Asked by: Melanie Onn (Labour - Great Grimsby and Cleethorpes)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential need for Commissioner intervention in Northern Lincolnshire and Goole NHS Foundation Trust, in the context of the absence of senior leadership.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
There are currently temporary senior leadership arrangements in place at Northern Lincolnshire and Goole NHS Foundation Trust. Humber and North Yorkshire Integrated Care Board and NHS England’s North East and Yorkshire Regional Team continue to provide ongoing support to the trust, ensuring that the temporary acting arrangements are successfully in place and offering any additional support that is required.
NHS England will continue to provide ongoing support to the trust and its senior leadership team to ensure that our patients and public continue to receive the highest quality of care possible across the Humber region.
Asked by: Melanie Onn (Labour - Great Grimsby and Cleethorpes)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what guidance his Department has issued on when the absence of senior leadership may necessitate intervention by a commissioner in an integrated care board.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Integrated care board (ICB) chairs are appointed by NHS England subject to the approval of my Rt Hon. Friend, the Secretary of State for Health and Social Care, in line with NHS England’s guidance, where the ICB chair position has become vacant before a successor can be approved by the Secretary of State, the ICB board may be chaired by an acting chair, which is normally, but not always, the deputy chair. The ICB governance guidance, updated in July 2024, made it a requirement for all ICBs to have a deputy chair. Information on further related requirements is available in the guidance at the following link:
https://www.england.nhs.uk/long-read/guidance-on-integrated-care-board-constitutions-and-governance/
ICB chief executives are appointed by the ICB chair subject to the approval of NHS England. All ICBs are required to have an Accountable Officer; an Acting CEO can cover temporary periods of absence.
Asked by: Melanie Onn (Labour - Great Grimsby and Cleethorpes)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what information his Department holds on whether the (a) Chair and (b) Chief Executive of Humber and North Yorkshire integrated care board remain in post.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Chair of the Humber and North Yorkshire Integrated Care Board (ICB) resigned from the post on 12 March 2025. The ICB is currently identifying a Non-Executive Member to act as Chair for a short period. The Chief Executive is currently taking a leave of absence, and acting CEO arrangements are currently in place.
Asked by: Melanie Onn (Labour - Great Grimsby and Cleethorpes)
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 assessments undertaken by medical examiners to establish causes of death.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is monitoring the impact of the death certification reforms which came into legal effect on 9 September 2024. Medical examiner offices are staffed at a trust level with oversight and guidance from the National Medical Examiner based in NHS England. The National Medical Examiner publishes standards of performance that medical examiners are expected to meet in exercising their functions. To become a medical examiner, a qualifying medical practitioner should undertake relevant training including e-learning and face to face training and continuing professional development. While the Government has not made its own assessment of the adequacy of assessments undertaken by medical examiners to establish causes of death, the National Medical Examiner must publish an annual report which would include the way in which medical examiners had exercised their functions, including in relation to standards of performance.
Asked by: Melanie Onn (Labour - Great Grimsby and Cleethorpes)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of the medical examiner process on (a) bereaved relatives and (b) the time it takes for families to arrange funerals.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is monitoring the impact of the death certification reforms which came into legal effect on 9 September 2024. Early data since the introduction of the reforms indicates the median time taken to register a death appeared to have risen by one day, from seven days to eight days prior to Christmas. This figure is for all deaths, as it includes those certified by a doctor and those investigated by a coroner. The average time taken to register increased further over the Christmas weeks, but this was expected given increases are observed during this period every year; the average has subsequently decreased.
The median time taken to register a death varies depending on the type of certification. Deaths certified by a doctor, that comprise approximately 80% of deaths registered each week, have typically had a median time to registration of seven days, though there can be variation at a local level. It’s important to note that the medical examiner system was active on a non-statutory basis before the introduction of the statutory system on 9 September 2024, and this makes direct ‘before’ and ‘after’ comparisons challenging to draw conclusions from.
The introduction of medical examiners is in part about making sure deaths are properly described and improving practice, but the impact on the bereaved is also central. The reforms aim to put the bereaved at centre of the process and the medical examiner office must offer a conversation with representatives of the deceased, so they can ask any questions they have about the death or to raise concerns. Ensuring the system is appropriately resourced and works for all those who interact with it is crucial, and something we will continue to monitor with NHS England.
Asked by: Melanie Onn (Labour - Great Grimsby and Cleethorpes)
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 potential impact of GPs undertaking medical examinations on GP workloads.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We are determined to 'bulldoze bureaucracy' and cut red tape, ensuring general practitioners (GPs) spend less time filling in forms and more time caring for patients. We recognise it is vital for roles to be satisfying, rewarding and sustainable so that our experienced GPs continue to contribute throughout their career.
Asked by: Melanie Onn (Labour - Great Grimsby and Cleethorpes)
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 medical school places.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
We are committed to training the staff we need, including doctors, to ensure that patients are cared for by the right professional, when and where they need it.
We have launched the 10-Year Health Plan which will set out a bold agenda to reform and repair the National Health Service. Ensuring we have the right people, in the right places, with the right skills will be central to this vision. This summer we will publish a refreshed Long Term Workforce Plan to build the transformed health service we will deliver over the next decade.
Asked by: Melanie Onn (Labour - Great Grimsby and Cleethorpes)
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 recently graduated medical students to find employment in the NHS.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Following completion of a medical degree, United Kingdom medical graduates must complete the Foundation Programme, a two-year work-based programme, to practise as a doctor in the National Health Service. We are committed to ensuring that the number of Foundation Programme places meets the demands of the NHS in the future.
The Government is committed to growing homegrown talent and giving opportunities to more people across the country to join the NHS. However, internationally educated staff remain an important part of the workforce.
In summer 2025, we will publish a refreshed Long Term Workforce Plan to deliver the transformed health service we will build over the next decade.
Asked by: Melanie Onn (Labour - Great Grimsby and Cleethorpes)
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 retain doctors trained in the UK in the NHS.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
We are committed to ensuring that doctors trained in the United Kingdom remain within the National Health Service through a structured, data-driven approach to workforce retention, and to improving the working conditions of all resident doctors, including trainee surgeons.
NHS England’s Enhancing Resident Doctors Working Lives programme continues to implement several measures aimed at supporting resident doctors, encouraging them to stay in training and the NHS, and reducing overall attrition. In addition, the NHS National Retention Programme is actively improving working conditions for trainee surgeons by enhancing workplace culture, promoting flexible training, and reducing burnout and attrition.
On 18 February 2025, the Chief Medical Officer and the National Medical Director of NHS England jointly launched a review of postgraduate medical training. The review will cover placement options, the flexibility of training, difficulties with rotas, control and autonomy in training, and the balance between developing specialist knowledge and gaining a broad range of skills.
Asked by: Melanie Onn (Labour - Great Grimsby and Cleethorpes)
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 the potential impact of community interest companies that are no longer able to offer free mental health support due to financial constraints on the NHS.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
It is for individual local commissioners to allocate funding to children and young people’s mental health services to meet the needs of their local populations and this information is not collected centrally. Integrated care boards are expected to continue to meet the Mental Health Investment Standard in 2025/26 by increasing their investment in mental health services in line with their overall increase in funding for the year.