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1547301

registered interest
date	01/12/2022
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: Staff
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 had discussions with the Chancellor of the Exchequer on a funding settlement to support the NHS workforce plan.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	101075
answer	answer is ministerial correction date of answer 20/12/2022 answer text <p>NHS England is currently developing a long term workforce plan which will be used to inform future Government work on meeting the needs of patients and the National Health Service workforce.</p><p>However, the Government recognises that the NHS is under significant pressure, including from the continuing recovery from the impact of the pandemic. The recent autumn statement is making up to £8 billion available for the NHS and adult social care in England in 2024/25. Funding plans will be subject to business and financial planning and investment decisions and plans beyond the current Spending Review period will be subject to the outcome of future Spending Reviews.</p> answering member constituency Colchester answering member printed Will Quince question first answered 20/12/2022 10:48:33 answering member 4423 label Biography information for Will Quince
tabling member	4822 label Biography information for Feryal Clark

1547302

registered interest
date	01/12/2022
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	Parkinson's Disease: 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 he has had recent discussions with hospital trusts on taking steps to help ensure that people with Parkinson’s Disease get their medication on time in hospital settings in England.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	101076
answer	answer is ministerial correction date of answer 20/12/2022 answer text <p>There have been no recent Ministerial discussions. Hospital providers are responsible for ensuring that patients within hospital settings receive the appropriate medication on time, including those with Parkinson’s disease.</p><p>NHS England has published a RightCare toolkit which aims to address challenges in providing services for those with progressive neurological conditions, including Parkinson’s disease. The toolkit provides advice on medicine optimisation, highlighting the importance of timely administration of specific drugs, such as Levodopa, in acute and community health settings.</p> answering member constituency Colchester answering member printed Will Quince question first answered 20/12/2022 11:40:18 answering member 4423 label Biography information for Will Quince
tabling member	4822 label Biography information for Feryal Clark

1547303

registered interest
date	01/12/2022
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: Closures
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 he has made of the potential impact of community pharmacy closures on patients.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	101077
answer	answer is ministerial correction date of answer 15/12/2022 answer text <p>With NHS England, we are monitoring the market and the impact on patient access to pharmaceutical services. An estimated 80% of the population lives within 20 minutes’ walk of a community pharmacy and there are double the number of pharmacies in more deprived areas. There are over 11,000 community pharmacies in England and the Pharmacy Access Scheme provides additional funding for areas where there are fewer pharmacies.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 15/12/2022 14:41:31 answering member 4679 label Biography information for Neil O'Brien
tabling member	4822 label Biography information for Feryal Clark

1547304

registered interest
date	01/12/2022
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: Recruitment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will make an assessment of the potential impact of the recruitment of clinical pharmacists into primary care networks on the community pharmacy workforce.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	101078
answer	answer is ministerial correction date of answer 13/12/2022 answer text <p>The Department and NHS England are monitoring the impact of the recruitment of clinical pharmacists to general practice and Primary Care Networks under the Additional Roles Reimbursement Scheme. NHS England is working with community pharmacy employers to provide support and ensure the delivery of high quality pharmaceutical services.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 13/12/2022 15:21:52 answering member 4679 label Biography information for Neil O'Brien
tabling member	4822 label Biography information for Feryal Clark

