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 ensure effective collaboration between early intervention services for babies with neurodevelopmental conditions.

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

The Healthy Child Programme is the national public prevention and early intervention health framework for babies, children, and young people. Health visitors are specialist community public health nurses who lead the Healthy Child Programme from preconception to five years old. They deliver evidence-based interventions, which include five mandated reviews: antenatal; approximately two weeks after birth; six to eight weeks after birth; at one years old; and at two to two and a half years old. These include reviews of development and growth. Where a baby or child has special education needs or vulnerabilities, health visitors work in partnership with other professionals and families, to respond to health and care needs.

The Government is also investing approximately £300 million to improve support for families though the Family Hubs and Start for Life programme. The programme is implementing many elements of the Government’s Best Start for Life Vision which was published in March 2021, and is delivering a step change in outcomes for babies, children, and their parents and carers in 75 local authorities in England, including those with high levels of deprivation. Many local authorities without funding have also chosen to implement elements of the vision.

Family hubs offer support to families from conception to two years old, and provide services for children of all ages, from zero to 19 years old, or zero to 25 years old for families with children who have special educational needs and disabilities. Family hubs are a way of joining up locally to improve access to services, the connections between families, professionals, services, and providers, and prioritise strengthening the relationships that carry us all through life. They bring together services for children of all ages, with a great Start for Life offer at their core.

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 preparedness of intensive care services for a future pandemic.

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

The Department continues to plan and prepare for a range of pandemic and emerging infectious disease scenarios, including those caused by respiratory contact, both influenza and non-influenza, and vector-borne pathogens, building on lessons learned from exercises and incidents, including the COVID-19 pandemic. The Department working with health and care partners is strengthening pandemic preparedness by considering the flexible and scalable response capabilities that can be adapted to any threat that the health and social care system needs.

This includes intensive care capacity that will continue to be an integral part of National Health Service resilience and pandemic planning. The urgent and emergency care recovery plan this year sought to strengthen capacity within the acute bed base, with 5,000 additional permanent staffed core general and acute beds delivered, compared to planned 2022/23 levels. Our preparedness also includes considering the medicines and other supporting products for intensive care services in a pandemic.

Question to the Foreign, Commonwealth & Development Office:

To ask the Minister of State, Foreign, Commonwealth and Development Office, what discussions he has had with his US counterpart on visa controls at the US temporary sea port into Gaza.

Answered by Andrew Mitchell - Minister of State (Foreign, Commonwealth and Development Office) (Minister for Development)

I have not discussed the specific issue of visa controls at the planned temporary pier with my US counterpart. The UK Government is in regular contact with partners, including Cyprus, the US, UAE and others, about a range of operational matters with regard to the proposed maritime corridor, including planning efforts to establish the temporary pier.

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 provide public health warnings over the risk to (a) people and (b) animals of entering rivers into which sewage has been released.

Answered by Robbie Moore - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)

The Government directed water companies to increase their storm overflow monitoring in 2013 and achieved 100% event duration monitoring (EDM) coverage before the end of 2023. EDM data shows when storm overflows are discharging, and how long discharges have lasted for. The wealth of data collected from these monitors will ensure that we know the full extent of the problem – increasing transparency, revealing the worst-offending overflows, and enabling regulators to hold polluters to account.

In addition, the Environment Agency takes over 7,000 samples each year at England’s 424 designated bathing waters, which are used to determine the annual bathing water classifications. These classifications are displayed on signage at bathing waters and online on the Environment Agency’s Swimfo website, to allow bathers to make informed decisions before entering the water. If there is a pollution incident, a notification is posted on the Swimfo website and on signage at the bathing water. Throughout the bathing season, the Environment Agency makes daily pollution risk forecasts for a number of bathing waters, where water quality may be temporarily reduced due to factors such as heavy rainfall, wind or the tide. When a temporary reduction in water quality is forecast, the Environment Agency issues a pollution risk warning and advice against bathing, enabling bathers to avoid times or locations where the risk of pollution is higher than normal and health risks from bathing may be higher than the annual classification suggests. To reduce risk to health from bathing waters, the UK Health Security Agency and the Environment Agency offer advice in their ‘Swim Healthy’ guidance, which is available to read before making any decision on swimming.

Question to the Department for Environment, Food and Rural Affairs:

To ask the Secretary of State for Environment, Food and Rural Affairs, if he will take steps to move water companies that do not restrict sewage spills under an operator of last resort.

Answered by Robbie Moore - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)

There is no operator of last resort for water companies. Ofwat monitors the performance and financial position of all water companies and publishes results on these annually. Ofwat will take action when water company performance is not at the level Government expect, or if their investors need to strengthen their long-term financial resilience.

This Government is holding the water industry to account on a scale never seen before. We have legislated to introduce unlimited penalties on water companies who breach their environmental permits and expand the range of offences to which penalties can be applied. Furthermore, on 20 February, the Government and Environment Agency (EA) announced that they will quadruple the number of water company inspections to crack down on poor performing companies.

We will continue to hold water companies to account and if there are illegal breaches of permits, the regulators will not hesitate to take robust action.

Question to the Home Office:

To ask the Secretary of State for the Home Department, what information his Department holds on the most common crimes that take place at community pharmacies.

Answered by Chris Philp - Minister of State (Home Office)

The Home Office holds data on the number of offences recorded by the police in England and Wales, and collects and publishes data on crime affecting commercial business premises, including retail premises, in England and Wales as part of the Commercial Victimisation Survey.

Neither data source provides the level of detail necessary to identify crimes that take place in community pharmacies.

The Commercial Victimisation Survey provides the most reliable estimate of crime impacting wholesale and retail premises in England and Wales. The most recent available data, for the year 2022, is available online:

https://www.gov.uk/government/statistics/crime-against-businesses-findings-from-the-2022-commercial-victimisation-survey.

The National Business Crime Centre has published guidance containing practical advice to help pharmacies identify risks and prevent crime, the guidance is published here: Pharmacies October 22.pdf (nbcc.police.uk).

Question to the Department for Education:

To ask the Secretary of State for Education, what steps she is taking to ensure that her Department works with (a) local authorities and (b) the Department of Health and Social Care to provide joined up services for children with SEND.

Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)

Local authorities already have existing statutory responsibilities to develop, publish and review the special educational needs and disabilities (SEND) local offer, to ensure that the range of provision and services available in their local area are sufficient and well suited to the needs of children with SEND.

In the SEND and Alternative Provision (AP) Improvement Plan, the department have committed to establishing new local SEND and AP partnerships, convened by the local authority, that will bring together local partners to strategically plan and commission support for children and young people with SEND and AP. SEND and AP partnerships are a collaborative network of individuals, including health commissioners and education providers, who are working together to strategically plan SEND services. They will be underpinned by strengthened accountabilities and improved use of data for all those responsible for local delivery.

Moreover, the department has established a steering group to oversee a joint Department for Education and Department of Health and Social Care approach to SEND workforce planning. This feeds into the National SEND and AP Implementation Board and aims to be complete by 2025. The work will build on the NHS Long Term Workforce Plan published in June 2023, 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.

The Improvement Plan also committed to the Change Programme which was launched in September 2023, and is testing key SEND and AP reforms with 32 local authorities in each of the 9 regions. The department, working with its Delivery Partner, Reaching Excellence and Ambition for all Children (REACh), are providing these local authorities with ‘boots on the ground’ support for the testing of these reforms. We are also running a live feedback loop that is providing early insights into how the reforms and supporting documents are working and identifying required changes.

