Asked by: Colleen Fletcher (Labour - Coventry North East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what (a) financial and (b) other steps his Department is taking to increase access to NHS dentistry in (i) Coventry, (ii) the West Midlands and (iii) England.
Answered by Neil O'Brien - Shadow Minister (Policy Renewal and Development)
In July 2022, we announced a package of reforms to improve access to National Health Service dentistry, which outlined the steps we are taking to meet oral health need and increase access to dental care. The changes that have been implemented include improvements to ensure dentists are remunerated more fairly for more complex work.
From 1 April 2023, responsibility for commissioning primary care dentistry to meet the needs of the local population has been delegated to all integrated care boards (ICBs) across England. ICBs are responsible for having local processes in place to involve patient groups, and for undertaking oral health needs assessments, to identify areas of need and determine the priorities for investment. Coventry and Warwickshire ICB has proposals that include remobilisation of some dental activity and procurement of new services. The West Midlands ICB has increased investment through various initiatives to support recovery of NHS dental services.
The NHS Long Term Workforce Plan, published on 30 June 2023, sets out the steps the National Health Service and its partners need to take to deliver an NHS workforce that meets the changing needs of the population over the next 15 years. These include a 40% increase to dentistry undergraduate training places by 2031/32.
But we know we need to do more, and that there are some areas where access is particularly problematic. We are working on our Dentistry Recovery Plan which will address how we continue to improve access, particularly for new patients; and how we make NHS work more attractive to ensure NHS dentists are incentivised to deliver more NHS care.
Asked by: Colleen Fletcher (Labour - Coventry North East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of trends in the level of (a) verbal abuse and (b) physical attacks experienced by NHS staff in (i) Coventry, (ii) the West Midlands and (iii) England in each of the last three years; and what steps his Department is taking to protect NHS staff in those areas from such abuse.
Answered by Will Quince
We do not currently have a national mechanism to capture and report incidents of violence and aggression in the National Health Service, as data is held at a local level.
The NHS Staff Survey does ask questions relating to incidences of violence, harassment, and abuse. The 2022 NHS Staff Survey indicated that 14.7% of NHS staff have self-reported that they had experienced at least one incident of physical violence from patients, service users, relatives, or other members of the public in the last 12 months. In addition, 27.8% of NHS staff who completed the survey experience at least one incident of harassment, bullying or abuse in the last 12 months from patients/service users, their relatives, or members of the public. This figure is broadly consistent across previous years. Data extracted from the Staff Survey is provided below for England, Coventry and the West Midlands.
The following table shows the extracted data from the Staff Survey for England, Coventry and the West Midlands relating to Question 13a (‘In the last 12 months how many times have you personally experienced physical violence at work from: Patients / service users, their relatives or other members of the public?):
| 2020 | 2021 | 2022 |
England | 14.8% | 14.4% | 14.7% |
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Coventry |
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University Hospitals Coventry and Warwickshire NHS Trust | 13.9% | 15.3% | 15.0% |
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West Midlands |
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Birmingham and Solihull Mental Health NHS Foundation Trust | 21.6% | 18.6% | 20.3% |
Birmingham Community Healthcare NHS Foundation Trust | 9.2% | 9.7% | 11.1% |
Birmingham Women's and Children's NHS Foundation Trust | 8.4% | 6.4% | 7.8% |
Black Country Healthcare NHS Foundation Trust | 16.2% | 14.1% | 14.3% |