1547305

registered interest
date	01/12/2022
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: Finance
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 his Department has provided to community pharmacies through the Community Pharmacy Contractual Framework in real terms accounting for inflation in each year since 2016.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	101079
answer	answer is ministerial correction date of answer 04/01/2023 answer text <p>The following table shows real terms and nominal funding provided through the Community Pharmacy Contractual Framework, accounting for inflation, in each year since 2015/16.</p><p> </p><p>The Community Pharmacy Contractual Framework 2019-24 commits £2.592 billion per year to community pharmacy. In addition, the agreement with the Pharmaceutical Services Negotiating Committee for 2022/23 and 2023/24, announced on 22 September 2022, provides a non-recurrent additional investment of £100 million in these years. Community pharmacies also received funding for the provision of other services, including flu and COVID-19 vaccinations and services commissioned locally by NHS England and local authorities.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Nominal funding</p></td><td><p>November 2022 Gross Domestic Product deflator</p></td><td><p>Real terms funding</p></td></tr><tr><td><p>2015/16</p></td><td><p>£2.8 billion</p></td><td><p>100.0</p></td><td><p>£2.8 billion</p></td></tr><tr><td><p>2016/17</p></td><td><p>£2.687 billion</p></td><td><p>102.1</p></td><td><p>£2.633 billion</p></td></tr><tr><td><p>2017/18</p></td><td><p>£2.592 billion</p></td><td><p>103.8</p></td><td><p>£2.498 billion</p></td></tr><tr><td><p>2018/19</p></td><td><p>£2.592 billion</p></td><td><p>105.6</p></td><td><p>£2.454 billion</p></td></tr><tr><td><p>2019/20</p></td><td><p>£2.592 billion</p></td><td><p>108.4</p></td><td><p>£2.392 billion</p></td></tr><tr><td><p>2020/21</p></td><td><p>£2.592 billion</p></td><td><p>115.3</p></td><td><p>£2.248 billion</p></td></tr><tr><td><p>2021/22</p></td><td><p>£2.592 billion</p></td><td><p>114.8</p></td><td><p>£2.259 billion</p></td></tr><tr><td><p>2022/23</p></td><td><p>£2.592 billion</p></td><td><p>120.3</p></td><td><p>£2.154 billion</p></td></tr></tbody></table><p> </p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 101080 question first answered 04/01/2023 15:33:54 answering member 4423 label Biography information for Will Quince
tabling member	4822 label Biography information for Feryal Clark

1547306

registered interest
date	01/12/2022
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if his Department will make an assessment of the impact of inflation on community pharmacies.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	101080
answer	answer is ministerial correction date of answer 04/01/2023 answer text <p>The following table shows real terms and nominal funding provided through the Community Pharmacy Contractual Framework, accounting for inflation, in each year since 2015/16.</p><p> </p><p>The Community Pharmacy Contractual Framework 2019-24 commits £2.592 billion per year to community pharmacy. In addition, the agreement with the Pharmaceutical Services Negotiating Committee for 2022/23 and 2023/24, announced on 22 September 2022, provides a non-recurrent additional investment of £100 million in these years. Community pharmacies also received funding for the provision of other services, including flu and COVID-19 vaccinations and services commissioned locally by NHS England and local authorities.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Nominal funding</p></td><td><p>November 2022 Gross Domestic Product deflator</p></td><td><p>Real terms funding</p></td></tr><tr><td><p>2015/16</p></td><td><p>£2.8 billion</p></td><td><p>100.0</p></td><td><p>£2.8 billion</p></td></tr><tr><td><p>2016/17</p></td><td><p>£2.687 billion</p></td><td><p>102.1</p></td><td><p>£2.633 billion</p></td></tr><tr><td><p>2017/18</p></td><td><p>£2.592 billion</p></td><td><p>103.8</p></td><td><p>£2.498 billion</p></td></tr><tr><td><p>2018/19</p></td><td><p>£2.592 billion</p></td><td><p>105.6</p></td><td><p>£2.454 billion</p></td></tr><tr><td><p>2019/20</p></td><td><p>£2.592 billion</p></td><td><p>108.4</p></td><td><p>£2.392 billion</p></td></tr><tr><td><p>2020/21</p></td><td><p>£2.592 billion</p></td><td><p>115.3</p></td><td><p>£2.248 billion</p></td></tr><tr><td><p>2021/22</p></td><td><p>£2.592 billion</p></td><td><p>114.8</p></td><td><p>£2.259 billion</p></td></tr><tr><td><p>2022/23</p></td><td><p>£2.592 billion</p></td><td><p>120.3</p></td><td><p>£2.154 billion</p></td></tr></tbody></table><p> </p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 101079 question first answered 04/01/2023 15:33:54 answering member 4423 label Biography information for Will Quince
tabling member	4822 label Biography information for Feryal Clark

