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Written Question
Advertising: Children and Young People
Wednesday 8th May 2024

Asked by: Barry Sheerman (Labour (Co-op) - Huddersfield)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will make an assessment of the potential impact of advertising on the mental health of children and young people.

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

The Department does not have plans to make such an assessment.


Written Question
Further Education and Schools: Basic Skills
Tuesday 7th May 2024

Asked by: Lloyd Russell-Moyle (Labour (Co-op) - Brighton, Kemptown)

Question to the Department for Education:

To ask the Secretary of State for Education, whether she plans to encourage a greater emphasis on developing essential skills for life in schools and colleges.

Answered by Damian Hinds - Minister of State (Education)

The department wants all children to leave school with the knowledge, skills and values that will prepare them to be citizens in modern Britain. There are many aspects of the curriculum that help young people develop essential life skills, including through the teaching of Relationships, Sex and Health Education (RSHE), citizenship, mathematics and design and technology (D&T).

In primary schools, age-appropriate relationships education involves supporting children to learn how to develop mutually respectful relationships in all contexts, including online. In secondary schools, this broadens to become age-appropriate relationships and sex education. In health education, there is a strong focus on mental wellbeing, including a recognition that mental wellbeing and physical health are linked. The statutory guidance is available at: https://www.gov.uk/government/publications/relationships-education-relationships-and-sex-education-rse-and-health-education.

The department is currently reviewing the RSHE statutory guidance. The review has been informed by an independent expert panel to advise the Secretary of State for Education on the introduction of age limits for sensitive subjects. A draft of the amended guidance will be published for consultation as soon as possible.

The national curriculum for secondary citizenship develops pupils’ awareness and understanding of democracy, government and how laws are made and upheld. Teaching should equip pupils with the skills and knowledge to explore political and social issues critically, to weigh evidence, debate and make reasoned arguments. The citizenship programmes of study are available at the following link: https://www.gov.uk/government/publications/national-curriculum-in-england-citizenship-programmes-of-study.

Primary maintained schools and all academies are encouraged to cover citizenship as part of their duty to deliver a broad and balanced curriculum following the non-statutory framework for citizenship.

Pupils should be prepared to manage their money well, make sound financial decisions and know where to seek further information when needed.

Financial knowledge is a compulsory part of the national curriculum for mathematics at key stages 1 to 4 and citizenship at key stages 3 and 4. The mathematics curriculum provides young people with the mathematical knowledge that underpins their ability to make important financial decisions. At primary schools, there is a strong emphasis on enabling pupils to develop fluency, mathematical reasoning and competence in solving increasingly sophisticated problems. At secondary schools and in GCSE mathematics, pupils solve problems in financial contexts. The mathematics programme of study can be found on GOV.UK.

Through primary citizenship curriculum, pupils should be taught to realise that money comes from different sources and can be used for different purposes. They should also be taught how to spend and save money sensibly and that economic choices affect individuals and communities. This is expanded in secondary citizenship where pupils are taught the function and uses of money, how to budget, and manage credit and debt, as well as concepts like insurance, savings and pensions.

Cooking and nutrition is a discrete strand of the national curriculum for D&T. This was introduced as part of the 2014 D&T curriculum and is compulsory for key stages 1 to 3. The curriculum aims to teach children how to cook, with an emphasis on savoury dishes, and how to apply the principles of healthy eating and nutrition. It recognises that cooking is an important life skill that will help children to feed themselves and others healthy and affordable food.

RSHE and citizenship sit alongside extra-curricular programmes to develop a variety of life skills such as resilience, leadership, persistence, and teamwork. Schools are best placed to understand and meet the needs of their pupils and so have flexibility to decide how they deliver the curriculum and what range of extra-curricular activities to offer. The department supports a range of initiatives to expand access to extra-curricular activities through schools, such as working with the Department for Culture, Media and Sport to offer the Duke of Edinburgh’s Award to all state secondary schools in England.


Written Question
Education: Standards
Friday 3rd May 2024

Asked by: Matt Western (Labour - Warwick and Leamington)

Question to the Department for Education:

To ask the Secretary of State for Education, what assessment she has made of the implications for her policies of the findings of the study funded by the Nuffield Foundation entitled A generation at risk: Rebalancing education in the post-pandemic era, published in April 2024.

Answered by Damian Hinds - Minister of State (Education)

Predicting GCSE results is very difficult as there are many drivers that can interact in unforeseen ways. However, as the Nuffield Foundation’s report indicates, the pandemic deprived children of the advantages of studying together within the safety and support of their schools.

