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1697083

	registered interest
	date	19/03/2024
	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: Expenditure
	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 Answer of 12 October 2021 to Question 51702 on NHS: Expenditure, how much NHS England, clinical commissioning groups and integrated care boards spent in aggregate on (a) mental health services, (b) acute health services, (c) social care services, (d) primary medical services, (e) specialised services, (f) NHS continuing healthcare and (g) all other recorded spending categories in each financial year since 2015-16; and how much those organisations plan to spend in aggregate in each of those areas in the (i) 2023-24 and (ii) 2024-25 financial years.
	tabling member constituency	Ilford North
	tabling member printed	Wes Streeting
	uin	19413
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>The information requested up to 2023/24 is in the attached table due to its size. NHS England continues to work with integrated care boards (ICB) to develop their financial plans for 2024/25. Until that process is complete, we will not have a final agreed set of financial plans for the year ahead.</p><p>The £38 billion increase in clinical commissioning group and ICB direct commissioning spend between the 2019/20 and 2023/24 budgets reflects the record settlement for health and social care funding confirmed at the 2021 Spending Review.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 01/05/2024 16:20:23 answering member 4044 label Biography information for Andrew Stephenson attachment 1 file name FORMATTED TABLE FOR MINISTERIAL CLEARANCE PQ19413 table.docx title PQ19413 Table previous answer version 25896 answering member constituency Pendle answering member printed Andrew Stephenson answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4504 label Biography information for Wes Streeting

1700208

	registered interest
	date	12/04/2024
	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 Services
	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 adult mental health patients have been held in inappropriate out of area placements since March 2021.
	tabling member constituency	Tooting
	tabling member printed	Dr Rosena Allin-Khan
	uin	21182
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>12,960 inappropriate out of area placements were started between April 2021 and 31 December 2023, although some patients may have had more than one placement within the reporting period.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 01/05/2024 10:58:54 answering member 4492 label Biography information for Maria Caulfield previous answer version 28305 answering member constituency Lewes answering member printed Maria Caulfield answering member 4492 label Biography information for Maria Caulfield
	tabling member	4573 label Biography information for Dr Rosena Allin-Khan

1700558

	registered interest
	date	12/04/2024
	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	Carers: Leave
	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 policy paper entitled People at the Heart of Care, published by her Department in December 2021, CP 560, what steps her Department has taken to raise awareness of Carer's Leave amongst unpaid carers.
	tabling member constituency	North East Fife
	tabling member printed	Wendy Chamberlain
	uin	21443
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>The Government is committed to supporting unpaid carers to balance their caring alongside work, and to do so in a way that supports their own health and wellbeing.</p><p> </p><p>As indicated in People at the Heart of Care in 2021, the Department for Business and Trade (DBT) are the lead department for carer’s leave. DBT has carried out a range of activities to raise awareness of Carer’s Leave, including producing associated guidance available through GOV.UK, working closely stakeholders such as carer and business representative organisations and promoting Carers Leave through the ‘Help to Grow’ website.</p><p> </p><p> </p><p>The Department for Health and Social Care continues to seek and use opportunities to raise awareness of support services and relevant legislation, including carer’s leave, amongst unpaid carers. This includes through our ongoing engagement with carer representative organisations, the use of GOV.UK and engagement in events such as during Carers Week, which this year takes place in June 2024.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 01/05/2024 10:28:06 answering member 4527 label Biography information for Helen Whately
	tabling member	4765 label Biography information for Wendy Chamberlain

1702315

	registered interest
	date	18/04/2024
	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	Antibiotics
	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 report Antibiotic underdosing and disposal in NHS organisations across Great Britain, published in November 2023; and what discussions they have had with the Care Quality Commission on integrating line flushing policies and practices into the assessment framework for care provided in England.
	tabling member printed	Baroness Bennett of Manor Castle
	uin	HL3926
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>Officials are aware of, and have considered, the findings of the report Antibiotic underdosing and disposal in NHS organisations across Great Britain. Officials from the Department have not had any recent discussions with the Care Quality Commission on integrating line flushing policies and practices into the assessment framework for care provided in England.</p><p> </p><p>General guidance on prescribing and the use of medicines is published by the National Institute for Health and Care Excellence in an online-only format. Good clinical practice is to flush an intravenous line with saline after a medicine has been administered, to ensure the full dose is delivered to the patient. This is not unique to antibiotics.</p> answering member printed Lord Markham question first answered 01/05/2024 11:05:34 answering member 4948 label Biography information for Lord Markham
	tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1702317

	registered interest
	date	18/04/2024
	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: Standards
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government how many NHS boards have included sustainability in their assurance framework.
	tabling member printed	Baroness Bennett of Manor Castle
	uin	HL3928
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>It is the legal duty for integrated care boards (ICBs) and their partner National Health Service foundation trusts under section 14Z44 of the NHS Act 2006 to consider sustainability when exercising their functions. ICBs and their partner NHS foundation trusts must consider section 1 of the Climate Change Act 2008, concerning United Kingdom net zero emission targets, and section 5 of the Environment Act 2021, concerning environmental targets. ICBs and their NHS foundation trusts must also adapt to any current or predicted impact of climate change identified in the most recent report under section 56 of the Climate Change Act 2008.</p><p>NHS England does not collect data on how many ICBs have included sustainability in their assurance framework.</p> answering member printed Lord Markham question first answered 01/05/2024 15:00:34 answering member 4948 label Biography information for Lord Markham
	tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1702349

