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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

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

1712876

	registered interest
	date	22/04/2024
	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	NHS: Software
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how much his Department has spent on contracts with NEC Software Solutions for centralising existing clinical registries.
	tabling member constituency	Stockport
	tabling member printed	Navendu Mishra
	uin	23064
	answer	answer is ministerial correction date of answer 26/04/2024 answer text <p>The current contract with NEC Software Solutions for centralising the Medical Device Outcome Registry, National Joint Registry, and National Vascular Registry is £969,544. Further information is available at the GOV.UK contracts finder, at the following link:</p><p><a href="https://www.contractsfinder.service.gov.uk/Notice/bb2b90d1-c52c-4388-9159-7e8b8dce3c32" target="_blank">https://www.contractsfinder.service.gov.uk/Notice/bb2b90d1-c52c-4388-9159-7e8b8dce3c32</a></p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 26/04/2024 12:23:02 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4811 label Biography information for Navendu Mishra

1712662

	registered interest
	date	22/04/2024
	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	Strokes: Depressive Illnesses
	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 (a) has taken and (b) plans to take steps to (a) monitor the incidence of depression among stroke survivors and (b) improve interventions to enhance (i) aftercare and (ii) quality of life for those people.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	22946
	answer	answer is ministerial correction date of answer 26/04/2024 answer text <p>Depression affects approximately one third of people with stroke, and stroke services in the National Health Service are very aware of the impact this can have on the quality of life and level of independence of people who experienced a stroke, and the importance of understanding through measurement which people are affected, to support appropriate management.</p><p>The National Clinical Guideline for Stroke 2023 recommends that people with stroke should be routinely screened for anxiety and depression using standardised tools, the results of which should be used alongside other sources of information to inform clinical formulation of treatment and support needs.</p><p>The latest published Sentinel Stroke National Audit Programme (SSNAP) data, from October to December 2023, showed that 92.4% of stroke patients were screened for mood disturbances, including depression, in hospital. 75% of stroke patients who were followed up at six months post stroke also had a mood screen, with 53% of patients receiving the psychological support needed.</p><p>NHS England is driving implementation of the National Service Model for an Integrated Community Stroke Service (ICSS) with a number of specific projects aimed at improving delivery of psychological rehabilitation. The ICSS model is vital to support psychological recovery, return to work, and improved quality of life. From July 2024, the SSNAP will record the amount of psychological rehabilitation provided to patients, and measure changes in quality of life over time.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 26/04/2024 12:17:40 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4131 label Biography information for Jim Shannon

1713701

	registered interest
	date	24/04/2024
	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	Nurses: Pay
	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 she has made of the potential impact of introducing a separate nursing pay spine on trends in the level of pay progression within the nursing profession.
	tabling member constituency	Bury South
	tabling member printed	Christian Wakeford
	uin	23663
	answer	answer is ministerial correction date of answer 26/04/2024 answer text <p>The call for evidence in relation to a separate pay spine for nursing closed on 4 April 2024. A large volume of evidence was submitted, and analysis of this evidence remains underway. The Government will publish its formal response in due course.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 26/04/2024 12:16:03 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4871 label Biography information for Christian Wakeford

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

1700684

	registered interest
	date	15/04/2024
	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: Women
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government whether it is their policy for the NHS to refer to "people who have ovaries" rather than "women" and whether this phraseology has been market tested with women, including those for whom English is a second language, to ensure that it is fully understood.
	tabling member printed	Baroness Hayter of Kentish Town
	uin	HL3742
	answer	answer is ministerial correction date of answer 26/04/2024 answer text <p>It is not Government policy for the National Health Service to refer to ‘people who have ovaries’ and this phraseology has not been market tested. We have been clear that biological sex matters and it is important to use language that recognises the separate health and biological needs of men and women.</p><p>For all sex-specific conditions, we expect the language used to put biological sex, for example “women”, front and centre, with biologically-relevant information relating to specific organs or hormones secondary.</p> answering member printed Lord Markham question first answered 26/04/2024 11:09:53 answering member 4948 label Biography information for Lord Markham
	tabling member	4159 label Biography information for Baroness Hayter of Kentish Town

