Lyn Brown

This report raises a number of important issues of concern to all those who are responsible for the care and provision of accommodation for girls within the secure estate.

The responsibility to ensure there is adequate secure welfare provision rests with local authorities as they have a statutory duty to ensure that there is sufficient provision in their area to meet the needs of all children in their care.

The department has taken a number of steps to support local authorities in fulfilling this duty. The department established the Secure Welfare Coordination Unit in 2016 and continue to fund its work to help plan and coordinate welfare placements and to highlight capacity issues.

The department understands that local authorities sometimes find themselves in a position where the most appropriate placement is difficult to access, particularly for children with the most complex needs. That is why the government announced £24 million of investment to start a programme of work to support local authorities to maintain capacity and expand provision in secure children’s homes and will mean children can live closer to their families and support networks, addressing geographic disparities, in provision that meets their needs.

In addition, as part of this year’s Spending Review (SR), the government announced £259 million over the SR period to maintain capacity and expand provision in secure and open residential children’s homes. The department will announce more details on this funding shortly and the findings of the Centre for Mental Health’s report will be useful to inform the future design of the secure welfare estate.

I refer the hon. Member for West Ham to the answer I gave on 18 October 2021 to Question 53884.

We forecast future 16-19 year old student numbers and take into account population forecasts when considering the future need for education funding for 16-19 year olds. Future budgets for this education provision are being considered in the current Spending Review.

We have invested an extra £291 million in 16-19 education in the 2021-22 financial year. This is in addition to the £400 million awarded in the 2019 Spending Review, which was the biggest injection of funding into 16-19 education in a single year since 2010. This has allowed us to raise the base rate of funding for all providers of 16-19 education, including school sixth forms and sixth form colleges, from £4,000 in the 2019/20 academic year to £4,188 in the 2020/21 and 2021/22 academic years, as well as to make further funding increases targeted on high value and high cost programmes.

This year, we have also made £83 million in capital funding available through the Post-16 Capacity Fund to support eligible post-16 providers to accommodate the upcoming increase in 16-19 year olds. Bids are currently being assessed and the outcome will be announced in due course.

It is vital that all young people entering higher education (HE) in the UK do so with the same opportunities as their peers to fully benefit from their chosen course of study.

Under the Higher Education and Research Act 2017, the Office for Students (OfS) has a statutory duty to promote equality of opportunity for disadvantaged and traditionally under-represented groups. This includes non-continuation and attainment levels of students from those backgrounds.

The OfS has set itself and the HE sector targets to address longstanding inequalities, including to eliminate the gap in degree outcomes between white and black students.

On 11 March 2021 the OfS published the access and participation data dashboard, which is used to identify gaps in access, continuation, attainment, and progression, at English providers delivering undergraduate provision by different student characteristics. This is available here: https://www.officeforstudents.org.uk/data-and-analysis/access-and-participation-data-dashboard/.

In our latest strategic guidance to the OfS we asked them to urge providers to do more to ensure that all students, particularly those from the most disadvantaged backgrounds, are recruited onto courses that will deliver good outcomes. We have also asked that the OfS encourage universities to work with schools to meaningfully raise attainment in schools, as this is one of the strongest predictors of future participation in HE.

It is vital that all young people entering higher education (HE) in the UK do so with the same opportunities as their peers to fully benefit from their chosen course of study.

Under the Higher Education and Research Act 2017, the Office for Students (OfS) has a statutory duty to promote equality of opportunity for disadvantaged and traditionally under-represented groups. This includes non-continuation and attainment levels of students from those backgrounds.

The OfS has set itself and the HE sector targets to address longstanding inequalities, including to eliminate the gap in degree outcomes between white and black students. In 2019-20, there was a difference of 18.3% between the proportion of white and black students getting a 1st or 2:1. The OfS has plans to eliminate the unexplained gap in degree outcomes (1sts or 2:1s) between white students and black students by 2024-25, and to eliminate the absolute gap by 2030-31.

On 11 March 2021 the OfS published the access and participation data dashboard, which is used to identify gaps in access, continuation, attainment, and progression at English providers delivering undergraduate provision by different student characteristics. This is available here: https://www.officeforstudents.org.uk/data-and-analysis/access-and-participation-data-dashboard/.

In our latest strategic guidance to the OfS we asked them to urge providers to do more to ensure that all students, particularly those from the most disadvantaged backgrounds, are recruited on to courses that will deliver good outcomes. We have also asked that the OfS encourage universities to work with schools to meaningfully raise the attainment in schools, because we know this is one of the strongest predictors of future participation in HE.

The government’s expectations are, and have been, very clear: Universities should maintain the quality and quantity of tuition and seek to ensure that all students, regardless of their background, have the resources to study remotely.

The Office for Student (OfS), the higher education (HE) regulatory body, is taking the potential impacts of the COVID-19 outbreak on teaching and learning very seriously. It is actively monitoring providers to ensure that they maintain the quality of their provision, that students are supported and achieve good quality outcomes, that tuition is accessible to all and that HE providers have been clear in their communications with students about how arrangements for teaching and learning may change throughout the year.

The OfS is also following up directly with providers where they receive notifications from students, parents or others that raise concerns about the quality of teaching on offer and requiring providers to report to them when they are not able to deliver a course or award a qualification. If the OfS has any concerns, it will investigate further.

This government recognises that this academic year has been incredibly difficult for students. As a result of these exceptional circumstances, some students are facing financial hardship, with some incurring additional costs at their alternative address. Officials are working hard with the sector to continue to monitor the situation and explore potential approaches to supporting students, particularly from disadvantaged groups.

We have made an additional £85 million of student hardship funding available to HE providers in the 2020/21 academic year. Providers have flexibility in how they distribute the funding to their students, in a way that best prioritises those in greatest need. Support can include help for students, including international students and postgraduates, facing additional costs arising from having to maintain accommodation in more than one location or assistance to help students access teaching remotely.

This is in addition to the £256 million of government-funded student premium funding already available to HE providers to draw on for this academic year, 2020/21. We know that not all students will face financial hardship. The current measures aim to target support for students in greatest need. The government continues to monitor the situation to look at what impact this funding is having.

The OfS required HE providers to return information on disbursement of hardship funding as part of the monitoring of its use. I have been liaising with the OfS on the analysis of those returns.

The Department is aware of the importance of giving schools as much notice as possible of future funding. We will confirm arrangements for the Primary physical education and sport premium for the 2021/22 academic year as soon as possible.

The Department is aware of the importance of giving schools as much notice as possible of future funding. We will confirm arrangements for the Primary physical education and sport premium for the 2021/22 academic year as soon as possible.

The physical education (PE) and sport premium can be used by primary schools to develop or add to their PE, sport, and physical activity provision, and to build capacity and capability within the school. This includes providing additional opportunities for pupils to be physically active to help with recovery from the COVID-19 outbreak. The Department has ensured that schools have flexibility to use PE and sport premium from last year where their ability to make provision was limited by the COVID-19 outbreak. The Department is currently considering arrangements for the Primary PE and sport premium for the 2021/22 academic year and will confirm the position as soon as possible.

The Department continues to work closely with other Government Departments throughout its response to the COVID-19 outbreak, including Public Health England (PHE) and the Department of Health and Social Care, as well as stakeholders across the sector. The Department is continuing to work to ensure that our policy is based on the latest scientific and medical advice, in order to develop comprehensive guidance based on the PHE-endorsed ‘system of controls’ and to understand the effect of these measures on staff, pupils and parents.

The Department recently published updated guidance for schools to support the return to full attendance from 8 March, which includes updated advice on face coverings. This guidance explains the actions school leaders should take to minimise the risk of transmission of COVID-19 in their school. The guidance can be found here: https://www.gov.uk/government/publications/actions-for-schools-during-the-coronavirus-outbreak.

As the guidance outlines, where pupils in Year 7 and above are educated, the Department recommends that face coverings should be worn by adults and pupils when moving around outside of classrooms, such as in corridors and communal areas where social distancing cannot easily be maintained.

From 8 March, the Department recommends that in schools and colleges where pupils in Year 7 and above are educated, face coverings should be worn in classrooms unless social distancing can be maintained. The Department is recommending these additional precautionary measures for a for a time limited period until Easter.

Some individuals are exempt from wearing face coverings. This includes people who cannot put on, wear or remove a face covering because of a physical or mental illness or impairment, or disability, or if you are speaking to or providing assistance to someone who relies on lip reading, clear sound or facial expressions to communicate. The same legal exemptions that apply to the wearing of face coverings in shops and on public transport also apply in schools and colleges.

Individuals working with someone who relies on lip reading, clear sound or facial expressions to communicate are exempt from wearing a face covering in environments where they are normally required.

Transparent face coverings, which may assist communication with someone who relies on lip reading, clear sound or facial expression to communicate, can also be worn. There is currently very limited evidence regarding the effectiveness or safety of transparent face coverings, but they may be effective in reducing the spread of COVID-19.

As with all measures, they will be under review and guidance will be updated as necessary.

The Department continues to work closely with other Government Departments throughout its response to the COVID-19 outbreak, including Public Health England (PHE) and the Department of Health and Social Care, as well as stakeholders across the sector. The Department is continuing to work to ensure that our policy is based on the latest scientific and medical advice, in order to develop comprehensive guidance based on the PHE-endorsed ‘system of controls’ and to understand the effect of these measures on staff, pupils and parents.

The Department recently published updated guidance for schools to support the return to full attendance from 8 March, which includes updated advice on face coverings. This guidance explains the actions school leaders should take to minimise the risk of transmission of COVID-19 in their school. The guidance can be found here: https://www.gov.uk/government/publications/actions-for-schools-during-the-coronavirus-outbreak.

As the guidance outlines, where pupils in Year 7 and above are educated, the Department recommends that face coverings should be worn by adults and pupils when moving around outside of classrooms, such as in corridors and communal areas where social distancing cannot easily be maintained.

From 8 March, the Department recommends that in schools and colleges where pupils in Year 7 and above are educated, face coverings should be worn in classrooms unless social distancing can be maintained. The Department is recommending these additional precautionary measures for a for a time limited period until Easter.

Some individuals are exempt from wearing face coverings. This includes people who cannot put on, wear or remove a face covering because of a physical or mental illness or impairment, or disability, or if you are speaking to or providing assistance to someone who relies on lip reading, clear sound or facial expressions to communicate. The same legal exemptions that apply to the wearing of face coverings in shops and on public transport also apply in schools and colleges.

Individuals working with someone who relies on lip reading, clear sound or facial expressions to communicate are exempt from wearing a face covering in environments where they are normally required.

Transparent face coverings, which may assist communication with someone who relies on lip reading, clear sound or facial expression to communicate, can also be worn. There is currently very limited evidence regarding the effectiveness or safety of transparent face coverings, but they may be effective in reducing the spread of COVID-19.

As with all measures, they will be under review and guidance will be updated as necessary.

The Department continues to work closely with other Government Departments throughout its response to the COVID-19 outbreak, including Public Health England (PHE) and the Department of Health and Social Care, as well as stakeholders across the sector. The Department is continuing to work to ensure that our policy is based on the latest scientific and medical advice, in order to develop comprehensive guidance based on the PHE-endorsed ‘system of controls’ and to understand the effect of these measures on staff, pupils and parents.

The Department recently published updated guidance for schools to support the return to full attendance from 8 March, which includes updated advice on face coverings. This guidance explains the actions school leaders should take to minimise the risk of transmission of COVID-19 in their school. The guidance can be found here: https://www.gov.uk/government/publications/actions-for-schools-during-the-coronavirus-outbreak.