Question to the Department for Education:

To ask the Secretary of State for Education, whether she has made an assessment of the potential merits of using nurture teaching methods in classrooms.

Answered by Damian Hinds - Minister of State (Education)

Every state-funded school must offer a broad and balanced curriculum which supports every child to fulfil their potential. The department encourages schools to deliver this using effective and evidence-based teaching practices, drawing on resources such as the Education Endowment Foundation’s Teaching and Learning Toolkit.

The department does not endorse any one approach to behaviour management over another and it trusts school leaders to develop policies which reflect their school’s individual needs. The department’s ‘Behaviour in Schools’ guidance focuses on helping schools to establish calm, safe and supportive environments by creating positive cultures which work for everyone.

Question to the Department for Education:

To ask the Secretary of State for Education, what steps she is taking to ensure that local authorities are more involved in the delivery of (a) education and (b) health services for children with SEND.

Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)

Local authorities already have existing statutory responsibilities to develop, publish and review the special educational needs and disabilities (SEND) local offer, to ensure that the range of provision and services available in their local area are sufficient and well suited to the needs of children with SEND.

In the SEND and Alternative Provision (AP) Improvement Plan, the department have committed to establishing new local SEND and AP partnerships, convened by the local authority, that will bring together local partners to strategically plan and commission support for children and young people with SEND and AP. SEND and AP partnerships are a collaborative network of individuals, including health commissioners and education providers, who are working together to strategically plan SEND services. They will be underpinned by strengthened accountabilities and improved use of data for all those responsible for local delivery.

Moreover, the department has established a steering group to oversee a joint Department for Education and Department of Health and Social Care approach to SEND workforce planning. This feeds into the National SEND and AP Implementation Board and aims to be complete by 2025. The work will build on the NHS Long Term Workforce Plan published in June 2023, 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.

The Improvement Plan also committed to the Change Programme which was launched in September 2023, and is testing key SEND and AP reforms with 32 local authorities in each of the 9 regions. The department, working with its Delivery Partner, Reaching Excellence and Ambition for all Children (REACh), are providing these local authorities with ‘boots on the ground’ support for the testing of these reforms. We are also running a live feedback loop that is providing early insights into how the reforms and supporting documents are working and identifying required changes.

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 ensure specialist neurotherapy for babies with neurodevelopmental conditions is accessible through the NHS.

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

We are not taking such specific steps, as diagnosis of a neurodevelopmental disorder would typically be in children and adults but not babies.

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, what assessment has he made of the potential merits of taking a nurturing and trauma-informed approach to people with mental health challenges who are not in employment.

Answered by Mims Davies - Minister of State (Department for Work and Pensions)

The DWP is proudly committed to becoming a more Trauma Informed organisation. The potential merits of the adoption of the Trauma Informed Approach into DWP services, will benefit all customers including those with mental ill health who are unemployed. Adopting the principles of the approach into the core of our business will help us to ensure that anyone interacting with our services feels as safe, empowered and understood as possible; this will underpin our ongoing commitment to compassionate coaching and tailored services.

We have a dedicated programme which will integrate the six key pillars of the approach as defined by the Office for Health Improvements and Disparities (December, 2022) which are safety, trustworthiness, choice, empowerment, collaboration and cultural consideration. Our programme looks at these six pillars within the contexts of application to our colleagues, our customers, our culture, and the context of our interaction- whether that is a physical, telephony, digital or postal interaction. There is significant emphasis within the design of the programme regarding what more can be done to prevent trauma and re-traumatisation for both our customers and our colleagues. We are learning from best practice demonstrated by organisations such as NHS Education Scotland, Work Services Australia and the Wales ACES Hub to shape the future prioritisation of this work.

When developing policies, the Department routinely carries out assessments against the Public Sector Equality Duty to ensure that due regard is given to our responsibilities under the Equality Act 2010.

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, what steps his Department is taking to ensure that obligations under the Equalities Act 2010 are taken into account when developing policies on support for people with mental health challenges.

Answered by Mims Davies - Minister of State (Department for Work and Pensions)

The DWP is proudly committed to becoming a more Trauma Informed organisation. The potential merits of the adoption of the Trauma Informed Approach into DWP services, will benefit all customers including those with mental ill health who are unemployed. Adopting the principles of the approach into the core of our business will help us to ensure that anyone interacting with our services feels as safe, empowered and understood as possible; this will underpin our ongoing commitment to compassionate coaching and tailored services.

We have a dedicated programme which will integrate the six key pillars of the approach as defined by the Office for Health Improvements and Disparities (December, 2022) which are safety, trustworthiness, choice, empowerment, collaboration and cultural consideration. Our programme looks at these six pillars within the contexts of application to our colleagues, our customers, our culture, and the context of our interaction- whether that is a physical, telephony, digital or postal interaction. There is significant emphasis within the design of the programme regarding what more can be done to prevent trauma and re-traumatisation for both our customers and our colleagues. We are learning from best practice demonstrated by organisations such as NHS Education Scotland, Work Services Australia and the Wales ACES Hub to shape the future prioritisation of this work.

When developing policies, the Department routinely carries out assessments against the Public Sector Equality Duty to ensure that due regard is given to our responsibilities under the Equality Act 2010.

Question to the Department for Environment, Food and Rural Affairs:

To ask the Secretary of State for Environment, Food and Rural Affairs, whether he has made an assessment of the potential merits of infrastructure in preventing sewage releases into rivers.

Answered by Robbie Moore - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)

Through the Government’s Storm Overflows Discharge Reduction Plan, we have set stringent targets for water companies to reduce the use of storm overflows, driving the largest infrastructure programme in water company history of £60 billion over 25 years. We expect water companies to utilise a natural capital approach, considering carbon reduction and biodiversity net gain, as well as catchment level and nature-based solutions in their planning where possible.

Water company investment in environmental improvements has been scaled up to £7.1 billion over the period 2020 – 25. This includes £3.1 billion invested in storm overflow improvements specifically. Moreover, we expect water companies to use the next five-year Price Review period (2025-2030) to set bold and ambitious plans that deliver for people and the environment.

On 11 March, the Government announced additional fast-tracked investment of £180m over the next 12 months into improving sewer infrastructure. This is expected to prevent more than 8000 sewage spills polluting English waterways.

Question to the Department for Transport:

To ask the Secretary of State for Transport, what progress his Department has made on implementing its nine-point plan in relation to P&O ferries since July 2022.

Answered by Guy Opperman - Parliamentary Under-Secretary (Department for Transport)

The Government has made substantial progress in implementing the Nine Point Plan. This includes:

· Bringing in the Seafarers’ Wages Act, which will ensure that those working on ships operating a regular international service from the UK are paid at least an equivalent to the National Minimum Wage while in UK waters. This will help to reduce the financial benefit of employing seafarers from far afield on worse terms and conditions. The Act is expected to come into force in the summer alongside French legislation which together will form a minimum wage corridor across the Dover strait, backed by law on both sides.· Introducing a statutory Code of Practice to address ‘fire and rehire’ practices, aiming to ensure employees are properly consulted and treated fairly. Employment tribunals will be able to increase employee compensation by 25% if an employer unreasonably fails to comply.· Launching the Seafarers’ Charter, with Brittany Ferries, Condor, DFDS, Stena Line and now P&O Ferries committing to work towards meeting its requirements. These include paying seafarers at least an equivalent to the national minimum wage throughout their engagement, having 2 week on / 2 week off tours of duty as a baseline on high-intensity routes, and providing adequate training and development opportunities.

