Asked by: Peter Gibson (Conservative - Darlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if a Minister from her Department will visit Darlington to hold discussions with (a) the Police and (b) Trading Standards on the joint steps they are taking to help tackle the sale of illegal vapes and illicit tobacco.
Answered by Andrea Leadsom
Ministers in the department are always happy to consider meetings and visits to understand the impact of their policy areas, and we recommend reaching out to Ministers’ offices directly.
A strong approach to enforcement is vital if the smokefree generation policy is to have real impact. My Rt hon. Friend, the Secretary of State for Health and Social Care recently visited a cargo warehouse at Heathrow Airport with Hillingdon Trading Standards to see first-hand the work they are doing to seize illicit vapes at the border, and prevent these products from being sold in the United Kingdom.
Underage and illicit sales of tobacco products, and more recently vaping products, is undermining the work the Government is doing to regulate the industry and protect public health. It also deprives the UK of vital money that could be used to fund essential public services, instead, putting it in the hands of criminals.
This is why alongside the measures in the Tobacco and Vapes Bill, we are supporting enforcement agencies with up to £30 million a year, to scale up their existing activities. This increased investment will help to stamp out criminal activity by boosting enforcement capacity, and help local trading standards tackle underage sales at a local level. Of this funding, over £100 million over five years will support HM Revenue and Custom’s and Border Force’s new illicit tobacco strategy. As is the case with existing age of sale legislation, breaches of the new law will primarily be dealt with by local authority trading standards, rather than by local police forces.
Asked by: Peter Gibson (Conservative - Darlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent progress the cross-government bereavement working group has made on ensuring support is available to bereaved people.
Answered by Andrew Stephenson
The cross-Government bereavement group was established in preparation for publication of the UK Commission on Bereavement’s (UKCB), Bereavement is Everyone’s Business report, from October 2022. The group includes representatives from over 10 Government departments.
The cross-Government bereavement group enables Government departments to share the best practice about bereavement support in the sectors for which they are responsible. The UKCB Steering Group has presented to the cross-Government working group on several occasions, and last attended a meeting of the group in September 2023.
Asked by: Peter Gibson (Conservative - Darlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to ensure that providers of NHS services are protecting the whereabouts of domestic abuse victims from perpetrators.
Answered by Andrew Stephenson
There are security and legislative protections in place to protect patient data, and ensure data is used across the health and social care system in a safe, secure, and legal way. This includes data protection rules which prevent National Health Service employees from disclosing addresses of victims of domestic abuse.
Each organisation’s terms and conditions of employment include strict guidelines on how staff handle and protect patients’ information. Staff must also be regularly trained in information governance responsibilities. Professional bodies such as the General Medical Council also set out standards which their members must meet.
General practices have two options if they are worried that having access to their record might cause harm to a patient or another individual. They can either redact specific items on the record, or disable patient access entirely.
Asked by: Peter Gibson (Conservative - Darlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how much her Department spent in Darlington constituency in each financial year between 2019-20 and 2022-23.
Answered by Andrew Stephenson
Information on spending in the Darlington constituency is not available in the format requested. However, the following table shows the spend of the organisations that are the closest approximation to the Darlington constituency, each year from 2019/20 to 2022/23:
| 2019/20 | 2020/21 | 2021/22 | 2022/23 |
NHS Darlington Clinical Commissioning Group (CCG) | £177,000,000 | 0 | 0 | 0 |
NHS Tees Valley CCG | 0 | £1,293,000,000 | £1,502,000,000 | £341,000,000 |
NHS North East and North Cumbria Integrated Care Board (ICB) | 0 | 0 | 0 | £5,171,000,000 |
The number and commissioning responsibilities of the CCGs, now ICBs, have changed during the period requested, and expenditure levels set out in the table are not directly comparable year-on-year. On 1 July 2022, the NHS North East and North Cumbria ICB replaced and took on responsibility for eight CCGs, including Tees Valley, which is reflected in the higher level of spend in 2022/23.
Asked by: Peter Gibson (Conservative - Darlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment she has made of the adequacy of investment in establishing a vaccine library.
Answered by Maria Caulfield
Development of a vaccine library, including the adequacy of investment, will be a collaborative, global effort. The Government provides funding to the Coalition for Epidemic Preparedness Innovations (CEPI) through the Department of Health and Social Care and the Foreign, Commonwealth and Development Office. The CEPI plays a key role in funding and coordinating the global research and development effort to develop a vaccine library.
The UK Health Security Agency’s (UKHSA) Vaccine Development and Evaluation Centre (VDEC) makes a significant contribution to the development of a vaccine library through work in developing and evaluating new vaccines and vaccine technologies, some of which is funded by the CEPI.
The UKHSA is also reviewing the recommendations from the International Pandemic Preparedness Secretariat (IPPS) report, in the context of the United Kingdom, and working across Government to strengthen our 100 Days Mission endeavours even further.
More broadly, an established clinical countermeasures programme, including vaccines, is a core component of our pandemic preparedness and response capability. The programme is informed by scientific and clinical assessment of the evidence base, and is kept under review, building on lessons learned from previous outbreaks including COVID-19.
Asked by: Peter Gibson (Conservative - Darlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking to reduce the waiting times for child and adolescent mental health services in the Tees Esk Wear Mental Health Trust region.
