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Written Question
Roads: Finance
Wednesday 29th November 2023

Asked by: Greg Smith (Conservative - Buckingham)

Question to the Department for Transport:

To ask the Secretary of State for Transport, what recent assessment he has made of the adequacy of highways funding for (a) Buckinghamshire and (b) England.

Answered by Guy Opperman - Parliamentary Under-Secretary (Department for Transport)

Local highway authorities across England are set to benefit from an £8.3 billion boost in funding for highway maintenance, the biggest ever increase in funding for local roads. This funding is in addition to local transport funding from the last Spending Review and in addition to what local authorities were expecting to receive. Buckinghamshire will receive a minimum additional overall uplift of £51 million between 2023-24 and 2033-34, which should allow it to make major improvements to the condition of its local roads.


Written Question
Mobile Phones: Rural Areas
Wednesday 15th November 2023

Asked by: Greg Smith (Conservative - Buckingham)

Question to the Department for Science, Innovation & Technology:

o ask the Secretary of State for Science, Innovation and Technology, what assessment she has made of the adequacy of mobile connectivity in rural areas.

Answered by John Whittingdale

Almost 93% of the UK benefits from good quality 4G coverage from at least one mobile network operator, but we know more needs to be done in rural areas.

Our £1bn Shared Rural Network agreement with industry, will increase coverage to 95% by the end of 2025, supporting rural businesses and communities.

Ofcom is also looking at the accuracy of coverage reporting to ensure it better reflects people’s experiences over coverage.


Written Question
Mahmoud Abbas
Friday 15th September 2023

Asked by: Greg Smith (Conservative - Buckingham)

Question to the Foreign, Commonwealth & Development Office:

To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, what recent assessment he has made of the implication for his polices of reported anti-Semitic comments by the President of the Palestinian Authority Mahmoud Abbas in the context of the Middle East Peace Process.

Answered by David Rutley - Parliamentary Under-Secretary (Foreign, Commonwealth and Development Office)

The UK condemns the recent antisemitic remarks made by President Abbas. The UK stands firmly against all attempts to distort the Holocaust. Such statements do not advance efforts towards reconciliation. President Abbas' comments are completely unacceptable and can only serve to exacerbate tensions and undermine efforts to achieve a negotiated two-state solution that is in the interests of both Israelis and Palestinians. Officials at the British Consulate General in Jerusalem have raised this matter with the Palestinian Authority and the Foreign Secretary intends to do the same during his visit to the Occupied Palestinian Territories.


Written Question
Endoscopy: Thames Valley
Monday 24th July 2023

Asked by: Greg Smith (Conservative - Buckingham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent assessment his Department has made of potential barriers to reducing endoscopy waiting lists in (a) Buckinghamshire, Oxfordshire and Berkshire West Integrated Care System and (b) Buckinghamshire Healthcare NHS Trust.

Answered by Will Quince

£2.3 billion was awarded at the 2021 Spending Review to transform diagnostic services over the next three years to increase diagnostic capacity, including for endoscopy services. This funding will also increase the number of community diagnostic centres (CDCs) up to 160 by March 2025, including a number delivering endoscopy services.

In 2022/23, Buckinghamshire, Oxfordshire and Berkshire West Integrated Care System (ICS) spent a total of £24,790,510 on all diagnostic services. Of this, £5,179,888 (21%), was spent on diagnostic endoscopy procedures at Buckinghamshire Healthcare NHS Trust.

Cutting National Health Service waiting lists, including for endoscopy services, is one of the Government’s top priorities. This is a shared ambition amongst ICSs, including Buckinghamshire, Oxfordshire and Berkshire West ICS. Priorities are set locally through joint strategic needs assessments as part of joint forward plans across the ICS and partnering NHS trusts.

In October 2021, Buckinghamshire, Oxfordshire and Berkshire West ICS opened West Berkshire Community Hospital CDC. West Berkshire Community Hospital CDC has since delivered 4,492 additional endoscopy tests closer to people’s homes, supporting earlier access to endoscopy procedures. Additional endoscopy capacity from new CDCs within the ICS will also start to come onstream later this year. This includes North Bedfordshire CDC (Whitehouse Health Centre), which will be located in the Buckingham constituency. Endoscopy services at these CDCs may be offered to the Buckingham population where convenient, to improve their access to diagnostic care.