We continue to work to improve seafarer welfare in the UK and around the world.

Question to the Department for Transport:

To ask the Secretary of State for Transport, what recent discussions he has had with representatives of shipping companies on the working conditions of seafarers.

Answered by Guy Opperman - Parliamentary Under-Secretary (Department for Transport)

Seafarer welfare is a priority for the Government and Ministers regularly discuss this with maritime stakeholders. Most recently, on 19 March Lord Davies met the Chief Executive of Brittany Ferries, one of the five major international ferry companies operating from the UK that has committed to working towards meeting the requirements of the Seafarer’s Charter.

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 ensure that (a) medical physicists and (b) clinical engineers have adequate access to advanced (a) radiotherapy and (b) other relevant equipment in hospitals.

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

The Government and NHS England work closely together to ensure that staff have access to appropriate equipment, to ensure that cancer patients can receive high quality radiotherapy treatment across England. This includes supporting advances in radiotherapy, using cutting-edge imaging and technology to help target radiation doses at cancer cells more precisely.

The Government has invested in the latest technology in radiotherapy, ensuring that every radiotherapy provider had access to modern, cutting-edge radiotherapy equipment, enabling the rollout of new techniques like stereotactic ablative radiotherapy. The total central investment made between 2016 and 2021 was £162 million, and enabled the replacement or upgrade of approximately 100 radiotherapy treatment machines. Since April 2022, the responsibility for investing in new radiotherapy machines has sat with local systems. This is supported by the 2021 Spending Review, which set aside £12 billion in operational capital for the National Health Service from 2022 to 2025.

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 potential impact of the age demographic on the workforce for (a) medical physics and (b) clinical engineering.

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

No assessment has been made. The NHS Long Term Workforce Plan sets out future National Health Service workforce requirements and includes healthcare science figures, though this is not broken down into Medical Physics and Clinical Engineering workforce targets. The plan assesses that education and training places for healthcare scientists need to increase by 20 to 34%, reaching 930 to 1,039 places by 2033/34. The ambition set out in this plan is to increase training places for healthcare scientists by 32%, to over 1,000 places by 2031/32. We will work towards achieving this ambition by increasing training places by 13%, to over 850 places by 2028/29.

The workforce plan also sets out the ambition to retain up to 130,000 more staff across the NHS over the next 15 years, through measures to improve staff’s experience of working in the NHS. This applies to all NHS staff groups, including medical physicists and clinical engineers.

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 workforce requirements for (a) babies and (b) children with neurodevelopmental conditions.

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

No recent assessments have been made. We are working closely with the Department for Education to ensure that children and young people with Special Educational Need and Disability (SEND) receive the right support, in the right place, at the right time.

We are taking forward work to better understand the health needs of children and young people with SEND so that these needs can be better met as we plan what workforce we need. A research commission from the National Institute for Health and Care Research to understand the demand for therapists for children with SEND was issued January 2024.

In June 2023, we published the NHS Long Term Workforce Plan (LTWP) which sets out the steps the National Health Service 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 LTWP applies to all workforce groups, including those working with babies and children with neurodevelopmental conditions.

The modelling NHS England has used in the plan is founded on data, evidence and analysis and provides a set of broad ranges to measure the potential impact of actions over its 15-year timeframe. We have committed to refreshing the modelling that underpins the plan every two years or in line with fiscal events.

Question

To ask the Member for South West Bedfordshire, representing the Church Commissioners, whether the Commissioners have had discussions with the Department of Work and Pensions on the potential impact of the migration of claimants of Child Tax Credit to Universal Credit on the financial position of members of the clergy.

Answered by Andrew Selous - Second Church Estates Commissioner

The Ministry Development Team of the Archbishops’ Council estimates that around 1,800 clergy families are currently in receipt of child tax credits. As has been reported, some of these may stand to lose up to £10,000 a year as a result of the planned migration to Universal Credit.

Representations have been made to the Department of Work and Pensions about the impact on clergy who have savings or property for retirement, of the ineligibility for Universal Credit for those with assets or savings over the £16,000 threshold. A key concern is that this will not only affect living standards for clergy families reliant on stipendiary income but will have an adverse effect on all people in tied accommodation seeking to make adequate provisions for their retirement.

The Ministry Development Team also estimates that around 400 of the 1,800 clergy families receiving child tax credits have more than two children and are therefore also likely to be affected by the two-child cap on Universal Credit.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will undertake an audit of NHS equipment used in radiotherapy treatments.

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

Since April 2022, the responsibility for investing in new radiotherapy machines has sat with local systems. Consequently, the Department has no plans to audit National Health Service equipment used in radiotherapy treatments.

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 implications for her policies of the Scottish Government's publication entitled Healthcare Science in Scotland: Defining Our Strategic Approach, published on 14 March 2024, and if she will make an assessment of the potential merits of establishing a similar strategy for England.

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

The Department has not made an assessment of the publication, Healthcare Science in Scotland: Defining Our Strategic Approach. NHS England published the NHS Long Term Workforce Plan in June 2023, which sets out future National Health Service workforce requirements for England, including with respect to healthcare scientists.

The plan assesses that education and training places for healthcare scientists need to increase by 20 to 34%, reaching between 930 to 1,039 places by 2033/34. The ambition set out in this plan is to increase training places for healthcare scientists by 32%, to over 1,000 places by 2031/32. We will work towards achieving this ambition by increasing training places by 13%, to over 850 places, by 2028/29.

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 reviewing the modernising scientific careers framework for (a) medical physicists, (b) clinical engineers and (c) clinical scientists.

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

The curriculum underpinning the Modernising Scientific Careers framework has been recently reviewed. Undergraduate level training, known as the Practitioner Training Programme, now has the Practitioner Training Programme Principles. This means there is now far more flexibility when Higher Education Institutes design new, or develop existing, courses. The postgraduate level training for clinical scientists, known as the Scientist Training Programme, has been substantially reviewed. The professions had considerable input into the rewriting of the curricula. The first cohort of trainees started the new curriculum in September 2022. This includes all Medical Physics and Clinical Engineering specialisms.

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, what steps he is taking to ensure his Department's (a) policy and (b) other staff have comprehensive training in mental health.

Answered by Paul Maynard - Parliamentary Under-Secretary (Department for Work and Pensions)

DWP is actively taking steps to increase staff capability and raising awareness of the mental health difficulties that may be experienced by our customers, ensuring they can be directed to further support at any stage of the claimant journey.

We continually review our learning alongside external experts and psychologists to enhance the mental health training offer. The learning is mandatory and aims to help our colleagues better support claimants who may present with mental health issues/unexpected behaviour by exploring their impact on customers, the steps needed to build relationships and learning how to respond appropriately to customers’ needs.

All colleagues in customer contact roles will receive this learning by March 2025, and the learning is included in new entrant learning for colleagues in these roles. As of the end of February 2024, we have delivered the learning to 62,291 colleagues, with a further 20,399 colleagues due to receive the learning before the rollout is completed.

All DWP colleagues have access to support and resources relating to mental health.

