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).
Don't change inheritance tax relief for working farms
Gov Responded - 5 Dec 2024 Debated on - 10 Feb 2025 View Steff Aquarone's petition debate contributionsWe think that changing inheritance tax relief for agricultural land will devastate farms nationwide, forcing families to sell land and assets just to stay on their property. We urge the government to keep the current exemptions for working farms.
These initiatives were driven by Steff Aquarone, 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.
Steff Aquarone has not been granted any Urgent Questions
Steff Aquarone has not been granted any Adjournment Debates
Steff Aquarone has not introduced any legislation before Parliament
Steff Aquarone has not co-sponsored any Bills in the current parliamentary sitting
In the UK, we have a number of public warning and informing mechanisms that can be used in different situations when there is a risk to life. This includes the Emergency Alert system, introduced in April 2023, which has been used five times. Emergency Alerts are instantaneous and the Government can send alerts directly to all mobile phones within a geo-targeted area. A second national test of the emergency alerts system will take place on Sunday 7 September around 3pm in the afternoon.
Other warning methods include flood alerts via the Flood Warning Service, Met Office weather warnings and knocking door-to-door when safe.
Emergency Alerts are broadcast through mobile phone masts, and will be received by phones connected to the targeted masts. 95% of the UK landmass has 4G/5G coverage.
The Department for Science, Innovation and Technology is continuing to work with the UK telecommunications industry to deliver 4G and 5G mobile connectivity to places where there is limited or no coverage.
Emergency alerts are part of a collection of warning and informing systems that we use in the UK for emergency response scenarios. Other methods include local sirens and knocking door-to-door when safe, as well as providing advice through media such as TV and radio.
As part of the EU Reset we are working with the EU to identify areas to strengthen cooperation for mutual benefit including on energy. We are aligned with the EU ambition to support industry to deploy CCUS at scale and we both see CCUS as essential to meeting our respective net zero emissions.
We see a strong opportunity to collaborate with the EU on CCUS; our global early mover status, comparative regulatory regimes such as similar CO2 storage licensing and safety standards and our extensive offshore experience mean we can be a valuable partner to the EU. This includes establishing cross-border CO2 transport and storage networks across the continent.
Lower layer Super Output Areas (LSOAs) have been used to identify Index of Multiple Deprivation (IMD) Income Decile 1-2 eligible postcodes for the Warm Homes: Local Grant.
The IMD Income Deprivation domain measures the proportion of the population experiencing deprivation relating to low income. Income Decile 1 represents the most economically deprived areas of the country and 10 the least.
I am therefore confident that use of IMD Income Deciles 1-2 to establish income eligibility for Warm Homes: Local Grant maintains a focus on low-income households. It will also support area-based delivery by Local Authorities – who have welcomed this eligibility route.
The Government is planning to publish updated community benefits guidance for onshore wind in England in due course.
Yes, the Government engages regularly with communication providers and network operators to ensure that the industry-led transition from the Public Switched Telephone Network (PSTN) to Voice over Internet Protocol (VoIP) proceeds safely.
I have written to all telecare suppliers with Stephen Kinnock MP (Minister for Care, DHSC) urging them to stop selling analogue telecare devices that are reliant on the PSTN and do not function over fibre-to-the-premises broadband. On November 18th I hosted a roundtable specifically to discuss the protection of telecare users during the PSTN migration. At this meeting major communication providers agreed to extra safeguards to protect telecare users ahead of restarting non-voluntary migrations.
Under the licensing objectives of the Gambling Act 2005, the Gambling Commission requires operators to prevent gambling being a source of crime or disorder, being associated with crime and disorder, or being used to support crime.
The Home Office has introduced legislation in the Crime and Policing Bill to make improvements to the confiscation regime, including to ensure that a confiscation order more accurately reflects the benefit from crime. The draft bill contains no specific provisions for certain sectors, including the gambling sector. However, the Home Office will engage the gambling sector on how the legislative changes will be implemented in their sector in due course.
The introduction of a statutory levy on gambling operators will, however, represent a generational change to funding arrangements and a renewed commitment to improving efforts to further understand, tackle and treat harmful gambling. As set out in our public consultation, the prevention stream could see investment directed for projects to build capacity and expertise in frontline settings to increase responsiveness to gambling harm, including criminal justice settings.
