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Written Question
Internet: Disinformation
Tuesday 12th September 2023

Asked by: Dan Carden (Labour - Liverpool, Walton)

Question to the Department for Education:

To ask the Secretary of State for Education, what steps her Department is taking to increase young people's (a) awareness of and (b) ability to identify (i) disinformation and (ii) other online harms.

Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)

Pupils are taught about online safety and harms through the citizenship, computing and Relationships, Sex and Health Education (RSHE) curriculum.

Citizenship is statutory within the National Curriculum at key stages 3 and 4 and primary schools can also choose to teach it. Citizenship teaching should equip pupils with the skills and knowledge to explore political and social issues critically, to weigh evidence, debate and make reasoned arguments. Citizenship includes coverage of media literacy topics such as safeguarding democracy and a free media, understanding the role of responsible journalism in democratic society, identifying mis-, dis- and mal- information and countering the effects of negative and harmful news, events and information. The citizenship curriculum can be found here: https://www.gov.uk/government/publications/national-curriculum-in-england-citizenship-programmes-of-study.

The computing curriculum is designed to ensure that pupils can evaluate and apply information technology, including new or unfamiliar technologies, analytically to solve problems, and that they are responsible, competent, confident and creative users of information and communication technology. Using technology safely, securely, respectfully and responsibly is taught at all key stages of the computing curriculum to provide pupils with the e-safety knowledge they need to make informed decisions whilst online. The computing curriculum can be found here: https://www.gov.uk/government/publications/national-curriculum-in-england-computing-programmes-of-study.

The RSHE curriculum was introduced in 2020 and is compulsory. Pupils are taught about online relationships, the implications of sharing private or personal data online, harmful content and contact, cyberbullying, an over-reliance on social media and where to get help and support for issues that occur online. The RSHE statutory guidance also says that it is important for young people to know what the law says about sex, relationships and young people, as well as broader safeguarding issues. The RSHE statutory guidance can be found here: https://www.gov.uk/government/publications/relationships-education-relationships-and-sex-education-rse-and-health-education.

In health education, under the topic of internet safety and harms, pupils should be taught about how advertising and information is targeted at them and how to be a discerning consumer of information online.

To support teachers to deliver these topics safely and with confidence, the department has produced the RSHE teacher training modules, ‘online and media’ and ‘internet safety and harms’. The modules can be found here: https://www.gov.uk/guidance/teaching-about-relationships-sex-and-health#train-teachers-on-relationships-sex-and-health-education.

To support schools further, the department has also published ‘Teaching online safety in schools’. This non-statutory guidance aims to support schools in teaching pupils how to stay safe online within new and existing school subjects, such as relationships education, relationships and sex education, health education, citizenship and computing. The guidance outlines the importance of teaching pupils the underpinning knowledge and behaviours that can help them navigate the online world safely and confidently, regardless of the device, platform, or app. This includes how to evaluate what they see online. This will enable pupils to make judgements about what they see online and not automatically assume that what they see is true, valid, or acceptable. The guidance can be found here: https://www.gov.uk/government/publications/teaching-online-safety-in-schools.


Written Question
Occupational Health: Young People
Thursday 7th September 2023

Asked by: Elliot Colburn (Conservative - Carshalton and Wallington)

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, what assessment he has made of the potential merits of expanding young people's access to occupational health services on their mental health.

Answered by Tom Pursglove - Minister of State (Minister for Legal Migration and Delivery)

The Government recognises that expert-led impartial advice, and interventions such as Occupational Health (OH), can provide appropriate and timely work-based support, including for young people, to manage mental health conditions in the workplace. OH as advisory support has a broad remit, including assessments of fitness for work, advice about reasonable adjustments, workability, or return to work plans and can signpost to treatment for specific mental health conditions.


In addition to this, the DWP Youth Offer provides individually tailored Work Coach support to young adults aged 16 to 24 who are in the Universal Credit Intensive Work Search group. Work Coaches and Disability Employment Advisors work with local partners to signpost young adults to appropriate support. Youth Hubs work with partners to address barriers to young adults moving into employment, including other risk factors that could be associated with mental ill health. The type of support provided in hubs aims to meet the needs of young adults in their local community. We have recommended that all new Youth Hubs consider the barriers young people are facing (including access to mental health support) when determining the support services and partners available from a hub.


Written Question
Hospices: Children and Young People
Monday 24th July 2023

Asked by: Helen Morgan (Liberal Democrat - North Shropshire)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will maintain the children and young people's hospice grant after 2024-25.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

NHS England has now confirmed that it will be renewing the grant for 2024/25, once again allocating £25 million of grant funding for children’s hospices. They will also confirm the funding mechanism and individual allocations in due course. Funding arrangements beyond 2024/25 will need to be confirmed by the next Spending Review.


