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Written Question
NHS Walk-in Centres
Thursday 28th March 2024

Asked by: Simon Jupp (Conservative - East Devon)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will make it her policy to establish walk-in clinics in each Integrated Care Board; and what estimate she has made of the cost of doing so.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

The commissioning of establishing local services in the National Health Service is a matter for integrated care boards. The Government has no plans at this time to roll out hubs nationally.

Based upon current schemes which are either operational or under development in England, and assuming a facility floorplan of 3,000 square metres, the construction of a single walk-in hub service would cost £21.4 million in 2024/25 prices. Ongoing running costs for each building could be approximately £2 million to £2.3 million dependent on whether it was operational seven days a week and included wider primary care services such as dentistry.


Written Question
Dental Services: Standards
Thursday 28th March 2024

Asked by: Thérèse Coffey (Conservative - Suffolk Coastal)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how her Department determines the performance target for units of dental activity for each dental practice.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

From 1 April 2023, the responsibility for commissioning primary care dentistry to meet the needs of the local population has been delegated to all integrated care boards (ICBs) across England.

The current General Dental Service (GDS) contract and Personal Dental Service (PDS) agreement were introduced in 2006. The majority of contracts which deliver routine, or mandatory, dental services are legacy arrangements from pre-2006, and the contracted Units of Dental Activity (UDAs) under these contracts generally reflect the treatment volumes that were required from each practice prior to the new arrangements coming into force.

Activity levels for any new GDS contracts or PDS agreements would be determined as part of the procurement process, taking into account oral health needs assessments undertaken by ICBs, to identify areas of need and to determine the priorities for investment.

Contractors are expected to deliver 96 to 102% of their agreed activity each year. Where contracts deliver less than 96%, the value of the undelivered activity is recouped from the contractor. Undelivered activity between 96 to 100% may be carried forward into the next financial year. Activity greater than 100% may be funded to 110%, if there is a local arrangement with the ICB, or may be deducted from the activity requirements of the next financial year.


Written Question
Dental Services: Contracts
Thursday 28th March 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

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 estimate of the number of dental practices that have announced that they plan to withdraw from NHS contracts since 7 February 2024.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Monthly data on the Units of Dental Activity (UDA) delivered is published by the NHS Business Services Authority, although this data has an approximate two-month time lag, and therefore we expect data for February 2024 to be published around Mid-May. Otherwise, UDA delivery data is available at the following link:

https://opendata.nhsbsa.net/dataset/english-contractor-monthly-general-dental-activity


Written Question
Dental Services
Thursday 28th March 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many units of dental activity her Department (a) had estimated would be and (b) have been undertaken between 7 February and 22 March 2024.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Monthly data on the Units of Dental Activity (UDA) delivered is published by the NHS Business Services Authority, although this data has an approximate two-month time lag, and therefore we expect data for February 2024 to be published around Mid-May. Otherwise, UDA delivery data is available at the following link:

https://opendata.nhsbsa.net/dataset/english-contractor-monthly-general-dental-activity


Written Question
Dental Services: Contracts
Thursday 28th March 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many NHS dental contracts have been changed following a request from dental practices since 7 February 2024.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Monthly data on the Units of Dental Activity (UDA) delivered is published by the NHS Business Services Authority, although this data has an approximate two-month time lag, and therefore we expect data for February 2024 to be published around Mid-May. Otherwise, UDA delivery data is available at the following link:

https://opendata.nhsbsa.net/dataset/english-contractor-monthly-general-dental-activity


Written Question
Dental Services: Contracts
Thursday 28th March 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many NHS dental contracts have been handed back 7 February 2024.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Monthly data on the Units of Dental Activity (UDA) delivered is published by the NHS Business Services Authority, although this data has an approximate two-month time lag, and therefore we expect data for February 2024 to be published around Mid-May. Otherwise, UDA delivery data is available at the following link:

https://opendata.nhsbsa.net/dataset/english-contractor-monthly-general-dental-activity


Written Question
Tobacco and Vapes Bill
Thursday 28th March 2024

Asked by: Christopher Chope (Conservative - Christchurch)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will publish the Regulatory Policy Committee's original opinion on the Tobacco and Vapes Bill submitted to her Department on 12 February 2024; if she will outline the changes she has made to that Bill since receiving that opinion; and what discussions she has had with the Regulatory Policy Committee on the expected timetable for their submission of the revised opinion.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Smoking is responsible for approximately 80,000 deaths a year in the United Kingdom, and causes around one in four cancer deaths in the UK. It also costs our country £17 billion a year, and puts a huge burden on the National Health Service. That is why we have introduced the Tobacco and Vapes Bill to create the first smokefree generation, and enable us to further crack down on youth vaping. The Tobacco and Vapes Bill is available at the following link:

https://bills.parliament.uk/bills/3703

On 12 February 2024 the Regulatory Policy Committee (RPC) gave opinion on the Tobacco and Vapes Bill impact assessment and rated it green (fit for purpose). However, on 19 March 2024, ahead of the introduction of the bill, a revised version was sent to the RPC for comment. This included changes to reflect the inclusion of Northern Ireland in the bill, following the formation of a Northern Ireland Executive, and a power in the bill to enable the current notification system for nicotine vapes to also cover non-nicotine vapes and other consumer nicotine products, for instance nicotine pouches. The RPC have publicly stated that they welcome the resubmission of the revised impact assessment, and we expect a revised opinion to be issued shortly. The statement from the RPC is available at the following link:

https://www.gov.uk/government/news/the-tobacco-and-vapes-bill-statement-from-the-rpc


