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Written Question
Antibiotics: Drug Resistance
Tuesday 23rd April 2024

Asked by: Martyn Day (Scottish National Party - Linlithgow and East Falkirk)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to the Answer of 14 March 2022 to Question 133232 on Antibiotics: Drug Resistance and to the policy paper entitled UK five-year action plan for antimicrobial resistance: 2019 to 2024, published on 24 January 2019, what recent progress her Department has made on halving healthcare-associated Gram-negative blood stream infections.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

As described in the answer of 14 March 2022 to Question 133232, progress towards the target of halving healthcare-associated Gram-negative bloodstream infections (GNBSI) has proved very challenging, in part due to the diverse nature of the underlying causes of these infections. Data on the incidence of these infections in England is published quarterly by the UK Health Security Agency, and is available at the following link:


https://www.gov.uk/government/statistics/mrsa-mssa-gram-negative-bacteraemia-and-cdi-quarterly-report/quarterly-epidemiological-commentary-mandatory-gram-negative-bacteraemia-mrsa-mssa-and-c-difficile-infections-data-up-to-october-to-december-2023#epidemiological-analyses-of-gram-negative-bacteraemia-data


Incidence of the three main healthcare-associated GNBSI organisms, E. coli, klebsiella pneumoniae, and pseudomonas aeruginosa, has fluctuated between 2019 and 2024, including a sharp decline in the incidence of E. coli seen during the COVID-19 pandemic. However, overall, the total incidence of healthcare associated GNBSI remains significantly above the target.

We are currently developing the 2024 to 2029 antimicrobial resistance national action plan. We anticipate that in the delivery of this plan, we will continue to focus on GNBSI, building on lessons learnt over the past five years.


Written Question
Laboratories: Disease Control
Tuesday 23rd April 2024

Asked by: Matt Hancock (Independent - West Suffolk)

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 15 April 2024 to Questions 18426 and 18425 on Laboratories: Disease Control, if she will publish a breakdown of each expense category of (a) expenditure and (b) maintenance costs; for what reason Porton Down and Colindale scientific campus sites do not have separate operational costs for the Category 4 laboratories; what plans she has to ensure the long-term sustainability and effectiveness of Cat 4 laboratory sites; and what steps she is taking to protect the UK from (i) synthetically designed viruses and (ii) other new and emerging biothreats.

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

The Department of Health and Social Care has indicated that it will not be possible to answer this question within the usual time period. An answer is being prepared and will be provided as soon as it is available.


Written Question
Health Services: Staff
Tuesday 23rd April 2024

Asked by: Baroness Merron (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of the potential impact on the mental health and wellbeing of secondary care staff if their partnership with NHS Practitioner Health is ended after the 12-month review period.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

We recognise that the NHS Practitioner Health service is valued by many doctors. NHS England is reviewing the service as part of a wider review of its mental health and wellbeing offer to National Health Service staff. It was confirmed on 15 April 2024 that the service will continue to accept new patients from primary and secondary care whilst this review is undertaken over the next 12 months. NHS England will assess the impact and confirm future arrangements once the review has been completed.


Written Question
Health Insurance: Private Sector
Tuesday 23rd April 2024

Asked by: Baroness Merron (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what regulations are in place to ensure that the care and treatment provided by private medical insurers are the most appropriate for a specific patient.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

Private medical insurers purchase services from independent sector providers who are responsible for delivering healthcare.

All providers of healthcare are regulated by the Care Quality Commission and follow a set of fundamental standards of safety and quality below which care should never fall, while the General Medical Council is responsible for regulating doctors in the United Kingdom.


Written Question
Flour: Folic Acid
Tuesday 23rd April 2024

Asked by: Stuart C McDonald (Scottish National Party - Cumbernauld, Kilsyth and Kirkintilloch East)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what progress she has made on implementing the mandatory fortification of flour with folic acid.

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

I can assure the honourable Member that we remain firmly committed to the mandatory fortification of flour with folic acid. This will help to prevent around 200 neural tube defects each year.

This policy is being delivered across the UK as part of the wider review of the Bread and Flour Regulations. In January, we published the consultation response, and we will bring forward legislation to implement the policy later this year.


Written Question
NHS: Pensions
Tuesday 23rd April 2024

Asked by: Justin Madders (Labour - Ellesmere Port and Neston)

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 assessment of the potential merits of decoupling the age at which an individual can claim their NHS Pension from the State Pension Age.

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

The NHS Pension Scheme is generous, and provides good pensions for retirement. A new reformed scheme was introduced in 2015, to ensure the costs are sustainable for the future. The reforms included linking scheme retirement age to an individual’s state pension age, in response to people living healthier, longer lives.

Individuals can claim their National Health Service pension earlier than their state pension age, although their benefits will be reduced in value, to account for the fact that they are being paid for longer. This reduction is waived when the scheme accepts a claim for early retirement on ill-health grounds. Where an NHS pension is claimed after state pension age, the reverse applies, and the value of benefits will be increased. The scheme also offers a partial retirement option, which allows staff to draw down all or part of their pension, and continue working in a more flexible way.


Written Question
DNACPR Decisions
Tuesday 23rd April 2024

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, with reference to the report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, published on 14 March 2024, what assessment she has made of the implications for her policies of the recommendation that CPR training for all doctors and nurses should include scenario-based training on Do Not Attempt Cardiopulmonary Resuscitation conversations.

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

The Department will respond to the report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, in due course.


Written Question
DNACPR Decisions
Tuesday 23rd April 2024

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, with reference to the report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, what assessment she has made of the implications for her policies of the recommendation that accessible communication materials should be accessible in health settings to support staff and patients with end-of-life conversations.

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

The Department will respond to the report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, in due course.


Written Question
Silica: Health Hazards
Tuesday 23rd April 2024

Asked by: Alex Davies-Jones (Labour - Pontypridd)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent discussions she has had with the Health and Safety Executive on monitoring public exposure to silica dust.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

Responsibility for exposure to silica dust is led by the Health and Safety Executive (HSE), who are supported by a number of other governmental organisations, to minimise risks from exposure to silica.

The Environment Agency, or equivalent regulators in devolved administrations such as Natural Resources Wales, regulates activities that have the potential to harm the environment and people. The regulator decides if relevant environmental permits and other consents and licences should be issued and, if so, what conditions should be applied. Local authorities also enforce nuisance legislation which includes the control of dust emissions.

The UK Health Security Agency would expect any activities that generate dust, including silica, to be well managed and regulated and have clear plans in place for proper management and monitoring, in order to minimise any impact to the public.

The HSE’s advice states that no cases of silicosis have been documented among members of the general public in Great Britain, indicating that environmental exposures to silica dust are not sufficiently high to cause this occupational disease. Further information is available at the following link:

https://www.hse.gov.uk/quarries/silica.htm


Written Question
NHS: Strikes
Tuesday 23rd April 2024

Asked by: Tanmanjeet Singh Dhesi (Labour - Slough)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what discussions she has had with healthcare professionals on minimum service levels during strikes in the NHS.

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

As part of the consultations on introducing minimum service levels in both ambulance and hospital services, the Department hosted workshops to which a wide range of representative groups were invited. This included employer and provider organisations, and unions representing healthcare professionals.