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1719225

registered interest
date	20/05/2024
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	Social Services: Finance
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 estimate of the number and proportion of working-aged adults that receive adult social care that are (a) self-funded and (b) funded by their (i) local authority and (ii) Integrated Care Board.
tabling member constituency	South Swindon
tabling member printed	Sir Robert Buckland
uin	27033
answer	answer is ministerial correction date of answer 24/05/2024 answer text <p>Data from the adult social care short and long-term collection shows that, as of 31 March 2023, 258,940 people aged 18 to 64 years old were receiving long-term support commissioned via, although not necessarily funded by, their local authority. The Department does not hold data centrally on working age adults who are self-funded, or on integrated care board funded care for working age adults.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 24/05/2024 08:38:11 answering member 4527 label Biography information for Helen Whately
tabling member	4106 label Biography information for Sir Robert Buckland

1719226

registered interest
date	20/05/2024
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	Social Services
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 estimate of the number and proportion of working-aged adults that have not received adult social care following an approach to their local authority in the last 12 months.
tabling member constituency	South Swindon
tabling member printed	Sir Robert Buckland
uin	27034
answer	answer is ministerial correction date of answer 24/05/2024 answer text <p>A total of 611,590 adults aged between 18 and 64 years old made requests for social care support in 2022/23. Of these, 216,135, or 35.3%, did not receive support from their local authority. Local authorities are responsible for assessing individuals’ care and support needs and, where eligible, for meeting those needs. Where a person is assessed as having eligible care and support needs, the local authority should then carry out a financial assessment to determine what they can afford to contribute towards the cost of meeting their care need. Where individuals do not meet the eligibility threshold, they can get support from their local authorities in making their own arrangements for care services, as set out in the Care Act 2014.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 24/05/2024 08:35:33 answering member 4527 label Biography information for Helen Whately
tabling member	4106 label Biography information for Sir Robert Buckland

1716528

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	Health Professions
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 public (a) safety and (b) clarity in the healthcare roles of (i) physician associates and doctors and (ii) other NHS staff.
tabling member constituency	South Swindon
tabling member printed	Sir Robert Buckland
uin	25215
answer	answer is ministerial correction date of answer 14/05/2024 answer text <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 Anaesthesia Associates (AAs) and Physician Associates (PAs), and make it easier for employers, patients, and the public to understand the relationship between these roles and that of doctors.</p><p> </p><p>Whilst statutory regulation is an important part of ensuring patient safety, it is also achieved through robust clinical governance processes within healthcare organisations, which are required to have systems of oversight and supervision for their staff.</p><p> </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. NHS England has written to trusts to remind them of their responsibilities in this area, with further information available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/long-read/ensuring-safe-and-effective-integration-of-physician-associates-into-departmental-multidisciplinary-teams-through-good-practice/" target="_blank">https://www.england.nhs.uk/long-read/ensuring-safe-and-effective-integration-of-physician-associates-into-departmental-multidisciplinary-teams-through-good-practice/</a></p><p> </p><p>We are clear that AAs and PAs are not, and should never be, referred to as medical practitioners, doctors, or consultants. It is the responsibility of professionals and their employers to ensure professional titles are used appropriately. As set out in the National Institute for Health and Care Excellence’s guidelines, all healthcare professionals directly involved in a patient's care should introduce themselves and explain their role to the patient. The GMC has published interim standards for AAs and PAs in advance of regulation, which make it clear that professionals should always introduce their role to patients and set out their responsibilities in the team.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 14/05/2024 16:54:09 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4106 label Biography information for Sir Robert Buckland

1715769

registered interest
date	03/05/2024
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	Hospitals: Radio
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 support hospital radio stations.
tabling member constituency	South Swindon
tabling member printed	Sir Robert Buckland
uin	24755
answer	answer is ministerial correction date of answer 09/05/2024 answer text <p>Hospital radio can provide National Health Service patients and visitors with a positive experience at a time when they are feeling vulnerable. NHS trusts work locally with volunteers and organisations to provide this service. Decisions about supporting the service are made most appropriately at a local level.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 09/05/2024 13:35:23 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4106 label Biography information for Sir Robert Buckland

