First elected: 12th December 2019
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 Lee Anderson, 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.
Lee Anderson has not been granted any Urgent Questions
Lee Anderson has not been granted any Adjournment Debates
Lee Anderson has not introduced any legislation before Parliament
Road Traffic (Testing of Blood) Bill 2023-24
Sponsor - Jonathan Gullis (Con)
Heritage Public Houses Bill 2023-24
Sponsor - Marco Longhi (Con)
Disposal of waste (advertising and penalty provision) Bill 2023-24
Sponsor - Paul Bristow (Con)
Cladding Remediation Works (Code of Practice) Bill 2022-23
Sponsor - Tom Hunt (Con)
Multi-Academy Trusts (Ofsted Inspection) Bill 2021-22
Sponsor - Jonathan Gullis (Con)
Pets (Microchips) Bill 2021-22
Sponsor - James Daly (Con)
Unauthorised Development (Offences) Bill 2021-22
Sponsor - Gareth Bacon (Con)
Desecration of War Memorials Bill 2019-21
Sponsor - Jonathan Gullis (Con)
Conveyancing Standards Bill 2019-21
Sponsor - Marco Longhi (Con)
Freedom of Speech (Universities) Bill 2019-21
Sponsor - David Davis (Con)
Planning (Proper Maintenance of Land) Bill 2019-21
Sponsor - Jonathan Gullis (Con)
The Church Commissioners have a discretion under the Episcopal Endowments and Stipends Measure 1943, assessed on a case by case basis, to pay the costs of a bishop’s office, including costs in connection with legal claims. Such claims include those which may allege that the office of a serving bishop is liable for the wrongdoing of a previous holder of the office or a person for whom in law the office of the bishop may be responsible.
Requests to the Church Commissioners for assistance with legal costs are subject to scrutiny by the First Church Estates Commissioner and the KC Commissioner, assisted by officers, to ensure that costs are reasonable in the circumstances.
It is not the practice of the Church Commissioners to disclose expenditure on the costs of legal proceedings of this kind (they are not required to do so under s.5 Episcopal Endowments and Stipends Measure 1943)
The Civil Service Code states that Civil Servants must not accept gifts or hospitality from anyone which might reasonably be seen to compromise their personal judgement or integrity. As under the previous government, the Department holds a comprehensive policy and guidance on accepting and giving gifts and hospitality. All Civil Servants are required to declare gifts and hospitality both given and received via a central register and obtain approvals.
The Gifts and Hospitality process is subject to audit in order to provide confidence that the department is fulfilling its obligation.
We will publish an Impact Assessment alongside the legislation that implements the increase to the National Minimum Wage and National Living Wage in April 2025.
This Government remains committed to helping small businesses thrive and will be publishing our Small Business Strategy next year. This will set out our vision for all small businesses, from boosting scale-ups to growing the co-operative economy. It will address key policy areas such as creating thriving high streets, making it easier to access finance, opening overseas and domestic markets, building business capabilities, and providing a strong business environment.
We will publish an Impact Assessment alongside the legislation that implements the increase to the National Living Wage. We estimate that over 3 million workers will receive a pay rise due to the increase in the National Living Wage in April 2025.
Pubs, including those in Ashfield, are at the heart of our communities and vital for economic growth. That is why the Government is creating a fairer business rate system by introducing permanently lower tax rates for retail, hospitality, and leisure businesses from 2026-27 and extending the current relief for 1 year at 40%.
The government is also reducing alcohol duty on qualifying draught products, representing an overall reduction in duty bills of over £85m a year.
We will transform the apprenticeship levy into a more flexible growth and skills levy to better support business and boost opportunity for people to work in Pubs.
Through the Hospitality Sector Council, we are addressing strategic issues for the sector related to high street regeneration, skills, sustainability, and productivity.
Economic Growth is the first priority of this government. To deliver on this, one of our first steps after taking office was to announce that we were resuming Free Trade Agreement negotiations with the Gulf Cooperation Council, India, Israel, South Korea, Switzerland and Turkey. Having carefully reviewed our negotiation objectives we have now started talks with the first of these key partners. This is a first step towards getting businesses access to international markets, boosting jobs, and delivering growth. We are also committed to ensuring UK businesses can take full advantage of CPTPP when it enters into force in December.
