Asked by: Luke Taylor (Liberal Democrat - Sutton and Cheam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will take steps to help elderly people access affordable ear wax removal services.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Integrated care boards (ICBs) have a statutory responsibility to commission cost-effective healthcare to meet the needs of their local population. This includes the arrangement of services for ear wax removal.
When ICBs exercise their functions, including commissioning healthcare services such as ear wax removal, they have a duty to reduce inequalities between people with respect to their ability to access health services and to reduce inequalities between patients with respect to their health outcomes.
Manual ear syringing is no longer advised by the National Institute for Health and Care Excellence (NICE) due to the risks associated with it, such as trauma to their ear drum or infection, so general practitioners (GPs) will often recommend home treatment remedies to alleviate ear wax build-up.
However, in line with the NICE’s guidance, a person may require ear wax removal treatment if the build-up of earwax is linked with hearing loss. A GP could then consider referring the patient into audiology services, which ICBs are responsible for commissioning.
Asked by: Luke Taylor (Liberal Democrat - Sutton and Cheam)
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 help make it easier for patients with chronic urinary tract infections to receive referrals from their GPs.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The National Institute for Health and Care Excellence has published guidelines for the referral of patients who present with recurrent urinary tract infections (UTIs), which is available at the following link:
There are specific referral criteria for women, compared to men and children. There are also guidelines in place for those who present to Pharmacy First. If the patient has had a history of UTIs, they are asked to see their general practice (GP) surgery, rather than being prescribed antibiotics by the pharmacy.
Patients with recurrent UTIs should be referred to secondary care to exclude other causes, perhaps through an ultrasound scan or a cystoscopy. Once cleared, patients may be prescribed prophylactic antibiotics.
The number of lower urinary tract symptom service clinics are locally managed and commissioned by integrated care boards, in accordance with local population need.
While there are no current plans to train GPs and urologists on recognising the symptoms of chronic UTIs, NHS England’s UTI reduction workstream was established as part of the delivery of the UK 5-year action plan for antimicrobial resistance 2019 to 2024. This workstream aims to enhance prevention, support early and accurate diagnosis, and improve the treatment of UTIs through identifying and adopting best practice, and through interventions for different population groups.
NHS England has also been working with other public bodies, including the UK Health Security Agency, to strengthen the guidance regarding the appropriate use of diagnostics, including dipsticks. GPs can request testing for chronic UTIs via several pathways, including at point-of-care, via community diagnostic centres, or via laboratories. Laboratories across England adhere to stringent quality standards, including the UK Accreditation Standard ISO 15189, and implement robust internal and external quality assurance schemes, ensuring the accuracy of the tests used.
Asked by: Luke Taylor (Liberal Democrat - Sutton and Cheam)
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 provide training for (a) GPs and (b) urologists on recognising the symptoms of chronic urinary tract infections.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The National Institute for Health and Care Excellence has published guidelines for the referral of patients who present with recurrent urinary tract infections (UTIs), which is available at the following link:
There are specific referral criteria for women, compared to men and children. There are also guidelines in place for those who present to Pharmacy First. If the patient has had a history of UTIs, they are asked to see their general practice (GP) surgery, rather than being prescribed antibiotics by the pharmacy.
Patients with recurrent UTIs should be referred to secondary care to exclude other causes, perhaps through an ultrasound scan or a cystoscopy. Once cleared, patients may be prescribed prophylactic antibiotics.
The number of lower urinary tract symptom service clinics are locally managed and commissioned by integrated care boards, in accordance with local population need.
While there are no current plans to train GPs and urologists on recognising the symptoms of chronic UTIs, NHS England’s UTI reduction workstream was established as part of the delivery of the UK 5-year action plan for antimicrobial resistance 2019 to 2024. This workstream aims to enhance prevention, support early and accurate diagnosis, and improve the treatment of UTIs through identifying and adopting best practice, and through interventions for different population groups.
NHS England has also been working with other public bodies, including the UK Health Security Agency, to strengthen the guidance regarding the appropriate use of diagnostics, including dipsticks. GPs can request testing for chronic UTIs via several pathways, including at point-of-care, via community diagnostic centres, or via laboratories. Laboratories across England adhere to stringent quality standards, including the UK Accreditation Standard ISO 15189, and implement robust internal and external quality assurance schemes, ensuring the accuracy of the tests used.
Asked by: Luke Taylor (Liberal Democrat - Sutton and Cheam)
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 lower urinary tract symptoms service clinics.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The National Institute for Health and Care Excellence has published guidelines for the referral of patients who present with recurrent urinary tract infections (UTIs), which is available at the following link:
There are specific referral criteria for women, compared to men and children. There are also guidelines in place for those who present to Pharmacy First. If the patient has had a history of UTIs, they are asked to see their general practice (GP) surgery, rather than being prescribed antibiotics by the pharmacy.
Patients with recurrent UTIs should be referred to secondary care to exclude other causes, perhaps through an ultrasound scan or a cystoscopy. Once cleared, patients may be prescribed prophylactic antibiotics.
The number of lower urinary tract symptom service clinics are locally managed and commissioned by integrated care boards, in accordance with local population need.
While there are no current plans to train GPs and urologists on recognising the symptoms of chronic UTIs, NHS England’s UTI reduction workstream was established as part of the delivery of the UK 5-year action plan for antimicrobial resistance 2019 to 2024. This workstream aims to enhance prevention, support early and accurate diagnosis, and improve the treatment of UTIs through identifying and adopting best practice, and through interventions for different population groups.
