First elected: 4th July 2024
Speeches made during Parliamentary debates are recorded in Hansard. For ease of browsing we have grouped debates into individual, departmental and legislative categories.
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Call a General Election
Sign this petition Gov Responded - 6 Dec 2024 Debated on - 6 Jan 2025 View Rachel Gilmour's petition debate contributionsI would like there to be another General Election.
I believe the current Labour Government have gone back on the promises they laid out in the lead up to the last election.
These initiatives were driven by Rachel Gilmour, and are more likely to reflect personal policy preferences.
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As sustainable biomass is a limited resource, the Government expects to prioritise its use in sectors like aviation which have fewest options to decarbonise. Renewable liquid heating fuels (RLHF) are also much more expensive to use than other heating solutions.
Before taking decisions on whether to support the use of RLHFs, like hydrotreated vegetable oil, in heating, the Government would require stronger evidence on their affordability for consumers, and the availability of sustainable feedstocks.
Evidence shows that heat pumps are suitable for a diverse range of housing archetypes in the UK and the clear majority of properties.
Modern heat pumps, capable of running efficiently at similar temperatures to an existing boiler, can increasingly be used in homes previously considered unsuitable for electrification. Other low-carbon heating solutions are available for properties that are not suited to a heat pump, and the government will continue to assess and support the options for all properties to decarbonise and reduce their energy use.
Currently, Energy Performance Certificates (EPCs) produce an energy efficiency rating (EER) based on the estimated running costs of the property. Basing the rating and recommendations of the EPC on cost is done with the aim of generating improvement which will lead to a reduction in energy costs.
Last week, the Government published the consultation on EPC Reform, developed through close collaboration between DESNZ and MHCLG. The Government proposes using four key metrics for domestic EPCs: "fabric performance," "heating system," "smart readiness," and "energy cost." The Government is reviewing the methodology underpinning EPCs to make it fit for purpose to support net zero. The department is also reviewing consultation responses for the new building physics model, the Home Energy Model.
The Government has made no such specific assessment, as tariffs and energy contracts are a commercial matter for suppliers. However, the Government does want consumers to have access to a range of tariffs, so they can choose the contract that best suits their needs and can help to reduce energy bills. In circumstances where a supplier may not currently be able to offer a smart meter, Ofgem has been clear that suppliers are obligated under their licence conditions to ensure that a suitable metering system is installed.
We are considering how Project Gigabit can support the rollout of fast, reliable broadband to premises that have been descoped from Airband’s contracts with Connecting Devon and Somerset. This may include bringing more premises into the scope of Project Gigabit contracts in the region or supporting suppliers to deliver more projects through the Gigabit Broadband Voucher Scheme. In some cases, premises that were set to be connected by Airband have since been included in suppliers’ commercial plans, so will no longer require public subsidy to receive access to a gigabit-capable broadband connection.
The industry-led migration from analogue to digital landlines (“the PSTN migration”) poses some specific risks for rural constituencies, for instance where areas may be more prone to power outages or lack mobile coverage. The Department is working with communications providers to ensure that they are mitigating these risks wherever possible, for example by encouraging the industry to provide improved power resilience to vulnerable customers.
Since the general election, the government has brought together communications providers, government departments, local government, telecare providers and water companies to ensure that the transition proceeds smoothly and stably. This has led to a new Charters of Commitments signed by industry to ensure additional protections for vulnerable customers and for Critical National Infrastructure.
The government recognises the importance of the UKs copyright regime to the economic success of the creative industries, one of eight growth-driving sectors as identified in our Industrial Strategy. We are committed to supporting rights holders by ensuring they retain control over and receive fair payment for their work, especially as technology advances to include AI. We are actively working with stakeholders to ensure copyright protections remain robust and fit for purpose.