The Government has fulfilled its manifesto commitment to transfer to the Mineworkers' Pension Scheme investment reserve to Members. I am open to considering options put forward by the Trustees for changes to the British Coal Staff Superannuation Scheme.
The Government has fulfilled its manifesto commitment to transfer to the Mineworkers' Pension Scheme investment reserve to Members. I am open to considering options put forward by the Trustees for changes to the British Coal Staff Superannuation Scheme.
I am open to considering options put forward by the Trustees for changes to the British Coal Staff Superannuation Scheme.
The UK was the first country to set legally binding carbon budgets and the first major economy to establish a net zero target in law. An Impact Assessment of the level of the Sixth Carbon Budget was published at the time, including a cost-benefit analysis which showed the economic costs and benefits of net zero. Without the shift to renewable energy, we will continue to be exposed to volatile fossil fuel markets and the cost of living crises households had to live through in the last Parliament.
Although standing charges are a commercial matter for suppliers, and are regulated by Ofgem, we know that too much of the burden of the bill is placed on them. The Government has worked constructively with the regulator on the issue of standing charges, and we are committed to lowering the cost of them.
Ofgem’s recently published discussion paper sets out the options for how standing charges could be reduced, including by moving some supplier operational costs off standing charges onto the unit rate, increasing the variety of tariffs available for consumer in the market, and in the longer term, reviewing how system costs are allocated. Ofgem's publication can be found here: https://www.ofgem.gov.uk/call-for-input/standing-charges-domestic-retail-options.
Public Sector funding for research and development has been found to leverage additional private investment in R&D. Each pound of public R&D investment is estimated to leverage, on average, £2 of private R&D investment in the long run and some studies estimate even higher levels of private investment.
Businesses grow faster because of public R&D grants. In the 6 years after receiving their first R&D grant funding, employment increases in the average business by 21% and turnover grows by 23%.
Engagement with the Office for Budget Responsibility is led by HM Treasury. The Department engages with HM Treasury on a regular basis to discuss a wide number of topics.
Public R&D generates significant benefits for the UK, with each pound of public R&D investment estimated to leverage, on average, £2 of private R&D investment in the long run. We know businesses grow faster because of public R&D. In the 6 years after receiving their first R&D grant funding, employment increases in the average business by 21% and turnover grows by 23%.
The measurable returns of R&D projects will vary, depending on the specific area of research. Returns for closer-to-market research are generally less challenging to quantify than those for fundamental, curiosity-driven research. To ensure that public R&D investments continue to have high impact all new significant DSIT investments are assessed for their value for money and the Department evaluates programmes’ impact.
The Government will accelerate innovation, investment and productivity through world class science, research and development. Advanced science and engineering in fields such as clean energy, AI and quantum technologies support economic growth and the industrial strategy. University of Nottingham and Nottingham Trent University were both recognised for their world leading research including in engineering in REF2021. Decisions about public investment of R&D funding are made by experts on behalf of UK Research and Innovation in line with the Haldane Principle. For example, University of Nottingham has been awarded £6.4m to lead an EPSRC Centre for Doctoral Training on Resilient Chemistry which will tackle challenges including synthetic fuels and next generation battery materials.
The UK has a longstanding and proud tradition of providing a safe haven to those who have no choice but to leave their home country because of endangerment to their lives or to those of their families. Higher education student support is available to those recognised as refugees, as well as their spouses, civil partners and children who were family members on the date the refugee applied for asylum, provided they have been ordinarily (i.e. lawfully) resident in the UK and Islands (Channel Islands and Isle of Man) since being recognised by the government as a refugee and are ordinarily resident in England on the course start date. They are exempt from the three-year ordinary residence requirement.
4,948 students with refugee status received student support from Student Finance England in the 2023/24 academic year to support their studies on full time undergraduate courses.
Individuals seeking asylum are not entitled to student support in England, whilst they are seeking asylum.
The department does not hold information on students who have self-funded their studies.
