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1714036

	registered interest
	date	26/04/2024
	answering body	Department for Transport
	answering dept id	27
	answering dept short name	Transport
	answering dept sort name	Transport
	hansard heading	Railways: Ticket Offices
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Transport, whether he has held recent discussions with rail unions on the potential impact of ticket office closures on employment within the rail sector.
	tabling member constituency	Slough
	tabling member printed	Mr Tanmanjeet Singh Dhesi
	uin	23914
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p><strong> </strong></p><p>In October 2023, the Government communicated to the industry that no ticket offices should close following consultation when it became clear that industry-led proposals did not meet the high thresholds for service set by Ministers. The consultation raised several important issues which we are working with the industry on, including the modernisation of fares and ticketing and improving accessibility.</p><p> </p><p> </p> answering member constituency Bexhill and Battle answering member printed Huw Merriman grouped question UIN 23913 23915 question first answered 30/04/2024 11:30:09 answering member 4442 label Biography information for Huw Merriman
	tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1714035

	registered interest
	date	26/04/2024
	answering body	Department for Transport
	answering dept id	27
	answering dept short name	Transport
	answering dept sort name	Transport
	hansard heading	Railways: Ticket Offices
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Transport, what assessment his Department has made of the impact of closing train ticket offices on (a) elderly and (b) disabled passengers.
	tabling member constituency	Slough
	tabling member printed	Mr Tanmanjeet Singh Dhesi
	uin	23913
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p><strong> </strong></p><p>In October 2023, the Government communicated to the industry that no ticket offices should close following consultation when it became clear that industry-led proposals did not meet the high thresholds for service set by Ministers. The consultation raised several important issues which we are working with the industry on, including the modernisation of fares and ticketing and improving accessibility.</p><p> </p><p> </p> answering member constituency Bexhill and Battle answering member printed Huw Merriman grouped question UIN 23914 23915 question first answered 30/04/2024 11:30:09 answering member 4442 label Biography information for Huw Merriman
	tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1714038

	registered interest
	date	26/04/2024
	answering body	Department for Transport
	answering dept id	27
	answering dept short name	Transport
	answering dept sort name	Transport
	hansard heading	Railways: Tickets
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Transport, what steps his Department is taking to help support rail passengers who do not have access to digital ticketing, in the context of proposals to close ticket offices.
	tabling member constituency	Slough
	tabling member printed	Mr Tanmanjeet Singh Dhesi
	uin	23915
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p><strong> </strong></p><p>In October 2023, the Government communicated to the industry that no ticket offices should close following consultation when it became clear that industry-led proposals did not meet the high thresholds for service set by Ministers. The consultation raised several important issues which we are working with the industry on, including the modernisation of fares and ticketing and improving accessibility.</p><p> </p><p> </p> answering member constituency Bexhill and Battle answering member printed Huw Merriman grouped question UIN 23913 23914 question first answered 30/04/2024 11:30:09 answering member 4442 label Biography information for Huw Merriman
	tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1713568

	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	Health Services: Standards
	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 she is taking to help improve patient access to primary care services.
	tabling member constituency	Slough
	tabling member printed	Mr Tanmanjeet Singh Dhesi
	uin	23549
	answer	answer is ministerial correction date of answer 29/04/2024 answer text <p>Our Delivery plan for recovering access to primary care has two central ambitions to improve access to general practice (GP): tackling the 8:00am rush and reducing the number of people struggling to contact their practice; and for patients to know on the day they contact their practice, how their request will be managed.</p><p>We are doing this by modernising telephone systems, backed by £240 million in retargeted funding, and by building the capacity to deliver more appointments. As a result, we have now delivered on our manifesto commitment for 50 million more GP appointments per year, with 370.7 million booked across the last 12 months.</p><p>There is an increasing number of clinical services that are being delivered in community pharmacy, including the New Medicines Service, Contraception Service, Blood Pressure Check Service, Stop Smoking Service, and most recently the new Pharmacy First service. These services help take the pressure off GPs, and make it quicker and easier for patients to access care.</p><p>Furthermore, our plan to recover and reform NHS dentistry will fund approximately 2.5 million additional appointments. The plan sets out our actions to address the challenges facing National Health Service dentistry, and to improve dental access for patients across the country. A new patient premium is supporting dentists to take on new patients, and a new marketing campaign will help everyone who needs an NHS dentist in finding one. We have further supported dentists by raising the minimum Units of Dental Activity rate to £28 this year, making NHS work more attractive and sustainable.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 29/04/2024 15:40:25 answering member 4117 label Biography information for Andrea Leadsom
	tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1712755

