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1696559

registered interest
date	18/03/2024
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	Physician Associates
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, in view of the expected growth in the supply of physician associates (PAs) to 10,000 by 2036–37 under the NHS Long Term Workforce Plan, how many PAs are expected to work in each setting.
tabling member printed	The Lord Bishop of Chelmsford
uin	HL3316
answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>Physician Associates (PAs) currently work in over 40 specialties across primary, secondary, and community care, each determined by local needs and decisions. The largest proportion of the PA workforce works with doctors and other colleagues in primary care, followed by emergency and acute medicine. Other specialties include geriatrics, stroke, community, dermatology, and ear, nose, and throat. We have not made a central assessment of where we expect PAs to work in 2036/37. PAs' work must be undertaken within local clinical governance rules, and under the supervision or oversight of a senior doctor.</p> answering member printed Lord Markham question first answered 25/03/2024 12:53:28 answering member 4948 label Biography information for Lord Markham
tabling member	4922 label Biography information for The Lord Bishop of Chelmsford

1696560

registered interest
date	18/03/2024
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	NHS: Staff
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to ensure that NHS staff have sufficient capacity to supervise and support new associate staff.
tabling member printed	The Lord Bishop of Chelmsford
uin	HL3317
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>Anaesthesia Associates (AAs) and Physician Associates (PAs) are supervised by a designated senior doctor, in the role of a consultant, registrar, or general practitioner. The NHS Long Term Workforce Plan sets out plans to increase the PA workforce to 10,000 by 2036/37, and the AA workforce to 2,000 over the same period. The plan also calls for 60,000 more doctors, for a factor of five to one in favour of more doctors, which will contribute to the sustainable implementation of this multidisciplinary model and deliver increased capacity to supervise and support new associate staff.</p><p>NHS England is working with the relevant professional colleges and regulators to ensure the use of associate roles is expanded safely and effectively, and that they are appropriately supported, supervised, and integrated into multidisciplinary teams.</p><p>The introduction of regulation by the General Medical Council (GMC) will provide a standardised framework of governance and assurance for the clinical practice and professional conduct of AAs and PAs, and make it easier for employers, patients, and the public to understand the relationship between these roles and that of doctors.</p><p>As set out in National Institute for Health and Care Excellence’s guidelines, all healthcare professionals should introduce themselves and explain their role to the patient regardless of their job title. In addition, the GMC has published interim standards for AAs and PAs in advance of regulation which makes it clear that professionals should always introduce their role to patients, and set out their responsibilities in the team.</p> answering member printed Lord Markham grouped question UIN HL3318 question first answered 26/03/2024 14:37:25 answering member 4948 label Biography information for Lord Markham
tabling member	4922 label Biography information for The Lord Bishop of Chelmsford

1696561

registered interest
date	18/03/2024
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	NHS: Staff
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to ensure that there is clarity for patients about different roles within clinical teams in healthcare settings, including regarding anaesthesia and physician associates.
tabling member printed	The Lord Bishop of Chelmsford
uin	HL3318
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>Anaesthesia Associates (AAs) and Physician Associates (PAs) are supervised by a designated senior doctor, in the role of a consultant, registrar, or general practitioner. The NHS Long Term Workforce Plan sets out plans to increase the PA workforce to 10,000 by 2036/37, and the AA workforce to 2,000 over the same period. The plan also calls for 60,000 more doctors, for a factor of five to one in favour of more doctors, which will contribute to the sustainable implementation of this multidisciplinary model and deliver increased capacity to supervise and support new associate staff.</p><p>NHS England is working with the relevant professional colleges and regulators to ensure the use of associate roles is expanded safely and effectively, and that they are appropriately supported, supervised, and integrated into multidisciplinary teams.</p><p>The introduction of regulation by the General Medical Council (GMC) will provide a standardised framework of governance and assurance for the clinical practice and professional conduct of AAs and PAs, and make it easier for employers, patients, and the public to understand the relationship between these roles and that of doctors.</p><p>As set out in National Institute for Health and Care Excellence’s guidelines, all healthcare professionals should introduce themselves and explain their role to the patient regardless of their job title. In addition, the GMC has published interim standards for AAs and PAs in advance of regulation which makes it clear that professionals should always introduce their role to patients, and set out their responsibilities in the team.</p> answering member printed Lord Markham grouped question UIN HL3317 question first answered 26/03/2024 14:37:25 answering member 4948 label Biography information for Lord Markham
tabling member	4922 label Biography information for The Lord Bishop of Chelmsford