As the guidance outlines, where pupils in Year 7 and above are educated, the Department recommends that face coverings should be worn by adults and pupils when moving around outside of classrooms, such as in corridors and communal areas where social distancing cannot easily be maintained.

From 8 March, the Department recommends that in schools and colleges where pupils in Year 7 and above are educated, face coverings should be worn in classrooms unless social distancing can be maintained. The Department is recommending these additional precautionary measures for a for a time limited period until Easter.

Some individuals are exempt from wearing face coverings. This includes people who cannot put on, wear or remove a face covering because of a physical or mental illness or impairment, or disability, or if you are speaking to or providing assistance to someone who relies on lip reading, clear sound or facial expressions to communicate. The same legal exemptions that apply to the wearing of face coverings in shops and on public transport also apply in schools and colleges.

Individuals working with someone who relies on lip reading, clear sound or facial expressions to communicate are exempt from wearing a face covering in environments where they are normally required.

Transparent face coverings, which may assist communication with someone who relies on lip reading, clear sound or facial expression to communicate, can also be worn. There is currently very limited evidence regarding the effectiveness or safety of transparent face coverings, but they may be effective in reducing the spread of COVID-19.

As with all measures, they will be under review and guidance will be updated as necessary.

The Department continues to work closely with other Government Departments throughout its response to the COVID-19 outbreak, including Public Health England (PHE) and the Department of Health and Social Care, as well as stakeholders across the sector. The Department is continuing to work to ensure that our policy is based on the latest scientific and medical advice, in order to develop comprehensive guidance based on the PHE-endorsed ‘system of controls’ and to understand the effect of these measures on staff, pupils and parents.

The Department recently published updated guidance for schools to support the return to full attendance from 8 March, which includes updated advice on face coverings. This guidance explains the actions school leaders should take to minimise the risk of transmission of COVID-19 in their school. The guidance can be found here: https://www.gov.uk/government/publications/actions-for-schools-during-the-coronavirus-outbreak.

As the guidance outlines, where pupils in Year 7 and above are educated, the Department recommends that face coverings should be worn by adults and pupils when moving around outside of classrooms, such as in corridors and communal areas where social distancing cannot easily be maintained.

From 8 March, the Department recommends that in schools and colleges where pupils in Year 7 and above are educated, face coverings should be worn in classrooms unless social distancing can be maintained. The Department is recommending these additional precautionary measures for a for a time limited period until Easter.

Some individuals are exempt from wearing face coverings. This includes people who cannot put on, wear or remove a face covering because of a physical or mental illness or impairment, or disability, or if you are speaking to or providing assistance to someone who relies on lip reading, clear sound or facial expressions to communicate. The same legal exemptions that apply to the wearing of face coverings in shops and on public transport also apply in schools and colleges.

Individuals working with someone who relies on lip reading, clear sound or facial expressions to communicate are exempt from wearing a face covering in environments where they are normally required.

Transparent face coverings, which may assist communication with someone who relies on lip reading, clear sound or facial expression to communicate, can also be worn. There is currently very limited evidence regarding the effectiveness or safety of transparent face coverings, but they may be effective in reducing the spread of COVID-19.

As with all measures, they will be under review and guidance will be updated as necessary.

This has been a very difficult time for students, and we welcome the decision from many universities and accommodation providers to offer rent rebates for students who need to stay away from their term-time address. The government urges universities and private landlords to review their accommodation policies to ensure they are fair, clear and have the interests of students at heart.

The government has been clear in published guidance that tenants should continue to pay rent and abide by all other terms of their tenancy agreement to the best of their ability. Where they can pay the rent as normal, they should do so. Tenants who are unable to do so should speak to their landlord at the earliest opportunity.

This guidance is available to view at: https://www.gov.uk/government/publications/covid-19-and-renting-guidance-for-landlords-tenants-and-local-authorities.

If students have concerns about their accommodation fees, they should first raise their concerns with their accommodation provider. If their concerns remain unresolved, and their higher education provider is involved in the provision of the accommodation, students at providers in England or Wales can ask the Office of the Independent Adjudicator (OIA) for Higher Education to consider their complaint.

If a student thinks their accommodation provider is treating them unfairly, they can raise a complaint under the accommodation codes of practice as long as their provider is a code member. The codes can be found at: https://www.thesac.org.uk/, https://www.unipol.org.uk/the-code/how-to-complain and https://www.rla.org.uk/about/nrla-code-of-practice.shtml

We recognise that in these exceptional circumstances some students may face financial hardship. The Department for Education has worked with the Office for Students (OfS) to clarify that providers are able to use existing funds, worth around £256 million for academic year 2020/21, towards hardship support. We have also made an additional £70 million of student hardship funding available to higher education providers this financial year.

Providers will have flexibility in how they distribute the funding to students, in a way that will best prioritise those in greatest need. Support might include help for students facing additional costs arising from having to maintain accommodation in more than one location. I also made clear in my 2 February 2021 guidance to the OfS that the funding should be available to help students that have already applied for hardship funding previously but now need additional support. The funding can be distributed to a wide population of students, including postgraduates (whether taught or research) and international students. We will continue to monitor the situation to look at what impact this funding is having.

Students will normally qualify for Child Benefit if they are responsible for a child under 16 (or under 20 if they stay in approved education or training). Full-time students with children can also apply for Childcare Grant and Parents' Learning Allowance. Full-time students who are single parents or student couples, one or both of whom are responsible for a child, and part-time students responsible for a child can apply for Universal Credit.

This has been a very difficult time for students, and we welcome the decision from many universities and accommodation providers to offer rent rebates for students who need to stay away from their term-time address. The government urges universities and private landlords to review their accommodation policies to ensure they are fair, clear and have the interests of students at heart.

The government has been clear in published guidance that tenants should continue to pay rent and abide by all other terms of their tenancy agreement to the best of their ability. Where they can pay the rent as normal, they should do so. Tenants who are unable to do so should speak to their landlord at the earliest opportunity.

This guidance is available to view at: https://www.gov.uk/government/publications/covid-19-and-renting-guidance-for-landlords-tenants-and-local-authorities.

If students have concerns about their accommodation fees, they should first raise their concerns with their accommodation provider. If their concerns remain unresolved, and their higher education provider is involved in the provision of the accommodation, students at providers in England or Wales can ask the Office of the Independent Adjudicator (OIA) for Higher Education to consider their complaint.

If a student thinks their accommodation provider is treating them unfairly, they can raise a complaint under the accommodation codes of practice as long as their provider is a code member. The codes can be found at: https://www.thesac.org.uk/, https://www.unipol.org.uk/the-code/how-to-complain and https://www.rla.org.uk/about/nrla-code-of-practice.shtml

We recognise that in these exceptional circumstances some students may face financial hardship. The Department for Education has worked with the Office for Students (OfS) to clarify that providers are able to use existing funds, worth around £256 million for academic year 2020/21, towards hardship support. We have also made an additional £70 million of student hardship funding available to higher education providers this financial year.

Providers will have flexibility in how they distribute the funding to students, in a way that will best prioritise those in greatest need. Support might include help for students facing additional costs arising from having to maintain accommodation in more than one location. I also made clear in my 2 February 2021 guidance to the OfS that the funding should be available to help students that have already applied for hardship funding previously but now need additional support. The funding can be distributed to a wide population of students, including postgraduates (whether taught or research) and international students. We will continue to monitor the situation to look at what impact this funding is having.

Students will normally qualify for Child Benefit if they are responsible for a child under 16 (or under 20 if they stay in approved education or training). Full-time students with children can also apply for Childcare Grant and Parents' Learning Allowance. Full-time students who are single parents or student couples, one or both of whom are responsible for a child, and part-time students responsible for a child can apply for Universal Credit.

This has been a very difficult time for students, and we welcome the decision from many universities and accommodation providers to offer rent rebates for students who need to stay away from their term-time address. The government urges universities and private landlords to review their accommodation policies to ensure they are fair, clear and have the interests of students at heart.

The government has been clear in published guidance that tenants should continue to pay rent and abide by all other terms of their tenancy agreement to the best of their ability. Where they can pay the rent as normal, they should do so. Tenants who are unable to do so should speak to their landlord at the earliest opportunity.

This guidance is available to view at: https://www.gov.uk/government/publications/covid-19-and-renting-guidance-for-landlords-tenants-and-local-authorities.

If students have concerns about their accommodation fees, they should first raise their concerns with their accommodation provider. If their concerns remain unresolved, and their higher education provider is involved in the provision of the accommodation, students at providers in England or Wales can ask the Office of the Independent Adjudicator (OIA) for Higher Education to consider their complaint.

If a student thinks their accommodation provider is treating them unfairly, they can raise a complaint under the accommodation codes of practice as long as their provider is a code member. The codes can be found at: https://www.thesac.org.uk/, https://www.unipol.org.uk/the-code/how-to-complain and https://www.rla.org.uk/about/nrla-code-of-practice.shtml

We recognise that in these exceptional circumstances some students may face financial hardship. The Department for Education has worked with the Office for Students (OfS) to clarify that providers are able to use existing funds, worth around £256 million for academic year 2020/21, towards hardship support. We have also made an additional £70 million of student hardship funding available to higher education providers this financial year.

Providers will have flexibility in how they distribute the funding to students, in a way that will best prioritise those in greatest need. Support might include help for students facing additional costs arising from having to maintain accommodation in more than one location. I also made clear in my 2 February 2021 guidance to the OfS that the funding should be available to help students that have already applied for hardship funding previously but now need additional support. The funding can be distributed to a wide population of students, including postgraduates (whether taught or research) and international students. We will continue to monitor the situation to look at what impact this funding is having.

Students will normally qualify for Child Benefit if they are responsible for a child under 16 (or under 20 if they stay in approved education or training). Full-time students with children can also apply for Childcare Grant and Parents' Learning Allowance. Full-time students who are single parents or student couples, one or both of whom are responsible for a child, and part-time students responsible for a child can apply for Universal Credit.

Throughout the COVID-19 outbreak, the government has put in place many measures to support individuals impacted by financial hardship, including international students. These measures include protection for renters from eviction, safety net support from local authorities regardless of immigration status, as well as a series of bespoke visa concessions for international students to mitigate against the impact of COVID-19. The government keeps these concessions under review and will not hesitate to act where further support is needed. £3.2 billion has been allocated to local authorities during the COVID-19 outbreak to support vulnerable groups, irrespective of their immigration status.

The department has also made available an additional £70 million of hardship funding for higher education students in England for this financial year. Providers have flexibility in how they distribute the funding to students, in a way that best prioritises those in greatest need. This is available for providers to distribute to a wide range of students, including international. This money is in addition to the £256 million of Student Premium funding higher education (HE) providers are able to draw on this academic year towards student hardship funds and mental health support.

I have been clear that student welfare remains one of my top priorities and the department has worked closely with the HE sector throughout the COVID-19 outbreak to increase communications and messaging around hardship for students; I recently discussed this with a number of sector representatives at a taskforce meeting.

I would encourage all students, wherever they are learning, who need assistance to reach out to their HE provider’s student support and welfare teams as soon as possible, as these services are likely to be an important source of support. Many HE providers have bolstered their existing student welfare and mental health services and have adapted delivery mechanisms including reaching out to students who may be more vulnerable. For example, over £9 million has been provided by the government to leading mental health charities to help them to expand, and international students can also utilise Student Space – a mental health and wellbeing platform that aims to bridge any gaps in support for students arising during the COVID-19 outbreak – which has been funded by up to £3 million by the Office for Students.

