Asked by: Caroline Nokes (Conservative - Romsey and Southampton North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to The national strategy for autistic children, young people and adults: 2021 to 2026, published in July 2021, how many additional children have received diagnoses of autism and related support as a result of the expansion of the school-based identification programme.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Through the Opportunity Area scheme, in 2021/22 the Department of Health and Social Care and the Department for Education invested £600,000 into a pilot in Bradford through the Born in Bradford programme, which looked to improve early identification of autism and other neurodiverse conditions. This was subsequently adopted by four other Opportunity Areas as Early Identification of Autism Projects.
Information on how many additional children have received diagnoses of autism, and related support as a result of the programme, is not centrally held. The University of Manchester was commissioned to evaluate the Early Identification of Autism Projects, and their report will be published in due course.
Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she has had discussions with paediatricians on trends in the number of women diagnosed with (a) autism and (b) ADHD.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
My Rt hon. Friend, the Secretary of State for Health and Social Care has regular discussions on a wide range of matters with a wide range of people, including clinical staff. The National Institute for Health and Care Excellence’s (NICE) guidelines for autism and attention deficit hyperactivity disorder (ADHD) recognise that autism and ADHD may be under-diagnosed in women and girls. The NICE’s guideline on autism diagnosis for under 19-year-olds and the NICE’s guideline on ADHD, both set out that clinicians should pay attention to the under-diagnosis of girls, when assessing for suspected autism and ADHD. We expect integrated care boards (ICBs) and health professionals to have due regard to these guidelines. In April 2023, NHS England published all age autism guidance, which aims to improve outcomes and the quality of autism assessment pathways for everyone. This guidance is available at the following link:
https://www.england.nhs.uk/publication/autism-diagnosis-and-operational-guidance/
With respect to autism, data shows that we are now seeing an increase in referrals for female diagnoses, suggesting that there is an increased awareness of the presentation of autism in women and girls. In England, as of December 2023, of the 172,022 patients with an open suspected autism referral, 52% were male and 47% were female. The number of female patients with an open referral for suspected autism is increasing more than for male patients, with the proportion of female patients having increased steadily from 36% in June 2020.
There is, at present, no single, established dataset that can be used to monitor waiting times for assessments and diagnosis of ADHD nationally. Although data is not held centrally, it may be held locally by individual National Health Service trusts or ICBs. NHS England is establishing a new ADHD taskforce alongside the Government, to improve care for people living with the condition. Alongside the work of the taskforce, NHS England has also announced that it will continue to work with stakeholders to develop a national ADHD data improvement plan.
Asked by: Lord Bishop of St Albans (Bishops - Bishops)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what plans they have to prioritise research into variation of the prevalence of prostate cancer among different ethnic groups.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department welcomes the recently announced TRANSFORM trial which aims to save thousands of men each year by finding the best way to screen for prostate cancer across all ethnic groups. It will be spread across the United Kingdom, although final decisions on specific locations are yet to be taken. Men will be invited to participate via their general practices. This study, led by Prostate Cancer UK and supported by the Government among others, will also aim to address some of the inequalities that exist in prostate cancer diagnosis today by ensuring that one in ten of the trial participants will be black men, who are three times overrepresented compared to the population of men aged between 45 and 75 years old as based on 2021 census data.
More broadly, the National Institute for Health and Care Research (NIHR) funds research in response to proposals received from scientists and commissioned calls rather than allocating funding to specific disease areas. It welcomes funding applications for research into any aspect of human health, including prostate cancer. Applications are subject to peer review and judged in open competition, with awards being made based on the importance of the topic to patients and health and care services, value for money and scientific quality.
In addition, to raise awareness of prostate cancer in this group, Leicester’s Centre for BME Health has developed a toolkit in partnership with the NIHR with guidance on how to start conversations about prostate cancer and overcome barriers to diagnosis.
Asked by: Matt Western (Labour - Warwick and Leamington)
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 implications for her policies of average waiting times for young people to access mental health services in Warwickshire.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Whilst the Department has made no such assessment, we know that some children and young people are waiting longer than we would like to get help with their mental health, which is why we have been increasing access to services. Over the year to December 2023, over 750,000 children and young people aged under 18 years old were supported through National Health Service-funded mental health services, representing a 31% increase since March 2021.
NHS England is working to improve the quality of data on access and waiting times for children and their families and carers waiting to receive community-based mental health care. NHS England began publishing this new data in 2023 to improve transparency and drive local accountability.
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, how many dental practices offered NHS services in each constituency in each year since 2015.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Annual dental statistics, including the number of dental practices offering National Health Services since 2015, are available at the following link:
This information is held by the integrated care boards.
