Asked by: Navendu Mishra (Labour - Stockport)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment her Department has made of the adequacy of bowel cancer diagnosis services in (a) Stockport and (b) Greater Manchester.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Department continues to take steps to improve early diagnosis for all cancers, which encompasses bowel cancer, and in all areas, including Stockport and Greater Manchester. The Department is working jointly with NHS England on implementing the Delivery Plan for Tackling the COVID-19 Backlog of Elective Care, which includes plans to spend more than £8 billion from 2022/23 to 2024/25 to help drive up and protect elective activity, including cancer diagnosis and treatment.
NHS England is working to meet the Faster Diagnosis Standard (FDS), which sets a target of 28 days from urgent referral by a general practitioner or screening programme to patients being told that they have cancer, or that cancer is ruled out. To achieve this target, NHS England has: streamlined bowel cancer pathways by implementing faecal immunochemical testing (FIT) triage for patients in primary and secondary care settings; implemented non-symptom specific pathways for patients; and opened community diagnostic centres across England, prioritising this capacity for cancer services. The latest published data from February 2024 shows FDS performance was 78.1% nationally. More specifically to bowel cancer, the latest published data shows that at a national level, the number of people diagnosed with bowel cancer has risen to 41,596 in 2021, compared to 37,702 diagnosed in 2019. Since the FIT kit was introduced into the bowel cancer screening programme in April 2019, national uptake has increased from 59.2% to 67.8%. the latest data for the North-West region shows that 64.3% of 60 to 74-year-olds completed their bowel screening in the first quarter of 2023/24.
In 2023 the NHS England’s Help Us Help You campaign urged people to take up the offer of bowel screening when invited, and the screening offer for the bowel screening programme is being gradually extended from age 60 down to 50 years old by 2025, ensuring more people are screened and potentially diagnosed with bowel cancer at the earliest stage. NHS England is also now offering routine preventative bowel cancer screening to people with Lynch syndrome, with 94% of people on average receiving the test between 2021 and 2023, up from 47% in 2019.
Asked by: Navendu Mishra (Labour - Stockport)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make it her policy to make an assessment of the potential impact of any proposed amendments to Part IX of the Drug Tariff on (a) patients with continence care needs, (b) continence care services, (c) the range of continence devices available to clinicians and patients and (d) new product development and innovation in medical devices in the continence sector.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Part IX will remain a list of devices available to be prescribed in the community, via the FP10 prescription route. The Department believes that it is currently difficult to identify which devices are broadly comparable, and whether more expensive devices provide added value. The proposed amendments that were consulted on were intended to increase meaningful choice, not to decrease the choice for clinicians and patients. Comparison between products can increase awareness of different brands amongst prescribers, which can support small and medium sized businesses in entering the market.
The consultation response on the proposed amendments to Part IX is expected to be released in May 2024, which will outline the Government’s response. Any amendments that are taken forward will happen gradually, with review points and engagement with stakeholders, including industry, patient representatives, clinicians, and National Health Service organisations. We are aware that there are some very good devices in use, relied upon by clinicians and patients.
Asked by: Navendu Mishra (Labour - Stockport)
Question to the Department for Education:
To ask the Secretary of State for Education, pursuant to the Answer of 19 February 2024 to Question 13342 on Special Educational Needs, what steps her Department is taking to help Stockport Council (a) increase its capacity to undertake and (b) improve the quality of its education, health and care plan assessments.
Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)
The cost of local authorities’ Education, Health and Care (EHC) needs assessment and planning function is paid from authorities’ general fund from, for example, council tax, business rates or the Revenue Support Grant provided by the Department for Levelling Up, Housing and Communities (DLUHC). Any increase in capacity for the EHC needs assessment team must be met from the local authority’s general fund.
Stockport special educational needs and disabilities (SEND) Local Area Partnership’s Accelerated Progress Plan (APP), which has been in place since the Ofsted and Care Quality Commission (CQC) joint area SEND revisit in September 2022, includes actions to address the quality of EHC plans in the area. Department for Education officials and NHS (England) SEND advisers have been providing support, challenge and advice in monitoring the progress of the APP.
