Childhood Cancer Outcomes

Debate between Emma Lewell-Buck and Will Quince

Tuesday 17th October 2023 Commons Chamber

[The Minister for Health and Secondary Care (Will Quince)]

I thank the hon. Member for South Shields (Mrs Lewell-Buck) for securing this important debate. I begin by sending my sincerest support and sympathy to Ethan’s family and every family involved in the work of Alice’s Arc. Their mission to find a cure and kinder treatment for rhabdomyosarcoma is one that I am sure the whole House can support.

As the hon. Lady rightly mentioned, September was Childhood Cancer Awareness Month, and I think I speak for the whole House when I say that our thoughts are with every family touched by childhood cancer, particularly those who have felt the bitter grief of losing a child. I commend the efforts of so many to bring light to the darkest of situations and support families in need, including the hon. Lady, who made such a powerful and emotive speech. I also join her in paying tribute to my hon. Friend the Member for Gosport (Dame Caroline Dinenage) for her tireless efforts to improve childhood cancer care.

I want to assure the House and all families affected that cancer services for children are an absolute priority for this Government. Working alongside the NHS, we have three priorities to improve childhood cancer outcomes: improving early diagnosis, delivering more research and driving progress in genomic medicine. Let me take each one in turn.

First, improving early diagnosis will give more children the best chance of beating cancer. The NHS is working to deliver the ambition it set in its long-term plan to diagnose 75% of cancers at stages 1 and 2 by 2028. Achieving that will mean 55,000 more people surviving cancer for five years or more. That is why the Government are investing more than £2.3 billion to transform diagnostics services. Thanks to that investment, we have opened 123 new community diagnostic centres, giving millions of patients the chance to access quicker, more convenient checks outside of hospitals, and we are on track to open 160 CDCs by March 2025.

In this year’s operational planning guidance, NHS England announced £390 million of funding to cancer alliances in each of the next two years to support the operational priorities for cancer treatment capacity. That includes commissioning key services in early diagnosis and supporting systems to develop local cancer plans. We are now expanding direct access to diagnostic scans across all GP practices, helping GPs to recognise cancer symptoms, cutting waiting times and speeding up diagnosis.

Secondly, as the hon. Member for South Shields rightly pointed out, delivering more research is key to understanding the causes of cancer and increasing survival rates further. Over the past five years, the National Institute for Health and Care Research has invested almost £14 million in 38 research projects into childhood cancers. Alongside Cancer Research UK, health Departments across the UK are jointly funding a network of 18 experimental cancer medicine centres, collectively investing more than £35 million between 2017 and 2022.

Our world-leading scientists and clinicians are driving the discovery, development and testing of new treatments. That includes the paediatric network that the National Institute for Health and Care Research co-funds with the Little Princess Trust, which is dedicated to early-phase research on childhood cancers. NHS children’s cancer services are provided by highly specialist principal treatment centres that manage care through multidisciplinary teams across diagnosis, treatment and research, making research breakthroughs available to every child.

Turning to our work to drive progress in genomic medicine, the UK is a world leader in that sector, and cutting-edge research already benefits children with cancer. However, the Government are committed to going further: our priority is ensuring that all children with cancer get access to genomic medicine. The NHS now offers all children with cancer whole-genome sequencing to enable comprehensive and precise diagnosis, along with personalised treatments. In July this year, the Government announced a multi-year partnership agreement with the pharmaceutical giant BioNTech, which will accelerate that company’s clinical trials here in the UK and could provide up to 10,000 patients with personalised cancer immunotherapies by 2030. It will work with NHS England’s new cancer vaccine launchpad to improve access to treatments and trials. This Government will continue to support groundbreaking genomic medicine to give children with cancer the high-quality personalised treatments they deserve.

Children with cancer also deserve a supportive experience in hospital, as do their families. That is why I am pleased that NHS England is working with the Starlight Children’s Foundation charity to review and improve play facilities and guidance to hospital trusts, and we will learn from the first under-16 cancer patient experience survey. More than three quarters of children with cancer said they are looked after very well by healthcare staff, and almost 90% of parents or carers rated the care their child received as eight or more out of 10. That shows what our brilliant cancer workforce does so well, and also where we have more work to do.

Once again, I thank the hon. Member for South Shields for tabling this vitally important debate.

