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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
Bowel Cancer: Health Services
Tuesday 23rd April 2024

Asked by: Andrew Selous (Conservative - South West Bedfordshire)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what estimate she has made of the (a) cost to the NHS of lack of specialist bowel care for patients with neurogenic bowel disorders and (b) additional costs incurred by (i) diagnosis and treatment of pressure sores resulting from inadequate care and (ii) other secondary complications.

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

The Department has no plans at present to establish a national policy on neurogenic bowel disorder. To help ensure that patients with neurogenic bowel receive timely and appropriate care, NHS England has developed a range of guidance, including its Excellence in Continence Care guidance. NHS England has also published a service specification for spinal cord injury services, which makes specific reference to bowel care. It outlines that patients with spinal injury should be provided with advice and care by specialist nursing staff in specialist fields, including in the field of bladder and bowel management. In addition, National Institute for Health and Care Excellence guidelines on faecal incontinence set out the care that patients with neurogenic bowel should receive, including a neurological bowel management programme.

No estimate has been made of the cost to the National Health Service of a lack of specialist bowel care for patients with neurogenic bowel disorders. Nor has an estimate been made of the costs incurred by the diagnosis and treatment of pressure sores, resulting from inadequate care and other secondary complications.


Written Question
Bowel Cancer: Health Services
Tuesday 23rd April 2024

Asked by: Andrew Selous (Conservative - South West Bedfordshire)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what her policy is on establishing a national policy for neurogenic bowel cancer; and what steps her Department is taking to ensure adequate care is available for people who need it.

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

The Department has no plans at present to establish a national policy on neurogenic bowel disorder. To help ensure that patients with neurogenic bowel receive timely and appropriate care, NHS England has developed a range of guidance, including its Excellence in Continence Care guidance. NHS England has also published a service specification for spinal cord injury services, which makes specific reference to bowel care. It outlines that patients with spinal injury should be provided with advice and care by specialist nursing staff in specialist fields, including in the field of bladder and bowel management. In addition, National Institute for Health and Care Excellence guidelines on faecal incontinence set out the care that patients with neurogenic bowel should receive, including a neurological bowel management programme.

No estimate has been made of the cost to the National Health Service of a lack of specialist bowel care for patients with neurogenic bowel disorders. Nor has an estimate been made of the costs incurred by the diagnosis and treatment of pressure sores, resulting from inadequate care and other secondary complications.


Written Question
Abortion
Tuesday 23rd April 2024

Asked by: Lord Jackson of Peterborough (Conservative - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the remarks of Lord Markham on 22 March (HL Deb col 441), how they reconcile his assertion that “the Government do not set policy" on foetal sentience with the provisions of the Animal Welfare (Sentience) Act 2022 which included the establishment of an animal sentience committee.

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

The Department for Environment, Food and Rural Affairs formulates policy on animal welfare. The Animal Sentience Committee holds functions relating to the effect of government policy on the welfare of animals.

By contrast, the determination of foetal sentience and its implications for abortion and neonatal medical practice is reached through professional consensus and clinical guidance, rather than through policy. For example, the Royal College of Obstetricians and Gynaecologists’ most recent Fetal Awareness Evidence Review was published in December 2022, a copy of which is attached.


Written Question
Perinatal Mortality
Tuesday 23rd April 2024

Asked by: Bell Ribeiro-Addy (Labour - Streatham)

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 entitled A comparison of the care of Asian and White women who have experienced a stillbirth or neonatal death, published by the MBRRACE-UK Perinatal Confidential Enquiry on 14 December 2023, what recent discussions her Department has had with NHS England on ensuring that women (a) from lower socioeconomic backgrounds and (b) at risk of premature birth are offered the (i) tests and (ii) medication that are recommended by NHS guidelines.

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

Departmental and NHS England colleagues meet regularly to discuss initiatives to reduce disparities in maternity and neonatal outcomes, and pre-term births. NHS England has invested £6.8 million into their Equity and Equality guidance, which focuses on actions to reduce disparities for women and babies, including for those living in the most deprived areas. It sets out actions and expectations on Local Maternity and Neonatal Systems to consider complex social factors and adhere to the National Institute for Health and Care Excellence’s guidelines regarding maternity care.

All National Health Service trusts are now implementing the Saving Babies’ Lives Care Bundle (SBLCB), which provides up-to-date, evidence-based best practice regarding reducing perinatal mortality, including guidance around reducing preterm birth. The SBLCB recommends a universal risk assessment of all women for preterm birth at their antenatal booking appointment, with those at higher and intermediate risk being offered a care pathway designed to reduce the chances of preterm birth.


Written Question
Food: Advertising
Tuesday 23rd April 2024

Asked by: Jo Gideon (Conservative - Stoke-on-Trent Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to the Written Statement of 9 December 2022 on Health Update, HCWS 433, what her planned timetable is for completion of the steps required to implement the introduction of further advertising restrictions on TV and online for less healthy food and drink products; and when she plans to bring forward proposals for the necessary secondary legislation.

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

On 1 October 2025, the Government will introduce a United Kingdom-wide 9:00pm television watershed for the advertising of less healthy products, and a restriction of paid-for advertising of these products online. The Government and regulators are working through the necessary steps to implement and enforce the regulations. These steps include consulting, finalising guidance, and laying regulations.


Written Question
Alcoholic Drinks: Health
Tuesday 23rd April 2024

Asked by: Preet Kaur Gill (Labour (Co-op) - Birmingham, Edgbaston)

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 4 March 2024 to Question 16199 on Alcoholic Drinks: Health, whether the post of (a) Head of Alcohol Policy and (b) Senior Policy Manager for Alcohol is (i) occupied and (ii) combined with other policy areas.

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

The Health Improvement Directorate leads on public health policy to reduce alcohol-related health harm. Within the directorate, the Head of Alcohol and Gambling and the Head of Drug and Alcohol Treatment and Recovery, which have direct responsibility for aspects of alcohol policy, are occupied. There are several policy and programme leads working directly on different aspects of alcohol policy and programme delivery. There are two live vacancies in the alcohol and gambling policy and programme team, and we are recruiting staff to fill them.


Written Question
Food: Advertising
Tuesday 23rd April 2024

Asked by: Chris Bryant (Labour - Rhondda)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, when she plans to lay regulations under the Health and Care Act introducing further advertising restrictions on TV and online for less healthy food products.

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

On 1 October 2025, the Government will introduce a United Kingdom-wide 9:00pm television watershed for the advertising of less healthy products, and a restriction of paid-for advertising of these products online. The Government and regulators are working through the necessary steps to implement and enforce the regulations. These steps include consulting, finalising guidance, and laying regulations.


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
Electronic Cigarettes
Tuesday 23rd April 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, whether she plans to develop vaping cessation programmes.

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

Vaping can be an effective tool for adult smokers to quit smoking. However, the health advice is clear, if you don’t smoke, don’t vape, and children should never vape. We are concerned about the worrying rise in vaping among children, with youth vaping tripling in the last three years, and one in five children having now used a vape.

Whilst anyone smoking should focus on giving up cigarettes before giving up vaping, giving up vaping is an important step in overcoming nicotine dependence. We are working with the NHS Better Health website to provide advice for people who want to quit vaping. The National Centre for Smoking Cessation and Training has produced guidance for local Stop Smoking Service staff on how best to support vapers to quit. We are also exploring further ways to support people to quit vaping, as part of the national Swap to Stop programme.