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Health and Care Bill - Sitting 22 (Morning)
02 November 2021
Type
Public Bill Committee
At a Glance
Issue Summary
The statement discusses the need for NHS England to promote evidence-based public health programmes to integrated care boards and evaluate their impact. The statement discusses the Health and Care Bill's provisions related to young carers' needs assessments following hospitalisation. The statement addresses the needs of young carers who provide care for their relatives, particularly highlighting the impact on them when patients are discharged from hospitals without proper assessment. Steve McCabe is addressing a new clause regarding the amendment of regulations for the appointment of surgical consultants in the NHS. The statement addresses a proposed amendment to include the Royal College of Surgeons of Edinburgh in the surgical consultant appointment process. The statement addresses a new clause that would require integrated care boards to publish a strategy for supporting patients and populations at risk of malnutrition. The statement addresses the issue of malnutrition affecting at least 3 million people annually and costing £23.5 billion per year in health and social care. The statement addresses the issue of malnutrition and its impact on public health in the UK. Steve McCabe discusses new clauses addressing access to NHS dentistry and the state of dental laboratories in the UK. The statement discusses the declining availability of NHS dentistry and its impact on patient access. Edward Argar discusses the impact of the pandemic on the dental laboratory sector and outlines steps taken by the Government to support it. The statement discusses issues related to NHS dentistry, including access, funding, and reform. MP Steve McCabe moves a motion regarding the reading of clause in the Health and Care Bill. Steve McCabe responds to Edward Argar's point of order and thanks the parliamentary staff, officials, and fellow Committee members for their work on the Health and Care Bill.
Action Requested
The speaker proposes a new clause that would require NHS England to publish an annual report on the state of evidence-based public health programmes in England and their impact, as well as promote these programmes to integrated care boards.
Key Facts
- There is no current duty on NHS England to promote public health programmes or evaluate their impact.
- Community dental services and oral health public health programmes can generate significant savings and improvements in individuals' lives through effective methods.
- In 2014, 85% of the public health grant funding went into commissioned services.
- The new clause aims to ensure that the needs of young carers are assessed before discharging patients who they care for.
- Carers play a significant role in supporting families and healthcare services.
- NHS trusts or foundation trusts must notify local authorities if a young carer will be primarily responsible for a patient upon discharge.
- There are almost 166,000 young carers between the ages of five and 17 in England.
- Research suggests there could be around 800,000 children providing care, with nearly 260,000 providing high levels of care.
- Young carers achieve a grade lower than their peers in GCSEs on average and are less likely to go to university.
- The Children and Families Act 2014 states that young carers under the age of 18 have a right to a needs assessment as a responsibility of local authorities.
- The new clause would amend Regulation 2, sub-paragraph (d).
- It aims to add the Royal College of Surgeons of Edinburgh and the Royal College of Physicians and Surgeons of Glasgow along with their associated Dental Faculties.
- This amendment is meant to broaden the scope of colleges involved in the surgical consultant appointment process.
- The proposed new clause aims to amend the National Health Service (Appointment of Consultants) Regulations 1996.
- Only the Royal College of Surgeons of England is currently permitted to review surgical consultant job descriptions and send a representative to advisory appointment committees.
- The regulations and guidance formally exclude the Royal College of Surgeons of Edinburgh from the entire surgical consultant appointment process.
- New Clause 66 requires each integrated care board to assess the need for support for populations at risk of malnutrition.
- Integrated care boards must publish a strategy for provision of such support, including consultation with local authorities.
- The Secretary of State can make regulations about preparing and publishing these strategies after consulting all relevant parties.
- Malnutrition affects at least 3 million people every year.
- It costs £23.5 billion each year to the health and social care system.
- Hospitalised malnourished patients are three times more likely to contract an infection than well-nourished patients.
- Hospital patients at high risk of malnutrition have a twelvefold higher likelihood of early death compared to those at no risk.
- The number of adults admitted to hospital with malnutrition has more than doubled in the last decade.
- Malnutrition can be both a cause and consequence of ill health.
- There are e-learning modules available through the Royal College of General Practitioners.
- The NHS and public health systems aim to improve early diagnosis and treatment of malnutrition.
- Integrated care boards (ICBs) have existing duties in local health and wellbeing strategies, integrated care strategies, and forward plans.
- NHSEI’s enhanced health in care homes implementation framework supports nutritional support for care home residents.
- The Office for Health Improvement and Disparities is committed to improving the diet of the population.
- The Dental Laboratories Association covers about 80% of dental laboratories in the UK.
- In June last year, the association warned of financial ruin for dental laboratories.
- Demand has increased but is not back to usual levels, particularly regarding NHS services.
- NHS dentistry faces significant challenges with 35 million lost NHS dental appointments reported by Healthwatch.
- Patients requiring specialist services under sedation face waits up to four years.
- Government spending on NHS dental services fell by a third in real terms over the last decade.
- Sir Robert Francis QC and the British Dental Association urge the Treasury to commit £879 million for the recovery of NHS dental services.
- 55% was the initial level of recovery funding; now it is less.
- Almost 1,000 dentists in England have stopped providing NHS services in the last financial year.
- Over 1,250 NHS practice numbers in England dropped over the last five years.
- BDA warns that a return to using units of dental activity from next April would be a missed opportunity.
- Dentistry has been significantly impacted throughout the pandemic due to risks associated with aerosol-generating procedures.
- Dental laboratories have accessed financial support through schemes like the coronavirus business interruption loan scheme, bounce back loans, and the recovery loan scheme.
- The 'Advancing Dental Care' review by Health Education England provides recommendations for reforming education and training for dental care professionals including technicians.
- Dental practices have been asked to deliver urgent care, care for vulnerable groups and children, and delayed planned care during the pandemic.
- Over 700 urgent care centres were established in dental practices to improve access.
- NHS England and NHSEI are working on reforming the current dental system.
- Health Education England’s “Advancing Dental Care” programme will deliver reforms over four years.
- A new clause requires the Secretary of State to direct NHS England to designate a national lead for policy related to allergies within six months of the Act's passage.
- MP Alex Norris introduced a new clause requiring an allergy tsar appointment.
- Natasha Ednan-Laperouse died in 2016 due to an allergic reaction.
- The World Health Organisation describes allergies as a modern epidemic.
- Steve McCabe thanked the Clerks, Hansard team, Doorkeepers, and other Committee Chairs.
- He acknowledged the support from officials in preparing the Bill for scrutiny.
- No new actions or policies were proposed.
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