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1506247

registered interest
date	08/09/2022
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	Dementia: Clinical Trials
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent discussions her Department has had with (a) BEIS, (b) NIHR and (c) the MHRA about the UK’s ability to host large multi-site clinical trials for dementia.
tabling member constituency	Central Ayrshire
tabling member printed	Dr Philippa Whitford
uin	49695
answer	answer is ministerial correction date of answer 23/09/2022 answer text <p>The Department of Health and Social Care is working with the Department for Business, Energy and Industrial Strategy and the National Institute for Health and Care Research to support the delivery of the Dame Barbara Windsor Dementia Mission, led by the Office for Life Sciences. The Mission will accelerate the development of novel ‘precision’ treatments in neurodegeneration and increase the number of clinical trials, including large multi-site clinical trials. The Office for Life Sciences has had held initial discussions with the Medicines and Healthcare products Regulatory Agency on the Mission.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 23/09/2022 08:32:49 answering member 4679 label Biography information for Neil O'Brien
tabling member	4385 label Biography information for Dr Philippa Whitford

1506253

registered interest
date	08/09/2022
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Financial Services: Visual Impairment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Chancellor of the Exchequer, if his Department will make an assessment of the potential challenges for blind and partially sighted people of (a) accessing and (b) managing their finances independently; and if his Department will take steps to help tackle these challenges.
tabling member constituency	Central Ayrshire
tabling member printed	Dr Philippa Whitford
uin	49696
answer	answer is ministerial correction date of answer 23/09/2022 answer text <p>The Government does not make direct assessments of visually impaired consumers’ ability to access banking. However, The Financial Conduct Authority (FCA) conducts a Financial Lives Survey, which provides a comprehensive insight into the finances of the adult UK population. The latest survey closed in June 2022 and its findings will be published in due course, and will include insights on the use and satisfaction levels of visually impaired consumers with mobile and online banking services.</p><p> </p><p>Innovations in the market mean that banking in the UK is more accessible than ever before, with many firms offering services to make everyday banking easier for the visually impaired such as communications in Braille, talking ATMs, accessible cards and text relay services for online banking. Firms also have staff on hand in branches to help customers set-up online or mobile banking services, teach them how to use video banking services and, for those without access to digital devices, the sector has established initiatives to support customers by providing them with free tablet devices.</p><p> </p><p>The FCA has also published guidance for firms on the fair treatment of vulnerable customers, which includes physical disabilities such as blindness and visual impairment. The guidance explores, among other things, how firms can understand the needs of vulnerable customers and provide targeted services for this cohort. For the visually impaired, the FCA expects firms to offer appropriate modes of communication such as using Braille or audio. It also expects firms to take into account the needs of these customers when designing, developing and testing products and services.</p><p> </p><p>In addition, like all service providers, banks and building societies are bound under the Equality Act 2010 to make reasonable adjustments, where necessary, in the way they deliver their services.</p> answering member constituency Arundel and South Downs answering member printed Andrew Griffith grouped question UIN 49697 question first answered 23/09/2022 05:09:21 answering member 4874 label Biography information for Andrew Griffith
tabling member	4385 label Biography information for Dr Philippa Whitford

1506255

registered interest
date	08/09/2022
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Bank Services: Visual Impairment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Chancellor of the Exchequer, if his Department will make an estimate of the number and proportion of blind and partially sighted people who have faced digital exclusion with online banking in the latest period for which data is available; and whether his Department will take steps to help support people facing digital exclusion with online banking.
tabling member constituency	Central Ayrshire
tabling member printed	Dr Philippa Whitford
uin	49697
answer	answer is ministerial correction date of answer 23/09/2022 answer text <p>The Government does not make direct assessments of visually impaired consumers’ ability to access banking. However, The Financial Conduct Authority (FCA) conducts a Financial Lives Survey, which provides a comprehensive insight into the finances of the adult UK population. The latest survey closed in June 2022 and its findings will be published in due course, and will include insights on the use and satisfaction levels of visually impaired consumers with mobile and online banking services.</p><p> </p><p>Innovations in the market mean that banking in the UK is more accessible than ever before, with many firms offering services to make everyday banking easier for the visually impaired such as communications in Braille, talking ATMs, accessible cards and text relay services for online banking. Firms also have staff on hand in branches to help customers set-up online or mobile banking services, teach them how to use video banking services and, for those without access to digital devices, the sector has established initiatives to support customers by providing them with free tablet devices.</p><p> </p><p>The FCA has also published guidance for firms on the fair treatment of vulnerable customers, which includes physical disabilities such as blindness and visual impairment. The guidance explores, among other things, how firms can understand the needs of vulnerable customers and provide targeted services for this cohort. For the visually impaired, the FCA expects firms to offer appropriate modes of communication such as using Braille or audio. It also expects firms to take into account the needs of these customers when designing, developing and testing products and services.</p><p> </p><p>In addition, like all service providers, banks and building societies are bound under the Equality Act 2010 to make reasonable adjustments, where necessary, in the way they deliver their services.</p> answering member constituency Arundel and South Downs answering member printed Andrew Griffith grouped question UIN 49696 question first answered 23/09/2022 05:09:21 answering member 4874 label Biography information for Andrew Griffith
tabling member	4385 label Biography information for Dr Philippa Whitford