Question to the Department for Education:

To ask the Secretary of State for Education, what steps she is taking to help reduce the use of out of area residential accommodation for children with additional needs.

Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)

The needs of the child are paramount when deciding the right care placement. Though the department wants to reduce out of area placements, sometimes circumstances make it the right decision for a child to be placed elsewhere, for example when they are at risk from domestic abuse, sexual exploitation, trafficking or gang violence.

Moving a child away is not a decision to be taken lightly, and there are legislative safeguards around this. Directors of Children’s Services are required to sign off each such decision, and Ofsted can challenge where they believe poor decisions are being made. This is to encourage local authorities to place children locally wherever possible.

The department recognises, however, that there are issues in the placement market, which is why the department has announced over £400 million in capital funding to help local authorities create more beds in their local areas. This will help create 560 additional placements across England.

The department is also investing £36 million this parliament to deliver a fostering recruitment and retention programme so that foster care is available for more children who need it. This will boost approvals of foster carers, as well as taking steps to retain the carers already in place.

Question to the Department for Education:

To ask the Secretary of State for Education, what progress her Department has made on ending the use of unregulated accommodation for children.

Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)

Every child growing up in care should have a stable, secure environment where they feel supported. In October 2023, the department introduced The Supported Accommodation (England) Regulations 2023. These regulations set out national standards that are required to be met for semi-independent accommodation, now known as ‘supported accommodation’, regulated against by Ofsted. This means for the first time all provision offering care and support for under-18s is required to be registered and regulated with Ofsted.

The national standards will ensure that supported accommodation provision is more consistently of the high quality that the department expects, delivering lasting change for children in care and care leavers. The regulations also empower Ofsted to take action against poor quality and unregistered providers.

Introduction of the standards was part of a programme of reforms to drive up quality and improve consistency within previously unregulated accommodation provision. The reforms also included the prohibition of children aged under 16 being placed in independent or semi-independent accommodation from 9 September 2021.

Question to the Department for Education:

To ask the Secretary of State for Education, if she will have discussions with Ofsted on steps it is taking to (a) take account of and (b) reward inclusion of children and young people when inspecting residential holiday schemes for disabled children.

Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)

Ofsted currently inspects residential holiday schemes for disabled children against the Social Care Common Inspection Framework (SCCIF). The department also publishes the Residential Holiday Schemes for Disabled Children National Minimum Standards. All settings should ensure they satisfy these standards. They include child focussed standards that promote inclusive behaviours. The department will have discussions with Ofsted to ensure the National Minimum Standards remain appropriate for these settings and allow inclusion to be considered appropriately in inspections of residential holiday schemes for disabled children.

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, what training (a) he has and (b) other Ministers in his Department have had in mental health literacy.

Answered by Paul Maynard - Parliamentary Under-Secretary (Department for Work and Pensions)

Ministers are not required to undertake specific mental health literacy training.

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 ensure patients diagnosed with Parkinson's disease receive an appointment with a specialist within six weeks.

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

The National Institute for Health and Care Excellence’s (NICE) guidance, Parkinson’s disease: Diagnosis and management in primary and secondary care, updated in 2017, sets out best practice for clinicians in the identification and treatment of Parkinson’s disease in line with the latest available evidence. The guidance states that if Parkinson’s disease is suspected, people should be referred quickly and without treatment to a specialist with expertise in the differential diagnosis of this condition.

We expect integrated care boards (ICBs) and National Health Service trusts to have due regard to relevant NICE guidelines. It is the responsibility of ICBs to make available the appropriate provision to meet the health and care needs of their local population, in line with these NICE guidelines.

More generally, cutting waiting lists is one of the Prime Minister’s top priorities. We are making good progress on tackling the longest waits, to ensure patients get the care they need when they need it. Ambitions to eliminate long waits were set out in the elective recovery plan, with the overall aim of eliminating waits of over a year for elective care, by March 2025.

To facilitate this across elective services, we are increasing activity, with plans to spend more than £8 billion from 2022/23 to 2024/25. This includes expanding capacity through the creation of a new network of community diagnostic centres, and maximising all available independent sector capacity.

Question to the Department for Levelling Up, Housing & Communities:

To ask the Secretary of State for Levelling Up, Housing and Communities, if he will make an assessment of the potential impact of the cost of maintaining (a) city walls and (b) city walls that people can walk around on the availability of local authority funding for other services.

Answered by Simon Hoare - Parliamentary Under Secretary of State (Department for Levelling Up, Housing and Communities)

The cultural significance of York City Walls is recognised nationally through the designation of many sections as Listed Buildings or Scheduled Monuments, yet their maintenance remains the responsibility of their owners.

The final Local Government Finance Settlement for 2024-25 makes available up to £64.7 billion, an increase in Core Spending Power of up to £4.5 billion or 7.5% in cash terms on 2023-24. This is an above-inflation increase.

For York this represents an increase in Core Spending Power of up to £11.32 million or 7% – making available a total of up to £172.5 million in 2024-25.

The majority of the funding provided through the Local Government Finance Settlement is unringfenced and local authorities are able to spend the money as most appropriate for their local area, according to local priorities.

Question to the Department for Levelling Up, Housing & Communities:

To ask the Secretary of State for Levelling Up, Housing and Communities, what steps he is taking to increase potential opportunities for planting in National Planning Policy Framework street design.

Answered by Lee Rowley - Minister of State (Minister for Housing)

The National Planning Policy Framework makes clear that trees have an important role to play in the design of new development, not only to improve the character and quality of our urban environment but also to help address the challenges of climate change. The Framework therefore encourages that tree planting is incorporated in new developments, including as part of street design, and that their long-term maintenance is secured.

Question to the Ministry of Justice:

To ask the Secretary of State for Justice, whether he has made an assessment of the potential merits of moving children from youth offenders institutes into secure children homes.

Answered by Edward Argar - Minister of State (Ministry of Justice)

The youth secure estate currently has three distinct types of establishments: young offender institutions (YOIs), secure training centres and secure children’s homes (SCHs). We will also open a Secure School this spring, which is also a registered SCH. This enables the Youth Custody Service (YCS) to make placements that are best suited to the needs of the individual child or young person. SCHs accommodate boys and girls aged between 10 and 17 who have complex needs. These placements can be made by local authorities. In addition, children and young people who have been sentenced or remanded to custody may be placed by the YCS in eight of the 14 SCHs in England and Wales. A SCH can decline to accept a placement if it feels it is not able to meet the needs of the individual child, or if accepting the placement would inhibit its ability to meet the needs of other children already accommodated at the home.

The YCS Placement Team considers each child’s placement on a case-by-case basis. It reviews information provided by the child’s Youth Offending Team, looking at the child’s needs, as well as any possible risks to, or originating with the child. The team will also try to consider geographical location and proximity to home as part of their decision making, though other factors may take precedence in terms of decision making. This evidence, together with the child’s immediate presentation following the court appearance, is considered in order to identify a placement that will meet the best interests of the child.

Children and young people are likely to be more suited to one type of accommodation than another. For example, a SCH placement could be more suitable for children with a lower level of maturity, or with complex needs that require a higher level of support; a YOI placement might be considered appropriate where the young person has been observed to pose a risk towards peers and/or members of staff, or needs to access a specific programme or programmes provided at the YOI.

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 bringing forward further policies to help reduce the (a) sugar, (b) fat and (c) salt content in diets.

