Cost of Living: Healthy Start Scheme
Debate between Alison Thewliss and Neil O'Brien(1 year, 6 months ago)
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The Parliamentary Under-Secretary of State for Health and Social Care (Neil O'Brien)
It is a pleasure to serve under your chairmanship, Mr Twigg. I am grateful to the hon. Member for Stretford and Urmston (Andrew Western) for securing this debate and to the other Members who have participated. The hon. Member for Strangford (Jim Shannon) made a typically compassionate speech.
The Russian invasion of Ukraine has had a global impact. We have seen a rise in inflation, with increased food costs and higher energy prices, and that has impacted on the cost of living. The challenge of the increase in the cost of living is felt by everyone across the country. The Government understand and recognise the challenges that many face as a result of the huge increase in inflation.
The Government have taken, and will continue to take, decisive action to support people with the cost of living. In response to higher food costs, the Department for Environment, Food and Rural Affairs continues to work with food retailers and producers on ways to ensure the availability of affordable food—for example, by maintaining value ranges, price matching and price freezing measures.
In response to higher energy prices, the Department for Business, Energy and Industrial Strategy put in place the energy price guarantee to shield households from the unprecedented rises in energy prices. The guarantee will run until April 2024, and the Government are working with consumer groups and industry to explore the best approach to consumer protections from April 2024 onwards, as part of wider retail market reforms. As set out in the energy security plan, we intend to consult on those options this summer.
In response to the higher cost of living more generally, the Department for Work and Pensions is providing up to £900 in three lump sums for households on eligible means-tested benefits, a separate £300 payment for pensioner households and a £150 payment for individuals in receipt of eligible disability benefits. From this April, the Government have uprated benefit rates and state pensions by 10.1%. In order to increase the number of households who can benefit from those uprating decisions, the benefit cap levels were also increased by the same amount.
Also from this April, the national living wage that this Government introduced increased by 9.7% to £10.42 an hour for workers aged 23 and over. That is the largest ever cash increase for the national living wage. For those who require extra support, the Government are providing an additional £1 billion of funding, including Barnett impact, to enable the extension of the household support fund in England this financial year. That is on top of what we have provided since October 2021, bringing the total funding up to £2.6 billion. This is used by local authorities to help households with the cost of essentials.
Alison Thewliss
It is interesting to hear about all the things that were uprated with inflation. Will the Minister explain why Healthy Start was excluded from that?
Neil O'Brien
If I can just complete the thought, the total cost of living support that the Government have provided is worth more than £94 billion across 2022-23 and 2023-24. That is, on average, more than £3,300 per UK household. It is one of the most generous support packages for the cost of living anywhere in Europe.
I turn to the critical role that the Healthy Start scheme plays in supporting hundreds of thousands of lower-income families across the country. Eating a healthy, balanced diet, in line with “The Eatwell Guide”, can help to prevent diet-related disease. It ensures that we get the right energy and nutrients needed for good health and to maintain a healthy weight throughout life. The Healthy Start scheme is one way that the Government continue to target nutritional support at the families who need it most, which is increasingly important in view of the cost of living.
Healthy Start is a passported benefit, one of a range of additional sources of help and support that the Government provide to families on benefits and tax credits. It is a statutory scheme that helps to encourage a healthy diet for pregnant women, babies and young children under four from lower-income households. Women who are at least 10 weeks pregnant and families with a child under four years old are eligible for the scheme if they claim: income support; income-based jobseeker’s allowance; child tax credit, if they have an annual family income of £16,190 or less; universal credit, if they have a family take-home pay of £408 or less a month; or pension credit. Pregnant women on income-related employment and support allowance are also eligible for the scheme.
Anyone under 18 who is pregnant is eligible for Healthy Start, regardless of whether they receive benefits. Following the birth of their child, they must meet the benefit criteria to continue receiving Healthy Start. The scheme offers financial support towards buying fresh, frozen or tinned fruit and vegetables, fresh, dried and tinned pulses, plain cow’s milk and infant formula. Beneficiaries are also eligible for free Healthy Start vitamins.
