John McDonnell

Since the start of Targeted Case Review, the Department expects to have completed around 815,000 Universal Credit claim reviews by the end of December 2024.

Figure is rounded to the nearest 5000.

The Civil Procedure rules are a matter for the Ministry of Justice. MOJ is working to increase the number of legal disputes resolved without the need for a judicial decision. They will monitor the impact of the changes and will continue engaging with stakeholders as they keep all methods of alternative dispute resolution under review to explore opportunities to increase take up both before and after legal proceedings have started. The Secretary of State has not made an assessment of them.

With reference to CEDAWinLaw, in the Judicial Review on changes to State Pension age, both the High Court and Court of Appeal found there was no discrimination on any grounds.

There is no subsisting legal dispute, so it would not be appropriate for the Secretary of State to enter into mediation with this group.

DWP does not collect or record the cause of a customer’s death and will not usually be made aware of how a customer died. Cause of death is determined by a doctor or a coroner. There is no requirement for a Coroner to inform the department of the outcome of an inquest unless they are named as an Interested Person at that inquest - or the coroner decides to issue a Prevention of Future Deaths report to the department. This means the department is not able to collect the information suggested.

Attempted suicides and suicides are tragic and complex issues. The department takes very seriously any suggestion that its actions, including any related to the fitness for work test, may have contributed to one. Where appropriate the department will undertake an Internal Process Review to establish if anything should have been done differently or if there are any lessons the department can learn.

Thematic learning from these serious cases is fed into the departments Serious Case Panel, which has an external chair, and considers a range of evidence from across the department. We are looking at ways to increase the amount of information made public about the work of the Serious Case Panel without jeopardising the privacy of the customers whose cases have been reviewed.

The Regulations entered into force on 16 September, the first day of the Winter Fuel Payment qualifying week.

A regulatory impact assessment has not been produced for this legislation because the effect is on individuals and private households rather than businesses or voluntary sector organisations.

In making a decision on Winter Fuel Payment eligibility, the Government had regard to an equality analysis in line with the Public Sector Equality Duty requirements. The equality analysis was published on Friday 13th September, and can be found here: FOI2024_65546_13_09_24.pdf (publishing.service.gov.uk).

Getting people into work and helping them to progress at work is central to growing the economy. As part of our growth mission, the Government will produce a Get Britain Working White Paper, to set out the policy framework for delivering on our manifesto commitments.

This Government is committed to pensioners – everyone in our society, no matter their working history or savings deserves a comfortable and dignified retirement.

Given the substantial pressures faced by the public finances this year and next, the government has had to make hard choices to bring the public finances back under control.

Winter Fuel Payments will continue to be paid to pensioner households with someone receiving Pension Credit or certain other income-related benefits. They will continue to be worth £200 for eligible households, or £300 for eligible households with someone aged over 80.

We know there are low-income pensioners who aren’t claiming Pension Credit, and we urge those people to apply. This will passport them to receive Winter Fuel Allowance alongside other benefits – hundreds of pounds that could really help them. We will ensure that the poorest pensioners get the support they need.

Our continued commitment to the triple lock means the full new state pension is forecast to increase by a further £1,700 over the course of the parliament.

We are also providing support through our Warm Homes Plan which pensioners will benefit from. This will support investment in insulation and low carbon heating – upgrading millions of homes over this Parliament. Our long-term plan will protect billpayers permanently, reduce fuel poverty, and get the UK back on track to meet our climate goals.

The Government is committed to a preventative approach to public health. Keeping people warm and well at home and improving the quality of new and existing homes will play an essential part in enabling people to live longer, healthier lives and reducing pressures on the NHS.

In making a decision on Winter Fuel Payment eligibility, the government had regard to the equality analysis in line with the Public Sector Equality Duty requirements.

The latest available take-up estimates Income-related benefits: estimates of take-up: financial yearending 2022 - GOV.UK (www.gov.uk) cover the financial year 2021/2022 and suggest an overall Pension Credit take-up rate of 63%. The next take-up estimates covering the financial year 2022/2023 are due to be published in October.

The Department does not routinely capture data aligned to a 6-week clearance rate. However, we do capture data against a 50-day clearance rate and our performance is published in the DWP Annual Report and Accounts DWP annual report and accounts 2023 to 2024 - GOV.UK (www.gov.uk).

