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).
These initiatives were driven by Jess Brown-Fuller, 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.
Jess Brown-Fuller has not been granted any Urgent Questions
Jess Brown-Fuller has not been granted any Adjournment Debates
Jess Brown-Fuller has not introduced any legislation before Parliament
Jess Brown-Fuller has not co-sponsored any Bills in the current parliamentary sitting
The Government welcomes the Competition and Markets Authority’s final market study report on infant formula and follow-on formula. We are working with the Devolved Governments closely to consider its recommendations, and relevant Ministers will agree a formal response collectively. We will work to ensure that any outcomes are in the best interest of consumers and public health.
The safety of commercial aerosols is regulated by the General Product Safety Regulation (GPSR), and other sector specific regulations. GPSR provides a baseline of safety for applicable products, requiring that only safe products, can be sold. Additionally, limonene is also used in cosmetics and is included in the list of restricted ingredients under the UK Cosmetic Regulation.
The government is confident that the current restrictions on limonene are sufficient to ensure that products are safe. However, to ensure that products remain safe, the government keeps the regulatory framework under constant review, including the use of specific chemicals in particular products.
The Government is considering options for ratifying the Beijing Treaty and will announce its intended approach in due course.
The new criteria for the adoption and special guardianship support fund (ASGSF) will enable as many children and families as possible to access the available funding. The department always assesses the impact of changes on vulnerable children. The changes were finalised during Parliamentary recess and the announcement was made during recess to allow the fund to open and minimise further delays to children waiting for therapy. A written statement was laid on Parliament’s first day back after recess.
By 31 March 2025, the ASGSF had spent all its allocated budget.
The new criteria for the adoption and special guardianship support fund (ASGSF) will enable as many children and families as possible to access the available funding. The department always assesses the impact of changes on vulnerable children. The changes were finalised during Parliamentary recess and the announcement was made during recess to allow the fund to open and minimise further delays to children waiting for therapy. A written statement was laid on Parliament’s first day back after recess.
By 31 March 2025, the ASGSF had spent all its allocated budget.
The department will shortly confirm final budgets for the 2025/26 academic year and is in touch with providers concerning this.
For the 2024/25 academic year, the department adjusted the Music and Dance Scheme bursary contribution for families with a relevant income below £45,000 to account for the VAT introduction from January 2025. This methodology will be reviewed for future years and details will be set out in due course.
For the 2024/25 academic year, the department adjusted the Music and Dance Scheme bursary contribution for families with a relevant income below £45,000 to account for the VAT introduction from January 2025. This methodology will be reviewed for future years and details will be set out in due course.
I refer the hon. Member for Chichester to the answer of 28 March 2025 to Question 36314.
Additional supplementary funding is provided to local authorities for maintained nursery schools (MNS) in their areas. In the 2025/26 financial year, the initial budget for MNS supplementary funding is £92.6 million, subject to final budget update. The national average hourly rate for MNS supplementary funding in financial year 2025/26 is £5.90, the minimum supplementary funding rate is £5.27 and the cap on the hourly rate is £10.
Changes to the MNS supplementary funding formula were made in the 2023/24 financial year including an additional £10 million investment and an introduction of a minimum hourly funding rate to distribute funding evenly across all local authorities with MNS. At present, there are no plans to review the formula beyond this.
Implementing a unique ID for every child has been regularly cited as a potential solution to bring together data on children’s interactions with different services. The government’s manifesto for the 2024 election included a commitment to this end (on page 81) and the government is committed to improving data sharing across services, with a single unique identifier, to better support children and families.
The Children’s Wellbeing and Schools Bill, currently before Parliament, introduces a legal provision for a consistent identifier to be specified and the organisations required to use it, to be determined later through regulations. Alongside this, the department will initiate a pilot to establish how a consistent identifier can be effectively implemented.
The Bill also includes provisions for compulsory ‘Children Not in School’ registers in each local authority area in England. While the introduction of these registers does not depend on a consistent identifier, it may enhance data linking, which the department will explore through future piloting.
The government remains committed to giving all Ukrainians in the UK the same access to education as enjoyed by UK citizens.
Persons granted leave under one of the Ukraine Schemes, including the Ukraine Permission Extension Scheme, have access to higher education (HE) student support and home fee status on the same basis as those within other protection-based categories, such as refugees.
Support on applying to HE courses can be found here: https://www.gov.uk/higher-education-courses-find-and-apply, where students can explore a range of resources to help them apply to UK HE providers.
