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Written Question
Rheumatology: Consultants and Nurses
Thursday 30th November 2023

Asked by: George Howarth (Labour - Knowsley)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether her Department has a plan to increase the number of (a) adult and (b) paediatric full time equivalent (i) fully qualified grade one rheumatology consultants and (ii) rheumatology specialist nurses in England over the next (A) 12 months, (B) five years and (C) 15 years.

Answered by Andrew Stephenson

No specific estimate has been made of adult or paediatric consultant rheumatologist vacancies. There are currently 1,153 full time equivalent doctors working in the specialty of rheumatology. This is 142 or 14% more than in 2019. In 2022/23 and 2023/24, Health Education England, now part of NHS England, increased the number of specialist rheumatology training posts by 12 and five respectively.

The Long Term Workforce Plan (LTWP) published on 30 June 2023 aims to double the number of medical school places in England, taking the total number of places to 10,000 by 2028/29 and 15,000 by 2031/32. The LTWP commits to an adequate growth in foundation placement capacity, as those taking up these new places begin to graduate, and a commensurate increase in specialty training places that meets the demands of the National Health Servuce in the future. This will substantially increase the potential pipeline for rheumatologists and other medical specialties.

The LTWP also sets out an ambition to almost double the number of adult nursing training places, taking the total number of places to nearly 28,000 by 2028/29 and nearly 38,000 by 2031/32. This will substantially increase the potential pipeline for nurses specialising in rheumatology.


Written Question
Rheumatology: Consultants
Thursday 30th November 2023

Asked by: George Howarth (Labour - Knowsley)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent estimate her Department has made of the number of full time equivalent fully qualified grade one (a) adult rheumatology and (b) pediatric rheumatology consultant vacancies in England.

Answered by Andrew Stephenson

No specific estimate has been made of adult or paediatric consultant rheumatologist vacancies. There are currently 1,153 full time equivalent doctors working in the specialty of rheumatology. This is 142 or 14% more than in 2019. In 2022/23 and 2023/24, Health Education England, now part of NHS England, increased the number of specialist rheumatology training posts by 12 and five respectively.

The Long Term Workforce Plan (LTWP) published on 30 June 2023 aims to double the number of medical school places in England, taking the total number of places to 10,000 by 2028/29 and 15,000 by 2031/32. The LTWP commits to an adequate growth in foundation placement capacity, as those taking up these new places begin to graduate, and a commensurate increase in specialty training places that meets the demands of the National Health Servuce in the future. This will substantially increase the potential pipeline for rheumatologists and other medical specialties.

The LTWP also sets out an ambition to almost double the number of adult nursing training places, taking the total number of places to nearly 28,000 by 2028/29 and nearly 38,000 by 2031/32. This will substantially increase the potential pipeline for nurses specialising in rheumatology.


Written Question
Sleeping Rough: Temporary Accommodation
Wednesday 29th November 2023

Asked by: George Howarth (Labour - Knowsley)

Question to the Ministry of Housing, Communities and Local Government:

To ask the Secretary of State for Levelling Up, Housing and Communities, what assessment he has made of the effectiveness of the (a) Rough Sleepers Accommodation Programme, (b) Single Homelessness Accommodation Programme and (c) Local Authority Housing Fund.

Answered by Felicity Buchan

DLUHC have just awarded a three-year contract to the Centre for Homelessness Impact to evaluate the Homelessness and Rough Sleeping system, including accommodation programmes such as the Rough Sleeping Accommodation Programme.

As of October 2023, our Rough Sleeping Accommodation Programme had delivered over 5,300 homes for rough sleepers across England. We remain confident that the overall target of 6,000 homes will be achieved.

The £200 million Single Homelessness Accommodation Programme was announced in September 2022 aiming to deliver homes for adults experiencing severe multiple disadvantage and specialist accommodation for young people (under 25) who are at risk of, or already experiencing, rough sleeping in the areas of highest need.

Following the conclusion of the first two rounds of the Local Authority Housing Fund in 2024, DLUHC will conduct an evaluation of the fund.


Written Question
Cost of Living Payments
Tuesday 28th November 2023

Asked by: George Howarth (Labour - Knowsley)

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, whether he plans to extend Cost of Living Payments beyond the Spring.