Of 248,000 Pension Credit claims cleared in performance year 2023/24. 192,000 were cleared within the planned 50-day timescale, equating to 77.7%. 56,000, 22.3% were cleared outside of the of the 10-week planned timescale.

We are aware of cases where trusts have put recruitment restrictions in place for diagnostic services. How systems and trusts resource plan internally within their budgets is a matter for local discretion, and as such we will not be taking action at a national level.

The National Health Service is committed to maintaining timely and high-quality diagnostic services, including delivering same-day scan results in Community Diagnostic Centres wherever possible.

As set in the Elective Reform Plan, published in January 2025, we will introduce more straight-to-test pathways, deliver the optimal standards of tests per hour, and make better use of technology, including by upgrading the NHS app. These initiatives intend to drive efficiencies within diagnostic pathways and support patients to be tested more quickly, using existing capacity.

Investment in recent years has also enabled the NHS to grow the diagnostics workforce. This includes an increase in the number of specialty training places for key roles, such as radiologists, radiographers, and other diagnostic professionals, alongside initiatives to improve retention and reduce reliance on outsourcing.

This summer we will publish a refreshed Long Term Workforce Plan, to deliver the transformed health service we will build over the next decade and treat patients on time again. We will ensure the NHS has the right people, in the right places, with the right skills to deliver the care patients need when they need it.

Codes are created for SNOMED CT by one of the following organisations:

- UK National Release Centre (NRC), hosted by the Technology and Information Standards (TIS) group in NHS England;

- SNOMED International, a not-for-profit organisation that owns, administers and develops SNOMED CT;

- any other NRC in any other SNOMED CT member country.

All requests made to NHS England must be compliant with the Editorial Policy and are processed in accordance with the SNOMED CT UK Edition Governance and Change Request Process. Concepts are added or changed in SNOMED CT by NHS England terminologists in line with International and UK Editorial Principles as defined by SNOMED International at the recommendation of international clinical advisory groups. The authoring process includes a technical quality assurance and peer review. Once the authoring process has been completed and quality assured, the files are published on the Terminology Reference data Update Distribution website.

There is currently a code in SNOMED CT for myalgic encephalomyelitis. The Fully Specified Name (FSN) is ‘Chronic fatigue syndrome (disorder)’. The FSN for a code is not intended for use by a clinician. Instead, a clinician is expected to make use of the synonyms for the code, which include myalgic encephalomyelitis.

Clinical systems usually display a ‘preferred term’, deemed to be the most clinically appropriate way of expressing a concept. The preferred term for the code ‘Chronic fatigue syndrome (disorder)’ is ‘Chronic fatigue syndrome’.

NHS England is reviewing the preferred term to align it with the current most clinically appropriate term for the UK, with the preferred term ‘ME/CFS - myalgic encephalomyelitis/ chronic fatigue syndrome’ being considered.

Codes are created for SNOMED CT by one of the following organisations:

- UK National Release Centre (NRC), hosted by the Technology and Information Standards (TIS) group in NHS England;

- SNOMED International, a not-for-profit organisation that owns, administers and develops SNOMED CT;

- any other NRC in any other SNOMED CT member country.

All requests made to NHS England must be compliant with the Editorial Policy and are processed in accordance with the SNOMED CT UK Edition Governance and Change Request Process. Concepts are added or changed in SNOMED CT by NHS England terminologists in line with International and UK Editorial Principles as defined by SNOMED International at the recommendation of international clinical advisory groups. The authoring process includes a technical quality assurance and peer review. Once the authoring process has been completed and quality assured, the files are published on the Terminology Reference data Update Distribution website.

There is currently a code in SNOMED CT for myalgic encephalomyelitis. The Fully Specified Name (FSN) is ‘Chronic fatigue syndrome (disorder)’. The FSN for a code is not intended for use by a clinician. Instead, a clinician is expected to make use of the synonyms for the code, which include myalgic encephalomyelitis.

Clinical systems usually display a ‘preferred term’, deemed to be the most clinically appropriate way of expressing a concept. The preferred term for the code ‘Chronic fatigue syndrome (disorder)’ is ‘Chronic fatigue syndrome’.

NHS England is reviewing the preferred term to align it with the current most clinically appropriate term for the UK, with the preferred term ‘ME/CFS - myalgic encephalomyelitis/ chronic fatigue syndrome’ being considered.

