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1661868

registered interest
date	19/09/2023
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	Cancer: Greater London
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text	To ask the Secretary of State for Health and Social Care, whether his Department has issued guidance on the use of out-of-date cancer treatment machinery to NHS bodies in (a) Enfield North constituency, (b) the London Borough of Enfield and (c) London.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	200405
answer	answer is ministerial correction date of answer 16/10/2023 answer text <p>The Department has not issued guidance on the use of out-of-date cancer treatment machinery as it is the responsibility of National Health Service systems to follow guidance from NHS England.</p><p>Recent Capital Planning Guidance from NHS England sets out the expectation that most radiotherapy equipment, particularly LINAC machines, will need to be replaced at ten years of age, to make progress on Long Term Plan priorities. The guidance states that integrated care systems need to develop replacement plans as part of their multi-year capital plans, in partnership with specialised commissioners, Cancer Alliances and Radiotherapy Operational Delivery Networks, based on an assessment of equipment age, capacity and demand, opportunities to improve access, and service risk.</p><p>At the 2021 Spending Review, £12.6 billion was awarded for NHS Operational Capital for 2022/23 to 2024/25. This accounts for the need to replace diagnostic and other equipment, and the need for NHS trusts to provide for replacements is recognised in the NHS Planning Guidance.</p> answering member constituency Colchester answering member printed Will Quince question first answered 16/10/2023 14:59:19 answering member 4423 label Biography information for Will Quince
tabling member	4822 label Biography information for Feryal Clark

1660144

registered interest
date	12/09/2023
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
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 the (a) funding and (b) amount of research undertaken on pregnancy.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	199224
answer	answer is ministerial correction date of answer 20/09/2023 answer text <p>The Department commissions research through the National Institute for Health and Care Research (NIHR). Since 2018, approximately £68 million has been invested into research on pregnancy across NIHR’s research programmes. No assessment of the adequacy has been made and it is not usual practice for the NIHR to ringfence funds for particular topics or conditions. The NIHR welcomes funding applications for research into any aspect of human health, including pregnancy.</p> answering member constituency Colchester answering member printed Will Quince question first answered 20/09/2023 09:42:22 answering member 4423 label Biography information for Will Quince
tabling member	4822 label Biography information for Feryal Clark

1660259

registered interest
date	12/09/2023
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	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, with reference to the Major Conditions Strategy: case for change and our strategic framework, published by his Department on 21 August 2023, what recent estimate his Department has made of the cost of implementing the framework.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	199246
answer	answer is ministerial correction date of answer 20/09/2023 answer text <p>Funding for the development of the Strategy will come out of the Department’s existing funding allocation. This funding is not separately identified.</p><p>The funding provided at the Autumn Statement comes on top of the 2021 Spending Review Settlement, which provided a 33% total cash increase of £43.9 billion when compared to 2019/20, when our budget outturn was £133.5 billion.</p><p>As part of the Strategy, we will identifying innovative actions to help alleviate pressure on the National Health Service, such as maximising use of new technologies to screen individuals for conditions.</p> answering member constituency Colchester answering member printed Will Quince question first answered 20/09/2023 12:53:35 answering member 4423 label Biography information for Will Quince
tabling member	4822 label Biography information for Feryal Clark

1660262

registered interest
date	12/09/2023
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	Podiatry: Enfield North
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 a recent estimate of the number of patients waiting for podiatry care in Enfield North constituency.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	199249
answer	answer is ministerial correction date of answer 20/09/2023 answer text <p>The information requested is not held at constituency level. The data does not provide information on current waiting times but shows the number of people who are on the waiting list at a specific point in time.</p><p>Enfield North is covered by the North Central London Integrated Care Board (ICB). Across that ICB area, there were 2,540 people on the community health services waiting list for adult podiatry and podiatric surgery in July 2023.</p> answering member constituency Colchester answering member printed Will Quince question first answered 20/09/2023 09:43:52 answering member 4423 label Biography information for Will Quince
tabling member	4822 label Biography information for Feryal Clark

1658318

registered interest
date	05/09/2023
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	Cancer: Greater London
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the average waiting time is for NHS patients to access cancer treatment in (a) Enfield North constituency, (b) the London Borough of Enfield and (c) London.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	197931
answer	answer is ministerial correction date of answer 12/09/2023 answer text <p>The information is not held in the format requested, as cancer waiting time data is not collected by constituency, borough, or city. Cancer waiting time data by provider, commissioner or at a national level is available at the following link:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/cancer-waiting-times/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/cancer-waiting-times/</a></p> answering member constituency Colchester answering member printed Will Quince question first answered 12/09/2023 15:48:42 answering member 4423 label Biography information for Will Quince
tabling member	4822 label Biography information for Feryal Clark

1658326

registered interest
date	05/09/2023
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	Surgery: Enfield North
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many referrals for elective surgery to (a) the NHS and (b) independent health providers funded through the NHS were made by each GP surgery in Enfield North constituency in each of the last five years.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	197939
answer	answer is ministerial correction date of answer 12/09/2023 answer text <p>The data is not held in the format requested.</p> answering member constituency Colchester answering member printed Will Quince question first answered 12/09/2023 15:40:41 answering member 4423 label Biography information for Will Quince
tabling member	4822 label Biography information for Feryal Clark