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

1691662

registered interest
date	26/02/2024
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	Health Services: Children
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 monitor the treatment of (a) babies, (b) children and (c) young people by integrated care systems.
tabling member constituency	South Swindon
tabling member printed	Sir Robert Buckland
uin	15622
answer	answer is ministerial correction date of answer 04/03/2024 answer text <p>Organisations within integrated care systems (ICSs) that hold the commissioning responsibility for children and young people’s services, provide treatment to the whole population, including babies, children, and young people. There are various mechanisms for monitoring the treatment provided by different organisations, for example general practice services, including immunisations, are monitored via General Practice Indicators.</p><p>Statutory guidance sets out that all integrated care boards (ICBs) have an Executive Lead for children and young people, and that all ICB Joint Forward Plans include a section on babies, children and young people.</p><p>The Care Quality Commission (CQC) is due to begin assessing ICSs. The Department has asked the CQC, as part of its new scrutiny, to assess whether each ICS is adequately considering health and wellbeing outcomes for babies, children, and young people.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 04/03/2024 14:09:18 answering member 4117 label Biography information for Andrea Leadsom
tabling member	4106 label Biography information for Sir Robert Buckland

1684002

registered interest
date	22/01/2024
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: Community Care
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 25 October 2023 to Question 202692 on Autism and Learning Disability: Community Care, what the allocation was to each Integrated Care Board for Community/ CYP key workers.
tabling member constituency	South Swindon
tabling member printed	Sir Robert Buckland
uin	10794
answer	answer is ministerial correction date of answer 30/01/2024 answer text <p>NHS England made a funding allocation for learning disability and autism services, otherwise known as community and children and young people keyworker services, totalling £121.7 million in 2023/24. The following table shows the breakdown of this funding allocation by integrated care board (ICB):</p><table><tbody><tr><td><p>ICB</p></td><td><p>Organisation Region</p></td><td><p>Funding allocation 2023/24 (£’000)</p></td></tr><tr><td><p>Healthier Lancashire and South Cumbria ICB</p></td><td><p>North West</p></td><td><p>3,964</p></td></tr><tr><td><p>South Yorkshire and Bassetlaw ICB</p></td><td><p>North East and Yorkshire</p></td><td><p>3,044</p></td></tr><tr><td><p>Herefordshire and Worcestershire ICB</p></td><td><p>Midlands</p></td><td><p>1,618</p></td></tr><tr><td><p>Mid and South Essex ICB</p></td><td><p>East of England</p></td><td><p>2,427</p></td></tr><tr><td><p>Bedfordshire, Luton and Milton Keynes ICB</p></td><td><p>East of England</p></td><td><p>1,963</p></td></tr><tr><td><p>Birmingham and Solihull ICB</p></td><td><p>Midlands</p></td><td><p>3,197</p></td></tr><tr><td><p>Cumbria and North East ICB</p></td><td><p>North East and Yorkshire</p></td><td><p>6,929</p></td></tr><tr><td><p>Joined Up Care Derbyshire ICB</p></td><td><p>Midlands</p></td><td><p>2,276</p></td></tr><tr><td><p>Suffolk and North East Essex ICB</p></td><td><p>East of England</p></td><td><p>2,119</p></td></tr><tr><td><p>Devon ICB</p></td><td><p>South West</p></td><td><p>2,584</p></td></tr><tr><td><p>Lincolnshire ICB</p></td><td><p>Midlands</p></td><td><p>1,627</p></td></tr><tr><td><p>Leicester, Leicestershire