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

Restrictions on the advertising and volume price promotions, such as buy-one-get-one free or three for £2 offers, for less healthy foods will come into force on 1 October 2025. The advertising legislation will lead to the introduction of a 9:00pm television watershed and restrict paid-for advertising of less healthy products online, United Kingdom wide.

Impact assessments already published for these measures show that the volume price promotions restrictions are expected to accrue health benefits of £2 billion, and National Health Service savings of £180 million over 25 years. The advertising restrictions are expected to deliver health benefits of £2 billion, and NHS savings of £50 million over the next 100 years.

Voluntary guidelines to reduce levels of sugar and salt in, and improve the labelling of, commercial baby food and drink aimed at those aged up to 36 months old, are currently being finalised and will be published in the spring.

Businesses are being given until the end of 2025 to deliver the sugar and calorie reduction targets through the voluntary reformulation programme. These targets were due to be delivered earlier than this, but businesses have been given additional time because of the impacts of the COVID-19 pandemic on the food system. The Government will continue to monitor this area, but will explore other levers if progress is not made. Through the sugar reduction workstream of the overarching reformulation programme, between 2015 and 2020 reductions in sugar levels were delivered in breakfast cereals, yogurts, and pre-packed flavoured milk based drinks of 14.9%, 13.5%, and 29.7%, respectively.

Discussions are also underway to establish a Food Data Transparency Partnership (FDTP). This is a multi-year partnership between the Government, industry, and civil society to improve access to, and the availability of, data to build consistent reporting requirements for businesses on key health and sustainability objectives.

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 increasing the number of plasma donation points.

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

NHS Blood and Transplant (NHSBT) are responsible for plasma collection in England. There are currently three plasma specific donation centres in Birmingham, Reading, and Twickenham. NHSBT will increase the number of plasma collection points over the coming years, and are currently assessing the optimum locations for this new capacity.

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 implications for her policies of trends in the level of obesity; and what steps her Department is taking to help tackle obesity.

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

The Government is delivering a wide range of measures to reduce the numbers of both adults and children who are overweight, or living with obesity. To date this includes legislative measures to limit the advertising, and location and price promotion, of less healthy products, and to ensure calorie levels are provided on menus when eating out of the home. Impact assessments for the legislated measures suggest there will be substantial health benefits, as well as savings to the National Health Service, accrued.

We have seen important successes through the Soft Drinks Industry Levy (SDIL), which between 2015 and 2020 has seen sugar levels reduced by 46% in, and over 46,000 tonnes of sugar removed from, products in scope of the levy. Data from the National Diet and Nutrition Survey from 2019 shows that sugar intakes have fallen for some age groups. In older children and adolescents, this appears to be partly driven by soft drinks contributing less to sugar intakes, likely as a result of the changes made to drinks included in the SDIL. Further information from the survey is available at the following link:

https://www.gov.uk/government/statistics/ndns-results-from-years-9-to-11-2016-to-2017-and-2018-to-2019

A paper on the association of obesity in primary school children and the SDIL suggests that the reduction in the sugar content of soft drinks delivered by the SDIL could have prevented up to 5,000 cases of obesity in girls in the last year of primary school. Reductions were greatest in girls who attended schools in the 40% of the most deprived areas. Further information from the paper is available at the following link:

https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1004160

The voluntary reformulation programme requires businesses reduce levels of sugar, salt, and calories in everyday food and drink. Levels of sugar have reduced in breakfast cereals, yogurts, and pre-packed milk-based drinks by 15%, 13.5%, and 29.7% respectively, between 2015 and 2020. Levels of salt have reduced in some products by 20%.

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 potential merits of taking steps to create a vape-free generation.

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

Smoking is the number one cause of ill-health, disability, and death, responsible for approximately 80,000 deaths a year in the United Kingdom, causing around one in four cancer deaths. It costs our country £17 billion a year, and puts a huge burden on the National Health Service. There is no more dangerous product that is legally sold in our shops than tobacco, a product that will kill two thirds of its users.

The health advice on vaping is clear, vaping can play a role in helping adult smokers to quit, but if you don’t smoke, don’t vape. Vaping should never be used by, or targeted at, children, especially given the highly addictive nature of nicotine.

This is why we have announced strong measures to reduce the appeal, availability, and affordability of vapes to children, whilst ensuring that vapes remain an available quit aid for adult smokers. We will also ban the sale and supply of disposable vapes, which are clearly linked to the recent rise in vaping in children.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether she has had recent discussions with the food and drink sector on taking steps to provide healthy alternatives to products that are high in (a) fat, (b) sugar and (c) salt.

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

Discussions have been held by officials with the food and drink sector on taking steps to provide healthier alternatives to products that are high in salt since 2004, high in sugar since 2014, and high in calories since 2017. Provision of healthier alternatives to products that are high in saturated fat have been part of those discussions.

My Rt hon. Friend, the Secretary of State for Health and Social Care meets regularly with external stakeholders on a variety of issues. These ministerial meetings are routinely published on a quarterly basis in arrears on the GOV.UK website. However, my Rt hon. Friend, the Secretary of State for Health and Social Care will recuse herself on departmental issues relating to outside interests, all of which have been declared to the House and under the Ministerial Code.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to the research article by University College London entitled Cigarette smoking and e-cigarette use induce shared DNA methylation changes linked to carcinogenesis, published on 19 March 2024, if she will ban advertising for vapes.

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

The Government’s position on vaping remains unchanged, if you don’t smoke, don’t vape, and children should never vape. Studies are important in helping to better understand the long-term health risks associated with vaping, but the mentioned study, that was carried out by University College London, corroborated by Cancer Research UK, does not demonstrate a causal relationship between vaping and cancer.

Overall, studies on the effects of vaping have so far shown that vapes are less harmful than smoking and can help people quit, although the long-term risks are unknown. Vaping is never recommended for children, and carries potential harms of future addiction while their lungs and brains are still developing. There is a lack of research on the potential long-term harms from vaping, and we are exploring future opportunities with the United Kingdom’s research councils.

Otherwise, I refer the hon. Member to the answer I gave on 6 February 2024 to Question 12629, as our position on the advertising of vapes remains unchanged.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether she has commissioned research into cellular changes in lung tissue for those who vape to assess the risks of future cancer.

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

The Government’s position on vaping remains unchanged, if you don’t smoke, don’t vape, and children should never vape. Studies are important in helping to better understand the long-term health risks associated with vaping, but the mentioned study, that was carried out by University College London, corroborated by Cancer Research UK, does not demonstrate a causal relationship between vaping and cancer.

Overall, studies on the effects of vaping have so far shown that vapes are less harmful than smoking and can help people quit, although the long-term risks are unknown. Vaping is never recommended for children, and carries potential harms of future addiction while their lungs and brains are still developing. There is a lack of research on the potential long-term harms from vaping, and we are exploring future opportunities with the United Kingdom’s research councils.

Otherwise, I refer the hon. Member to the answer I gave on 6 February 2024 to Question 12629, as our position on the advertising of vapes remains unchanged.

Question to the Department for Education:

To ask the Secretary of State for Education, whether she has made an assessment of the potential merits of using the Boxall profile measurement tool to help measure the social emotional mental health and wellbeing of school pupils.

Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)

The department is committed to ensuring schools are safe, calm and supportive environments, which promote and support mental health and wellbeing.

