First elected: 4th July 2024
Speeches made during Parliamentary debates are recorded in Hansard. For ease of browsing we have grouped debates into individual, departmental and legislative categories.
e-Petitions are administered by Parliament and allow members of the public to express support for a particular issue.
If an e-petition reaches 10,000 signatures the Government will issue a written response.
If an e-petition reaches 100,000 signatures the petition becomes eligible for a Parliamentary debate (usually Monday 4.30pm in Westminster Hall).
Don't change inheritance tax relief for working farms
Sign this petition Gov Responded - 5 Dec 2024 Debated on - 10 Feb 2025 View Chris Bloore's petition debate contributionsWe think that changing inheritance tax relief for agricultural land will devastate farms nationwide, forcing families to sell land and assets just to stay on their property. We urge the government to keep the current exemptions for working farms.
These initiatives were driven by Chris Bloore, and are more likely to reflect personal policy preferences.
MPs who are act as Ministers or Shadow Ministers are generally restricted from performing Commons initiatives other than Urgent Questions.
Chris Bloore has not been granted any Urgent Questions
Chris Bloore has not introduced any legislation before Parliament
Theft of Tools of Trade (Sentencing) Bill 2024-26
Sponsor - Amanda Martin (Lab)
The Attorney General’s Office offers carers emergency leave for dependants with pay in accordance with the department’s special leave policy. Employees can take time off work to deal with an emergency involving a dependant or are able to request other leave, paid and unpaid, as well as annual and flexi leave as required to support them when they become a kinship carer. Employees are also able to request flexible working to support both short term and longer-term arrangements.
This Government is serious about tackling stalking, as part of our ambition to halve violence against women and girls over the next decade.
For over seven years there have been yearly increases in the number of stalking offences which received a first hearing in the magistrates' courts. In 2018/19, the Crown Prosecution Service (CPS) recorded 2,208 cases, and in 2023/24 these had more than doubled to 5,859.
In November 2024, the CPS and National Police Chiefs’ Council (NPCC) published the Domestic Abuse Joint Justice Plan which prioritises improving the recognition and identification of behaviour driven offending including stalking. This applies to domestic and non-domestic forms of this crime.
Since publication, work has already commenced to develop a shared definition of high-harm, high-risk repeat offending and to update the police and CPS joint protocol on the appropriate handling of stalking offences. Informed by operational insights from police and stalking leads in the CPS, this work will ensure police and prosecutors are better equipped to recognise and handle stalking and identify the offenders who pose the greatest threat.
Protective orders are an important tool in safeguarding victims of stalking. On 22 January, the CPS updated its prosecution guidance on stalking or harassment emphasising that prosecutors must consider breaches of orders within the wider context of offending and, where new offences are present, that they are charged in addition to breaches. This Government has also committed to extend the reach of Stalking Protection Orders so they can be applied for on acquittal, as well as on conviction.
The Cabinet Office does not currently specifically offer (a) paid time off work and (b) other support to employees who become kinship carers.
However, the Cabinet Office has other mechanisms in place to support employees who are kinship carers, in parity with other forms of care leave.
Employees can apply for five days paid special leave as a friends and family carer, this can be increased to ten days in a 12-month period.
Employees also have the statutory right to take up to a week’s unpaid leave in any 12-month period, to provide or arrange care for a dependant with a long-term care need.
DBT has an Employee Assistance Programme which provides impartial and confidential advice, counselling and online resources for all employees. The department also has a Carer’s group which is a support network for carers working at DBT
This Government continues to follow EU regulatory developments with interest, engaging with the EU on key regulatory developments via TCA structures. The Drinking Water Directive has not been discussed or raised with my Department.
UK businesses exporting to the EU must ensure that they comply with EU requirements for accessing the EU market. Guidance in respect of regulatory compliance with the revised Drinking Water Directive is the responsibility of the European Commission.
The Department does not offer paid time off work specifically for kinship care. However, the Department does offer unpaid carer’s leave and both paid and unpaid special leave for employees who have caring responsibilities for dependants, either family or friends, which can include kinship.
The Department does not offer paid time off work specifically for kinship care. However, the Department does offer unpaid carer’s leave and both paid and unpaid special leave for employees who have caring responsibilities for dependants, either family or friends, which can include kinship care.
The Government is committed to supporting the use of alternative methods to the use of animals in science and the Labour Manifesto includes a commitment to “partner with scientists, industry, and civil society as we work towards the phasing out of animal testing”, which is a long-term goal. The government will be consulting civil society and animal protection organisations as this process unfolds.
