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Written Question
Ambulance Services: Databases
Thursday 9th May 2024

Asked by: David Davis (Conservative - Haltemprice and Howden)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 29 April 2024 to Question 23378 on Ambulance Services: Databases, which directive issued under section 254 of the Health and Social Care 2012 Act NHS England is using to process de-identified data for use in the ambulance data services dashboard in the federated data platform product.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The Federated Data Platform will bring together information on services, waiting times, equipment, and medicines, allowing the National Health Service to use data to improve outcomes for patients. The directions used to process de-identified data for use in the ambulance data services dashboard in the Federated Data Platform, is NHS England’s De-Identified Data Analytics and Publication Directions 2023, which is available at the following link:

https://digital.nhs.uk/about-nhs-digital/corporate-information-and-documents/directions-and-data-provision-notices/secretary-of-state-directions/nhs-england-de-identified-data-analytics-and-publication-directions-2023

These are directions given by my Rt hon. Friend, the Secretary of State for Health and Social Care, to establish arrangements for the governance of the ongoing processing of de-identified data, and to act as a framework for the future analysis, linkage, and de-identification of data for analysis by NHS England. The Ambulance Data Services Dashboard in the Federated Data Platform also aligns to the Ambulance Data Set Directions 2022, which is available at the following link:

https://digital.nhs.uk/about-nhs-digital/corporate-information-and-documents/directions-and-data-provision-notices/nhs-england-directions/ambulance-data-set-directions-2022

These are directions originally given by NHS England to NHS Digital, to establish and operate a system for the collection and analysis of nationally consistent operational and clinical data from all ambulance services in England.

The legal bases for these specific directions are s261(5)(d) and s13Z3 (e) and (f), of the Health and Social Care Act 2012. Further information on the legal grounds for data processing in relation to the Ambulance Data Services Dashboard can be found in the privacy notice. This is available at the following link:

https://www.england.nhs.uk/contact-us/privacy-notice/how-we-use-your-information/nhs-federated-data-platform-privacy-notice/fdp-products-and-product-privacy-notices/ambulance-data-services-ads-dashboard-fdp-product-privacy-notice/


Written Question
Ambulance Services: West Midlands
Thursday 9th May 2024

Asked by: Paulette Hamilton (Labour - Birmingham, Erdington)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps her Department are taking to reduce ambulance waiting times in (a) the West Midlands and (b) Birmingham, Erdington constituency.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

Our Delivery plan for recovering urgent and emergency care services sets out the range of measures being taken to achieve our ambition of reducing average Category 2 ambulance response times to 30 minutes across 2024/25, including in the West Midlands and Birmingham. Information on the delivery plan is available at the following link:

https://www.england.nhs.uk/wp-content/uploads/2023/01/B2034-delivery-plan-for-recovering-urgent-and-emergency-care-services.pdf

Ambulance trusts received £200 million of additional funding in 2023/24, to increase deployed hours and reduce response times. We will maintain this additional capacity this year, alongside the 5,000 additional permanent hospital beds delivered last year to improve patient flow through hospitals, and reduce ambulance capacity lost to ambulance patient handover delays.

Since we published our plan, there have been significant improvements in ambulance response times, including in the West Midlands. In 2023/24, average Category 2 ambulance response times in the West Midlands were over twelve minutes faster compared to the previous year, a reduction of 25%.


Written Question
Coronavirus: Disclosure of Information
Thursday 9th May 2024

Asked by: Andrew Bridgen (Independent - North West Leicestershire)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will publish a list of medical professionals (a) warned, (b) suspended and (c) with attempted suspensions for raising concerns over (i) covid-19 treatments and (ii) the pandemic response.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

The General Medical Council (GMC) is the independent regulator of all medical doctors practising in the United Kingdom. It sets and enforces the standards all doctors must adhere to. The GMC is independent of Government, and directly accountable to Parliament. The Medical Practitioners Tribunal Service (MPTS) operates separately from the investigatory role of the GMC, and makes independent decisions about whether doctors are fit to practise medicine. The hearings and decisions of the MPTS are published and available to access online.


Written Question
Abortion: Telemedicine
Thursday 9th May 2024

Asked by: Lord Jackson of Peterborough (Conservative - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what guidance they have issued to medical practitioners dispensing telemedicine abortion pharmaceuticals to patients who are more than ten weeks pregnant.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

Whilst no specific guidance has been issued, the 1967 Abortion Act is clear that treatment for termination of pregnancy at gestations over 10 weeks can only be performed in a National Health Service facility or a place approved for this purpose by the Secretary of State for Health and Social Care.


Written Question
Dementia: Diagnosis
Thursday 9th May 2024

Asked by: Justin Madders (Labour - Ellesmere Port and Neston)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps her Department is taking to help increase the rate of diagnosis for people who develop symptoms of dementia before the age of 65.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

As part of the spending review settlement in 2021/22, £17 million was allocated to the National Health Service to address dementia waiting lists, and to increase the number of diagnoses, which had been adversely impacted by the pandemic. NHS England will share learning on the impact of this funding and examples of good practice with dementia clinical networks, by the end of Summer 2024.

