Question to the Department of Health and Social Care:

To ask His Majesty's Government what steps, if any, they are taking to improve outcomes from screening and treatment for developmental dysplasia of the hip (DDH) in newborns; and what plans, if any, they have to support comparative effectiveness research into the routine clinical pathways for DDH overseen by the UK National Screening Committee.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

The UK National Screening Committee (UK NSC) welcomes proposals to improve the Newborn and Infant Physical Examination (NIPE) programme, which offers screening for the development dysplasia of the hip. Proposals to modify the programme can be submitted to the UK NSC via its annual call for topics. To date the UK NSC has not received a request to review the current programme. The UK NSC is also aware that the National Institute for Health and Care Research has funded a research fellowship to explore screening for hip dysplasia, and looks forward to reading its published report in due course.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether he plans to include provisions in the NHS 10-Year Plan on the (a) funding, (b) planning, (c) provision and (d) commissioning at (i) national and (ii) regional level of children’s palliative care.

Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)

We want a society where every child and young person receives high-quality, compassionate care from diagnosis through to the end of life. The Government is determined to shift more healthcare out of hospitals and into the community, to ensure patients and families receive the care they need when and where they need it, including those who need palliative and end of life care. It is too early to say exactly what the 10-Year Health Plan will look like, but we expect palliative and end of life care to benefit from the plan’s three big shifts.

As part of the work to develop a 10-Year Health Plan, we have been carefully considering policies, including those that impact people with palliative and end of life care needs, with extensive input at both national and regional levels. In February, I met key palliative and end of life care and hospice stakeholders in a roundtable format with a focus on long-term sector sustainability within the context of our 10-Year Health Plan. Additionally, I recently met my Hon. Friend the Member for York Central, and Baroness Finlay of Llandaff, to discuss the Commission on Palliative and End-of-Life Care’s first report. I welcome the report’s recent publication.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the increase in the number of people that will have palliative care needs over the next 10 years.

Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)

Currently, approximately 600,000 people die per year in the United Kingdom. It is estimated that up to 90% of deaths could benefit from palliative and end of life care.

The Office for National Statistics has projected that, by 2040, approximately 800,000 people a year will die in the UK. Also, current trends point to a growing proportion of people dying from chronic disease, particularly cancer and dementia. Taking these considerations together, it has been estimated that the number of people needing palliative and end of life care could increase by 42% by 2040.

We have committed to develop a 10-Year Plan to deliver a National Health Service fit for the future, by driving three shifts in the way health care is delivered, from hospital to community, from treatment to prevention, and from analogue to digital. We will carefully be considering policies, including those that impact people with palliative and end of life care needs, with input from the public, patients, health staff, and our stakeholders as we develop the plan.

In February, I met with key palliative and end of life care and hospice stakeholders, in a roundtable format with a focus on long-term sector sustainability within the context of our 10-Year Health Plan. I have followed up with meetings with officials from the Department and NHS England. I also recently met with my Hon. Friend the Member for York Central, and Baroness Finlay of Llandaff, to discuss the progress of their independent commission into palliative and end of life care, including the commission’s first of three reports, published on 13 May, to which we will formally respond in the coming weeks.

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