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1701826

	registered interest
	date	17/04/2024
	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	Hearing Impairment and Visual Impairment: 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 her Department is taking to ensure (a) blind, (b) partially sighted, (c) deaf and (d) hearing impaired patients receive (i) care and (ii) communications related to their heath in an accessible format; and if she will make an estimate of the cost to the public purse of missed appointments due to (A) inaccessible and (B) missed communications.
	tabling member constituency	Preston
	tabling member printed	Sir Mark Hendrick
	uin	22234
	answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>Under the Equality Act (2010), health and social care organisations must make reasonable adjustments to ensure that disabled people, including blind, partially sighted, deaf, and hearing impaired patients, are not disadvantaged.  Since 2016, all National Health Service organisations and publicly funded social care providers in England are required to comply with the Accessible Information Standard (AIS).</p><p>NHS England is responsible for the AIS, and have completed a review of the AIS to help ensure that the communication needs of people with a disability, impairment, or sensory loss are met in health and care provision. The AIS review included input from individuals with lived experience and voluntary sector organisations for blind, partially sighted, deaf, and hearing impaired patients<em>.</em></p><p>One of the aims of the review was to strengthen assurance of implementation of the AIS, and a self-assessment framework has been developed to support providers of NHS and social care services, to measure their performance against the AIS and develop improvement action plans to address gaps in implementation. The AIS self-assessment framework is designed to enable enhancements around assurance and allows organisations, commissioners, and the Care Quality Commission (CQC) to judge performance and compliance.</p><p>NHS England will publish a revised AIS in due course. Following publication, NHS England will continue work to support its implementation with awareness raising, communication and engagement, and updated e-learning modules on the AIS to ensure NHS staff are better aware of the standard, and their roles and responsibilities in implementing it.</p><p>NHS England collects data on the total costs of missed appointments, but that data is not broken down sufficiently to enable us to make an estimate of appointments missed due to inaccessible or missed communications.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 23/04/2024 08:12:42 answering member 4492 label Biography information for Maria Caulfield
	tabling member	473 label Biography information for Sir Mark Hendrick

1702165

	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	Autism: Children
	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 increase access to NHS assessments for Autism Spectrum Conditions for children.
	tabling member constituency	Leeds North East
	tabling member printed	Fabian Hamilton
	uin	22477
	answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>I refer the hon. Member to the answer I gave to the hon. Member for St Ives on 22 March 2024, to Question <a href="https://questions-statements.parliament.uk/written-questions/detail/2024-03-15/18917/" target="_blank">18917</a>.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 23/04/2024 08:14:18 answering member 4492 label Biography information for Maria Caulfield
	tabling member	415 label Biography information for Fabian Hamilton

1701585

	registered interest
	date	16/04/2024
	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 Trusts: Procurement
	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 return NHS Trusts to pre-pandemic procurement practices.
	tabling member constituency	Tamworth
	tabling member printed	Sarah Edwards
	uin	22209
	answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>Guidance on how contracting authorities, including National Health Service trusts, should respond to the COVID-19 pandemic was published in March 2020 and February 2021, reminding them of the options available when undertaking procurements in an emergency. These two guidance documents are available, respectively, at the following links:</p><p><a href="https://www.gov.uk/government/publications/procurement-policy-note-0120-responding-to-covid-19" target="_blank">https://www.gov.uk/government/publications/procurement-policy-note-0120-responding-to-covid-19</a></p><p><a href="https://www.gov.uk/government/publications/procurement-policy-note-0121-procurement-in-an-emergency" target="_blank">https://www.gov.uk/government/publications/procurement-policy-note-0121-procurement-in-an-emergency</a></p><p>Authorities are allowed to procure goods, services, and works with extreme urgency in exceptional circumstances, using regulation 32(2)(c) under the Public Contract Regulations 2015. These include a direct award under which authorities may enter into contracts without competing or advertising the requirement.</p><p>Contracting authorities assess the market conditions for procuring supplies related to any procurement, in accordance with procurement guidance and regulations. Where any procurement meets the tests for the use of Regulation 32(2)(c) for the direct awarding of a contract, then that approach can be used. However, where it doesn’t, other approaches will be considered.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 23/04/2024 08:14:50 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	5001 label Biography information for Sarah Edwards

1701038

	registered interest
	date	15/04/2024
	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	Silica: Health Hazards
	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 Health and Safety Executive on monitoring public exposure to silica dust.
	tabling member constituency	Pontypridd
	tabling member printed	Alex Davies-Jones
	uin	21870
	answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>Responsibility for exposure to silica dust is led by the Health and Safety Executive (HSE), who are supported by a number of other governmental organisations, to minimise risks from exposure to silica.</p><p>The Environment Agency, or equivalent regulators in devolved administrations such as Natural Resources Wales, regulates activities that have the potential to harm the environment and people. The regulator decides if relevant environmental permits and other consents and licences should be issued and, if so, what conditions should be applied. Local authorities also enforce nuisance legislation which includes the control of dust emissions.</p><p>The UK Health Security Agency would expect any activities that generate dust, including silica, to be well managed and regulated and have clear plans in place for proper management and monitoring, in order to minimise any impact to the public.</p><p>The HSE’s advice states that no cases of silicosis have been documented among members of the general public in Great Britain, indicating that environmental exposures to silica dust are not sufficiently high to cause this occupational disease. Further information is available at the following link:</p><p><a href="https://www.hse.gov.uk/quarries/silica.htm" target="_blank">https://www.hse.gov.uk/quarries/silica.htm</a></p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 23/04/2024 11:21:13 answering member 4492 label Biography information for Maria Caulfield
	tabling member	4849 label Biography information for Alex Davies-Jones