In April 2021, as has been mentioned, we increased the value of Healthy Start by 37%, from £3.10 per week to £4.25 per week. Unlike the Scottish Government’s scheme, which is for the under-threes, Healthy Start is for the under-fours. Pregnant women and children aged over one and under four each receive £4.25 a week, and children aged under one each receive £8.50 a week—twice as much. For a family with a six-month-old and a three-year-old, that is £12.75 a week to help towards buying nutritious foods. That comes on top of the benefits and all the other measures, such as the increase in the national living wage, that I mentioned.
Neil O'Brien
We have chosen to spend over £3,300 per UK household, on average, on the cost of living support. Putting that into the schemes that are available and targeted at people with low incomes, and indeed at the entire population, is the choice that we have made. To reiterate my earlier point, and since the hon. Member says that I am rattling off the figures, it is worth stressing that we have invested £3,300 per household—a colossal sum of money. That is unprecedented. There has never been a cost of living intervention anywhere of that magnitude, so that must be an important part of the discussion about Healthy Start.
Neil O'Brien
I will continue with my points and perhaps come back to the hon. Lady in a moment.
Healthy Start is delivered by the NHS Business Services Authority on behalf of the Department. Following user research and testing by the Department and NHSBSA, the scheme, as various Members have mentioned, was switched from being paper-based to a digitised service to increase uptake and usability. We have introduced an online application to replace the previous paper-based application form and a prepaid card to replace paper vouchers. The digitised scheme opened to the public for the first time in September 2021. The online application provides an instant decision for many families. The prepaid card can be used in any retailer that sells Healthy Start foods and accepts Mastercard.
I am pleased to see that the number of new families joining the scheme continues to grow following the introduction of the prepaid card. Since September 2021, there have been more than 500,000 successful applications, with 48% coming from new families. The scheme now supports more than 375,000 families on lower incomes, and that continues to grow month on month. The current uptake is 64.6%, which is higher than the paper scheme, which had a 59.9% uptake in August 2021.
The hon. Member for Stretford and Urmston asked whether we published the figures on eligibility. Yes, the total number of eligible and entitled beneficiaries are published on the NHS Healthy Start website and are broken down by local authority.
Alison Thewliss
The Minister is making an interesting point about the uptake, but can he account for why things are so much better in Scotland, where the uptake of Best Start Foods sits at 88%?
Neil O'Brien
The schemes are not completely comparable because the Healthy Start scheme covers a wider base of people, as I mentioned. It goes up to age four rather than age three, so it has a wider field of benefit than the Scottish scheme. That may be part of the story, but there could be other reasons, and there may be important things that we can learn from the Scottish scheme. I am always keen to have those discussions.
To increase take-up, NHSBSA actively promotes Healthy Start through its digital channels and has created free toolkits to support stakeholders to do so. NHSBSA uses a range of communications activities to engage parents, pregnant women and healthcare professionals to help to raise awareness of the scheme. NHSBSA has attended Maternity & Midwifery Forum events and placed advertisements in the Bounty packs, which many people receive when they have children, and the “You and your pregnancy” magazine, which is given to pregnant women in the first trimester.
We constantly review the materials produced for the Healthy Start scheme to ensure that communications reach those who need support the most. That is why, following user research by NHSBSA, promotional material was translated into the top five languages spoken by Healthy Start families, to reach a wider demographic. NHSBSA continues to engage with national and local stakeholders to improve the delivery of the scheme and increase the uptake.
Healthy Start is an important part of the support provided by the Government, but it is only one aspect of the support available for families. We are funding 75 English local authorities with high levels of deprivation to ensure that parents and carers can access Start for Life services locally. The healthy child programme is a universal offer across all 150 local authority areas—led by health visitors and school nurses—that supports families from the antenatal period up to school entry. The nursery milk scheme provides reimbursement to childcare providers for a daily third of a pint portion of milk to children and babies. The school fruit and vegetable scheme provides around 2.2 million children in key stage 1 with a portion of fresh fruit or vegetables each day at school, and 419 million pieces of fruit and vegetables were distributed to children in 2022-23.
