Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
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 potential impact of maternity staff leaving NHS employment on services.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Department works with NHS England on a regular basis to review the numbers of staff working in National Health Service maternity services, and to identify any issues which could potentially impact services.
Growing, retaining, and supporting the maternity workforce to ensure that there are staff with the capacity and the right skills to deliver safe, personalised, and equitable care for women and babies is a key theme of NHS England’s Three Year Delivery Plan for Maternity and Neonatal Services. NHS England is also delivering a nursing and midwifery retention programme, supporting organisations in assessing themselves against a bundle of interventions aligned to the NHS People Promise, and to develop high-quality local retention improvement plans.
Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
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 ensure that effective support is provided to autistic women (a) during and (b) after childbirth.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Health and Care Act 2022 requires Care Quality Commission registered providers, which includes maternity services, to ensure their staff receive specific training on learning disability and autism, appropriate to their role. We are rolling out the Oliver McGowan Mandatory Training on Learning Disability and Autism to support this. This training will help to ensure that staff have the right skills and knowledge to provide safe and compassionate care, including how to provide reasonable adjustments for autistic people.
NHS England is also working to improve the use and recording of reasonable adjustments to make it easier for autistic people to use health services, by ensuring care is tailored appropriately. This includes the development of a Reasonable Adjustment Digital Flag, which will enable the recording of key information about a patient, including if a person is autistic, and their reasonable adjustment needs, to ensure support can be tailored appropriately.
Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many women and girls are waiting for (a) autism and (b) ADHD assessments in the London Borough of Lewisham; and what the average waiting time is for such assessments.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The information requested is not held centrally, but may be held by individual providers or integrated care boards (ICBs). However, some relevant information is available for autism assessments. In the NHS South East London ICB, in December 2023, there were a total of 1425 patients with an open suspected autism referral. The median waiting time of patients in this ICB with an open suspected autism referral, where their first care contact was in the quarter, was 545 days. Across England, in December 2023, 80,718 female patients had an open suspected autism referral.
Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
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 paediatricians on trends in the number of women diagnosed with (a) autism and (b) ADHD.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
My Rt hon. Friend, the Secretary of State for Health and Social Care has regular discussions on a wide range of matters with a wide range of people, including clinical staff. The National Institute for Health and Care Excellence’s (NICE) guidelines for autism and attention deficit hyperactivity disorder (ADHD) recognise that autism and ADHD may be under-diagnosed in women and girls. The NICE’s guideline on autism diagnosis for under 19-year-olds and the NICE’s guideline on ADHD, both set out that clinicians should pay attention to the under-diagnosis of girls, when assessing for suspected autism and ADHD. We expect integrated care boards (ICBs) and health professionals to have due regard to these guidelines. In April 2023, NHS England published all age autism guidance, which aims to improve outcomes and the quality of autism assessment pathways for everyone. This guidance is available at the following link:
https://www.england.nhs.uk/publication/autism-diagnosis-and-operational-guidance/
With respect to autism, data shows that we are now seeing an increase in referrals for female diagnoses, suggesting that there is an increased awareness of the presentation of autism in women and girls. In England, as of December 2023, of the 172,022 patients with an open suspected autism referral, 52% were male and 47% were female. The number of female patients with an open referral for suspected autism is increasing more than for male patients, with the proportion of female patients having increased steadily from 36% in June 2020.
There is, at present, no single, established dataset that can be used to monitor waiting times for assessments and diagnosis of ADHD nationally. Although data is not held centrally, it may be held locally by individual National Health Service trusts or ICBs. NHS England is establishing a new ADHD taskforce alongside the Government, to improve care for people living with the condition. Alongside the work of the taskforce, NHS England has also announced that it will continue to work with stakeholders to develop a national ADHD data improvement plan.
Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
Question to the Department for Education:
To ask the Secretary of State for Education, what assessment she has made of the potential impact of the decision to create 43 Hub Lead Organisations by Arts Council England on the future of (a) Music Education Hubs and (b) the wider music provision at schools.
Answered by Damian Hinds - Minister of State (Education)
Music Hubs are partnerships co-ordinated by a Hub Lead Organisation (HLO) and made up of schools and academy trusts, local authorities, music and wider arts and education organisations and charities, community or youth organisations and more. Having 43 HLOs working across a wider set of music education partnerships from September 2024 should bring significant benefits to children, young people and schools, as HLOs will be able to be more strategic, building stronger partnerships with those they work with, resulting in high-quality support in every local area and to ensure there are no local ‘cold spots’ where access to provision is limited.
This should also support a more consistent high-quality approach to music education for all children regardless of where they live or go to school, by offering:
Schools alone cannot provide the range of services needed for a good quality music education and Music Hubs provide many services that contribute to schools delivering high-quality music provision. Furthermore, Music Hubs will play a critical role in supporting schools who opt to implement the Model Music Curriculum published in 2021 and for schools implementing their Music Development Plans from September 2024. In time, Music Hubs will also support schools opting to use music curriculum resources from Oak National Academy, who will publish their full suite of key stage 3 and 4 resources in the summer and who recently announced a partner to produce a suite of key stages 1 and 2 resources.
