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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

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

1685256

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	Department of Health and Social Care: Aviation
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 table 15 of the Department of Health and Social Care Annual Report and Accounts 2022-23, HC 33, published on 25 January 2024, what the distance travelled on domestic flights was in 2021-22.
tabling member constituency	Islington South and Finsbury
tabling member printed	Emily Thornberry
uin	11596
answer	answer is ministerial correction date of answer 06/02/2024 answer text <p>The figure reported in the Department of Health and Social Care Annual Report and Accounts 2022/23, showing the greenhouse gas emissions associated with domestic air travel in 2021/22, includes domestic flights made by:</p><p>- the Department;</p><p>- the Care Quality Commission;</p><p>- NHS England;</p><p>- NHS Resolution;</p><p>- the Health Research Authority;</p><p>- NHS Counter Fraud Authority;</p><p>- NHS Business Services Authority;</p><p>- the Medicines and Healthcare products Regulatory Agency;</p><p>- the National Institute for Health and Care Excellence;</p><p>- the UK Health Security Agency;</p><p>- and the former NHS Digital and Health Education England, which are both now merged with NHS England.</p><p>The distance travelled by domestic flights in 2021-22 for these bodies was 185,415 kilometres.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 06/02/2024 12:38:47 answering member 4044 label Biography information for Andrew Stephenson previous answer version 14927 answering member constituency Pendle answering member printed Andrew Stephenson answering member 4044 label Biography information for Andrew Stephenson
tabling member	1536 label Biography information for Emily Thornberry

1685287

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 Supply Chain: Staff
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 total salary cost was of NHS Supply Chain employees in the 2022-23 financial year.
tabling member constituency	Rayleigh and Wickford
tabling member printed	Mr Mark Francois
uin	11588
answer	answer is ministerial correction date of answer 16/02/2024 answer text <p>NHS Supply Chain is managed by Supply Chain Coordination Limited (SCCL) and was established in 2018 under the Department of Health and Social Care Procurement Transformation Programme. NHS Supply Chain includes both employees of SCCL and services providers including those undertaking Procurement Services, Logistics Services and IT Services. For the purposes of this response we have included SCCL employees rather than those of the wider supply chain.</p><p>The basic salary costs for the financial year 2022/23 for SCCL employees was £25,643,751.68. The headcount for the years 2020/21 to 2022/23 is as follows:</p><p>- 2020/21: 394;</p><p>- 2021/22: 449; and</p><p>- 2022/23: 682</p><p> </p><p>During the period from 2021 to 2024, several organisational changes led to subsequent changes in responsibility within NHS Supply Chain and growth in those employed directly by SCCL. The increase in headcount in 2022/23 is due to the transfer of colleagues from former services providers of procurement services. These were phased across the financial year, in July, October and February, and therefore the reported total headcount for 2022/23 relates to the outturn number of staff. Previous increases were due to the replacement of day rate contractors with full time employees and investment in roles to strengthen the resilience of the supply chain, in response to the findings of the Boardman Review. SCCL staff are not part of Agenda for Change and, as such, our grading does not match those in other parts of the National Health Service. The following table shows the employees of SCCL in 2022/23, of which 645 were full time and 37 were part time, broken down by salary band:</p><table><tbody><tr><td><p>Salary band</p></td><td><p>Number of employees</p></td></tr><tr><td><p>£0.00 - £25,000</p></td><td><p>38</p></td></tr><tr><td><p>£25,001 - £50,000</p></td><td><p>362</p></td></tr><tr><td><p>£50,001 - £75,000</p></td><td><p>180</p></td></tr><tr><td><p>£75,001 - £100,000</p></td><td><p>43</p></td></tr><tr><td><p>£100,001 - £125,000</p></td><td><p>18</p></td></tr><tr><td><p>£125,001 - £150,000</p></td><td><p>6</p></td></tr><tr><td><p>£150,001 - £175,000</p></td><td><p>1</p></td></tr><tr><td><p>£175,001 - £200,000</p></td><td><p>2</p></td></tr></tbody></table><p> </p><p>As of March 2023, prior to the transfer of procurement teams into SCCL, the total headcount in SCCL plus external procurement service providers was 1272. As of the end of March 2024 this will be 1149 on a like for like basis.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 11589 11590 question first answered 16/02/2024 10:59:27 answering member 4044 label Biography information for Andrew Stephenson previous answer version 16007 answering member constituency Pendle answering member printed Andrew Stephenson answering member 4044 label Biography information for Andrew Stephenson
tabling member	1444 label Biography information for Mr Mark Francois

