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Written Question
NHS: Mental Health
Wednesday 24th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent assessment she has made of the effectiveness of the BALM programme.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

NHS England is currently undertaking a review of how health and wellbeing support could be delivered more effectively. As part of this review, the team will: assess NHS England’s current contracts; work with integrated care boards, National Health Service trusts, and primary care organisations to understand the scale and impact of locally provided provision; and work with system partners and stakeholders including royal colleges, the voluntary sector, and the independent sector to understand how demand for these services has changed over recent years.


Written Question
Electronic Cigarettes: Research
Wednesday 24th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

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 implications for her policies of research by Professor Martin Schwendler and Dr Chiara Herzog on changes to epithelial cells caused by vaping.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Vaping is never recommended for children, and carries the potential harms of future addiction while their lungs and brains are still developing. The health advice is clear, vapes can be an effective tool to help smokers quit, but young people and those who have never smoked should not vape, or be encouraged to vape.

As stated by Cancer Research UK, this study contributes to our understanding of e-cigarettes, also known as vapes, but does not show that e-cigarettes cause cancer. Decades of research has proven the link between smoking and cancer, and studies have so far shown that e-cigarettes are far less harmful than smoking, and can help people quit. This paper does, however, highlight that vapes are not risk-free, and so we need additional studies to uncover their potential longer-term impacts on human health.


Written Question
Electronic Cigarettes
Wednesday 24th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

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 potential merits of banning the use of vapes in (a) public spaces, (b) bars and (c) vehicles with child passengers.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Vaping can be an effective tool for adult smokers to quit smoking. However, the health advice is clear, if you don’t smoke, don’t vape, and children should never vape. This is why the Tobacco and Vapes Bill will give us powers to crack down on child friendly flavours and packaging, and to change the way vapes are displayed in shops, measures on which we will shortly consult.

Inhaling anything other than fresh air may have long term health effects. Evidence on the harm from exposure to second-hand tobacco smoke is well established and because of its carcinogenic content there is no safe level of exposure. Breathing in other people’s tobacco smoke is known to cause a range of health issues. However, there is currently no evidence to suggest that second-hand vapour causes wider health harms in the way tobacco smoke does. Therefore, the Government has no plans to introduce restrictions on where people can vape.

However, many public venues and spaces have their own policies on vaping. For example, most hospitals and public transport have banned vaping. Employers or operators of indoor spaces would be within their rights to implement policies banning the use of vapes in their premises and many do so.


Written Question
Electronic Cigarettes: Advertising
Wednesday 24th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

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 potential merits of a full advertising ban on companies promoting vaping products.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

The health advice is clear, if you don’t smoke, don’t vape and children should never vape. Advertising of vapes is already restricted by existing regulations. This includes a ban on advertising on television and radio, and through internet advertising, or commercial email. However, products can still be promoted elsewhere, such as on digital billboards.

Whilst we are not currently planning on making any further changes to the rules regarding vape advertising, we are taking action to protect children from the harms of vaping by taking new regulation making powers that can be used to limit vape flavours, how vapes are packaged, and where and how they can be displayed in retail settings. Collectively, these actions will reduce the appeal and accessibility of vapes to children, whilst ensuring vapes remain an effective smoking cessation tool for adult smokers.


Written Question
Electronic Cigarettes: Health Hazards
Wednesday 24th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

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 risk of people moving from non-nicotine to nicotine vapes.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Our health advice regarding vapes covers both non-nicotine as well as nicotine vapes, that while vaping can play a useful role in helping adult smokers to quit, non-smokers and children should never vape. The long-term health impacts of vaping are unknown, and the nicotine contained within nicotine vapes can be highly addictive.

We recognise the risk of non-nicotine vapes being used as a gateway to nicotine vapes by children. That is why the Tobacco and Vapes Bill includes new regulation making powers that will cover all vapes, nicotine as well as non-nicotine, to reduce their appeal and availability to children and non-smokers.


Written Question
Mental Health Services: Men
Wednesday 24th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether she plans to take steps to use technology to help improve (a) boys' and (b) men's mental health.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

Digitally enabled therapies and other technological innovations are already used in the provision of mental health support in England. We are building on the progress made by services in using digital approaches and remote delivery during the pandemic, to give people a greater choice in the way they access care, and to enable services to be more productive. For many people, digitally enabled support through apps or online will mean that they might receive help earlier, or in a way that is easier for them to fit into their lives.

