
	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	Hospices: Finance
	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 he is taking to ensure the financial sustainability of charitable hospices.
	tabling member constituency	Bury North
	tabling member printed	James Frith
	uin	256339
	answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>As part of the NHS Long Term Plan, NHS England committed to increase its investment in children’s palliative care over the next five years by match funding clinical commissioning groups (CCGs) who commit to increase their investment in local children’s palliative and end of life care services.</p><p> </p><p>Subject to CCGs increasing investment, NHS England will match this by up to £7 million a year by 2023/24. This increase is in addition to the Children’s Hospice Grant, which provides an annual contribution of £11 million. NHS England is currently establishing financial reporting systems to monitor the baseline investment of CCGs in children’s palliative and end of life care services. This will enable match funding payments made to CCGs where the investments are increased above the investment baseline in the previous year. As baselining will be ongoing through 2019/20, and therefore match funding will not be available in this year, NHS England will be increasing the children’s hospice grant to £12 million for this period.</p><p> </p><p>With regards to financial sustainability of hospices, these are primarily charity-funded but receive some statutory funding from CCGS for providing local services. The amount of funding varies between CCGs, but on average adult hospices receive approximately 30% of their overall funding from National Health Service sources. CCGs are responsible for determining the level of NHS-funded hospice care locally and they are responsible for ensuring that the services they commission meet the needs of their local population.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 256338 question first answered 23/05/2019 10:16:42 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4637 label Biography information for James Frith

1127539

	registered interest
	date	20/05/2019
	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	Older People: Abuse
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he is taking steps to bring forward legislative proposals to reduce the abuse of older people in social care; and if he will make a statement.
	tabling member constituency	Bridgend
	tabling member printed	Mrs Madeleine Moon
	uin	256269
	answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>The Government has no plans to bring forward legislation to reduce the abuse of older people in social care.</p><p>The Government is committed to preventing and reducing the risk of harm to people in vulnerable situations.</p><p>The Care Act 2014 statutory guidance states that local authorities should ensure that the services they commission are safe, effective and of high quality. Where it is suspected that an individual may be at risk of abuse or neglect local authorities have a duty to carry out proportionate enquiries.</p><p>Regulated providers have a key role in safeguarding adults. All professions are subject to employer checks and controls and employers in the health and care sector must satisfy themselves regarding the skills and competence of their staff and the Care Quality Commission monitors how well providers are doing this.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/05/2019 10:21:35 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1490 label Biography information for Mrs Madeleine Moon

1127557

	registered interest
	date	20/05/2019
	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	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with the Chancellor of the Exchequer in advance of the spending review on increasing funding for social care services.
	tabling member constituency	Birmingham, Ladywood
	tabling member printed	Shabana Mahmood
	uin	256277
	answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care has regular discussions with the Chancellor of the Exchequer on a variety of issues.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/05/2019 10:26:02 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	3914 label Biography information for Shabana Mahmood

1127578

	registered interest
	date	20/05/2019
	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	NHS: ICT
	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 develop a national action plan to (a) provide all NHS hospitals with automated dispensing cabinets integrated with ePMA to improve patient safety and eradicate errors in medicine prescription and administration and (b) deliver on all other aspects of his Department's technology vision.
	tabling member constituency	St Austell and Newquay
	tabling member printed	Steve Double
	uin	256369
	answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>Funding has been identified (£68 million) to support the acceleration of the introduction of ePrescribing and Medicine Administration (ePMA) systems for which there is evidence to support benefit. Individual trusts are making their own determinations of requirements for technology such as automated cabinets and are introducing as required locally. Work to integrate such systems with ePMA has started and will be reinforced with the advent of medication messaging standards as these are developed.</p><p>The Government has created NHSX, a joint unit between the Department, NHS England and NHS Improvement, to deliver the Secretary of State for Health and Social Care's Technology Vision and build on the Long Term Plan for the NHS. NHSX will combine all the levers of policy, implementation and change to allow a single-minded focus on giving the National Health Service the technology that patients and clinicians need.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/05/2019 10:23:54 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4452 label Biography information for Steve Double

