Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department plans to establish specialist care pathways for people with bipolar to (a) improve treatment and (b) reduce misdiagnosis.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
It is unacceptable that too many people are not receiving the mental health care they need and we know that waits for mental health services are far too long, including for people with bipolar disorder. We are determined to change that.
As part of our mission to build a National Health Service that is fit for the future, we will provide access to a specialist mental health professional in every school in England, create a network of open access community Young Futures hubs, recruit an additional 8,500 mental health workers to cut wait times and provide faster treatment, and modernise the Mental Health Act.
NHS England is continuing to roll out the Community Mental Health Framework. The framework sets out a plan to deliver more flexible, personalised, and holistic care for more people with serious mental illness, including for people with a diagnosis of bipolar disorder.
We are also committed to new models of care for mental health, including reforming care for people experiencing a mental health crisis. We are testing neighbourhood mental health centres for people aged 18 years old and over with serious mental illness. These six pilot schemes are based in Tower Hamlets, Lewisham, Sheffield, York, Birmingham, and Whitehaven.
These models will offer 24/7 open access care closer to home, with an integrated service including healthcare providers, local authorities, and the voluntary sector. These pilots build on international evidence that shows that similar models have led to a reduction in hospitalisation and waiting times, and supports our efforts to move more care into the community
In addition, people of all ages who are in crisis or who are concerned about a family or loved one can now call 111, select the mental health option, and speak to a trained mental health professional. NHS staff can guide callers with next steps such as organising face-to-face community support or facilitating access to alternative services, like crisis cafés or safe havens, which provide a place for people to stay as an alternative to accident and emergency or a hospital admission.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking with NHS England to support ICBs to improve the availability of treatments for fertility patients.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
In the light of broader pressures on the National Health Service and on-going changes within NHS England, we have been looking again at achievable ambitions to improve access to fertility services and fairness for all affected couples.
The National Institute for Health and Care Excellence is currently reviewing its fertility guidelines, which will be the clinical standards for the future NHS offer.
The Department is considering how best to support integrated care boards to improve their local offer.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
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 with NHS England to support ICBs to review fertility guidelines.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
In the light of broader pressures on the National Health Service and on-going changes within NHS England, we have been looking again at achievable ambitions to improve access to fertility services and fairness for all affected couples.
The National Institute for Health and Care Excellence is currently reviewing its fertility guidelines, which will be the clinical standards for the future NHS offer.
The Department is considering how best to support integrated care boards to improve their local offer.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to (a) reduce the delay for a bipolar diagnosis and (b) bring it in line with early intervention targets for other conditions.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
It is unacceptable that too many people are not receiving the mental health care they need, and we know that waits for mental health services are far too long, including for people with bipolar disorder. We are determined to change that.
As part of our mission to build a National Health Service that is fit for the future, we will provide access to a specialist mental health professional in every school in England, create a network of open access community Young Futures hubs, recruit an additional 8,500 mental health workers to cut wait times and provide faster treatment, and modernise the Mental Health Act.
We are also committed to new models of care for mental health, including reforming care for people experiencing a mental health crisis. We are testing neighbourhood mental health centres for people aged 18 years old and over with serious mental illness. These six pilot schemes are based in Tower Hamlets, Lewisham, Sheffield, York, Birmingham, and Whitehaven.
These models will offer 24/7 open access care closer to home, with an integrated service which includes healthcare providers, local authorities, and the voluntary sector. These pilots build on international evidence that shows that similar models have led to a reduction in hospitalisation and waiting times, and support our efforts to move more care into the community.
Since 2021, all areas of the country have been transforming and increasing access to community mental health services for all people with severe mental illness, including people with bipolar disorder. The vision for the transformation programme was set out in the Community Mental Health Framework, which included ensuring that services were needs led, rather than requiring people to have a specific diagnosis to access care.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what guidance his Department provides on safe levels of fluoride in drinking water.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Fluoride is a naturally occurring mineral found in water and some foods. The amount of naturally occurring fluoride in water varies across the United Kingdom due to geological differences. Drinking water regulations contain a standard for fluoride which is a maximum of 1.5 milligrams per litre. This is the same level as the World Health Organisation health-based guideline value for fluoride in drinking water. If the standard of 1.5 milligram per litre is breached, the Drinking Water Inspectorate has the power to take enforcement action to require the water company to rectify the breach.
