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Written Question
Parents
Thursday 28th March 2024

Asked by: Alex Cunningham (Labour - Stockton North)

Question to the Department for Education:

To ask the Secretary of State for Education, whether her Department has made an assessment of the potential impact of parenting programmes on (a) levels of expenditure associated with (i) child and adult mental health and (ii) youth anti-social behaviour and (b) the proportion of parents able to return to the workplace as a result of a reduction in school refusal rates.

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

The department is clear that parents should do everything they can to ensure that their child is in school every day. Regular school attendance is vital for children’s attainment, mental wellbeing and long-term development. It is crucial that the department has a system of support in place to ensure every child attends school every day, ready to learn and thrive.

The government’s ‘Working Together to Improve School Attendance’ guidance, which will become statutory ahead of the next school year, includes a core set of functions that local authority attendance support staff, whether titled education welfare officers, attendance officers or early help practitioners, are expected to provide free of charge to all schools and funded centrally through the Central Schools Service Block and Supporting Families Grant. Some early adopters have reported benefits from integrating attendance into other services, and providing better, more joined up whole family support, that has the potential to reduce demand for higher cost crisis services over time.

The department’s attendance mentors pilot sees mentors supporting a group of persistently absent pupils and their families, on a one-to-one basis, to help identify and address their barriers to education. The department has had positive feedback from parents, pupils and schools who have engaged with the attendance mentors programme and have started to see some promising impact data. The department has recently announced an additional investment of £15 million to expand mentoring into ten new areas over the next three years.

The government’s Supporting Families programme continues to work with families where attendance issues are a significant concern. ‘Getting a good education’ is a headline indicator in the national Supporting Families Outcomes Framework, which requires sustained good attendance for all children in the family, across two consecutive school terms. It is important that those identifying attendance issues begin to explore and identify any issues which may be behind the attendance problems, including any needs and circumstances in the wider family as part of Early Help Assessment processes.

The department’s reforms are starting to make a difference. There were 440,000 fewer pupils persistently absent or not attending in 2022/23 than in the year before. Overall absence during the 2023/24 autumn term was 6.8%, down from 7.5% in the 2022/23 autumn term.

Alongside this, the department is currently considering options for widening access to parenting support through family hubs and is undertaking assessments of the effectiveness and value for money of evidence-based parenting programmes, as well as other forms of support for parents. As part of this work to inform future fiscal events, the department will consider the downstream economic impacts of parenting programmes.


Written Question
Dental Services: Rural Areas
Thursday 28th March 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, whether dentists working in dental treatment vans will be offered one-off payments of up to £20,000.

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

We will offer Golden Hellos of £20,000 to up to 240 dentists who join existing National Health Service practices, in areas where recruitment is particularly challenging. Golden Hello payments will be phased over three years, and require a commitment to stay in that area delivering NHS work for at least three years.

We will also be deploying dental vans offering appointments to patients in need, including targeted rural and coastal communities who have the most limited access to dentistry, starting later this year. We are working with NHS England and the integrated care boards on the precise nature of the contracting and payment model for dental vans.


Written Question
Sickle Cell Diseases: Research
Thursday 28th March 2024

Asked by: Andrew Rosindell (Conservative - Romford)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she has taken to support (a) research into and (b) treatment of sickle cell disease in (i) England and (ii) Romford constituency.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

We’re working hard to support research, and provide the best possible care to those living with sickle cell disease (SCD) across the country. The Department funds health and care research through the National Institute for Health and Care Research (NIHR). Over the past five financial years, the NIHR has invested more than £8 million in funding and support for SCD research.

NHS Blood and Transplant (NHSBT) is the largest provider of apheresis services, a blood transfusion used to treat SCD. NHSBT will be delivering projects over the next 12 months that will increase both nursing capacity and the physical space in which apheresis occurs. We are also working to increase Ro subtype blood donation numbers, the blood type used to treat SCD, identify opportunities to improve clinical pathways, and deliver world-leading treatments, such as the new blood matching genetic test announced by NHS England earlier this year, which will reduce the risk of side effects and offer more personalised care.

NHS England’s Chief Executive Officer has committed to improving the treatment and outcomes of patients with SCD, and has commissioned a Sickle Cell Pathway Quality Improvement work package. A quality improvement review of existing processes has led to a range of improvements including awareness, education, and training of both patients and professionals.