Nottinghamshire received a joint local area special educational needs and disabilities (SEND) inspection by Ofsted and the Care Quality Commission (CQC) in February 2023 under the current Area SEND Inspection framework. Ofsted and the CQC found widespread and/or systemic failings leading to significant concerns about the experiences and outcomes of children and young people with SEND which the local area partnership must address urgently. The report, which was published on 16 May 2023, included two areas for priority action (APA). The local area submitted a Priority Action Plan to Ofsted and the CQC to address these APAs, which was approved on 14 July 2023.
The department’s regional team has put in place systems to track outcomes against the APAs found by inspectors and the progress made by children and young people with SEND. Nottinghamshire County Council is committed to working closely with the department to improve services.
The department has appointed a SEND Advisor to work collaboratively with an NHS England Adviser to challenge, support and work alongside Nottinghamshire County Council and the local area partnership. In addition, the department commissioned the Council for Disabled Children, which is part of the Research and Improvement for SEND Excellence Consortium contract, to deliver a bespoke package, supporting the local area to develop an outcome-based framework to underpin their new SEND strategy. This is available here: https://www.nottinghamshire.gov.uk/education/special-educational-needs-and-disabilities-send/special-educational-needs-and-disabilities-send/nottinghamshire-local-area-send-strategy.
This government’s ambition is that all children and young people with SEND or in alternative provision receive the right support to succeed in their education and as they move into adult life. The department is committed to taking a community wide approach in collaboration with local area partnerships, improving inclusivity and expertise in mainstream schools, as well as ensuring special schools cater to children and young people with the most complex needs.
Ashfield Comprehensive School is currently in the feasibility stage of the School Rebuilding Programme. The feasibility will determine the scope of the project, programme and the budget. Once the feasibility is concluded the department will procure a contractor to undertake the detailed design of the scheme and secure planning permission.
The department currently anticipates appointing a contractor in spring 2025, with construction beginning from autumn/winter 2025.
Keeping children safe is a top priority for this government. Education plays a key role in ensuring children can lead safe and fulfilling lives, and it provides opportunity to intervene early, to prevent young people being drawn into crime.
Relationships, Sex and Health Education (RSHE) includes content on the situations that often lead young people to carry weapons such as knives, including criminal exploitation though involvement in gangs and county lines drugs operations and in particular the grooming relationships that often accompany this. Issues around gun and knife crime can also still be taught as part of a school’s wider curriculum. For example, schools can choose to include this content as part of their personal, social, health and economic education or citizenship curriculum.
Additionally, school-led Support, Attend, Fulfil, Exceed (‘SAFE’) taskforces have been established in 10 hotspot areas in England. The taskforces are investing in and delivering evidence-based interventions such as mentoring and social skills training to reach young people early, get them back on track with their education and reduce their vulnerability to serious violence. In alternative provision (AP), our Alternative Provision Specialist Taskforces programme enables teams of specialists such as speech and language therapists, youth justice workers and family workers to provide integrated, child-centred support in 22 APs in hotspot areas.
Youth Endowment Fund’s Toolkit, backed by Home Office funding, supports schools and wider services to take evidence based interventions to tackle serious violence. More information on this toolkit is available here: http://www.youthendowmentfund.org.uk/toolkit/.
The entitlements work on a termly basis, so children become eligible from the termly date after they reach the relevant age or after they or their parents first meet the eligibility criteria. The dates on which the terms start are 1 September, 1 January or 1 April. Therefore, depending on when a child is born or when the eligibility criteria is first met, there will be differing periods to wait until the relevant termly date.
The termly basis also allows local authorities and childcare providers to plan and ensure sufficient early years places are available for parents each term, as there are clear periods at which children are likely to enter a place.
Currently, there are no plans to amend the eligibility criteria, but this may be considered in the future.
The government is driving an agenda of change to break down the barriers to opportunity and to reduce child poverty, working across local and national government to bring about change.
Child poverty has increased by 700,000 since 2010, with over four million children now growing up in a low-income family. That is why the government is committed to delivering an ambitious strategy to reduce child poverty, tackling the root causes, and giving every child the best start at life. To support this, a new Ministerial taskforce has been set up to begin work on the Child Poverty Strategy.
