Asked by: Alberto Costa (Conservative - South Leicestershire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what funding strategies his Department is considering to ensure hospices remain (a) competitive and (b) sustainable.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Palliative care services are included in the list of services an integrated care board (ICB) must commission. To support ICBs in this duty, NHS England has published statutory guidance and service specifications. The statutory guidance states that ICBs must work to ensure that there is sufficient provision of care services to meet the needs of their local populations, which can include the hospice services available within the ICB catchment.
As set out in the Government’s recently published 10-Year Health Plan, we are determined to shift more care out of hospitals and into the community, to ensure patients and their families receive personalised care in the most appropriate setting. Palliative care and end of life care services, including hospices, will have a big role to play in that shift, and were highlighted in the plan as being an integral part of neighbourhood teams.
I have tasked officials to look at how to improve the access, quality, and sustainability of all- age palliative care and end of life care in line with the 10-Year Health Plan. The Government and the National Health Service will closely monitor the shift towards the strategic commissioning of palliative and end-of-life care services to support a reduction in variation in access and quality, although some variation may be appropriate to reflect both innovation and the needs of local populations.
Asked by: Alberto Costa (Conservative - South Leicestershire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department plans to take to support hospices to (a) attract and (b) retain their workforce.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Most hospices are charitable, independent organisations which receive some statutory funding for providing National Health Services. As independent organisations, charitable hospices are responsible for their own recruitment and employment terms. They are free to develop and adapt their own terms and conditions of employment, including the pay scales. It is for them to determine what is affordable within the financial model they operate.
We are supporting the hospice sector with a £100 million capital funding boost for eligible adult and children’s hospices in England to ensure they have the best physical environment for care. The funding will alleviate immediate pressures on hospice finances, enabling them to invest in infrastructure over the longer term. It will allow hospices to create an improved physical environment with enhanced facilities and will allow them to focus their attention and wider resources on providing the best quality care to patients.
Some hospices, however, are NHS services. We will publish a 10 Year Workforce Plan to create an NHS workforce in England ready to deliver a transformed service. The 10 Year Workforce Plan will ensure the NHS has the right people in the right places, with the right skills to deliver the best care for patients, when they need it. From now on, we will ensure that staff will be better treated, have better training, more fulfilling roles, and hope for the future, so they can achieve more.
Asked by: Alberto Costa (Conservative - South Leicestershire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps the Government is taking to (a) research and (b) mitigate the potential health risks posed by microplastic exposure to humans.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The UK Health Security Agency, in collaboration with Imperial College, is carrying out research and providing evidence to assist the understanding of the potential risks from exposure to micro and nano plastics through inhalational and oral routes. The potential impact of microplastic materials on human health has been assessed by the UK Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment (COT), who made a number of recommendations for further research. The most recent COT statement was published in 2024. The statements are available at the following link:
https://cot.food.gov.uk/M-statementsandpositionpapers#microplastics
Under the 2022/23 UK REACH Work Programme, the Department for Environment Food and Rural Affairs initiated a research proposal to investigate the risks of intentionally added microplastics. The evidence project has reviewed their emissions, and the risks they pose both to human health and the environment. It also included a socio-economic assessment. It will advise on the most effective measures to address any risks and help identify wider evidence gaps that need to be addressed to support a more strategic approach to managing intentionally added microplastics. This project is expected to report in early 2025. The Department for Environment Food and Rural Affairs and the Welsh and Scottish administrations will consider its findings once complete.
Asked by: Alberto Costa (Conservative - South Leicestershire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will review the criteria for ambulance dispatch to ensure that suspected sepsis cases are prioritised; and if he will take steps to ensure that the NHS guidelines on (a) calling 999 and (b) going to A&E are strictly adhered to.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Calls to 999 are triaged to ensure the sickest patients get the fastest response. Suspected sepsis is generally allocated a Category 2 response. This category of response is for emergency incidents that require urgent assessment and rapid transportation.
The Government has committed to returning ambulance response time performance to the standards set out in the NHS Constitution. As a first step the Health Secretary has commissioned Lord Darzi to lead an independent investigation of National Health Service performance, which is due to report in September 2024. We will continue to support the public in accessing the NHS treatment and advice that best meets their needs.
Asked by: Alberto Costa (Conservative - South Leicestershire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent discussions her Department has had with (a) dental practices in South Leicestershire constituency and (b) the Leicester, Leicestershire and Rutland Integrated Care Board on (i) dental contract (A) reform and (B) value, (ii) units of dental activity rates and (iii) taking steps to increase access to dentistry.
