Asked by: Judith Cummins (Labour - Bradford South)
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 make an assessment of the adequacy of existing legislation to tackle common nuisances such as (a) smoke, (b) bonfires, (c) smells and fumes, (d) accumulation of rubbish, (e) infestations and (f) litter.
Answered by Robbie Moore - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)
Local authorities are the main enforcers of the statutory nuisance regime under the Environmental Protection Act, 1990. The Government considers that any issues that could be the cause of statutory nuisance, including smoke, bonfire and smells are best dealt with at a local level. Local authorities need to be able to take account of local circumstances when determining how best to apply the powers available to them, such as issuing abatement orders.
Owners of industrial, trade and business premises are expected to use the best practicable means available to reduce smoke, smells and fumes and other potential sources of statutory nuisance emanating from their place of work in the first place.
The Environmental Protection Act 1990 also sets out clear responsibilities for local authorities with regards to keeping land clear of litter and refuse and provides them with strong enforcement powers to help them do this. Anyone caught littering or fly-tipping may be prosecuted which can lead to a significant fine or even imprisonment in the case of fly-tipping. Instead of prosecuting, councils may decide to issue a fixed penalty (on-the-spot fine). We increased the upper limit for fly-tipping and littering fixed penalties to £1000 and £500 respectively in July 2023 and as of 1 April 2024 councils must now reinvest income from these penalties in enforcement and clean up.
Additionally, we provide guidance on how councils can discharge their duties and use their enforcement powers and have recently consulted key stakeholders on putting our current litter enforcement guidance on a statutory footing.
The Secretary of State considers the current legislation provides local authorities with the necessary powers to deal with these types of nuisance issues.
Asked by: Judith Cummins (Labour - Bradford South)
Question to the Department for Energy Security & Net Zero:
To ask the Secretary of State for Energy Security and Net Zero, if she will make an assessment of the adequacy of gas and electricity suppliers' licence obligation to inspect their customers’ meters.
Answered by Amanda Solloway - Government Whip, Lord Commissioner of HM Treasury
Licensing is matter for the expert independent regulator, Ofgem. Licence conditions require that a customer’s bill is based on the best available metering information, and that where a supplier visits a customer’s premises, staff are properly trained to carry out such visits safely and effectively. Suppliers must take all reasonable steps to obtain meter readings at least annually.
Asked by: Judith Cummins (Labour - Bradford South)
Question to the Department for Education:
To ask the Secretary of State for Education, if she will make an assessment of the potential merits of increasing funding for SEND teaching assistants in schools.
Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)
Many teaching assistants who support pupils with special educational needs and disabilities (SEND) are partly or wholly funded from local authorities’ high needs budgets, as a result of assessments and consequent decisions about the additional support that those individual pupils need.
The department is increasing high needs funding nationally by £440 million (4.3%) in the 2024/25 financial year. This will bring the total of high needs funding to over £10.5 billion next year, an increase of over 60% from the 2019/20 allocations. Bradford Council is due to receive a high needs funding allocation of £42.2 million through their 2024/25 dedicated schools grant, which is a cumulative increase of 37% per head over the three years from 2021/22.
Asked by: Judith Cummins (Labour - Bradford South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she is taking steps to reduce levels of mental health conditions of people living with HIV.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is committed to improving the quality of life for people living with HIV, which includes providing support for mental health conditions. As set out in the NHS England Roadmap, specialised HIV inpatient and outpatient services have been identified as key areas for greater integrated care systems leadership by NHS England and integrated care boards (ICBs). This will allow local systems to simplify and strengthen HIV care pathways with other services through effective local partnerships, including psychosocial support and mental health and counselling services, for a more holistic approach to care.
NHS England has now approved plans to fully delegate the commissioning of appropriate specialised services, including specialised HIV services, to ICBs in the East, the Midlands and the North West regions of England from April 2024. NHS England will also continue to jointly commission appropriate specialised services with ICBs, including specialised HIV services, in the South West, South East, London and the North East and Yorkshire regions of England for a further year. This will help support a smooth transition of commissioning responsibility by April 2025.
The national service specification sets out the requirement for agreeing pathways which define responsibility for meeting the non-HIV needs of patients and identify shared care, including clinical psychology and psychological support services. The NHS Talking Therapies Programme has also developed an e-learning module for Talking Therapies staff on HIV, which is available at the following link:
https://www.e-lfh.org.uk/programmes/breaking-barriers-in-hiv-care/
This will enable therapists to support people with anxiety and depression related to the experience of having HIV. As per the NHS Talking Therapies Pathway for People with Long-term Physical Health Conditions and Medically Unexplained Symptoms, from 2018/19 all NHS Talking Therapies services were commissioned to establish pathways for people living with long-term physical health conditions, as a key mechanism to ensure the delivery of increased access to psychological therapies.
Asked by: Judith Cummins (Labour - Bradford South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she has taken recent steps to (a) raise awareness of HIV among those living in care and (b) provide support for those living with HIV and in care.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The HIV Action Plan is the cornerstone of our approach in England, to drive forward progress and achieve our goal to end new HIV transmissions, AIDS, and HIV-related deaths within England by 2030. A key principle of our approach is to ensure that all populations benefit equally from improvements made in HIV outcomes, including those living in care.