and Rutland ICB</p></td><td><p>Midlands</p></td><td><p>2,119</p></td></tr><tr><td><p>Our Healthier South East London ICB</p></td><td><p>London</p></td><td><p>3,954</p></td></tr><tr><td><p>Kent and Medway ICB</p></td><td><p>South East</p></td><td><p>3,862</p></td></tr><tr><td><p>Hertfordshire and West Essex ICB</p></td><td><p>East of England</p></td><td><p>2,969</p></td></tr><tr><td><p>East London Health and Care Partnership ICB</p></td><td><p>London</p></td><td><p>4,356</p></td></tr><tr><td><p>North London Partners In Health and Care ICB</p></td><td><p>London</p></td><td><p>3,287</p></td></tr><tr><td><p>Norfolk and Waveney Health and Care Partnership ICB</p></td><td><p>East of England</p></td><td><p>2,280</p></td></tr><tr><td><p>Staffordshire and Stoke On Trent ICB</p></td><td><p>Midlands</p></td><td><p>2,394</p></td></tr><tr><td><p>Frimley Health and Care ICB</p></td><td><p>South East</p></td><td><p>1,435</p></td></tr><tr><td><p>Sussex Health and Care Partnership ICB</p></td><td><p>South East</p></td><td><p>3,629</p></td></tr><tr><td><p>Shropshire and Telford and Wrekin ICB</p></td><td><p>Midlands</p></td><td><p>1,074</p></td></tr><tr><td><p>Greater Manchester Health and Social Care Partnership ICB</p></td><td><p>North West</p></td><td><p>6,623</p></td></tr><tr><td><p>Humber, Coast and Vale ICB</p></td><td><p>North East and Yorkshire</p></td><td><p>3,618</p></td></tr><tr><td><p>Bath and North East Somerset, Swindon and Wiltshire ICB</p></td><td><p>South West</p></td><td><p>1,848</p></td></tr><tr><td><p>Northamptonshire ICB</p></td><td><p>Midlands</p></td><td><p>1,545</p></td></tr><tr><td><p>Gloucestershire ICB</p></td><td><p>South West</p></td><td><p>1,267</p></td></tr><tr><td><p>Hampshire and The Isle Of Wight ICB</p></td><td><p>South East</p></td><td><p>3,744</p></td></tr><tr><td><p>North West London Health and Care Partnership ICB</p></td><td><p>London</p></td><td><p>4,924</p></td></tr><tr><td><p>Somerset ICB</p></td><td><p>South West</p></td><td><p>1,242</p></td></tr><tr><td><p>Nottingham and Nottinghamshire Health and Care ICB</p></td><td><p>Midlands</p></td><td><p>2,501</p></td></tr><tr><td><p>Cornwall and The Isles Of Scilly Health and Social Care Partnership ICB</p></td><td><p>South West</p></td><td><p>1,304</p></td></tr><tr><td><p>Buckinghamshire, Oxfordshire and Berkshire West ICB</p></td><td><p>South East</p></td><td><p>3,425</p></td></tr><tr><td><p>The Black Country and West Birmingham ICB</p></td><td><p>Midlands</p></td><td><p>2,691</p></td></tr><tr><td><p>Cambridgeshire and Peterborough ICB</p></td><td><p>East of England</p></td><td><p>1,769</p></td></tr><tr><td><p>Bristol, North Somerset and South Gloucestershire ICB</p></td><td><p>South West</p></td><td><p>2,067</p></td></tr><tr><td><p>Dorset ICB</p></td><td><p>South West</p></td><td><p>1,705</p></td></tr><tr><td><p>South West London Health and Care Partnership ICB</p></td><td><p>London</p></td><td><p>3,031</p></td></tr><tr><td><p>West Yorkshire and Harrogate (Health and Care Partnership) ICB</p></td><td><p>North East and Yorkshire</p></td><td><p>5,232</p></td></tr><tr><td><p>Coventry and Warwickshire ICB</p></td><td><p>Midlands</p></td><td><p>2,011</p></td></tr><tr><td><p>Surrey Heartlands Health and Care Partnership ICB</p></td><td><p>South East</p></td><td><p>2,034</p></td></tr><tr><td><p>Cheshire and Merseyside ICB</p></td><td><p>North West</p></td><td><p>6,003</p></td></tr></tbody></table> answering member constituency Lewes answering member printed Maria Caulfield question first answered 30/01/2024 17:54:18 answering member 4492 label Biography information for Maria Caulfield
tabling member	4106 label Biography information for Sir Robert Buckland