The department is also committed to breaking down barriers to opportunity so that all children have the freedom to achieve and thrive in education. To support this aim, the department is committed to introducing free breakfast clubs in every primary school, to set children up for the day and ensure they are ready to learn, while supporting parents and carers to work.
Disadvantaged pupils in state-funded schools, as well as 16 to 18 year old students in further education, are entitled to receive free meals on the basis of low income. 2.1 million disadvantaged pupils are registered to receive free school meals (FSM) and a further 90,000 are registered to receive further education free meals. In addition, all children in reception, year 1 and year 2 in England's state-funded schools are entitled to Universal Infant Free School Meals, which benefits around 1.3 million pupils. As with all government programmes, we will keep our approach to FSM under review.
Nottinghamshire received a joint local area special educational needs and disabilities (SEND) inspection by Ofsted and the Care Quality Commission (CQC) in February 2023 under the current Area SEND Inspection framework. Ofsted and CQC found widespread and/or systemic failings leading to significant concerns about the experiences and outcomes of children and young people with SEND which the local area partnership must address urgently. The report, published on 16 May 2023, included two areas for priority action (APA). The local area submitted a priority action plan (PAP) to Ofsted and CQC to address these APAs, which was approved on 14 July 2023.
The department’s regional team has put in place systems to track outcomes against the APAs found by inspectors and the progress made by children and young people with SEND. Nottinghamshire County Council is committed to working closely with the department to improve services.
The department has appointed a SEND advisor to work collaboratively with an NHS England Adviser to challenge, support and work alongside Nottinghamshire County Council and the local area partnership.
This government’s ambition is that all children and young people with SEND or in alternative provision receive the right support to succeed in their education and as they move into adult life. The department is committed to taking a community-wide approach in collaboration with local area partnerships to improve inclusivity and expertise in mainstream schools and to ensure special schools cater to those with the most complex needs.
The department is committed to rebuilding or refurbishing all schools selected for the School Rebuilding Programme, including all schools selected in Nottinghamshire.
Well maintained, safe school buildings are a priority for the department to ensure they support a high-quality education for all children. All future decisions remain subject to the Spending Review.
The Government’s commitment to our farmers remains steadfast. We are reforming the Agricultural Property Relief on Inheritance Tax in way which protects small family farms. Changes are expected to only affect around 500 claims for agricultural property relief in 2026-27.
The Government has committed to support farmers through a farming budget of £5 billion over two years – more money than ever for sustainable food production. This will include the largest ever budget directed at sustainable food production and nature’s recovery in our country’s history: £1.8bn for environmental land management schemes in 2025/26. This funding will deliver improvements to food security, biodiversity, carbon emissions, water quality, air quality and flood resilience.
Environmental Land Management schemes will remain at the centre of our offer for family-owned farms and other farmers, with the Sustainable Farming Incentive, Countryside Stewardship Higher Tier and Landscape Recovery all continuing. These offer funding streams for farmers to make their businesses more sustainable and resilient, including those who have been often ignored such as small, grassland, upland and tenant farmers. We will work with the sector to continue to roll out, improve and evolve these schemes, to make them work for farming and nature.
The Government will invest a further £2.4bn over the next two years to protect communities across the country from the devastating impacts of flooding by maintaining, repairing and building flood defences.
This range of support forms part of the government's New Deal for Farmers. The Government is also supporting family-owned farms and other farmers by protecting them from being undercut by low welfare and low standards in trade deals, by lowering energy bills for farmers by switching on GB Energy, and by using the Government’s own purchasing power to back British produce so that 50% of food brought in hospitals, army bases and prisons is locally produced or certified to high environmental standards.
The Government takes the condition of local roads very seriously and is committed to maintaining and renewing the local highway network. Nottinghamshire County Council is the local highway authority for the Ashfield and Mansfield constituency, and they are therefore responsible for the condition of their local network.
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 and mayoral combined authorities, including the East Midlands Combined Authority of which Nottinghamshire County Council is a constituent member, in due course.
