(2 years, 1 month ago)
Commons ChamberI certainly do welcome that, because this is not just about commissioning, but about accountability and oversight.
Our changes will allow NHS commissioners to have more flexibility in commissioning, and I think that is really important, because if they have that flexibility in commissioning additional dental services, they are the ones who know the local need within their area. I want to see far more responsive management of contracts, so if they have underperforming practices and practices that can do more, we should enable such practices to do that. For example, a high-performing practice should be able to deliver beyond its existing contract to make up for the fact that a neighbouring practice is not doing so. That addresses some of the points made by my hon. Friend the Member for Waveney about the clawback of UDA funding at the end of the year, and then its not necessarily being spent on dentistry. As part of that, I also want and expect more transparency. We will make it a requirement for NHS dentists to update the information on their NHS website, so people can see which dentists are accepting new NHS patients for treatment.
On that point, I want to bust the myth about being registered with a dentist. There is no such thing as being registered with a dentist or a dental list. People approach an NHS dentist for specific treatment. They go on their list, register and have the treatment. They can have an ongoing relationship with a dentist, but anyone can book an appointment with any dentist with an NHS contract, regardless of where they live in the country. It is important to get that message out, because when our constituents say to us, “I can’t get a dentist locally”—I want to address that point—I want to ensure that they know that they could travel to a neighbouring town or city. They could travel half way across the country if they wanted to, for example if they had relatives there, if there was a NHS dentist who had capacity to see them.
Does the Minister recognise that because of the abnormalities of the dental contract, and dentists not knowing which patients they are getting, NHS dentists would rather take a patient whom they already know, and whose history of dental problems or otherwise they know, rather than taking somebody they have never seen? There is a disincentive to take on new patients, but there is a continuity for those who are already with an NHS dentist.
Of course I take that point—it is a fair one—and when those who seek NHS treatment have an ongoing relationship with a dentist, they are more likely to get seen. When considering reforms to the system we will certainly take that point on board.
(2 years, 11 months ago)
Commons ChamberAll children and young people with special educational needs and disabilities should be prepared for adulthood at every age and stage of their education. We committed in the national disability strategy to supporting pathways to employment for disabled learners, including strengthening the supported internship programme and ensuring that traineeships and apprenticeships are accessible.
Bath and North East Somerset Council, together with Bath College and Virgin Care, run a partnership called Project SEARCH to help young people with physical and learning disabilities to develop the skills that they need when they want to access the employment market. I pay tribute to that project, but far too many disabled people nationally face huge difficulties in accessing employment after leaving school and the support that they get at school. Will the Minister support a successor programme to Kickstart that is particularly tailored to disabled young people? Will he make recommendations and work together with colleagues in the Department for Work and Pensions?
Our ambition is for every child and young person, no matter what challenges they face, to have access to a world-class education that sets them up for life. We know that with the right preparation and support, the overwhelming majority of young people with SEND are capable of sustained paid employment. So what are we doing? We have a £1.2 million grant to the Education and Training Foundation, a supported internship programme, our work with our DWP counterparts and the adjustments passport pilots. It is all about preparation for adulthood and work.
(3 years ago)
Commons ChamberThank you, Madam Deputy Speaker. In response to the right hon. Gentleman, I am responding to what the Government are doing on the issues that have been raised.
As I mentioned, another important part of the whole school approach is ensuring that all pupils understand how to promote their own mental health and wellbeing. We must ensure that they have the knowledge and confidence to seek additional support when it is needed. That is why we made health education compulsory for pupils receiving primary and secondary education, alongside relationships education in all primary schools, and relationships and sex education in all secondary schools. Through these new subjects, all children will be taught about mental health, including how to recognise and manage any wellbeing issues. We have published a support package for schools to ensure that teachers have the confidence to deliver the subjects, specifically including the content on mental health and wellbeing.
Let me turn to the mental health support teams, which have been referenced by numerous Members across the Chamber. Although schools have an important role to play, teachers are not mental health professionals and they should not be expected to act as such. Where more serious problems occur, schools should expect the pupil and their family to be able to access support from specialist children and young people’s mental health services, voluntary organisations and local GP practices.
I have been encouraged by Madam Deputy Speaker to intervene. The point that Opposition Members are trying to make is that schools need to have in-house support, rather than just signposting to outside support. We would like to hear what the Minister has to say about that.
The mental health support teams are exactly that. Let me also respond in passing to the hon. Lady’s point about eating disorders. I am very much alive to that issue, and would be happy to meet her to discuss it at length. It certainly concerns me, as I know it concerns our colleagues at the Department of Health and Social Care.
We mentioned support in schools. The new mental health support teams are really important in this regard. The teams comprise newly-trained education mental health practitioners—an entirely new role—as well as more senior clinicians and therapists. They work alongside provisions such as counselling services to help to ensure that children and young people get the support that they need. They support staff in schools and colleges to develop their whole school approach to mental health and wellbeing, provide early intervention for those experiencing mild to moderate issues, and liaise with external specialist services where additional support is needed, which it sometimes is.