Rosie Cooper

The Local Restrictions Support Grant (LRSG) was announced on 9 September to support businesses in England that are required to close during enhanced local restrictions introduced in areas by Her Majesty’s Government to prevent the spread of COVID-19.

On 9 October, my Rt. Hon. Friend Mr Chancellor of the Exchequer announced changes to the grants within this scheme to provide further support to businesses required to close due to local restrictions.

https://www.gov.uk/government/news/job-support-scheme-expanded-to-firms-required-to-close-due-to-covid-restrictions

These grants will be issued for each two-week period that a business is closed following the implementation of statutory localised restrictions and business closures.

The Government continues to monitor local restrictions and will work closely with any Local Authorities that become eligible for this grant scheme.

The Department is unable to intervene in individual cases of correspondence.

Subsidies for generating electricity from biomass are paid under three low carbon electricity schemes: the Renewables Obligation, the Feed-in Tariff, and Contracts for Difference. The Renewables Obligation does not pay a direct subsidy: instead support is provided through tradeable certificates. The costs of the Contracts for Difference scheme are levied on consumer electricity bills.

The table below provides a breakdown of payments made to biomass electricity generators under the Renewables Obligation and Contracts for Difference schemes in the last three financial years where figures are available[1]:

[1] Figures are not available broken down by technology for the Feed-in Tariff scheme.

[2] Renewables Obligation figures are based on Ofgem’s certificate report as at 17 June 2020 from their Renewables and CHP Register.

[3] Renewables Obligation figures for 2019/20 are provisional as not all the certificates have been issued yet, and the full notional value of each certificate is not yet known.

[4] Contracts for Difference figures are from the Low Carbon Contracts Company (LCCC) CfD dashboard, which is available on LCCC’s website.

The Government announced in October 2019 that it will not commence the age verification provisions of Part 3 of the Digital Economy Act 2017 and instead deliver these protections through our wider online harms regulatory proposals.

Under our online harms proposals, we expect companies to use age assurance or age verification technologies to prevent children from accessing services which pose the highest risk of harm to children, such as online pornography. The online harms regime will capture both the most visited pornography sites and pornography on social media, therefore covering the vast majority of sites where children are most likely to be exposed to pornography. Taken together we expect this to bring into scope more online pornography currently accessible to children than would have been covered by the narrower scope of the Digital Economy Act.

We would encourage companies to take steps ahead of the legislation to protect children from harmful and age inappropriate content online, including online pornography. We are working closely with stakeholders across industry to establish the right conditions for the market to deliver age assurance and age verification technical solutions ahead of the legislative requirements coming into force.

In addition, Regulations transposing the revised Audiovisual Media Services Directive came into force on 1 November 2020 which require UK-established video sharing platforms to take appropriate measures to protect minors from harmful content. The Regulations require that the most harmful content is subject to the strongest protections, such as age assurance or more technical measures. Ofcom, as the regulatory authority, may take robust enforcement action against video sharing platforms which do not adopt appropriate measures.

Gambling operators providing facilities to customers in Great Britain must be licensed by the Gambling Commission and must abide by its player protection requirements. In response to the Covid outbreak, the Commission issued additional guidance for online operators to mandate increased customer interactions, a ban on direct marketing of bonus offers or promotions to customers showing signs of vulnerability, and a ban on operators allowing customers to reverse decisions to withdraw winnings. Data published by the Gambling Commission in November found that since the first national lockdown began, the majority (86%) of those surveyed had gambled the same amount or less than they had previously.

Support and treatment services for people experiencing gambling problems have remained available throughout the Covid 19 period. These include the National Gambling Helpline and counselling services delivered by GamCare and other third sector providers, the NHS specialist gambling clinic in London and the NHS Northern Gambling Service. In April the Gambling Commission directed £8.8 million of regulatory settlement funds to commissioning charity GambleAware to support third sector treatment provision during Covid 19. Other avenues for support such as gambling self exclusion tools and opt-in gambling transaction blocks with banks have also remained available throughout the pandemic.

The government launched its Review of the Gambling Act 2005 on 8 December with the publication of a Call for Evidence. The Review will be wide-ranging and evidence led, and aims to make sure that the regulation of gambling is fit for the digital age. The Call for Evidence will be open for 16 weeks until 31 March 2021, and further detail, including how to make a contribution, can be found at: https://www.gov.uk/government/publications/review-of-the-gambling-act-2005-terms-of-reference-and-call-for-evidence/review-of-the-gambling-act-2005-terms-of-reference-and-call-for-evidence.

Gambling operators providing facilities to customers in Great Britain must be licensed by the Gambling Commission and must abide by its player protection requirements. In response to the Covid outbreak, the Commission issued additional guidance for online operators to mandate increased customer interactions, a ban on direct marketing of bonus offers or promotions to customers showing signs of vulnerability, and a ban on operators allowing customers to reverse decisions to withdraw winnings. Data published by the Gambling Commission in November found that since the first national lockdown began, the majority (86%) of those surveyed had gambled the same amount or less than they had previously.

Support and treatment services for people experiencing gambling problems have remained available throughout the Covid 19 period. These include the National Gambling Helpline and counselling services delivered by GamCare and other third sector providers, the NHS specialist gambling clinic in London and the NHS Northern Gambling Service. In April the Gambling Commission directed £8.8 million of regulatory settlement funds to commissioning charity GambleAware to support third sector treatment provision during Covid 19. Other avenues for support such as gambling self exclusion tools and opt-in gambling transaction blocks with banks have also remained available throughout the pandemic.

The government launched its Review of the Gambling Act 2005 on 8 December with the publication of a Call for Evidence. The Review will be wide-ranging and evidence led, and aims to make sure that the regulation of gambling is fit for the digital age. The Call for Evidence will be open for 16 weeks until 31 March 2021, and further detail, including how to make a contribution, can be found at: https://www.gov.uk/government/publications/review-of-the-gambling-act-2005-terms-of-reference-and-call-for-evidence/review-of-the-gambling-act-2005-terms-of-reference-and-call-for-evidence.

A response was issued to the Hon Member on 6th November.

May I apologise for the delay in responding to the issues the hon. Member has raised.

I apologise for the delay in responding to the issues the Hon. Member has raised. The department with the policy remit will reply on each matter shortly.

I apologise for the delay in responding to the issues the Hon. Member has raised. The department with the policy remit will reply on each matter shortly.

A response was sent to the Hon Member on 5th October.

Sports and physical activity facilities play a crucial role in supporting adults and children to be active and the Government is committed to reopening facilities as soon as it is safe to do so. The government has announced that indoor fitness and dance studios, and indoor gyms and sports venues/facilities would remain closed but from 4 July other indoor other indoor facilities, including indoor games, recreation and entertainment venues would reopen.

As with all aspects of the Government’s response to Covid-19, we will be guided by the science to ensure that as restrictions are eased people can return to activity safely.

Sport England has also announced £210 million of funding to help sport and physical activity organisations deal with the short and long term effects of the pandemic.

The future of the over 75 licence fee concession is the responsibility of the BBC from June 2020. This reform was subject to public discussion and debated extensively during the passage of the Digital Economy Act 2017 through Parliament.

The Government is disappointed with the BBC's decision to restrict the over 75 licence fee concession to only those in receipt of pension credit. We recognise the value of free TV licences for over-75s and believe they should be funded by the BBC.

In 2018 this government published the world's first government loneliness strategy and appointed the world's first minister with responsibility for tackling loneliness. In January 2020 we published our first annual report, highlighting the progress made so far.

The future of the over 75 licence fee concession is the responsibility of the BBC from June 2020. This reform was subject to public discussion and debated extensively during the passage of the Digital Economy Act 2017 through Parliament.

The Government is disappointed with the BBC's decision to restrict the over 75 licence fee concession to only those in receipt of pension credit. We recognise the value of free TV licences for over-75s and believe they should be funded by the BBC.

In 2018 this government published the world's first government loneliness strategy and appointed the world's first minister with responsibility for tackling loneliness. In January 2020 we published our first annual report, highlighting the progress made so far.

The future of the over 75 licence fee concession is the responsibility of the BBC from June 2020. It is for the BBC to set out the ways in which people over 75 can pay for a TV licence or claim the BBC’s concession from this date.

The Government is disappointed with the BBC's decision to restrict the over 75 licence fee concession to only those in receipt of pension credit. We recognise the value of free TV licences for over-75s and believe they should be funded by the BBC.

The Government is committed to ensuring that older people receive the support they are entitled to and the DWP targets activity on engaging with people who may be eligible to benefits at pivotal stages, such as when they claim State Pension or report a change in their circumstances.

The COVID-19 outbreak has been extremely challenging for many families of children and young people with special educational needs and disabilities. Supporting them is a priority for this government, and their wellbeing remains central to our response to COVID-19.

We have published ‘Coronavirus (COVID-19): guidance for children's social care services’, making clear that parents or carers of disabled children and young people may continue to access respite care. This guidance is available here: https://www.gov.uk/government/publications/coronavirus-covid-19-guidance-for-childrens-social-care-services/coronavirus-covid-19-guidance-for-local-authorities-on-childrens-social-care. We have communicated best practice to Directors of Children's Services and encouraged local authorities to ensure that as many disabled children and young people as possible can continue to access these respite services during the COVID-19 outbreak. We have encouraged local authorities to prioritise respite support for disabled children, and to consider flexible and pragmatic options to deliver that support, including using direct payments and carrying out activities virtually.

We are providing £40.8 million for the Family Fund in the 2020-21 financial year to support over 80,000 families on low incomes raising children with disabilities or serious illnesses. This includes £13.5 million to specifically respond to needs arising from the COVID-19 outbreak.

I can confirm that a response has been sent to the letter dated 13 January from the hon. Member for West Lancashire.

Pupils need to know how to be safe and healthy, and how to manage their academic, personal, and social lives in a positive way. That is why we have made Health Education compulsory in all state-funded schools in England alongside Relationships Education (in primary schools) and Relationships and Sex Education (in secondary schools). Health education gives schools the opportunity to drive up the consistency and quality of pupils’ physical health knowledge by delivering clear content through evidence-based teaching. The aim of teaching pupils about physical health and mental wellbeing is to give them the information they need to make good decisions about their own health and wellbeing, recognise issues in themselves and others and, when issues arise, seek support as early as possible from appropriate sources.

The Department is committed to supporting schools in their preparations and has published non-statutory implementation guidance alongside teacher training materials. Both are designed to provide teachers with further clarity and practical advice on how to implement the Relationships, Sex and Health Education curriculum, to help all teachers increase their confidence and quality of teaching. The support is available on a one-stop page for teachers on GOV.UK. This covers all the teaching requirements in the statutory guidance including the importance of developing and maintaining good muscular and skeletal health through regular exercise; and the main changes which take place in males and females, and the implications for emotional and physical health.

As with other aspects of the curriculum, schools have flexibility over how they deliver these subjects so they can develop an integrated approach that is sensitive to the needs and background of their pupils. This could include, for example, choosing to teach about the importance of pelvic floor health education to girls between the ages of 11 and 13. The Department has provided advice on choosing resources in the non-statutory implementation guidance “Plan your Relationships, Sex and Health Curriculum”. We are working with Public Health England to make sure good quality teaching resources are available for teachers delivering health education.

Pupils need to know how to be safe and healthy, and how to manage their academic, personal, and social lives in a positive way. That is why we have made Health Education compulsory in all state-funded schools in England alongside Relationships Education (in primary schools) and Relationships and Sex Education (in secondary schools). Health education gives schools the opportunity to drive up the consistency and quality of pupils’ physical health knowledge by delivering clear content through evidence-based teaching. The aim of teaching pupils about physical health and mental wellbeing is to give them the information they need to make good decisions about their own health and wellbeing, recognise issues in themselves and others and, when issues arise, seek support as early as possible from appropriate sources.

The Department is committed to supporting schools in their preparations and has published non-statutory implementation guidance alongside teacher training materials. Both are designed to provide teachers with further clarity and practical advice on how to implement the Relationships, Sex and Health Education curriculum, to help all teachers increase their confidence and quality of teaching. The support is available on a one-stop page for teachers on GOV.UK. This covers all the teaching requirements in the statutory guidance including the importance of developing and maintaining good muscular and skeletal health through regular exercise; and the main changes which take place in males and females, and the implications for emotional and physical health.

As with other aspects of the curriculum, schools have flexibility over how they deliver these subjects so they can develop an integrated approach that is sensitive to the needs and background of their pupils. This could include, for example, choosing to teach about the importance of pelvic floor health education to girls between the ages of 11 and 13. The Department has provided advice on choosing resources in the non-statutory implementation guidance “Plan your Relationships, Sex and Health Curriculum”. We are working with Public Health England to make sure good quality teaching resources are available for teachers delivering health education.

I can confirm that a response has been sent to the letter dated 11 December 2020, from the hon. Member of West Lancashire.

The Government is investing over £400 million to support access to remote education and online social care services, including securing 1.3 million laptops and tablets for disadvantaged children and young people. As of Monday 25 January 2021, this includes over 870,000 laptops and tablets that were delivered to schools, academy trusts and local authorities.

All schools have been invited to order their full allocation of devices. Schools, academy trusts and local authorities are responsible for distributing the laptops and tablets and are best placed to know which children and young people need access to a device.

Figures on the number of devices delivered are available at: https://explore-education-statistics.service.gov.uk/find-statistics/laptops-and-tablets-data/2021-week-4.

The Department announced on 12 January 2021 that it is purchasing 300,000 more laptops and tablets, bringing the total number we have secured from one million to 1.3 million. The Get Help with Technology scheme will email all schools with information on the number of additional devices allocated to them, and when they will be able to order. We are providing this significant injection of devices on top of an estimated 2.9 million laptops and tablets already owned by schools before the start of the COVID-19 outbreak.

Where pupils experience barriers to digital remote education, we expect schools to offer different forms of remote education such as printed resources or textbooks. This should be supplemented with other forms of communication to keep pupils on track or answer questions about work.

Where schools need additional devices, above their allocations, they should contact the Department for Education’s service team at covid.technology@education.gov.uk. They should include the number of disadvantaged children in years 3 to 11 who require support and an explanation of how they have gathered this evidence.

We think it is important that free school meal support is targeted at those that need it most. Free school meals are an integral part of our provision for families on low incomes and our wider actions to promote social mobility.

We will consider the full recommendations set out in the National Food Strategy. The government has committed to respond formally to the National Food Strategy following publication of Part 2 of the report.

Universal Credit is an in-work benefit which reduces as household earnings increase. It is right that free school meals remain targeted at those who are out of work and on the lowest incomes.

In 2018, Government introduced new eligibility criteria for families on Universal Credit, following a consultation in 2017. It is estimated that this will be more generous in its reach by 2022, in comparison to the legacy benefit system. Further to this we included generous protections, which mean any family transitioning to Universal Credit will continue to have access to a free school meal even if they move above the earnings threshold.

On 17 December 2020, the government announced a return to funding early years settings on the basis of attendance.

We stay in regular contact with the early years sector and have heard from them already on this subject. We will be closely monitoring both parental take-up of places and the capacity and responses of providers and will keep under constant review whether further action is needed.

Furthermore, we have provided additional support to the early years sector during the COVID-19 outbreak, making grants and loans available and ensuring early years providers can access the Coronavirus Job Retention Scheme (CJRS) for their non-government funded income, and childminders the Self-Employment Income Support Scheme (SEISS). We continue to ensure that providers can access the support available.

