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1681903

registered interest
date	15/01/2024
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	Cannabis: Medical Treatments
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 make an assessment of the effectiveness of medicinal cannabis treatments provided by the NHS; and whether she has plans to increase the number of treatments available.
tabling member constituency	Romford
tabling member printed	Andrew Rosindell
uin	9453
answer	answer is ministerial correction date of answer 17/01/2024 answer text <p>Licensed cannabis-based medicines are available and funded on the National Health Service, where the safety, quality and clinical and cost effectiveness has been assessed and approved by the Medicines and Healthcare products Regulatory Agency (MHRA) and the National Institute for Health and Care Excellence.</p><p>The Government continues to encourage manufacturers to develop new treatments and invest in research and clinical trials, and offers scientific and research advice from the MHRA and the National Institute for Health and Care Research.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 17/01/2024 17:12:08 answering member 4044 label Biography information for Andrew Stephenson
tabling member	1447 label Biography information for Andrew Rosindell

1681806

registered interest
date	12/01/2024
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	Cancer: 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, if she will make an assessment of the potential merits of implementing a dedicated cancer strategy to work in conjunction with the Major Conditions Strategy.
tabling member constituency	South Holland and The Deepings
tabling member printed	Sir John Hayes
uin	9322
answer	answer is ministerial correction date of answer 17/01/2024 answer text <p>On 24 January 2023, the Government announced plans to publish the Major Conditions Strategy, which will focus on tackling the six major conditions groups: cancers, mental ill-health, cardiovascular disease including stroke and diabetes, dementia, chronic respiratory diseases, and musculoskeletal disorders, which together account for approximately 60% of ill-health and early death in England. Addressing cancer together with other major conditions will allow the Department and NHS England to focus on similarities in approach, ensuring care is better centred around the patient.</p><p>Following the call for evidence for a 10-year cancer plan in 2022, the Department received over 5,000 submissions. These findings will be fed into the development of the Major Conditions Strategy.</p><p> </p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 17/01/2024 17:06:22 answering member 4044 label Biography information for Andrew Stephenson
tabling member	350 label Biography information for Sir John Hayes

1681524

registered interest
date	11/01/2024
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	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 training programmes are available for physician associates in the NHS.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	9264
answer	answer is ministerial correction date of answer 17/01/2024 answer text <p>Physician associates (PAs) must pass an intensive two-year university course at diploma or masters level to learn clinical knowledge and skills after completing a three-year biomedical or healthcare related degree. They train in both the acute sector and primary care to gain a rounded patient centred clinical experience. There are 36 PA schools across England and currently one PA school delivering the postgraduate degree apprenticeship for PA.</p><p> </p><p>Subject to final training numbers and costs, NHS England estimates they will provide approximately £20.5 million for the training of 2,227 physician associates in the 2023/24 financial year broken down as follows:</p><p> </p><p>- East of England: £2,252,701;</p><p>- London: £3,001,033;</p><p>- Midlands: £2,205,406;</p><p>- North East and Yorkshire: £2,493,019;</p><p>- North West: £4,178,322;</p><p>- South East: £2,804,249; and</p><p>- South West £1,742,302.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 9272 question first answered 17/01/2024 17:27:59 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1681528

registered interest
date	11/01/2024
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	Physician Associates
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 guidance her Department has issued to NHS Trusts on the integration of physician associates into healthcare teams.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	9267
answer	answer is ministerial correction date of answer 17/01/2024 answer text <p>NHS England has worked with royal colleges and the General Medical Council (GMC) to develop appropriate curricula, core capability and career frameworks, standards for continued professional development, assessment and appraisal and supervision guidance for the physician associate (PA) role.</p><p>NHS England continues to work with partners, including the GMC and medical royal colleges, to ensure that PAs can be effectively trained and integrated into teams across a range of specialties through the ongoing development of national standards, a defined scope of practice, and assessment of educational capacity.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 17/01/2024 17:33:02 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1681529

registered interest
date	11/01/2024
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	Physician Associates
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 assess the adequacy of the contribution of physician associates to NHS healthcare teams.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	9268
answer	answer is ministerial correction date of answer 17/01/2024 answer text <p>Physician associates (PAs) are already a valued and integral part of the multi-disciplinary healthcare team. United Kingdom and international evidence highlights the contribution of PAs to healthcare teams.</p><p>One study published by the National Institute of Health and Care Research (NIHR) in 2019 found that PAs positively contributed to the medical and surgical team, patient experience and flow, and to supporting the clinical teams' workload, and that they have the potential to contribute further with an expansion of their role. The review also found that PAs undertook significant amounts of ward-based clinical administration related to patients’ care and were reported to be safe.</p><p>Health Education England, now NHS England, and NIHR-funded research undertaken and/or led by Professor Vari Drennan MBE between 2011 and 2020 on the role of PAs in England is renowned evidence in this area and publicly available.</p><p>As part of its work to implement the NHS Long Term Workforce Plan, NHS England will continue to seek feedback from employers, regulators, Royal Colleges and professional bodies regarding the PA role and will work to develop and implement any recommendations.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 17/01/2024 17:35:57 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1681530