Coventry and Warwickshire Partnership NHS Trust | 15.0% | 14.3% | 14.5% |
Dudley Group NHS Foundation Trust | 14.8% | 14.2% | 12.7% |
Dudley Integrated Health and Care NHS Trust | - | 0.0% | 2.7% |
George Eliot Hospital NHS Trust | 15.2% | 13.6% | 15.0% |
Herefordshire and Worcestershire Health and Care NHS Trust | 13.4% | 11.9% | 11.6% |
Midlands Partnership NHS Foundation Trust | 10.5% | 9.9% | 9.5% |
North Staffordshire Combined Healthcare NHS Trust | 17.3% | 19.0% | 20.0% |
Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust | 5.8% | 4.6% | 6.0% |
Royal Orthopaedic Hospital NHS Foundation Trust | 3.4% | 4.8% | 7.4% |
Royal Wolverhampton NHS Trust | 11.6% | 12.4% | 10.9% |
Sandwell and West Birmingham Hospitals NHS Trust | 12.0% | 12.9% | 13.8% |
Shrewsbury and Telford Hospital NHS Trust | 13.0% | 14.1% | 14.1% |
Shropshire Community Health NHS Trust | 7.8% | 6.8% | 8.4% |
South Warwickshire NHS Foundation Trust | 10.1% | 11.3% | 12.2% |
University Hospitals Birmingham NHS Foundation Trust | 14.3% | 13.8% | 12.9% |
University Hospitals Coventry and Warwickshire NHS Trust | 13.9% | 15.3% | 15.0% |
University Hospitals of North Midlands NHS Trust | 16.9% | 14.3% | 16.4% |
Walsall Healthcare NHS Trust | 12.2% | 14.3% | 14.6% |
West Midlands Ambulance Service University NHS Foundation Trust | 36.3% | 37.4% | 35.1% |
Worcestershire Acute Hospitals NHS Trust | 12.6% | 13.4% | 12.3% |
Wye Valley NHS Trust | 13.4% | 14.4% | 11.9% |
The following table shows the extracted data from the Staff Survey for England, Coventry and the West Midlands relating to Question 14a (‘In the last 12 months how many times have you personally experienced harassment, bullying or abuse at work from patients/service users, their relatives or other members of the public?’):
| 2020 | 2021 | 2022 |
England | 27.0% | 27.7% | 27.8% |
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Coventry |
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University Hospitals Coventry and Warwickshire NHS Trust | 27.4% | 29.8% | 29.4% |
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West Midlands |
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Birmingham and Solihull Mental Health NHS Foundation Trust | 20.0% | 15.5% | 17.3% |
Birmingham Community Healthcare NHS Foundation Trust | 22.7% | 23.9% | 25.7% |
Birmingham Women's and Children's NHS Foundation Trust | 24.0% | 24.7% | 23.6% |
Black Country Healthcare NHS Foundation Trust | 27.0% | 26.1% | 26.3% |
Coventry and Warwickshire Partnership NHS Trust | 22.9% | 26.0% | 23.8% |
Dudley Group NHS Foundation Trust | 26.1% | 25.6% | 24.8% |
Dudley Integrated Health and Care NHS Trust | - | 20.0% | 23.9% |
George Eliot Hospital NHS Trust | 26.6% | 26.7% | 28.1% |
Herefordshire and Worcestershire Health and Care NHS Trust | 26.6% | 26.2% | 27.6% |
Midlands Partnership NHS Foundation Trust | 23.5% | 21.9% | 21.1% |
North Staffordshire Combined Healthcare NHS Trust | 26.5% | 28.6% | 25.7% |
Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust | 14.9% | 18.0% | 16.4% |
Royal Orthopaedic Hospital NHS Foundation Trust | 15.0% | 18.8% | 19.5% |
Royal Wolverhampton NHS Trust | 26.7% | 25.9% | 25.9% |
Sandwell and West Birmingham Hospitals NHS Trust | 28.7% | 29.6% | 29.8% |
Shrewsbury and Telford Hospital NHS Trust | 26.2% | 29.5% | 27.6% |
Shropshire Community Health NHS Trust | 19.1% | 19.8% | 21.1% |
South Warwickshire NHS Foundation Trust | 25.1% | 28.1% | 25.5% |
University Hospitals Birmingham NHS Foundation Trust | 25.2% | 25.0% | 26.2% |
University Hospitals Coventry and Warwickshire NHS Trust | 27.4% | 29.8% | 29.4% |
University Hospitals of North Midlands NHS Trust | 24.6% | 25.8% | 29.4% |
Walsall Healthcare NHS Trust | 30.0% | 29.7% | 27.3% |
West Midlands Ambulance Service University NHS Foundation Trust | 48.2% | 50.6% | 49.0% |
Worcestershire Acute Hospitals NHS Trust | 25.6% | 28.0% | 25.2% |
Wye Valley NHS Trust | 29.1% | 28.3% | 31.0% |
NHS England has commissioned several data insight workstreams to better understand the current landscape of statistics, data reporting and associated challenges. This includes a national review of all available data and intelligence sources and an analysis of the costs of violence to the health care system in England and a review of the impact on the safety and wellbeing of NHS staff.
