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1698966

registered interest
date	26/03/2024
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	Dementia and Parkinson's Disease: Health Services and Social 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 she is taking to ensure that health and social care professionals are trained in Parkinson’s-related dementia care.
tabling member constituency	Bootle
tabling member printed	Peter Dowd
uin	20658
answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>The standard of training for health care professionals is the responsibility of the health care independent statutory regulatory bodies. They set the outcome standards expected at undergraduate level and approve courses and Higher Education Institutions to write and teach the curricula content that enables their students to meet the regulators outcome standards.</p><p>Whilst not all curricula may necessarily highlight a specific condition, they all nevertheless emphasize the skills and approaches a health care practitioner must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients, including for dementia.</p><p>Individual employers across health and social care are responsible for ensuring their staff are trained and competent to carry out their role, and for investing in the future of their staff by providing continuing professional development (CPD) funding. The required training needs are set out in the Dementia Training Standards Framework, which is available at the following link:</p><p><a href="https://www.skillsforhealth.org.uk/info-hub/dementia-2015-updated-2018/" target="_blank">https://www.skillsforhealth.org.uk/info-hub/dementia-2015-updated-2018/</a></p><p>The framework was commissioned and funded by the Department, and developed in collaboration with the sector. It sets out the essential knowledge, skills, and expected learning outcomes applicable across the health and care spectrum.</p><p>It is applicable to health and social care staff who work with people living with dementia, staff providing direct care and support, and those who provide leadership in transforming care, including social care managers and leaders.</p><p>To supplement local National Health Service employer investment for CPD, the NHS Long Term Workforce Plan, published on 30 June 2023, sets out NHS England’s commitment to continue national CPD funding for nurses, midwives, and allied health professionals. There are a variety of resources available on the NHS England e-learning for health platform, designed to enhance the training and education of the health and social care workforce. This includes a programme on dementia care, and modules in Parkinson’s disease in geriatric medicine.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 20624 question first answered 23/04/2024 12:45:10 answering member 4527 label Biography information for Helen Whately
tabling member	4397 label Biography information for Peter Dowd

1698967

registered interest
date	26/03/2024
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: Staff
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when she plans to publish details on how the NHS long-term workforce plan will be implemented.
tabling member constituency	Bootle
tabling member printed	Peter Dowd
uin	20659
answer	answer is ministerial correction date of answer 15/04/2024 answer text <p>We have established a Long Term Workforce Plan Governance Board which will ensure the delivery and review the progress of the Long Term Workforce Plan’s implementation. The modelling NHS England has used in the plan is founded on data, evidence, and analysis and provides a set of broad ranges to measure the potential impact of actions over its 15 year timeframe. We have committed to refreshing the modelling that underpins the plan every two years, or in line with fiscal events.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 20625 question first answered 15/04/2024 08:17:19 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4397 label Biography information for Peter Dowd

1698968

registered interest
date	26/03/2024
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	Parkinson's Disease: 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, whether the NHS Long Term Workforce Plan will include steps to help tackle regional variations in access to Parkinson’s specialist care.
tabling member constituency	Bootle
tabling member printed	Peter Dowd
uin	20660
answer	answer is ministerial correction date of answer 15/04/2024 answer text <p>The NHS Long Term Workforce Plan (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. It covers the majority of NHS workforce groups, including those working on Parkinson’s disease. The LTWP commits to working closely with systems to consider the best approaches to reviewing the geographical distribution of training posts for wider professional groups.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 20628 question first answered 15/04/2024 08:18:31 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4397 label Biography information for Peter Dowd

