First elected: 4th July 2024
Speeches made during Parliamentary debates are recorded in Hansard. For ease of browsing we have grouped debates into individual, departmental and legislative categories.
e-Petitions are administered by Parliament and allow members of the public to express support for a particular issue.
If an e-petition reaches 10,000 signatures the Government will issue a written response.
If an e-petition reaches 100,000 signatures the petition becomes eligible for a Parliamentary debate (usually Monday 4.30pm in Westminster Hall).
These initiatives were driven by Sojan Joseph, and are more likely to reflect personal policy preferences.
MPs who are act as Ministers or Shadow Ministers are generally restricted from performing Commons initiatives other than Urgent Questions.
Sojan Joseph has not been granted any Urgent Questions
Sojan Joseph has not been granted any Adjournment Debates
Sojan Joseph has not introduced any legislation before Parliament
Sojan Joseph has not co-sponsored any Bills in the current parliamentary sitting
As set out in the King’s Speech in July, the government is committed to introducing mandatory ethnicity and disability pay gap reporting for large employers. These measures will be part of the upcoming Equality (Race and Disability) Bill, which will be published in draft in this parliamentary session
We will shortly be consulting on our proposals to help us shape the legislation and will announce further details on timing in due course.
This Government is committed to building on the historic achievements of the Equal Pay Act 1970 and Equality Act 2010 and tackle pay discrimination. The Equality (Race and Disability) Bill will introduce mandatory ethnicity and disability pay gap reporting for large employers and extend the right to make equal pay claims to ethnic minority and disabled people. Additionally, as set out in the Plan to Make Work Pay, we will put in place measures to ensure that outsourcing of services can no longer be used by employers to avoid paying equal pay and improve enforcement by establishing an Equal Pay Regulatory and Enforcement Unit. These changes will strengthen and expand the existing legislative framework.
We are also committed to protecting the ability to draw on equal pay comparators where workers' terms and conditions can be attributed to a single source, ensuring those provisions that were previously derived from EU law remain enshrined in UK law.
The Department is introducing heat network regulation in January 2026 which aims to provide consumers with comparable protections to existing gas and electricity regulations.
Ofgem is being appointed as heat network regulator and will have powers to investigate and intervene where prices appear disproportionate or unfair.
We are exploring options on further price protections including potentially capping connection costs within heat network zones.
We are also working with the Ministry of Housing, Communities and Local Government to ensure heat network regulation works alongside existing leaseholder and tenant protections.
The Online Safety Act has been designed to be technology neutral and applies to all services which support user-to-user interactions online, including game services. Where gaming services fall in scope, they will need to take appropriate measures to protect their users against illegal harms and harms to children.
As set out in the cross-government autism strategy (2021-2026), we want to improve understanding and acceptance of autism, and for public sector services to become more autism-inclusive.
Under the Equality Act 2010, public sector organisations are required to make changes in their approach or provision to ensure that services are accessible to disabled people as well as to everybody else.
The Chartered Institute for the Management of Sport and Physical Activity (CIMSPA) is the professional development body for the UK’s sport and physical activity sector. It is committed to supporting, developing and enabling professionals and organisations to inspire our nation to become more active.
CIMSPA provides access to many resources and training programmes which explore how people with Autism Spectrum Condition (ASC) can be supported in sport and physical activity.
The Apprenticeship Support and Knowledge (ASK) programme has played an important role in promoting apprenticeships and other technical education routes over the last nine academic years. Over this period there has been a significant increase in the interest and understanding of apprenticeships and technical education pathways which has been influenced by the ASK programme and other government initiatives to raise awareness of these routes.
The Careers and Enterprise Company’s Future Skills Questionnaire (FSQ) shows that in 2023/24, 88% of year 13 and 80% of year 11 were aware of and understood apprenticeship related options after their education in England. FSQ also shows that students are over twice as likely to report awareness of apprenticeships between year 7 and year 11 (from 38% to 80%, almost on a par with A levels). In Kent, 77% of year 11 students reported understanding apprenticeships compared to 79% awareness of A Levels.
FSQ data also show that since the T Level programme was launched in 2020, awareness and understanding of the T Levels has increased from 37% in 2021/22 to 47% in 2023/24.
Data from the Parent, Pupil and Learner Panel Survey also shows that awareness of T Levels is growing rapidly. 50% of students in years 9 to 11 knew about a T Level in 2023, up from 14% two years earlier.