On 17 December, my right hon. Friend, the Chancellor of the Exchequer, announced that both the CJRS and SEISS will be extended to April 2021. We also updated the CJRS guidance for Early Years so that all providers who have seen a drop in their overall income are able to furlough any staff (who were on payroll on or before 30 October 2020) and who are not required for delivering the government’s funded entitlements. This guidance is available here: https://www.gov.uk/government/publications/coronavirus-covid-19-financial-support-for-education-early-years-and-childrens-social-care/coronavirus-covid-19-financial-support-for-education-early-years-and-childrens-social-care.

Where Early Years providers are struggling financially, they may be eligible to access support from the Additional Restrictions Grant, if not eligible for the Local Restrictions Support Grant schemes. Further information on these grants is available here: https://www.gov.uk/guidance/check-if-youre-eligible-for-the-coronavirus-additional-restrictions-grant and https://www.gov.uk/guidance/check-if-youre-eligible-for-the-coronavirus-local-restrictions-support-grant-for-open-businesses. We will keep under constant review what further support businesses may require.

Rapid, regular testing for people without symptoms of COVID-19 will be made available across the country from this week, with the eligibility of the community testing programme expanded to cover all 317 local authorities. Local authorities will be encouraged to target testing at critical workers such as early years staff during the national lockdown.

We are rolling out our asymptomatic testing programme to primary schools, who will receive testing kits for staff from week commencing 18 January 2020. This includes schools-based nurseries and maintained nursery schools. The asymptomatic testing programme will offer all primary school, schools-based nursery and maintained nursery school staff home Lateral Flow Device test kits for routine testing.

The Joint Committee on Vaccination and Immunisation (JCVI) are the independent experts who advise the Government on which vaccine(s) the UK should use and provide advice on who should be offered them.

JCVI advises that the first priorities for the COVID-19 vaccination programme should be the prevention of mortality and the maintenance of the health and social care systems. As the risk of mortality from COVID-19 increases with age, prioritisation is primarily based on age.

Regarding the next phase of vaccine rollout, JCVI have asked that the Department of Health and Social Care consider occupational vaccination in collaboration with other government departments. The Department for Education will input into this cross-governmental exercise.

The government’s clear and stated expectation is that universities should maintain the quality and quantity of tuition and seek to ensure that all students, regardless of their background, have the resources to study remotely. This is more important than ever now, with the vast majority of students studying solely online. The Office for Students (OfS), as regulator for higher education (HE) providers in England, has made it clear that HE providers must continue to comply with registration conditions relating to quality and academic standards, which set out requirements to ensure that courses are high-quality, that students are supported and achieve good outcomes and that standards are protected, regardless of whether a provider is delivering its courses through face-to-face teaching, remote online learning, or a combination of both.

The OfS has published information on quality and standards for providers providing practical guidance on how best to ensure students continue to receive a high quality academic experience in light of the COVID-19 outbreak. This sets out that providers should make all reasonable efforts to provide alternative teaching and support for students that is at least broadly equivalent to the provider’s usual arrangements. The OfS will keep this guidance under review to ensure it remains relevant to the developing circumstances of the COVID-19 outbreak.

The OfS is taking very seriously the potential impacts of the outbreak on teaching and learning and is regularly engaging with all registered providers. It is actively monitoring providers to ensure that they maintain the quality of their provision, that it is accessible for all, and that they have been clear in their communications with students about how arrangements for teaching and learning may change throughout the year. The OfS is also following up directly with providers where they receive notifications from students, parents or others raising concerns about the quality of teaching on offer and requiring providers to report to them when they are not able to deliver a course or award a qualification. If the OfS has concerns, it will investigate further.

The OfS is also monitoring the position across the sector for instance through polling of students' views. Where appropriate, and in response to issues raised through that monitoring, it will issue further advice to the sector.

Students have rights under consumer law that they may be able to rely on if they are dissatisfied with their provider’s response to the COVID-19 outbreak. In the first instance, students should speak to their provider to see if they can resolve their issue. We expect student complaints and appeals processes to be operated flexibly, accessibly, and sympathetically by providers to resolve any concerns. If a student at a provider in England or Wales is not satisfied with their provider’s final response, they should go to the Office of the Independent Adjudicator for Higher Education, which has published guidance on this issue. ​

During the period of national lockdown, schools should allow only vulnerable children and young people and the children of critical workers to attend. All other pupils should not attend and should learn remotely until February half term.

On 7 January, the Department published guidance that sets out what all schools will need to do during the national lockdown: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/950510/School_national_restrictions_guidance.pdf. Guidance is also available on the children of critical workers and vulnerable children who can access schools or educational settings: https://www.gov.uk/government/publications/coronavirus-covid-19-maintaining-educational-provision/guidance-for-schools-colleges-and-local-authorities-on-maintaining-educational-provision.

Children with at least one parent or carer who is a critical worker can go to school if required. Schools should speak to parents and carers to identify who needs to go to school. If parents and carers who are critical workers can work from home and look after their children at the same time then they should do so.

Every school will have a different number of children of critical workers who need to attend. It is important that on site provision is provided for these pupils, and there is no limit to numbers of these pupils who may attend, and schools should not limit attendance of these groups. This is because we are reducing overall social contact across areas and the country rather than individually by each institution.

The Department will continue to review the restrictions on schools and will ensure that children and young people return to face to face education as soon as possible.

During the period of national lockdown, schools should allow only vulnerable children and young people and the children of critical workers to attend. All other pupils should not attend and should learn remotely until February half term.

On 7 January, the Department published guidance that sets out what all schools will need to do during the national lockdown: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/950510/School_national_restrictions_guidance.pdf. Guidance is also available on the children of critical workers and vulnerable children who can access schools or educational settings: https://www.gov.uk/government/publications/coronavirus-covid-19-maintaining-educational-provision/guidance-for-schools-colleges-and-local-authorities-on-maintaining-educational-provision.

Children with at least one parent or carer who is a critical worker can go to school if required. Schools should speak to parents and carers to identify who needs to go to school. If parents and carers who are critical workers can work from home and look after their children at the same time then they should do so.

Every school will have a different number of children of critical workers who need to attend. It is important that on site provision is provided for these pupils, and there is no limit to numbers of these pupils who may attend, and schools should not limit attendance of these groups. This is because we are reducing overall social contact across areas and the country rather than individually by each institution.

The Department will continue to review the restrictions on schools and will ensure that children and young people return to face to face education as soon as possible.

I can confirm that a response has been sent to the letter dated 2 October, ref ZA53261, from the hon. Member for West Lancashire.

Updated guidance on protecting clinically extremely vulnerable individuals, developed by the Department of Health and Social Care, was published on 26 November 2020. The advice outlined within this guidance states that children and young people whose parents or carers are clinically extremely vulnerable should still attend education and childcare. This remains the default position for all areas irrespective of local restriction tiers. The guidance can be found here: https://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19.

Education and childcare is vital to the wellbeing of children and young people. Time out of nursery, school and college is detrimental for children’s cognitive and academic development.

Schools, nurseries and colleges have implemented a range of protective measures recommended by the Public Health England-endorsed guidance published by the Department for Education which, when followed, creates an inherently safer environment for pupils, staff and families. The guidance can be found here: https://www.gov.uk/government/publications/actions-for-schools-during-the-coronavirus-outbreak/guidance-for-full-opening-schools#res.

If parents or carers are anxious about their child attending education, we recommend that they discuss this with their school leaders to understand their concerns and provide reassurance regarding the protective measures that have been put in place to reduce the risk of COVID-19 transmission at school, nursery or college.

It continues to be the Department’s aim that all pupils, in all year groups, remain in school full time. Returning to school full time has been vital for children’s education and for their wellbeing. Time out of school is detrimental for children’s cognitive and academic development, particularly for disadvantaged children. This impact can affect both current levels of learning and children’s future ability to learn.

As set out in the Government’s COVID-19 Winter Plan, nurseries, schools, and colleges should not change their Christmas holidays or close early this term. Parents should continue to send their children to school during term time. Head teachers, teachers and staff in schools and colleges have been doing an extraordinary job to remain open.

Schools have implemented a range of protective measures to minimise the risk of COVID-19 transmission. The risk to children themselves of becoming severely ill from COVID-19 is low, and there are negative health impacts from being out of school. Senior clinicians, including the Chief Medical Officers of all four nations, still advise that school is the very best place for children to be.

If parents have concerns about their child attending school because they consider they or members of their household may have particular risk factors, they should discuss these with their school.

I can confirm that a response has been sent to the letter dated 8 September 2020, from the hon. Member for West Lancashire.

Appeals against A and AS level and GCSE grades are being accepted from schools or colleges where they think the exam board did not apply its procedures properly and fairly or where the data used by the exam board to calculate results contained an error.

Ofqual has published summary guidance, agreed with school and college leaders, which makes clear what the process was for putting together centre assessment grades and the grounds of appeal which are available.

I understand the college has been in touch with the student to see if they wish to enter the autumn exam series. The Department has launched an Exam Support Service which will provide support for schools and colleges to run the autumn exams.

I am due to meet the hon. Member for West Lancashire on 1 September 2020 and look forward to discussing the matter she raised with me in person.

Ormskirk School moved to its new accommodation in 2004. The land had been part of the site of the former Cross Hall High School, a community school, and was transferred by Lancashire County Council (LCC) in February 2006 to five named individuals who were trustees of the Foundation Trust of the school. The Department for Education was not party to that transfer.

The 2006 Charity Commission scheme for the Foundation Trust provides for the Foundation Trust to retain the land for use as a voluntary school.

Copies of the title number LAN28839 are available on request from LCC or the Foundation Trust and the Land Registry. A copy of the title has been shared with the Department as part of the conversion of the school to become an academy.

Ormskirk School moved to its new accommodation in 2004. The land had been part of the site of the former Cross Hall High School, a community school, and was transferred by Lancashire County Council (LCC) in February 2006 to five named individuals who were trustees of the Foundation Trust of the school. The Department for Education was not party to that transfer.

The 2006 Charity Commission scheme for the Foundation Trust provides for the Foundation Trust to retain the land for use as a voluntary school.

Copies of the title number LAN28839 are available on request from LCC or the Foundation Trust and the Land Registry. A copy of the title has been shared with the Department as part of the conversion of the school to become an academy.

The Department for Education is working closely with educational institutions, sector organisations, the Department for Health and Social Care (DHSC), NHS England and Public Health England (PHE) to understand the effects of the measures to prevent the spread of COVID-19 on the mental health and wellbeing of children and identify the children and young people that need help and will continue to do so as more pupils return to school.

There are well established links between physical activity, improved mental wellbeing and educational attainment and we recognise the importance that children continue to remain fit and active, wherever possible, and have the 60 minutes of daily physical activity recommended by the Chief Medical Officers. We are encouraging schools to prioritise physical activity as they welcome more children back to school. Schools are free to organise and deliver a physical education curriculum that suits the needs of all their pupils whilst following COVID-19 government guidelines.

The return to school is a key part of supporting the mental health and wellbeing of pupils, as in addition to providing more opportunities for physical activity, attendance at school allows social interaction with peers, carers and teachers, which benefits wellbeing. To support this, we have encouraged schools to focus on mental wellbeing as pupils return. Children in Reception, year 1 and year 6 are now able to return to primary, and year 10 and year 12 pupils are able to receive face-to-face support at secondary. Primaries with capacity can bring back additional groups, in line with existing protective measures, and we have given schools the flexibility to have face-to-face ‘check-ups’ with all pupils during the summer term, which will ensure more children and young people are able to achieve this benefit. Our intention is for all children to return to school from September and guidance will be published soon.

We are working with the DHSC to put in place further specific support for school staff to understand the issues that pupils will face with their mental wellbeing. This includes training for teachers, such as a new module developed with clinical experts on how to teach about mental health in health education and more information is available here:
https://www.gov.uk/guidance/teaching-about-mental-wellbeing.

Access to mental health support is more important than ever during the COVID-19 outbreak. NHS services remain open, and leading mental health charities are being supported to deliver additional services through the £5 million Coronavirus Mental Health Response Fund. During Mental Health Awareness Week, the government also announced that a further £4.2 million will be awarded to mental health charities – including the Samaritans, Young Minds, and Bipolar UK.

All NHS mental health trusts have been asked to ensure that there are 24/7 open access telephone lines to support people of all ages. These are available for children and young people as well as adults. PHE and Health Education England have also developed advice and guidance for parents and professionals on supporting children and young people’s mental health and wellbeing, which is available here:
https://www.gov.uk/government/publications/covid-19-guidance-on-supporting-children-and-young-peoples-mental-health-and-wellbeing.

In addition, children and young people can access free confidential support anytime from government-backed voluntary and community sector organisations either by texting SHOUT to 85258, or by calling Childline on 0800 1111 or The Mix on 0808 808 4994. Children and young people can also find online information on COVID-19 and mental health on the Young Minds website, which is available here:
https://youngminds.org.uk/about-us/reports/coronavirus-impact-on-young-people-with-mental-health-needs/.

The School Sport and Activity Action Plan set out a range of measures to ensure that all children have access to high quality PE and sport sessions during the school week and opportunities to be physically active throughout the school day, to help them do the 60 minutes a day of physical exercise recommended by the Chief Medical Officer.

The Government will confirm arrangements for the Primary PE and Sport Premium in the 2020-21 academic year as soon as possible. The funding for PE and school sport in the 2021-22 academic year and beyond will be considered at the forthcoming Spending Review.

The Government remains committed to supporting schools to make good use of their sports facilities and to promote physical literacy and competitive sport. We plan to update the School Sport and Activity Action Plan with longer term proposals to support schools to improve children’s activity levels.

The Department recognises there are well established links between physical activity, improved mental wellbeing and educational attainment.

The Government’s School Sport and Activity Action Plan set out a range of measures to ensure that all children have access to high quality PE and sport sessions during the school week and opportunities to be physically active throughout the school day, to help them do the 60 minutes a day of physical exercise recommended by the UK Chief Medical Officers.

While schools have been closed to some pupils the Government has taken steps to support those who have had restricted opportunity to exercise while at home to support their physical and mental wellbeing. As part of its guidance on remote education provision, the Department has published online educational resources approved by subject experts for schools and parents to help children to take part in PE and physical activity. In addition, Sport England have free online content to help children and their families to become active at home through their Join the Movement campaign.

The Department is working to ensure that schools are fully supported as they welcome more children back to school and schools are able to give pupils opportunities to take part in physical education and be physically active during the school day.

The department has worked closely with early years settings, schools and physical activity experts to ensure that there is advice and resources to support everyone to participate in regular exercise. The department has published online educational resources approved by subject experts for schools and parents to help children to learn at home. These resources include those for PE, which are available at:
https://www.gov.uk/government/publications/coronavirus-covid-19-online-education-resources/online-science-pe-wellbeing-and-send-resources-for-home-education.

On 19 May 2020, we announced £37 million for the Family Fund, which will provide grants to families on low incomes with disabled and critically ill children. £10 million of that funding has been committed specifically in response to the unique difficulties presented by the COVID-19 outbreak for over 75,000 families, helping parents educate and look after children who are staying at home more than usual. Details of the announcement have been published here:
https://www.gov.uk/government/news/37-million-to-support-children-with-complex-needs.

The government has provided £3.2 billion of additional to support local authorities to address any pressures they are facing in response to the COVID-19 outbreak, including in children’s social care and for special educational needs and disabilities (SEND) services. We have also announced £750 million funding to support front line charities during the outbreak, including those supporting vulnerable children.

I refer the hon. Members to the answer I gave on 23 June 2020 to Question 54195.

