The below Parliamentary question was asked by Matthew Pennycook on 2015-10-09.
To ask the Secretary of State for Health, how many women diagnosed with breast cancer under the age of 40 in (a) England and (b) Greenwich and Woolwich constituency were offered a referral to a fertility specialist prior to commencement of their cancer treatment in the last three years.
Jane Ellison
The information requested is not collected.
The below Parliamentary question was asked by Matthew Pennycook on 2015-10-09.
To ask the Secretary of State for Health, when he expects to publish a detailed implementation plan for the new five-year cancer strategy for the NHS.
Jane Ellison
NHS England is currently working with partners across the health system to determine how best to take forward the recommendations of the Independent Cancer Taskforce report and put in place a governance structure for delivery.
The below Parliamentary question was asked by David Amess on 2015-10-09.
To ask the Secretary of State for Health, for what reason NHS England has not published its report on the stakeholder responses and findings of the Call to Action on improving eye health and provision of NHS eye health services.
Alistair Burt
NHS England received 330 responses to the Call to Action on improving eye health and provision of NHS eye health services.
The total identifiable spend by NHS England on the Call to Action was £34,184. This consisted of £25,950 for engagement events and £8,234 for the compilation of responses. Figures provided are exclusive of VAT. No consultants were employed.
There are no current plans for NHS England to publish a report on the Call to Action, however, the findings have been discussed with commissioners and stakeholders. Work is underway to develop local and national responses to the findings as part of NHS England business plan for 2016/17.
The below Parliamentary question was asked by Toby Perkins on 2015-10-09.
To ask the Secretary of State for Health, what steps the Government is taking to reopen negotiations with the British Medical Association on proposed contract changes for doctors.
Ben Gummer
The British Medical Association (BMA) Consultants’ Committee has now returned to negotiations and we hope that consultants will vote to accept a modernised contract in the New Year. The Government hopes that the BMA Junior Doctors’ Committee will also return to negotiations on the same basis. My Rt. hon. Friend the Secretary of State has written to the Chair of the Junior Doctors’ Committee with guarantees to allay concerns that the BMA has shared with its members and the public. The letter has been published at:
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The below Parliamentary question was asked by Toby Perkins on 2015-10-09.
To ask the Secretary of State for Health, what assessment he has made of the effect that the proposed contract changes will have on the NHS’s ability to retain doctors.
Ben Gummer
The proposed new contract arrangements are informed by recommendations and observations by the independent review Body on Doctors’ and Dentists’ Remuneration (DDRB). The DDRB’s standing remit includes a requirement to consider the need to recruit, motivate and retain doctors.
NHS Employers are working with the British Medical Association to finalise agreement on an amended consultant contract, which will provide fairer terms and conditions that are better suited to a seven day National Health Service and go further than the existing arrangements to reward those who contribute the most and who work the most onerous hours. The proposals include a suite of safeguards designed to protect the wellbeing of doctors and to support patient safety. This includes no requirement to work more than 13 weekends in a year – effectively 1 in 4 weekends – (employers’ proposal); and no requirement to work more than a 40 hour week without consent.
This is part of a more professional contract overall that would support consultants as clinical leaders and engage consultants with the objectives of their employer. Features include a spot salary set at a rate that would allow consultants to reach a level of basic pay in an average of five years that would currently take 14 years, the introduction of locally driven performance payments that would reward excellent performance in year, would provide potential earnings of overall £120,000 for an average experienced consultant and offers three years of transitional protection for those who move onto the contract.
The proposed new contract for doctors and dentists in training will introduce stronger limits on working hours with: 48 weekly hours on average (56 for those who opt-out of Working Time Regulations); a maximum of 72 hours in any week (lower than the current 91); no shift rostered to exceed 13 hours; no more than five long shifts consecutively; no more than four night shifts consecutively; and no more than seven consecutive on-call periods. It will also introduce work schedules tailored to individual educational needs and a strong system requiring the employer to review when hours or training opportunities vary from the work schedule.
