Asked by: Dean Russell (Conservative - Watford)
Question to the Department for Education:
To ask the Secretary of State for Education, what steps her Department is taking to provide training to teaching assistants on (a) autism and (b) other neuro-diverse conditions.
Answered by Damian Hinds - Minister of State (Education)
The government values and appreciates the dedication, professionalism and hard work of teaching assistants (TAs), and the department knows the valuable contribution they make to pupils’ education alongside excellent teachers, particularly when supporting children and young people with special educational needs and disabilities (SEND).
Reaching over 70% of schools and further education (FE) colleges, the Universal Services programme will help the school and FE workforce to identify and meet the needs of children and young people with SEND, earlier and more effectively.
The department’s Universal Services contract brings together SEND-specific continuous professional development (CPD) and support for the school and FE workforce to improve outcomes for children and young people. The contract offers autism awareness training and resources delivered by the Autism Education Trust (AET). Over 135,000 education professionals have undertaken autism awareness training as part of AET's ‘train the trainer’ model since the Universal Services programme commenced in May 2022.
School and college staff have completed over 7,000 online SEND CPD units to support them in delivering an inclusive experience for every learner. The Universal Services contract will run until spring 2025, with a budget of nearly £12 million.
On 22 November 2023, the department announced the Partnerships for Inclusion of Neurodiversity in Schools programme. This new programme, backed by £13 million of investment, will bring together integrated care boards, local authorities, and schools, working in partnership with parents and carers to support schools to better meet the needs of neurodiverse children.
The programme will deploy specialists from both health and education workforces to upskill school staff including TAs in around 1,680 (10%) mainstream primary schools and build their capacity to identify and meet the needs of children with autism and other neurodiverse needs.
Ultimately, schools are best placed to make decisions on the CPD that best meets the needs of their support staff, as they do for teachers' CPD.
Asked by: Anthony Mangnall (Conservative - Totnes)
Question to the Department for Education:
To ask the Secretary of State for Education, what steps her Department is taking to increase access to speech and language therapists in schools.
Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)
The department’s vision for children and young people with special educational needs and disabilities (SEND), including those with speech, language and communication needs (SLCN), is the same as it is for all children and young people. The department wants them to achieve well in their early years, at school and in further education, to find employment, to lead happy and fulfilled lives and to experience choice and control.
The first response when any child is falling behind in school is good quality teaching. To support with this, the department is developing a suite of Practitioner standards, called ’Practice Guides‘ in the SEND and alternative provision Improvement Plan, which will set out the best available evidence to help professionals in mainstream settings, including early years staff, teachers and teaching assistants to identify and support the needs of children and young people they work with, including for those with speech and language needs.
In some cases, additional, specialist support may be required to meet the needs of a child, including support provided by speech and language therapists. The department is working with the Department of Health and Social Care to take a joint approach to SEND workforce planning. The department established a steering group in 2023 to oversee this work, which is intended to be completed by 2025. The government is also backing the NHS Long Term Workforce Plan, which sets out the steps the NHS and its partners need to take over the next 15 years to meet the needs of the changing population. This includes increasing the number of allied health professionals such as speech and language therapists.
In addition, working with NHS England, the department is funding the Early Language and Support for Every Child pathfinders within the department’s Change Programme until 2025. The project will fund nine Integrated Care Boards and local areas within each of the nine Change Programme Partnerships to trial new ways of working to better identify and support children with SLCN in early years and primary school settings.
Asked by: Andrew Selous (Conservative - South West Bedfordshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make a comparative assessment of the cost to the NHS of different kinds of absorbent continence products based on the (a) item price and (b) patient experience and outcome including (i) whole system cost, (ii) laundry cost and (iii) environmental impact.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Government is working with NHS England and partner organisations across the health system to develop a standardised methodology, to assess the full value of medical technologies. This initiative underlines our commitment in the Medtech Strategy, published in February 2023, ensuring the right product, in the right place, at the right price. The methodology will seek to look beyond upfront cost to consider patient outcomes, whole system costs, supply resilience, and the environmental impact when procurement decisions are being made.
The methodology will provide a consistent approach to assessing value, and will be implemented at both the national and local level. This approach aims to ensure that procurement decisions support both short-term efficiencies and long-term benefits, drawing out the value to patients and the healthcare system. The Government appreciates contributions from the industry and procurement communities, and will invite stakeholders to provide feedback on the initial proposal in due course.
In terms of implementation, we will look to align and integrate this initiative with NHS England’s Central Commercial Function's ongoing work under their strategic framework, which aims to create commercial playbooks for standardising practices and processes across the National Health Service.