The Government response to the Culture, Media and Sport Select Committee's report on grassroots music venues sets out our commitment to working across the music sector to support the sustainability of grassroots music. In particular, the Government is urging the live music industry to introduce a voluntary levy on tickets for stadium and arena shows, to help safeguard the future of the grassroots music sector. As part of our support for the sector, we are continuing to fund Arts Council England’s successful Supporting Grassroots Music Fund which provides grants to grassroots music venues, recording studios, promoters and festivals of live and electronic music in England.
As set out in the Government response, we have no plans to introduce a cut to VAT based on venue capacity or to undertake a bespoke economic analysis of the impact of a VAT cut to 10% on tickets.
In July 2024 the Government published an audit of public spending. This set out £22 billion of in-year pressures. These pressures were not limited to 2024–25, with the vast majority recurring in future years.
The Government is now fixing the foundations by delivering economic and fiscal stability, supporting public services, boosting investment, and setting the public finances on a sustainable path. These are essential foundations for long-run economic growth, and require tough decisions on tax, spending and welfare.
The government recognises the essential role that small schools play in their communities, many of which are in rural areas. The schools national funding formula (NFF) accounts for the particular challenges faced by small schools in rural areas through the lump sum and sparsity factor.
In the 2025/26 financial year, the sparsity factor provides eligible primary schools up to £57,400, and all other eligible schools up to £83,400. In addition to this, all small and rural schools have benefited from the increase to core factors in the NFF in 2025/26, including the NFF lump sum set at £145,100. The lump sum provides a fixed amount of funding that is particularly beneficial to small schools, as it is not affected by pupil numbers.
The department's Qualification Achievement Rates (QARs) include official statistics on levels of achievement for a range of qualifications, including vocational learning. Latest published statistics show overall achievement rates within the 19+ education and training cohort have increased from 86.8% in 2022/23 to 87.4% in 2023/24, an increase of 0.6 percentage points. Compared with 2021/22, they are up by 1.2 percentage points. Links to QAR data from current and previous years is available here: https://www.gov.uk/guidance/introduction-to-qualification-achievement-rates-qars.
Retention rates are also improving at ages 16 to 18. The retained and assessed rate for students who finished their T Level across 16 subjects in summer 2024 was up five percentage points from the previous year in over 10 subjects. The rate for large Vocational Technical Qualifications was up three percentage points. Further details on provisional T Level results for the 2023/24 academic year are available here: https://explore-education-statistics.service.gov.uk/find-statistics/provisional-t-level-results/2023-24.
Alongside T Levels, the department continues to develop and improve qualifications to ensure that they meet the needs of learners. Newly reformed qualifications will become available for delivery at levels 2 and 3 at the start of the next academic year, and we are in the process of approving new level 3 qualifications for delivery from August 2026. These are high-quality, aligned to occupational standards in technical routes, and offer learners clear routes to higher education or skilled employment.
The department continues to make available education and training opportunities in electrical and plumbing sectors, including:
The department continues to raise awareness amongst young people of the vocational training that is available. Secondary schools have legal requirements to provide independent careers guidance, including at least six opportunities for providers of technical education or apprenticeships to speak to all pupils. Our government-funded network of Careers Hubs, coordinated by the Careers and Enterprise Company, supports schools and colleges to maximise these opportunities.
The statutory duty to provide sufficient school places for children with special educational needs and disabilities (SEND) or who require alternative provision, sits with local authorities.
The department has now published allocations for £740 million in High Needs Provision Capital Allocations for the 2025/26 financial year, to support local authorities to deliver new places in mainstream and special schools, as well as other specialist settings, and to improve the suitability and accessibility of existing buildings.
The funding can be used to adapt schools to be more accessible for children with SEND, to create specialist facilities within mainstream schools that can deliver more intensive support adapted to suit the pupils’ needs and to create special school places for pupils with the most complex needs.
Norfolk County Council has been allocated just over £13 million for 2025/26 and it is up to the local authority to make decisions about the places they create and to prioritise this funding to meet local needs.
The government has been clear in our commitment to the early years. It is our ambition that all families have access to high-quality, affordable and flexible early education and care, improving the life chances for every child and the work choices for every parent. That also means ensuring the sector is financially sustainable and confident as it continues to deliver the entitlements and high-quality early years provision going forward.
