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1714031

registered interest
date	26/04/2024
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	General Practitioners
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 full-time equivalent GPs worked in the NHS in England in each financial year since 2009-10.
tabling member constituency	Central Suffolk and North Ipswich
tabling member printed	Dr Dan Poulter
uin	23843
answer	answer is ministerial correction date of answer 15/05/2024 answer text <p>The information requested is publicly available and can be accessed here:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/general-and-personal-medical-services/30-september-2023" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/general-and-personal-medical-services/30-september-2023</a></p><p>and</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/general-and-personal-medical-services/2004-2014-as-at-30-september" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/general-and-personal-medical-services/2004-2014-as-at-30-september</a></p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 15/05/2024 13:46:05 answering member 4117 label Biography information for Andrea Leadsom
tabling member	3932 label Biography information for Dr Dan Poulter

1714032

registered interest
date	26/04/2024
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	Community Nurses
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 full-time equivalent district nurses worked in the NHS in England in each financial year since 2009-10.
tabling member constituency	Central Suffolk and North Ipswich
tabling member printed	Dr Dan Poulter
uin	23844
answer	answer is ministerial correction date of answer 02/05/2024 answer text <p>NHS England publishes Hospital and Community Health Services workforce statistics for England. These include staff working for hospital trusts and other core organisations, but excludes staff working for other providers such as in primary care, general practice, or social care. This data is drawn from the Electronic Staff Record, the human resources system for the National Health Service. The statistics, including those for district nurses, are available at the following link:</p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/monthly-nhs-hospital-and-community-health-service-hchs-workforce-statistics" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/monthly-nhs-hospital-and-community-health-service-hchs-workforce-statistics</a></p><p> </p><p>We know that district nurses will also work outside NHS trusts, for other providers of community services. We do not hold data on the number of district nurses working outside the NHS. The Nursing and Midwifery Council publishes data on the number of nurses with district nursing qualifications on the professional register across the United Kingdom, and is available at the following link:</p><p> </p><p><a href="https://www.nmc.org.uk/about-us/reports-and-accounts/registration-statistics/" target="_blank">https://www.nmc.org.uk/about-us/reports-and-accounts/registration-statistics/</a></p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 02/05/2024 08:54:56 answering member 4044 label Biography information for Andrew Stephenson
tabling member	3932 label Biography information for Dr Dan Poulter

1714047

registered interest
date	26/04/2024
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	Attention Deficit Hyperactivity Disorder: Leeds North West
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 reduce waiting times for Attention Deficit Hyperactivity Disorder assessments in Leeds North West constituency.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	23923
answer	answer is ministerial correction date of answer 02/05/2024 answer text <p>It is the responsibility of the integrated care boards (ICBs) to make available the appropriate provision to meet the health and care needs of their local population, including access to attention deficit hyperactivity disorder (ADHD) assessments, in line with relevant National Institute for Health and Care Excellence (NICE) guidelines. The NICE guidelines for ADHD diagnosis and management aim to improve the diagnosis of ADHD and the quality of care and support people receive. The NICE guidelines do not recommend a maximum waiting time standard for ADHD diagnosis, either from referral for an assessment to receiving an assessment, a diagnosis, or a first contact appointment.</p><p>There is, at present, no single, established dataset that can be used to monitor waiting times for assessment for ADHD. A specific assessment of the implications for departmental policies of the number of people on a waiting list, or the number of assessments provided each month for adult ADHD services in Leeds, is not currently planned.</p><p>The Department is exploring options to improve data collection and reporting on ADHD assessment waiting times nationally, to help improve access to ADHD assessments in a timely way, and in line with the NICE guideline. In support of this, the National Institute for Health and Care Research’s Policy Research Programme has commissioned a research project to provide insights into local ADHD diagnosis waiting times data collection.</p><p>In December 2023, NHS England initiated a rapid piece of work to consider ADHD service provision within the National Health Service. The initial phase of work identified challenges, including with current service models and the ability to keep pace with demand. Following this initial review, NHS England is establishing a new ADHD taskforce alongside the Government, to improve care for people living with the condition. The new taskforce will bring together expertise from across a broad range of sectors, including the NHS, education, and justice, to better understand the challenges affecting people with ADHD and help provide a joined-up approach in response to concerns around rising demand for assessments and support.</p><p>Alongside the work of the taskforce, NHS England has announced that it will continue to work with stakeholders to develop a national ADHD data improvement plan, carry out more detailed work to understand the provider and commissioning landscape, and capture examples from local health systems who are trialling innovative ways of delivering ADHD services, to ensure best practice is captured and shared across the system.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 23925 question first answered 02/05/2024 14:29:11 answering member 4492 label Biography information for Maria Caulfield
tabling member	4658 label Biography information for Alex Sobel

