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1717671

registered interest
date	13/05/2024
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 Services: Training
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 made an impact assessment of ending new registrations by secondary care staff to the NHS Practitioner Health Programme before taking that decision; and whether she plans to reinstate this support.
tabling member constituency	Liverpool, West Derby
tabling member printed	Ian Byrne
uin	26002
answer	answer is ministerial correction date of answer 16/05/2024 answer text <p>The mental health and wellbeing of the National Health Service workforce is of paramount importance. My Rt hon. Friend, the Secretary of State for Health and Social Care and the Chief Executive of the NHS understand and sympathise with the concerns raised last month, in relation to the future of the NHS Practitioner Health service. They took swift action to ensure that it will continue to provide a full service to doctors and senior managers during 2023/24, whilst a review is carried out. This was confirmed by NHS England on 15 April 2024.</p><p> </p><p>NHS England is reviewing the service as part of a wider review of its mental health and wellbeing offer to staff. They are working collaboratively with regions and integrated care systems to agree the best approach to providing mental health support for staff, including outreach for the workforce. They will confirm future arrangements once this review has been completed.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 26003 26004 26005 question first answered 16/05/2024 08:01:13 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4831 label Biography information for Ian Byrne

1717672

registered interest
date	13/05/2024
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 Services: Mental Health
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 she has made of the mental health of (a) doctors and (b) the wider NHS workforce.
tabling member constituency	Liverpool, West Derby
tabling member printed	Ian Byrne
uin	26003
answer	answer is ministerial correction date of answer 16/05/2024 answer text <p>The mental health and wellbeing of the National Health Service workforce is of paramount importance. My Rt hon. Friend, the Secretary of State for Health and Social Care and the Chief Executive of the NHS understand and sympathise with the concerns raised last month, in relation to the future of the NHS Practitioner Health service. They took swift action to ensure that it will continue to provide a full service to doctors and senior managers during 2023/24, whilst a review is carried out. This was confirmed by NHS England on 15 April 2024.</p><p> </p><p>NHS England is reviewing the service as part of a wider review of its mental health and wellbeing offer to staff. They are working collaboratively with regions and integrated care systems to agree the best approach to providing mental health support for staff, including outreach for the workforce. They will confirm future arrangements once this review has been completed.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 26002 26004 26005 question first answered 16/05/2024 08:01:13 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4831 label Biography information for Ian Byrne

1717095

registered interest
date	10/05/2024
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	Ritlecitinib: Shropshire
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 expects Litfulo to be made available to NHS patients in (a) Shropshire, (b) Telford and (c) Wrekin.
tabling member constituency	The Wrekin
tabling member printed	Mark Pritchard
uin	25645
answer	answer is ministerial correction date of answer 14/05/2024 answer text <p>The National Institute for Health and Care Excellence (NICE) makes recommendations on whether all new licensed medicines should be routinely funded by the National Health Service, based on an assessment of their costs and benefits.</p><p>On 27 March 2024, NICE published final technology appraisal guidance recommending ritlecitinib (Litfulo) for treating severe alopecia areata in people 12 years old and over. The NHS in England is legally required to fund medicines recommended by NICE within three months of the publication of its final guidance.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 14/05/2024 16:53:44 answering member 4044 label Biography information for Andrew Stephenson
tabling member	1576 label Biography information for Mark Pritchard

1717150

registered interest
date	10/05/2024
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 Services
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 she is taking to ensure that integrated care boards take into account a) clinical, b) patient and c) provider experience when commissioning specialised services.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	25656
answer	answer is ministerial correction date of answer 15/05/2024 answer text <p>NHS England's delegation agreement with the integrated care boards (ICBs) requires each ICB to establish effective, safe, efficient, and economic arrangements for the commissioning of delegated specialised services, with particular reference to statutory obligations relating to health and care bodies, such as the triple aim.</p><p>The delegation agreement supports these responsibilities, including following all relevant legislation, guidance, and good practice. In commissioning delegation specialised services, ICBs must: consider how they can meet their legal duties to involve patients and the public in shaping the provision of services; work with local communities, under-represented groups, and those with protected characteristics; consider how they can address health inequalities; assist in the development of national standards, including service specifications and clinical commissioning policies; support the development of local clinical leadership and expertise in respect of specialised services; support specialised clinical networks and clinical reference groups, including participating in development and agreement of the annual plan for relevant clinical networks; and work with providers as commissioners of specialised services, including management of contracts and the annual contracting round, financial management, and working with providers on identification and management of any issues relating to quality of services.</p><p>Appropriate oversight and assurance arrangements are in place to assure the commissioning capability and capacity of ICBs, and so that NHS England, as the accountable commissioner, has the right mechanisms where support or intervention is needed, regardless of whether a service is retained by NHS England or falls within scope of delegated commissioning arrangements.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 15/05/2024 16:31:37 answering member 4527 label Biography information for Helen Whately
tabling member	4444 label Biography information for Karin Smyth

1717151

registered interest
date	10/05/2024
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 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 progress in the development of a clinical analytical service for specialised commissioning.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	25657
answer	answer is ministerial correction date of answer 15/05/2024 answer text <p>Commissioners of Specialised Services have access to the analysis of clinical data via their regional business intelligence teams, or the nationally commissioned Commissioning Support Unit (CSU) service provision.</p><p>Routine reporting can be accessed via the National Commissioning Data Repository, and more focused analytics can be performed across commissioning and clinical datasets collected by NHS England. NHS England has developed 181 Specialised Services Quality Dashboards alongside service specifications, which provide additional data to monitor the quality of services and maintain clinical registries ranging from bowel cancer to pulmonary hypertension. The full list is available at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/clinical-audits-and-registries" target="_blank">https://digital.nhs.uk/data-and-information/clinical-audits-and-registries</a></p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 15/05/2024 16:35:52 answering member 4527 label Biography information for Helen Whately
tabling member	4444 label Biography information for Karin Smyth

