Asked by: Manuela Perteghella (Liberal Democrat - Stratford-on-Avon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps is he taking to improve NHS access for people with postural tachycardia syndrome requiring specialist care.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
It is the responsibility of local integrated care boards to work with clinicians, service users, and patient groups to develop services and care pathways that are convenient and meet the needs of patients with postural orthostatic tachycardia syndrome (PoTS).
The National Institute for Care Excellence (NICE) has published a clinical knowledge summary on the clinical management of blackouts and syncope, that provides advice for clinicians in the United Kingdom on best practice in the assessment and diagnosis of PoTS. This was last updated in November 2023, and is available at the following link:
https://cks.nice.org.uk/topics/blackouts-syncope/diagnosis/assessment/
General practitioners (GPs) have been asked to investigate symptoms to ensure that it is not misdiagnosed. Following referral, patients are treated within National Health Service cardiology and neurology services. Where more specialist advice is required, a referral will be made to an appropriate clinician.
To improve awareness of PoTS amongst healthcare professionals, and specifically GPs, the Royal College of General Practitioners provides training on PoTS as part of its Syncope toolkit, which is available at the following link:
https://elearning.rcgp.org.uk/course/view.php?id=500
Asked by: Manuela Perteghella (Liberal Democrat - Stratford-on-Avon)
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 hold (a) NHS and (b) water providers to account for hospital sewage leaks.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
National Health Service trusts are legally responsible for maintaining their estates and facilities, to ensure they support high-quality health and care services and minimise the risk of infrastructure-related incidents impacting delivery, including sewage leaks. They should work with all necessary partners to achieve this, including water providers. To support this, the Government has provided £750 million of capital funding in 2025/26 to address critical infrastructure and safety risks in NHS buildings, on top of the £4 billion in operational capital for systems to allocate to local priorities, including investment in maintenance and repairs. Information on clinical service incidents relating to infrastructure failure at individual NHS trusts, which would include incidents relating to sewage leaks, is collected and published by NHS England through the Estates Returns Information Collection, which is available online at the following link:
Asked by: Manuela Perteghella (Liberal Democrat - Stratford-on-Avon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what funding he is allocating to repair NHS estates in Warwickshire.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
In 2025/26, the Coventry and Warwickshire Integrated Care Board (ICB) will benefit from the £750 million estates safety fund. The estates safety fund will begin addressing the poorest quality estates, delivering vital safety improvements, enhancing patient and staff environments, and supporting National Health Service productivity. Funding will be issued to NHS trusts on the basis of individual schemes. Descriptions of the planned works and funding allocations, including those in Warwickshire, can be found at the following link:
This investment is in addition to the £38.6 million of operational capital provisionally allocated to the Coventry and Warwickshire ICB for 2025/26 to allocate to local priorities, including investment in maintenance and repairs.
Funding for repairs to the NHS estate for future years will be confirmed following planning, allocation, and approval processes.
Asked by: Manuela Perteghella (Liberal Democrat - Stratford-on-Avon)
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 ensure that dementia specialists are involved in NHS continuing healthcare assessments for people living with dementia.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care sets out the process for determining eligibility for NHS Continuing Healthcare (CHC). This statutory guidance is clear that the multidisciplinary team involved in CHC assessments should include someone with specialist knowledge of the individual’s condition, such as dementia, or have information available to them from the relevant specialists.
It is important that those contributing to the assessment process have the relevant skills and knowledge. To support staff working in health and social care to apply the principles of the national framework, NHS England has developed and published a comprehensive set of online learning resources.
CHC eligibility is not determined by diagnosis or condition. It is assessed on a case-by-case basis, taking into account the totality of an individual’s needs, including the ways in which these needs interact with one another.
Asked by: Manuela Perteghella (Liberal Democrat - Stratford-on-Avon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what training is provided to NHS continuing healthcare assessors to support their understanding of the health needs associated with dementia.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care sets out the process for determining eligibility for NHS Continuing Healthcare (CHC). This statutory guidance is clear that the multidisciplinary team involved in CHC assessments should include someone with specialist knowledge of the individual’s condition, such as dementia, or have information available to them from the relevant specialists.
It is important that those contributing to the assessment process have the relevant skills and knowledge. To support staff working in health and social care to apply the principles of the national framework, NHS England has developed and published a comprehensive set of online learning resources.
CHC eligibility is not determined by diagnosis or condition. It is assessed on a case-by-case basis, taking into account the totality of an individual’s needs, including the ways in which these needs interact with one another.
