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1678949

registered interest
date	19/12/2023
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	Gene Therapies: Fees and Charges
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 had discussions with the NHS on the potential merits of providing access to licensed gene therapies manufactured in the UK free of charge on the NHS.
tabling member constituency	Cities of London and Westminster
tabling member printed	Nickie Aiken
uin	7672
answer	answer is ministerial correction date of answer 08/01/2024 answer text <p>We have had no such discussions with NHS England. The National Institute for Health and Care Excellence (NICE) makes recommendations on whether all new medicines, including gene therapies, should be routinely funded by the National Health Service based on an assessment of their costs and benefits. The NHS is legally required to make funding available for NICE recommended treatments, usually within three months of the publication of final guidance. NICE has been able to recommend several gene therapies for use on the NHS, often subject to commercial agreements proposed through the NICE appraisal process, that are now available for the treatment of eligible patients.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 08/01/2024 10:30:49 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4741 label Biography information for Nickie Aiken

1678951

registered interest
date	19/12/2023
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	Anaesthesia Associates and Physician Associates: Regulation
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 potential impact of instructing the General Medical Council to regulate (a) physician and (b) anaesthesia associates on the quality of care.
tabling member constituency	Edmonton
tabling member printed	Kate Osamor
uin	7635
answer	answer is ministerial correction date of answer 08/01/2024 answer text <p>Introducing statutory regulation for these roles will enhance patient safety. Regulation will provide a standardised framework of governance and assurance for clinical practice and professional conduct, to enable anaesthesia associates (AAs) and physician associates (Pas) to make a greater contribution to patient care.</p><p> </p><p>The assessment of the appropriate regulatory body for PA and AA regulation was completed in 2019 following a public consultation. Most respondents to the consultation were in favour of the General Medical Council (GMC) taking on regulation.</p><p> </p><p>Regulation by the GMC will mean that the organisation will have responsibility and oversight of doctors, AAs and PAs, allowing them to take a holistic approach to the education, training and standards of all three roles. This will enable a more coherent and co-ordinated approach to regulation and, by making it easier for employers, patients, and the public to understand the relationship between these roles and doctors, help to embed them in the workforce.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 08/01/2024 10:35:58 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4515 label Biography information for Kate Osamor

1678957

registered interest
date	19/12/2023
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	Pregnancy: Mental 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 made an estimate of the number of people accessing perinatal mental health services by NHS inclusion groups since 2017.
tabling member constituency	Blaydon
tabling member printed	Liz Twist
uin	7732
answer	answer is ministerial correction date of answer 08/01/2024 answer text <p>The attached tables show the number of people accessing perinatal mental health services by age, ethnicity and indices of Deprivation deciles from 2019/20 to 2021/22. Data prior to 2019/20 is not included as the analysis of perinatal services did not exist prior to this year and as such would be subject to data quality considerations. Data for 2022/23 is due to be published on 22 February 2024.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 08/01/2024 10:26:18 answering member 4492 label Biography information for Maria Caulfield attachment 1 file name PQ7732 Tables.xlsx title Information for PQ7732
tabling member	4618 label Biography information for Liz Twist

1678981

registered interest
date	19/12/2023
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	Primary Health Care: Sussex
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 provide NHS Sussex Integrated Care Board with the additional £8m funding required to pay for the projected increase in demand in primary care for Locally Commissioned Services for this financial year.
tabling member constituency	Brighton, Pavilion
tabling member printed	Caroline Lucas
uin	7541
answer	answer is ministerial correction date of answer 08/01/2024 answer text <p>The Department sets NHS England’s budget, with funding increasing to £162.5 billion in 2024/25.</p><p>NHS England is responsible for allocating healthcare resources to integrated care boards (ICBs) to meet the healthcare needs of their populations. ICBs then decide how that funding is spent within the local integrated care system. Allocations are determined using an independently recommended ‘weighted capitation’ formula to produce a target allocation or ‘fair share’, including for primary care, which accounts for population size.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 08/01/2024 10:47:36 answering member 4044 label Biography information for Andrew Stephenson
tabling member	3930 label Biography information for Caroline Lucas