The NHS Long Term Plan included several commitments on the use of technology in mental health, including that: 100% of mental health providers will meet required levels of digitisation; local systems will offer a range of self-management apps, digital consultations, and digitally enabled models of therapy; and that systems utilise digital clinical decision-making tools.


Written Question
Mental Health Services: Men
Wednesday 24th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

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 improve men's mental health services.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

Between 2018/19 and 2023/24, National Health Service spending on mental health has increased by £4.7 billion in cash terms, as compared to the target of £3.4 billion in cash terms set out at the time of the Long Term Plan. Almost £16 billion was invested into mental health in 2022/23, enabling 3.6 million people, including men, to be in contact with mental health services, a 10% increase on the previous year.

In addition, our campaign on dealing with loneliness as part of the Better Health: Every Mind Matters campaign, encouraged people, including men, to reach out and support others who may be feeling lonely, helping themselves to also feel more connected. We will continue to work across the Government and with our Tackling Loneliness Network to explore how we can support further action to tackle men’s loneliness.


Written Question
Mental Health: Men
Wednesday 24th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

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 men identify poor mental health symptoms.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

Between 2018/19 and 2023/24, National Health Service spending on mental health has increased by £4.7 billion in cash terms, as compared to the target of £3.4 billion in cash terms set out at the time of the Long Term Plan. Almost £16 billion was invested into mental health in 2022/23, enabling 3.6 million people, including men, to be in contact with mental health services, a 10% increase on the previous year.

In addition, our campaign on dealing with loneliness as part of the Better Health: Every Mind Matters campaign, encouraged people, including men, to reach out and support others who may be feeling lonely, helping themselves to also feel more connected. We will continue to work across the Government and with our Tackling Loneliness Network to explore how we can support further action to tackle men’s loneliness.


Written Question
Electronic Cigarettes
Tuesday 23rd April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether she plans to develop vaping cessation programmes.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Vaping can be an effective tool for adult smokers to quit smoking. However, the health advice is clear, if you don’t smoke, don’t vape, and children should never vape. We are concerned about the worrying rise in vaping among children, with youth vaping tripling in the last three years, and one in five children having now used a vape.

Whilst anyone smoking should focus on giving up cigarettes before giving up vaping, giving up vaping is an important step in overcoming nicotine dependence. We are working with the NHS Better Health website to provide advice for people who want to quit vaping. The National Centre for Smoking Cessation and Training has produced guidance for local Stop Smoking Service staff on how best to support vapers to quit. We are also exploring further ways to support people to quit vaping, as part of the national Swap to Stop programme.


Written Question
Pharmacy: ICT
Tuesday 23rd April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will take steps to monitor the number of GP appointments that are freed up as a result of Pharmacy First.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Pharmacy First was launched on 31 January 2024, and as the service embeds, we will monitor and evaluate the service and keep the conditions covered by Pharmacy First under review, but it is too early to consider expanding the clinical pathways.

In the Delivery plan for recovering access to primary care, we estimated that Pharmacy First, together with the expanded blood pressure check and contraception service, once fully scaled, could remove up to 10 million general practice (GP) appointments. We are monitoring the number of Pharmacy First consultations in community pharmacy but it is not possible to monitor the number of GP appointments Pharmacy First frees up. However, we know that Pharmacy First will enable GPs to see patients with more complex needs quicker.

Since 2019, GPs and their teams have already been referring patients to community pharmacies for minor illnesses and Pharmacy First builds on this. NHS England has engaged with GPs during the development and launch of Pharmacy First and Community Pharmacy England has launched a dedicated website for GPs supporting them with Pharmacy First referrals.

Pharmacies are not paid an establishment grant. Contractors who have signed up to deliver Pharmacy First received a £2,000 set-up fee, they receive £15 per consultation and £1,000 for each month they reach an agreed minimum number of consultations. Funding for community pharmacies, including the funding for Pharmacy First, is expected to pay for all their costs in providing the service. There are no delays to Pharmacy First payments. All payments are made in line with the usual schedule of payments.

The statutory National Minimum Wage and National Living Wage is based on advice of the Low Pay Commission, which takes into account the impact on business and the wider economy, as well as the living standards of workers.