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1672807

registered interest
date	24/11/2023
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	Department of Health and Social Care: ICT
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much their Department spent on (a) current and (b) legacy IT infrastructure (i) in total and (ii) purchased in 2013 or earlier in each of the last three years.
tabling member constituency	Reading East
tabling member printed	Matt Rodda
uin	3653
answer	answer is ministerial correction date of answer 29/11/2023 answer text <p>The following table shows the Department’s total spend on its core information technology (IT) systems, services and infrastructure for the last three years up to 21 November 2023, as well as the portion of this spend on legacy IT infrastructure:</p><table><tbody><tr><td><p>Financial Year</p></td><td><p>Total IT spend</p></td><td><p>Spend on legacy infrastructure</p></td></tr><tr><td><p>2021/22</p></td><td><p>£13,060,129</p></td><td><p>£500,000</p></td></tr><tr><td><p>2022/23</p></td><td><p>£39,712,764</p></td><td><p>£500,000</p></td></tr><tr><td><p>2023/24</p></td><td><p>£12,286,521</p></td><td><p>£250,000</p></td></tr></tbody></table><p>Notes:</p><ol><li>The spend on legacy infrastructure reflects a small part of old infrastructure which was replaced in August 2023. The Department has been actively migrating to the cloud and has not purchased anything which could be categorised as Legacy in the last 5 years.</li></ol> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 29/11/2023 20:25:56 answering member 4044 label Biography information for Andrew Stephenson previous answer version 4310 answering member constituency Pendle answering member printed Andrew Stephenson answering member 4044 label Biography information for Andrew Stephenson
tabling member	4654 label Biography information for Matt Rodda

1672808

registered interest
date	24/11/2023
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	Department of Health and Social Care: ICT
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 guidance by the Central Digital and Data Office entitled Guidance on the Legacy IT Risk Assessment Framework, published on 29 September 2023, how many red-rated IT systems are used by their Department.
tabling member constituency	Reading East
tabling member printed	Matt Rodda
uin	3654
answer	answer is ministerial correction date of answer 29/11/2023 answer text <p>As of 21 November 2023, the Department has no red-rated legacy information technology (IT) systems as defined in the Central Digital and Data Office Legacy IT Risk Assessment Framework. The IT systems provided by the Department are wholly in the public cloud.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 29/11/2023 20:18:39 answering member 4044 label Biography information for Andrew Stephenson previous answer version 4311 answering member constituency Pendle answering member printed Andrew Stephenson answering member 4044 label Biography information for Andrew Stephenson
tabling member	4654 label Biography information for Matt Rodda

1672813

registered interest
date	24/11/2023
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	Cystic Fibrosis: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether a child suffering from cystic fibrosis who is currently taking Orkambi will be able to move on to taking Kaftrio if their clinician considers it more effective once current NICE recommendations are ratified.
tabling member constituency	Wirral West
tabling member printed	Margaret Greenwood
uin	3633
answer	answer is ministerial correction date of answer 30/11/2023 answer text <p>The commercial deal NHS England reached with Vertex covers their entire portfolio of licensed cystic fibrosis treatments. NHS England’s continued expectation in implementing the agreement is that Vertex will enable any patients already initiated on any of the treatments covered by the portfolio deal to have access to the full range of licensed treatments going forward, as recommended by their clinical teams.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 30/11/2023 12:57:43 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4400 label Biography information for Margaret Greenwood

1672818

registered interest
date	24/11/2023
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	Palliative Care
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 NHS England is taking to increase availability of palliative care services.
tabling member constituency	South Holland and The Deepings
tabling member printed	Sir John Hayes
uin	3683
answer	answer is ministerial correction date of answer 30/11/2023 answer text <p>Integrated care boards (ICBs) are responsible for commissioning palliative and end of life services that meet the needs of their population according to local prioritisation and funding. As part of the Health and Care Act 2022, palliative care services were specifically added to the list of services an ICB must commission. This will ensure a more consistent national approach and support commissioners in prioritising palliative and end of life care.</p><p>NHS England has published statutory guidance for ICBs to support their commissioning of high-quality, accessible palliative and end of life care for all. The guidance addresses health inequalities in palliative and end of life care by improving equity of access and reducing inequity in outcomes and experience. This includes the completion of an Equalities and Health Inequalities Impact Assessment and action plan.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 30/11/2023 14:40:14 answering member 4527 label Biography information for Helen Whately
tabling member	350 label Biography information for Sir John Hayes

