Asked by: Mark Hendrick (Labour (Co-op) - Preston)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 5 February 2024 to Question 11582 on MMR Vaccine: North West, what assessment she has made of the potential implications for her policies of the lower uptake of MMR2 at five years; and what steps her Department is taking to increase the uptake of childhood vaccines.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
It is vitally important that everyone takes up the vaccinations to which they are entitled. Vaccination rates across the country are too low, particularly in some local areas, and we need a concerted effort to reach the 95% coverage, with two doses of the measles, mumps, and rubella (MMR) vaccine, required to provide population protection.
The Department works with the UK Health Security Agency (UKHSA) and NHS England to improve immunisation through diverse delivery methods, making getting vaccinated easier for all, including those in traditionally under-served groups. The UKHSA launched a new multi-media marketing campaign across England on 4 March 2024, to remind parents and carers of the risk of their children missing out on protection against serious diseases that are re-emerging in the country.
There have also been increased outreach efforts to make sure that communities with historically lower uptake are informed of the benefits of vaccines and have access to inclusive resources. For example, in the North West and the Midlands, National Health Service teams are using initiatives like roving clinics, extra vaccination sessions in schools, and community pharmacies to step up their efforts to get more children protected with the MMR vaccine.
The Government supports NHS programmes focused on improving coverage, including regional and national campaigns for polio, and a new targeted national MMR catch-up campaign for children aged six to 11 years old this year, extended to all those aged 11 to 25 years old in London, the West Midlands and the North West. Human papillomavirus infection vaccination catch-ups for adolescents are also taking place.
The NHS Vaccination strategy outlines plans to maximise convenience, with more vaccination services at locations that the public can easily access such as libraries, leisure centres, social clubs or sports grounds, family hubs, support services, and places of worship, or at local cultural and community events, with flexible opening hours and booking options.
Asked by: Matthew Offord (Conservative - Hendon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential implications for her Department's policies on preventing maternal deaths of MBRRACE-UK's report entitled Saving Lives, Improving Mothers’ Care, published in October 2023.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Department is committed to reducing maternal mortality and improving outcomes for mothers and is working to fully understand why a recent increase in the maternal death rate has been reported, including considering the impact of the COVID-19 pandemic.
Several initiatives have already been introduced across the National Health Service to improve maternity safety as part of NHS England’s Three Year Delivery Plan for maternity and neonatal services, which is backed by £186 million a year from April.
Initiatives include the establishment of 14 maternal medicine networks which provide pregnant women who have medical conditions with specialist advice and support, and the publishing of local Equity and Equality Action Plans, which are tailored to meet the needs of that area. The Department also expects all 42 integrated care systems to have a Maternal Mental Health Service operational by the end of March 2024, which provide psychological therapy for women experiencing mental health difficulties related to their maternity experience.
On top of this, as announced at Spring Budget, the Government and NHS England are investing almost £35 million from 2024/25 to 2026/27 to further improve maternity safety across England, with specialist training for staff, additional numbers of midwives and support to ensure maternity services listen to and act on women’s experiences to improve care.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, what assessment has he made of the potential merits of taking a nurturing and trauma-informed approach to people with mental health challenges who are not in employment.
Answered by Mims Davies - Minister of State (Department for Work and Pensions)
The DWP is proudly committed to becoming a more Trauma Informed organisation. The potential merits of the adoption of the Trauma Informed Approach into DWP services, will benefit all customers including those with mental ill health who are unemployed. Adopting the principles of the approach into the core of our business will help us to ensure that anyone interacting with our services feels as safe, empowered and understood as possible; this will underpin our ongoing commitment to compassionate coaching and tailored services.
We have a dedicated programme which will integrate the six key pillars of the approach as defined by the Office for Health Improvements and Disparities (December, 2022) which are safety, trustworthiness, choice, empowerment, collaboration and cultural consideration. Our programme looks at these six pillars within the contexts of application to our colleagues, our customers, our culture, and the context of our interaction- whether that is a physical, telephony, digital or postal interaction. There is significant emphasis within the design of the programme regarding what more can be done to prevent trauma and re-traumatisation for both our customers and our colleagues. We are learning from best practice demonstrated by organisations such as NHS Education Scotland, Work Services Australia and the Wales ACES Hub to shape the future prioritisation of this work.
