Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to improve (a) medical support for and (b) access to medical support for people with Crohn's disease (i) in England and (ii) in Southampton.

Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)

NHS England’s Getting It Right First Time Programme on gastroenterology aims to reduce variations in care, increase early diagnosis and proactive management of Crohn’s disease and colitis, and increase access to inflammatory bowel disease (IBD) specialist nurses. The National Institute for Health and Care Excellence (NICE) has also produced a range of guidance on IBD, Crohn’s disease and colitis, to support early diagnosis and effective management of these conditions. It ensures that the care provided to people with IBD is based on the best available evidence. In the last two years, NICE has recommended four new drugs for the treatment of moderate to severe Crohn’s disease and ulcerative colitis, namelt Upadacitinib, Risankizumab, Mirikizumab and Etrasimod.

NHS England’s National Bladder and Bowel Health Project is delivering better care for people with IBD, with a focus on developing clinical pathways. NHS England commissions specialised colorectal services nationally to support equity of access to high-quality treatment for patients with IBD requiring complex surgery. This work is supported within NHS England by the clinical leadership of the Specialised Colorectal Services Clinical Reference Group, which is made up of experts in surgery, medicine, radiology, pathology and nursing, alongside patient and public voice representatives.

To raise awareness of IBD among general practitioners and other primary care staff, the Royal College of General Practitioners has produced an Inflammatory Bowel Disease Toolkit. The toolkit outlines when to suspect IBD, the appropriate investigative tests and diagnostic tools for IBD, how to manage a flare-up of symptoms and how to support patients with IBD.

Question to the Department for Energy Security & Net Zero:

To ask the Secretary of State for Energy Security and Net Zero, whether he has considered extending the funding of the Community Energy Fund.

Answered by Michael Shanks - Parliamentary Under Secretary of State (Department for Energy Security and Net Zero)

The Government recognises the role community groups play in our efforts to tackle climate change. On 21 March, Government announced the Great British Energy Community Fund, which will continue the work of the Community Energy Fund to provide funding and support, from planning to strategic advice, to community energy stakeholders, helping to increase the roll-out of renewable energy projects.

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

To ask the Secretary of State for Environment, Food and Rural Affairs, what assessment he has made of the potential impact of pollution of chalk streams on (a) water quality, (b) biodiversity and (c) human health (i) nationally, (ii) in the River Test and (iii) in the River Itchen.

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

Cleaning up our waters, including iconic sites such as chalk streams is a top government priority. That is why on 23 October 2024, the Secretary of State announced the launch of an independent commission to fundamentally transform how our water system works. Fixing the systemic issues in the water system is essential to address the multiple pressures facing chalk streams, namely over abstraction, phosphorous pollution and physical modifications of habitats.

There is significant investment and improvement work taking place within the Test and Itchen catchments. This includes extensive monitoring of environmental indicators on water quality and ecology; regulation of operators within the catchments such as water and agriculture sectors; working with the water industry on reducing reliance on harmful abstractions and ensuring compensation and mitigation while alternative sources are delivered (for example, Havant Thicket reservoir and associated schemes) and tackling diffuse water pollution. Much of this work includes contributions from a wide range of partners including wildlife trusts, rivers trusts, fisheries managers, landowners, water companies and regulators.

The Environment Agency undertakes regular sampling of the biodiversity in the Test and Itchen and publishes the results on the Environment Agency’s Ecology and Fish Data Explorer. This is freely available via the Government’s Open data website: EA Ecology & Fish Data Explorer

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

To ask the Secretary of State for Environment, Food and Rural Affairs, what steps he is taking to improve the water quality of (a) the River Test, (b) the River Itchen and (c) other chalk streams nationally.

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

Cleaning up our waters, including iconic sites such as chalk streams is a top government priority. That is why on 23 October 2024, the Secretary of State announced the launch of an independent commission to fundamentally transform how our water system works. Fixing the systemic issues in the water system is essential to address the multiple pressures facing chalk streams, namely over abstraction, phosphorous pollution and physical modifications of habitats.

There is significant investment and improvement work taking place within the Test and Itchen catchments. This includes extensive monitoring of environmental indicators on water quality and ecology; regulation of operators within the catchments such as water and agriculture sectors; working with the water industry on reducing reliance on harmful abstractions and ensuring compensation and mitigation while alternative sources are delivered (for example, Havant Thicket reservoir and associated schemes) and tackling diffuse water pollution. Much of this work includes contributions from a wide range of partners including wildlife trusts, rivers trusts, fisheries managers, landowners, water companies and regulators.

The Environment Agency undertakes regular sampling of the biodiversity in the Test and Itchen and publishes the results on the Environment Agency’s Ecology and Fish Data Explorer. This is freely available via the Government’s Open data website: EA Ecology & Fish Data Explorer

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to help improve diagnostic rates for cardiovascular conditions and diseases in young people in (a) Southampton and (b) England.

Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government is committed to tackling the biggest killers, including cardiovascular disease (CVD), and our Health Mission sets an ambition to reduce premature mortality from heart disease and stroke by 25% within a decade. The 10-Year Health Plan, once published, will set out the Government's overarching vision for delivering the critical shift from a focus on treating illness to preventing conditions such as CVD.

Specific national strategies targeting the improvement of CVD diagnostic rates in children and young people are not featured in current public health programs. However, NHS England’s work emphasises the importance of early intervention and prevention across all age groups, and is committed to improving CVD care and outcomes through enhanced diagnostic support in the community, better personalised planning, and increased access to disease-specific rehabilitation.

Southampton City Council’s Children and Young People’s Strategy 2022-2027 outlines how they will invest in prevention, working with schools and communities to identify needs and deliver services as early as possible. The Health and Wellbeing Strategy similarly focuses on promoting healthy choices and behaviours in children to reduce CVD risk factors. The Government and NHS England will support local leaders to make the best choices to meet the needs of their local populations.

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

To ask the Secretary of State for Environment, Food and Rural Affairs, what progress his Department has made on improving responsible access to nature.

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

The Government recognises the importance of providing access to the outdoors for people’s health and wellbeing and is working to ensure that this access is safe and appropriate. We are committed to increasing access to nature, and have already set out several ambitious manifesto commitments to expand opportunities for the public to enjoy the outdoors, including the creation of nine new national river walks and three new national forests in England.

We are currently developing policy to improve access to nature, working closely with other Government departments and key stakeholders. In addition, we are already delivering key initiatives aimed at increasing access to green spaces and the countryside, including:

• Completing the King Charles III England Coast Path, which will become the longest waymarked and maintained coastal walking route in the world. With over 2,400 miles of the route now approved and 1,430 miles already open, this will also create 250,000 hectares of new open access land within the coastal margin.
• Designating Wainwright’s Coast to Coast route as a National Trail across the north of England.
• Delivering the £16 million ‘Access for All’ programme, which is designed to make our protected landscapes, national trails, forests, and the wider countryside more inclusive and accessible to all.

In addition, the Government has made the decision to repeal the cut-off date for the registration of historic rights of way, preventing the loss of hundreds of miles of unregistered paths. This will ensure that these paths remain available to the public for future generations. This change will be formally enacted when parliamentary time allows.

Found: MP HM Treasury Imogen Walker MP HM Treasury Claire Hazelgrove MP HM Treasury Satvir Kaur