The Traineeship programme was closed on 31 July 2023 under the previous government.
The department does not collect information centrally on the number of adoptions that have been disrupted or adoptions that breakdown. We only publish information on whether children starting to be looked after in any given year were known to have been previously adopted. This information is in table C1 of the ‘Children looked after in England’ statistical release, which can be found at: https://explore-education-statistics.service.gov.uk/data-tables/permalink/92f77d0d-7e95-45a1-f1db-08dd5cc661f7.
The department is providing funding of £3 million in this financial year to Adoption England to improve adoption support services in Regional Adoption Agencies. This includes developing more multi-disciplinary teams across the country to provide specialist and therapeutic support to families, and the development of national standards for adoption support. It also includes a new framework for an early support core offer, ‘Becoming a Family’, for the first twelve to eighteen months of placement, and an Adoption Support Plan to guide assessments of a family’s support needs. All are designed to improve support and reduce the risk of an adoption breakdown.
Adoption England are also planning work to develop a national protocol on how children’s services, front door services and adoption support teams work together to better support families at risk of adoption disruption.
Adoption England and Regional Adoption Agencies work closely with adopters on all of their projects to improve adoption support services. This includes considering the latest evidence of why adoption disruptions have occurred in their agencies and across the country.
The department does not collect information centrally on the number of adoptions that have been disrupted or adoptions that breakdown. We only publish information on whether children starting to be looked after in any given year were known to have been previously adopted. This information is in table C1 of the ‘Children looked after in England’ statistical release, which can be found at: https://explore-education-statistics.service.gov.uk/data-tables/permalink/92f77d0d-7e95-45a1-f1db-08dd5cc661f7.
The department is providing funding of £3 million in this financial year to Adoption England to improve adoption support services in Regional Adoption Agencies. This includes developing more multi-disciplinary teams across the country to provide specialist and therapeutic support to families, and the development of national standards for adoption support. It also includes a new framework for an early support core offer, ‘Becoming a Family’, for the first twelve to eighteen months of placement, and an Adoption Support Plan to guide assessments of a family’s support needs. All are designed to improve support and reduce the risk of an adoption breakdown.
Adoption England are also planning work to develop a national protocol on how children’s services, front door services and adoption support teams work together to better support families at risk of adoption disruption.
Adoption England and Regional Adoption Agencies work closely with adopters on all of their projects to improve adoption support services. This includes considering the latest evidence of why adoption disruptions have occurred in their agencies and across the country.
As set out in the cross-government autism strategy (2021 to 2026), the government wants to improve understanding and acceptance of autism and for public sector services to become more autism-inclusive.
Under the Equality Act 2010, public sector organisations, including schools, are required to make changes in their approach or provision to ensure that services are accessible to disabled people as well as to everybody else.
There is work underway in the department to improve autism awareness. High quality, evidence-based teaching is critical in ensuring that the needs of children with special educational needs and disabilities (SEND) are met effectively.
The Teachers’ Standards set clear expectations that teachers must understand the needs of all pupils, including those with SEND. The department funds the £12 million Universal Services Programme, which helps the school and further education workforce to identify the needs of pupils with SEND earlier and more effectively. The programme includes autism training, delivered by Autism Education Trust training partners, to over 200,000 education professionals so far.
Also, following the recent review, the initial teacher training and early career framework (ITTECF), which was published in January 2024, contains significantly more content related to adaptive teaching and supporting pupils with SEND.
The department is committing to a full review of the delivery of the early career teacher (ECT) entitlement, including the content of the ITTECF, in 2027 to ensure it continues to provide the best possible support for ECTs based on the most up-to date-evidence. This review will focus on increasing support for mentors, as well as for teaching pupils with SEND.
In education settings, school staff can access a range of training as appropriate to their career stage. Training to support pupils with autism should include information on how to access health and social care as necessary.
The department wants to support all young people to be happy, healthy and safe, and to equip them for adult life so they achieve and thrive.
The statutory relationships, sex and health education (RSHE) statutory guidance makes clear that teachers should be aware of common adverse childhood experiences, including bereavement, and understand when and how these may be affecting of their pupils. This will help teachers to tailor their lessons accordingly, taking decisions on appropriate resources and support to enable them to teach the curriculum effectively. Teachers are free to draw on the support and expertise of subject associations and other providers of curriculum support.