Although existing legislation gives creative rights holders control over the use of their protected works, we are aware that this can be very difficult to implement in practice in the context of AI, especially for individual firms and creators. The application of existing copyright legislation in the context of AI training is disputed, both in the UK and internationally, with many high-profile court cases underway. Right holders are finding it difficult to control use of their works to train AI models, and want greater ability to manage that activity and be paid for it.
Responses to our Copyright and AI consultation, published 17 December and closing 25 February, will inform our approach to the design and delivery of a solution to the current dispute over copyright legislation. Our aim is to clarify the copyright framework for AI – delivering legal certainty through a copyright regime that provides creators with real control, transparency, and helps them licence their content, while supporting AI developers' access to high-quality material, so that they can train leading AI models in the UK.
This government recognises the vital role that youth services and activities play in improving young people’s life chances and wellbeing. As set out in section 507B of the Education Act 1996, local authorities have a statutory duty to secure, so far as is reasonably practicable, sufficient provision of educational and recreational leisure-time activities for young people in their area. This is funded through the Local Government Settlement which amounts to over £60 billion this year.
This is in addition to the DCMS investment of over £500 million in youth services to ensure every young person has access to regular clubs and activities, adventures away from home and opportunities to volunteer. Within the Tiverton and Minehead constituency, DCMS has directly provided funding for Duke of Edinburgh to be run within schools, encouraging young people to develop skills, build confidence, and make a difference in their communities through volunteering, access to the outdoors, and skills development.
The department has no plans to undertake this specific assessment, but we have evaluated the impact of poverty on educational outcomes. Evidence shows that disadvantaged pupils and those with additional needs are more likely to fall behind and need extra support to achieve and thrive.
That is why the department is working to make sure that all children and young people have access to a variety of enrichment opportunities at school as an important part of our mission to break down barriers to opportunity. We recognise that these activities are a vital way for children and young people to gain skills and strengthen their sense of school belonging, supporting them to thrive.
The Department for Work and Pensions strives to set affordable and sustainable repayment plans and encourages customers to make contact if they are unable to afford the proposed repayment rate.
When a customer makes contact because they are experiencing financial hardship, the rate of repayment can be reduced or, depending on the customer’s financial circumstances, a temporary suspension of repayment can be agreed. There is no minimum amount a customer has to repay.
As seen in the measures announced by my right hon. Friend, the Chancellor of the Exchequer, in the Autumn Budget 2024 to drive up opportunity and drive down poverty, a new Fair Repayment Rate will be introduced from April 2025, reducing Universal Credit deductions overall cap from 25% to 15%. This measure will help approximately 1.2 million of the poorest households benefit by an average of £420 a year.
Ensuring schools have the resources and buildings they need is a key part of our mission to break down barriers to opportunity and give every child the best start in life.
My right hon. Friend, the Secretary of State for Education is unable to meet at present due to constraints on her diary. However, departmental officials will be in touch with you shortly to arrange a meeting with the honourable member who are best placed to provide detail on the condition of the school.
Whilst we have never had an outbreak of African Swine Fever (ASF) in the UK, it remains a key priority in terms of exotic notifiable disease preparedness. The overall risk of an incursion is currently assessed to be medium, and we continue to prepare for a possible outbreak. To safeguard the UK’s pork and pig industries, Defra, Devolved Governments, together with the pig industry and veterinary bodies have been working together to raise awareness of the risks of the introduction of ASF to the UK. Defra announced further controls in September 2024, restricting the movement of pork and pork products into Great Britain.
The risk of incursion of Foot and Mouth Disease (FMD) to Great Britain was increased to medium following the confirmation of disease in Germany on the 10 January 2025. The Government has taken decisive and rapid action to protect the UK by suspending the commercial import of susceptible animals from Germany and restricting personal imports of animal products from across the EU. The UK has robust contingency plans in place to manage the risk of this disease as set out in the Foot and Mouth Disease Control Strategy for Great Britain supported by the Contingency plan for exotic notifiable diseases of animals in England.