The Government has not made a recent assessment of the barriers to reducing endoscopy waiting lists in the Buckinghamshire, Oxfordshire and Berkshire West ICS. It is the responsibility of individual ICSs to work with NHS England to understand local barriers to delivering the required diagnostics services, including endoscopy, and to implement appropriate waiting list solutions based on local need.


Written Question
Endoscopy: Thames Valley
Monday 24th July 2023

Asked by: Greg Smith (Conservative - Buckingham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what proportion of Buckinghamshire, Oxfordshire and Berkshire West Integrated Care System's diagnostic funding was spent on diagnostic endoscopy procedures in Buckinghamshire NHS Healthcare Trust in 2022-23.

Answered by Will Quince

£2.3 billion was awarded at the 2021 Spending Review to transform diagnostic services over the next three years to increase diagnostic capacity, including for endoscopy services. This funding will also increase the number of community diagnostic centres (CDCs) up to 160 by March 2025, including a number delivering endoscopy services.

In 2022/23, Buckinghamshire, Oxfordshire and Berkshire West Integrated Care System (ICS) spent a total of £24,790,510 on all diagnostic services. Of this, £5,179,888 (21%), was spent on diagnostic endoscopy procedures at Buckinghamshire Healthcare NHS Trust.

Cutting National Health Service waiting lists, including for endoscopy services, is one of the Government’s top priorities. This is a shared ambition amongst ICSs, including Buckinghamshire, Oxfordshire and Berkshire West ICS. Priorities are set locally through joint strategic needs assessments as part of joint forward plans across the ICS and partnering NHS trusts.

In October 2021, Buckinghamshire, Oxfordshire and Berkshire West ICS opened West Berkshire Community Hospital CDC. West Berkshire Community Hospital CDC has since delivered 4,492 additional endoscopy tests closer to people’s homes, supporting earlier access to endoscopy procedures. Additional endoscopy capacity from new CDCs within the ICS will also start to come onstream later this year. This includes North Bedfordshire CDC (Whitehouse Health Centre), which will be located in the Buckingham constituency. Endoscopy services at these CDCs may be offered to the Buckingham population where convenient, to improve their access to diagnostic care.

The Government has not made a recent assessment of the barriers to reducing endoscopy waiting lists in the Buckinghamshire, Oxfordshire and Berkshire West ICS. It is the responsibility of individual ICSs to work with NHS England to understand local barriers to delivering the required diagnostics services, including endoscopy, and to implement appropriate waiting list solutions based on local need.


Written Question
Endoscopy: Buckingham
Monday 24th July 2023

Asked by: Greg Smith (Conservative - Buckingham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps Buckinghamshire, Oxfordshire and Berkshire West Integrated Care System plans to take to increase capacity levels for endoscopy procedures for patients in Buckingham constituency.

Answered by Will Quince

£2.3 billion was awarded at the 2021 Spending Review to transform diagnostic services over the next three years to increase diagnostic capacity, including for endoscopy services. This funding will also increase the number of community diagnostic centres (CDCs) up to 160 by March 2025, including a number delivering endoscopy services.

In 2022/23, Buckinghamshire, Oxfordshire and Berkshire West Integrated Care System (ICS) spent a total of £24,790,510 on all diagnostic services. Of this, £5,179,888 (21%), was spent on diagnostic endoscopy procedures at Buckinghamshire Healthcare NHS Trust.

Cutting National Health Service waiting lists, including for endoscopy services, is one of the Government’s top priorities. This is a shared ambition amongst ICSs, including Buckinghamshire, Oxfordshire and Berkshire West ICS. Priorities are set locally through joint strategic needs assessments as part of joint forward plans across the ICS and partnering NHS trusts.

In October 2021, Buckinghamshire, Oxfordshire and Berkshire West ICS opened West Berkshire Community Hospital CDC. West Berkshire Community Hospital CDC has since delivered 4,492 additional endoscopy tests closer to people’s homes, supporting earlier access to endoscopy procedures. Additional endoscopy capacity from new CDCs within the ICS will also start to come onstream later this year. This includes North Bedfordshire CDC (Whitehouse Health Centre), which will be located in the Buckingham constituency. Endoscopy services at these CDCs may be offered to the Buckingham population where convenient, to improve their access to diagnostic care.

