Asked by: Seema Malhotra (Labour (Co-op) - Feltham and Heston)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to section 1.17 of the National Institute for Health and Care Excellence (NICE) guidelines entitled Myalgic encephalomyelitis (or encephalopathy) chronic fatigue syndrome: diagnosis and management, published on 29 October 2021, what steps her Department is taking to help ensure that hospital staff are aware of NICE guidelines for caring patients with very severe myalgic encephalomyelitis.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The National Institute for Health and Care Excellence’s (NICE) guideline, Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management, published in October 2021, outlines the expectations for inpatient care for patients with myalgic encephalomyelitis (ME), also known as chronic fatigue syndrome. The guidance states that where possible, patients with ME should be provided with a single room, and that factors such as the level of lighting and sound should be taken into consideration, and necessary adjustments made.
It is the duty of clinicians to keep themselves appraised of best practice, in particular guidance issued by the NICE. Whilst guidelines are not mandatory, clinicians and commissioners are expected to take them fully into account when designing services that meet the needs of their local population. The NICE promotes its guidance via its website, newsletters, and other media.
The Department is working with NHS England to develop an e-learning course on ME for healthcare professionals, with the aim of supporting staff in providing better care and improving patient outcomes. The Medical Schools Council will promote the NHS England e-learning package on ME to all United Kingdom medical schools, and encourage medical schools to provide undergraduates with direct patient experience of ME.
We have finished consulting on My Full Reality, the cross-Government interim delivery plan on ME, which seeks to improve the experiences and outcomes of people living with this condition. We are in the process of analysing the results of the consultation. The views and experiences gathered through this consultation will be used to build a picture of how well the interim delivery plan identifies and meets the needs of the ME community, and to highlight any significant gaps where further action may be necessary. We will publish a summary of the consultation responses, which will inform the final delivery plan being published later this year, in due course.
Asked by: Seema Malhotra (Labour (Co-op) - Feltham and Heston)
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 11 March 2024 to Question 16630 on Chronic Fatigue Syndrome, when she plans to publish the final myalgic encephalomyelitis delivery plan.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The National Institute for Health and Care Excellence’s (NICE) guideline, Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management, published in October 2021, outlines the expectations for inpatient care for patients with myalgic encephalomyelitis (ME), also known as chronic fatigue syndrome. The guidance states that where possible, patients with ME should be provided with a single room, and that factors such as the level of lighting and sound should be taken into consideration, and necessary adjustments made.
It is the duty of clinicians to keep themselves appraised of best practice, in particular guidance issued by the NICE. Whilst guidelines are not mandatory, clinicians and commissioners are expected to take them fully into account when designing services that meet the needs of their local population. The NICE promotes its guidance via its website, newsletters, and other media.
The Department is working with NHS England to develop an e-learning course on ME for healthcare professionals, with the aim of supporting staff in providing better care and improving patient outcomes. The Medical Schools Council will promote the NHS England e-learning package on ME to all United Kingdom medical schools, and encourage medical schools to provide undergraduates with direct patient experience of ME.
We have finished consulting on My Full Reality, the cross-Government interim delivery plan on ME, which seeks to improve the experiences and outcomes of people living with this condition. We are in the process of analysing the results of the consultation. The views and experiences gathered through this consultation will be used to build a picture of how well the interim delivery plan identifies and meets the needs of the ME community, and to highlight any significant gaps where further action may be necessary. We will publish a summary of the consultation responses, which will inform the final delivery plan being published later this year, in due course.
Asked by: Seema Malhotra (Labour (Co-op) - Feltham and Heston)
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 inpatient provision for patients with myalgic encephalomyelitis.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The National Institute for Health and Care Excellence’s (NICE) guideline, Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management, published in October 2021, outlines the expectations for inpatient care for patients with myalgic encephalomyelitis (ME), also known as chronic fatigue syndrome. The guidance states that where possible, patients with ME should be provided with a single room, and that factors such as the level of lighting and sound should be taken into consideration, and necessary adjustments made.
It is the duty of clinicians to keep themselves appraised of best practice, in particular guidance issued by the NICE. Whilst guidelines are not mandatory, clinicians and commissioners are expected to take them fully into account when designing services that meet the needs of their local population. The NICE promotes its guidance via its website, newsletters, and other media.
The Department is working with NHS England to develop an e-learning course on ME for healthcare professionals, with the aim of supporting staff in providing better care and improving patient outcomes. The Medical Schools Council will promote the NHS England e-learning package on ME to all United Kingdom medical schools, and encourage medical schools to provide undergraduates with direct patient experience of ME.