The National Healthcare Inequalities Improvement Programme (HiQiP) has recently introduced a number of initiatives as part of the wider aim of tackling inequalities for people living with SCD. This includes: piloting of urgent and emergency department bypass units in London and Manchester, which will ensure people with SCD with an uncomplicated vaso-occlusive crisis are assessed and given pain relief in a timely manner; the provision of a credit card sized Sickle Cell Alert Card to all people with SCD, to alert medical and clinical staff that the carrier is a registered SCD patient and that they should be managed as a medical emergency; a London wide commissioning for the design and upload of a patient care record onto an interoperable digital platform which, when fully operational, will give clinicians and medical personnel in different regions access to a patient’s personalised care and analgesia record, removing ambiguity on effective treatment; and several products to support the above, including a communications campaign to raise awareness of existing NHS England arrangements to support people with SCD to save money on the costs of regular prescriptions, as well as the Can you tell it's Sickle Cell campaign and an e-learning module, both from NHS England. Further information on the Can you tell it's Sickle Cell campaign and the e-learning module is available respectively, at the following links:

https://www.england.nhs.uk/2022/06/nhs-launches-lifesaving-sickle-cell-campaign/

https://www.e-lfh.org.uk/programmes/health-inequalities/


Written Question
Obesity: Children
Thursday 28th March 2024

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, what steps her Department is taking to tackle childhood obesity; and if she will take steps to work with (a) other Departments and (b) community organisations to provide access to safe recreational spaces for children.

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

Addressing obesity remains a priority for the Government and we are taking strong action to support people, including children and their families, in achieving and maintaining a healthier weight. This action includes: the introduction of restrictions on the promotion by location of less healthy products in key selling locations in store and online; working with the food industry to make further progress on reformulation and making healthier choices easier; the introduction of out of home calorie labelling regulations for food sold in large businesses, including restaurants, cafes, and takeaways; and supporting three million children through the Healthy Food Schemes.

The Government has taken steps towards providing access to open spaces for communities including children, this includes putting policies in place to require local authorities to provide access to open spaces for sport and physical activity, which is important for the health and well-being of communities. This includes a duty for all local councils to produce a design code for their local area. Design codes will be prepared locally, reflect the local context, and be based on effective community involvement. Officials in the Department are engaging with stakeholders, including those across Government, on a wide range of issues, to promote healthier places.


Written Question
Dental Services
Wednesday 27th March 2024

Asked by: Preet Kaur Gill (Labour (Co-op) - Birmingham, Edgbaston)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how much (a) NHS and (b) private work was completed by GDC registered dentists who qualified (i) in the UK, (ii) overseas and (iii) in total in each of the last 10 years.

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

Primary care dentistry in the National Health Service is delivered through contracts structured around Units of Dental Activity (UDAs). Each treatment is allocated a number of UDAs in proportion to the complexity and amount of work required. The following table shows the number of UDAs delivered by dentists who have qualified within the United Kingdom and outside thereof whilst working in the NHS in England for 2016/17 onwards:

Year

UK Qualified UDA Delivered

Non-UK Qualified UDA Delivered

Other UDA Delivered

Total UDA Delivered

2016/17

48,825,392

26,394,403

10,644,608

85,864,403

2017/18

48,640,153

26,323,343

8,363,069

83,326,565

2018/19

49,482,862

27,192,292

6,528,618

83,203,772

2019/20

48,144,326

27,032,548

4,666,855

79,843,728

2020/21

15,260,168

8,265,064

927,591

24,452,823

2021/22

35,781,811

20,777,093

1,210,218

57,769,122

2022/23

43,918,652

25,763,340

486,695

70,168,687

Source: NHS Business Services Authority

Notes:

  1. The dentist’s region of qualification is based on that as provided on the General Dental Council (GDC) register. It is important to note that not all dentists have a country of qualification on the GDC register as supplied to the NHS Business Services Authority, and so these dentists are placed into “other” as their region of qualification.
  2. The Department does not hold data on how much private dental work was completed in the last 10 years.

Written Question
Electronic Cigarettes: Sales
Wednesday 27th March 2024

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 estimate she has made of the number of non-compliant vapes sold on the UK market.

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

The Department works closely with the Medicines and Healthcare products Regulatory Agency, Trading Standards, and other regulatory enforcement agencies to ensure that products sold in the United Kingdom comply with regulations for all e-cigarette products, and that non-compliant products are removed from the market.

In April 2023, the Government announced £3 million investment over two years to enhance work on illicit vape enforcement. Led by National Trading Standards, this builds on existing work by local trading standards officers across the country. Through this work, they identified that 2.1 million illicit vapes were seized across England by Trading Standards between 2022 to 2023.