However, the dementia diagnosis rate is not calculated for patients aged under 65 years old. This is because the numbers of patients known to have dementia in the sample population age groups comprising the zero to 64 years old age range, is not large enough for reliable estimates to be made.

The Primary Care Dementia Data publication does include a monthly count of the number of patients aged 65 years old and under who do have a dementia diagnosis on their patient record, which is expressed as a raw count, and as a percentage of registered patients aged zero to 64 years old.


Written Question
Dementia: Diagnosis
Thursday 9th May 2024

Asked by: Justin Madders (Labour - Ellesmere Port and Neston)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps her Department is taking to reduce diagnostic waiting times for people with suspected young onset dementia.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

As part of the spending review settlement in 2021/22, £17 million was allocated to the National Health Service to address dementia waiting lists, and to increase the number of diagnoses, which had been adversely impacted by the pandemic. NHS England will share learning on the impact of this funding and examples of good practice with dementia clinical networks, by the end of Summer 2024.

However, the dementia diagnosis rate is not calculated for patients aged under 65 years old. This is because the numbers of patients known to have dementia in the sample population age groups comprising the zero to 64 years old age range, is not large enough for reliable estimates to be made.

The Primary Care Dementia Data publication does include a monthly count of the number of patients aged 65 years old and under who do have a dementia diagnosis on their patient record, which is expressed as a raw count, and as a percentage of registered patients aged zero to 64 years old.


Written Question
HIV Infection: Plastic Surgery
Thursday 9th May 2024

Asked by: Lord Bishop of St Albans (Bishops - Bishops)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of the risk of individuals contracting HIV from contaminated blood in unregulated cosmetic procedures.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

No assessment has been made of the risk of individuals contracting human immunodeficiency virus (HIV) from contaminated blood in unregulated cosmetic procedures. The Government is developing a licensing scheme for non-surgical cosmetic procedures in England. This will make it an offence for an individual to carry out non-surgical cosmetic procedures without a licence, and will require people who offer procedures to be suitably trained and qualified, hold appropriate indemnity cover, and operate from premises which meet the scheme’s standards of hygiene, infection control, and cleanliness.

Following a public consultation on the scope of the scheme in 2023, the Department is working closely with stakeholders to develop detailed proposals for the licensing scheme. The scheme will complement existing legislative safeguards for certain skin piercing activities and other treatments, such as ear piercing, tattooing, acupuncture, and electrolysis. The Local Government Act 2003 and Local Government (Miscellaneous Provisions) Act 1982 give local authorities the power to register practitioners and premises, and to make and enforce byelaws. Where adopted, these byelaws protect the public by setting standards for the cleanliness and hygiene of premises, practitioners, and equipment, thereby reducing the risk of the transmission of blood-borne viruses such as HIV and hepatitis B and C.


Written Question
Rare Diseases
Thursday 9th May 2024

Asked by: Lord Hunt of Kings Heath (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government whether they intend to have any discussions with the National Institute for Health and Care Excellence (NICE) about continuing to work with the rare condition community to improve engagement and involvement in decision-making from small organisations.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

Department officials regularly meet with colleagues in the National Institute for Health and Care Excellence (NICE) to discuss a range of issues. Taking into account the advice and experience of people using services, as well as their carers or advocates, alongside that of health and social care professionals, commissioners, providers, and the public, is a central principle that guides the NICE’s work.

The NICE is committed to working with people who use health and social care services, their families, carers, and the public, as well as with voluntary and community sector organisations, and all of the NICE’s guidance is developed using a process that takes into account the opinions and views of the people who will be affected by them, to ensure their needs and priorities are reflected. The NICE gathers these perspectives through the membership of its committees, and through public consultations at various stages of guidance development. Stakeholders also have an opportunity to comment on the potential impact of the NICE’s guidance on health inequalities.


Written Question
Social Services: Finance
Thursday 9th May 2024

Asked by: Lord Swire (Conservative - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what plans they have to build on the proposals in the report of Sir Andrew Dilnot’s Commission on Funding of Care and Support, Fairer Care Funding, published in July 2011.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

As announced in the Autumn Statement 2022, we listened to the concerns of local government and made the decision to delay the rollout of charging reforms from October 2023 to October 2025. These reforms include the introduction of a cap on personal care costs, and a more generous adult social care means test. The Government has been considering what form the rollout of charging reform from October 2025 will take.


Written Question
Social Media: Children
Thursday 9th May 2024

Asked by: Lord Lebedev (Crossbench - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what discussions they have had with social media companies about protecting the mental health of under-16s, especially girls, using their platforms.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

The Department met with TikTok and Meta in December 2022 and January 2023, to discuss the mental health of children and young people, including girls who are under 16 years old.