We have finished consulting on My Full Reality, the cross-Government interim delivery plan on ME, which seeks to improve the experiences and outcomes of people living with this condition. We are in the process of analysing the results of the consultation. The views and experiences gathered through this consultation will be used to build a picture of how well the interim delivery plan identifies and meets the needs of the ME community, and to highlight any significant gaps where further action may be necessary. We will publish a summary of the consultation responses, which will inform the final delivery plan being published later this year, in due course.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department for Environment, Food and Rural Affairs:
To ask the Secretary of State for Environment, Food and Rural Affairs, if he will work with metro mayors to create a plan for flooding across Yorkshire.
Answered by Robbie Moore - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)
Lead Local Flood Authorities have a duty to develop, maintain, apply and monitor a strategy for local flood risk management in its area, and the Government is supportive of them working together to deliver shared mitigations for a wider area.
The Government has committed to reform the current approach to local flood risk planning by 2026, ensuring every area of England will have a more strategic and comprehensive plan that drives long-term local action and investment and supports a catchment-based approach. To strengthen collaboration, we will encourage flood and coastal erosion risk management activities across local authority boundaries and explore options to join up flood resilience with other responsibilities held by Mayors or Combined Authorities.
As part of the Government’s six-year £200 million flood and coastal innovation programme (FCIP), £8 million is allocated to four adaptation pathways to support work in the Thames and Humber estuaries, the Severn Valley and Yorkshire to trial and develop ways of planning ahead and making wise investment choices for the decades to come in the face of the long-term uncertainties brought by climate change. The West Yorkshire Adaption Pathway (WYAP) project is developing a community-scale surface water flood risk adaptation plan for a town in West Yorkshire. The South Yorkshire Adaption Pathway (SYAP) project aims to develop an adaptation pathway plan for South Yorkshire which will ensure that all decision-making on, and implementation of, long-term, future adaptation is as efficient and effective as possible.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether her Department (a) has taken and (b) plans to take steps to (a) monitor the incidence of depression among stroke survivors and (b) improve interventions to enhance (i) aftercare and (ii) quality of life for those people.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Depression affects approximately one third of people with stroke, and stroke services in the National Health Service are very aware of the impact this can have on the quality of life and level of independence of people who experienced a stroke, and the importance of understanding through measurement which people are affected, to support appropriate management.
The National Clinical Guideline for Stroke 2023 recommends that people with stroke should be routinely screened for anxiety and depression using standardised tools, the results of which should be used alongside other sources of information to inform clinical formulation of treatment and support needs.
The latest published Sentinel Stroke National Audit Programme (SSNAP) data, from October to December 2023, showed that 92.4% of stroke patients were screened for mood disturbances, including depression, in hospital. 75% of stroke patients who were followed up at six months post stroke also had a mood screen, with 53% of patients receiving the psychological support needed.
NHS England is driving implementation of the National Service Model for an Integrated Community Stroke Service (ICSS) with a number of specific projects aimed at improving delivery of psychological rehabilitation. The ICSS model is vital to support psychological recovery, return to work, and improved quality of life. From July 2024, the SSNAP will record the amount of psychological rehabilitation provided to patients, and measure changes in quality of life over time.
Asked by: Caroline Nokes (Conservative - Romsey and Southampton North)
Question to the Ministry of Justice:
To ask the Secretary of State for Justice, how many people on probation (a) have been assessed as eligible for the Building Better Relationships programme and (b) are waiting for a place on that programme as of 23 April 2024.
Answered by Edward Argar - Minister of State (Ministry of Justice)
We are unable to provide data on the number of people on probation who have been assessed as eligible for the Building Better Relationships programme (BBR) or who are waiting for a place on that programme as of 23 April 2024 without incurring disproportionate cost. We are also unable to provide the number of available places on the BBR programme for people on probation in 2024-25 without incurring disproportionate cost. This information is not collated and recorded centrally. Regions collect their own management information and waiting lists vary with average waiting times for BBR between one and five months. Each region manages their own accredited programme referrals and allocation of places is based on risk and order expiry date.
We are unable to provide data on the number of filled custodial places on the Building Better Relationships (BBR) programme in 2023-24 at this time as to do so would breach official statistics publication rules outlined in the Code of Practice for Statistics as they will form a subset of future published statistics. Data for 2023-2024 will be published in the Prison Education and Accredited Programme Statistics report on 26 September 2024.
There are 210 places available on the BBR programme for people in custody for 2024-25. This is subject to review related to changes in both the demand for different programmes, and the transition to new programmes being introduced in-year.
Asked by: Caroline Nokes (Conservative - Romsey and Southampton North)
Question to the Ministry of Justice:
To ask the Secretary of State for Justice, how many places will be available on the Building Better Relationships programme for people (a) in custody and (b) on probation in 2024-25.
