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Written Question
Prescriptions: Fees and Charges
Friday 13th September 2024

Asked by: Charlotte Nichols (Labour - Warrington North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if his Department will take steps to review the prescription charge medical exemption list annually.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

There are no current plans to review the list of medical conditions that entitle someone to apply for a medical exemption certificate. Approximately 89% of prescription items are dispensed free of charge in the community in England, and there is a wide range of exemptions from prescription charges already in place, for which those with chronic illnesses may be eligible. Eligibility depends on the patient’s age, whether they are in qualifying full-time education, whether they are pregnant or have recently given birth, or whether they are in receipt of certain benefits or a war pension.

People on low incomes can apply for help with their health costs through the NHS Low Income Scheme. Prescription prepayment certificates (PPCs) are also available. PPCs allow people to claim as many prescriptions as they need for a set cost, with three-month and 12-month certificates available, and the 12-month PPC can be paid for in instalments.


Written Question
Prescriptions: Fees and Charges
Friday 13th September 2024

Asked by: Charlotte Nichols (Labour - Warrington North)

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 support people (a) on lower incomes and (b) who are living with a long-term health condition with the cost of prescription charges.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

There are a wide range of exemptions already in place to help people afford prescriptions. Approximately 89% of prescription items are dispensed free of charge in the community in England, and those with chronic illnesses may already be eligible for an exemption. Eligibility depends on the patient’s age, whether they are in qualifying full-time education, whether they are pregnant or have recently given birth, or whether they are in receipt of certain benefits or a war pension.

People on low incomes can apply for help with their health costs through the NHS Low Income Scheme. Prescription prepayment certificates (PPCs) are also available. PPCs allow people to claim as many prescriptions as they need for a set cost, with three-month and 12-month certificates available, and the 12-month PPC can be paid for in instalments.


Written Question
Conditions of Employment
Wednesday 11th September 2024

Asked by: Charlotte Nichols (Labour - Warrington North)

Question to the Department for Business and Trade:

To ask the Secretary of State for Business and Trade, with reference to the Government response to the consultation entitled Health is everyone’s business, published on 4 October 2021, whether he plans to incorporate proposals within that consultation on tackling ill health-related job losses into the Employment Rights Bill.

Answered by Justin Madders - Parliamentary Under Secretary of State (Department for Business and Trade)

This Government is committed to delivering the Plan to Make Work Pay in full and updating Britain's employment protections, so they are fit for our modern economy and the future of work. As set out in the Plan to Make to Work Pay we are committed to strengthen Statutory Sick Pay (SSP), so it provides a safety net for those who need it most. We will remove the Lower Earnings Limit to make it available to all workers and remove the waiting period so that SSP is paid from the first day of sickness absence. Ministers are identifying the most appropriate delivery mechanisms for the commitments in the Plan, including an Employment Rights Bill that will be introduced to Parliament within 100 days of taking office.


Written Question
Speech and Language Therapy
Wednesday 11th September 2024

Asked by: Charlotte Nichols (Labour - Warrington North)

Question to the Department for Education:

To ask the Secretary of State for Education, what steps she is taking to ensure that speech, language and communication (a) needs and (b) development are supported as early as possible including for children whose needs are identified pre-school age.

Answered by Stephen Morgan - Parliamentary Under-Secretary (Department for Education)

Early language skills are vital in enabling children to thrive in the early years and later life, as well as for all aspects of later attainment in school.

The early years foundation stage (EYFS) statutory framework sets the standards and requirements that all early years providers must follow to ensure every child has the best start in life and is prepared for school. The three prime areas of learning and development within the EYFS are particularly important for building a strong foundation, with communication and language being one of the prime areas.

Assessment plays an important part in helping parents, carers and practitioners to recognise children’s progress, understand their needs and to plan activities and support. The assessment requirements in the EYFS include a progress check at age two and the EYFS Profile, both of which involve reviewing a child’s development in communication and language.