The government has a long-standing commitment to high-quality music education and this is reflected in the government’s National Plan for Music Education published in June 2022. This sets out the vision to enable all children and young people to learn to sing, play an instrument and create music together, and have the opportunity to progress their musical interests and talents, including professionally by 2030. The department believes that Music Hubs play a vital role in ensuring children and young people across the country can access high-quality music education and this government values the many achievements that the existing Music Hub network has made since 2012.
The department has invested around £380 million of funding into Music Hubs between 2016 and 2021. As part of the National Plan for Music Education 2022, the department also announced £79 million of funding per year for the Music Hub programme, up to and including the 2024/25 academic year, to provide assurance and stability in music education. The department is also providing £25 million capital funding for musical instruments as part of the programme. The department will consider future funding for the next spending review in due course.
On average, the grant funding has consistently provided around 40% of a hub’s total income and hubs have historically used this to leverage other income streams over the lifespan of the programme. This co-funding approach will continue when the new programme is in place from September 2024. As set out in the investment programme, the department also expects organisations to have evidenced, as part of their applications to become one of the new HLOs, how at least 50% of a hub’s total income will come from other sources other than the revenue grant provided by the department by the end of the funding period.
There is no expectation on Music Hubs to provide free music tuition to all children. As part of the Music Hubs Investment Programme, bidders were required to submit plans detailing their strategic approach to ensure music education is inclusive of all children and young people with a range of needs, including how the Music Hub would ensure inclusion and widening opportunity will be embedded across all activity, plans and policies. This includes specific support and resources, including access to musical instruments, that will be made available for children and young people who are eligible for pupil premium, including looked-after children and/or those who are care experienced and those who have an identified special educational need or disability.
Asked by: Ellie Reeves (Labour - Lewisham West and Penge)
Question to the Department for Education:
To ask the Secretary of State for Education, what steps she is taking to support schools to offer high quality music provision for all children (a) in the curriculum and (b) through (i) local authority-run and (ii) independent Music Education Hubs.
Answered by Damian Hinds - Minister of State (Education)
Music Hubs are partnerships co-ordinated by a Hub Lead Organisation (HLO) and made up of schools and academy trusts, local authorities, music and wider arts and education organisations and charities, community or youth organisations and more. Having 43 HLOs working across a wider set of music education partnerships from September 2024 should bring significant benefits to children, young people and schools, as HLOs will be able to be more strategic, building stronger partnerships with those they work with, resulting in high-quality support in every local area and to ensure there are no local ‘cold spots’ where access to provision is limited.
This should also support a more consistent high-quality approach to music education for all children regardless of where they live or go to school, by offering:
Schools alone cannot provide the range of services needed for a good quality music education and Music Hubs provide many services that contribute to schools delivering high-quality music provision. Furthermore, Music Hubs will play a critical role in supporting schools who opt to implement the Model Music Curriculum published in 2021 and for schools implementing their Music Development Plans from September 2024. In time, Music Hubs will also support schools opting to use music curriculum resources from Oak National Academy, who will publish their full suite of key stage 3 and 4 resources in the summer and who recently announced a partner to produce a suite of key stages 1 and 2 resources.
The government has a long-standing commitment to high-quality music education and this is reflected in the government’s National Plan for Music Education published in June 2022. This sets out the vision to enable all children and young people to learn to sing, play an instrument and create music together, and have the opportunity to progress their musical interests and talents, including professionally by 2030. The department believes that Music Hubs play a vital role in ensuring children and young people across the country can access high-quality music education and this government values the many achievements that the existing Music Hub network has made since 2012.
The department has invested around £380 million of funding into Music Hubs between 2016 and 2021. As part of the National Plan for Music Education 2022, the department also announced £79 million of funding per year for the Music Hub programme, up to and including the 2024/25 academic year, to provide assurance and stability in music education. The department is also providing £25 million capital funding for musical instruments as part of the programme. The department will consider future funding for the next spending review in due course.
On average, the grant funding has consistently provided around 40% of a hub’s total income and hubs have historically used this to leverage other income streams over the lifespan of the programme. This co-funding approach will continue when the new programme is in place from September 2024. As set out in the investment programme, the department also expects organisations to have evidenced, as part of their applications to become one of the new HLOs, how at least 50% of a hub’s total income will come from other sources other than the revenue grant provided by the department by the end of the funding period.
There is no expectation on Music Hubs to provide free music tuition to all children. As part of the Music Hubs Investment Programme, bidders were required to submit plans detailing their strategic approach to ensure music education is inclusive of all children and young people with a range of needs, including how the Music Hub would ensure inclusion and widening opportunity will be embedded across all activity, plans and policies. This includes specific support and resources, including access to musical instruments, that will be made available for children and young people who are eligible for pupil premium, including looked-after children and/or those who are care experienced and those who have an identified special educational need or disability.