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Written Question
Palliative Care
Tuesday 19th April 2016

Asked by: Lord Wills (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask Her Majesty’s Government what progress they have made in ensuring that each person in need of end of life care is offered a care co-ordinator who would be their first point of contact for all their care at the end of life, as recommended in the review <i>What's important to me: A review of choice in end of life care</i>.

Answered by Lord Prior of Brampton

We are committed to ensuring that everyone at, or nearing, the end of life receives high quality, compassionate care, tailored to their individual needs and preferences.

The Government’s forthcoming response to the independent Review of Choice in End of Life Care, which will be published shortly, will set out our vision for high quality, personalised care and the steps we will take to achieve this. The response will also address each of the Review recommendations, including on care coordination; improving the quality, availability and responsiveness of care; improving the quality and use of data; care planning and the use of digital care records; and the involvement of family members and carers in discussions about care.


Written Question
Palliative Care
Tuesday 19th April 2016

Asked by: Lord Wills (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask Her Majesty’s Government what action they are taking to ensure that Electronic Palliative Care Co-ordination Systems, or equivalent systems, can be viewed and updated by all those involved in the provision of end of life care services, in particular social care organisations, by April 2018, as outlined in the review <i>What’s important to me: A review of choice in end of life care</i>.

Answered by Lord Prior of Brampton

We are committed to ensuring that everyone at, or nearing, the end of life receives high quality, compassionate care, tailored to their individual needs and preferences.

The Government’s forthcoming response to the independent Review of Choice in End of Life Care, which will be published shortly, will set out our vision for high quality, personalised care and the steps we will take to achieve this. The response will also address each of the Review recommendations, including on care coordination; improving the quality, availability and responsiveness of care; improving the quality and use of data; care planning and the use of digital care records; and the involvement of family members and carers in discussions about care.


Written Question
Palliative Care
Tuesday 19th April 2016

Asked by: Lord Wills (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask Her Majesty’s Government what action they are taking to ensure that everyone at the end of life has a personalised care plan, with their choices recorded on an Electronic Palliative Care Co-ordination System or equivalent system.

Answered by Lord Prior of Brampton

We are committed to ensuring that everyone at, or nearing, the end of life receives high quality, compassionate care, tailored to their individual needs and preferences.

The Government’s forthcoming response to the independent Review of Choice in End of Life Care, which will be published shortly, will set out our vision for high quality, personalised care and the steps we will take to achieve this. The response will also address each of the Review recommendations, including on care coordination; improving the quality, availability and responsiveness of care; improving the quality and use of data; care planning and the use of digital care records; and the involvement of family members and carers in discussions about care.


Written Question
Palliative Care
Tuesday 19th April 2016

Asked by: Lord Wills (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask Her Majesty’s Government what assessment they have made of the conclusion by Professor Bee Wee, National Clinical Director for End of Life Care, in the National Survey of Patient Activity Data for Specialist Palliative Care Services MDS Summary Report for the year 2013–14, that "there is still a need to improve the quality and use of data in the palliative care sector"; and what action they are taking to address that issue.

Answered by Lord Prior of Brampton

We are committed to ensuring that everyone at, or nearing, the end of life receives high quality, compassionate care, tailored to their individual needs and preferences.

The Government’s forthcoming response to the independent Review of Choice in End of Life Care, which will be published shortly, will set out our vision for high quality, personalised care and the steps we will take to achieve this. The response will also address each of the Review recommendations, including on care coordination; improving the quality, availability and responsiveness of care; improving the quality and use of data; care planning and the use of digital care records; and the involvement of family members and carers in discussions about care.


Written Question
Palliative Care
Tuesday 19th April 2016

Asked by: Lord Wills (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask Her Majesty’s Government what action they are taking to ensure that high quality end of life care is available in every setting, including for people who wish to die at home.

Answered by Lord Prior of Brampton

We are committed to ensuring that everyone at, or nearing, the end of life receives high quality, compassionate care, tailored to their individual needs and preferences.

The Government’s forthcoming response to the independent Review of Choice in End of Life Care, which will be published shortly, will set out our vision for high quality, personalised care and the steps we will take to achieve this. The response will also address each of the Review recommendations, including on care coordination; improving the quality, availability and responsiveness of care; improving the quality and use of data; care planning and the use of digital care records; and the involvement of family members and carers in discussions about care.


Written Question
Choice in End of Life Care Review
Tuesday 19th April 2016

Asked by: Lord Wills (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask Her Majesty’s Government when they plan to respond to the recommendations set out in <i>What’s important to me: A review of choice in end of life care</i>, also known as the Choice Review.

Answered by Lord Prior of Brampton

We are committed to ensuring that everyone at, or nearing, the end of life receives high quality, compassionate care, tailored to their individual needs and preferences.

The Government’s forthcoming response to the independent Review of Choice in End of Life Care, which will be published shortly, will set out our vision for high quality, personalised care and the steps we will take to achieve this. The response will also address each of the Review recommendations, including on care coordination; improving the quality, availability and responsiveness of care; improving the quality and use of data; care planning and the use of digital care records; and the involvement of family members and carers in discussions about care.


Written Question
Arthritis
Tuesday 22nd March 2016

Asked by: Lord Wills (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask Her Majesty’s Government what action they are taking to promote early identification and referral of patients with suspected inflammatory arthritis in primary care.

Answered by Lord Prior of Brampton

The latest monthly workforce statistics published by the Health and Social Care Information Centre showed that, as of November 2015, there were 563 full time equivalent rheumatology consultants employed in NHS. This is an increase of 119 (26.8%) since May 2010. The recruitment and retention of staff is matter for local NHS services.