The RSHE statutory guidance, which sets out the specific topics pupils should be taught, is currently under review. My right hon. Friend, the Secretary of State for Education has been clear that children's wellbeing will be the government's priority, in light of which the department is looking carefully at the responses from the period of public consultation which ended on 11 July, engage with stakeholders and consider the relevant evidence before setting out next steps. As part of this process, the department will explore whether any more or amended content is required, including on death and bereavement.
Following the inspection of Kent’s special educational needs and disabilities (SEND) services by Ofsted and the Care Quality Commission (CQC) in January 2019, inspectors reported nine significant areas of weakness, requiring the local area to produce a Written Statement of Action.
A revisit by Ofsted and CQC took place in September 2022. The report was published on 9 November 2022 and judged that the local area had not made sufficient progress in addressing any of its significant weaknesses, which were:
(i) A widely held concern of parents that the local area is not able, or in some cases not willing, to meet their children’s needs.
(ii) A variable quality of provision and commitment to inclusion in schools.
(iii) That parents and carers have a limited role in reviewing and designing services for children and young people with SEND.
(iv) An inability of current joint commissioning arrangements to address known gaps and eliminate longstanding weaknesses in services.
(v) Poor standards achieved and poor progress made by too many children and young people with SEND.
(vi) The inconsistent quality of the education, health and care (EHC) plan process.
(vii) Weak governance of SEND arrangements across the EHC system at strategic and operational level.
(viii) Unacceptable waiting times for children and young people to be seen by some health services.
(ix) A lack of effective systems to review and improve outcomes for those children and young people whose progress to date has been limited by weaknesses in provision.
Every child and young person with SEND should have access to high quality services. Where a council does not meet requirements to provide appropriate support for these children, the department will take action to prioritise their needs and bring about rapid improvement. That is why Kent County Council (KCC) was issued with an Improvement Notice in March 2023, setting out the steps expected of them to raise standards in their SEND services.
After reviewing the actions that KCC has taken to improve its SEND services, the department lifted its Improvement Notice in August 2024 on the basis that KCC has met the conditions set out within it. The department continues to maintain close oversight of services and the further improvements KCC must make to ensure every child and young person with SEND has access to high quality services, including through regular review meetings, close working with NHS England, and the continued support of a department commissioned SEND Advisor.
The Government committed to a hunting trophy import ban of endangered animals in its manifesto and we will deliver on this. Defra is engaging with relevant stakeholders to ensure that we can deliver on this commitment in the most effective way.
As outlined in our manifesto, we are committed to ending puppy smuggling. The Government is supporting the Animal Welfare (Import of Dogs, Cats and Ferrets) Bill, a Private Members’ Bill sponsored by the hon. Member for Winchester. The Bill will close loopholes in the non-commercial pet travel rules that are abused by unscrupulous traders and give the government powers to prevent the supply of low-welfare pets to the United Kingdom. We are fully supportive of this Bill and would like to see it pass through both Houses as soon as Parliamentary time allows.
Since 1 January 2025, water companies have been required to publish data related to discharges from all storm overflows within one hour of the discharge beginning. The Secretary of State has authorised Ofwat to carry out enforcement action for this duty, in accordance with the powers conferred under sections 18 and 141DA (4) of the Water Industry Act 1991. Ofwat’s enforcement powers provide for a wide range of enforcement activity, including substantial penalties.
Ofwat is monitoring compliance with the duty to report relevant data in real time. Where it detects non-compliance, it will take appropriate enforcement action. In addition to this, the Water (Special Measures) Act 2025 has introduced an equivalent duty for water companies to publish data related to discharges from all emergency overflows within one hour of the discharge beginning. Once commenced, this duty will be enforced in the same way.
Fly-tipping and littering blight communities and harm the environment. Local councils are usually best placed to assess the measures in place to address the local littering and fly-tipping problems in their area. No specific assessment of the effectiveness of measures in place to tackle littering and fly-tipping in Kent has been made.
Local authorities have enforcement powers to tackle these issues, including fixed penalty notices of up to £1000 for fly-tipping and £500 for littering and prosecution action, which can lead to significant fine or even imprisonment. We encourage councils to make good use of their enforcement powers and are considering what further steps we can take to assist them in doing so.
We committed to forcing fly-tippers and vandals to clean up the mess that they have created as part of a crackdown on anti-social behaviour. We will provide further details on this commitment, and other actions to tackle fly-tipping, in due course.
