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Written Question
Obesity: Surgery
Tuesday 16th January 2024

Asked by: Jim Shannon (Democratic Unionist Party - Strangford)

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 reduce waiting times for (a) gastric band, (b) gastric bypass, (c) sleeve gastrectomy, (d) duodenal switch and (e) other bariatric surgeries.

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

The elective recovery plan set clear ambitions to eliminate long waits for planned National Health Service treatment. To help achieve this goal, NHS England trusts and organisations have been transforming the way they deliver elective care through initiatives focussed on increasing activity, managing demand and increasing productivity.

This includes driving productivity through the development of new surgical hubs to increase theatre productivity, and as of December 2023 there are 94 hubs in operation carrying out surgeries.


Written Question
Culture: Lincolnshire
Tuesday 19th December 2023

Asked by: John Hayes (Conservative - South Holland and The Deepings)

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, what assessment she has made of the adequacy of funding provided by Arts Council England for cultural activities in Lincolnshire.

Answered by John Whittingdale

His Majesty’s Government is deeply committed to supporting access to high-quality arts and culture across the country, including through public funding to organisations in Lincolnshire via Arts Council England.

Through Arts Council England’s 2023–26 National Portfolio, public funding is being provided to 11 organisations in Lincolnshire (an increase from 6 in the previous, 2018–22 portfolio) encompassing theatre, dance, museums, visual arts, and literature and libraries. The total investment in Lincolnshire through the national portfolio is £2.4 million per year – an increase of over £1 million per year from the last portfolio.

Funding offered or administered by the Arts Council in the previous financial year and the current financial year to date totals £14.2 million. This includes £5 million through the third round of the Government’s Cultural Development Fund, administered by Arts Council England, for East Lindsey District Council to support partners in transforming the Embassy Theatre and regenerating Skegness Pier and the surrounding public space. Arts and cultural organisations in Lincolnshire also benefited from over £15 million through the Culture Recovery Fund during the COVID-19 pandemic.

There are three Arts Council England ‘Priority Places’ in Lincolnshire: Boston, East Lindsey, and North East Lincolnshire. There are six DCMS ‘Levelling Up for Culture Places’ in Lincolnshire: Boston, East Lindsey, South Holland, North Kesteven, North Lincolnshire, and North East Lincolnshire. Levelling Up for Culture Places were agreed between DCMS and Arts Council England, and will be the focus for additional Arts Council England engagement and investment to strengthen cultural and creative opportunities in the areas and for the people who live there.


Written Question
Skin Diseases: Health Services
Tuesday 19th December 2023

Asked by: Peter Dowd (Labour - Bootle)

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 impact of implementing NHS England’s Referral optimisation for people with skin conditions on (i) the cost of treatment and (ii) number of referrals for people with skin conditions in (a) England, (b) Cheshire and Merseyside integrated care system and (c) Mersey Care NHS Foundation Trust.

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

Cutting waiting lists is one of the Government’s top priorities. We are making good progress on tackling the longest waits, to ensure that patients get the care they need when they need it.

We are taking action to recover elective services, including for patients waiting for National Health Service dermatology services, by working towards the targets set out in the Elective Recovery Plan and providing the NHS with record levels of staffing and funding. To facilitate this across the NHS in England, we are: increasing activity, with plans to spend more than £8 billion from 2022/23 to 2024/25; expanding capacity though creating a new network of community diagnostic centres; and maximising all available independent sector capacity. We are managing demand through specialised advice in primary care and giving patients more control over where they receive their care, and we are increasing productivity through transforming outpatient services, developing new surgical hubs to increase theatre productivity and working actively with trusts to support and challenge on their performance.

No specific assessment has been made of the potential impact of implementing NHS England’s referral optimisation for people with skin conditions on the cost of treatment and the number of referrals for people with skin conditions in England, Cheshire and Merseyside Integrated Care System or Mersey Care NHS Foundation Trust.