Organisations such as the UK Council for International Student Affairs also provide extensive information and support for Ukrainian students wishing to study in the UK, including a student advice line.
Children’s wellbeing and safety, including reducing violence against women and girls, is a key priority for this government. A robust safeguarding framework is in place that schools and colleges must have regard to in the form of keeping children safe in education (KCSIE).
This guidance is clear that every school must have a designated safeguarding lead (DSL) who should take lead responsibility for safeguarding and child protection. Annex C of the guidance sets out the role and expectations placed on DSLs.
The department does not prescribe the training and accreditation that DSLs should receive. However, DSLs are required to undergo the training needed to provide them with the knowledge and skills required to carry out their role effectively within their school and community context. This includes how to identify, understand and respond to the specific needs that increase the vulnerability of children, as well as the many specific harms that put children at risk, which includes violence against women and girls.
Education can be a significant protective factor for children who are vulnerable, either as victims and/or perpetrators of violence against women and girls. KCSIE requires schools to implement whole-school behaviour policies to reduce incidents of violence, put pastoral support in place to support both victims and perpetrators of violence, and to ensure that all school staff understand their role within their local multi-agency safeguarding arrangements in escalating concerns about children to local authority services.
The involvement of education and childcare agencies is fundamental at all levels of safeguarding arrangements. The department knows that teachers and educators are often the first to spot warning signs of abuse and neglect and are the largest referrer of cases into children’s social care, after the police.
The Children’s Wellbeing and Schools Bill, which the government introduced into the House of Commons in December of last year, will place a duty on safeguarding partners to automatically include education and childcare settings in their safeguarding arrangements. The duty on safeguarding partners will ensure education is consistently involved in multi-agency safeguarding arrangements across England. It will include include all education and childcare agencies, at both operational and strategic levels of their safeguarding arrangements, so they have a clear role in safeguarding locally.
These measures include all education settings, covering early years and childcare settings through to schools, colleges and alternative provision, so that opportunities to keep children safe are not missed.
This legislation enables the voice of education to influence the decisions of safeguarding partners and recognises the key role that education plays in keeping children safe.
Violence towards children and abuse of children are never acceptable. There are laws in place to protect children against this.
Wales is in the process of reviewing the impact of removing the defence of reasonable chastisement and the UK Government expects that the Welsh Government will publish their findings by the end of this year. Ministers in the department will want to consider this evidence, with other government ministers, ahead of deciding whether a change to the law is required.
The government remains committed to giving all Ukrainians in the UK the same access to education as enjoyed by UK citizens.
Persons granted leave under one of the Ukraine Schemes, including the Ukraine Permission Extension Scheme, have access to higher education (HE) student support and home fee status on the same basis as those within other protection-based categories, such as refugees.
Support on applying to HE courses can be found here: https://www.gov.uk/higher-education-courses-find-and-apply, where students can explore a range of resources to help them apply to UK HE providers.
Organisations such as the UK Council for International Student Affairs also provide extensive information and support for Ukrainian students wishing to study in the UK, including a student advice line.
In July 2024, my Right hon. Friend, the Secretary of State for Education announced a short pause to the defunding of qualifications to enable a review of post-16 qualification reforms at level 3 and below. This was followed by a Written Ministerial Statement by my noble Friend, the Minister for Skills, on 25 July. This statement is available here: https://questions-statements.parliament.uk/written-statements/detail/2024-07-25/hlws20.
The department is now working to review the defunding due to take place in 2025 and it will set out the position before Christmas.
The department has not announced any defunding for 2026.
The department is continuing to support and challenge West Sussex to improve the delivery of special educational needs and disabilities (SEND) services.
The last local area SEND inspection by Ofsted and the Care Quality Commission (CQC) for West Sussex was in November 2023, which found that there are inconsistent experiences and outcomes for children and young people with SEND.
The areas for improvement identified by inspectors are:
(I) To identify and address ‘waiting well’ arrangements and gaps in service provision to meet the needs of children and young people with SEND.
(I) To ensure children identified as at high risk for aspiration are fully assessed and have access to video-fluoroscopy.
(II) To develop a strategy to improve the processes, quality and the timeliness of education, health and care plans.
(III) To implement oversight and commissioning arrangements of suitable specialist school places and alternative provision.
(IV) And to strengthen their strategic approach to preparation for adulthood.
The department’s regional team has put in place systems to track outcomes against the areas for improvement and the progress made by children and young people with SEND, with a formal review of progress against the areas for improvement to take place in October 2024. West Sussex County Council are committed to working closely with the department to improve services.