1714051

registered interest
date	26/04/2024
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	Autism: Leeds
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 adequacy of the number of professionals able to offer pre-school autism assessments in Leeds.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	23924
answer	answer is ministerial correction date of answer 02/05/2024 answer text <p>An assessment of the adequacy of the number of professionals able to offer pre-school autism assessments in Leeds is not currently planned. It is the responsibility of integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including autism assessment services, in line with relevant clinical guidelines.</p><p>The West Yorkshire ICB advises that pre-school autism assessments in Leeds were temporarily stopped due to a shortage of professionals. The service remains suspended as it needs one full time equivalent clinical psychologist. The post has recently been recruited, and plans are in place for the service to reopen by the end of June 2024.</p><p>Nationally, we are taking steps to improve autism assessment services. NHS England published a national framework and operational guidance for autism assessment services on 5 April 2023. These documents are intended to help the National Health Service improve autism assessment services, and improve the experience for adults and children who are going through an autism assessment. They also set out what support should be available before an assessment, and what support should follow a recent diagnosis of autism.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 02/05/2024 14:35:43 answering member 4492 label Biography information for Maria Caulfield
tabling member	4658 label Biography information for Alex Sobel

1714052

registered interest
date	26/04/2024
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	Attention Deficit Hyperactivity Disorder: Leeds
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 implications for her policies of the number of (a) people that are on a waiting list and (b) assessments provided each month at the Leeds adult attention deficit hyperactivity disorder service.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	23925
answer	answer is ministerial correction date of answer 02/05/2024 answer text <p>It is the responsibility of the integrated care boards (ICBs) to make available the appropriate provision to meet the health and care needs of their local population, including access to attention deficit hyperactivity disorder (ADHD) assessments, in line with relevant National Institute for Health and Care Excellence (NICE) guidelines. The NICE guidelines for ADHD diagnosis and management aim to improve the diagnosis of ADHD and the quality of care and support people receive. The NICE guidelines do not recommend a maximum waiting time standard for ADHD diagnosis, either from referral for an assessment to receiving an assessment, a diagnosis, or a first contact appointment.</p><p>There is, at present, no single, established dataset that can be used to monitor waiting times for assessment for ADHD. A specific assessment of the implications for departmental policies of the number of people on a waiting list, or the number of assessments provided each month for adult ADHD services in Leeds, is not currently planned.</p><p>The Department is exploring options to improve data collection and reporting on ADHD assessment waiting times nationally, to help improve access to ADHD assessments in a timely way, and in line with the NICE guideline. In support of this, the National Institute for Health and Care Research’s Policy Research Programme has commissioned a research project to provide insights into local ADHD diagnosis waiting times data collection.</p><p>In December 2023, NHS England initiated a rapid piece of work to consider ADHD service provision within the National Health Service. The initial phase of work identified challenges, including with current service models and the ability to keep pace with demand. Following this initial review, NHS England is establishing a new ADHD taskforce alongside the Government, to improve care for people living with the condition. The new taskforce will bring together expertise from across a broad range of sectors, including the NHS, education, and justice, to better understand the challenges affecting people with ADHD and help provide a joined-up approach in response to concerns around rising demand for assessments and support.</p><p>Alongside the work of the taskforce, NHS England has announced that it will continue to work with stakeholders to develop a national ADHD data improvement plan, carry out more detailed work to understand the provider and commissioning landscape, and capture examples from local health systems who are trialling innovative ways of delivering ADHD services, to ensure best practice is captured and shared across the system.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 23923 question first answered 02/05/2024 14:29:11 answering member 4492 label Biography information for Maria Caulfield
tabling member	4658 label Biography information for Alex Sobel

1714055

registered interest
date	26/04/2024
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	Attention Deficit Hyperactivity Disorder: Leeds
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 implications for her policies of the average waiting time for people diagnosed with attention deficit hyperactivity disorder to receive their first medication prescription in Leeds.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	23926
answer	answer is ministerial correction date of answer 02/05/2024 answer text <p>It is the responsibility of the integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including access to attention deficit hyperactivity disorder (ADHD) treatment, in line with relevant National Institute for Health and Care Excellence (NICE) guidance. The NICE guideline on ADHD does not set out a timeframe within which medication for ADHD should be provided. The Department has not made a specific assessment of the implications on departmental policies of the average waiting time from diagnosis of ADHD, to receiving a first medication prescription in Leeds.</p><p>In respect of the adequacy of ADHD service provision nationally, in December 2023, NHS England initiated a rapid piece of work to consider ADHD service provision within the National Health Service. The initial phase of work identified challenges, including with current service models and the ability to keep pace with demand. Following this initial review, NHS England is establishing a new ADHD taskforce alongside the Government, to look at ADHD service provision and its impact on patient experience. The new taskforce will bring together expertise from across a broad range of sectors, including the NHS, education, and justice, to better understand the challenges affecting people with ADHD, and help provide a joined up approach in response to concerns around rising demand for assessments and support.</p><p>Alongside the work of the taskforce, NHS England has announced that it will continue to work with stakeholders to develop a national ADHD data improvement plan, carry out more detailed work to understand the provider and commissioning landscape, and capture examples from local health systems which are trialling innovative ways of delivering ADHD services to ensure best practice is captured and shared across the system.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 02/05/2024 14:44:58 answering member 4492 label Biography information for Maria Caulfield
tabling member	4658 label Biography information for Alex Sobel