The department does not hold data on the number of international students in rent arrears. We believe that some international students in need of support may not be contacting their universities to ask for assistance if they find themselves experiencing hardship. I have written to international students directly, providing information regarding the support available for mental health, wellbeing, and hardship at this time, and have asked the sector to further raise awareness and encourage international students to seek assistance as necessary.

The UK was one of the first countries to respond to the COVID-19 outbreak by introducing comprehensive immigration flexibility for international students, and the government has implemented several concessions to support visa holders. If an international student needs to request access to hardship funds through their provider due to the ongoing impact of the COVID-19 outbreak, they can be confident that they can express these concerns to their provider without any impact on their immigration status.

Throughout the COVID-19 outbreak, the government has put in place many measures to support individuals impacted by financial hardship, including international students. These measures include protection for renters from eviction, safety net support from local authorities regardless of immigration status, as well as a series of bespoke visa concessions for international students to mitigate against the impact of COVID-19. The government keeps these concessions under review and will not hesitate to act where further support is needed. £3.2 billion has been allocated to local authorities during the COVID-19 outbreak to support vulnerable groups, irrespective of their immigration status.

The department has also made available an additional £70 million of hardship funding for higher education students in England for this financial year. Providers have flexibility in how they distribute the funding to students, in a way that best prioritises those in greatest need. This is available for providers to distribute to a wide range of students, including international. This money is in addition to the £256 million of Student Premium funding higher education (HE) providers are able to draw on this academic year towards student hardship funds and mental health support.

I have been clear that student welfare remains one of my top priorities and the department has worked closely with the HE sector throughout the COVID-19 outbreak to increase communications and messaging around hardship for students; I recently discussed this with a number of sector representatives at a taskforce meeting.

I would encourage all students, wherever they are learning, who need assistance to reach out to their HE provider’s student support and welfare teams as soon as possible, as these services are likely to be an important source of support. Many HE providers have bolstered their existing student welfare and mental health services and have adapted delivery mechanisms including reaching out to students who may be more vulnerable. For example, over £9 million has been provided by the government to leading mental health charities to help them to expand, and international students can also utilise Student Space – a mental health and wellbeing platform that aims to bridge any gaps in support for students arising during the COVID-19 outbreak – which has been funded by up to £3 million by the Office for Students.

The department does not hold data on the number of international students in rent arrears. We believe that some international students in need of support may not be contacting their universities to ask for assistance if they find themselves experiencing hardship. I have written to international students directly, providing information regarding the support available for mental health, wellbeing, and hardship at this time, and have asked the sector to further raise awareness and encourage international students to seek assistance as necessary.

The UK was one of the first countries to respond to the COVID-19 outbreak by introducing comprehensive immigration flexibility for international students, and the government has implemented several concessions to support visa holders. If an international student needs to request access to hardship funds through their provider due to the ongoing impact of the COVID-19 outbreak, they can be confident that they can express these concerns to their provider without any impact on their immigration status.

Throughout the COVID-19 outbreak, the government has put in place many measures to support individuals impacted by financial hardship, including international students. These measures include protection for renters from eviction, safety net support from local authorities regardless of immigration status, as well as a series of bespoke visa concessions for international students to mitigate against the impact of COVID-19. The government keeps these concessions under review and will not hesitate to act where further support is needed. £3.2 billion has been allocated to local authorities during the COVID-19 outbreak to support vulnerable groups, irrespective of their immigration status.

The department has also made available an additional £70 million of hardship funding for higher education students in England for this financial year. Providers have flexibility in how they distribute the funding to students, in a way that best prioritises those in greatest need. This is available for providers to distribute to a wide range of students, including international. This money is in addition to the £256 million of Student Premium funding higher education (HE) providers are able to draw on this academic year towards student hardship funds and mental health support.

I have been clear that student welfare remains one of my top priorities and the department has worked closely with the HE sector throughout the COVID-19 outbreak to increase communications and messaging around hardship for students; I recently discussed this with a number of sector representatives at a taskforce meeting.

I would encourage all students, wherever they are learning, who need assistance to reach out to their HE provider’s student support and welfare teams as soon as possible, as these services are likely to be an important source of support. Many HE providers have bolstered their existing student welfare and mental health services and have adapted delivery mechanisms including reaching out to students who may be more vulnerable. For example, over £9 million has been provided by the government to leading mental health charities to help them to expand, and international students can also utilise Student Space – a mental health and wellbeing platform that aims to bridge any gaps in support for students arising during the COVID-19 outbreak – which has been funded by up to £3 million by the Office for Students.

The department does not hold data on the number of international students in rent arrears. We believe that some international students in need of support may not be contacting their universities to ask for assistance if they find themselves experiencing hardship. I have written to international students directly, providing information regarding the support available for mental health, wellbeing, and hardship at this time, and have asked the sector to further raise awareness and encourage international students to seek assistance as necessary.

The UK was one of the first countries to respond to the COVID-19 outbreak by introducing comprehensive immigration flexibility for international students, and the government has implemented several concessions to support visa holders. If an international student needs to request access to hardship funds through their provider due to the ongoing impact of the COVID-19 outbreak, they can be confident that they can express these concerns to their provider without any impact on their immigration status.

Throughout the COVID-19 outbreak, the government has put in place many measures to support individuals impacted by financial hardship, including international students. These measures include protection for renters from eviction, safety net support from local authorities regardless of immigration status, as well as a series of bespoke visa concessions for international students to mitigate against the impact of COVID-19. The government keeps these concessions under review and will not hesitate to act where further support is needed. £3.2 billion has been allocated to local authorities during the COVID-19 outbreak to support vulnerable groups, irrespective of their immigration status.

The department has also made available an additional £70 million of hardship funding for higher education students in England for this financial year. Providers have flexibility in how they distribute the funding to students, in a way that best prioritises those in greatest need. This is available for providers to distribute to a wide range of students, including international. This money is in addition to the £256 million of Student Premium funding higher education (HE) providers are able to draw on this academic year towards student hardship funds and mental health support.

I have been clear that student welfare remains one of my top priorities and the department has worked closely with the HE sector throughout the COVID-19 outbreak to increase communications and messaging around hardship for students; I recently discussed this with a number of sector representatives at a taskforce meeting.

I would encourage all students, wherever they are learning, who need assistance to reach out to their HE provider’s student support and welfare teams as soon as possible, as these services are likely to be an important source of support. Many HE providers have bolstered their existing student welfare and mental health services and have adapted delivery mechanisms including reaching out to students who may be more vulnerable. For example, over £9 million has been provided by the government to leading mental health charities to help them to expand, and international students can also utilise Student Space – a mental health and wellbeing platform that aims to bridge any gaps in support for students arising during the COVID-19 outbreak – which has been funded by up to £3 million by the Office for Students.

The department does not hold data on the number of international students in rent arrears. We believe that some international students in need of support may not be contacting their universities to ask for assistance if they find themselves experiencing hardship. I have written to international students directly, providing information regarding the support available for mental health, wellbeing, and hardship at this time, and have asked the sector to further raise awareness and encourage international students to seek assistance as necessary.

The UK was one of the first countries to respond to the COVID-19 outbreak by introducing comprehensive immigration flexibility for international students, and the government has implemented several concessions to support visa holders. If an international student needs to request access to hardship funds through their provider due to the ongoing impact of the COVID-19 outbreak, they can be confident that they can express these concerns to their provider without any impact on their immigration status.

This is a difficult and uncertain time for students, but we are working with the higher education (HE) sector to make sure all reasonable efforts are being made to ensure that students are given appropriate support. I routinely engage the sector on our plans and have drawn on the expertise of the HE Taskforce of various sector representatives to challenge and inform our decision making.

On 22 February, I wrote to students outlining what my right hon. Friend, the Prime Minister’s announcement on return to educational settings meant for HE. The letter is available at: https://www.officeforstudents.org.uk/media/d0d32f33-6efd-42f9-b75d-6b2204ac81dc/letter-to-students_minister-donelan_22022021.pdf. As stated in the letter, we made available an additional £70 million of funding for student hardship. Providers will have flexibility in how they distribute the funding to students in a way that will best prioritise those in greatest need. This funding is available for HE providers to distribute to a wide range of students, including international students. Support might include help for students who are unable to work due to COVID-19 and to help students access teaching remotely. This is in addition to the £256 million of Student Premium funding providers are able to draw on this academic year towards student hardship and mental health support.

Whilst the government plays no role in the provision of student residential accommodation, HE providers can draw on hardship funds to support students facing financial difficulties due to accommodation fees. The government encourages all accommodation providers to be as flexible as possible. Universities and private accommodation providers are autonomous and are responsible for setting their own rent agreements. We encourage universities and private landlords to review their accommodation policies to ensure they are fair, clear and have the interests of students at heart. Where students remain in their university accommodation, HE providers should continue to make sure they are well looked after and supported. Universities UK have published a checklist for providers to support students who are required to self-isolate, which can be accessed here: https://www.universitiesuk.ac.uk/policy-and-analysis/reports/Documents/2020/uuk-checklist-support-self-isolating-students.pdf.

It is vitally important that universities continue to make sure that students feel as supported as possible and I encourage providers to regularly communicate with students about the support available to them. Providers should pay particular regard to the specific needs of certain groups during this period, including international students, who will require access to welfare and mental health support and essential services. I wrote to international students in December 2020 regarding tier 4 restrictions, and the letter is available here: https://www.officeforstudents.org.uk/media/01c8a0f7-6799-43e8-aa95-d60552fb6d44/minister-donelan-letter-clarifying-student-travel-in-light-of-tier-4.pdf.

We have informed students via a range of communication channels, including student-facing media, such as: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/949100/Minister_Donelan_Letter_to_Students_on_January_Returns.pdf and: https://twitter.com/michelledonelan/status/1363972520077049857/photo/1.

We recognise that many students are facing additional mental health challenges during this time, and many providers have bolstered their existing mental health services. We have worked closely with the Office for Students (OfS), providing up to £3 million to fund the mental health platform Student Space. We have also asked the OfS to allocate an additional £15 million towards student mental health, through proposed reforms to strategic priorities grant funding.

The Department and LocatED are consulting with the London Borough of Newham and the Local Planning Authority on the delivery of School 21 Plaistow, a secondary free school project. The number of new homes and housing mix is currently under review and will be finalised during the planning determination period.

On 26 August 2020, the Department revised its guidance on face coverings in schools and colleges following a new statement by the World Health Organisation on 21 August. The guidance can be found here: https://www.gov.uk/government/publications/face-coverings-in-education.

As the guidance outlines, from 1 September, in areas of national government intervention, in schools where year 7 and above are educated, face coverings should be worn by staff, visitors and pupils when moving around indoors, for example in corridors and communal areas, where social distancing cannot be safely managed. Nationwide, all schools have the discretion to require staff, visitors and pupils (in year 7 and above) to wear face coverings in indoor communal areas where social distancing cannot be safely managed, if they believe that it is right in their particular circumstances. Based on current evidence and the measures that schools are already putting in place, as well as the negative impact on communication and teaching, face coverings are not necessary in the classroom.

The guidance points to Department for Health and Social Care advice on face coverings but does not specify a type or style of face covering. It sets out that it is reasonable to assume that staff and young people will have access to face coverings due to their increasing use in wider society, and notes that Public Health England has made available resources on how to make a simple face covering.

The information requested is not held by the Department for Education.

Local authorities are statutorily obliged to inform the National Child Safeguarding Practice Review Panel of all incidents of serious harm or death of a child under 18 years old where abuse and neglect is known or suspected. The National Panel shares this data with the Department for Education.

