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1689390

	registered interest
	date	16/02/2024
	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	Dental Services: Young People
	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 reduce waiting lists of young people waiting for braces.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Paula Barker
	uin	14289
	answer	answer is ministerial correction date of answer 04/03/2024 answer text <p>More National Health Service orthodontic care is being delivered, with the Units of Orthodontic Activity having increased by 5.7% when compared to pre-pandemic figures, from 4.1 million in 2018/19 to 4.4 million in 2022/23. This suggests more NHS orthodontic care is being commissioned and delivered.</p><p>From 1 April 2023, the responsibility for commissioning primary care dentistry to meet the needs of the local population has been delegated to the integrated care boards across England. ICBs are responsible for having local processes in place to involve patient groups, to undertake oral health need assessments to identify areas of need, and to determine the priorities for investment.</p><p>NHS England has published guidance to support commissioners in taking advantage of the opportunities offered through additional services, which includes orthodontic services, and further services, by using flexible commissioning to tailor services to meet local population oral health needs. Further information is available at the following link:</p><p><a href="https://www.england.nhs.uk/long-read/opportunities-for-flexible-commissioning-in-primary-care-dentistry-a-framework-for-commissioners/" target="_blank">https://www.england.nhs.uk/long-read/opportunities-for-flexible-commissioning-in-primary-care-dentistry-a-framework-for-commissioners/.</a></p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 04/03/2024 10:53:38 answering member 4117 label Biography information for Andrea Leadsom
	tabling member	4828 label Biography information for Paula Barker

1689388

	registered interest
	date	16/02/2024
	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: 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 NHS waiting lists in (a) the North West and (b) Liverpool.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Paula Barker
	uin	14287
	answer	answer is ministerial correction date of answer 21/02/2024 answer text <p>Cutting waiting lists is one of this Prime Minister’s top priorities. To reduce the National Health Service waiting list, the Department plans to spend more than £8 billion from 2022/23 to 2024/25. This funding will expand capacity through creating a new network of community diagnostic centres and maximising all available independent sector capacity.</p><p> </p><p>In addition, we are managing demand through specialised advice in primary care and giving patients more control over where they receive their care. We are also increasing productivity through transforming outpatient services, developing new surgical hubs to increase theatre productivity, and working actively with trusts to support and challenge on their performance.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 21/02/2024 16:15:45 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4828 label Biography information for Paula Barker

1689392

	registered interest
	date	16/02/2024
	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	Cannabis: 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, what plans her Department has to make medicinal cannabis more accessible to those who need it.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Paula Barker
	uin	14291
	answer	answer is ministerial correction date of answer 21/02/2024 answer text <p>Licensed cannabis-based medicines are routinely available on the National Health Service. However, clinical guidelines from the National Institute for Health and Care Excellence (NICE) demonstrate a clear need for more evidence to support routine prescribing and funding decisions for unlicensed cannabis-based medicines.</p><p> </p><p>The Government continues to call on manufacturers to invest in research and clinical trials to prove if their products are safe and effective and offers scientific and research advice from the Medicines and Healthcare products Regulatory Agency and the NICE.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 21/02/2024 09:43:53 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4828 label Biography information for Paula Barker

1660809

	registered interest
	date	14/09/2023
	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	Diabetes: Drugs
	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 restrict off-label prescription of diabetes medication.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Paula Barker
	uin	199679
	answer	answer is ministerial correction date of answer 19/09/2023 answer text <p>We are aware of a supply issue with Ozempic. We have issued guidance in the form of Medicine Supply Notifications and, on 18 July 2023, issued a National Patient Safety Alert with advice for healthcare professionals on how to manage patients requiring this medicine. Our guidance is clear that glucagon-like peptide 1 receptor agonist medicines, such as Ozempic, that are solely licensed to treat Type 2 diabetes should only be used for that purpose and should not be routinely prescribed for weight loss.</p><p>The General Pharmaceutical Council, General Medical Council, Health and Care Professions Council, Nursing and Midwifery Council and Pharmaceutical Society of Northern Ireland have also issued a joint statement stressing the importance of health and care professionals meeting regulatory standards in relation to these medicines. We have also added some of these products to the list of medicines that cannot be exported from, or hoarded in, the United Kingdom.</p><p>We are continuing to work closely with manufacturers and others working in the supply chain to help ensure the continued supply of these medicines for patients in the UK, for example by asking suppliers to expedite deliveries. We have provided advice for healthcare professionals on how to manage patients requiring this medicine whilst there are shortages and are keeping this under review as the situation evolves. If any patient is concerned about their treatment, they should discuss this with their clinician at the earliest opportunity.</p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 199678 question first answered 19/09/2023 09:35:57 answering member 4423 label Biography information for Will Quince
	tabling member	4828 label Biography information for Paula Barker