When developing policies, the Department routinely carries out assessments against the Public Sector Equality Duty to ensure that due regard is given to our responsibilities under the Equality Act 2010.
Asked by: Tanmanjeet Singh Dhesi (Labour - Slough)
Question to the Department for Education:
To ask the Secretary of State for Education, what steps she plans to take to help (a) educate young people about the dangers of internet use and (b) prevent engagement in harmful online activities by young people.
Answered by Damian Hinds - Minister of State (Education)
As part of the statutory relationships and health education in primary schools and relationships, sex and health education (RSHE) in secondary schools, pupils are taught about online safety and harms. This includes being taught about what positive, healthy and respectful online relationships look like, the effects of their online actions on others, how to recognise and display respectful behaviour online, and where to get help and support for issues that occur online. The government’s guidance for primary and secondary school teaching on relationships, sex and health education can be found here: https://www.gov.uk/government/publications/relationships-education-relationships-and-sex-education-rse-and-health-education/relationships-education-primary and: https://www.gov.uk/government/publications/relationships-education-relationships-and-sex-education-rse-and-health-education/relationships-and-sex-education-rse-secondary.
The department has updated the Teaching Online Safety in Schools non-statutory guidance (2023), on how to teach about all aspects of internet safety in a coordinated and coherent way across their curriculum. Teaching about online safety also complements the computing curriculum, which covers the principles of online safety at all key stages, with progression in the content to reflect the different and escalating risks that pupils face. The computing curriculum can be found here: https://www.gov.uk/government/publications/national-curriculum-in-england-computing-programmes-of-study.
The statutory ‘Keeping Children Safe in Education’ guidance, which all schools and colleges must have regard to when drawing up and implementing their own safeguarding policies, has been strengthened with regards to online safety in recent years. Governing bodies and proprietors should ensure online safety is a running and interrelated theme whilst devising and implementing their whole school or college approach to safeguarding and related policies and procedures. This includes doing all that they reasonably can to limit children’s exposure to the harmful online content on the school’s or college’s IT system.
The department has brought forward the review of the RSHE curriculum and statutory guidance. Stakeholders will have the opportunity to feed into the process through a thorough consultation. Following the consultation, the department will make a decision about any new content to be included in the RSHE curriculum. The department expects to publish the revised guidance soon after.
Asked by: Alex Cunningham (Labour - Stockton North)
Question to the Department for Education:
To ask the Secretary of State for Education, what steps her Department is taking to improve the accessibility of evidence-based parenting support for parents and families residing in local authority areas that do not offer Family Hubs.
Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)
The Family Hubs and Start for Life programme aims to improve access to services for parents and families with children 0-19 or up to 25 for those with special educational needs and disabilities. It provides funding for parenting support as part of the Start for Life offer to be used on evidence-based programmes alongside peer support and community outreach activities.
The department has selected 75 local authorities based on levels of disadvantage. The department would like to see Family Hubs open across the country. The departments initial focus is on delivering well in the local areas that it is currently working with and building a model and evidence base. The department can then look to expand further in the future.
The published programme guide sets out requirements for local authorities to invest in evidence-based programmes with encouragement to select those that feature in published guidance, which have been rigorously evaluated and demonstrated impact.
The programme guide can be found at: https://www.gov.uk/government/publications/family-hubs-and-start-for-life-programme-local-authority-guide. The published guidance is available at: https://guidebook.eif.org.uk/programme/incredible-years-preschool.
The department is working with the local authorities selected for the programme to assess delivery of all funded services in Family Hubs, and evidence-based parenting programmes are included as part of this. A comprehensive external evaluation of the parenting support offer has been commissioned and is due to report in late 2025. This evaluation will explore how well different parenting programmes have been implemented into the Family Hubs model. It will include a quasi-experimental impact evaluation that will assess the outcomes for families and an assessment of the value for money offered by the programme as a whole.