The aim of referral optimisation is to triage referrals using electronic means, so that those with less serious problems can be offered rapid advice by their general practitioner (GP). This has the potential to create efficiencies by offering people with disabling skin problems rapid treatment to get them back to work and functioning at home quickly. Ensuring only those patients with the most serious conditions are sent to hospital will help to reduce waiting lists and ensure NHS hospital resources are used for those most likely to benefit most.

It is important that integrated care systems work with both GPs and hospitals to monitor referral numbers and ensure that the benefits of electronic triage are not outweighed by increased demand.


Written Question
Skin Diseases: Health Services
Tuesday 19th December 2023

Asked by: Peter Dowd (Labour - Bootle)

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 impact of the time taken for patients with inflammatory skin conditions to be referred for specialist care on the cost of treatment for such conditions.

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

Cutting waiting lists is one of the Government’s top priorities. We are making good progress on tackling the longest waits, to ensure that patients get the care they need when they need it.

We are taking action to recover elective services, including for patients waiting for National Health Service dermatology services, by working towards the targets set out in the Elective Recovery Plan and providing the NHS with record levels of staffing and funding. To facilitate this across the NHS in England, we are: increasing activity, with plans to spend more than £8 billion from 2022/23 to 2024/25; expanding capacity though creating a new network of community diagnostic centres; and maximising all available independent sector capacity. We are managing demand through specialised advice in primary care and giving patients more control over where they receive their care, and we are increasing productivity through transforming outpatient services, developing new surgical hubs to increase theatre productivity and working actively with trusts to support and challenge on their performance.

No specific assessment has been made of the potential impact of implementing NHS England’s referral optimisation for people with skin conditions on the cost of treatment and the number of referrals for people with skin conditions in England, Cheshire and Merseyside Integrated Care System or Mersey Care NHS Foundation Trust.

The aim of referral optimisation is to triage referrals using electronic means, so that those with less serious problems can be offered rapid advice by their general practitioner (GP). This has the potential to create efficiencies by offering people with disabling skin problems rapid treatment to get them back to work and functioning at home quickly. Ensuring only those patients with the most serious conditions are sent to hospital will help to reduce waiting lists and ensure NHS hospital resources are used for those most likely to benefit most.

It is important that integrated care systems work with both GPs and hospitals to monitor referral numbers and ensure that the benefits of electronic triage are not outweighed by increased demand.


Written Question
Skin Diseases: Health Services
Tuesday 19th December 2023

Asked by: Peter Dowd (Labour - Bootle)

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 reduce the time taken for patients with inflammatory skin conditions to access (a) specialist care and support and (b) treatment.

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

Cutting waiting lists is one of the Government’s top priorities. We are making good progress on tackling the longest waits, to ensure that patients get the care they need when they need it.

We are taking action to recover elective services, including for patients waiting for National Health Service dermatology services, by working towards the targets set out in the Elective Recovery Plan and providing the NHS with record levels of staffing and funding. To facilitate this across the NHS in England, we are: increasing activity, with plans to spend more than £8 billion from 2022/23 to 2024/25; expanding capacity though creating a new network of community diagnostic centres; and maximising all available independent sector capacity. We are managing demand through specialised advice in primary care and giving patients more control over where they receive their care, and we are increasing productivity through transforming outpatient services, developing new surgical hubs to increase theatre productivity and working actively with trusts to support and challenge on their performance.

No specific assessment has been made of the potential impact of implementing NHS England’s referral optimisation for people with skin conditions on the cost of treatment and the number of referrals for people with skin conditions in England, Cheshire and Merseyside Integrated Care System or Mersey Care NHS Foundation Trust.

The aim of referral optimisation is to triage referrals using electronic means, so that those with less serious problems can be offered rapid advice by their general practitioner (GP). This has the potential to create efficiencies by offering people with disabling skin problems rapid treatment to get them back to work and functioning at home quickly. Ensuring only those patients with the most serious conditions are sent to hospital will help to reduce waiting lists and ensure NHS hospital resources are used for those most likely to benefit most.