Tackling violence against NHS staff is largely an employer led issue, with NHS organisations responsible for putting in place their own policies and procedures to support staff, giving them access to appropriate training and making appropriate arrangements for security.
NHS England established a NHS Violence Reduction Programme in 2019, which aims to prevent and reduce violence and aggression from patients, their families and the public, and mitigate the effects of violence and abuse on NHS staff.
In 2022, the Government legislated through the Police, Crime, Sentencing and Courts Act to double the sentence for assaults on emergency workers to a maximum of two years.
Asked by: Colleen Fletcher (Labour - Coventry North East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to tackle disparities in health outcomes for women in (a) Coventry North East constituency, (b) Coventry, (c) the West Midlands and (d) England.
Answered by Maria Caulfield
The Women’s Health Strategy sets out how the Government is tackling disparities in health outcomes for women across England. Achievements since the launch of the strategy include appointing the first Women’s Health Ambassador for England; investing £25 million funding in the expansion of women’s health hubs to improve women’s access to services and to create efficiencies for the National Health Service; reducing the cost of hormone replacement therapy (HRT) through the launch of the HRT prescription pre-payment certificate; and creating a women’s health area on NHS.uk to bring together women’s health content and create a first port of call for women seeking information.
Integrated care boards are responsible for commissioning services that meet the health needs of their local population.
Asked by: Colleen Fletcher (Labour - Coventry North East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the implications for his policies of childhood obesity levels in (a) Coventry North East constituency, (b) Coventry, (c) the West Midlands and (d) England; and what steps his Department is taking to tackle childhood obesity in each of those areas.
Answered by Neil O'Brien - Shadow Minister (Policy Renewal and Development)
The National Child Measurement Programme (NCMP) collects data on children aged four to five years old (Reception) and 10 to 11 years old (Year 6). Data on obesity prevalence from the NCMP in the academic year 2021-22 is provided in the table below. Data is not available at Parliamentary constituency level but is available at local authority, regional and England levels.
Percentage of children living with obesity | ||
Area | Reception (%) | Year 6 (%) |
Coventry | 10.4 | 26.7 |
West Midlands | 11.3 | 26.2 |
England | 10.1 | 23.4 |
Local authorities and the National Health Service provide weight management services to support children and families to achieve and maintain a healthier weight. Local authorities can fund behavioural weight management services from their Public Health Grant.
In England, new regulations on out-of-home calorie labelling for food sold in large businesses, including restaurants, cafes and takeaways, came into force in April 2022. Restrictions on the placement of less healthy products in key selling locations in store and online came into force on 1 October 2022. The location restrictions are the single most impactful obesity policy in reducing children’s calorie consumption, and are expected to accrue health benefits of over £57 billion and provide NHS savings of over £4 billion over the next 25 years.
We are also working with the food industry to make further progress on reformulation and ensure it is easier for the public to make healthier choices. We have seen important successes including the average sugar content of drinks subject to the Soft Drinks Industry Levy decreasing by 46% between 2015 and 2020. There has also been success in some categories of the sugar reduction programme, including a 14.9% reduction of sugar in retailer- and manufacturer-branded breakfast cereals and a 13.5% reduction in yogurts and fromage frais.
Asked by: Colleen Fletcher (Labour - Coventry North East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to tackle health inequalities in (a) Coventry North East constituency, (b) Coventry, (c) the West Midlands and (d) England.
Answered by Neil O'Brien - Shadow Minister (Policy Renewal and Development)
In the white paper ‘Levelling Up the United Kingdom’, published in February 2022, the Government set out a levelling up health mission to narrow the gap in healthy life expectancy (HLE) between local areas where it is highest and lowest by 2030, and increase HLE by five years by 2035. A range of action is being taken forward which will support progress on the health mission, including the development of a Major Conditions Strategy on which an interim report will be published in the summer.