Answered by Mims Davies - Shadow Minister for Women and Equalities

There are currently no plans to extend the Cost of Living Payments beyond the Spring. Cost of Living payments enabled us to target further support during the rising cost of living pressures. Delivering lump sum payments got support faster to those who needed it, reflecting our commitment to providing direct and timely relief to those who need it most. The rate of inflation has slowed, and we have been able to implement uprating to other benefits in the meantime to reflect increased costs. This includes increasing benefits and the state pension by 10.1% in April 2023 in line with inflation. The Secretary of State has completed his annual statutory review of pensions and benefits and his decisions were announced to Parliament on 22 November. From April 2024, Universal Credit amounts will be up-rated by 6.7%.


Written Question
Cost of Living Payments: Council Tax Reduction Schemes and Housing Benefit
Tuesday 28th November 2023

Asked by: George Howarth (Labour - Knowsley)

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, if he will make it his policy to amend the eligibility criteria for Cost of Living Payments so that people on (a) Housing Benefit and (b) Council Tax Reduction qualify.

Answered by Mims Davies - Shadow Minister for Women and Equalities

There are currently no plans to amend eligibility criteria for Cost of Living Payments. Housing Benefit is not an income-replacement benefit; it is intended to cover only housing costs. Therefore, Housing Benefit is not a qualifying means-tested benefit for the Cost of Living Payment. Those with the lowest incomes may also be in receipt of a qualifying means-tested benefit alongside Housing Benefit to cover their other living costs, which could make them eligible for a Cost of Living Payment.

Eligibility for Council Tax Reduction is determined by local councils and is not a national policy. The eligibility for this support is dependent on a number of factors including where you live and your household income. Low-income households may also be in receipt of a qualifying, income-related means-tested benefit alongside Council Tax Reduction, which could make them eligible for a Cost of Living Payment.

Independent, free and anonymous benefit calculators are available here and can help individuals to see which benefits they may be entitled to.

For those who require additional support the Government is providing an additional £1 billion of funding, including Barnett impact, to enable a further extension to the Household Support Fund in England. In England, this will run from 1 April to 31 March 2024, backed by £842m.


Written Question
Pension Credit: Eligibility
Monday 27th November 2023

Asked by: George Howarth (Labour - Knowsley)

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, what steps his Department is taking to increase the proportion of eligible people claiming Pension Credit.

Answered by Paul Maynard

We continue to maximise opportunities to raise awareness of Pension Credit which provides vital financial support to households on a low income. Our Pension Credit Communications campaign, ongoing since April 2022, has included advertising on national TV, newspapers, broadcast radio, on social media and via internet search engines as well as on screens in Post Offices and GP surgeries. We have also used sponsored advertising on targeted websites that pensioners, their family, and friends are likely to visit.

Our campaign messaging has highlighted that Pension Credit is a passport to a range of other help and benefits – including up to £900 in Cost of Living Payments.

The latest available figures show that there were more households receiving Pension Credit in May 2023 than in May 2022 – at the beginning of the campaign.


Written Question
Energy: Social Tariffs
Friday 24th November 2023

Asked by: George Howarth (Labour - Knowsley)

Question to the Department for Energy Security & Net Zero:

To ask the Secretary of State for Energy Security and Net Zero, if she will introduce a government-funded discounted social energy tariff for (a) disabled people, (b) unpaid carers and (c) people on lower incomes.

Answered by Amanda Solloway

The Government is providing Cost of Living Payments for those who face wider affordability challenges, including £900 to households on means tested benefits, of £300 to pensioner households and of £150 to those on eligible disability benefits.

This is in addition to ongoing winter support payments such as the Warm Home Discount, Winter Fuel Payment and Cold Weather Payments.

The Government continues to monitor the situation and will keep options under review, including with respect to the most vulnerable households.


Written Question
Musculoskeletal Disorders and Rheumatology: Primary Health Care
Wednesday 22nd November 2023

Asked by: George Howarth (Labour - Knowsley)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps her Department is taking to improve the medical skill mix in primary healthcare to help diagnose and treat (a) musculoskeletal and (b) rheumatic conditions.