The department is continuing to assess the impact of the potential effect of school closure on children and young people’s mental health and education attainment. We are working closely with educational institutions, sector organisations, the Department for Health and Social Care, NHS England and Public Health England to understand the risks to education attainment, mental health and wellbeing and identify the children and young people that need help.

The government remains committed to promoting and supporting the mental health of children and young people. Access to mental health support is more important than ever during the COVID-19 outbreak. NHS services remain open, leading mental health charities are being supported to deliver additional services through the £5 million Coronavirus Mental Health Response Fund. All NHS Mental Health Trusts have been asked to ensure there are 24/7 open access telephone lines to support people of all ages. Public Health England and Health Education England have developed advice and guidance for parents and professionals on supporting children and young people's mental health and wellbeing, which is available here:
https://www.gov.uk/government/publications/covid-19-guidance-on-supporting-children-and-young-peoples-mental-health-and-wellbeing.

Pupil wellbeing is an important consideration within our guidance on actions for educational and childcare settings as they begin to open in June 2020, which is available here:
https://www.gov.uk/government/publications/actions-for-educational-and-childcare-settings-to-prepare-for-wider-opening-from-1-june-2020.

From the week commencing 1 June 2020, primary schools have been welcoming back children in nursery, reception, year 1 and year 6, alongside priority groups (vulnerable children and children of critical workers). From 15 June 2020, secondary schools will provide some face-to-face support for young people in year 10 and year 12. We want to get all children and young people back into education as soon as the scientific advice allows because it is the best place for them to learn, and because we know how important it is for their mental wellbeing to have social interactions with their peers, carers and teachers.

The department continues to work with the education sector on how best to make up for lost time with the phased return to schools for the 2020-21 school year.

The government remains committed to promoting and supporting the mental health of children and young people. Access to mental health support is more important than ever during the COVID-19 outbreak. NHS services remain open, leading mental health charities are being supported to deliver additional services through the £5 million Coronavirus Mental Health Response Fund. All NHS Mental Health Trusts have been asked to ensure there are 24/7 open access telephone lines to support people of all ages. Public Health England and Health Education England have developed advice and guidance for parents and professionals on supporting children and young people's mental health and wellbeing, which is available here:
https://www.gov.uk/government/publications/covid-19-guidance-on-supporting-children-and-young-peoples-mental-health-and-wellbeing.

The department has signposted resources on supporting and promoting mental wellbeing among the list of resources to help children to learn at home. BBC Bitesize has worked with the department to provide content with substantial focus on mental health, wellbeing and pastoral care. The list of resources is available here:
https://www.gov.uk/government/publications/coronavirus-covid-19-online-education-resources.

The return to school will in itself be part of supporting the mental health and wellbeing of pupils as attendance enables social interaction with peers, carers and teachers. Pupil wellbeing is an important consideration within our guidance on actions for educational and childcare settings as they begin to open in June 2020, which is available here:
https://www.gov.uk/government/publications/actions-for-educational-and-childcare-settings-to-prepare-for-wider-opening-from-1-june-2020.

Children and young people can access free confidential support anytime from government-backed voluntary and community sector organisations by texting SHOUT to 85258 or by calling Childline on 0800 1111 or the Mix on 0808 808 4994. Children and young people can also find online information on COVID-19 and mental health on the Young Minds website, which is available here:
https://youngminds.org.uk/about-us/reports/coronavirus-impact-on-young-people-with-mental-health-needs/.

Special schools are playing a vital role in supporting vulnerable children during the COVID-19 outbreak. The Department for Education has published a substantial body of guidance to help special schools and other settings support children with special educational needs and disabilities (SEND). This includes in particular:

Coronavirus (COVID-19): guidance on vulnerable children and young people:

https://www.gov.uk/government/publications/coronavirus-covid-19-guidance-on-vulnerable-children-and-young-people.

Coronavirus (COVID-19): SEND risk assessment guidance:

https://www.gov.uk/government/publications/coronavirus-covid-19-send-risk-assessment-guidance/coronavirus-covid-19-send-risk-assessment-guidance.

Education, health and care needs assessments and plans: guidance on temporary legislative changes relating to coronavirus (COVID-19):

https://www.gov.uk/government/publications/changes-to-the-law-on-education-health-and-care-needs-assessments-and-plans-due-to-coronavirus.

Further guidance for all schools, including special schools, can be found in our coronavirus (COVID-19) collection:

https://www.gov.uk/government/collections/coronavirus-covid-19-guidance-for-schools-and-other-educational-settings.

We are committed to maintaining and updating all guidance as the COVID-19 outbreak develops.

We are investing an extra £400 million in 16 to 19 education next year to ensure that we are building the skills that our country needs. We will increase the base rate of funding by 4.7%, from £4,000 to £4,188 for the academic year 2020/21. Over and above the base rate rise, this extra spending also includes new resources for high value and high cost courses and funding to support those on level 3 programmes to continue to study English and maths where needed.

This is the biggest injection of new money into 16 to 19 education in a single year since 2010 - with funding increasing faster for 16 to 19 than in 5 to 16 schooling – and will mean a significant increase in the average level of funding per student. We will of course continue to look at the needs of 16 to 19 education in future Spending Reviews.

I refer the hon. Member to the answer given by my hon. Friend, the former Parliamentary Under-Secretary of State for Children and Families on 28 January 2020 to 5550.

Since 2014 financial education has been statutory within the secondary national curriculum as part of citizenship and mathematics. Financial education ensures that pupils are taught the functions and uses of money, the importance of personal budgeting, money management and managing financial risk.

The Ofsted inspection framework sets out how inspections take a view on the quality of the broad and balanced education that a school provides. This includes how schools provide pupils with the knowledge and skills needed to take advantage of opportunities, responsibilities and experiences of later life, which can include financial education, as well as how curriculum subjects such as citizenship contribute to pupils’ personal development.

There are a number of organisations that support financial education for young people. Young Money recently launched a free financial education textbook for secondary schools, to support high quality teaching of the subject. We are currently working with the Money and Pension Service and HM Treasury to consider how we can support further the teaching of financial education in schools.

With regard to correspondence references GD/ZA54309 and GD/ZA54475, I replied to the hon. Member on 17 December 2020.

With regard to correspondence references GD/ZA54170, GD/ZA54244, GD/ZA54254,

GD/ZA54258, GD/ZA54301 and GD/ZA54412, I replied to the hon. Member on 18 December 2020.

Correspondence reference GD/ZA54476 was answered in the same reply as GD/ZA54475.

With regard to correspondence references GD/ZA54309 and GD/ZA54475, I replied to the hon. Member on 17 December 2020.

With regard to correspondence references GD/ZA54170, GD/ZA54244, GD/ZA54254,

GD/ZA54258, GD/ZA54301 and GD/ZA54412, I replied to the hon. Member on 18 December 2020.

Correspondence reference GD/ZA54476 was answered in the same reply as GD/ZA54475.

With regard to correspondence references GD/ZA54309 and GD/ZA54475, I replied to the hon. Member on 17 December 2020.

With regard to correspondence references GD/ZA54170, GD/ZA54244, GD/ZA54254,

GD/ZA54258, GD/ZA54301 and GD/ZA54412, I replied to the hon. Member on 18 December 2020.

Correspondence reference GD/ZA54476 was answered in the same reply as GD/ZA54475.

With regard to correspondence references GD/ZA54309 and GD/ZA54475, I replied to the hon. Member on 17 December 2020.

With regard to correspondence references GD/ZA54170, GD/ZA54244, GD/ZA54254,

GD/ZA54258, GD/ZA54301 and GD/ZA54412, I replied to the hon. Member on 18 December 2020.

Correspondence reference GD/ZA54476 was answered in the same reply as GD/ZA54475.

With regard to correspondence references GD/ZA54309 and GD/ZA54475, I replied to the hon. Member on 17 December 2020.

With regard to correspondence references GD/ZA54170, GD/ZA54244, GD/ZA54254,

GD/ZA54258, GD/ZA54301 and GD/ZA54412, I replied to the hon. Member on 18 December 2020.

Correspondence reference GD/ZA54476 was answered in the same reply as GD/ZA54475.

I apologise for the delay in responding. Replies to the hon. Member's letters have been prepared and will be issued very shortly.

I apologise for the delay in responding. Replies to the hon. Member's letters have been prepared and will be issued very shortly.

I apologise for the delay in responding. Replies to the hon. Member's letters have been prepared and will be issued very shortly.

De-silting (also referred to as dredging) and clearing channels, are important parts of the Environment Agency’s (EA) river maintenance regime. The EA will undertake these activities where there is evidence that they will reduce flood risk to local properties cost effectively without increasing flooding downstream.

Typically over each of the past three years the Environment Agency has spent between £45 million and £55 million a year on channel maintenance, of which between £5 million and £11 million is for dredging.

Channel maintenance in West Lancashire, where the majority of watercourses are man-made for drainage, includes a range of activities to maintain conveyance such as desilting, weed cutting and removing blockages. Locally over the last three years in West Lancashire the EA has carried out £175,000 worth of desilting, as part of its recurring maintenance programme.

Between 2015 and 2020 we committed around £1 billion on the maintenance of flood defence assets. This is a real terms increase in spending compared to the £812 million spent in the previous five years.

De-silting (also referred to as dredging) and clearing channels, are important parts of the Environment Agency’s (EA) river maintenance regime. The EA will undertake these activities where there is evidence that they will reduce flood risk to local properties cost effectively without increasing flooding downstream.

Typically, over each of the past 3 years the EA have spent between £5 million and £11 million on dredging across England. This equates to approximately 100-200km of river channel each year. The EA regularly reviews its river channel maintenance programme to identify where an increase in river channel maintenance, including dredging, will provide a net positive economic benefit by reducing flood risk.

I apologise for the delay in responding. I replied to the hon. Member on 3 November 2020.

I apologise for the delay in responding to the hon. Member. Defra is currently dealing with high volumes of correspondence due to COVID-19. It has also been necessary to consult the Environment Agency to provide as accurate and helpful a response as possible, which has taken time. I understand the hon. Member has also separately written to the Environment Agency on some of the points raised in these letters and the Environment Agency has responded.

The replies will be with the hon. Member as soon as possible.

I apologise for the delay in responding to the hon. Member. Defra is currently dealing with high volumes of correspondence due to COVID-19. It has also been necessary to consult the Environment Agency to provide as accurate and helpful a response as possible, which has taken time. I understand the hon. Member has also separately written to the Environment Agency on some of the points raised in these letters and the Environment Agency has responded.

A reply to the hon. Member has been prepared and will be issued very shortly.

The number of dogs seized and detained in quarantine at Eurotunnel, Dover Port and Harwich in August 2020 are as follows:

Eurotunnel – 35

Dover Port – 10

Harwich – 0

The number of animals detained in quarantine for Eurotunnel also includes dogs that were seized at Coquelles and moved into the United Kingdom for quarantine purposes.

Since the outbreak of the pandemic, Defra’s animal welfare team has been in regular contact with the sector to understand the impacts and what is needed from government. I am grateful for the work done by animal welfare charities to promote advice for pet owners and look after animals during this difficult time.

The Association of Dogs & Cats Homes undertook surveys in April and May 2020 of their members and wider rescue and rehoming organisations to establish the extent of the impact of Covid-19 on the sector. Many rescue organisations have reported a reduction in the number of dogs being abandoned during the height of the Covid-19 pandemic, and there has been an increase in demand for dogs and other pets. We are continuing to monitor the effect on pet ownership of lifestyle changes stemming from the Covid-19 outbreak.

The Government recognises that the animal rescue and rehoming sector has been impacted by a significant reduction in income through charity shop closures, cancelled fundraisers and much reduced donations. It has been encouraging to see the sector working collaboratively to safeguard the welfare of animals in their care (including dogs) in the face of real financial hardship and uncertainty.

We have worked closely with the Canine and Feline Sector Group to agree and update guidance to animal rescue and rehoming organisations and pet businesses to enable them to undertake core operations as far as possible, while maintaining compliance with the social distancing rules and need for hygiene precautions to help prevent the spread of coronavirus. We also provided pet owners, including those with dogs, with information about how to look after their animals during Covid-19: www.gov.uk/guidance/coronavirus-covid-19-advice-for-people-with-animals.

The Government remains committed to continued engagement with welfare charities and the wider companion animal sector to understand the longer-term impacts of the coronavirus pandemic, monitor the animal welfare implications of this and offer appropriate advice.

A reply was sent to the hon. Member on 22 July 2020.

Defra is in regular contact with the companion animal welfare sector to discuss matters including dog breeding and sales activity. There has been a high level of demand for pets as more people have been staying at home during the Covid-19 outbreak. We recognise that there are risks of people buying puppies which have unknowingly been bred in poor welfare conditions whether at home or abroad. To help combat this situation, Defra launched a national Government communications campaign in March 2020, 'Petfished', to coincide with the introduction of the ban on the commercial third-party sale of puppies and kittens in England which came into force on 6 April 2020.

The campaign raises awareness of the consequences of buying from a low-welfare seller and challenges the assumption that it is easy to spot bad practice. 'Petfished' also educates the public on best practice for finding a new pet and signposts individuals to resources available to help them make the right decision. We will be shortly launching the second phase of 'Petfished' this month, with the continued support of major animal welfare charities, veterinary associations and celebrities.

In addition, we are fully committed to cracking down on the vile and illegal trade in pets and operate one of the most rigorous pet border checking regimes in the world. Leaving the EU provides us with the opportunity to further crack down on puppy smuggling in line with our manifesto commitment.

I refer the hon. Member to the answer I gave to the hon. Member for Blackpool South on 25 June 2020, PQ UIN 61621.

[www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2020-06-18/61621]

The Government in early April, along with the Scottish and Welsh Governments, commissioned the Animal Welfare Committee (AWC) to assess the risks to animal welfare as a result of Covid-19 controls. The AWC has submitted the first part of its report which was published on 4 June 2020 and is available at: https://www.gov.uk/government/publications/awc-opinion-on-the-animal-welfare-issues-related-to-covid-19.

The AWC is currently considering the potential medium to long-term impact on animal welfare as a consequence of Covid-19 restrictions. We expect to receive that report, and for it to be published, in early autumn.

Defra is in regular contact with the companion animal rescue and rehoming sector. The Minister for Animal Welfare, Lord Goldsmith of Richmond Park, has met the CEOs of the main companion animal welfare charities to discuss the effects of Covid-19 on the sector.

Defra has worked closely with stakeholders to ensure that there has been helpful and effective guidance available to enable animal rescue and rehoming and charitable activities to continue operating as far as possible, during the various phases of Coronavirus restrictions. As we ease the restrictions, we are conscious that this may have an impact on animal rescue and rehoming. We will continue to work closely with the sector to understand their needs.

Trees have an important role to play for climate mitigation as we work towards net zero emissions. The Government has made major commitments to enable more tree planting in recent years, including through creation of a £640 million Nature for Climate Fund.

Over 4,000 hectares of woodland have been planted with Government support in England over the last three years at a cost of approximately £17 million.

While complying with the United Kingdom Forestry Standard, land managers and owners decide which species of tree to plant on their land. Woodland planted will be a mix of native and exotic species, all of which contribute towards climate mitigation.

As we deploy new funding we will look to ensure the trees we plant not only capture carbon, but deliver a wide range of ecosystems services.

I refer the hon. Member to the answer given to the hon. Member for Totnes on 30 June 2020, PQ UIN 62631.

