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Written Question
Clinical Trials
Wednesday 24th April 2024

Asked by: Tanmanjeet Singh Dhesi (Labour - Slough)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what measures are in place to ensure informed consent in clinical trials.

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

There are legal measures in place to ensure informed consent in clinical trials, through the Medicines for Human Use (Clinical Trials) Regulations 2004. Parental consent for clinical trials investigating medicines which involve children is also legislated for via the same Regulations.

Promoting and ensuring transparency is central to the role of the Health Research Authority to facilitate safe and ethical research as defined in the Care Act 2014. This includes clinical trials involving children.


Written Question
Drugs: Procurement
Wednesday 24th April 2024

Asked by: Jim Shannon (Democratic Unionist Party - Strangford)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will have discussions with NHS England on the effectiveness of its Commercial Framework in tackling challenges presented by the appraisal and reimbursement system when applied to combination medicines and medicines with multiple indications.

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

As part of the 2024 voluntary scheme for branded medicines pricing, access, and growth, NHS England has committed to undertake two consultations on its Commercial Framework for New Medicines. The first of these will be launched in summer 2024 and will align with the Competition and Markets Authority’s (CMA) statement on combination medicines. In addition, it will be more explicit about the approach taken for assessing the eligibility of medicines treating multiple indications to qualify for indication specific pricing mechanisms.

Following the first consultation, a revised framework will be published by the end of 2024, and engagement with pharmaceutical companies and patient groups on these issues is already taking place.


Written Question
Cancer: Screening
Wednesday 24th April 2024

Asked by: Jim Shannon (Democratic Unionist Party - Strangford)

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 (a) trial and (b) roll-out early cancer screening.

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

In England, early cancer screening is already in place for cervical, breast, and bowel cancer. The UK National Screening Committee (UK NSC) does not currently recommend screening for prostate cancer due to the inaccuracy of the current best test, called Prostate Specific Antigen. We are providing £16 million of funding to Prostate Cancer UK's £42 million trial, which is aimed at helping us find a way of catching prostate cancer in men as early as possible. The UK NSC is also commissioning evidence for six possible approaches to targeted prostate screening for those at higher risk. The UK NSC will publish its recommendations when complete.

NHS England is responsible for the running of the Targeted Lung Health Check Programme, and its conversion to a nationally rolled out NHS Targeted Lung Cancer Screening Programme by 2030.


Written Question
Gender Dysphoria: Children
Wednesday 24th April 2024

Asked by: John Hayes (Conservative - South Holland and The Deepings)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether she will make an assessment of the potential merits of taking legislative steps to stop private clinics prescribing puberty-blockers to children.

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

Following the publication of Dr Cass’ Final Report, my Rt hon. Friend, the Secretary of State for Health and Social Care has made a commitment to look closely at what can be done to curtail any loopholes in prescribing practices for children with gender dysphoria, including legislative options.

The Care Quality Commission will expect registered providers to take into account the recommendations of the Cass Review. If a private organisation registered with the Care Quality Commission fails to meet the conditions of its registration, then the regulator can take enforcement action.


Written Question
Parkinson's Disease: Nurses
Wednesday 24th April 2024

Asked by: Julian Sturdy (Conservative - York Outer)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking to ensure that there are sufficient numbers of Parkinson’s specialist nurses.

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

Under the NHS Long Term Workforce Plan, backed by more than £2.4 billion over the next five years, the National Health Service will focus on expanding the number of clinicians, including nurses, who train to take up enhanced and advanced roles, and work as part of multidisciplinary teams with the right skills to meet the changing needs of patients. The ambition is to train at least 3,000 advanced practitioners in 2024 and 2025 across all specialties, and to increase the number in training to 5,000 a year by 2029. The Long Term Workforce Plan also sets out actions and reforms needed to improve workforce supply and retention.


Written Question
Parkinson's Disease: Nurses
Wednesday 24th April 2024

Asked by: Julian Sturdy (Conservative - York Outer)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking to ensure that Parkinson’s specialist nurses are retained in the profession.

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

Under the NHS Long Term Workforce Plan, backed by more than £2.4 billion over the next five years, the National Health Service will focus on expanding the number of clinicians, including nurses, who train to take up enhanced and advanced roles, and work as part of multidisciplinary teams with the right skills to meet the changing needs of patients. The ambition is to train at least 3,000 advanced practitioners in 2024 and 2025 across all specialties, and to increase the number in training to 5,000 a year by 2029. The Long Term Workforce Plan also sets out actions and reforms needed to improve workforce supply and retention.


Written Question
Community Health Services: Nurses
Wednesday 24th April 2024

Asked by: Karin Smyth (Labour - Bristol South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many nurses have worked in NHS community health services on average in each of the last 10 years.

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

NHS England publishes Hospital and Community Health Services workforce statistics for England. These include staff working for hospital trusts and integrated care boards, but excludes staff working for other providers such as in primary care, general practice or social care. This data is drawn from the Electronic Staff Record, the human resources system for the National Health Service.

The latest statistics on NHS nursing workforce by area of nursing and care setting can be found in the link below within the ‘Nurses by Setting’ worksheet:

https://files.digital.nhs.uk/9A/948DEC/NHS%20Workforce%20Statistics%2C%20January%202024%20England%20Provisional%20statistics.xlsx

Within this data there are nurses working in community settings within several staff groups including community health nurses, community learning disability nurses, community mental health nurses, and as health visitors.


Written Question
Pregnancy: Screening
Wednesday 24th April 2024

Asked by: Henry Smith (Conservative - Crawley)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what information her Department holds on the number of non-invasive pre-natal tests branded as NIFTY and manufactured by BGI Group have been sold in the UK.

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

The Department and NHS England do not hold information on the sales within the United Kingdom of the non-invasive pre-natal tests branded as NIFTY, manufactured by BGI Group. The NHS Supply Chain, who manage the sourcing, delivery, and supply of healthcare products, services, and food for National Health Service trusts and healthcare organisations across England, develop procurement frameworks which enable NHS organisations to buy goods and services from suppliers. NHS Supply Chain has confirmed that non-invasive pre-natal tests branded as NIFTY and manufactured by BGI Group, are not on their procurement framework.


Written Question
NHS: Mental Health
Wednesday 24th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent assessment she has made of the effectiveness of the BALM programme.

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

NHS England is currently undertaking a review of how health and wellbeing support could be delivered more effectively. As part of this review, the team will: assess NHS England’s current contracts; work with integrated care boards, National Health Service trusts, and primary care organisations to understand the scale and impact of locally provided provision; and work with system partners and stakeholders including royal colleges, the voluntary sector, and the independent sector to understand how demand for these services has changed over recent years.


Written Question
Visual Impairment: Rehabilitation
Wednesday 24th April 2024

Asked by: Marsha De Cordova (Labour - Battersea)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether her Department plans to undertake a review of vision rehabilitation provision across England.

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

The Department is not planning to undertake a review of vision rehabilitation provision across England. Under the Care Act 2014, local authorities are responsible for commissioning social care services, including reablement.

Guidance to support the implementation of the Care Act 2014 says local authorities should consider securing specialist qualified rehabilitation and assessment provision, whether in-house, or contracted through a third party, to ensure that the needs of people with sight loss are correctly identified and their independence maximised. Certain aspects of independence training with sight impaired and severely sight impaired people require careful risk management, and should only be undertaken by professionals with relevant experience and training.