Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what is the average additional cost to the NHS of every patient moved from Tier 3 to Tier 4 Specialist Weight Management Services.
Answered by Lord Kamall - Shadow Minister (Health and Social Care)
We are not able to estimate the average additional cost of moving all patients treated in Tier 3 services to management under Tier 4 from existing data. There are currently no national tariffs for Tier 3 specialist weight management services and national tariffs of bariatric surgery vary dependent on the type of procedure.
Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how many patients are waiting for bariatric surgery or similar interventions at Tier 4 Specialist Weight Management; and how long on average those patients are waiting for such surgery or similar interventions.
Answered by Lord Kamall - Shadow Minister (Health and Social Care)
This data is not routinely collected centrally. NHS England and NHS Improvement are in the process of engaging with trusts to better understand the current position on waiting times. A planned National Obesity Audit will provide information on conversion rates from Tier 3 Specialist Weight Management Services to Tier 4 Specialist Weight Management Services.
Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how many patients requiring Tier 3 Specialist Weight Management Services went on to require Tier 4 Specialist Weight Management Services in the latest year for which data are available.
Answered by Lord Kamall - Shadow Minister (Health and Social Care)
This data is not routinely collected centrally. NHS England and NHS Improvement are in the process of engaging with trusts to better understand the current position on waiting times. A planned National Obesity Audit will provide information on conversion rates from Tier 3 Specialist Weight Management Services to Tier 4 Specialist Weight Management Services.
Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what assessment they have made of the effect that encouraging GPs to refer patients to medical weight loss clinics would have on levels of obesity.
Answered by Lord Kamall - Shadow Minister (Health and Social Care)
No direct assessment has been made. However, evidence has shown that general practitioners (GP) referrals are effective at encouraging the uptake of weight management services and subsequently result in increased weight loss for those referred. This evidence has informed the decision to invest £20.4 million in the Weight Management Enhanced Service, which financially incentivises GPs to refer individuals to weight management services. We are committed to evaluating the impact of the 2021/22 Weight Management Enhanced Service.
Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what assessment they have made of whether the behavioural and psychological symptoms of people with dementia have worsened during the COVID-19 pandemic.
Answered by Lord Bethell
NHS England and NHS Improvement have collaborated with the South East Clinical Delivery and Networks to publish guidance for primary care networks and care homes on dementia and older people’s mental health, which includes ways to recognise and support people experiencing behavioural and psychological symptoms of dementia. They have also made guidance and resources available to address the rehabilitation needs of people living with dementia, including the ‘Dementia wellbeing in COVID-19’ resource.
We have commissioned research through the National Institute for Health Research on how to manage or mitigate the impact of COVID-19 on people with dementia and their carers living in the community and concise helpful summary leaflets were produced.
We will be setting out our plans on dementia for England for future years in due course.
Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what steps they are taking to ensure that the needs and views of people with dementia are taken into account in any workforce plan that forms part of the forthcoming social care reform proposals.
Answered by Lord Bethell
We are working closely with local and national partners from across the sector, including those with dementia and lived experience of the social care system, to ensure that our approach to reform is informed by diverse perspectives.
Together with stakeholders we are considering how we build back fairer to deliver the sustainable improvements to adult social care that we all want to see. We will bring forward proposals for reform later in 2021, including for the social care workforce.
Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what plans they have to address the rehabilitative needs of people with dementia who have experienced a significant deterioration in their symptoms during the COVID-19 pandemic.
Answered by Lord Bethell
The NHS Long Term Plan commits to the Enhanced Health in Care Homes service model that sets out best practice for dementia care including rehabilitation and reablement.
NHS England and NHS Improvement have also made guidance and resources available to address the rehabilitation needs of people living with dementia, including the ‘Dementia wellbeing in COVID-19’ resource.
In addition, we have commissioned research through the National Institute for Health Research on how to manage or mitigate the impact of COVID-19 on people with dementia and their carers living in the community and concise helpful summary leaflets were produced.
We will be setting out our plans on dementia for England for future years in due course.
Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what plans they have (1) to ring fence funding, and (2) to prioritise rehabilitation, for hospital patients who are recovering critical illnesses.
Answered by Lord Bethell
The Government has provided a dedicated national discharge fund, managed by the National Health Service, for the first half of 2021/2022 financial year. In tandem with the existing services commissioned by local authorities and clinical commissioning groups, this discharge fund pays for the cost of post-discharge recovery and support services. This includes bed based and home-based rehabilitation and re-ablement care following discharge from hospital and is funded for up to four weeks.
Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government in how many cases in each of the last five financial years families objected to organ donation on the part of a deceased donor who was on the Organ Donor Register in England.
Answered by Lord O'Shaughnessy
NHS Blood and Transplant is responsible for organ donation and transplantation in the UK.
NHS Blood and Transplant have advised that the following table sets out information on the number of organ donors in England who were not registered on the NHS Organ Donor Register (ODR) and the number of donors who were registered.
The table also shows the number of families approached who did not consent to organ donation for eligible donors who had not expressed a wish to donate on the ODR or the donation wish was not known at time of approach. Also shown is the number of families approached who have overridden express consent for donation for potential donors who had expressed a wish to donate on the ODR and it was known at time of approach.
| 2013/2014 | 2014/2015 | 2015/2016 | 2016/2017 | 2017/2018 |
Number of deceased organ donors: - who were not registered on the ODR | 653 | 597 | 640 | 660 | 692 |
- who were registered on the ODR | 451 | 469 | 504 | 507 | 662 |
Number of families approached but who did not give consent to organ donation for an eligible donor who had not expressed a wish to donate on the ODR or donation wish was not known at time of approach | 1,029 | 1,063 | 925 | 928 | 891 |
Number of families approached but who have overridden express consent to organ donation for an eligible donor who was on the ODR and this was known at time of approach | 85 | 80 | 85 | 67 | 72 |
Source: NHS Blood and Transplant, 2018
Note:
All figures are for England.
Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government in how many cases in each of the last five financial years families objected to organ donation on the part of a deceased donor who was not on the Organ Donation Register in England.
Answered by Lord O'Shaughnessy
NHS Blood and Transplant is responsible for organ donation and transplantation in the UK.
NHS Blood and Transplant have advised that the following table sets out information on the number of organ donors in England who were not registered on the NHS Organ Donor Register (ODR) and the number of donors who were registered.
The table also shows the number of families approached who did not consent to organ donation for eligible donors who had not expressed a wish to donate on the ODR or the donation wish was not known at time of approach. Also shown is the number of families approached who have overridden express consent for donation for potential donors who had expressed a wish to donate on the ODR and it was known at time of approach.
| 2013/2014 | 2014/2015 | 2015/2016 | 2016/2017 | 2017/2018 |
Number of deceased organ donors: - who were not registered on the ODR | 653 | 597 | 640 | 660 | 692 |
- who were registered on the ODR | 451 | 469 | 504 | 507 | 662 |
Number of families approached but who did not give consent to organ donation for an eligible donor who had not expressed a wish to donate on the ODR or donation wish was not known at time of approach | 1,029 | 1,063 | 925 | 928 | 891 |
Number of families approached but who have overridden express consent to organ donation for an eligible donor who was on the ODR and this was known at time of approach | 85 | 80 | 85 | 67 | 72 |
Source: NHS Blood and Transplant, 2018
Note:
All figures are for England.