Protecting all communities around the country from flooding is one of the Secretary of State’s five core priorities.
Lead local flood authorities (unitary and county authorities) are required to manage local flood risks from surface water, groundwater and ordinary watercourses. Local flood risks should be identified and managed as part of a local flood risk management strategy. Local authorities receive revenue funding for local flood risk management through the Local Government Finance Settlement.
The Local Government & Social Care Ombudsman (LGSCO) looks at complaints about councils and some other authorities and organisations. The service is free, independent and impartial.
The Environment Agency (EA) charges consultation (including proposals to charge for waste exemptions) is now closed. The EA expects businesses that register and comply with waste exemptions without the requirement for an environmental permit, will continue to do so and pay the associated waste exemption charges. The EA does not expect waste exemption charges to result in an increase in landfill, where specific wastes are banned and landfill tax applies. Further information on the charges consultation, the points raised by industry and our responses to them will be included in a forthcoming consultation response document to be published by the EA. The EA has carried out an affordability impact analysis of the charge proposals. Key findings are detailed in the public consultation and any changes will be noted when the consultation response is published.
The Department works closely with the Ministry of Housing Communities and Local Government to deliver planning reforms with regular discussions on how the impacts of development can be fully considered and planning can improve outcomes for nature whilst enabling farmers and rural businesses to build the infrastructure they need.
New or expanding farms permitted under the Town and Country Planning Act are subject to the National Planning Policy Framework which clearly sets out that if significant harm to biodiversity resulting from a development cannot be avoided, adequately mitigated, or, as a last resort, compensated for, then planning permission should be refused and that planning policies and decisions should prevent new and existing development from contributing to, being put at unacceptable risk from, or being adversely affected by, unacceptable levels of soil, air, water or noise pollution or land instability.
The animal welfare considerations for buildings and accommodation used for farmed animals are set out in The Welfare of Farmed Animals (England) Regulations 2007 with further guidance set out in the relevant species-specific welfare code of practice.
The Environment Agency charges consultation included information on the affordability of waste exemption charges for the agriculture sector. It can be found online here.
Included in the document is the following estimates for a 3-year registration period:
This is considered a worst-case scenario, as Environment Agency data suggests farmers often register more waste exemptions than they need. Approval to charge will be considered after the Environment Agency has analysed responses from the consultation.
The Veterinary Medicines Directorate (VMD) authorises veterinary medicinal products under the Veterinary Medicines Regulations 2013 (as amended) to protect public health, animal health, the environment, and promote animal welfare. This involves ensuring medicines are approved only when their benefits outweigh any potential risks.
For pet owner safety, all veterinary medicines undergo a comprehensive User Risk Assessment before market authorisation. Clear safety warnings are included in product literature to minimise risks during proper use. These risks are also considered against the consequences of not using such medicines, such as the spread of flea- and tick-borne diseases, which can impact both pets in terms of parasitic disease and humans because of the public health issues of disease transference (zoonotic disease).
Environmental safety is also considered during authorisation. While current international guidelines assume minimal environmental exposure from companion animal medicines, the VMD now believes there is sufficient evidence to support a review of these guidelines, despite existing data gaps. The VMD have established the cross-government Pharmaceuticals in the Environment (PiE) Group, whose aim is to provide advice on possible policy options to help reduce pharmaceutical pollution in the UK, including disposal. An immediate priority for the PiE Group is to develop a strategy to reduce the levels of fipronil and imidacloprid being detected in UK surface water.
The Government appreciates and values the vital work of our fruit and vegetable growers and recognises their important role in maintaining a secure supply of home – produced fresh produce.
The Fruit and Vegetable Aid Scheme is an EU legacy scheme and legislation in place to close it on the 31 of December 2025. As part of our mission-driven government, the Department is now considering how we can achieve our ambitious, measurable and long-term goals for all our farming sectors.
Defra meets regularly with growers to discuss a range of issues. These discussions help inform future policy development and help us understand what support the sector needs to help it thrive.