The Government have extended free school meals eligibility several times and to more groups of children than any other Government over the past half a century, including the introduction of universal infant free school meals and further education free meals. Under the benefits-based criteria, 1.9 million of the most disadvantaged pupils are eligible for and are claiming a free school meal. That saves families around £400 per year. To make it easier for families to find support, the Government also created an online resource so that families can easily check what help is available to them.
At a time when families need support, and with the cost of living increasing, the Government are committed to helping as many families as possible to access the Healthy Start scheme, as well as all those other schemes, to help those most in need.
Government Support for Breastfeeding and the 2023 Lancet Series
Debate between Alison Thewliss and Neil O'Brien(1 year, 9 months ago)
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The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)
I congratulate the hon. Member for Glasgow Central (Alison Thewliss) on securing this timely debate. I know that she has a keen interest in this important matter and shows great leadership in ensuring that infant feeding remains a priority Government policy, perhaps most notably as chair of the all-party parliamentary group on infant feeding and inequalities. I welcome the publication of the 2023 Lancet series and the information it provides to add to the debate on promoting breastfeeding.
Breastfeeding is a crucial aspect of infant health and nutrition, and this Government are committed to promoting and supporting breastfeeding policy to ensure that all infants have the best start in life. The Government understand the many health benefits that come with breastfeeding for both the mother and the child, and it is our priority to encourage, support and empower women to breastfeed. We recognise that for some women, breastfeeding may not always be a viable option—for some, it may simply not be what they want to do—but the Government continue to create a supportive environment that informs and supports families when starting the infant feeding journey, ensuring that they are able to make informed decisions about how best to feed their babies. This includes providing breastfeeding advice and guidance through a range of approaches, including paid-for social media activity, personalised email programmes and the NHS Start for Life website.
In line with these commitments, we have taken a number of steps to improve support for infant feeding. From 2022-23 we are investing around £300 million in family hubs and Start for Life services, targeting the three years of funding at 75 local authorities in England that have high levels of deprivation and disproportionately poor health and educational outcomes. These 75 participating local authorities have already received at least half their year 1 allocation. As part of this, 14 local authorities have been identified to become trailblazers to lead the way and support other local authorities to improve the services offered to families. This funding package includes £50 million to invest in infant feeding services, which will enable participating local authorities to design and deliver a blended offer of advice and support for families in line with local needs to help all families to meet their breastfeeding goals. Services will enable parents to access face-to-face, virtual, and digital infant feeding support when and where they need it.
The Government also recognise the importance of creating a breastfeeding-friendly work environment, and we recommend that employers take steps to enable women to breastfeed as a matter of best practice. For example, the Health and Safety Executive has published comprehensive guidance on how employers can meet their legal requirements to support new mothers, and it advises employers that it is good practice to provide a private, healthy and safe environment for breastfeeding mothers to express and store their milk. The Advisory, Conciliation and Arbitration Service has also published guidance to support employers in accommodating employees who return to work while breastfeeding or expressing milk.
As is recognised in The Lancet series, it is critical that Governments gather reliable data on rates of breastfeeding to ensure that policies are having their desired effect and to better target our interventions. Therefore, work is currently under way on the delivery of a new infant feeding survey, commissioned for England by the Department of Health and Social Care’s Office for Health Improvement and Disparities. The new survey, which last ran in 2010, will provide valuable information on infant feeding behaviours and other related factors. Data collection is expected to commence this year and we anticipate that the results of the survey will be available in 2024.
These investments and strategies all build on existing measures that this Government continue to uphold. This includes legislation that governs the marketing, composition and labelling of infant formula and follow-on formula. The legislation reflects the latest scientific advice on the essential composition of infant formula and follow-on formula. This legislation upholds the Government’s commitment to the general principles and ambitions of the World Health Organisation’s international code of marketing of breast milk substitutes by prohibiting the promotion, marketing and advertising of infant formula to ensure that breastfeeding is not discouraged. The legislation mandates that the labelling of infant formula and follow-on formula includes information stating the advantages of breastfeeding, includes the necessary information on the appropriate use of the products and does not include pictures or text that idealise the use of the product.