1678984

registered interest
date	19/12/2023
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	Physician Associates
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 a recent assessment of the potential merits of requiring physician associates to work under a named registered medical practitioner.
tabling member constituency	Cynon Valley
tabling member printed	Beth Winter
uin	7697
answer	answer is ministerial correction date of answer 08/01/2024 answer text <p>Both in training, and subsequently qualified practice, physician associates (PAs) must work with a dedicated medical supervisor which will be a consultant, general practitioner, or other senior medical personnel.</p><p> </p><p>Training to become a PA involves supervised practice with real patients in clinical attachments. The dedicated medical supervisor is responsible for the supervision and management of a student’s educational progress throughout the clinical placements of the course. However, any professional in a placement location who is competent to do so may train, supervise, and assess a PA student in a particular skill, procedure, or competence. This includes practising PAs, nurses, and other healthcare professionals.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 08/01/2024 10:28:00 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4809 label Biography information for Beth Winter

1678995

registered interest
date	19/12/2023
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	Cancer
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 potential implications for her policies on prevention of the Cancer Research UK publication entitled, Longer, better lives: A manifesto for cancer research and care.
tabling member constituency	Harrow East
tabling member printed	Bob Blackman
uin	7548
answer	answer is ministerial correction date of answer 08/01/2024 answer text <p>The Government welcomes the Cancer Research UK report which rightly highlights progress made against cancer. We have invested over £100 million into cancer research in 2021/22 through the National Institute for Health and Care Research. We are working closely with research partners in relevant all sectors and are confident the Government's continued commitment to cancer research will help us to continue to make progress, leading to continued improvements for cancer patients.</p><p>Cancer is being diagnosed at an earlier stage, more often, with survival rates improving across almost all types of cancer and the National Health Service seeing and treating record numbers of cancer patients over the last two years.</p><p>Our Major Conditions Strategy will set out how we will improve cancer prevention, diagnosis and treatment and we have opened 135 community diagnostic centres offering over five million additional tests, including for cancer.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 08/01/2024 10:46:34 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4005 label Biography information for Bob Blackman

1679011

registered interest
date	19/12/2023
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	Young Offenders: Mental 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 plans she has to improve the provision of mental health care across the youth secure estate.
tabling member constituency	Lewisham East
tabling member printed	Janet Daby
uin	7657
answer	answer is ministerial correction date of answer 08/01/2024 answer text <p>NHS England has statutory responsibility for the direct commissioning of health services or facilities in the secure estate for children and young people, including for mental health services</p><p><br> Within this estate, the Framework for Integrated Care (SECURE STAIRS) allows for a trauma informed, collaborative approach to care, assessment and the planning of sentences and interventions, regardless of previous diagnosis. This includes input from mental health staff as well as from social care professionals, education professionals and the operational staff working on a day-to-day basis at the setting. <br> <br> It also seeks to ensure that staff have the right skills and support to care for the children and young people appropriately. NHS England has continued to support the implementation and sustainability of the framework in the estate, in partnership with Youth Custody Service and the Department for Education. <br> <br> As well as this, intercollegiate healthcare standards for children and young people in secure settings were first published in 2013. These standards were developed to help improve the quality and consistency of healthcare available to children in secure settings and have been refreshed in 2023. The standards benchmark NHS England’s core outcome based service specifications, including a specific specification for mental health services, which was also refreshed in 2023.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 08/01/2024 10:35:06 answering member 4492 label Biography information for Maria Caulfield
tabling member	4698 label Biography information for Janet Daby