Improving local bus services is a key part of this government’s growth mission. The government will introduce a Buses Bill later this Parliamentary session. This will put the power over local bus services back in the hands of local leaders right across England, including in Ashfield and Mansfield, to choose the model that works best in their area, whether that be franchising, high-quality partnerships with private operators or local authority ownership.
Under franchising, the local authority has control of the bus network including setting routes, timetables and fares.
In addition, the government has confirmed £925 million for the 2025 to 2026 financial year to support and improve bus services in England outside London. Local authorities can use the £925 million to introduce new bus routes, make services more frequent and protect crucial bus routes for local communities.
The government will continue working closely with local transport authorities including Nottinghamshire County Council, and others, to deliver better bus services throughout England.
The Government takes the condition of local roads very seriously and is committed to maintaining and renewing the local road network.
Nottinghamshire County Council (NCC) is the local highway authority for the Ashfield constituency, and it is therefore responsible for the maintenance of the local road network in its area. NCC is a part of the East Midlands Combined Authority (EMCA), and for this financial year the Department for Transport is providing EMCA with £53.9 million of capital funding for local highway maintenance across its area. It is a matter for EMCA to determine how much of this funding to allocate to each of its constituent authorities.
Funding decisions for highways maintenance beyond 2024/25 will be made at the forthcoming Spending Review.
The Government is committed to ensuring the safety of our roads for all road users. Cyclists, whether riding an e-bike or a conventional pedal cycle, have a duty to behave in a safe and responsible manner and follow the rules set out in The Highway Code. The enforcement of cycling offences, such as cycling on the pavement or cycling without due care or attention, is a matter for the police.
There is no requirement to carry out a cost benefit analysis for all policy changes. A policy costing will be published as standard following the Autumn Budget 2024. An equality analysis was produced as part of Ministerial decision making in line with the requirements of the Public Sector Equality Duty.
No definitive estimate has yet been made as to the full cost of this policy. The Department has already begun working with local authorities to ensure that take-up of Pension Credit is maximised and implementation is appropriately planned. This work will help further our understanding of the costs so we deliver consistent and high quality support to pensioners.
Pension Credit (and the other qualifying income-related benefits payable to pensioners) is the most practical proxy to target Winter Fuel Payments at those on a low-income. Linking entitlement to Pension Credit ensures that we can pay almost all eligible pensioners automatically, without the need to claim the WFP. This means that the Winter Fuel Payment will be better targeted to low-income pensioners who need it.
We will ensure that the poorest pensioners get the support they need. The government will work with external partners and local authorities to boost the take-up of Pension Credit and to target additional support to the poorest pensioners.
We know there are low-income pensioners who aren’t claiming Pension Credit, and we are urging pensioners to come forward and check their eligibility for Pension Credit to ensure as many people in need as possible have access to this support. This will passport them to receive Winter Fuel Payment alongside other benefits – hundreds of pounds that could really help them.
It is estimated that around 15,800 pensioners in Ashfield Constituency (2024 boundaries) will be impacted by the decision to amend the eligibility criteria for the Winter Fuel Payment. This is based on February 2024 Pension Credit statistics which are available via DWP Stat-Xplore and the Winter Fuel Payment statistics for winter 2023 to 2024 - GOV.UK (www.gov.uk) which are available via GOV.UK.
This estimation is calculated by subtracting the number of people claiming Pension Credit in Ashfield Constituency from the number of Winter Fuel Payment recipients in Ashfield Constituency. It is possible to use the Pension Credit statistics, to give a minimum estimate of the number who may be eligible for Winter Fuel Payments. Therefore, the above estimation is essentially the number of Winter Fuel Payment recipients who are not claiming Pension Credit pre-policy change, as an estimate of those who will no longer receive the Winter Fuel Payment.
Please note that the above estimation would not take into account any potential increase in Pension Credit take-up that we might see as a result of the Government’s Pension Credit Awareness Campaign. We do not have data on those additional Pension Credit claims by Parliamentary constituencies or Local Authorities.
The published Pension Credit figures refer to households, so the number of individuals in respect of whom Pension Credit is paid will be higher (i.e. taking account of households where a claimant has a partner and / or dependents.)