The contract will ensure that pay relates more fairly to actual work done; increase basic pay, recognising the professional nature of the role in a seven day NHS: and pay a higher rate for work at the most unsocial times. In addition, flexible pay premia will apply for: general practitioner trainees, to maintain current earning levels; other shortage specialties who would otherwise lose out under the new pay structure; those switching to shortage specialties; clinical academic trainees and public health trainees undertaking PhDs etc; and those undertaking approved academic/other work that benefits the wider NHS and improving patient care.
The below Parliamentary question was asked by Nic Dakin on 2015-10-09.
To ask the Secretary of State for Health, what steps he is taking to ensure earlier diagnosis of congenital diaphragmatic hernia in babies and young children; and if he will make a statement.
Ben Gummer
The UK National Screening Committee currently recommends antenatal screening for congenital diaphragmatic hernia (CDH) as part of the Fetal Anomaly Screening Programme. CDH is primarily detected through the fetal anomaly ultrasound which is carried out between 18 weeks and 21 weeks of pregnancy.
Research from around the world has shown that with current screening techniques only around 70% of cases of CDH can be diagnosed before birth and that those not diagnosed before delivery tend to be less severe and have better outcomes. The fetal anomaly screening programme in England continues to monitor the quality of the antenatal screening process for all such anomalies.
A recent confidential enquiry focussed on CDH and a report of the findings was published in December 2014 by MBRRACE-UK on behalf of NHS England. This report considered the care provided for CDH cases diagnosed before and after birth, and considered all aspects of the care pathway following review of a sample of cases drawn from across the United Kingdom. The report highlighted certain aspects of practice that needed improvement, including the lack of evidence-based guidance for care. It recommended that consensus guidance is needed on the optimal management for the care and treatment for babies diagnosed with CDH and the management of late termination of affected pregnancies. It also flagged the inconsistent information provided to families which sometimes led to misunderstanding; for example the extent to which, with current technology, it is possible to diagnose CDH cases antenatally.
A new neonatal surgical service specification is currently under development which should, once approved, lead to greater accountability and clearer practice in this area.
The below Parliamentary question was asked by Toby Perkins on 2015-10-09.
To ask the Secretary of State for Health, what assessment he has made of the effect of proposed new NHS contract arrangements on areas where doctors routinely work long hours.
Ben Gummer
The proposed new contract arrangements are informed by recommendations and observations by the independent review Body on Doctors’ and Dentists’ Remuneration (DDRB). The DDRB’s standing remit includes a requirement to consider the need to recruit, motivate and retain doctors.
NHS Employers are working with the British Medical Association to finalise agreement on an amended consultant contract, which will provide fairer terms and conditions that are better suited to a seven day National Health Service and go further than the existing arrangements to reward those who contribute the most and who work the most onerous hours. The proposals include a suite of safeguards designed to protect the wellbeing of doctors and to support patient safety. This includes no requirement to work more than 13 weekends in a year – effectively 1 in 4 weekends – (employers’ proposal); and no requirement to work more than a 40 hour week without consent.
This is part of a more professional contract overall that would support consultants as clinical leaders and engage consultants with the objectives of their employer. Features include a spot salary set at a rate that would allow consultants to reach a level of basic pay in an average of five years that would currently take 14 years, the introduction of locally driven performance payments that would reward excellent performance in year, would provide potential earnings of overall £120,000 for an average experienced consultant and offers three years of transitional protection for those who move onto the contract.
The proposed new contract for doctors and dentists in training will introduce stronger limits on working hours with: 48 weekly hours on average (56 for those who opt-out of Working Time Regulations); a maximum of 72 hours in any week (lower than the current 91); no shift rostered to exceed 13 hours; no more than five long shifts consecutively; no more than four night shifts consecutively; and no more than seven consecutive on-call periods. It will also introduce work schedules tailored to individual educational needs and a strong system requiring the employer to review when hours or training opportunities vary from the work schedule.
The contract will ensure that pay relates more fairly to actual work done; increase basic pay, recognising the professional nature of the role in a seven day NHS: and pay a higher rate for work at the most unsocial times. In addition, flexible pay premia will apply for: general practitioner trainees, to maintain current earning levels; other shortage specialties who would otherwise lose out under the new pay structure; those switching to shortage specialties; clinical academic trainees and public health trainees undertaking PhDs etc; and those undertaking approved academic/other work that benefits the wider NHS and improving patient care.