Measuring pupil wellbeing can help schools to identify need and monitor the impact of policies and interventions, which is one of the core principles of the whole school approach to mental health and wellbeing recommended by the department. The department is offering every school and college a grant to train a senior mental health lead who can oversee this approach and has recently commissioned a Mental health lead resource hub which has a variety of relevant measurement tools, including the Boxall profile. More information can be found at: https://mentallyhealthyschools.org.uk/whole-school-or-college-resources/.

As set out in the Special Educational Needs and Disabilities (SEND) and Alternative Provision (AP) Improvement Plan, the department is also developing practitioner standards for frontline education staff, setting out the best available evidence of what works for identifying and supporting the needs of children and young people with special educational needs, including social, emotional and mental health, across early years, schools and post-16 education.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether dentists working in dental treatment vans will be offered one-off payments of up to £20,000.

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

We will offer Golden Hellos of £20,000 to up to 240 dentists who join existing National Health Service practices, in areas where recruitment is particularly challenging. Golden Hello payments will be phased over three years, and require a commitment to stay in that area delivering NHS work for at least three years.

We will also be deploying dental vans offering appointments to patients in need, including targeted rural and coastal communities who have the most limited access to dentistry, starting later this year. We are working with NHS England and the integrated care boards on the precise nature of the contracting and payment model for dental vans.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many dentists were recruited from overseas by the NHS in the last 12 months; and if she will make an estimate of the number of dentists that will be recruited from overseas by the NHS in the next 12 months.

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

To legally practise dentistry in the United Kingdom, a dentist must be registered with the General Dental Council (GDC), the independent regulator of dentistry. Once registered with the GDC, dentists can choose whether to practise in the National Health Service or privately. To practise in the NHS, dentists must be on the dental performers list.

The Department does not hold the information requested on the number of overseas-qualified dentists that have joined the performers list in the last 12 months. No estimate has been made of the number of overseas-qualified dentists that will join the performers list in the next 12 months.

Question to the Department for Transport:

To ask the Secretary of State for Transport, what steps he has taken to help ensure greater job security for seafarers in the last two years.

Answered by Guy Opperman - Parliamentary Under-Secretary (Department for Transport)

In July 2023 we launched the Seafarers’ Charter, which among other measures requires that operators who obtain full Charter status do not use voyage contracts except in exceptional circumstances. This means that seafarers aboard ships run by a Charter operator can be confident that in most cases after their period of time aboard a vessel has ended, they will continue to have work without needing to reapply. I am pleased that 5 of the 6 major international ferry companies operating from the UK have now committed to meeting the Charter requirements.

Examples of ‘exceptional circumstances’ might be if a seafarer has been taken ill and the operator needs to bring someone onboard at short notice to cover the position, or if a piece of machinery has broken and they brought an additional seafarer onboard to fix it while it the vessel was underway.

We continue to work to improve seafarer protections in the UK and around the world.

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 estimate of the number of dental practices that have announced that they plan to withdraw from NHS contracts since 7 February 2024.

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

Monthly data on the Units of Dental Activity (UDA) delivered is published by the NHS Business Services Authority, although this data has an approximate two-month time lag, and therefore we expect data for February 2024 to be published around Mid-May. Otherwise, UDA delivery data is available at the following link:

https://opendata.nhsbsa.net/dataset/english-contractor-monthly-general-dental-activity

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many units of dental activity her Department (a) had estimated would be and (b) have been undertaken between 7 February and 22 March 2024.

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

Monthly data on the Units of Dental Activity (UDA) delivered is published by the NHS Business Services Authority, although this data has an approximate two-month time lag, and therefore we expect data for February 2024 to be published around Mid-May. Otherwise, UDA delivery data is available at the following link:

https://opendata.nhsbsa.net/dataset/english-contractor-monthly-general-dental-activity

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many NHS dental contracts have been changed following a request from dental practices since 7 February 2024.

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

Monthly data on the Units of Dental Activity (UDA) delivered is published by the NHS Business Services Authority, although this data has an approximate two-month time lag, and therefore we expect data for February 2024 to be published around Mid-May. Otherwise, UDA delivery data is available at the following link:

https://opendata.nhsbsa.net/dataset/english-contractor-monthly-general-dental-activity

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many NHS dental contracts have been handed back 7 February 2024.

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

Monthly data on the Units of Dental Activity (UDA) delivered is published by the NHS Business Services Authority, although this data has an approximate two-month time lag, and therefore we expect data for February 2024 to be published around Mid-May. Otherwise, UDA delivery data is available at the following link:

https://opendata.nhsbsa.net/dataset/english-contractor-monthly-general-dental-activity

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 issuing warm home prescriptions to patients with Parkinson's disease.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

We have made no specific assessment. The Government recognises that warm home prescription schemes can be effective in helping to protect vulnerable people and households from the health impacts of living in a cold home. These schemes are good examples of local collaboration between the National Health Service, local government, and other partners.

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 provide the same (a) terms and conditions and (b) job evaluation systems to (i) Anaesthesia Associates and Physician Associates and (ii) junior doctors.

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

The role of medical associates is to work with and support doctors and not to replace them. Physician Associates, Anaesthesia Associates, and doctors in training are employed under different contractual arrangements. Physician Associates and Anaesthesia Associates are employed on the Agenda for Change (AfC) contract. Doctors in training follow a distinct medical training pathway, and are employed on the NHS Doctors and Dentists in Training (2016) contract.

The National Health Service contracts reflect the different needs of different members of the workforce, and are managed by different collective bargaining structures. The AfC contract is managed by the NHS Staff Council and is underpinned by the NHS Job Evaluation Scheme. There is no equivalent job evaluation scheme for doctors and dentists’ terms and conditions.

There are currently no plans for Physician Associates, Anaesthesia Associates, and doctors in training to be employed under the same terms and conditions, with the same job evaluation system.

Question to the Department for Environment, Food and Rural Affairs:

To ask the Secretary of State for Environment, Food and Rural Affairs, by what criteria he grades the cleanliness of rivers.

Answered by Robbie Moore - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)

The cleanliness of rivers in England is graded through the assessment of their ecological and chemical status as set out here: River basin planning process overview - 3. Defining and describing the water environment - Guidance - GOV.UK (www.gov.uk)).

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, if he will take steps to ensure that the sanctions regime does not disadvantage those who experience mental health challenges.

Answered by Jo Churchill - Minister of State (Department for Work and Pensions)

Customers in the No Work Related Requirements Group, for example those with a severe mental health condition or disability, are not subject to conditionality requirements and therefore not subject to sanctions.

Customers are only ever sanctioned if they fail to meet their agreed requirements without good reason and they are given every opportunity to explain why they failed to meet their agreed conditionality requirement before a decision is made. We recognise the importance of understanding how a mental health condition impacts someone’s ability to search for or prepare for work and Claimant Commitments are set in discussion with the claimant and tailored to their capability and circumstances, making them realistic and achievable.

Question to the Department for Environment, Food and Rural Affairs:

To ask the Secretary of State for Environment, Food and Rural Affairs, when he expects sewage releases into (a) the River Foss, (b) the River Ouse and (c) their tributaries to stop.

Answered by Robbie Moore - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)

The Government is clear that the amount of sewage currently being discharged into our waters is unacceptable. Through the government’s Storm Overflows Discharge Reduction Plan, we have set stringent targets for water companies to reduce the use of storm overflows. Our Plan will eliminate ecological harm from all storm sewage discharges by 2050.

