Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking to tackle staffing shortages in the hospice sector.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
NHS England is seeking to address workforce shortages, particularly in community care, through the NHS Long Term Workforce Plan (LTWP). The LTWP, published in 2023, sets out the steps the National Health Service and its partners need to take to grow the NHS workforce and deliver an NHS workforce that meets the changing needs of the population over the next 15 years. The LTWP aims to grow the number and proportion of NHS staff working in mental health, primary, and community care, and sets out an ambition to grow these roles 73% by 2036/37.
Most hospices are independent, charitable organisations which develop and adapt their own terms and conditions of employment. The Government has provided £60 million in additional funding to deliver one-off payments to over 27,000 eligible staff employed by non-NHS organisations, including hospices, with contracts to deliver NHS services, and which employ their staff on dynamically linked Agenda for Change contracts.
Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
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 impact of hospice services on trends in the level of hospital admissions in (a) Lewisham and (b) England.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
The Department does not hold data that would enable us to make an assessment of the potential impact of hospice services on trends in the level of hospital admissions in Lewisham or England.
Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
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 recent trends in the number of people with eating disorders.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
There was a huge increase in the number of children and young people in need of eating disorder services due to the pandemic. 8,034 children and young people started treatment in 2019/20, compared to 2022/23, where 11,807 children and young people starting treatment, an increase of 47%. The Department and NHS England are working hard to ensure that everyone has access to the treatment they need.
The Department is providing record investment in mental health services, including for eating disorders services, with £15.9 billion across 2022/23, representing 27.7% more funding than in 2018/19. This includes increasing funding into children and young people's community eating disorder services every year, with funding for eating disorder services increasing by £54 million in 2023/24.
Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what support she is providing for people with eating disorders.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
There was a huge increase in the number of children and young people in need of eating disorder services due to the pandemic. 8,034 children and young people started treatment in 2019/20, compared to 2022/23, where 11,807 children and young people starting treatment, an increase of 47%. The Department and NHS England are working hard to ensure that everyone has access to the treatment they need.
The Department is providing record investment in mental health services, including for eating disorders services, with £15.9 billion across 2022/23, representing 27.7% more funding than in 2018/19. This includes increasing funding into children and young people's community eating disorder services every year, with funding for eating disorder services increasing by £54 million in 2023/24.
Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to ensure that NHS integrated care boards commission (a) end-of-life and (b) other palliative care for people in all age groups.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
While the National Health Service has always been required to commission appropriate palliative and end of life care services to meet the reasonable needs of their population, in 2022, palliative care services were added to the list of services an integrated care board (ICB) must commission, promoting a more consistent national approach and supporting commissioners in prioritising palliative and end of life care in all settings. To support ICBs in this duty, NHS England has published statutory guidance and service specifications for both adults and children.
From April 2024, NHS England will include palliative and end of life care in the list of topics for its regular performance discussions between national and regional leads. Additionally, NHS England has commissioned the development of a palliative and end of life care dashboard, which brings together relevant, all age local data in one place. The dashboard helps commissioners understand the palliative and end of life care needs of both adults and children in their local population, enabling ICBs to put plans in place to address and track the improvement of health inequalities.
NHS England has also funded seven Palliative and End of Life Care Strategic Clinical Networks, each with a dedicated Children and Young People Lead. These networks support commissioners in the delivery of outstanding clinical and personalised care for people in the last year of life and reduce local variation.
Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she plans to issue guidance to children’s hospices on changes in the distribution of the Children’s Hospice Grant for the 2024-25 financial year.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
NHS England has confirmed it will renew the Children and Young People hospice funding for 2024/25, again allocating £25 million of funding for children’s hospices, using the same prevalence-based allocation approach as previously used. Funding will be distributed via integrated care boards (ICBs), in line with National Health Service devolution.
NHS England wrote to all ICBs and children’s hospices on 9 April 2024 to confirm the new arrangements, providing the sector with the clarity on 2024/25 allocations they have been seeking, for this very important funding stream.
Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to tackle the shortage of children’s nurses in hospices across the UK.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
NHS England is seeking to address shortages in the workforce, and particularly in community care, through the NHS Long Term Workforce Plan (LTWP). The LTWP, published in 2023, sets out the steps the National Health Service and its partners need to take to grow the workforce, and deliver a workforce that meets the changing needs of the population over the next 15 years. It will put the workforce on a sustainable footing for the long term. The LTWP aims to grow the number and proportion of NHS staff working in mental health, and primary and community care, and sets out an ambition to grow these roles by 73%, by 2036/37.
The Department has delivered on the Government’s commitment of 50,000 additional nurses, with over 363,000 nurses working across the NHS, which is over 62,000, or 20.7% more than September 2019. More widely, data for September 2023 from the Nursing and Midwifery Council shows there are over 58,300 registered children’s nurses across the United Kingdom. This is over 6,500, or 12.7%, more than in 2019.
Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she has made an assessment of the potential impact of the Any Hours and Any Speciality schemes used by Lewisham and Greenwich NHS Trust on (a) maternity staff retention rates and (b) career progression among midwives.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Any Hours is a programme that allows for more flexible working hours and patterns. Wherever there are shifts that are unfilled, Any Hours allows midwives to choose when, where, and the number of hours they want to work. Lewisham and Greenwich NHS Trust data shows that since the Any Hours Scheme was enacted, it has released, on average, 300 hours a month, equalling two whole time equivalent midwives’ released every month. The Any Hours programme is expected to be featured as a case study by NHS England.
Any Specialty is a programme to encourage all Band 6 midwives to spend 15 hours a month, or two days, in a different speciality of their choice. This allows colleagues to improve the competencies and skills needed to help their career progression, or even to directly apply to a specialist midwife role at the trust. To date, specialties have recruited nine midwives following Any Specialty contact at Lewisham and Greenwich NHS Trust.
Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she has made an assessment of the potential benefits of introducing more flexible working arrangements for maternity staff in NHS services.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Flexible working arrangements, or We work flexibly, is one of the elements contained in the NHS People Promise, with a commitment to deliver for staff, including midwives, by 2024/25. NHS England has created and shared flexible working arrangement resources, and delivered bespoke webinars and workshops on the issue. They have also brought together midwifery leaders from across the system to share good practice, foster collaboration, and support the implementation of flexible working across maternity services.
In September 2021, contractual changes took effect for employees covered by the NHS Terms and Conditions of Service Handbook, which includes the right to request flexible working from day one, without the need to provide a justification.
Flexible working is one of the key pillars of improving staff experience and retention, as set out in the Long Term Workforce Plan. It will contribute to the aim of retaining up to 130,000 more staff over the course of the plan. However, no assessment of the benefits of introducing more flexible working arrangements specifically for maternity staff has been made.
Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
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 estimate of the average time taken to diagnose pancreatic cancer in Lewisham West and Penge constituency.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Data on the average time taken to diagnose pancreatic cancer is not published by NHS England who are responsible for publishing cancer waiting times data. NHS England is working to meet the Faster Diagnosis Standard (FDS), which sets a target of 28 days from urgent referral by a general practitioner or screening programme to patients being told that they have cancer, or that cancer is ruled out. Latest published data from February 2024 shows FDS performance was 78.1% nationally. Of those patients referred to Lewisham and Greenwich NHS Trust in February 2024, 81.2% received a diagnosis or ruling out of cancer within four weeks which was above the 75% standard. For the same period 76.2% of patients referred to providers part of NHS South East London Integrated Care Board received a diagnosis or ruling out of cancer within 28 days.
Data on FDS does not individualise pancreatic cancer specifically, however it does include suspected upper gastrointestinal (GI) cancer, which encompasses pancreatic cancer, at provider level. Of those patients referred to Lewisham and Greenwich NHS Trust for suspected GI cancer in February 2024, 82.3% received a diagnosis or ruling out of cancer within four weeks.
The Department is taking steps to reduce cancer treatment waiting times across England, including the time between an urgent general practitioner referral and the commencement of treatment. The Government is working jointly with NHS England on implementing the delivery plan for tackling the COVID-19 backlogs in elective care and plans to spend more than £8 billion from 2022/23 to 2024/25 to help drive up and protect elective activity, including cancer diagnosis and treatment activity.