The Government appreciates and values the vital work of our fruit and vegetable growers and recognises their important role in maintaining a secure supply of home – produced fresh produce.
The Fruit and Vegetable Aid Scheme is an EU legacy scheme and legislation in place to close it on the 31 of December 2025. As part of our mission-driven government, the Department is now considering how we can achieve our ambitious, measurable and long-term goals for all our farming sectors.
Defra meets regularly with growers to discuss a range of issues. These discussions help inform future policy development and help us understand what support the sector needs to help it thrive.
The Bass Fisheries Management Plan published in December 2023 sets out a number goals and measures to deliver long-term sustainable management of bass fisheries in English and Welsh waters. This includes working with the newly established bass management group, comprising commercial and recreational sectors, scientists, regulators, policy officials and environmental interests. This group will help (a) improve communication and understanding of bass regulations, and collaboration between regulators on targeted enforcement; and (b) in the longer term consider the merits of a move away from bycatch limits towards a catch limit or quota approach. The bass management group will consider the adequacy of regulations for all bass fishermen, including charter boats, in these discussions.
For Sustainable Farming Incentive, the Rural Payments Agency carries out desk-based administrative checks on a sample basis which can include requesting and checking the nature and quality of any supporting evidence, such as receipts and farm records. There are no plans to remove this requirement.
Defra welcomes the publication of the report, which is an output of work funded by UK Research and Innovation. We consider a number of policy initiatives already align with many of the work’s findings, and will continue to consider their implications in the further development of policy related to the management of fisheries and the marine environment.
My Defra private office handles all meeting requests. Please contact them directly to request a meeting.
Asulox is a herbicide containing the active substance asulam, which is not approved for use in the UK. For some years, use of Asulox to control bracken has been allowed under strictly controlled conditions under emergency authorisation arrangements. In 2023 the company behind asulam decided to cease supporting further applications for emergency authorisation and has not applied for UK approval of asulam. There are therefore no plans to restore the licence for Asulox or assess the potential impact of its restoration.
The Canal and River Trust is the largest inland waterway navigation authority in England and Wales, responsible for the 2,000 miles of canals and rivers it owns. The Government is currently providing the Trust with a 15-year grant (2012-2027) totalling about £740 million to support maintenance of the canal network infrastructure. A review of the grant funding concluded that the Trust is providing value for money and there was a good case for continued grant funding. A further substantial 10-year grant from 2027 of £401 million was announced in July 2023, reconfirmed by the Government in August 2024, reflecting the importance of the country’s inland waterways and supporting the Trust in the long-standing objective of reducing reliance on public funding while developing alternative funding sources.
The Government also provides grant-in-aid funding to the Environment Agency to support its 630 miles of navigations. This totalled around £70 million over the last three years. Future funding will be determined as part of the current spending review.
There is no other general Government funding available for inland waterways, and the other navigation authorities responsible for smaller waterway networks raise funds through their boat licensing regimes and other activities working with local communities.
Planning permission is always required to change use of a pub, ensuring that local consideration can be given to any such proposals through the planning application process, in consultation with the local community. Defra cannot comment on individual planning cases.
I’m pleased to advise that the Rail Minister Lord Hendy has accepted an invitation to meet with the Chair of the Peninsula Rail Task Force, Cllr Andrea Davis, and officials are currently making the necessary arrangements.
At the Budget on 30 October, the Chancellor announced £1.6 billion of capital funding for English local highway authorities for highway maintenance for the 2025/26 financial year, an increase of £500 million or nearly 50% compared to the current financial year.
Funding allocations for individual local highway authorities for 2025/26, including Somerset Council, will be confirmed in due course. It is entirely a matter for Somerset Council how it spends this highway maintenance funding based on local needs, priorities, and circumstances.
