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1665857

registered interest
date	18/10/2023
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	Mortality Rates
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 11 January 2023 to Question 117873 on Mortality Rates, whether a detailed assessment is now available on factors that contributed to ONS data showing that excess deaths in England and Wales were higher than the five-year average in September, October and November 2022; and if he will make a statement.
tabling member constituency	Ceredigion
tabling member printed	Ben Lake
uin	203383
answer	answer is ministerial correction date of answer 24/10/2023 answer text <p>A detailed assessment is not available.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 24/10/2023 16:41:52 answering member 4679 label Biography information for Neil O'Brien previous answer version 101615 answering member constituency Harborough answering member printed Neil O'Brien answering member 4679 label Biography information for Neil O'Brien
tabling member	4630 label Biography information for Ben Lake

1665332

registered interest
date	17/10/2023
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	GP Surgeries: Repairs and Maintenance
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 the Royal College of General Practitioners' report entitled Fit for the Future: Reshaping general practice infrastructure in England, published in May 2023, if he will make an assessment of the potential implications for his Department's polices of that report's finding that almost three in four members that requested funding to upgrade their premises in the last year were unsuccessful in obtaining that funding.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	203045
answer	answer is ministerial correction date of answer 23/10/2023 answer text <p>We want general practitioners (GPs) to deliver the best quality of care to patients and will continue our work to assess what is needed to enable them to deliver services effectively in GP premises.</p><p>The Government has allocated over £4 billion annually in capital funding to systems to invest in maintaining the National Health Service estate and address safety issues. Improvements to existing GP premises can be financed by bidding for NHS England funding or self-funded by the GP practice, including borrowing capital. Often works are funded by a combination of these two options.</p><p>The NHS (General Medical Services) Premises Costs Directions 2013 permit grant awards of up to 66% of the total value of the improvement scheme; practices are expected to meet the remaining costs.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 23/10/2023 13:29:43 answering member 4679 label Biography information for Neil O'Brien previous answer version 99499 answering member constituency Harborough answering member printed Neil O'Brien answering member 4679 label Biography information for Neil O'Brien
tabling member	4471 label Biography information for Rachael Maskell

1665335

registered interest
date	17/10/2023
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: Infrastructure
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he plans to increase spending on (a) estates and (b) infrastructure for primary care.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	203046
answer	answer is ministerial correction date of answer 23/10/2023 answer text <p>We want general practices (GPs) to deliver the best quality of care to patients and will continue our work to assess what is needed to enable them to deliver services effectively in GP premises.</p><p>The Government has allocated over £4 billion annually in capital funding to systems to invest in maintaining the National Health Service estate and address safety issues. In addition, in our primary care recovery plan we committed to changing local authority planning guidance to raise the profile of primary care facilities when planners are considering how developer contributions and funds from new housing developments are allocated. NHS funding, including for primary care, is determined at each Spending Review.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 23/10/2023 13:27:32 answering member 4679 label Biography information for Neil O'Brien previous answer version 99498 answering member constituency Harborough answering member printed Neil O'Brien answering member 4679 label Biography information for Neil O'Brien
tabling member	4471 label Biography information for Rachael Maskell

1665344

registered interest
date	17/10/2023
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	Dental Services: Durham
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 is the Minister taking to increase access to NHS dental services in County Durham.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	202956
answer	answer is ministerial correction date of answer 26/10/2023 answer text <p>It has not proved possible to respond to the hon. Member in the time available before Prorogation.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 26/10/2023 11:09:19 answering member 4679 label Biography information for Neil O'Brien previous answer version 99513 answering member constituency Harborough answering member printed Neil O'Brien answering member 4679 label Biography information for Neil O'Brien
tabling member	3973 label Biography information for Grahame Morris

1665357

registered interest
date	17/10/2023
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	Dental Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reasons his Department has not responded to the Health and Social Care Select Committee's report on NHS dentistry within two months of its publication on 14 July 2023.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	202957
answer	answer is ministerial correction date of answer 23/10/2023 answer text <p>The Department is carefully considering the recommendations of the report. The Government’s response will be submitted in due course.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 23/10/2023 13:21:48 answering member 4679 label Biography information for Neil O'Brien previous answer version 99512 answering member constituency Harborough answering member printed Neil O'Brien answering member 4679 label Biography information for Neil O'Brien
tabling member	3973 label Biography information for Grahame Morris

1665475

registered interest
date	17/10/2023
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	Smoking: 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 his Department has made of the potential merits of expanding the swap to stop scheme to include smoking cessation products such as nicotine replacement therapies.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	202976
answer	answer is ministerial correction date of answer 23/10/2023 answer text <p>The Swap to Stop programme has been developed to provide smokers with more choice by providing the option of accessing free vapes to support quit attempts. This offer includes expert support provided by local stop smoking services.</p><p>Medicinally licensed nicotine replacement therapies are already available to smokers via prescription or voucher. Stop smoking service data suggests that 69% of 176,566 stop smoking service users accessed licensed nicotine replacement therapy in 2022/23. Whilst there is not currently a medicinally licensed vape, the Medicines and Healthcare products Regulatory Agency stands ready to support a future medicinally licensed vaping product should industry come forward with a successful candidate.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 23/10/2023 13:41:00 answering member 4679 label Biography information for Neil O'Brien previous answer version 99502 answering member constituency Harborough answering member printed Neil O'Brien answering member 4679 label Biography information for Neil O'Brien
tabling member	4122 label Biography information for Alex Cunningham

1664871

registered interest
date	16/10/2023
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	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 comparative assessment his Department has made of levels of excess deaths in (a) 2023 and (b) the 2015-2019 average. what assessment he has made of the potential links between excess deaths and age; and what the most common causes of excess deaths are in people under 50.
tabling member constituency	Ynys Môn
tabling member printed	Virginia Crosbie
uin	202565
answer	answer is ministerial correction date of answer 19/10/2023 answer text <p>There are several organisations producing estimates of excess deaths using different methods. Excess deaths are the difference between registered deaths and the number expected each week.</p><p>The Office for Health Improvement and Disparities (OHID) reports monthly on Excess Mortality in England and English regions, and more information is available at the following link:</p><p><a href="https://www.gov.uk/government/statistics/excess-mortality-in-england-and-english-regions" target="_blank">https://www.gov.uk/government/statistics/excess-mortality-in-england-and-english-regions</a></p><p>OHID’s expected deaths are based on the trend in mortality rates in England for the five years 2015 to 2019. Estimates of excess deaths are therefore not available for the pre-pandemic period using the same methodology. OHID estimates take change in population size and ageing into account.</p><p>The Office for National Statistics (ONS) also publishes weekly estimates of excess deaths, which are available at the following link:</p><p><a href="https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/datasets/weeklyprovisionalfiguresondeathsregisteredinenglandandwales" target="_blank">https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/datasets/weeklyprovisionalfiguresondeathsregisteredinenglandandwales</a></p><p>ONS expected deaths are based on a simple five-year average of deaths registered each week in previous years. For deaths in 2023, the five-year average is based on deaths in 2017 to 2019 and 2021 to 2022.</p><p>In the weeks ending 6 January 2023 to 29 September 2023, OHID estimates that there have been 23,001 excess deaths in England, 6% more deaths than expected. Over this period, there were only three weeks that did not have any excess deaths, namely the weeks ending 10 March 2023, 14 April 2023, and 7 July 2023.</p><p>Additionally, over the same period, ONS estimates that there have been 24,292 excess deaths in England which, like OHID’s estimate, is 6% higher than expected. However, ONS figures show that seven weeks over the period did not have excess deaths, these being the weeks ending 10 and 17 February 2023, 14 April 2023, 21 and 28 July 2023, 29 September 2023, and 6 October 2023.</p><p>Numbers of excess deaths generally increase with age and OHID estimates that excess deaths in England over this same period above were highest in those aged 85 and over, specifically 6,955 deaths. However, the relative excess was highest in the 50 to 64 age group where excess deaths were 14% higher than expected, specifically 5,278 deaths.</p><p>Of the causes of death which OHID routinely report on, deaths involving cardiovascular diseases including heart disease and stroke, and acute respiratory diseases including flu and pneumonia had the highest numbers of excess deaths for those aged under 50 in England in January to June 2023. Data for later months are not available.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 19/10/2023 19:24:47 answering member 4679 label Biography information for Neil O'Brien previous answer version 98781 answering member constituency Harborough answering member printed Neil O'Brien answering member 4679 label Biography information for Neil O'Brien
tabling member	4859 label Biography information for Virginia Crosbie

1663481

registered interest
date	13/10/2023
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	Healthy Start Scheme
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 recipients of Healthy Start paper vouchers have not re-enrolled via the online registration system.
tabling member constituency	South Shields
tabling member printed	Mrs Emma Lewell-Buck
uin	201335
answer	answer is ministerial correction date of answer 20/10/2023 answer text <p>The NHS Business Services Authority estimate that as of 15 October 2023 there were 20,500 households which previously were in receipt of paper vouchers which have not successfully applied to the NHS Healthy Start prepaid card scheme. This is around 7% of the 286,791 households that were in receipt of paper vouchers in August 2021. The 7% figure includes households that are no longer eligible to apply for the Healthy Start scheme.</p><p> </p><p>In September 2023, uptake for the Healthy Start scheme was 68.2%. Uptake of the fully digitised scheme is higher than the previous paper voucher scheme. Healthy Start now supports around 367,000 beneficiaries.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 20/10/2023 13:58:04 answering member 4679 label Biography information for Neil O'Brien previous answer version 98353 answering member constituency Harborough answering member printed Neil O'Brien answering member 4679 label Biography information for Neil O'Brien
tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