1679021

registered interest
date	19/12/2023
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: Resignations
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate she has made of the number of UK-born clinicians that have left the NHS in the last 12 months; and whether she holds information on the number that have moved abroad for work.
tabling member constituency	Warrington North
tabling member printed	Charlotte Nichols
uin	7696
answer	answer is ministerial correction date of answer 08/01/2024 answer text <p>The numbers of leavers from the National Health Service, for staff employed in NHS trusts and other core organisation in England are published quarterly by NHS England as part of its NHS Workforce Statistics Collection. The data for the annual period to the end of June 2023 is attached.</p><p> </p><p>Leavers data is presented for staff groups by the self-reported nationality of staff. This will not necessarily be the same as the place of birth of a member of staff but may a useful proxy. The data shows that in the 12 months to June 2023, there were 27,813 nurses and health visitors and 13,574 doctors who left service in NHS trusts and other core organisations who had a United Kingdom nationality. Other staffing groups can be access through the data linked.</p><p> </p><p>The data includes staff employed by NHS trusts and integrated care boards but excludes staff directly employed by general practitioner surgeries, local authorities, and other providers such as community interest companies and private providers. The count of “leavers” includes staff leaving to work in primary care, to local authorities and to private providers. Each year there is flows of staff going each way between NHS trusts and other health providers. This is particularly important to note for doctors as data on leavers will include junior doctors moving on planned rotations and placements into primary care or other settings.</p><p> </p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 08/01/2024 10:29:04 answering member 4044 label Biography information for Andrew Stephenson attachment 1 file name HCHS staff in NHS Trusts and core orgs June 2023 - Turnover tables (1).xlsx title Attachment
tabling member	4799 label Biography information for Charlotte Nichols

1679060

registered interest
date	19/12/2023
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	Attention Deficit Hyperactivity Disorder: Drugs
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 his Department is taking to increase the availability of medication for people with ADHD in Wansbeck constituency; and what recent estimate he has made of when supplies of this medication will be available.
tabling member constituency	Wansbeck
tabling member printed	Ian Lavery
uin	7569
answer	answer is ministerial correction date of answer 08/01/2024 answer text <p>Shortages of medicines for attention deficit hyperactivity disorder (ADHD) have primarily been driven by capacity constraints at key manufacturing sites These issues have resulted in global supply disruptions. The Department has been working closely with the respective manufacturers and some issues have now been resolved. However, we know that there continue to be disruptions to the supply of some other medicines, which should resolve by April 2024.</p><p>We have well-established processes to manage supply issues and continue to work with the respective manufacturers and all relevant stakeholders to ensure that the supply disruptions are resolved as soon as possible.</p><p>We understand how frustrating and distressing medicine shortages can be and we want to assure patients that we are working with the respective manufacturers to resolve the issues with ADHD medicine supply in the United Kingdom as soon as possible and to help ensure patients are able to access these medicines in the short and long term.</p><p>We do not hold information or act at a local level but issue regular communication to enable healthcare professionals to make appropriate prescribing decisions.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 08/01/2024 10:44:50 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4139 label Biography information for Ian Lavery

1679080

registered interest
date	19/12/2023
answering body	Department for Energy Security and Net Zero
answering dept id	215
answering dept short name	Energy Security and Net Zero
answering dept sort name	Energy Security and Net Zero
hansard heading	Energy: Storage
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Energy Security and Net Zero, if she will make it her policy to require the National Grid Electricity System Operator to prioritise the use of battery storage instead of fossil fuel-based power.
tabling member constituency	Brighton, Pavilion
tabling member printed	Caroline Lucas
uin	7543
answer	answer is ministerial correction date of answer 08/01/2024 answer text <p>The Electricity System Operator (ESO) has responsibility for balancing supply and demand on the electricity system on a second by second basis, whilst minimising the cost for consumers.</p><p> </p><p>The Government and Ofgem's 2021 Smart Systems and Flexibility Plan includes actions to open up markets and to remove barriers to participation for low-carbon flexibility such as battery storage. The Review of Electricity Market Arrangements programme is considering market reforms to drive a secure, cost-effective, low-carbon electricity system, including reform options to facilitate the deployment and operation of low-carbon flexible technologies such as battery storage.</p> answering member constituency Beverley and Holderness answering member printed Graham Stuart question first answered 08/01/2024 10:26:38 answering member 1482 label Biography information for Graham Stuart
tabling member	3930 label Biography information for Caroline Lucas