NHS England has also been working with other public bodies, including the UK Health Security Agency, to strengthen the guidance regarding the appropriate use of diagnostics, including dipsticks. GPs can request testing for chronic UTIs via several pathways, including at point-of-care, via community diagnostic centres, or via laboratories. Laboratories across England adhere to stringent quality standards, including the UK Accreditation Standard ISO 15189, and implement robust internal and external quality assurance schemes, ensuring the accuracy of the tests used.
Asked by: Luke Taylor (Liberal Democrat - Sutton and Cheam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he plans to ask the National Institute for Health and Care Excellence to recognise chronic urinary tract infections as a distinct illness in its guidelines.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Classifying a condition as a distinct illness is outside the National Institute for Health and Care Excellence’s (NICE) remit. The NICE has no plans to develop guidance on chronic urinary tract infections (UTIs) at this time, and the topic has not been considered by their prioritisation board. The NICE has produced a clinical guideline on antimicrobial prescribing for recurrent UTIs, which provides recommendations on treatments and self-care for the prevention of recurrent UTIs.
Asked by: Luke Taylor (Liberal Democrat - Sutton and Cheam)
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 impact of changes to the NHS Payment Scheme on the availability of ADHD assessment services.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
As required by law, NHS England has assessed the impact of the proposed NHS Payment Scheme. This is available at the following link:
This impact assessment includes consideration of the impact on patient choice, as well as an assessment of the impact on patients, in line with NHS England’s public sector equality duty.
Attention deficit hyperactivity disorder (ADHD) patients will continue to benefit from the Right to Choose their provider at the point of referral. None of the proposed changes to the NHS Payment Scheme included in the consultation would change this.
Local integrated care boards (ICBs) are responsible for planning service provision in their local area, including for ADHD assessments. In doing so, ICBs should take account of waiting lists, considering how local funding can be deployed to best meet the needs of their local population.
Asked by: Luke Taylor (Liberal Democrat - Sutton and Cheam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to help tackle (a) trauma-related mental health issues among asylum seekers fleeing conflict and (b) generational trauma within those communities.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Recognising that asylum seekers may require additional mental health support including for trauma related mental health issues, the Department of Health and Social Care works together with NHS England and the Home Office to provide additional guidance and support where required.
The Mental Health Sub-Group of the National Asylum Seekers’ Health Oversight Group, which is co-chaired by the Home Office and NHS England, has published examples of national and local interventions aimed at maintaining and improving the emotional wellbeing and mental health of individuals seeking asylum. These are available at the following link:
Work is currently ongoing to review and improve the Solace training, designed to provide a foundational understanding of the mental health issues that people face in the context of seeking protection in the United Kingdom, so that it can be endorsed by NHS England and placed on the NHS Learning Hub. This will allow the training to be widely promoted to practitioners to understand better trauma and improve access, experience and outcomes of service.
In parallel, NHS England, the Department of Health and Social Care, the UK Health Security Agency and the Home Office have been working on practical ways to re-establish an improved initial health check within a few days from arrival to the UK. This early health check will include a baselining of physical and mental health needs and identify vulnerabilities. It reflects the recommendations of the British Red Cross’s report, Delivering with dignity, published in August 2024, and is cognisant of recommendation 16 in the recent report by the Commission on the Integration of Refugees.
Asked by: Luke Taylor (Liberal Democrat - Sutton and Cheam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he take steps to provide mental health support for victims of tool theft.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We want to ensure that mental health support is available for all who need it. As part of our mission to build a National Health Service that is fit for the future, we will recruit an additional 8,500 mental health workers across mental health services in England to reduce delays and provide faster treatment.
Anyone in England experiencing a mental health crisis can now to speak to a trained NHS professional at any time of the day through a new mental health option on NHS 111. Trained NHS staff will assess patients over the phone and guide callers with next steps, such organising face-to-face community support or facilitating access to alternatives services, such as crisis cafés or safe havens, which provide a place for people to stay as an alternative to accident and emergency or a hospital admission.
Asked by: Luke Taylor (Liberal Democrat - Sutton and Cheam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether the upcoming National Cancer Strategy will outline what steps the NHS will take to work with cancer support charities to support people with cancer (a) physically and (b) mentally (i) before, (ii) during and (iii) after treatment.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
My Rt. Hon. Friend, the Secretary of State for Health and Social Care, has announced that a National Cancer Plan for England will be published this year. The Prime Minister’s health mission sets the objective of building a National Health Service fit for the future, and an essential part of this is achieving our goal to reduce the number of lives lost to cancer.
The National Cancer Plan will have patients at its heart and will cover the entirety of the cancer pathway, from referral and diagnosis to treatment and ongoing care. It will seek to improve every aspect of cancer care including both physical and mental health, to improve the experience and outcomes for people with all cancer types, and at all stages, including metastatic cancers. Our goal is to reduce the number of lives lost to cancer over the next ten years.
We are committed to working closely with partners and patient groups to shape the long-term vision for cancer. The Department plans to engage cancer partners, charities and those within the cancer community, seeking the views of individuals, professionals and organisations to understand how we can do more to achieve this ambition.
To do this, on 4 February 2025, we launched a Call for Evidence, in which the views of people across the country will inform our plan to improve cancer care. Those who wish to share their views can do so on the new online platform, which is available at the following link:
https://www.gov.uk/government/calls-for-evidence/shaping-the-national-cancer-plan
Asked by: Luke Taylor (Liberal Democrat - Sutton and Cheam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether the NHS 10-year plan will incorporate the Women’s Health Strategy for England, published on 20 July 2022.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
We are committed to the Women's Health Strategy, which will be taken forward as part of the 10-Year Health Plan.