Asked by: John Glen (Conservative - Salisbury)
Question to the Department for Education:
To ask the Secretary of State for Education, what steps this Government is taking to promote British values.
Answered by Catherine McKinnell - Minister of State (Education)
Education plays a vital role in promoting integration and ensuring children and young people are prepared for life in modern Britain, including learning about the values that underpin and unite our society. All schools have specific duties to promote the spiritual, moral, social and cultural development of their pupils and to prepare them for the opportunities and responsibilities of adult life. Schools are also required to actively promote the fundamental British values of democracy, the rule of law, individual liberty, and mutual respect and tolerance of those with different faiths and beliefs. The department has issued guidance for maintained schools here: https://assets.publishing.service.gov.uk/media/5a758c9540f0b6397f35f469/SMSC_Guidance_Maintained_Schools.pdf.
The duty is also reflected in guidance for independent schools (including academies) on compliance with the Independent Schools Standards. The guidance provides that schools should encourage respect for democracy and support for participation in the democratic processes. It can be found here: https://assets.publishing.service.gov.uk/media/5cd3fc2fe5274a3fd6ee74b0/Independent_School_Standards-_Guidance_070519.pdf.
Promotion of these values plays an important role in preparing our children and young people for life in a modern and diverse Britain. The department continues to provide free resources for teachers and school leaders to support them with this via our Educate Against Hate website, which can be found here: https://www.educateagainsthate.com/.
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 he plans to take to reduce the number of illicit drug deaths.
Answered by Andrew Gwynne - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is actively working to reduce the number of drug-related deaths, investing over £300 million into drug and alcohol treatment this year, which will help prevent drug-related harm and save lives. This includes funding over 50,000 additional treatment places, which we know protects against drug deaths.
We are working to expand access to naloxone, a life-saving medicine that reverses the effects of an opioid overdose. The Government laid legislation on 29 July 2024, which, subject to passage through Parliament, will enable more services and organisations to provide take-home supplies of naloxone without a prescription. These changes will mean naloxone can be given to a family member or friend of a person who is known to be using opiates, and to professionals working with people who use these drugs, to save lives in the event of an overdose.
The Office for Health Improvement and Disparities has an action plan to prevent a greater number of drug and alcohol-related deaths. The plan has five priorities around improving: treatment practice; local systems; toxicology and surveillance; stigma; and poly-drug and alcohol use. Some specific elements include improving the integration of treatment services with mental and physical healthcare, expanded specialist inpatient detoxification, and guidance on drug and alcohol death review processes.
The Office for Life Sciences is also running a £5 million fund to tackle fatal drug deaths across the United Kingdom, which is investing in research projects that are developing technologies aimed at improving detection, response, or intervention in potential drug-related deaths. Further information on this fund is available at the following link:
https://www.gov.uk/government/news/5-million-fund-to-tackle-fatal-drug-deaths-across-the-uk
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
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 reduce the time taken from initial presentation of symptoms to diagnosis of bipolar disorder.
Answered by Maria Caulfield
We’re set to reach nearly £1 billion of additional funding invested by 2023/24, compared to 2018/19, to transform community mental health services. In 2022/23, 288,000 people with severe mental illness, including bipolar disorder, accessed support through new integrated models of community care.
The funding aims to increase access to high quality care and transform care pathways for people with severe mental illness, including bipolar disorder, through: greater integration of primary and community services, to provide care in the community driven by the needs of individuals, rather than based solely on diagnoses; physical health checks; and Individual Placement and Support schemes, as well as Early Intervention in Psychosis services.
NHS England is also working on implementing new access and waiting time standards for mental health services, including one for adults with bi-polar disorder or similar, to start to receive community-based mental health care within four weeks of referral.
Asked by: Robert Buckland (Conservative - South Swindon)
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 ensure public (a) safety and (b) clarity in the healthcare roles of (i) physician associates and doctors and (ii) other NHS staff.