1717160

registered interest
date	10/05/2024
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	Joint Replacements: Post-operative 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 steps she is taking to ensure that best practice guidelines for prosthetic infection are implemented across elective surgery clinical care pathways.
tabling member constituency	Hayes and Harlington
tabling member printed	John McDonnell
uin	25605
answer	answer is ministerial correction date of answer 14/05/2024 answer text <p>The Government is working with NHS England to improve perioperative care. This should ensure best practice guidelines are implemented across surgery clinical care pathways, including for prosthetic infections. In May 2023, NHS England published guidance setting out five core perioperative care requirements relating to the care of adult patients awaiting planned inpatient surgery. These measures address the key objective of identifying health needs as early as possible in perioperative pathways, and then using time on the waiting list to optimise health. The NHS England National Elective Recovery and Outpatients programme is working with NHS England regional teams to help oversee and support compliance, and will continue to do so throughout 2024/25.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 14/05/2024 16:56:42 answering member 4044 label Biography information for Andrew Stephenson
tabling member	178 label Biography information for John McDonnell

1717161

registered interest
date	10/05/2024
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	Joint Replacements: Post-operative Care
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 merits of psychological support for post-surgical orthopaedic infections.
tabling member constituency	Hayes and Harlington
tabling member printed	John McDonnell
uin	25606
answer	answer is ministerial correction date of answer 15/05/2024 answer text <p>We have made no such assessment. Anyone experiencing mental ill health as a result of a post-surgical orthopaedic infection should speak to their general practitioner, or refer themselves to their local NHS Talking Therapies service.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 15/05/2024 10:09:54 answering member 4492 label Biography information for Maria Caulfield
tabling member	178 label Biography information for John McDonnell

1716801

registered interest
date	09/05/2024
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	Medicine: Education
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 hold discussions with the (a) Medical Schools Council and (b) British Medical Association on the effectiveness of preference-informed allocation for foundation placements for medical graduates.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	25505
answer	answer is ministerial correction date of answer 15/05/2024 answer text <p>The UK Foundation Programme Office (UKFPO) manages the national application process for the UK Foundation Programme, on behalf of the four statutory education bodies for the United Kingdom. The UKFPO changed the allocation process for the programme this year to a Preference Informed Allocation method. This consisted of applicants being given a computer-generated rank, and removed the requirement for them to sit the Situational Judgement Test. This change was based on engagement with stakeholders, including the Medical Schools Council, and the British Medical Association.</p><p>When confirming the move to the new system last year, the UKFPO set out that once implemented, it would be kept under constant review, to make sure it is working well for applicants. The UKFPO has confirmed that 75% of applicants received their first choice of programme this year, a 4% increase on last year.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 15/05/2024 15:44:06 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4471 label Biography information for Rachael Maskell

1716806

registered interest
date	09/05/2024
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	Pancreatic Cancer: 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 adequacy of the availability of enzyme replacement therapy.
tabling member constituency	Jarrow
tabling member printed	Kate Osborne
uin	25591
answer	answer is ministerial correction date of answer 15/05/2024 answer text <p>We are aware of the supply issues with the three enzyme replacement therapies, Creon 10,000 gastro-resistant capsules, Creon 25,000 gastro-resistant capsules, and Nutrizym 22 capsules. These are due to manufacturing and active pharmaceutical ingredient constraints. The Department will be issuing updated guidance to healthcare professionals regarding treatment of patients while there is a disruption to the supply of these pancreatic enzyme replacement therapies. We are having regular conversations with the suppliers of these products to help drive the resolution of these issues as quickly as possible, for example by expediting orders and increasing forecasts. We are also working with specialist importers to source unlicensed imports from abroad.</p><p>Whilst we can’t always prevent supply issues, we have a range of well-established tools and processes to mitigate risks to patients. These include close and regular engagement with suppliers, use of alternative strengths or forms of a medicine to allow patients to remain on the same product, expediting regulatory procedures, sourcing unlicensed imports from abroad, adding products to the restricted exports and hoarding list, use of Serious Shortage Protocols, and issuing National Health Service communications to provide management advice and information on the issue to healthcare professionals, so they can advise and support their patients.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 25370 25371 question first answered 15/05/2024 08:18:01 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4783 label Biography information for Kate Osborne

1716808

registered interest
date	09/05/2024
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	Palliative 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 steps her Department is taking to collect data on people admitted to hospital for palliative care in order to understand the (a) demand and (b) needs for palliative care.
tabling member constituency	Darlington
tabling member printed	Peter Gibson
uin	25584
answer	answer is ministerial correction date of answer 15/05/2024 answer text <p>NHS England collects data on the number of people admitted to hospital with a palliative care diagnosis. However, this does not clearly indicate the reason for admission. The following table shows the numbers of patients identified as being admitted to hospital and having a palliative care diagnosis, for each of the past five years:</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Palliative care diagnosis</p></td></tr><tr><td><p>2018/19</p></td><td><p>94,000</p></td></tr><tr><td><p>2019/20</p></td><td><p>98,052</p></td></tr><tr><td><p>2020/21</p></td><td><p>98,736</p></td></tr><tr><td><p>2021/22</p></td><td><p>102,032</p></td></tr><tr><td><p>2022/23</p></td><td><p>102,795</p></td></tr></tbody></table> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 15/05/2024 16:42:17 answering member 4527 label Biography information for Helen Whately
tabling member	4754 label Biography information for Peter Gibson