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To ask the Secretary of State for Health and Social Care, what steps he plans to take to help improve ambulance waiting times in (a) the North West and (b) Southport constituency.
To ask the Secretary of State for Health and Social Care, what steps he plans to take to help improve ambulance waiting times in (a) the North West and (b) Southport constituency.
Our Delivery plan for recovering urgent and emergency care services sets out the range of measures being taken to achieve our ambition of reducing average Category 2 ambulance response times to 30 minutes across 2024/25, including in the North West and Southport. A summary of the progress made and the actions being taken in 2024/25 is set out in Urgent and emergency care recovery plan Year 2: Building on learning from 2023/24, which is available at the following link:
To ask the Secretary of State for Health and Social Care, whether she is taking steps to encourage the standardisation of social care commissioning by local authorities.
To ask the Secretary of State for Health and Social Care, whether she is taking steps to encourage the standardisation of social care commissioning by local authorities.
It has not proved possible to reply to the hon Member in the time available before Dissolution.
To ask the Secretary of State for Health and Social Care, what assessment she has made of the adequacy of access to adult social care services by people of working age.
To ask the Secretary of State for Health and Social Care, what assessment she has made of the adequacy of access to adult social care services by people of working age.
It has not proved possible to reply to the hon Member in the time available before Dissolution.
To ask the Secretary of State for Health and Social Care, what steps she is taking to ensure the adequacy of processing times for (a) applications for and (b) appeals relating to NHS Continuing Healthcare.
To ask the Secretary of State for Health and Social Care, what steps she is taking to ensure the adequacy of processing times for (a) applications for and (b) appeals relating to NHS Continuing Healthcare.
Operational delivery of NHS Continuing Healthcare (CHC) is the responsibility of the integrated care boards (ICBs), with oversight from NHS England. The National Framework makes clear that ICBs are expected to reach a decision in most cases within 28 days of being notified of an individual’s potentially eligibility. Further information on the National Framework is available at the following link:
All ICBs must have a CHC local resolution process in place, in order to support individuals who may wish to challenge a decision. NHS England has provided best practice guidance to ICBs, outlining how local resolution should operate. This includes a recommendation that ICBs should complete a request for a local review within three months of receipt. Where it has not been possible to resolve the matter, the individual may apply to NHS England for an independent review of the decision.
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to reduce ambulance waiting times in (a) Suffolk and (b) Suffolk Coastal constituency.
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to reduce ambulance waiting times in (a) Suffolk and (b) Suffolk Coastal constituency.
Our Delivery plan for recovering urgent and emergency care services sets out the range of measures being taken to achieve our ambition of reducing average Category 2 ambulance response times to 30 minutes across 2024/25, including in Suffolk. A summary of the progress made, and actions taken in 2024/25 is set out in Urgent and emergency care recovery plan year 2: building on learning from 2023/24, which is available at the following link:
Nationally, ambulance trusts received £200 million of additional funding in 2023/24 to increase deployed hours and reduce response times, and this service capacity is being maintained in 2024/25. This is alongside the delivery of new ambulances, and action to reduce handover delays. With more ambulances on the roads, patients will receive the treatment they need more swiftly.
Since we published our plan, there has been significant improvement in ambulance response times, including in Suffolk. In 2023/24, average Category 2 ambulance response time in the East of England was over 23 minutes faster compared to the previous year, a reduction of over 34%.
To ask the Secretary of State for Health and Social Care, what progress she has made on (a) implementing the actions in the urgent and emergency care plan and (b) preventing ambulances queuing at hospitals.
To ask the Secretary of State for Health and Social Care, what progress she has made on (a) implementing the actions in the urgent and emergency care plan and (b) preventing ambulances queuing at hospitals.
We have made significant progress in implementing the Delivery plan for recovering urgent and emergency care services since it was published in January 2023. A summary is set out in the document, Urgent and emergency care recovery plan Year 2: Building on learning from 2023/24, which is available at the following link:
Progress includes delivering 5,000 additional core hospital beds, exceeding our virtual ward bed capacity ambition, with over 12,000 now available, and increasing same day emergency care services across the country. These measures are helping to improve patient flow through accident and emergency (A&E) and reduce the ambulance capacity lost to handover delays.
Since the publication of the plan, both A&E and ambulance performance has improved during 2023/24, compared to the previous year. In addition, average ambulance patient handover times have fallen to 32 minutes 42 seconds in April 2024, from 37 minutes 33 seconds in October 2023, when the publication of this data began.
To ask the Secretary of State for Health and Social Care, what steps she is taking to reduce A&E waiting times.
To ask the Secretary of State for Health and Social Care, what steps she is taking to reduce A&E waiting times.
Our Delivery plan for recovering urgent and emergency care services sets out the range of measures being taken to improve accident and emergency waiting times. The plan is available at the following link:
Backed by £1 billion of dedicated funding, the National Health Service delivered 5,000 additional core hospital beds in 2023/24, and will maintain this capacity expansion in 2024/25, to support patient flow through hospitals. Accident and emergency waiting times improved year-on-year in 2023/24 for the first time since 2009/10, not including the first year of the pandemic. The NHS Planning Guidance, published in March 2024, commits to further improvements in emergency care performance in 2024/25, with more information available at the following link:
https://www.england.nhs.uk/operational-planning-and-contracting/
To ask the Secretary of State for Health and Social Care, what estimate she has made of the proportion of specialised services that met national standards in the (a) 2022-23 and (b) 2023-24 financial years.
To ask the Secretary of State for Health and Social Care, what estimate she has made of the proportion of specialised services that met national standards in the (a) 2022-23 and (b) 2023-24 financial years.
The total spend on commissioning specialised services was £22.7 billion in 2022/23 and £25 billion in 2023/24. As formal delegation of specialised services to integrated care boards (ICBs) begins from 1 April 2024, all spend on commissioning these services in previous years has been the responsibility of NHS England, and not the ICBs. For 2024/25, NHS England is delegating £5.3 billion of commissioning resource to ICBs in the three regions, where delegation will begin from April 2024. This figure excludes high-cost drugs and devices spend.
The nine joint committee arrangements arose from a robust process, which included a readiness assessment, the Pre-Delegation Assessment Framework, made between the ICBs and NHS England regional teams, followed by a National Moderation Panel, and final decision taken by the NHS England Board. The NHS England Board papers for February 2023, December 2023, and March 2024 are available, respectively, at the following links:
The process concluded that a transitional year of joint commissioning would offer the most secure and stable transition towards delegation. There is a comprehensive programme structure in place to support the ICBs in the four regions that are working towards delegation in April 2025, to support them in being ready to take on the responsibilities. NHS England is continuing to work alongside ICBs to ensure that delegation agreements are in place, including ensuring appropriate collaborative arrangements are developed to support ICB commissioning of specialised services. These arrangements will be monitored by NHS England through its assurance processes for specialised services.
A webinar series for commissioning staff, including colleagues in ICBs, was delivered in 2023 across different aspects of specialised services, and there are additional webinars planned in 2024. There has been, and will continue to be, local engagement between regional commissioning teams and ICB teams, as the future operating model is co-developed. A suite of support materials has been shared with teams and continues to be updated. As examples, these include: Commissioning Change Management Business Rules; Finance and Accounting Standard Operating Procedure; and the Contracting Standard Operating Procedure.
NHS England develops services specification and clinical policies through its Clinical Reference Groups. There are 250 published service specifications which include clinical pathway, quality, and other relevant standards, which are specific to the clinical service. Regional commissioning teams, overseen by the statutory joint committees, are responsible for implementing the specifications in their commissioning of services, along with assessing compliance against national standards. NHS England has developed Specialised Services Quality Dashboards alongside service specifications, which provide additional data to monitor the quality of services.
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to help increase the rate of diagnosis for people who develop symptoms of dementia before the age of 65.
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to help increase the rate of diagnosis for people who develop symptoms of dementia before the age of 65.
As part of the spending review settlement in 2021/22, £17 million was allocated to the National Health Service to address dementia waiting lists, and to increase the number of diagnoses, which had been adversely impacted by the pandemic. NHS England will share learning on the impact of this funding and examples of good practice with dementia clinical networks, by the end of Summer 2024.
However, the dementia diagnosis rate is not calculated for patients aged under 65 years old. This is because the numbers of patients known to have dementia in the sample population age groups comprising the zero to 64 years old age range, is not large enough for reliable estimates to be made.
The Primary Care Dementia Data publication does include a monthly count of the number of patients aged 65 years old and under who do have a dementia diagnosis on their patient record, which is expressed as a raw count, and as a percentage of registered patients aged zero to 64 years old.
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to reduce diagnostic waiting times for people with suspected young onset dementia.
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to reduce diagnostic waiting times for people with suspected young onset dementia.
As part of the spending review settlement in 2021/22, £17 million was allocated to the National Health Service to address dementia waiting lists, and to increase the number of diagnoses, which had been adversely impacted by the pandemic. NHS England will share learning on the impact of this funding and examples of good practice with dementia clinical networks, by the end of Summer 2024.
However, the dementia diagnosis rate is not calculated for patients aged under 65 years old. This is because the numbers of patients known to have dementia in the sample population age groups comprising the zero to 64 years old age range, is not large enough for reliable estimates to be made.
The Primary Care Dementia Data publication does include a monthly count of the number of patients aged 65 years old and under who do have a dementia diagnosis on their patient record, which is expressed as a raw count, and as a percentage of registered patients aged zero to 64 years old.
To ask the Secretary of State for Health and Social Care, what steps her Department are taking to reduce ambulance waiting times in (a) the West Midlands and (b) Birmingham, Erdington constituency.
To ask the Secretary of State for Health and Social Care, what steps her Department are taking to reduce ambulance waiting times in (a) the West Midlands and (b) Birmingham, Erdington constituency.
Our Delivery plan for recovering urgent and emergency care services sets out the range of measures being taken to achieve our ambition of reducing average Category 2 ambulance response times to 30 minutes across 2024/25, including in the West Midlands and Birmingham. Information on the delivery plan is available at the following link:
Ambulance trusts received £200 million of additional funding in 2023/24, to increase deployed hours and reduce response times. We will maintain this additional capacity this year, alongside the 5,000 additional permanent hospital beds delivered last year to improve patient flow through hospitals, and reduce ambulance capacity lost to ambulance patient handover delays.
Since we published our plan, there have been significant improvements in ambulance response times, including in the West Midlands. In 2023/24, average Category 2 ambulance response times in the West Midlands were over twelve minutes faster compared to the previous year, a reduction of 25%.
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to help reduce waiting times in ambulance and emergency departments in Yorkshire.
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to help reduce waiting times in ambulance and emergency departments in Yorkshire.
Our Delivery plan for recovering urgent and emergency care services sets out the range of measures being taken to reduce ambulance and emergency department waiting times, including in Yorkshire.
Backed by £1 billion of dedicated funding, we delivered 5,000 additional core hospital beds in 2023/24 and will maintain this capacity expansion in 2024/25. Ambulance trusts received £200 million of additional funding in 2023/24 to increase deployed hours and reduce response times, which will also be maintained this year.
Since we published our plan there have been significant improvements in emergency care performance, including in Yorkshire. In 2023/24, average Category 2 ambulance response times in Yorkshire were over nine minutes faster compared to the previous year, a reduction of 23%, and performance against the four-hour standard for accident and emergency care improved in each integrated care board area in Yorkshire.
The NHS Planning Guidance, published in March, commits to further improvements in emergency care performance in 2024/25, with more information available at the following link:
https://www.england.nhs.uk/operational-planning-and-contracting/
To ask the Secretary of State for Health and Social Care, if she will take steps to (a) improve published national primary care data on young onset dementia and (b) ensure that young onset dementia is included in the national dementia diagnosis target rate.
To ask the Secretary of State for Health and Social Care, if she will take steps to (a) improve published national primary care data on young onset dementia and (b) ensure that young onset dementia is included in the national dementia diagnosis target rate.
Young onset dementia (YOD), defined as dementia diagnosed under the age of 65.
The dementia diagnosis rate is not calculated for patients aged under 65 years old. This is because the numbers of patients known to have dementia in the sample population age groups comprising those aged between zero and 64 years old are not large enough for reliable estimates to be made.
The dementia diagnosis rate for patients aged 65 years old and over is calculated and published monthly via the Primary Care Dementia Data publication, which is available at the following link:
This publication does include a monthly count of the number of patients aged 65 years old and under who do have a dementia diagnosis on their patient record; this is expressed as a raw count and as a percentage of registered patients aged between zero and 64 years old.
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to reduce ambulance response times.
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to reduce ambulance response times.
Our Delivery plan for recovering urgent and emergency care services sets out the range of measures being taken to achieve our ambition of reducing average Category 2 ambulance response times to 30 minutes, across 2024/25. Further information on the delivery plan is available at the following link:
Ambulance trusts received £200 million of additional funding in 2023/24 to increase deployed hours and reduce response times. We will maintain the improved ambulance service capacity from this additional funding in 2024/25, alongside the additional 5,000 permanent hospital beds delivered last year to improve patient flow through accident and emergency, and reduce ambulance capacity lost due to handover delays.
There have been significant improvements in performance across the country, with average Category 2 ambulance response times in 2023/24 over 13 minutes faster compared to the previous year, a reduction of over 27%.
To ask the Secretary of State for Health and Social Care, if he will hold discussions with the Department of Health in Northern Ireland on ambulance response times in that region.
To ask the Secretary of State for Health and Social Care, if he will hold discussions with the Department of Health in Northern Ireland on ambulance response times in that region.
Departmental officials have regular discussions with Northern Ireland and other Devolved Governments on a range of issues, including urgent and emergency care services. There are, however, no specific discussions currently planned on ambulance response times in Northen Ireland.
To ask the Secretary of State for Health and Social Care, what guidance her Department provides to NHS trusts on ensuring that patients transitioning from intensive care units to hospital wards receive the necessary specialist care on those wards.
To ask the Secretary of State for Health and Social Care, what guidance her Department provides to NHS trusts on ensuring that patients transitioning from intensive care units to hospital wards receive the necessary specialist care on those wards.
A quality standard for patient transfers, from critical care to general wards, has been published by the National Institute for Health and Care Excellence, and endorsed by NHS England. The quality standard, which emphasises the importance of continuity in rehabilitation, is available at the following link:
To ask the Secretary of State for Health and Social Care, what steps she is taking to reduce A&E waiting times at York Hospital for residents of Selby and Ainsty constituency.
To ask the Secretary of State for Health and Social Care, what steps she is taking to reduce A&E waiting times at York Hospital for residents of Selby and Ainsty constituency.
Our two-year urgent and emergency care recovery plan, backed by £1 billion of dedicated funding, was published in January 2023, to drive sustained improvements in urgent and emergency care waiting times.
At York Hospital, an expanded and redesigned emergency department was opened in July 2023. This has improved the provision of services, including same day emergency care (SDEC). SDEC supports patients’ access to timely diagnosis and treatment, without the need for admission to hospital.
The latest published data shows that at York and Scarborough Teaching Hospitals NHS Foundation Trust, the proportion of patients waiting 12-hours from decision-to-admit to admission has reduced by 6.9% in March 2024 compared to the previous year.
Just over a year ago, we set out a plan to improve urgent and emergency care. The plan is working. At East Lancashire Hospitals NHS Trust, 78% of A&E patients in March were seen within four hours. That is 4.5 percentage points better than last year—the biggest year-on-year improvement outside the pandemic since 2010. We know that there is more to do; that is why we are working with the NHS on year 2 of the urgent and emergency care recovery plan.
Just over a year ago, we set out a plan to improve urgent and emergency care. The plan is working. At East Lancashire Hospitals NHS Trust, 78% of A&E patients in March were seen within four hours. That is 4.5 percentage points better than last year—the biggest year-on-year improvement outside the pandemic since 2010. We know that there is more to do; that is why we are working with the NHS on year 2 of the urgent and emergency care recovery plan.
What steps her Department is taking to improve accident and emergency waiting times in east Lancashire.
I commend my hon. Friend and other east Lancashire colleagues for their campaigning on this matter. I look forward to the meeting we are going to have to discuss the performance of his local A&E, and I thank him very much for the invitation to visit.
I commend my hon. Friend and other east Lancashire colleagues for their campaigning on this matter. I look forward to the meeting we are going to have to discuss the performance of his local A&E, and I thank him very much for the invitation to visit.
I am grateful to the Minister for that response, and grateful to her for agreeing to meet me and other local MPs to discuss the emergency care situation in east Lancashire. Could I ask her to go one step further? Perhaps she and even the Secretary of State could visit Burnley General Teaching Hospital in my constituency, meet the trust, and see what more we can do there, partly to reverse the disastrous decision of the last Labour Government to close the A&E there?
The hon. Gentleman makes the point that the performance of A&E depends on the flow of patients through hospital and our ability to discharge them. That is why, as part of our work on urgent and emergency care, we have invested in supporting hospitals to discharge patients, and have been supporting social care. We have seen an increased number of discharges across the country over the last year, which has enabled hospitals to treat more people and supported the improved performance in A&E that I mentioned. We continue to work on that, and of course we are supporting social care with up to £8.6 extra billion funding over two years.
The hon. Gentleman makes the point that the performance of A&E depends on the flow of patients through hospital and our ability to discharge them. That is why, as part of our work on urgent and emergency care, we have invested in supporting hospitals to discharge patients, and have been supporting social care. We have seen an increased number of discharges across the country over the last year, which has enabled hospitals to treat more people and supported the improved performance in A&E that I mentioned. We continue to work on that, and of course we are supporting social care with up to £8.6 extra billion funding over two years.
I share an integrated care board with the hon. Member for Burnley (Antony Higginbotham) in Lancashire and South Cumbria. Does the Minister agree that one reason why there are such problems with A&E waiting times is the congestion in our hospitals overall, because of the number of people who are healthy and fit to leave hospital, but cannot have a health and care plan when they return home? Some 24% of all beds in the Morecambe Bay hospitals are occupied by people who are fit to leave, but have no care package. What plan does the Minister have to address the social care crisis in Cumbria? That will include increasing the amount of affordable housing, so that people can afford to live in the area; paying carers more; and having more intelligent visa rules.