1685289

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 Supply Chain: Staff
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 (a) full and (b) part time NHS Supply Chain employees were of what (i) grade and (ii) salary band in the last financial year.
tabling member constituency	Rayleigh and Wickford
tabling member printed	Mr Mark Francois
uin	11590
answer	answer is ministerial correction date of answer 16/02/2024 answer text <p>NHS Supply Chain is managed by Supply Chain Coordination Limited (SCCL) and was established in 2018 under the Department of Health and Social Care Procurement Transformation Programme. NHS Supply Chain includes both employees of SCCL and services providers including those undertaking Procurement Services, Logistics Services and IT Services. For the purposes of this response we have included SCCL employees rather than those of the wider supply chain.</p><p>The basic salary costs for the financial year 2022/23 for SCCL employees was £25,643,751.68. The headcount for the years 2020/21 to 2022/23 is as follows:</p><p>- 2020/21: 394;</p><p>- 2021/22: 449; and</p><p>- 2022/23: 682</p><p> </p><p>During the period from 2021 to 2024, several organisational changes led to subsequent changes in responsibility within NHS Supply Chain and growth in those employed directly by SCCL. The increase in headcount in 2022/23 is due to the transfer of colleagues from former services providers of procurement services. These were phased across the financial year, in July, October and February, and therefore the reported total headcount for 2022/23 relates to the outturn number of staff. Previous increases were due to the replacement of day rate contractors with full time employees and investment in roles to strengthen the resilience of the supply chain, in response to the findings of the Boardman Review. SCCL staff are not part of Agenda for Change and, as such, our grading does not match those in other parts of the National Health Service. The following table shows the employees of SCCL in 2022/23, of which 645 were full time and 37 were part time, broken down by salary band:</p><table><tbody><tr><td><p>Salary band</p></td><td><p>Number of employees</p></td></tr><tr><td><p>£0.00 - £25,000</p></td><td><p>38</p></td></tr><tr><td><p>£25,001 - £50,000</p></td><td><p>362</p></td></tr><tr><td><p>£50,001 - £75,000</p></td><td><p>180</p></td></tr><tr><td><p>£75,001 - £100,000</p></td><td><p>43</p></td></tr><tr><td><p>£100,001 - £125,000</p></td><td><p>18</p></td></tr><tr><td><p>£125,001 - £150,000</p></td><td><p>6</p></td></tr><tr><td><p>£150,001 - £175,000</p></td><td><p>1</p></td></tr><tr><td><p>£175,001 - £200,000</p></td><td><p>2</p></td></tr></tbody></table><p> </p><p>As of March 2023, prior to the transfer of procurement teams into SCCL, the total headcount in SCCL plus external procurement service providers was 1272. As of the end of March 2024 this will be 1149 on a like for like basis.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 11588 11589 question first answered 16/02/2024 10:59:27 answering member 4044 label Biography information for Andrew Stephenson previous answer version 16009 answering member constituency Pendle answering member printed Andrew Stephenson answering member 4044 label Biography information for Andrew Stephenson
tabling member	1444 label Biography information for Mr Mark Francois

1685291

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 Supply Chain: ICT
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, which IT supplier provides the principal IT system utilised by NHS Supply Chain.
tabling member constituency	Rayleigh and Wickford
tabling member printed	Mr Mark Francois
uin	11591
answer	answer is ministerial correction date of answer 05/02/2024 answer text <p>NHS Supply Chain uses technology currently maintained and supported by DXC Technology. DXC Technology were appointed in 2019 following a transition from the former service provider.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 05/02/2024 17:41:42 answering member 4044 label Biography information for Andrew Stephenson
tabling member	1444 label Biography information for Mr Mark Francois

1685298

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	Mental 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, what assessment she has made of the adequacy of mental health support for veterans.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	11560
answer	answer is ministerial correction date of answer 06/02/2024 answer text <p>Op COURAGE is the bespoke mental health pathway for veterans offering evidence-based treatment interventions, commissioned by NHS England. Monitoring and performance management of the system is for NHS England as commissioners of the service.</p><p>NHS England meets with the providers of Op COURAGE through the contract management route to discuss how the service is being delivered. This includes understanding how the service responds to the number of referrals it receives and a range of other quality measures, including service user feedback. As part of routine clinical practice, providers of Op COURAGE undertake pre and post treatment assessment at an individual patient level to ensure the effectiveness of treatment. The Department has made no additional assessment of the adequacy of mental health support for veterans.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 06/02/2024 17:40:23 answering member 4492 label Biography information for Maria Caulfield
tabling member	298 label Biography information for Steve McCabe

1685299

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	Mental 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, what discussions she has had with her international counterparts on best practice on tackling veterans’ mental health issues.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	11561
answer	answer is ministerial correction date of answer 07/02/2024 answer text <p>The Minister for Veterans' Affairs and the Office for Veterans' Affairs engage with the Five Eyes international partners to share best practices on research and policy delivery. This engagement covers a wide range of issues relating to veterans, including mental health. In addition, officials from the Nigerian Government visited the United Kingdom in January 2024 to learn from the UK’s offer to the veteran community, which included health service provision.</p><p>Op COURAGE is a bespoke mental health service for veterans and is commissioned by NHS England. NHS England has engaged with partners in the United States and has undertaken global literature research to identify the best practices and use evidence-based learning to develop this service. In 2023, NHS England met with the Australian High Commission to share learnings from Op COURAGE to inform and promote the best practices for veterans’ mental health in Australia.</p><p>There have been no additional discussions by the Department with international counterparts on the best practices for tackling veterans’ mental health issues.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 07/02/2024 11:42:10 answering member 4492 label Biography information for Maria Caulfield
tabling member	298 label Biography information for Steve McCabe