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1682448

registered interest
date	16/01/2024
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	General Practitioners: Labour Turnover and Recruitment
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 (a) recruit and (b) retain GPs.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	9729
answer	answer is ministerial correction date of answer 23/01/2024 answer text <p>We are working with NHS England to increase the general practice (GP) workforce in England. This includes measures to boost recruitment, address the reasons why doctors leave the profession, and encourage them to return to practice.</p><p>NHS England has made available several retention schemes available to boost the GP workforce. We have increased the number of GP training places and 2022 saw 4,032 trainees accepting a place on GP training, up from 2,671 in 2014. Under the NHS Long Term Workforce Plan, the number of training places will rise to 6,000 by 2031/32, with the first 500 new places available from September 2025.</p><p>Birmingham and Solihull Integrated Care Board advises that primary care is recognised as the cornerstone of the Birmingham and Solihull Integrated Care System (ICS), and that the primary care sector in the ICS has made significant progress over recent years. It has set out key initiatives, including making Birmingham and Solihull a destination for newly qualified doctors and nurses and for existing doctors and nurses to feel valued. The ICS has been cited as an exemplar for the ‘New to Practice Fellowships Scheme’, which offers a two-year programme of support available to all newly-qualified GPs and nurses working substantively in general practice, with an explicit focus on working within and across primary care networks.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom grouped question UIN 9730 question first answered 23/01/2024 09:24:34 answering member 4117 label Biography information for Andrea Leadsom
tabling member	298 label Biography information for Steve McCabe

1682449

registered interest
date	16/01/2024
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	General Practitioners: Labour Turnover and Recruitment
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 help support the (a) recruitment and (b) retention of GPs in Birmingham, Selly Oak constituency.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	9730
answer	answer is ministerial correction date of answer 23/01/2024 answer text <p>We are working with NHS England to increase the general practice (GP) workforce in England. This includes measures to boost recruitment, address the reasons why doctors leave the profession, and encourage them to return to practice.</p><p>NHS England has made available several retention schemes available to boost the GP workforce. We have increased the number of GP training places and 2022 saw 4,032 trainees accepting a place on GP training, up from 2,671 in 2014. Under the NHS Long Term Workforce Plan, the number of training places will rise to 6,000 by 2031/32, with the first 500 new places available from September 2025.</p><p>Birmingham and Solihull Integrated Care Board advises that primary care is recognised as the cornerstone of the Birmingham and Solihull Integrated Care System (ICS), and that the primary care sector in the ICS has made significant progress over recent years. It has set out key initiatives, including making Birmingham and Solihull a destination for newly qualified doctors and nurses and for existing doctors and nurses to feel valued. The ICS has been cited as an exemplar for the ‘New to Practice Fellowships Scheme’, which offers a two-year programme of support available to all newly-qualified GPs and nurses working substantively in general practice, with an explicit focus on working within and across primary care networks.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom grouped question UIN 9729 question first answered 23/01/2024 09:24:35 answering member 4117 label Biography information for Andrea Leadsom
tabling member	298 label Biography information for Steve McCabe

1681873

registered interest
date	15/01/2024
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	Health Services: Veterans
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 list the 18 NHS acute trusts where Op RESTORE: The Veterans Physical Health and Wellbeing Service are located; and for what reason those trusts were selected.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	9382
answer	answer is ministerial correction date of answer 18/01/2024 answer text <p>Op RESTORE provides support to veterans with service-related physical health needs using existing National Health Service clinical pathways from clinicians who understand the military context. Clinically, Op RESTORE finds the best pathway and clinician to manage the veteran’s physical health need. This may not be local to the veteran or be with a military consultant, but it will be the most appropriate clinical support.</p><p>Op RESTORE has consultants in 21 NHS trusts across England and includes NHS Major Trauma Centres. Consultants supporting Op RESTORE are either serving, have served or have an understanding of the military environment, which means that Op RESTORE is able to access specialist clinical knowledge coupled with military contextual awareness to support veterans.</p><p>The list of trusts with Op RESTORE consultants is below:</p><p>- St Bartholomew’s Health NHS Trust;</p><p>- Cambridge University Hospitals NHS Foundation Trust;</p><p>- East Lancashire Hospitals NHS Trust;</p><p>- Frimley Health NHS Foundation Trust;</p><p>- Guys &amp; St Thomas' NHS Trust;</p><p>- Imperial College Healthcare NHS Trust;</p><p>- King's College Hospital NHS Foundation Trust;</p><p>- Lancashire Teaching Hospitals NHS Foundation Trust;</p><p>- Leeds Teaching Hospital NHS Trust;</p><p>- Liverpool University Hospitals NHS Foundation Trust;</p><p>- North Bristol NHS Trust;</p><p>- Nottingham University Hospitals NHS Trust;</p><p>- Oxford University Hospitals NHS Foundation Trust;</p><p>- Queen Victoria Hospital NHS Foundation Trust;</p><p>- Royal National Orthopaedic Hospital NHS Trust;</p><p>- Salisbury NHS Foundation Trust;</p><p>- South Tees Hospitals NHS Foundation Trust;</p><p>- Torbay &amp; South Devon NHS Foundation Trust;</p><p>- University Hospitals Birmingham NHS Foundation Trust;</p><p>- University Hospitals Plymouth NHS Trust; and</p><p>- Northumbria Hospitals NHS Trust.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 18/01/2024 12:37:33 answering member 4492 label Biography information for Maria Caulfield
tabling member	298 label Biography information for Steve McCabe