The Waste Electronics and Electrical Equipment (WEEE) regulations make producers responsible for the electrical products they place on the market when they become waste. As part of this producers can pay into the WEEE Compliance Fee fund that provides project funding for local authorities seeking to provide more recycling opportunities for local residents. It also funds consumer awareness campaigns highlighting the importance of properly disposing of their electrical waste. According to Material Focus, 100 local authorities in the United Kingdom operate Kerbside collection for small electricals.
Defra is continuing to engage closely with the Police, local authorities, and rescue and rehoming organisations to monitor the impacts of the XL Bully dog ban. These measures are vital to protect the public and we expect all XL Bully owners to comply with the conditions.
The Kent and Medway Resilience Forum (KMRF) is operationally independent from His Majesty’s Government (HMG). The KMRF's decision to deploy Operation Brock ahead of the Easter getaway was taken after extensive discussions, taking into account previous disruption during peak periods, expected traffic levels and safety of road users.
The deployment of Operation Brock and other traffic management measures are continually kept under review by the KMRF to ensure they are designed and implemented in the most effective way possible.
The Department continues to work on new approaches to long term traffic management in Kent, considering a combination of off-road sites and technology to manage the flow of traffic to the portals during periods of high traffic volumes, keeping the strategic road network clear. We are also working on improvements in traffic forecasting using better data, AI and learning from recent experience which could mean that the use of Operation Brock on a precautionary basis could be reduced in the future.
The Government fully understands the serious problems that vehicles parked on the pavement can cause for pedestrians, especially people with mobility or sight impairments, as well as those with prams or pushchairs. The Department has been considering all the views expressed in response to our consultation in 2020 and is currently working through the policy options and the appropriate means of delivering them. As soon as the Government has decided its preferred way forward, we will announce the next steps and publish our formal response. In the meantime, local authorities can make use of existing powers to manage pavement parking.
As set out in the Driver and Vehicle Standards Agency’s (DVSA) 2024/25 business plan, DVSA is beginning the process of replacing its booking system.
DVSA also launched a call for evidence on 18 December 2024, seeking views on the current rules to book tests. This closed on 11 February 2025 and will lead to consultation on improving processes, with potential future legislative changes.
The English National Concessionary Travel Scheme (ENCTS) provides free off-peak bus travel to those with eligible disabilities and those of state pension age. The ENCTS costs around £700 million annually and any changes to the statutory obligations, such as extending the travel time criteria, would therefore need to be carefully considered for its impact on the scheme’s financial sustainability. The Government recently conducted a review of the ENCTS, which included considering travel times for disabled passholders, and is currently considering next steps.
Currently, local authorities in England have the power to go beyond their statutory obligations under the ENCTS and offer additional discretionary concessions, such as extending the travel time criteria for the ENCTS.
The government has confirmed £955 million for the 2025 to 2026 financial year to support and improve bus services in England outside London. This includes £243 million for bus operators and £712 million allocated to local authorities across the country. Kent County Council has been allocated £23 million of this funding. Funding allocated to local authorities to improve services for passengers can be used in whichever way they wish. This could include extending the discretionary concessions available in the local area.
National Highways is part of the Kent Corridor Coordination Group (KCCG), which was established as a collaborative forum to coordinate the delivery of multiple concurrent road improvement and maintenance schemes in Kent.
By adopting a ‘corridor approach,’ the group works with local authorities, businesses, and community stakeholders to minimise disruption, improve safety, and streamline project delivery.
This innovative model of collaboration has delivered significant efficiencies, reduced delays, and fostered stronger partnerships among stakeholders.
In addition to NH’s work in the KCCG, it holds quarterly meetings with major utility companies to discuss performance.
The government introduced the Bus Services (No.2) Bill on 17 December as part of its ambitious plan for bus reform. The Bill puts the power over local bus services back in the hands of local leaders and is intended to ensure bus services reflect the needs of the communities that rely on them right across England, including in Kent. The government has committed to increasing accountability by including a measure on socially necessary services so that local authorities and bus operators have to have regard for alternatives to changing or cancelling services.
In addition, the government has confirmed £955 million for the 2025 to 2026 financial year to support and improve bus services in England outside London. This includes £243 million for bus operators and £712 million allocated to local authorities across the country. Kent County Council has been allocated over £23 million of this funding. Local authorities can use this funding to introduce new bus routes, make services more frequent and protect crucial bus routes for local communities.