1698969

registered interest
date	26/03/2024
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Work Capability Assessment: Chronic Illnesses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Work and Pensions, if he will take steps to review planned changes to the Work Capability Assessment to reflect the impact on people with (a) Parkinson's and (b) other long-term conditions.
tabling member constituency	Bootle
tabling member printed	Peter Dowd
uin	20661
answer	answer is ministerial correction date of answer 16/04/2024 answer text <p>The Work Capability Assessment (WCA) assesses individuals against a set of descriptors to determine how their health condition or disability affects their ability to work. The WCA takes into account the functional effects of fluctuating and degenerative conditions such as Parkinson’s. A key principle is that the WCA considers the impact that a person’s disability or health condition has on them, not the condition itself.</p><p> </p><p>Claimants with the most severe health conditions and disabilities whose condition is unlikely to ever improve are no longer routinely reassessed.</p><p> </p><p>From 2025, we are reforming the WCA to reflect new flexibilities in the labour market and greater employment opportunities for disabled people and people with health conditions, whilst maintaining protections for those with the most significant conditions. Claimants who currently have no work-related requirements, except in some very limited circumstances, will not be reassessed or lose benefit because of these changes.</p><p> </p><p>When making decisions on changes to the WCA, we carefully considered over 1300 consultation responses, including from disabled people, people with health conditions, and the organisations that represent and support them. We also engaged directly with clinical experts, employer groups and disability organisations across the country.</p><p> </p><p>With these changes to the WCA criteria, 371,000 fewer people will be assessed as having limited capability for work and work-related activity by 2028-29 and will receive personalised support to help them move closer to employment. A further 29,000 individuals will be found fit for work by 2028-29 and will receive more intensive support to search for and secure work than would be the case under the current WCA rules. These figures are not based on specific conditions. This is because the WCA considers the impact that a person’s disability or health condition has on their ability to work, not the condition itself.</p><p /><p>The department routinely engages with a wide range of organisations that represent and support disabled people and people with health conditions, including people living with Parkinson’s disease.</p> answering member constituency Mid Sussex answering member printed Mims Davies grouped question UIN 20626 20627 20662 question first answered 16/04/2024 15:51:17 answering member 4513 label Biography information for Mims Davies
tabling member	4397 label Biography information for Peter Dowd

1698970

registered interest
date	26/03/2024
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Social Security Benefits: Parkinson's Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Work and Pensions, if he will meet with Parkinson’s UK and the hon. Member for Bootle to discuss the experience of people with Parkinson’s in the social security system.
tabling member constituency	Bootle
tabling member printed	Peter Dowd
uin	20662
answer	answer is ministerial correction date of answer 16/04/2024 answer text <p>The Work Capability Assessment (WCA) assesses individuals against a set of descriptors to determine how their health condition or disability affects their ability to work. The WCA takes into account the functional effects of fluctuating and degenerative conditions such as Parkinson’s. A key principle is that the WCA considers the impact that a person’s disability or health condition has on them, not the condition itself.</p><p> </p><p>Claimants with the most severe health conditions and disabilities whose condition is unlikely to ever improve are no longer routinely reassessed.</p><p> </p><p>From 2025, we are reforming the WCA to reflect new flexibilities in the labour market and greater employment opportunities for disabled people and people with health conditions, whilst maintaining protections for those with the most significant conditions. Claimants who currently have no work-related requirements, except in some very limited circumstances, will not be reassessed or lose benefit because of these changes.</p><p> </p><p>When making decisions on changes to the WCA, we carefully considered over 1300 consultation responses, including from disabled people, people with health conditions, and the organisations that represent and support them. We also engaged directly with clinical experts, employer groups and disability organisations across the country.</p><p> </p><p>With these changes to the WCA criteria, 371,000 fewer people will be assessed as having limited capability for work and work-related activity by 2028-29 and will receive personalised support to help them move closer to employment. A further 29,000 individuals will be found fit for work by 2028-29 and will receive more intensive support to search for and secure work than would be the case under the current WCA rules. These figures are not based on specific conditions. This is because the WCA considers the impact that a person’s disability or health condition has on their ability to work, not the condition itself.</p><p /><p>The department routinely engages with a wide range of organisations that represent and support disabled people and people with health conditions, including people living with Parkinson’s disease.</p> answering member constituency Mid Sussex answering member printed Mims Davies grouped question UIN 20626 20627 20661 question first answered 16/04/2024 15:51:17 answering member 4513 label Biography information for Mims Davies
tabling member	4397 label Biography information for Peter Dowd

1698328

registered interest
date	25/03/2024
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	Rare Diseases: Drugs
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 appraisals for medicines to treat very rare diseases were started through the National Institute for Health and Care Excellence highly specialised technology programme in each financial year since 2018-19.
tabling member constituency	Bootle
tabling member printed	Peter Dowd
uin	20317
answer	answer is ministerial correction date of answer 15/04/2024 answer text <p>The following table from the National Institute for Health and Care Excellence (NICE) shows the number of highly specialised technology evaluations that started in each year since 2018/2019:</p><table><tbody><tr><td><p>Year</p></td><td><p>Invitations To Participate</p></td></tr><tr><td><p>2018/19</p></td><td><p>4</p></td></tr><tr><td><p>2019/20</p></td><td><p>2</p></td></tr><tr><td><p>2020/21</p></td><td><p>3</p></td></tr><tr><td><p>2021/22</p></td><td><p>7</p></td></tr><tr><td><p>2022/23</p></td><td><p>8</p></td></tr><tr><td><p>2023/24</p></td><td><p>4</p></td></tr><tr><td><p>Total</p></td><td><p>28</p></td></tr></tbody></table><p>Note: The term started has been defined as when the NICE sent the invitation to participate.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 15/04/2024 08:58:55 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4397 label Biography information for Peter Dowd