[www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2020-06-22/62631]

Defra is working closely with supermarkets to ensure that people who have registered with the Government as extremely clinically vulnerable and have indicated that they need help to access food are supported, by offering them emergency food parcels provided by the Government or by sharing data to facilitate priority access to online supermarket delivery slots. People can register with supermarkets where they were not previously customers in order to ensure that they can access the food and essential goods that they need.

People who register as clinically extremely vulnerable (CEV) either online or via the helpline, and indicate that they need help to access food, will have their details shared with supermarkets. The participating supermarkets are: Asda, Iceland, Morrisons, Ocado, Sainsburys, Tesco and Waitrose.

Supermarkets will check these details against their own customer databases and flag anyone who matches. They will then contact the CEV individual and offer them priority access to online delivery slots. The individual should be matched with any supermarket that they are already registered with, and they may choose which they wish to use. Work is in hand to address the needs of people who do not have a pre-existing relationship with any supermarket.

I can confirm that Defra received the letter from West Lancashire Borough Council on 15 March 2019. A response was not issued due to administrative error.

A reply is now being drafted and will be sent to the council in due course.

The Government is committed to increasing recycling rates. The Queen’s Speech committed the Government to bring forward our ambitious Environment Bill which introduces legislation so that a core set of materials (metal, plastic, paper and card, glass, food and garden waste) will be collected from all households, businesses and other organisations such as schools, in England, from 2023.

Waste collection and recycling arrangements for schools are controlled and financed by schools themselves. One of Defra’s delivery partners, the Waste and Resources Action Programme (WRAP), provides curriculum linked resources for schools and teachers to help teach pupils about recycling.

https://partners.wrap.org.uk/campaigns/recycle-now/schools/

My Department has undertaken extensive research, in consultation with the shipping sector and other Government Departments, on the economic opportunities for the UK from the design, development and commercialisation of those technologies that are expected to be critical to achieving zero emission shipping by 2050. This research had been published in support of the Clean Maritime Plan on GOV.UK.

A response to your correspondence of 21 May was sent via email on 3rd July. Unfortunately, due to an administrative error, an incorrect date was quoted on that letter for which I apologise. A revised copy of that letter with the correct date can be found in the attached document.

The Secretary of State for Work and Pensions has regular discussions with Cabinet colleagues, including the Home Secretary, on a range of issues.

The EU Biocidal Products Regulation 528/2012 (BPR) has applied since 2013. In line with the EU Exit Withdrawal Agreement, the BPR is being retained with changes to reflect the position at the end of the Transition Period. This process does not allow the UK to make policy changes. Thus, there are no current plans to review the procedures within the UK biocides legislation. HSE has no evidence that the current regulatory approach is ineffective.

BPR requires that all the active substances used in hand sanitiser products are reviewed for their safety, both to people and the wider environment. Only products containing active substances that are undergoing that review process are allowed to be marketed.

Once the review of an active substance has been completed and the active is approved as being suitable to continue being used, each product containing that substance is then assessed, both for safety and for efficacy. While the review of an active substance is ongoing, products containing that substance can continue to be marketed subject to the requirements of general legislation relating to product safety and the supply of chemicals.

The BPR does not regulate the price of hand sanitiser products.

There are no current plans to review the regulation of sales of hand sanitiser products.

I can only apologise to the hon. Member for the continued delay in this matter. I can assure her a substantive reply will be posted to her tomorrow.

As a result of the triple lock, from April 2020 (subject to Parliamentary approval) the full yearly amount of the basic State Pension will be around £700 higher than if it had been just up-rated by earnings, since April 2010. From April 2020, the Standard Minimum Guarantee in Pension Credit will increase by average earnings. This is the equivalent of over £2,100 per year higher in cash terms for single people, and over £3,200 per year higher in cash terms for couples than it was in 2010.

The Government is committed to action that helps to alleviate levels of pensioner poverty. There are 100,000 fewer pensioners in absolute poverty (before housing costs) than in 2009/10. Rates of material deprivation for pensioners are also at a record low. Since 2009/10 material deprivation for pensioners has fallen from 10% to 7% in 2017/18, and in 2019/20 the Government will spend around £100 billion on the State Pension.

1.6 million people are already claiming around £5.4 billion in Pension Credit. The Government wants to make sure that all pensioners eligible can claim the Pension Credit to which they are entitled. That is why on the 10 February 2020 we launched a nationwide campaign to raise awareness of Pension Credit and encourage those over State Pension age to check whether they are eligible.

To assist customers to prepare for retirement, the Government has introduced a number of initiatives including the launch of the online mid-life MOT page https://www.yourpension.gov.uk/mid-life-mot/ which provides guidance on how to obtain the right information to plan for retirement.

The employer led strategy on fuller working lives https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/587654/fuller-working-lives-a-partnership-approach.pdf aims to maximise the labour market opportunities for people to earn and save for longer reducing the risk of poverty once they have retired permanently from the labour market.

We are also committed to enabling more people to save while they are working, so that they can enjoy greater security and independence when they retire. Automatic enrolment into workplace pensions has succeeded in transforming workplace pension saving for millions of today’s workers. Participation in workplace pension saving rose from 55 per cent in 2012 to 87 per cent of eligible employees in 2018, showing the positive impact of the workplace pension reforms.

The rates of pensioner benefits, including Housing Benefit (HB), tend to be higher than some working-age income-related benefits, as pensioners as a group are likely to be reliant on benefits for a longer period and less able to change their circumstances or improve their income through work.

Local Authorities are responsible for administering HB and the take up of HB by pensioners is shown to be higher than the take up of Pension Credit.

The Department publishes an annual report detailing latest available statistics regarding the estimated take-up of HB and other income-related benefits.

The latest version can be found here: https://www.gov.uk/government/statistics/income-related-benefits-estimates-of-take-up-financial-year-2016-to-2017

The next report containing 2017/18 data will be published in due course.

1.6 Million people are already claiming some £5.4 billion in Pension Credit. The Government wants to make sure that all pensioners eligible can claim the Pension Credit to which they are rightly entitled. That is why from the 10 February we are launching a nationwide campaign to raise awareness of Pension Credit and encourage those over State Pension age to check whether they’re eligible. The campaign includes a short, animated video that will be shown in GP waiting rooms and in Post Offices. It will also be shown to Facebook users over State Pension Age and be supported by messaging on social media.

We regularly work with our stakeholders to help spread the key messages from the campaign because we know that often the best ways to reach eligible pensioners is through trusted stakeholders working in the community. The Pension Credit toolkit is being updated with the campaign materials to supplement the resources it already contains for those working with pensioners, such as guides to Pension Credit and guidance designed to help older people understand how they could get Pension Credit. The toolkit is designed to help organisations support someone applying for Pension Credit as well as provide ideas for encouraging take-up. It can be found at: https://www.gov.uk/government/publications/pension-credit-toolkit

The Department for Work and Pensions continues to use a wide range of channels including information on www.gov.uk, in leaflets and by telephone to communicate information about benefits including Pension Credit to potential claimants. We target activity on engaging with people who may be eligible to benefits at pivotal stages, such as when they claim State Pension or Attendance Allowance or report a change in their circumstances which may mean that they could be eligible for Pension Credit. In addition, the Pension Credit calculator https://www.gov.uk/pension-credit-calculator enables potential claimants to check if they are likely to be eligible and get an estimate of what they may receive. People wishing to claim Pension Credit can do so by calling the free phone number 0800 99 1234.

Automatic enrolment has achieved a quiet revolution through getting employees into the habit of pension saving. It has reversed the decline in workplace pension participation seen in the decade prior to its introduction. Since automatic enrolment started in 2012 participation rates have been transformed with 87% of eligible employees saving into a workplace pension in 2018, up from 55% in 2012.

The Department does not hold data for individual constituencies in relation to opt outs or the number of individuals who have saved above the automatic enrolment minimum contribution level. However, we do know that overall around 9% of automatically enrolled workers have chosen to opt out which is significantly below original estimates; and our latest evaluation report shows that, in April 2017, approximately 5.9 million eligible employees were already meeting the April 2019 minimum contribution rates.

I am providing the following information about the impact of automatic enrolment in your constituency, as of December 2019:

In the West Lancashire constituency, since 2012, approximately 16,000 eligible jobholders have been automatically enrolled and 1,710 employers have met their duties.

Automatic Enrolment Evaluation Report 2018, available via the following weblink: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/764964/Automatic_Enrolment_Evaluation_Report_2018.pdf.

The Pensions Regulator’s data on Automatic enrolment declaration of compliance by constituency, available via the following weblink:

https://www.thepensionsregulator.gov.uk/en/document-library/research-and-analysis/data-requests

No specific assessment has been made. However, as part of COVID-19 recovery planning we are working with the Department for Education and NHS England and NHS Improvement to improve the provision of health services to disabled children. NHS England and NHS Improvement published guidance making clear that essential community services must be prioritised for children and young people with special educational needs and disabilities aged up to 25 years old and who have an Education Health and Care Plan in place or who are going through an assessment for one. On 25 March 2021 NHS England and NHS Improvement issued 2021/22 operational planning guidance​, including an elective recovery framework and expectations in relation to re-establishing services. This framework includes elective in-patient activity for children and young people aged 0 to 16 years old.

We replied to the hon. Member on 25 May 2021.

We replied to the hon. Member on 25 May 2021.

NHS England has confirmed they have received this letter and are working to provide an answer as soon as possible.

We replied to the hon. Member on 28 May 2021.

Current available information indicates that the number of former patients of Winterbourne View who are currently in in-patient units is very small. We are unable to provide further information as individuals could be identified.

The latest NHS Digital Assuring Transformation data, as at the end of April 2021, shows there were 2,040 people with a learning disability and autistic people in specialist-in patient settings in England. This is a net reduction of 30% on the inpatient number in March 2015.

The Building the Right Support Delivery Board has been established to drive further progress in reducing the number of people with a learning disability and autistic people in specialist in patient settings. The Board is monitoring progress to ensure the target is met.

The NHS Long Term Plan sets out our commitment to developing seven-day specialist multidisciplinary services, forensic services and crisis care to provide early intervention and reduce preventable admissions to inpatient care. Our work includes the delivery of community Care (Education) and Treatment Reviews; development of keyworkers for children and young people with the most complex needs; and a focus on the use of dynamic support systems to mitigate individuals’ risk of crisis.

We are consulting through the Reforming Mental Health Act white paper on the introduction of new duties on commissioners to ensure the adequate supply of community services for people with a learning disability and autistic people.

People should only be admitted to a mental health inpatient unit when there is a clinical need which cannot be treated in the community. The Building the Right Support Delivery Board has been established to drive further progress in reducing the number of people with a learning disability and autistic people in specialist inpatient settings through the development of community-based support. A priority for the Board is examining issues with funding flows, including assessing any financial disincentives preventing progress.

I refer the hon. Member to the answer I gave to the hon. Member for Wakefield (Imran Ahmad Khan MP) on 18 May to Question 539.

I refer the hon. Member to the answer I gave to the hon. Member for Wakefield (Imran Ahmad Khan MP) on 21 May 2021 to Question 540.

No such comparative assessment has been made.

Data on access to mental health services on people with mental health conditions is collated in the Mental Health Services Dataset and the Improving access to Psychological Therapies dataset. While both these datasets are able to record the consultation medium and show increased use of remote consultations for people in contact with services, it is too early to determine the overall effect of this change on service users and outcomes.

The Mental Health Units (Use of Force) Act 2018, will increase the oversight and management of the use of force or restraint in mental health units so that force is only ever used as a last resort. We are committed to publishing the Mental Health Units (Use of Force) Act 2018 draft statutory guidance for public consultation by late spring 2021 and we will set out a full timetable for commencing the Act at the earliest opportunity.

As part of our joint arm’s length bodies’ programme on Reducing Use of Restraint and Restrictive Practices, a set of standards and an accreditation scheme for training providers has been developed to provide assurances that staff in mental health services and social care services are adequately trained in safe and appropriate use of restraint. Since April 2021, all services across health and social care have been expected to use training in restrictive practices that is certified as complying with the Restraint Reduction Network Standards. These standards apply across child and adult services, including for people with a learning disability and autistic people.

The Care Quality Commission (CQC) is also leading a new programme of work to transform the way they regulate services for people with a learning disability and autistic people. The CQC set out their expectations for providers in their policy Right Support, Right Care, Right Culture, as well as in their updated guidance, which gives inspectors further support to identify warning signs of a closed culture in services.

We replied to the hon. Member on 17 May 2021.

We monitor all providers’ performance, including their delivery and testing services. We are taking rapid action with companies where appropriate. Those providers providing inadequate services receive a five-day warning to demonstrate they have rectified their service, or they are removed from GOV.UK.

All private providers listed on GOV.UK have demonstrated compliance with the relevant minimum standards for their commercial provision of testing. This includes undergoing the three-staged UKAS accreditation process if they are providing sample collection and/or test analysis services.

We monitor all providers’ performance, including their delivery and testing services. We are taking rapid action with companies where appropriate. Those providers providing inadequate services receive a five-day warning to demonstrate they have rectified their service, or they are removed from GOV.UK.

All private providers listed on GOV.UK have demonstrated compliance with the relevant minimum standards for their commercial provision of testing. This includes undergoing the three-staged UKAS accreditation process if they are providing sample collection and/or test analysis services.

Data on 12 hour waiting times in accident and emergency departments in 2019-20, the latest data available, is published at the following link:

https://digital.nhs.uk/data-and-information/publications/statistical/hospital-accident--emergency-activity/2019-20

The Secretary of State for Health and Social Care regularly discusses a broad range of health issues with Cabinet colleagues. The Department of Environment, Food and Rural Affairs are the lead Government department for contaminated industrial waste and consult with experts on matters related to ingestion.

We replied to the hon. Member on 27 April 2021.

We replied to the hon. Member on 28 April 2021.

We replied to the hon. Member on 22 April 2021.

The Department of Health and Social Care, the Ministry of Housing, Communities and local government are committed to further improving the diversity of housing options available to older people, including housing-with-care and are engaging closely with both the sector and a range of other stakeholders on this issue.

The Department of Health and Social Care, the Ministry of Housing, Communities and local government are committed to further improving the diversity of housing options available to older people, including housing-with-care and are engaging closely with both the sector and a range of other stakeholders on this issue.

NHS England and NHS Improvement have advised that they responded to the hon. Member on 15 April.

We recommend that individuals who have specific needs, such as requiring the use of British Sign Language (BSL), book their covid-19 vaccine through their general practitioner, so they can access the appropriate support to meet their needs.

Guidance published on GOV.UK states the specifications of the personal protective equipment (PPE), including masks, that should be worn. The guidance requires that where the wearing of PPE restricts communication with individuals, other ways of communicating to meet their needs should be considered. Transparent masks are not currently used at test sites. However, the Department and the National Health Service are actively working with partners to ensure that at least one designated staff member will be provided with a transparent mask to be worn during the site’s opening hours, to assist test subjects that need to be able to lip read or see facial expressions. BSL is also currently available via the Test and Trace 119 call centre.

No specific assessment has been made. However, the Department’s National Institute for Health Research (NIHR) published a framework in May 2020 to support the restarting of research, including dementia research, paused due to COVID-19 which is available at the following link:

https://www.nihr.ac.uk/documents/restart-framework/24886

The Department has not made a recent assessment of the potential merits of extending the funding for the British Sign Language (BSL) Health Access service. NHS England and NHS Improvement have commissioned a rapid review into access to BSL interpretation in the National Health Service which is near completion. The review will set out clear steps to support NHS providers to meet their responsibilities to deliver access to BSL interpretation.