Stockport is also one of the 55 local areas which have been invited to join the government’s £85 million Delivering Better Value Programme to support local areas to achieve maximum value for money in delivering SEND provision, whilst maintaining and improving the outcomes they achieve. One of the workstreams being funded by this grant is ‘Governance and Accountability of SEN Support and EHC Needs Assessments’ through which the department is assisting Stockport to improve their EHC plan processes and the quality of plans.
The department wants to ensure that EHC needs assessments, where required, are conducted as quickly as possible, so that children and young people can access the support they need. In March 2023, the government set out its plans to reform and improve the SEND system through its SEND and alternative provision (AP) Improvement Plan. The plan commits to establishing a single national system that delivers for every child and young person with SEND so that they enjoy their childhood, achieve good outcomes and are well prepared for adulthood and employment.
In the short term, the department is working hard to improve the current EHC plan system through a range of measures to improve the SEND system. The department is investing heavily in the SEND system. Examples of the department’s investments include: improving specialist capacity by investing over £21 million to train 400 more educational psychologists from 2024, investing £2.6 billion between 2022 and 2025 to fund new special and AP places and improve existing provision (including announcing 41 new special free schools and 38 special free schools that are currently in the pipeline), investing £30 million to develop innovative approaches for short breaks for children, young people and their families over three years and investing over £7 million to fund extension of the Alternative Provision Specialist Taskforce pilot programme, (delivering now in 22 local authorities) to run until 2025.
The department is also putting in place measures to improve the SEND system in the longer term, so that where an EHC plan is needed they can be issued as quickly as possible, so that children and young people can access the support they need.
Asked by: Navendu Mishra (Labour - Stockport)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an assessment of the adequacy of the supply of prostheses to NHS patients.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
NHS England commissions 35 prosthetic centres in England to provide specialised prosthetic services. NHS England completed a Prosthetic Services Review between 2018 and 2022, which was paused during the COVID-19 pandemic. The recommendations from the review have been incorporated within the service specification, Complex Disability Equipment – Prosthetic Specialised Services For People Of All Ages With Limb Loss, which has been updated in line with the service Specification Methods process, and will be subject to stakeholder testing during April 2024.
Asked by: Navendu Mishra (Labour - Stockport)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, what assessment his Department has made of the potential impact of the ending Disability Cost of Living Payments on people with disabilities.
Answered by Mims Davies - Parliamentary Under-Secretary (Department for Work and Pensions)
The Government has no plans to extend the Disability Cost of Living Payments past the 2023/24 round. Cost of Living Payments enabled us to target further support quickly during the rising cost of living pressures.
As of March 2024, the rate of inflation has slowed, and the Government has also implemented uprating to other benefits to reflect increased costs.
An evaluation of the Cost of Living Payments is underway. This will seek to understand their effectiveness as a means of support for low-income and vulnerable households.
Asked by: Navendu Mishra (Labour - Stockport)
Question to the Department for Education:
To ask the Secretary of State for Education, pursuant to the Answer of 19 February 2024 to Question 13342 on Special Educational Needs, if she will allocate additional funding to Stockport Metropolitan Borough Council to help increase its capacity to conduct education health and care plan assessments.
Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)
The cost of local authorities’ Education, Health and Care (EHC) needs assessment and planning function is paid from authorities’ general fund from, for example, council tax, business rates or the Revenue Support Grant provided by the Department for Levelling Up, Housing and Communities (DLUHC). Any increase in capacity for the EHC needs assessment team must be met from the local authority’s general fund.
Stockport special educational needs and disabilities (SEND) Local Area Partnership’s Accelerated Progress Plan (APP), which has been in place since the Ofsted and Care Quality Commission (CQC) joint area SEND revisit in September 2022, includes actions to address the quality of EHC plans in the area. Department for Education officials and NHS (England) SEND advisers have been providing support, challenge and advice in monitoring the progress of the APP.
Stockport is also one of the 55 local areas which have been invited to join the government’s £85 million Delivering Better Value Programme to support local areas to achieve maximum value for money in delivering SEND provision, whilst maintaining and improving the outcomes they achieve. One of the workstreams being funded by this grant is ‘Governance and Accountability of SEN Support and EHC Needs Assessments’ through which the department is assisting Stockport to improve their EHC plan processes and the quality of plans.