The below Parliamentary question was asked by Conor McGinn on 2015-10-09.
To ask the Secretary of State for Health, what assessment he has made of the effect of the delay in reform of social care funding until 2020 on the provision of social care; and how many people will be affected by that delay in (a) St Helens North constituency, (b) the North West and (c) the UK.
Alistair Burt
We remain committed to the implementation of the cap on care costs, which will offer financial protection and peace of mind. The decision to delay followed careful consideration of feedback from stakeholders that April 2016 was not the right time to implement these significant and expensive reforms. The benefits of the cap have had to be weighed against the need to focus on supporting the system that supports the most vulnerable.
In reaching the difficult decision to delay we considered the impact on those who would have entered the cap system from April next year. Though they will not benefit from the additional help straightaway, many will still benefit from the cap system when it is introduced in 2020. The delay will allow local authorities time to focus on consolidating the important reforms to care and support introduced on 1 April 2015, laying the groundwork to implement the funding reforms as successfully as possible in 2020.
Based on the most recent impact assessment, had the cap system been implemented in April 2016, around 23,000 older people in England would have benefitted immediately in 2016/17 and by 2025/26 up to 80,000 additional older people would have received state support.
Information regarding how many people will be affected by the delay in specific constituencies or regions is not held in the format requested.
Means-tested financial support remains available for those who cannot afford to pay for care to meet their eligible needs.
The below Parliamentary question was asked by Rebecca Long Bailey on 2015-10-09.
To ask the Secretary of State for Health, with reference to the update of the current Cancer Drugs Fund list published on 4 September 2015, what assessment he has made of the potential effects on survival rates for (a) breast cancer, (b) pancreatic cancer, (c) lymphoma and (d) leukaemia of the removal of treatments from that list.
George Freeman
NHS England has advised that negotiations are continuing which may result in some drugs remaining in the Cancer Drugs Fund making it difficult to provide a meaningful estimate at this time.
NHS England also advises that the planned removal of these drugs from the Fund will have no or minimal impact on survival rates for the cancers listed.
The below Parliamentary question was asked by Helen Goodman on 2015-10-09.
To ask the Secretary of State for Health, what steps (a) his Department and (b) NHS England are taking to ensure that autism diagnosis waiting times for (i) children and (ii) adults meet National Institute for Health and Care Excellence guidance.
Alistair Burt
The Department has discussed with NHS England the difficulties that people on the autistic spectrum can have in getting an appropriate diagnosis in a timely manner. With support from the Department, NHS England and the Association of Directors of Social Services will undertake a series of visits to clinical commissioning groups (CCGs) to gather information that can be shared between areas that have arrangements in place to meet National Institute for Health and Care Excellence (NICE) Quality Standard 51 Autism: support for commissioning, and those that do not, with the aim of supporting more consistent provision. These NICE guidelines already recommend that there should be a maximum of three months between a referral and a first appointment for a diagnostic assessment for autism. We expect the National Health Service to be working towards meeting the recommendations.
NHS England has also been working with the Health and Social Care Information Centre to develop the Mental Health Minimum Data Set. This will include provision for the diagnosis of autism to be recorded. This mandatory data set will, for the first time, provide data about diagnosis rates. The data will be published and available for everyone to use to support and develop services. NHS England has a commitment, over the next five years, to improve waiting times and this data will be invaluable for this. Information on average waiting times for autistic diagnosis in each clinical commissioning group area is not collected centrally.
The Department issued new statutory guidance in March this year for local authorities and NHS organisations to support the continued implementation of the 2010 Autism Strategy, as refreshed by its 2014 Think Autism update. This guidance sets out what people seeking an autism diagnosis can expect from local authorities and NHS bodies including general practitioners.
We are due to consult on how we set the mandate to NHS England prior to publication of the mandate itself. The mandate will be published following the Government’s Spending Review which is due to complete on 25 November.