1660807

	registered interest
	date	14/09/2023
	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	Diabetes: Drugs
	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 increase stocks of diabetes medication.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Paula Barker
	uin	199678
	answer	answer is ministerial correction date of answer 19/09/2023 answer text <p>We are aware of a supply issue with Ozempic. We have issued guidance in the form of Medicine Supply Notifications and, on 18 July 2023, issued a National Patient Safety Alert with advice for healthcare professionals on how to manage patients requiring this medicine. Our guidance is clear that glucagon-like peptide 1 receptor agonist medicines, such as Ozempic, that are solely licensed to treat Type 2 diabetes should only be used for that purpose and should not be routinely prescribed for weight loss.</p><p>The General Pharmaceutical Council, General Medical Council, Health and Care Professions Council, Nursing and Midwifery Council and Pharmaceutical Society of Northern Ireland have also issued a joint statement stressing the importance of health and care professionals meeting regulatory standards in relation to these medicines. We have also added some of these products to the list of medicines that cannot be exported from, or hoarded in, the United Kingdom.</p><p>We are continuing to work closely with manufacturers and others working in the supply chain to help ensure the continued supply of these medicines for patients in the UK, for example by asking suppliers to expedite deliveries. We have provided advice for healthcare professionals on how to manage patients requiring this medicine whilst there are shortages and are keeping this under review as the situation evolves. If any patient is concerned about their treatment, they should discuss this with their clinician at the earliest opportunity.</p> answering member constituency Colchester answering member printed Will Quince grouped question UIN 199679 question first answered 19/09/2023 09:35:57 answering member 4423 label Biography information for Will Quince
	tabling member	4828 label Biography information for Paula Barker

1656897

	registered interest
	date	01/09/2023
	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: Homelessness
	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 rough sleepers are not discharged from hospital back onto the streets.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Paula Barker
	uin	197214
	answer	answer is ministerial correction date of answer 11/09/2023 answer text <p>The Department is committed to promoting safe and timely discharge for people experiencing, or at risk of, homelessness, to appropriate accommodation. During 2020/21 and 2021/22, the Department, through the Shared Outcomes Fund, provided a total of £15.85 million to 17 sites to pilot Out of Hospital Care Models supporting people at risk of homelessness.</p><p>These models provide interim accommodation and care and support while full assessments of individual needs are carried out. Feedback from sites suggests these models are important in supporting discharge and maintain flow.</p><p>Whilst full evaluation is still underway, there are positive preliminary findings, including savings to the National Health Service and other public services due to the programme. A final evaluation of the programme will be delivered in December 2023 and from this we will share learning to encourage local areas to adopt similar models.</p><p>In addition, we will continue to work to improve the effectiveness and efficiency of the Duty to Refer people believed to be homeless or at risk of homelessness, from NHS services to local authorities with their consent.</p><p>Improving how discharges are arranged for people experiencing, or at risk of homelessness, will also be supported by our wider work to improve discharge processes. This includes ensuring effective care transfer hubs are in place for every system ahead of winter to coordinate and support timely discharge to the right setting for people with more complex needs.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 11/09/2023 16:59:54 answering member 4527 label Biography information for Helen Whately
	tabling member	4828 label Biography information for Paula Barker