Answered by Maria Caulfield
Through the NHS Long Term Plan, we are investing at least an additional £2.3 billion a year in expanding and transforming National Health Service mental health services by March 2024, compared to 2018/19. As part of this, an extra 345,000 more children and young people will be able to get the NHS-funded mental health support they need.
NHS England is working on implementing five new access and waiting time standards for mental health services, including one for children and their families and carers to start receiving community-based mental health care within four weeks of referral.
A consultation pilot began in Teesside in October 2023, which has allowed families to be re-directed to appropriate support, and for services to be able to reinvest time back into the backlog of assessments. The trust is currently reviewing the implementation and extension of this pilot into Durham and Darlington.
Asked by: Peter Gibson (Conservative - Darlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking to help increase the uptake of the NHS email system by optometrists.
Answered by Andrea Leadsom
NHS England is currently considering how image sharing between community optometry and secondary care could improve access to care and patient outcomes. Secure digital communications will be critical to achieving this goal, which is why NHS England is currently testing and evaluating a number of options, including the use of National Health Service mail.
Asked by: Peter Gibson (Conservative - Darlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will provide financial support to County Durham and Darlington NHS Foundation Trust to facilitate an improvement and expansion of car parking facilities at Darlington Memorial Hospital.
Answered by Andrew Stephenson
No specific fund currently exists for car parking improvements. The North East and North Cumbria Integrated Care Board (ICB), of which County Durham and Darlington NHS Foundation Trust is a partner member, received £187 million in operational capital in 2023/24, and over £566 million over the Spending Review period, which it can use for capital projects and works. This funding is prioritised by the ICB in accordance with local needs.
Asked by: Peter Gibson (Conservative - Darlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she (a) has made an assessment of the potential implications for her policies of the report of the APPG for Hospice and End of Life care entitled Government funding for hospices, published in January 2024 and (b) plans to take steps in response to the findings in that report.
Answered by Helen Whately - Shadow Secretary of State for Work and Pensions
The Department is already taking actions which will address many of the recommendations of the All-Party Parliamentary Group on Hospice and End of Life Care report.
As part of the Health and Care Act 2022, the Government added palliative care services to the list of services that an integrated care board (ICB) must commission, which will ensure a more consistent national approach and support commissioners in prioritising palliative and end of life care.
In July 2022, NHS England published statutory guidance and service specifications for commissioners on palliative and end of life care, setting out the considerations for ICBs in order to meet their legal duties. The guidance makes specific reference to commissioners defining how their services will meet population needs 24 hours a day, seven days a week.
The majority of palliative and end of life care is provided by National Health Service staff and services. However, we also recognise the vital part that voluntary sector organisations, including hospices, play in providing support to people at end of life, and their families. Most hospices are charitable, independent organisations which receive some statutory funding for providing NHS services. The amount of funding hospices receive is dependent on many factors, including what other statutory services are available within the ICB footprint. Charitable hospices provide a range of services which go beyond that which statutory services are legally required to provide. Consequently, the funding arrangements reflect this.
NHS England has developed a palliative and end of life care dashboard, which brings together all relevant local data in one place. The dashboard helps commissioners understand the palliative and end of life care needs of their local population, enabling ICBs to put plans in place to address and track the improvement of health inequalities and ensure that funding is distributed fairly, based on prevalence.
Additionally, as of April 2024, NHS England will include palliative and end of life care in the list of topics for regular performance discussions between national and regional leads. These meetings will provide an additional mechanism for supporting ICBs to continue to improve palliative and end of life care for their local population.
The Government have also provided additional funding to help deliver the one-off payments to eligible staff employed by non-NHS organisations, who employ their staff on dynamically linked Agenda for Change contracts. Organisations were able to apply for the funding and needed to show they had been negatively financially impacted by the pay deal, and that their staff are employed on dynamically linked Agenda for Change contracts.
Asked by: Peter Gibson (Conservative - Darlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she has made an assessment of the potential merits of guaranteeing the children's hospice block grant for three years.
Answered by Helen Whately - Shadow Secretary of State for Work and Pensions
No specific assessment has been made of the potential merits of ring-fencing the funding for children’s hospices, or of the potential merits of guaranteeing the children’s hospice funding for three years. Details of 2025/26 funding will, however, be confirmed in due course.
We recognise the vital part that voluntary sector organisations, including hospices, play in the availability and delivery of high-quality, personalised palliative and end of life care for people of all ages, and their loved ones.
As made clear in the Health and Care Act 2022, it is the statutory duty of integrated care boards (ICBs) to commission palliative and end of life care services in response to the needs of their population, including for children and young people.
NHS England currently supports palliative and end of life care for children and young people through the Children and Young People’s Hospice Grant. Last year, NHS England confirmed that it will be renewing the funding for 2024/25, once again allocating £25 million of funding for children’s hospices, using the same prevalence-based allocation approach as in 2022/23 and 2023/24. This prevalence-based approach ensures funding matches local need.
NHS England has worked closely with sector experts and sector representatives in establishing the current prevalence-based approach to deciding allocations, as well as in determining the proposed mechanism for continued funding in 2024/25.
Funding in 2024/25 will be distributed via ICBs, in line with National Health Service devolution. All ICBs in England will be formally notified of the distribution method to be used very shortly. The Department and NHS England hope to be able to provide the greater clarity that the sector is seeking on this important funding stream to children’s hospices, in the coming weeks.