That is why, despite tough decisions to get our public finances back on track, this government has increased investment in the early years to drive forward progress towards our Plan for Change target of a record number of children starting school ready to learn. This government will continue to prioritise and invest, supporting early education and childcare providers with the costs they face.
In the 2025/26 financial year alone, the department plans to spend over £8 billion on early years entitlements. We announced the largest ever uplift to the early years pupil premium, increasing the rate by over 45% compared to 2024/25 financial year, equivalent to up to £570 per eligible child per year. On top of this we are providing further supplementary funding of £75 million for the early years expansion grant to support the sector as they prepare to deliver the final phase of expanded childcare entitlements from September 2025, recognising the significant level of expansion needed and the effort and planning this will require.
The department is also providing £25 million through the forthcoming National Insurance Contributions Grant for public sector employers in the early years.
We are working closely with local authorities and other key stakeholders across the waste sector to support implementation of food waste collections under Simpler Recycling in England. We are aware of concerns about delivery timelines, pressure on supply chains for vehicles and containers, and the need to upgrade waste and recycling infrastructure. Defra is working with WRAP (Waste and Resources Action Programme) on interventions to address bottlenecks in supply chains, including recently published guidance by WRAP to support local authorities procuring food waste services: Weekly food waste implementation supplementary procurement guidance | WRAP.
Public authorities (such as waste collection authorities) are expected to comply with their statutory duties. If they do not comply, they are at risk of judicial review. Local authorities are independent bodies and are accountable to their electorate rather than to Ministers or Government departments.
The Department for Environment, Food and Rural Affairs (Defra) is committed to supporting coastal communities and providing a strategic plan to manage flood and coastal erosion risks including the use of Shoreline Management Plans (SMPs).
The new £360 million Fishing and Coastal Growth Fund will provide investment in our coastal communities to help revitalise communities and support tourism. We will be engaging with local authorities, coastal community groups and local industry associations to understand how we can best target this funding to where it matters most.
Mandatory Housing combined with stringent biosecurity measures provides greater risk reduction and together these measures have been key in mitigating the risk of spread of avian influenza and keeping the case rate down in the face of extensive wild bird infection during the recent higher risk winter periods.
The need for Avian Influenza Prevention Zones (AIPZ) is kept under regular review as part of the government’s work to monitor and manage the risks of avian influenza. Any decisions on introduction or amendment of AIPZs, including on addition or removal of mandatory housing measures, are based on risk assessments that take full account of the latest scientific and ornithological evidence and veterinary advice.
The £36 million coastal transition accelerator programme is supporting communities and businesses at risk of coastal erosion to transition and adapt to a changing coast.
This includes working with the finance and property sectors to explore innovative finance or funding mechanisms to help move communities away from rapidly eroding areas, for instance schemes to incentivise the relocation of at-risk infrastructure for businesses and homeowners.
The Environment Agency administers the Coastal Erosion Assistance Grant on behalf of Defra. The grant provides £6,000 per property to assist local authorities with the demolition and removal costs associated with homes at imminent risk from coastal erosion.
There are currently no plans to extend the scope of the Flood Re scheme, however Defra regularly reviews all policies, including eligibility for Flood Re.
We will launch a consultation in the coming months which will include a review of the existing flood funding formula to ensure that the challenges facing businesses and rural and coastal communities are adequately taken into account when delivering flood protection. Feedback will be sought on the advantages and disadvantages of potential reforms to the flood funding formula.
Defra acknowledges that rising costs, including to fees required to fulfil statutory obligations, increase the funding pressures on National Park authorities.
Public Sector Audit Appointments Limited (PSAA) independently sets fees for eligible bodies defined in the Local Audit and Accountability Act 2014, including National Park authorities. PSAA is responsible for setting the scales of fees for the audit of accounts of authorities who have opted into its services. PSAA consults on and publishes its fee scales - 99% of eligible local bodies opted into its national scheme for the appointing period 2023/24 to 2027/28, including all National Park authorities in England.
The Ministry of Housing, Communities and Local Government launched a strategy in December to overhaul the local audit system in England. The strategy commits to a series of measures to fix the broken system and consults on several specific proposals.