Regarding the specific point raised around absorbent continence products, the Disposable Continence tender is due to be issued to the market later this year. To ensure that the NHS’s requirements are considered during the procurement process, NHS Supply Chain is undertaking significant engagement across the health and social care system. This includes customers in the acute and wider community setting, suppliers, trade associations, professional bodies, and end user reference groups, to understand their requirements from a commercial, value, sustainability, and supply resilience perspective.
NHS Supply Chain is currently working with suppliers of disposable continence products to understand the value-based procurement and sustainability offerings on the purchase of continence products. NHS Supply Chain has identified a trust who are committed in supporting us in understanding this value in the form of a pilot study, and potential case study. More information can be provided once these studies have been finalised and confirmed.
Asked by: Andrew Selous (Conservative - South West Bedfordshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she is taking steps to ensure that NHS organisations take into account (a) patient experience and outcomes, (b) whole system costs, (c) laundry costs and (d) the environmental impact when purchasing absorbent continence products.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Government is working with NHS England and partner organisations across the health system to develop a standardised methodology, to assess the full value of medical technologies. This initiative underlines our commitment in the Medtech Strategy, published in February 2023, ensuring the right product, in the right place, at the right price. The methodology will seek to look beyond upfront cost to consider patient outcomes, whole system costs, supply resilience, and the environmental impact when procurement decisions are being made.
The methodology will provide a consistent approach to assessing value, and will be implemented at both the national and local level. This approach aims to ensure that procurement decisions support both short-term efficiencies and long-term benefits, drawing out the value to patients and the healthcare system. The Government appreciates contributions from the industry and procurement communities, and will invite stakeholders to provide feedback on the initial proposal in due course.
In terms of implementation, we will look to align and integrate this initiative with NHS England’s Central Commercial Function's ongoing work under their strategic framework, which aims to create commercial playbooks for standardising practices and processes across the National Health Service.
Regarding the specific point raised around absorbent continence products, the Disposable Continence tender is due to be issued to the market later this year. To ensure that the NHS’s requirements are considered during the procurement process, NHS Supply Chain is undertaking significant engagement across the health and social care system. This includes customers in the acute and wider community setting, suppliers, trade associations, professional bodies, and end user reference groups, to understand their requirements from a commercial, value, sustainability, and supply resilience perspective.
NHS Supply Chain is currently working with suppliers of disposable continence products to understand the value-based procurement and sustainability offerings on the purchase of continence products. NHS Supply Chain has identified a trust who are committed in supporting us in understanding this value in the form of a pilot study, and potential case study. More information can be provided once these studies have been finalised and confirmed.
Asked by: Layla Moran (Liberal Democrat - Oxford West and Abingdon)
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 adequacy of the availability of NHS provision for the diagnosis of ADHD in (a) Oxfordshire and (b) England.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
It is the responsibility of integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including access to attention deficit hyperactivity disorder (ADHD) assessment and treatment, in line with relevant National Institute for Health and Care Excellence (NICE) guidance. The NICE guideline on ADHD does not recommend a maximum waiting time from referral for an assessment of ADHD to the point of assessment or diagnosis. The Department has not made a specific assessment of the availability of National Health Service provision for the diagnosis of, or treatment of, ADHD in Oxfordshire.
In respect of the adequacy of ADHD service provision nationally, in December 2023, NHS England initiated a rapid piece of work to consider ADHD service provision within the NHS. The initial phase of work identified challenges, including with current service models and the ability to keep pace with demand. Following this initial review, NHS England is establishing a new ADHD taskforce alongside the Government, to look at ADHD service provision and its impact on patient experience. The new taskforce will bring together expertise from across a broad range of sectors, including the NHS, education, and justice, to better understand the challenges affecting people with ADHD, and to help provide a joined up approach in response to concerns around rising demand.
Alongside the work of the taskforce, NHS England has announced that it will continue to work with stakeholders to develop a national ADHD data improvement plan, carry out more detailed work to understand the provider and commissioning landscape, and capture examples from local health systems which are trialling innovative ways of delivering ADHD services, to ensure best practice is captured and shared across the system.
In respect of the availability of NHS provision for the treatment of ADHD nationally, the Department is aware of, and taking action to address, disruptions to the supply of medicine used for the management of ADHD. Disruptions to the supply of medicines have been primarily driven by issues which have resulted in capacity constraints at key manufacturing sites. Nationally, the Department has been working hard with industry to help resolve those issues as quickly as possible. As a result of our ongoing activity, some issues have been resolved. However, we know that there continue to be disruptions to the supply of some other medicines, including methylphenidate and guanfacine. The latest information we have received from manufacturers is that these should largely be resolved by May 2024 and October 2024, respectively.