Officials continually monitor the performance of Great Western Railway services, including instances of overcrowding, and actively hold operators to account through their contracts when they run less capacity than agreed. The Rail Minister additionally meets with Train Operating Companies to review their performance. We work closely with Great Western Railway to match supply to demand within operational and financial constraints including the provision of additional summer services. Great Western Railway is also exploring opportunities to increase the capacity of its rolling stock fleet.
Good local bus services are an essential part of prosperous and sustainable communities. As announced in the King’s Speech, the government will pass the Better Buses Bill to put the power over local bus services back in the hands of local leaders right across England. The government knows that every community will have its own unique needs from its public transport network and wants to empower local leaders to work with operators to design networks that meet these needs, including considering the use of different types of services, such as community transport and demand responsive transport services, alongside regular stopping services to deliver comprehensive coverage.
The Government has had to make hard choices to bring the public finances back under control. The policy change ensures that the Winter Fuel Payment will be better targeted to low-income pensioners who need it most.
Information on pensioners with incomes below £15,000 affected by the change to Winter Fuel Payment policy is not readily available and to provide it would incur disproportionate cost. However, the Department has produced some analysis on the impacts of the change in policy on poverty levels which was published here: Winter Fuel Payments eligibility change - Letter from the Secretary of State for Work and Pensions.
State Pension payments are usually paid four weekly in arrears. People have the option to be paid weekly or in some circumstances bi-weekly. There are no plans to introduce alternative payment arrangements.
The Child Maintenance Service (CMS) continues to engage regularly with stakeholders as we consider CMS reform. We are currently considering the recommendations and our response to the Gingerbread report ‘Fix the CMS’.
The CMS Service Modernisation Programme has delivered improvements to the customer experience enabling parents to access their on-line My Child Maintenance Case, ensuring parents can report changes of circumstances and access their digital communications at any time of the day. In addition, caseworker training to support vulnerable customers has been updated following invaluable engagement with stakeholders.
The CMS has recently consulted on significant reforms and are analysing the responses. This included removing the Direct Pay service and managing all CMS cases in one service to allow the CMS to tackle non-compliance faster. The consultation also sought views on how victims and survivors of domestic abuse can be better supported to use CMS and whether removing Direct Pay completely would benefit victims and survivors of domestic abuse. The Government will publish a response in due course.
DWP are committed to providing the best possible support for all our customers, including the most vulnerable in society. Within Universal Credit, we recognise that customers have individual needs and different barriers, so we train and support all our work coaches to be able to respond appropriately to a customer’s situation.
We have no plans to assess the impact of the journal system on the mental health of applicants and users., Independent research published in 2018 showed that the majority of customers found the journal easy to use. The DWP Customer Experience Survey for 2023-2024 showed that 88% of people found it easy to use their UC online account.
No such assessment has been made by the Department. The commissioning of out of hours services, and to what extent those services are supported, is the responsibility of local commissioners in partnership with their providers, and in the best interest of their populations.
The Department funds research into epilepsy via the National Institute for Health and Care Research (NIHR). There are currently no plans to assess the adequacy of funding for research into epilepsy, however, the NIHR continues to welcome high quality applications for research into any aspect of human health and care, including prevention, management, and treatment of epilepsy and the related conditions.
These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to the public and health and care services, value for money, and scientific quality. Welcoming applications on epilepsy to all NIHR programmes enables maximum flexibility, both in terms of the amount of research funding a particular area can be awarded, and the type of research which can be funded.
The NIHR committed £31.5 million of funding to 28 epilepsy research projects in the five years from April 2019 to March 2024. Additionally, over this period, more than 5,000 people were enabled to participate in epilepsy research by the NIHR Clinical Research Network, now the NIHR Research Delivery Network.
The NIHR also works closely with other Government funders, including UK Research and Innovation, which is funded by the Department for Science, Innovation and Technology and includes the Medical Research Council, to fund research into epilepsy to improve treatments and prevent poor health outcomes for patients.