Answered by Andrew Stephenson
The introduction of regulation by the General Medical Council (GMC) will provide a standardised framework of governance and assurance for the clinical practice and professional conduct of Anaesthesia Associates (AAs) and Physician Associates (PAs), and make it easier for employers, patients, and the public to understand the relationship between these roles and that of doctors.
Whilst statutory regulation is an important part of ensuring patient safety, it is also achieved through robust clinical governance processes within healthcare organisations, which are required to have systems of oversight and supervision for their staff.
NHS England is working with the relevant professional colleges and regulators to ensure the use of associate roles is expanded safely and effectively, and that they are appropriately supported, supervised, and integrated into multidisciplinary teams. NHS England has written to trusts to remind them of their responsibilities in this area, with further information available at the following link:
We are clear that AAs and PAs are not, and should never be, referred to as medical practitioners, doctors, or consultants. It is the responsibility of professionals and their employers to ensure professional titles are used appropriately. As set out in the National Institute for Health and Care Excellence’s guidelines, all healthcare professionals directly involved in a patient's care should introduce themselves and explain their role to the patient. The GMC has published interim standards for AAs and PAs in advance of regulation, which make it clear that professionals should always introduce their role to patients and set out their responsibilities in the team.
Asked by: Baroness Fox of Buckley (Non-affiliated - Life peer)
Question to the Ministry of Housing, Communities and Local Government:
To ask His Majesty's Government, following recent polling by the Belonging Forum which found that renters are more likely than the general population to (1) feel lonely, (2) not know their neighbours, and (3) feel unsafe walking home in the dark, whether they are developing any policies to promote greater integration of renters in their local communities.
Answered by Baroness Swinburne
The Government’s Levelling Up White Paper sets out the Government’s missions to end economic equality and level up the UK. As part of our mission to restore a sense of local community, pride and belonging, our ambition is for the number of non-decent rented homes to have fallen by 50% by 2030, with the biggest improvements in the lowest performing areas. We will require privately rented homes to meet the Decent Homes Standard for the first time. This will give renters safer, better value homes and remove the blight of poor-quality homes in local communities.
Through the Renters (Reform) Bill, which is currently progressing through parliament, we will deliver the manifesto commitment to abolish section 21 evictions. This will give tenants the confidence that they can remain in their home and are able to put down roots in their communities.
In addition, we have invested over £150 million since 2020 for over 400 projects through the Safer Streets fund. This has gone towards local crime prevention measures such as better CCTV and streetlighting, or local community projects, with a particular focus on driving down anti-social behaviour, preventing neighbourhood crimes such as domestic burglary and making streets safer for women and girls.
Asked by: Lord Swire (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what progress they have made on integrating social care and the NHS.
Answered by Lord Markham
The Health and Care Act 2022 established integrated care systems, reforming how health and adult social care work together by putting partnership at the heart of planning. The Government has published guidance for integrated care partnerships (ICPs), on the statutory requirement for each ICP to publish an Integrated Care Strategy to address the health, social care, and public health needs of their system. All ICPs have now published their integrated care strategies.
The integration of health and social care is often best achieved through collaboration across smaller geographies within integrated care systems called places. Since the Health and Care Act 2022, we have seen good progress in the development of place-based arrangements to integrate health and social care. In October 2023, we published our Shared Outcomes Toolkit designed to help place-based partnerships develop shared outcomes as a powerful means of promoting integrated working and joined up care. We also issued a call for evidence as part of our review of Section 75 of the NHS Act 2006, which permits local authorities and National Health Service bodies to pool budgets, enabling joint commissioning and the commissioning of integrated services. The findings of this review will be shared in due course.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department for Education:
To ask the Secretary of State for Education, what steps her Department is taking to ensure that children with SEND are provided with the (a) educational and (b) wider support required by their education, health and care plan in school.
Answered by David Johnston
The department shares the ambition that children with special educational needs and disabilities (SEND) should receive the vital support they need across Education, Health and Care (EHC). As set out in the Children and Families Act 2014, the local authority has a legal duty to ensure that the special educational provision specified in an EHC plan is delivered. The department also has a number of measures in place to ensure that children receive the educational and wider support they need.