1698329

registered interest
date	25/03/2024
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	Rare Diseases: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when the National Institute for Health and Care Excellence next plans to review the entry criteria for its highly specialised technologies programme for the evaluation medicines to treat very rare diseases.
tabling member constituency	Bootle
tabling member printed	Peter Dowd
uin	20318
answer	answer is ministerial correction date of answer 15/04/2024 answer text <p>The National Institute for Health and Care Excellence plans to review the criteria for determining whether a medicine should be routed to its highly specialised technologies programme later this year.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 15/04/2024 08:53:57 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4397 label Biography information for Peter Dowd

1694525

registered interest
date	07/03/2024
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	Cancer: 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, whether she has held discussions with NHS England on the need for a dedicated and specific cancer plan.
tabling member constituency	Bootle
tabling member printed	Peter Dowd
uin	17562
answer	answer is ministerial correction date of answer 14/03/2024 answer text <p>The Department works closely with NHS England on a wide range of issues relating to cancer, and to deliver the key priorities on cancer as set out in the NHS Long Term Plan. Current priorities include work on improving cancer survival rates through earlier diagnosis, and reducing cancer treatment waiting times across England, including the time between an urgent general practice referral and the commencement of treatment. The Government is working jointly with NHS England on implementing the delivery plan for tackling the COVID-19 backlogs in elective care, and plans to spend more than £8 billion from 2022/23 to 2024/25 to help drive up and protect elective activity, including cancer diagnosis and treatment activity.</p><p>On 14 August 2023, the Government published a strategic framework for the Major Conditions Strategy to consider the six conditions, including cancer, that contribute most to morbidity and mortality across the population in England. This is because we recognise that most cancer patients will have at least one other condition, so we are developing a Major Conditions Strategy that will include cancer. The Major Conditions Strategy will apply a geographical lens to each condition, to address regional disparities in health outcomes, supporting the levelling up mission to narrow the gap in healthy life expectancy by 2030.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 14/03/2024 17:55:22 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4397 label Biography information for Peter Dowd

1694527

registered interest
date	07/03/2024
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	Radiotherapy: Medical Equipment
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 Integrated Care Boards in England on replacement programmes for radiotherapy machinery (LINACS); and what mechanisms are in place to allow her Department to oversee the effectiveness of those replacement programmes.
tabling member constituency	Bootle
tabling member printed	Peter Dowd
uin	17563
answer	answer is ministerial correction date of answer 13/03/2024 answer text <p>Since April 2022, the responsibility for investing in new radiotherapy machines has sat with local systems. This is supported by the 2021 Spending Review, which set aside £12 billion in operational capital for the National Health Service, from 2022 to 2025.</p><p>The Government and NHS England are already taking steps to ensure that cancer patients can receive high quality radiotherapy treatment across England. This includes supporting advances in radiotherapy, using cutting-edge imaging and technology to help target radiation doses at cancer cells more precisely.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 13/03/2024 16:09:17 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4397 label Biography information for Peter Dowd

1694528

registered interest
date	07/03/2024
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	Radiotherapy: Health Professions
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 recruit an additional 2,000 radiotherapy professionals by 2040.
tabling member constituency	Bootle
tabling member printed	Peter Dowd
uin	17564
answer	answer is ministerial correction date of answer 14/03/2024 answer text <p>In June 2023, NHS England published the NHS Long Term Workforce Plan, which sets out the steps the National Health Service and its partners need to take to deliver a workforce that meets the changing needs of the population, over the next 15 years. The plan recognises the need to increase numbers of allied health professionals (AHPs), including therapeutic and diagnostic radiographers. To address this, we will increase AHP training places from a little over 15,000 in 2021/22 to 17,000 by 2028/89, and then 18,800 by 2031/32, a total increase of approximately 25%. National funding is available to train 150 enhanced practice radiographers a year, to support the diagnosis of cancer and other conditions.</p><p>We have already seen increases in the radiotherapy workforce in NHS trusts and other care organisations in England. In November 2023, there were 894 full-time equivalent (FTE) consultants working in the specialty of clinical oncology, an increase of 40, or 4.6%, since November 2022 and 395, or 79.0%, since November 2010. There are also 3,141 FTE therapeutic radiographers, an increase of 133, or 4.4%, since November 2022 and 1,046, or 50.0%, since November 2010. We are also focused on improving cancer treatment, and are supporting advances in radiotherapy, such as using cutting-edge imaging and technology to help target radiation doses at cancer cells more precisely.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 14/03/2024 13:55:49 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4397 label Biography information for Peter Dowd