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1685239

registered interest
date	26/01/2024
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	MMR Vaccine: North West
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 increase uptake of the MMR vaccine in (a) Preston, (b) Lancashire, and (c) the North West.
tabling member constituency	Preston
tabling member printed	Sir Mark Hendrick
uin	11579
answer	answer is ministerial correction date of answer 05/02/2024 answer text <p>A Lancashire Measles Incident Management Group has been set up to coordinate actions across Lancashire. This is chaired by the Director of Public Health and will meet weekly, and includes officers from Preston City Council. It works in partnership with NHS England, the Lancashire and South Cumbria Integrated Care Board (ICB), community leaders and local general practices.</p><p>The ICB's Communications and Engagement team is coordinating and collaborating with counterparts in local authorities across Lancashire and South Cumbria to enhance the level of understanding of the measles mumps and rubella (MMR) vaccine and measles. In supporting the national call and recall service, the main focus is on access to primary care for a vaccine. Furthermore, the National Health Service is working with the UK Health Security Agency to ensure the region can respond to any measles cases in a timely manner, which will include stepping up any wider vaccination offers outside of general practice if this is required.</p><p>Across the North West there is a clear focus on targeting areas of low uptake for children who may not have received one MMR vaccination. Partnership working is in place involving all key players to ensure a joined-up approach and the best use of resources.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 05/02/2024 17:26:16 answering member 4492 label Biography information for Maria Caulfield
tabling member	473 label Biography information for Sir Mark Hendrick

1685240

registered interest
date	26/01/2024
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	Vaccination: 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 tackle the spread of misinformation on (a) the MMR vaccine and (b) other childhood immunisations.
tabling member constituency	Preston
tabling member printed	Sir Mark Hendrick
uin	11580
answer	answer is ministerial correction date of answer 05/02/2024 answer text <p>The UK Health Security Agency (UKHSA) ensures all relevant healthcare professionals have access to childhood immunisation resources to maintain confidence in the national vaccination programmes, including measles, mumps and rubella.</p><p>There are a range of information leaflets and promotional materials available online about the different vaccination programmes, co-branded with the National Health Service. These include translations in a range of languages and braille, British Sign Language, large print and audio versions.</p><p>NHS England is actively working with regional and local systems in low uptake communities, to enhance outreach activities and interventions to support access for individuals. UKHSA has developed an evaluation framework and resources to facilitate the efficient sharing of the most successful interventions.</p><p>To assess the level of public confidence in vaccination programmes, the UKHSA undertakes annual surveys, to understand how knowledge, beliefs and attitudes towards vaccine safety, and disease severity influence vaccine uptake. This information is used to inform programme planning and implementation and the development of effective communication strategies.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 05/02/2024 10:18:57 answering member 4492 label Biography information for Maria Caulfield
tabling member	473 label Biography information for Sir Mark Hendrick

1685241

registered interest
date	26/01/2024
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	Measles: North West
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 cases of measles have been reported in (a) Preston, (b) Lancashire, and (c) the North West in each of the last five years.
tabling member constituency	Preston
tabling member printed	Sir Mark Hendrick
uin	11581
answer	answer is ministerial correction date of answer 05/02/2024 answer text <p>The UK Health Security Agency (UKHSA) publishes routine data on laboratory confirmed measles. As provided in the latest published data between 1 January 2023 and 30 November 2023, there have been eight laboratory confirmed cases in the North West.</p><p>UKHSA does not routinely publish measles case data at local authority level, due to the risk of deductive disclosure. However, the total number of laboratory confirmed cases of measles for the North West in the past five years is:</p><p>- eight cases in 2023;</p><p>- three cases in 2022;</p><p>- zero cases in 2021;</p><p>- nine cases in 2020; and</p><p>- 51 cases in 2019.</p><p>Data on monthly cases by age and region is available at the following link: <br> <br> <a href="https://www.gov.uk/government/publications/measles-epidemiology-2023/confirmed-cases-of-measles-in-england-by-month-age-and-region-2023" target="_blank">https://www.gov.uk/government/publications/measles-epidemiology-2023/confirmed-cases-of-measles-in-england-by-month-age-and-region-2023</a></p><p>Data over the last five years is available at the following link:</p><p><a href="https://www.gov.uk/government/publications/measles-confirmed-cases/confirmed-cases-of-measles-in-england-and-wales-by-region-and-age-2012-to-2014" target="_blank">https://www.gov.uk/government/publications/measles-confirmed-cases/confirmed-cases-of-measles-in-england-and-wales-by-region-and-age-2012-to-2014</a></p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 05/02/2024 10:22:46 answering member 4492 label Biography information for Maria Caulfield
tabling member	473 label Biography information for Sir Mark Hendrick