It will be the responsibility of the Independent Football Regulator to determine the key elements of the Football Governance Code, including whether independent directors should be included. The drafting of the Football Governance Code will be done in consultation with the FA and other stakeholders with an interest in safeguarding the long-term future of our national game. It is the norm for all corporate governance codes to have detail and guidance on INED’s included, and we do not expect the Football Governance Code to be any different.
The Regulator will publish the Football Governance Code, guidance around this, and an annual report highlighting best practice and where certain clubs are failing to meet the standards. The Regulator will adopt a collaborative approach wherever possible and will meet regularly with clubs to ensure they are meeting the requirements set out by the legislation.
It will be the responsibility of the Independent Football Regulator to determine the key elements of the Football Governance Code, including whether independent directors should be included. The drafting of the Football Governance Code will be done in consultation with the FA and other stakeholders with an interest in safeguarding the long-term future of our national game. It is the norm for all corporate governance codes to have detail and guidance on INED’s included, and we do not expect the Football Governance Code to be any different.
The Regulator will publish the Football Governance Code, guidance around this, and an annual report highlighting best practice and where certain clubs are failing to meet the standards. The Regulator will adopt a collaborative approach wherever possible and will meet regularly with clubs to ensure they are meeting the requirements set out by the legislation.
We do not have a policy which explicitly covers (a) paid time off work and (b) other support to employees who become kinship carers. Employees are able to take time off work to deal with an emergency involving a dependant or are able to request other leave, paid and unpaid, as well as annual and flexi leave as required to support them when they become a kinship carer. Employees are also able to request flexible working to support both short term and longer term arrangements.
It will be the responsibility of the Independent Football Regulator to determine the key elements of the Football Governance Code, including whether independent directors should be included. This will be done in consultation with the FA and other stakeholders with an interest in safeguarding the long-term future of our national game.
We recognise that independent directors can greatly improve decision-making and independent scrutiny on corporate governance, however, it will be for the Regulator to determine whether independent directors are included in scope of the Football Governance Code.
Football clubs deliver significant economic benefits to their local economies. Analysis from 2024 showed that the Premier League and its clubs alone support over 90,000 jobs. Football clubs also deliver indirect economic benefits to the local communities they serve, attracting visitors, and bringing increased footfall to the hospitality, retail, and transport sectors.
The influence of clubs also extends beyond football, fostering economic growth, social cohesion, and a strong sense of local identity. Clubs often engage in community initiatives, and contribute to civic identity and pride in place. For example, Club Community Organisations in the English Football League (EFL) contribute £63 million to community and social projects each year, and The Premier League Charitable Fund has a three-year budget of around £100 million to support community organisations.
We are already incentivising film and TV production in the UK, with UK-wide funding programmes, infrastructure investment, competitive tax reliefs and direct support for independent British content.
The British Film Commission (BFC) is supporting the growth of the UK’s seven geographic production hubs to ensure that the combination of infrastructure, stage space and crew in those locations is set up to attract and accommodate even more major inward investment. Further funding for the BFC for 2025/26 was confirmed at the Autumn Budget.
Beyond the seven established hubs, there are many more areas across the UK brimming with potential and ambition which the Government will continue to support. In the West Midlands, Birmingham is becoming a very successful cultural hub enriched by recent investments including the BBC and Netflix at Digbeth Loc Studios. At the Autumn Budget, £25 million was confirmed for the new Crown Works Studio in Sunderland via the North East Combined Mayoral Authority.
The department introduced Kinship leave and pay in November 2024. Other support available within the department includes access to an Employee Assistance Programme, staff networks, Mental Health First Aiders and the ability to request flexible working.
High and rising school standards are at the heart of the government’s mission to break down barriers to opportunity and give every child the best life chances. The government has established an independent Curriculum and Assessment Review which will seek to deliver, amongst other things, an excellent foundation in core subjects of reading, writing and maths. The review group will publish an interim report early in 2025 setting out their interim findings and confirming the key areas for further work. The final review with recommendations will be published in autumn 2025. In the meantime, the department will continue to consider how to best support writing standards at all ages.
At the end of the academic year in which children turn five, which is usually reception year, each child’s level of development must be assessed against the 17 early learning goals set out in the early years foundation stage (EYFS) statutory framework. In the 2022/23 academic year, just 71% of children met the expected level of development in writing. The EYFS reforms were introduced in September 2021. As part of those reforms, the EYFS Profile was significantly revised. It is therefore not possible to directly compare assessment outcomes with earlier years.