[Mrs Lewell-Buck]

I sense that the Minister is coming to the end of his comments. I have listened carefully to him, but he has largely referred to funding and research into cancers overall. He knows full well that childhood cancers are distinct from adult cancer, so could he offer us any clarity on how much money goes into childhood cancer research, and what the workforce plan is for those specialists working in paediatric cancer?

[Will Quince]

I am very happy to take both those questions. First, in relation to childhood cancer research specifically, my officials in the Department are working really closely with the National Institute for Health and Care Research to set up an expert roundtable on childhood cancer research. Many trials will be applicable to both adults and children, but by their nature, some will need to be childhood cancer-specific. I welcome that important initiative, which is designed to encourage more research into cancers affecting children.

The Government do not, in effect, commission research directly. Bids are made to NIHR; around £1 billion a year is spent directly on research through NIHR, but it is reliant on those bids. That is why it is so important that we get more bids for research into childhood cancer coming forward.

Free School Meals: Eligibility

Debate between Emma Lewell-Buck and Will Quince

Tuesday 12th July 2022 Westminster Hall

[The Minister of State, Department for Education (Will Quince)]

It is a pleasure to serve under your chairmanship, Mr Robertson. I congratulate the hon. Member for South Shields (Mrs Lewell-Buck) on securing a debate on this important subject. I echo the comments of other colleagues about her tireless work to raise awareness of the challenges that our most disadvantaged children face. Indeed, she raised this issue as recently with me as last Monday at Education questions, although it feels almost a lifetime ago.

Let me also put on record how pleased I am to be back at the Department for Education, after a 24-hour interlude. The hon. Lady knows how passionate I am about this work and how delighted I am to be able to continue it. She also knows of my long-standing interest in this issue, both in the past 10 months as Minister at the Department for Education and over the previous two and a half years as a Minister at the Department for Work and Pensions.

This Government are committed to supporting those on low incomes and continue to do so through many measures, such as spending over £108 billion a year on working-age benefit support and by recently taking wide-ranging action, to which the hon. Lady rightly pointed, to directly address cost of living pressures. She specifically referenced free school meals, and I will focus my comments on that area.

The Government and I are committed to providing free school meals to children from households who are out of work or on low incomes. This is of the utmost importance, both to me personally and the Government. Under the current criteria, there are around 1.9 million pupils who are eligible for and claiming a free school meal at lunchtime, which saves families hundreds of pounds per year per child. This number equates to approximately 22.5% of all pupils and is up from around 15% of pupils in 2015. The increases are due in part to the protections during the roll-out of universal credit. In making sure that these children receive a healthy, nutritious meal, we are helping to ensure they are well nourished, develop healthy eating habits, and can concentrate and learn—points that the hon. Lady rightly raised.

[Mrs Lewell-Buck]

The Minister will be aware that lots of school food providers have said that, because of the cost of living crisis, nutritional standards are going to go down and they will have to substitute food for something else. What will he do about that?

[Will Quince]

I thank the hon. Lady for that question. I have heard the call from the sector. We have increased funding for the universal infant free school meals rate to reflect this. Also, the core schools budget is increasing. I am acutely aware of the global inflation pressures. Schools are not immune to that. I will continue to work with the sector and with schools to ensure that schools are able to provide healthy, balanced and nutritious meals.

I mentioned the 1.9 million eligible pupils. A further 1.25 million infants are supported through the universal infant free school meal policy, as I just referenced. Already the greatest proportion ever of school children—around 37.5%—are provided with a free school meal at lunchtime, at a cost of over £1 billion a year. However, we do not stop there. Last year, more than 600,000 children were provided with healthy food and enriching activities through the holiday activities and food programme, which is provided in all the major holidays, including over the summer. We have committed to spending an extra £200,000 per year throughout the spending review period, and I am pleased to say that all 152 local authorities across England are delivering this programme.

We then have our £24 million national schools breakfast programme, which means thousands of pupils are benefitting from a healthy, nutritious breakfast. There are also 2.2 million key stage 1 pupils provided with a free portion of fruit or vegetables every day. For the youngest in our society, we have the healthy start voucher scheme, which provides a vital safety net for hundreds of thousands of lower-income pregnant women and families with children under the age of four.

I understand that the hon. Lady wants us to go further and extend free school meal eligibility. I will come to some of the points she raised in a moment, but I will start by setting out what we have already done in this area. Under this Government, eligibility for free school meals has been extended several times and to more groups of children than under any other Government over the past half a century. That includes the introduction of universal infant free school meals and the further education entitlement.