Written Question
Tobacco and Vapes Bill
Thursday 28th March 2024

Asked by: Christopher Chope (Conservative - Christchurch)

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 ensure that the Regulatory Policy Committee's revised opinion on the Tobacco and Vapes Bill is published by 16 April 2024.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Smoking is responsible for approximately 80,000 deaths a year in the United Kingdom, and causes around one in four cancer deaths in the UK. It also costs our country £17 billion a year, and puts a huge burden on the National Health Service. That is why we have introduced the Tobacco and Vapes Bill to create the first smokefree generation, and enable us to further crack down on youth vaping. The Tobacco and Vapes Bill is available at the following link:

https://bills.parliament.uk/bills/3703

On 12 February 2024 the Regulatory Policy Committee (RPC) gave opinion on the Tobacco and Vapes Bill impact assessment and rated it green (fit for purpose). However, on 19 March 2024, ahead of the introduction of the bill, a revised version was sent to the RPC for comment. This included changes to reflect the inclusion of Northern Ireland in the bill, following the formation of a Northern Ireland Executive, and a power in the bill to enable the current notification system for nicotine vapes to also cover non-nicotine vapes and other consumer nicotine products, for instance nicotine pouches. The RPC have publicly stated that they welcome the resubmission of the revised impact assessment, and we expect a revised opinion to be issued shortly. The statement from the RPC is available at the following link:

https://www.gov.uk/government/news/the-tobacco-and-vapes-bill-statement-from-the-rpc


Written Question
Sickle Cell Diseases: Research
Thursday 28th March 2024

Asked by: Andrew Rosindell (Conservative - Romford)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she has taken to support (a) research into and (b) treatment of sickle cell disease in (i) England and (ii) Romford constituency.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

We’re working hard to support research, and provide the best possible care to those living with sickle cell disease (SCD) across the country. The Department funds health and care research through the National Institute for Health and Care Research (NIHR). Over the past five financial years, the NIHR has invested more than £8 million in funding and support for SCD research.

NHS Blood and Transplant (NHSBT) is the largest provider of apheresis services, a blood transfusion used to treat SCD. NHSBT will be delivering projects over the next 12 months that will increase both nursing capacity and the physical space in which apheresis occurs. We are also working to increase Ro subtype blood donation numbers, the blood type used to treat SCD, identify opportunities to improve clinical pathways, and deliver world-leading treatments, such as the new blood matching genetic test announced by NHS England earlier this year, which will reduce the risk of side effects and offer more personalised care.

NHS England’s Chief Executive Officer has committed to improving the treatment and outcomes of patients with SCD, and has commissioned a Sickle Cell Pathway Quality Improvement work package. A quality improvement review of existing processes has led to a range of improvements including awareness, education, and training of both patients and professionals.

The National Healthcare Inequalities Improvement Programme (HiQiP) has recently introduced a number of initiatives as part of the wider aim of tackling inequalities for people living with SCD. This includes: piloting of urgent and emergency department bypass units in London and Manchester, which will ensure people with SCD with an uncomplicated vaso-occlusive crisis are assessed and given pain relief in a timely manner; the provision of a credit card sized Sickle Cell Alert Card to all people with SCD, to alert medical and clinical staff that the carrier is a registered SCD patient and that they should be managed as a medical emergency; a London wide commissioning for the design and upload of a patient care record onto an interoperable digital platform which, when fully operational, will give clinicians and medical personnel in different regions access to a patient’s personalised care and analgesia record, removing ambiguity on effective treatment; and several products to support the above, including a communications campaign to raise awareness of existing NHS England arrangements to support people with SCD to save money on the costs of regular prescriptions, as well as the Can you tell it's Sickle Cell campaign and an e-learning module, both from NHS England. Further information on the Can you tell it's Sickle Cell campaign and the e-learning module is available respectively, at the following links:

https://www.england.nhs.uk/2022/06/nhs-launches-lifesaving-sickle-cell-campaign/

https://www.e-lfh.org.uk/programmes/health-inequalities/


Written Question
Surgery: Wellingborough
Thursday 28th March 2024

Asked by: Gen Kitchen (Labour - Wellingborough)

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 reduce waiting time for elective surgeries for people in Wellingborough constituency.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

Cutting waiting lists is one of the Prime Minister’s top priorities. To reduce the National Health Service’s waitlist, the Department plans to spend more than £8 billion from 2022/23 to 2024/25. This funding will expand capacity by creating a new network of community diagnostic centres, and maximising all available independent sector capacity. In addition, we are managing demand through specialised advice in primary care, and giving patients more control over where they receive their care.

To reduce waiting times for elective surgeries specifically, we are transforming the way the NHS provides elective surgeries, by increasing activity through dedicated and protected surgical hubs. £1.5 billion of funding has been awarded for the development of new surgical hubs and the expansion of surgical hub sites, as well as increased bed capacity and equipment, to help elective services recover. The hubs will focus on providing high volume low complexity surgery, as recommended by the Royal College of Surgeons of England. There are currently 100 elective surgical hubs that are operational across England, as of March 2024. These surgical hubs help to separate elective care facilities from urgent and emergency care.