	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	HIV Infection: Health 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 assessment she has made of the adequacy of health care provision for those diagnosed with HIV in (a) Slough and (b) the South East.
	tabling member constituency	Slough
	tabling member printed	Mr Tanmanjeet Singh Dhesi
	uin	23018
	answer	answer is ministerial correction date of answer 29/04/2024 answer text <p>The HIV Action Plan is the cornerstone of our approach to driving progress and achieving our goal of ending new HIV transmissions, AIDS, and HIV-related deaths within England by 2030. Rapid access to, and retention in, HIV treatment and care can support those diagnosed with HIV in living healthy lives and maintaining an undetectable viral load, meaning they cannot transmit HIV to their sexual partners.</p><p> </p><p>As demonstrated by our success in meeting the Joint United Nations Programme on HIV/AIDS’s 95-95-95 targets, England does very well on viral suppression and retention in care, with 98% of those diagnosed being on treatment, and 98% of those on treatment having an undetectable viral load. HIV treatment and care remain world class in England, and most beneficial outcomes remain high across all population groups. HIV treatment is available free of charge from open access HIV clinics in the National Health Service, and funded by the Department though our budget allocation to NHS England.</p><p> </p><p>The HIV Action Plan identifies that regional directors of public health will provide system leadership on HIV at a regional level, and local governance arrangements take various forms. It is for regional and local systems to oversee relevant care provision. The Department has not assessed the adequacy of health care provision for those diagnosed with HIV in local or regional areas, including Slough and the South East.</p><p> </p><p>Local authorities in England are responsible for commissioning open access sexual health services, including HIV prevention and testing services, through the public health grant, funded at £3.6 billion in 2024/25. It is for individual local authorities to decide their spending priorities based on an assessment of local need, and to commission the service lines that best suit their population. The UK Health Security Agency provides support to regions and local government, including helping areas to understand the local situation in depth and identify where to focus efforts.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom grouped question UIN 23014 23017 23019 question first answered 29/04/2024 10:34:43 answering member 4117 label Biography information for Andrea Leadsom
	tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1712751

	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	HIV Infection: Health 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 steps her Department is taking to fund HIV treatment.
	tabling member constituency	Slough
	tabling member printed	Mr Tanmanjeet Singh Dhesi
	uin	23014
	answer	answer is ministerial correction date of answer 29/04/2024 answer text <p>The HIV Action Plan is the cornerstone of our approach to driving progress and achieving our goal of ending new HIV transmissions, AIDS, and HIV-related deaths within England by 2030. Rapid access to, and retention in, HIV treatment and care can support those diagnosed with HIV in living healthy lives and maintaining an undetectable viral load, meaning they cannot transmit HIV to their sexual partners.</p><p> </p><p>As demonstrated by our success in meeting the Joint United Nations Programme on HIV/AIDS’s 95-95-95 targets, England does very well on viral suppression and retention in care, with 98% of those diagnosed being on treatment, and 98% of those on treatment having an undetectable viral load. HIV treatment and care remain world class in England, and most beneficial outcomes remain high across all population groups. HIV treatment is available free of charge from open access HIV clinics in the National Health Service, and funded by the Department though our budget allocation to NHS England.</p><p> </p><p>The HIV Action Plan identifies that regional directors of public health will provide system leadership on HIV at a regional level, and local governance arrangements take various forms. It is for regional and local systems to oversee relevant care provision. The Department has not assessed the adequacy of health care provision for those diagnosed with HIV in local or regional areas, including Slough and the South East.</p><p> </p><p>Local authorities in England are responsible for commissioning open access sexual health services, including HIV prevention and testing services, through the public health grant, funded at £3.6 billion in 2024/25. It is for individual local authorities to decide their spending priorities based on an assessment of local need, and to commission the service lines that best suit their population. The UK Health Security Agency provides support to regions and local government, including helping areas to understand the local situation in depth and identify where to focus efforts.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom grouped question UIN 23017 23018 23019 question first answered 29/04/2024 10:34:42 answering member 4117 label Biography information for Andrea Leadsom
	tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1712754