All NHS providers must comply with the public sector equality duty set out in the Equality Act 2010 and the Accessible Information Standard to ensure that deaf people who wish to communicate using BSL can do so. NHS England and NHS Improvement have extended access to BSL interpretation of their 111 service via Interpreter Now.

The Department has not made a recent assessment of the potential merits of extending the funding for the British Sign Language (BSL) Health Access service. NHS England and NHS Improvement have commissioned a rapid review into access to BSL interpretation in the National Health Service which is near completion. The review will set out clear steps to support NHS providers to meet their responsibilities to deliver access to BSL interpretation.

All NHS providers must comply with the public sector equality duty set out in the Equality Act 2010 and the Accessible Information Standard to ensure that deaf people who wish to communicate using BSL can do so. NHS England and NHS Improvement have extended access to BSL interpretation of their 111 service via Interpreter Now.

On 23 November 2020 we published a Wellbeing and Mental Health Support Plan for COVID-19, setting out the steps we have taken to strengthen the mental health support available including for disabled children and their families.

On 5 March 2021, we announced that £79 million of the additional £500 million for mental health announced at the November 2020 Spending Review will be used to significantly expand mental health services for children, including disabled children. As part of the £500 million, £31 million will also be used to address particular challenges faced by individuals with a learning disability and autistic people, including for community respite services for children and young people and their families.

We replied to the hon. Member on 21 April 2021.

We replied to the hon. Member’s letter on 15 April.

It has not proved possible to respond to the hon. Member in the time available before prorogation.

No specific assessment has been made.

NHS England and NHS Improvement work with clinical leaders within the field to evaluate and ensure that the clinical content in their toolkits is correct and up to date, as well as the National Institute for Health and Care Excellence to ensure that they align with their guidance. In addition, informal feedback has been received on how the scenarios and toolkits have been used to develop services across the National Health Service.

Progress on the inflammatory bowel disease RightCare scenario has been delayed due to COVID-19 pressures. A working draft has been reviewed and commented on by NHS England and NHS Improvement’s working group and by Crohn’s and Colitis UK. NHS England and NHS Improvement are in the process of updating the original working draft based on these comments. It is anticipated that a revised version will be ready to be share with IBD UK and their partner organisations for consultation in May.

NHS England and NHS Improvement promote RightCare scenarios to the health system through their website, events, bulletins, trade media articles and social media and are planning to resume these communications as they begin to resume normal services, following from the response phase of the COVID-19 pandemic.

RightCare scenarios should be used as an improvement tool that highlights the difference between a suboptimal pathway of care and an optimal one. The scenarios support local systems to identify where patient outcomes, quality of life and service costs can be improved as the result of shifting the care pathway from a suboptimal journey to an optimal one that consistently delivers timely, evidence-based excellence of care.

We replied to the hon. Member on 14 April.

We replied to the hon. Member on 14 April.

We replied to the hon. Member’s letter on 12 April.

We replied to the hon. Member’s letter on 12 April.

We replied to the hon. Member on 14 April.

We replied to the hon. Member on 12 April.

We replied to the hon. Member on 12 April.

The latest national learning disability improvement standards annual survey shows that approximately two thirds of National Health Service trusts in England directly employ learning disability liaison nurses. Trusts that do not directly employ learning disability liaison nurses often have a shared support arrangement in place with their local specialist mental health trust to access a learning disability nurse.

No specific assessment has been made. However, identifying and addressing the needs of disabled people, including disabled children, is a key part of the Government’s recovery planning. We will publish a National Strategy for Disabled People later this spring, taking into account the impacts of the pandemic on disabled people, including disabled children.

National Health Service recovery guidance makes clear that community services must be prioritised for children and young people aged up to 25 years old with special educational needs and disabilities and who have an Education Health and Care Plan in place or who are going through an assessment for one.

We are working to provide all Members and external correspondents with accurate answers to their correspondence, as well as supporting the Government’s response to the unprecedented challenge of the COVID-19 pandemic.

The hon. Member’s letter will be answered as soon as possible.

NHS England and NHS Improvement have advised that they expect to provide a response by 26 March 2021.

NHS England understands the need for improved services and care to be consistently available for those suffering from bladder and bowel problems. The approach remains to make full use of available capacity, both in the National Health Service and in contracted independent hospitals, to maintain elective activity as far as possible.

Working with and agreed by the Royal Colleges, a national clinical stratification programme has been established to make sure that every patient waiting for surgery, including patients with major continence and prolapse issues, can partake in decision-making discussions regarding their treatment. This will also include the assignment of a priority code to ensure that patients with the greatest clinical need are prioritised for treatment.

NHS England and NHS Improvement responded to the hon. Member on 12 March.

We replied to the hon. Member’s letter on 16 February 2021.

All healthcare professionals in contact with women in the perinatal period have a role to play in supporting pelvic health. NHS England and NHS Improvement will develop a service model for Perinatal Pelvic Health Services in partnership with 14 Early Implementer Systems

We replied to the hon. Member’s letter on 4 March 2021.

We are working to provide all Members and external correspondents with accurate answers to their correspondence, as well as supporting the Government’s response to the unprecedented challenge of the COVID-19 pandemic.

The hon. Member’s letter will be answered as soon as possible.

We are working to provide all Members and external correspondents with accurate answers to their correspondence, as well as supporting the Government’s response to the unprecedented challenge of the COVID-19 pandemic.

The hon. Member’s letter will be answered as soon as possible.

We are working to provide all Members and external correspondents with accurate answers to their correspondence, as well as supporting the Government’s response to the unprecedented challenge of the COVID-19 pandemic.

The hon. Member’s letter will be answered as soon as possible.

In April 2020 a requirement for general practitioners to offer a universal six to eight week post-natal check was introduced for new mothers. In line with the National Institute for Health and Care Excellence’s guidance, the check should focus on is early identification of pelvic health issues.

The Nursing and Midwifery Council ‘Standards of Proficiency for Midwives’ include a requirement that registrants are able to provide support and postnatal care, which can include referral to services and resources for urinary or faecal incontinence. The NHS Long Term Plan commits to improve access to postnatal physiotherapy and for all women across England to have access to multidisciplinary pelvic health care perinatally by March 2024. This will be delivered through national perinatal pelvic health services.

NHS England and NHS Improvement have identified 14 early implementer systems which will help develop the model for these services from Quarter 4 2021/22 to improve the prevention, identification and specialist treatment of pelvic floor dysfunction around pregnancy and birth. Further to the postnatal work, during 2021/22 NHS England and NHS Improvement will consider options for improving prevention of incontinence in menopausal women.

The Nursing and Midwifery Council ‘Standards of Proficiency for Midwives’ include a requirement that registrants are able to provide support and postnatal care, which can include referral to services and resources for urinary or faecal incontinence. The NHS Long Term Plan commits to improve access to postnatal physiotherapy and for all women across England to have access to multidisciplinary pelvic health care perinatally by March 2024. This will be delivered through national perinatal pelvic health services.

NHS England and NHS Improvement have identified 14 early implementer systems which will help develop the model for these services from Quarter 4 2021/22 to improve the prevention, identification and specialist treatment of pelvic floor dysfunction around pregnancy and birth. Further to the postnatal work, during 2021/22 NHS England and NHS Improvement will consider options for improving prevention of incontinence in menopausal women.

Perinatal pelvic health care is provided and funded locally across England. In addition to existing local investment, the NHS Long Term Plan commits to improving access to postnatal physiotherapy and for all women to have access to multidisciplinary pelvic health care across England by March 2024.

This will be delivered locally through the establishment of Perinatal Pelvic Health Services, and NHS England and NHS Improvement will be providing 14 Early Implementer Systems (EIS) with up to £10.5 million funding to help develop these services from Quarter 4 2021/22 to 2023/24. The EIS plans to increase the establishment of specialist physiotherapists and midwives and provide additional training to maternity staff to improve the prevention, identification and treatment of pelvic floor dysfunction in the perinatal period.

Perinatal pelvic health care is provided and funded locally across England. In addition to existing local investment, the NHS Long Term Plan commits to improving access to postnatal physiotherapy and for all women to have access to multidisciplinary pelvic health care across England by March 2024.

This will be delivered locally through the establishment of Perinatal Pelvic Health Services, and NHS England and NHS Improvement will be providing 14 Early Implementer Systems (EIS) with up to £10.5 million funding to help develop these services from Quarter 4 2021/22 to 2023/24. The EIS plans to increase the establishment of specialist physiotherapists and midwives and provide additional training to maternity staff to improve the prevention, identification and treatment of pelvic floor dysfunction in the perinatal period.

We are working to provide all Members and external correspondents with accurate answers to their correspondence, as well as supporting the Government’s response to the unprecedented challenge of the COVID-19 pandemic.

The hon. Member’s letter will be answered as soon as possible.

We are working to provide all Members and external correspondents with accurate answers to their correspondence, as well as supporting the Government’s response to the unprecedented challenge of the COVID-19 pandemic.

The hon. Member’s letter will be answered as soon as possible.

The Department does not hold the information requested for bladder and bowel continence nurses or pelvic floor physiotherapists.

As at September 2020, there were 2,054 full time equivalent (FTE) nurses employed with an area of work of urology and 312 FTE nurses with an area of work of stoma care. These figures are based on the main area of work in which each staff member is coded and therefore may not reflect the complete number of staff providing these services.

National Health Service employers are responsible for determining and recruiting the number of specialist staff that they require to meet their local workforce and service needs. NHS employers also have a responsibility to ensure their workforces have the mandatory training required to undertake their roles. The approach taken for post-registration for bladder, bowel, urology and stoma care will differ in each locality depending on service, profession and workforce supply need and as such is generally commissioned by NHS employers.

Health Education England (HEE) is responsible for ensuring that there are training models in place nationally to support and develop post-registration specialty training pipelines. HEE develops, and funds a wide range of national training platforms, programmes and initiatives for cross-profession specialist workforce training.

National Health Service employers are responsible for determining and recruiting the number of specialist staff that they require to meet their local workforce and service needs. NHS employers also have a responsibility to ensure their workforces have the mandatory training required to undertake their roles. The approach taken for post-registration for bladder, bowel, urology and stoma care will differ in each locality depending on service, profession and workforce supply need and as such is generally commissioned by NHS employers.

Health Education England (HEE) is responsible for ensuring that there are training models in place nationally to support and develop post-registration specialty training pipelines. HEE develops, and funds a wide range of national training platforms, programmes and initiatives for cross-profession specialist workforce training.

National Health Service employers are responsible for determining and recruiting the number of specialist staff that they require to meet their local workforce and service needs. NHS employers also have a responsibility to ensure their workforces have the mandatory training required to undertake their roles. The approach taken for post-registration for bladder, bowel, urology and stoma care will differ in each locality depending on service, profession and workforce supply need and as such is generally commissioned by NHS employers.

Health Education England (HEE) is responsible for ensuring that there are training models in place nationally to support and develop post-registration specialty training pipelines. HEE develops, and funds a wide range of national training platforms, programmes and initiatives for cross-profession specialist workforce training.

There are currently no plans to make an assessment.

The NHS Knowsley Clinical Commissioning Group (CCG) did not take part in the 2020 NHS Staff Survey. Since March 2020, all staff in the CCG have worked from home due to the pandemic. In 2020 the CCG followed good practice guidance and carried out a Staff Health and Wellbeing Survey. The content was derived from other best practice examples and was completed anonymously. Feedback was given to staff and the survey and outputs were reported to the governing body. In addition, the CCG carried out a risk assessment with every member of staff to further support them in their individual home working circumstances and to determine deployment options where relevant - for example, supporting the vaccination programme.

The Government is committed to supporting all those offered the COVID-19 vaccine to take up this offer. Phase one of the vaccination programme includes those considered clinically extremely vulnerable in priority group four and those have underlying conditions which increase their risks from COVID-19 in priority group six. Both groups include all those who meet the clinical criteria and who are aged 16 years old and over.

The vaccine offer was communicated directly to all those in priority groups four and six by the National Health Service. Communications for those aged 18 years old or over are directly to the individual. For those aged 16-17 years old the communication is made by agreement by either with the individual or their parents or carers. General practitioners and other clinicians involved in a young person care are available to discuss any concerns they or their parents or carers may have.

Data is not held centrally on the number of people in priority groups four and six who have been offered the vaccine. Data is held on the number of people who have been vaccinated from these groups but is not held in the format requested.

National Health Service dental practices remain open, supported by over 600 Urgent Dental Care Centres and clinicians are prioritising care for patients, in line with guidance from NHS England and NHS Improvement and the Chief Dental Officer. Therefore, patients who are considered at highest risk of oral disease, including people who require dental care prior to receiving bisphosphonate injections or other urgent treatments will continue to be prioritised for dental care.

Public Health England is monitoring the effectiveness and impact of COVID-19 vaccines on a broad range of outcomes including symptomatic disease, infection and hospitalisations as set out in the COVID-19 vaccine surveillance strategy which is available at the following link:

https://www.gov.uk/government/publications/covid-19-vaccine-surveillance-strategy

Vaccine effectiveness assessments are reported regularly to the Joint Committee on Vaccination and Immunisation (JCVI) to inform vaccine policy recommendations. This will include assessment of vaccine effectiveness in immunocompromised individuals and the clinically vulnerable using general practice electronic health record data. Vaccine effectiveness data will be published in due course.

Once sufficient evidence becomes available, the JCVI will consider options for a protection strategy for immunosuppressed individuals, including whether any specific vaccine is preferred in this population.

The NHS People Plan is a shared programme of work to increase the workforce, support new ways of working and develop a compassionate and inclusive workplace culture in order to deliver the NHS Long Term Plan. We are working closely with NHS England and NHS Improvement, Health Education England and with systems and employers to determine our workforce and people priorities beyond April 2021 to support the recovery of National Health Service staff and services. This will include building on many of the positive ways of working that have emerged through the pandemic whilst continuing to support the wellbeing of NHS staff.

Health Education England (HEE) welcomes Professor Sir Mike Richards’ report ‘Diagnostics Recovery and Renewal’, which stated that major expansion and reform of the diagnostic services is needed over the next five years to facilitate recovery from the COVID-19 pandemic and to meet rising demand across multiple aspects of diagnostics.

HEE is working with system partners on the longer-term strategy that looks at the workforce needs beyond 2021. This planning is fully aligned with the NHS Long Term Plan, NHS People Plan and associated ambitions for further development of cancer services. This will include exploring sustainable growth beyond 2021 in key professions through continued investment in training places, with a greater focus on attracting and retaining students and improving the numbers of qualified professionals who go on to work in the National Health Service.

The Standard Operating Procedure (SOP) for unpaid carers was published on 8 March. It outlines the numbers of existing sources that will be drawn from to identify unpaid carers. They are:

- those in receipt of or entitled to a carer’s allowance;

- those known to GPs who have a ‘carer’s flag’ on their primary care record;

- those known to Local Authorities who are in receipt of support following a carer’s assessment; and

- those known to local carers organisations to be actively receiving care and support.

The SOP is available at the following link:

https://www.england.nhs.uk/coronavirus/publication/sop-covid-19-vaccine-deployment-programme-unpaid-carers-jcvi-priority-cohort-6/

Professor Sir Mike Richards’ recommendations have been accepted by the NHS England and NHS Improvement Board. There is no intention to publish an implementation plan. However, a national Diagnostics Programme has been established to take forward the recommendations. This work will be overseen by the NHS England and NHS Improvement Diagnostics Programme Board.

The Government has ringfenced £325 million of capital spending for National Health Service diagnostics and equipment through the 2020 Spending Review to support implementation.