Information collected and held by the department does not distinguish ‘homicide’ as a reporting category.

The attached table sets out over the last 4 years: the number of child deaths notified as serious incidents, the number of Serious Case Reviews that local areas have stated will be initiated and the number of local child Safeguarding Practice Reviews that local areas have stated will be initiated.

We have recently closed a second consultation on introducing a deposit return scheme for drinks containers in England, Wales and Northern Ireland and are analysing the responses to the consultation, with a view to publishing a government response in due course. The government response will include a final decision on the scope and materials to be included in the deposit return scheme. An impact assessment for the introduction of the scheme will also be published.

Any packaging materials not included within the scope of a deposit return scheme will be included under the reformed packaging producer responsibility regime to ensure equitable treatment of packaging materials, which would then be collected through kerbside recycling collections.

Local Planning Authorities are responsible for issuing planning consents for the redevelopment of brownfield land. The National Planning Policy Framework is clear that development sites should be suitable for its proposed use taking account of ground conditions and any risks arising from land contamination. This includes risks arising from former activities such as gasworks. The Framework is also clear that new development should be appropriate for its location taking into account the likely effects of pollution on health, living conditions and the natural environment.

Certain remediation activities on former gasworks sites (such as treatment of contaminated soils and groundwater) require a mobile treatment permit under the Environmental Permitting Regime. These permits are issued by the Environment Agency (EA), which regulates emissions from the treatment activities (e.g. air pollution, odour, noise).

Before treatment commences, the operator must submit an application to the EA to deploy the mobile plant to site. This application must include site specific information to show how the operator will:

• control pollution from the treatment process and
• control and manage emissions to avoid pollution to the environment and harm to human health.

From 21 April 2021, certain bird gatherings can take place in Great Britain provided the organisers notify the Animal and Plant Health Agency at least seven days before the event and that they meet the requirements of the General Licence. This includes markets, shows, sales, exhibitions of pigeons, budgerigars, canaries, parrots, cockatiels and birds of prey. Some low risk pigeon racing is also permitted. Gatherings of ducks, geese, chickens, turkeys or game birds whether kept commercially as poultry, as pets or for other purposes remain banned. Poultry gatherings will be kept under review.

For a full list of what is permitted see the guidance for bird gatherings on gov.uk. Definitive requirements are set out in the published General Licence for the relevant administration (England, Wales and Scotland).

Changes to EU law from 21 April 2021 affect the movements of certain live animals. As a consequence of this change, racing pigeons are considered to be in scope of the definition of ‘captive birds’ and the requirements for imports into the EU would apply. These include export certification and a period of quarantine prior to export to the EU.

Defra has sought technical clarification from the European Commission on the new rules as they apply to movements of racing pigeons, including how an EU derogation for racing pigeons might be granted, and we are actively seeking a response.

Changes to EU law from 21 April 2021 affect the movements of certain live animals. As a consequence of this change, racing pigeons are considered to be in scope of the definition of ‘captive birds’ and the requirements for imports into the EU would apply. These include export certification and a period of quarantine prior to export to the EU.

Defra has sought technical clarification from the European Commission on the new rules as they apply to movements of racing pigeons, including how an EU derogation for racing pigeons might be granted, and we are actively seeking a response.

Defra has not made an assessment of the impact of food waste levels as a result of this policy. However, we continue to support the hospitality sector to make sure good food is not wasted.

Since 2018 we have supported the surplus redistribution sector with over £11 million of grants to make sure they have the infrastructure to get good food, including from the hospitality sector, to those who have a need. We are also supporting WRAP and its brokerage work bringing businesses together with suitable food redistributors.

We are also directly helping hospitality businesses to waste less. The Food Waste Reduction Roadmap is open to the hospitality sector and sets out a series of milestones to Target, Measure and Act on their waste including the provision of sector specific tools to measure their waste. This programme is supported by the Guardians of Grub campaign which aims at empowering employees to waste less in its provision of advice, guidance and support.

Defra has not made an assessment of the impact of food waste levels as a result of this policy. However, we continue to support the hospitality sector to make sure good food is not wasted.

Since 2018 we have supported the surplus redistribution sector with over £11 million of grants to make sure they have the infrastructure to get good food, including from the hospitality sector, to those who have a need. We are also supporting WRAP and its brokerage work bringing businesses together with suitable food redistributors.

We are also directly helping hospitality businesses to waste less. The Food Waste Reduction Roadmap is open to the hospitality sector and sets out a series of milestones to Target, Measure and Act on their waste including the provision of sector specific tools to measure their waste. This programme is supported by the Guardians of Grub campaign which aims at empowering employees to waste less in its provision of advice, guidance and support.

Bovine TB is one of the greatest animal health threats to the UK and the disease costs the public over £100 million a year, with the cost to the farming industry around £50 million a year.

The Government badger cull costs are published annually on the GOV.UK website and can be found at: https://www.gov.uk/government/publications/bovine-tb-government-badger-control-costs.

The 2019 costs are still being calculated and will be published later this year. Costs are not broken down by cull zone.

The most recent badger control policy value for money analysis, carried out in 2019, estimates the Net Present Value i.e. the monetised benefits of Badger Control over 11 years at £1.08 million per area.

Further information can be found on GOV.UK at the following link: https://www.gov.uk/government/publications/bovine-tb-badger-control-policy-value-for-money-analysis.

In Area 32-Cumbria the cull area is made up of two parts, the minimum infected area and the outer cull area. The minimum infected area is based on:

1. the location of the infected badgers, associated farms and contiguous breakdown areas, plus a radius of the estimated average social group territory based on main sett distribution; and

1. the location of another farm with a TB breakdown very strongly suspected on epidemiological grounds to be badger related.

Therefore the boundary could be expanded if evidence shows that infected badgers are found outside the boundary, as it was in 2019.

Natural barriers to badger movement were used, as far as practical, for the outer boundary of Area 32 to minimise the risk of possible perturbation effects. Area 32 is made up of two parts, the minimum infected area and the outer cull area. The outer cull area acts as a buffer between the minimum infected area, where the majority of infection is located, and those outside of the cull area.

A ‘buffer zone’ currently operates around the minimum infected area in Area 32-Cumbria; this is referred to as the outer cull area (OCA). Both the minimum infected area and the outer cull area together make up the intervention area.

The OCA is based on estimated average badger social group territory size surrounding the minimum infected area, to take into account the possibility that infection may have already spread in the badger population. The boundary was adjusted to adhere to natural barriers to badger movement as far as practical to minimise the risk of possible perturbation effects.

The results of testing of badgers from the 2019 cull are still being analysed. When completed they will inform decisions as to what type of badger control method should be applied in 2020.

All cull companies are instructed to carry out a thorough sett survey programme in the spring before each cull in their area. Animal and Plant Health Agency surveyors then carry out a Quality Assurance check on at least 5% of the land parcels at random in areas between their first and second cull.

Defra does not hold this data regarding the culling of deer. The Deer Act 1991 provides a robust framework for the protection of deer, including the welfare of shot deer.

The evidence that invasive species are having an ever greater impact on biodiversity, globally and domestically, is undeniable. The 2019 Environmental Audit Committe report, developed using a wide range of evidence sources, highlighted the risks these species pose to native biodiversity. It also called for greater levels of prevention, management, control and public awareness regarding invasive species and their negative effects on the environment.

Defra is also in receipt of the 2019 UN global assessment report on biodiversity which concluded that “the numbers of invasive species per country have risen by around 70 per cent since 1970” and that “invasive non-native species have contributed to 40 per cent of the animal extinctions that have happened in the last 400 years and are the biggest threat to biodiversity on islands”. Defra is aware that the Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services global assessment report on biodiversity and ecosystem services found that invasive species were one of the top five direct drivers for changes to nature and were included in a list with climate change and pollution.

Reports such as “The Economic Cost of Invasive Non-Native Species on Great Britain” remain highly relevant, as the impact of invasive non-native species (INNS) has not decreased since the report was published. Defra recently however commissioned a scoping study aimed at documenting the current evidence in relation to the ecosystem service impacts of INNS in the UK. This study[1] sought to determine the feasibility of expanding on the 2010 report by estimating natural capital costs incurred by INNS, alongside the direct economic costs which the 2010 report focused upon.

[1] Scoping study: ecosystem services and natural capital costs of invasive non-native species in the UK - BE0162 http://randd.defra.gov.uk/Default.aspx?Menu=Menu&Module=More&Location=None&Completed=1&ProjectID=20315

Defra has undertaken two formal consultations relating to the Invasive Alien Species (Enforcement and Permitting) Order 2019. They were: “Invasive Non-native Species: Tackling Invasive Non-native Species – A new enforcement regime” and “Management measures for widely spread Invasive Alien Species (IAS) in England and Wales”. These consultations ran from from 9 January 2018 to 3 April 2018 and 18 July 2019 to 12 September 2019 respectively.

Releasing grey squirrels back into the environment, even in areas away from red squirrels, would encourage a wide range of further negative impacts associated with this species towards other native species, forestry assets and national parks.

The release of grey squirrels can only be allowed as a management measure under the Invasive Alien Species (Enforcement and Permitting) Order 2019 if it contributes to the population control, eradication or containment of the species. The Government will, therefore, not be updating this Order to permit the release of grey squirrels by veterinary practices or wildlife hospitals. The devolved administrations in Scotland, Wales and Northern Ireland do not allow grey squirrels to be kept or released. The Invasive Alien Species (Enforcement and Permitting) Order, which came into effect on 1 December 2019, thus brought England in line with the rest of the United Kingdom.

Any grey squirrel that requires medical attention can be taken to a licensed facility where it can remain for the rest of its natural life.

There are no plans to add Stratford International as an operating station on the HS2 network. The Department considered Stratford International in the initial HS2 station selection process, however, it was not taken forward as it was not considered to release the same level of benefits to onward connectivity and passenger journey times as the planned HS2 London stations.

The Department for Transport also considered a number of rail and tunnel link options between HS2 and HS1, including a long tunnel connecting Stratford International station and Old Oak Common. However, these were rejected on the basis of excessive cost and disruption.

We have recently published the second HS2 Parliamentary report with an update provided on potential Covid-related impacts on Phase One. HS2 Ltd is currently re-planning its schedule for Phase One to mitigate slower than planned progress on construction, including verified impacts from Covid-19. However, this will not impact the projected Delivery into Service date range of 2029-2033.

The full impact of Covid-19 on cost and schedule continues to be assessed, including work to disaggregate Covid-19 impacts from other cost and schedule impacts on the programme.

The Department commissioned the National Skills Academy for Rail in January 2021 to provide data on skills shortages across transport modes. Skills shortages were identified in infrastructure construction, rail, freight and logistics. The Department is now working, in collaboration with industry partners, stakeholders, other Government departments and public bodies (including HS2 Ltd), to identify mitigations and ensure it addresses the challenges facing both the transport industry and the wider economy.

HS2 Ltd has also developed a Skills, Employment and Education strategy, that focuses on securing the skills and labour required to build HS2, and leave a legacy of a highly-skilled and diverse workforce. Underlying this strategy are labour and skills forecasting data and analysis which provide an assessment of potential mismatches between HS2 labour and skills requirements and their availability. Reforecast data is expected to be published later this year.

The impacts on central London stations (and all London stations including Stratford International) were reviewed as part of the AP3 Euston scheme for the Bill in September 2015. The Transport assessment to this set out the cross-London rail impacts for the design year of 2041 in section 3.5*. It should be noted that Stratford International was not identified as having any substantial change in use at that time.