1682052

registered interest
date	15/01/2024
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	Earwax: 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, what assessment she has made of the adequacy of the availability of NHS ear syringing treatment in the West Midlands.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	9384
answer	answer is ministerial correction date of answer 22/01/2024 answer text <p>The National Health Service will often recommend home treatment remedies to alleviate ear wax build-up. Manual ear syringing is no longer advised by the National Institute for Health and Care Excellence (NICE) due to risks associated with it, such as trauma to their ear drum or infection.</p><p>However, in line with NICE guidance, a person may require ear wax removal treatment if the build-up of earwax is linked with hearing loss. A general practice could then consider referring the patient into audiology services. Integrated Care Boards (ICBs) are responsible for commissioning healthcare services that meet the needs of their local populations – including for audiology and ear wax removal services.</p><p>ICBs should therefore arrange for the provision of ear wax removal services for when a patient has a clinical need for ear wax removal beyond home treatments.</p><p>The NICE published guidelines last year on hearing loss – and specifically on ear wax removal treatment, at the following link:</p><p><a href="https://www.nice.org.uk/guidance/ng98/chapter/Recommendations#removing-earwax" target="_blank">https://www.nice.org.uk/guidance/ng98/chapter/Recommendations#removing-earwax</a></p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom grouped question UIN 9681 question first answered 22/01/2024 16:11:50 answering member 4117 label Biography information for Andrea Leadsom
tabling member	298 label Biography information for Steve McCabe

1682057

registered interest
date	15/01/2024
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	Healthy Start Scheme
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 ability of low-income families to access the NHS Healthy Start scheme.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	9386
answer	answer is ministerial correction date of answer 22/01/2024 answer text <p>The Healthy Start scheme helps to encourage a healthy diet for pregnant women, babies and young children under four from low-income households who are in receipt of qualifying benefits. In December 2023, uptake for the Healthy Start scheme was 73%.</p><p>Systems are in place to help eligible families apply for and access the scheme. The NHS Business Services Authority (NHSBSA) is committed to increasing uptake of the Healthy Start scheme as much as possible to ensure all children have a healthy start in life. NHSBSA actively promotes the Healthy Start scheme through its digital channels and has created free tools to help stakeholders promote the scheme. There is an online application process, allowing for quick outcomes to applications, as well as a helpline to assist with the application process or general questions.</p><p>The eligibility criteria for the Healthy Start scheme are kept under continuous review.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 22/01/2024 09:35:39 answering member 4117 label Biography information for Andrea Leadsom
tabling member	298 label Biography information for Steve McCabe

1682060

registered interest
date	15/01/2024
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	Social Prescribing
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 effectiveness of social prescribing; and whether her Department issues guidance on which models provide the most effective treatment.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	9387
answer	answer is ministerial correction date of answer 22/01/2024 answer text <p>As a relatively new programme, the evidence base around nationally linked social prescribing is still evolving and robust quantitative evidence is limited. However, a growing body of work is suggestive of positive effects. The Department continues to work to understand the effectiveness of social prescribing to enhance physical and mental health and wellbeing, building on existing positive local evidence.</p><p> </p><p>The Department of Health and Social Care works on the Green Social Prescribing programme established with the Department for Environment, Food and Rural Affairs to increase the use and connection to the natural environment to tackle mental ill health. The Department of Health and Social Care funds the evaluation and research element including research studies into angling and outdoor swimming.</p><p>The Department funds via grant the National Academy for Social Prescribing (NASP). Their role is to support and promote social prescribing at a local and national level and develop the evidence base. A range of research into the effectiveness of social prescribing published by NASP is available at the following link:</p><p><a href="https://socialprescribingacademy.org.uk/read-the-evidence/" target="_blank">https://socialprescribingacademy.org.uk/read-the-evidence/</a></p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 22/01/2024 09:39:52 answering member 4117 label Biography information for Andrea Leadsom
tabling member	298 label Biography information for Steve McCabe