The Government has not made a recent assessment of the barriers to reducing endoscopy waiting lists in the Buckinghamshire, Oxfordshire and Berkshire West ICS. It is the responsibility of individual ICSs to work with NHS England to understand local barriers to delivering the required diagnostics services, including endoscopy, and to implement appropriate waiting list solutions based on local need.


Written Question
Radiology: South East
Wednesday 5th July 2023

Asked by: Greg Smith (Conservative - Buckingham)

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 the impact of the shortfall in clinical radiology consultants in the South East region on (a) diagnostic waiting times, (b) patient outcomes and (c) staff wellbeing in the region.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

In the South East region, local systems are taking steps to address diagnostic waiting times, patient outcomes and staff wellbeing in the area. These include initiatives such as upskilling other staff such as radiographers to undertake advanced practice; investing over £40 million in digital infrastructure while working with industry partners around artificial intelligence and machine learning solutions; rolling out the i-refer system to support general practitioners (GPs) to appropriately refer for imaging tests; creating imaging networks to enable departments to provide mutual support and aid across the region.

£2.3 billion was awarded at Spending Review 2021 to transform diagnostic services over the next three years including increasing the number of Community Diagnostic Centres up to 160 by March 2025. This investment will support the ambition for 75% of patients with an urgent GP referral for suspected cancer to be diagnosed or have cancer ruled out within 28 days by March 2024. This is in line with to NHS Long Term Plan ambitions on early diagnosis and improving patient outcomes.

The health and wellbeing of National Health Service staff is taken seriously, and NHS England have put in place a wide ranging package of support for NHS staff. This includes emotional and psychological health and wellbeing support.


Written Question
Cancer
Wednesday 5th July 2023

Asked by: Greg Smith (Conservative - Buckingham)

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 to minimise the potential impact of the shortfall of clinical oncology consultants on (a) diagnostic waiting times, (b) patient outcomes and (c) staff wellbeing.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

In the South East region, local systems are taking steps to address diagnostic waiting times, patient outcomes and staff wellbeing in the area. These include initiatives such as upskilling other staff such as radiographers to undertake advanced practice; investing over £40 million in digital infrastructure while working with industry partners around artificial intelligence and machine learning solutions; rolling out the i-refer system to support general practitioners (GPs) to appropriately refer for imaging tests; creating imaging networks to enable departments to provide mutual support and aid across the region.

£2.3 billion was awarded at Spending Review 2021 to transform diagnostic services over the next three years including increasing the number of Community Diagnostic Centres up to 160 by March 2025. This investment will support the ambition for 75% of patients with an urgent GP referral for suspected cancer to be diagnosed or have cancer ruled out within 28 days by March 2024. This is in line with to NHS Long Term Plan ambitions on early diagnosis and improving patient outcomes.

The health and wellbeing of National Health Service staff is taken seriously, and NHS England have put in place a wide ranging package of support for NHS staff. This includes emotional and psychological health and wellbeing support.


Written Question
Rheumatology: Health Professions
Friday 23rd June 2023

Asked by: Greg Smith (Conservative - Buckingham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether he plans to increase the number of NHS staff providing rheumatology care in the (a) Buckinghamshire, (b) Oxfordshire and (c) West Berkshire Integrated Care Board area and (d) England.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

No assessment has been made. Rheumatology services are generally commissioned locally by integrated care boards which have a statutory responsibility to commission healthcare services that meet the needs of their whole population.

The Government has committed to publishing the Long-Term Workforce Plan shortly. This will include projections for the number of doctors, nurses and other professionals that will be needed. The plan will provide estimates of NHS workforce as a whole; however, it will not go into detail about condition-specific workforce, such as for rheumatology. The recruitment of staff for multi-disciplinary rheumatology teams is for local determination.


Written Question
Rheumatology: Buckinghamshire
Friday 23rd June 2023

Asked by: Greg Smith (Conservative - Buckingham)

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 adequacy of the provision of rheumatology care in Buckinghamshire in the last (a) 12 and (b) 24 months.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

No assessment has been made. Rheumatology services are generally commissioned locally by integrated care boards which have a statutory responsibility to commission healthcare services that meet the needs of their whole population.

The Government has committed to publishing the Long-Term Workforce Plan shortly. This will include projections for the number of doctors, nurses and other professionals that will be needed. The plan will provide estimates of NHS workforce as a whole; however, it will not go into detail about condition-specific workforce, such as for rheumatology. The recruitment of staff for multi-disciplinary rheumatology teams is for local determination.