The department is currently considering options for widening access to parenting support through Family Hubs and as such undertaking assessments of the effectiveness and value for money of evidence-based parenting programmes, as well as other forms of support for parents. As part of this work to inform future fiscal events, the department considers policies from across the world, including Australia, to inform departmental thinking. This scoping work also includes engaging with the Social Mobility Commission following their recent report into family and parenting programmes.
The department is also investing over £17 million on the Nuffield Early Language Intervention (NELI) in order to improve the language skills of reception age children who need it most following the pandemic. This evidence-based programme targets children needing extra support with their speech and language development and is proven to help them make four months of additional progress, and seven months for those on free school meals. Over 500,000 children have had their language screened, with 160,000 reception age children having received extra support with their speech and language development from this proven programme.
Alongside investing in parenting support and the NELI programme, the department has also launched a national media campaign ‘Little Moments Together’ to encourage parents to chat, play and read with their pre-school children. The campaign, run jointly with the Office for Health Improvement and Disparities, provides evidence-based advice for parents on the NHS Better Health Start for Life website, and support from national partners on activities for parents. Little Moments Together is based on long-standing evidence on the importance of the home learning environment to providing children the best start to life. The Better Health Start for Life website can be found at: https://www.nhs.uk/start-for-life/early-learning-development/.
Asked by: Alex Cunningham (Labour - Stockton North)
Question to the Department for Education:
To ask the Secretary of State for Education, with reference the Social Mobility Commission's publication entitled Family and parenting programmes: rapid evidence assessment, published in October 2023, what assessment her Department has made of the role of evidence-based parenting programmes in ensuring value for money from expenditure on parenting support.
Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)
The Family Hubs and Start for Life programme aims to improve access to services for parents and families with children 0-19 or up to 25 for those with special educational needs and disabilities. It provides funding for parenting support as part of the Start for Life offer to be used on evidence-based programmes alongside peer support and community outreach activities.
The department has selected 75 local authorities based on levels of disadvantage. The department would like to see Family Hubs open across the country. The departments initial focus is on delivering well in the local areas that it is currently working with and building a model and evidence base. The department can then look to expand further in the future.
The published programme guide sets out requirements for local authorities to invest in evidence-based programmes with encouragement to select those that feature in published guidance, which have been rigorously evaluated and demonstrated impact.
The programme guide can be found at: https://www.gov.uk/government/publications/family-hubs-and-start-for-life-programme-local-authority-guide. The published guidance is available at: https://guidebook.eif.org.uk/programme/incredible-years-preschool.
The department is working with the local authorities selected for the programme to assess delivery of all funded services in Family Hubs, and evidence-based parenting programmes are included as part of this. A comprehensive external evaluation of the parenting support offer has been commissioned and is due to report in late 2025. This evaluation will explore how well different parenting programmes have been implemented into the Family Hubs model. It will include a quasi-experimental impact evaluation that will assess the outcomes for families and an assessment of the value for money offered by the programme as a whole.
The department is currently considering options for widening access to parenting support through Family Hubs and as such undertaking assessments of the effectiveness and value for money of evidence-based parenting programmes, as well as other forms of support for parents. As part of this work to inform future fiscal events, the department considers policies from across the world, including Australia, to inform departmental thinking. This scoping work also includes engaging with the Social Mobility Commission following their recent report into family and parenting programmes.
The department is also investing over £17 million on the Nuffield Early Language Intervention (NELI) in order to improve the language skills of reception age children who need it most following the pandemic. This evidence-based programme targets children needing extra support with their speech and language development and is proven to help them make four months of additional progress, and seven months for those on free school meals. Over 500,000 children have had their language screened, with 160,000 reception age children having received extra support with their speech and language development from this proven programme.
Alongside investing in parenting support and the NELI programme, the department has also launched a national media campaign ‘Little Moments Together’ to encourage parents to chat, play and read with their pre-school children. The campaign, run jointly with the Office for Health Improvement and Disparities, provides evidence-based advice for parents on the NHS Better Health Start for Life website, and support from national partners on activities for parents. Little Moments Together is based on long-standing evidence on the importance of the home learning environment to providing children the best start to life. The Better Health Start for Life website can be found at: https://www.nhs.uk/start-for-life/early-learning-development/.