The pandemic created a unique challenge for teachers, staff, students and families. Minimising its impact on education and tackling the challenges has been the department’s priority from the start. Almost £5 billion was made available specifically for education recovery, with support focussed on those who needed it most, while giving education providers as much flexibility as possible to tailor-make help for their own circumstances. This includes the National Tutoring Programme (NTP), which focuses on disadvantaged pupils and those who have fallen behind, and has seen nearly five million tutoring courses start since it launched in November 2020.

The department knows that disadvantaged children and pupils with a special educational need or disability were disproportionately impacted by the pandemic. The department continues to take a range of steps to give priority support and deliver programmes to help them, including improving the quality of teaching and curriculum resources, strengthening the school system and providing targeted support where needed. The department is also supporting disadvantaged pupils through the pupil premium, which is rising to almost £2.9 billion in 2024/25, which is the highest in cash terms since this funding began.

Further to this, latest results from 2023 show that over 45% of pupils sitting GCSEs achieved a grade 5 or higher in both English and mathematics, which is an increase of more than two percentage points compared with pre-pandemic 2019 levels and almost three percentage points when compared with 2017.

England recently came fourth in primary reading out of 43 countries which tested pupils of the same age in the Progress in International Reading Literacy Study (PIRLS). Despite disruption from the pandemic, England’s score remained stable and well above the international and European averages.

Furthermore, the department has committed to making schools safe, calm and supportive environments, which promote and support mental wellbeing alongside delivering an excellent education.

Enrichment activities can deepen children’s in-school experience while supporting them to develop their socio-emotional skills. The department is now delivering the vision set out in its Schools White Paper, which states that every child and young person will have access to high-quality extra-curricular provision, including an entitlement to take part in sport, music and cultural opportunities.

Monitoring and measuring wellbeing in schools strengthens this, which is why the department’s guidance on promoting a whole-school approach to pupil wellbeing includes this as one of its eight key principles. You can find out more here: https://assets.publishing.service.gov.uk/media/614cc965d3bf7f718518029c/Promoting_children_and_young_people_s_mental_health_and_wellbeing.pdf.

The department is supporting all state schools and colleges with a grant to train a senior mental health lead. To date 15,100 settings have claimed a grant so far, including more than 7 in 10 state-funded secondary schools.

Intervening early is critical. To expand access to early mental health support, the department is continuing to roll out Mental Health Support Teams (MHSTs) to schools and colleges. MHSTs deliver evidence-based interventions for mild to moderate mental health issues, support the senior mental health lead (where established) in each school or college to introduce or develop whole school or college approaches and give timely advice to school and college staff, and liaise with external specialist services, to help children and young people get the right support to stay in education. The department is extending coverage of MHSTs to cover at least 50% by the end of March 2025.


Written Question
Education: Standards
Wednesday 1st May 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department for Education:

To ask the Secretary of State for Education, with reference to the findings in the report by Action for Children in their report entitled Above and beyond, published on 25 April 2024 on the number of children that experience barriers to their education due to issues outside school, what steps her Department is taking to provide (a) early and (b) timely help to affected families.

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

This government recognises the importance of providing early and timely help for children to support them to achieve their full potential at school so that they can thrive in adulthood.

At the last spending review, the department announced over £1 billion toward programmes to improve early help services from birth to adulthood, including delivering on Family Hubs and helping families facing multiple disadvantage through the Supporting Families and Holiday Activities and Food programmes.

The department’s statutory guidance, titled ‘Working together to safeguard children’, which was updated in 2023, confirms the expectation that local areas should have a range of evidence-based services available to provide early support for children and families who need it.

In ‘Stable Homes, Built on Love’, the department announced plans to build on the strengths of early help services through the implementation of Family Help. In the Families First for Children Pathfinder, the department is investigating how multi-disciplinary family help teams can provide targeted support to help children and families overcome challenges at the earliest opportunity.

The department is spending more on children’s mental health services than ever before and working across government to ensure partnerships working across different sectors are delivering for children who need support.

The department is also continuing to roll out Mental Health Support Teams in education settings and supporting schools and colleges to train senior mental health leads, ensuring that as many young people as possible have access to the support they need.

Up to an additional £2.3 billion of additional funding a year since 2018/19 has been allocated to expand and transform mental health services. This is with the aim that 345,000 more children and young people will have been able to access NHS-funded mental health support by March 2024.