In 2023 the Environment Agency carried out 17 targeted compliance inspections of Yorkshire Water’s waste-water treatment works which discharge into the Foss/Ouse and their tributaries.

Within the current Price Review Period, which runs from 2020 to 2025, Yorkshire Water will be improving Hutton and Stillington treatment works, which discharge into the Foss catchment, in order to ensure they comply with requirements under the Water Framework Directive (WFD). These improvements should reduce Phosphorus from the final effluent, and drive improvement of the WFD status.

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, if she will take steps to ensure that cost is not a barrier to people accessing heritage visitor attractions in their area.

Answered by Julia Lopez - Minister of State (Department for Science, Innovation and Technology)

Many heritage visitor attractions are free to visit or offer schemes to support access, and DCMS-sponsored museums are free to enter for people of any age. The vast majority of the 400 sites in the National Heritage Collection, which is managed by English Heritage Trust on behalf of HM Government, are also free to enter. Where the charity does need to charge visitors an entry fee to support its work, it works to increase engagement with under-represented groups, so that everyone has the opportunity to connect with our shared heritage. English Heritage is also one of the largest providers of free school visits in the UK.

The National Lottery also runs ‘National Lottery Open Week’ which provides free admission for holders of a lottery ticket or scratch card at venues across the UK, including English Heritage Trust, Historic Royal Palaces, and National Trust properties.

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, what steps she is taking to ensure that important items from national collections are shared with museums and galleries around the country.

Answered by Julia Lopez - Minister of State (Department for Science, Innovation and Technology)

Museums with national collections have a long history of loaning objects from their collection and touring exhibitions across the country. The 15 museums and museum groups directly sponsored by DCMS report annually on their UK loans and regional engagement, encouraging strategic dialogue between national collections to lend and foster collaborations, with data from 2022/23 showing that over 1,100 UK venues received loans. Non-national museums are also supported to borrow, through public funding, via Arts Council England, to organisations like the Touring Exhibition Group.

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, what recent steps her Department has taken to help support libraries that have had a reduction in funding from local authorities.

Answered by Julia Lopez - Minister of State (Department for Science, Innovation and Technology)

Local authorities in England have a statutory duty to provide a comprehensive and efficient library service which meets local needs. It is for each local authority to consider how best to deliver this.

His Majesty’s Government has provided an additional £600 million on top of the £64 billion Local Government Finance Settlement for 2024-25 — an increase of 7.5% in cash terms. This uplift will help to reduce pressure on councils’ budgets, and protect services including public libraries.

In addition, DCMS announced on 25 March that 43 library services in England would benefit from Round 3 of the Libraries Improvement Fund which is allocating £10.5 million across this financial year and next. The Fund has allocated £20.5 million since 2021 to public library services across England to support them to upgrade their buildings and improve digital infrastructure so that they are better placed to respond to the changing ways people want to use them.

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, what steps she is taking to ensure that libraries are receiving adequate funding from local authorities.

Answered by Julia Lopez - Minister of State (Department for Science, Innovation and Technology)

Local authorities in England have a statutory duty to provide a comprehensive and efficient library service which meets local needs. It is for each local authority to consider how best to deliver this.

His Majesty’s Government has provided an additional £600 million on top of the £64 billion Local Government Finance Settlement for 2024-25 — an increase of 7.5% in cash terms. This uplift will help to reduce pressure on councils’ budgets, and protect services including public libraries.

In addition, DCMS announced on 25 March that 43 library services in England would benefit from Round 3 of the Libraries Improvement Fund which is allocating £10.5 million across this financial year and next. The Fund has allocated £20.5 million since 2021 to public library services across England to support them to upgrade their buildings and improve digital infrastructure so that they are better placed to respond to the changing ways people want to use them.

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, what steps she is taking to increase access to libraries.

Answered by Julia Lopez - Minister of State (Department for Science, Innovation and Technology)

We will be publishing a refreshed Government strategy for public libraries later this year. This will be informed by Baroness Sanderson’s independent review of English public libraries and will help ensure that people across the country can benefit from great public library services.

The DCMS-funded £20.5 million Libraries Improvement Fund (2021-2025) is supporting public library services in England. It is enabling them to upgrade their buildings and improve digital infrastructure, increasing their potential to develop more flexible spaces and improving digital access, thereby increasing library access and use.

Question to the Department for Science, Innovation & Technology:

To ask the Secretary of State for Science, Innovation and Technology, what recent discussions she has had with social media companies on the potential effects of social media on mental health.

Answered by Saqib Bhatti - Parliamentary Under Secretary of State (Department for Science, Innovation and Technology)

Ministers hold regular meetings and discussions with a wide range of stakeholders, including social media platforms, on a range of issues. Details of Ministerial meetings are published quarterly on the Gov.uk website.

While most children have a positive experience online, using the internet to connect with peers and to access educational resources, information, and entertainment, the government is concerned about the impact of harmful and age-inappropriate content and activity online.

The Online Safety Act places robust, much-needed responsibilities on technology companies – including social media platforms – to keep all users, but particularly children, safe online.

Question to the Home Office:

To ask the Secretary of State for the Home Department, if he will take steps to ensure that women who are held in police cells are supported by at least one officer who is a woman.

Answered by Chris Philp - Minister of State (Home Office)

The Government is committed to ensuring that custody is a safe and dignified environment for all detainees, visitors and staff which operates professionally, respectfully and lawfully.

Police custody is governed by the Police and Criminal Evidence Act 1984 (PACE) Codes of Practice which sets out the legal framework for the detention, treatment and questioning of persons by police officers. PACE Code C requires that as soon as practicable after arrival at the police station, each detainee must be given an opportunity to speak in private with a member of custody staff of the same sex as them about any matter concerning their personal needs relating to their health, hygiene and welfare that might affect or concern them whilst in custody. Arrangements must also be made for ensuring that a girl under the age of 18 is placed under the care of a female member of staff.

As policing is operationally independent of Government, Chief Constables and elected Police and Crime Commissioners are responsible for the operational management of custody suites.

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 help raise awareness of careers in (a) medical physics and (b) clinical engineering.

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

Promoting healthcare science careers is a vital part of our NHS Health Careers team’s work, covering 350 careers in the National Health Service. Almost 240,000 people accessed information on healthcare science careers over the last 12 months.

As part of National Careers Week and Healthcare Science Week, an estimated 10,000 students heard directly from a range of NHS staff, including an apprentice Clinical Engineer and other healthcare scientists, as their stories were shown in classrooms across the country.

We will continue to promote all healthcare science careers, including Medical Physics and Clinical Engineering, as part of our work to raise awareness of all careers in the NHS, and encouraging people to join the NHS workforce. There are several case studies promoting careers in Medical Physics and Clinical Engineering on the National School of Healthcare Science website.

Question to the Home Office:

To ask the Secretary of State for the Home Department, if he will issue guidance to the police on ensuring that people providing statements are asked whether they have had their drink spiked.

Answered by Laura Farris - Parliamentary Under Secretary of State (Ministry of Justice) (jointly with Home Office)

The Home Office does not intend to issue guidance as described, as it would not be appropriate for such a question to be asked to all individuals providing statements to the police.

All incidents are taken seriously by the police, and officers will always seek to follow relevant lines of enquiry. The questions asked by the police will therefore be specific to the circumstances of each particular incident, including the individual’s version of events.