1685242

registered interest
date	26/01/2024
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	MMR Vaccine: North West
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 vaccination rates are for the MMR vaccine in (a) Preston, (b) Lancashire, and (c) the North West.
tabling member constituency	Preston
tabling member printed	Sir Mark Hendrick
uin	11582
answer	answer is ministerial correction date of answer 05/02/2024 answer text <p>Official childhood vaccine coverage estimates, including for the measles, mumps, and rubella (MMR) vaccine, are published annually by the United Kingdom Health Security Agency (UKHSA) and NHS England, and quarterly by UKHSA. Coverage of childhood vaccines are measured when children reach their first, second and fifth birthdays. Whilst the data for Preston alone is not available, the quarterly vaccine uptake data for Lancashire, which includes Preston, is available. The following table shows the number and percentage of children who received the first MMR vaccine at two and five years old, and the second MMR vaccine at five years old, in the second quarter of 2023/24:</p><table><tbody><tr><td colspan="2"><p>MMR1 at 2 years</p></td><td colspan="2"><p>MMR1 at 5 years</p></td><td colspan="2"><p>MMR2 at 5 years</p></td></tr><tr><td><p>2957</p></td><td><p>91.1%</p></td><td><p>3204</p></td><td><p>95.3%</p></td><td><p>2947</p></td><td><p>87.7%</p></td></tr></tbody></table><p> </p><p>The following table shows the same information for the North West:</p><p> </p><table><tbody><tr><td colspan="2"><p>MMR1 at 2 years</p></td><td colspan="2"><p>MMR1 at 5 years</p></td><td colspan="2"><p>MMR2 at 5 years</p></td></tr><tr><td><p>19199</p></td><td><p>89.4%</p></td><td><p>21412</p></td><td><p>93.7%</p></td><td><p>19472</p></td><td><p>85.2%</p></td></tr></tbody></table><p> </p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 05/02/2024 17:29:37 answering member 4492 label Biography information for Maria Caulfield
tabling member	473 label Biography information for Sir Mark Hendrick

1685250

registered interest
date	26/01/2024
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 and Social Services: Veganism and Vegetarianism
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 that vegans and vegetarians are provided with appropriate food in the (a) NHS, (b) social care and (c) other health services.
tabling member constituency	Crawley
tabling member printed	Henry Smith
uin	11599
answer	answer is ministerial correction date of answer 05/02/2024 answer text <p>For the National Health Service, social care and other health services, the Care Quality Commission regulates providers on compliance with Regulation 14 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This states that health and social care providers must consider people’s preferences, religious and cultural backgrounds when providing food and drink, and that people must have their nutritional needs assessed as quickly as possible and food be provided to meet the needs identified.</p><p>NHS England published updated NHS Food Standards in November 2022. The standards set out that menus should be tailored to meet patient’s dietary requirements and personal preferences. To that end, all hospital sites are expected to prepare and provide menus that meet all necessary types of dietary, religious and cultural needs. Vegetarian and vegan meals and snacks have long been part of this choice, and particularly with the focus on providing lower carbon choices, plant based meals are being provided as an extensive range.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 05/02/2024 13:00:34 answering member 4044 label Biography information for Andrew Stephenson
tabling member	3960 label Biography information for Henry Smith

1685262

registered interest
date	26/01/2024
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	Minimum Wage
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 made an assessment of the implications for his policies of the recommendations relating to minimum wage for early years and elder care in the University of Manchester report entitled Working Futures, published in October 2023.
tabling member constituency	North East Fife
tabling member printed	Wendy Chamberlain
uin	11651
answer	answer is ministerial correction date of answer 01/02/2024 answer text <p>The Department has made no assessment of the recommendations in the report.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 01/02/2024 17:54:32 answering member 4527 label Biography information for Helen Whately
tabling member	4765 label Biography information for Wendy Chamberlain

1685318

registered interest
date	26/01/2024
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	Hospices: Finance
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 she has made of the adequacy of her Department's funding of (a) hospices and (b) St Leonard's Hospice in York.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	11625
answer	answer is ministerial correction date of answer 05/02/2024 answer text <p>Integrated care boards (ICBs) are responsible for determining the level of National Health Service funded palliative and end of life care, including hospice care, locally, and are responsible for ensuring that the services they commission meet the needs of their local population. As part of the Health and Care Act 2022, the Government added palliative care services to the list of services an ICB must commission, which will ensure a more consistent national approach and support commissioners in prioritising palliative and end of life care.</p><p>The majority of palliative and end of life care is provided by NHS staff and services. However, we also recognise the vital part that voluntary sector organisations, including hospices, play in providing support to people at end of life and their families. Most hospices, including St Leonard’s Hospice, are charitable, independent organisations which receive some statutory funding for providing NHS services. The amount of funding hospices receive is dependent on many factors, including what other statutory services are available within the ICB footprint. Charitable hospices provide a range of services which go beyond that which statutory services are legally required to provide and, consequently, the funding arrangements reflect this.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 05/02/2024 17:28:03 answering member 4527 label Biography information for Helen Whately
tabling member	4471 label Biography information for Rachael Maskell