There have not been recent discussions between the Secretary of State and National Highways on increasing the height of the railings on the A28 overbridge over the M20 between junctions 9 and 10. Both the Department and National Highways take the issue of safety very seriously and are committed to improving the Strategic Road Network (SRN) to provide a safer network. The raising of bridge parapets (safety barriers/railings along the edge of bridges) is not always a straightforward piece of work and can typically require complete replacement of the bridge structure. National Highways usually undertakes this type of work on a priority basis across the whole of the SRN.
This Government wants to focus on how transport can be designed, built and operated to better serve the people who use it – delivering on our pledge to put people at the heart of what we do on transport and enabling them to live healthy, fulfilling lives without barriers to opportunity.
The Government is committed to delivering a transport network which allows disabled people, including those with less visible impairments, such as autism, to travel easily and confidently, with dignity and without extra cost.
Having clear accountability and appropriately trained staff acting to support passengers, whether disabled or not, to make the journeys they want and need to make is essential. To support this, many staff working on our public transport network already undertake disability awareness training.
The Government expects Local Authorities and Transport Operators to lead this process and we want to empower them to do this. That is why we are bringing forward the Bus Services (No.2) Bill, and undertaking wider reform on our railway, including the establishment of Great British Railways with a customer-focused culture.
The Department will publish its findings shortly.
The Policing and Crime Act 2017 enables the Secretary of State for Transport to issue statutory guidance to licensing authorities on exercising their taxi and private hire vehicle licensing functions to protect children and vulnerable adults. Statutory guidance was published in 2020 under these powers. This means that all licensing authorities should provide safeguarding advice and guidance to the sector and should require all taxi and private hire vehicle drivers to undertake safeguarding training. Licensing authorities are responsible for deciding the content and format of such training.
Good local bus services are an essential part of prosperous and sustainable communities. As announced in the King’s Speech on 17 July 2024, the government will introduce a Buses Bill later this parliamentary session, which will put decision-making into the hands of local leaders, including in Kent and other rural areas right across England. This will allow local areas to determine how best to design their bus services so that they have control over routes and schedules.
The government has also committed to increasing accountability by providing safeguards over local networks across the country and empowering local transport authorities through reforms to bus funding.
The Driver and Vehicle Standards Agency’s (DVSA’s) main priority is to reduce car practical driving test waiting times, whilst upholding road safety standards.
DVSA continues to take measures to increase test availability. These include the recruitment of driving examiners (DEs), conducting tests outside regular hours, including at weekends and on public holidays and buying back annual leave from DEs.
DVSA currently employs 7.33 full-time equivalent DEs at Ashford, Canterbury and Folkestone driving test centres (DTCs). It has made offers of employment to a further eight potential new DEs who, if successful in training, will join these DTCs.
In total DVSA has made offers to 15 potential new DEs in Kent. DVSA launched its latest recruitment campaign in September 2024. From this campaign DVSA aims to recruit a further eight DEs in the Kent area.
The Government takes the condition of local roads very seriously and is committed to maintaining and renewing the local road network. Kent County Council is the local highway authority for the Ashford constituency, and it is therefore responsible for the maintenance of its local road network. Kent County Council will receive £38.3 million from this Department during 2024/25 to help it carry out its local highway maintenance responsibilities: it is up to it to decide how that funding is used. For England as a whole, the Government has a commitment to enable local highway authorities to fix up to a million more potholes a year.
Department for Transport Ministers and officials regularly meet colleagues from the Home Office, the Cabinet Office and FCDO to discuss the impacts of the EU Entry/Exit System on travel between the UK and the Schengen Area, including the impacts on freight. We are intensifying these discussions with our ministerial colleagues across government as we approach the implementation date.
I can confirm that a cut of the field to remove the thistles and ragwort was completed by Sunday 8th September. The cut was started following an ecological walkover visit on Monday 2nd September to ensure that the works could go ahead without impacting nesting birds.
Linking Winter Fuel eligibility to Pension Credit and other means tested benefits for pensioners, ensures the least well-off pensioners still receive the help they need; this includes people with a terminal illness who are eligible. There are no plans to change the eligibility criteria.
The Department supports people nearing the end of life through the Special Rules for End of Life. These enable people who are nearing the end of their lives to get faster, easier access to certain benefits, without needing to attend a medical assessment or serve waiting periods. In most cases they receive the highest rate of benefit. For many years, the Special Rules have applied to people who have six months or less to live and have now been changed so they apply to people who have 12 months or less to live.