Flood Re have a statutory purpose to manage the transition to risk-reflective pricing of flood insurance for household premises between 2016 and 2039. Flood Re published their most recent Transition Plan in July 2023, outlining its progress and action on moving to affordable risk-reflective pricing by 2039. Flood Re’s next Transition plan (Transition Plan 4) will be published in summer 2028.
The swallowtail is a nationally rare butterfly and is restricted as a breeding species to the Norfolk Broads. The species was categorised as Vulnerable in the 2022 International Union for the Conservation of Nature’s (IUCN) Regional Red List for Great Britian, moving from the near threatened category in 2010. This was due to a substantial population reduction in England of more than 30% in the previous 10 years. We have no separate trend data for the North Norfolk constituency.
Over £200 million has been invested in Flood and Coastal Erosion Risk Management (FCERM) projects in Norfolk since 2010, protecting 15,500 properties. Two major coast protection schemes are currently underway in North Norfolk, at Mundesley and Cromer, funded through Government FCERM Grant in Aid. These two schemes, with a forecast total cost of £30 million, will better protect 600 homes from coastal erosion and climate change over this century.
Funding for these schemes have come about through a close working partnership between North Norfolk District Council and the local Environment Agency team who work together to find affordable and environmentally sound solutions to the challenges facing the coast. They also work together on the Anglian Coastal Monitoring Programme which began in 1990 and is one of the longest running regional scale Government funded coastal monitoring programmes in the world. The output of this programme is essential for both the technical design of engineering solutions and providing robust, evidence-based policies for sustainable coastal management into the long term.
North Norfolk is also benefitting from approximately £15 million funding through the Coastal Transition Accelerator Programme, delivered locally through the Coastwise project, trialling innovative approaches to adapt to the impacts of climate change and coastal erosion. The Coastal Transition Accelerator Programme aims to speed up strategic and action planning on how coastal local authorities, partners and communities will address the long-term plan of moving communities, businesses and resources away from the coast at risk. The programme is supporting the trial of early on-the-ground actions for medium and long-term plans. This will allow coastal areas at serious risk to address the challenges a changing climate creates.
The Driver and Vehicle Licensing Agency (DVLA) does not require driving licence holders or applicants to be tested for glaucoma. However, drivers are legally required to inform the DVLA if they have been diagnosed with glaucoma in both eyes, or if they have been advised by their optician or optometrist that they do not meet the eyesight standards for driving.
When the DVLA is notified of a glaucoma diagnosis, the driver will be referred for a visual field test. The results of this test will be used to determine whether the individual concerned meets the required eyesight standards for driving.
Rail interoperability is not a focus area for the UK-EU Summit on 19 May and the Secretary of State has not had discussions on this topic with colleagues attending.
The Driver and Vehicle Licensing Agency (DVLA) offers a range of payment options, including direct debits, cheques and debit and credit cards.
The DVLA keeps its range of payment options under review, taking into account the associated costs and benefits of potential new options.
To qualify for maintenance payments a child must meet the Child Maintenance Service's criteria. They must be:
They must also be habitually resident in the UK and usually living in the same household as the receiving parent. Child maintenance defines a child the same way as Child Benefit does to offer consistency across rules. Child benefit is not used as a blunt tool in determining who may be considered a receiving parent and the CMS can consider multiple different forms of evidence when determining who is the primary carer.
If a paying parent believes that the Child Maintenance (CM) liability should cease because a qualifying child (QC) no longer meets the statutory definition of a qualifying young person but checks with His Majesty's Revenue and Customs (HMRC) disagree, the CM caseworker can ask the receiving parent to provide;
1. verbal confirmation of the QCs status if they agree that the paying parent’s statement is correct, or
2. where they disagree with the paying parent, a letter from the school or college confirming the QCs status, or
3. written confirmation from an employer that the QC has started work.
Where the paying parent believes that Child Benefit is claimed fraudulently, the paying parent will be signposted to report the fraud to HMRC at Gov.UK.
Child Maintenance Service make automated monthly requests to HMRC asking for all children aged 16 to 19 who are included in its caseload, to establish whether Child Benefit is still in payment.
The CMS has a Financial Investigations Unit (FIU), that can investigate complex cases. This is a specialist team which can investigate the accuracy of information the CMS is given by either parent.