1713143

	registered interest
	date	23/04/2024
	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	Palliative Care
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if she will take steps to ensure that best practice in palliative and end of life care is shared across the NHS.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	23231
	answer	answer is ministerial correction date of answer 26/04/2024 answer text <p>The Government recognises that access to high-quality palliative and end of life care can make all the difference to individuals and their loved ones. NHS England meets regularly with regional and system leaders, providing a forum for the sharing of best practice. In addition, there is a palliative and end of life care workspace available on the FutureNHS Collaborative Platform, which includes a range of resources, case studies, and discussion fora, with access to the platform available for anyone with a NHS.net email account.</p><p>NHS England has developed a palliative and end of life care dashboard, which brings together all relevant local data in one place. The dashboard helps commissioners understand the palliative and end of life care needs of their local population, enabling integrated care boards (ICBs) to put plans in place to address and track the improvement of health inequalities, and ensure that funding is distributed fairly, based on prevalence.</p><p>As of April 2024, NHS England is including palliative and end of life care in the list of topics for regular performance discussions between national and regional leads. These meetings will provide an additional mechanism for supporting ICBs to continue improving palliative and end of life care for their local population.</p><p>The Ambitions Framework, refreshed by the National Palliative and End of Life Care Partnership, which is made up of NHS England and 34 partner organisations with experience of, and responsibility for, end of life care, sets out the vision to improve end of life care through partnership and collaborative action between organisations at local level throughout England, by setting out six key ambitions.</p><p>Furthermore, the National Institute for Health and Care Excellence (NICE) has published guidance and quality standards on end of life care for adults, and children and young people. These are based on best practice in developing and delivering care and, while not statutory, there is an expectation that commissioners and service providers take the guidelines into account when making decisions about how to best meet the needs of their local communities.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 26/04/2024 10:37:37 answering member 4527 label Biography information for Helen Whately
	tabling member	4471 label Biography information for Rachael Maskell

1713142

	registered interest
	date	23/04/2024
	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	Palliative Care: Health Education
	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 is taking steps to increase health literacy for services to support people at the end of life.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	23230
	answer	answer is ministerial correction date of answer 26/04/2024 answer text <p>The National Health Service website and the NHS App are our main digital tools available to citizens, to support them in accessing services and making decisions about their health. Clinicians across the NHS also support patients’ health literacy by providing clear information, increasing patients’ knowledge, and sharing decision-making on their care.</p><p>Additionally, through the Voluntary Community Social Enterprise (VCSE) Health and Wellbeing Programme, the Department, NHS England, and the UK Health Security Agency work together with VCSE organisations to drive transformation of health and care systems, promote equality, address health inequalities, and help people, families, and communities to achieve and maintain wellbeing. The current projects include increasing health literacy through intersectional considerations at the end of life, digital inclusion, and barriers for those likely to be in the last year of life without a life-limiting diagnosis.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 26/04/2024 10:05:06 answering member 4527 label Biography information for Helen Whately
	tabling member	4471 label Biography information for Rachael Maskell

1713145

	registered interest
	date	23/04/2024
	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	Palliative Care
	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 has had with (a) clinicians, (b) hospice leaders and (c) academics on future funding requirements for hospice and end of life care.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	23232
	answer	answer is ministerial correction date of answer 26/04/2024 answer text <p>Integrated care boards (ICBs) are responsible for determining the level of locally available, National Health Service funded palliative and end of life care, including hospice care. ICBs are responsible for ensuring that the services they commission meet the needs of their local population.</p><p>The majority of palliative and end of life care is provided by NHS staff and services. However, we also recognise the vital part that voluntary sector organisations, including hospices, play in providing support to people at end of life, and their families. Most hospices are charitable, independent organisations which receive some statutory funding for providing NHS services. The amount of funding hospices receive is dependent on many factors, including what other statutory services are available within the ICB footprint. Charitable hospices provide a range of services which go beyond that which statutory services are legally required to provide. Consequently, the funding arrangements reflect this.</p><p>In July 2022, NHS England published statutory guidance and service specifications for commissioners on palliative and end of life care, setting out the considerations for ICBs to meet their legal duties, and making clear reference to the importance of access to services.</p><p>The Department and NHS England, alongside key partners, will continue to proactively engage with our stakeholders, including the voluntary sector and independent hospices, on an ongoing basis, in order to understand the issues they face, including that of future funding pressures. The Department is in ongoing discussions with NHS England, including its National Clinical Director, about the oversight and accountability of National Health Service palliative and end of life care commissioning.</p><p>From April 2024, NHS England will include palliative and end of life care in the list of topics for its regular performance discussions between national and regional leads. These national meetings will provide an additional mechanism for supporting ICBs in continuing to improve palliative and end of life care for their local population.</p><p>NHS England has commissioned the development of a palliative and end of life care dashboard, which brings together relevant local data in one place. The dashboard helps commissioners understand the palliative and end of life care needs of those in their local population, enabling ICBs to put plans in place to address and track the improvement of health inequalities. Additionally, the National Institute for Health and Care Research has established a new Policy Research Unit to build an evidence base on palliative and end of life care, with a specific focus on inequalities.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 23228 23229 question first answered 26/04/2024 09:56:37 answering member 4527 label Biography information for Helen Whately
	tabling member	4471 label Biography information for Rachael Maskell