[Mrs Lewell-Buck]

Will the Minister give way?

[Will Quince]

I will give way in a moment. I want to mention a piece of work in which I have been specifically involved, both in my previous role at the Department for Work and Pensions and in my current role: permanently extending eligibility to children from families with no recourse to public funds, which is hugely important but subject to income thresholds. That came into effect at Easter.

[Mrs Lewell-Buck]

The Minister is being generous in giving way. Does he not accept that eligibility has had to be extended repeatedly because there are more and more children in poverty? When are this Government going to get to grips with the root causes of the endemic poverty that children in this country are suffering from?

[Will Quince]

I hear what the hon. Lady says. I have always said to her that I continue to keep eligibility under review for the reasons she has mentioned. We could have a separate debate on the root causes of poverty, and I could talk about the work undertaken in my previous role by the Department for Work and Pensions over the past two and a half years to support people and empower them into work, but that is a debate for another day.

I shall focus on free school meals in particular, although I will touch on universal credit because the protections in place as we roll it out are important. All children eligible for a free school meal at the point at which the threshold was introduced and all those who become eligible as universal credit is rolled out will continue to receive free school meals, even if their household circumstances change dramatically. For example, if those circumstances improve and move them above the earnings threshold, they will not lose that eligibility, which they otherwise would. Even after protections end, if they are still in school, those children will continue to be protected until the end of their phase of education, whether primary or secondary.

Let me turn specifically to the points that the hon. Member for South Shields made about the universal credit threshold. Free school meal eligibility has long been governed by an earnings threshold. That was the same under the legacy benefits system under the previous Government. In April 2018, we updated our eligibility criteria to include the earnings threshold of £7,400 for families on universal credit. That was forecast at the time to increase the number of eligible pupils when compared with the legacy benefits system. That was a direct comparison, and it was designed to increase the number.

It is absolutely right that our provision is aimed at supporting the most disadvantaged—those out of work or on the lowest incomes. The current household earnings threshold is a bit misleading: we put it at £7,400, but that does not include benefit receipt, which means that total household income could be considerably higher than that while someone is receiving a free meal.

--- Later in debate ---

[Will Quince]

Of course, I agree. I do not want to see any child in this country going hungry or a single family in poverty. The hon. Gentleman raised support for councils in his intervention on the hon. Member for South Shields, and that is important. I referenced the £37 billion. I am biased because I originally set up the covid winter grant scheme, which has turned into the household support fund, and I am proud of the support it has provided to councils. That £37 billion includes an additional £500 million to help households with food and essential items. That is on top of what we have already provided since October 2021, and brings total funding for the household support fund to £1.5 billion. We did so because I genuinely believe that local authorities know their communities and those who are in need best and how to target them. There is another £421 million of additional support, which will run until March next year, with the devolved Administrations receiving an extra £79 million.

Let me turn to funding, which the hon. Lady also raised. In order to deliver the free school meal provision, we have increased the core funding for schools with the FSM factor—that is a bit of a mouthful—in the national funding formula. It has increased to £470 per eligible pupil this year to recognise rising inflation and the associated cost pressures, and from speaking with the sector and knowing the challenge that schools face. That was after the NFF rates were set, and we provided core funding through a schools supplementary grant. As a result, core mainstream schools funding will increase by £2.5 billion in 2022-23 compared with last year.

As I say, we already spend around £600 million on universal infant free school meals each year. The per meal rate, which I referenced earlier, was increased to £2.41, because I recognised that that needed to be done, and importantly I backdated that to 1 April this year, which represents an extra £18 million, in recognition of recent cost pressures.

[Mrs Lewell-Buck]

The Minister is doing as I expected and listing some of the things the Government have done, but what about the 800,000 children who are missing out? There will be more of them as the year continues. What support is there for them? Clearly, the support at the moment is not enough because they are still going to foodbanks, so what will he do for those children?

[Will Quince]

Of course, I work with colleagues and counterparts across Government to ensure that we are supporting people as much as we possibly can, and it is vital that that support is targeted. I referenced the £37 billion. Much of that is yet to come, such as the grants specifically for families and support via the household support fund. One thing I would say, having worked with the Chancellor of the Exchequer when he was Education Secretary, as well as with the previous Chancellor, is that they take an evidence-based approach, and if there is need out there, the Government will step up. I found that to be the case at the Department for Work and Pensions throughout the course of the pandemic. The Chancellor consistently stepped up to support the poorest and the most disadvantaged and vulnerable in our country, and I have no doubt that the Chancellor and the Prime Minister will continue to do so.

