Tag: Lord Hunt of Kings Heath

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-03-21.

To ask Her Majesty’s Government why figures for the Barking, Havering and Redbridge NHS University Hospitals Trust were not included in the official figures of the number of patients waiting for treatment for more than a year.

Lord Prior of Brampton

Consultant-led referral to treatment waiting time statistics are designated as National Statistics. This means that the statistics are produced according to sound methods, and are managed impartially and objectively in the public interest.

From time to time, for example when there are serious problems with patient administration systems, National Health Service trusts do need to temporarily suspend submissions of data for inclusion in the publication of National Statistics for reasons of data quality and completeness. Nine acute trusts did not submit data on referral to treatment waiting times for January 2016. For this reason, the published data on the number of patients waiting more than a year to start consultant-led treatment for non-urgent conditions may be understated. NHS Improvement is working intensively with these trusts so that they can begin submitting data again as quickly as possible.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-04-14.

To ask Her Majesty’s Government what changes they propose to make in the new contract for doctors in training in the light of the equality analysis undertaken under section 149 of the Equality Act 2010.

Lord Prior of Brampton

The contract published on 31 March is a huge step forward for achieving fairness for all trainee doctors. For the first time junior doctors will be paid and rewarded solely on the basis of their own hard work and achievement and pay progression will be linked to level of training rather than arbitrarily to time served.

All junior doctors should have the same terms and conditions – a level playing field – which is ultimately what employers and the British Medical Association (BMA) want and everyone deserves.

When the Secretary of State published the Equality Analysis on the new contract for doctors and dentists in training in the NHS (“Doctors”) on the 31 March 2016 on the GOV.UK website he made it clear that, as a result of considering the Equality Analysis, in accordance with his duties and obligations, he had asked for a number of changes to the draft contract to address specific issues for certain groups with protected characteristics. This has been done and the contract has been duly amended. These changes included changes that benefited staff who work part time. The new contract is not discriminatory it ensures that all junior doctors receive equal pay for work of equal value. The BMA’s own lawyers have advised that nothing in the new contract is discriminatory. Nevertheless the equality duty is an ongoing duty and it is intended that monitoring will continue after the introduction of the new contract in accordance with the public sector equality duty in the Equality Act 2010.

A copy of the Equality Analysis is attached.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-04-18.

To ask Her Majesty’s Government on what basis the equality analysis undertaken under section 149 of the Equality Act 2010, which showed that certain features of the new contract for doctors in training will disproportionately impact on women, would not amount to indirect discrimination as those impacts can be comfortably justified.

Lord Prior of Brampton

The Equality Assessment refers to a number of important objectives the new contract pursues and explains how it delivers fairness for all junior doctors. The Government considers that the new contract is entirely consistent with the Equality Act 2010.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-05-04.

To ask Her Majesty’s Government what formal public consultation will need to take place when Sustainability and Transformation Plans are given approval by NHS England.

Lord Prior of Brampton

Where Sustainability and Transformation plans envisage changes to the way that NHS services are commissioned or delivered, it will be the responsibility of the relevant clinical commissioning groups to involve patients and the public in considering and making decisions on those proposals, in line with their duties under the National Health Service Act 2006.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-05-18.

To ask Her Majesty’s Government what assessment they have made of the rate of uptake by the NHS of faecal microbiota transplants in the treatment of recurrent Clostridium difficile infections.

Lord Prior of Brampton

The National Institute for Health and Care Excellence (NICE) has produced guidance on faecal microbiota transplant for recurrent Clostridium difficile infection. NICE has recommended that the procedure is safe enough for use in the National Health Service, but no assessment of its cost effectiveness has been made by NICE.

Data on the uptake by the NHS of faecal microbiota transplants in the treatment of recurrent Clostridium difficile is not collected centrally.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-06-06.

To ask Her Majesty’s Government what financial support has been offered to the Wheelchair Leadership Alliance in addition to the support given over the Right Chair, Right Time, Right Now campaign and charter.

Lord Prior of Brampton

The Minister for Community and Social Care (Alistair Burt), together with the Minister for Disabled People (Justin Tomlinson) recently met with Baroness Grey-Thompson, Chair of the Wheelchair Leadership Alliance, and NHS England to discuss what action could be taken to improve wheelchair services. This includes NHS England discussing the focus and content of a model service specification for wheelchairs with the Alliance.

