Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
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 with Cabinet colleagues of the potential merits of providing additional funding to the devolved Administrations to help support young people with (a) bulimia, (b) anorexia and (c) other eating disorders.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
There are currently no plans for such an assessment. As health is a predominantly devolved matter, and funding through the Barnett formula is not ringfenced for specific uses, it is for the devolved administrations to determine how much of their funding they allocate to specific healthcare services, including eating disorder services, in their nations.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
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 train specialist staff in the timely (a) diagnosis and (b) treatment of cancer.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The NHS Long Term Workforce Plan (LTWP) published by NHS England on 30 June 2023 sets out an aim to double the number of medical school places in England to 15,000 places a year by 2031/32, and to work towards this expansion by increasing places by a third, to 10,000 a year, by 2028/29.
The LTWP commits to an adequate growth in foundation placement capacity, as those taking up these new places begin to graduate, and a commensurate increase in specialty training places that meets the demands of the National Health Service in the future. This will substantially increase the potential pipeline for the cancer workforce. The Department is working closely with NHS England to make sure we have the right workforce with the right skills up and down the country.
There are more doctors working in clinical oncology and more radiology doctors. As of October 2023, there are almost 1,700 full time equivalent (FTE) doctors working on clinical oncology in NHS trusts and other core organisations in England. This is 5.2% more than last year, and 62.4% more than in 2010. Additionally, there are over 5,600 FTE doctors working in the speciality of clinical radiology in NHS trusts and other core organisations in England. This is over 300 5.7% more than last year, and 66.8% more than in 2010.
In 2023/24, NHS England is investing an additional £50 million to expand cancer and diagnostics specialists. On 10 January 2023, Health Education England announced that nearly 900 additional medical specialty training posts have been created for this year, including more than 500 in the key areas of mental health and cancer treatment.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
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 replace aging equipment in the NHS.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Individual National Health Service organisations are responsible for maintaining and replacing their existing assets. One source of funding for aging equipment is operational capital, which is issued to integrated care boards to prioritise the capital needs of the NHS, including renewal and replacement of plant, IT, and equipment. In order to facilitate the ongoing requirement for equipment, the Department has provided £4.2 billion in operational capital in 2023/24, amounting to over £12 billion over the spending review period of 2022/23 to 2024/25.
In addition to operational capital is the £2.3 billion which has been provided over the spending review period to transform diagnostic services, including replacing old equipment, and deliver 160 community diagnostic centres. One aim of this funding is to clear the current backlog of equipment over 10 years old by the end of the spending review period.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what data her Department holds on the number of cases of (a) vascular and (b) venous disease.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Cardiovascular disease affects approximately seven million people in the United Kingdom, and is a significant cause of disability and death. Further information is available at the following link:
https://www.england.nhs.uk/ourwork/clinical-policy/cvd/
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
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 developing a cross-departmental strategy including the (a) Department for Science, Innovation and Technology and (b) NHS to (i) support and (ii) promote expertise in cell and gene therapy innovation.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department recognises that advanced cell and gene therapies will be an important part of the future of healthcare and the life sciences industry. The Department has been considering the recommendations of the National Cell and Gene Therapy Vision for the UK, a report published by the Cell and Gene Therapy Catapult in March 2022, and the UK Strategic Stem Cell Forum’s latest report, A 10 Year Vision for Stem Cell Transplantation and Advanced Cellular Therapies, published in July 2022. As part of this we have been conducting stakeholder engagement across the cell and gene therapy ecosystem to further understand the challenges raised and whether there is a role for the Department in coordinating activity in this area. We will continue to work with our public sector partners to ensure a whole system approach to advanced therapies, building on existing strengths to ensure a joined-up research, regulatory, and health ecosystem.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what support her Department provides to female veterans suffering PTSD and poor mental health due to sexual (a) assault and (b) trauma.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Health is a devolved matter across the United Kingdom, and it is for the devolved administrations to determine what support is made available in their respective jurisdictions. In England, the National Health Service, together with Police and Crime Commissioners, have commissioned Sexual Assault Referral Centres (SARCs). These centres provide a safe space and dedicated care, through the NHS, for people who have been raped, sexually assaulted or abused, and are here for everyone, including female veterans.
SARCs offer specialist practical, medical and emotional support day and night. They offer a range of services, including crisis care, medical and forensic examinations, emergency contraception and testing for sexually transmitted infections. They can also arrange access to an independent sexual violence advisor, as well as referrals to mental health support and voluntary sector sexual violence support services.
In April 2023, NHS England commissioned Op COURAGE which is the veterans’ mental health and wellbeing service providing a comprehensive mental health treatment pathway to respond to veterans’ needs. We have increased investment in this area with the highest level to date in 2023/24 with planned spend of £23.5 million. Access to Op COURAGE is via referral or by direct contact from veterans. A campaign to raise awareness of Op COURAGE launched on 9 January 2024.