It is important that integrated care systems work with both GPs and hospitals to monitor referral numbers and ensure that the benefits of electronic triage are not outweighed by increased demand.


Written Question
Hospitals: Waiting Lists
Tuesday 19th December 2023

Asked by: Colleen Fletcher (Labour - Coventry North East)

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 reduce waiting times for NHS treatment in (a) Coventry North East constituency, (b) Coventry, (c) the West Midlands and (d) England.

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

Cutting National Health Service waiting lists is one of the Government’s top priorities.

To facilitate this across elective services in England, we are increasing activity, with plans to spend more than £8 billion from 2022/23 to 2024/25, expanding capacity though creating a network of community diagnostic centres (CDCs), and maximising all available independent sector capacity. We are managing demand through specialised advice in primary care and giving patients more control over where they receive their care, and we are increasing productivity through: transforming outpatient services; developing new surgical hubs to increase theatre productivity, funded by part of £1.5 billion; and working actively with trusts to support and challenge on their performance.

We recognise that local areas were affected by COVID-19 differently, resulting in variation in elective waiting times across different parts of the country. Tackling inequalities in access to elective care has therefore been a key component of the Department’s and NHS England’s approach to recovery. This is supported by the creation and expansion of CDCs and surgical hubs. There are currently 94 surgical hubs and 136 CDCs operational across England.

In the West Midlands there are 16 surgical hubs and six operational CDCs. In Coventry North East Constituency there is one surgical hub and one CDC.


Written Question
NHS: Databases
Monday 18th December 2023

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, whether her Department has a risk register for NHS England's Federated Data Platform.

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

The Federated Data Platform is an important upgrade to NHS data systems, allowing Trusts to improve services for patients, by managing data more effectively. The benefits have been demonstrated in a series of pilots, which have seen Trusts shorten waiting lists, improve theatre utilisation, and arrange discharges more quickly and easily.

NHS England has a risk register as part of their standard programme documentation, including processes for ensuring this is updated on a regular basis and reported through relevant governance structures. The FDP is a Tier A Government Major Projects Portfolio (GMPP) programme and therefore is required to report on a regular basis to the GMPP, including risks. The GMPP report is published annually.


Written Question
Health Services
Friday 15th December 2023

Asked by: David Davis (Conservative - Haltemprice and Howden)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to the letter from the Parliamentary Under Secretary of State at the Department of Health and Social Care to the Chair of the Health and Social Care on NHS Federated Data Platform dated 30 August 2023, which 24 NHS trusts are actively realising benefits from the Improving Elective Care Coordination for Patients and Care Coordination Solution programmes.

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

Following the information shared by the Parliamentary Under Secretary of State (Lord Markham) on 30 August 2023, NHS England has continued to work with sites to deliver the Improving Elective Care Co-ordination for Patients (IECCP) programme.


Overall, there are now 31 trusts who are realising waiting list and theatre benefits under IECCP. Some of these trusts are also realising discharge benefits using the Optimised Patient Tracking and Intelligent Choices Application pilot. The 31 trusts are listed below:

- Barts Health NHS Trust;

- Bolton NHS Foundation Trust;

- Chelsea and Westminster Hospital NHS Foundation Trust;

- Chesterfield Royal Hospital NHS Foundation Trust;

- Countess of Chester Hospital NHS Foundation Trust;

- Croydon Health Services NHS Trust;

- East Suffolk and North Essex NHS Foundation Trust;

- East Sussex Healthcare NHS Trust;

- Gateshead Health NHS Foundation Trust;

- Great Western Hospitals NHS Foundation Trust;

- Hampshire Hospitals NHS Foundation Trust;

- Imperial College Healthcare NHS Trust;

- Kettering General Hospital NHS Foundation Trust;

- Lewisham and Greenwich NHS Trust;

- London North West University Healthcare NHS Trust;

- Medway NHS Foundation Trust;

- Newcastle Hospitals NHS Foundation Trust;

- North Cumbria Integrated Care NHS Foundation Trust;