NHS England made available a further £10,000 to the Wheelchair Leadership Alliance for support during 2015/16.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-09-05.

To ask Her Majesty’s Government what assessment they have made of whether the Basildon and Brentwood Clinical Commissioning Group has diverted finance intended for mental health services to reduce financial shortfalls in the acute sector.

Lord Prior of Brampton

No such assessment has been made. NHS England allocates funding to clinical commissioning groups (CCGs) to commission health services, including mental health services, to meet the needs of local communities. CCGs are responsible for decisions about how their allocation is used, taking account of local priorities, and are committed to increasing spending on mental health each year in line with the increases in overall National Health Service funding allocations. NHS England advises that, in line with Basildon and Brentwood CCG’s move towards parity of esteem, the CCG has increased investment into mental health services in 2016/17.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-11-09.

To ask Her Majesty’s Government what discussions they have held with other EU member states about whether the Recognition of Professional Qualifications Directive provides sufficient safeguards to allow regulators to assure themselves that migrant healthcare professionals have kept their skills and competence up-to-date.

Lord Prior of Brampton

The revised Directive was negotiated between Member States including the United Kingdom over a number of years before its publication in the Official Journal in 2013. A copy of the Directive is attached.

The main aim of the Directive is to increase freedom of movement of professions across the European Union by providing a framework for the regulatory bodies to consider a professional’s qualification. If a professional’s qualifications are of the standard recognised across Europe they are deemed to be of sufficient quality. Ifhowever a professional’s qualification does not meet the minimum standards set out across Europe the regulator can require them to undertake further training to improve their skills and competence before being permitted to practise in the UK.

Individual employers also have a responsibility to ensure that the people they employ or contract with have the required knowledge and skills and qualifications for the posts for which they are applying.

Once a professional has been registered with the regulatory body they must adhere to the same requirements as UK registrants including continuing professional development and revalidation (for doctors and nurses) to ensure that they remain fit to practice.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-11-19.

To ask Her Majesty’s Government what action they have taken in the light of the recommendations of the Royal College of Ophthalmologists in 2011 that NICE and the Medicines and Healthcare products Regulatory Agency should be instructed to evaluate the effectiveness of the drug bevacizumab in the treatment of age-related macular degeneration (AMD) and produce national guidelines for the use of anti-VEGF agents in AMD.

Lord Prior of Brampton

The Department has no plans to ask the National Institute for Health and Care Excellence (NICE) to develop technology appraisal guidance on the use of bevacizumab for the treatment of age-related macular degeneration (AMD). Bevacizumab is not licensed for use in the treatment of wet AMD. Other licensed drugs are available for the treatment of AMD and have been recommended in NICE technology appraisal guidance as clinically and cost effective. The National Health Service in England is legally required to fund drugs and treatments recommended by NICE technology appraisal guidance. NICE is currently developing a clinical guideline on the diagnosis and management of AMD and currently expects to issue final guidance in August 2017.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-11-23.

To ask Her Majesty’s Government what assessment they have made of the focus in the current dietary advice by NHS Choices to people with diabetes or who are pre-diabetic on the possible benefits of a diet combining protein with low glycemic load carbohydrates.

Lord Prior of Brampton

Public Health England (PHE) advocates a healthy balanced diet for all based on the eatwell plate; the national healthy eating guide. The eatwell plate shows for a healthy balanced diet people should try to eat plenty of starchy foods, fruit and vegetables, some milk, dairy, meat, fish and other non-dairy sources of protein and only small amounts of food and drinks high in fat and/or sugar.

The Government takes a whole population approach to healthy eating, and therefore does not provide specific dietary advice to individuals with medical needs. It is recommended for anyone with a medical condition who is in search of dietary advice to consult their local general practitioner or a dietician.

In July 2015, the Scientific Advisory Committee on Nutrition (SACN) published its report on Carbohydrates and Health, a review of the latest evidence on dietary carbohydrates and health. SACN recommended reducing sugar consumption, increasing fibre consumption and minimising consumption of sugars-sweetened drinks. A copy of Carbohydrates and Health is attached.

Following publication, advice on what constitutes a healthy balanced diet, for the general population, which includes those with diabetes, was updated to reflect SACN’s recommendations. As part of this, PHE is undertaking a review of the eatwell plate; the refreshed resource will be launched in early 2016.