In addition, while Pension Credit claimants constitute the majority of those that will be eligible for the Winter Fuel Payment, pensioners who claim other qualifying means-tested benefits will also be eligible for the Winter Fuel Payment. It is not, however, possible to include those on other qualifying means-tested benefits in these figures.
It is estimated that around 15,800 pensioners in Ashfield Constituency (2024 boundaries) will be impacted by the decision to amend the eligibility criteria for the Winter Fuel Payment. This is based on February 2024 Pension Credit statistics which are available via DWP Stat-Xplore and the Winter Fuel Payment statistics for winter 2023 to 2024 - GOV.UK (www.gov.uk).
This estimation is calculated by subtracting the number of people claiming Pension Credit in Ashfield Constituency from the number of Winter Fuel Payment recipients in Ashfield Constituency. It is possible to use the Pension Credit statistics, to give a minimum estimate of the number who may be eligible for Winter Fuel Payments. Therefore, the above estimation is essentially the number of Winter Fuel Payment recipients who are not claiming Pension Credit pre-policy change, as an estimate of those who will no longer receive the Winter Fuel Payment.
Please note that the above estimation would not take into account any potential increase in Pension Credit take-up that we might see as a result of the Government’s Pension Credit Awareness Campaign. We do not have data on those additional Pension Credit claims by Parliamentary constituencies or Local Authorities.
The published Pension Credit figures refer to households, so the number of individuals in respect of whom Pension Credit is paid will be higher (i.e. taking account of households where a claimant has a partner and / or dependents.)
In addition, while Pension Credit claimants constitute the majority of those that will be eligible for the Winter Fuel Payment, pensioners who claim other qualifying means-tested benefits will also be eligible for the Winter Fuel Payment. It is not, however, possible to include those on other qualifying means-tested benefits in these figures.
Key priorities for Nottingham and Nottinghamshire Integrated Care Board (ICB) are to deliver the national target of a dementia diagnosis rate of 66.7%, reduce waiting to time for memory assessment services and to improve access to post-diagnostic support. A Dementia strategy for Nottingham and Nottinghamshire will be updated following the Government’s publication of the 10-Year Health Plan expected in spring 2025.
Ongoing dementia care services include a Dementia Wellbeing Service provided by Alzheimer’s Society, across Nottingham and Nottinghamshire, including Mansfield and Ashfield. The service aims to support patients and carers through several interventions including cognitive stimulation therapy, carer training, 1:1 and group support.
The two Ashfield Primary Care Networks (PCN), North & South, piloted an Admiral Nurse within general practices. An Admiral Nurse is a specialist Dementia Nurse supporting patients and carers to live well with Dementia. Following a successful pilot, Ashfield North Primary Care Network have chosen to retain the role to support patients and carers within the network’s practices. Rosewood PCN in Mansfield has recruited a dementia specialist Occupation Therapist to support patients and carers living with dementia within their network of practice.
The recent annual reports from the Chief Medical Officer for England set out the clear healthcare challenges patients face when living in remote, rural, and coastal areas.
It is clear that the National Health Service has faced chronic workforce shortages across all communities for years, and fixing this will take time. We have commissioned the 10-Year Health Plan, and a central and core part of this will be our workforce, and how we ensure we train and provide the staff, technology, and infrastructure the NHS needs to care for patients across our communities.
Plans and policies will align with the strategic objectives set out in the 10-Year Health Plan, and will support its delivery.
Currently, men who have symptoms that could be associated with prostate cancer may be offered the Prostate Specific Antigen (PSA) test, which looks at levels of PSA in the blood, in line with National Institute for Health and Care Excellence cancer recognition and referral guidance.
However, due to the levels of inaccuracy, the PSA test is not recommended as a screening tool for healthy men with no symptoms. This is because high level of inaccuracy could lead to unnecessary tests and treatments that carry risks of life-changing harm, such as urinary and faecal incontinence, and sexual dysfunction, as well as a smaller but serious risk of sepsis. Additionally, some prostate cancers may not produce elevated PSA levels, leading to false-negative results that provide deceptive reassurance.
Instead, men should be encouraged to know the symptoms of prostate cancer and look out for changes in their body, and should seek advice from a general practitioner if these changes occur.