1700594

	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	DNACPR Decisions
	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 report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, published on 14 March 2024, what assessment she has made of the implications for her policies of the recommendation that CPR training for all doctors and nurses should include scenario-based training on Do Not Attempt Cardiopulmonary Resuscitation conversations.
	tabling member constituency	St Albans
	tabling member printed	Daisy Cooper
	uin	21479
	answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>The Department will respond to the report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, in due course.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 21480 21481 21482 question first answered 23/04/2024 11:31:04 answering member 4527 label Biography information for Helen Whately
	tabling member	4769 label Biography information for Daisy Cooper

1700595

	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	DNACPR Decisions
	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 report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, what assessment she has made of the implications for her policies of the recommendation that accessible communication materials should be accessible in health settings to support staff and patients with end-of-life conversations.
	tabling member constituency	St Albans
	tabling member printed	Daisy Cooper
	uin	21480
	answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>The Department will respond to the report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, in due course.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 21479 21481 21482 question first answered 23/04/2024 11:31:04 answering member 4527 label Biography information for Helen Whately
	tabling member	4769 label Biography information for Daisy Cooper

1700596

	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	DNACPR Decisions
	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 report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, what assessment she has made of the implications for her policies of the recommendation that NHS England should expand the number and type of staff who can formally support Do Not Attempt Cardiopulmonary Resuscitation conversations in multiple settings.
	tabling member constituency	St Albans
	tabling member printed	Daisy Cooper
	uin	21481
	answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>The Department will respond to the report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, in due course.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 21479 21480 21482 question first answered 23/04/2024 11:31:04 answering member 4527 label Biography information for Helen Whately
	tabling member	4769 label Biography information for Daisy Cooper

1700597

	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	DNACPR Decisions
	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 report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, what assessment she has made of the implications for her policies of the recommendation that for advance care planning conversations the primary care electronic patient record needs to be (a) the single place for holding (i) end-of-life care plans and (ii) Do Not Attempt Cardiopulmonary Resuscitation records and (b) accessible across all health settings.
	tabling member constituency	St Albans
	tabling member printed	Daisy Cooper
	uin	21482
	answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>The Department will respond to the report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, in due course.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 21479 21480 21481 question first answered 23/04/2024 11:31:04 answering member 4527 label Biography information for Helen Whately
	tabling member	4769 label Biography information for Daisy Cooper

1700103

	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	Suffolk & North East Essex Integrated Care System: Costs
	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 (a) cost per adult and (b) length of stay was for an acute hospital bed day in the Suffolk and North East Essex integrated care system in the 2022-23 financial year.
	tabling member constituency	Suffolk Coastal
	tabling member printed	Dr Thérèse Coffey
	uin	21022
	answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>The average cost per adult for an acute hospital bed day by integrated care system, is not collected centrally by the Department. NHS England publishes a national cost collection which includes unit costs for non-elective inpatient stays. This data is available at the following link:</p><p><a href="https://www.england.nhs.uk/costing-in-the-nhs/national-cost-collection/" target="_blank">https://www.england.nhs.uk/costing-in-the-nhs/national-cost-collection/</a></p><p>The information on length of stay is not available in the format requested. NHS England publishes general and acute length of bed stay data, with data available at a trust level but not an integrated care system level. The trust level data is available at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2022-23</a></p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 23/04/2024 11:34:43 answering member 4527 label Biography information for Helen Whately
	tabling member	4098 label Biography information for Dr Thérèse Coffey

1700670

	registered interest
	date	15/04/2024
	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	Ticks
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, following the publication of the UK Health Security Agency report Health Effects of Climate Change (HECC) in the UK: State of the evidence 2023 in January, what steps they are taking to inform health professionals of the heightened risk to public health of (1) Lyme disease, and (2) emerging tick-borne diseases, including tick-borne encephalitis, from an increase in the UK distribution of tick species as a result of a warming climate; and what advice are they providing to those exposed to this risk through work or leisure.
	tabling member printed	The Earl of Caithness
	uin	HL3728
	answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>The UK Health Security Agency (UKHSA) has an active programme to promote awareness of tick-borne diseases among local authorities, health professionals and the public by 2025 in line with the Third National Adaptation Programme. This includes Lyme disease and tick-borne encephalitis. UKHSA has worked to develop a toolkit for local authorities and key stakeholders to raise awareness of the potential risks created by ticks and tick-borne disease, a copy of which is attached. UKHSA also publishes Lyme disease data on Fingertips, which is an open access public health data platform which allows the public, health professionals, and local authorities to view trends, compare indicators and understand the incidence of Lyme disease in their area.</p><p>Clinicians are also engaged via teaching sessions for General Practitioners, seminars for infection specialists, and briefing notes to notify clinicians of the possibility of tick-borne diseases, with detail of compatible signs and symptoms. Disease messaging is shared through media, social, and stakeholder channels at a national and regional level, such as the #BeTickAware campaign which aims to raise awareness in the population, including those at risk of exposure through work or leisure.</p> answering member printed Lord Markham question first answered 23/04/2024 11:38:44 answering member 4948 label Biography information for Lord Markham attachment 1 file name Be_tick_aware_toolkit.pdf title Be_tick_aware_toolkit
	tabling member	3310 label Biography information for The Earl of Caithness