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, if she will introduce a system of redress for NHS dentists that fulfil less than (a) 80%, (b) 50% and (c) 10% of their performance target.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
National Health Service dental contract holders are awarded funding at the start of each financial year, based on the contracted number of Units of Dental Activity (UDA). Contractors are required to deliver at least 96% of their contracted activity on an annual basis. Where this does not occur, the NHS reclaims the difference between the monies paid to contractors and the value of work which has been delivered. NHS England will encourage commissioners and contractors to work together to resolve underperformance against the contract at the mid-year review point, or by voluntarily rebasing their contract in the first instance. Where this is not possible, and where there have been three consecutive years of persistent underperformance, commissioners will be able to rebase contracts to the highest level of UDAs delivered over the three-year period from the following year, and recommission unused activity to other providers.
Asked by: Alistair Strathern (Labour - Mid Bedfordshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she has made a recent assessment of the potential merits of providing subsidies to patients with severe eye prescription glasses.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
National Health Service optical vouchers to help with the cost of glasses or contact lenses are available for eligible groups, including children and people on income-related benefits, and through the NHS low-income scheme. There are ten optical vouchers ranging from £42.40 to £233.56, depending on the strength of the optical lenses. Help is also available through the NHS complex lens voucher, for any individuals prescribed complex lenses, provided they meet the clinical criteria. The cost of glasses will be set by individual optical practices, and because prices can vary, we would always advise that individuals shop around.
Asked by: Wes Streeting (Labour - Ilford North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how much elective recovery funding each integrated care board received less penalties for missed targets (a) in absolute terms and (b) as a proportion of the elective recovery funding initially allocated to the board, in financial year 2022/23.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Each integrated care board (ICB) received their full elective recovery fund (ERF) allocation in 2022/23 and no penalties were applied for missing elective activity targets.
The initial ERF allocations for each ICB are available at the following link:
https://www.england.nhs.uk/publication/allocation-of-resources-2022-23/
Asked by: Dean Russell (Conservative - Watford)
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 support children with cerebral palsy.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The National Institute for Health and Care Excellence has published a range of guidance on care and support for children and young people and adults with cerebral palsy, to support healthcare professionals and commissioners. The guidance recommends service providers develop clear pathways that allow patients with cerebral palsy access to multi-disciplinary teams, specialist neurology services and regular reviews of their clinical and functional needs.
NHS England’s Getting It Right First Time Programme aims to improve care for people with neurological conditions, including those with cerebral palsy, by reducing variation and delivering care more equitably across the country.
The majority of services for people with cerebral palsy are commissioned locally by integrated care boards, which are best placed to make decisions according to local need. Nevertheless, at a national level, the Government is working closely with NHS England to continue to improve services for people with neurological conditions, including those with cerebral palsy.
The NHS Long-term Workforce Plan (LTWP) aims to grow the number and proportion of National Health Service staff working in mental health, primary and community care. The LTWP, published in 2023, sets out an ambition to grow these roles 73% by 2036/37, including plans to increase the community workforce specifically by 3.9% each year. By growing the community workforce, we will be better able to support people to participate in daily living, including those with cerebral palsy.
As set out in the LTWP, NHS England’s ambition is that, by 2028, no child or young person will be lost in the gaps between any children’s and adult services, and that their experience of moving between services is safe, well planned and prepared for so they feel supported and empowered to make decisions about their health and social care needs. The Department is working closely with NHS England to support this work, and the Children and Young People’s Transformation Programme has developed a national framework for transition which includes the key principles of a 0-25 model of care, including for young people with cerebral palsy.
Asked by: Dean Russell (Conservative - Watford)
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 support adults with cerebral palsy.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The National Institute for Health and Care Excellence has published a range of guidance on care and support for children and young people and adults with cerebral palsy, to support healthcare professionals and commissioners. The guidance recommends service providers develop clear pathways that allow patients with cerebral palsy access to multi-disciplinary teams, specialist neurology services and regular reviews of their clinical and functional needs.
NHS England’s Getting It Right First Time Programme aims to improve care for people with neurological conditions, including those with cerebral palsy, by reducing variation and delivering care more equitably across the country.
The majority of services for people with cerebral palsy are commissioned locally by integrated care boards, which are best placed to make decisions according to local need. Nevertheless, at a national level, the Government is working closely with NHS England to continue to improve services for people with neurological conditions, including those with cerebral palsy.
The NHS Long-term Workforce Plan (LTWP) aims to grow the number and proportion of National Health Service staff working in mental health, primary and community care. The LTWP, published in 2023, sets out an ambition to grow these roles 73% by 2036/37, including plans to increase the community workforce specifically by 3.9% each year. By growing the community workforce, we will be better able to support people to participate in daily living, including those with cerebral palsy.
As set out in the LTWP, NHS England’s ambition is that, by 2028, no child or young person will be lost in the gaps between any children’s and adult services, and that their experience of moving between services is safe, well planned and prepared for so they feel supported and empowered to make decisions about their health and social care needs. The Department is working closely with NHS England to support this work, and the Children and Young People’s Transformation Programme has developed a national framework for transition which includes the key principles of a 0-25 model of care, including for young people with cerebral palsy.