1127690

	registered interest
	date	20/05/2019
	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	Psychiatric Hospitals: Children
	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 Far less than they deserve published by the Children’s Commissioner on 20 May 2019, what plans he has to publish a national strategy to replace Transforming Care.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	256312
	answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>‘Building the right support’, published in 2015 by NHS England, the Local Government Association (LGA) and the Association of Directors of Adult Social Services (ADASS) is the national plan in England for reducing the number of people with learning disabilities or autistic people who are inpatients in mental health hospitals. It set out a clear framework for commissioners to reduce inpatient capacity by developing more community services for people with learning disabilities or autistic people with behaviour that challenges. The expectation was for a reduction in inpatient numbers of between 35 and 50% by March 2019.</p><p>By the end of April 2019, inpatient numbers had reduced by 22%. National Health Service planning guidance for 2019/20 requires a 35% reduction in inpatients compared to 2015 no later than the end of 2019/20. The LGA and ADASS, as key delivery partners of the Transforming Care programme, will continue to support work to improve provision of suitable accommodation and services in the community and the Department of Health and Social Care and the Department for Education will remain accountable for ensuring that children and young people receive the support they need.</p><p>The NHS Long Term Plan prioritises services for children and young people, providing a clear focus on improving the health and wellbeing of children and young people with learning disabilities and/or autism, as well as committing to implementing ‘Building the right support’ in full, achieving at least a 50% reduction in the number of people with a learning disability or autism who are inpatients, compared to the figure in 2015, by the end of 2023/24.</p><p>The Long Term Plan sets out specific commitments to achieve this by developing new models of care to provide care closer to home and investing in intensive, crisis and forensic community support. By 2023/24 children and young people with a learning disability, autism or both with the most complex needs will also have a designated keyworker. These will be initially provided to children and young people who are inpatients or at risk of being admitted to hospital.</p><p>Local health systems have been asked to develop plans for implementing the Long Term Plan’s commitments. These plans will be brought together in a national implementation programme for the Long Term Plan to 2023-24, and an NHS workforce implementation plan, by the end of 2019.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/05/2019 10:14:02 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4036 label Biography information for Luciana Berger

1127781

	registered interest
	date	21/05/2019
	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 Prescribing
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what his Department's policy is on social prescribing.
	tabling member constituency	Totnes
	tabling member printed	Dr Sarah Wollaston
	uin	257061
	answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>‘Prevention is better than cure’, published by the Department in November 2018, highlighted the important role social prescribing can play in reducing people’s isolation and improving levels of activity.</p><p>As set out in the NHS Long Term Plan, NHS England has committed to deliver at least £4.5 billion of new investment in primary medical and community health services over the next five years. Part of this investment will support the recruitment of over 1,000 trained social prescribing link workers - in place by the end of 2020/21 rising further by 2023/24, with the aim that over 900,000 people are able to be referred to social prescribing schemes by then.</p><p>The Prevention document and the Long Term Plan can be found at the following links:</p><p><a href="http://www.gov.uk/government/publications/prevention-is-better-than-cure-our-vision-to-help-you-live-well-for-longer" target="_blank">www.gov.uk/government/publications/prevention-is-better-than-cure-our-vision-to-help-you-live-well-for-longer</a></p><p><a href="http://www.longtermplan.nhs.uk/publication/nhs-long-term-plan/" target="_blank">www.longtermplan.nhs.uk/publication/nhs-long-term-plan/</a></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/05/2019 14:58:45 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4073 label Biography information for Dr Sarah Wollaston

1127835

	registered interest
	date	21/05/2019
	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: Care Homes
	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 steps he has taken to increase the number of care home places for people with dementia.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	257086
	answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>Local authorities have a duty to ensure people including those with dementia receive appropriate care and support.</p><p>Adult social care is a locally delivered system therefore local authorities are locally accountable for the delivery of care and support and retain significant discretion over how their functions are exercised. Different communities require different social care provision and local authorities are best placed to understand the needs of their constituents.</p><p> </p><p>We have given local authorities access to up to £3.9 billion more dedicated funding for adult social care this year, and a further £410 million is available for adults and children’s services. The Government will set out plans to reform the social care system to ensure it is sustainable for the future at the earliest opportunity.</p><p> </p><p> </p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 257088 question first answered 23/05/2019 15:01:54 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4079 label Biography information for Julian Sturdy