NHS Federated Data Platform
Debate between Iqbal Mohamed and Zubir Ahmed(3 days, 3 hours ago)
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The Parliamentary Under-Secretary of State for Health and Social Care (Dr Zubir Ahmed)
It is always a pleasure to serve under your chairmanship, Dame Siobhain. I am grateful to the hon. Member for Newton Abbot (Martin Wrigley) for securing this important debate and for his and other hon. Members’ contributions to it. Of course, we should also welcome the hon. Member for Solihull West and Shirley (Dr Shastri-Hurst) to his place in his first debate on the Front Bench.
We have heard a lot about concerns and insights and interpretations about the NHS’s technological architecture. Some would have us think that the FDP is synonymous with just one company. It is not. The FDP is fundamentally an NHS construct. It consists of multiple contracts awarded to a number of consortia, including Palantir, Accenture, PwC, Carnall Farrar and the North of England Care System Support. Each of those have different responsibilities to make sure that there is training, health expertise and security in the FDP.
Ultimately, the FDP is a federation of local trusts and ICBs within NHS England, each with their own version of the FDP and their own abilities to decide which information they put there on the basis of their own service needs and governance arrangements. Although there should be scrutiny of Palantir and of any contract, we should also provide clarity about what the FDP is delivering for the NHS. It is my duty to make sure that the FDP is improving patient and clinical experience and improving patient outcomes.
Making the best use of data generated by the NHS and social care is essential to transforming services, improving outcomes for patients and making sure that we use resources in the best manner possible. Lord Darzi’s independent investigation into the NHS found that, despite huge volumes of data, fundamentally:
“The last decade was a missed opportunity to prepare the NHS”
to use the latest technologies.
The FDP is part of an infrastructure—it is not the infrastructure or the only infrastructure—resolve that gap. It is improving efficiency and generating savings across the health service worth up to £2.4 billion, according to independent estimates. Those independent estimates are being further bolstered by a commissioned study by Imperial College that will look at the economic impact of the FDP. It is an important tool for us being able to make the NHS fit for the future on clinical efficiency, transparency of data and outcomes for patients up and down the country.
Before I go into more detail about what the FDP does, it is important that I say what it does not do. For instance, it is not synonymous with the single patient record, the NHS app or—necessarily—with linking primary care data with secondary care data.
Dr Ahmed
I am going to carry on for a bit longer.
The hon. Member for Aberdeenshire North and Moray East (Seamus Logan) tempts me with his speech, and he knows that I cannot resist his temptation. He spoke about Scotland and he will know that I am an NHS surgeon in Scotland. I hope he thinks that I can speak with some authority about the NHS in Scotland, so let me tell him a few things about the digital architecture in the NHS there.
The NHS app has been running successfully in England for over eight years. Three out of four people in the NHS in England have that app. To clarify, the app is not Palantir; it has been devised organically on the ground by NHS England—by clinicians and by technologists. It now serves millions of patients to book test results, screenings and appointments—including GP appointments —to end the 8 am rush.
The hon. Member for Aberdeenshire North and Moray East spoke about the MyCare app in Scotland. That remains a far-fetched dream rather than a reality. The limit of the ambition of that app seems to be, as I understand it, a dermatology service in one part of Scotland called Lanarkshire, for those who are not familiar with Scotland. It is a million miles away from what has been developed down here in England.
Dr Ahmed
I will not; I am going to carry on—and I will tell the hon. Gentleman something further. The NHS in England was quite happy to use the expertise of technologists up and down the country, including in Scotland—including, in my own constituency of Glasgow South West, a company called Cohesion Medical. His Government in Scotland, who have been in government for over 20 years, refused that offer. That is why my patients and constituents in Scotland are unable to access simple digital services. It is why my patients and my constituents under NHS Scotland are 30 times more likely to wait over two years for treatment. It is why my patients and my constituents in Scotland are unable to access optimal stroke therapy and lung cancer screening.
The NHS federated data platform in England connects health information held in different systems, helping to manage activity to improve productivity and outcomes. By connecting critical data streams, it can accelerate diagnosis pathways, streamline discharge processes and ensure faster, more co-ordinated care that reduces waiting times for all patients.
I will briefly describe a couple of examples. North Tees and Hartlepool NHS foundation trust uses an FDP product called OPTICA to map the patient’s journey from being admitted to going home. It used to be done with spreadsheets, which were not always updated. Because of that, discharges were delayed, medicines were not sorted on time—in some cases time-critical medicines, causing real patient harm—and patients were therefore impacted. OPTICA lets the trust see all that information in one place in real time. It has reduced the number of long stays by a third, and despite a 7% increase in admissions over that time, we are improving services overall.
