Asked by: Theresa Villiers (Conservative - Chipping Barnet)
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 measure progress made by initiatives to tackle health inequalities in maternity care in the black and Asian community.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
NHS England’s three-year delivery plan for maternity and neonatal services outlines an ambition to reduce inequalities for all in access, experience, and outcomes, and provide targeted support where health inequalities exist. As part of this plan, NHS England will utilise several metrics to track the impact on maternity and neonatal outcomes based on ethnicity, to measure progress towards improving equity for mothers and babies. These metrics are of sufficient sensitivity and statistical power to track changes in clinical outcomes for the groups most at risk of adverse outcomes.
Ethnic coding data completeness has improved year on year since 2019, helping to better understand health outcomes for different ethnic groups. NHS Resolution’s Maternity Incentive Scheme safety action two also sets a data quality standard to improve ethnic coding data completeness.
Asked by: Dan Carden (Labour - Liverpool, Walton)
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 increase the capacity of overnight accommodation for parents with babies on neonatal units.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
In March 2023, NHS England published its three-year delivery plan for maternity and neonatal services. This sets out how the National Health Service will make maternity and neonatal care more equitable, as well as safer, and more personalised. Parents are partners in their baby’s care in the neonatal unit, and all providers are expected to ensure that facilities will be available to support family-centred care including access to parent accommodation, which will encompass co-bedding where appropriate, for all families.
Asked by: Baroness Wyld (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what systems are in place to ensure pregnant women are screened for existing or potential mental health difficulties.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England’s three-year delivery plan for maternity and neonatal services sets out how the National Health Service will make maternity and neonatal care safer, more personalised, and more equitable for women, babies, and families. A key objective of the plan is to ensure that all women should be offered personalised care and support plans which take account of their physical health, mental health, social complexities, and personal choices.
We are improving the access and quality of perinatal mental health care for mothers and their partners. There are 35 maternal mental health services which combine maternity, reproductive health and psychological therapy for women experiencing mental health difficulties related to their maternity experience. Services in each integrated care system area are due to be operational by March 2024.
Asked by: Emma Lewell-Buck (Labour - South Shields)
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 implications for her policies of NHS England's publication entitled Cancer Under 16 Patient Experience Survey, published on 8 November 2023.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Cancer is a priority for the Government and the Department continues to take steps to demonstrate this. The Department is taking steps to better understand the landscape of childhood cancer with experts, aided by Dame Caroline Dinenage MP.
Increasing the diagnosis rates of cancers in children and young people is a priority for the Government. Several organisations, including the Department, are taking steps across England to improve cancer diagnosis services in primary health care settings, supporting general practices (GPs) in referring patients, expanding diagnostic capacity, and enabling more precise diagnosis through technology.
NHS England is working to deliver the ambition it set in its Long-Term Plan to diagnose 75% of cancers at stages one and two by 2028. The Department is working to support GPs in improving referrals for suspected cancer. The National Institute for Health and Care Excellence’s guidance underpinning cancer referrals sets out detailed guidance for GPs on the symptoms of cancer in children and young people, recommending very urgent referral, an appointment within 48 hours, for those presenting with a range of potential cancer symptoms including any unexplained lump, bruising or bleeding, neurological symptoms or bone pain. For many of these symptoms, GPs now have direct access to request diagnostic tests including X-ray and ultrasound.
Childhood, young people’s and young adults’ cancers are included within the Department’s work on developing a Major Conditions Strategy. Addressing cancer together with other groups of conditions in a joined-up strategy will allow us to focus on where there are similarities in approach and ensure care is better centered around the patient.
While the Department cannot pre-empt its outcomes or undertake a specific assessment at this stage, the Major Conditions Strategy’s final report will draw on previous work, including submissions from childhood, young people and young adults’ cancer charities and stakeholders in response to our calls for evidence on cancer and on major conditions. The emphasis is on earlier diagnosis, better support to manage conditions, and improved coordination of treatment and care. We are engaging with stakeholders representing babies, children and young people to ensure their views are considered in the development of the strategy.