To strengthen our enforcement activity, the Government will also provide an additional £30 million of funding per year for enforcement agencies, including Trading Standards. This increase in investment will help to stamp out criminal activity by boosting the enforcement of illicit tobacco and vapes.


Written Question
Ophthalmology: Training
Wednesday 27th March 2024

Asked by: Marsha De Cordova (Labour - Battersea)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many new training places there will be for ophthalmologists as part of the NHS Long Term Workforce Plan.

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

As part of the historic expansion of medical school places set out in the NHS Long Term Workforce Plan, we will ensure that there is adequate growth in foundation placement capacity, as those taking up these new places begin to graduate, and a commensurate increase in specialty training places is required. A decision regarding which specialities these places will be allocated to will be made nearer the time that the places are required for the expanded workforce. NHS England will work with stakeholders to ensure this growth is sustainable and focused in the service areas where need is greatest.

In 2023, the General Medical Council reported that there are 592 doctors in ophthalmology specialty training across England, which is 34, or 6.1%, more than in 2019. As of November 2023, there are 3,058 full-time equivalent (FTE) doctors working in the specialty of ophthalmology in National Health Service trusts and other core organisations in England. This is 214, or 7.5%, more than in 2019. This includes 1,465 FTE consultants, which is 125, or 9.4%, more than in 2019.


Written Question
Hospitals: Homelessness
Wednesday 27th March 2024

Asked by: Preet Kaur Gill (Labour (Co-op) - Birmingham, Edgbaston)

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 prevent patients (a) experiencing and (b) at risk of homelessness from being discharged from hospital to no fixed abode.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

The Department is committed to promoting safe and timely discharge for people experiencing, or at risk of, homelessness, to appropriate accommodation. Between 2020 and 2022, the Department delivered £16 million to 17 local sites, to pilot Out of Hospital Care Models to people experiencing homelessness following a hospital stay. These models provide interim accommodation, care, and support while full assessments of individual needs are carried out. There are positive preliminary findings, and a final evaluation is due next month. From this we will share learning to encourage local areas to adopt similar models.

Improving how discharges are arranged for people experiencing, or at risk of homelessness, is also supported by our wider work to improve discharge processes. We have ensured every acute hospital has access to a care transfer hub to manage discharge for people with more complex needs, who need extra support. Furthermore, in January 2024 the Department published guidance on discharging people at risk of or experiencing homelessness to support staff involved in planning safe and supportive discharge of these patients from hospital. This guidance is available at the following link:

https://www.gov.uk/government/publications/discharging-people-at-risk-of-or-experiencing-homelessness/discharging-people-at-risk-of-or-experiencing-homelessness


Written Question
Healthy Start Scheme
Wednesday 27th March 2024

Asked by: Andrew Western (Labour - Stretford and Urmston)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps her Department has taken to restore the availability of data on the uptake of Healthy Start vouchers on the Healthy Start website.

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

The Department for Work and Pensions has identified an error in their data that means that the data published for Healthy Start uptake from July 2023 onwards was incorrect. It is important to state that the data used to calculate the uptake rate is not used as part of the live check to determine eligibility for individual applicants to Healthy Start, and no individual applicants or beneficiaries have been impacted, The Department for Work and Pensions has fixed the issue, and additional checks have been added to the process to ensure the issue does not occur in the future.

The incorrect data has been removed from the NHS Healthy Start website by the NHS Business Services Authority (NHS BSA), who run the Healthy Start scheme on behalf of the Department of Health and Social Care. Corrected and updated data for March 2024 will be published by the NHS BSA shortly.


Written Question
Healthy Start Scheme
Wednesday 27th March 2024

Asked by: Andrew Western (Labour - Stretford and Urmston)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps her Department has taken to restore the availability of data on Healthy Start uptake on the Healthy Start website.

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

The Department for Work and Pensions has identified an error in their data that means that the data published for Healthy Start uptake from July 2023 onwards was incorrect. It is important to state that the data used to calculate the uptake rate is not used as part of the live check to determine eligibility for individual applicants to Healthy Start, and no individual applicants or beneficiaries have been impacted, The Department for Work and Pensions has fixed the issue, and additional checks have been added to the process to ensure the issue does not occur in the future.

The incorrect data has been removed from the NHS Healthy Start website by the NHS Business Services Authority (NHS BSA), who run the Healthy Start scheme on behalf of the Department of Health and Social Care. Corrected and updated data for March 2024 will be published by the NHS BSA shortly.