Asked by: Alex Cunningham (Labour - Stockton North)
Question to the Department for Education:
To ask the Secretary of State for Education, whether her Department has made a comparative assessment of the effectiveness of (a) evidence-based parenting programmes and (b) other interventions to support parents.
Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)
The Family Hubs and Start for Life programme aims to improve access to services for parents and families with children 0-19 or up to 25 for those with special educational needs and disabilities. It provides funding for parenting support as part of the Start for Life offer to be used on evidence-based programmes alongside peer support and community outreach activities.
The department has selected 75 local authorities based on levels of disadvantage. The department would like to see Family Hubs open across the country. The departments initial focus is on delivering well in the local areas that it is currently working with and building a model and evidence base. The department can then look to expand further in the future.
The published programme guide sets out requirements for local authorities to invest in evidence-based programmes with encouragement to select those that feature in published guidance, which have been rigorously evaluated and demonstrated impact.
The programme guide can be found at: https://www.gov.uk/government/publications/family-hubs-and-start-for-life-programme-local-authority-guide. The published guidance is available at: https://guidebook.eif.org.uk/programme/incredible-years-preschool.
The department is working with the local authorities selected for the programme to assess delivery of all funded services in Family Hubs, and evidence-based parenting programmes are included as part of this. A comprehensive external evaluation of the parenting support offer has been commissioned and is due to report in late 2025. This evaluation will explore how well different parenting programmes have been implemented into the Family Hubs model. It will include a quasi-experimental impact evaluation that will assess the outcomes for families and an assessment of the value for money offered by the programme as a whole.
The department is currently considering options for widening access to parenting support through Family Hubs and as such undertaking assessments of the effectiveness and value for money of evidence-based parenting programmes, as well as other forms of support for parents. As part of this work to inform future fiscal events, the department considers policies from across the world, including Australia, to inform departmental thinking. This scoping work also includes engaging with the Social Mobility Commission following their recent report into family and parenting programmes.
The department is also investing over £17 million on the Nuffield Early Language Intervention (NELI) in order to improve the language skills of reception age children who need it most following the pandemic. This evidence-based programme targets children needing extra support with their speech and language development and is proven to help them make four months of additional progress, and seven months for those on free school meals. Over 500,000 children have had their language screened, with 160,000 reception age children having received extra support with their speech and language development from this proven programme.
Alongside investing in parenting support and the NELI programme, the department has also launched a national media campaign ‘Little Moments Together’ to encourage parents to chat, play and read with their pre-school children. The campaign, run jointly with the Office for Health Improvement and Disparities, provides evidence-based advice for parents on the NHS Better Health Start for Life website, and support from national partners on activities for parents. Little Moments Together is based on long-standing evidence on the importance of the home learning environment to providing children the best start to life. The Better Health Start for Life website can be found at: https://www.nhs.uk/start-for-life/early-learning-development/.
Asked by: Alex Cunningham (Labour - Stockton North)
Question to the Department for Education:
To ask the Secretary of State for Education, whether her Department has made an assessment of the potential merits of funding a digital roll out of evidence-based parenting programmes similar to the scheme announced by the Australian Federal Government in 2022.
Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)
The Family Hubs and Start for Life programme aims to improve access to services for parents and families with children 0-19 or up to 25 for those with special educational needs and disabilities. It provides funding for parenting support as part of the Start for Life offer to be used on evidence-based programmes alongside peer support and community outreach activities.
The department has selected 75 local authorities based on levels of disadvantage. The department would like to see Family Hubs open across the country. The departments initial focus is on delivering well in the local areas that it is currently working with and building a model and evidence base. The department can then look to expand further in the future.
The published programme guide sets out requirements for local authorities to invest in evidence-based programmes with encouragement to select those that feature in published guidance, which have been rigorously evaluated and demonstrated impact.
The programme guide can be found at: https://www.gov.uk/government/publications/family-hubs-and-start-for-life-programme-local-authority-guide. The published guidance is available at: https://guidebook.eif.org.uk/programme/incredible-years-preschool.
The department is working with the local authorities selected for the programme to assess delivery of all funded services in Family Hubs, and evidence-based parenting programmes are included as part of this. A comprehensive external evaluation of the parenting support offer has been commissioned and is due to report in late 2025. This evaluation will explore how well different parenting programmes have been implemented into the Family Hubs model. It will include a quasi-experimental impact evaluation that will assess the outcomes for families and an assessment of the value for money offered by the programme as a whole.