1685319

registered interest
date	26/01/2024
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: Staff
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 develop a workforce strategy to help ensure that palliative care services are available to all who need them.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	11626
answer	answer is ministerial correction date of answer 05/02/2024 answer text <p>NHS England published the NHS Long Term Workforce Plan (LTWP) in 2023. The LTWP sets out the steps the National Health Service and its partners need to take to deliver an NHS workforce that meets the changing needs of the population over the next 15 years, putting the workforce on sustainable footing for the long term. The LTWP aims to grow the number and proportion of NHS staff working in mental health, primary and community care, including palliative and end of life care, to deliver more preventative and proactive care across the NHS. The LTWP sets out an ambition to grow these roles 73% by 2036/37, including plans to increase the community workforce specifically by 3.9% each year.</p><p>Whilst the majority of palliative and end of life care is provided by NHS staff and services, we recognise the vital part that voluntary sector organisations, including hospices, also play in providing support to both people at end of life, and their families. Most hospices are independent, charitable organisations, and are, therefore, responsible for determining their own staffing levels.</p><p><strong> </strong></p><p>Integrated care systems have a key role to play in ensuring joined up workforce planning, working with system partners to ensure effective system wide coordination of recruitment, retention, and growing the workforce to meet the future needs of their local populations.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 05/02/2024 17:29:49 answering member 4527 label Biography information for Helen Whately
tabling member	4471 label Biography information for Rachael Maskell

1685110

registered interest
date	25/01/2024
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	Dementia: Continuing Care
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 take steps with NHS England to help improve support for people with dementia who have (a) cognitive, (b) behavioural and (c) other care needs through the continuing healthcare funding process.
tabling member constituency	Preston
tabling member printed	Sir Mark Hendrick
uin	11481
answer	answer is ministerial correction date of answer 01/02/2024 answer text <p>NHS Continuing Healthcare (CHC) may be appropriate for some adults with dementia who have the highest levels of complex, intense or unpredictable needs, and who have been assessed as having a primary health need. Public information leaflets are already available on GOV.UK, explaining the process used to determine whether someone is eligible for CHC.</p><p>NHS England has commissioned an information and advice service for CHC from Beacon to provide independent and high-quality support on navigating CHC assessments, resolution and care planning or to begin an appeal. It is available at the following link:</p><p> </p><p><a href="https://beaconchc.co.uk/how-we-can-help/free-information-and-advice-on-nhs-continuing-healthcare/" target="_blank">https://beaconchc.co.uk/how-we-can-help/free-information-and-advice-on-nhs-continuing-healthcare/</a></p><p> </p><p>In addition, the Department has produced guidance on what to expect from health and care services following a dementia diagnosis.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 01/02/2024 10:48:29 answering member 4527 label Biography information for Helen Whately
tabling member	473 label Biography information for Sir Mark Hendrick

1685111

registered interest
date	25/01/2024
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	Continuing Care
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 applications for NHS continuing healthcare were (a) made and (b) successful in (i) Preston, (ii) Lancashire and (iii) England in each of the last three years.
tabling member constituency	Preston
tabling member printed	Sir Mark Hendrick
uin	11482
answer	answer is ministerial correction date of answer 01/02/2024 answer text <p>We have interpreted this as the number of new referrals and the number assessed as eligible across Standard and Fast Track NHS Continuing Healthcare (CHC), from 2020/21 to 2022/23. The following table shows the overall number of applicants and successful applicants to CHC in Lancashire and South Cumbria, Greater Preston, and England:</p><table><tbody><tr><td><p> </p></td><td><p>England</p></td><td><p>Lancashire and South Cumbria</p></td><td><p>Greater Preston</p></td></tr><tr><td><p>Applicants in 2020/21</p></td><td><p>129,388</p></td><td><p>4,521</p></td><td><p>448</p></td></tr><tr><td><p>Successful applicants in 2020/21</p></td><td><p>83,364</p></td><td><p>2,944</p></td><td><p>277</p></td></tr><tr><td><p>Applicants in 2021/22</p></td><td><p>162,581</p></td><td><p>7,202</p></td><td><p>702</p></td></tr><tr><td><p>Successful applicants in 2021/22</p></td><td><p>106,937</p></td><td><p>5,270</p></td><td><p>506</p></td></tr><tr><td><p>Applicants in 2022/23</p></td><td><p>171,664</p></td><td><p>7,158</p></td><td><p>720</p></td></tr><tr><td><p>Successful applicants in 2022/23</p></td><td><p>112,833</p></td><td><p>5,165</p></td><td><p>518</p></td></tr></tbody></table><p><br> This data is also published online, and is available at the following link:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-chc-fnc/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-chc-fnc/</a></p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 01/02/2024 17:58:01 answering member 4527 label Biography information for Helen Whately
tabling member	473 label Biography information for Sir Mark Hendrick