1657845

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	Hospitals: Concrete
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many assessments of buildings on the NHS estate for reinforced autoclaved aerated concrete (RAAC) have occurred in each of the last five years.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	197605
answer	answer is ministerial correction date of answer 19/09/2023 answer text <p>The National Health Service has been surveying sites and undertaking reinforced autoclaved aerated concrete (RAAC) mitigation work since 2019 and has had an active national remediation programme since 2021 to mitigate and monitor the risks posed by RAAC in the NHS estate.</p><p>NHS England has provided guidance for trusts nationally on how to establish the presence of RAAC in their estate. There is ongoing engagement with trusts on a national and regional level to ensure RAAC is identified across the NHS estate. Trusts are conducting surveys and assessments, including ongoing monitoring based on the guidance issued and so no central data of the number of assessments is held.</p> answering member constituency Colchester answering member printed Will Quince question first answered 19/09/2023 09:26:42 answering member 4423 label Biography information for Will Quince previous answer version 91971 answering member constituency Colchester answering member printed Will Quince answering member 4423 label Biography information for Will Quince
tabling member	4822 label Biography information for Feryal Clark

1657846

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	Hospitals: Concrete
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether any hospitals will need to close due to reinforced autoclaved aerated concrete (RAAC).
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	197606
answer	answer is ministerial correction date of answer 19/09/2023 answer text <p>The National Health Service has been surveying sites and undertaking reinforce autoclaved aerated concrete (RAAC) mitigation work since 2019 and already has a comprehensive mitigation plan in place for hospital buildings with RAAC. This includes significant additional funding, £698 million from 2021 to 2025. Additionally, in May 2023 we announced that the seven NHS hospitals most affected by RAAC will be replaced by 2030 through the New Hospital Programme, and that we remain committed to eradicating RAAC from the NHS estate entirely by 2035.</p><p>The nature of hospital sites, typically with a large estate footprint and a range of ongoing maintenance programmes, means mitigation works can be carried out with relatively minimal service disruption, including relocating wards where necessary. Reducing the availability of advanced clinical settings could cause potential harm to patients. Keeping capacity open but being scrupulous about RAAC monitoring and mitigation until the RAAC can be removed is fully in line with the current evidence and recommendations of the Institute of Structural Engineers.</p><p>There is ongoing engagement with trusts on a national and regional level to ensure RAAC is being fully identified across the NHS estate, and the NHS has plans in place to manage any change in position with RAAC as part of the ongoing work every trust undertakes to plan for a wide range of scenarios.</p> answering member constituency Colchester answering member printed Will Quince question first answered 19/09/2023 09:28:02 answering member 4423 label Biography information for Will Quince previous answer version 91972 answering member constituency Colchester answering member printed Will Quince answering member 4423 label Biography information for Will Quince
tabling member	4822 label Biography information for Feryal Clark

1657847

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	Hospitals: Concrete
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many hospitals were built using reinforced autoclaved aerated concrete (RAAC).
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	197607
answer	answer is ministerial correction date of answer 25/10/2023 answer text <p>As of 17 October 2023, there are 42 hospital sites with confirmed reinforced autoclaved aerated concrete (RAAC). Of these, 18 have been identified since May 2023 following updated monitoring guidance from the Institution of Structural Engineers. The Department has published a full list of hospitals with confirmed RAAC, which is available at the following link:</p><p><a href="https://www.gov.uk/government/publications/reinforced-autoclaved-aerated-concrete-raac-in-hospitals-management-information" target="_blank">https://www.gov.uk/government/publications/reinforced-autoclaved-aerated-concrete-raac-in-hospitals-management-information</a></p><p>In most identified cases, RAAC has been found in limited parts of a hospital site or an individual building. The National Health Service has a comprehensive mitigation plan in place for hospital buildings with RAAC, including significant additional funding worth £698 million from 2021 to 2025 for trusts to put in place necessary remediation and failsafe measures. In addition, in May 2023 the Government announced that the seven most affected hospitals would be replaced by 2030 through the New Hospital Programme.</p><p>Where structural surveys identify RAAC in their estate, trusts are inducted into the national remediation programme. Each site will be different, and just because RAAC is present, it does not necessarily mean there is a high risk.</p> answering member constituency Colchester answering member printed Will Quince question first answered 25/10/2023 12:59:22 answering member 4423 label Biography information for Will Quince previous answer version 91973 answering member constituency Colchester answering member printed Will Quince answering member 4423 label Biography information for Will Quince
tabling member	4822 label Biography information for Feryal Clark

1656496

registered interest
date	01/09/2023
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	Primary Health Care: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether new capital funding was made available to primary care estates in (a) Enfield North constituency, (b) the London Borough of Enfield and (c) London in the financial year 2022-23.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	197047
answer	answer is ministerial correction date of answer 11/09/2023 answer text <p>The Government has allocated over £24 billion of capital funding to the National Health Service between 2022/23 and 2024/25.</p><p>Over £12 billion of this is allocated to integrated care boards (ICB) to invest themselves based on local priorities, including primary care facilities. The table below sets out the operational capital allocation for London ICBs, including North London Partners in Health &amp; Care ICB, the relevant ICB for Enfield North and the London Borough of Enfield.</p><table><tbody><tr><td><p>Integrated Care Board</p></td><td><p>Operational Capital Allocation (2022/23 to 2024/25)</p></td></tr><tr><td><p>South West London Health &amp; Care Partnership ICB</p></td><td><p>£374m</p></td></tr><tr><td><p>North West London Health &amp; Care Partnership ICB</p></td><td><p>£650m</p></td></tr><tr><td><p>Our Healthier South East London ICB</p></td><td><p>£681m</p></td></tr><tr><td><p>North London Partners in Health &amp; Care ICB</p></td><td><p>£590m</p></td></tr><tr><td><p>East London Health &amp; Care Partnership ICB</p></td><td><p>£256m</p></td></tr><tr><td><p>Total</p></td><td><p>£2551m</p></td></tr></tbody></table><p> </p> answering member constituency Colchester answering member printed Will Quince question first answered 11/09/2023 14:34:38 answering member 4423 label Biography information for Will Quince
tabling member	4822 label Biography information for Feryal Clark