The department is currently considering options for widening access to parenting support through Family Hubs and as such undertaking assessments of the effectiveness and value for money of evidence-based parenting programmes, as well as other forms of support for parents. As part of this work to inform future fiscal events, the department considers policies from across the world, including Australia, to inform departmental thinking. This scoping work also includes engaging with the Social Mobility Commission following their recent report into family and parenting programmes.
The department is also investing over £17 million on the Nuffield Early Language Intervention (NELI) in order to improve the language skills of reception age children who need it most following the pandemic. This evidence-based programme targets children needing extra support with their speech and language development and is proven to help them make four months of additional progress, and seven months for those on free school meals. Over 500,000 children have had their language screened, with 160,000 reception age children having received extra support with their speech and language development from this proven programme.
Alongside investing in parenting support and the NELI programme, the department has also launched a national media campaign ‘Little Moments Together’ to encourage parents to chat, play and read with their pre-school children. The campaign, run jointly with the Office for Health Improvement and Disparities, provides evidence-based advice for parents on the NHS Better Health Start for Life website, and support from national partners on activities for parents. Little Moments Together is based on long-standing evidence on the importance of the home learning environment to providing children the best start to life. The Better Health Start for Life website can be found at: https://www.nhs.uk/start-for-life/early-learning-development/.
Asked by: Martyn Day (Scottish National Party - Linlithgow and East Falkirk)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether her Department is taking steps to increase uptake in the use of monitoring technologies by patients with diabetes.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The National Institute for Health and Care Excellence (NICE) has recently issued clinical guidelines in relation to the management of insulin dependent diabetes, covering patients living with type 1 and insulin dependent type 2 diabetes. This includes devices to support blood glucose monitoring. These recommendations are now being implemented by integrated care boards (ICBs).
On 19 December 2023, NICE published its final recommendation on the hybrid closed loop system for people with type 1 diabetes. NICE has agreed with NHS England that all children and young people, women who are pregnant or planning a pregnancy, and those people who already have an insulin pump will be first to be offered a hybrid closed loop system as part of a 5-year roll-out plan. NHS England has set out priorities for access, to help reduce healthcare inequalities through their implementation plan.
Responsibility for the delivery of services and the implementation of NICE recommendations rests with the appropriate National Health Service commissioner. As diabetes care is commissioned by local ICBs, they are responsible for developing commissioning policies. ICBs must pay due regard to NICE guidance, however local decision making applies in terms of deciding whether to utilise their funding to implement the recommendation or not.
Asked by: Rosena Allin-Khan (Labour - Tooting)
Question to the Home Office:
To ask the Secretary of State for the Home Department, what assessment he has made of the implications for his policies of the prevalence of abuse of people of restricted growth.
Answered by Laura Farris - Parliamentary Under Secretary of State (Ministry of Justice) (jointly with Home Office)
We have a robust legislative framework to respond to all forms of hate crime, including those which target a person’s disability.
Whilst the police are operationally independent and work in line with the College of Policing’s operational guidance to respond to hate crime, we expect them to fully investigate these offences and work with the Crown Prosecution Service to ensure perpetrators are brought to justice.
The Government is pleased to see the overall reduction in police-recorded hate crime in the year ending March 2023, including a 1% reduction in disability hate crime compared with the previous year. However, any instance is one too many and we remain absolutely committed to ensuring these offences are stamped out.
A person of restricted growth is not necessarily a disabled person. A disability hate crime is any criminal offence which is perceived by the victim or any other person to be motivated by a hostility or prejudice based on a person’s disability or perceived disability, or any disability including physical disability, learning disability and mental health or developmental disorders. This will be a question of fact in each case.
Our absolute priority is to get more police onto our streets, cut crime, protect the public and bring more criminals to justice. We are supporting the police by providing them with the resources they need. We delivered our commitment to recruit an additional 20,000 officers by March 2023 and there are now over 149,000 officers in England and Wales, which is higher than the previous peak in March 2010 before the Police Uplift Programme.