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1667958

registered interest
date	07/11/2023
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	Cystic Fibrosis: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether it is his Department's policy that people with cystic fibrosis will have access to (a) Orkambi, (b) Symkevi and (c) Kaftrio through the NHS.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	346
answer	answer is ministerial correction date of answer 09/11/2023 answer text <p>Orkambi, Symkevi and Kaftrio are currently available as treatment options for eligible National Health Service patients with cystic fibrosis, under the terms of a commercial agreement reached between NHS England and the manufacturer. This agreement has enabled the collection of data to inform a full appraisal of these medicines by the National Institute for Health and Care Excellence (NICE), which is currently underway.</p><p>NICE published draft guidance on 3 November 2023 which does not recommend Orkambi, Symkevi and Kaftrio for the treatment of cystic fibrosis. The draft guidance is now subject to a public consultation and NICE’s committee will carefully consider all evidence as well as comments received during the consultation in developing its final guidance, which is expected to be published on 20 March 2024. Patients already receiving these treatments will have continued access following the publication of NICE’s final guidance, regardless of the outcome.</p> answering member constituency Colchester answering member printed Will Quince question first answered 09/11/2023 17:59:10 answering member 4423 label Biography information for Will Quince
tabling member	4523 label Biography information for Catherine West

1666537

registered interest
date	23/10/2023
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	Genomics: 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, pursuant to the Answer of 11 September 2023 to Question 198889 on Genomics: Health Services, if he will list the companies (a) involved in delivering and (b) that provided technology and products in support of the NHS Genomic Medicine Service.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	203889
answer	answer is ministerial correction date of answer 26/10/2023 answer text <p>It has not proved possible to reply to the hon. Member in the time available before prorogation.</p> answering member constituency Colchester answering member printed Will Quince question first answered 26/10/2023 09:40:05 answering member 4423 label Biography information for Will Quince
tabling member	4523 label Biography information for Catherine West

1661150

registered interest
date	18/09/2023
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	GP Surgeries
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 check GP surgery buildings for reinforced autoclaved aerated concrete (RAAC).
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	200014
answer	answer is ministerial correction date of answer 17/10/2023 answer text <p>Privately owned primary care estate is not part of the national reinforced autoclaved aerated concrete (RAAC) remediation programme. NHS England has issued RAAC guidance to providers of National Health Service services operating from private premises to advise them to engage with the private landlords who hold the responsibility for surveying and maintaining their own property. In many cases in primary care, the general practitioners are the owners.</p><p>The Department and NHS England have engaged with Community Health Partnerships (CHP) and NHS Property Services (NHSPS) who own the proportion of the primary and community estate in public ownership to understand their RAAC risk and the associated programmes. CHP has not identified any RAAC in its estate. NHSPS has identified three sites that are part of the national programme.</p> answering member constituency Colchester answering member printed Will Quince question first answered 17/10/2023 16:24:52 answering member 4423 label Biography information for Will Quince
tabling member	4523 label Biography information for Catherine West

1661421

registered interest
date	18/09/2023
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	Hospitals: Cleaning Services and Security
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 help NHS hospitals with trends in the level of inflation on (a) soft service and (b) security contract costs.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	200138
answer	answer is ministerial correction date of answer 16/10/2023 answer text <p>The Government has taken swift action in response to the inflationary pressures on the National Health Service, providing additional funding of £3.3 billion at the Autumn Statement in each of the next two years. In 2023/24 the funding issued to the NHS and reflected in the NHS payment scheme (i.e. tariff) cost uplift factor takes account of inflationary pressures in 2022/23 as well as further growth to account for expected non-pay inflation and energy price increases in 2023/24.</p><p>The Department has held webinar sessions with commercial colleagues from its Arms’ Length Bodies, which includes NHS England, to share information and effective commercial practices with regards to the use of different pricing models to reduce inflation risk at point of tender and effective contract management practices to respond to the impacts of inflation. NHS England meet regularly with regions, systems, and providers to review their financial positions, which includes considerations of inflation.</p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 200141 question first answered 16/10/2023 13:23:38 answering member 4423 label Biography information for Will Quince
tabling member	4523 label Biography information for Catherine West

1661424

registered interest
date	18/09/2023
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	NHS: Cleaning Services and Security
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 discussions he has had with NHS leaders on trends in the level of inflation on (a) cleaning and (b) security contract costs.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	200141
answer	answer is ministerial correction date of answer 16/10/2023 answer text <p>The Government has taken swift action in response to the inflationary pressures on the National Health Service, providing additional funding of £3.3 billion at the Autumn Statement in each of the next two years. In 2023/24 the funding issued to the NHS and reflected in the NHS payment scheme (i.e. tariff) cost uplift factor takes account of inflationary pressures in 2022/23 as well as further growth to account for expected non-pay inflation and energy price increases in 2023/24.</p><p>The Department has held webinar sessions with commercial colleagues from its Arms’ Length Bodies, which includes NHS England, to share information and effective commercial practices with regards to the use of different pricing models to reduce inflation risk at point of tender and effective contract management practices to respond to the impacts of inflation. NHS England meet regularly with regions, systems, and providers to review their financial positions, which includes considerations of inflation.</p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 200138 question first answered 16/10/2023 13:23:38 answering member 4423 label Biography information for Will Quince
tabling member	4523 label Biography information for Catherine West

1657823

registered interest
date	04/09/2023
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	Physician Associates: Training
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 adequacy of levels of (a) training and (b) supervision for physician associates in GP practices.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	197509
answer	answer is ministerial correction date of answer 11/09/2023 answer text <p>Both in training, and subsequently qualified practice, physician associates (PAs) must work with a dedicated medical supervisor which will be a consultant, general practitioner, or other senior medical personnel.</p><p>PAs undertake two years of postgraduate training which involves supervised practice with real patients in clinical attachments. The dedicated medical supervisor is responsible for the supervision and management of a student’s educational progress throughout the clinical placements of the course. However, any professional in a placement location who is competent to do so may train, supervise, and assess a PA student in a particular skill, procedure, or competence. This includes practising PAs, nurses, and other healthcare professionals.</p><p>The Government is progressing the required legislation which will the enable the General Medical Council (GMC) to regulate the PA role. We plan to lay legislation before the House at the end of 2023, which will allow the GMC to commence regulation by the end of 2024. Regulation by the GMC will provide a standardised framework of governance and assurance for the clinical practice and professional conduct of PAs.</p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 197510 question first answered 11/09/2023 11:23:11 answering member 4423 label Biography information for Will Quince
tabling member	4523 label Biography information for Catherine West

1657824

registered interest
date	04/09/2023
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	Physician Associates: Regulation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when he plans to bring forward legislation to regulate physician associates.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	197510
answer	answer is ministerial correction date of answer 11/09/2023 answer text <p>Both in training, and subsequently qualified practice, physician associates (PAs) must work with a dedicated medical supervisor which will be a consultant, general practitioner, or other senior medical personnel.</p><p>PAs undertake two years of postgraduate training which involves supervised practice with real patients in clinical attachments. The dedicated medical supervisor is responsible for the supervision and management of a student’s educational progress throughout the clinical placements of the course. However, any professional in a placement location who is competent to do so may train, supervise, and assess a PA student in a particular skill, procedure, or competence. This includes practising PAs, nurses, and other healthcare professionals.</p><p>The Government is progressing the required legislation which will the enable the General Medical Council (GMC) to regulate the PA role. We plan to lay legislation before the House at the end of 2023, which will allow the GMC to commence regulation by the end of 2024. Regulation by the GMC will provide a standardised framework of governance and assurance for the clinical practice and professional conduct of PAs.</p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 197509 question first answered 11/09/2023 11:23:11 answering member 4423 label Biography information for Will Quince
tabling member	4523 label Biography information for Catherine West

1653072

registered interest
date	14/07/2023
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	Mental Health 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, for what reasons funding for NHS staff mental health and wellbeing hubs ended on 31 March 2023.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	194179
answer	answer is ministerial correction date of answer 20/07/2023 answer text <p>No specific assessment has been made on the closure of NHS Staff Mental Health and Wellbeing Hubs.</p><p>Staff mental health and wellbeing hubs were established in October 2020 with funding subsequently extended to March 2023. They were funded on a non-recurrent basis in response to the pressure on the workforce from COVID-19. NHS England has identified further national funding to maintain support for staff mental health in 2023/24 on a regional basis, as part of the transition towards a sustainable model for staff health and wellbeing support, which is based on a preventative, local level approach. Integrated care systems (ICSs) are able to supplement this with their own investment locally.</p><p>To ensure there is a long-term sustainable approach to supporting staff, the NHS Long Term Workforce Plan has tasked ICSs with developing and implementing plans to invest in occupational health and wellbeing services.</p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 194180 question first answered 20/07/2023 16:46:29 answering member 4423 label Biography information for Will Quince
tabling member	4523 label Biography information for Catherine West

1653073

registered interest
date	14/07/2023
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	Mental Health Services: Closures
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 has made an assessment of the potential effect on the mental health and wellbeing of NHS staff of the closure of NHS Staff Mental Health and Wellbeing Hubs.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	194180
answer	answer is ministerial correction date of answer 20/07/2023 answer text <p>No specific assessment has been made on the closure of NHS Staff Mental Health and Wellbeing Hubs.</p><p>Staff mental health and wellbeing hubs were established in October 2020 with funding subsequently extended to March 2023. They were funded on a non-recurrent basis in response to the pressure on the workforce from COVID-19. NHS England has identified further national funding to maintain support for staff mental health in 2023/24 on a regional basis, as part of the transition towards a sustainable model for staff health and wellbeing support, which is based on a preventative, local level approach. Integrated care systems (ICSs) are able to supplement this with their own investment locally.</p><p>To ensure there is a long-term sustainable approach to supporting staff, the NHS Long Term Workforce Plan has tasked ICSs with developing and implementing plans to invest in occupational health and wellbeing services.</p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 194179 question first answered 20/07/2023 16:46:30 answering member 4423 label Biography information for Will Quince
tabling member	4523 label Biography information for Catherine West

1652440

registered interest
date	12/07/2023
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	Diabetes: Medical Equipment
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 ensure that people with type 1 diabetes have access to new diabetes technology.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	193748
answer	answer is ministerial correction date of answer 17/07/2023 answer text <p>In March 2022 the National Institute for Health and Care Excellence (NICE) recommended that all adults and children with type 1 diabetes should have access on the National Health Service to continuous glucose monitoring. Both intermittent and real-time Continuous Glucose Monitors (CGMs) are available to people with type one diabetes under the NHS. CGMs can be provided under NHS prescription and sensors collected from local pharmacies.</p><p>NICE is currently developing technology appraisal guidance, which considers clinical and cost effectiveness, on hybrid closed loop systems for managing blood glucose levels in people with type 1 diabetes.</p><p>In 2022/23, funding worth £36 million was allocated to integrated care boards, weighted by local levels of deprivation, to support more people to receive all recommended diabetes care processes, alongside other NHS Long Term Plan diabetes commitments. The Diabetes Programme national and regional teams monitor progress and provide support to systems through national guidance and clinical networks.</p> answering member constituency Colchester answering member printed Will Quince question first answered 17/07/2023 16:33:02 answering member 4423 label Biography information for Will Quince
tabling member	4523 label Biography information for Catherine West