The Child Maintenance Service (CMS) operates on the principle that both parents have financial responsibility for their child, including their food and clothing, as well as contributing towards the associated costs of running the home that the child lives in.
When a paying parent does not make maintenance payments on time or in full, the CMS will initially negotiate a payment that is feasible for the parent to pay, taking into account the individual circumstances of each case.
The Debt Steer provides a policy-based framework for arrears negotiation. Its purpose is to ensure arrears are collected as promptly and reliably as possible, taking into account all relevant circumstances i.e. full arrears payment by one lump sum, partial lump sum payment and a schedule of on-going payments to recover any remaining arrears within a maximum of two years, and a schedule of on-going payments to recover the full arrears within two years.
After investigating the paying parent’s circumstances and financial situation, discretion can be applied to negotiate an arrangement that extends beyond a two-year period, providing it is a reliable and consistent plan for the recovery of arrears.
If this is unsuccessful and the paying parent is employed, the CMS can request that ongoing child maintenance payments be deducted directly from their salary by issuing what we call a Deductions from Earnings Order (DEO). A DEO instructs an employer to make deductions from the paying parent’s earnings and pay the amounts to the CMS who will pass this onto the receiving parent. The CMS also has powers to deduct maintenance from a wide range of bank accounts including joint and business accounts.
If this is unsuccessful, the CMS will use further measures, including order for sale, where it can apply to the courts for the sale of the paying parent’s assets or property, removal of driving licences, disqualification of passports, and committal to prison.
The Department will be considering the issue of rent charging years with 53 Mondays as part of its wider Universal Credit Review.
The Department is committed to reviewing Universal Credit to make sure it is doing the job we want it to and meeting our objectives of making work pay and tackling poverty. We have already begun this work with the introduction of the new fair repayment rate announced in the Budget. We will continue to work closely with stakeholders as the review progresses to seek views on proposed areas of focus and untapped opportunities in UC. Parliament will be updated on progress and future changes accordingly.
The information requested is not held by the Department.
For both the legacy Personal Independence Payment contracts (that completed on 6 September 2024) and the new Functional Assessment Service contracts, providers do not/did not split their costs by service channel.
Under the new Functional Assessment Service contracts, the costs provided by the Suppliers are not split between the individual service elements (ie Personal Independence payments, Work Capability Assessments and Specialist Benefits).
The current financial year, which runs from 06/04/24 to 05/04/25, does not contain 53 Mondays.
Universal Credit always converts weekly amounts to monthly sums using 52 weeks. The legitimacy of this approach was confirmed by the High Court having been tested via a judicial review.
Every five or six years, weekly tenants may have a rent charging year containing 53 charging days. This will not apply in all cases and some claimants will not have a 53-week charging year during the life of their benefit claim.
The rent charging year beginning 1 April 2024 and ending on 6 April 2025 is one such year and is of a period which exceeds one calendar year and is not aligned to a financial year. The 53rd payment covers the tenancy for part of the following calendar year.
Most people in work are paid monthly, as is Universal Credit, and they budget for their outgoings on a monthly basis. Weekly rental liabilities do not map directly onto a monthly cycle and this creates budgeting complexities for tenants. They will be required to make only four payments of rent in some months but five payments in others even though their monthly income remains constant. This problem exists in all rent charging years, not just those with 53 Mondays.
The Government will consider this issue as part of its wider work on Universal Credit.
The Department of Health and Social Care has indicated that it will not be possible to answer this question within the usual time period. An answer is being prepared and will be provided as soon as it is available.
The supply of methylphenidate prolonged-release tablets has greatly improved. However, some issues persist. We are continuing to work to resolve these remaining issues by engaging with all suppliers of methylphenidate prolonged-release tablets and capsules to assess the challenges faced and their actions to address them. We are also directing suppliers to secure additional stocks, expedite deliveries where possible, and review plans to build further capacity to support continued growth in demand for the short and long-term. The Department is also working with new suppliers of methylphenidate prolonged-release tablets and capsules to improve the supply and resiliency for the United Kingdom’s market.