The department is making the ‘Working together to improve school attendance’ guidance statutory from September 2024. This sets out how schools, local authorities and other services need to work together to support pupils at risk of poor attendance and how support provided to these families is consistent across the country.

The department’s package of wide-ranging reforms designed to support schools to improve attendance means there were 440,000 fewer children persistently absent or not attending in 2022/23 compared to 2021/22.


Written Question
Education: Standards
Wednesday 1st May 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department for Education:

To ask the Secretary of State for Education, if she will make an assessment of the implications for her policies of the findings in the report by Action for Children in their report entitled Above and beyond, published on 25 April 2024, on the number of children that experience barriers to their education due to issues outside school.

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

This government recognises the importance of providing early and timely help for children to support them to achieve their full potential at school so that they can thrive in adulthood.

At the last spending review, the department announced over £1 billion toward programmes to improve early help services from birth to adulthood, including delivering on Family Hubs and helping families facing multiple disadvantage through the Supporting Families and Holiday Activities and Food programmes.

The department’s statutory guidance, titled ‘Working together to safeguard children’, which was updated in 2023, confirms the expectation that local areas should have a range of evidence-based services available to provide early support for children and families who need it.

In ‘Stable Homes, Built on Love’, the department announced plans to build on the strengths of early help services through the implementation of Family Help. In the Families First for Children Pathfinder, the department is investigating how multi-disciplinary family help teams can provide targeted support to help children and families overcome challenges at the earliest opportunity.

The department is spending more on children’s mental health services than ever before and working across government to ensure partnerships working across different sectors are delivering for children who need support.

The department is also continuing to roll out Mental Health Support Teams in education settings and supporting schools and colleges to train senior mental health leads, ensuring that as many young people as possible have access to the support they need.

Up to an additional £2.3 billion of additional funding a year since 2018/19 has been allocated to expand and transform mental health services. This is with the aim that 345,000 more children and young people will have been able to access NHS-funded mental health support by March 2024.

The department is making the ‘Working together to improve school attendance’ guidance statutory from September 2024. This sets out how schools, local authorities and other services need to work together to support pupils at risk of poor attendance and how support provided to these families is consistent across the country.

The department’s package of wide-ranging reforms designed to support schools to improve attendance means there were 440,000 fewer children persistently absent or not attending in 2022/23 compared to 2021/22.


Written Question
Health: Children
Monday 29th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

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 impact of her policies on health outcomes for children who live in poverty.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

The Department delivers programmes to support the most vulnerable children and families, and reduce health inequalities. The Government published the Best Start for Life: A Vision for the 1,001 Critical Days, in March 2021. This 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 investing an additional £300 million to improve support for families though the joint Department of Health and Social Care and Department for Education Family Hubs and Start for Life programme. It is implementing many elements of the Best Start for Life Vision, 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. The Government has commissioned two in-depth independent evaluations of the programme.

The Healthy Start scheme helps to encourage a healthy diet for pregnant women, babies, and young children aged under four years old from very low-income households. The latest Healthy Start data was published on 28 March 2024, with an uptake of 66%. Healthy Start now supports approximately 366,000 beneficiaries.

In November 2022, NHS England published Core20PLUS5, an approach to reducing health inequalities for children and young people at both a national and system level. The approach defines a target population cohort, and identifies five clinical areas requiring accelerated improvement, which are asthma, diabetes, epilepsy, oral health, and mental health. Where possible, indicators in the Child and Maternal Health Profile provide a breakdown by the index of multiple deprivation, which is available at the following link:

https://fingertips.phe.org.uk/profile/child-health-profiles


Written Question
Health: Children
Monday 29th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking to tackle health inequality due to childhood poverty.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

The Department delivers programmes to support the most vulnerable children and families, and reduce health inequalities. The Government published the Best Start for Life: A Vision for the 1,001 Critical Days, in March 2021. This 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 investing an additional £300 million to improve support for families though the joint Department of Health and Social Care and Department for Education Family Hubs and Start for Life programme. It is implementing many elements of the Best Start for Life Vision, 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. The Government has commissioned two in-depth independent evaluations of the programme.

The Healthy Start scheme helps to encourage a healthy diet for pregnant women, babies, and young children aged under four years old from very low-income households. The latest Healthy Start data was published on 28 March 2024, with an uptake of 66%. Healthy Start now supports approximately 366,000 beneficiaries.