Industry led studies are ongoing to understand the level of protection the Pfizer and AstraZeneca vaccines will provide against variant strains of COVID-19. This will include immunological studies to understand the potential for protection from COVID-19 vaccines against variants and follow up of phase three trial participants in geographical areas where variants are circulating. Global surveillance systems, including systems within Public Health England, will be able to provide observational data on vaccine effectiveness against COVID-19 variants. These will be reviewed by the Joint Committee on Vaccination and Immunisation as they become available.

Industry led studies are ongoing to understand the level of protection the Pfizer and AstraZeneca vaccines will provide against variant strains of COVID-19. This will include immunological studies to understand the potential for protection from COVID-19 vaccines against variants and follow up of phase three trial participants in geographical areas where variants are circulating. Global surveillance systems, including systems within Public Health England, will be able to provide observational data on vaccine effectiveness against COVID-19 variants. These will be reviewed by the Joint Committee on Vaccination and Immunisation as they become available.

Primary Care Networks are organising for vaccines to be delivered directly to care homes and given on site to residents by teams of general practitioners (GPs), practice nurses, community pharmacists and other trained vaccinators. They will also provide vaccination to care home staff on site where this is possible.

Where it is not possible or appropriate for care home workers to receive their vaccination in the care home, their employer should make arrangements for them to receive a vaccination at another appropriate and accessible vaccination service.

Anyone who has not yet received the vaccination will be visited, including those in care homes that had an outbreak. If a resident has ‘missed’ vaccination, or is new to the home, the registered manager should liaise with their GP to arrange vaccination.

The Secretary of State for Health and Social Care has had a number of discussions with Cabinet colleagues on prioritisation for COVID-19 vaccination.

The Joint Committee on Vaccination and Immunisation (JCVI) are the independent experts who advise the Government on which vaccine/s the United Kingdom should use and provide advice on who should be offered the vaccination first. The key principles are to reduce mortality, to protect the health and care systems and save lives. For the first phase, the JCVI has advised that the vaccine be given to care home residents and staff, as well as frontline health and social care workers, then to the rest of the population in order of age and clinical risk factors.

Prioritisation decisions for the next phase are subject to surveillance and monitoring data and information from phase one, as well as further input from independent scientific experts such as the JCVI. Phase two may include further reduction in hospitalisation and targeted vaccination of those at high risk of exposure and/or those delivering key public services.

The recommendations of the work of the gastroenterology workstream of the Getting it Right First Time programme is currently being considered by NHS England and NHS Improvement and will be published later this year.

NHS England and NHS Improvement have advised that the NHS RightCare team are currently working on an inflammatory bowel disease (IBD) scenario. A working draft of the IBD scenario is with Crohn’s and Colitis UK for review, prior to sharing with stakeholders for comment.

The latest available data shows that in 2017, 4% of primary breast cancers were diagnosed following emergency presentation. In total 60% of primary breast cancers were diagnosed following a general practitioner referral.

Data for non-primary/recurrent metastatic cancers is not available in the format requested.

The latest available data shows that in 2017, 4% of primary breast cancers were diagnosed following emergency presentation. In total 60% of primary breast cancers were diagnosed following a general practitioner referral.

Data for non-primary/recurrent metastatic cancers is not available in the format requested.

The Getting It Right First Time ophthalmology metrics, including information on referrals, clinical flows and clinical risks are now collated and shared on the NHS Model Health System online platform which is accessible to all trusts and local health systems. It aims to address gaps in information by collating and sharing data, including information on waiting times and waiting lists, across various specialties, including ophthalmology. This enables trusts to benchmark their performance and agree plans to reach ‘top decile’ performance, supported by national and regional colleagues.

Of the 118 eligible National Health Service trusts in England and Wales, 73 NHS trusts in England and four Welsh Local Health Boards submitted data to the National Ophthalmology Audit Database (NOD) between 1 September 2018 and 31 August 2019, the time period for which data is currently available. This is in addition to 23 independent treatment centre sites and one centre in Guernsey. All eligible trusts are encouraged to submit data to the NOD but there are no plans to make this mandatory.

The NOD is managed by the Royal College of Ophthalmologists. NHS England and NHS Improvement work closely with the Royal College of Ophthalmologists and NHS Digital to support the collection and utilisation of healthcare data to improve patient safety and quality outcomes.

We have made no such assessment.

NHS England and NHS Improvement are working closely with the Royal College of Ophthalmologists and NHS Digital to improve the collection of eye care related data captured by National Health Service trusts and the independent sector. They are drawing upon the clinical data sets already produced by the Royal College of Ophthalmologists for age-related macular degeneration, diabetic retinopathy and the data set in production for glaucoma.

The National Booking Service is sending physical invitation letters to registered addresses. Others can make an appointment on behalf of individuals who are not able to make it themselves.

Work continues to meet the commitment for national coverage of basic shared records by September 2021. Over half of National Health Service trusts and general practices in the country are already connected to some form of shared care record with plans for the remainder to be connected by September 2021 with funding and other support from NHSX. The timing of support for ophthalmology services will vary according to local clinical priorities and existing systems.

As part of their planning and commissioning arrangements, clinical commissioning groups should be taking into account all sources of available information, including the National Ophthalmology Database.

Working with the health inequalities team at NHS England and NHS Improvement, we are considering how to put Integrated Care Systems on a statutory footing and will bring forward proposals in due course.

Optical practices are open for face-to-face consultations with the requirement that Public Health England’s Infection Prevention and Control measures are adhered to.

Prevention, early detection and access to timely treatment are all key to improving eye health and anyone with concerns about their vision should not hesitate to seek care. Free National Health Service sight tests, a vital eye health check, continue to be available to all children, those aged 60 and over, individuals on low incomes and those at increased risk of certain eye diseases.

The National Outpatient Transformation Programme team at NHS England has been working closely with national partners, including the Royal College of Ophthalmologists, the College of Optometry and the Royal National Institute of Blind People, to develop clinical guidance for hospital eye services which will support the restoration of services in response to the COVID-19 pandemic. This includes an eye care roadmap for 2020/21, with supporting COVID-19 sub-specialty pathways and toolkits, which has been shared nationally.

Separately, NHSX are currently leading on the launch of a dynamic purchasing system, which will support local systems to procure a digital connectivity solution to further enhance the ability for primary and secondary care services to support integrated patient care, and avoid a significant number of unnecessary referrals being made into hospital eye services.

We are continuing to work closely with stakeholders, including NHS England, Public Health England, the Care Quality Commission and key social care sector partners to provide the most up-to-date advice, including on how care homes should manage infection prevention and control, use of personal protective equipment and visiting as staff and residents receive COVID-19 vaccinations.

The Department expects the care homes allocation to be passed to providers within 10 working days upon the receipt of the funding in a local authority, subject to providers meeting the conditions of the grant. The funding was released to local authorities on 15 January 2021.

Local authorities should pass 80% of this funding to care homes within the local authority’s geographical area on a ‘per beds’ basis. The remaining 20% of the funding must be used to support the care sector to implement increased lateral flow testing but can be allocated at the local authority’s discretion. The guidance states that the Department expects the care homes allocation to be passed to providers within 10 working days upon the receipt of the funding in a local authority, subject to providers meeting the conditions of the grant. This funding was released to local authorities on 15 January 2021.

Providers and local authorities will have to submit monthly returns, as part of their Infection Control Fund reports, detailing how the Rapid Testing Fund has been spent.

We are working to provide all Members and external correspondents with accurate answers to their correspondence, as well as supporting the Government’s response to the unprecedented challenge of the COVID-19 pandemic.

The hon. Member’s letter will be answered as soon as possible.

We are working to provide all Members and external correspondents with accurate answers to their correspondence, as well as supporting the Government’s response to the unprecedented challenge of the COVID-19 pandemic.

The hon. Member’s letter will be answered as soon as possible.

The Joint Committee on Vaccination and Immunisation (JCVI) consists of independent experts who advise the Government on which vaccine/s the United Kingdom should use, including prioritisation at a population level. For the first phase, the JVCI has advised that the vaccine be given to care home residents and staff, as well as frontline health and social care workers, then to the rest of the population in order of age and clinical risk factors. Included are those with underlying health conditions, which put them at higher risk of serious disease and mortality.

Frontline healthcare staff include those who have frequent face-to-face clinical contact with patients and who are directly involved in patient care in either secondary or primary care/community settings. This includes dentists, as well as non-clinical ancillary staff who may have social contact with patients but are not directly involved in patient care. Their advice states that this not only includes those working for the National Health Service, but also those in independent, voluntary, non-standard and community healthcare settings.

The Spending Review 2020 provides £260 million to continue to grow the National Health Service workforce and support commitments made in the NHS Long Term Plan.

Full details on funding allocations towards NHS workforce budgets in 2021-22, including any related to clinical nurse specialists, will be subject to a detailed financial planning exercise and finalised in due course.

Health Education England is facilitating a number of initiatives to increase Clinical Nurse Specialist capacity including the development of cancer nurses through provision of 250 training grants of up to £5,000 each in 2020/21. The grants are aimed at existing and aspiring Cancer Nurse Specialists to enable them to undertake additional training to develop specialist clinical, leadership, education or research capabilities.

Data on the proportion of primary and secondary breast cancer patients who have accessed a clinical nurse specialist is not available in the format requested.

We are working rapidly to provide all Members and external correspondents with accurate answers to their correspondence, as well as supporting the Government’s response to the unprecedented challenge of the COVID-19 pandemic.

The hon. Member’s letter will be answered as soon as possible.

We are working rapidly to provide all hon. Members and external correspondents with accurate answers to their correspondence, as well as supporting the Government’s response to the unprecedented challenge of the COVID-19 pandemic.

The hon. Member’s letter will be answered as soon as possible.

Ministers and officials across the Department have engaged with the Health and Social Care Taskforce on a regular basis. Officials joined the Taskforce’s weekly Steering Group meetings from July to September. In addition, there were frequent working-level conversations between Departmental and Taskforce officials on a wide range of health and social care policy issues.

Data is not collected on the number of people accessing the isolation notice via the NHS 111 online service.

The isolation note service can be accessed from multiple originating sources - the NHS 111 online service, the National Health Service website and GOV.UK, which all link to the same landing page. By 23 November, 2,015,017 isolation notes have been issued in total.

Public information and guidance about the isolation note service has been published on NHS.UK and GOV.UK websites as part of the wider Government guidance for COVID-19. The guidance for the isolation note service has been regularly reviewed to ensure that it is in line with the Government’s public health advice during the pandemic.

Data is collected on the number of times an isolation note is issued. By 23 November, over two million isolation notes had been issued by the service.

People who do not have internet access or who need support to access the isolation note service can ask family, friends or a trusted third party to obtain an isolation note on their behalf. The service includes the ability to send a copy of the note directly to their employer.

A fit note can only be provided by a registered medical practitioner, usually a general practitioner (GP) or hospital doctor. GPs have been advised that they should continue to issue fit notes for health conditions that impact on a person’s ability to work.

The isolation note is a temporary service delivered online by NHS 111 to provide people with evidence for their employer of their need to self-isolate as a result of COVID-19.

The Department for Work and Pensions and the Department of Health and Social Care have worked collaboratively throughout the pandemic with the British Medical Association (BMA) to provide advice to GPs and to ensure that the isolation note guidance is updated in line with Government advice. The role of both the fit note and the isolation note service has been clarified and is also included in the guidance on the NHS.UK and GOV.UK websites. Specific advice for GPs has been published on the BMA website as part of their response to coronavirus, which was developed with input from the Department of Health and Social Care and the Department for Work and Pensions.

The Department of Health and Social Care and the Department for Work and Pensions continue to work with the BMA, employers and GPs to understand the issues being faced during the pandemic and to offer support that enable people to access the services they require.

The Department has been notified that the Chief Dental Officer responded to the hon. Member’s letter on 20 November 2020.

Excellence in Continence Care: Practical guidance for commissioners, and leaders in health and social care is available for all Integrated Care Systems and Primary Care Networks. No recent assessment has been made of adherence to this guidance.

There has been no recent review and there are no plans at this stage to publish a revised version of the Excellence in Continence Care guideline. The current guideline has already been rolled out to Integrated Care Systems and Primary Care Networks.

The National Bladder and Bowel Project was set up to improve continence care across the whole public health and care system following feedback from the July 2018 publication.

Excellence in Continence Care: Practical guidance for commissioners, and leaders in health and social care is available for all Integrated Care Systems and Primary Care Networks. No recent assessment has been made of adherence to this guidance.

There has been no recent review and there are no plans at this stage to publish a revised version of the Excellence in Continence Care guideline. The current guideline has already been rolled out to Integrated Care Systems and Primary Care Networks.

The National Bladder and Bowel Project was set up to improve continence care across the whole public health and care system following feedback from the July 2018 publication.

The mental health of everyone is absolutely critical in these unprecedented times. National Health Service mental health services remain open for business and are available throughout the November lockdown restrictions and throughout the winter, providing support online and by phone where necessary. The NHS will also work to ensure that the option of face-to-face support is provided to people with serious mental illness across all ages, where it is clinically safe to do so.

All mental health trusts have established 24 hours a day, seven days a week urgent helplines where people experiencing a mental health crisis can access urgent support and advice.

People with serious mental illness continue to be able to get help from NHS volunteer responders to access essentials, such as food and medication during this period of national restrictions and throughout the winter.

We will bring forward our winter plan for mental health and wellbeing in due course, which will further detail the support available during the remaining weeks of restrictions and beyond.

The NHS has committed to ensure that 60% of people with severe mental illness receive a comprehensive physical health-check and follow up, as part of the NHS Long Term Plan.

NHS England has issued communications to general practitioner surgeries to ensure that the physical health of those living with severe mental illness is protected this winter. This includes asking practices to identify people with severe mental illness who are clinically vulnerable and offering those people comprehensive physical health checks and follow up interventions, free flu vaccines, depending on their eligibility, and a care plan review as appropriate.

Public Health England will issue tailored communications to those with severe mental illness around protecting their physical health this winter, and to encourage them to take up their free flu vaccination if eligible.

Excellence in Continence Care: Practical guidance for commissioners, and leaders in health and social care is available for all Integrated Care Systems and Primary Care Networks. No recent assessment has been made of adherence to this guidance.

There has been no recent review and there are no plans at this stage to publish a revised version of the Excellence in Continence Care guideline. The current guideline has already been rolled out to Integrated Care Systems and Primary Care Networks.

The National Bladder and Bowel Project was set up to improve continence care across the whole public health and care system following feedback from the July 2018 publication.

Trusts, working with general practitioner practices, have been asked to ensure that every patient whose planned care has been disrupted by COVID-19 receives clear communication about how they will be looked after, and who to contact if their clinical circumstances change.

The focus is on accelerating the return of non-COVID-19 health services to near-normal levels, including making full use of available capacity between now and winter, whilst also preparing for winter demand pressures. This will be done alongside continued vigilance against further COVID-19 spikes locally and possibly nationally.

The National Bladder and Bowel Health Project are currently supporting a study to establish the impact of COVID-19 on continence services. There are no plans for ringfenced funding for continence services.

Trusts, working with general practitioner practices, have been asked to ensure that every patient whose planned care has been disrupted by COVID-19 receives clear communication about how they will be looked after, and who to contact if their clinical circumstances change.

The focus is on accelerating the return of non-COVID-19 health services to near-normal levels, including making full use of available capacity between now and winter, whilst also preparing for winter demand pressures. This will be done alongside continued vigilance against further COVID-19 spikes locally and possibly nationally.