The Department continually updates a list of currently available and unavailable attention deficit hyperactivity disorder (ADHD) products on the Specialist Pharmacy Service website. This helps ensure those involved in the prescribing and dispensing of ADHD medications can make informed decisions with patients. This list is available at the following link:
www.sps.nhs.uk/articles/prescribing-available-medicines-to-treat-adhd
The Department monitors and manages medicine supply at a national level so that stocks remain available to meet regional and local demand. Information on stock levels within Norfolk is not held centrally.
NHS England’s new Operating Model, published on 30 January, sets out in Section 4 how it will support National Health Service bodies to deliver efficiencies by improving commercial arrangements. Further information is available at the following link:
These include supporting them to make full use of the products, goods, and services available through the NHS Supply Chain, when best value exists, to procure from frameworks operated by an accredited framework host, to use the NHS Spend Comparison Service to identify savings, the Health Commercial System, also known as Atamis, to undertake commercial activity, and the NHS procurement value and savings methodology to track and report on procurement savings and benefits.
Patients have been let down for too long whilst they wait for the care they need. Currently, the waiting list stands at 7.48 million patient pathways, with over 6 million people waiting, including 235,000 on neurology waiting lists.
We will ensure that 92% of patients return to waiting no longer than 18 weeks from Referral to Treatment by March 2029, increasing performance to 65% by March 2026, as set out in the Elective Reform Plan. We will deliver an additional 2 million operations, scans, and appointments across all specialties, including neurology appointments, during our first year in Government, as a First Step in our commitment to ensuring that patients can expect to be treated within 18 weeks.
Alongside the breadth of reforms and productivity efforts in the plan, we will increase activity, deliver improvements in patient experience, and reduce waiting times for neurology patients across the country.
We are taking action across Government to address the environmental and socio-economic determinants of health, and are aiming to halve the gap in healthy life expectancy between the richest and poorest regions. We know that targeted action to tackle health inequalities will facilitate economic opportunities, and support a National Health Service fit for the future.
Addressing healthcare inequity is a core focus of the 10-Year Health Plan, to ensure the NHS is there for anyone who needs it, whenever they need it. We have established 11 working groups to take forward policy development that will feed into the plan. This includes working groups focused on how care should be designed and delivered to improve healthcare equity, alongside ensuring that access to healthcare services is effective and responsive.
The Prescription Cost Analysis (PCA) provided by the NHS Business Services Authority gives the total number of prescription items of each medicine dispensed in the community in England. The following data relates to prescriptions for products that fall within the definition as set out in Paragraph 010904, related to pancreatin, in the British National Formulary.
The following table shows the total number of National Health Service prescription items that were dispensed in the Norfolk and Waveney Integrated Care Board, regardless of where prescribed, from January 2019 to November 2024
Year | Number of prescription items |
2019 | 14,291 |
2020 | 13,587 |
2021 | 13,933 |
2022 | 13,933 |
2023 | 14,460 |
2024 | 14,698 |
Note: data for 2024 is from January to November.
The Clinical Commissioning Group (CCG) relates to the prescribing organisation, so the following statistics are consistent with the English Prescribing datasets rather than the dispensing organisation shown in PCA.
The following table shows the total number of NHS prescription items that were prescribed by cost centres linked to the Sub Integrated Care Board Location (SICBL), or prior to 2020 the CCG area of Norfolk and Waveney, from January 2019 to November 2024:
Year | Number of prescription items |
2019 | 14,290 |
2020 | 13,727 |
2021 | 14,238 |
2022 | 14,387 |
2023 | 14,904 |
2024 | 14,935 |
Note: data for 2024 is from January to November.
Historical data has been re-presented using the latest NHS organisation structure. These two tables are not directly comparable as the data available for integrated care boards relates to dispensing, whereas the data available at the SICBL or CCG level relates to items prescribed.
The Prescription Cost Analysis (PCA) from the NHS Business Services Authority provides the total number of prescription items of each medicine dispensed in the community in England. The following table shows the total number of National Health Service prescription items for the chemical substance methylphenidate that were dispensed in the Norfolk and Waveney Integrated Care Board (ICB) area from January 2019 to October 2024, latest data available, regardless of where prescribed:
Total prescription items dispensed in Norfolk and Waveney ICB | |
2019 | 33,733 |
2020 | 30,723 |
2021 | 31,320 |
2022 | 31,267 |
2023 | 32,138 |
2024 | 28,249 |
Note: data for 2024 is from January to October.