Written Question
Mental Health Services: Children and Young People
Tuesday 18th July 2023

Asked by: Munira Wilson (Liberal Democrat - Twickenham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to page 13 of the NHS Benchmarking Network's Children and Young People’s Mental Health Workforce Census, published in January 2023, if he will publish the full-time equivalent number of people working in NHS children and young people's mental health services in (a) 2016, (b) 2019, (c) 2021 and (d) 2022, by (i) job role and (ii) integrated care system region.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

There are no plans to do so. A breakdown of whole-time equivalents by job role for 2019, 2021 and 2022 is already available in the census report referred to.

Integrated care systems were not formally established until July 2022.


Written Question
Eating Disorders: Health Services
Monday 17th July 2023

Asked by: Baroness Merron (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of the effectiveness of specialist day care provision and home-based treatment for eating disorders, as compared to inpatient treatment for (1) children and young people, and (2) adults.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

NHS England is refreshing guidance on children and young people's eating disorders, with an increased focus on early identification and intervention. Updated guidance will highlight the importance of improved integration between community eating disorder services, wider children and young people's mental health services, schools, colleges and primary care. This will improve awareness, provide expert advice and improve support for children and young people presenting with problems with eating.

In 2019, NHS England published an addendum to the national Children and Young People’s Eating Disorder Guidance to include guidance on integration between community eating disorder services and inpatient and day care services, noting that “children and young people should be treated as close to home as possible, at the earliest opportunity, to substantially reduce the need for admission and length of stay”.

In 2022/23, 47% more children and young people have started National Institute for Health and Care Excellence concordant evidence-based treatment in the community, compared to 2019/20.

For adults, National Health Service guidance on intensive day patient treatment and home-based treatment outlines that intensive day patient treatment provides step-down care from inpatient treatment or an alternative to admission.

It may be provided by either an inpatient unit or a community eating disorder (CED) service, at least four to five times a week, and should include support around main meals as well as encouraging people to learn skills and engage in activities that contribute towards their recovery. Integrated working across day patient and CED services can help support people to live in the community and prevent relapse or readmission.


Written Question
Eating Disorders: Health Services
Monday 17th July 2023

Asked by: Baroness Merron (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of the commissioning of integrated services for eating disorders for (1) children and young people, and (2) adults.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

NHS England is refreshing guidance on children and young people's eating disorders, including to increase the focus on early identification and intervention. Updated guidance will highlight the importance of improved integration between dedicated community eating disorder services, wider children and young people's mental health services, schools, colleges and primary care to improve awareness, provide expert advice and improve support for children and young people presenting with problems with eating, whilst ensuring swift access to specialist support as soon as an eating disorder is suspected.

Improving adult eating disorder (AED) services is a key priority for NHS England and a fundamental part of our LTP commitment to expand and improve mental health services.

The NHS Long Term Plan sets out an ambition to give 370,000 adults and older adults with severe mental illness, including eating disorders, greater choice and control over their care and support them to live well in their communities by 2023/24. This includes creating integrated pathways of care across primary care, mental health services, VCS organisations, and social care, for people with severe mental illness. This programme will deliver just under £1 billion of additional funding per year for transforming community mental health by 2023/24.

Since April 2021 all integrated care systems (ICSs) have received fair-share funding to transform their community mental health services, including eating disorders, with the expectation that all ICS will have transformed AED services in place by 2023/24.


Written Question
Children: Health
Friday 14th July 2023

Asked by: Stephen Morgan (Labour - Portsmouth South)

Question to the Department for Education:

To ask the Secretary of State for Education, what steps her Department is taking to improve the wellbeing of children in school.

Answered by Claire Coutinho - Secretary of State for Energy Security and Net Zero

The department is committed to ensuring all schools are calm, safe and supportive learning environments that promote and support wellbeing.

To support this, the department is offering all schools and colleges funding to train a senior mental health lead who can put in place an effective whole school or college approach to mental health and wellbeing. Over 13,800 schools and colleges have now received a training grant, including more than 7 in 10 state-funded secondary schools.

To help children understand and look after their own wellbeing, as at September 2020, the department’s Health Education curriculum has a strong focus on mental wellbeing. Pupils are taught about the link between physical and mental health, how to recognise and talk about their emotions, and how and where to seek support if they are concerned about their own or someone else’s mental wellbeing.

When a child or young person is struggling with their mental health, it is vital to intervene early. That is why the department is working with the Department of Health and Social Care and NHS England to continue the rollout of Mental Health Support Teams across schools and colleges. These teams currently cover 35% of pupils in schools and learners in further education and we estimate this will increase to around 44% by April 2024.

The Department publishes annual State of the Nation reports on children and young people’s wellbeing. These reports draw together the best available evidence and inform work across government to support young people's wellbeing. The latest report, published February 2023, can be accessed here: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1134596/State_of_the_nation_2022_-_children_and_young_people_s_wellbeing.pdf.