1505532

registered interest
date	06/09/2022
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: Diagnosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what services breathlessness clinics will provide to support the early detection of heart valve disease; and whether those clinics will refer patients for auscultation using a stethoscope in primary care or community diagnostic centres.
tabling member constituency	Central Ayrshire
tabling member printed	Dr Philippa Whitford
uin	48381
answer	answer is ministerial correction date of answer 21/09/2022 answer text <p>NHS England has assessed that the use of clinical auscultation using a stethoscope is not a sensitive way of identifying the presence and clinical significance of heart valve disease or the detection of heart murmurs.</p><p>To support the early detection and diagnosis of heart valve disease NHS England has committed to launch at least 100 community diagnostic centres (CDCs) by 2024/25. These CDCs will provide services to detect heart murmurs, which are characteristic of heart valve and cardiovascular disease, through physiological measurement tests such as echocardiography and electrocardiograms, pathology tests, computerised tomography and magnetic resonance imaging scans.</p><p>In addition, the National Health Service is investing in cardiac networks to support whole pathway improvements. These networks have been developed to take an evidenced based, clinically led, whole pathway approach to improvement from prevention, diagnosis, treatment and end-of-life care.</p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 48382 question first answered 21/09/2022 11:18:08 answering member 4423 label Biography information for Will Quince
tabling member	4385 label Biography information for Dr Philippa Whitford

1505533

registered interest
date	06/09/2022
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: Diagnosis
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 his Department plans to take to support increases in auscultation using a stethoscope in primary and community care settings to detect heart murmurs characteristic of heart valve disease.
tabling member constituency	Central Ayrshire
tabling member printed	Dr Philippa Whitford
uin	48382
answer	answer is ministerial correction date of answer 21/09/2022 answer text <p>NHS England has assessed that the use of clinical auscultation using a stethoscope is not a sensitive way of identifying the presence and clinical significance of heart valve disease or the detection of heart murmurs.</p><p>To support the early detection and diagnosis of heart valve disease NHS England has committed to launch at least 100 community diagnostic centres (CDCs) by 2024/25. These CDCs will provide services to detect heart murmurs, which are characteristic of heart valve and cardiovascular disease, through physiological measurement tests such as echocardiography and electrocardiograms, pathology tests, computerised tomography and magnetic resonance imaging scans.</p><p>In addition, the National Health Service is investing in cardiac networks to support whole pathway improvements. These networks have been developed to take an evidenced based, clinically led, whole pathway approach to improvement from prevention, diagnosis, treatment and end-of-life care.</p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 48381 question first answered 21/09/2022 11:18:08 answering member 4423 label Biography information for Will Quince
tabling member	4385 label Biography information for Dr Philippa Whitford

1505534

registered interest
date	06/09/2022
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	Aortic Stenosis: Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if her Department will take steps to expand the number of hospitals providing transcatheter aortic valve implantation for aortic stenosis in Integrated Care Systems with only surgical aortic valve replacement available.
tabling member constituency	Central Ayrshire
tabling member printed	Dr Philippa Whitford
uin	48383
answer	answer is ministerial correction date of answer 27/09/2022 answer text <p>NHS England is finalising a revised commissioning position to enable hospitals to provide transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (SAVR) for symptomatic severe aortic stenosis in adults. Patients in need of an aortic valve replacement will be assessed to determine whether a SAVR or TAVI procedure best meets their needs.</p> answering member constituency Newark answering member printed Robert Jenrick question first answered 27/09/2022 11:54:25 answering member 4320 label Biography information for Robert Jenrick previous answer version 19685 answering member constituency Newark answering member printed Robert Jenrick answering member 4320 label Biography information for Robert Jenrick
tabling member	4385 label Biography information for Dr Philippa Whitford