- North Tees and Hartlepool Hospitals NHS Foundation Trust;

- Northampton General Hospital Trust;

- Northumbria Healthcare NHS Foundation Trust;

- Royal United Hospitals Bath NHS Foundation Trust;

- Salisbury NHS Foundation Trust;

- Southport and Ormskirk Hospital NHS Trust (now Mersey and West Lancashire);

- South Tees Hospitals NHS Foundation Trust;

- South Tyneside and Sunderland NHS Foundation Trust;

- The Hillingdon Hospitals NHS Foundation Trust;

- United Lincolnshire Hospitals NHS Trust;

- University Hospitals of Derby & Burton NHS Foundation Trust;

- University Hospitals Dorset NHS Foundation Trust; and

- University Hospitals of North Midlands NHS Trust.


Written Question
Music: Education
Tuesday 12th December 2023

Asked by: Andrew Rosindell (Conservative - Romford)

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, if she will take steps to promote English baroque musical tradition in (a) England and (b) Romford constituency.

Answered by John Whittingdale

England is home to some of the world’s most respected performers of baroque music, from the Monteverdi Choir and English Baroque Soloists to the Orchestra of the Age of Enlightenment. At this time of year in particular, performances of extracts from Handel’s Messiah and Bach’s Christmas Oratorio will be heard and enjoyed around the country.

Performance of baroque music in England, along with other individual musical genres, receives support from a wide variety of sources, including public funding via Arts Council England. There are a number of National Portfolio Organisations and other Arts Council-funded organisations which deliver activity in England relating to baroque music. For example, Britten Pears Arts (which receives over £1.4 million per annum through Arts Council England) operates a baroque orchestra training scheme for younger players and provides residencies and performance platforms for small ensembles including those specialising in period instrument performance.

Many National Portfolio Organisations regularly perform or engage with baroque music in England. This includes specialist organisations such as the National Centre for Early Music in York (which receives over £275,000 per annum), and organisations which perform a broader range of music, such as the Royal Opera House (which receives more than £22 million per annum), which has recently staged Handel’s oratorio Jeptha.

Arts Council England’s open programmes (such as National Lottery Project Grants, and Develop Your Creative Practice) have also supported individuals and organisations delivering baroque music. This support is open to organisations and individuals across the country, including to those in Romford.

Many performances of baroque music in England will be by orchestras, which may be eligible for the Orchestras Tax Relief. At the Spring Budget this year, HM Government announced a two-year extension to the higher rates of Theatre and Orchestra Tax Relief.

Romford and Havering are home to an amateur choir, as well as an orchestra, and the Havering Singers’ past concerts have included a performance of Handel’s Messiah.


Written Question
Neurology: Greater Manchester
Tuesday 12th December 2023

Asked by: Navendu Mishra (Labour - Stockport)

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 tackle the backlog in neurology appointments in Greater Manchester.

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

Cutting the National Health Service waiting lists, including for neurology, is one of the Government’s top priorities. To facilitate this across elective services, we are increasing activity, with plans to spend more than £8 billion from 2022/23 to 2024/25, and expanding capacity though creating a new network of community diagnostic centres. We are managing demand through specialised advice in primary care and giving patients more control over where they receive their care, and we are increasing productivity; through transforming outpatient services and developing new surgical hubs to increase theatre productivity, funded by part of £1.5 billion and working actively with trusts to support and challenge on their performance.

The Northern Care Alliance is the main provider for neurology care across Greater Manchester with a small number of patients under the care of Manchester University Foundation Trust for children and young people, and Bolton NHS Foundation Trust for long term neurology conditions service provided by NCA.

These trusts are currently working hard on validating waiting lists and keeping in regular contact with all waiting patients to ensure they are informed and supported while they wait for care. There has been a significant reduction in long waiting patient numbers that has been driven through several initiatives, including some small transfers of patients to other providers, but mainly through introducing external neurologists to see patients within the service at weekends and through their own clinical team doing additional work at the weekend.