If there is anything to indicate that there is an element of spiking it will be fully investigated.

Question to the Home Office:

To ask the Secretary of State for the Home Department, what training is provided to police officers on the impact of the spiking of drinks on victims of that crime.

Answered by Laura Farris - Parliamentary Under Secretary of State (Ministry of Justice) (jointly with Home Office)

Each Police force has a dedicated spiking lead who all meet regularly to share learning. At present, forces design and deliver their own spiking training and this is informed by NPCC and Home Office policies.

Some forces, including Cumbria Police and the Metropolitan Police Service, are in the process of reviewing their spiking training.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment has she made of the potential implications for her policies of the findings of the research article by University College London entitled Cigarette smoking and e-cigarette use induce shared DNA methylation changes linked to carcinogenesis, published on 19 March 2024.

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

The Government’s position on vaping remains unchanged, if you don’t smoke, don’t vape, and children should never vape. Studies are important in helping to better understand the long-term health risks associated with vaping, but the mentioned study, that was carried out by University College London, corroborated by Cancer Research UK, does not demonstrate a causal relationship between vaping and cancer.

Overall, studies on the effects of vaping have so far shown that vapes are less harmful than smoking and can help people quit, although the long-term risks are unknown. Vaping is never recommended for children, and carries potential harms of future addiction while their lungs and brains are still developing. There is a lack of research on the potential long-term harms from vaping, and we are exploring future opportunities with the United Kingdom’s research councils.

Otherwise, I refer the hon. Member to the answer I gave on 6 February 2024 to Question 12629, as our position on the advertising of vapes remains unchanged.

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 (a) recruit and (b) train more (i) medical physicists and (ii) clinical engineers.

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

The number of Scientist Training Programme (STP) trainees in Medical Physics and Clinical Engineering has tended to increase, with larger increases in recent years. The number of Higher Specialist Scientist Training (HSST) trainees has remained fairly constant. The following two tables show the number of trainees in the Medical Physics and Clinical Engineering STP each year since 2011, and the number of Medical Physics and Clinical Engineering trainees in HSST each year since 2014, respectively:

Note: The data for 2024 is subject to change, and without the Wales numbers.

Notes:

- the data for 2024 is subject to change, and without the Wales numbers; and

- data is not available for the year 2022.

The NHS Long Term Workforce Plan sets out the future National Health Service workforce requirements, and includes healthcare science figures, though this is not broken down into Medical Physics and Clinical Engineering workforce targets. The plan assesses that education and training places for healthcare scientists need to increase by 20 to 34%, reaching between 930 and 1,039 places by 2033/34. The ambition set out in this plan is to increase training places for healthcare scientists by 32%, to over 1,000 places, by 2031/32. We will work towards achieving this ambition by increasing training places by 13%, to over 850, by 2028/29.

The workforce plan also sets out the ambition to retain up to 130,000 more staff across the NHS over the next 15 years, through measures to improve staff’s experience of working in the NHS. This applies to all NHS staff groups, including medical physicists and clinical engineers.

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 develop tools on social media to improve health literacy for (a) men and (b) women.

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

The National Health Service website and the NHS App are our main digital tools available to citizens, to support them in accessing services and making decisions about their health.

These are supported by the Department and NHS social media channels through a range of proactive media campaigns to help citizens make and sustain healthy behaviour changes, as well as receive the care they need by accessing the NHS at the right time, in the right way.

Clinicians across the NHS also support patients’ health literacy by providing clear information, increasing patients’ knowledge, and sharing decision making on their care.

Question to the Department for Environment, Food and Rural Affairs:

To ask the Secretary of State for Environment, Food and Rural Affairs, what compensation do water companies who have released sewage into the river pay to (a) residents and (b) businesses when they flood with contaminated water.

Answered by Robbie Moore - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)

The Government considers the level of sewage being discharged to our waterways to be unacceptable. However, sewage is sometimes released to waterways under strict conditions to avoid it backing up into peoples’ homes and businesses.

Water companies are obliged to provide sewerage services under the Water Industry Act 1991. If a water company has failed to provide minimum standards of service to consumers, consumers are entitled to complain to their provider. We expect companies to respond to complaints appropriately and in a timely manner.

This Government is acting to drive down flood risk from every angle. At the last spending review the government increased funding for maintenance of flood defences by £22 million per year, so now over £200 million per year goes on maintenance. This funding ensures flood defences are kept in good working order.

Homeowners and businesses should contact their insurance provider if their property has been flooded. Flood Re is a joint government and insurance industry re-insurance scheme for UK households at high flood risk, available via more than 85 insurance brands.

Question to the Department for Environment, Food and Rural Affairs:

To ask the Secretary of State for Environment, Food and Rural Affairs, if he will take steps to ensure water companies provide compensation for (a) businesses and (b) residential properties flooded with sewage in the water.

Answered by Robbie Moore - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)

The Government considers the level of sewage being discharged to our waterways to be unacceptable. However, sewage is sometimes released to waterways under strict conditions to avoid it backing up into peoples’ homes and businesses.

Water companies are obliged to provide sewerage services under the Water Industry Act 1991. If a water company has failed to provide minimum standards of service to consumers, consumers are entitled to complain to their provider. We expect companies to respond to complaints appropriately and in a timely manner.

This Government is acting to drive down flood risk from every angle. At the last spending review the government increased funding for maintenance of flood defences by £22 million per year, so now over £200 million per year goes on maintenance. This funding ensures flood defences are kept in good working order.

Homeowners and businesses should contact their insurance provider if their property has been flooded. Flood Re is a joint government and insurance industry re-insurance scheme for UK households at high flood risk, available via more than 85 insurance brands.

Diversion schemes for drug-related offending

Alcohol-related deaths

The cost of private rent in England and rent controls

Immigration changes for carers and Ukrainians

Women Against State Pension Inequality (WASPI)

The Big Plastic Count

No Falls Week 2024

British Youth Council

Stage two report of the Parliamentary and Health Service Ombudsman on women's state pension age

Let Girls Play campaign

Access to State Pension for people with a terminal illness

Food price inflation and the Easter festive period

Female genital mutilation legislation in The Gambia

50th anniversary of the Free Presbyterian Church of Ulster Mission Board

Baha'i, Iran

Trapped podcast on IPP sentences

Four-day working week

Detention of Palestinian human rights lawyer Diala Nader Ibrahim Eideh

National Mentoring Day 2023

World Down Syndrome Day 2024

Government legal advice on Israeli Government actions and international law

Treatment of Tibetan protesters in Dege County, Tibet

Neurodiversity Celebration Week

Teachers’ Pension Scheme and universities

One year anniversary of the kidnapping of Elizabeth Tsurkov

Office of National Statistics and mandatory attendance at workplaces

Found: I will bring in David Webb, and then Rachael Maskell.

Found: Q95 Rachael Maskell: Sadly, cancer has been back in the news over the weekend.

Found: _NC15 Caroline Ansell Sally-Ann Hart Rachael Maskell Ms Marie Rimmer Robin Millar Bob Blackman

Found: _NC15 Caroline Ansell Sally-Ann Hart Rachael Maskell Ms Marie Rimmer Robin Millar Bob Blackman

Found: _NC15 Caroline Ansell Sally-Ann Hart Rachael Maskell Ms Marie Rimmer Robin Millar Bob Blackman