Answered by Andrea Leadsom

General Practices (GPs) are self-employed contractors to the National Health Service and these employers to determine how best to staff their Primary Care Networks (PCNs) or GP practice to best meet the needs of their population. The demands each patient places on their GP practice are different and can be affected by many different factors, including rurality and patient demographics.

GPs are responsible for ensuring their own clinical knowledge (including for MSK and rheumatic conditions) 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 can continue to provide high quality care to all patients.

We remain committed to growing and diversifying the GP workforce, through the Additional Roles Reimbursement Scheme Primary Care Networks and practices have recruited over 34,000 additional staff including Pharmacists, Physiotherapists, and social prescribing link workers. First Contact Physiotherapists and Occupational Therapists can help with assessing, diagnosing, treating and managing musculoskeletal, including rheumatic, conditions. As of September 2023, working in GP practices and PCNs, there were:

- 2,006 FTE First Contact Physiotherapists

- 28 FTE Occupational Therapists

- 24 FTE Advanced Occupational Therapist Practitioners

Individual employers are responsible for ensuring their staff are trained and competent to carry out their role, and for investing in the future of their staff through providing continuing professional development funding.


Written Question
Rheumatology
Tuesday 21st November 2023

Asked by: George Howarth (Labour - Knowsley)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether her Department plans to increase the number of (a) rheumatologists and (b) rheumatology specialist nurses in England over the next (i) 12 months, (ii) five years and (iii) 15 years.

Answered by Andrew Stephenson

The NHS Long Term Workforce Plan (LTWP) sets out plans for the biggest increase in training numbers in the National Health Service’s history to meet the challenge of a growing and ageing population over the next 15 years. There are currently 1,153 full time equivalent doctors working in the specialty of rheumatology. This is 142 (14%) more than in 2019.

The LTWP aims to double the number of medical school places in England, to 10,000 a year, by 2028/29, and to 15,000 places a year by 2031/32. The LTWP commits to an adequate growth in foundation placement capacity, as those taking up these new places begin to graduate, and a commensurate increase in specialty training places that meets the demands of the NHS in the future. This will substantially increase the potential pipeline for rheumatologists and other medical specialties.

The LTWP also sets out an ambition to almost double the number of adult nursing training places, taking the number of total places up to nearly 28,000 in 2028/29, and nearly 38,000 by 2031/32. The LTWP also includes the ambition to increase allied health professionals (AHPs) training places by 8% by 2024/25, and by 13% to 17,000 by 2028/29. Specialising in rheumatology is a post-registration option for nurses and allied health professionals and the LTWP expansion will increase the pool of nurses and AHP’s who wish to specialise in rheumatology.


Written Question
Rheumatology
Tuesday 21st November 2023

Asked by: George Howarth (Labour - Knowsley)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to increase the numbers of (a) nurses and (b) allied professionals specialising in rheumatology as a post registration option.

Answered by Andrew Stephenson

The NHS Long Term Workforce Plan (LTWP) sets out plans for the biggest increase in training numbers in the National Health Service’s history to meet the challenge of a growing and ageing population over the next 15 years. There are currently 1,153 full time equivalent doctors working in the specialty of rheumatology. This is 142 (14%) more than in 2019.

The LTWP aims to double the number of medical school places in England, to 10,000 a year, by 2028/29, and to 15,000 places a year by 2031/32. The LTWP commits to an adequate growth in foundation placement capacity, as those taking up these new places begin to graduate, and a commensurate increase in specialty training places that meets the demands of the NHS in the future. This will substantially increase the potential pipeline for rheumatologists and other medical specialties.

The LTWP also sets out an ambition to almost double the number of adult nursing training places, taking the number of total places up to nearly 28,000 in 2028/29, and nearly 38,000 by 2031/32. The LTWP also includes the ambition to increase allied health professionals (AHPs) training places by 8% by 2024/25, and by 13% to 17,000 by 2028/29. Specialising in rheumatology is a post-registration option for nurses and allied health professionals and the LTWP expansion will increase the pool of nurses and AHP’s who wish to specialise in rheumatology.