Answered by Edward Argar - Minister of State (Ministry of Justice)
We are unable to provide data on the number of people on probation who have been assessed as eligible for the Building Better Relationships programme (BBR) or who are waiting for a place on that programme as of 23 April 2024 without incurring disproportionate cost. We are also unable to provide the number of available places on the BBR programme for people on probation in 2024-25 without incurring disproportionate cost. This information is not collated and recorded centrally. Regions collect their own management information and waiting lists vary with average waiting times for BBR between one and five months. Each region manages their own accredited programme referrals and allocation of places is based on risk and order expiry date.
We are unable to provide data on the number of filled custodial places on the Building Better Relationships (BBR) programme in 2023-24 at this time as to do so would breach official statistics publication rules outlined in the Code of Practice for Statistics as they will form a subset of future published statistics. Data for 2023-2024 will be published in the Prison Education and Accredited Programme Statistics report on 26 September 2024.
There are 210 places available on the BBR programme for people in custody for 2024-25. This is subject to review related to changes in both the demand for different programmes, and the transition to new programmes being introduced in-year.
Asked by: Caroline Nokes (Conservative - Romsey and Southampton North)
Question to the Ministry of Justice:
To ask the Secretary of State for Justice, how many of the 200 custodial places on the Building Better Relationships programme were filled in 2023-24.
Answered by Edward Argar - Minister of State (Ministry of Justice)
We are unable to provide data on the number of people on probation who have been assessed as eligible for the Building Better Relationships programme (BBR) or who are waiting for a place on that programme as of 23 April 2024 without incurring disproportionate cost. We are also unable to provide the number of available places on the BBR programme for people on probation in 2024-25 without incurring disproportionate cost. This information is not collated and recorded centrally. Regions collect their own management information and waiting lists vary with average waiting times for BBR between one and five months. Each region manages their own accredited programme referrals and allocation of places is based on risk and order expiry date.
We are unable to provide data on the number of filled custodial places on the Building Better Relationships (BBR) programme in 2023-24 at this time as to do so would breach official statistics publication rules outlined in the Code of Practice for Statistics as they will form a subset of future published statistics. Data for 2023-2024 will be published in the Prison Education and Accredited Programme Statistics report on 26 September 2024.
There are 210 places available on the BBR programme for people in custody for 2024-25. This is subject to review related to changes in both the demand for different programmes, and the transition to new programmes being introduced in-year.
Asked by: Baroness Bennett of Manor Castle (Green Party - Life peer)
Question to the Department for Environment, Food and Rural Affairs:
To ask His Majesty's Government what assessment they have made of reports of high levels of pollutants in food produced near waste incinerators in Europe; and whether they have any plans to conduct similar assessments in the UK.
Answered by Lord Douglas-Miller - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)
The Environment Agency (EA) has not made any assessment of reports on this subject and does not plan to conduct any such assessments in England.
The impact on food produced in proximity to waste incinerators is considered as part of environmental permitting regulations. The EA is responsible for deciding whether new incinerators in England should get a permit to operate. For each permit application it receives, the EA uses the results of air quality modelling and a human health risk assessment (HHRA) to determine the impact of the proposed incinerator.
The HHRA assesses impacts on the food chain. Impact assessments are very conservative and permit decisions are based on worst-case scenario impacts.
The EA also consults the UK Health Security Agency and the Food Standards Agency (FSA) on every permit application it receives and will not issue a permit if the proposed plant could cause significant pollution or harm to human health, including via the food chain.
The FSA is responsible for the management of public health risks in relation to food. In general, the FSA considers that if incinerator facilities are correctly operated and monitored, with the appropriate level of emissions abatement, there should be no impact on the local area in terms of elevated levels of contaminants in soil and locally produced food. Measures are in place to manage the risk from chemical contaminants and keep levels as low as reasonably achievable through good practices and regulatory controls.
Asked by: Nick Smith (Labour - Blaenau Gwent)
Question to the Ministry of Defence:
To ask the Secretary of State for Defence, pursuant to the Answer of 19 April 2024 to Question 21960 on Air Force: Training, for what reason the requirement for pilots to successfully complete Phase 2 Military Flying Training was lower in the training years (a) 2022-23 and (b) 2023-24.
Answered by Leo Docherty - Minister of State (Ministry of Defence) (Minister for the Armed Forces)
For each training year, the number of trainee RAF pilots who enter the Phase 2 Military Flying Training System is based on the number of pilots required to commence Operational Conversion Units (OCUs) to meet the Front Line demand for qualified pilots in future years.
The RAF Pipeline Management Team, governed through the Aircrew Pipeline Steering Group, actively manage the pilot training pipelines to ensure that trainee flowthrough is kept to an optimum to reduce periods of holdover for trainees between training courses. In 2022-23 and 2023-24 there was a managed reduction in some of the training pipelines to appropriately control the numbers of trainees in holdover ahead of joining OCUs. Additionally, as already documented, Hawk T2 engine issues impacted the number of Fast Jet pilots trained during this period.