As I said, this is a hugely important issue, and I know how it affects some of the most disadvantaged children across our country. I thank the hon. Lady for raising it. It is important that the Government continue to be push to see how much further and faster we can go on these issues. Of course, as I said, I will keep all free school meal eligibility under review to ensure that these meals support those who need them most. As I have said, extending eligibility would be extremely costly, especially if the link between free school meals and other funding is included, such as the pupil premium. A threshold has to be set somewhere, and the current funding is targeted at those who need it most.

Question put and agreed to.

Oral Answers to Questions

Debate between Emma Lewell-Buck and Will Quince

Monday 4th July 2022 Commons Chamber

[Mrs Emma Lewell-Buck (South Shields) (Lab)]

A total of 800,000 children, more than 35,000 of whom live in the north-east, are in poverty and are being denied free school meals owing to punitive, Government-imposed eligibility criteria. Despite cross-party calls for eligibility to be extended to all families on universal credit, the Government have refused. Why?

[Will Quince]

About 1.9 million children receive benefit-related free school meals, with provision supporting the most disadvantaged. Eligibility has been extended to more groups of children under this Government than under any other over the past half century, and that includes the introduction of universal infant free school meals and further education free meals.

Oral Answers to Questions

Debate between Emma Lewell-Buck and Will Quince

Monday 31st January 2022 Commons Chamber

[Will Quince]

The child safeguarding practice review panel will deliver a national independent review of Arthur and Star’s tragic deaths, to identify what we must learn, and it will report in May.

[Mrs Emma Lewell-Buck (South Shields) (Lab)]

Last week, the journalist and presenter Ashley John-Baptiste shared his personal story in the BBC documentary “Split Up In Care—Life Without Siblings”. His story is not unusual, nor is it a past feature of our care system. Thousands of children removed from their families, alone and scared, are denied relationships with their siblings, despite all the evidence showing that this relationship and bond is one of the most significant and enduring. Why do this Government stubbornly refuse to make changes to the Children Act 1989 and give sibling contact for children in care?

[Will Quince]

The hon. Lady is right to raise this issue. We have the independent review into children’s social care led by Josh MacAlister, and I would be happy to meet her to discuss this important issue further.

Oral Answers to Questions

Debate between Emma Lewell-Buck and Will Quince

Monday 17th May 2021 Commons Chamber

[The Parliamentary Under-Secretary of State for Work and Pensions (Will Quince)]

Analysis shows that prior to the pandemic, the poorest 20% of households saw their incomes increase by over 6% in 2019-20, even after taking account of inflation. Since the pandemic hit, we have strengthened the welfare system, spending £7.4 billion on measures such as the universal credit uplift, on top of additional support such as the coronavirus job retention scheme and the self-employment income support scheme. Her Majesty’s Treasury analysis has shown that the Government’s unprecedented support package means that working working-age households in the bottom 10% of the income distribution have seen no income reduction.

[Mrs Lewell-Buck]

I am not at all surprised that the Minister’s answer bears little resemblance to the reality. Even pre-pandemic, 75% of children living in poverty lived in a household where at least one person worked. A recent NHS England-funded report found that around 700 child deaths could be avoided each year by reducing deprivation rates. Under this Government, work is no longer a route out of poverty. Why is that?

Oral Answers to Questions

Debate between Emma Lewell-Buck and Will Quince

Monday 25th January 2021 Commons Chamber

[Mrs Emma Lewell-Buck (South Shields) (Lab) [V]]

The Secretary of State should be ashamed that right across the UK, food banks, schools, charities and communities have had to mobilise to feed hungry children because of the inadequacy of the welfare state. Analysis from the House of Commons Library shows that 680,000 of these children could be lifted out of poverty if universal credit was not cut and child benefit was increased by just £5 per week. Why will she not implement those changes?

[The Parliamentary Under-Secretary of State for Work and Pensions (Will Quince)]

We keep all policies under review, including the uplift to universal credit, which is under active discussion between our Department and the Chancellor of the Exchequer. I would gently push back on what the hon. Lady said and alert her to the fact that in 2020-21, we will spend more than £120 billion on benefits for working-age people. That is £120,000 million—around £1 in every £8 that the Government spend; three times the defence budget, and nearly as large as the NHS budget. We continue to support people throughout this country during the pandemic.