Answered by Andrea Leadsom
Integrated care boards (ICBs) are responsible for commissioning National Health Service dental services. Our plan to recover and reform NHS dentistry will make dental services faster, simpler, and fairer for patients, and will fund approximately 2.5 million additional appointments. The plan sets out a number of actions which will improve access for patients, by helping the sector to recover activity more quickly, address underlying issues, and set out the action needed for longer term reform of the system. This includes a new patient premium to support dentists in taking on new NHS patients, an uplift to the minimum Units of Dental Activity (UDA) rate, new dental vans to bring dental care to our most isolated communities, and the Golden Hello incentives to encourage dentists into under-served areas. We are also developing further recommendations for dental contract reform, and will consult with the sector before an announcement on this, later this year.
Data on the number and value of NHS contracts in the Leicester, Leicestershire and Rutland ICB, and the number of UDAs commissioned and delivered, is available on the NHS Business Services Authority’s Open Data Portal, at the following link:
https://www.nhsbsa.nhs.uk/access-our-data-products/open-data-portal-odp
Asked by: Alberto Costa (Conservative - South Leicestershire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an assessment of the potential merits of allowing the use of loyalty card points to buy baby formula.
Answered by Andrea Leadsom
Regulations relating to infant formula set robust nutritional and compositional standards which mean that all infant formula for sale in the United Kingdom are suitable for meeting the nutritional requirements of babies, regardless of price or brand. The regulations also restrict the inappropriate marketing and promotion of infant formula so as not to discourage breastfeeding, which evidence shows delivers the best health outcomes for babies and mothers.
The Department has published guidance on infant and follow-on formula and food for special medical purposes which advises businesses on the implementation of the regulations. Where loyalty or reward card schemes are being used to induce the sale of infant formula, this is prohibited under the regulations. Loyalty and reward card schemes vary between retailers, and it is for businesses to ensure that their activities are in compliance with the regulations. The guidance is available at the following link:
Asked by: Alberto Costa (Conservative - South Leicestershire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether her Department has had recent discussions with (a) NHS England and (b) Derby and Derbyshire Integrated Care Board on transitioning from a clinical commissioning group to an integrated care system; and if her Department will publish guidance on the lessons learned from this process for other integrated care systems and integrated care boards.
Answered by Helen Whately - Shadow Secretary of State for Work and Pensions
NHS England led a transition programme to support the transfer from clinical commissioning groups to integrated care boards (ICBs). Throughout the process, there was careful joint planning and progress monitoring between NHS England and the Department. All 42 ICBs were legally established on 1 July 2022 with no significant transition issues reported.
There are no plans to publish additional guidance, however the Department, via the National Institute for Health and Care Research Policy Research Programme, has recently commissioned an independent research study to evaluate the implementation of the Health and Care Act 2022.
The study aims to understand the different ways that partners within Integrated Care Systems, namely ICBs, integrated care partnerships, and wider system partners) are coming together to design, commission and deliver services, fulfil their duties, and the potential impacts. All study outputs, including interim reports, will be published. An interim report is due in late 2024.
Asked by: Alberto Costa (Conservative - South Leicestershire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the adequacy of his Department's progress towards achieving his Smokefree 2030 targets.
Answered by Neil O'Brien - Shadow Minister (Policy Renewal and Development)
In April, we announced a range of measures to help more people in England quit smoking. These include a new national swap to stop scheme to provide vapes to one million smokers, and a financial incentives scheme to help all pregnant smokers to quit. We are confident that these new measures, in addition to the actions we are already taking, will set us on course to achieve our Smokefree 2030 ambition, and we will monitor progress.
Asked by: Alberto Costa (Conservative - South Leicestershire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what discussions he has had with (a) Cancer Research UK and (b) other relevant stakeholders on the Smokefree 2030 campaign.
Answered by Neil O'Brien - Shadow Minister (Policy Renewal and Development)
The Government consults widely with stakeholders on the Smokefree 2030 ambition. My officials regularly meet with organisations such as Cancer Research UK, as well as other relevant individuals and organisations.
Asked by: Alberto Costa (Conservative - South Leicestershire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the implications for its policies of recent data published by the Office of National Statistics on excess deaths.
Answered by Neil O'Brien - Shadow Minister (Policy Renewal and Development)
The Office for Health Improvement and Disparities works alongside the Office for National Statistics to understand excess deaths. A combination of factors has contributed to these excess deaths, including high flu prevalence, the ongoing challenges of COVID-19 and health conditions such as heart disease and diabetes.
On 24 January 2023, the Government announced that it will publish a Major Conditions Strategy and an interim report will be published in the summer. The strategy will set out a strong and coherent policy agenda that sets out a shift to integrated, whole-person care. The strategy will tackle conditions that contribute most to morbidity and mortality across the population in England including, cancers, cardiovascular disease, including stroke and diabetes, chronic respiratory diseases, dementia, mental ill health and musculoskeletal conditions.