The forthcoming Youth Guarantee is testament to our commitment to do more to help young people achieve their potential and how we intend to maximise the role of as wide a range of local partners as possible in helping us to achieve this goal.
Ashford Jobcentre has had several meetings with Ashford Borough Council with the Welfare team and the Economic Development Manager where they have been discussing the developments in Ashford and changes in the labour market and how the youth cohort can find employment.
Recent examples of positive collaboration in Ashford include strong support for Southeastern rail apprenticeships to close the skill gaps in that sector, and the Jobcentre is also looking for solutions with the local authority around transportation links.
Delivering our manifesto commitment to tackle child poverty is an urgent priority for this Government, and the Ministerial Taskforce is working to publish the child poverty strategy in the Spring.
Our publication on 23 October ‘Tackling Child Poverty: Developing our Strategy’ sets out how we will develop the Strategy, harnessing all available levers to deliver a reduction in child poverty this Parliament.
The Strategy will look at levers across four key themes of increasing incomes, reducing essential costs, increasing financial resilience; and better local support especially in the early years. This will build on the reform plans underway across government and work underway in Devolved Governments.
The Taskforce will hear directly from experts on each of the Strategy’s themes including children and families living in poverty and work with leading organisations, charities, and campaigners.
To support struggling families, we have already boosted the Household Support Fund by a further £421 million in England. The vital work of the Taskforce comes alongside our commitments to roll out free breakfast clubs at all primary schools, create 3,000 additional nurseries, as well as deliver our plan to make work pay to turn the minimum wage into a real living wage.
The UK Health Security Agency (UKHSA) and NHS England’s joint tuberculosis (TB) action plan for England details actions to achieve a 90% reduction in people with TB by 2035 and is aligned with the World Health Organization’s elimination targets. The plan is available at the following link:
The United Kingdom’s pre-entry TB screening programme operates in 102 countries to reduce the importation of TB by screening applicants for long term visas from high TB incidence countries. People are screened in line with the UK Tuberculosis Technical Instructions, which are available at the following link:
Active TB disease can be prevented by identifying, testing, and treating people with TB infection. People who are close contacts of individuals with infectious TB are also tested for infection, so they can be treated before the disease develops.
NHS England’s national latent TB testing programme for migrants from high incidence countries operates in 27 of the 42 integrated care board areas in England.
In March 2025, NHS England and The Royal National Orthopaedic Hospital published a Getting it Right First Time review of TB services, which included a series of recommendations to reduce unwarranted variation in clinical practice and improve care, especially to underserved populations. The report is available at the following link: https://www.england.nhs.uk/wp-content/uploads/2025/03/girft-review-of-tuberculosis-national-report.pdf
The UKHSA, in collaboration with key stakeholders, is leading work to develop a new national action plan for 2026 to 2031, which includes a call for evidence.
As of 31 January 2025, there were 188,009 people with 211,891 referrals waiting for treatment from community mental health services. Treatment has been defined as receiving a second care contact, where the person attended the care contact and was spoken to, either face to face, via telephone, talk type, or video conferencing. The data is based on the number of adults waiting for treatment from community mental health services for adults and older adults with serious mental illness.
It is unacceptable that too many people are not receiving the mental health care they need, and we know that waits for mental health services are far too long. We are determined to change that. As part of our mission to build a National Heath Service that is fit for the future and that is there when people need it, the Government will recruit an additional 8,500 mental health workers to reduce delays and provide faster treatment, which will also help ease pressure on busy mental health services.
The Department manages medicine supply issues at a national level so that stocks remain available to meet regional and local demand. Information on stock levels within Kent is not held centrally.
There are over 70 hormone replacement therapy (HRT) products, and the vast majority are in good supply. Previously there has been issues with the supply of a limited number of these products, primarily driven by very sharp increases in demand. Following the Department’s intensive engagement with industry, the supply position has improved considerably. As part of this we have met with suppliers on a very regular basis and have held seven HRT supply roundtables since April 2022, with the most recent in September 2024, with suppliers, wholesalers, and community pharmacists, to provide updates on the supply position and actions being taken to address them, to share data, and to discuss relevant policy developments and potential impacts.