Asked by: Layla Moran (Liberal Democrat - Oxford West and Abingdon)
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 adequacy of the availability of NHS provision for the treatment of ADHD in (a) Oxfordshire and (b) England.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
It is the responsibility of integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including access to attention deficit hyperactivity disorder (ADHD) assessment and treatment, in line with relevant National Institute for Health and Care Excellence (NICE) guidance. The NICE guideline on ADHD does not recommend a maximum waiting time from referral for an assessment of ADHD to the point of assessment or diagnosis. The Department has not made a specific assessment of the availability of National Health Service provision for the diagnosis of, or treatment of, ADHD in Oxfordshire.
In respect of the adequacy of ADHD service provision nationally, in December 2023, NHS England initiated a rapid piece of work to consider ADHD service provision within the NHS. The initial phase of work identified challenges, including with current service models and the ability to keep pace with demand. Following this initial review, NHS England is establishing a new ADHD taskforce alongside the Government, to look at ADHD service provision and its impact on patient experience. The new taskforce will bring together expertise from across a broad range of sectors, including the NHS, education, and justice, to better understand the challenges affecting people with ADHD, and to help provide a joined up approach in response to concerns around rising demand.
Alongside the work of the taskforce, NHS England has announced that it will continue to work with stakeholders to develop a national ADHD data improvement plan, carry out more detailed work to understand the provider and commissioning landscape, and capture examples from local health systems which are trialling innovative ways of delivering ADHD services, to ensure best practice is captured and shared across the system.
In respect of the availability of NHS provision for the treatment of ADHD nationally, the Department is aware of, and taking action to address, disruptions to the supply of medicine used for the management of ADHD. Disruptions to the supply of medicines have been primarily driven by issues which have resulted in capacity constraints at key manufacturing sites. Nationally, the Department has been working hard with industry to help resolve those issues as quickly as possible. As a result of our ongoing activity, some issues have been resolved. However, we know that there continue to be disruptions to the supply of some other medicines, including methylphenidate and guanfacine. The latest information we have received from manufacturers is that these should largely be resolved by May 2024 and October 2024, respectively.
Asked by: Stephanie Peacock (Labour - Barnsley East)
Question to the Department for Digital, Culture, Media & Sport:
To ask the Secretary of State for Culture, Media and Sport, what steps her Department is taking to (a) enable partnership working and (b) increase collaboration between schools, youth organisations and sport providers.
Answered by Stuart Andrew - Parliamentary Under Secretary of State (Department for Culture, Media and Sport)
The Government recognises the importance of encouraging partnership working between schools, youth organisations, and sports providers to provide opportunities for young people. Our current Enrichment Partnerships pilot, which was a joint bid with the Department for Education, is working closely with schools, youth organisations, councils and enrichment and sports providers to test whether greater coordination locally can enhance school enrichment offers and remove barriers to participation, create efficiencies (reducing the burden on school staff resources) and unlock existing funding and provision.
The Government-funded network of 450 School Games Organisers (SGO) works directly with local schools and sports providers to coordinate inclusive sport competitions across 40 different sports and activities. In the 2022/23 academic year, the SGO network provided over 2.2 million opportunities for children to take part in local, inclusive sport and physical activity.
Our updated statutory guidance and peer review programme for Local Authorities aims to encourage best practice of local youth provision and advice on how to create a sufficient and unified approach to out of school provision for young people. We also are providing £320,000 to Regional Youth Work Units across England (RYWUs) over the next two years, to build upon their current practices and ensure a consistent minimum level of regional leadership. The funding will support RYWUs to influence youth policy, develop partnerships, support and grow the youth workforce, ensure young people's voices are heard, and improve collaboration across the regions.
Working with the Young People Foundation Trust, DCMS also encourages and supports local youth partnerships through the Local Partnerships Fund. The fund is designed to encourage productive connections between youth services and councils, schools, local sporting and smaller community based organisations, as well as local businesses and funders so they can provide a more holistic experience for young people.
Asked by: Dean Russell (Conservative - Watford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to help support children with cerebral palsy.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The National Institute for Health and Care Excellence has published a range of guidance on care and support for children and young people and adults with cerebral palsy, to support healthcare professionals and commissioners. The guidance recommends service providers develop clear pathways that allow patients with cerebral palsy access to multi-disciplinary teams, specialist neurology services and regular reviews of their clinical and functional needs.
NHS England’s Getting It Right First Time Programme aims to improve care for people with neurological conditions, including those with cerebral palsy, by reducing variation and delivering care more equitably across the country.
The majority of services for people with cerebral palsy are commissioned locally by integrated care boards, which are best placed to make decisions according to local need. Nevertheless, at a national level, the Government is working closely with NHS England to continue to improve services for people with neurological conditions, including those with cerebral palsy.