Written Question
Eating Disorders
Tuesday 4th July 2023

Asked by: Lord Weir of Ballyholme (Democratic Unionist Party - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what plans they have to apply additional resources to combat the increasing problem of eating disorders.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

Under the NHS Long Term Plan, we will invest almost £1 billion extra in community mental health care for adults with severe mental illness by 2023/24. This will give 370,000 adults with severe mental illnesses, including eating disorders, greater choice and control over their care and support them to live well in their communities. As part of this we are expanding community eating disorder services capacity, including crisis care and intensive home treatment.

Since 2016, investment in children and young people's community eating disorder services has risen every year, with an extra £54 million per year from 2022/23. This extra funding will enhance the capacity of community eating disorder teams across the country.

The long-term aim set out within the NHS Long-Term Plan is to improve community support for serious mental illnesses, such as eating disorders, to avoid the need for an inpatient admission where possible.

NHS England is refreshing guidance on children and young people's eating disorders, including to increase the focus on early identification and intervention. Updated guidance will highlight the importance of improved integration between dedicated community eating disorder services, wider children and young people's mental health services, schools, colleges and primary care to improve awareness, provide expert advice and improve support for children and young people presenting with problems with eating, whilst ensuring swift access to specialist support as soon as an eating disorder is suspected.

Investment in Community Eating Disorder teams for children and young people will support prevention, early identification and intervention, offering swift access to treatment.

To accelerate the provision of early intervention eating disorder services for young adults, in 2019/20 NHS England funded 18 sites to implement “First Episode Rapid Early intervention for Eating Disorders” model for 16–25-year-olds. The model is now being adopted more widely.


Written Question
Eating Disorders: Young People
Tuesday 4th July 2023

Asked by: Lord Weir of Ballyholme (Democratic Unionist Party - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what specific strategies or initiatives are being targeted at supporting teenagers with eating disorders.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

Under the NHS Long Term Plan, we will invest almost £1 billion extra in community mental health care for adults with severe mental illness by 2023/24. This will give 370,000 adults with severe mental illnesses, including eating disorders, greater choice and control over their care and support them to live well in their communities. As part of this we are expanding community eating disorder services capacity, including crisis care and intensive home treatment.

Since 2016, investment in children and young people's community eating disorder services has risen every year, with an extra £54 million per year from 2022/23. This extra funding will enhance the capacity of community eating disorder teams across the country.

The long-term aim set out within the NHS Long-Term Plan is to improve community support for serious mental illnesses, such as eating disorders, to avoid the need for an inpatient admission where possible.

NHS England is refreshing guidance on children and young people's eating disorders, including to increase the focus on early identification and intervention. Updated guidance will highlight the importance of improved integration between dedicated community eating disorder services, wider children and young people's mental health services, schools, colleges and primary care to improve awareness, provide expert advice and improve support for children and young people presenting with problems with eating, whilst ensuring swift access to specialist support as soon as an eating disorder is suspected.

Investment in Community Eating Disorder teams for children and young people will support prevention, early identification and intervention, offering swift access to treatment.

To accelerate the provision of early intervention eating disorder services for young adults, in 2019/20 NHS England funded 18 sites to implement “First Episode Rapid Early intervention for Eating Disorders” model for 16–25-year-olds. The model is now being adopted more widely.


Written Question
Eating Disorders
Tuesday 4th July 2023

Asked by: Lord Weir of Ballyholme (Democratic Unionist Party - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government whether they intend to implement new strategies or projects to combat the problem of eating disorders.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

Under the NHS Long Term Plan, we will invest almost £1 billion extra in community mental health care for adults with severe mental illness by 2023/24. This will give 370,000 adults with severe mental illnesses, including eating disorders, greater choice and control over their care and support them to live well in their communities. As part of this we are expanding community eating disorder services capacity, including crisis care and intensive home treatment.

Since 2016, investment in children and young people's community eating disorder services has risen every year, with an extra £54 million per year from 2022/23. This extra funding will enhance the capacity of community eating disorder teams across the country.

The long-term aim set out within the NHS Long-Term Plan is to improve community support for serious mental illnesses, such as eating disorders, to avoid the need for an inpatient admission where possible.

NHS England is refreshing guidance on children and young people's eating disorders, including to increase the focus on early identification and intervention. Updated guidance will highlight the importance of improved integration between dedicated community eating disorder services, wider children and young people's mental health services, schools, colleges and primary care to improve awareness, provide expert advice and improve support for children and young people presenting with problems with eating, whilst ensuring swift access to specialist support as soon as an eating disorder is suspected.

Investment in Community Eating Disorder teams for children and young people will support prevention, early identification and intervention, offering swift access to treatment.

To accelerate the provision of early intervention eating disorder services for young adults, in 2019/20 NHS England funded 18 sites to implement “First Episode Rapid Early intervention for Eating Disorders” model for 16–25-year-olds. The model is now being adopted more widely.