1684003

registered interest
date	22/01/2024
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: Community 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 plans she has to update the Building the Right Support action plan.
tabling member constituency	South Swindon
tabling member printed	Sir Robert Buckland
uin	10795
answer	answer is ministerial correction date of answer 30/01/2024 answer text <p>There are no current plans to update the Building the Right Support Action Plan as this is a live document and contains a number of commitments which are due to complete after March 2024.</p><p>The Building the Right Support Delivery Board continues to monitor both the implementation of the action plan and the relevant data to drive progress on reducing the number of people with a learning disability and autistic people in mental health inpatient settings, identifying new actions and mitigations as appropriate.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 30/01/2024 17:55:24 answering member 4492 label Biography information for Maria Caulfield
tabling member	4106 label Biography information for Sir Robert Buckland

1684004

registered interest
date	22/01/2024
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: Community 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 assessment she has made of the adequacy of the (a) implementation of the Care Act 2014 for autistic adults and (b) extent to which statutory provisions for such adults under that Act are being met.
tabling member constituency	South Swindon
tabling member printed	Sir Robert Buckland
uin	10796
answer	answer is ministerial correction date of answer 30/01/2024 answer text <p>We have not made any specific assessments. Under the Care Act 2014, it is the responsibility of local authorities to assess individuals’ care and support needs, including those of autistic adults, and, where eligible, for meeting those needs. A new duty on the Care Quality Commission (CQC) to assess local authorities’ delivery of their Care Act 2014 duties went live on 1 April 2023 and the formal assessment period has started. The CQC will examine how well local authorities deliver their Care Act duties, including those that apply to autistic people. This will increase transparency and accountability and, most importantly, drive improved outcomes for people who draw on care and support.</p><p>Our national autism strategy, published in July 2021, acknowledges the importance of autistic people being able to access community support, including social care, and that this should be available at the right time and tailored to their needs. The strategy was informed by a national call for evidence. A summary of the call for evidence findings was published alongside the strategy and included reported barriers to autistic people accessing social care.</p><p>We are currently updating the Autism Act Statutory Guidance to support the National Health Service and local authorities to deliver improved outcomes for autistic people. This will include setting out what local authorities must and should be doing to meet their duties under the Care Act for autistic adults. We expect to publish the updated statutory guidance this year, following public consultation.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 10798 question first answered 30/01/2024 17:55:03 answering member 4492 label Biography information for Maria Caulfield
tabling member	4106 label Biography information for Sir Robert Buckland

1684005

registered interest
date	22/01/2024
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: Social 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 steps she is taking to ensure the national allocation of funding for adult social care reflects (a) the number of autistic adults and (b) their potential level of need.
tabling member constituency	South Swindon
tabling member printed	Sir Robert Buckland
uin	10797
answer	answer is ministerial correction date of answer 30/01/2024 answer text <p>Public spending on adult social care is funded from both local Government revenue and central Government grants and therefore has to be viewed as part of the wider local Government funding settlement. The Department for Levelling Up, Housing and Communities is responsible for the financial framework within which local Government operates and for ensuring the sufficiency of local Government funding.</p><p>Central Government grants for adult social care are largely distributed using the Adult Social Care Relative Needs Formulae, which are developed by independent researchers to reflect differences in councils’ need for local authority funded social care, to ensure councils funding reflects the relative level of need in their area. These formulae account for a range of factors including population, income and wealth, levels of impairment and availability of unpaid care support.</p><p>Local authorities have discretion over how to use their funding to meet the needs of their local population, including those of autistic adults.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 30/01/2024 09:46:11 answering member 4527 label Biography information for Helen Whately
tabling member	4106 label Biography information for Sir Robert Buckland