The NHS Long-term Workforce Plan (LTWP) aims to grow the number and proportion of National Health Service staff working in mental health, primary and community care. The LTWP, published in 2023, sets out an ambition to grow these roles 73% by 2036/37, including plans to increase the community workforce specifically by 3.9% each year. By growing the community workforce, we will be better able to support people to participate in daily living, including those with cerebral palsy.
As set out in the LTWP, NHS England’s ambition is that, by 2028, no child or young person will be lost in the gaps between any children’s and adult services, and that their experience of moving between services is safe, well planned and prepared for so they feel supported and empowered to make decisions about their health and social care needs. The Department is working closely with NHS England to support this work, and the Children and Young People’s Transformation Programme has developed a national framework for transition which includes the key principles of a 0-25 model of care, including for young people with cerebral palsy.
Asked by: Dean Russell (Conservative - Watford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to help support adults with cerebral palsy.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The National Institute for Health and Care Excellence has published a range of guidance on care and support for children and young people and adults with cerebral palsy, to support healthcare professionals and commissioners. The guidance recommends service providers develop clear pathways that allow patients with cerebral palsy access to multi-disciplinary teams, specialist neurology services and regular reviews of their clinical and functional needs.
NHS England’s Getting It Right First Time Programme aims to improve care for people with neurological conditions, including those with cerebral palsy, by reducing variation and delivering care more equitably across the country.
The majority of services for people with cerebral palsy are commissioned locally by integrated care boards, which are best placed to make decisions according to local need. Nevertheless, at a national level, the Government is working closely with NHS England to continue to improve services for people with neurological conditions, including those with cerebral palsy.
The NHS Long-term Workforce Plan (LTWP) aims to grow the number and proportion of National Health Service staff working in mental health, primary and community care. The LTWP, published in 2023, sets out an ambition to grow these roles 73% by 2036/37, including plans to increase the community workforce specifically by 3.9% each year. By growing the community workforce, we will be better able to support people to participate in daily living, including those with cerebral palsy.
As set out in the LTWP, NHS England’s ambition is that, by 2028, no child or young person will be lost in the gaps between any children’s and adult services, and that their experience of moving between services is safe, well planned and prepared for so they feel supported and empowered to make decisions about their health and social care needs. The Department is working closely with NHS England to support this work, and the Children and Young People’s Transformation Programme has developed a national framework for transition which includes the key principles of a 0-25 model of care, including for young people with cerebral palsy.
Asked by: Lord Alton of Liverpool (Crossbench - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of the five recommendations made in the report by the First 1001 Days Movement, A Manifesto for Babies, published on 19 March; and whether they intend to respond to each recommendation.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
There is strong evidence that the 1,001 days from pregnancy to the age of two years old set the foundations for our cognitive, emotional, and physical development. Investing in this critical period presents a real opportunity to improve outcomes and tackle health disparities by ensuring that thousands of babies and families have improved access to quality support and services. The Government is therefore already taking forward a range of actions in line with recommendations in the report by the First 1001 Days Movement to ensure that every baby gets the best start in life.
For example, in March 2021, the Government published The best start for life: a vision for the 1,001 critical days, a copy of which is attached. This vision sets out six action areas for improving support for families during the 1,001 critical days to ensure every baby in England is given the best possible start in life, regardless of background.
The Government is also investing approximately £300 million to improve support for families though the Family Hubs and Start for Life programme. The programme is implementing many elements of the Best Start for Life Vision and is delivering a step change in outcomes for babies, children and their parents and carers in 75 local authorities in England, including those with high levels of deprivation. Many local authorities without funding have also chosen to implement elements of the vision.
The programme funding package includes £10 million to enable five local authorities and their partners to pilot innovative early years workforce models, with the aim of improving the access, experience and outcomes of babies, children, and families, and supporting the capacity and job satisfaction of the workforces involved.
To support new parents, Statutory Maternity Pay is paid by employers to qualifying employed women for a maximum of 39 weeks, the first six weeks of which are paid at 90% of the women’s salary followed by 33 weeks at the lower of either the standard rate or 90% of the woman’s average weekly earnings. For those who cannot get Statutory Maternity Pay, Maternity Allowance may be available. This is a benefit paid by the Department for Work and Pensions to eligible women and is intended for those who cannot get Statutory Maternity Pay. The standard rate of maternity pay is reviewed annually.
Paternity Leave arrangements enable employed fathers and partners, including same sex partners, who meet the qualifying conditions to take up to two weeks of paid leave within the first eight weeks following the birth of their child or placement for adoption. The Government has recently announced changes to make Paternity Leave and Pay more flexible for working families from April 2024. This includes allowing fathers and partners to take their leave and pay at any point in the first year after the birth or adoption of their child.
A Shared Parental Leave and Pay scheme is also available, giving working families much more choice and flexibility about who cares for their child in the first year, and when.