The department wants to ensure that EHC needs assessments, where required, are conducted as quickly as possible, so that children and young people can access the support they need. In March 2023, the government set out its plans to reform and improve the SEND system through its SEND and alternative provision (AP) Improvement Plan. The plan commits to establishing a single national system that delivers for every child and young person with SEND so that they enjoy their childhood, achieve good outcomes and are well prepared for adulthood and employment.
In the short term, the department is working hard to improve the current EHC plan system through a range of measures to improve the SEND system. The department is investing heavily in the SEND system. Examples of the department’s investments include: improving specialist capacity by investing over £21 million to train 400 more educational psychologists from 2024, investing £2.6 billion between 2022 and 2025 to fund new special and AP places and improve existing provision (including announcing 41 new special free schools and 38 special free schools that are currently in the pipeline), investing £30 million to develop innovative approaches for short breaks for children, young people and their families over three years and investing over £7 million to fund extension of the Alternative Provision Specialist Taskforce pilot programme, (delivering now in 22 local authorities) to run until 2025.
The department is also putting in place measures to improve the SEND system in the longer term, so that where an EHC plan is needed they can be issued as quickly as possible, so that children and young people can access the support they need.
Asked by: Navendu Mishra (Labour - Stockport)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent steps she has taken to help reduce waiting times for child and adolescent mental health services in Stockport constituency.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
We want to ensure that children and young people get the mental health support they need, including in the Stockport constituency, and overall spending on mental health has increased by more than £4.7 billion in cash terms since 2018/19. This has enabled an expansion of child and young people's mental health services. As of January 2024, the latest data from NHS Digital shows there were 758,485 children and young people aged under 18 years old, supported through National Health Service funded mental health services with at least one contact.
We have introduced two waiting-time standards for children and young people. The first is for 95% of children, up to 19 years old, with eating disorders to receive treatment within one week for urgent cases, and four weeks for routine cases. The second is for 50% of patients of all ages experiencing a first episode of psychosis to receive treatment within two weeks of referral.
NHS England is developing a new waiting time measure for children and their families and carers to start to receive community-based mental health care within four weeks from referral. NHS England began publishing this new data in 2023 to improve transparency and drive local accountability.
Asked by: Navendu Mishra (Labour - Stockport)
Question to the Department for Transport:
To ask the Secretary of State for Transport, if his Department will make an assessment of the potential impact of increasing funding for Stockport railway station on the local economy.
Answered by Huw Merriman - Minister of State (Department for Transport)
The Government believes that Stockport is best placed to decide on and take forward transport schemes that will most benefit their local areas. I would therefore encourage the local stakeholders in the area to work together to bring forward a bid(s) to be considered for development under the various sources of funding available.
Asked by: Navendu Mishra (Labour - Stockport)
Question to the Department for Environment, Food and Rural Affairs:
To ask the Secretary of State for Environment, Food and Rural Affairs, what steps he is taking to improve the quality of water in the River Mersey.
Answered by Robbie Moore - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)
We are committed to continue to improving water quality and are delivering the record investment, the stronger regulation and the tougher enforcement to improve our water for our own health, for nature and the economy. For example, on 20 February we announced plans to more than quadruple Environment Agency (EA) water company inspections, strengthening oversight, reducing the reliance on self-monitoring.
The EA has been working with United Utilities in Stockport and in the upstream catchments of the River Tame and River Goyt. Within the current investment programme (2020-2025) there are improvements due to be completed at 2 storm overflows and at 6 of the wastewater treatment works in the upstream catchments. EA has also been working with United Utilities on their investment programme for 2025-2030.
The EA also have national programmes investigating persistent chemical failures and historic sources of chemicals across the Mersey catchment.
Asked by: Navendu Mishra (Labour - Stockport)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, when she plans to provide an Answer to Question 17965 tabled by the hon. Member for Stockport on 11 March 2024.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
I refer the hon. Member to the answer I gave to Question 17965 on 21 March 2024.