The Government is providing an additional £10 million to support the Veterans’ Places, People and Pathways Programme to increase support to a significant community of vulnerable veterans throughout the United Kingdom and enable it to become self-sustaining.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
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 help tackle underage vaping.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is concerned about the worrying rise in vaping among children. Youth vaping has tripled in the last three years, and one in five children now use a vape. The health advice is clear: if you don’t smoke, don’t vape, and children should never vape.
The Government’s response to the recent smoking and vaping consultation sets out our plan to introduce powers to crack down on youth vaping by restricting flavours, point of sale and packaging for vaping products. We will introduce legislation as soon as possible. The consultation is available at the following link:
https://www.gov.uk/government/consultations/creating-a-smokefree-generation-and-tackling-youth-vaping/outcome/creating-a-smokefree-generation-and-tackling-youth-vaping-consultation-government-response
In the consultation response, we also announced that disposable vapes will be banned, due to their appeal to young people and environmental concerns. The Department for Environment Food and Rural Affairs will be taking forward the ban and are looking to legislate as soon as possible.
We have also developed new training resources and support available for teachers and schools, working with the Department for Education to update the curriculum to include the health risks of vaping, and publish new online content on the potential risks of vaping for young people.
Finally, we will also introduce a £100 fixed penalty notice for underage sales of tobacco and vaping products. This will enable trading standards officers to take quicker and more proportionate enforcement action against the irresponsible retailers who allow underage sales.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what information her Department holds on the number of theatre-related fires that were reported in NHS hospitals in (a) 2020, (b) 2021, (c) 2022 and (d) 2023.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
We are informed that NHS England’s national patient safety team does not hold or collect information on the number of surgical fires which occur.
Any unexpected or unintended incident which could have or did lead to harm to one or more patients can be recorded on the Learn from Patient Safety Events (LFPSE) service, to support local and national learning. This would include surgical fires or burns. The data is also being made available to integrated care boards and regional teams, to facilitate their roles in safety oversight and provide improvement support.
The most serious surgical fires or burns are already subject to mandatory reporting. NHS England share all such data with the Care Quality Commission. Although recording onto LFPSE is a voluntary process, providers are encouraged to record all patient safety incidents, irrespective of the level of harm, to support local and national learning.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
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 reduce incidences of surgical (a) fires and (b) burns.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
In January 2023, the Centre for Perioperative Care, following consultation, published revised National Safety Standards for Invasive Procedures. These national standards specifically cover all invasive procedures and include a requirement for local fire safety policies to minimise the risk of surgical fires and to contain a management plan in the event of one occurring.
Recording individual patient safety events is a voluntary process, except where reporting to NHS England fulfils duties for other statutory mandatory requirements, such as reporting notifiable incidents to the Care Quality Commission (CQC). NHS England share all data routinely with CQC. The data is also being made available to integrated care boards and regional teams, to facilitate their roles in safety oversight and provider improvement support.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
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 with NHS England to support Integrated Care Boards to (a) prepare for full delegation of specialised services for interstitial lung disease from April 2024 and (b) improve patient outcomes for interstitial lung disease.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Government is committed to improving the detection and diagnosis of all respiratory conditions. Community diagnostic centres (CDCs) are the primary intervention being pursued to increase diagnostic capacity quickly in the National Health Service. As of January 2024, 153 CDC sites are operational, and the programme has delivered over 5 million tests since July 2021.
Furthermore, the NHS Long Term Workforce Plan sets out the steps the NHS and its partners need to take to deliver an NHS 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. As of September 2023, there are currently over 3,400 full-time equivalent (FTE) doctors working in the specialty of respiratory medicine in NHS trusts and other core organisations in England. This is over 690, or 25.5%, more than in 2019 and over 1,600, or 95.7%, more than in 2010. This includes almost 1,400 FTE consultants, which is over 260, or 23.2%, more than in 2019 and over 730, or 111.7%, more than in 2010.
On the delegation of specialised commissioning, NHS England approved plans in December to fully delegate the commissioning of 59 specialised services to integrated care boards (ICBs) in the East, Midlands and the North West regions of England from April 2024. NHS England has also approved plans to continue to jointly commission appropriate specialised services with ICBs in the South West, South East, London and the North East, and Yorkshire regions of England for a further year. This approach will help support a smooth transition of commissioning responsibility by April 2025. Moving to ICB-led commissioning will support a new focus on integration and population health management across whole pathways of care. This presents the opportunity to improve the quality of services, tackle health inequalities and deliver best value. Overall, the delivery of the Government’s plans on diagnostic centres, workforce, and the delegation of commissioning will help improve patient outcomes for respiratory diseases.