	registered interest
	date	18/04/2024
	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	Hospital Wards: Females
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government how they plan to strengthen the privacy and dignity of female patients in NHS hospitals.
	tabling member printed	Baroness Nicholson of Winterbourne
	uin	HL3960
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>The Government is committed to upholding the rights of women and girls and ensuring they are properly represented in healthcare services, communications, and guidance.</p><p>That is why we are currently consulting on updates to the NHS Constitution for England to shape the principles and values of the National Health Service and ensure the privacy, dignity and safety of all patients, including women, are embedded in how it operates.</p><p>Our proposed changes to the NHS Constitution reinforce the NHS’s commitment to providing single-sex wards and will empower patients to request that intimate care is carried out by someone of the same biological sex, where reasonably possible.</p> answering member printed Lord Markham question first answered 01/05/2024 15:11:57 answering member 4948 label Biography information for Lord Markham
	tabling member	1164 label Biography information for Baroness Nicholson of Winterbourne

1702579

	registered interest
	date	19/04/2024
	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	Strokes: Rehabilitation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government how they plan to ensure the sustainability of the stroke rehabilitation innovations developed through the Stroke Quality Improvement in Rehabilitation (SQuIRe) projects to ensure that every stroke survivor has the best chance of recovery.
	tabling member printed	Baroness Wheeler
	uin	HL3981
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>NHS England is prioritising implementation of the National Service Model for an Integrated Community Stroke Service (ICSS), which includes delivery of specialist stroke rehabilitation at home and in care homes, improving life after stroke support, and six month follow-up reviews, by working closely with the voluntary sector. The ICSS model is vital to support physical, cognitive, and psychological recovery, return to work, and quality of life.</p><p>The ICSS model includes provision of tailored and patient centred reablement care, through joint work between the National Health Service and social care. Provision of peer support and six months reviews, information, and longer-term support in the community is also achieved through integrated and collaborative working with the voluntary sector.</p><p>The National Stroke Quality Improvement in Rehabilitation (SQuIRe) programme is driving implementation of the ICSS model in England. NHS England funds SQuIRe posts in each NHS region, to work with integrated care boards (ICBs) in improving provision of community-based stroke rehabilitation, promoting stroke recovery, and improving patient outcomes. ICBs also receive a separate funding allocation to support prevention services, which include stroke rehabilitation.</p> answering member printed Lord Markham question first answered 01/05/2024 13:28:56 answering member 4948 label Biography information for Lord Markham
	tabling member	4157 label Biography information for Baroness Wheeler

1712623

	registered interest
	date	22/04/2024
	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	Avian Influenza
	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 transmission of H5N1 bird flu to humans.
	tabling member printed	Lord Bourne of Aberystwyth
	uin	HL3984
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>The UK Health Security Agency (UKHSA) works closely with partners to monitor, investigate, and periodically assess the risk to human health of avian influenza (influenza A(H5N1)). This includes monitoring human cases, patterns of transmission of influenza A(H5N1) in animals, surveillance of humans exposed to infected birds, and assessing how well circulating viruses are matched to vaccines.</p><p>Our assessment of the risks of A(H5N1) to the United Kingdom is kept under regular review and is revised when new evidence is identified. Updates to this work are published in the UKHSA’s avian influenza technical briefings. The UKHSA also contributes to the World Health Organization’s global assessments.</p><p>There continues to be sporadic human cases of A(H5N1) detected globally, including both mild and severe infections. The UK does not currently have outbreaks of influenza A(H5N1) in poultry or other captive birds, although sporadic detections continue in wild birds. The UK has self-declared zonal freedom from highly pathogenic avian influenza for Great Britain with effect from 29 March 2024.</p> answering member printed Lord Markham question first answered 01/05/2024 15:11:36 answering member 4948 label Biography information for Lord Markham
	tabling member	4282 label Biography information for Lord Bourne of Aberystwyth

1712642

	registered interest
	date	22/04/2024
	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	Respiratory Syncytial Virus: Vaccination
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government how they will assess (1) wider productivity, and (2) economic benefits, when considering new immunisation programmes for infant respiratory syncytial virus.
	tabling member printed	Baroness Ritchie of Downpatrick
	uin	HL4003
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>The independent Joint Committee for Vaccination and Immunisation (JCVI) advises the Department on the approach to vaccination and immunisation. The JCVI evaluation of the cost-effectiveness of a respiratory syncytial virus (RSV) programme was based on the health benefits of an infant RSV programme and the potential healthcare cost savings from preventing cases and hospitalisations.</p><p>The Department did not ask the JCVI to complete an assessment of wider productivity and economic benefits of an immunisation programme, and the Department did not assess this separately for RSV.</p> answering member printed Lord Markham question first answered 01/05/2024 14:24:18 answering member 4948 label Biography information for Lord Markham
	tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1712651

	registered interest
	date	22/04/2024
	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	Out-patients: Attendance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what was the cost to the NHS of missed appointments at (1) hospitals, and (2) GP surgeries, in each of the past five years.
	tabling member printed	Lord Swire
	uin	HL4012
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>It is not possible to produce an estimate of the true cost to the National Health Service of these missed appointments, as this will depend on whether NHS staff were still able to use the time productively, for example by seeing other patients instead, or doing other work. NHS England advises local NHS organisations, general practices and trusts to plan for preventing and dealing with missed appointments. These include ensuring patients can cancel appointments in convenient ways, such as by text message or through online cancellation forms and offering telephone consultations if these better suit the patients’ requirements.</p> answering member printed Lord Markham question first answered 01/05/2024 13:15:38 answering member 4948 label Biography information for Lord Markham
	tabling member	1408 label Biography information for Lord Swire