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To ask Her Majesty's Government whether a named doctor for a patient over 75 should see that patient, if requested by the patient or their close relatives, if they are very unwell.
To ask Her Majesty's Government whether a named doctor for a patient over 75 should see that patient, if requested by the patient or their close relatives, if they are very unwell.
Every patient, including those over 75 years old, can request to see a specific general practitioner (GP), including their named accountable GP. Under the terms of the 2015/16 National Health Service General Medical Services Contract practices must endeavour to comply with all reasonable requests made by patients to see a particular practitioner and authorised family members have the same rights.
To ask Her Majesty's Government whether patients over 75, or their relatives, should be able to communicate directly with their named doctor if they wish to.
To ask Her Majesty's Government whether patients over 75, or their relatives, should be able to communicate directly with their named doctor if they wish to.
Every patient, including those over 75 years old, can request to see a specific general practitioner (GP), including their named accountable GP. Under the terms of the 2015/16 National Health Service General Medical Services Contract practices must endeavour to comply with all reasonable requests made by patients to see a particular practitioner and authorised family members have the same rights.
To ask Her Majesty's Government whether Do Not Resuscitate Orders have been issued during COVID-19 pandemic without consulting either the patient or their relatives.
To ask Her Majesty's Government whether Do Not Resuscitate Orders have been issued during COVID-19 pandemic without consulting either the patient or their relatives.
The Care Quality Commission’s report into how Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions were made during the COVID 19 pandemic, found 508 instances where a DNACPR had been placed on a patient’s record without their agreement or agreement from their families or carers.
The Department remains clear that it is unacceptable for DNACPR decisions to be applied in a blanket fashion to any group of people and should be fully discussed with the individual and their family where possible and appropriate. Over the last year, clinical leaders have issued a number of statements which emphasise personalised approaches to care and treatment and reiterate that there has never been an instruction or directive issued by the National Health Service to put in place blanket DNACPRs due to medical condition, disability or age.
To ask Her Majesty's Government whether there have been different instructions for Do Not Resuscitate Orders for (1) disabled patients, (2) dementia patients, and (3) elderly patients during the COVID-19 pandemic; and whether these have only been issued in consultation with relatives.
To ask Her Majesty's Government whether there have been different instructions for Do Not Resuscitate Orders for (1) disabled patients, (2) dementia patients, and (3) elderly patients during the COVID-19 pandemic; and whether these have only been issued in consultation with relatives.
The Care Quality Commission’s report into how Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions were made during the COVID 19 pandemic, found 508 instances where a DNACPR had been placed on a patient’s record without their agreement or agreement from their families or carers.
The Department remains clear that it is unacceptable for DNACPR decisions to be applied in a blanket fashion to any group of people and should be fully discussed with the individual and their family where possible and appropriate. Over the last year, clinical leaders have issued a number of statements which emphasise personalised approaches to care and treatment and reiterate that there has never been an instruction or directive issued by the National Health Service to put in place blanket DNACPRs due to medical condition, disability or age.
To ask Her Majesty's Government what progress they have made regarding the consultation on coronial investigations of stillbirths since it closed on 18 June 2019.
To ask Her Majesty's Government what progress they have made regarding the consultation on coronial investigations of stillbirths since it closed on 18 June 2019.
Work on analysing the responses to the consultation has been delayed during the COVID-19 pandemic but we hope to publish the response to the consultation as soon as possible.
To ask Her Majesty's Government whether they conducted a consultation to inform their actions pursuant to section 3 of the Civil Partnerships, Marriages and Deaths (Registration etc.) Act 2019; and if so, what the outcome of the consultation was.
To ask Her Majesty's Government whether they conducted a consultation to inform their actions pursuant to section 3 of the Civil Partnerships, Marriages and Deaths (Registration etc.) Act 2019; and if so, what the outcome of the consultation was.
The Government has not conducted a consultation to inform actions pursuant to section 3 of the Civil Partnerships, Marriages and Deaths (Registration etc.) Act 2019. The Pregnancy Loss Review team has been speaking with women and men with lived experience of pregnancy loss, clinicians, nurses, bereavement midwives, registrars, faith leaders, charities and officials in the United Kingdom and other countries, drawing on other methods for gathering evidence.
My Lords, we have now reached more than 80% of over-80 year-olds. Local vaccination services, of which there are more than 1,000 in England, co-ordinate the delivery of vaccinations to people who are unable to attend a vaccination site, including visiting homes, the personal homes of housebound individuals and other settings such as residential facilities for those with learning difficulties. The rollout of the vaccine to those at home is progressing at great pace and we are getting great feedback from the front line.
To ask Her Majesty's Government whether the NHS Accelerated Access Collaborative has supported new types of socket for prosthetic limbs.
To ask Her Majesty's Government whether the NHS Accelerated Access Collaborative has supported new types of socket for prosthetic limbs.
Whilst the Accelerated Access Collaborative (AAC) has not directly provided support specifically for new types of socket for prosthetic limbs to date, partners of the AAC have provided support in this area, including through the Small Business Research Initiative.
To ask Her Majesty's Government whether the NHS England review of prosthetic services has been completed; and if so, when the findings of this review will be published.
To ask Her Majesty's Government whether the NHS England review of prosthetic services has been completed; and if so, when the findings of this review will be published.
The review of prosthetic services was paused in March 2020 due to the COVID-19 pandemic. The review has now been restarted with the first meeting held at the beginning of October 2020. We expect that the revised service specification will be available for public consultation in December this year with the aim of starting implementation of a revised service model from April 2021.
To ask Her Majesty's Government whether they have plans to use the private healthcare sector to help clear the backlog of healthcare cases caused by the COVID-19 pandemic.
To ask Her Majesty's Government whether they have plans to use the private healthcare sector to help clear the backlog of healthcare cases caused by the COVID-19 pandemic.
National Health Service patients are benefitting from an unprecedented partnership with private hospitals in the United Kingdom as we battle the COVID-19 outbreak. The Department and NHS England and NHS Improvement have worked with the independent sector to secure all appropriate inpatient capacity and other resource across England. This has increased NHS capacity and ensured that more facilities are available for patients diagnosed with COVID-19.
Throughout this period, independent providers have continued to provide urgent operations for NHS patients, as well as their private pay or insured patients.
As part of preparing for winter, the Government has provided an additional £3 billion to the NHS. This will allow the NHS to continue to use the extra hospital capacity acquired from the independent sector and also to maintain the Nightingale hospitals until the end of March.
To ask Her Majesty's Government what plans they have to clear the backlog of healthcare cases caused by the COVID-19 pandemic.
To ask Her Majesty's Government what plans they have to clear the backlog of healthcare cases caused by the COVID-19 pandemic.
Guidance has already been issued to the National Health Service on the process of starting to restore urgent non-COVID-19 services. We have now started to reset NHS services that were rightly suspended whilst we dealt with the initial impact of COVID-19. The approach is being flexed at local level according to capacity and demand in different parts of the country, but the reset will be gradual.
To ask Her Majesty's Government how long they estimate it will take to clear the NHS waiting lists caused by the COVID-19 pandemic.
To ask Her Majesty's Government how long they estimate it will take to clear the NHS waiting lists caused by the COVID-19 pandemic.
Guidance has already been issued to the National Health Service on the process of starting to restore urgent non-COVID-19 services. We have now started to reset NHS services that were rightly suspended whilst we dealt with the initial impact of COVID-19. The approach is being flexed at local level according to capacity and demand in different parts of the country, but the reset will be gradual.
To ask Her Majesty's Government, under the named GP policy, whether a general practice is allowed to consider that the role of the named GP is for administrative purposes only with the responsibilities being delegated more widely between doctors within that general practice.
To ask Her Majesty's Government, under the named GP policy, whether a general practice is allowed to consider that the role of the named GP is for administrative purposes only with the responsibilities being delegated more widely between doctors within that general practice.
The legal responsibilities of the named accountable general practitioner (GP), since the introduction of the named GP scheme in April 2014, do not allow general practices to consider such a role to be for administrative purposes only. This is because patients can request to see a particular GP, although they may have to wait longer for an appointment if they do so.
In addition, further guidance published in March 2015 for the 2015/16 General Medical Services Contract provides further information on named accountable GPs for all patients. It makes clear that “Where the patient expresses a preference as to which GP they have been assigned, the practice must make reasonable efforts to accommodate this request”.