	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	HIV Infection: Health 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 steps her Department is taking to ensure constituencies with a high prevalence of HIV are provided with adequate (a) healthcare provision, (b) prevention services and (c) support services.
	tabling member constituency	Slough
	tabling member printed	Mr Tanmanjeet Singh Dhesi
	uin	23017
	answer	answer is ministerial correction date of answer 29/04/2024 answer text <p>The HIV Action Plan is the cornerstone of our approach to driving progress and achieving our goal of ending new HIV transmissions, AIDS, and HIV-related deaths within England by 2030. Rapid access to, and retention in, HIV treatment and care can support those diagnosed with HIV in living healthy lives and maintaining an undetectable viral load, meaning they cannot transmit HIV to their sexual partners.</p><p> </p><p>As demonstrated by our success in meeting the Joint United Nations Programme on HIV/AIDS’s 95-95-95 targets, England does very well on viral suppression and retention in care, with 98% of those diagnosed being on treatment, and 98% of those on treatment having an undetectable viral load. HIV treatment and care remain world class in England, and most beneficial outcomes remain high across all population groups. HIV treatment is available free of charge from open access HIV clinics in the National Health Service, and funded by the Department though our budget allocation to NHS England.</p><p> </p><p>The HIV Action Plan identifies that regional directors of public health will provide system leadership on HIV at a regional level, and local governance arrangements take various forms. It is for regional and local systems to oversee relevant care provision. The Department has not assessed the adequacy of health care provision for those diagnosed with HIV in local or regional areas, including Slough and the South East.</p><p> </p><p>Local authorities in England are responsible for commissioning open access sexual health services, including HIV prevention and testing services, through the public health grant, funded at £3.6 billion in 2024/25. It is for individual local authorities to decide their spending priorities based on an assessment of local need, and to commission the service lines that best suit their population. The UK Health Security Agency provides support to regions and local government, including helping areas to understand the local situation in depth and identify where to focus efforts.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom grouped question UIN 23014 23018 23019 question first answered 29/04/2024 10:34:42 answering member 4117 label Biography information for Andrea Leadsom
	tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1712756

	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	HIV Infection: Health 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 steps her Department is taking to ensure that areas with a high prevalence of HIV receive support for delivering pre-existing HIV services.
	tabling member constituency	Slough
	tabling member printed	Mr Tanmanjeet Singh Dhesi
	uin	23019
	answer	answer is ministerial correction date of answer 29/04/2024 answer text <p>The HIV Action Plan is the cornerstone of our approach to driving progress and achieving our goal of ending new HIV transmissions, AIDS, and HIV-related deaths within England by 2030. Rapid access to, and retention in, HIV treatment and care can support those diagnosed with HIV in living healthy lives and maintaining an undetectable viral load, meaning they cannot transmit HIV to their sexual partners.</p><p> </p><p>As demonstrated by our success in meeting the Joint United Nations Programme on HIV/AIDS’s 95-95-95 targets, England does very well on viral suppression and retention in care, with 98% of those diagnosed being on treatment, and 98% of those on treatment having an undetectable viral load. HIV treatment and care remain world class in England, and most beneficial outcomes remain high across all population groups. HIV treatment is available free of charge from open access HIV clinics in the National Health Service, and funded by the Department though our budget allocation to NHS England.</p><p> </p><p>The HIV Action Plan identifies that regional directors of public health will provide system leadership on HIV at a regional level, and local governance arrangements take various forms. It is for regional and local systems to oversee relevant care provision. The Department has not assessed the adequacy of health care provision for those diagnosed with HIV in local or regional areas, including Slough and the South East.</p><p> </p><p>Local authorities in England are responsible for commissioning open access sexual health services, including HIV prevention and testing services, through the public health grant, funded at £3.6 billion in 2024/25. It is for individual local authorities to decide their spending priorities based on an assessment of local need, and to commission the service lines that best suit their population. The UK Health Security Agency provides support to regions and local government, including helping areas to understand the local situation in depth and identify where to focus efforts.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom grouped question UIN 23014 23017 23018 question first answered 29/04/2024 10:34:43 answering member 4117 label Biography information for Andrea Leadsom
	tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1712749

