Asked by: Paul Blomfield (Labour - Sheffield Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 7 December 2023 to Question 4959 on Respiratory Diseases: Health Services, how many Acute Respiratory Infection hubs were operating in winter 2023/24.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
During winter 2022/23, 363 Acute Respiratory Infection (ARI) hubs were implemented by integrated care systems (ICSs). The Department does not hold recorded information on the number of ARI hubs in 2023/24, as this information is held instead by local health bodies. The ambition in the recovery plan for urgent and emergency care is that each local area that would benefit from an ARI hub, has one in place ahead of winter. Evaluations from NHS England suggest that ARI hubs may save general practitioner appointments and accident and emergency attendances.
Asked by: Lisa Nandy (Labour - Wigan)
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 increase awareness of pulmonary fibrosis among (a) health professionals and (b) the public.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Department funds research through the National Institute for Health and Care Research (NIHR). The NIHR welcomes funding applications for research into any aspect of human health, including pulmonary fibrosis, although it is not usual practice to ring-fence funds for particular topics or conditions. Applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money, and scientific quality.
In order to increase awareness of pulmonary fibrosis, NHS England has established 13 Respiratory Clinical Networks across the country. These have been vital in providing clinical leadership for respiratory services and supporting services in primary care, including restoring spirometry, which is one of the tests used to diagnose pulmonary fibrosis.
Furthermore, community diagnostic centres are also being established to deliver additional, digitally connected, diagnostic capacity in England, providing patients with co-ordinated diagnostic tests in the community, on a range of clinical pathways, including pulmonary fibrosis. With the aim of raising the standard of care that people with this idiopathic pulmonary fibrosis receive, the National Institute for Health and Care Excellence also publishes quality standards that define best practice, and areas in need of improvement.
Asked by: Lisa Nandy (Labour - Wigan)
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 reduce waiting times for (a) diagnosis, (b) treatment and (c) care for people living with pulmonary fibrosis; and if she will make an assessment of the impact of waiting times on patient care.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Department funds research through the National Institute for Health and Care Research (NIHR). The NIHR welcomes funding applications for research into any aspect of human health, including pulmonary fibrosis, although it is not usual practice to ring-fence funds for particular topics or conditions. Applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money, and scientific quality.
In order to increase awareness of pulmonary fibrosis, NHS England has established 13 Respiratory Clinical Networks across the country. These have been vital in providing clinical leadership for respiratory services and supporting services in primary care, including restoring spirometry, which is one of the tests used to diagnose pulmonary fibrosis.
Furthermore, community diagnostic centres are also being established to deliver additional, digitally connected, diagnostic capacity in England, providing patients with co-ordinated diagnostic tests in the community, on a range of clinical pathways, including pulmonary fibrosis. With the aim of raising the standard of care that people with this idiopathic pulmonary fibrosis receive, the National Institute for Health and Care Excellence also publishes quality standards that define best practice, and areas in need of improvement.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
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 with NHS England to support Integrated Care Boards to (a) prepare for full delegation of specialised services for interstitial lung disease from April 2024 and (b) improve patient outcomes for interstitial lung disease.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Government is committed to improving the detection and diagnosis of all respiratory conditions. Community diagnostic centres (CDCs) are the primary intervention being pursued to increase diagnostic capacity quickly in the National Health Service. As of January 2024, 153 CDC sites are operational, and the programme has delivered over 5 million tests since July 2021.
Furthermore, the NHS Long Term Workforce Plan sets out the steps the NHS and its partners need to take to deliver an NHS workforce that meets the changing needs of the population over the next 15 years. It will put the workforce on a sustainable footing for the long term. As of September 2023, there are currently over 3,400 full-time equivalent (FTE) doctors working in the specialty of respiratory medicine in NHS trusts and other core organisations in England. This is over 690, or 25.5%, more than in 2019 and over 1,600, or 95.7%, more than in 2010. This includes almost 1,400 FTE consultants, which is over 260, or 23.2%, more than in 2019 and over 730, or 111.7%, more than in 2010.
