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1670429

	registered interest
	date	15/11/2023
	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	Intensive Care: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, with reference to the report Disagreements in the care of critically ill children published by the Department of Health and Social Care on 18 September, what changes they intend to make to the care of critically ill children and when they anticipate these will come into effect.
	tabling member printed	Lord Balfe
	uin	HL333
	answer	answer is ministerial correction date of answer 30/11/2023 answer text <p>The Department is considering the recommendations made in the report and what actions can be taken to help avoid disagreements arising between the parents of critically ill children and clinicians treating them and, where this is not possible, resolve disagreements more quickly and compassionately.</p> answering member printed Lord Markham question first answered 30/11/2023 15:56:28 answering member 4948 label Biography information for Lord Markham
	tabling member	4302 label Biography information for Lord Balfe

1661482

	registered interest
	date	18/09/2023
	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	General Practitioners: Bureaucracy and Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, with reference to the article Practice under pressure: how can the exodus of GPs be reversed published on 31 August by Dr Imelda McDermott and Dr Sharon Spooner, what steps they intend to take to make general practice deliverable by reducing the administrative and financial burden on GP partners.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL10247
	answer	answer is ministerial correction date of answer 05/10/2023 answer text <p>The ‘Delivery plan for recovering access to primary care’, published by NHS England in May 2023, set out actions on how bureaucracy and workload can be cut by improving the interface between primary and secondary care, cutting unnecessary burdens on general practitioners through the Bureaucracy Busting Concordat, which was published in August 2022, and streamlining the Investment and Impact Fund from 36 to five indicators from 2023/24. Copies of both the delivery plan and the Concordat are attached.</p><p>Spending on general practice rose by nearly a fifth in real terms between 2017 and the most recent data in 2021. More specifically, spending grew from £11.3 billion in 2016/17 to £13.5 billion in 2021/22, representing a 19% increase in real terms.</p> answering member printed Lord Markham attachment 1 file name Bureaucracy Busting Concordat FINAL (1).pdf title Attachment 2 file name Delivery plan for recovering access to primary care May2023 (1).pdf title Attachment question first answered 05/10/2023 12:13:27 answering member 4948 label Biography information for Lord Markham
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1661483

	registered interest
	date	18/09/2023
	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	General Practitioners: Standards
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, with reference to the article Practice under pressure: how can the exodus of GPs be reversed published on 31 August by Dr Imelda McDermott and Dr Sharon Spooner, what plans they have to ensure targets for GPs reflect the real-life needs of patients.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL10248
	answer	answer is ministerial correction date of answer 18/10/2023 answer text <p>In response to feedback from the profession, work is being undertaken to review the current incentive schemes in primary care, with the aim of making them more focussed and streamlined to give clinicians the flexibility to provide care that is aligned with patient needs. We will consult the profession, patients, and the broader system on primary care incentives this year to inform future reform.</p> answering member printed Lord Markham question first answered 18/10/2023 16:23:48 answering member 4948 label Biography information for Lord Markham
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1661484

	registered interest
	date	18/09/2023
	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	General Practitioners
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, with reference to the article Practice under pressure: how can the exodus of GPs be reversed published on 31 August by Dr Imelda McDermott and Dr Sharon Spooner, what consideration they have given to the introduction of new business models for general practices; and what discussions they have had with general practices about the introduction of new business models.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL10249
	answer	answer is ministerial correction date of answer 16/10/2023 answer text <p>General Practice (GP) partnerships, individually and through Primary Care Networks, deliver high quality care to patients all over the country. The Government continues to support the partnership model which has underpinned general practice since before the establishment of the National Health Service, and has many advantages. While partnerships holding a GP contract will continue to be in the majority, it is important that sustainable alternative models are available to mitigate difficulties in recruitment and retention.</p><p> </p><p>The partnership model is not the only model currently delivering general practice. GP practices can and do choose to organise themselves in different ways to support scale and resilience, many of which cite evidence of good outcomes in terms of staff engagement and patient experience.</p> answering member printed Lord Markham question first answered 16/10/2023 15:49:25 answering member 4948 label Biography information for Lord Markham
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1661481

	registered interest
	date	18/09/2023
	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: Staff
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, with reference to the article Practice under pressure: how can the exodus of GPs be reversed published on 31 August by Dr Imelda McDermott and Dr Sharon Spooner, how they intend to make sustainable work schedules an integral part of the NHS Long Term Workforce Plan.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL10246
	answer	answer is ministerial correction date of answer 24/10/2023 answer text <p>The NHS Long Term Workforce Plan commits to implementing the actions from the NHS People Plan, including ensuring staff can work flexibly. However, as independent contractors, it is for general practitioner practices to decide staffing levels and distribution of work across their teams.</p> answering member printed Lord Markham question first answered 24/10/2023 12:14:15 answering member 4948 label Biography information for Lord Markham
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1661480