1670573

registered interest
date	16/11/2023
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	Cystic Fibrosis: Drugs
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 to make (a) Orkambi, (b) Symkevi and (c) Kaftrio available for everyone with cystic fibrosis.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	2249
answer	answer is ministerial correction date of answer 21/11/2023 answer text <p>Since 2019, patients in the National Health Service have been able to access Orkambi, Symkevi and Kaftrio through an interim access agreement between NHS England, the company (Vertex), the National Institute for Health and Care Excellence (NICE) and the UK Cystic Fibrosis Trust.</p><p> </p><p>The agreement makes the medicines available for a limited time at a reduced price, while further information has been collected to inform a NICE appraisal. On 15 November 2023, the Medicines and Healthcare products Regulatory Agency (MHRA) approved a new licence extension and children as young as two years old with cystic fibrosis are now eligible to receive Kaftrio through the interim access agreement.</p><p> </p><p>NICE is currently consulting on its draft recommendations on the use of Orkambi, Symkevi and Kaftrio and has not yet published its final recommendations. NICE continues to work with stakeholders to address the issues highlighted by the committee in the draft guidance. Under the terms of the interim access agreement for the cystic fibrosis medicines, Orkambi, Symkevi and Kaftrio, eligible children and adults with cystic fibrosis can continue to receive ongoing treatment and be initiated onto treatment with these medicines, as clinically appropriate, while NICE concludes its evaluation.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 21/11/2023 12:52:44 answering member 4044 label Biography information for Andrew Stephenson
tabling member	298 label Biography information for Steve McCabe

1669427

registered interest
date	13/11/2023
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	Heart Diseases: Pharmacy
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 is taking steps to involve pharmacists in the care of people with heart failure; and if he will make an assessment of the potential impact of doing so on (a) NHS waiting lists and (b) pressures on NHS staff.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	1437
answer	answer is ministerial correction date of answer 20/11/2023 answer text <p>No assessment has been made, however, pharmacists working in different settings across the NHS will be involved in the care of patients with heart failure. For example, in community pharmacy, patients with heart failure who are prescribed a new medicine to manage their condition are eligible for the New Medicines Service under which they receive extra support with their new medicines to increase compliance. Under the Discharge Medicines Service, hospitals can refer patients with heart failure who have recently been discharged from hospital to a community pharmacy for extra support with their medicines to increase compliance and prevent readmission. In addition, the Blood Pressure Check service commissioned in community pharmacy makes it easier for patients to have their blood pressure checked and will refer patients with high blood pressure for treatment to prevent heart attacks and strokes.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 20/11/2023 15:53:36 answering member 4117 label Biography information for Andrea Leadsom
tabling member	298 label Biography information for Steve McCabe

1665690

registered interest
date	18/10/2023
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: Interpreters
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 he has made of the implications for his policies of the prevalence of the use of unregistered interpreters in the NHS.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	203197
answer	answer is ministerial correction date of answer 25/10/2023 answer text <p>We have not made a specific assessment as the Department does not make policy in relation to interpretation services in the National Health Service. This also includes issuing guidance to NHS trusts on the qualifications required for interpreters and their registration on the National Register of Public Service Interpreters.</p><p>The Healthcare Inequalities Improvement Team in NHS England is completing a scoping and options review of the most effective and appropriate national interventions to facilitate improvements in community language translation and interpretation services to meet the needs of communities and support equitable access, experience and outcomes for all. NHS England aims to agree recommendations in March 2024.</p> answering member constituency Harborough answering member printed Neil O'Brien grouped question UIN 203199 203200 question first answered 25/10/2023 08:52:07 answering member 4679 label Biography information for Neil O'Brien
tabling member	298 label Biography information for Steve McCabe

1665691

registered interest
date	18/10/2023
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: Interpreters
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 he has made of the potential impact of the use of unregistered interpreters in the NHS on maternity outcomes.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	203198
answer	answer is ministerial correction date of answer 25/10/2023 answer text <p>It is the responsibility of trusts to provide services that meet the needs of their local populations, paying particular attention to health inequalities. This includes ensuring access to interpreter services as set out in the three-year delivery plan for maternity and neonatal services. NHS England commissions the National Clinical Audit and Patient Outcomes Programme to undertake reviews of adverse outcomes in maternity and neonatal services. These reviews consider whether interpreting services may have had an impact upon outcome.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 25/10/2023 09:41:10 answering member 4492 label Biography information for Maria Caulfield
tabling member	298 label Biography information for Steve McCabe