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 assessment she has made of the reasons for the recent increase in cases of tuberculosis.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Comprehensive analyses of surveillance data in relation to tuberculosis (TB) in England are published in the UK Health Security Agency’s annual reports, which are available at the following link:
Provisional 2023 data indicates that notifications have increased by over 10%, from 4,380 in 2022 to 4,850 in 2023. Non-United Kingdom born individuals account for an increasing proportion of TB notifications in England, accounting for 79.1% of notifications in 2022. Approximately half of those notifications were within six years of entry to the UK.
People with TB continued to be concentrated in large urban areas, and in the most deprived postcodes. Social risk factors, including alcohol or drug misuse, homelessness, imprisonment, mental health needs, and asylum seeker status, were reported in 16% of individuals notified with TB in 2022.
Asked by: Dean Russell (Conservative - Watford)
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 ensure that the Major Conditions Strategy includes additional material on mental health.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Since announcing the Major Conditions Strategy in January 2023, we have been working with a range of stakeholders in the health and care system, including those representing mental health conditions. This is to identify what would make the most difference in tackling the six major condition groups, which includes mental health, that account for approximately 60% of ill-health and early death in England.
The strategy will consider how we can ensure that mental health is effectively integrated with physical health, as well as delivering preventative, proactive, and person-centred care across the major conditions. This strategy does not seek to describe everything that is being done or could be done to meet the challenges of individual conditions in isolation, it instead focuses on the changes likely to make the most difference across the six groups of major conditions.
Asked by: Kwasi Kwarteng (Conservative - Spelthorne)
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 maternity and neonatal complaints systems are (a) transparent and (b) compassionate for parents.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Anyone has the right to make a complaint about any aspect of National Health Service care, treatment, or service. The NHS Complaint Standards set out how organisations providing NHS services should approach complaint handling. They apply to NHS organisations in England, and independent healthcare providers that deliver NHS-funded care.
If complainants need assistance in making a complaint, officers from the Patient Advice and Liaison Service are available in most hospitals. Additionally, assistance can also be provided by the Independent NHS Complaints Advocacy Service.
Asked by: Kwasi Kwarteng (Conservative - Spelthorne)
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 maternity services are reviewing (a) initiatives and (b) services based on the experiences of bereaved parents to ensure high standards of care for all patients in line with national and local guidelines.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Maternity and Neonatal Voices Partnerships (MNVPs) provide a forum in all areas of England for engagement between maternity services and their users. In November 2023, NHS England published MNVP guidance, which made it clear that effective MNVPs will reach out to seldomly heard groups, including bereaved families. This engagement should be accessible and appropriate.
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, if she will make an assessment of the potential merits of a full advertising ban on companies promoting vaping products.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The health advice is clear, if you don’t smoke, don’t vape and children should never vape. Advertising of vapes is already restricted by existing regulations. This includes a ban on advertising on television and radio, and through internet advertising, or commercial email. However, products can still be promoted elsewhere, such as on digital billboards.
Whilst we are not currently planning on making any further changes to the rules regarding vape advertising, we are taking action to protect children from the harms of vaping by taking new regulation making powers that can be used to limit vape flavours, how vapes are packaged, and where and how they can be displayed in retail settings. Collectively, these actions will reduce the appeal and accessibility of vapes to children, whilst ensuring vapes remain an effective smoking cessation tool for adult smokers.
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 she has made an assessment of the risk of people moving from non-nicotine to nicotine vapes.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Our health advice regarding vapes covers both non-nicotine as well as nicotine vapes, that while vaping can play a useful role in helping adult smokers to quit, non-smokers and children should never vape. The long-term health impacts of vaping are unknown, and the nicotine contained within nicotine vapes can be highly addictive.
We recognise the risk of non-nicotine vapes being used as a gateway to nicotine vapes by children. That is why the Tobacco and Vapes Bill includes new regulation making powers that will cover all vapes, nicotine as well as non-nicotine, to reduce their appeal and availability to children and non-smokers.
Asked by: Kwasi Kwarteng (Conservative - Spelthorne)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether her Department has had discussions with NHS England on ensuring that (a) reviews, (b) investigations and (c) complaints processes relating to maternity services include consideration of the (i) impact of ethnicity on the care received and (ii) potential role of (A) racism and (B) discrimination.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
NHS England, along with the devolved administrations and the Crown Dependencies, funds Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries to collate ethnicity data, in relation to all perinatal and maternal deaths across the United Kingdom. They publish annual surveillance reports which provide comparators of rates of mortality for women and babies from different ethnic groups. They also publish confidential enquiries, assessing care provision along the whole care pathway, to identify areas requiring improvement.
The Maternity and Newborn Safety Investigations programme provides independent, standardised, and family focused investigations to provide learning to the health system. This includes analysis of data to identify key trends, and collaboration with system partners to escalate safety concerns.
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, if she will make an assessment of the potential merits of banning the use of vapes in (a) public spaces, (b) bars and (c) vehicles with child passengers.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Vaping can be an effective tool for adult smokers to quit smoking. However, the health advice is clear, if you don’t smoke, don’t vape, and children should never vape. This is why the Tobacco and Vapes Bill will give us powers to crack down on child friendly flavours and packaging, and to change the way vapes are displayed in shops, measures on which we will shortly consult.
Inhaling anything other than fresh air may have long term health effects. Evidence on the harm from exposure to second-hand tobacco smoke is well established and because of its carcinogenic content there is no safe level of exposure. Breathing in other people’s tobacco smoke is known to cause a range of health issues. However, there is currently no evidence to suggest that second-hand vapour causes wider health harms in the way tobacco smoke does. Therefore, the Government has no plans to introduce restrictions on where people can vape.
However, many public venues and spaces have their own policies on vaping. For example, most hospitals and public transport have banned vaping. Employers or operators of indoor spaces would be within their rights to implement policies banning the use of vapes in their premises and many do so.
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 she plans to take steps to use technology to help improve (a) boys' and (b) men's mental health.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Digitally enabled therapies and other technological innovations are already used in the provision of mental health support in England. We are building on the progress made by services in using digital approaches and remote delivery during the pandemic, to give people a greater choice in the way they access care, and to enable services to be more productive. For many people, digitally enabled support through apps or online will mean that they might receive help earlier, or in a way that is easier for them to fit into their lives.
The NHS Long Term Plan included several commitments on the use of technology in mental health, including that: 100% of mental health providers will meet required levels of digitisation; local systems will offer a range of self-management apps, digital consultations, and digitally enabled models of therapy; and that systems utilise digital clinical decision-making tools.
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 help men identify poor mental health symptoms.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Between 2018/19 and 2023/24, National Health Service spending on mental health has increased by £4.7 billion in cash terms, as compared to the target of £3.4 billion in cash terms set out at the time of the Long Term Plan. Almost £16 billion was invested into mental health in 2022/23, enabling 3.6 million people, including men, to be in contact with mental health services, a 10% increase on the previous year.
In addition, our campaign on dealing with loneliness as part of the Better Health: Every Mind Matters campaign, encouraged people, including men, to reach out and support others who may be feeling lonely, helping themselves to also feel more connected. We will continue to work across the Government and with our Tackling Loneliness Network to explore how we can support further action to tackle men’s loneliness.