Asked by: Manuela Perteghella (Liberal Democrat - Stratford-on-Avon)
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 improve post diagnostic support for people diagnosed with young onset dementia.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Everyone with dementia should have meaningful care following their diagnosis. This includes information on local services and access to relevant advice and support on what happens next.
The provision of dementia health care services is the responsibility of local integrated care boards (ICBs). NHS England would expect ICBs to commission services based on local population needs, taking account of the National Institute for Health and Care Excellence’s guidelines. It is the responsibility of ICBs to work within their geographical area to offer services that meet the needs of their population.
Local authorities are required to provide or arrange services that meet the social care needs of the local population under the Care Act 2014. The Government is committed to improving dementia care and empowering local leaders with the autonomy they need to provide the best services to their local community, including those with young onset dementia.
This is why we have published the D100: Assessment Tool Pathway programme, which brings together multiple resources into a single, consolidated tool. This will help simplify best practice for system leaders and help create communities and services where the best possible care and support is available to those with dementia, including those with young onset dementia. The D100: Pathway Assessment Tool is available at the following link:
Asked by: Manuela Perteghella (Liberal Democrat - Stratford-on-Avon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of support services available to women affected by vaginal mesh implants in (a) Warwickshire and (b) the West Midlands.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
There are nine specialist mesh centres across England, ensuring that women in every region with complications of mesh inserted for urinary incontinence and vaginal prolapse get the right support. Each mesh centre is led by a multi-disciplinary team to ensure patients get access to the specialist care and treatment that they need, including pain management and psychological support. The mesh centre that serves the West Midlands is located in Nottingham.
NHS England is working with these nine specialist mesh centres to review mesh centre outcomes and patient experience, to ensure they are supporting patients as planned. NHS England has been working with Sling the Mesh and the Rectopexy Mesh Victims and Support Group on this work.
Asked by: Manuela Perteghella (Liberal Democrat - Stratford-on-Avon)
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 ensure that the 10 Year Health Plan will help people with arthritis.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The 10-Year Health Plan will deliver the three big shifts our National Health Service needs to be fit for the future: from hospital to community; from analogue to digital; and from sickness to prevention. All of these are relevant to improving arthritis care in all parts of the country.
More tests and scans delivered in the community, better joint working between services, and greater use of apps and wearable technology will all support people to manage their long-term conditions, including arthritis, closer to home.
Asked by: Manuela Perteghella (Liberal Democrat - Stratford-on-Avon)
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 ensure that social care reform supports (a) deafblind people and (b) other disabled people with complex needs.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Government recognises the challenges facing the adult social care system, and that people are suffering without the care they need or fighting a complicated system just to receive poor quality care.
The independent commission into adult social care, chaired by Baroness Louise Casey, will work with people who draw on care and their families, as well as sector partners, to make clear recommendations for how to rebuild the adult social care system to meet the current and future needs of the population, including for deafblind people and other disabled people with complex needs.
At the same time, we are committed to making immediate improvements. We will give disabled people more independence in their own homes through continued investment in the Disabled Facilities Grant (DFG), which funds practical changes that suit individual people’s needs. We have provided an uplift of £172 million across this and the last financial year, bringing the total funding for the DFG to £711 million in 2024/25 and 2025/26.
The Government understands the vital importance of coproduction, working directly with people who draw on care and support, including deafblind people and others with complex needs, to design policies that work for them to make their lives better.
Asked by: Manuela Perteghella (Liberal Democrat - Stratford-on-Avon)
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 prevent pharmacy closures in Warwickshire.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Government recognises that pharmacies, including in Warwickshire, are an integral part of the fabric of our communities, as an easily accessible ‘front door’ to the National Health Service, staffed by highly trained and skilled healthcare professionals.
We have now concluded the consultation on funding for 2024/25 and 2025/26 and have agreed with Community Pharmacy England to increase the community pharmacy contractual framework to £3.073 billion. This deal represents an uplift of over 19% across 2024/25 and 2025/26 and demonstrates a commitment to rebuilding the sector.
Local authorities are required to undertake a pharmaceutical needs assessment (PNA) every three years to assess whether their population is adequately served by local pharmacies and must keep these assessments under review. Integrated care boards give regard to the PNAs when reviewing applications from the new contractors. Contractors can also apply to open a new pharmacy to offer benefits to patients that were not foreseen by the PNA. If there is a need for a new local pharmacy to open and no contractors apply to open a pharmacy and fill the gap, integrated care boards (ICBs) can commission a new pharmacy to open outside of the market entry processes and fund the contract from the ICBs’ budgets. The Pharmacy Access Scheme helps protect access to pharmacies in areas where there are fewer pharmacies and higher health needs, so that no area is left without access to local, physical NHS pharmaceutical services.