Asked by: Kim Johnson (Labour - Liverpool Riverside)
Question to the HM Treasury:
To ask the Chancellor of the Exchequer, if she will make it her policy not to expand Managed Service Provider usage until the joint HMRC and PCS evaluation is concluded and reviewed.
Answered by Dan Tomlinson - Exchequer Secretary (HM Treasury)
HMRC is currently in the Proof of Value phase for the use of Managed Service Providers (MSPs), supported by a joint evaluation agreed with the PCS trade union. The evaluation covers service quality, productivity, customer experience and value for money, and is intended to inform any future decisions about MSP use.
HMRC expects to complete the first phase of this evaluation in April, after which the findings will be reviewed internally and used to inform future decisions on the MSP approach. The evaluation will help ensure that any next steps are evidence‑based and aligned with service needs and value for money.
Any future planning decisions will be made through normal business planning and Spending Review processes, informed by the evaluation evidence. The findings will be considered alongside operational need, value for money and commercial sensitivities, and used to shape HMRC’s future approach to the use of MSPs.
Asked by: Kim Johnson (Labour - Liverpool Riverside)
Question to the HM Treasury:
To ask the Chancellor of the Exchequer, when she expects the joint HMRC and PCS evaluation of the Managed Service Provider Proof of Value trial will be completed and published.
Answered by Dan Tomlinson - Exchequer Secretary (HM Treasury)
HMRC is currently in the Proof of Value phase for the use of Managed Service Providers (MSPs), supported by a joint evaluation agreed with the PCS trade union. The evaluation covers service quality, productivity, customer experience and value for money, and is intended to inform any future decisions about MSP use.
HMRC expects to complete the first phase of this evaluation in April, after which the findings will be reviewed internally and used to inform future decisions on the MSP approach. The evaluation will help ensure that any next steps are evidence‑based and aligned with service needs and value for money.
Any future planning decisions will be made through normal business planning and Spending Review processes, informed by the evaluation evidence. The findings will be considered alongside operational need, value for money and commercial sensitivities, and used to shape HMRC’s future approach to the use of MSPs.
Asked by: Kim Johnson (Labour - Liverpool Riverside)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of whether current NHS funding allocations adequately reflect the health needs of children living in areas of high deprivation and inequality.
Answered by Sharon Hodgson - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England is responsible for funding allocations to integrated care boards (ICBs). NHS England takes advice on the underlying formula from the independent Advisory Committee on Resource Allocation. The formula takes account of population, age, need, and deprivation and health inequality considerations. High deprivation areas receive more funding per capita than low deprivation areas, given other, similar circumstances. ICB allocations for 2026/27 to 2028/29 were published on 17 December 2025, and are available at the following link:
https://www.england.nhs.uk/allocations/
We are committed to ensuring that resources are targeted where they are most needed. As announced in the 10-Year Health Plan, we are gradually ending the practice of providing deficit support funding and moving organisations to what is their fair share of National Health Service funding, worth £2.2 billion in 2025/26. This allows funding to be redirected more quickly to areas with the greatest health need across the country as part of ICB allocations. We are also reviewing the GP funding formula, known as the Carr-Hill formula, to ensure that resources are targeted most effectively.
ICBs are responsible for commissioning services that meet the diverse needs of their local populations, including children. All ICBs in England are required to have an Executive Lead for Children and Young People, to ensure the interests of children are reflected in decision-making.
The Government is committed to raising the healthiest generation of children ever and ensuring that all children can access timely support that meets their health needs. We are delivering on the vision for neighbourhood health set out in the 10-Year Health Plan to bring care closer to babies, children, and young people. Neighbourhood health services will work together with Best Start Family Hubs, schools, and colleges so that children get support quickly, including those with special educational needs and disabilities.
Asked by: Kim Johnson (Labour - Liverpool Riverside)
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 reduce child tooth decay rates.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Reducing rates of tooth decay is central to our commitment to help children to live healthier lives. Tooth decay is also almost entirely preventable. We are delivering the national targeted supervised toothbrushing programme for three- to five-year-olds in the most deprived areas. We are making preventative advice available to parents and young children, with oral hygiene embedded in the Healthy Child Programme and Best Start Parent Hub. Further information is available at the following two links:
https://www.gov.uk/government/publications/healthy-child-programme-high-impact-area-framework
https://beststartinlife.gov.uk/
Water fluoridation is an effective intervention for reducing tooth decay and oral health inequalities. We will expand community water fluoridation in the north east of England from 2028, so that it reaches 1.6 million more people by April 2030, and assess further expansion in areas where oral health outcomes are worst.