As neither HS2 Ltd nor the Department believe the impact of HS2 will cause a material change to the underlying long-term usage of the London rail network, the analysis does not currently need updating.

*https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/460749/SES2___AP3_ES_Volume_5_Transport_Assessment__TR-001-000__Part_2.pdf

The impacts on central London stations (and all London stations including Stratford International) were reviewed as part of the AP3 Euston scheme for the Bill in September 2015. The Transport assessment to this set out the cross-London rail impacts for the design year of 2041 in section 3.5*. It should be noted that Stratford International was not identified as having any substantial change in use at that time.

As neither HS2 Ltd nor the Department believe the impact of HS2 will cause a material change to the underlying long-term usage of the London rail network, the analysis does not currently need updating.

*https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/460749/SES2___AP3_ES_Volume_5_Transport_Assessment__TR-001-000__Part_2.pdf

As with all rail upgrades, our evaluation of the options made through the business case process will consider the long-term benefit of the scheme in terms of its contribution to the Government’s commitment to decarbonize the economy by 2050. Environmental Impact Assessments for the construction itself will be undertaken in accordance with the relevant regulations.

We are currently evaluating a range of different options for the TransPennine Route Upgrade (TRU) which will be selected later this year, informed by the Integrated Rail Plan for the North and Midlands. The value for money of each option varies and it is therefore not possible to be specific at this stage.

We are currently evaluating a range of different options for the TransPennine Route Upgrade (TRU) which will be selected later this year, informed by the Integrated Rail Plan for the North and Midlands. These options range in their delivery date dependent on the option which is eventually chosen.

We are undertaking analysis in support of the next business case for the TransPennine Route Upgrade which we expect to complete later this year. This will consider different post-COVID-19 demand scenarios.

The Government does not record the numbers of newly qualified forklift operators.

The training for materials handling equipment, including forklift trucks, is an option within the Supply Chain Warehouse Operative apprenticeship but is not required to complete the apprenticeship. There have been 5,093 Supply Chain Warehouse Operative apprenticeship starts in the last five years.

Prior to the pandemic more than 40,000 drivers passed their LGV test each year over the last four years. The restrictions put in place to fight the pandemic has affected the ability for new drivers to take their LGV driving test.

LGV driver training and testing is due to re-start on 12 April as the current restrictions are lifted. When tests resume DVSA plan to conduct 2,800 to 3,000 LGV tests per week.

Prior to the pandemic more than 40,000 drivers passed their LGV test each year over the last four years. The restrictions put in place to fight the pandemic has affected the ability for new drivers to take their LGV driving test.

LGV driver training and testing is due to re-start on 12 April as the current restrictions are lifted. When tests resume DVSA plan to conduct 2,800 to 3,000 LGV tests per week.

The Driver and Vehicle Standards Agency does not collect data on the nationality of those taking an LGV driving test.

Logistics UK estimate that there were around 25,000 EU nationals working as LGV drivers in the UK in 2020.

The Driver and Vehicle Standards Agency does not collect data on the nationality of those taking an LGV driving test.

Logistics UK estimate that there were around 25,000 EU nationals working as LGV drivers in the UK in 2020.

Free movement between the UK and the European Union ended on 31 December 2020 and on 1 January 2021, and the UK implemented a points-based immigration system that prioritises skills and talent over where a person comes from.

The UK and the EU have agreed a framework for the recognition of professional qualifications between the Parties which is based on the EU’s recent free trade agreements. It makes improvements on those agreements, which are designed to make the system more flexible and easier for regulatory authorities to use. EU driving licence holders residing in the UK will be able to exchange their licence without the need for a re-test. They can use their EU licence as long as it is valid, subject to UK licence renewal requirements. Certificates of professional competence for drivers and transport managers issued by EU Member States remain valid for use in the UK.

The number of LGV drivers claiming Jobseeker’s Allowance in February 2021 was 80, down 11 per cent from a year ago. The number of qualified LGV drivers claiming Jobseeker’s Allowance has historically been low, reflecting the ongoing LGV driver shortages in the logistics industry.

Departmental officials are working with colleagues at the Department for Work and Pensions and Jobcentre Plus to ensure that qualified LGV drivers are able to move back into work as soon as possible.

The number of LGV driver practical test passes in each of the last five years are:

The Driver and Vehicle Standards Agency publishes the statistics for all driving tests on Gov.uk

The Driver and Vehicle Standards Agency does not hold this data.

The Government does not record the numbers of newly qualified forklift operators.

The training for materials handling equipment, including forklift trucks, is an option within the Supply Chain Warehouse Operative apprenticeship but is not required to complete the apprenticeship. There have been 5,093 Supply Chain Warehouse Operative apprenticeship starts in the last five years.

Prior to the pandemic more than 40,000 drivers passed their LGV test each year over the last four years. The restrictions put in place to fight the pandemic has affected the ability for new drivers to take their LGV driving test.

LGV driver training and testing is due re-start on 12 April as the current restrictions are lifted. When tests resume DVSA plan to conduct 2,800 to 3,000 tests per week.

Prior to the pandemic more than 40,000 drivers passed their LGV test each year over the last four years. The restrictions put in place to fight the pandemic has affected the ability for new drivers to take their LGV driving test.

LGV driver training and testing is due re-start on 12 April as the current restrictions are lifted. When tests resume DVSA plan to conduct 2,800 to 3,000 tests per week.

There have been 4,889 starts for the Large Goods Vehicle Driver apprenticeship standard in the five years to October 2020.

We are working with the industry to develop a suite of apprenticeships which will enable the logistics sector to make the most of the Apprenticeship Levy funding available.

There have been 4,889 starts for the Large Goods Vehicle Driver apprenticeship standard in the five years to October 2020.

We are working with the industry to develop a suite of apprenticeships which will enable the logistics sector to make the most of the Apprenticeship Levy funding available.

The labour shortages in the sector are longstanding. There has been no recent systematic assessment by the department of the extent of the skills shortage. Assessments have been made by Logistics UK.

We are working with the Department for Work and Pensions and Jobcentre Plus to ensure that jobseekers can find employment or training in the industry as quickly as possible.

We are also working with the Department for Education in supporting the logistics sector make the most of the opportunities provided through the apprenticeship levy.

In 2016, the Government set ambitions through the Transport Infrastructure Skills Strategy (TISS) to increase apprenticeships in road and rail client bodies to help address skills shortages in the transport sector, ensuring that the transport sector has the capacity and capability to deliver planned investment and to increase diversity.

Over the past four years, the Strategic Transport Apprenticeship Taskforce (STAT) has worked to identify skills shortages across the transport sector. To understand the likely impact of changes to migration policy post-Brexit, STAT responded to the Migration Advisory Committee’s Call for Evidence on Salary Thresholds (2019) and the Shortage Occupation List (2017 and (2020). This included employer led evidence of the potential impacts of Brexit on the transport industry.

The Department has received representations from sector stakeholders including Logistics UK which publishes an annual Skills and Employment Report and a monthly Logistics Performance Tracker. The Road Haulage Association also continue to make representations to government.

At the roundtable on 2 September, leading experts in the field clarified that underlying health conditions and comorbidities largely explain ethnic disparities in maternal mortality rates.

Maternity experts also linked this to a reluctance by some women from minority backgrounds to attend routine appointments and check-ups where many of these conditions are typically identified.

The government continues to work with maternal health practitioners and ethnic minority women to drive positive actions and interventions in this area so that our actions can benefit more women. This includes the recently launched NHS campaign ‘Help us Help You’, informing pregnant women about the importance of attending check-ups, and providing reassurance that the NHS is there to see them safely.

The Department issues guidance to transport organisations in England to help them understand how to provide safer workplaces and services for themselves, their workers and passengers. It outlines measures to assess and address the risks of coronavirus (COVID-19). The Department published updated guidance on 5 November:

https://www.gov.uk/government/publications/coronavirus-covid-19-safer-transport-guidance-for-operators/coronavirus-covid-19-safer-transport-guidance-for-operators

The guidance makes clear that it does not supersede any legal obligations relating to health and safety, employment or equalities and that it is important that businesses and employers continue to comply with their existing obligations.

We have issued comprehensive guidance on the steps transport operators should take to assess and address the risks of coronavirus in the transport sector across England. While we strongly advise passengers to practice social distancing to help limit the spread of COVID-19, we acknowledge that this might not always be possible. We have been working closely with operators to ensure appropriate procedures are in place and that they are clearly communicated to passengers. Some stations have natural ‘pinch-points’, which makes maintaining social distancing difficult. Passengers are urged to use the whole length of the train to board, avoid travelling at busy times and follow government guidance.

We have issued comprehensive guidance on the steps transport operators should take to assess and address the risks of coronavirus in the transport sector across England. While we strongly advise passengers to practice social distancing to help limit the spread of COVID-19, we acknowledge that this might not always be possible. We have been working closely with operators to ensure appropriate procedures are in place and that they are clearly communicated to passengers. Some stations have natural ‘pinch-points’, which makes maintaining social distancing difficult. Passengers are urged to use the whole length of the train to board, avoid travelling at busy times and follow government guidance.

The Government has published guidance specifically for both aviation operators and for air passengers on safer travel during the COVID-19 pandemic. This operator guidance maps out the measures airlines can take to protect passengers and staff on board aircraft, and includes advice on hygiene measures, face coverings, and social distancing in the aircraft setting. On the specific issue of seating passengers travelling in a group together, the guidance states ‘where possible and where mass and balance allow, enable social distancing among passengers of different households or support bubbles, where relevant.’

The Government expects all airlines to manage the risks of coronavirus as far as possible in order to provide safer workplaces and services for workers and passengers. For further information, the operator guidance is available to view at the following link: https://www.gov.uk/guidance/coronavirus-covid-19-safer-aviation-guidance-for-operators

Network Rail has offered SME commercial estate tenants a three-month zero-rent period between April and June 2020.

In deciding on this course of action, Network Rail worked to understand the offers of support proposed by those in similar situations, including the Arch Company and Transport for London.

Our priority is to ensure the safety of both employees and passengers, as well as the ongoing provision of passenger and freight services. Operators and their suppliers, including those to whom catering is subcontracted, are working to resource trains appropriately, protect staff wellbeing and provide essential services for those who must travel, such as key workers who may have accessibility requirements. On-board catering services should cease, unless it is possible to serve pre-packed food that requires minimal contact. Catering staff can and have been deployed to do other tasks on our railways.

The Department has recently developed a digital service which enables employment inspired National Insurance Number (NINo) applications to be made on-line, removing the need for the majority of applicants to attend a face to face appointment.

Due to the suspension last year of the employment inspired NINo service, because of Covid 19 restrictions, demand for the NINo service is extremely high. The average time taken to process applications, including British Passport holders, is around 10/12 weeks. The Department is currently recruiting and training additional staff to reduce these waiting times.

The Government is committed to helping people with the cost of living and providing a safety net for those that need it and has injected billions into the welfare system for those most in need. The Covid Winter Grant Scheme was introduced to provide Local Authorities in England with funding to support vulnerable households with the costs of food, heating and water bills, in response to the pandemic. The funding was intended to provide additional support throughout the challenging winter period to those most in need. This will now be extended until the 16 April 2021 to support families as restrictions are gradually lifted.

It is a long-established precedent that information about the discussions that have taken place in Cabinet and its Committees, and how often they have met, is not normally shared publicly.

The Department has taken a predominantly digital approach to providing and delivering services associated with Universal Credit, ensuring we make best use of technology to deliver a modern and effective working-age welfare system. This allows our staff to concentrate on those people who require additional support through different channels.