The Government is guided by the advice of the independent Joint Committee on Vaccination and Immunisation (JCVI) for its immunisation and vaccination programmes. This includes eligibility for vaccination and the vaccines that may be used in the national programme.
Both the Moderna mRNA (Spikevax) COVID-19 vaccine and the Pfizer-BioNTech mRNA (Comirnaty) COVID-19 vaccine are approved for use in the United Kingdom and, in line with JCVI advice, may be used in the autumn 2024 COVID-19 national vaccination programme. NHS England advises that all sites in Ashfield are currently providing the Moderna vaccine, and that from November 2024 the Pfizer vaccine is also expected to be supplied. The vaccine or vaccines being supplied at individual sites or nationally is, within JCVI guidance, an operational matter. Further information on the JCVI’s advice is available at the following link:
Guidance from the UK Health Security Agency (UKHSA) states that there are very few individuals who cannot receive the COVID-19 vaccines approved in the UK. Anyone concerned about possible reactions to a vaccine should in the first instance speak to the clinician responsible for their care for advice.
Published UKHSA clinical guidance for health professionals and immunisation practitioners on COVID-19 vaccination includes guidance for the management of patients with a history of allergy, including circumstances where a person may be referred to an expert allergist and, after a review of the individual’s risks and benefits of vaccination, where it is indicated, they could then be vaccinated in hospital under clinical supervision. NHS England will continue to follow this clinical guidance.
We are committed to growing workforce capacity as quickly as possible to meet local needs and achieve safe staffing levels. Bringing in the staff we need will take time, but this is an absolute priority for the Government. We have launched a 10-Year Health Plan to reform the National Health Service and make it fit for the future.
One of the themes in NHS England’s Three-Year Delivery Plan covers growing, retaining, and supporting our workforce. NHS England is boosting the midwifery workforce through undergraduate training, apprenticeships, postgraduate conversion, return to midwifery programmes, and international recruitment.
We also remain committed to the Long-Term Workforce Plan, which sets out the steps the NHS and its partners need to take to deliver an NHS workforce that meets the changing needs of the population over the next 15 years. It will put the workforce on a sustainable footing for the long term.
The Government is funding a broad package of measures to tackle the harm caused by smoking, including launching the National Smoke-free Pregnancy Incentives Scheme. The scheme can recruit pregnant smokers until 31 March 2025, who will be eligible to receive incentives until three months post-partum for becoming and remaining smoke-free, subject to confirmation via a carbon monoxide breath test. All decisions on funding beyond March 2025 remain subject to the Spending Review process.
The National Institute for Health and Care Excellence (NICE) is the independent body responsible for developing authoritative, evidence-based recommendations for the National Health Service on whether new medicines represent a clinically and cost-effective use of resources, and for providing guidance for the health and care system on best practice.
The NICE has published guidance on semaglutide (Wegovy) for managing overweight and obesity. It states that it should be used for a maximum of two years. Re-prescribing Wegovy would be at the discretion of local systems following an additional referral. Integrated care boards are responsible for arranging the provision of health services within their area in line with local priorities, considering population need, and taking account of relevant guidance. This includes the commissioning of NHS specialist weight management services.
The NICE has not yet published final guidance on the use of tirzepatide (Mounjaro) for managing overweight and obesity. In its draft guidance, there is no mandatory stopping time, but the NICE does recommend that treatment cessation should be considered if less than 5% of the initial weight has been lost after six months.
Neither Wegovy nor Mounjaro has time limits on their use in their Summary of Products Characteristics documents, which describe the properties and the officially approved conditions of use of a medicine. Information is continuously collected after a medicine is placed on the market, to monitor real-life experience with the product. The Medicine and Healthcare products Regulatory Agency closely monitors this information, to make sure that the benefits of the medicine continue to outweigh the risks. Both Wegovy and Mounjaro contain new active substances and are subject to additional monitoring through the Black Triangle Scheme, though this does not mean that they are unsafe.
The National Institute for Health and Care Excellence (NICE) is the independent body responsible for developing authoritative, evidence-based recommendations for the National Health Service on whether new medicines represent a clinically and cost-effective use of resources, and for providing guidance for the health and care system on best practice.