We are also acting to reduce sugar consumption, which is the main risk factor for tooth decay. The Soft Drinks Industry Levy will be extended to include pre-packaged milk based and milk substitute drinks, and the lower tax threshold at which the levy applies will be lowered from 5 grams to 4.5 grams of sugar per 100 millilitres.
On 25 March, the Government launched a consultation on the proposed application of the new Nutrient Profiling Model to the advertising and promotions restrictions on less healthy food and drink.
Asked by: Kim Johnson (Labour - Liverpool Riverside)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps are being taken to reduce childhood obesity rates among children in areas of high deprivation.
Answered by Sharon Hodgson - Parliamentary Under-Secretary (Department of Health and Social Care)
As set out in our 10-Year Health Plan for England, we are taking decisive action on the obesity crisis and creating the healthiest generation of children ever. We are restricting junk food advertising targeted at children on television and online and have given councils stronger powers to block new fast-food outlets near schools. We have announced changes to the Soft Drinks Industry Levy and consulted on our proposals to ban the sale of high-caffeine energy drinks to children. We will go further by introducing mandatory reporting on the healthiness of sales for all large food businesses and strengthening the existing advertising and promotions restrictions by applying an updated definition of ‘less healthy food and drink’.
We recognise that obesity is highly unequal and we are taking appropriate steps to support people to access healthier food. Through the Healthy Start Scheme, we are encouraging a healthy diet for pregnant women, babies, and young children under four years old from very low-income households and, in April 2026, we will be uplifting the value of weekly payments by 10%. The Government is committed to reviewing the School Food Standards so that these reflect the most recent dietary recommendations, free school meals will be extended to all children from households in receipt of Universal Credit from September 2026, and phase 1 of the free breakfast clubs programme will commence from April 2026, which will see a further 2,000 new schools delivering free breakfast clubs.
We are also committed to breaking down barriers and getting more people moving, especially those living in more deprived areas. We will do this through delivering the new Physical Education and School Sport Partnerships network, continued investment in grassroots sport, and cycling and walking infrastructure. We have already teamed up with Joe Wicks and launched 'Activate’, a series of animated, fun five-minute workouts to help families and schools tackle inactivity among children.
Asked by: Kim Johnson (Labour - Liverpool Riverside)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps are being taken to improve access to NHS dental care for children in deprived and rural areas.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We are aware of the challenges faced in accessing a dentist, particularly in more rural areas.
The 10-Year Health Plan confirms that child dental health is a priority. We are introducing changes to dental access that will benefit children. Following public consultation, from April 2026 we will introduce a new course of treatment for fluoride varnish for children to be applied by suitably trained dental nurses in between regular check-ups. We will also increase remuneration for dentists for fissure sealants, to support increased use of this effective treatment for primary prevention purposes. These reforms will put patients with the greatest need first, incentivising urgent care and complex treatments.
The Government is committed to ensuring people can access urgent dental care when they need it. Over the past year, integrated care boards have been commissioning additional urgent dental appointments and there is now an urgent care safety net available in all areas of the country. 1.8 million additional courses of National Health Service dental treatment were delivered between April and October 2025, compared to the corresponding months before the general election. Half of these additional treatments were delivered to children.
In 2025/26, we invested £11 million in 147 local authorities and in 2026/27, we will be investing a further £10.5 million, as part of a multi-year settlement, in 151 local authorities to continue to implement the national targeted supervised toothbrushing programme for three- to five-year-olds. This is alongside the innovative partnership with Colgate-Palmolive. The aim is to reach up to 600,000 children targeted in the 20% most deprived areas of England to reduce inequalities.
The Government is committed to achieving fundamental contract reform by the end of this Parliament.
Asked by: Kim Johnson (Labour - Liverpool Riverside)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps are being taken to ensure that children from low-income households can access healthy food and regular exercise opportunities.