West Sussex is taking part in the Delivering Better Value (DBV) in SEND Programme. The DBV in SEND Programme was established under the previous government with the aim of helping local authorities provide more effective SEND services by meeting the needs of children and young people at an early stage and with the right level of support.
Workplace absences that are the result of a workplace injury would usually be subject to normal sick pay arrangements.
The department has no jurisdiction over arrangements for dealing with workplace injuries or matters relating to sick pay, as these are covered by the Conditions of Service for School Teachers in England and Wales, 2000, which is known as the Burgundy Book. This is a national, non-statutory agreement between trade unions and teacher employers. This government was not party to its development and cannot influence its content. Sick leave or sick pay entitlements are therefore currently the responsibility of employers, which, in a school setting, is normally the local authority or Academy Trust. Schools, like all employers, are also subject to any relevant employment legislation.
Local councils are responsible for taking enforcement action in most fly-tipping incidents. Their powers include issuing fixed penalty notices of up to £1000, prosecution action and seizing vehicles. We encourage councils to make good use of their powers, and we are taking steps to develop statutory fly-tipping enforcement guidance. We have also announced a review of local authority powers to seize and crush the vehicles of suspected fly-tippers, to identify how we could help councils make better use of this tool.
We also committed to forcing fly-tippers to clean up the mess that they have created as part of a crackdown on anti-social behaviour. We will provide further details on this commitment in due course.
Defra continues to chair the National Fly-Tipping Prevention Group through which we work with a wide range of stakeholders such as local authorities and the National Police Chiefs Council to promote good practice with regards to preventing fly-tipping, including on private land. Various practical tools, such as a guidance on how local authorities can present robust cases to court, are available from their webpage at: https://www.keepbritaintidy.org/national-fly-tipping-prevention-group#.
Since the introduction of Smoke Control Areas in 1956 emissions from domestic combustion have reduced significantly. However, domestic combustion is a major source of fine particulate matter (PM2.5) emissions in the UK, and wood stove ownership is increasing.
Whilst we are not required to carry out an assessment of the effectiveness of Smoke Control Areas or Ecodesign regulation we have commissioned reports in both areas.
Kantar prepared a report on Burning in UK Homes and Gardens for the Department for the Environment, Food and Rural Affairs (Defra) in 2020. This report included an analysis of burning in Smoke Control Areas, and can be found at Report: Burning in UK homes and gardens (plus a number of annexes) - Defra, UK
Ricardo prepared reports on Emission Factors for Domestic Solid Fuels Project which for Defra in 2024. These include details of emission factors using Ecodesign-compliant stoves compared to other types of stoves. These can be found at WP1 - Report: Emission Factors for Domestic Solid Fuels Project - Work Package 1 Report - Defra, UK and Ricardo report template The final report in this series is due to be published shortly on Air Quality Library - Defra, UK.
Under the Animal Welfare (Licensing of Activities Involving Animals) (England) Regulations 2018 (the 2018 Regulations), anyone in the business of breeding and selling cats as pets needs to have a valid licence issued by their local authority. Licensees must meet strict statutory minimum welfare standards which are enforced by local authorities who have powers to issue, refuse, vary or revoke licences.
The Government is considering the findings of its post-implementation review of the 2018 Regulations and will be outlining more detail on next steps in due course.
Under the Animal Welfare (Licensing of Activities Involving Animals) (England) Regulations 2018, anyone in the business of breeding and selling cats as pets needs to have a valid licence issued by their local authority. Licensees must meet strict statutory minimum welfare standards which are enforced by local authorities who have powers to issue, refuse, vary or revoke licences.
Defra has been working on a post-implementation review of the Regulations which considers whether the objectives further improve the protections they provide. We are also carefully considering recommendations in the EFRA select committee’s report into pet welfare and abuse and the Animal Welfare Committee’s Opinion on feline breeding, which will be published shortly.
The use of barbed hooks is currently restricted by several byelaws covering specific fisheries in areas throughout England and Wales. The suitability and need for these restrictions will continue to be monitored and may inform changes if appropriate, however there are currently no plans for a wider assessment to be made.
We understand the potential benefits that beavers can bring, including through creating wetland habitats and increasing biodiversity. The Government supports species reintroductions where there are clear benefits for nature, people and the environment.
All reintroductions in England are expected to follow the Code for Reintroductions and other Conversations Translocations. We will continue to work with Natural England to develop our approach to beaver reintroductions in England.