	registered interest
	date	18/09/2023
	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	General Practitioners: Staff
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, with reference to the article Practice under pressure: how can the exodus of GPs be reversed published on 31 August by Dr Imelda McDermott and Dr Sharon Spooner, what assessment they have made of the impact of the introduction of non-GP staff in practices on the continuity of patients’ care.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL10245
	answer	answer is ministerial correction date of answer 18/10/2023 answer text <p>NHS England has committed to a review of the Additional Roles Reimbursement Scheme by the end of 2023. This work will cover the performance of the scheme to date and inform the Government’s approach to any future support for additional clinical roles in general practice.</p><p>In addition, the Department has funded, via the National Institute for Health and Care Research, a project to look at the impact of non-general practitioner staff in practices on patient care.</p> answering member printed Lord Markham question first answered 18/10/2023 16:24:08 answering member 4948 label Biography information for Lord Markham
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1580938

	registered interest
	date	25/01/2023
	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	Mental Health Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, with reference to the Mental Health Act 1983, what plans they have to increase the capacity of (1) places of safety, (2) section 136 suites, and (3) crisis care units, in each Integrated Care Board area in England.
	tabling member printed	Lord Bradley
	uin	HL5060
	answer	answer is ministerial correction date of answer 02/02/2023 answer text <p>On 23 January 2023, we set out details on how £150 million of capital investment, first announced at the 2021 Spending Review, will be used to improve mental health urgent and emergency care infrastructure. This includes funding for 150 schemes across the country on a fair shares basis, reaching all 42 integrated care boards.</p><p>This will support the building and expanding of capacity for health-based places of safety, section 136 suites and mental health assessment, care and treatment units. It will also support crisis cafes, crisis houses and broader improvements to crisis lines and accident and emergency departments, as well as the procurement of up to 100 specialised mental health ambulances over the next two years. This will provide care in more appropriate spaces for those experiencing a mental health crisis and will reduce pressure on wider parts of the healthcare system.</p> answering member printed Lord Markham question first answered 02/02/2023 16:10:11 answering member 4948 label Biography information for Lord Markham
	tabling member	452 label Biography information for Lord Bradley

1624550

	registered interest
	date	27/04/2023
	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	Rare Diseases: Diagnosis
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, with reference to the England Rare Diseases Action Plan 2023, whether they will publish an update on progress relating to the action to measure the time to diagnosis for both genetic and non-genetic rare conditions; how engagement will be carried out with the patient community once researchers are selected; and when this work will be finalised.
	tabling member printed	Baroness Merron
	uin	HL7534
	answer	answer is ministerial correction date of answer 11/05/2023 answer text <p>The National Institute for Health and Care Research works with the public to ensure there are opportunities to participate in research and that their perspectives and experiences help to shape research.<em> </em>Commissioning research, under action 17 of the England Rare Diseases Action Plan 2023 to measure the time to diagnosis, is currently in progress through an open competitive process. Announcements on the process for engagement with the patient community will be made once this process has been completed, and contracts agreed with successful bidders for the research.</p> answering member printed Lord Markham question first answered 11/05/2023 11:25:16 answering member 4948 label Biography information for Lord Markham
	tabling member	347 label Biography information for Baroness Merron

1624549

	registered interest
	date	27/04/2023
	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	Rare Diseases: Medical Treatments
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, with reference to the England Rare Diseases Action Plan 2022, whether NHS England still plans to assess and publish a report on levels of uptake of rare disease treatments, in addition to the highly specialised services annual report.
	tabling member printed	Baroness Merron
	uin	HL7533
	answer	answer is ministerial correction date of answer 11/05/2023 answer text <p>NHS England’s specialised commissioning team has assessed the levels of uptake of rare disease treatments and presented the results to the last meeting of the NHS England Rare Diseases Advisory Group in April 2023. NHS England currently have no plans to publish the report.</p> answering member printed Lord Markham question first answered 11/05/2023 11:24:25 answering member 4948 label Biography information for Lord Markham
	tabling member	347 label Biography information for Baroness Merron

1669133

	registered interest
	date	09/11/2023
	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	Brain: Tumours
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, with reference to the All Party Parliamentary Group on Brain Tumours Inquiry Report Pathway to A Cure, published in February 2023, what steps the Department for Health and Social Care is taking to support early-stage researchers to develop their skills in the field of brain tumour research.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL172
	answer	answer is ministerial correction date of answer 20/11/2023 answer text <p>The Department is working closely with the Tessa Jowell Brain Cancer Mission (TJBCM) in hosting customised workshops for researchers, and training for clinicians. These actions will grow capacity for brain cancer research, attracting new researchers, developing the community, and supporting researchers to submit high-quality research funding proposals.</p><p>The TJBCM recently announced two appointments to the inaugural Tessa Jowell Fellowship programme. These 12-month fellowships will support high quality training in neuro-oncology clinical practice and research, to ensure clinicians are equipped with the relevant research skills needed to lead neuro-oncology trials that change practice.</p><p>Additionally, the TJBCM have designated 28 adult Tessa Jowell Centres of Excellence within the National Health Service, which has created a world-class network of brain tumour treatment and research centres to provide the best care and share best practice.</p> answering member printed Lord Markham question first answered 20/11/2023 13:34:20 answering member 4948 label Biography information for Lord Markham
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath