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Written Question
Chronic Obstructive Pulmonary Disease: Diagnosis
Friday 20th June 2025

Asked by: Afzal Khan (Labour - Manchester Rusholme)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to identify (a) undiagnosed patients with chronic obstructive pulmonary disease (COPD), and (b) COPD patients who are managed in primary care that should have their management escalated to specialist care in Greater Manchester ICB.

Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)

Respiratory disease, including chronic obstructive pulmonary disease (COPD) is a clinical priority and the National Health Service is investing in the provision of more and better rehabilitation services for respiratory patients. This has the objective of improving outcomes for people with COPD through early diagnosis including via spirometry tests, and through increased access to treatments.

The NHS RightCare COPD pathway has been rolled out nationally and defines the optimal service for people with COPD. Furthermore, the National Respiratory Audit Programme aims to improve quality of care, services, and clinical outcomes for patients with asthma and COPD, by collecting and providing data on a range of indicators and pulmonary rehabilitation activity.

A national programme of work is underway to support systems with improving access to Pulmonary Rehabilitation for the eligible population; increase capacity of provision to reduce waiting lists; and improve the quality and consistency of rehabilitation programmes through accreditation. Pulmonary rehabilitation is effective for people with COPD, improving exercise capacity or increased quality of life in 90% of patients who complete a programme.

Within NHS Greater Manchester, action being taken to address COPD includes:

- improving equity of access to diagnostic spirometry and fractional exhaled nitric oxide, particularly for disadvantaged population groups;

- increasing capacity and reducing waiting times for pulmonary rehabilitation services;

- increasing vaccination uptake and focusing on secondary prevention of pneumonia;

- running smoking cessation services; and

- introducing a respiratory standard to improve quality in general practice in managing COPD.

This standard utilises a tool to identify patients with COPD who are at the highest risk and asks practices to do an enhanced review and management of these patients to help manage their COPD better.

Data on the average time to diagnosis of COPD following patient contact with their general practitioner (GP) is not available. COPD diagnosis typically involves a spirometry test, and data related to such tests may be available at the level of individual GP practices and secondary care providers but is not yet routinely collected in national datasets or in Greater Manchester Integrated Care Board. Furthermore, the test is also used in the diagnosis of other respiratory conditions, not just COPD.


Written Question
Chronic Obstructive Pulmonary Disease: Diagnosis
Friday 20th June 2025

Asked by: Afzal Khan (Labour - Manchester Rusholme)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what the average time is for a patient to receive a diagnosis of chronic obstructive pulmonary disease (COPD) following initial contact with their GP for respiratory illness symptoms in (a) Greater Manchester ICB and (b) England in weeks.

Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)

Respiratory disease, including chronic obstructive pulmonary disease (COPD) is a clinical priority and the National Health Service is investing in the provision of more and better rehabilitation services for respiratory patients. This has the objective of improving outcomes for people with COPD through early diagnosis including via spirometry tests, and through increased access to treatments.

The NHS RightCare COPD pathway has been rolled out nationally and defines the optimal service for people with COPD. Furthermore, the National Respiratory Audit Programme aims to improve quality of care, services, and clinical outcomes for patients with asthma and COPD, by collecting and providing data on a range of indicators and pulmonary rehabilitation activity.

A national programme of work is underway to support systems with improving access to Pulmonary Rehabilitation for the eligible population; increase capacity of provision to reduce waiting lists; and improve the quality and consistency of rehabilitation programmes through accreditation. Pulmonary rehabilitation is effective for people with COPD, improving exercise capacity or increased quality of life in 90% of patients who complete a programme.

Within NHS Greater Manchester, action being taken to address COPD includes:

- improving equity of access to diagnostic spirometry and fractional exhaled nitric oxide, particularly for disadvantaged population groups;

- increasing capacity and reducing waiting times for pulmonary rehabilitation services;

- increasing vaccination uptake and focusing on secondary prevention of pneumonia;

- running smoking cessation services; and

- introducing a respiratory standard to improve quality in general practice in managing COPD.

This standard utilises a tool to identify patients with COPD who are at the highest risk and asks practices to do an enhanced review and management of these patients to help manage their COPD better.

Data on the average time to diagnosis of COPD following patient contact with their general practitioner (GP) is not available. COPD diagnosis typically involves a spirometry test, and data related to such tests may be available at the level of individual GP practices and secondary care providers but is not yet routinely collected in national datasets or in Greater Manchester Integrated Care Board. Furthermore, the test is also used in the diagnosis of other respiratory conditions, not just COPD.


Written Question
Beverage Containers: Recycling
Monday 9th June 2025

Asked by: Afzal Khan (Labour - Manchester Rusholme)

Question to the Department for Environment, Food and Rural Affairs:

To ask the Secretary of State for Environment, Food and Rural Affairs, what assessment he has made of trends in the levels of recycling rates for (a) plastic, (b) metal and (c) glass beverage containers.

Answered by Mary Creagh - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)

Defra has not made an assessment of trends in the levels of recycling rates for plastic, metal and glass beverage containers.

However, Defra’s Impact Assessment for the Deposit Return Scheme (DRS) uses external estimates of the recycling rates for beverage containers made of specific materials for specific years –

https://www.legislation.gov.uk/ukia/2024/217/pdfs/ukia_20240217_en.pdf

Defra more routinely publishes annual statistics on the total amount of UK packaging waste that is recycled broken down by material types. The following table shows the amount of packing waste recycled by material types for 2023. The amount of recycled packaging is based on tonnages reported by accredited reprocessors and exporters under the Producer Responsibility Obligations (Packaging Waste) Regulations.

Table1: Packaging waste and recycling, split by material, UK 2023 (thousand tonnes and % rate)

Material

Packaging waste arising

Total recycled

Achieved recycling rate

Metal

774

551

71.2%

— of which: Aluminium

277

162

58.6%

— of which: Steel

497

389

78.3%

Paper and cardboard

5,422

3,980

73.4%

Glass

2,680

1,818

67.8%

Plastic

2,259

1,186

52.5%

Wood

1,504

668

44.4%

Other* materials

23

0

0.0%

Total

12,662

8,204

64.8%

Notes

* ‘Other’ includes materials such as cloth, corks, gel, glue, hessian sacks and wax used as packaging

Arisings estimates made at point of manufacture.

UK packaging waste figures by material types for 2012 to 2023 can be found in the UK statistics on waste dataset: https://www.gov.uk/government/statistics/uk-waste-data.


Written Question
Teachers: Pay
Monday 9th June 2025

Asked by: Afzal Khan (Labour - Manchester Rusholme)

Question to the Department for Education:

To ask the Secretary of State for Education, if she will make a comparative assessment of the level of wages for a (a) school teacher and (b) college teacher.

Answered by Catherine McKinnell - Minister of State (Education)

The government’s role in relation to pay and conditions across schools and colleges differs.

The statutory requirements for teachers' pay and conditions within maintained schools in England are set out in the school teachers’ pay and conditions document. This is updated each year, based on recommendations from the independent School Teachers’ Review Body (STRB).

This year, the department announced a 4% pay award to school teachers and leaders, accepting in full the STRB’s pay recommendation. Combined with last year’s 5.5% award, this above-inflation pay award means school teachers will see an increase in their pay of almost 10% over two years.

In 2023/24, the median full-time equivalent (FTE) average salary for teaching staff on permanent or fixed term contracts in secondary schools was £48,773.

The further education (FE) sector does not have a pay review body and government does not set or recommend pay and this remains the sole responsibility of providers themselves.

Alongside the 2025/26 school teacher pay award, we have announced an investment of £160 million in the 2025/26 financial year, to support colleges and other 16-19 providers with key priorities, including recruitment and retention.

Additional funding of over £30 million will also be provided for 16-19 provision in schools. This funding comes from within the overall funding envelope of £615 million for 2025/26 announced alongside the 2025/26 school teachers’ pay award.

In 2023/24, the median FTE average salary for teaching staff on permanent or fixed term contracts in general FE colleges was £36,300 and £47,100 in sixth form colleges.

The school and FE pay figures are sourced from different datasets and recorded differently which may make it difficult to make direct comparisons.


Written Question
Waste Disposal: Beverage Containers
Monday 9th June 2025

Asked by: Afzal Khan (Labour - Manchester Rusholme)

Question to the Department for Environment, Food and Rural Affairs:

To ask the Secretary of State for Environment, Food and Rural Affairs, what assessment he has made of trends in the level of breakage rate of glass beverage containers in kerbside collections.

Answered by Mary Creagh - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)

Defra has not made an assessment on the breakage rate of glass beverage contains in kerbside collections.


Written Question
Beverage Containers: Recycling
Monday 9th June 2025

Asked by: Afzal Khan (Labour - Manchester Rusholme)

Question to the Department for Environment, Food and Rural Affairs:

To ask the Secretary of State for Environment, Food and Rural Affairs, what steps he is taking to increase the recycling rate of glass beverage containers.

Answered by Mary Creagh - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)

This Government has set ambitious recycling targets under the packaging Extended Producer Responsibility (pEPR) regulations, with annual increases to glass packaging. The packaging recycling target for glass in 2025 is 74% and will increase to 85% by 2030. Modulation of pEPR fees, which will be introduced from year two of the scheme, will be used to disincentivise packaging formats that are not readily recyclable by placing higher fees on these packaging materials.

The Government has also introduced the Simpler Recycling reforms, which will ensure that every household and workplace (businesses and relevant non-domestic premises like schools and hospitals) across England will be able to recycle the same materials, including glass.


Written Question
Adult Education: Finance
Monday 9th June 2025

Asked by: Afzal Khan (Labour - Manchester Rusholme)

Question to the Department for Education:

To ask the Secretary of State for Education, what steps her Department is taking to ensure that reductions in the adult skills fund allocations does not disproportionately impact (a) people in receipt of benefits and (b) young people not in education, employment or training.

Answered by Janet Daby - Parliamentary Under-Secretary (Department for Education)

We are facing a challenging fiscal context. Fixing the foundations of the economy will take time, and tough decisions are needed across the public sector to get our finances under control to ensure we deliver on our priorities through our Plan for Change. It is against this backdrop that the decision was made to make a small reduction to the Adult Skills Fund (ASF).

We have launched a Youth Guarantee of support for all 18 to 21-year-olds to access training, an apprenticeship, or help to find work and prevent them from becoming excluded from education or work at a young age. £45 million has been allocated to eight Mayoral Strategic Authority Trailblazers to develop the Youth Guarantee. We will work with local areas on future expansion.

Currently 62% of the ASF is devolved to nine Mayoral Strategic Authorities and the Greater London Authority. These authorities are responsible for the provision of ASF to their learners and the department is responsible for the remaining ASF.

In non-devolved areas, learners claiming benefits or who earn less than £25,000, are eligible for full funding. This supports social mobility by enabling individuals to move into employment or progress further in their career.


Written Question
Gaza: Palestinians
Tuesday 3rd June 2025

Asked by: Afzal Khan (Labour - Manchester Rusholme)

Question to the Foreign, Commonwealth & Development Office:

To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, if he will make an assessment of the risk of genocide against Palestinians in Gaza.

Answered by Hamish Falconer - Parliamentary Under-Secretary (Foreign, Commonwealth and Development Office)

It is the UK government's long-standing position that any formal determination as to whether genocide has occurred is a matter for a competent court, and not for governments or non-judicial bodies. The International Court of Justice case on genocide is ongoing, and we support the independence of the court. Our approach to genocide determination does not prevent us from taking action to call out and seek to address risks of atrocities. We have been clear that we strongly oppose the expansion of Israel's operations in Gaza, that Israel must do much more to protect civilians, that Palestinian territory must not be reduced nor subjected to any demographic change and that Israel must immediately lift its block on aid. Ministers have raised these issues with Israeli government counterparts, and we have repeatedly made our position clear through joint statements with partners and at the UN Security Council.


Written Question
Carbon Budgets
Thursday 29th May 2025

Asked by: Afzal Khan (Labour - Manchester Rusholme)

Question to the Department for Energy Security & Net Zero:

To ask the Secretary of State for Energy Security and Net Zero, when he plans to publish a new Carbon Budget Delivery Plan.

Answered by Kerry McCarthy - Parliamentary Under Secretary of State (Department for Energy Security and Net Zero)

We will deliver an updated plan by 29 October 2025.


Written Question
Curriculum and Assessment Review
Wednesday 28th May 2025

Asked by: Afzal Khan (Labour - Manchester Rusholme)

Question to the Department for Education:

To ask the Secretary of State for Education, when the final report of the Curriculum and Assessment Review will be published; how she plans to implement recommendations from that review; and how she plans to protect the mental health of children and young people in future reforms.

Answered by Catherine McKinnell - Minister of State (Education)

The interim report sets out the Review’s interim findings and confirms the key areas for future work, but there is more to do before publication of the final report. The Review is now carrying out a further investigation into specific policy and subject issues, working closely with the sector and building on the body of evidence gathered so far.

The Review’s final report and recommendations will be published in autumn, at which point the government will respond.

The Review takes place in the context of an education system facing considerable challenges and staff shortages. The Review recognises the inevitable trade-offs that will be faced in delivering high standards and a broad and balanced curriculum within this context.

The department will give schools, colleges and teachers sufficient time to plan and prepare for changes, particularly where they are significant.

We will also consider how to best support schools to access the resources, training and networking they need. For example, we will consider the role of Oak National Academy, subject associations or the new Regional Improvement for Standards and Excellence teams.