The Department does not plan to insert any further additions into the strategy development for age appropriate and personalised care. The NHS Long Term Plan states that, where appropriate, every person diagnosed with cancer will have access to personalised care, including needs assessment, a care plan and health and wellbeing information and support. This is being delivered in line with the NHS Comprehensive Model for Personalised Care, empowering people to manage their care and the impact of their cancer and maximise the potential of digital and community-based support.
In addition, the Under 16 Cancer Patient Experience Survey, commissioned by NHS England, is now in its third year and aims to gather feedback from children and young people and their parents/carers on the cancer care and treatment received.
These surveys provide valuable findings, helping the National Health Service to understand what is good about children, young people’s and adults’ cancer care, and identifying areas for improvements. 75% of children aged between eight and 15 years old reported that they were looked after very well for their cancer or tumour by healthcare staff and 89% of parents/carers rated the overall experience of their child's care as eight or more out of 10. The answers are being used to improve children’s cancer care across England. NHS England is working to review and improve play facilities, including working with the Starlight Foundation Charity on improvements to guidance, and surveying all provision to identify areas for improvement. Work is also underway in improving food quality, including nine larger Children’s Hospital’s NHS Trusts currently piloting better food provision for resident parents.
The Government welcomed Children's Cancer and Leukaemia Group’s Children and Young People’s Cancer Plan. The Department has not made a formal assessment of the recommendations, given the significant amount of work ongoing across NHS England and the Department. Our priorities include improving early diagnosis, delivering more research, and driving progress in genomic medicine.
Asked by: Emma Lewell-Buck (Labour - South Shields)
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 help improve cancer diagnosis services in primary healthcare settings for children and young people.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Cancer is a priority for the Government and the Department continues to take steps to demonstrate this. The Department is taking steps to better understand the landscape of childhood cancer with experts, aided by Dame Caroline Dinenage MP.
Increasing the diagnosis rates of cancers in children and young people is a priority for the Government. Several organisations, including the Department, are taking steps across England to improve cancer diagnosis services in primary health care settings, supporting general practices (GPs) in referring patients, expanding diagnostic capacity, and enabling more precise diagnosis through technology.
NHS England is working to deliver the ambition it set in its Long-Term Plan to diagnose 75% of cancers at stages one and two by 2028. The Department is working to support GPs in improving referrals for suspected cancer. The National Institute for Health and Care Excellence’s guidance underpinning cancer referrals sets out detailed guidance for GPs on the symptoms of cancer in children and young people, recommending very urgent referral, an appointment within 48 hours, for those presenting with a range of potential cancer symptoms including any unexplained lump, bruising or bleeding, neurological symptoms or bone pain. For many of these symptoms, GPs now have direct access to request diagnostic tests including X-ray and ultrasound.
Childhood, young people’s and young adults’ cancers are included within the Department’s work on developing a Major Conditions Strategy. Addressing cancer together with other groups of conditions in a joined-up strategy will allow us to focus on where there are similarities in approach and ensure care is better centered around the patient.
While the Department cannot pre-empt its outcomes or undertake a specific assessment at this stage, the Major Conditions Strategy’s final report will draw on previous work, including submissions from childhood, young people and young adults’ cancer charities and stakeholders in response to our calls for evidence on cancer and on major conditions. The emphasis is on earlier diagnosis, better support to manage conditions, and improved coordination of treatment and care. We are engaging with stakeholders representing babies, children and young people to ensure their views are considered in the development of the strategy.
The Department does not plan to insert any further additions into the strategy development for age appropriate and personalised care. The NHS Long Term Plan states that, where appropriate, every person diagnosed with cancer will have access to personalised care, including needs assessment, a care plan and health and wellbeing information and support. This is being delivered in line with the NHS Comprehensive Model for Personalised Care, empowering people to manage their care and the impact of their cancer and maximise the potential of digital and community-based support.