In some areas of England, the level of fluoride is adjusted through a water fluoridation scheme to improve dental health. In these areas, the target level for fluoride is one milligram per litre, well within the regulatory limit. There is a legal duty to monitor the effects of water fluoridation schemes on health and report on it every four years. Previous reports are available at the following link, with the next due to be published in 2026:
The Drinking Water Inspectorate has published an advice leaflet on fluoridation of drinking water which can be found here:
https://www.dwi.gov.uk/consumers/learn-more-about-your-water/fluoridation-of-drinking-water/
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to help increase the number of dietetic apprenticeships.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
We will refresh the NHS Long Term Workforce Plan next summer, to ensure the National Health Service has the right people, in the right places, with the right skills to deliver the care patients need, when they need it. This will include how we ensure that we train, through all training routes, and provide the staff the NHS needs, including allied health professionals such as dieticians, to care for patients across our communities.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what training the NHS offers on pathological demand avoidance.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Pathological Demand Avoidance (PDA) is most often understood as a characteristic experienced by or observed, or both, in some autistic people, but professional consensus on its status is still required. PDA is not a recognised and stand-alone diagnosis within the Diagnostic and Statistical Manual of Mental Disorders or the International Classification of Disease.
There is a variety of training available for staff providing care to autistic people, although not specifically for PDA. The Health and Care Act 2022 requires that, from 1 July 2022, Care Quality Commission registered providers must ensure staff receive specific training on learning disability and autism, appropriate to their role. Individual employers are responsible for ensuring their staff are trained and competent to carry out their role.
The standard of training for health care professionals is the responsibility of the respective independent statutory regulatory bodies, who set the outcome standards expected at undergraduate level and approve courses. It is the responsibility of higher education institutions to write and teach the curricula content that enables their students to meet the regulators’ outcome standards.
Whilst not all curricula may necessarily highlight a specific condition, they all emphasise the skills and approaches a healthcare practitioner must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department has taken to support (a) people diagnosed with pathological demand avoidance and (b) their carers.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Pathological Demand Avoidance (PDA) is most often understood as a characteristic experienced by or observed, or both, in some autistic people, but professional consensus on its status is still required. PDA is not a recognised and stand-alone diagnosis within the Diagnostic and Statistical Manual of Mental Disorders or the International Classification of Disease.
It is the responsibility of integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including support for autistic people, in line with National Institute for Health and Care Excellence (NICE) guidelines.
The NICE guideline, Autism spectrum disorder in under 19s: recognition, referral and diagnosis, recommends that as part of autism assessments, healthcare workers should consider PDA and carry out appropriate referrals.
In respect of carers, the Care Act 2014 requires local authorities to deliver a wide range of sustainable, high-quality care and support services, including support for carers. Local authorities are required to undertake Carer’s Assessments to support people caring for their family and friends who appear to have a need for support, and to meet their eligible needs on request from them.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if his Department will make an assessment of the potential merits of introducing mandatory menopause training for GPs.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Royal College of General Practitioners (RCGP) has a holistic curriculum of training that all GPs must cover before they are able to pass the examination to become a member of the RCGP and work independently as a GP. There is a specific section on women’s health, including the menopause. As a result, the menopause is already a core competency of all qualified GPs.
To support practicing GPs, the RCGP has developed a Women’s Health Library drawing together educational resources and guidelines on women’s health so primary healthcare professionals have the most up-to-date information. This includes a specific section on menopause, and more information on the Library is available at the following link:
https://elearning.rcgp.org.uk/course/index.php?categoryid=57
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to help reduce health inequalities for women managing menopause in areas of high health inequalities.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government is committed to prioritising women’s health as we build a National Health Service fit for the future, and women’s equality will be at the heart of our missions.
Integrated care boards (ICBs) are responsible for providing services that meet the needs of their local population, including menopause services. ICBs are also expected to have a dedicated focus on tackling health inequalities.
A recent rise in prescriptions for Hormone Replacement Therapy (HRT) is a promising sign that more women are getting the advice and help they need. The HRT Prescription Pre Payment-Certificate continues to provide significant savings for patients who are prescribed applicable HRT medications.
The Department has invested £25 million over 2023/24 and 2024/25 to support the establishment of at least one pilot women’s health hub in every integrated care system. One of the aims of women’s health hubs is to improve health outcomes and reduce health inequalities. Menopause care is a core service for pilot women’s health hubs.