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1699274

registered interest
date	27/03/2024
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	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by Lord Markham on 25 March (HL2978), why they have specified how physician associates (PAs) are to be used, specifically with undifferentiated patients, rather than allowing GP practices to make their own decisions about the use of PAs.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL3652
answer	answer is ministerial correction date of answer 05/04/2024 answer text <p>Physician Associates (PAs) work within a defined scope of practice and limits of competence. NHS England has provided recent guidance on the use of PAs in general practice (GP) teams. As set out in the Network Contract Directed Enhanced Service, PAs should be adequately supervised by a GP when providing care for undifferentiated patients.</p><p>In terms of employment choices, GPs are self-employed contractors to the National Health Service, and it is largely up to employers to determine how best to staff their primary care network or GP, to best meet the needs of their population.</p> answering member printed Lord Markham question first answered 05/04/2024 13:32:33 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1699315

registered interest
date	27/03/2024
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: Medical Treatments
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made, in each of the past five years, of the economic costs of the effects of post-operative cancer treatments.
tabling member printed	Lord Wills
uin	HL3712
answer	answer is ministerial correction date of answer 05/04/2024 answer text <p>The Department is working jointly with NHS England and Cancer Alliances to ensure every person receives personalised care and support from cancer diagnosis onwards, including post-treatment. As outlined in the NHS Long Term Plan for cancer, where appropriate, every person diagnosed with cancer will have access to personalised care, including needs assessment, a care plan and health and wellbeing information and support. After treatment, the person will move to a follow-up pathway that suits their needs, and ensures they can get rapid access to clinical support, where they are worried that their cancer may have recurred.</p><p>Post-operative cancer treatments encompass a wide variety of care, depending on the type and stage of cancer, the treatment the patient has had, and the patient’s needs. Follow-up care often includes regular check-ups, blood tests, scans, and procedures. It may also involve further treatments to deal with late and long-term side effects, including chemotherapy or radiotherapy to reduce the risk of cancer coming back. These highly individualised treatments have varying economic costs.</p> answering member printed Lord Markham question first answered 05/04/2024 13:26:44 answering member 4948 label Biography information for Lord Markham
tabling member	260 label Biography information for Lord Wills

1699316

registered interest
date	27/03/2024
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	Medical Equipment: Storage
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by Lord Markham on 9 February (HL2216), why the information mentioned in the Answer on government expenditure is commercially sensitive.
tabling member printed	Baroness Wolf of Dulwich
uin	HL3713
answer	answer is ministerial correction date of answer 09/04/2024 answer text <p>At the time of answering, the Department was engaged in commercial negotiations with NHS Supply Chain and their sub-contractors, relating to ongoing storage requirements for the COVID Strategic Intensive Care Unit. In December 2023, the average per pallet per week cost for equipment in the COVID Strategic Intensive Care Unit was £5.52.</p><p>The Department currently makes payments to NHS Supply Chain in relation to storage of personal protective equipment (PPE). At end of December 2023 there were 492,259 pallets, or 5.1 billion items, of COVID-19 PPE remining in storage. This includes both business as usual and excess stock.</p> answering member printed Lord Markham question first answered 09/04/2024 13:31:41 answering member 4948 label Biography information for Lord Markham
tabling member	4347 label Biography information for Baroness Wolf of Dulwich

1699327

registered interest
date	27/03/2024
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	Population
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of the impact on the UK of the global decline in fertility rates.
tabling member printed	Lord Farmer
uin	HL3671
answer	answer is ministerial correction date of answer 10/04/2024 answer text <p>No such assessment has been made.</p> answering member printed Lord Markham question first answered 10/04/2024 12:43:43 answering member 4948 label Biography information for Lord Markham
tabling member	4321 label Biography information for Lord Farmer

1699328

registered interest
date	27/03/2024
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	Birth Rate
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of the impact of the Abortion Act 1967 on UK birth rates.
tabling member printed	Lord Farmer
uin	HL3672
answer	answer is ministerial correction date of answer 10/04/2024 answer text <p>No assessment has been made of the impact of the Abortion Act 1967 on United Kingdom birth rates. Parliament decided the circumstances under which abortion can legally be undertaken. Under the act, women have access to safe, legal, regulated abortion services.</p> answering member printed Lord Markham question first answered 10/04/2024 11:07:17 answering member 4948 label Biography information for Lord Markham
tabling member	4321 label Biography information for Lord Farmer

1699329

registered interest
date	27/03/2024
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	Mental Health: Boys
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what action they are taking to help the mental health of boys who were impacted by the lockdown restrictions.
tabling member printed	Lord Farmer
uin	HL3673
answer	answer is ministerial correction date of answer 10/04/2024 answer text <p>We want to ensure that all children and young people get the mental health support they need, including boys.</p><p>By the end of 2023/24 the overall spending on mental health has increased by more than £4.7 billion in cash terms since 2018/19 (before the COVID-19 lockdown restrictions were introduced).</p><p>There are now around 400 mental health support teams in place across England, covering 3.4 million children or around 35% of pupils in schools and colleges. We estimate this will increase to 44% by April 2024 and we are working to increase this coverage to 50% of pupils by March 2025.</p><p>There are also currently around 65 locally funded early support hubs in England. These hubs are open to those aged 11 to 25 years old and, importantly, they are for anyone who may not meet the threshold to receive National Health Service support. Following a competitive commercial process from hubs across the country, the government is now providing up to £8 million to 24 existing hubs to provide even more support. This means children and young people, including boys, who are experiencing feelings of anxiety or stress will have a physical space to go to in their community when their problems first emerge, without the need for a referral.</p> answering member printed Lord Markham question first answered 10/04/2024 11:07:05 answering member 4948 label Biography information for Lord Markham
tabling member	4321 label Biography information for Lord Farmer