I understand that there have been calls to strengthen this legislation or even go further than is specified in the WHO code, as is suggested in The Lancet series that prompted this debate. The Government of course welcome challenges to our existing ways of doing things and we are committed to ensuring that our legislation continues to be based on comprehensive evidence and sound analysis.
Alison Thewliss
The UK Government’s current legislation falls far short of the code’s recommendations, and it is not enforced in any meaningful way. Many tins found in shops do not comply with the legislation as it exists, never mind the code’s stronger recommendations. These tins of formula have idealised images, such as cartoon bears and animals, on their labels, which would not happen if the Government enforced even their current legislation.
Neil O’Brien
I will come to the hon. Lady’s point about legislation in a moment, but I will first complete my thought.
We must not forget that there are non-legislative routes by which we can achieve many of the same goals. For example, as part of the NHS’s ongoing vision to improve post-natal care, the long-term plan includes a commitment that all maternity services that do not deliver an accredited, evidence-based infant feeding programme, such as the UNICEF UK baby-friendly initiative, will begin the accreditation process with a view to all services achieving full accreditation by March 2024. Local maternity systems in England are responsible for ensuring that all maternity services are on track to achieve this commitment, which will help to improve standards and reduce variation in the care that women and families receive. Targeted support is now available for local services to fulfil the commitment.
I recognise there is always room for improvement, and we continually work to enhance our efforts and to ensure our legislation and policies reflect the latest scientific advice and evidence. The UK has strict legislation in place that gives effect to the aims and principles of the WHO international code of marketing of breast-milk substitutes, which is governed in Great Britain through retained EU legislation. There are currently no differences in GB legislation on the areas covered by the code. The protocol on Ireland/ Northern Ireland provides that EU legislation relating to nutrition continues to be directly applicable in Northern Ireland, and this includes Commission delegated regulation 2016/127 on infant formula and follow-on formula, so we have precisely the same rules in place as the European Union. I know that, in general, the SNP is always keen on that.
The Government have demonstrated, through our continued significant policy development and ongoing investment, a steadfast commitment to promoting and supporting breastfeeding, where appropriate, to ensure that all children have the best start in life. We remain committed to protecting our children, and we will continue to take the necessary steps to ensure that all mothers and families have the information and support they need to make informed decisions about how to feed their babies.
Question put and agreed to.
Covid-19: PPE Procurement
Debate between Alison Thewliss and Neil O'Brien(1 year, 12 months ago)
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Neil O'Brien
I set out earlier what the high priority route was and was not: it was absolutely not a guarantee of any kind of contract; it was a way of managing the huge numbers of contacts and offers for help that we were all receiving. It delivered something in the order of 5 billion items of PPE, all of which helped to save lives and protect workers in our NHS and social care settings. Of course, we had to take up those offers of help and respond to them when people wanted to help in the middle of a huge national and global crisis. We had to process those offers, but they were processed in exactly the same way as every other bid for a contract.
Alison Thewliss (Glasgow Central) (SNP)
After Lord Agnew resigned, he wrote in the Financial Times:
“Fraud in government is rampant. Public estimates sit at just under £30bn a year. There is a complete lack of focus on the cost to society, or indeed the taxpayer.”
The Economic Crime and Corporate Transparency Bill, which is currently in Committee, is full of holes and the Government have refused sensible requests by the Opposition to fill those holes. Will the Minister reconsider those amendments in the light of the rampant corruption in Government?
Neil O'Brien
We keep all those things under review, but the Economic Crime and Corporate Transparency Bill is part of addressing some of the issues that the hon. Lady is concerned about. We are blurring together two different issues slightly—[Interruption.] Let me finish the point. Lord Agnew was talking about the loan scheme, but that relates to the same issue of the need for pace, which all hon. Members were calling for at the time. There was a need to get loans out to small businesses, which saved tens of thousands of jobs in my constituency and, I am sure, her constituency as part of the huge and unprecedented £400 billion spend to preserve lives and livelihoods.