In addition, the following table shows the total number of NHS prescription items for the chemical substance methylphenidate that were prescribed by cost centres linked to the Sub ICB Location (SICBL), or prior to 2020, the Clinical Commissioning Group (CCG) area of Norfolk and Waveney, from January 2019 to October 2024:
Total prescription items prescribed in Norfolk and Waveney SICBL | |
2019 | 31,751 |
2020 | 29,665 |
2021 | 30,334 |
2022 | 30,431 |
2023 | 31,233 |
2024 | 27,086 |
Notes:
The CCG relates to the prescribing organisation, so the statistics are consistent with the English prescribing datasets rather than the dispensing organisation shown in PCA.
The Prescription Cost Analysis, produced by the NHS Business Services Authority (NHSBSA), provides the total number of prescription items of each medicine dispensed in the community in England.
There were 28,249 National Health Service prescription items for the chemical substance methylphenidate dispensed by contractors in the Norfolk and Waveney Integrated Care Board, regardless of where prescribed, from January 2024 to October 2024. The NHSBSA does not hold data on unsuccessfully fulfilled prescriptions.
We are continuing to work to resolve supply issues, where they remain, for methylphenidate prolonged-release tablets. We are engaging with all suppliers to assess the challenges faced and their actions to address them. We are also directing suppliers to secure additional stocks, expedite deliveries where possible, and review plans to further build capacity to support the continued growth in demand for the short and long-term. We currently expect supply to improve in the United Kingdom throughout the rest of 2024. However, we anticipate supply to be limited for some strengths, and we continue to work with all suppliers to ensure the remaining issues are resolved as soon as possible.
The Department has also worked with specialists to develop advice for National Health Service clinicians on prescribing available alternative brands of methylphenidate prolonged-release tablets, whilst supplies are limited. If this is not possible, advice has also been provided for attention deficit hyperactivity disorder (ADHD) specialists to offer other clinically appropriate and available options, both pharmacological and non-pharmacological, in line with the National Institute of Health and Care Excellence guidance, in order to avoid potentially disruptive breaks in treatment. To improve supply chain resiliency, we are also working with prospective new suppliers of methylphenidate prolonged-release tablets to expand the UK supplier base.
We are supporting an ADHD taskforce that NHS England is establishing to examine ADHD service provision. The taskforce will bring together expertise from across a broad range of sectors, including the NHS, education, and justice, to help provide a joined-up approach in response to concerns around rising demand. In collaboration with NHS England’s national ADHD data improvement plan, we plan to combine modelling for future growth forecasts, which will be shared with industry to improve demand forecasting for ADHD medicines. The Department continually updates a list of currently available and unavailable ADHD products on the Specialist Pharmacy Service website. This helps ensure those involved in the prescribing and dispensing of ADHD medications can make informed decisions with patients. This list is available at the following link:
www.sps.nhs.uk/articles/prescribing-available-medicines-to-treat-adhd
We are committed to transforming the National Health Service so that we diagnose cancer earlier, treat it faster, and improve survival rates.
On 12 September 2024 the National Cancer Audit Collaborating Centre published their State of the Nation Report on Pancreatic Cancer, and the NHS cancer programme is currently considering how to take forward the initial recommendations of that audit. NHS England is also funding a new audit into pancreatic cancer to increase the consistency of access to treatments, and to stimulate improvements in cancer treatment and outcomes for patients.
For people with higher risk due to family history, NHS England is providing options for enhanced pancreatic cancer surveillance. They are also creating pathways to support faster referral routes for people with non-specific symptoms and increasing direct access for general practitioners to diagnostic tests.
The Government’s Health Mission sets the aim of building a National Health Service fit for the future and reducing the lives lost to the biggest killers, including cancer.
As part of that work, and in response to Lord Darzi’s report, we have launched an extensive programme of engagement to develop a 10-Year Health Plan to reform the NHS, including further detail pancreatic cancer and other cancers with lower survival rates. The plan will set out a bold agenda to deliver on the three big shifts from hospitals to the community, from analogue to digital, and from sickness to prevention.