1503369

registered interest
date	02/09/2022
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	Huntington's Disease: Integrated Care Systems
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 his Department is taking to ensure that Integrated Care Systems are able to meet the care and support needs of people who have Huntington's disease.
tabling member constituency	Central Ayrshire
tabling member printed	Dr Philippa Whitford
uin	45021
answer	answer is ministerial correction date of answer 07/09/2022 answer text <p>There are no national guidelines for the diagnosis and management of Huntingdon’s disease. The Department has made no assessment on the clinical guideline on care for people who have Huntington's disease. However, the neuropsychiatry service specification is in development, which when finalised, will outline the multi-disciplinary approach to caring for patients with complex neurological conditions including Huntington’s Disease who require specialised assessment and mental health support.</p><p>NHS England’s neuroscience transformation programme (NSTP) is developing a number of optimal pathways for neurology services which includes Huntington's disease. Following extensive stakeholder engagement, the NSTP is developing a new definition for ‘specialised’ neurology and a model for neurology services. This will make it easier for integrated care systems (ICSs) to reduce the inequalities of access and bring specialist knowledge and skills into the patient pathway much earlier. It will help speed up the process for initial diagnosis for patients and whenever specialist interventions are indicated along a patient journey, enable that to be made available closer to the patient rather than predominantly at the specialist centres.</p><p>The Government remains committed to achieving parity between mental and physical health services and to reducing mental health inequalities with investment in National Health Service mental health services continuing to increase from almost £11 billion in 2015/16 to £15 billion in 2021/22. While no assessment has been made for people with Huntington’s disease, there is work underway to review the Clinical Genomic Service Specification which includes the need to strengthen access to mental health support services. The revised specification will be subject to public consultation before receiving final approval. The NSTP includes developing optimal pathways for neurology services, which also includes common principles regarding access to appropriate timely mental health support.</p><p>In the last five years, the National Institute for Health and Care Research (NIHR) has funded two studies into Huntington’s disease with a total award value of £316,267 and supported the delivery of 39 studies relating to Huntington’s disease via the Clinical Research Network infrastructure. The Government has also committed to invest at least £375 million in neurodegenerative disease research over the next five years to fund projects into a range of diseases, including Huntington’s disease.</p> answering member constituency Halesowen and Rowley Regis answering member printed James Morris grouped question UIN 45340 45350 45477 45502 46174 question first answered 07/09/2022 15:55:28 answering member 3992 label Biography information for James Morris
tabling member	4385 label Biography information for Dr Philippa Whitford

1503370

registered interest
date	02/09/2022
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: Training
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 he is taking to ensure that health and care staff have the training required to support (a) people who are dying and (b) the families and friends of those people.
tabling member constituency	Central Ayrshire
tabling member printed	Dr Philippa Whitford
uin	45023
answer	answer is ministerial correction date of answer 22/09/2022 answer text <p>I refer the hon. Member to the answer given to the hon. Member for West Ham (Ms Lyn Brown) on 26 July 2022 to Question UIN 38579.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 22/09/2022 14:04:29 answering member 4679 label Biography information for Neil O'Brien
tabling member	4385 label Biography information for Dr Philippa Whitford

1503371

registered interest
date	02/09/2022
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: Community 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 steps he is taking in response to recent trends in the demand for palliative and end of life care in the community.
tabling member constituency	Central Ayrshire
tabling member printed	Dr Philippa Whitford
uin	45026
answer	answer is ministerial correction date of answer 26/09/2022 answer text <p>Palliative and end of life care services are commissioned by integrated care boards (ICBs) to meet the needs of the local population. NHS England has recently published statutory guidance to support ICBs in the duties under the Health and Care Act 2022, including the provision of palliative care, with explicit reference to community approaches and service provision in community settings.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 26/09/2022 08:25:25 answering member 4679 label Biography information for Neil O'Brien
tabling member	4385 label Biography information for Dr Philippa Whitford

1503546

registered interest
date	02/09/2022
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: Diagnosis
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 he has made of how breathlessness clinics will support the (a) the detection of and (b) referral into CDCs for diagnosis of heart valve disease.
tabling member constituency	Central Ayrshire
tabling member printed	Dr Philippa Whitford
uin	45244
answer	answer is ministerial correction date of answer 07/09/2022 answer text <p>People with heart failure will be supported by multi-disciplinary teams in Primary Care Networks and greater access to echocardiography within community diagnostic centres (CDCs). This will improve the investigation of those with breathlessness and the early detection of heart failure and heart valve disease. NHS England is working with the British Heart Foundation to raise awareness of heart valve disease to ensure earlier diagnosis, enable patients to receive treatment and prevent avoidable deaths.</p><p>We have committed £2.3 billion to launch at least 100 CDCs by 2024/25, increase the volume of diagnostic activity and further reduce waiting times for patients with cardiovascular disease. In addition, the National Health Service is investing in cardiac networks to support whole pathway improvements. These networks have been developed to take an evidenced based, clinically led, whole pathway approach to improvement from prevention, diagnosis, treatment to end of life care.</p> answering member constituency Halesowen and Rowley Regis answering member printed James Morris grouped question UIN 45246 question first answered 07/09/2022 09:15:49 answering member 3992 label Biography information for James Morris
tabling member	4385 label Biography information for Dr Philippa Whitford