For vulnerable people our telephone lines were also available, including a line for prison leavers. Measures brought in during covid-19 are under constant review.

Vaccines administered in Germany can be recorded in vaccination records and displayed in the NHS COVID Pass. This allows individuals resident in England but vaccinated in Germany to demonstrate their status and avoid self-isolation regulations in the same way as those vaccinated under the United Kingdom programme.

NHS England and NHS Improvement undertook a comprehensive mental health needs analysis was undertaken during summer 2021. It is expected to provide information about the current mental health needs of prisoners as well as the staffing skill mix and resources required to meet these needs. NHS England and NHS Improvement expect to publish the outcomes from this analysis by April 2022.

NHS England and NHS Improvement acknowledge there will continue to be restrictions on accessing group therapies until prisons move into stage one of the COVID-19 recovery regime.

Local recovery plans are in place to address the mental health and well-being of prisoners, which will include both individual and group therapy depending on restrictions. In the interim, telemedicine and digital platforms have been developed to support prisoners’ ongoing mental health and wellbeing across the prison estate.

NHS England and NHS Improvement undertook a comprehensive mental health needs analysis was undertaken during summer 2021. It is expected to provide information about the current mental health needs of prisoners as well as the staffing skill mix and resources required to meet these needs. NHS England and NHS Improvement expect to publish the outcomes from this analysis by April 2022.

NHS England and NHS Improvement acknowledge there will continue to be restrictions on accessing group therapies until prisons move into stage one of the COVID-19 recovery regime.

Local recovery plans are in place to address the mental health and well-being of prisoners, which will include both individual and group therapy depending on restrictions. In the interim, telemedicine and digital platforms have been developed to support prisoners’ ongoing mental health and wellbeing across the prison estate.

From 19 November, the NHS COVID Pass can be used to demonstrate proof of a booster or third dose for outbound international travel and is available through the NHS App and on NHS.UK. Booster vaccinations are not required for domestic certification in England.

There are currently no plans to record booster vaccinations in the NHS COVID Pass. Booster vaccinations are not required for domestic certification in England. We recognise that some countries are altering their vaccination requirements, therefore we are keeping this under review.

Vaccination sites order the vaccines they require to meet their clinic schedules. There are adequate quantities of vaccine for allocation across England and to date, over 99% of deliveries have been made on time and in full.

There are currently several hundred thousand doses for booster vaccination across the three North and East London integrated care systems - East London Health and Care Partnership, North London Partners in Health and Care and North West London Health and Care Partnership. This provides sufficient supply for each of the approximately 300 vaccination sites in these areas.

North East London Health and Care Partnership has a list of immunosuppressed patients, and other patients eligible for a COVID-19 vaccine booster dose. General practitioner practices use this list to contact patients for COVID-19 vaccinations, in coordination with primary care colleagues and acute consultants.

Every eligible adult in England aged 18 years old and over has now been contacted and offered a COVID-19 booster vaccination, including immunosuppressed patients.

National contracts were used to secure all appropriate inpatient capacity across England, which came to an end on 31 March 2021. However, these contracts related to hospital capacity, not bed capacity. Total spend on hospital capacity and health services from private sector providers from March 2020 to March 2021 is not currently available as these contracts are undergoing a reconciliation exercise. It is expected that this will be completed by the end of 2021/22. However, information is being collated at independent provider level, rather than by specific area or region. From 1 April 2021, NHS England and NHS Improvement returned to local commissioning arrangements and as such this information is not held centrally.

No recent assessment has been made. While national contracts were used to secure appropriate inpatient capacity and other resource in England, on 31 March 2021 these contracts came to an end. From 1 April 2021, NHS England and NHS Improvement returned to local commissioning arrangements and as such this information is not held centrally.

We have announced £2 billion this year through the Elective Recovery Fund and £8 billion in the following three years to tackle the elective backlog. This will enable National Health Service commissioners and trusts to secure the capacity required locally.

This data is not held in the format requested.

The information requested is not collected centrally, as general practice workforce data is not available by hospital trust.

The service delivery model HMP Wandsworth has been reviewed and an assessment and liaison function is being established within the mental health team. While additional mental health practitioners are recruited, the wider mental health team is providing an assessment, liaison and case management function. This has enabled a review to ensure that referrals into mental health services are dealt with responsively with clear governance and oversight.

NHS England and NHS Improvement are maintaining oversight of these service developments and a number of governance mechanisms are in place to ensure appropriate monitoring and evaluation. These include a monthly Quality and Performance Board, regular site visits, attendance at the prison Local Delivery Board and regular meetings between commissioners and the lead healthcare provider at operational and strategic level.

NHS England and NHS Improvement are ensuring prison screening programmes are re-established and effective access to external treatment pathways is made available through telemedicine or in person hospital attendance.

In order to improve the understanding of existing medical conditions and needs of those entering the secure estate, such as drug use, mental health and alcohol-related disorders, NHS England and NHS Improvement are reviewing and updating the reception screening tool across the adult secure estate.

As a signatory to the National Partnership Agreement for Prison Healthcare, the Department is committed to working with the Ministry of Justice, HM Prison and Probation Service, NHS England and NHS Improvement and the UK Health Security Agency to ensure safe, legal, and effective care that improves health outcomes and reduces health inequalities for prisoners.

To increase access to outpatient services, all secure and detained sites in England have now received the equipment to facilitate Telemedicine appointments within their establishment. Regions are working to establish connections with their tertiary and secondary health care partners to reduce the need to move a patient to sites external to the prison for a healthcare appointment.

No formal assessment has been made of the barriers to increased use of remote consultations in prisons in England. However, South Yorkshire and Bassetlaw region is running a pilot connecting five prisons to one hospital trust for telemedicine appointments and has successfully implemented a clinical assessment and treatment service clinic using the telemedicine solution. Learning from this pilot is being rolled out across the English regions and other regions are now setting up similar services.

NHS England and NHS Improvement continues to work with other providers of services such as mental health organisations, probation services, voluntary community and social enterprise organisations, and liaison and diversion services to promote the use of telemedicine across the estate.

The NHS England and NHS Improvement (NHSEI) prison health data system ‘SystmOne’ already collects and holds ethnicity data for prisoners. NHSEI regularly review the data fields to ensure they are accurate and appropriate and provide quality audits and reports for internal use by commissioners.

From 2022 clinical records will work across a General Practitioner (GP) to GP system which will support a swift reconciliation of client data including ethnicity, as people transfer from community services into custodial settings and from custody back into the community.

The Department is funding, through the National Institute for Health Research, the ‘Understanding the scale and nature of avoidable harm in prison healthcare’ research project. This aims to identify the scale of avoidable harm in prison healthcare and understand which policies or processes could minimise the risk of this in the future. The project is currently due to complete in May 2023.

NHS England and NHS Improvement’s health and justice and health and inequalities teams are considering how the national Core20PLUS5 health inequalities survey for National Health Service professionals could be applied to prison settings. This will contribute to the monitoring and reduction of differences in health outcomes across priority areas such as maternal health, chronic obstructive pulmonary disease and early cancer detection. In addition, the National Confidential Enquiry into Patient Outcomes and Death will undertake a review of natural cause deaths of people who died whilst detained in prison.

The Department of Health and Social Care and the Ministry of Justice meet regularly to discuss health services for people in prison. Officials from both Departments continue to work together to improve healthcare services and outcomes for all people in custody.

We have regular discussions with the Ministry of Justice on a range issues related to the provision of healthcare services in prisons.

We have no specific plans to do so. However, NHS England and NHS Improvement collect health information in the prison health data system which is regularly reviewed and analysed to improve healthcare services for prisoners. Where possible, comparisons will data for the general population will made.

Flu and COVID-19 booster vaccines are ordered by and delivered directly to prison healthcare teams in the same way as vaccination services in the community. The prison healthcare team will offer and administer the vaccines to eligible patients. Each establishment will decide on the best approach dependent on their facilities as to whether their clinics administer both the flu and COVID-19 booster vaccinations at the same time or separately.

No such estimate has been made. The London Ambulance Service (LAS) advises that it is at an early stage in developing its estates a strategy, including understanding how any changes would impact on the care patients receive. The LAS will engage with the public and stakeholders on any proposed changes.

No such estimate has been made. The London Ambulance Service (LAS) advises that it is at an early stage in developing its estates a strategy, including understanding how any changes would impact on the care patients receive. The LAS will engage with the public and stakeholders on any proposed changes.

The Care Quality Commission (CQC) do not hold data centrally on the number of breaches related to electroconvulsive therapy (ECT). The CQC’s records also do not separately identify records of breaches or other regulatory action related to ECT specifically. The General Medical Council (GMC) is the regulator of all medical doctors practising in the United Kingdom (UK). Its role is to set and enforce the standards all doctors must adhere to and it is responsible for ensuring that medical practitioners have the necessary skills and knowledge to join the UK medical register.

The GMC does not have data readily available on practitioners of ECT who have had their licence to practise restricted or removed.

The Electroconvulsive Therapy Accreditation Service (ECTAS) is an organisation of the Royal College of Psychiatrists and arrangements for participation are a matter for the College. The Care Quality Commission may consider ECTAS accreditation as part of the evidence used in its regulation. However, it does not receive details of the accreditation process or of members within the scheme.

As of 19 July 2021, 90% of prisons in England offered a first dose to their adult population. 99% of prisons had also offered both doses to those in Phase One priority cohorts 1-9.

Unvaccinated prisoners awaiting a first dose offer by this date were those newly admitted to sites, however many of them would have already been offered the vaccine in the community or in a previous prison.

NHS England and NHS Improvement collate weekly data showing the number of vaccinated adult prisoners there are in the prisons in England. As per the data from Friday 23 July (which included those who received their first or second dose on Monday 19 July), 43,276 had received a first dose and 23,819 had received a second dose.

As of 28 July 2021, all eligible adult prisoners in England were offered a first dose of a COVID-19 vaccine.

As health is a devolved matter, any data specific to Wales would be a matter for their respective devolved administration.

As of 19 July 2021, 90% of prisons in England offered a first dose to their adult population. 99% of prisons had also offered both doses to those in Phase One priority cohorts 1-9.

Unvaccinated prisoners awaiting a first dose offer by this date were those newly admitted to sites, however many of them would have already been offered the vaccine in the community or in a previous prison.

NHS England and NHS Improvement collate weekly data showing the number of vaccinated adult prisoners there are in the prisons in England. As per the data from Friday 23 July (which included those who received their first or second dose on Monday 19 July), 43,276 had received a first dose and 23,819 had received a second dose.

As of 28 July 2021, all eligible adult prisoners in England were offered a first dose of a COVID-19 vaccine.

As health is a devolved matter, any data specific to Wales would be a matter for their respective devolved administration.

We have no plans to do so. The National Institute for Health and Care Excellence (NICE) is responsible for assessing the safety and efficacy of treatments. NICE provides guidelines on when doctors should consider using electroconvulsive therapy (ECT) based on the available clinical evidence. Its guidance ‘Depression in adults: recognition and management’, includes recommendations on when ECT could be considered a treatment option for complex and severe depression. The Department expects commissioners and providers of services to pay due regard to these guidelines, which are kept under regular review.

It is a contractual requirement for general practitioner (GP) practices to publish the mean earnings of partners, salaried GPs and any locum who has worked in the practice for over six months.

GPs and partners with total National Health Service earnings above £150,000 per annum will be required to report those earnings by submitting self-declarations annually. The pay threshold at which earnings will have to be reported will change annually with inflation.