1698892

registered interest
date	26/03/2024
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	Anaesthesia Associates and 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 discussions she has had with the General Medical Council on (a) regulating (i) physician and (ii) anaesthesia associates and (b) ensuring that increased use of these roles in hospitals does not impact (A) the professional competence of other healthcare professionals and (B) patient safety.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	20681
answer	answer is ministerial correction date of answer 15/04/2024 answer text <p>The Department has been working closely with the General Medical Council (GMC) since 2019, on the regulation of Anaesthesia Associates (AAs) and Physician Associates (PAs). Regulation with the GMC will provide set standards of practice, education, and training for AAs and PAs, as well as requirements around continual professional development (CPD) and conduct. Regulation with the GMC will mean that individual AAs and PAs can be held to account if serious concerns are raised.</p><p> </p><p>The NHS Long Term Workforce Plan commits to growing these roles alongside recruiting and training more doctors, nurses, and allied health and other professionals. NHS England is working with partners, including the GMC, royal colleges, trade unions, doctors, and medical associate professional groups to develop comprehensive curricula, core capability frameworks, standards for CPD, assessment and appraisal, and supervision guidance for AAs and PAs, ensuring the roles are expanded safely and effectively.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 15/04/2024 08:29:10 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4471 label Biography information for Rachael Maskell

1698899

registered interest
date	26/03/2024
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 Professions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions she is having with professional bodies on ensuring that the public have a clear understanding of (a) professional titles and (b) the services they can expect from the holders of such titles.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	20682
answer	answer is ministerial correction date of answer 15/04/2024 answer text <p>It is the responsibility of professionals and their employers to ensure professional titles are used appropriately, and are not misleading to patients. National Institute for Health and Care Excellence (NICE) guidelines set out that all healthcare professionals directly involved in a patient's care should introduce themselves and explain to the patient: who is responsible for their clinical care and treatment; the roles and responsibilities of the different members of the healthcare team; and the communication about their care that takes place between members of the healthcare team.</p><p> </p><p>Professions that are regulated in statute have titles that are protected by law, and professionals must be registered with a statutory regulator to use them. It is an offence for a person to use a title they are not legally permitted to use, or to otherwise hold themselves out to be a regulated professional.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 15/04/2024 08:28:46 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4471 label Biography information for Rachael Maskell

1698907

registered interest
date	26/03/2024
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	Social 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 she has made an assessment of the potential impact of her policies on social care on (a) staff recruitment and retention and (b) service user outcomes.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	20683
answer	answer is ministerial correction date of answer 15/04/2024 answer text <p>Preliminary findings for the Department's workforce reform programme have indicated that workers with multiple positive employment factors, including increasing access to training and qualifications, were more likely to stay in employment. Planned evaluation of the reforms will aim to measure the impact on intention to leave, and actual turnover, along with other outcomes.</p><p>We anticipate benefits from the workforce reform programme will include a reduction in staff turnover, improved quality of care from a better trained and more stable workforce, increased workforce productivity, and an increase in efficiency savings for social care providers as they reduce the amount of retraining and recruitment needed. These all contribute to our wider goals of improvements in the quality-of-care provision and improved access to care.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 15/04/2024 08:28:23 answering member 4527 label Biography information for Helen Whately
tabling member	4471 label Biography information for Rachael Maskell

1698924

registered interest
date	26/03/2024
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	NHS Greater Manchester: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when she last met with Greater Manchester NHS Board to discuss the statutory commissioning of NICE approved medicines.
tabling member constituency	Makerfield
tabling member printed	Yvonne Fovargue
uin	20611
answer	answer is ministerial correction date of answer 15/04/2024 answer text <p>Ministers have not met with Greater Manchester NHS Board about the statutory commissioning of National Institute for Health and Care Excellence (NICE) recommended medicines. Similarly I am informed that NHS England is not aware of any such discussions.</p><p>The National Health Service in England is legally required to make funding available for treatments recommended in NICE technology appraisal and highly specialised technologies guidance, normally within three months of the publication of final guidance. This requirement is reflected in the NHS Constitution as a right to drugs and treatments that have been recommended by NICE for use in the NHS, if their doctor believes they are clinically appropriate.</p><p>The NHS Standard Contract is mandated by NHS England for use by commissioners for all contracts for healthcare services other than primary care. The 2024/25 standard contract states that, where any service involves or may involve the prescribing of medicines, the provider must ensure that its formulary reflects all relevant positive NICE technology appraisals. NICE’s guideline on developing and updating local formularies states that when a NICE technology appraisal recommends a medicine, it should be adopted into the local formulary automatically if clinically appropriate and relevant to the services provided by the organisation, and that this process should take place within three months.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 20612 20613 question first answered 15/04/2024 08:04:14 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4034 label Biography information for Yvonne Fovargue