1547307

registered interest
date	01/12/2022
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: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will make an estimate of the number of vacancies there are for (a) nurses and (b) pharmacists in homecare medicines services as of 1 December 2022; and if he will make an assessment of the potential impact of the number of vacancies on (i) the performance of homecare medicines services and (ii) patient safety.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	101081
answer	answer is ministerial correction date of answer 22/12/2022 answer text <p>In England there are 12 providers of homecare medicines and services. NHS England (NHSE) have advised they do not collect data on the number of vacancies for nurses and pharmacists in homecare medicines services.</p><p>Homecare providers are assessed on a monthly basis against their Key Performance Indicators (KPIs) at a national level for NHSE framework agreements and at a regional level for NHS regional contracting and more formally on a regular basis through face-to-face meetings with the National Homecare Medicines Committee and NHSE. The level of vacancies do not form part of this quality assurance and governance process, so estimates cannot reasonably be made. The quality assurance and governance process covers the monitoring of patients’ adverse events, complaints and incidents. Providers not meeting their KPIs in these areas are held to account and action is taken to ensure that levels of service are brought back in line with the relevant professional standards, these resolutions impact directly on service performance and patient safety.</p> answering member constituency Colchester answering member printed Will Quince question first answered 22/12/2022 11:55:40 answering member 4423 label Biography information for Will Quince
tabling member	4822 label Biography information for Feryal Clark

1547308

registered interest
date	01/12/2022
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: 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 his Department has taken recent steps to help ensure that there are interoperable prescribing systems between NHS providers and homecare medicines services providers.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	101082
answer	answer is ministerial correction date of answer 13/12/2022 answer text <p>The National Homecare Medicines Committee’s standardisation programme includes a project with the National Health Service, NHS Digital, Electronic Prescribing and Medicines Administration systems’ vendors and homecare providers to produce a specification for an electronic prescribing system. This will focus on the technical aspects of homecare requirements and will include interoperable prescribing systems.</p> answering member constituency Colchester answering member printed Will Quince question first answered 13/12/2022 16:51:03 answering member 4423 label Biography information for Will Quince
tabling member	4822 label Biography information for Feryal Clark

1547309

registered interest
date	01/12/2022
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	Respiratory System: 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, whether his Department has taken recent steps to reduce inequalities in outcomes affecting patients with respiratory conditions.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	101083
answer	answer is ministerial correction date of answer 13/12/2022 answer text <p>NHS England’s Core20PLUS5 programme aims to reduce inequalities in outcomes for chronic respiratory disease. NHS England is raising awareness of COVID-19, flu and pneumonia vaccinations disease management reviews for chronic obstructive pulmonary disease through the national Core20PLUS5 approach.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 13/12/2022 14:51:08 answering member 4527 label Biography information for Helen Whately
tabling member	4822 label Biography information for Feryal Clark

1547310

registered interest
date	01/12/2022
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	Chronic Obstructive Pulmonary Disease: 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, whether his Department is taking steps to improve the treatment of chronic obstructive pulmonary disease.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	101084
answer	answer is ministerial correction date of answer 07/12/2022 answer text <p>NHS England has established 13 respiratory clinical networks with primary care and community services to manage the diagnosis and treatment of chronic obstructive pulmonary disease. The Quality Outcomes Framework for 2022/23 includes respiratory indicators in relation to the diagnosis of asthma and chronic obstructive pulmonary disease, which was fully re-instated in April 2022.</p><p> </p><p>Community diagnostic centres (CDCs) are also delivering additional, digitally connected, diagnostic capacity. This includes a pilot pathway for the diagnosis of undifferentiated breathlessness in a number of CDCs, with a view to wider deployment.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 101085 question first answered 07/12/2022 13:01:10 answering member 4527 label Biography information for Helen Whately
tabling member	4822 label Biography information for Feryal Clark