Southern Water have recently consulted on their proposal to turn treated wastewater, normally pumped out to sea, into purified recycled water. This water would then be pumped to Havant Thicket Reservoir, where it would be stored and mixed with spring water, before being pumped along a new pipeline and treated prior to going into supply.
The urgent need to protect the iconic chalk rivers of Hampshire means that action is needed now to ensure resilient and sustainable water supplies. Options such as water recycling mark a transition to water supplies that are not dependent upon the uncertainties of rainfall. These options are well established elsewhere around the world and are already operating elsewhere in the UK, to ensure resilient supplies in a changing climate.
All water recycling options including Southern Water’s must meet the environmental requirements for wastewater treatment discharges into the environment. Water re-abstracted from the environment for public water supply must also be treated to meet our high drinking water standards before use, in accordance with a robust risk assessment.
Recent research carried out for the Drinking Water Inspectorate indicated a high level of support (79% agreement) for the use of water recycling to supplement drinking water supplies.
An online survey and in-depth, online interviews were undertaken between July and September 2022. The online survey had 1,618 respondents with demographic representation broadly consistent with the UK adult population. Survey respondents were randomly allocated to groups so that the impact of two manipulated variables (relating to water recycling scheme design and to terminology) could be investigated. Overall, the survey showed that there was a relatively high Ref: DWI 70/2/348. Project Report ii level of support (79% agreement) for the utilisation of water recycling to supplement drinking water supplies. The survey results also showed that terminology has a stronger influence on levels of support for water recycling than scheme configuration (e.g. the presence of environmental buffers).
National Highways has developed a number of options to improve the performance of the A27 through Chichester as part of the pipeline of projects being considered for possible delivery in a future Road Investment Strategy, beyond 2031.
The safety of road users is National Highways’ top priority, and the company regularly reviews the safety performance of the strategic road network. Options identified by National Highways as part of the development of proposals within the RIS pipeline would seek to improve the safety performance of the A27, particularly at the junctions to the south of Chichester.
The Government takes the condition of local roads very seriously and is committed to maintaining and renewing the local highway network. West Sussex County Council is the local highway authority for the Chichester constituency, and it is therefore responsible for the condition of its local network. In the current financial year the Department has provided a little over £19 million of highway maintenance funding to West Sussex County Council.
This Government has a commitment to enable local highway authorities in England to fix up to a million more potholes a year. At Budget 2024, the Chancellor announced an extra £500 million for local highway maintenance for the 2025/26 financial year, an increase of nearly 50% compared to the current financial year exceeding this Government’s manifesto commitment on repairing local roads. The Government will confirm funding allocations to English local highway authorities in due course.
The Chancellor has been clear about the state of the nation's finances and has launched a multi-year Spending Review. The Secretary of State has announced her intention to conduct a thorough review of the previous government's transport plans to ensure that our transport infrastructure portfolio drives economic growth and delivers value for money for taxpayers.
No specific infrastructure upgrades are being actively considered in the Chichester constituency at present. Any proposals to government for such upgrades should include the support of West Sussex County Council and Transport for the South East and outline the impacts to growth, employment and housing that the proposal would involve.
There are no current plans to make changes to rail services serving Chichester constituency following on from significant changes earlier in the year.
Following a public consultation, a new West Coastway timetable was put in place from 2 June 2024. This redesigned the timetable for services in the Chichester area and doubled the number of trains towards Worthing and Brighton from two trains per hour to four trains per hour, creating a half-hourly service. This provides faster journey options towards Brighton and better spacing on the Southampton service.
We recognise that people nearing the end of their life are some of the most vulnerable people in society and need fast track and unqualified support at this difficult time.
People who claim, or are in receipt of, Personal Independence Payment (PIP), and are nearing the end of their life with 12 months or less to live, will continue to be able to access the enhanced rate of the daily living component of PIP. We will also maintain the existing fast-track route under the Special Rules for End of Life and where claims are currently being cleared in two working days. This fast-track route will not be impacted by the new eligibility requirement for PIP.
The Department does not hold the data requested.
We are currently consulting on whether to delay access to the health element of Universal Credit within the reformed system until someone is aged 22 as part of the ‘Pathways to Work: Reforming Benefits and Support to Get Britain Working’ Green Paper.
The Department does not centrally record if a claimant is terminally ill, unless they applied for Personal Independence Payment (PIP) under Special Rules for End of Life (SREL).