On 6 January 2025, NHS England published the new Elective Reform Plan, which sets out a whole system approach to hitting the 18-week referral to treatment target by the end of this Parliament. Further information on the Elective Reform Plan is available at the following link:
https://www.england.nhs.uk/publication/reforming-elective-care-for-patients/
Part of the plan sets out funding to boost bone density scanning capacity, to support improvements in early diagnosis and bone health conditions such as osteoporosis. This will provide an estimated 29,000 extra scans per year.
As announced in the Get Britain Working white paper, we are delivering the joint Department for Work and Pensions, Department of Health and Social Care, and NHS England Getting It Right First-Time (GIRFT) Musculoskeletal (MSK) Community Delivery Programme. With a £3.5 million funding boost, GIRFT teams will deploy their proven Further Faster model to work with integrated care board leaders to further reduce MSK community waiting times, including for those with osteoporosis, and improve data, metrics, and referral pathways to wider support services.
A budget of £3.8 billion for primary, community, and secondary dentistry has been allocated to the integrated care boards (ICBs) across England for 2024/25, to deliver new initiatives and address the challenges facing National Health Service dentistry. Allocations for 2025/26 will be confirmed shortly, and long-term funding will be considered during phase 2 of the Spending Review, which will set budgets for 2026/27 to 2028/29.
The Government plans to tackle the challenges patients face when trying to access NHS dental care with a rescue plan to provide 700,000 more urgent dental appointments, and recruit new dentists to the areas that need them most.
Responsibility for commissioning primary care dentistry to meet the needs of the local population has been delegated to the ICBs across England. For the Tiverton and Minehead constituency, this is the NHS Somerset ICB.
I refer the Hon. Member to the answer I gave to the Hon. Member for Poole on 11 October 2024 to Question 7389.
Palliative care services are included in the list of services that the integrated care boards (ICBs) in England, including the NHS Devon ICB, under which Devon Hospiscare falls, must commission. This promotes a more consistent national approach and supports commissioners in prioritising palliative and end of life care. To support ICBs in this duty, NHS England has published statutory guidance and service specifications.
Whilst the majority of palliative and end of life care is provided by National Health Service staff and services, we recognise the vital part that voluntary sector organisations, including hospices like Devon Hospiscare, also play in providing support to people at end of life, and their loved ones.
We do understand that, financially, times are difficult for many voluntary and charitable organisations, including hospices, due to a range of concurrent cost pressures. We will consider next steps on palliative and end of life care, including funding, in the coming months.
The Care Quality Commission (CQC) is the independent regulator of health and social care in England. The CQC has powers under the Health and Care Act 2008 to regulate adult social care services, to make sure they provide safe, effective, compassionate, and high-quality care. Where concerns on quality or safety are identified, the CQC uses the regulatory and enforcement powers it has available, and will take action to ensure the safety of people drawing on care and support.
Providers of any size are required to be registered with, and therefore regulated by, the CQC, when they carry out personal care for people who are unable to provide it for themselves because of old age, illness, or disability, as defined in Regulation 2 (Interpretation) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014).
Any amendments to the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 would be subject to the usual Parliamentary process, which would include a public consultation, and thus an opportunity to consider the merits of further regulation of social care providers.
The following table shows a count of patient safety incidents, reported as occurring where the incident category is absconder or missing patient, broken down by care setting, each year from 2020/21 to 2023/24:
Care setting of occurrence | 2020/21 | 2021/22 | 2022/23 | 2023/24 |
Acute or general hospital | 13,792 | 15,541 | 17,545 | 13,911 |
Ambulance service | 76 | 64 | 143 | 141 |
Community and general dental service | 6 | 13 | 61 | 1 |
Community nursing, medical and therapy service, including community hospital | 814 | 745 | 801 | 309 |
Community optometry or optician service | 81 | 295 | 284 | 0 |
Community pharmacy | 0 | 1 | 8 | 1 |
General practice | 8 | 3 | 9 | 17 |
Learning disabilities service | 143 | 164 | 143 | 94 |
Mental health service | 10,654 | 11,396 | 13,281 | 7,146 |
Total | 25,574 | 28,222 | 32,275 | 21,620 |
Source: National Reporting and Learning System, NHS England.
