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1717617

registered interest
date	13/05/2024
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	Nicotine: Products
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 make an assessment of the prevalence of the use of child labour in the production of nicotine products.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	25874
answer	answer is ministerial correction date of answer 23/05/2024 answer text <p>The United Kingdom is committed to working with partners to deliver on commitments from the Call to Action at the Global Conference on the Elimination of Child Labour in 2022 including eliminating child labour from global supply chains. The UK supports voluntary human rights due diligence approaches by our businesses to respect human rights and the environment across their operations and supply relationships, as steered by the UN Guiding Principles (UNGPs) on Business and Human Rights and the OECD Guidelines on Multinational Enterprises.  The Government is clear that it expects all UK businesses to respect human rights throughout their operations, in line with the UNGPs.</p><p>Section 54 of the Modern Slavery Act 2015 requires commercial organisations that supply goods/services and have a total turnover over £36 million to publish a transparency statement annually to set out what steps they have taken to ensure that modern slavery is not occurring in their supply chains.</p><p>The Department of Health and Social Care has pledged to put an end to modern slavery in the National Health Service by meeting the Secretary of State’s duty to assess and mitigate modern slavery risk in NHS supply chains. New regulations will require public bodies procuring goods or services for delivering health services in England to assess the risk of modern slavery and implement reasonable steps to procurement and contracting activities with a view to eradicating the use of goods and services tainted by modern slavery.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 23/05/2024 16:42:32 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4471 label Biography information for Rachael Maskell

1716801

registered interest
date	09/05/2024
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	Medicine: Education
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 hold discussions with the (a) Medical Schools Council and (b) British Medical Association on the effectiveness of preference-informed allocation for foundation placements for medical graduates.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	25505
answer	answer is ministerial correction date of answer 15/05/2024 answer text <p>The UK Foundation Programme Office (UKFPO) manages the national application process for the UK Foundation Programme, on behalf of the four statutory education bodies for the United Kingdom. The UKFPO changed the allocation process for the programme this year to a Preference Informed Allocation method. This consisted of applicants being given a computer-generated rank, and removed the requirement for them to sit the Situational Judgement Test. This change was based on engagement with stakeholders, including the Medical Schools Council, and the British Medical Association.</p><p>When confirming the move to the new system last year, the UKFPO set out that once implemented, it would be kept under constant review, to make sure it is working well for applicants. The UKFPO has confirmed that 75% of applicants received their first choice of programme this year, a 4% increase on last year.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 15/05/2024 15:44:06 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4471 label Biography information for Rachael Maskell

1716530

registered interest
date	08/05/2024
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	Musculoskeletal Disorders: Research
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 help improve the (a) quality, (b) coverage, (c) availability and (d) use of musculoskeletal data.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	25259
answer	answer is ministerial correction date of answer 13/05/2024 answer text <p>The Office for Health Improvement and Disparities produces annual musculoskeletal health local profiles, designed to bring together meaningful data on a single platform, to enable the commissioning of high-value musculoskeletal services. Data is provided in a user-friendly format, to help local government and health services. They are regularly updated with relevant indicators, most recently in January 2024.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 13/05/2024 16:11:48 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4471 label Biography information for Rachael Maskell

1716531

registered interest
date	08/05/2024
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	Surgery: Waiting Lists
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 surgical hubs on trends in waiting times for elective care.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	25260
answer	answer is ministerial correction date of answer 14/05/2024 answer text <p>Several external evaluations of the impact of Elective Surgical Hubs are currently ongoing, and supported by NHS England. The University of York is carrying out a comprehensive evaluation funded by the National Institute of Healthcare Research.</p><p> </p><p>The Health Foundation’s Improvement Analytics Unit has also conducted a quantitative assessment of the impact of surgical hubs, with the results to be published later this month. The Health Foundation’s analysis will indicate the impact surgical hubs have had on the number of procedures undertaken and whether they have increased day-case rates and reduced lengths of stay, all of which supports elective recovery, and reductions in waiting times for elective care.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 14/05/2024 17:03:09 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4471 label Biography information for Rachael Maskell

1716532

registered interest
date	08/05/2024
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	Joint Replacements: Surgery
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 and what proportion of people received treatment for (a) knee and (b) hip replacements in surgical hubs in each of the last 12 months.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	25261
answer	answer is ministerial correction date of answer 13/05/2024 answer text <p>NHS England has introduced specific hub-level data site codes for all operational hubs in 2023, with 89% of the 101 operational hubs now reporting data against these codes. However, as many of the hubs have only recently introduced the data codes, NHS England have limited data available for the last 12 months, and much of this new data submission is still being validated. Therefore, NHS England currently do not have reliable, validated hub-specific data about specific procedures undertaken in hubs.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 13/05/2024 08:52:57 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4471 label Biography information for Rachael Maskell

1716533

registered interest
date	08/05/2024
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	Medical Records: Databases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress her Department has made on ensuring all NHS trusts have electronic patient records by March 2026.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	25262
answer	answer is ministerial correction date of answer 13/05/2024 answer text <p>The aim of the Frontline Digitisation programme is for all secondary care National Health Service trusts to have an Electronic Patient Record (EPR) system that meets our standards. The Government's 2023 mandate for NHS England set a target for 90% of NHS trusts to have an EPR system in place by December 2023, which has been met. The programme is forecasting to achieve 98% EPR coverage by March 2026, with the remaining 2% of NHS trusts advancing in their plans for an EPR.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 13/05/2024 12:41:52 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4471 label Biography information for Rachael Maskell