We are aware of the supply issues affecting Estradot (estradiol) 50 microgram/24 hour, 75 microgram/24 hour, and 100 microgram/24 hour patches, for which we have issued comprehensive management guidance to the National Health Service, including Serious Shortage Protocols allowing community pharmacists to supply the equivalent strength patch of an alternative brand without the need for a new prescription. Alternative brands of estradiol patches remain available. There are also shortages for Indivina® 1mg/2.5mg and 1mg/5mg tablets until mid-April and a discontinuation of Tridestra® tablets which we have also communicated to the NHS. Alternative combined continuous and cyclical preparations of oral HRT products remain available.
The Joint Committee on Vaccination and Immunisation (JCVI) keeps all vaccine programmes under review and will continue to update its advice as new evidence emerges. In October 2024, the JCVI agreed that it would need to formally review, in detail, the evidence for a potential extension to the programme for the very elderly and risk groups in those aged less than 75 years old. This review would be undertaken by the JCVI respiratory syncytial virus (RSV) sub-committee.
The Department will consider any future JCVI advice on who should be offered an RSV immunisation. Once published, minutes of JCVI meetings are available on the GOV.UK website, at the following link:
The Government recognises the pressures on the National Health Service during the winter period and the impact this is having on accident and emergency waiting times, including in hospitals in East Kent.
We are committed to supporting the NHS to improve performance and achieve the standards set out in the NHS Constitution but must be clear that there are no quick fixes.
However, we are determined to turn things around through investment and reform. My Rt. Hon. Friend, the Chancellor of the Exchequer announced £25.6 billion of additional healthcare funding over the next two years, and we will set out an urgent and emergency care improvement plan shortly, as well as a 10-Year Health Plan to radically reform the NHS and build a health service that is fit for the future.
Between 1 November 2021 and 1 December 2024, the total spent by the NHS Business Services Authority on behalf of the Department to defend against appeals within the Vaccine Damage Payment Scheme was £104,005.05. As of December 2024, 49 appeals linked to COVID-19 vaccinations have been escalated to a tribunal.
The NHS Operational and Planning Guidance for 2024/25 makes clear that integrated care boards are expected to continue to meet the Mental Health Investment Standard by increasing their investment in mental health services in line with their overall increase in funding for the year.
The Government plans to tackle the challenges for patients trying to access National Health Service dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to the areas that need them most. To rebuild dentistry in the long term and increase access to NHS dental care, we will reform the dental contract, with a shift to focus on prevention and the retention of NHS dentists.
The responsibility for commissioning primary care dentistry to meet the needs of the local population has been delegated to the integrated care boards (ICBs) across England. ICBs are responsible for commissioning primary care services, including NHS dentistry, to meet the needs of the local populations and to determine the priorities for investment. For the Ashford constituency, this is the NHS Kent and Medway ICB.
We know that patients are finding it harder than ever to see a general practitioner (GP) and we are committed to fixing the the crisis in GPs to secure the long-term sustainability of the National Health Service.
Ashford sits within the Kent and Medway Integrated Care Board (ICB), where the percentage of appointments delivered within two weeks of booking, 79.4%, is 3.2% lower than the national average, which is 82.6%.
Our plan to restore GPs and improve the waiting times to see a GP will require both investment and reform. We have already invested £82 million to recruit over 1,000 newly qualified GPs through the Additional Roles Reimbursement scheme, which will continue to increase the capacity in GPs, as well as take pressure off those currently working in the system. We have committed to train thousands more GPs and finally end the 8:00am scramble for GP appointments by introducing a modern booking system.
Practices are able to provide additional services by opting in and will receive payment for these services separately to global sum payments. As commissioners of primary care, Integrated Care Boards (ICBs) are responsible for commissioning additional services locally, which are not agreed nationally and can vary in scope and funding to fit local needs.
Local authorities are best placed to understand and plan for the needs of their population, which is why, under the Care Act 2014, local authorities are tasked with the duty to shape their care market to meet the diverse needs of all local people. In performing that duty, a local authority must have regard to current and likely future demand for such services and consider how providers might meet that demand.
The Market Sustainability and Improvement Fund includes grant conditions which require each local authority to submit an adult social care capacity plan. These were submitted to the Department in June 2024. The member’s local authority, Kent, submitted their 2024/25 capacity plan, which is currently undergoing processing and quality assurance.
To fix the chronic workforce shortages in the mental health workforce we plan to recruit an additional 8,500 mental health workers, across both child and adult mental health services, to reduce waiting times and provide faster treatment across all areas of England, including Kent and Medway.
We are working to consider options to deliver this expansion of the mental health workforce, including where they should be deployed to achieve maximum effect. NHS England is also working to improve retention through clearer career progression pathways.