1656898

	registered interest
	date	01/09/2023
	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: Homelessness
	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 integrated care boards have made specific reference to (a) homelessness and (b) rough sleeping populations in their localised strategy.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Paula Barker
	uin	197215
	answer	answer is ministerial correction date of answer 11/09/2023 answer text <p>Joint Forward Plans (JFPs) are developed by integrated care boards (ICBs) and their partner National Health Service trusts and foundation trusts as their local plans for delivering healthcare services in their local area. Under the Health and Care Act 2022, JFPs are not assured nationally and so this information is not held centrally.</p><p>The Health and Care Act 2022 requires ICBs to address in their JFP how they will discharge their general statutory duties, including their duty to reduce health inequalities, which is outlined in section 14Z35 of the Act.</p><p>NHS England supports ICBs to address health inequalities through the Core20PLUS5 approach, which includes people experiencing homelessness. More information on Core20PLUS5 is available at the following link:</p><p><a href="https://www.england.nhs.uk/about/equality/equality-hub/national-healthcare-inequalities-improvement-programme/core20plus5/" target="_blank">https://www.england.nhs.uk/about/equality/equality-hub/national-healthcare-inequalities-improvement-programme/core20plus5/</a></p><p>NHS England has issued guidance to ICBs on developing their JFPs, including access to support on addressing health inequalities. Therefore, every JFP should address tackling health inequalities, including for those experiencing homelessness, either directly or by reference to an existing agreed local strategy. More information on JFPs is available at the following link:</p><p><a href="https://www.england.nhs.uk/publication/joint-forward-plan/" target="_blank">https://www.england.nhs.uk/publication/joint-forward-plan/</a></p><p> </p><p>JFPs can be found on ICB websites, and should be considered alongside local joint health and wellbeing strategies produced by the Health and Wellbeing Board and integrated care strategies developed by the integrated care partnership. Guidance on the preparation of integrated care strategies prepared by the Department highlights the importance of addressing the needs of inclusion health groups, and more information is available at the following link:</p><p><a href="https://www.gov.uk/government/publications/guidance-on-the-preparation-of-integrated-care-strategies/guidance-on-the-preparation-of-integrated-care-strategies" target="_blank">https://www.gov.uk/government/publications/guidance-on-the-preparation-of-integrated-care-strategies/guidance-on-the-preparation-of-integrated-care-strategies</a></p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 11/09/2023 15:32:26 answering member 4679 label Biography information for Neil O'Brien
	tabling member	4828 label Biography information for Paula Barker

1656899

	registered interest
	date	01/09/2023
	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: Homelessness
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will make it his policy to require all integrated care boards to make reference to (a) homelessness and (b) rough sleeping populations in their local health strategies.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Paula Barker
	uin	197216
	answer	answer is ministerial correction date of answer 08/09/2023 answer text <p>The Health and Care Act 2022 promotes local area autonomy to allow local areas to develop their own priorities to meet their local area needs. The Secretary of State would like local areas to assess their own needs and make policies that work best for their local population.</p><p>To support local areas, NHS England has published guidance on the development of Joint Forward Plans and the Department has published guidance on the development of integrated care strategies. Both reference inclusion health groups, which includes people experiencing homelessness and rough sleeping.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 08/09/2023 11:16:37 answering member 4679 label Biography information for Neil O'Brien
	tabling member	4828 label Biography information for Paula Barker

1646333

	registered interest
	date	21/06/2023
	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	Ultrasonics
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the potential impact of waiting times for MR-Guided Focused Ultrasound treatment on a patients quality of life.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Paula Barker
	uin	190642
	answer	answer is ministerial correction date of answer 04/07/2023 answer text <p>The Department has not made an assessment of the waiting times for patients (who are eligible) for Transcranial magnetic resonance guided focused ultrasound thalamotomy.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 04/07/2023 08:05:21 answering member 4527 label Biography information for Helen Whately previous answer version 84500 answering member constituency Faversham and Mid Kent answering member printed Helen Whately answering member 4527 label Biography information for Helen Whately
	tabling member	4828 label Biography information for Paula Barker

1646749

	registered interest
	date	22/06/2023
	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	Medical Treatments Abroad
	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 his Department has made of the potential merits of providing funding for people to access treatment abroad that is not available on the NHS.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Paula Barker
	uin	190886
	answer	answer is ministerial correction date of answer 28/06/2023 answer text <p>We have no current plans to make an assessment. However, commissioners may choose to do this for individuals in exceptional circumstances. The reciprocal healthcare agreements that the United Kingdom has with the EU and Switzerland supports planned treatment abroad, when it would normally be available on the NHS, through the “S2 scheme”. Individuals must meet certain other eligibility criteria, such as experiencing undue delay when waiting for treatment.</p> answering member constituency Colchester answering member printed Will Quince question first answered 28/06/2023 14:44:31 answering member 4423 label Biography information for Will Quince
	tabling member	4828 label Biography information for Paula Barker