The National Bladder and Bowel Health Project are currently supporting a study to establish the impact of COVID-19 on continence services. There are no plans for ringfenced funding for continence services.

There are currently no plans to incorporate the recommendations from the Excellence in Continence Care Guidelines into the work of the National Bladder and Bowel Health Project (NBBP). The NBBP has a specific remit to look at clinical standards for bladder, bowel, paediatrics and stoma care pathways. It is anticipated that the NBBP will enhance the guidelines themselves as part of its remit to improve continence care across the whole public health and care system.

This information is not held centrally.

There are currently no plans to incorporate the recommendations from the Excellence in Continence Care Guidelines into the work of the National Bladder and Bowel Health Project (NBBP). The NBBP has a specific remit to look at clinical standards for bladder, bowel, paediatrics and stoma care pathways. It is anticipated that the NBBP will enhance the guidelines themselves as part of its remit to improve continence care across the whole public health and care system.

The Department, along with stakeholders, is currently reviewing the proposal of a secondary breast cancer audit.

The Healthcare Quality Improvement Partnership commissions, develops and manages the National Clinical Audit and Patient Outcomes Programme on behalf of NHS England and the devolved administrations. The programme currently consists of over 30 national clinical audits, six clinical outcome review programmes and the National Joint Registry.

The existing audit of breast cancer in older women does include some sections on women with metastatic breast cancer. The latest audit is available at the following link:

https://www.hqip.org.uk/wp-content/uploads/2020/07/REF212_NABCOP-2020-Annual-Report-V1_high-res_20200702.pdf

Shielding was paused on 1 August 2020 in England; however, it is important that clinically extremely vulnerable people continue to take extra care, particularly as infection rates rise again. On 13 October, the Government published new guidance to the clinically extremely vulnerable that advises additional things they are advised to do to keep themselves safe at each local COVID-19 alert level.

Currently, everyone is advised to work from home if they are able. If not, they should return to the workplace. Employers are required to take steps to reduce the risk of exposure to COVID-19, ensuring the workplace is COVID-secure. If an individual has concerns about their health and safety at work, they should raise them with their workplace union, the Health and Safety Executive or local authority.

Shielding was paused on 1 August 2020 in England; however, it is important that clinically extremely vulnerable people continue to take extra care, particularly as infection rates rise again. On 13 October, the Government published new guidance to the clinically extremely vulnerable that advises additional things they are advised to do to keep themselves safe at each local COVID alert level.

Clinically extremely vulnerable individuals are advised to reduce shopping trips, shop at quieter times or shop online to avoid taking unnecessary risks. They are also advised to ask friends, family, people in their household or support bubble to collect food and medicines for them where possible. If more help is needed, NHS Volunteer Responders may be able to help with collecting shopping, medicine or other essential supplies. Those in a ‘very high’ local alert level who need extra support should contact their local council.

NHS England and NHS Improvement are working to increase the resilience of breast cancer screening and diagnosis so that services may continue to operate during a second wave of COVID-19. The NHS England and NHS Improvement Public Health Commissioning and Operations Team advise that where there are local COVID-related lockdowns or other restrictions in place the expectation is that screening services should continue as contracted, including continuing actions to support the full restoration of National Health Service screening services. This includes the expectation that screening staff should not be diverted towards other services, or their buildings or facilities repurposed for other uses, without the specific agreement of the relevant regional commissioner.

Cancer treatment continued during the first wave and will continue during any second wave. Between March and August, over 200,000 cancer treatments were carried out, 85% of the number for the same period in 2019. From the beginning of the COVID-19 outbreak, NHS England and NHS Improvement have been clear that cancer treatment should continue, a challenge which the NHS has risen to.

There has been no specific assessment.

NHS England and NHS Improvement are working to clear the backlog of bowel cancer screening as quickly as possible. All 64 bowel screening centres are now undertaking diagnostic colonoscopies and sending routine screening invitations.

The time it will take for waiting times to return to pre-COVID-19 levels depends on a variety of factors, including the ongoing impact of COVID-19. However, as at 5 October 2020, the number of people who have had a faecal immunochemical test-positive result and are awaiting a diagnostic test has nearly halved in comparison to those waiting in April 2020.

Bowel screening service providers across the country took the decision to delay invites for routine screening during the first wave of COVID-19 to protect patients and support the redeployment of staff to respond to the pandemic. As a result, there were delays in sending routine invitations.

There are currently 1.7 million participants awaiting an invitation to the NHS Bowel Cancer Screening Programme in England, of which 283,000 are in the North West. NHS England and NHS Improvement do not collect data on the average delay in weeks for patients.

All 64 NHS Bowel Cancer Screening Centres are now issuing routine invitations and in September 2020, nearly 400,000 routine invitations, compared to an average of 370,000 per month prior to the pandemic, were sent as centres work to get back on track.

To minimize the impact on patients and ensure safe clinical practice for the NHS Bowel Screening Programme, NHS England and NHS Improvement prioritised individuals with the highest risk during the COVID-19 response.

All 64 bowel screening centres are now undertaking diagnostic colonoscopies and sending routine invitations. As of 5 October 2020, the number of people who have had a FIT-positive result and are awaiting a diagnostic test has nearly halved in comparison to those waiting in April 2020.

Since 25 February 2020 the Department has distributed over 3.8 billion personal protective equipment (PPE) items for use by health and social care services in England, which includes over 30 million items authorised for release to designated wholesalers for onward sale to dentists.

We have over 32 billion PPE items on order and are building a stockpile equivalent to approximately four months PPE usage at COVID-19 usage levels which will be in place by November.

Dentists that have a National Health Service contract are now be able to get PPE to meet all of their COVID-19 demand free of charge via the PPE portal. Where this is not possible, we have provided alternative routes for urgent dental care centres to access specific items.

NHS England and NHS Improvement provides guidance which is updated as needed for dentists holding National Health Service contracts on the modified contractual requirements during the ongoing pandemic. Since 8 June, routine NHS dentistry has resumed with the full range of services available. The availability of appointments is however greatly reduced due to the COVID-19 pandemic, largely due to the need for fallow times. The latest guidance from NHS England and NHS Improvement is available at the following link:

https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/06/C0839-dental-recovery-sop-v4.01-29-oct.pdf

The Government has taken a range of action to support people during the COVID-19 pandemic, including for people with dementia and unpaid carers.

We commissioned research through the National Institute for Health Research on how to manage or mitigate the impact of COVID-19 on people with dementia and their carers living in the community. Concise advice based on this research for people with dementia and their carers is available at the following link:

http://www.idealproject.org.uk/covid/

Guidance for care homes and for carers on how best to support people living with dementia during the pandemic as well as wider advice for unpaid carers has also been made available. In addition, NHS England and NHS Improvement have issued guidance to the health service on the adjustments that are needed across the NHS Dementia Well Pathway.

Support for recovery and managing any ongoing symptoms is also available at the following link:

https://www.yourcovidrecovery.nhs.uk/

General practitioners and other National Health Service providers have been asked to prioritise flu vaccination for all those who are in the clinically vulnerable groups, documented in the national guidance, this includes children and adults with cystic fibrosis.

Vaccination of those who are in at risk groups has started and will continue in all areas in England through the winter months.

Thanks to over £250 million of investment nationally by 2021, the cyber maturity and security posture of National Health Service organisations has increased over the past three years and continues to do so. Cyber attacks, including ransomware attacks, remain a major risk for the NHS and the cyber programme we have implemented has a strong focus on managing that risk.

We are using the Data Security and Protection Toolkit (DSPT) to assess cyber security performance at an organisation level, and this information is collated nationally to help inform policy and investment decisions. The DSPT helps organisations understand their data and cyber security risks and encourages the inclusion of cyber security in business continuity planning.

We are also helping NHS organisations increase their preparedness to recover from successful cyber attacks. During the COVID-19 response period, we have put in place additional cyber security protection for the NHS, including additional incident response capacity, a rapid remediation programme, and enhancements to the NHS Digital Cyber Security Operations Centre to increase monitoring.

The Chief Dental Officer responded on 3 September and has spoken to the hon. Member for West Lancashire.

The recommendations from the Social Care Sector Covid-19 Taskforce will shape our approach to COVID-19 in the adult social care sector and, in particular, the plans we put in place for winter which we will set out in the Adult Social Care Winter Plan. The Taskforce concluded at the end of August and will publish its recommendations in September on what measures need to be in place across all parts of the care sector in England to respond to COVID-19 and winter.

Local authorities and service providers should have maintained contact with carers and those receiving services throughout the lockdown. They will now be discussing arrangements to reintroduce care packages where these had been limited due to lockdown restrictions.

Understanding and mitigating the impact of COVID-19 on disabled people was a focus of the Social Sector COVID-19 Support Taskforce. The Taskforce was supported by several advisory groups, one of which was the learning disability and autism advisory group. The group included members with lived experience.

The recommendations of the Taskforce will shape our approach to COVID-19 in the adult social care sector and, in particular, the plans we put in place for winter which we will set out in the Adult Social Care Winter Plan, being published later this month.

The Government’s advice is for people to wash their hands more often than usual, for 20 seconds using soap and hot water, particularly after coughing, sneezing and blowing your nose, or after being in public areas where other people are doing so and to use hand sanitiser if that is all they have access to.

The Government agrees with the World Health Organization recommendations that hand sanitiser should contain a minimum of 60% alcohol, but in line with Health and Safety Executive guidance, hand sanitisers with different levels of alcohol, and those hand sanitisers that use other active substances (non-alcohol based) can also be effective.

We replied to the hon. Member’s letter on 19 August 2020.

We recognise concerns people with eating disorders may have on measures to reduce obesity and are committed to striking a careful balance between enabling people to make healthier food and drink choices whilst not negatively impacting on those with or recovering from an eating disorder.

Obesity represents a huge cost to the health and wellbeing of the individual, the National Health Service and the wider economy. With over six in 10 adults and more than one in three children aged 10 to 11 years old overweight or obese, it is right we take action.

In response to feedback to our consultation on out-of-home calorie labelling, we will introduce legislation to require large out-of-home sector businesses, that is businesses with 250 or more employees, to calorie label the food they sell.

An equalities assessment and impact assessment were published alongside the consultation response and can be viewed at the following link:

www.gov.uk/government/consultations/calorie-labelling-for-food-and-drink-served-outside-of-the-home

Providers of National Health Service care in England use the evidence cited and ensure that appropriate training is provided to health care workers in hand hygiene, providers also ensure that products are purchased that are consistent with the best available evidence. All healthcare workers have access to occupational health assessment and are referred for assessment and treatment in the event of developing skin complications. Using the guidelines, recommendations made by occupational health are followed by NHS providers as part of risk assessment and mitigation for the individual and the patient.

As Health and Safety Executive guidance for the general public states, and in line with WHO guidance, alcohol does not have to be “active ingredients” to be effective in hand sanitizer. The World Health Organization recommend that hand sanitiser should contain a minimum of 60% alcohol, but non-alcohol based sanitisers can also be effective when combined with other social distancing measures.

Providers of National Health Service care in England use the evidence cited and ensure that appropriate training is provided to health care workers in hand hygiene, providers also ensure that products are purchased that are consistent with the best available evidence. All healthcare workers have access to occupational health assessment and are referred for assessment and treatment in the event of developing skin complications. Using the guidelines, recommendations made by occupational health are followed by NHS providers as part of risk assessment and mitigation for the individual and the patient.

As Health and Safety Executive guidance for the general public states, and in line with WHO guidance, alcohol does not have to be “active ingredients” to be effective in hand sanitizer. The World Health Organization recommend that hand sanitiser should contain a minimum of 60% alcohol, but non-alcohol based sanitisers can also be effective when combined with other social distancing measures.

The 2020/21 flu vaccination programme will be supported with a new marketing campaign to encourage take up amongst eligible groups for the free flu vaccine, due to launch in autumn 2020. Resources for the campaign will be available to download and order from the Public Health England Campaign Resource Centre at the following link:

https://campaignresources.phe.gov.uk/resources/

I replied to the hon. Member’s letter on 12 August 2020.

Data on the number of people diagnosed with cancer and a mental health condition are not available in the format requested.

I refer the hon. Member to the answer I gave on 18 June 2020 to Question 55909.

I refer the hon. Member to the answer I gave on 1 July 2020 to Question 55913.

I refer the hon. Member to the answer I gave on 16 June 2020 to Question 55911.

We have no record of receiving the letter of 20 March 2020. However, if the hon. Member resends the letter to the Department, we will endeavour to respond as soon as possible.

I refer the hon. Member to the answer I gave on 29 June to Question 55912.

Support and information for all cancer patients in England is provided through four key personalised care interventions:

- Personalised care and support planning based on holistic needs assessments;

- Health and wellbeing information and support (including nutritional advice and psychological support);

- End of treatment summaries, that provide symptom management information;

- A Cancer Care Review with their general practitioner.

During the COVID-19 pandemic, all personalised care and support should continue by telephone, video, online or by post if face-to-face appointments and group sessions have not been possible.

As set out in the NHS Long Term Plan, these interventions will be implemented where appropriate for every person diagnosed with cancer by 2021. NHS England and NHS Improvement are building up a picture of current provision to help target future work to support rollout.

Support and information for all cancer patients in England is provided through four key personalised care interventions:

- Personalised care and support planning based on holistic needs assessments;

- Health and wellbeing information and support (including nutritional advice and psychological support);

- End of treatment summaries, that provide symptom management information;

- A Cancer Care Review with their general practitioner.

During the COVID-19 pandemic, all personalised care and support should continue by telephone, video, online or by post if face-to-face appointments and group sessions have not been possible.

As set out in the NHS Long Term Plan, these interventions will be implemented where appropriate for every person diagnosed with cancer by 2021. NHS England and NHS Improvement are building up a picture of current provision to help target future work to support rollout.

The Terms of Reference for the Liverpool Community Health Independent Investigation were placed in the Libraries of both Houses on 16 July.

The National Institute for Health and Care Excellence estimates that secondary progressive multiple sclerosis (MS) affects around 9,000 people in England. Secondary progressive MS is a stage which comes after relapsing remitting MS for many people with the condition. After a diagnosis of relapsing remitting MS has been established, clinicians will observe the patient's symptoms over a period of time, in order to determine if they are associated with secondary progressive MS. With this type of MS, a person’s disability gets steadily worse and they are less likely to have relapses (when symptoms get worse but then get better).

The National Institute for Health and Care Excellence estimates that secondary progressive multiple sclerosis (MS) affects around 9,000 people in England. Secondary progressive MS is a stage which comes after relapsing remitting MS for many people with the condition. After a diagnosis of relapsing remitting MS has been established, clinicians will observe the patient's symptoms over a period of time, in order to determine if they are associated with secondary progressive MS. With this type of MS, a person’s disability gets steadily worse and they are less likely to have relapses (when symptoms get worse but then get better).

In order to improve the care and outcomes for people with progressive neurological conditions, such as secondary progressive multiple sclerosis (MS), NHS England and NHS Improvement produced a progressive neurological conditions RightCare toolkit, in collaboration with key stakeholders such as the MS Trust and the MS Society. This toolkit supports systems to understand the priorities in care for people living with various progressive neurological conditions, in line with best practice guidelines.

The National Institute for Health and Care Excellence (NICE) guideline ‘Multiple sclerosis in adults: management’, updated in 2019 sets out best practice on the diagnosis, treatment, care and support of people MS. On secondary progressive MS, the guidance sets out that “While a variety of symptomatic treatments is available, progression in secondary progressive MS is currently intractable, and immunomodulatory strategies used for relapse remitting MS have not proven effective when extended into secondary progressive MS.”

In order to improve the care and outcomes for people with progressive neurological conditions, such as secondary progressive multiple sclerosis (MS), NHS England and NHS Improvement produced a progressive neurological conditions RightCare toolkit, in collaboration with key stakeholders such as the MS Trust and the MS Society. This toolkit supports systems to understand the priorities in care for people living with various progressive neurological conditions, in line with best practice guidelines.

The National Institute for Health and Care Excellence (NICE) guideline ‘Multiple sclerosis in adults: management’, updated in 2019 sets out best practice on the diagnosis, treatment, care and support of people MS. On secondary progressive MS, the guidance sets out that “While a variety of symptomatic treatments is available, progression in secondary progressive MS is currently intractable, and immunomodulatory strategies used for relapse remitting MS have not proven effective when extended into secondary progressive MS.”

‘The Forgotten Many: A 2020 Vision for Secondary Progressive Multiple Sclerosis’, was published in June 2020 and was funded by Novartis.

The report sets out a wide range of recommendations for NHS England and NHS Improvement and local commissioners around awareness, treatment pathways and support. NHS England and NHS Improvement are aware of the report, and a range of activity is underway to improve awareness, treatment, care and support for people neurological conditions, including secondary progressive multiple sclerosis (SPMS), which are relevant to the recommendations.

The Liverpool Community Health Investigation was launched in June 2019 and work has begun. The Investigation comprises three Stages. Stage 1 covers the scale of the issues and Stage 2 is a clinical and structured judgement review alongside Stage 1. Preliminary work on Stages 1 and 2 was completed in August 2019.

Stage 3 will investigate individual serious patient safety incidents identified from the previous two stages to establish the nature and scale of deaths and patient harm at the Liverpool Community Health NHS Trust from 2010 to 2014.

The Investigation has identified a number of expert advisors to assist the Chairman and details will be confirmed when the Terms of Reference are published in Parliament.

The Terms of Reference for the Liverpool Community Health Independent Investigation have been agreed and will be published shortly.

Supply Chain Coordination Ltd (SCCL) hold the contract with Movianto on behalf of Public Health England. SCCL have had conversations with Movianto.

As a result of these conversations, the Department can confirm it has only paid for its share of services provided by Movianto under the terms of the contracts it holds with suppliers.

Supply Chain Coordination Ltd (SCCL) hold the contract with Movianto on behalf of Public Health England. SCCL have had conversations with Movianto.

As a result of these conversations, the Department can confirm it has only paid for its share of services provided by Movianto under the terms of the contracts it holds with suppliers.

Mother and baby unit admissions data is available by the patient’s originating clinical commissioning group (CCG). The number of admissions per CCG falls below the level that would be reported and the data are thereby suppressed under the disclosure controls applied to the data.

The information is not held at local authority level.

The Digital First programme supports the delivery of access to primary care and helps patients and their carers manage their health. The NHS Long Term Plan commits that every patient will have the right to be offered digital-first primary care by 2023-24. An independent evaluation of Digital First has been commissioned by NHS England and NHS Improvement and is now underway. The evaluation will provide evidence on the impact of online consultation systems on patients, general practitioner practices and the wider health and social care system and will be used to inform policy and other digital initiatives. Other National Health Service settings have implemented new digital ways of working during the COVID-19 pandemic and there will be much to learn from these.

The National Health Service and the wider scientific community are currently working to better understand the disease course of the COVID-19 virus, including the severity and duration of symptoms. The UK Research and Innovation – National Institute for Health Research ‘Rapid Response Rolling Call’ has funded a large post-hospitalisation study. The study, announced in July, will establish a national consortium and a research platform embedded within clinical care to understand and improve long-term outcomes for survivors following hospitalisation with COVID-19.

NHS England and NHS Improvement have worked with the University Hospitals of Leicester NHS Trust to develop a digital, interactive, personalised recovery programme for people recovering from COVID-19. The new ‘Your COVID Recovery’ service, which was announced on 5 July, forms part of NHS plans to expand access to COVID-19 rehabilitation treatments for those who have survived the virus but have not fully recovered.

While schools have been closed to some pupils the Government has taken steps to support those who have had restricted opportunity to exercise while at home. As part of its guidance on remote education provision the Government has published online educational resources approved by subject experts for schools and parents to help children to take part in PE and physical activity. In addition, Sport England have free online content to help children and their families get active at home through their Join the Movement campaign.

The Change4Life website also includes information on how to keep children active, including links to online resources and providers, such as games and activities, as well as advice for accessible activities for disabled children and is available at the following link:

https://www.nhs.uk/change4life/activities

The Government is working to ensure that schools are fully supported as they welcome more children back to school and schools are able to give pupils opportunities to be physically active during the school day.

Many of the measures in the three chapters of the childhood obesity plan will have an impact on tackling obesity. These include the soft drinks industry levy, sugar reduction and wider calorie reformulation programme, restricting promotions and calorie labelling in restaurants which will improve children’s eating habits and reduce the amount of sugar they consume.

We remain committed to reviewing what more can be done and will continue to monitor progress and emerging evidence.

The National Health Service has asked service providers, including general practitioners (GPs), to undertake a series of actions to support people who have been asked to shield. This includes ensuring every shielding individual has a named care coordinator to help them with their healthcare and any changing or emerging health needs. People should continue to talk to their GP if they have concerns about their ongoing treatment.

National advice to clinically extremely vulnerable people who are shielding is set out at the following link:

www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19

The Ribblemere Mother and Baby Unit located in Chorley, Lancashire is one of four new specialist eight-bed mother and baby units opened as part of the delivery of the Five Year Forward View commitments for perinatal mental health services. It opened in 2018 and is one of the 19 mother and baby units in England.

The NHS Long Term Plan commits to increasing access to evidence-based care for women experiencing moderate/complex–severe mental health problems, to benefit an additional 24,000 women per year by 2023/24, in addition to the extra 30,000 women getting specialist help by 2020/21.

Specialist respiratory services for severe asthma, along with urgent and emergency treatment for other serious complaints, have continued throughout the COVID-19 outbreak. In most cases people with severe asthma have been able to receive their medication at home instead of having to attend hospital.

Whilst routine treatments were suspended to provide capacity to treat COVID-19 patients, we are now working closely with the National Health Service and other partners to restart these in a safe way, with excellence in infection prevention and control as a key principle. Guidance has already been issued on this, and approaches are being tailored at local level according to local capacity and local demand, with the most urgent services being restarted first.

We recognise that COVID-19 is imposing significant pressures on the social care sector. We have now made £3.2 billion available to local authorities so they can address pressures on local services caused by the pandemic, including in adult social care.

On 15 May we published details of an additional £600 million Infection Control Fund for Adult Social Care. This funding is to support adult social care providers in England reduce the rate of transmission in and between care homes and to support workforce resilience.

Where individuals are not eligible for financial support from their local authority, they make their own arrangements for care services and pay the fees. This is known as being a ‘self-funder’. The fees are set out in a contract between the individual and the care provider. The Government has no say in these private arrangements.

A local authority must regularly reassess a person’s ability to meet the cost of any charges to take account of any changes to their income and assets.

We recognise the pressures that COVID-19 is placing on the social care system. We have already provided £3.2 billion to local authorities and have made a £600 million Infection Control Fund available to care homes to allow them to take additional steps to reduce the spread.

Under the Care Act 2014, local authorities are required to shape their whole local markets to ensure that they are sustainable, diverse and offer high quality care and support for people in their local area. The Care Act places a duty on local authorities to ensure that people continue to receive the services they need if their adult social care provider is no longer able to carry on delivering services.

There has been an impressive response to the pandemic by the National Health Service, with staff and organisations rapidly adapting to changing circumstances and implementing new ways of working; including the greater use of digital tools and the growth in the availability and use of remote consultations. This is helping to minimise the spread of COVID-19 by supporting patients to stay at home, while still enabling them to receive the care they need, and to allow general practitioners and clinicians to work remotely. The NHS has already made a commitment in the NHS Long Term Plan that every patient will have the right to be offered digital-first primary care by 2023-24. We will learn from these new ways of accessing services so that subject to patient and clinician preference, and clinical safety, they are part of delivery going forward.

The interim NHS People Plan, published in June 2019 set out actions to reduce vacancies and secure the staff we need for the future. Since then, there have been a number of initiatives put in place to increase the National Health Service mental health workforce.

The new junior doctor contract gives psychiatry trainees an additional £21,017 pay premia over the course of their training programme which is in addition to their normal pay. Health Education England has also increased the number of psychiatry placements available for junior doctors undertaking foundation training.

For mental health nurses, the ‘Golden Hello’ offer for mental health nursing incentivises nurses to train in mental health and we have seen an increase in the number of postgraduate students studying mental health nursing since September 2018. We have also launched the ‘We are the NHS’ campaign highlighting nursing opportunities in mental health to garner more interest in this profession and we are committed to delivering 50,000 more nurses for the NHS.

The interim NHS People Plan, published in June 2019 set out actions to reduce vacancies and secure the staff we need for the future. Since then, there have been a number of initiatives put in place to increase the National Health Service mental health workforce.

The new junior doctor contract gives psychiatry trainees an additional £21,017 pay premia over the course of their training programme which is in addition to their normal pay. Health Education England has also increased the number of psychiatry placements available for junior doctors undertaking foundation training.

For mental health nurses, the ‘Golden Hello’ offer for mental health nursing incentivises nurses to train in mental health and we have seen an increase in the number of postgraduate students studying mental health nursing since September 2018. We have also launched the ‘We are the NHS’ campaign highlighting nursing opportunities in mental health to garner more interest in this profession and we are committed to delivering 50,000 more nurses for the NHS.

NHS England and NHS Improvement have no plans to include data on cancer diagnoses within the National Health Service Mental Health Dashboard.

The scenario set out in Public Health England’s (PHE) National Infection Service document, issued on 24 February, related to hospital-acquired COVID-19 outbreaks during the containment phase of COVID-19, prior to 12 March, when there was no sustained community transmission in the United Kingdom. There was no evidence of recorded cases of hospital-acquired COVID-19 outbreaks during the COVID-19 containment phase and before 19 March when the COVID-19 hospital discharge service requirements were published.

On 12 March the Government announced that we were moving our COVID-19 response from the ‘contain’ to ‘delay’ phase. The following day (13 March) PHE published new guidance to care homes. We subsequently published the COVID-19 hospital discharge service requirements on 19 March.

Since the start of the outbreak we have been working closely with the sector and public health experts to ensure we have the right guidance and support in place for care homes.

The Department does not have record of the mentioned correspondence from the National Care Forum.

As set out in the Adult Social Care Action Plan on 15 April, all patients are now required to be tested prior to discharge to a care home.

A small number of people who have tested positive for COVID-19 may be discharged from the National Health Service within the 14-day period from the onset of COVID-19 symptoms and also require ongoing social care. Some care providers will be able to accommodate these individuals through effective isolation strategies or cohorting policies – such as keeping residents who have tested positive for COVID-19 together in one dedicated area.

If a care home provider does not feel they can provide the appropriate care for these individuals, the individual’s local authority should secure alternative appropriate accommodation and care for the remainder of the required isolation period. Costs of providing alternative accommodation are covered by the £1.3 billion COVID-19 discharge funding provided via the NHS in March.

The data is not available in the format requested, as data is collected based on finished admission episodes (FAEs), rather than on number of people.

National Health Service employers are responsible for ensuring that the staff they employ are trained to the required standards to deliver appropriate treatment for patients. Individual trusts must decide what specific mandatory training they deem appropriate for their employees.

Training programmes for healthcare professionals must meet the standards set by the regulatory body for their profession. Training curricula for doctors emphasise the skills and approaches that a doctor must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients. While medical and other clinical curricula equip healthcare professionals with the skills necessary to consider a patient’s mental health during treatment, individual trusts are responsible for mandating training for their employees and setting appropriate policies for assessing and treating patients.

The NHS Long Term Plan sets a clear ambition that where appropriate every person diagnosed with cancer should have access to personalised care by 2021. Personalised care in cancer is focused on four key interventions:

- Personalised care and support planning based on Holistic Needs Assessments;

- End of treatment summaries;

- Health and wellbeing information and support; and

- A Cancer Care Review with their general practitioner.

NHS England is supporting staff to offer personalised care to people affected by cancer by promoting awareness and understanding of the personalised care interventions and by providing resources such as a handbook on personalised stratified follow up, webinars, and a collaborative online workspace for staff. Cancer Alliances are leading programmes of work to embed personalised care within local providers.

Despite facing enormous pressure from this unprecedented pandemic, the National Health Service continues to treat cancer patients as a priority.

On 29 April, Simon Stevens and Amanda Pritchard wrote to colleagues across the NHS to set out the expectation that local systems and Cancer Alliances continue to identify ring-fenced diagnostic capacity for cancer and sought assurance from regional cancer Senior Responsible Officers that appropriate arrangements were in place. On 8 June, further guidance was issued on the second phase of the NHS response to COVID-19 for cancer services.

The NHS England and NHS Improvement national cancer team is supporting planning by providing analytical modelling about the local capacity required to catch up on demand for diagnostics and acting as a central link to the independent sector partnership so that local systems can be supported with additional capacity where required.

The National Cancer Patient Experience Survey includes the questions below which relate to psychological and emotional wellbeing:

- During your hospital visit, did you find someone on the hospital staff to talk to about your worries and fears?

- While you were being treated as an outpatient or day case, did you find someone on the hospital staff to talk to about your worries and fears?

- Did hospital staff give you information about support or self-help groups for people with cancer?

- Did hospital staff give you information about how to get financial help or any benefits you might be entitled to?

- Did hospital staff tell you that you could get free prescriptions?

The survey benefits from the expertise of an advisory group which includes a wide range of stakeholders such as patients, clinicians, commissioners and charities. The survey content is reviewed each time it is carried out and any changes discussed with the advisory group.

Across England, as of December 2019 at least 96% of trusts offered Holistic Needs Assessments to all breast cancer patients, 93% for prostate and 92% for colorectal. The figures were estimated to be similarly high for other cancer types. Due to COVID-19 pandemic, trusts are not currently required to submit data to Public Health England on number of Holistic Needs Assessments offered, so we do not have more recent data.

A Holistic Needs Assessment should lead to a personalised care and support plan being agreed between the patient and their health professional. This plan is designed to ensure the person’s holistic needs are being met, which may be through referral to other services, signposting to sources of support, or advice and information about the person’s concerns and how they might self-manage any issues.

It is very normal during these uncertain and unusual times to be experiencing distress or anxiety, or to be feeling low. People can go to the Every Mind Matters website and GOV.UK for advice and practical steps to manage their mental health during this pandemic. We know that more serious mental illness stemming from experience of trauma can take time to manifest, and work is underway to plan for a possible increase in demand for people needing mental health support due to COVID-19.

We are working with the National Health Service and Public Health England, service users, academics and the voluntary sector to gather evidence and assess the potential longer-term mental health impacts of COVID-19 and plan for how to support the public’s mental health and wellbeing throughout the ‘recovery’ phase.

Our community mental health services, Improving Access to Psychological Therapies services and children and young people’s services have remained open for business throughout this time and are working to support people with mental health issues through the COVID-19 pandemic and beyond, deploying innovative digital tools to connect with people and provide ongoing support.

For those with severe needs or in crisis, NHS England has instructed all National Health Service mental health trusts to establish 24 hours a day, seven days a week mental health crisis lines for urgent NHS mental health support, advice and triage for people of all ages through a single point of access.