Asked by: Jacob Rees-Mogg (Conservative - North East Somerset)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to her Oral Statement of 7 February 2024 on NHS Dentistry: Recovery and Reform, how she defines Somerset in the context of the area across which dentistry vans will be deployed.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
We will deploy dental vans offering appointments to patients in targeted rural and coastal communities who have the most limited access to dentistry, including Somerset, starting later this year.
We are currently working with NHS England and the integrated care boards (ICBs), including NHS Somerset ICB, to agree the exact number of vans, and where they will be deployed. I expect to be able to provide more details on this in due course.
Asked by: Liz Twist (Labour - Blaydon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she has had discussions with Cabinet colleagues on supporting the mental health and wellbeing of people impacted by flooding.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Department has responded to the Department for Environment Food and Rural Affairs Committee’s inquiry into rural mental health. Further information on the inquiry is available at the following link:
https://committees.parliament.uk/work/1627/rural-mental-health/
It is important that the right support is in place, including for those affected by flooding. NHS England has clinical guidelines on dealing with major incidents, including on providing psychosocial support for both patients and staff.
Talking therapies are available remotely so people can access help safely from home and the National Health Service is working to ensure the option of face-to-face support is provided to people with serious mental health illnesses, across all ages where it is clinically safe to do so.
The UK Health Security Agency has published flooding and health guidance to provide information to assist health professionals and public agencies to understand and mitigate the mental health risks posed by flooding. It is available at the following link:
https://www.gov.uk/government/collections/flooding-health-guidance-and-advice
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 she is taking to help tackle underage vaping.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is concerned about the worrying rise in vaping among children. Youth vaping has tripled in the last three years, and one in five children now use a vape. The health advice is clear: if you don’t smoke, don’t vape, and children should never vape.
The Government’s response to the recent smoking and vaping consultation sets out our plan to introduce powers to crack down on youth vaping by restricting flavours, point of sale and packaging for vaping products. We will introduce legislation as soon as possible. The consultation is available at the following link:
https://www.gov.uk/government/consultations/creating-a-smokefree-generation-and-tackling-youth-vaping/outcome/creating-a-smokefree-generation-and-tackling-youth-vaping-consultation-government-response
In the consultation response, we also announced that disposable vapes will be banned, due to their appeal to young people and environmental concerns. The Department for Environment Food and Rural Affairs will be taking forward the ban and are looking to legislate as soon as possible.
We have also developed new training resources and support available for teachers and schools, working with the Department for Education to update the curriculum to include the health risks of vaping, and publish new online content on the potential risks of vaping for young people.
Finally, we will also introduce a £100 fixed penalty notice for underage sales of tobacco and vaping products. This will enable trading standards officers to take quicker and more proportionate enforcement action against the irresponsible retailers who allow underage sales.
Asked by: Sarah Dyke (Liberal Democrat - Somerton and Frome)
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 with the Secretary of State for Environment, Food and Rural Affairs on the adequacy of the provision of mental health services in rural areas.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
While there are no plans for a specific assessment, the Government remains committed to supporting rural communities, as set out in its Unleashing Rural Opportunity report, published in June 2023. Since the launch of the Environment, Food and Rural Affairs Committee's inquiry into Rural Mental Health in 2021, considerable progress has been made to help ensure access to mental health services in rural areas, as outlined in the Government's response to the committee in November 2023.
Notably, since 2018, we have invested an extra £2.3 billion a year to expand mental health services in England, with the aim of enabling two million more people, including those in rural areas, to access mental health support by March 2024.
Integrated care boards (ICB) are responsible for decisions about the provision of services in their area and on how funding allocations should be used to meet the needs of people in their areas. There are a range of adjustments made in the ICB allocations formula to account for how the costs of providing health care may vary between different types of rural and urban areas. We expect all ICBs to continue to meet the Mental Health Investment Standard, increasing their mental health spend in line with their overall funding allocations.
Asked by: Mary Glindon (Labour - North Tyneside)
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 implications for her policies of the research from University College London entitled Who would be affected by a ban on disposable vapes? A population study in Great Britain, published on 24 January 2024.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The health advice on vaping is clear: vaping can play a role in helping adult smokers to quit, but if you don’t smoke, don’t vape, and children should never vape. However, youth vaping has tripled in the last three years and one in five children have now used a vape. We know that disposable vapes have played a significant role in this rise, with 69% of children aged between 11 and 17 years old who vape now using disposables, compared to just 7% in 2021.
Adults will still have access to non-disposable vapes to help them to quit smoking. We have also announced significant new funding to support current smokers in quitting by doubling the funding of local stop smoking services to nearly £140 million per year, and through our national Swap to Stop scheme we’re helping adult smokers to quit by providing one million vapes to local authorities.
A full impact assessment is being undertaken by the Department for Environment Food and Rural Affairs on the proposed ban on the sale and supply of disposable vapes.
Asked by: Neil Hudson (Conservative - Penrith and The Border)
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 support General Practices in rural areas.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Our Delivery Plan for Recovering Access to Primary Care outlines how we will support general practices (GPs), including in rural areas, by empowering patients to manage their own health, implementing the Modern General Practice Access model, expanding community pharmacy services, and cutting bureaucracy to reduce workload.