In 2024, the key stage 2 national curriculum assessments in England showed that 72% of pupils met the expected standard in writing. The method of assessing writing changed in 2017/18, when 78% of pupils met the expected standard, therefore 2024 results are not directly comparable to 2015. In 2015, 87% of pupils achieved a level 4 or above in the writing teacher assessment.
The English language GCSE aims to provide all students with robust foundations in reading and good written English, and with the language and literary skills which are required for further study and work. While 50% of this GCSE assesses writing, the results do not directly reflect changes in the standard of writing over time, due to the way GCSEs are graded using comparable outcomes. In 2024, 61.6% of pupils entering the exam achieved a grade 4 or above. GCSEs were reformed for teaching in schools from September 2015 onwards, with first examinations in summer 2017, when 70.8% of pupils achieved a grade 4 or above.
The government takes very seriously the need for high academic standards in higher education (HE), as does the Office for Students (OfS), the independent regulator of HE in England. HE providers are autonomous organisations, responsible for ensuring the standards of students' work. However, the OfS explored the standard of writing in a sample of providers in its 2021 report 'Assessment practices in English higher education providers: Spelling, punctuation and grammar', which sets out the OfS’s view that students should be assessed on spelling, punctuation and grammar in order to maintain quality and protect standards.
As part of the OfS's ‘B4 Registration’ condition, HE providers must establish academic regulations that are designed to ensure the effective assessment of technical proficiency in the English language in a manner which appropriately reflects the level and content of the applicable HE course.
Section 100 of the Children and Families Act 2014 places a duty on maintained schools, academies and pupil referral units to make arrangements for supporting pupils with medical conditions. This includes allergies.
The accompanying statutory guidance, 'Supporting pupils at school with medical conditions', makes clear to schools what is expected of them in taking reasonable steps to fulfil their legal obligations and to meet the individual needs of pupils with medical conditions. Schools should ensure they are aware of any pupils with medical conditions and have policies and processes in place to ensure these can be well managed. This guidance can be accessed here: https://www.gov.uk/government/publications/supporting-pupils-at-school-with-medical-conditions--3.
'Supporting pupils at school with medical conditions' includes guidance on individual healthcare plans and specifies that they should ensure that the school assesses and manages risks to the child’s education, health and social wellbeing, and minimises disruption.
The department included a reminder to schools of these duties in its regular schools’ email bulletin in both March and September 2024. In the same communication we also alerted schools to the newly created Schools Allergy Code. The Code was developed by The Allergy Team, Independent Schools’ Bursars Association and the Benedict Blythe Foundation, who are all trusted voices on the matter of allergies. The department has now also added a link to the Code to its online allergy guidance, which can be accessed here: https://www.gov.uk/government/publications/school-food-standards-resources-for-schools/allergy-guidance-for-schools.
The Department for Health and Social Care (DHSC) have produced guidance on the use of adrenaline auto-injectors in schools here: https://www.gov.uk/government/publications/using-emergency-adrenaline-auto-injectors-in-schools. DHSC have also produced guidance on emergency inhalers in schools, including the purchase of spares, which can be accessed here: https://www.gov.uk/government/publications/emergency-asthma-inhalers-for-use-in-schools.
The government is committed to ensuring that all young people can access a range of high quality vocational and technical qualifications which supports them to develop the skills they need to thrive at work and throughout life, including applied general qualifications. This is at the heart of the government’s missions to break down the barriers to opportunity and to boost economic growth.
The government is currently conducting a review of level 3 qualifications focusing on those set to lose funding from 31 July 2025, which includes applied general qualifications. The outcomes of the review will be reported by the end of the year.
Additionally, the independent Curriculum and Assessment Review, will ensure meaningful, rigorous and high-value pathways for all at ages 16 to 19, with access to qualifications and training that will provide the skills they need to seize opportunity.
The department does not have a policy which explicitly covers paid time off for staff who become kinship carers, but there are other provisions which may be applicable depending on the individual circumstances. In addition to annual leave and flexitime (if eligible), the following is available:
o an additional five days’ off as paid leave for carers
o an additional five days’ off as paid leave for those with dependents
The Government is committed to reducing waste by transitioning to a circular economy. To support the Government in achieving this goal, a Circular Economy Taskforce of experts has been established from across the Government, industry, academia, and civil society to help us develop a Circular Economy Strategy for England.
The taskforce will consider the evidence for sector-specific interventions from right across the economy and will be exploring a wide range of levers to drive circularity.
Local Authorities are best placed to determine the effective delivery of local services. We want to provide the framework in which they do this and ensure that there is consistency in what is collected.
The Deposit Return Scheme (DRS) regulations provide the powers for the Deposit Management Organisation (DMO) - who will be appointed by Government to administer the DRS. The regulations also set out what the DMO must consider and who they must consult in determining the deposit level, including whether a fixed or variable rate deposit is appropriate and, when doing so, have regard to the views expressed in responses to the consultation.
This Government was elected on a mandate to introduce the most ambitious plans to improve animal welfare in a generation. We will be outlining more detail in due course.
Our drinking water regulations and approved regulator specifications are designed, in part, to protect human health by reducing the likelihood of contamination of drinking water supplies.
Our current Regulations allow certain other national specifications to be accepted by water undertakers, if they can demonstrate an equivalent level of protection and performance with our drinking water standards.
After writing to Ofwat, the Secretary of State has secured agreement that funding for vital infrastructure investment is ringfenced and can only be spent on upgrades benefiting customers and the environment. If that money is not spent, it will be refunded to customers – not diverted for bonuses, shareholder payouts or salary increases.
The Department for Transport does not currently offer paid time off or support specifically for kinship carers. This is something that the department along with other government bodies is reviewing.
The department does offer support including paid and unpaid special leave for those with parental and caring responsibilities. It sponsors a Carers’ Network and a Families’ Network for staff. DfT employees have access to an Employee Assistance Programme which can help signpost them to sources of advice and support on a range of issues.
The Traffic Commissioners for Great Britain only publish data on a Traffic Area wide basis. The West Midlands Traffic Area includes the West Midlands conurbation, Warwickshire, Staffordshire, Worcestershire, Herefordshire and Shropshire. Between 2009-10 and 2023-24, the Traffic Commissioners recorded that 3,992 existing registrations in the West Midlands traffic area were cancelled. An existing registration being cancelled does not always mean a bus route was closed. For example, a registration could have been cancelled and replaced with another registration that covers much of the same route, or the route continues to be served by different operator.
It should also be noted that prior to 2019-20 the total number of live local bus service registrations included an element of double-counting as services running across multiple local authority areas were recorded multiple times, e.g. a service running between the West Midlands and Staffordshire was presented as two services when it should have been counted as a single service. This has now been rectified.
Under the Highways Act 1980, local highway authorities are responsible for the maintenance and safety of the highway network in their area, which may include bridges, fords and other types of river crossing. The Act does not set out specific standards of safety or maintenance for these assets. It is for each individual local highway authority to assess which parts of its network need repair and what standards should be applied, based upon their local knowledge and circumstances, and the Government has no plans to change this. The Department does, however, plan to update its guidance to local highway authorities on the management of their highway networks. As part of this it will consider whether more guidance is needed on the management of river crossings.
The information requested is not readily available and to provide it would incur disproportionate cost.
The information requested is not readily available and to provide it would incur disproportionate cost.
Monthly statistics for the number of People on Universal Credit in Great Britain are published regularly on Stat-Xplore. The latest release provides provisional figures for the ‘count date’ of 13 February 2025 which can be broken down by ‘Age (in bands and single year)’. The next release with provisional figures for the count date of 13 March 2025 is scheduled for release on 15 April 2025 at 09:30am.
Users can log in or access Stat-Xplore as a guest and, if needed, can access guidance on how to extract the information required. There is also a Universal Credit Official Statistics: Stat-Xplore user guide.
Monthly statistics for the number of People on Universal Credit in Great Britain are published regularly on Stat-Xplore. The latest release provides provisional figures for the ‘count date’ of 13 February 2025 which can be broken down by ‘Age (in bands and single year)’. The next release with provisional figures for the count date of 13 March 2025 is scheduled for release on 15 April 2025 at 09:30am.
Users can log in or access Stat-Xplore as a guest and, if needed, can access guidance on how to extract the information required. There is also a Universal Credit Official Statistics: Stat-Xplore user guide.
Young people in work typically earn less than those over 25 and are also more likely to live in someone else’s household, with lower living costs.
It is not inconsistent to maintain different rates of Universal Credit while moving to a single rate of the National Living Wage. Even with the rise of the minimum wage, younger workers will still, in general, earn less.
The lower rate of Universal Credit maintains an incentive to work as we continue to support young people into employment and to improve their career opportunities.
The information requested is not readily available and to provide it would incur disproportionate cost.
Monthly statistics for the number of Households on Universal Credit in Great Britain are published quarterly on Stat-Xplore. The latest statistics in table ‘UC Households 1 – month by family type’ provide a monthly breakdown of households on UC by family type up to November 2024.
Users can log in or access Stat-Xplore as a guest and, if needed, can access guidance on how to extract the information required. There is also a Universal Credit Official Statistics: Stat-Xplore user guide.
In April 2024, the number of single parents on Universal Credit affected by the two-child policy, by gender, was as follows.
| Single parents household on Universal Credit affected by two-child policy (April 2024) |
Female | 201,000 |
Male | 5,000 |
Total | 206,000 |
Notes:
No assessment has been made.
The lower rate of Universal Credit for those aged under 25 reflects the fact that the majority of young people live in someone else’s household and are therefore likely to have lower living costs.
Younger workers also typically earn less as they are earlier in their careers, with the lower rate maintaining the incentive for younger people to find and progress in work.
We do not have a policy which explicitly covers (a) paid time off work and (b) other support to employees who become kinship carers. Employees are able to take time off work to deal with an emergency involving a dependant or are able to request other leave, paid and unpaid, as well as annual and flexi leave as required to support them when they become a kinship carer. Employees are also able to request a combination of flexible working patterns, special leave and adjusted duties depending on their specific needs.
The Department has recently concluded a public consultation on policy changes. This included proposals to remove the Direct Pay service (where parents pay each other directly) and managing all CMS cases in one service to allow the CMS to tackle non-compliance faster.
The consultation also sought views on how victims and survivors of domestic abuse can be better supported to use CMS and whether removing Direct Pay completely would benefit victims and survivors of domestic abuse. This follows the Child Support Collection (Domestic Abuse) Act receiving Royal Assent in June 2023, which recognised that Direct Pay may not always be appropriate for victims and survivors of domestic.
Removing Direct Pay would mean all maintenance payments would be monitored and transferred within the scheme. As all payments would flow via CMS, the CMS would be able to automatically identify any that were missed, late or partial and immediately take action to re-establish compliance. This would also reduce the ability for perpetrators of domestic abuse to exploit the communication channel needed for direct pay to function for the purposes of abuse; and prevent abusers from inflicting economic control and coercion through withholding CM payments.
Feedback from the consultation is being considered and a Government response will be published in due course.
Statistics for Bereavement Support Payment, including claims allowed each month from April 2017 to March 2024, are published on Stat-Xplore in the Bereavement Support Payment (BSP) Claims Received dataset.
Users can log in or access Stat-Xplore as a guest and, if needed, can access guidance on how to extract the information required.
The total expenditure of Bereavement Support Payment from April 2017 to March 2023 was £1.2 billion. Figures for the 2023/24 financial year are still being finalised so are not included in this expenditure total.
Note: figures are rounded to the nearest £100,000 and are taken from the Department for Work and Pensions Benefit expenditure and caseload tables 2024.
Benefit expenditure and caseload tables 2024 - GOV.UK (www.gov.uk)
We do not have a policy which explicitly covers paid time off work and other support to employees who become kinship carers. Employees can take time off work to deal with an emergency involving a dependant or are able to request other special leave, paid and unpaid, as well as annual and flexi leave as required to support them when they become a kinship carer. Employees are also able to request flexible working to support both short term and longer-term arrangements.
As with all requests for time off under our policies, each case is taken on a case-by-case basis, and consideration to grant requests, either paid or unpaid, taken in line with our provisions.
Appropriately trained occupational therapists can already supply/administer medicines under a Patient Specific Direction (PSD) or a Patient Group Direction (PGD). A PSD is a written instruction from a prescriber for medicines to be supplied or administered to a specific patient or person. PGDs are a set of instructions which allow healthcare professionals to supply and administer specific medicines to pre-defined groups of patients without the need for them to be referred to a prescriber.
There is a process in place for making changes to prescribing responsibilities to ensure those changes are safe and beneficial for patients.
In late 2020, NHS England launched a series of public consultations seeking views on proposals to amend responsibilities for the prescribing, supply and/or administration of medicines for specific healthcare professionals.
The Department is working with NHS England to consider these consultations and other requests to progress the extension of responsibilities to supply, administer or prescribe medicines under the Human Medicines Regulations 2012 to regulated healthcare professionals, where a clear need and benefits have been identified.
Approximately 89% of prescription items are dispensed free of charge in the community in England. There are a wide range of exemptions from prescription charges already in place, for which those with long-term conditions may be eligible, to support the affordability of prescriptions. 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 PPCs can be paid for in 10 direct debit instalments.
The NHS Business Services Authority (NHS BSA) promotes prescription prepayment certificates (PPCs) as part of a wider communications plan for all of the Help with Health Costs services that it delivers. The NHS BSA and the National Health Service use social media, online resources, media releases, and healthcare bulletins to promote the PPC to professionals and patients, to ensure both groups are aware of their availability.
To rebuild dentistry in the long term and increase access to National Health Service dental care, we will reform the dental contract, with a shift to focus on prevention and the retention of NHS dentists.
There are no perfect payment systems and careful consideration needs to be given to any potential changes to the complex dental system so that we deliver a system better for patients and the profession. We continue to meet the British Dental Association and other representatives of the dental sector to discuss how we can best deliver our shared ambition to improve access for NHS dental patients.
The Getting It Right First Time’s (GIRFT) 2021 report into maternity and gynaecology identified a key barrier in treating heavy menstrual bleeding as the commissioning arrangements for contraceptive and sexual health services. The report recommended the lifting of restrictions on providing long-acting reversible contraception (LARC) for non-contraceptive purposes, such as treatment for heavy menstrual bleeding.
The commissioning of LARC is a decision for individual integrated care boards, who can decide whether to offer LARC through general practices or sexual health services, or both, based on an assessment of population need.
Additionally, £25 million has been invested by the Department to support the development of at least one pilot women’s health hub in every integrated care system, and work is ongoing with NHS England to provide this. Women’s health hubs bring together healthcare professionals and existing services to address fragmentation in reproductive health care and remove the barriers women face accessing treatment. Providing care and treatment for heavy menstrual bleeding is a core service of the hubs, and this includes treatment with LARCs.
The Health Mission sets the objective of building a National Health Service fit for the future. As part of that work, and in response to Lord Darzi’s report, we have launched an extensive programme of engagement to develop a 10-Year Health Plan to reform the NHS. The plan will set out a bold agenda to deliver on the three big shifts, from hospital to community, from analogue to digital, and from sickness to prevention.
In addition, following publication of the 10-Year Health Plan, we will develop a new national cancer plan, which will include further details on how we will improve outcomes for cancer patients, including those with pancreatic and other less survivable cancers.
We are now in discussions about what form that plan should take, and what its relationship to the 10-Year Health Plan and the Government’s wider Health Mission should be, and will provide updates on this in due course.
NHS England is delivering a range of interventions that are expected to improve early diagnosis and treatment for patients with suspected and diagnosed pancreatic cancer. This includes providing a route into pancreatic cancer surveillance for patients at inherited high-risk, to identify lesions before they develop into cancer, and diagnose cancers sooner.
In March 2024, NHS England published guidance for providers and systems to implement a timed Hepato-Pancreato-Biliary cancer pathway with the aim of ensuring that patients with some suspected tumour types, including suspected pancreatic cancer, receive a diagnosis or have cancer ruled out within 28 days of urgent referral.
The 2021 Getting It Right First Time national report for maternity and gynaecology recommended that clinical commissioning groups, now integrated care boards (ICBs), commission contraceptive and sexual health services to provide intrauterine devices, which are a form of long-acting reversible contraception (LARC) for heavy menstrual bleeding, in relevant cases. ICBs may commission sexual health services or general practices (GPs) to offer LARC as a locally enhanced service to their local population. It is for ICBs to decide on commissioning arrangements for their area, based on an assessment of local need.
The Department is continuing to work with NHS England to support the establishment of at least one pilot women’s health hub in every integrated care system, following a £25 million investment. A core service offered by hubs is treatment for heavy menstrual bleeding and provision of LARC. By providing an enhanced and more specialist service through hubs in the community, they enable women to be more effectively diagnosed and treated promptly in the community. The hubs also provide a centre for the training and support to GPs to help with upskilling, and reduce variation in the care that women can expect to receive.
Other training and guidance are available for primary care practitioners. For example, the Royal College of General Practitioners 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 for their patients. The Faculty of Sexual and Reproductive Healthcare also offers a range of contraception qualifications that healthcare professionals can undertake.