1716534

registered interest
date	08/05/2024
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	Surgery: Waiting Lists
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 reduce regional variations in the length of NHS elective care waiting lists.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	25263
answer	answer is ministerial correction date of answer 13/05/2024 answer text <p>Published management information from NHS England estimates that as of April 2024, three quarters of those waiting for 65 weeks are concentrated in 41 trusts. The National Health Service and Department are providing targeted regional and national intervention to these specific trusts with the largest backlogs, through a programme of challenge and support.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 13/05/2024 17:05:22 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4471 label Biography information for Rachael Maskell

1716536

registered interest
date	08/05/2024
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	Asthma: 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 assessment she has made of the effectiveness of access to (a) specialist care provision and (b) review for asthma patients.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	25265
answer	answer is ministerial correction date of answer 15/05/2024 answer text <p>Fewer than 5% of all people with asthma have severe asthma or uncontrolled asthma. For these people, systematic assessment by a specialist multidisciplinary severe asthma team has been shown to improve patient outcomes, for instance with a reduction in exacerbations and oral corticosteroids use, a reduction in health care utilisation, and an improvement in quality of life, regardless of the use of biologic drugs.</p><p>Severe asthma services form part of NHS England’s specialised commissioning responsibilities. Specialised respiratory services are subject to joint commissioning or delegation to integrated care boards from April 2024, which will support integrated pathways between specialised and non-specialised services. Recent work contributed to by NHS England, to support capacity within specialised severe asthma services, included the development of a severe asthma toolkit and an Accelerated Access Collaborative on improving pathways for identification and management of patients with severe asthma. Regular asthma reviews, at least annually, are recommended by the National Institute for Health and Care Excellence within its guideline on the diagnosis, monitoring, and chronic management of asthma.</p><p>The provision of annual asthma reviews is one of the indicators within the Quality and Outcomes Framework (QOF) for general practices in England. The objective of the QOF is to improve the care patients are given by rewarding practices for the quality of care they provide to their patients, based on several indicators across a range of key areas of clinical care and public health. The latest published data for 2022/23 shows that 62.9% of people on the asthma register received a review in the past 12 months. This has steadily increased since 2020/21, the earliest date from which data is available, as this is when the indicator definition was updated. Further information on the public health profile of patients with asthma is available at the following link:</p><p><a href="https://fingertips.phe.org.uk/search/ASthma%20review#page/4/gid/1/pat/159/par/K02000001/ati/15/are/E92000001/iid/93790/age/314/sex/4/cat/-1/ctp/-1/yrr/1/cid/4/tbm/1" target="_blank">https://fingertips.phe.org.uk/search/ASthma%20review#page/4/gid/1/pat/159/par/K02000001/ati/15/are/E92000001/iid/93790/age/314/sex/4/cat/-1/ctp/-1/yrr/1/cid/4/tbm/1</a></p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 15/05/2024 16:37:11 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4471 label Biography information for Rachael Maskell

1716537

registered interest
date	08/05/2024
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	Asthma: Death
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 end deaths from asthma.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	25266
answer	answer is ministerial correction date of answer 15/05/2024 answer text <p>In the initial report, Major conditions strategy: case for change and our strategic framework, the Department developed a strategic framework on how our approach to health and care delivery can evolve to improve outcomes and better meet the needs of 6 major health conditions, including those with chronic respiratory disease (CRD). As part of the overall strategy for CRD management, we have incentivised primary care, through the general practice contract, to monitor and provide support for those with chronic obstructive pulmonary disease and asthma, including through annual reviews, a personalised action plan, appropriate inhaler optimisation and advice on smoking cessation.</p><p>NHS England published the NHS Long Term Plan in 2019, which set out the commitments and objectives for the National Health Service for the next 10 years, in relation to CRD. NHS England is working with a range of partners to improve outcomes across the care pathway. This includes supporting local systems to offer NHS funded tobacco treatment services, building on the £2.3 billion investment in additional diagnostic capacity and the establishment of Community Diagnostic Centres; working with key partners to introduce a range of resources and measures that promote high quality and low carbon inhaler use; publishing a National Bundle of Care for Children and Young People with Asthma to support local systems with the management of asthma care and; widening and making access to specialist care through the delegation of specialist asthma services to ICB commissioning responsibilities.</p><p>NHS England is also focused on making more respiratory-specific data available to all regions and systems, ensuring there is greater consistency in the use of data and metrics to enable meaningful comparison, and to identify areas that may need additional support for improvement. NHS England also looks forward to the publication of the updated National Institute for Health and Care Excellence asthma guideline later this year and will promote and support its implementation.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 15/05/2024 15:36:03 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4471 label Biography information for Rachael Maskell

1716538

registered interest
date	08/05/2024
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	Asthma: Research
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 is taking steps to promote asthma research through the use of (a) data and (b) AI.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	25267
answer	answer is ministerial correction date of answer 14/05/2024 answer text <p>The Department funds research on health and social care through the National Institute for Health and Care Research (NIHR). The NIHR welcomes funding applications for research into any aspect of human health, including asthma. The NIHR Respiratory Translational Research Collaboration has a dedicated asthma theme which includes research on diagnostics, monitoring, and digital health interventions to manage asthma. The NIHR has further encouraged research using data science and artificial intelligence approaches through the Artificial Intelligence in Health and Care Award, jointly funded with NHS England and the NHS Accelerated Access Collaborative since 2020.</p><p>We also note that the National Institute for Health and Care Excellence’s (NICE’s) guideline committee made several recommendations on diagnosing and monitoring asthma, and for managing chronic asthma when the 2017 guideline was published. A further new recommendation for research was made when the guideline was updated in 2020. It is therefore possible that the NICE will make further recommendations for research when its updated asthma guideline is published later this year.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 14/05/2024 17:05:31 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4471 label Biography information for Rachael Maskell