1663657

registered interest
date	13/10/2023
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	Heart Diseases: 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 he has had discussions with NHS England on the potential merits of supporting the British Society for Heart Failure-led multi-disciplinary 25in25 initiative.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	201511
answer	answer is ministerial correction date of answer 18/10/2023 answer text <p>There have been no specific discussions with NHS England. Preventing cardiovascular diseases (CVD), including heart failure, is a priority for this government, which is why they are a key part of our upcoming Major Conditions Strategy. The NHS Health Check aims to prevent heart disease, stroke, diabetes and kidney disease, and some cases of dementia among adults aged between 40 and 74 years old. The period between April and June this year saw the highest number of NHS Health Checks offered since the programme began in 2013, meaning more people than ever can reduce their CVD risk through the programme.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 18/10/2023 16:59:35 answering member 4679 label Biography information for Neil O'Brien previous answer version 98354 answering member constituency Harborough answering member printed Neil O'Brien answering member 4679 label Biography information for Neil O'Brien
tabling member	1604 label Biography information for Mr Virendra Sharma

1663795

registered interest
date	13/10/2023
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	Malnutrition
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 hospital admissions for malnutrition in England were there in the latest period for which data is available, broken down by age groups (a) 0-5 years, (b) 5-10 years, (c) 10-16 years and (d) over-16 years.
tabling member constituency	South Shields
tabling member printed	Mrs Emma Lewell-Buck
uin	201648
answer	answer is ministerial correction date of answer 18/10/2023 answer text <p>The following tables show activity in National Health Service hospitals and NHS-commissioned activity in the independent sector in England. NHS England has provided a count of Finished Admission Episodes with a “primary” or “primary or secondary diagnosis” of scurvy, rickets, vitamin D deficiency and malnutrition by age group for 2022/23.</p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="4"><p>Primary Diagnosis</p></td></tr><tr><td><p>Patient Age (years)</p></td><td><p>Scurvy</p></td><td><p>Rickets</p></td><td><p>Vitamin D Deficiency</p></td><td><p>Malnutrition</p></td></tr><tr><td><p>0-4</p></td><td><p>1</p></td><td><p>29</p></td><td><p>47</p></td><td><p>12</p></td></tr><tr><td><p>5-9</p></td><td><p>3</p></td><td><p>4</p></td><td><p>21</p></td><td><p>8</p></td></tr><tr><td><p>10-16</p></td><td><p>1</p></td><td><p>2</p></td><td><p>60</p></td><td><p>24</p></td></tr><tr><td><p>17 or over</p></td><td><p>9</p></td><td><p>2</p></td><td><p>752</p></td><td><p>741</p></td></tr></tbody></table><p> </p><table><tbody><tr><td colspan="4"><p>Primary or Secondary Diagnosis</p></td></tr><tr><td><p>Patient Age (years)</p></td><td><p>Scurvy</p></td><td><p>Rickets</p></td><td><p>Vitamin D Deficiency</p></td><td><p>Malnutrition</p></td></tr><tr><td><p>0-4</p></td><td><p>5</p></td><td><p>317</p></td><td><p>2,052</p></td><td><p>71</p></td></tr><tr><td><p>5-9</p></td><td><p>5</p></td><td><p>30</p></td><td><p>1,757</p></td><td><p>45</p></td></tr><tr><td><p>10-16</p></td><td><p>5</p></td><td><p>56</p></td><td><p>5,251</p></td><td><p>153</p></td></tr><tr><td><p>17 or over</p></td><td><p>151</p></td><td><p>77</p></td><td><p>176,317</p></td><td><p>10,301</p></td></tr></tbody></table><p> </p><p>Source: Hospital Episode Statistics (HES), NHS England</p><p> </p><p> </p><p>The root causes of malnutrition may be clinical (for example disease-related), social and/or economic. These problems often interact in a complex cycle. Some health conditions can lead to malnutrition including eating disorders, although malnutrition itself is not an eating disorder.</p> answering member constituency Harborough answering member printed Neil O'Brien grouped question UIN 201649 question first answered 18/10/2023 16:59:08 answering member 4679 label Biography information for Neil O'Brien previous answer version 98352 answering member constituency Harborough answering member printed Neil O'Brien answering member 4679 label Biography information for Neil O'Brien
tabling member	4277 label Biography information for Mrs Emma Lewell-Buck