ADHD Diagnosis
Debate between Iqbal Mohamed and Zubir Ahmed(2 months, 4 weeks ago)
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Dr Ahmed
I thank my hon. Friend for her very valid point. It is important to mention that we expect that the prevalence review will align with the review that the Department for Work and Pensions is carrying out on employability and other issues affecting disability.
NHS England is working with ICBs that are trialling innovative ways of delivering ADHD services and is using this information to support systems to tackle ADHD waiting lists and provide support to address people’s needs. I understand that it is increasingly clear to patients and staff that the current highly specialist ADHD assessment model needs to evolve quickly. Moving to a more generalist service model could improve care and reduce waiting lists. That was one of the taskforce’s key recommendations.
Iqbal Mohamed
Approximately a quarter of the prison population—22,000, give or take—have ADHD. Will the Government commit to an impact assessment of what savings the Government could make, and how many people’s lives could be improved, by assessing people either before they commit a crime or after?
Medical Aid During Conflict
Debate between Iqbal Mohamed and Zubir Ahmed(1 year, 4 months ago)
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Dr Ahmed
I am grateful for my hon. Friend’s intervention. That highlights this country’s adherence to the international rules-based order. We must always comply with international law, even—and perhaps particularly—when that may seem difficult.
I acknowledge the important work of organisations such as Islamic Relief, which operates in my Glasgow South West constituency, throughout the UK and across the world. Since October 2023, Islamic Relief has provided over £30 million in aid and delivered over 51 million hot meals in Gaza alone—and that does not include its work in South Sudan. Despite that, medical aid is severely restricted in Gaza. The United Nations Relief and Works Agency and other agencies have been unable to deliver essential medical equipment—including medical swabs to stem bleeding and lifesaving medications such as penicillin—and essential vaccine campaign roll-outs have been delayed. That has all been compounded by this weekend’s events.
Iqbal Mohamed (Dewsbury and Batley) (Ind)
I thank the hon. Member for giving way and pay tribute to him for securing this important debate. As well as providing valuable aid to various areas of conflict and need, does he agree that the UK and organisations such as the UN should do more to enable its delivery and to take action against the looters and oppressors who stop it getting to the people who need it?
Dr Ahmed
I wholeheartedly agree with the hon. Member’s sentiments. Aid should not be impeded by anyone, be they state actors or individual criminals.
At the moment, further aid in Gaza has been suspended following an Israeli airstrike that killed five humanitarian workers employed by US-based organisation World Central Kitchen. The UN has said that it is necessary to stop the delivery of aid into Gaza because of the threat posed by armed gangs. UNRWA’s final decision comes after the latest airstrike. According to the Famine Review Committee, there is a strong likelihood of famine in Gaza. My conversations with colleagues on the ground in the region have confirmed how scarce food is, with very limited meat, cheese, snacks, fruit and vegetables. I understand that people are now surviving on rationed rice. What conversations has the Minister had with international partners to ensure that famine does not break out in Gaza?
As an international actor, it is imperative that the UK ensures that international law is upheld and medical aid reaches people caught up in conflict everywhere. International law dictates that people who are providing medical tasks must always be respected and, more importantly, protected. Medical professionals in the region are risking their lives to treat the injured and ill. My hon. Friend the Member for Rochdale (Paul Waugh) mentioned my colleague Professor Nizam Mamode, who recently returned from a month performing surgical operations in Gaza. He told me when he was there, and on his return, of the lives that he tried to save in increasingly difficult circumstances. He described it to me as hell on earth. What discussions has the Minister had with regional actors, including the Israeli Government, about ensuring the safety of those delivering medical aid in Gaza?
Ambassador Barbara Woodward, the UK permanent representative to the UN, recently said to the UN Security Council:
“There is no justification for denying civilians access to essential supplies. The Government of Israel must do more to protect civilians, civilian infrastructure, and allow aid to be delivered safely and at scale.”
I am sure that those words are wholeheartedly endorsed by all Members of this House. I am proud that this Labour Government restored funding to UNRWA, providing £21 million to support its work, and have given £5.5 million to UK-Med to support its lifesaving work in Gaza. That funding and aid is necessary, but I wonder whether it goes far enough. Our concern now is how we ensure that the correct amount of aid reaches the people of Gaza. What discussions has the Minister had with the Israeli Government to allow aid convoys to enter safely into the region?
Children in Gaza are dying and suffering needlessly. According to the UN Human Rights Office, nearly 70% of people killed in Gaza are women and children. That report has found unprecedented levels of international legal violations, including of the right to medical aid. This includes children now having complex medical needs without access to the requisite specialists in any other nearby country. What discussions could be had with regional actors and the UN about potentially bringing such children to the United Kingdom for treatment, as some of our international partners have already started to do?
I will conclude by reiterating the salient point that anyone caught up in conflict has the right to aid—it is not a gift or an act of benevolence by anyone else. We must now ensure that our record on this issue is one that future generations in this House can look back at, not with regret or contrition, but with pride.