In November 2022, NHS England published Core20PLUS5, an approach to reducing health inequalities for children and young people at both a national and system level. The approach defines a target population cohort, and identifies five clinical areas requiring accelerated improvement, which are asthma, diabetes, epilepsy, oral health, and mental health. Where possible, indicators in the Child and Maternal Health Profile provide a breakdown by the index of multiple deprivation, which is available at the following link:

https://fingertips.phe.org.uk/profile/child-health-profiles


Written Question
Health: Children
Monday 29th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

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 impact of childhood poverty on longitudinal health outcomes.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

The Department delivers programmes to support the most vulnerable children and families, and reduce health inequalities. The Government published the Best Start for Life: A Vision for the 1,001 Critical Days, in March 2021. This 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 investing an additional £300 million to improve support for families though the joint Department of Health and Social Care and Department for Education Family Hubs and Start for Life programme. It is implementing many elements of the Best Start for Life Vision, 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. The Government has commissioned two in-depth independent evaluations of the programme.

The Healthy Start scheme helps to encourage a healthy diet for pregnant women, babies, and young children aged under four years old from very low-income households. The latest Healthy Start data was published on 28 March 2024, with an uptake of 66%. Healthy Start now supports approximately 366,000 beneficiaries.

In November 2022, NHS England published Core20PLUS5, an approach to reducing health inequalities for children and young people at both a national and system level. The approach defines a target population cohort, and identifies five clinical areas requiring accelerated improvement, which are asthma, diabetes, epilepsy, oral health, and mental health. Where possible, indicators in the Child and Maternal Health Profile provide a breakdown by the index of multiple deprivation, which is available at the following link:

https://fingertips.phe.org.uk/profile/child-health-profiles


Written Question
Health: Children
Monday 29th April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how she is targeting health prevention services to support children who live in poverty.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

The Department delivers programmes to support the most vulnerable children and families, and reduce health inequalities. The Government published the Best Start for Life: A Vision for the 1,001 Critical Days, in March 2021. This 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 investing an additional £300 million to improve support for families though the joint Department of Health and Social Care and Department for Education Family Hubs and Start for Life programme. It is implementing many elements of the Best Start for Life Vision, 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. The Government has commissioned two in-depth independent evaluations of the programme.

The Healthy Start scheme helps to encourage a healthy diet for pregnant women, babies, and young children aged under four years old from very low-income households. The latest Healthy Start data was published on 28 March 2024, with an uptake of 66%. Healthy Start now supports approximately 366,000 beneficiaries.

In November 2022, NHS England published Core20PLUS5, an approach to reducing health inequalities for children and young people at both a national and system level. The approach defines a target population cohort, and identifies five clinical areas requiring accelerated improvement, which are asthma, diabetes, epilepsy, oral health, and mental health. Where possible, indicators in the Child and Maternal Health Profile provide a breakdown by the index of multiple deprivation, which is available at the following link:

https://fingertips.phe.org.uk/profile/child-health-profiles


Written Question
Attention Deficit Hyperactivity Disorder: Diagnosis
Monday 29th April 2024

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, what steps her Department is taking to help reduce waiting times for an ADHD diagnosis on the NHS for children.

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) assessments, in line with relevant National Institute for Health and Care Excellence (NICE) guidelines. NICE guidelines for ADHD diagnosis and management aim to improve the diagnosis of ADHD, and the quality of care and support people receive. The NICE guidelines do not recommend a maximum waiting time standard for ADHD diagnosis, either from referral for an assessment to receiving an assessment, a diagnosis, or a first contact appointment.

We know that children and young people often seek an ADHD diagnosis through Child and Adolescent Mental Health Services. Through the NHS Long Term plan, the Government is investing record amounts into children and young people’s mental health services.

There is, at present, no single, established dataset that can be used to monitor waiting times for assessment or treatment for ADHD nationally. The Department is exploring options to improve data collection and reporting on ADHD assessment waiting times, to help improve access to ADHD assessments in a timely way, and in line with the NICE guideline. In support of this, the National Institute for Health and Care Research Policy Research Programme has commissioned a research project to provide insights into local ADHD diagnosis waiting time data collection.

NHS England is establishing a new ADHD taskforce alongside the Government, to improve care for people living with the condition. The new taskforce will bring together expertise from across a broad range of sectors, including the National Health Service, education, and justice, to better understand the challenges affecting people with ADHD, and help provide a joined-up approach in response to concerns around rising demand for assessments and support.

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 who are trialling innovative ways of delivering ADHD services to ensure best practice is captured and shared across the system.