However, the department knows that when it comes to referrals for additional support, too many children are waiting too long for speech and language therapy. NHS planning guidance asks local systems to reduce overall waiting times for community services, with a particular focus on reducing the longest waits. Community health services, including speech and language therapy, will be key in delivering this government’s commitment to shift to a neighbourhood health service and provide more care in the community. Full details of the NHS operational planning and contracting guidance can be found on this website: https://www.england.nhs.uk/operational-planning-and-contracting/.

To further support early language skills, the department is also:

  • Extending the Nuffield Early Language Intervention programme (NELI) for the 2024/25 academic year to support reception-aged children needing extra support with their speech and language development. NELI is proven to help children make four months of additional progress, and seven months for those eligible for free school meals.
  • Delivering the early years education recovery programme, including:

Providing funding for settings to undertake evidence-based continuous professional development programmes, including those focussed on speech, language and communication, via a national network of early years stronger practice hubs.

Training through the ‘professional development programme’ and the online early years child development training, both of which include a specific module focused on early language.

Training for up to 7,000 special educational needs co-ordinators to help children with speech, language and communication needs and support earlier identification of needs.

  • Enabling Family Hubs to train practitioners to support families with the home learning environment. Practitioners are being trained to help parents learn new skills, including providing effective support for children’s speech and communication.
  • Working in partnership with NHS England to deliver the ‘Early Language Support for Every Child’ pathfinders.
  • Working with partners to deliver an ‘Early Language Local Innovation and Excellence’ programme which includes implementation of published speech and language communication pathway guidance and an early language identification measure.
  • Publishing early years special educational needs and disabilities (SEND) assessment guidance and resources including practical advice, tools and downloadable resources. These will help educators assess children with SEND, capture their voice, and set learning targets featuring a dedicated tool for communication and interaction.

Written Question
Speech and Language Therapy
Wednesday 11th September 2024

Asked by: Charlotte Nichols (Labour - Warrington North)

Question to the Department for Education:

To ask the Secretary of State for Education, if she will make an assessment of the potential (a) return on investment, (b) improved outcomes and (c) opportunities from tackling the speech, language and communication needs of (i) babies, (ii) children and (iii) young people.

Answered by Stephen Morgan - Parliamentary Under-Secretary (Department for Education)

This government’s vision for children and young people with special educational needs, including those with speech, language and communication needs, is the same as it is for all children and young people. We want them to achieve well in their early years, at school and in further education; to find employment; to lead happy and fulfilled lives; and to experience choice and control.

In July, the department announced that funded support would continue in the 2024/25 academic year for 11,100 schools registered to the Nuffield early language intervention programme. This will help pupils who need extra support with speech and language development to find their voice. The department is also funding the Early Language and Support For Every Child pathfinders, in partnership with NHS England. This will fund nine Integrated Care Boards and will fund one of the local areas within each of the nine Regional Expert Partnerships to trial new ways of working to better identify and support children with speech, language and communication needs in early years and primary schools. Alongside this, we know that continuing to build the pipeline of speech and language therapists is essential. That is why the department introduced the speech and language degree apprenticeship, which is now in its third year of delivery and offers an alternative pathway into a successful career as a speech and language therapist.


Written Question
Speech and Language Therapy
Wednesday 11th September 2024

Asked by: Charlotte Nichols (Labour - Warrington North)

Question to the Department for Education:

To ask the Secretary of State for Education, whether she has made an assessment of the adequacy of the specialist workforce needed for (a) babies, (b) children and (c) young people with speech, language, and communication needs.

Answered by Stephen Morgan - Parliamentary Under-Secretary (Department for Education)

This government’s vision for children and young people with special educational needs, including those with speech, language and communication needs, is the same as it is for all children and young people. We want them to achieve well in their early years, at school and in further education; to find employment; to lead happy and fulfilled lives; and to experience choice and control.

In July, the department announced that funded support would continue in the 2024/25 academic year for 11,100 schools registered to the Nuffield early language intervention programme. This will help pupils who need extra support with speech and language development to find their voice. The department is also funding the Early Language and Support For Every Child pathfinders, in partnership with NHS England. This will fund nine Integrated Care Boards and will fund one of the local areas within each of the nine Regional Expert Partnerships to trial new ways of working to better identify and support children with speech, language and communication needs in early years and primary schools. Alongside this, we know that continuing to build the pipeline of speech and language therapists is essential. That is why the department introduced the speech and language degree apprenticeship, which is now in its third year of delivery and offers an alternative pathway into a successful career as a speech and language therapist.