1714075

registered interest
date	26/04/2024
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	Autism and Learning Disability
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 her Department has made of the effectiveness of NHS England’s Dynamic Support Register policy.
tabling member constituency	South Swindon
tabling member printed	Sir Robert Buckland
uin	23859
answer	answer is ministerial correction date of answer 02/05/2024 answer text <p>NHS England published updated policy and guidance on Dynamic Support Registers (DSRs) and Care (Education) and Treatment Reviews (C(E)TRs) on 25 January 2023, for implementation from 1 May 2023. The purpose of the updated policy and guidance is to help ensure that people with a learning disability and autistic people get the right support, to stay well in their communities.</p><p>NHS England produced the updated policy and guidance following a process of reviewing the learning since the inception of DSRs and C(E)TRs, including consultation and engagement with people with lived experience. This process included drawing on the findings of the Norfolk Safeguarding Adults Board’s review of the deaths of Joanna, Jon, and Ben at Cawston Park in Norfolk, and the subsequent safe and wellbeing reviews for all people with a learning disability and autistic people in mental health hospitals.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 02/05/2024 14:21:54 answering member 4492 label Biography information for Maria Caulfield
tabling member	4106 label Biography information for Sir Robert Buckland

1714076

registered interest
date	26/04/2024
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	Trastuzumab Deruxtecan
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what representations she has made to NICE on the availability of Enhertu.
tabling member constituency	Brentford and Isleworth
tabling member printed	Ruth Cadbury
uin	23881
answer	answer is ministerial correction date of answer 02/05/2024 answer text <p>The Department meets regularly with the National Institute for Health and Care Excellence (NICE) to discuss a range of issues, including access to medicines. The NICE has recommended Enhertu, also known as trastuzumab deruxtecan and made by Daiichi Sankyo, for use through the Cancer Drugs Fund, for the treatment of HER2-positive metastatic or unresectable breast cancer. It is available to eligible National Health Service patients in England, in line with the NICE’s recommendations.</p><p>The NICE is currently evaluating Enhertu for the treatment of HER2-low metastatic or unresectable breast cancer. Following negotiations between NHS England and the company, which concluded without a commercial agreement to make it available at a cost-effective price for the NHS, the NICE published final draft guidance on 5 March 2024, that does not recommend it as an option for this indication. The NICE remains open to further discussions with NHS England and the company, and currently expects to publish final guidance on 15 May 2024.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 02/05/2024 11:47:11 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4389 label Biography information for Ruth Cadbury

1714079

registered interest
date	26/04/2024
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	Gabapentin
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 recent discussions with the Medicines and Healthcare products Regulatory Agency on (a) its advice on prescribing and (b) the side effects of gabapentin.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	23890
answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>Gabapentin is authorised for the treatment of some forms of epilepsy, as well as peripheral neuropathic pain. The product information for gabapentin, approved by the Medicines and Healthcare products Regulatory Agency (MHRA), provides information to support the prescribing of the medication including recommendations for dose, duration of use, as well as gradual reduction when stopping. The product information includes warnings about possible side effects.</p><p>The MHRA continuously monitors the safety of gabapentin and ensures the product information reflects what is known about the medicine and its side effects.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 01/05/2024 09:02:05 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4471 label Biography information for Rachael Maskell

1714080

registered interest
date	26/04/2024
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	Gabapentin
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 ensure that people experiencing acute or chronic side effects from taking gabapentin do not have to wait for a (a) referral and (b) assessment by mental health services.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	23891
answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>While we have no specific plans to do so, we are committed to expanding and transforming mental health services in England through the NHS Long Term Plan, so that more people, including those experiencing side effects from taking gabapentin, can get the mental health help and support that they need.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 01/05/2024 15:56:56 answering member 4492 label Biography information for Maria Caulfield
tabling member	4471 label Biography information for Rachael Maskell