Answered by Sharon Hodgson - Parliamentary Under-Secretary (Department of Health and Social Care)
As set out in our 10-Year Health Plan for England, we are taking decisive action on the obesity crisis and creating the healthiest generation of children ever. We are restricting junk food advertising targeted at children on television and online and have given councils stronger powers to block new fast-food outlets near schools. We have announced changes to the Soft Drinks Industry Levy and consulted on our proposals to ban the sale of high-caffeine energy drinks to children. We will go further by introducing mandatory reporting on the healthiness of sales for all large food businesses and strengthening the existing advertising and promotions restrictions by applying an updated definition of ‘less healthy food and drink’.
We recognise that obesity is highly unequal and we are taking appropriate steps to support people to access healthier food. Through the Healthy Start Scheme, we are encouraging a healthy diet for pregnant women, babies, and young children under four years old from very low-income households and, in April 2026, we will be uplifting the value of weekly payments by 10%. The Government is committed to reviewing the School Food Standards so that these reflect the most recent dietary recommendations, free school meals will be extended to all children from households in receipt of Universal Credit from September 2026, and phase 1 of the free breakfast clubs programme will commence from April 2026, which will see a further 2,000 new schools delivering free breakfast clubs.
We are also committed to breaking down barriers and getting more people moving, especially those living in more deprived areas. We will do this through delivering the new Physical Education and School Sport Partnerships network, continued investment in grassroots sport, and cycling and walking infrastructure. We have already teamed up with Joe Wicks and launched 'Activate’, a series of animated, fun five-minute workouts to help families and schools tackle inactivity among children.
Asked by: Kim Johnson (Labour - Liverpool Riverside)
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 ensure the distinct health needs of children and young people are considered in the rollout of the neighbourhood health service.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Government is committed to raising the healthiest generation of children ever and to ensuring that all children can access the right support at the right time. The shift to neighbourhood health, set out in the 10-Year Health Plan, will help deliver this ambition by strengthening and joining up support around the needs of babies, children, and young people.
Neighbourhood health services will work together with Best Start Family Hubs, schools, and colleges, so that children get support quickly.
On 17 March 2026, we published a Neighbourhood Health Framework, designed to provide clarity and consistency to integrated care boards, local authorities, and their partners, in developing and scaling neighbourhood health.
The framework identifies children and young people as a high-priority cohort for improving health outcomes and recognises this as a joint endeavour between the National Health Service, local authorities, and wider partners. The framework is available at the following link:
https://www.gov.uk/government/publications/neighbourhood-health-framework
Asked by: Kim Johnson (Labour - Liverpool Riverside)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what progress has been made in expanding the supervised tooth-brushing schemes for young children in England.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The supervised toothbrushing programme will reach up to 600,000 children living in the most deprived areas of England, supported by £11 million in 2025/26, with a further £10.5 million consolidated into the Public Health Grant in 2026/27. In the first year of the programme, four million free toothbrushes and tubes of toothpaste have been donated to local authorities through our partnership between the Government and Colgate-Palmolive.
An early phase evaluation is underway to understand how the programme is being delivered, including the number of schools and nurseries participating and the number of children attending these settings. Further information is available at the following link:
https://phirst.nihr.ac.uk/evaluations/national_supervised_toothbrushing_programme/
The National Institute for Health and Care Research’s Public Health Research Programme will also evaluate effectiveness and cost-effectiveness. Further information is available at the following link:
Asked by: Kim Johnson (Labour - Liverpool Riverside)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what funding has been allocated to local authorities for programmes aimed at preventing childhood obesity.
Answered by Sharon Hodgson - Parliamentary Under-Secretary (Department of Health and Social Care)
Core funding for local authorities’ public health responsibilities is provided through the ring-fenced Public Health Grant which funds a range of preventative and treatment health services, including childhood obesity programmes. Local authorities are responsible for deciding how best to allocate their Public Health Grant to improve the health of their population and to fulfil their public health responsibilities.
For 2025/26, the Government increased the Public Health Grant by £224 million. The Government will continue to invest in local authorities' vital public health work, providing more than £13.4 billion over the next three years through a consolidated Public Health Grant, giving local authorities greater certainty to support long term prevention planning to make the best decisions to promote better population health, including on childhood obesity.