In addition, following publication of the 10-Year Health Plan, we will develop a new national cancer plan, which will include further details on how we will improve outcomes for cancer patients including those with pancreatic cancer and other cancers with lower survival rates.
We are now in discussions about what form that plan should take, and what its relationship to the 10-Year Health Plan and the Government’s wider Health Mission should be, and will provide updates on this in due course.
The closure of a general practice (GP) surgery is an issue that is considered and decided upon by local commissioners, following an application from a GP provider. Practices close for a variety of reasons, including mergers or retirement, and so do not necessarily indicate a reduction in the quality of care. When a practice does close, patients are informed of the closure and advised to register at another local practice of their choice, within their area.
Commissioners are accountable for ensuring that patients have access to a GP. In the event of a closure, commissioners will assess the need for a replacement provider before transferring patients to alternative practices when a GP surgery closes.
General practitioners receive global sum funding for providing core services, comprising approximately 50 to 60% of practice income. The global sum is a capitated payment, calculated based on the size of a practice’s registered list of patients, and weighted using the Carr-Hill formula. Through the Carr-Hill formula, payments to practices are adjusted in consideration of several factors, including the geographical location of a practice. This includes accounting for the additional costs of delivering services in rural areas, and in areas where staff costs are higher.
At the Joint Ministerial Council (JMC) in November 2024, the British Virgin Islands (BVI) committed to implement a register of beneficial ownership accessible to those with a legitimate interest offering the maximum possible degree of access and transparency, whilst containing the necessary safeguards to protect the right to privacy in line with its constitution, by June 2025.
Foreign, Commonwealth and Development Office officials have been in regular contact with the BVI to press for improvements to its register and to ensure that it meets its JMC commitment. The BVI published an updated policy on its register on 23 June. In my discussions with Premier Wheatley, I will continue to make clear the importance of further improvements in the BVI's proposal, as well as timely delivery of the register. My Written Ministerial Statement of 3 July provides further details of the next steps.
I have raised this issue on a number of occasions recently with the Premier both bilaterally and in the context of wider meetings with OT leaders. I look forward to meeting him again in person soon to raise this and other matters. Our expectations remain the same.
The Foreign, Commonwealth and Development Office, Home Office and Treasury officials coordinate regularly on work around advancing beneficial ownership transparency. We are clear on the benefits of accessible registers of beneficial ownership, which not only include tackling illicit finance and corruption, but also fighting tax and sanctions evasion.
At the Overseas Territories Joint Ministerial Council (JMC) in November 2024, the Falkland Islands and Saint Helena committed to join Montserrat and Gibraltar in implementing fully public registers by April 2025. The British Virgin Islands, Cayman Islands, Bermuda, Anguilla and Turks and Caicos Islands agreed to implement registers of beneficial ownership, accessible to those with a legitimate interest, by June 2025. It remains our expectation that the Overseas Territories and Crown Dependencies will ultimately implement fully public registers.
The Crown Dependencies have committed to increasing the transparency of their beneficial ownership registers and are working towards implementing access to those with legitimate interest, in line with the EU's 6th Anti-Money Laundering Directive.
I have and will continue to raise this directly with elected leaders across the Overseas Territories, and Home Office Ministers and officials will continue to engage with the Crown Dependencies. I regularly engage with Ministerial colleagues on matters related to the Overseas Territories, including in HM Treasury.
At the Joint Ministerial Council (JMC) in November 2024, all Overseas Territories committed to implementing registers with the maximum possible degree of access and transparency. The Falkland Islands and Saint Helena committed to join Montserrat and Gibraltar in implementing fully public registers by April 2025. The British Virgin Islands (BVI), Cayman, Bermuda, Anguilla and Turks & Caicos Islands agreed to implement registers of beneficial ownership, accessible to those with a legitimate interest, by June 2025.
UK Officials are working proactively with Overseas Territories officials to ensure their proposals meet the agreements made at the JMC. I have and will continue to raise this directly with elected leaders, including in my meeting with Premier Wheatley of BVI, in his own capacity, and as President of the United Kingdom Overseas Territories Association (UKOTA) last week.
The VOA is replacing IT systems with modern cloud-based platforms that will deliver significant efficiencies. It is also upskilling its workforce to ensure there is flexibility in managing a wide range of cases and improving its digital services to make it easier for customers to self-serve.