Notes:
We have committed to develop a 10-Year Health Plan to deliver an National Health Service fit for the future, by driving three shifts in the way health care is delivered. We will carefully be considering policies, including those that impact people with palliative and end of life care needs, with input from the public, patients, health staff, and our stakeholders as we develop the plan.
One of the three shifts that the plan will deliver is around the Government’s determination to shift more healthcare out of hospitals and into the community. This includes our commitment to trial neighbourhood health centres, to ensure that patients receive personalised care in the most appropriate setting. Palliative and end of life care services, including hospices, will play an important role in our considerations of the services those centres should host. More information about how they can input into the 10-Year Health Plan is available at the following link:
The Department funds research into epilepsy via the National Institute for Health and Care Research (NIHR). The NIHR spent almost £19 million on 46 epilepsy research projects in the five years from April 2019 to March 2024. Additionally, over this period, more than 9,500 people were enabled to participate in epilepsy research by the NIHR Clinical Research Network, now the NIHR Research Delivery Network.
The NIHR welcomes funding applications for research into any aspect of human health, including epilepsy. Applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money, and scientific quality.
The NIHR also works closely with other Government funders, including UK Research and Innovation, which is funded by the Department for Science, Innovation and Technology and includes the Medical Research Council, to fund research into epilepsy to improve treatments and prevent poor health outcomes for patients.
We want a society where every person, including those with long-term conditions such as epilepsy, receives high-quality, compassionate continuity of care, with their families and carers supported. We will change the National Health Service so that it becomes not just a sickness service, but one that is able to prevent ill health in the first place. This will help us be better prepared for the change in the nature of disease, and allow our services to focus more on the management of chronic, long-term conditions, including epilepsy.
At the national level, there are a number of initiatives supporting service improvement and better care for patients with epilepsy, including the RightCare Epilepsy Toolkit and the Getting It Right First Time Programme for Neurology, with further information on both available, respectively, at the following two links:
https://gettingitrightfirsttime.co.uk/academy-resources/population-health/
https://gettingitrightfirsttime.co.uk/medical_specialties/neurology/
NHS England has also established a Neurology Service Transformation Programme, a multi-year, clinically led programme to develop a new model of integrated care for neurology services, including for epilepsy.
In December 2023, the National Institute for Health and Care Excellence published the Technology Appraisal guidance, and recommended that the National Health Service in England makes Hybrid Closed Loop (HCL) systems available to eligible adults, and all children and young people, those under 19 years old, with type 1 diabetes. The NICE and NHS England agreed on a phased implementation period for HCL over five-years, and without the usual 90-day funding mandate. This is because of a need to build essential workforce competencies within specialist adult services. The NHS England HCL Implementation Strategy, published in January 2024, set out how local systems can meet the needs of the eligible population living with type 1 diabetes. The initial phase of the roll out of HCL systems started earlier this year, in April 2024. Further information on the HCL Implementation Strategy is available at the following link:
https://www.england.nhs.uk/long-read/hybrid-closed-loop-technologies-5-year-implementation-strategy/
The National Institute for Health and Care Excellence (NICE) is responsible for developing the methods and processes it uses in its evaluations independently, and in consultation with stakeholders. The severity modifier that the NICE introduced in 2022 is based on evidence of societal preferences, and was introduced as part of a comprehensive review of the NICE’s methods and processes, following extensive public and stakeholder engagement. The severity modifier was designed to be opportunity cost neutral in relation to the end of life modifier that it replaced, and to apply to a broader range of conditions than had benefited from the end of life modifier.