We acknowledge that some areas of the country are experiencing recruitment and retention issues with regard to National Health Service GPs, and we are taking steps to address this. In 2016, the Government launched the Targeted Enhanced Recruitment Scheme, which has attracted hundreds of doctors to train in hard to recruit locations, including many rural areas, by providing a one-off financial incentive of £20,000.
Asked by: George Howarth (Labour - Knowsley)
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 implications for her policies of the report by Together for Short Lives entitled The deep disparity in NHS funding for children who need hospice care, published on 13 December 2023.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
The Government recognises that access to high-quality, palliative and end of life care can make all the difference to individuals and their loved ones. The commissioning of children and young people’s palliative and end of life care services is the statutory duty of integrated care boards (ICBs). ICBs must commission palliative and end of life care services in response to the needs of their population, provided by a range of local organisations with the experience and skills to meet those needs.
Whilst the majority of palliative and end of life care is provided by National Health Service staff and services, we recognise the vital part that voluntary sector organisations, including hospices, also play in providing support to people at end of life and their families. Most hospices are charitable, independent organisations which receive some statutory funding for providing NHS services. The amount of funding hospices receive is dependent on many factors, including what other statutory services are available within the ICB footprint. Charitable hospices are autonomous organisations that provide a range of services which go beyond that which statutory services are legally required to provide. Consequently, the funding arrangements reflect this.
Due to the way the hospice movement organically grew, hospice locations were largely not planned with geographic or demographic purposes as a driving force. Therefore, there are inequalities with access to hospice services, especially for those living in rural or socio-economically deprived areas. It is therefore vital that hospices and statutory services work together to provide ensure their populations have access to palliative and end of life care when they need it.
At a national level, in line with the NHS Long Term Plan commitment, NHS England (NHSE) has provided circa £12 million match-funding to participating ICBs (and formerly clinical commissioning groups) between 2020/21 and 2023/24 which committed to invest in children and young people’s palliative and end of life care, including children and young people’s hospices, giving a total investment of £24 million. In addition, NHSE supports palliative and end of life care for children and young people through the Children and Young People’s Hospice Grant. NHSE has confirmed that it will be renewing the grant for 2024/25, once again allocating £25 million grant funding for children’s hospices using the same prevalence-based allocation approach as in 2022/23 and 2023/24. This prevalence-based approach ensures funding matches local need.
NHSE’s palliative and end of life care team has recently engaged with 24 ICBs to understand how to better support commissioners and has also reviewed all 42 ICB Joint Forward Plans for their inclusion of palliative and end of life care, with 69% of those plans making a specific mention. Further analysis is ongoing, but the intention is to use this information to help shape and focus support to ICBs.
Palliative and end of life care has been added to the agenda for Regional Quality and Performance meetings. Additionally, NHSE has commissioned the development of a palliative and end of life care dashboard, which brings together all relevant local data in one place. The dashboard helps commissioners understand the palliative and end of life care needs of those their local population, including the ability to filter the available information, such as by deprivation or ethnicity, thereby, enabling ICBs to put plans in place to address and track the improvement of health inequalities.
Asked by: Neil Hudson (Conservative - Penrith and The Border)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department have taken to support the NHS to mitigate the impact of (a) flooding and (b) storms on the provision of healthcare.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The National Health Service has well established measures in place to prepare for, and respond to, flooding and storms. The Department for Health and Social Care works closely with the Department for Environment Food and Rural Affairs, the Met Office and the Environment Agency to monitor risks from storms and flooding. This information is shared with NHS England to support their planning and response activity.
Prior to flooding or storm events, notice is given through Environment Agency and Met Office warning systems. The Department for Health and Social Care coordinates with NHS England, the Environment Agency, and other cross-Government partners to monitor impacts and coordinate the response.
Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she has made an assessment of the effectiveness of social prescribing; and whether her Department issues guidance on which models provide the most effective treatment.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
As a relatively new programme, the evidence base around nationally linked social prescribing is still evolving and robust quantitative evidence is limited. However, a growing body of work is suggestive of positive effects. The Department continues to work to understand the effectiveness of social prescribing to enhance physical and mental health and wellbeing, building on existing positive local evidence.
The Department of Health and Social Care works on the Green Social Prescribing programme established with the Department for Environment, Food and Rural Affairs to increase the use and connection to the natural environment to tackle mental ill health. The Department of Health and Social Care funds the evaluation and research element including research studies into angling and outdoor swimming.
The Department funds via grant the National Academy for Social Prescribing (NASP). Their role is to support and promote social prescribing at a local and national level and develop the evidence base. A range of research into the effectiveness of social prescribing published by NASP is available at the following link:
https://socialprescribingacademy.org.uk/read-the-evidence/
Asked by: Geraint Davies (Independent - Swansea West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what progress her Department has made on implementing the 15 recommendations in the Chief Medical Officer's annual report 2022: Air Pollution published on 8 December 2022.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Government recognises that there is more to do to protect people and the environment from the effects of air pollution, including in some of the areas outlined in the Chief Medical Officer's Annual Report 2022. The Department of Health and Social Carecontinues to work collaboratively work across Government to address the impact of air pollution.
We are taking significant and wide-ranging action to drive improvements to air quality as set out in the Department for Environment, Food and Rural Affairs’ Environmental Improvement Plan. The UK Health Security Agency’s Cleaner Air Programme also aims to help reduce people’s exposure to air pollution, tackle disparities in exposure and improve outcomes for all.