1696338

registered interest
date	14/03/2024
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	Physician Associates
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of the status of the guidance issued by the British Medical Association in its report Safe Scope of Practice for Medical Associate Professionals (MAPs) in relation to Physician and Anaesthesia Associates.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3284
answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>The Government considers scope of practice guidance for Anaesthesia Associates (AAs) and Physician Associates (PAs) to be a matter for the Royal College of Anaesthetists (RCoA) and the Royal College of Physicians (RCP) respectively, in conjunction with key stakeholders including other medical royal colleges, the Faculty of Physician Associates (FPA), and the Association of Anaesthesia Associates.</p><p> </p><p>The current scope of practice guidance for AAs, which is applicable across the United Kingdom, is published on the RCoA website. The FPA, which is hosted by the RCP, has also published guidance documents relating to the PA curriculum, code of conduct, and supervision. We understand that both the RCoA and the RCP are currently developing further guidance in collaboration with stakeholders, in relation to supervision and scope of practice.</p><p> </p><p>Once regulation begins, the General Medical Council’s published learning outcomes for AAs and PAs will also apply. This sets out a pre-qualification education framework and the outcomes expected of newly qualified AAs and PAs, including professional behaviours and capabilities and minimum expectations for the knowledge and skills required. In addition, employers of AAs and PAs are responsible for ensuring that appropriate governance and supervision are in place, and that individuals within their employment are practicing within their competence.</p> answering member printed Lord Markham grouped question UIN HL3285 HL3286 HL3287 HL3288 question first answered 20/03/2024 16:50:03 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1696339

registered interest
date	14/03/2024
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	Physician Associates
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they will issue guidance to the NHS on whether the Government endorses the British Medical Association’s report Safe Scope of Practice for Medical Associate Professionals (MAPs) in relation to Physician and Anaesthesia Associates.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3285
answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>The Government considers scope of practice guidance for Anaesthesia Associates (AAs) and Physician Associates (PAs) to be a matter for the Royal College of Anaesthetists (RCoA) and the Royal College of Physicians (RCP) respectively, in conjunction with key stakeholders including other medical royal colleges, the Faculty of Physician Associates (FPA), and the Association of Anaesthesia Associates.</p><p> </p><p>The current scope of practice guidance for AAs, which is applicable across the United Kingdom, is published on the RCoA website. The FPA, which is hosted by the RCP, has also published guidance documents relating to the PA curriculum, code of conduct, and supervision. We understand that both the RCoA and the RCP are currently developing further guidance in collaboration with stakeholders, in relation to supervision and scope of practice.</p><p> </p><p>Once regulation begins, the General Medical Council’s published learning outcomes for AAs and PAs will also apply. This sets out a pre-qualification education framework and the outcomes expected of newly qualified AAs and PAs, including professional behaviours and capabilities and minimum expectations for the knowledge and skills required. In addition, employers of AAs and PAs are responsible for ensuring that appropriate governance and supervision are in place, and that individuals within their employment are practicing within their competence.</p> answering member printed Lord Markham grouped question UIN HL3284 HL3286 HL3287 HL3288 question first answered 20/03/2024 16:50:03 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1696340

registered interest
date	14/03/2024
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	Physician Associates
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they will discuss the implications for Physician and Anaesthesia Associates of the British Medical Association report Safe Scope of Practice for Medical Associate Professionals (MAPs) with the United Medical Associate Professionals.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3286
answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>The Government considers scope of practice guidance for Anaesthesia Associates (AAs) and Physician Associates (PAs) to be a matter for the Royal College of Anaesthetists (RCoA) and the Royal College of Physicians (RCP) respectively, in conjunction with key stakeholders including other medical royal colleges, the Faculty of Physician Associates (FPA), and the Association of Anaesthesia Associates.</p><p> </p><p>The current scope of practice guidance for AAs, which is applicable across the United Kingdom, is published on the RCoA website. The FPA, which is hosted by the RCP, has also published guidance documents relating to the PA curriculum, code of conduct, and supervision. We understand that both the RCoA and the RCP are currently developing further guidance in collaboration with stakeholders, in relation to supervision and scope of practice.</p><p> </p><p>Once regulation begins, the General Medical Council’s published learning outcomes for AAs and PAs will also apply. This sets out a pre-qualification education framework and the outcomes expected of newly qualified AAs and PAs, including professional behaviours and capabilities and minimum expectations for the knowledge and skills required. In addition, employers of AAs and PAs are responsible for ensuring that appropriate governance and supervision are in place, and that individuals within their employment are practicing within their competence.</p> answering member printed Lord Markham grouped question UIN HL3284 HL3285 HL3287 HL3288 question first answered 20/03/2024 16:50:03 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1696341

registered interest
date	14/03/2024
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	Physician Associates
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of whether the adoption of the British Medical Association’s report Safe Scope of Practice for Medical Associate Professionals (MAPs) would restrict the role of Physician Associates.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3287
answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>The Government considers scope of practice guidance for Anaesthesia Associates (AAs) and Physician Associates (PAs) to be a matter for the Royal College of Anaesthetists (RCoA) and the Royal College of Physicians (RCP) respectively, in conjunction with key stakeholders including other medical royal colleges, the Faculty of Physician Associates (FPA), and the Association of Anaesthesia Associates.</p><p> </p><p>The current scope of practice guidance for AAs, which is applicable across the United Kingdom, is published on the RCoA website. The FPA, which is hosted by the RCP, has also published guidance documents relating to the PA curriculum, code of conduct, and supervision. We understand that both the RCoA and the RCP are currently developing further guidance in collaboration with stakeholders, in relation to supervision and scope of practice.</p><p> </p><p>Once regulation begins, the General Medical Council’s published learning outcomes for AAs and PAs will also apply. This sets out a pre-qualification education framework and the outcomes expected of newly qualified AAs and PAs, including professional behaviours and capabilities and minimum expectations for the knowledge and skills required. In addition, employers of AAs and PAs are responsible for ensuring that appropriate governance and supervision are in place, and that individuals within their employment are practicing within their competence.</p> answering member printed Lord Markham grouped question UIN HL3284 HL3285 HL3286 HL3288 question first answered 20/03/2024 16:50:04 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1696342

