Asked by: Daisy Cooper (Liberal Democrat - St Albans)
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 help community pharmacies with increases in the cost of medications.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Drug Tariff, published monthly, sets out the amount that will be paid to contractors for National Health Services in England, including both product reimbursement and service remuneration.
Where pharmacies cannot purchase products at or below the Drug Tariff NHS reimbursement price, Community Pharmacy England can request that the Department reassesses the reimbursement price. If a new reimbursement price is issued within the month, this is known as a concessionary price.
In addition, from 1 April 2024, we introduced a new retrospective top-up payment for concessionary prices, providing an additional payment to contractors when the margin survey indicates that despite a concessionary price, there was an under payment.
Asked by: Tim Loughton (Conservative - East Worthing and Shoreham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many Perinatal Mortality Review Tool reviews into (a) stillbirths and (b) baby deaths had an external panel member in the last year.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
This information is not held in the format requested. On 14 December 2023, Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK published their fifth annual Perinatal Mortality Review Tool report. The report presents data from the 4,111 reviews conducted between March 2022 to February 2023. The report sets out that an external member was present in 45% of reviews, which is an increase from only one in three involving an external member from the previous year. An external panel member is strongly recommended due to the importance of providing fresh eyes to support the review.
Asked by: Lilian Greenwood (Labour - Nottingham South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how her Department plans to use Section 95 (3) 251ZA Information Standards (Compliance) of the Health and Care Act 2022 to ensure that NHS providers meet the communication needs of patients set out in the Accessible Information Standard.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Department plans to implement Section 95 later this year. This will be subject to Parliament’s approval of the regulations setting out the procedure for preparing and publishing mandatory information standards, on which the Department has recently consulted.
Once Section 95 is in force and compliance with information standards becomes mandatory, the Department will use section 251ZA, where appropriate, to monitor compliance with information standards, including by requiring National Health Service providers and others to whom information standards apply, to provide information for this purpose.
NHS England is responsible for the Accessible Information Standard (AIS), and plans to update the AIS to take account of the statutory approach to information standards in due course. NHS England has also completed a review of the AIS to help ensure that the communication needs of people with a disability, impairment, or sensory loss are met in health and care provision. One of the aims of the review was to strengthen assurance of implementation of the AIS, and a self-assessment framework has been developed to support providers of NHS and social care services to measure their performance against the AIS, and develop improvement action plans to address gaps in implementation.
NHS England will publish a revised AIS in due course. Following publication, NHS England will continue work to support its implementation with awareness raising, communication and engagement, and updated e-learning modules on the AIS, to ensure NHS staff are better aware of the standard, and their roles and responsibilities in implementing it.
Asked by: Daisy Cooper (Liberal Democrat - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she has received representations from (a) healthcare professionals, (b) patient advocacy groups and (c) local authorities on discontinuing Type 1 diabetes and disordered eating services.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
My Rt hon. Friend, the Secretary of State for Health and Social Care engages with a range of external stakeholders, including discussions on Type 1 Diabetes with Disordered Eating (T1DE) services. NHS England is working closely with regional and integrated care board (ICB) level teams to ensure that informed decisions are made about the future provision of T1DE services.
Responsibility for the commissioning of T1DE services sits with the ICBs. It is the role of local ICB decision makers to consider the implications of continuing or discontinuing T1DE services, specific to each location, and including the perspectives of healthcare professionals, patient advocacy groups, and local authorities.
Asked by: Peter Bottomley (Conservative - Worthing West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential impact of community pharmacy closures on other NHS services.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
There were 19 pharmacies in Worthing West constituency on 31 December 2023. Between 31 December 2019 and 31 December 2023, three pharmacies closed and no new pharmacies opened in Worthing West.
Access to pharmaceutical services remains good. 99 percent of the population in Worthing West live within a 20-minute walk from a pharmacy. This exceeds the national average of 80 percent. In addition, residents of Worthing West can access distance selling pharmacies that operate nationally.
It is the role of local authorities in England to undertake pharmaceutical needs assessments for their areas, every three years, to ensure provision continues to meet their population’s needs. Integrated care boards have regard to those assessments when commissioning services and where a pharmacy closure impacts on the access to services, a new contractor can apply to open a pharmacy in the area.