The Department is working with the social care sector to improve employee satisfaction through supporting wellbeing and increasing recognition for staff. To support the wellbeing of social care workers, we have worked alongside the National Health Service and other organisations to provide a package of emotional, psychological and practical resources for the workforce. This includes support helplines, guidance, bereavement resources and a bespoke package of support for registered managers.

We have also identified carers, paid and unpaid, as essential workers in response to the COVID-19 pandemic to give them much-needed acknowledgment of their critical role in keeping people safe and supported.

We are committed to reforming the adult social care system, including the provision of affordable personalised care and will bring forward proposals in 2021.

There are no plans to carry out any formal assessment. However, the report made a number of recommendations which are being taken into account as appropriate though existing aligned programmes of work being undertaken by the Department and NHS England and NHS Improvement.

There are no plans to carry out any formal assessment. However, the report made a number of recommendations which are being taken into account as appropriate though existing aligned programmes of work being undertaken by the Department and NHS England and NHS Improvement.

Regardless of whether the contract holder is an individual, a partnership, or an organisation, all contract holders and providers of National Health Service core primary medical services are subject to the same requirements, regulation and standards. We have no plans to make a further assessment.

Regardless of whether the contract holder is an individual, a partnership, or an organisation, all contract holders and providers of National Health Service core primary medical services are subject to the same requirements, regulation and standards. We have no plans to make a further assessment.

Data on the number of patients diagnosed with sarcoma at stage I and II by each of these cancer cell types is not available in the format requested. Statistics on sarcoma are not published by stage at diagnosis because the subdivision of the small numbers of cases leads to unreliable estimates of incidence rates and trends.

The Medicines and Healthcare products Regulatory Agency has undertaken a thorough review into reports of an extremely rare specific type of blood clot in the brain in the United Kingdom, following vaccination with the Oxford/AstraZeneca vaccine. It is also considering other types of blood clots alongside low platelet levels. No risk factors for this unusual type of clotting disorder have been identified although the MHRA is continuing to monitor the emerging data.

There is no evidence those with a history of common types of thrombosis are more at risk of developing rare blood clots with low platelets after vaccination. Therefore, the use of the AstraZeneca vaccine in individuals with a history of these conditions is not currently a contraindication. Individuals with past clotting episodes without low platelets and those diagnosed with thrombophilia remain at risk of COVID-19 disease and should be vaccinated with any of the available vaccines. However, as a precautionary measure, administration of the AstraZeneca vaccine in patients with a history of cerebral venous sinus thrombosis or antiphospholipid syndrome should only be considered when the benefit outweighs any potential risks and use is contraindicated in those who have experienced major clots with low platelets after any COVID-19 vaccine or after exposure to heparin.

These rare events have also been reported in other countries with the Janssen vaccine. However, no predisposing risk factors have been identified. The available evidence does not suggest an increased risk of these rare events following administration of either the Pfizer/BioNTech or Moderna vaccines.

The Department commissions research through the National Institute for Health Research (NIHR). The NIHR is supporting a relevant study on mechanisms of immunothrombosis in Vaccine-Induced Thrombotic Thrombocytopenia (VITT). Findings from this study are available at the following link:

https://doi.org/10.1016/j.jaut.2021.102662

There are currently no clinical trials specifically looking at VITT in the United Kingdom. As the largest public funder of health and care research, the NIHR welcomes funding applications for research into any aspect of human health, including COVID-19 vaccine-induced thrombocytopenia and thrombosis.

We are investing an additional £110 million to expand adult mental health services including psychological and talking therapies and £111 million to increase the mental health workforce support patients with conditions such as COVID-19 VITT.

NHS England and NHS Improvement have already invested £2 million to fund the establishment of Respiratory Clinical Networks to support the delivery of the objectives set out in the NHS Long Term Plan and provide clinical leadership to respiratory services in managing the current and on-going demand posed by COVID-19.

A priority area for respiratory services in the Long Term Plan is spirometry and this will be supported through the 13 respiratory clinical networks and the national team. The Quality and Outcomes Framework (QOF) for 2021/22 includes improved respiratory indicators. The QOF will measure patients with a clinical diagnosis of chronic obstructive pulmonary disease on or after 1 April 2021 whose diagnosis has been confirmed by a quality-assured post-bronchodilator spirometry test.

For 2021/22, £325 million of capital funding has been allocated for diagnostic services. Discussions on how funding will be allocated are ongoing, including the establishment of community diagnostic hubs (CDHs). Diagnostics for respiratory conditions are part of the proposed ‘core’ services to be provided by CDHs. Pending the funding allocation, plans for mobilisation of CDHs from across England are currently under review and we anticipate some early adopter sites to provide services from summer 2021 with further CDHs opening in autumn.

The data is not available in the format requested.

The data is not available in the format requested.

The information is not collected in the format requested.

It is not yet clear what the physical, psychological and rehabilitation needs will be for those experiencing long-term effects of the virus, including those with chronic lung conditions. The National Health Service and the wider scientific community are currently working to better understand the disease course of the COVID-19 virus, including symptom severity and duration, long term effects and how best to support recovery.

Community Diagnostic Hubs will create additional capacity for patients presenting with respiratory symptoms which will support efforts to reduce waiting times. Elective waiting lists, including for those with respiratory symptoms, are managed at system and trust level with digital solutions available to ensure the most clinically urgent patients are managed first. In addition, £1 billion has been made available to the National Health Service in 2021/22 to support the recovery of elective activity.

While we have made no official assessment, the NHS is taking steps to restore services and improve waiting times as a priority, including services for respiratory patients. In May, the NHS announced a £160 million accelerator initiative to rapidly trial further innovations and interventions to boost activity across all elective services.

Community Diagnostic Hubs will create additional capacity for patients presenting with respiratory symptoms which will support efforts to reduce waiting times. Elective waiting lists, including for those with respiratory symptoms, are managed at system and trust level with digital solutions available to ensure the most clinically urgent patients are managed first. In addition, £1 billion has been made available to the National Health Service in 2021/22 to support the recovery of elective activity.

While we have made no official assessment, the NHS is taking steps to restore services and improve waiting times as a priority, including services for respiratory patients. In May, the NHS announced a £160 million accelerator initiative to rapidly trial further innovations and interventions to boost activity across all elective services.

The Government recognises that chronic health conditions, including chronic lung conditions, may result from a COVID-19 infection and that there is a need to invest in research to better understand these conditions and how to effectively support affected individuals. The National Institute for Health Research, with UK Research and Innovation, has funded a post-hospitalisation study to understand and improve long-term health outcomes for people hospitalised with COVID-19 and four research studies specifically looking at the long-term effects of COVID-19, in non-hospitalised individuals with funding totalling £18.5 million. In addition, a second £20 million ‘long’ COVID-19 research call is currently underway.

The Departmental funded evaluation of Liaison and Diversion services, published by RAND, found that these services are successfully engaging with a range of service users with diverse and often overlapping vulnerabilities. The evaluation has shown that the Liaison and Diversion model is successful in increasing referrals to mental health and drug and alcohol treatment services and diversion from custodial sentences.  The Department will be working across Government to further analyse the report’s findings and identify opportunities to build on this successful model.

We remain focussed on our NHS Long Term Plan commitments including those to expand access to community mental health services for adults with serious mental illness, including those individuals with the most complex needs. This will help maximise the effectiveness of Liaison and Diversion services by increasing capacity for onward referrals and improving support available for individuals with multiple vulnerabilities.

It has not proved possible to respond to the hon. Member in the time available before prorogation.

No such assessment has been made.

The information is not held in the format requested.

The information is not available in the format requested.

Dedicated female practitioner leads were nominated for each Liaison and Diversion Service in 2018. In 2019 self-report questionnaires were issued to all Liaison and Diversion Female Pathway Leads to assess progress made against developing effective female pathways. Having analysed the returns, bespoke advice was offered to providers.

In November 2020 NHS England delivered a virtual Maternal and Perinatal Pathway Workshop to commissioners and providers of Liaison and Diversion services. NHS England regional Health and Justice commissioning teams monitor Liaison and Diversion providers performance against the service specification requirements to ensure that they are delivering a gender specific approach within Liaison and Diversion Services and that they have effective pathways in place for onward referrals to gender specific community based services.

We do not currently centrally hold data on the vaccination rates for directly employed prison staff, non-directly employed people who work within prisons or probation staff.

As of 19 April 2021 we have administered 23,281 first doses to prisoners eligible for vaccination during phase one. This represents an estimated 85% of eligible prisoners. In addition, 780 prisoners have received second doses which is 3.4% of the first dose total and includes some prisoners having a second dose in prison after a first dose in the community.

During the COVID-19 pandemic, a number of communication programmes were initiated across the English secure and detained estate, including prisons and youth offender institutions, with the support of Her Majesty’s Prison and Probation Service including using prison television broadcasts to address COVID-19 and non-COVID-19 care. Prison radio continues to feature programmes providing general medical information for patients in prisons delivered by clinical providers and a number of articles have been written for the prison magazine, Inside Times, as well as general notifications, such as leaflets translated into a number of languages posted across individual sites.

General practitioner and nurse-led services have continued to be present within all prisons in England. In response to COVID-19, telemedicine has been deployed at speed across the estate, enabling video calling for primary care, secondary care and mental health appointments within dedicated healthcare facilities. The provision of health services to those in public sector prisons in Wales is a matter for the Welsh Government.

Following the HM Inspector of Prisons’ report, we understand that a number of changes have been made to processes to ensure patients in the prison are able to see a general practitioner in a timely way, including clinical triage of patients placed on waiting lists based on need and a single point of administrative contact who will report when any patient has exceeded an appropriate wait time. Patients will also be able to refer themselves to healthcare services appropriately, in a timely manner and with any necessary support to enable them to communicate their needs. Officers will receive an introduction to the healthcare service as part of their induction and patients will receive this as part of their reception/transfer in.

The information requested is not collected centrally. If third sector organisations have received this information, this may have been provided locally.

I refer the hon. Member to the answers to Written Questions 138422 and 154909.

The Face Covering Regulations require that workers in retail, hospitality and leisure venues wear a face covering where they come or are likely to come into contact with members of the public. Pharmacies are included in these requirements so both staff and members of the public must wear a face covering.

The information is not currently centrally held in the format requested.

It is a long-established precedent that information about the discussions that have taken place in Cabinet and its Committees and how often they have met is not normally shared publicly.

We introduced the Test and Trace Support Payment (TTSP) scheme to support those where financial concerns can make it difficult to self-isolate.

We continue to work closely with the 314 local authorities in England to monitor the efficacy and payments made under the TTSP scheme. The discretionary element of TTSP is specifically designed to address the needs of people on low incomes, including those with no recourse to public funds, who need financial support for self-isolation and to encourage greater uptake of testing and to undertake self-isolation. We have provided an additional £20 million a month to extend the current scheme beyond 31 March into the summer.

The following table provides data on the number of patients spending more than 12 hours from decision to admit to admission in January 2021, by National Health Service region and Barts Health Trust.

It should be noted that Barts Health NHS Trust data is not comparable with other hospitals as it has three hospitals with major emergency departments within the Trust.

COVID-19 rates in London were higher compared to the rest of the country in January.

The increased number of 12-hour trolley waits seen in January 2021 reflects the extreme demand for beds in the system at this time, with delays reported due to awaiting COVID-19 test results, reduced bed stock due to social distancing and intensive treatment unit capacity expansion and reconfiguration of beds to meet COVID-19 and non-COVID-19 demand.