Data on PIP clearances under SREL can be found on Stat Xplore. The requested data can be found in the ‘PIP Clearances’ dataset. You can use the ‘Month’ filter to select each month for the last five years and add it as a row or column. You can use the ‘Clearance Type Detail’ filter to select those who were disallowed. You can use the ‘End of Life Rules indicator’ filter to select SREL claimants.
You can log in or access Stat-Xplore as a guest user. Guidance on how to use Stat-Xplore is also available here: Personal Independence Payment data on Stat-Xplore: user guide - GOV.UK.
The Department does not centrally record if a claimant is terminally ill, unless they applied for Personal Independence Payment (PIP) under Special Rules for End of Life (SREL).
Data on PIP clearances under SREL can be found on Stat Xplore. The requested data can be found in the ‘PIP Clearances’ dataset. You can use the ‘Month’ filter to select each month for the last five years and add it as a row or column. You can use the ‘Clearance Type Detail’ filter to select those who were disallowed. You can use the ‘End of Life Rules indicator’ filter to select SREL claimants.
You can log in or access Stat-Xplore as a guest user. Guidance on how to use Stat-Xplore is also available here: Personal Independence Payment data on Stat-Xplore: user guide - GOV.UK.
According to the Family Resource Survey (FRS), in England & Wales during the 2023-2024 financial year, the proportion of people claiming Personal Independence Payment (PIP) who have someone in their household claiming Carer’s Allowance (CA) is estimated to be around 18%. These figures are derived from the FRS household dataset on Stat-Xplore.
The curricula for postgraduate medical specialty training are set by individual royal colleges and faculties. The General Medical Council approves curricula and assessment systems for each training programme. Curricula emphasise the skills and approaches that a doctor must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients. The Royal College of General Practitioners (RCGP) sets the curriculum that all general practitioners (GPs) must cover before they are able to pass the examination to become a member of the RCGP and to work independently as a GP.
Obstetrics and gynaecology are not mandatory specialties in a GP programme, and there are no mandatory jobs in GP specialty training. GP training is a balanced programme which allows the trainee to meet the outcomes of the curriculum. Women's health, including sexual and reproductive health, is a significant element of the General Practice and Community Placement elements of GP specialty training and of the curriculum.
The Department is working closely with life sciences stakeholders and other Government departments to assess the potential impact of United States tariffs on global medicine supply chains. We have a range of well-established processes to mitigate risks to patients where there are shortages. We will continue to review the need to utilise these procedures as more information becomes available on the impact of tariffs on any specific products or companies.
The Department is working closely with United Kingdom pharmaceutical firms and trade associations to understand how United States tariffs may impact the sector and the trade of individual products. As this is an evolving situation, these assessments are ongoing, but we will continue to closely review the potential impact as more information becomes available.
As a result of intensive work, some issues with attention deficit hyperactivity disorder medicines have resolved. All strengths of lisdexamfetamine, atomoxetine capsules, atomoxetine oral solution, and guanfacine prolonged-release tablets are now available.
However, whilst supply of methylphenidate prolonged-release tablets has greatly improved, some issues persist. We are continuing to work to resolve these remaining issues by engaging with all suppliers of methylphenidate prolonged-release tablets and capsules to assess the challenges faced and their actions to address them. We are also directing suppliers to secure additional stocks, expedite deliveries where possible, and review plans to build further capacity to support the continued growth in demand for the short and long-term. The Department is also working with new suppliers of methylphenidate prolonged-release tablets to improve supply and resiliency for the United Kingdom’s market.
The Department is continuing to engage with all suppliers of pancreatic enzyme replacement therapy (PERT) to mitigate the supply issue that is affecting the whole of the UK. Through this, we have managed to secure additional volumes of PERT for 2025 for the UK. We are continuing to work with all suppliers to understand what more can be done to add further resilience to the market. The Department has also reached out to specialist importers who have sourced unlicensed stock to assist in covering the remaining gap in the market.
In the longer term, the Department has had interest from non-UK suppliers wishing to bring their products to the UK and, along with colleagues in the Medicine and Healthcare products Regulatory Agency, we are working with these potential suppliers, and if authorised, these products could further diversify and strengthen the market.
Infant feeding is critical to a baby’s healthy growth and development. The Government is committed to giving every child the best start in life and that includes helping families to access support to feed their baby. Whilst breastfeeding has significant health benefits, we recognise that for those families that cannot or choose not to breastfeed, it is vital that they have access to infant formula that is affordable and high quality. Infant formula regulations ensure that all infant formula is suitable for meeting the nutritional needs of babies, regardless of the price or brand.