The NICE was unfortunately unable to recommend Enhertu (trastuzumab deruxtecan) for the treatment of HER2-low secondary breast cancer in its final guidance published in July 2024, despite the topic being awarded a severity weighting. Other drugs for advanced cancer, including breast cancer, have been approved using these methods.
No assessment has been made on the likely impact on appraisals of future breast cancer medicines. However, since its introduction, the severity modifier has resulted in a higher approval rate for cancer medicines than under the NICE’s previous methods, and has also allowed greater weight to be applied to non-cancer medicines that address a broader range of severe diseases, enabling the NICE to recommend medicines for conditions such as cystic fibrosis and hepatitis D. The NICE is keeping the impact of the severity modifier under review and is scoping further research into society’s preferences on how much additional weighting to give to health benefits for people with severe diseases.
The primary aim of the autumn 2024 COVID-19 vaccination programme remains the prevention of severe illness, hospitalisations, and deaths, arising from COVID-19. On 2 August 2024 the Government accepted the advice of the independent Joint Committee on Vaccination and Immunisation (JCVI) to offer a COVID-19 vaccination to those aged 65 years old or over, those living in care homes for older adults, and those aged between six months and 64 years old who are in a clinical risk group in England this autumn. Additionally, vaccination will be offered to all frontline health and social care workers, as well as staff in care homes for older adults.
There are no plans to offer a COVID-19 vaccination to unpaid carers, including young carers, or the families and household contacts of people with immunosuppression, during the autumn 2024 campaign in England. Unpaid carers and household contacts of those with immunosuppression have previously been offered vaccination on the basis that it indirectly protected those more vulnerable with whom they are in contact. The JCVI advice for autumn 2024 is that in the era of highly transmissible Omicron sub-variants, any protection offered by the vaccines against transmission of infection from one person to another is expected to be extremely limited. The indirect benefits of vaccination in these groups, vaccinating an individual to reduce the risk of severe disease in other people, are therefore less evident than in previous years.
Decisions on whether new medicines should be routinely funded by the National Health Service in England are taken by the National Institute for Health and Care Excellence (NICE) on the basis of an evaluation of a treatment’s costs and benefits. NICE’s methods are internationally respected, and have been developed through extensive work with industry, academics and the public to ensure they appropriately capture the costs and benefits, and best reflect social values. These are very difficult decisions to make, and it is important that they are made independently and based on the available evidence.
We understand that despite NICE instigating an exceptional pause in the process to allow for commercial negotiations to take place with the companies, Daiichi Sankyo and AstraZeneca, a deal to enable patient access to this treatment on the NHS in England has not been reached.
We know NICE’s announcement has come as a blow to many women and their families. We understand that NICE and NHS England have already sought to apply as much flexibility as they can in their considerations of Enhertu and have made it clear to the companies that their pricing of the drug remains the main obstacle to access.
Within 16 weeks of the publication of final guidance, companies can also request a rapid review to consider new patient access scheme proposals, with the aim of establishing a pricing agreement that would improve cost-effectiveness and enable patient access to high-cost medicines. The Government wants to see a deal reached to make Enhertu available. NICE and NHS England remain open to considering an improved offer from the companies through the rapid review process, and we strongly encourage the companies to come back to the table.
The safe release of all hostages, including those with strong UK-links, is a top priority for the government. The current ceasefire deal must secure their release, protect both Israelis and Palestinians, and allow the safe distribution of aid.
The UK is working with international partners to ensure the stability of the ceasefire agreement, so that it is implemented in full. In doing so, we aim to secure the release of all hostages, including those with strong UK-links: Eli Sharabi, Oded Lifshitz, Avinatan Or. And we also aim to ensure that the remains of Yossi Sharabi are returned to his family.
The UK will continue to work with Israel, the Palestinian Authority, the US and regional partners to build consensus for a post-conflict Gaza governance and security framework that supports conditions for a permanent and sustainable peace.