On the delegation of specialised commissioning, NHS England approved plans in December to fully delegate the commissioning of 59 specialised services to integrated care boards (ICBs) in the East, Midlands and the North West regions of England from April 2024. NHS England has also approved plans to continue to jointly commission appropriate specialised services with ICBs in the South West, South East, London and the North East, and Yorkshire regions of England for a further year. This approach will help support a smooth transition of commissioning responsibility by April 2025. Moving to ICB-led commissioning will support a new focus on integration and population health management across whole pathways of care. This presents the opportunity to improve the quality of services, tackle health inequalities and deliver best value. Overall, the delivery of the Government’s plans on diagnostic centres, workforce, and the delegation of commissioning will help improve patient outcomes for respiratory diseases.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
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 (a) increase the capacity of interstitial lung disease services and (b) reduce the time between diagnosis and access to treatment for that disease.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Government is committed to improving the detection and diagnosis of all respiratory conditions. Community diagnostic centres (CDCs) are the primary intervention being pursued to increase diagnostic capacity quickly in the National Health Service. As of January 2024, 153 CDC sites are operational, and the programme has delivered over 5 million tests since July 2021.
Furthermore, the NHS Long Term Workforce Plan sets out the steps the NHS and its partners need to take to deliver an NHS workforce that meets the changing needs of the population over the next 15 years. It will put the workforce on a sustainable footing for the long term. As of September 2023, there are currently over 3,400 full-time equivalent (FTE) doctors working in the specialty of respiratory medicine in NHS trusts and other core organisations in England. This is over 690, or 25.5%, more than in 2019 and over 1,600, or 95.7%, more than in 2010. This includes almost 1,400 FTE consultants, which is over 260, or 23.2%, more than in 2019 and over 730, or 111.7%, more than in 2010.
On the delegation of specialised commissioning, NHS England approved plans in December to fully delegate the commissioning of 59 specialised services to integrated care boards (ICBs) in the East, Midlands and the North West regions of England from April 2024. NHS England has also approved plans to continue to jointly commission appropriate specialised services with ICBs in the South West, South East, London and the North East, and Yorkshire regions of England for a further year. This approach will help support a smooth transition of commissioning responsibility by April 2025. Moving to ICB-led commissioning will support a new focus on integration and population health management across whole pathways of care. This presents the opportunity to improve the quality of services, tackle health inequalities and deliver best value. Overall, the delivery of the Government’s plans on diagnostic centres, workforce, and the delegation of commissioning will help improve patient outcomes for respiratory diseases.
Asked by: Paul Blomfield (Labour - Sheffield Central)
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 impact of Acute Respiratory Infection hubs on (a) GP appointments and (b) emergency department attendance levels since their creation.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
During winter 2022/23, 363 Acute Respiratory Infection (ARI) hubs were implemented by systems. There is no central target on ARI hubs for 2023/24 and for local systems to implement and decide where and how many as part of their plans locally this winter.
Evaluations from NHS England suggest that ARI hubs may save general practitioner appointments and accident and emergency attendances.
Asked by: Paul Blomfield (Labour - Sheffield Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many Acute Respiratory Infection hubs were operating in winter 2022-23; and how many are planned to be operating in winter 2023-24.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
During winter 2022/23, 363 Acute Respiratory Infection (ARI) hubs were implemented by systems. There is no central target on ARI hubs for 2023/24 and for local systems to implement and decide where and how many as part of their plans locally this winter.
Evaluations from NHS England suggest that ARI hubs may save general practitioner appointments and accident and emergency attendances.
Mentions:
1: Ewing, Annabelle (SNP - Cowdenbeath) take place on 7 May 2024; recognises that the Global Initiative for Asthma, supported by the World Health - Speech Link
2: Harper, Emma (SNP - South Scotland) My thanks go to the Minister for Public Health and Women’s Health for her active engagement with our - Speech Link
Mentions:
1: Maria Caulfield (Con - Lewes) In March 2023, the Government announced further changes towards managing covid-19 like other respiratory - Speech Link
Mentions:
1: Carlaw, Jackson (Con - Eastwood) ventilation, air filtration and sterilisation; to reintroduce the routine wearing of masks, particularly respiratory - Speech Link
2: Baillie, Jackie (Lab - Dumbarton) They report that they feel that healthcare is unsafe and that action on clean air and the use of respiratory - Speech Link