1672819

registered interest
date	24/11/2023
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	Sexual Assault Referral Centres: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much NHS England paid for the provision of sexual assault referral services in the financial years (a) 2020-21, (b) 2021-22 and (c) 2022-23.
tabling member constituency	Walthamstow
tabling member printed	Stella Creasy
uin	3627
answer	answer is ministerial correction date of answer 29/11/2023 answer text <p>The following table shows the amounts paid by NHS England for the provision of Sexual Assault and Abuse Services over the past three financial years:</p><table><tbody><tr><td><p>Financial Year</p></td><td><p>Amount (£)</p></td></tr><tr><td><p>2020/21</p></td><td><p>38,998,000</p></td></tr><tr><td><p>2021/22</p></td><td><p>42,331,000</p></td></tr><tr><td><p>2022/23</p></td><td><p>48,090,000</p></td></tr></tbody></table><p>Source: NHS England</p><p> </p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 29/11/2023 16:58:40 answering member 4492 label Biography information for Maria Caulfield
tabling member	4088 label Biography information for Stella Creasy

1672821

registered interest
date	24/11/2023
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	Health Services: Police Custody
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much NHS England paid to (a) Mountain Healthcare Ltd and (b) G4S Health UK Ltd for the provision of healthcare in police custody and secure environments between (i) October 2020 to September 2021 and (ii) October 2021 to September 2022.
tabling member constituency	Walthamstow
tabling member printed	Stella Creasy
uin	3629
answer	answer is ministerial correction date of answer 29/11/2023 answer text <p>NHS England does not have responsibility for healthcare provision within police custody, as this sits with police commissioners and the Home Office.</p><p>Regarding payments to Mountain Healthcare Ltd and G4S Health UK Ltd for provision within the detained estate, NHS England has advised that figures are not available of the timeframes requested, as its financial accounting and reporting year runs from April to March. It can confirm that G4S Health UK received £4.05 million between 1 April 2020 and 31 March 2021, and £2.495 million between 1 April 2021 to 31 March 2022 for health care in the detained estate. No payments were made to Mountain Healthcare during these periods.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 29/11/2023 16:54:19 answering member 4492 label Biography information for Maria Caulfield
tabling member	4088 label Biography information for Stella Creasy

1672822

registered interest
date	24/11/2023
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	Hospitals: Parking
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 ensure that NHS hospital car parking charges are proportionate.
tabling member constituency	Romford
tabling member printed	Andrew Rosindell
uin	3598
answer	answer is ministerial correction date of answer 05/12/2023 answer text <p>The NHS Car Parking Guidance is clear that charges, where they exist, should be reasonable for the area.</p><p>The Government has delivered on its commitment to ensure that free car parking is provided for those with greatest need. To begin with, the guidance includes disabled people who are holders of a valid Blue Badge attending hospital as a patient or visitor or otherwise employed by the hospital trust. Disabled patients and visitors receive free parking for the duration of their attendance at, or visit to, the hospital. Disabled employees receive free parking while at the hospital for purposes relating to their employment.</p><p>It also includes frequent outpatient attenders where parking will be provided free to all outpatients who attend hospital for an appointment at least three times within a month and for an overall period of at least three months. A ‘month’ is defined as a period of 30 days.</p><p>Additionally, it encompasses the parents of sick children staying overnight. The parent of a child in hospital overnight is a parent or guardian of a child or young person, under 18 years old, who is admitted as an inpatient at hospital overnight. They receive free parking between the hours of 7.30pm and 8.00am while visiting the child. This would apply to a maximum of two vehicles.</p><p>Lastly, the policy also caters for staff working night shifts who are members of staff with a shift starting after 7.30pm and ending before 8.00am. They receive free parking for the duration of their shift.</p><p>All National Health Service trusts that charge for hospital car parking have implemented this policy.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 05/12/2023 16:53:49 answering member 4044 label Biography information for Andrew Stephenson
tabling member	1447 label Biography information for Andrew Rosindell

1672823

registered interest
date	24/11/2023
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	NHS: Drugs and Medical Equipment
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 reduce shortages of (a) medical supplies and (b) drugs in the NHS.
tabling member constituency	Romford
tabling member printed	Andrew Rosindell
uin	3599
answer	answer is ministerial correction date of answer 30/11/2023 answer text <p>The Department works at a national level to address medical product supply issues and help prevent, manage, and mitigate shortages. We continue to see the knock-on impact of the COVID-19 pandemic as well as the Ukrainian War on global supply chains for medical supplies, and are aware of the increased pressure on global manufacturing capacity of some products.</p><p>In response to this, we utilise a range of preparedness arrangements coupled with tried-and-tested response measures. For example, our National Supply Disruption Response acts as a single point of contact when a health or care provider, supplier, or research body has exhausted all other options available to them to maintain supply of medical products to the United Kingdom. It is an end-to-end UK-wide service from investigation of shortages to arrangement of global freight solutions via the Express Freight Service that enables the user to report a critical supply issue and receive support on its management.</p><p>Medicines specifically are complex and highly regulated, and materials and processes must meet rigorous safety and quality standards. We have well-established processes for working with the pharmaceutical industry, the Medicines and Healthcare products Regulatory Agency, NHS England, the devolved governments and others operating in the supply chain to help ensure patients have access to the medicines they need.</p><p>In the long-term, improving and maintaining supply resilience forms a key part of the Government’s Medical Technology Strategy, published in February 2023, where we will work with industry and the system to ensure patients have fast and safe access to medical technology, wherever they live in the country.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 30/11/2023 12:12:58 answering member 4044 label Biography information for Andrew Stephenson
tabling member	1447 label Biography information for Andrew Rosindell