	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	HIV Infection: Screening
	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 she is taking to reduce the stigma of HIV testing.
	tabling member constituency	Slough
	tabling member printed	Mr Tanmanjeet Singh Dhesi
	uin	23012
	answer	answer is ministerial correction date of answer 29/04/2024 answer text <p>HIV testing is essential, as it allows those with HIV to be offered lifesaving treatment, and prevents its onward transmission. This is why we have committed to scaling up HIV testing in our HIV Action Plan. As part of the HIV Action Plan, NHS England made an initial £20 million available over three years to 2025, for HIV opt-out testing in 34 emergency departments (EDs) in areas with extremely high HIV prevalence, areas with five or more HIV cases per 1,000 residents aged 15 to 59 years old. The plan also included Blackpool in 2019, at 4.9 HIV cases per 1,000 residents aged 15 to 59 years old, and the whole of London, including some local areas with high HIV prevalence supported with additional funding from NHS London.</p><p> </p><p>In November 2024, the Government announced new research, commissioned through the National Institute for Health and Care Research, to evaluate an expansion of blood-borne virus opt-out testing, including HIV, in 47 additional EDs in local areas of England with high HIV prevalence. These would be areas with two to five HIV cases per 1,000 residents aged 15 to 59 years old, and would include the Wexham Park Hospital and Frimley Park Hospital in Slough. The research project is currently in the set-up phase, and funding will support 12 months of testing for each ED, although it is at the discretion of individual sites when the testing will commence. It is the responsibility of individual EDs to make service users aware of the availability of HIV and other blood-borne virus opt-out testing, as appropriate.</p><p> </p><p>HIV opt-out testing in EDs in areas with extremely high HIV prevalence has shown very encouraging outcomes so far, and at 21 months has delivered 2.6 million HIV tests, and found more than 1,000 people with undiagnosed or untreated HIV, including those who would not have been found via other testing routes. Making HIV testing routine in a front-line health care setting such as an ED, raises the awareness of HIV and helps remove the stigma associated with HIV testing.</p><p> </p><p>We are also working to improve workforce training in the National Health Service to increase HIV awareness, and in collaboration with the UK Health Security Agency (UKHSA), to continue to monitor the levels of stigma and discrimination experienced by people living with HIV within the health and social care system, as well as within community settings. The UKHSA published the positive voices survey report in early 2024, which presents key indicators for HIV stigma, and is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/hiv-positive-voices-survey/positive-voices-2022-survey-report" target="_blank">https://www.gov.uk/government/publications/hiv-positive-voices-survey/positive-voices-2022-survey-report</a></p><p> </p><p>Further work is underway to develop key indicators for monitoring quality of life and stigma for people living with HIV.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom grouped question UIN 23013 23016 question first answered 29/04/2024 09:53:47 answering member 4117 label Biography information for Andrea Leadsom
	tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1712750

	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	HIV Infection: Screening
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, when opt-out testing for HIV will be expanded to (a) Slough and (b) and other areas with a high prevalence of HIV.
	tabling member constituency	Slough
	tabling member printed	Mr Tanmanjeet Singh Dhesi
	uin	23013
	answer	answer is ministerial correction date of answer 29/04/2024 answer text <p>HIV testing is essential, as it allows those with HIV to be offered lifesaving treatment, and prevents its onward transmission. This is why we have committed to scaling up HIV testing in our HIV Action Plan. As part of the HIV Action Plan, NHS England made an initial £20 million available over three years to 2025, for HIV opt-out testing in 34 emergency departments (EDs) in areas with extremely high HIV prevalence, areas with five or more HIV cases per 1,000 residents aged 15 to 59 years old. The plan also included Blackpool in 2019, at 4.9 HIV cases per 1,000 residents aged 15 to 59 years old, and the whole of London, including some local areas with high HIV prevalence supported with additional funding from NHS London.</p><p> </p><p>In November 2024, the Government announced new research, commissioned through the National Institute for Health and Care Research, to evaluate an expansion of blood-borne virus opt-out testing, including HIV, in 47 additional EDs in local areas of England with high HIV prevalence. These would be areas with two to five HIV cases per 1,000 residents aged 15 to 59 years old, and would include the Wexham Park Hospital and Frimley Park Hospital in Slough. The research project is currently in the set-up phase, and funding will support 12 months of testing for each ED, although it is at the discretion of individual sites when the testing will commence. It is the responsibility of individual EDs to make service users aware of the availability of HIV and other blood-borne virus opt-out testing, as appropriate.</p><p> </p><p>HIV opt-out testing in EDs in areas with extremely high HIV prevalence has shown very encouraging outcomes so far, and at 21 months has delivered 2.6 million HIV tests, and found more than 1,000 people with undiagnosed or untreated HIV, including those who would not have been found via other testing routes. Making HIV testing routine in a front-line health care setting such as an ED, raises the awareness of HIV and helps remove the stigma associated with HIV testing.</p><p> </p><p>We are also working to improve workforce training in the National Health Service to increase HIV awareness, and in collaboration with the UK Health Security Agency (UKHSA), to continue to monitor the levels of stigma and discrimination experienced by people living with HIV within the health and social care system, as well as within community settings. The UKHSA published the positive voices survey report in early 2024, which presents key indicators for HIV stigma, and is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/hiv-positive-voices-survey/positive-voices-2022-survey-report" target="_blank">https://www.gov.uk/government/publications/hiv-positive-voices-survey/positive-voices-2022-survey-report</a></p><p> </p><p>Further work is underway to develop key indicators for monitoring quality of life and stigma for people living with HIV.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom grouped question UIN 23012 23016 question first answered 29/04/2024 09:53:47 answering member 4117 label Biography information for Andrea Leadsom
	tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi