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Written Question
Neuromuscular Disorders: Mental Health Services
Monday 7th March 2022

Asked by: Philippa Whitford (Scottish National Party - Central Ayrshire)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to increase the provision of psychological support for people living with MS and other neurological conditions.

Answered by Gillian Keegan - Secretary of State for Education

The NHS RightCare progressive neurological conditions toolkit states that patients with a neurological condition will be offered a regular review of their emotional and psychological status and supported to access information and mental health services when needed. Support may include counselling, cognitive behavioural therapy, written advice or a neuro-psychological specialist if required. In addition, people living with multiple sclerosis and other neurological conditions may be referred to the Improving Access to Psychological Therapies service.

We are investing an additional £2.3 billion a year for mental health services by 2023/24. The Mental Health Recovery Action Plan also provided £500 million of targeted investment in 2021/22. This will enable an extra two million people in England to access National Health Service-funded mental health support, with an additional 27,000 mental health professions recruited to support this expansion.


Written Question
Social Security Benefits: Multiple Sclerosis
Friday 4th March 2022

Asked by: David Linden (Scottish National Party - Glasgow East)

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, what assessment her Department has made of the impact of the rising cost of living on the adequacy of (a) personal independence payments and (b) universal credit for people with fluctuating conditions including Multiple Sclerosis.

Answered by Chloe Smith

The Secretary of State undertakes an annual review of benefits and pensions. The Consumer Prices Index (CPI) is the main measure of UK inflation. CPI in the year to September (published by the Office for National Statistics in October) is the latest figure that the Secretary of State can use to allow sufficient time for the required legislative and operational changes before new rates can be introduced at the start of the new financial year. From April 2022 benefits and pensions will increase by 3.1%, in line with the CPI.

Disability benefits are not means–tested, non-contributory and thus paid regardless of any income or savings. PIP and DLA were not subject to the benefits freeze.


Written Question
Social Security Benefits: Multiple Sclerosis
Friday 4th March 2022

Asked by: David Linden (Scottish National Party - Glasgow East)

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, what steps her Department is taking to help improve the disability benefits assessment process for people with progressive and fluctuating conditions including Multiple Sclerosis.

Answered by Chloe Smith

The Health and Disability Green Paper explored how we can improve assessments, including how they capture the impact of fluctuating conditions and how we reduce unnecessary assessments for people whose conditions are unlikely to improve. We are now analysing the over 4,500 responses we received and will be bringing forward a White Paper with detailed proposals later this year.


Written Question
Social Security Benefits: Medical Examinations
Tuesday 1st March 2022

Asked by: Wendy Chamberlain (Liberal Democrat - North East Fife)

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, what steps she is taking to improve the health assessments process for people with (a) multiple sclerosis and (b) other relapsing and progressive conditions.

Answered by Chloe Smith

We recognise that improvements could be made to the assessment process for health and disability benefits and are committed to making changes in this area.

In the Shaping Future Support Green Paper published last year we set out several areas we wish to explore, taking in account feedback from a wide range of stakeholders including disabled people, disability charities, academics and thinktanks to better understand what needs to change, and how.

We will follow up on the responses to this Green Paper with a White Paper later this year to outline the changes we want to make.


Written Question
Driving Licences: Applications
Thursday 24th February 2022

Asked by: Navendu Mishra (Labour - Stockport)

Question to the Department for Transport:

To ask the Secretary of State for Transport, whether he plans to instruct the Driver and Vehicle Licensing Agency to expedite the processing of driving licenses in instances where the applicant has a medical or physical need for a car.

Answered by Trudy Harrison

The quickest and easiest way to apply for a driving licence is by using the Driver and Vehicle Licensing Agency (DVLA)’s online service. There are no delays in successful online applications and customers should receive their licence within a few days.

However, many people still choose or have to make a paper application and the DVLA receives around 60,000 items of mail every day. The DVLA is working hard to process paper applications as quickly as possible for all drivers, including those with health conditions. To help reduce waiting times for paper applications, the DVLA has recruited more staff, increased overtime working and has secured extra office space in Swansea and Birmingham.

The DVLA recognises the impact on drivers who have to renew their licence more regularly due to a medical condition and is working hard to improve the process. Drivers with diabetes, epilepsy, Parkinson’s disease, a visual impairment, a sleep condition or a heart condition can renew their licence online.

The DVLA has recently introduced a simplified licence renewal process for drivers with epilepsy and multiple sclerosis and is piloting this for some mental health conditions. This renewal process has significantly reduced the need for the DVLA to seek further information from medical professionals and enabled more licensing decisions to be made based on the information provided by the driver. The DVLA is looking at adding more medical conditions to this process.

The length of time taken to deal with an application depends on the medical condition(s) involved and whether further information is required from medical professionals. The majority of those renewing their licence will be able to continue driving while their application is being processed, providing they can meet the criteria outlined here.


Written Question
Fampridine
Tuesday 22nd February 2022

Asked by: Lord Blencathra (Conservative - Life peer)

Question to the Department of Health and Social Care:

To ask Her Majesty's Government why Fampridine is authorised for general NHS use in (1) Scotland, and (2) Wales, but is not permitted for new patients in England.

Answered by Lord Kamall

The National Institute for Health and Care Excellence (NICE) is the independent body responsible for developing authoritative, evidence-based guidance for the National Health Service in England on best practice. NICE evaluated the clinical and cost effectiveness of fampridine for use in the management of multiple sclerosis (MS) in 2014 but was unable to recommend it for routine use. NICE is currently updating its clinical guideline on MS and recently consulted on draft guidance. However, it was unable to recommend fampridine to treat mobility problems in people with MS. The independent guideline committee acknowledged that while it is a clinically effective treatment for some patients, at its current price it is not cost effective for the NHS.

NICE will carefully consider comments from stakeholders in finalising its recommendations. It is for local NHS commissioners to make funding decisions on the use of fampridine taking account of NICE’s guidance. The availability of treatments in Scotland and Wales is a matter for the devolved administrations.


Written Question
Fampridine
Tuesday 22nd February 2022

Asked by: Lord Blencathra (Conservative - Life peer)

Question to the Department of Health and Social Care:

To ask Her Majesty's Government why Fampridine is being banned for new patients but is permitted to continue being prescribed for existing patients.

Answered by Lord Kamall

The National Institute for Health and Care Excellence (NICE) is the independent body responsible for developing authoritative, evidence-based guidance for the National Health Service in England on best practice. NICE evaluated the clinical and cost effectiveness of fampridine for use in the management of multiple sclerosis (MS) in 2014 but was unable to recommend it for routine use. NICE is currently updating its clinical guideline on MS and recently consulted on draft guidance. However, it was unable to recommend fampridine to treat mobility problems in people with MS. The independent guideline committee acknowledged that while it is a clinically effective treatment for some patients, at its current price it is not cost effective for the NHS.

NICE will carefully consider comments from stakeholders in finalising its recommendations. It is for local NHS commissioners to make funding decisions on the use of fampridine taking account of NICE’s guidance. The availability of treatments in Scotland and Wales is a matter for the devolved administrations.


Written Question
Driving Licences: Medical Examinations
Tuesday 8th February 2022

Asked by: Peter Grant (Scottish National Party - Glenrothes)

Question to the Department for Transport:

To ask the Secretary of State for Transport, what recent assessment he has made of the adequacy of the time taken for DVLA to contact an applicant's GP or health professional where medical input is required to process an application or renewal for a driving licence.

Answered by Trudy Harrison

The quickest and easiest way to apply for a driving licence is by using the Driver and Vehicle Licensing Agency (DVLA)’s online service. There are no delays in successful online applications and customers should receive their licence within a few days.

However, many people still choose or have to make a paper application and the DVLA receives around 60,000 items of mail every day. To help reduce waiting times for paper applications, the DVLA has introduced additional online services, recruited more staff, increased overtime working and has secured extra office space in Swansea and Birmingham. The latest information on turnaround times for paper driving licence applications can be found here. There will be additional delays in processing applications where medical investigations are needed.

The number of applications awaiting processing fluctuates on a daily basis as licences are issued and new applications received.

In December the Department of Health and Social Care asked the DVLA to temporarily pause referrals to the NHS for driver licensing purposes to allow the NHS to rightly prioritise the vaccination booster rollout. Referrals for lorry and bus drivers were prioritised and continued during this time and all referrals have now restarted. The large majority of drivers renewing a licence will be able to continue driving while their application is being considered, providing they can meet the criteria outlined here

The DVLA recognises the impact on drivers who have to renew their licence more regularly and is working hard to improve the process. Drivers with diabetes, epilepsy, Parkinson’s disease, a visual impairment, a sleep condition or a heart condition can renew their licence online.

The DVLA has also recently introduced a simplified licence renewal process for drivers with epilepsy and multiple sclerosis and is piloting this for some mental health conditions. This renewal process has significantly reduced the need for the DVLA to seek further information from medical professionals and enabled more licensing decisions to be made based on the information provided by the driver. The DVLA is looking at adding more medical conditions to this new process.

These measures are having a positive impact and customers will see an improving picture in terms of turnaround times.


Written Question
Driving Licences: Medical Examinations
Tuesday 8th February 2022

Asked by: Peter Grant (Scottish National Party - Glenrothes)

Question to the Department for Transport:

To ask the Secretary of State for Transport, what steps his Department is taking to reduce the backlog of applications for driving licences for people with medical conditions.

Answered by Trudy Harrison

The quickest and easiest way to apply for a driving licence is by using the Driver and Vehicle Licensing Agency (DVLA)’s online service. There are no delays in successful online applications and customers should receive their licence within a few days.

However, many people still choose or have to make a paper application and the DVLA receives around 60,000 items of mail every day. To help reduce waiting times for paper applications, the DVLA has introduced additional online services, recruited more staff, increased overtime working and has secured extra office space in Swansea and Birmingham. The latest information on turnaround times for paper driving licence applications can be found here. There will be additional delays in processing applications where medical investigations are needed.

The number of applications awaiting processing fluctuates on a daily basis as licences are issued and new applications received.

In December the Department of Health and Social Care asked the DVLA to temporarily pause referrals to the NHS for driver licensing purposes to allow the NHS to rightly prioritise the vaccination booster rollout. Referrals for lorry and bus drivers were prioritised and continued during this time and all referrals have now restarted. The large majority of drivers renewing a licence will be able to continue driving while their application is being considered, providing they can meet the criteria outlined here

The DVLA recognises the impact on drivers who have to renew their licence more regularly and is working hard to improve the process. Drivers with diabetes, epilepsy, Parkinson’s disease, a visual impairment, a sleep condition or a heart condition can renew their licence online.

The DVLA has also recently introduced a simplified licence renewal process for drivers with epilepsy and multiple sclerosis and is piloting this for some mental health conditions. This renewal process has significantly reduced the need for the DVLA to seek further information from medical professionals and enabled more licensing decisions to be made based on the information provided by the driver. The DVLA is looking at adding more medical conditions to this new process.

These measures are having a positive impact and customers will see an improving picture in terms of turnaround times.


Written Question
Driving Licences: Medical Examinations
Tuesday 8th February 2022

Asked by: Peter Grant (Scottish National Party - Glenrothes)

Question to the Department for Transport:

To ask the Secretary of State for Transport, what recent assessment he has made of the adequacy of the timeframes for (a) applications and (b) renewals of driving licences being processed by the DVLA for applicants with medical conditions.

Answered by Trudy Harrison

The quickest and easiest way to apply for a driving licence is by using the Driver and Vehicle Licensing Agency (DVLA)’s online service. There are no delays in successful online applications and customers should receive their licence within a few days.

However, many people still choose or have to make a paper application and the DVLA receives around 60,000 items of mail every day. To help reduce waiting times for paper applications, the DVLA has introduced additional online services, recruited more staff, increased overtime working and has secured extra office space in Swansea and Birmingham. The latest information on turnaround times for paper driving licence applications can be found here. There will be additional delays in processing applications where medical investigations are needed.

The number of applications awaiting processing fluctuates on a daily basis as licences are issued and new applications received.

In December the Department of Health and Social Care asked the DVLA to temporarily pause referrals to the NHS for driver licensing purposes to allow the NHS to rightly prioritise the vaccination booster rollout. Referrals for lorry and bus drivers were prioritised and continued during this time and all referrals have now restarted. The large majority of drivers renewing a licence will be able to continue driving while their application is being considered, providing they can meet the criteria outlined here

The DVLA recognises the impact on drivers who have to renew their licence more regularly and is working hard to improve the process. Drivers with diabetes, epilepsy, Parkinson’s disease, a visual impairment, a sleep condition or a heart condition can renew their licence online.

The DVLA has also recently introduced a simplified licence renewal process for drivers with epilepsy and multiple sclerosis and is piloting this for some mental health conditions. This renewal process has significantly reduced the need for the DVLA to seek further information from medical professionals and enabled more licensing decisions to be made based on the information provided by the driver. The DVLA is looking at adding more medical conditions to this new process.

These measures are having a positive impact and customers will see an improving picture in terms of turnaround times.