The Government welcomes the Competition and Markets Authority’s market study report on infant formula and follow-on formula. We are working with other Government Departments and the Devolved Governments to consider its recommendations, and relevant Ministers will also be consulted.
The legislation which sets the general principles and requirements of overall food law places a statutory requirement to consult on potential changes to food law.
Infant feeding is critical to a baby’s healthy growth and development. The Government is committed to giving every child the best start in life and that includes helping families to access support to feed their baby. Whilst breastfeeding has significant health benefits, we recognise that for those families that cannot or choose not to breastfeed, it is vital that they have access to infant formula that is affordable and high quality. Infant formula regulations ensure that all infant formula is suitable for meeting the nutritional needs of babies, regardless of the price or brand.
The Government welcomes the Competition and Markets Authority’s market study report on infant formula and follow-on formula. We are working with other Government Departments and the Devolved Governments to consider its recommendations, and relevant Ministers will also be consulted.
The legislation which sets the general principles and requirements of overall food law places a statutory requirement to consult on potential changes to food law.
Infant feeding is critical to a baby’s healthy growth and development. The Government is committed to giving every child the best start in life and that includes helping families to access support to feed their baby. Whilst breastfeeding has significant health benefits, we recognise that for those families that cannot or choose not to breastfeed, it is vital that they have access to infant formula that is affordable and high quality. Infant formula regulations ensure that all infant formula is suitable for meeting the nutritional needs of babies, regardless of the price or brand.
The Government welcomes the Competition and Markets Authority’s market study report on infant formula and follow-on formula. We are working with other Government Departments and the Devolved Governments to consider its recommendations, and relevant Ministers will also be consulted.
The legislation which sets the general principles and requirements of overall food law places a statutory requirement to consult on potential changes to food law.
For patients at risk of lower-limb amputation, including those diagnosed with peripheral arterial disease (PAD) or chronic limb threatening ischaemia (CLTI), timely interventions for revascularisation are crucial, along with preventative measures and early diagnosis.
In 2022, NHS England commissioned a two-year Commissioning for Quality and Innovation (CQUIN) scheme, which incentivised the adoption of the Peripheral Arterial Disease Quality Improvement Framework (PAD-QIF), which aims to reduce delays in assessment, investigation, and revascularisation in patients with CLTI and in turn amputation rates.
Alongside this, NHS England has implemented a range of initiatives aimed at improving prevention and early diagnosis of conditions which increase the risk of needing lower-limb amputations. These include NHS Health Checks for early detection of cardiovascular disease (CVD), the NHS Diabetes Prevention Programme, and expanding community diagnostic centres (CDCs) to improve early detection.
The 10-Year Health Plan, once published, will set out the Government's overarching vision for delivering the critical shift from a focus on treating illness to preventing conditions such as CVD.
The Department is working with NHS England to take several steps to improve diagnosis, care and treatment for patients with peripheral arterial disease. For example, in 2022, NHS England commissioned a two-year Commissioning for Quality and Innovation (CQUIN) scheme, which incentivised the adoption of the Vascular Peripheral Arterial Disease Quality Improvement Framework, to support timely interventions for revascularisation. This measures the proportion of patients that have a diagnosis of chronic limb threatening ischaemia (CLTI) that undergo revascularisation within five days of a non-elective admission to vascular providers.
As part of NHS England’s assessment on the adequacy of current diagnosis and treatment pathways, it commissions the National Vascular Registry (NVR) to provide information on the quality and outcomes of care for adults who have major vascular procedures. The NVR provides annual and quarterly reports for emergency and elective vascular procedures, including for those people with peripheral arterial disease who undergo either lower limb angioplasty/stent, lower limb bypass surgery, or major lower limb amputation.
Following the introduction of these measures we can see that from over a two-year period from the first quarter of 2022 to the fourth quarter of 2024, NVR data demonstrated that vascular providers achieving the CQUIN had increased from 47% to 55%. During this period, the number of providers submitting data to the NVR had also increased by approximately 14% and every National Health Service region showed an improvement in CLTI revascularisation quality.
Furthermore, NHS England has commissioned the NVR to facilitate an ‘outliers’ process in which vascular providers are monitored on several key performance metrics including CLTI revascularisation. NHS England continues to monitor all specialised vascular disease services via the NVR and working in collaboration with NHS England regional teams and integrated care boards.