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To ask the Secretary of State for Health and Social Care, how much funding was allocated to palliative care in (a) Jarrow constituency, (b) South Tyneside, (c) the North East and (d) the UK in each year since 2010.
To ask the Secretary of State for Health and Social Care, how much funding was allocated to palliative care in (a) Jarrow constituency, (b) South Tyneside, (c) the North East and (d) the UK in each year since 2010.
Data on the total funding allocated to hospice services in England is not routinely collected centrally, as the vast majority of funding decisions are a matter for local commissioners. Funding in the constituent countries of the United Kingdom is a matter for the devolved administration of those countries.
To ask the Secretary of State for Health and Social Care, how many hospices have closed in the (a) North East and (b) UK in each year since 2010.
To ask the Secretary of State for Health and Social Care, how many hospices have closed in the (a) North East and (b) UK in each year since 2010.
Data on the total funding allocated to hospice services in England is not routinely collected centrally, as the vast majority of funding decisions are a matter for local commissioners. Funding in the constituent countries of the United Kingdom is a matter for the devolved administration of those countries.
To ask the Secretary of State for Health and Social Care, how many operational hospices there were in (a) the North East, and (b) the UK in each year since 2010.
To ask the Secretary of State for Health and Social Care, how many operational hospices there were in (a) the North East, and (b) the UK in each year since 2010.
Data on the total funding allocated to hospice services in England is not routinely collected centrally, as the vast majority of funding decisions are a matter for local commissioners. Funding in the constituent countries of the United Kingdom is a matter for the devolved administration of those countries.
To ask the Secretary of State for Health and Social Care, what funding his Department plans to allocate to end of life care in each of the next five years.
To ask the Secretary of State for Health and Social Care, what funding his Department plans to allocate to end of life care in each of the next five years.
As with the vast majority of National Health Service services, the commissioning of palliative and end of life care is a local matter, over which individual clinical commissioning groups (CCGs) have responsibility. CCGs are best placed to understand the needs of local populations and allocate funding for services to meet those needs from the overall resource allocations they receive.
Much of the palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners (GPs) as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or do not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients and the end of life. Therefore, figures for the total cost or allocation of funding for palliative and end of life care services are not available.
The vast majority of hospices were established from charitable and philanthropic donations and are therefore primarily charity-funded and independently run. However, they receive some statutory funding from CCGs and the Government for providing local NHS services. The majority of decisions regarding the statutory funding hospices receive, are a local matter.
Published in January 2019, the NHS Long Term Plan has a commitment to match CCGs up to £7 million from NHS England for Children and Young People’s Palliative and End of Life Care (CYP PEOLC), on condition of £7 million match funding from CCGs by 2023/24. This will create a total planned additional spending of at least £14million a year for CYP PEOLC services across all providers.
In addition, on 20 August the Government announced that £25 million in funding for hospices and palliative care services. This will help alleviate pressures on hospices and boost our local palliative care services; providing for new services – such as out-of-hours support, respite care and specialist community teams. Importantly, the funding is for adults and children and young people’s hospices and palliative services; this is non-recurrent funding and the £25 million announcement relates to 2019/20 only and; the money is to be spent locally, improving care for patients as soon as possible.
NHS England and NHS Improvement have been working to get this money into local areas as a priority and have uplifted CCG resource allocations to reflect the new funding this month. The expectation is that CCGs work collaboratively to assign the money to hospices and palliative services as a sustainability and transformation partnership (STP) across their STP footprint.
On 1 July 2019, the Government announced plans to increase Children’s Hospice grant from £12 million in 2019/20 to £25 million by 2023/24. The grant is provided to children’s hospices to compensate for lower levels of local statutory funding they receive, compared to adult hospices. The planned grant allocations by financial year are as follows: 2020/21 £15 million; 2021/22 £17 million; 2022/23 £21 million; 2023/24 £25 million. Plans for financial year 2024/25 yet to be developed as the Long Term Plan only covers the period to 2023/24.
To ask the Secretary of State for Health and Social Care, what his policy is on the funding of hospices; and what levels of funding his Department plans to allocate to palliative care in each financial year until 2025.
To ask the Secretary of State for Health and Social Care, what his policy is on the funding of hospices; and what levels of funding his Department plans to allocate to palliative care in each financial year until 2025.
As with the vast majority of National Health Service services, the commissioning of palliative and end of life care is a local matter, over which individual clinical commissioning groups (CCGs) have responsibility. CCGs are best placed to understand the needs of local populations and allocate funding for services to meet those needs from the overall resource allocations they receive.
Much of the palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners (GPs) as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or do not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients and the end of life. Therefore, figures for the total cost or allocation of funding for palliative and end of life care services are not available.
The vast majority of hospices were established from charitable and philanthropic donations and are therefore primarily charity-funded and independently run. However, they receive some statutory funding from CCGs and the Government for providing local NHS services. The majority of decisions regarding the statutory funding hospices receive, are a local matter.
Published in January 2019, the NHS Long Term Plan has a commitment to match CCGs up to £7 million from NHS England for Children and Young People’s Palliative and End of Life Care (CYP PEOLC), on condition of £7 million match funding from CCGs by 2023/24. This will create a total planned additional spending of at least £14million a year for CYP PEOLC services across all providers.
In addition, on 20 August the Government announced that £25 million in funding for hospices and palliative care services. This will help alleviate pressures on hospices and boost our local palliative care services; providing for new services – such as out-of-hours support, respite care and specialist community teams. Importantly, the funding is for adults and children and young people’s hospices and palliative services; this is non-recurrent funding and the £25 million announcement relates to 2019/20 only and; the money is to be spent locally, improving care for patients as soon as possible.
NHS England and NHS Improvement have been working to get this money into local areas as a priority and have uplifted CCG resource allocations to reflect the new funding this month. The expectation is that CCGs work collaboratively to assign the money to hospices and palliative services as a sustainability and transformation partnership (STP) across their STP footprint.
On 1 July 2019, the Government announced plans to increase Children’s Hospice grant from £12 million in 2019/20 to £25 million by 2023/24. The grant is provided to children’s hospices to compensate for lower levels of local statutory funding they receive, compared to adult hospices. The planned grant allocations by financial year are as follows: 2020/21 £15 million; 2021/22 £17 million; 2022/23 £21 million; 2023/24 £25 million. Plans for financial year 2024/25 yet to be developed as the Long Term Plan only covers the period to 2023/24.
To ask the Secretary of State for Health and Social Care, what his policy is on allocating funding to hospices in (a) the North East and (b) the UK; and what level of funding his Department plans to allocate to palliative care in each financial year until 2025.
To ask the Secretary of State for Health and Social Care, what his policy is on allocating funding to hospices in (a) the North East and (b) the UK; and what level of funding his Department plans to allocate to palliative care in each financial year until 2025.
As with the vast majority of National Health Service services, the commissioning of palliative and end of life care is a local matter, over which individual clinical commissioning groups (CCGs) have responsibility. CCGs are best placed to understand the needs of local populations and allocate funding for services to meet those needs from the overall resource allocations they receive.
Much of the palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners (GPs) as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or do not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients and the end of life. Therefore, figures for the total cost or allocation of funding for palliative and end of life care services are not available.
The vast majority of hospices were established from charitable and philanthropic donations and are therefore primarily charity-funded and independently run. However, they receive some statutory funding from CCGs and the Government for providing local NHS services. The majority of decisions regarding the statutory funding hospices receive, are a local matter.
Published in January 2019, the NHS Long Term Plan has a commitment to match CCGs up to £7 million from NHS England for Children and Young People’s Palliative and End of Life Care (CYP PEOLC), on condition of £7 million match funding from CCGs by 2023/24. This will create a total planned additional spending of at least £14million a year for CYP PEOLC services across all providers.
In addition, on 20 August the Government announced that £25 million in funding for hospices and palliative care services. This will help alleviate pressures on hospices and boost our local palliative care services; providing for new services – such as out-of-hours support, respite care and specialist community teams. Importantly, the funding is for adults and children and young people’s hospices and palliative services; this is non-recurrent funding and the £25 million announcement relates to 2019/20 only and; the money is to be spent locally, improving care for patients as soon as possible.
NHS England and NHS Improvement have been working to get this money into local areas as a priority and have uplifted CCG resource allocations to reflect the new funding this month. The expectation is that CCGs work collaboratively to assign the money to hospices and palliative services as a sustainability and transformation partnership (STP) across their STP footprint.
On 1 July 2019, the Government announced plans to increase Children’s Hospice grant from £12 million in 2019/20 to £25 million by 2023/24. The grant is provided to children’s hospices to compensate for lower levels of local statutory funding they receive, compared to adult hospices. The planned grant allocations by financial year are as follows: 2020/21 £15 million; 2021/22 £17 million; 2022/23 £21 million; 2023/24 £25 million. Plans for financial year 2024/25 yet to be developed as the Long Term Plan only covers the period to 2023/24.
To ask the Secretary of State for Health and Social Care, how many practising GPs there were in (a) Jarrow constituency and (b) South Tyneside in each year since 2010.
To ask the Secretary of State for Health and Social Care, how many practising GPs there were in (a) Jarrow constituency and (b) South Tyneside in each year since 2010.
The number of headcount general practitioners (excluding locums), working in general practice for each year since September 2015 is available in the following table. General practitioner (GP) locums are excluded as improvements have been made to GP locum recording methodology and figures are not comparable prior to December 2017. Current data is not comparable to 2010. As such, September 2015-18 data has been provided. Figures are not available for Jarrow constituency.
| South Tyneside Clinical Commissioning Group Headcount GPs (excluding locums) |
September 2015 | 106 |
September 2016 | 104 |
September 2017 | 99 |
September 2018 | 99 |
Notes:
- Data as at 30 September 2015-2018.
- Figures shown do not include GPs working in prisons, army bases, educational establishments, specialist care centres including drug rehabilitation centres and walk-in centres.
- Figures contain estimates for practices that did not provide fully valid General Medical Practice staff records.
- Headcount totals are unlikely to equal the sum of the components. Further information on the headcount methodology is available in the General Practice Workforce publication.
- The figures for GPs excluding Locums as this data is not comparable across the time series.
- Data must be compared from the same time point in the year, therefore September 2018 data is provided to allow comparison the earliest available data. Data covering 30 September 2019 will be published on 28 November 2019 and is available at the following link:
- Data collected and published prior to September 2015 is not comparable due to a change in data collection methodology.
- “-” denotes zero, “0” denotes greater than 0, less than 0.5, “..” denotes not applicable.
- Source – NHS Digital
To ask the Secretary of State for Health and Social Care, what the average waiting time was for a patient to see a GP in (a) Jarrow constituency, (b) South Tyneside, (c) Tyne and Wear, (d) the North East and (e) England in each year since 2010.
To ask the Secretary of State for Health and Social Care, what the average waiting time was for a patient to see a GP in (a) Jarrow constituency, (b) South Tyneside, (c) Tyne and Wear, (d) the North East and (e) England in each year since 2010.
Data on appointments in general practice have only been available since November 2017. The most recent data on the time between booking an appointment with a general practice and having the appointment (in days) for South Tyneside Clinical Commissioning Group (CCG), NHS England North East and Yorkshire (Cumbria and North East) Regional Local Office, and England are presented in the table below as the average over the 12 months from September 2018 to August 2019. NHS Digital is unable to provide data for all the geographical areas requested as the data is collected at CCG level, but has provided data for three included in the table.
The data is taken from the NHS Digital publication ‘Appointments in General Practice’. This is a new experimental data collection which is still being refined and improved.
It should be noted that the ‘time from booking to appointment’ refers only to the time elapsed between the successful booking of an appointment and the appointment actually taking place. The data does not take into consideration that many patients will be appropriately booking ahead as part of the continuity of care they receive for long-term conditions.
| South Tyneside CCG | NHS England North East and Yorkshire (Cumbria and North East) Regional Local Office | England |
| Distribution of average time elapsed between booking an appointment and the appointment taking place, September 2018 to August 2019. (Numbers may not add to 100% due to rounding.) | ||
Same Day | 38% | 40% | 42% |
1 Day | 9% | 7% | 7% |
2 to 7 Days | 25% | 21% | 20% |
8 to 14 Days | 13% | 14% | 14% |
15 to 21 Days | 6% | 7% | 8% |
22 to 28 Days | 4% | 5% | 5% |
More than 28 Days | 3% | 5% | 5% |
Total | 100.0% | 100.0% | 100.0% |
Notes
- There are several factors that drive the time from a booking to an appointment. This includes appointment availability at the practice, patient availability, the urgency of the appointment and general practitioner (GP) advice.
- The data does not differentiate between emergency and routine appointments in general practice.
- The data does not include any information about the patients or clinical information
- The data in the response includes appointments with all healthcare professional types, including GPs and other practice staff.
- Not all practices in England are included in the appointments in general practice publication, meaning the total number of appointments is not known.
- Same day and next day bookings are of particular interest so are presented here separately. Further bookings are presented grouped by weeks.
- The number of appointments that have already happened is provided as recorded in participating practices in England. The data presented only contains information which was captured on the GP practice systems. This limits the activity reported on and does not represent all work happening within a primary care setting.
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure the adequacy of funding for NHS services in (a) Jarrow constituency and (b) South Tyneside.
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure the adequacy of funding for NHS services in (a) Jarrow constituency and (b) South Tyneside.
Clinical commissioning group (CCG) allocations for South Tyneside CCG, which covers Jarrow, are shown in the attached table. The CCG is expected to receive more than the England average per head per year in every year from 2019/20 to 2023/24. It has also received above the England average per head per year from 2013/14 to 2017/18.
In 2019/20, South Tyneside and Sunderland NHS Foundation Trust was allocated £2 million Public Dividend Capital for GDE Fast Follower scheme. In addition, North East Ambulance Service NHS Foundation Trust, which covers South Tyneside and Jarrow, secured £835,000
The Trust’s predecessor, City Hospitals Sunderland NHS Foundation Trust, also secured a £887,000 Public Dividend Capital award as part of a national programme for Energy Efficient LED Lighting.
The Department are also aware of a likely award of Public Dividend Capital relating to Urgent and Emergency Care Services provision which is in the process of being allocated and there are a number of ongoing capital funding programmes that the Trust may be considering applications for.
To ask the Secretary of State for Health and Social Care, how much funding has been allocated from the public purse for NHS services in South Tyneside in each year since 2010.
To ask the Secretary of State for Health and Social Care, how much funding has been allocated from the public purse for NHS services in South Tyneside in each year since 2010.
Clinical commissioning group (CCG) allocations for South Tyneside CCG, which covers Jarrow, are shown in the attached table. The CCG is expected to receive more than the England average per head per year in every year from 2019/20 to 2023/24. It has also received above the England average per head per year from 2013/14 to 2017/18.
In 2019/20, South Tyneside and Sunderland NHS Foundation Trust was allocated £2 million Public Dividend Capital for GDE Fast Follower scheme. In addition, North East Ambulance Service NHS Foundation Trust, which covers South Tyneside and Jarrow, secured £835,000
The Trust’s predecessor, City Hospitals Sunderland NHS Foundation Trust, also secured a £887,000 Public Dividend Capital award as part of a national programme for Energy Efficient LED Lighting.
The Department are also aware of a likely award of Public Dividend Capital relating to Urgent and Emergency Care Services provision which is in the process of being allocated and there are a number of ongoing capital funding programmes that the Trust may be considering applications for.
If he will make a statement on his departmental responsibilities.
If he will make a statement on his departmental responsibilities.
To ask the Secretary of State for Health and Social Care, what recent progress his Department has made on negotiations between NHS England and Vertex pharmaceuticals on making Orkambi available on the NHS for people diagnosed with cystic fibrosis.
To ask the Secretary of State for Health and Social Care, what recent progress his Department has made on negotiations between NHS England and Vertex pharmaceuticals on making Orkambi available on the NHS for people diagnosed with cystic fibrosis.
On 24 October, NHS England and NHS Improvement announced that a deal had been agreed with the company Vertex to make Orkambi and its other licensed cystic fibrosis drugs available to National Health Service patients in England.
This deal, while commercially confidential, constitutes good value for the NHS, is backed by the National Institute for Health and Care Excellence and will benefit around 5,000 patients with cystic fibrosis. NHS England and NHS Improvement have announced that there is no cap on patient numbers and all patients who might benefit can now get these treatments on the NHS. Clinicians will be able to begin prescribing these drugs within 30 days of this announcement.
What discussions she has had with the BBC on the provision of television licences for people aged over 75.
What discussions she has had with the BBC on the provision of television licences for people aged over 75.
What actions are the Government taking, both unilaterally and in partnership, to stop the Brazilian Government wiping out their indigenous peoples, as well as poisoning the world’s environment?
What actions are the Government taking, both unilaterally and in partnership, to stop the Brazilian Government wiping out their indigenous peoples, as well as poisoning the world’s environment?
We recognise the concerns about the rain forest. I have spoken to the Brazilian Foreign Minister, and the vice-president will be here soon. We will look into supporting Brazil by taking measures to ensure that the rain forests, which rightly attract international interest, are protected in a way that works for the world—[Interruption]—but also—I say this in response to the shadow Foreign Secretary—does not undermine the economy and the poorest people in Brazil.
What recent discussions he has had with Cabinet colleagues on the adequacy of isolation support for people who have tested positive for covid-19.
What recent discussions he has had with Cabinet colleagues on the adequacy of isolation support for people who have tested positive for covid-19.
Since my appointment as Foreign Secretary, I have visited six countries and met 46 Foreign Ministers. In Helsinki last week, we discussed with our EU partners the middle east, cyber-threats and the challenges relating to Iran. In Thailand, Canada, the United States and Mexico, I have set out our vision for a global Britain as we leave the EU: strong, independent, and a force for good in the world.
What assessment he has made of the safety of gas and electricity meter readers during the national covid-19 lockdown that has been in place since January 2021.
What assessment he has made of the safety of gas and electricity meter readers during the national covid-19 lockdown that has been in place since January 2021.
The Government are investing £56 billion in HS2, £18 billion in Crossrail and £9 billion on the west coast. When will the Minister have some consideration for the people of the north-east, who do not get anything?
The Government are investing £56 billion in HS2, £18 billion in Crossrail and £9 billion on the west coast. When will the Minister have some consideration for the people of the north-east, who do not get anything?
I refer the hon. Gentleman to the current £700 million upgrade to the east coast main line, the brand new trains arriving on the east coast main line, the new trains the Government are providing for the Newcastle-upon-Tyne metro, our plans to reopen the Blythe to Ashington rail line with financial support from Nexus, the opening of the last leg of motorway-grade road between Newcastle and London, and of course the mayor of Teesside’s exciting plans for his airport. One of the most extraordinary things I have come across recently is that the shadow Secretary of State proposes nationalisation in every field of transport except for his local airport, on which he is opposed to nationalisation. [Interruption.]
Because of cruel Tory benefit changes and rip-off prices, fuel poverty in Jarrow has increased by 35% under this Government. Is the Minister proud of the choice that the Tories have given people, between heating and eating?
Because of cruel Tory benefit changes and rip-off prices, fuel poverty in Jarrow has increased by 35% under this Government. Is the Minister proud of the choice that the Tories have given people, between heating and eating?
It should be borne in mind that the fuel poverty metric is relative, which means that the number of people in fuel poverty will always fluctuate between 10% and 12%. It is important to focus on the average fuel poverty gap, which fell to £326 in 2016 from £341 in 2015.
What recent steps he has taken to tackle fuel poverty in the North East.
What recent steps he has taken to tackle fuel poverty in the North East.
As my right hon. Friend the Member for Devizes (Claire Perry) has taken temporary ministerial leave of absence on compassionate grounds, I shall be answering all the questions relating to energy and clean growth today.
The Government made a manifesto commitment to tackle fuel poverty by upgrading fuel-poor homes to energy efficiency band C by 2030. Nearly 800,000 fewer fuel-poor households are living in the least efficient homes than was the case in 2010. We have also refocused the Government’s energy company obligation, and thousands of homes in the north-east have been improved as a result.
T3
Mr Stephen Hepburn (Jarrow) (Lab):
The Minister will be aware of the potential threat to the NHS from any transatlantic trade deal done by the EU. Will he give a cast-iron guarantee that any post-Brexit deal done with the US will maintain the principles of the NHS, free at the point of use?
T3
Mr Stephen Hepburn (Jarrow) (Lab):
The Minister will be aware of the potential threat to the NHS from any transatlantic trade deal done by the EU. Will he give a cast-iron guarantee that any post-Brexit deal done with the US will maintain the principles of the NHS, free at the point of use?
Of course post-EU it will be the Government and this Parliament that will determine what trade arrangements we have, not the European Union. I understand the hon. Gentleman’s passionate defence of the NHS: I trained and worked in the NHS as a doctor. Under this Government the NHS will not be for sale, and I would hope that is something we can agree across the House.