registered interest
date	14/03/2024
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	Physician Associates
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of whether the adoption of the British Medical Association’s report Safe Scope of Practice for Medical Associate Professionals (MAPs) would undermine established governance and frameworks.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3288
answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>The Government considers scope of practice guidance for Anaesthesia Associates (AAs) and Physician Associates (PAs) to be a matter for the Royal College of Anaesthetists (RCoA) and the Royal College of Physicians (RCP) respectively, in conjunction with key stakeholders including other medical royal colleges, the Faculty of Physician Associates (FPA), and the Association of Anaesthesia Associates.</p><p> </p><p>The current scope of practice guidance for AAs, which is applicable across the United Kingdom, is published on the RCoA website. The FPA, which is hosted by the RCP, has also published guidance documents relating to the PA curriculum, code of conduct, and supervision. We understand that both the RCoA and the RCP are currently developing further guidance in collaboration with stakeholders, in relation to supervision and scope of practice.</p><p> </p><p>Once regulation begins, the General Medical Council’s published learning outcomes for AAs and PAs will also apply. This sets out a pre-qualification education framework and the outcomes expected of newly qualified AAs and PAs, including professional behaviours and capabilities and minimum expectations for the knowledge and skills required. In addition, employers of AAs and PAs are responsible for ensuring that appropriate governance and supervision are in place, and that individuals within their employment are practicing within their competence.</p> answering member printed Lord Markham grouped question UIN HL3284 HL3285 HL3286 HL3287 question first answered 20/03/2024 16:50:04 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1696343

registered interest
date	14/03/2024
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	Pharmacy: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of the impact on community pharmacies, in particular in relation to funding reductions, of technical problems preventing such pharmacies from submitting accurate data for Pharmacy First consultations in February.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3289
answer	answer is ministerial correction date of answer 27/03/2024 answer text <p>Some pharmacy contractors have experienced a discrepancy between the data that they have entered, and the data received by the NHS Business Services Authority (NHSBSA). This has affected February claims for Urgent Medicines Supply. This was caused by the new formatting of data received by the NHSBSA resulting from changes made by some IT system suppliers when implementing Pharmacy First.</p><p>The NHSBSA has been working closely with IT system suppliers to resolve the issues and identify the affected contractors. They have extended the deadline for claiming February activity. Contractors will be paid for all Pharmacy First consultations undertaken.</p><p>The contractual relationship for the provision of IT to support the new services is between pharmacy contractors and IT system suppliers. Any concerns should be raised by the contractor with their chosen IT system supplier.</p><p>The Department is aware of the disruption to service this has caused to some contractors, and the concerns that contractors have overpaid. That is why the claim window has been extended, and the NHSBSA is working closely with contractors’ IT suppliers to reconcile the data to ensure every consultation is captured and paid. We are keeping the situation under close review.</p> answering member printed Lord Markham grouped question UIN HL3248 HL3249 question first answered 27/03/2024 15:24:33 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1696346

registered interest
date	14/03/2024
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	National Food Crime Unit
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by Lord Markham on 2 May 2023 (HL7168) whether the National Food Crime Unit of the Food Standards Agency now has the necessary powers to present cases to the courts.
tabling member printed	Lord Rooker
uin	HL3292
answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>The Food Standards Agency’s (FSA) National Food Crime Unit (NFCU) works to prevent, detect, and investigate fraud within our food system. My Rt hon. Friend, the Secretary of State for Health and Social Care has the power under the Police, Crime, Sentencing and Courts Act 2022 to grant food crime officers with access to powers, such as those under the Police and Criminal Evidence (PACE) Act 1984. The laying of secondary legislation to grant these powers and bring the FSA under the necessary oversight of the Independent Office for Police Conduct (IOPC) is subject to a short delay from the original laying date of 14 March 2024. One of the statutory instruments (SI) is extremely detailed and requires further resourcing from the FSA and iteration with the IOPC to resolve key policy points. However, good progress is being made with the SI, and a revised laying date is to be requested from the Cabinet Office, which is expected to be this side of the summer recess.</p><p>While the FSA is in the process of agreeing a revised laying date, food crime officers in the NFCU are still able to continue with core business, and progressing food fraud investigations. However, having access to PACE powers will reduce reliance on policing partners and will better equip food crime officers with the powers they need to deal with food fraud more effectively and autonomously. Work to develop and implement mandatory training for food crime officers who will use PACE powers, and the development of an internal complaints process, remains on course to be delivered ahead of the SIs coming into force.</p> answering member printed Lord Markham question first answered 25/03/2024 15:53:56 answering member 4948 label Biography information for Lord Markham
tabling member	302 label Biography information for Lord Rooker