The NICE has published guidance on semaglutide (Wegovy) for managing overweight and obesity. It states that it should be used for a maximum of two years. Re-prescribing Wegovy would be at the discretion of local systems following an additional referral. Integrated care boards are responsible for arranging the provision of health services within their area in line with local priorities, considering population need, and taking account of relevant guidance. This includes the commissioning of NHS specialist weight management services.
The NICE has not yet published final guidance on the use of tirzepatide (Mounjaro) for managing overweight and obesity. In its draft guidance, there is no mandatory stopping time, but the NICE does recommend that treatment cessation should be considered if less than 5% of the initial weight has been lost after six months.
Neither Wegovy nor Mounjaro has time limits on their use in their Summary of Products Characteristics documents, which describe the properties and the officially approved conditions of use of a medicine. Information is continuously collected after a medicine is placed on the market, to monitor real-life experience with the product. The Medicine and Healthcare products Regulatory Agency closely monitors this information, to make sure that the benefits of the medicine continue to outweigh the risks. Both Wegovy and Mounjaro contain new active substances and are subject to additional monitoring through the Black Triangle Scheme, though this does not mean that they are unsafe.
Wegovy is recommended for National Health Service use within a specialist weight management service. It launched in the United Kingdom in September 2023. The price for Wegovy is subject to a confidential commercial agreement between Novo Nordisk and NHS England.
Mounjaro is not yet recommended for the management of obesity in the NHS. However, it is under assessment by the National Institute for Health and Care Excellence. Their recommendation is currently due to be published in December 2024. The current list price for the maximum dosage of Mounjaro is £122 for a month’s supply. The maximum annual price of Mounjaro per patient is therefore £1,464 based on 12 months at maximum dosage. This does not include service delivery costs to the NHS.
As announced on 14 October 2024, the SURMOUNT-REAL clinical trial of tirzepatide, brand name Mounjaro, is being developed between Health Innovation Manchester, The University of Manchester, and Eli Lilly and Company, with further details about the study to be published at a later date by these organisations, following on from relevant approvals.
Pharmacies play a vital role in our healthcare system. We are committed to expanding the role of pharmacies and better utilising the skills of pharmacists and pharmacy technicians. That includes making prescribing part of the services delivered by community pharmacists, as we shift care from hospitals to the community.
The consultation with Community Pharmacy England on the national funding and contractual framework arrangements for 2024/25 has not yet been concluded, and we are looking into this as a matter of urgency.
Pharmacies are private businesses and decisions to close reflect many factors. Patient access to pharmaceutical services remains good in England, with four in five people living within a 20-minute walk from a pharmacy, and twice as many pharmacies in the most deprived areas. Patients can also access approximately 400 Distance Selling Pharmacies, who must operate nationally and send medicines to patients’ home free of charge, and in rural areas, Dispensing Doctors can supply medicines.
Pharmacies play a vital role in our healthcare system. We are committed to expanding the role of pharmacies and better utilising the skills of pharmacists and pharmacy technicians. That includes making prescribing part of the services delivered by community pharmacists, as we shift care from hospitals to the community.
The consultation with Community Pharmacy England on the national funding and contractual framework arrangements for 2024/25 has not yet been concluded, and we are looking into this as a matter of urgency.
Pharmacies are private businesses and decisions to close reflect many factors. Patient access to pharmaceutical services remains good in England, with four in five people living within a 20-minute walk from a pharmacy, and twice as many pharmacies in the most deprived areas. Patients can also access approximately 400 Distance Selling Pharmacies, who must operate nationally and send medicines to patients’ home free of charge, and in rural areas, Dispensing Doctors can supply medicines.
Local National Health Service trusts may already choose to run local public awareness campaigns on sepsis.
Recent evidence suggests that there is high awareness of sepsis among the general public. The Department is focused on improving the clinical awareness and recognition of sepsis by healthcare professionals, so that unwell and deteriorating patients are identified promptly and started on life-saving treatment.
NHS England has launched several training programmes aimed at improving the diagnosis and early management of sepsis. These programmes are regularly reviewed and revised with support from subject matter experts as new national sepsis guidance is implemented.