Asked by: George Howarth (Labour - Knowsley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential impact of discontinuing funding for T1DE pilot schemes on the health and well-being of patients living with type 1 diabetes with disordered eating.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
NHS England has provided funding for eight integrated care boards (ICBs) across the country to support the development and establishment of Type 1 Diabetes with Disordered Eating (T1DE) services in every National Health Service region. Funding has been provided on a pump prime basis, and the responsibility for the longer-term sustainable provision of care for these patients sits with the relevant integrated care system.
A nationally commissioned evaluation has shown the positive impact that the provision of T1DE services can have for patients, including reductions in HbA1c, which is linked to reduced rates of diabetes complications, and reduced rates of emergency admissions.
It’s the role of the ICBs to consider the health needs of their populations, in making decisions about the care that is provided. It is expected that ICB leads consider these evaluation findings alongside the risk to patient health and wellbeing of the discontinuation of service provision, as well as other local contextual factors in making decisions about the future provision of T1DE services.
Asked by: Layla Moran (Liberal Democrat - Oxford West and Abingdon)
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 staffing levels of mental health professionals in the NHS meet levels of demand for their services.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
To deliver the NHS Long Term Plan’s mental health commitments and help reduce waiting times, our aim has been to grow the mental health workforce nationally by an additional 27,000 professionals by March 2024.
We are making positive progress, delivering three quarters of this, or approximately 20,800 new professionals, by December 2023, with further growth expected to have been achieved once the full year figures for 2023/24 are available. This growth is in addition to the commitment to grow the National Health Service’s mental health workforce by 19,000 between 2016/17 and 2020/21, as set out in Stepping Forward to 2020/21: the mental health workforce plan for England, which was achieved in September 2021.
At a national level, we are committed to attracting, training, and recruiting the mental health workforce of the future, as well as retaining and developing our current workforce. The NHS Long Term Workforce Plan’s modelling projections set out a need to grow the overall mental health and learning disability workforce the fastest of all care settings, at 4.4% per year up to 2036/37, to help improve access to services and quality of care.
Asked by: George Howarth (Labour - Knowsley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the rate of public satisfaction with the NHS was in (a) February 2024 or (b) the most recent month and year that data has been collected.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Data regarding the rate of public satisfaction with the National Health Service is publicly accessible, and is available at the following link:
https://yougov.co.uk/topics/politics/explore/institution/NHS
My Rt hon. Friend, the Secretary of State for Health and Social Care takes public perceptions of the NHS into account in her policy decisions. We have published recovery plans for elective services, urgent and emergency care, primary care and dental care, to improve access and performance of crucial NHS services.
Furthermore, we have made a great deal of progress in putting patients at the heart of care, through our recently announced programmes to expand choice, advanced care planning conversations, personal health budgets, and by providing more information to patients.
Asked by: George Howarth (Labour - Knowsley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment she has made of the potential implications for her policies of public satisfaction with the NHS.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Data regarding the rate of public satisfaction with the National Health Service is publicly accessible, and is available at the following link:
https://yougov.co.uk/topics/politics/explore/institution/NHS
My Rt hon. Friend, the Secretary of State for Health and Social Care takes public perceptions of the NHS into account in her policy decisions. We have published recovery plans for elective services, urgent and emergency care, primary care and dental care, to improve access and performance of crucial NHS services.
Furthermore, we have made a great deal of progress in putting patients at the heart of care, through our recently announced programmes to expand choice, advanced care planning conversations, personal health budgets, and by providing more information to patients.
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, what steps she is taking to ensure that the IT systems used by (a) GPs and (b) community pharmacists enable the provision of one set of patient records.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Delivery plan for recovering access to primary care announced plans to significantly improve the digital infrastructure between general practices (GPs) and community pharmacies. This will see GPs and community pharmacies viewing and contributing to a single patient record via their respective IT systems. For example, the functionality to update the GP patient record will see pharmacy consultation outcomes arriving directly into the GP’s workflow for review and action, which will be rolled out in April and May 2024. The functionality to view all required information from the GP patient record from within the community pharmacy clinical system, will be rolled out in summer.