Written Question
Speech and Language Therapy
Wednesday 11th September 2024

Asked by: Charlotte Nichols (Labour - Warrington North)

Question to the Department for Education:

To ask the Secretary of State for Education, what steps she is taking to help ensure the specialist workforce needed for (a) babies, (b) children and (c) young people with speech, language and communication needs.

Answered by Stephen Morgan - Parliamentary Under-Secretary (Department for Education)

This government’s vision for children and young people with special educational needs, including those with speech, language and communication needs, is the same as it is for all children and young people. We want them to achieve well in their early years, at school and in further education; to find employment; to lead happy and fulfilled lives; and to experience choice and control.

In July, the department announced that funded support would continue in the 2024/25 academic year for 11,100 schools registered to the Nuffield early language intervention programme. This will help pupils who need extra support with speech and language development to find their voice. The department is also funding the Early Language and Support For Every Child pathfinders, in partnership with NHS England. This will fund nine Integrated Care Boards and will fund one of the local areas within each of the nine Regional Expert Partnerships to trial new ways of working to better identify and support children with speech, language and communication needs in early years and primary schools. Alongside this, we know that continuing to build the pipeline of speech and language therapists is essential. That is why the department introduced the speech and language degree apprenticeship, which is now in its third year of delivery and offers an alternative pathway into a successful career as a speech and language therapist.


Written Question
Online Safety Act 2023
Tuesday 10th September 2024

Asked by: Charlotte Nichols (Labour - Warrington North)

Question to the Department for Science, Innovation & Technology:

To ask the Secretary of State for Science, Innovation and Technology, what his planned timetable is to decide whether to accept Ofcom’s advice on extending category 1 regulation of schedule 11 of the Online Safety Act 2023 to small online forums containing (a) racial hatred and (b) promotion of (i) suicide and (ii) eating disorders.

Answered by Feryal Clark - Parliamentary Under Secretary of State (Department for Science, Innovation and Technology)

The Secretary of State for Science, Innovation and Technology is carefully considering Ofcom’s categorisation research and advice and will make Regulations as soon as reasonably practicable.


Written Question
Statutory Sick Pay
Tuesday 10th September 2024

Asked by: Charlotte Nichols (Labour - Warrington North)

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, if she will make an assessment of the potential merits of increasing the rate of Statutory Sick Pay to that of the National Living Wage.

Answered by Alison McGovern - Minister of State (Department for Work and Pensions)

No one should be forced to choose between their health and financial hardship, which is why we plan to strengthen Statutory Sick Pay (SSP), so it provides a safety net for those who need it most. The Plan to Make Work Pay commits to remove the Lower Earnings Limit to make it available to all workers and remove the waiting period so that SSP is paid from the first day of sickness absence. Together these changes will ensure everyone receives fair earnings replacement when they have to take time off work.

The Government will continue to keep the rate of SSP under review as part of the annual uprating process.


Written Question
Statutory Sick Pay
Tuesday 10th September 2024

Asked by: Charlotte Nichols (Labour - Warrington North)

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, what steps she is taking to ensure that reforms to Statutory Sick Pay take account of (a) multiple sclerosis and (b) other fluctuating conditions.

Answered by Alison McGovern - Minister of State (Department for Work and Pensions)

No one should be forced to choose between their health and financial hardship, which is why we plan to strengthen Statutory Sick Pay (SSP), so it provides a safety net for those who need it most. The Plan to Make Work Pay commits to remove the Lower Earnings Limit to make it available to all workers and remove the waiting period so that SSP is paid from the first day of sickness absence. Together these changes will ensure everyone receives fair earnings replacement when they have to take time off work.

Paying SSP for all days of work missed because of sickness will help support employees who have fluctuating conditions who may take frequent, shorter absences from work as part of managing their health condition, such as multiple sclerosis.