The Office of Health Improvement and Disparities’ (OHID) regional teams work closely with Local Directors of Public Health to ensure the ring-fenced public health grant funds evidence-based activity to improve health and tackle health inequalities. The public health grant funding allocated to Coventry for 2023/24 was £23,962,345. In addition to the grant, an additional £709,229 was allocated to invest in the local authority’s drug misuse services as part of the National Drug Strategy.
Coventry is one of 75 English local authority areas receiving funding through the Family Hubs and Start for Life programme. This programme aims to improve outcomes for babies, children and families by improving access to local services, with a particular focus on the first 1001 days from conception to age two. This will contribute to a reduction in inequalities in health and education outcomes in Coventry, the West Midlands, and across England. Coventry is also one of the existing Targeted Lung Health Check pilots which have been rolled out to deprived areas with the highest level of lung cancer mortality.
TARGET DATE 18/07/2023
OHID’s regional team works alongside NHS England Midlands and integrated care systems to tackle healthcare inequalities embedding the Core20PLUS5 for children and adults. The approach defines a target population, the ‘Core20PLUS’, and identifies ‘5’ focus clinical areas requiring accelerated improvement. Work continues with West Midlands Combined Authority to take forward a health in all policies approach across the wider determinants of health.
Asked by: Colleen Fletcher (Labour - Coventry North East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of trends in the length of waiting lists for mental health services in (a) Coventry North East constituency, (b) Coventry, (c) the West Midlands and (d) England.
Answered by Maria Caulfield
No assessment has been made as national access and waiting times standards for these services in England has not yet been defined or set.
We are working with NHS England on the introduction of new waiting time standards for both children and young people’s community-based mental health services and urgent referrals across all ages to community-based mental health crisis services as part of its clinically led review of National Health Service access standards. A date for their introduction has not yet been set.
Asked by: Colleen Fletcher (Labour - Coventry North East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate he has made of the average waiting time for children and adolescent mental health services in (a) Coventry, (b) the West Midlands and (c) England; and what steps his Department is taking to reduce waiting lists for those services in those areas.
Answered by Maria Caulfield
No such estimates have been made as a national access and waiting times standard for children and young people’s mental health services in England has not yet been defined or set. However, we are aware that the rise in demand for children and young people’s mental health services has meant an increase in waiting times for some people.
The NHS Long Term Plan commits to increasing investment into mental health services by at least an additional £2.3 billion a year by March 2024. This will allow 345,000 more children and young people, including children and young people to access National Health Service-funded mental health support and improve waiting times.
NHS England has also consulted on the potential to introduce a waiting time standard for children, young people and their families/carers presenting to community-based mental health services, to start to receive care within four weeks from referral. We are now working with NHS England on the next steps.
Asked by: Colleen Fletcher (Labour - Coventry North East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will make an assessment of the potential cost of establishing a patient travel fund for (a) stem cell transplant and (b) chimeric antigen receptor T-cell therapy recipients.
Answered by Neil O'Brien - Shadow Minister (Policy Renewal and Development)
There are no plans to assess the potential cost of establishing a patient travel fund for stem cell transplant and chimeric antigen receptor T-cell (CAR-T) therapy recipients. The Non-Emergency Patient Transport Services (NEPTS) provide funded transport where it is considered essential to ensuring an individual’s safety, safe mobilisation, condition management or recovery.
Depending on a patient’s financial circumstances, they may be eligible for financial support with costs via the NHS Low Income Scheme and Healthcare Travel Costs Scheme. This is aimed specifically at those with a low income and allows patients to claim for all or part their travel costs should they meet the eligibility criteria.
Asked by: Colleen Fletcher (Labour - Coventry North East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what proportion of stem cell transplant patients and their families have accessed the NHS Healthcare Travel Costs Scheme in England in the last year.
Answered by Neil O'Brien - Shadow Minister (Policy Renewal and Development)
The information requested is not held centrally.
Asked by: Colleen Fletcher (Labour - Coventry North East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many and what proportion of people waiting for community musculoskeletal services were provided with an appointment within (a) four and (b) 12 weeks of referral in the past year.
Answered by Helen Whately - Shadow Secretary of State for Work and Pensions
NHS England does not hold data on how many people waiting for community musculoskeletal services were provided with an appointment within a certain time of referral in the past year.