As set out in the NHS England Roadmap, adult specialised HIV inpatient and outpatient services have been identified by NHS England as key areas for greater integrated care systems leadership and integrated care boards (ICBs). Integrating the commissioning of HIV treatment services with ICBs will allow local systems to simplify and strengthen HIV care pathways with other services through effective local partnerships, including psychosocial support and mental health services, for a more holistic approach to care including links with social services.
Asked by: Judith Cummins (Labour - Bradford South)
Question to the Ministry of Defence:
To ask the Secretary of State for Defence, what his planned timetable is for the publication of the financial compensation scheme for LGBT+ veterans.
Answered by Andrew Murrison - Parliamentary Under-Secretary (Ministry of Defence)
I refer the hon. Member to the answer I gave on 1 February 2024 to Question 11704 to the hon. Member for North Durham (Mr Kevan Jones).
Asked by: Judith Cummins (Labour - Bradford South)
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 merits of expanding HIV opt-out testing to (a) GP surgeries and (b) other clinical settings.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
As part of the HIV Action Plan, NHS England has expanded opt-out HIV testing in 34 emergency departments in local areas in England with extremely high HIV prevalence, as well as the whole of London, including some areas with high HIV prevalence. This programme began in 2022 and is funded by NHS England until the end of March 2025. In the first 21 months, the programme has preliminarily identified 685 people newly diagnosed with HIV and 384 people previously diagnosed with HIV, but not in care.
Given the success of the programme, the Department has committed an additional £20 million for new research, which will involve an expansion and evaluation of opt-out blood borne virus testing, including HIV, in 47 additional emergency departments in local areas with high HIV prevalence across England. Funding will support 12 months of testing for each emergency department, to begin in April 2024, but it is at the discretion of individual sites when the testing will commence.
Decisions on whether to continue offering opt-out HIV testing in emergency departments in local areas with high and extremely high HIV prevalence will be based on the outcomes of the current opt-out HIV testing programme and research project, as well as available funding.
There are currently no plans to assess the merits of opt-out HIV testing in general practice (GP) or other clinical settings, but HIV testing is already offered and recommended in some circumstances in a range of clinical settings, including GP surgeries, in line with National Institute for Health and Care Excellence’s testing guidance. This guidance is available at the following link:
Asked by: Judith Cummins (Labour - Bradford South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she plans to continue opt-out testing for HIV in emergency departments.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
As part of the HIV Action Plan, NHS England has expanded opt-out HIV testing in 34 emergency departments in local areas in England with extremely high HIV prevalence, as well as the whole of London, including some areas with high HIV prevalence. This programme began in 2022 and is funded by NHS England until the end of March 2025. In the first 21 months, the programme has preliminarily identified 685 people newly diagnosed with HIV and 384 people previously diagnosed with HIV, but not in care.
Given the success of the programme, the Department has committed an additional £20 million for new research, which will involve an expansion and evaluation of opt-out blood borne virus testing, including HIV, in 47 additional emergency departments in local areas with high HIV prevalence across England. Funding will support 12 months of testing for each emergency department, to begin in April 2024, but it is at the discretion of individual sites when the testing will commence.
Decisions on whether to continue offering opt-out HIV testing in emergency departments in local areas with high and extremely high HIV prevalence will be based on the outcomes of the current opt-out HIV testing programme and research project, as well as available funding.
There are currently no plans to assess the merits of opt-out HIV testing in general practice (GP) or other clinical settings, but HIV testing is already offered and recommended in some circumstances in a range of clinical settings, including GP surgeries, in line with National Institute for Health and Care Excellence’s testing guidance. This guidance is available at the following link:
Asked by: Judith Cummins (Labour - Bradford South)
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 introduce optimally staffed alcohol care teams in hospitals with high rates of alcohol dependence-related admissions.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The NHS England alcohol programme aims to establish optimal Alcohol Care Teams (ACTs) in acute hospitals to improve the care provided to people who have alcohol-use disorders, mainly those who are alcohol dependent. NHS England has nationally funded the rollout of ACTs in areas of greatest need, alongside the commissioning of a quality improvement network, research evaluation, and a range of direct implementation support initiatives.
Asked by: Judith Cummins (Labour - Bradford South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she is taking steps to ensure that living well with HIV is prioritised in local commissioning by integrated care boards.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
HIV services are open access, and any adults with a diagnosis of HIV can self-refer. Any service diagnosing HIV in adults can refer to any specialised HIV service provider.
As set out in the NHS England Roadmap, adult specialised HIV inpatient and outpatient services have been identified by NHS England as key areas for greater integrated care systems (ICS) leadership and integrated care boards (ICBs). Integrating the commissioning of HIV treatment services with ICBs will allow local systems to simplify and strengthen HIV care pathways with other services through effective local partnerships, including psychosocial support and mental health services, for a more holistic approach to care.
The Service Specification for Adult HIV services (2013) sets out the standards of care that HIV providers are expected to meet. Services are expected to support people living with HIV to live well by collaborating with other health, social care, and community providers. Since most people living with HIV on suppressive antiretroviral therapy have a near normal life expectancy and may develop additional needs associated with an increased risk of other long-term conditions, providers are expected to ensure that people have access to relevant screening and assessment for long-term conditions, and are sign-posted to non-HIV services where appropriate.
ICBs are responsible for developing a plan for meeting the health needs of the population, managing the National Health Service budget, and arranging for the provision of health services in the ICS area.