1672824

registered interest
date	24/11/2023
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	NHS: Drugs and Medical Equipment
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 ensure value for money in (a) medicines and (b) medical supplies in the NHS.
tabling member constituency	Romford
tabling member printed	Andrew Rosindell
uin	3600
answer	answer is ministerial correction date of answer 30/11/2023 answer text <p>A series of voluntary agreements between Government and the pharmaceuticals industry have existed since 1957 to control National Health Service spend on branded medicines. The current scheme came into effect at the start of 2019 and will last until the end of 2023. Agreement has been reached in principle with the Association of the British Pharmaceutical Industry on a successor scheme, the voluntary scheme for branded medicines pricing, access and growth, which is set to save the NHS £14 billion over five years in medicines costs. The Department also has a broadly equivalent statutory scheme for branded medicine pricing which applies to companies that do not opt into the voluntary scheme.</p><p>For unbranded, generic medicines, the Department relies on competition to keep prices down, allowing prices to react to the market. In an international market this ensures that when demand is high and supply is low, prices in the United Kingdom can increase to help secure the availability of medicines for UK patients.</p><p>The National Institute for Health and Care Excellence (NICE) ensures that the price that the NHS pays for medicines represents value for money and it recommends most medicines for use on the NHS. NICE decides whether medicines should be routinely funded by the NHS based on an assessment of their costs and benefits.</p><p>The Medical Technology Strategy, published in February 2023, committed to developing an environment to deliver value for money and affordability across the whole patient pathway for medical supplies. As part of this commitment, the Department is working closely with NHS England and NHS Supply Chain alongside industry and patient groups to develop a consistent methodology for assessing value in terms of outcomes and not just unit cost, which will be adopted at both a national and local level. This is reflected in the new Commercial Strategic Framework launched by NHS England on 28 November 2023 in which a focus on value is recognised as a priority intervention. Further to this, as part of the wider Value Based Procurement (VBP) programme being delivered by NHS England and NHS Supply Chain has developed a toolkit and two VBP models. One model can be applied to the renewal of existing frameworks or contracts for product ranges, and the other is for the procurement of innovation. The toolkit and models are designed for internal use by NHS Supply Chain’s procurement teams and Category Management Service Providers and are not available for publication.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 30/11/2023 12:14:57 answering member 4044 label Biography information for Andrew Stephenson
tabling member	1447 label Biography information for Andrew Rosindell

1672825

registered interest
date	24/11/2023
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	Sexual Assault Referral Centres: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much NHS England paid for the provision of sexual assault referral services to (a) Mountain Healthcare Ltd and (b) G4S Health UK Ltd between (i) October 2020 to September 2021 and (ii) October 2021 to September 2022.
tabling member constituency	Walthamstow
tabling member printed	Stella Creasy
uin	3630
answer	answer is ministerial correction date of answer 29/11/2023 answer text <p>The information is not held in the format requested as NHS England's financial accounting and reporting is from April to March. The following table shows the amounts paid to both Mountain Healthcare Ltd and G4S Health UK Ltd over the past three financial years, for the provision of sexual assault referral services:</p><table><tbody><tr><td><p>Financial Year</p></td><td><p>Amount paid to Mountain Healthcare Ltd (£)</p></td><td><p>Amount paid to G4S Health UK Ltd (£)</p></td></tr><tr><td><p>2020/21</p></td><td><p>4,431,000</p></td><td><p>4,406,000</p></td></tr><tr><td><p>2021/22</p></td><td><p>8,073,000</p></td><td><p>4,124,000</p></td></tr><tr><td><p>2022/23</p></td><td><p>10,911,000</p></td><td><p>5,076,000</p></td></tr></tbody></table><p>Source: NHS England</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 29/11/2023 17:32:09 answering member 4492 label Biography information for Maria Caulfield
tabling member	4088 label Biography information for Stella Creasy