In addition, the Under 16 Cancer Patient Experience Survey, commissioned by NHS England, is now in its third year and aims to gather feedback from children and young people and their parents/carers on the cancer care and treatment received.
These surveys provide valuable findings, helping the National Health Service to understand what is good about children, young people’s and adults’ cancer care, and identifying areas for improvements. 75% of children aged between eight and 15 years old reported that they were looked after very well for their cancer or tumour by healthcare staff and 89% of parents/carers rated the overall experience of their child's care as eight or more out of 10. The answers are being used to improve children’s cancer care across England. NHS England is working to review and improve play facilities, including working with the Starlight Foundation Charity on improvements to guidance, and surveying all provision to identify areas for improvement. Work is also underway in improving food quality, including nine larger Children’s Hospital’s NHS Trusts currently piloting better food provision for resident parents.
The Government welcomed Children's Cancer and Leukaemia Group’s Children and Young People’s Cancer Plan. The Department has not made a formal assessment of the recommendations, given the significant amount of work ongoing across NHS England and the Department. Our priorities include improving early diagnosis, delivering more research, and driving progress in genomic medicine.
Asked by: Emma Lewell-Buck (Labour - South Shields)
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 implications for her policies of the Children's Cancer and Leukaemia Group report entitled The Children and Young People's Cancer Plan, published on 7 February 2023.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Cancer is a priority for the Government and the Department continues to take steps to demonstrate this. The Department is taking steps to better understand the landscape of childhood cancer with experts, aided by Dame Caroline Dinenage MP.
Increasing the diagnosis rates of cancers in children and young people is a priority for the Government. Several organisations, including the Department, are taking steps across England to improve cancer diagnosis services in primary health care settings, supporting general practices (GPs) in referring patients, expanding diagnostic capacity, and enabling more precise diagnosis through technology.
NHS England is working to deliver the ambition it set in its Long-Term Plan to diagnose 75% of cancers at stages one and two by 2028. The Department is working to support GPs in improving referrals for suspected cancer. The National Institute for Health and Care Excellence’s guidance underpinning cancer referrals sets out detailed guidance for GPs on the symptoms of cancer in children and young people, recommending very urgent referral, an appointment within 48 hours, for those presenting with a range of potential cancer symptoms including any unexplained lump, bruising or bleeding, neurological symptoms or bone pain. For many of these symptoms, GPs now have direct access to request diagnostic tests including X-ray and ultrasound.
Childhood, young people’s and young adults’ cancers are included within the Department’s work on developing a Major Conditions Strategy. Addressing cancer together with other groups of conditions in a joined-up strategy will allow us to focus on where there are similarities in approach and ensure care is better centered around the patient.
While the Department cannot pre-empt its outcomes or undertake a specific assessment at this stage, the Major Conditions Strategy’s final report will draw on previous work, including submissions from childhood, young people and young adults’ cancer charities and stakeholders in response to our calls for evidence on cancer and on major conditions. The emphasis is on earlier diagnosis, better support to manage conditions, and improved coordination of treatment and care. We are engaging with stakeholders representing babies, children and young people to ensure their views are considered in the development of the strategy.
The Department does not plan to insert any further additions into the strategy development for age appropriate and personalised care. The NHS Long Term Plan states that, where appropriate, every person diagnosed with cancer will have access to personalised care, including needs assessment, a care plan and health and wellbeing information and support. This is being delivered in line with the NHS Comprehensive Model for Personalised Care, empowering people to manage their care and the impact of their cancer and maximise the potential of digital and community-based support.
In addition, the Under 16 Cancer Patient Experience Survey, commissioned by NHS England, is now in its third year and aims to gather feedback from children and young people and their parents/carers on the cancer care and treatment received.