registered interest
date	11/01/2024
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	Physician Associates
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 assessment her Department has made of the impact of the introduction of the physician associate role on patient (a) care and (b) outcomes in the NHS.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	9269
answer	answer is ministerial correction date of answer 17/01/2024 answer text <p>Health Education England, now NHS England, has previously explored the value and potential of physician associates (PAs) as members of a multidisciplinary medical team through impact case studies, which are available at the following link:</p><p><a href="https://www.hee.nhs.uk/our-work/medical-associate-professions/impact-case-studies/physician-associate-role-primary-care-impact-case-study" target="_blank">https://www.hee.nhs.uk/our-work/medical-associate-professions/impact-case-studies/physician-associate-role-primary-care-impact-case-study</a></p><p>There is ongoing work around the integration of medical associate profession roles, which include PAs and also anaesthesia associates and surgical care practitioners, as part of a Career Development Framework to support the overall objectives of the NHS Long Term Workforce Plan for these roles.</p><p>The NHS Long Term Workforce Plan commits to expanding the PA role further whilst upholding the highest levels of patient safety and welfare. NHS England will continue to seek feedback from employers, regulators, royal colleges and professional bodies regarding the PA role and will work to develop and implement any recommendations.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 17/01/2024 17:36:41 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1681531

registered interest
date	11/01/2024
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	Physician Associates
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 assessment her Department has made of the impact of the introduction of the physician associate role on workforce availability in areas of high patient demand for NHS services.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	9270
answer	answer is ministerial correction date of answer 17/01/2024 answer text <p>NHS England uses evidence and knowledge from bibliographic databases. There is also a significant body of peer-reviewed evidence from the United Kingdom and internationally on physician associates and anaesthesia associates which is available in the public domain. It demonstrates that these roles, appropriately supervised, improve access for patients, help reduce waiting lists and cut the workload for medically qualified staff.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 17/01/2024 17:35:08 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1681533

registered interest
date	11/01/2024
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	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, how much funding her Department has provided for the training of physician associates in each region in the 2023-24 financial year.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	9272
answer	answer is ministerial correction date of answer 17/01/2024 answer text <p>Physician associates (PAs) must pass an intensive two-year university course at diploma or masters level to learn clinical knowledge and skills after completing a three-year biomedical or healthcare related degree. They train in both the acute sector and primary care to gain a rounded patient centred clinical experience. There are 36 PA schools across England and currently one PA school delivering the postgraduate degree apprenticeship for PA.</p><p> </p><p>Subject to final training numbers and costs, NHS England estimates they will provide approximately £20.5 million for the training of 2,227 physician associates in the 2023/24 financial year broken down as follows:</p><p> </p><p>- East of England: £2,252,701;</p><p>- London: £3,001,033;</p><p>- Midlands: £2,205,406;</p><p>- North East and Yorkshire: £2,493,019;</p><p>- North West: £4,178,322;</p><p>- South East: £2,804,249; and</p><p>- South West £1,742,302.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 9264 question first answered 17/01/2024 17:27:59 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1681535

registered interest
date	11/01/2024
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	Physician Associates
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 guidance her Department has issued to NHS Trusts on the scope of practice for physician associates; and whether she has made a recent assessment of the potential merits of amending this scope of practice.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	9274
answer	answer is ministerial correction date of answer 17/01/2024 answer text <p>Physician associates (PAs) work within a defined scope of practice and limits of competence, aligned to an established curriculum, under the supervision of a designated senior doctor. Their detailed scope of practice in a given setting is circumscribed by that of the supervising doctor.</p><p>On 13 December 2023, the department laid draft legislation in both Houses and in the Scottish Parliament that, subject to parliamentary scrutiny, will empower the General Medical Council (GMC) to commence regulation of PAs by the end of 2024.</p><p>Regulation will provide a standardised framework of governance and assurance for clinical practice and professional conduct and define the capabilities required of newly qualified PAs. PAs will also be required to follow the duties set out in in the GMC’s Good medical practice 2024, including practising only within their competence.</p><p>Ahead of regulation, the GMC and the Faculty of PAs at the Royal College of Physicians have issued guidance for PAs, supervisors, employers and organisations to help provide a structured and standardised way of using the PA role. NHS England is also working with National Health Service trusts and professional bodies to encourage them to set out how the PA scope of practice and role can further develop after initial qualification.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 17/01/2024 17:34:15 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1681536

registered interest
date	11/01/2024
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	Physician Associates
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 has taken recent steps to undertake research into patient (a) perceptions and (b) satisfaction levels of the standard of care provided by physician associates in the NHS.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	9275
answer	answer is ministerial correction date of answer 17/01/2024 answer text <p>Whilst the Department has not undertaken research in this area, there is evidence in the United Kingdom and internationally that highlights the contribution of physician associates (PAs) to healthcare teams.</p><p> </p><p>One study published by the National Institute of Health and Care Research (NIHR) in 2019 found that PAs positively contributed to the medical and surgical team, patient experience and flow, and to supporting the clinical teams' workload, and that they have the potential to contribute further with an expansion of their role. The review also found that PAs undertook significant amounts of ward-based clinical administration related to patients’ care and were reported to be safe.</p><p> </p><p>Research funded by Health Education England, now NHS England, and NIHR, and undertaken and/or led by Professor Vari Drennan MBE between 2011 and 2020 on the role of PAs in England is renowned evidence in this area and publicly available.</p><p> </p><p>As part of its work to implement the NHS Long Term Workforce Plan, NHS England will continue to seek feedback from employers, regulators, Royal Colleges and professional bodies regarding the PA role and will work to develop and implement any recommendations.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 17/01/2024 17:33:22 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi