First elected: 12th December 2019
Left House: 30th May 2024 (Dissolution)
Speeches made during Parliamentary debates are recorded in Hansard. For ease of browsing we have grouped debates into individual, departmental and legislative categories.
These initiatives were driven by Dehenna Davison, 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.
Dehenna Davison has not been granted any Urgent Questions
Dehenna Davison has not been granted any Adjournment Debates
Dehenna Davison has not introduced any legislation before Parliament
Pensions (Extension of Automatic Enrolment) Bill 2021-22
Sponsor - None ()
Houses in Multiple Occupation Bill 2019-21
Sponsor - Ian Levy (Con)
The Commission has not made a formal assessment of the potential ways in which hybrid or virtual proceedings in Parliament could reduce the cost of the restoration and renewal of the Palace of Westminster or the need for decant whilst the works are underway. Whilst the Commission is keen to ensure that the plans for restoration and renewal, and for decant, represent good value-for-money, it would ultimately be for the House to determine whether to adopt different ways of working during the works to the Palace.
The Procedure Committee is currently considering changes to the procedure and practice of the House since the start of the pandemic, and lessons for any continuing or future use of hybrid and/or virtual proceedings may emerge from that work.
The Parliamentary Works Sponsor Body has good working relationships with the Infrastructure and Projects Authority (IPA), HM Treasury and the National Audit Office (NAO). As the Sponsor Body transitioned out of Parliament, where it existed in shadow form, to becoming a formal statutory body, advice was sought from the IPA on good practice and lessons learned in areas such as assurance and governance. The relationship with the IPA continues to be positive and the Sponsor Body has recently worked with the IPA to identify independent reviewers for a forthcoming Gateway Review.
Productive discussions continue with HM Treasury regarding the Sponsor Body's preparation of the Outline Business Case for the Restoration and Renewal Programme and, under the terms of the Parliamentary Buildings (Restoration and Renewal) Act 2019, HM Treasury also has a role to provide advice to the Parliamentary Works Estimates Commission on the Sponsor Body's Estimate for each financial year prior to that Estimate being laid in the House of Commons.
Both the IPA and HM Treasury contributed to the recent Strategic Review via discussions as part of the Review's Challenge Panel.
The NAO published a review of the R&R Programme in April 2020, highlighting the vital and urgent need to restore the Houses of Parliament. That report contained a number of helpful recommendations which the Sponsor Body accepted in full. The Sponsor Body welcomes further reviews by the NAO on behalf of Parliament over the coming years to ensure value for money is delivered for the taxpayer. Both the Sponsor Body and Delivery Authority will also continue to work with the NAO to apply lessons learned from NAO reviews of other projects and programmes as well as in relation to the NAO's role as the external auditor for the Sponsor Body and Delivery Authority.
The Sponsor Body is aware of ongoing fire safety works to the Palace of Westminster. The Outline Business Case will take account of completed works, including fire safety works, when proposing cost estimates for the parliamentary building works under the R&R Programme. This will be conditional on further design work and testing.
The Commission has made no assessment of the potential merits of using a restoration of the Speaker’s House as a pilot scheme for the Restoration & Renewal programme.
A number of capital projects and programmes for necessary works to enable the continuing operation of the Palace of Westminster are currently ongoing, including the Cast Irons Roofs programme and the Mechanical, Electrical, Public Health and Fabric Safety programme. The Elizabeth Tower project, which began before the enactment of the legislation, is nearing its conclusion. The Commission plans for capital investment in the Palace to continue in the years running up to the start of the restoration and renewal works.
In line with best practice, the House Service will work with the Parliamentary Works Sponsor Body to ensure that any lessons learned from current and future works to the Palace are used to inform planning and preparation for the Restoration and Renewal programme.
The Commissions of both Houses are responsible under the Parliamentary Buildings (Restoration & Renewal) Act 2019 for setting the Phase 1 Expenditure Limit for the parliamentary building works, covering the period up to the approval of the Restoration & Renewal (R&R) Outline Business Case. The House of Commons Commission has to date, also received advice from the Commons Finance Committee in setting the Phase 1 Limit.
Since the creation of the Parliamentary Works Sponsor Body, the Commission has also received quarterly progress reports on the R&R Programme. At its meeting on 22 February, the Commission noted the assurance and scrutiny arrangements that the Sponsor Body has established for the Programme and the opportunities to strengthen those arrangements to provide further assurance to both Houses, including on reporting progress to secure further savings against the Phase 1 Expenditure Limit. Work will take place, following publication of the Sponsor Body’s Strategic Review report, to confirm Commission and House engagement, decision points and ongoing scrutiny up to Outline Business Case approval.
The Department for Business and Trade helps businesses grow their business overseas by providing information, training, events and expert advice to both new and experienced exporters at all stages of their exporting journey.
Our range of support offers comprises a digital self-serve offer on great.gov.uk, and a wider network of support including domestic and overseas trade advisers, sector specialists, export champions, the Export Academy, International Markets network as well as through UK Export Finance. All this support is accessed through Great.gov.uk.
We also help businesses to benefit from new free trade agreements and work across Government to reduce barriers to exporting and simplify border processes.
The Digital Exporting Programme provides support for UK companies looking to sell their products to international consumers through digital channels such as ecommerce. Digital Trade and Ecommerce Advisers provide one-to-one support and can help with everything from developing a digital commerce strategy to making websites more attractive to international audiences. UK Export Academy provides sector-specific webinars, masterclasses and virtual missions, helping businesses grow by finding new customers and increasing sales.
Help to Grow: Management is an intensive national training programme helping thousands of SME businesses to improve their productivity and grow their businesses, including through upskilling them in digital adoption.
The Retail Sector Council recently published a paper on the challenges facing the sector and is encouraging a dialogue with business to work with government to identify measures that both business and government should consider.
The Great British Insulation Scheme (GBIS) is not a Government grant or loan but funded by obligated energy suppliers who then recoup the costs from their domestic customers.
The Government sets the overall target and rules for GBIS but does not intervene in how energy suppliers deliver their individual targets.
We know there is promising potential for geothermal energy in the UK and particularly as a low carbon source of heat. The Government is supportive of geothermal projects, and we are exploring policy options in response to the report by the British Geological Survey issued earlier this year to understand how we can support the growth of the sector to maximise its potential in the UK. However, due to the nascency of the sector, there are no plans to estimate its capacity for energy production in the short term.
Energy Performance Certificates (EPCs) use an Energy Efficiency Rating (EER) to score the energy performance of buildings based on their estimated running costs. Since energy costs can be a significant outlay, it is important that homeowners and occupiers are aware of the potential running costs of their building.
Given the higher cost of electricity relative to oil, the presence of an electric radiator may result in a low EER without added measures to reduce energy demand, such as insulation. The metrics on the EPC are kept under review as the Government develop policy to simultaneously tackle fuel poverty and decarbonise buildings.
The Government committed in the Clean Growth Strategy to improve as many privately rented homes as possible to Energy Performance Certificate (EPC) Band C by 2030 where practical, affordable and cost effective. The Government consulted on raising the standard to EPC C for new tenancies from 1 April 2025 and for all tenancies by 1 April 2028. The Government has carefully analysed the responses received and will publish a response in due course.
The underlying methodology for producing an Energy Performance Certificate (EPC) assesses energy performance based on the fixed components of the building. This includes solar photovoltaic panels.
In the event of a power outage a heat pump, like a gas or oil boiler, will not work if a home does not have a back-up power supply. The UK has one of the most resilient electricity networks in the world, so the risk of power outages is small. The Government will continue to build resilience into the system as it evolves and dependence on electricity increases.
The Government is monitoring the significant increases in wholesale energy prices closely, and meeting regularly with Ofgem, suppliers and consumer groups to understand the future impact on consumers as well as to discuss potential mitigations.
The Government is committed to protecting energy customers, especially the most vulnerable. The Energy Price Cap will continue to protect consumers, ensuring they pay a fair price for their energy this winter. Low income and fuel poor households will continue to be supported with their energy bills through the Warm Home Discount, which provides eligible households with a £140 discount. Winter Fuel Payments and Cold Weather Payments will ensure that the most vulnerable are better able to heat their homes through the winter. Additionally, the Government announced an additional £500 million for local authorities, through the new Household Support Fund, to support vulnerable households meet daily needs such as utility bills.
The BBC has a duty to deliver impartial and accurate news coverage and content under its Royal Charter. As such, the Government has been clear that the BBC must place a firm emphasis on impartiality and maintaining the highest editorial standards.
The Government welcomes that the BBC accepted the findings and recommendations of the Serota Review and has committed to reform through its 10 point Impartiality and Editorial Standards Action Plan. The BBC now needs to demonstrate clear and continued progress as the plan is embedded into business as usual.
The Government established Ofcom as the independent regulator of the BBC in 2017. Ofcom is responsible for holding the BBC to account against its impartiality responsibilities. It remains a priority for the Government to work with Ofcom to deliver an effective and proportionate regulatory framework that holds the BBC to account while maintaining its creative freedom and operational independence.
A key focus of the Government’s Mid-Term Review of the BBC is to look at the regulatory and governance measures which can enable progress on impartiality, more accountability for editorial standards, including the handling of complaints, and a BBC that represents the breadth of the audience it was established to serve.
Our work on the Mid-Term Review is ongoing. The Charter specifies that the review must take place between 2022 and 2024, and we will publish our findings and conclusions in due course.
Ofcom has issued guidance on how telecoms companies can fulfil their regulatory obligation to ensure that their customers, including those in social care settings, have access to the emergency services in the event of a power cut following the transition from analogue to digital telephony. This guidance states that providers should have at least one solution available that enables access to emergency organisations for a minimum of one hour in the event of a power outage in the premises, and that the solution should be suitable for customers’ needs and should be offered free of charge to those who are at risk as they are dependent on their landline.
Ofcom’s power resilience guidance does not distinguish between types of user, however they have issued additional guidance which states that providers should take steps to identify vulnerable consumers and engage in effective communications to ensure all are protected in the migration process.
Although migration is an industry led initiative, the government is clear that the PSTN migration should not be used as an opportunity for providers to raise their prices or otherwise exploit vulnerable consumers with disproportionate costs for the necessary upgrades.
Public Switched Telephone Network (PSTN) migration is industry-led. The Government and the independent telecoms regulator, Ofcom, are working together to ensure customers are protected.
Ofcom places a regulatory obligation on communications providers to take all necessary measures to ensure uninterrupted access to emergency organisations for their customers. Ofcom has issued guidance explaining how providers can fulfil this regulatory obligation during power outages, stating that at least one solution must be available for a minimum of one hour that enables access to emergency organisations in the event of a power cut. Any solution must be made available free of charge to customers who providers determine are reliant on their landline to make emergency calls during a power cut.
Alongside this, the emergency services have access to a number of resilient communications systems to coordinate emergency response activity via mobile networks. This includes the current Airwave system, and they will make use of the Emergency Services Network (ESN) once transition has completed.
Public Switched Telephone Network (PSTN) migration is industry-led. The Government and the independent telecoms regulator, Ofcom, are working together to ensure customers are protected.
Ofcom places a regulatory obligation on communications providers to take all necessary measures to ensure uninterrupted access to emergency organisations for their customers. Ofcom has issued guidance explaining how providers can fulfil this regulatory obligation during power outages, stating that at least one solution must be available for a minimum of one hour that enables access to emergency organisations in the event of a power cut. Any solution must be made available free of charge to customers who providers determine are reliant on their landline to make emergency calls during a power cut.
The Freedom of Information Act (FOI) is regulated and enforced independently of Government by the Information Commissioner’s Office (ICO).
The ICO is dealing with rapidly growing numbers of complaints; currently it receives around 100 new complaints a week. The ICO responds to all FOI complaints with an email acknowledging receipt, which sets out current expected timescales for a response. All complaints are triaged: investigations into relatively simple cases usually commence within 30 days of receipt, while more complex cases may take up to 7 months to be allocated to an ICO officer for investigation.
The ICO is taking steps to increase its resources in this area so that these cases are dealt with as quickly as possible, whilst ensuring a high quality of response.
The department recognises the importance of accessing timely and effective support to improving the experiences of children and young people with special educational needs and disabilities (SEND), and their families. Nationally, 17% of pupils are identified with some form of SEN, three quarters of whom receive SEN support from their mainstream school, funded from its own resources.
Local authorities must ensure that there are sufficient good school places for all pupils, including special schools and those with SEND. They are statutorily required to keep the services and provision for children and young people with SEND under review, including its sufficiency, working with parents, young people, and providers.
To support local authorities to meet this duty, in the SEND and Alternative Provision (AP) Improvement Plan, the department committed to investing £2.6 billion between 2022 and 2025 to fund new special and AP places and improve existing provision for children and young people with SEND, including announcing 41 new special free schools. This funding represents a significant, transformational investment in new high needs provision. As part of this investment, the department has published over £1.5 billion of High Needs Provision Capital Allocations for the 2022/23 and 2023/24 financial years. Of this, Durham has been allocated a total of £11.2 million. Local authorities can use their allocations to deliver new places in mainstream and special schools, as well as other specialist settings such as specialist post-16 institutions, and to improve the suitability and accessibility of existing buildings. This investment is on top of the department’s ongoing delivery of new special and AP free schools.
Through these reforms, the department wants to ensure that placements for children and young people with SEND are sufficient to meet need, allowing them to access the right support, in the right setting, at the right time.
In the Special Educational Needs and Disabilities (SEND) and Alternative Provision (AP) Improvement Plan, the department set out its ambition for more children and young people to have their needs met effectively in mainstream settings where it is possible for this to happen. For those children and young people with SEND who do require an Education, Health and Care (EHC) plan and specialist provision, the department will ensure that parents do not face an adversarial system to secure this.
The department will improve mainstream education by setting standards for the early and accurate identification of need, and for timely access to the support to meet those needs.
To deliver new national SEND and AP standards across EHC, the department is starting by building on existing best practice, including on early language support, autism and mental health and wellbeing. The department will publish three advisory practitioner standards by the end of 2025. The department will also publish a significant portion of the national standards by the end of 2025.
It is crucial that Speech Language and Communication Needs (SLCN) are identified early to enable the right support to be put in place. In partnership with NHS England, the department is funding the Early Language and Support for Every Child (ELSEC) pathfinders within its Change Programme.
Reaching over 70% of schools and further education colleges, the Universal Services Programme will help the education workforce to identify and meet the needs of children and young people with SEND, earlier and more effectively. The department is investing a further £21 million to train 400 more educational psychologists to increase capacity.
The department is introducing a leadership level new National Professional Qualification (NPQ) for SENCOs. This will replace the existing qualification and ensure that SENCOs receive consistent high-quality training. The department has also committed to funding training for up to 7,000 early years staff to gain an accredited Level 3 early years SENCO qualification.
Maximum grants and loans for living costs were increased by 3.1% this academic year (2021/22) and we have announced that they will increase by a further 2.3% in the 2022/23 academic year. We are currently reviewing options for uprating in future academic years.
As set out in the regulations underpinning the entitlements to free early education and childcare, children become eligible for a free early education place at different points in the year. Depending on when the child turns three, the 30 hours free childcare entitlement begins from 1 September, 1 January or 1 April following their third birthday.
These termly deadlines link closely with that of the department’s other early entitlements to create consistency across the offers. The merit of delivering the entitlements in this way are that it allows local authorities and childcare providers to better plan and ensure sufficient early years places are available for parents each term, as there are clear periods for when children are likely to enter into a place.
This is intended to ensure that all children are entitled to at least three years of early education and/or reception before they reach statutory school age.
The Care to Learn (C2L) scheme is available to help young parents, defined as those aged under 20, to continue in education after the birth of a child. The scheme provides funding towards childcare whilst the young parent is engaged in a study programme and is not able to provide care for their child. C2L can also help with travel costs involved in taking the child to the childcare provider. During the 2020/2021 academic year, payments totalling over £5 million were made through the scheme.
Learner Support funds childcare for students aged 19 and over in further education. Learning providers decide how much a student receives, depending on their scheme and the individual circumstances of the student.
30 hours free childcare and Tax-Free Childcare are entitlements for working parents of three and four-year-olds. These aim to help working parents with the costs of childcare so they are able to take up paid work or work additional hours. The Childcare Bill policy statement, published in December 2015, is clear that students are not eligible for 30 hours free childcare. However, parents who undertake paid work in addition to their studies and meet the income requirements will be eligible for additional hours.
To qualify for 30 hours free childcare and Tax-Free Childcare, students do not have to physically work 16 hours a week. However, they do need to earn the equivalent of a weekly minimum of 16 hours at National Minimum Wage or National Living Wage. Currently, this is just over £7,400 a year.
Parents undertaking vocational training remain entitled to the universal 15 hour free entitlement for three and four-year-olds. They may also be eligible for 15 hours free early education for disadvantaged two-year-olds. More information on the eligibility criteria can be accessed here: https://www.gov.uk/help-with-childcare-costs/free-childcare-2-year-olds.
Further information on the full range of childcare support available can be found at: https://www.childcarechoices.gov.uk/. Constituents can also access the government’s childcare calculator, available here: https://www.gov.uk/childcare-calculator.
Forest Holidays is a commercial undertaking that develops and provides overnight cabin accommodation in the nation’s forests, which are managed by Forestry England. The partnership between the Forestry Commission and Forest Holidays is managed on a commercial lease basis and the Forestry Commission acts as landlord of Forest Holidays sites. Forestry England is an Executive Agency of the Forestry Commission.
Forestry England carries out careful and systematic reviews of areas of the nation’s forests where any development might be considered, to assess whether environmental or other considerations should preclude the development. All Forest Holidays proposals adhere to the principles of ‘biodiversity net gain’. Forest Holidays completes a broad suite of ecological studies, including assessments for protected species at potential new cabin locations. Protection of flora and fauna both during construction and post operation is secured through adherence to method statements and management plans which are submitted with a full planning application. Forest Holidays developments are subject to the same local authority managed planning permission controls as any other recreational site developer. This will include environmental assessments and formal consultation as required by the respective local planning authority.
As an Executive Agency of the Forestry Commission (FC), Forestry England is discussed with Ministers in FC's bimonthly Ministerial Delivery Meetings and their six-monthly Ministerial Performance Review.
The Equine Identification (England) Regulations 2018 brought in a mandatory requirement from October 2020 for all horses, ponies and donkeys to be microchipped, including those born prior to 30th June 2009, which were not required under previous legislation. The one exception to this regulation is a derogation for qualifying wild and semi-wild equines that do not leave the designated areas of Dartmoor, Exmoor, the New Forest and Wicken Fen. There is equivalent legislation in Wales, Scotland and Northern Ireland.
The UK has been at the forefront of seizing the benefits of digital trade, including through our FTA programme. For example, the UK-Singapore Digital Economy Agreement, signed in February, represents the most innovative digital trade agreement ever signed. Already, DIT has engaged nearly 100 companies through a webinar and trade mission on the benefits of the deal for business. The Department also has a Digital Exporting Programme which helps SME to increase exports through digital channels, for example those in the music industry. So far, the Programme has supported in excess of 10,000 companies.
The Department for Transport is investing in the bus sector to deliver the ambitions of the National Bus Strategy to make bus services more reliable and cheaper. We are providing over £2 billion of funding for English Local Transport Authorities (LTAs) outside London to support the delivery of Bus Service Improvement Plans (BSIPs), including the introduction of new services. This includes the recent announcement of an additional £1 billion redirected from HS2 to support bus services in the North and Midlands.
We have also announced that a new uplift of 60% will be added to Community Transport Operators’ (CTOs) Bus Service Operators Grant (BSOG) claims until 31 March 2025. On top of this, we have extended the £2 bus fare cap until the end of 2024, meaning we are investing nearly £600 million in total to cap bus fares.
North East Combined Authority and North of Tyne Combined Authority received £163,521,172 in Government funding to make improvements set out in their joint BSIP up to March 2025 in the first phase of BSIP funding. They have also been indicatively allocated £11.2 million in further BSIP funding from Network North for 2024/25. The allocations for future years will be published in due course.
The Government recognises the need to ensure hauliers have access to appropriate services and facilities.
We are aware of the concerns expressed by many HGV drivers about the provision, quality and value of lorry parking in the UK. We have announced £32.5 million in new funding to improve roadside facilities for hauliers and are undertaking a new National Lorry Parking Survey supported by direct industry engagement to help identify where improvements are most needed. We continue to engage with key stakeholders to encourage the development of safe, secure and high-quality lorry parking.
The National Planning Policy Framework already sets out that local planning policies and decisions should recognise the importance of providing overnight lorry parking facilities, taking into account any local shortages, to reduce the risk of parking in locations that lack proper facilities or could cause a nuisance.
The Government recently published a Written Ministerial Statement to reinforce the importance of providing hauliers with access to parking and services.
The Department for Transport continues to work with the Department for Levelling Up, Housing and Communities (DLUCH) to highlight the criteria and consideration for lorry parking with Local Authorities.
We want people across the country to have the opportunity to make the move to electric vehicles (EVs). Most EV drivers choose to charge their cars at home, overnight (and 85% of dwellings in rural areas have off-street parking) or increasingly at the workplace. For those without access or undertaking longer journeys, public charging is important.
The Department has committed over £1.3 billion to accelerate the roll out of charging infrastructure on motorways and major A roads, in homes and businesses and on-street. Government will publish its forthcoming EV Infrastructure Strategy soon. This will define our vision for the continued roll-out of a world-leading charging infrastructure network across the whole of the UK, including rural areas. It will also set out roles and responsibilities for ensuring charging infrastructure rollout is delivered at the pace needed to transition to a zero-emission car and van fleet. We will continue to monitor this situation and consider the case for direct central government support in rural areas if required.
The On-Street Residential Chargepoint Scheme (ORCS) is available to all UK local authorities, including those with rural areas, to apply to and provide public chargepoints for their residents without access to private parking. £20 million is available in the 2021-22 financial year. To support local authorities in accessing this funding, DfT funds Energy Saving Trust to offer expert advice on EV charging and support on developing EV strategies. Energy Saving Trust, in partnership with DfT, also hosts a library of webinars and guidance for local authorities on installing charging points. This includes webinars specifically for rural local authorities.
Government will also launch a Local EV infrastructure Fund, which will be available to English local authorities in 2022-23. This fund will facilitate the roll-out of larger scale charging infrastructure projects across the country.
In addition, this year, we will expand the Workplace Charging Scheme to support small accommodation businesses and charities to install chargepoints for their guests and visitors. This should help provision of more chargepoints in rural areas, for example it should support places like village halls provide chargepoints for their communities.
The quickest and easiest way to apply for a driving licence is by using the Driver and Vehicle Licensing Agency (DVLA)’s online service. There are no delays in successful online applications and customers should receive their licence within a few days.
However, many people still choose or have to make a paper application and the DVLA receives around 60,000 items of mail every day. To help reduce waiting times for paper applications, the DVLA has introduced additional online services, recruited more staff, increased overtime working and has secured extra office space in Swansea and Birmingham. The latest information on turnaround times for paper driving licence applications can be found here. There may be additional delays in processing more complex transactions, for example if medical investigations are needed.
The quickest and easiest way to apply for a driving licence is by using the Driver and Vehicle Licensing Agency (DVLA)’s online service. There are no delays in successful online applications and customers should receive their licence within a few days.
However, many people still choose or have to make a paper application and the DVLA receives around 60,000 items of mail every day. The DVLA understands the impact of delays on those who make paper applications and is working hard to process them as quickly as possible. To help reduce waiting times for paper applications, the DVLA has introduced additional online services, recruited more staff, increased overtime working and has secured extra office space in Swansea and Birmingham. There may be additional delays in processing more complex transactions, for example if medical investigations are needed. The latest information on turnaround times for paper driving licence applications can be found here.
The majority of applicants renewing an existing licence will be able to continue driving while their application is being processed, providing the driver can meet specific criteria. More information can be found online here.
The Government believes that there will be a role for hydrogen trains in decarbonising the railway. My Department is considering the case for running hydrogen trains in Teesside.
We plan to publish the Government response to our consultation on the introduction of E10 as soon as possible.
Transport bodies deliver complex, nationally important, infrastructure that is critical to building back better – however exceptional pay demands exceptional performance and remuneration must be proportionate. We are firmly focused on addressing the issue of high pay within the transport sector. The overall senior pay bill to taxpayers has reduced this year by over £1 million, and we intend to continue this trend.
Each year, the Cabinet Office publishes transparency data on senior salaries at public sector bodies. Analysis of this data since 2015 for Network Rail, Highways England and HS2 Ltd shows that an overall downward trend in pay awards to these high earners has begun, both in numbers of staff involved and total spend.
The Secretary of State has taken a personal interest in this issue and is bearing down on senior pay at the Department of Transport’s Arms-Length Bodies. This includes agreeing with some CEOs and Chairs voluntary, temporary, pay cuts in the light of current economic circumstances.
Taxpayers must be confident that their money is being spent wisely, with due regard to real-world performance and conditions.
The Department’s aim is to make the right decision as early as possible in the claim journey. We have made improvements to our decision-making processes to ensure that people get the support they are entitled to as quickly as possible, because Decision Makers can better gather relevant additional evidence earlier in the process.
As announced in the recent Shaping Future Support: Health and Disability Green Paper we want to make changes to the assessment process so people with the most severe health conditions and disabilities can claim the benefits they are entitled to through a simpler process. We are exploring how to test a new Severe Disability Group (SDG) so those with severe and lifelong conditions can benefit from a simplified process to access ESA/UC and PIP without ever needing to complete a detailed application form or go through a face to face assessment/reassessment.
We have already stopped reassessments for people with the most severe conditions that are unlikely to change. In Shaping Future Support: The Health and Disability Green Paper, we proposed ways to further reduce the number of unnecessary assessments, while continuing to ensure support is properly targeted. Alongside this, we proposed ways of offering greater flexibility and simplicity in the way that assessments are delivered, including improving the evidence we use to make decisions from health assessments, and learn the lessons of coronavirus where we introduced telephone and video assessments.
The Department supports people to be self-employed when it is the right thing for them to do to be financially self-sufficient. Key to this is continuing to help claimants in, or considering, self-employment to progress to a level of sustained financial self-sufficiency that does not exclude the possibility of better paid work elsewhere. This ensures fairness to claimants, but also taxpayers who fund the welfare system.
Work coaches offer tailored support to our claimants who are in self-employment through to help them to increase their productivity and earnings. Work coaches can refer low-earning claimants to mentoring support from New Enterprise Allowance providers and sign-post claimants to the other extensive business support which is already funded by the Government.
We recognise that it takes time for new businesses to grow and that even established businesses can experience difficulties. From September 2020, all self-employed Universal Credit claimants will be given the same 12 months’ exemption period to provide them with time and support needed to grow their businesses.
The National Institute for Health and Care Excellence (NICE) is responsible for making decisions independently on whether its guidelines should be updated in light of new evidence or emerging issues not in the scope of the original guideline.
The NICE has published a number of guidelines that relate to the diagnosis of cancer or hysteroscopies, and is currently updating its guideline on the assessment of treatment of fertility problems. The NICE currently expects to publish final updated guidance in May 2025.
To ensure that there are sufficient staffing levels right across the National Health Service, NHS England published the NHS Long Term Workforce Plan (LTWP) in June 2023. The LTWP sets out the steps the NHS and its partners need to take to deliver an NHS workforce that meets the changing needs of the population over the next 15 years. It will put the workforce on a sustainable footing for the long term. The LTWP is a high-level plan to support the NHS workforce as a whole and is designed to identify the right supply of staff across all clinical pathways and specialisms rather than workforce plans for specific services.
General practitioners are responsible for ensuring that their own clinical knowledge remains up-to-date, and for identifying learning needs as part of their continuing professional development. This activity should include taking account of new research and developments in guidance, such as that produced by the National Institute for Health and Care Excellence, to ensure that they have the knowledge and skills relevant to their role as generalist community-based doctors. This includes understanding how to recognise migraine and headache disorders and instigate appropriate treatment.
Individual employers are responsible for investing in post-registration training, ensuring that staff are trained and competent to carry out their role and are adequately supported throughout their training. All training undertaken by post-registration qualified staff should be in line with national and local guidelines covering the training being undertaken.
In England, all community pharmacies delivering NHS services must provide support for self-care, for example giving people advice and support, and where appropriate, the sale of appropriate over the counter (OTC) medicines. Advice and OTC migraine treatments are part of a well-established pathway in this context, and pharmacy teams are able to advise patients of their options.
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. The RightCare Headache and Migraines Toolkit should be used by ICBs to ensure that people suffering from migraines are supported effectively. The toolkit sets out the key priorities for improvement, including correct identification and diagnosis of headache disorders, and long-term management of patients in primary or community care. The toolkit also provides an opportunity for commissioners to self-assess and benchmark current systems’ service delivery and to explore opportunities for improvement.
The toolkit is available at the following link:
https://www.england.nhs.uk/rightcare/products/pathways/headache-and-migraine-toolkit/
To ensure that there are sufficient staffing levels right across the National Health Service, NHS England published the NHS Long Term Workforce Plan (LTWP) in June 2023. The LTWP sets out the steps the NHS and its partners need to take to deliver an NHS workforce that meets the changing needs of the population over the next 15 years. It will put the workforce on a sustainable footing for the long term. The LTWP is a high-level plan to support the NHS workforce as a whole and is designed to identify the right supply of staff across all clinical pathways and specialisms rather than workforce plans for specific services.
General practitioners are responsible for ensuring that their own clinical knowledge remains up-to-date, and for identifying learning needs as part of their continuing professional development. This activity should include taking account of new research and developments in guidance, such as that produced by the National Institute for Health and Care Excellence, to ensure that they have the knowledge and skills relevant to their role as generalist community-based doctors. This includes understanding how to recognise migraine and headache disorders and instigate appropriate treatment.
Individual employers are responsible for investing in post-registration training, ensuring that staff are trained and competent to carry out their role and are adequately supported throughout their training. All training undertaken by post-registration qualified staff should be in line with national and local guidelines covering the training being undertaken.
In England, all community pharmacies delivering NHS services must provide support for self-care, for example giving people advice and support, and where appropriate, the sale of appropriate over the counter (OTC) medicines. Advice and OTC migraine treatments are part of a well-established pathway in this context, and pharmacy teams are able to advise patients of their options.
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. The RightCare Headache and Migraines Toolkit should be used by ICBs to ensure that people suffering from migraines are supported effectively. The toolkit sets out the key priorities for improvement, including correct identification and diagnosis of headache disorders, and long-term management of patients in primary or community care. The toolkit also provides an opportunity for commissioners to self-assess and benchmark current systems’ service delivery and to explore opportunities for improvement.
The toolkit is available at the following link:
https://www.england.nhs.uk/rightcare/products/pathways/headache-and-migraine-toolkit/
In 2023/24, NHS England is investing £5.9 million to support the delivery of daily bereavement care services for women and families who suffer pregnancy or baby loss and is growing the number of staff trained in bereavement care.
We are also looking to improve access to and the quality of perinatal mental health care for mothers and their partners. There are now 35 Maternal Mental Health Services across England which provide psychological therapy for women experiencing mental health difficulties related to their maternity experience including resulting from loss. Services are due to be implemented in every area of the country by March 2024.
NHS England and integrated care boards across England work together to ensure that patients who are affected by closure of National Health Service dental practices will continue to have access to the dental care they need. This includes an assessment to identify potential gaps in NHS dental service provision and to consider what actions may be required.
NHS dentists are required to keep their NHS.UK profiles up to date so that patients can find a dentist more easily. This includes information on whether they are accepting new patients.
In circumstances where patients are unable to access an urgent dental appointment directly through an NHS dental practice, they should contact NHS 111.
In July 2022 we announced a package of reforms to improve access to National Health Service dentistry, which outlined the steps we are taking to meet oral health need and increase access to dental care, including in County Durham. The changes that have been implemented include improvements to ensure dentists are remunerated more fairly for more complex work and the introduction of a minimum Units of Dental Activity value.
From 1 April 2023, responsibility for commissioning primary care dentistry to meet the needs of the local population has been delegated to all integrated care boards (ICBs) across England. ICBs are responsible for having local processes in place to identify areas of need and determine the priorities for investment.
The NHS Long Term Workforce Plan, published on 30 June 2023, sets out the steps the National Health Service and its partners need to take to deliver an NHS workforce that meets the changing needs of the population over the next 15 years. These include a 40% increase to dentistry undergraduate training places by 2031/32.
But we know we need to do more, and that there are some areas where access is particularly problematic. We are working on our Dentistry Recovery Plan which will address how we continue to improve access, particularly for new patients; and how we make NHS work more attractive to ensure NHS dentists are incentivised to deliver more NHS care.
NHS England is establishing governance arrangements for an independent review to formally commence as soon as is practicable. The families and staff affected will have an opportunity to contribute to the review’s Terms of Reference in due course. Once the review is completed, its report will be published independently of the National Health Service. Local commissioners and the NHS will support the implementation of any recommendations to improve the culture within and the quality of service provided by the North East Ambulance Service as soon as possible. Further details will be available shortly.
NHS England advises that the North East Ambulance Service NHS Foundation Trust has measures in place to improve the standards of service it provides. An investment of £38 million has been agreed for 2022/23 to improve clinical care, recover ambulance response times, increase the operational and Emergency Operations Centre (EOC) workforce and the establishment of an additional EOC in the south of the Trust’s area.
As set out in the Women’s Health Strategy, we will work with the National Institute for Health and Care Excellence (NICE) on its five-year strategy to ensure that guidelines can be implemented and accessible to healthcare professionals and commissioners of local services. NICE’s guidelines describe best practice which healthcare professionals are expected to take fully into account in the care and treatment of patients. However, these guidelines are not mandatory and do not override a clinician’s responsibility to make appropriate decisions for individual patients.
NICE reviewed its endometriosis guideline in 2021, which was amended to highlight that those with endometriosis outside the pelvic cavity should be referred to a specialist endometriosis centre. NICE has begun a review of its guidelines on endometriosis to consider whether it should be updated.