The Department funds research in health and social care through the National Institute for Health and Care Research (NIHR). The NIHR and the Medical Research Council (MRC) are committed to funding high-quality research to understand the causes, consequences, and treatment of long COVID and myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), and are actively exploring next steps for research in these areas. This includes a roundtable I hosted on long COVID on 17 October 2024, which included discussion on how long COVID research is relevant to other post-viral syndromes and how to stimulate the research community to undertake future research.

Over the last five years, the NIHR has invested almost £2.3 million in research programme funding for ME/CFS. In addition, the NIHR and the MRC are also providing £3.2 million of co-funding towards the DecodeME study, which aims to understand if there is a genetic component to the condition, and in doing so increase our understanding of ME/CFS to support the development of diagnostic tests and targeted treatments.

In the same period, the Government, through the NIHR and the MRC, has invested over £57 million in long COVID research, with almost £40 million of this through two specific research calls on long COVID. The NIHR specifically has invested £42.7 million towards research funding for long COVID. The projects funded aim to improve our understanding of the diagnosis and underlying mechanisms of the disease and the effectiveness of both pharmacological and non-pharmacological therapies and interventions, as well as to evaluate clinical care.

The NIHR welcomes funding applications for research into any aspect of human health including ME/CFS and long COVID. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money, and scientific quality. In all areas, the amount of NIHR funding depends on the volume and quality of scientific activity.

Publishing the consultation response and delivery plan for ME/CFS is a key priority for me.

The Department funds research in health and social care through the National Institute for Health and Care Research (NIHR). The NIHR and the Medical Research Council (MRC) are committed to funding high-quality research to understand the causes, consequences, and treatment of long COVID and myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), and are actively exploring next steps for research in these areas. This includes a roundtable I hosted on long COVID on 17 October 2024, which included discussion on how long COVID research is relevant to other post-viral syndromes and how to stimulate the research community to undertake future research.

Over the last five years, the NIHR has invested almost £2.3 million in research programme funding for ME/CFS. In addition, the NIHR and the MRC are also providing £3.2 million of co-funding towards the DecodeME study, which aims to understand if there is a genetic component to the condition, and in doing so increase our understanding of ME/CFS to support the development of diagnostic tests and targeted treatments.

In the same period, the Government, through the NIHR and the MRC, has invested over £57 million in long COVID research, with almost £40 million of this through two specific research calls on long COVID. The NIHR specifically has invested £42.7 million towards research funding for long COVID. The projects funded aim to improve our understanding of the diagnosis and underlying mechanisms of the disease and the effectiveness of both pharmacological and non-pharmacological therapies and interventions, as well as to evaluate clinical care.

The NIHR welcomes funding applications for research into any aspect of human health including ME/CFS and long COVID. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money, and scientific quality. In all areas, the amount of NIHR funding depends on the volume and quality of scientific activity.

Publishing the consultation response and delivery plan for ME/CFS is a key priority for me.

There are significant challenges within child health, as outlined by Lord Darzi’s report. Demand for services is increasing, and the health and care needs of children are becoming increasingly more complex. NHS England will continue to assess the expansion of existing pilot initiatives, such as the NHS 111 paediatric clinical assessment service pilot, in reducing accident and emergency attendance of children, young people, and supporting families.

The upcoming 10-Year Health Plan provides an opportunity to ensure that the three shifts, from hospital to community, from analogue to digital, and from sickness to prevention, are prioritised and meet the needs of children and young people. This includes the opportunity to develop the role of neighbourhood health services to support children and young people accessing high-quality holistic physical and mental health care in the community.

The Government will ensure that every child has the best start in life and that we create the healthiest generation of children ever. The child health workforce, including paediatricians, health visitors, and school nurses, is central to how we will achieve this.

We are committed to training the staff we need to ensure patients, their carers, and their families are cared for by the right professional, when and where they need it. We have also committed to the Long Term Workforce Plan, which will deliver the reform needed.

The National Health Service is broken, and reducing elective waiting lists is a key part of getting it back on its feet. Delivering 40,000 more NHS appointments per week, or two million per year, is part of our commitment to get back to NHS standards so that both adults and children can expect to wait no longer than 18 weeks for treatment.

This will mean that children waiting for elective treatment will also experience significant improvements in waiting times, care, and outcomes. Further detail regarding 40,000 more NHS appointments per week will be confirmed after the budget in October 2024.