These surveys provide valuable findings, helping the National Health Service to understand what is good about children, young people’s and adults’ cancer care, and identifying areas for improvements. 75% of children aged between eight and 15 years old reported that they were looked after very well for their cancer or tumour by healthcare staff and 89% of parents/carers rated the overall experience of their child's care as eight or more out of 10. The answers are being used to improve children’s cancer care across England. NHS England is working to review and improve play facilities, including working with the Starlight Foundation Charity on improvements to guidance, and surveying all provision to identify areas for improvement. Work is also underway in improving food quality, including nine larger Children’s Hospital’s NHS Trusts currently piloting better food provision for resident parents.
The Government welcomed Children's Cancer and Leukaemia Group’s Children and Young People’s Cancer Plan. The Department has not made a formal assessment of the recommendations, given the significant amount of work ongoing across NHS England and the Department. Our priorities include improving early diagnosis, delivering more research, and driving progress in genomic medicine.
Asked by: Emma Lewell-Buck (Labour - South Shields)
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 the Major Conditions Strategy on the needs of children and young people that are diagnosed with cancer; and whether she plans to produce a bespoke strategy for them.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Cancer is a priority for the Government and the Department continues to take steps to demonstrate this. The Department is taking steps to better understand the landscape of childhood cancer with experts, aided by Dame Caroline Dinenage MP.
Increasing the diagnosis rates of cancers in children and young people is a priority for the Government. Several organisations, including the Department, are taking steps across England to improve cancer diagnosis services in primary health care settings, supporting general practices (GPs) in referring patients, expanding diagnostic capacity, and enabling more precise diagnosis through technology.
NHS England is working to deliver the ambition it set in its Long-Term Plan to diagnose 75% of cancers at stages one and two by 2028. The Department is working to support GPs in improving referrals for suspected cancer. The National Institute for Health and Care Excellence’s guidance underpinning cancer referrals sets out detailed guidance for GPs on the symptoms of cancer in children and young people, recommending very urgent referral, an appointment within 48 hours, for those presenting with a range of potential cancer symptoms including any unexplained lump, bruising or bleeding, neurological symptoms or bone pain. For many of these symptoms, GPs now have direct access to request diagnostic tests including X-ray and ultrasound.
Childhood, young people’s and young adults’ cancers are included within the Department’s work on developing a Major Conditions Strategy. Addressing cancer together with other groups of conditions in a joined-up strategy will allow us to focus on where there are similarities in approach and ensure care is better centered around the patient.
While the Department cannot pre-empt its outcomes or undertake a specific assessment at this stage, the Major Conditions Strategy’s final report will draw on previous work, including submissions from childhood, young people and young adults’ cancer charities and stakeholders in response to our calls for evidence on cancer and on major conditions. The emphasis is on earlier diagnosis, better support to manage conditions, and improved coordination of treatment and care. We are engaging with stakeholders representing babies, children and young people to ensure their views are considered in the development of the strategy.
The Department does not plan to insert any further additions into the strategy development for age appropriate and personalised care. The NHS Long Term Plan states that, where appropriate, every person diagnosed with cancer will have access to personalised care, including needs assessment, a care plan and health and wellbeing information and support. This is being delivered in line with the NHS Comprehensive Model for Personalised Care, empowering people to manage their care and the impact of their cancer and maximise the potential of digital and community-based support.
In addition, the Under 16 Cancer Patient Experience Survey, commissioned by NHS England, is now in its third year and aims to gather feedback from children and young people and their parents/carers on the cancer care and treatment received.
These surveys provide valuable findings, helping the National Health Service to understand what is good about children, young people’s and adults’ cancer care, and identifying areas for improvements. 75% of children aged between eight and 15 years old reported that they were looked after very well for their cancer or tumour by healthcare staff and 89% of parents/carers rated the overall experience of their child's care as eight or more out of 10. The answers are being used to improve children’s cancer care across England. NHS England is working to review and improve play facilities, including working with the Starlight Foundation Charity on improvements to guidance, and surveying all provision to identify areas for improvement. Work is also underway in improving food quality, including nine larger Children’s Hospital’s NHS Trusts currently piloting better food provision for resident parents.
The Government welcomed Children's Cancer and Leukaemia Group’s Children and Young People’s Cancer Plan. The Department has not made a formal assessment of the recommendations, given the significant amount of work ongoing across NHS England and the Department. Our priorities include improving early diagnosis, delivering more research, and driving progress in genomic medicine.
Asked by: Emma Lewell-Buck (Labour - South Shields)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will take steps to insert an addition to the Major Conditions Strategy requiring children and young people with cancer to receive (a) age appropriate care and (b) personalised care.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Cancer is a priority for the Government and the Department continues to take steps to demonstrate this. The Department is taking steps to better understand the landscape of childhood cancer with experts, aided by Dame Caroline Dinenage MP.
Increasing the diagnosis rates of cancers in children and young people is a priority for the Government. Several organisations, including the Department, are taking steps across England to improve cancer diagnosis services in primary health care settings, supporting general practices (GPs) in referring patients, expanding diagnostic capacity, and enabling more precise diagnosis through technology.
NHS England is working to deliver the ambition it set in its Long-Term Plan to diagnose 75% of cancers at stages one and two by 2028. The Department is working to support GPs in improving referrals for suspected cancer. The National Institute for Health and Care Excellence’s guidance underpinning cancer referrals sets out detailed guidance for GPs on the symptoms of cancer in children and young people, recommending very urgent referral, an appointment within 48 hours, for those presenting with a range of potential cancer symptoms including any unexplained lump, bruising or bleeding, neurological symptoms or bone pain. For many of these symptoms, GPs now have direct access to request diagnostic tests including X-ray and ultrasound.
Childhood, young people’s and young adults’ cancers are included within the Department’s work on developing a Major Conditions Strategy. Addressing cancer together with other groups of conditions in a joined-up strategy will allow us to focus on where there are similarities in approach and ensure care is better centered around the patient.
While the Department cannot pre-empt its outcomes or undertake a specific assessment at this stage, the Major Conditions Strategy’s final report will draw on previous work, including submissions from childhood, young people and young adults’ cancer charities and stakeholders in response to our calls for evidence on cancer and on major conditions. The emphasis is on earlier diagnosis, better support to manage conditions, and improved coordination of treatment and care. We are engaging with stakeholders representing babies, children and young people to ensure their views are considered in the development of the strategy.
The Department does not plan to insert any further additions into the strategy development for age appropriate and personalised care. The NHS Long Term Plan states that, where appropriate, every person diagnosed with cancer will have access to personalised care, including needs assessment, a care plan and health and wellbeing information and support. This is being delivered in line with the NHS Comprehensive Model for Personalised Care, empowering people to manage their care and the impact of their cancer and maximise the potential of digital and community-based support.
In addition, the Under 16 Cancer Patient Experience Survey, commissioned by NHS England, is now in its third year and aims to gather feedback from children and young people and their parents/carers on the cancer care and treatment received.
These surveys provide valuable findings, helping the National Health Service to understand what is good about children, young people’s and adults’ cancer care, and identifying areas for improvements. 75% of children aged between eight and 15 years old reported that they were looked after very well for their cancer or tumour by healthcare staff and 89% of parents/carers rated the overall experience of their child's care as eight or more out of 10. The answers are being used to improve children’s cancer care across England. NHS England is working to review and improve play facilities, including working with the Starlight Foundation Charity on improvements to guidance, and surveying all provision to identify areas for improvement. Work is also underway in improving food quality, including nine larger Children’s Hospital’s NHS Trusts currently piloting better food provision for resident parents.
The Government welcomed Children's Cancer and Leukaemia Group’s Children and Young People’s Cancer Plan. The Department has not made a formal assessment of the recommendations, given the significant amount of work ongoing across NHS England and the Department. Our priorities include improving early diagnosis, delivering more research, and driving progress in genomic medicine.
Asked by: Olivia Blake (Labour - Sheffield, Hallam)
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 maternity and neonatal safety improvement schemes on mitigating the effects of inequalities in perinatal deaths.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
In March 2023, NHS England published its three-year delivery plan for maternity and neonatal services. This sets out how the National Health Service will make maternity and neonatal care more equitable, as well as safer and more personalised.
The three-year delivery plan is based on evidence, including the impact on inequalities where available, and wide consultation. NHS England is tracking the impact on maternity and neonatal outcomes based on ethnicity and deprivation.
A central ambition of the delivery plan is to reduce inequalities in access, experience and outcomes for women and babies. This is being delivered through the implementation of Local Maternity and Neonatal Systems equity and equality action plans and advocating a proportionate universalism approach, alongside targeted service models designed to reduce inequalities, including enhanced midwifery continuity of carer and culturally sensitive genetics services for high need areas.
NHS England is also providing training and resources for all maternity and neonatal staff, so they can deliver culturally competent and sensitive care. This includes access to cultural competence training, developed in partnership with the Royal College of Midwives, and provision of clinical training aids to support care for women and babies with black or dark skin. In November 2023, NHS England offered £50,000 funding to each NHS England regional team in England to implement ethnic minority workforce training to upskill staff and promote more equitable experience for service users.
In January 2024, the NHS Race and Health Observatory launched the Learning and Action Network in partnership with the Institute for Healthcare Improvement and the Health Foundation. The Learning and Action Network will utilise an anti-racism approach to quality improvement to drive clinical transformation and enable system-wide change. It will work with nine healthcare systems to improve maternal and neonatal health outcomes.
Additionally, the Care Quality Commission’s (CQC’s) national maternity inspection programme, which completed in December 2023, looked at how services are addressing inequalities in maternity care through a safety and leadership lens. The CQC will be reporting on their findings from the inspection programme later this year and will include findings relating to inequalities.
Asked by: Olivia Blake (Labour - Sheffield, Hallam)
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 maternity and neonatal safety improvement schemes include a focus on mitigating the effects of inequalities.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
In March 2023, NHS England published its three-year delivery plan for maternity and neonatal services. This sets out how the National Health Service will make maternity and neonatal care more equitable, as well as safer and more personalised.
The three-year delivery plan is based on evidence, including the impact on inequalities where available, and wide consultation. NHS England is tracking the impact on maternity and neonatal outcomes based on ethnicity and deprivation.
A central ambition of the delivery plan is to reduce inequalities in access, experience and outcomes for women and babies. This is being delivered through the implementation of Local Maternity and Neonatal Systems equity and equality action plans and advocating a proportionate universalism approach, alongside targeted service models designed to reduce inequalities, including enhanced midwifery continuity of carer and culturally sensitive genetics services for high need areas.
NHS England is also providing training and resources for all maternity and neonatal staff, so they can deliver culturally competent and sensitive care. This includes access to cultural competence training, developed in partnership with the Royal College of Midwives, and provision of clinical training aids to support care for women and babies with black or dark skin. In November 2023, NHS England offered £50,000 funding to each NHS England regional team in England to implement ethnic minority workforce training to upskill staff and promote more equitable experience for service users.
In January 2024, the NHS Race and Health Observatory launched the Learning and Action Network in partnership with the Institute for Healthcare Improvement and the Health Foundation. The Learning and Action Network will utilise an anti-racism approach to quality improvement to drive clinical transformation and enable system-wide change. It will work with nine healthcare systems to improve maternal and neonatal health outcomes.
Additionally, the Care Quality Commission’s (CQC’s) national maternity inspection programme, which completed in December 2023, looked at how services are addressing inequalities in maternity care through a safety and leadership lens. The CQC will be reporting on their findings from the inspection programme later this year and will include findings relating to inequalities.