To help clinicians to identify the symptoms of rheumatoid arthritis (RA) and make prompt referrals to specialists, the National Institute for Health and Care Excellence (NICE) published Rheumatoid arthritis: The management of rheumatoid arthritis in adults in 2009. This best practice guideline sets out the signs and symptoms of the disease and emphasises the need for early diagnosis, with urgent referral to a specialist rheumatologist on suspicion of RA. How the guidance is adhered to is a matter for the local National Health Service. The NICE guidance is attached.

NICE quality standards (QS) are important in setting out to patients, the public, commissioners and providers what a high quality service should look like in a particular area of care. The RA QS, published in 2013, is based on the NICE clinical guideline, and one of the seven quality statements recommends that people with suspected RA are assessed in a rheumatology service within three weeks of referral. However, whilst providers and commissioners must have regard to these standards in planning and delivering services, they do not provide a comprehensive service specification and are not mandatory.


In February 2015, Public Health England, in partnership with the Department, ran a local pilot campaign to raise public awareness of the signs and symptoms of RA symptoms in Nottingham City and Hardwick Clinical Commissioning Group. The aim of the campaign was to support earlier diagnosis and thereby enable treatment to begin earlier to improve the quality of life for people with the condition. The results of the campaign are currently being evaluated.

Finally, the provision of health services in the United Kingdom is a devolved matter, and therefore RA services in Wales are a matter for the Welsh Government.


Written Question
Arthritis
Tuesday 22nd March 2016

Asked by: Lord Wills (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask Her Majesty’s Government what action they are taking to reduce any variation in compliance with NICE standards for the treatment and management of patients with rheumatoid arthritis in England and Wales.

Answered by Lord Prior of Brampton

The latest monthly workforce statistics published by the Health and Social Care Information Centre showed that, as of November 2015, there were 563 full time equivalent rheumatology consultants employed in NHS. This is an increase of 119 (26.8%) since May 2010. The recruitment and retention of staff is matter for local NHS services.

To help clinicians to identify the symptoms of rheumatoid arthritis (RA) and make prompt referrals to specialists, the National Institute for Health and Care Excellence (NICE) published Rheumatoid arthritis: The management of rheumatoid arthritis in adults in 2009. This best practice guideline sets out the signs and symptoms of the disease and emphasises the need for early diagnosis, with urgent referral to a specialist rheumatologist on suspicion of RA. How the guidance is adhered to is a matter for the local National Health Service. The NICE guidance is attached.

NICE quality standards (QS) are important in setting out to patients, the public, commissioners and providers what a high quality service should look like in a particular area of care. The RA QS, published in 2013, is based on the NICE clinical guideline, and one of the seven quality statements recommends that people with suspected RA are assessed in a rheumatology service within three weeks of referral. However, whilst providers and commissioners must have regard to these standards in planning and delivering services, they do not provide a comprehensive service specification and are not mandatory.


In February 2015, Public Health England, in partnership with the Department, ran a local pilot campaign to raise public awareness of the signs and symptoms of RA symptoms in Nottingham City and Hardwick Clinical Commissioning Group. The aim of the campaign was to support earlier diagnosis and thereby enable treatment to begin earlier to improve the quality of life for people with the condition. The results of the campaign are currently being evaluated.

Finally, the provision of health services in the United Kingdom is a devolved matter, and therefore RA services in Wales are a matter for the Welsh Government.


Written Question
Rheumatology
Tuesday 22nd March 2016

Asked by: Lord Wills (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask Her Majesty’s Government what steps they are taking to increase the number of consultant rheumatologists, and the early availability of early arthritis clinics, in England and Wales.

Answered by Lord Prior of Brampton

The latest monthly workforce statistics published by the Health and Social Care Information Centre showed that, as of November 2015, there were 563 full time equivalent rheumatology consultants employed in NHS. This is an increase of 119 (26.8%) since May 2010. The recruitment and retention of staff is matter for local NHS services.

To help clinicians to identify the symptoms of rheumatoid arthritis (RA) and make prompt referrals to specialists, the National Institute for Health and Care Excellence (NICE) published Rheumatoid arthritis: The management of rheumatoid arthritis in adults in 2009. This best practice guideline sets out the signs and symptoms of the disease and emphasises the need for early diagnosis, with urgent referral to a specialist rheumatologist on suspicion of RA. How the guidance is adhered to is a matter for the local National Health Service. The NICE guidance is attached.

NICE quality standards (QS) are important in setting out to patients, the public, commissioners and providers what a high quality service should look like in a particular area of care. The RA QS, published in 2013, is based on the NICE clinical guideline, and one of the seven quality statements recommends that people with suspected RA are assessed in a rheumatology service within three weeks of referral. However, whilst providers and commissioners must have regard to these standards in planning and delivering services, they do not provide a comprehensive service specification and are not mandatory.


In February 2015, Public Health England, in partnership with the Department, ran a local pilot campaign to raise public awareness of the signs and symptoms of RA symptoms in Nottingham City and Hardwick Clinical Commissioning Group. The aim of the campaign was to support earlier diagnosis and thereby enable treatment to begin earlier to improve the quality of life for people with the condition. The results of the campaign are currently being evaluated.

Finally, the provision of health services in the United Kingdom is a devolved matter, and therefore RA services in Wales are a matter for the Welsh Government.


Written Question
Mesothelioma: North of England
Tuesday 1st December 2015

Asked by: Lord Wills (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask Her Majesty’s Government what assessment they have made in the Comprehensive Spending Review of the needs of mesothelioma patients in the constituencies covered by the Northern Powerhouse.

Answered by Lord Prior of Brampton

The Spending Review has not made such an assessment. It makes an overall assessment at the national level of the activity increases the National Health Service needs to meet, including as a result of need and demographic change. The assessment is not condition or location specific. It is for individual clinical commissioning groups to assess the health needs of their local populations and how best to meet them.