Where local authorities are failing to deliver consistent outcomes for children and young people with SEND, the department works with them using a set of improvement programmes and SEND specialist advisors to address weaknesses. The department is also investing heavily in the SEND system, including £2.6 billion between 2022 and 2025 to fund new special and alternative provision (AP) places and improve existing support, including the announcement of 41 new special free schools.
The department is also taking steps to improve the SEND system in the longer term, so that EHC plans can be issued as quickly as possible when needed and enable children and young people to access the support they require. In March 2023, the government set out its plans to reform and improve the SEND system through its SEND and AP Improvement Plan. This plan commits to establishing a single national system that delivers for every child and young person with SEND so that they enjoy their childhood, achieve good outcomes and are well prepared for adulthood and employment. The department is currently testing measures which it believes will make the biggest improvements to both the quality of plans, the experience of getting a plan and the quality and speed with which support is put in place.
The department is strengthening accountability across the system so that everyone is held to account for supporting children and young people. This includes the new Ofsted and Care Quality Commission Area SEND inspection framework, which gives more prominence to the quality integration and commissioning of EHC services, and a national and local dashboard, which gives parents the opportunity to monitor the performance of their local systems.
If a child or young person does not receive the support detailed in their EHC plan, the young person or parent can raise their concern with the school or local authority directly. Families can appeal to the First-Tier SEND Tribunal if they are unhappy with a local authority’s decision regarding an EHC assessment or plan. The Tribunal can also hear appeals and make non-binding recommendations about health and social aspects of EHC plans.
Asked by: Virendra Sharma (Labour - Ealing, Southall)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she plans to include additional material on heart valve disease in the Major Conditions Strategy.
Answered by Andrew Stephenson
In the development of the Major Conditions Strategy, we are committed to focusing on the six major groups of conditions, which includes cardiovascular disease. Aligning work across several groups of conditions allows us to focus on where there are similarities in approach to ensure care is better centred around the patient, health and care resources are used most effectively, and that there is effective integration, both within and between treatment pathways.
This strategy does not seek to describe everything that is being done or could be done to meet the challenges of specific diseases within the major conditions. Instead, we are focusing on developing a strategic approach to inform the wide range of decisions health and care organisations make when determining how best to care for the people they serve.
Asked by: Adam Afriyie (Conservative - Windsor)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent steps (a) her Department and (b) NHS England have taken to incentivise the integration of digital technologies into cardiovascular disease care pathways.
Answered by Andrew Stephenson
The Government’s commitment to develop a national digital service to support the NHS Health Check was announced in the Health Reform speech on 8 March 2022, and forms a part of the Department’s plan for digital health and social care. The vision is to increase the flexibility and reach of the NHS Health Check through the creation of an innovative, accessible national digital service, delivered alongside local face-to-face offerings, that helps people understand and take action when engaging with their cardiovascular health. Whilst there isn't any specific policy development surrounding integrating digital technologies into care pathways, NHS England has developed an information guide that will help clarify the commissioning pathway. This will encourage the adoption of digital health technologies into the National Health Service, including those in cardiovascular diseases.
Asked by: Lisa Cameron (Conservative - East Kilbride, Strathaven and Lesmahagow)
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 ensure that mental health training programs equip future clinicians with the necessary digital literacy skills to support the integration of technology into mental health care.
Answered by Maria Caulfield
The NHS Digital Academy has a responsibility to support the National Health Service workforce to develop the necessary digital skills for work. The NHS Digital Academy is responsible for a strategy that will help NHS employers to support and upskill these staff through self-assessment, and both online and more traditional face-to-face learning opportunities. 16,000 people in the NHS workforce have undertaken self-assessment tools, as part of its testing stage.
Some clinical education programmes already include digital skills development, and NHS England is exploring how digital capabilities can be more comprehensively developed through existing clinical education programmes, including in mental health.