The Department is currently working with local authorities to gather information on the operation and impact of the Test and Trace Support Payment scheme, including an assessment of the ethnicity of those applying for and receiving the payments. The results of the assessment and information covering any ethnic disparities will be published in due course.

All general practitioner (GP) practices are private businesses that are paid by the National Health Service to provide a health service to their registered patients. Newham Clinical Commissioning Group (CCG) holds details of the type of each GP contract holder in Newham, but not details of the full cooperate structure of the limited companies that hold contracts. Newham CCG does not directly contract with any private healthcare companies based in the United States.

There are currently no plans to make such an assessment.

We have made no such estimate. The Government continues to work closely with the 314 local authorities in England to monitor the efficacy and payments made under the Test and Trace Support Payment scheme.

The scheme is now being extended to the summer and funding to local authorities to make discretionary payments to people facing hardship is being increased to £20 million a month, to ensure local authorities can continue to make payments and support people on low incomes to stay at home and self-isolate when required to do so.

No such assessment has been made.

NHS England and NHS Improvement are responsible for the commissioning of substance misuse services within secure and detained settings. In addition to structured treatment, unstructured treatment is also provided which can include harm reduction advice, brief interventions, mutual aid groups and signposting and information. This is not reported in National Drug Treatment Monitoring System data.

No such assessment has been made.

NHS England and NHS Improvement are responsible for the commissioning of substance misuse services within secure and detained settings. In addition to structured treatment, unstructured treatment is also provided which can include harm reduction advice, brief interventions, mutual aid groups and signposting and information. This is not reported in National Drug Treatment Monitoring System data.

The Government recently announced an additional £80 million of funding in 2021/22 to enhance drug treatment services, including increasing the number of treatment places for prison leavers and offenders across England. This will improve access to community treatment for adults and young people following their release from a secure setting.

In addition, the NHS Long Term Plan introduced a new RECONNECT service which works with people before they leave prison and helps them to make the transition to community-based services. Of the new £80 million funding, £2.5 million will be invested in an enhanced RECONNECT service. This will support offenders with complex needs to engage with and get the right treatment from substance misuse and other services, for up to a year after release. The enhanced service will target those aged 18 to 24 years old.

The Government recently announced an additional £80 million of funding in 2021/22 to enhance drug treatment services, including increasing the number of treatment places for prison leavers and offenders across England. This will improve access to community treatment for adults and young people following their release from a secure setting.

In addition, the NHS Long Term Plan introduced a new RECONNECT service which works with people before they leave prison and helps them to make the transition to community-based services. Of the new £80 million funding, £2.5 million will be invested in an enhanced RECONNECT service. This will support offenders with complex needs to engage with and get the right treatment from substance misuse and other services, for up to a year after release. The enhanced service will target those aged 18 to 24 years old.

No such assessment has been made.

NHS England and NHS Improvement are responsible for the commissioning of substance misuse services within secure and detained settings. In addition to structured treatment, unstructured treatment is also provided which can include harm reduction advice, brief interventions, mutual aid groups and signposting and information. This is not reported in National Drug Treatment Monitoring System data.

NHS England and NHS Improvement have offered testing machines extensively to trusts who lead the diagnosis and treatment pathways, including those in prisons. Some prisons have taken up the offer, while others already achieve excellent rates of testing with other methods.

Furthermore, the High Intensity Test and Treat (HITT) programme have been implemented in prisons. HITTs involve partner services working together to offer testing to every person in prison on a short period of time. Those who are found to be positive are fast-tracked onto treatment, with a deadline of less than two weeks. The aim of the HITTs is the test at least 95% of the prison population, leaving prisons in a good place to achieve micro-elimination of Hepatitis C. Whilst these projects were disrupted during lockdown periods, several HITTs were able to take place during 2020.

NHS England and NHS Improvement have commissioned prisoner peer support schemes, run by the Hepatitis C Trust. The peers provide information about Hepatitis C to those at risk and work to engage with each individual on their own terms and encouraging and support individuals in testing.

Progress is being made towards the elimination of hepatitis C. Over 57,000 people have benefitted from new drugs which cure hepatitis C being made available on the National Health Service over the last few years. Up to 95% of those with a reported response to the treatment have been cured. Furthermore, death registrations for hepatitis C-related end-stage liver disease and cancer fell by 20% between 2015 and 2018, exceeding the 10% reduction by 2020 World Health Organization target. This is a direct result of the investment in hepatitis C diagnosis and treatment.

All 112 prisons in England have access to hepatitis C diagnosis. Local authorities decide which method is utilised to achieve diagnosis. This is usually either a ‘point of care’ antibody test, a dry blood spot test or onsite PCR testing machines. Prisons may also have access to other diagnostic kit such as portable fibroscanners, to assess liver cirrhosis.

NHS England and NHS Improvement have offered ‘point of care’ PCR testing machines to every trust leading hepatitis C diagnosis and treatment pathways, including prisons. NHS England and NHS Improvement also offer the option of taking machines into 30 prisons per year as a part of the ‘High Intensity Test & Treat’ programme, to supplement reception screening.

Prisons in England use an ‘opt-out’ testing offer to diagnose hepatitis C infection. Testing is offered either at reception into prison or within 72 hours at the more extensive healthcare assessment. Individuals can be diagnosed, referred to a virtual consultation with the specialist treatment team and start treatment within days. Hepatitis C diagnosis and treatment for prisoners on a short sentence and remand will, to an extent, rely upon the prisoner rate of uptake for offered tests.

For those who start but do not complete treatment, medicines can be provided to take out on release and a ‘Follow Me’ facility can be used to ensure patients remain engaged with their treatment. Prisoners on short recalls are unlikely to start treatment within a one to two-week period. However, they will receive the opt-out testing offer and referral processes are in place for those individuals testing positive. If individuals are already diagnosed and/or have started treatment, this can be continued through case management between prison health and the trust specialist treatment team.

Prisons should not be used as a place of safety as alternative provision is available and more suitable for people who need to be kept safe.

No such assessment has been made.

Data on wastage of vaccination doses is not currently available. Work is ongoing across the vaccination programme to standardise and increase the information available for management purposes. However, no vaccines should be wasted.

The Joint Committee on Vaccination and Immunisation has advised that where vaccine remains unused following an offer of vaccination to those in detained settings, such vaccine could reasonably be offered to prison officers.

On 11 March 2021, the Joint Committee on Vaccination and Immunisation recommended that any left-over vaccine that cannot be used on detainees should be used for prison officers. This is increasingly unlikely given the numbers of detainees now eligible for the vaccine as the programme continues. However, in cases where vaccine remains unused following an offer of vaccination to those in detained settings, NHS England and NHS Improvement have been asked to consider offering those vaccines to prison officers, in order to minimise wastage in delivery of the programme.

This information is not held centrally. For those leaving custody, general practitioner registration should be arranged prior to release.

The information requested is not currently held centrally in the format requested.

The information is not collected in the format requested.

Ministers and officials have regular discussions with National Health Service providers on a wide range of issues relating to the current national restrictions.

National Health Service capacity is monitored by NHS England, while Public Health England publishes monitoring data on capacity at the following link:

https://coronavirus.data.gov.uk/details/healthcare

The Government will take a cautious approach to easing lockdown and will be guided by the data. Of the four tests to facilitate decision-making around the easing of lockdown, two relate to NHS capacity; evidence showing vaccines are sufficiently effective in reducing hospitalisations and deaths in those vaccinated; and evidence that infection rates do not risk a surge in hospitalisations which would put unsustainable pressure on the NHS.

National Health Service capacity is monitored by NHS England, while Public Health England publishes monitoring data on capacity at the following link:

https://coronavirus.data.gov.uk/details/healthcare

The Government will take a cautious approach to easing lockdown and will be guided by the data. Of the four tests to facilitate decision-making around the easing of lockdown, two relate to NHS capacity; evidence showing vaccines are sufficiently effective in reducing hospitalisations and deaths in those vaccinated; and evidence that infection rates do not risk a surge in hospitalisations which would put unsustainable pressure on the NHS.

The Department does not hold the information requested.

Taking regular annual leave is important to support staff retention, health and wellbeing and patient safety. Employers have a duty of care to staff to ensure staff have reasonable opportunities to take annual leave to rest and recuperate and, whenever possible, leave requests should be approved. However, the National Health Service is continuing to face challenges as it responds to the pandemic, so there is less flexibility as to when leave can be taken. Employers across the NHS are working hard to maximise available workforce capacity, including use of bank staff and returners to maintain quality of care as far as possible and enable staff to take leave. The NHS People Plan published in July 2020 includes a commitment to enhanced occupational and mental health support for NHS staff.

The Department does not hold the information requested.

Taking regular annual leave is important to support staff retention, health and wellbeing and patient safety. Employers have a duty of care to staff to ensure staff have reasonable opportunities to take annual leave to rest and recuperate and, whenever possible, leave requests should be approved. However, the National Health Service is continuing to face challenges as it responds to the pandemic, so there is less flexibility as to when leave can be taken. Employers across the NHS are working hard to maximise available workforce capacity, including use of bank staff and returners to maintain quality of care as far as possible and enable staff to take leave. The NHS People Plan published in July 2020 includes a commitment to enhanced occupational and mental health support for NHS staff.

Following the roundtable on 2 September, officials in the Cabinet Office Race Disparity Unit are supporting the Department of Health and Social Care in driving positive actions through a number of interventions on maternal mortality from an equalities perspective.

For example, NHS England and Improvement are introducing a funded and comprehensive national support offer which will be mobilised later this year. This will require Local Maternity Services to work towards achieving the ambition that 75% of Black and Asian women receive continuity of care by 2024.

NHS England sets day case and outpatient tariffs for a range of procedures where expert clinical consensus is that this may be appropriate. In the case of hysteroscopy procedures there is a single price.

NHS England recognises that few hysteroscopy cases are reported as outpatient procedures and that most are reported as day cases or inpatient cases. NHS England has raised this issue with the NHS Digital-led Expert Reference Group that covers this clinical area. Expert Reference Groups are led by clinicians nominated by their Royal Colleges to agree currency design changes and provide their views about whether the prices relativities are correct. The Expert Reference Group for this clinical area advises that the same price is set for all forms of diagnostic hysteroscopy procedures under Healthcare Resource Group codes MA31Z-MA34Z.

A search of the Department’s Ministerial correspondence database shows that there are approximately 4,817 cases which either contain the term ‘testing’ or ‘vaccination’. In order to determine whether these are representations concerning identification could only be obtained at disproportionate cost.

The Department has provided emergency funding to Barts NHS Trust, including £6.1 million in 2019-20 for fire safety works. A significant portion has been carried out and work is scheduled to March 2022, with work designed to ensure clinical services can continue during construction work.

The Women’s Health Agenda is not a formal group and there are no meetings of the Women’s Health Agenda planned.

However, we are committed to considering the issue of painful hysteroscopies as part of our ongoing work on women’s health and the Royal College of Obstetricians and Gynaecologists is currently reviewing the guideline regarding out-patient hysteroscopy, which has an explicit focus on minimising pain and optimising the woman’s experience.

The Test and Trace Support Payment of £500 was introduced on 28 September, to support people on low incomes who are unable to work from home if they are told to self-isolate by National Health Service Test and Trace and will lose income as a result.

The standard eligibility criteria include receipt of Universal Credit, Working Tax Credit, income-based Employment and Support Allowance, income-based Jobseeker’s Allowance, Income Support, Housing Benefit and/or Pension Credit.

Local authorities can make a £500 discretionary payment to those who are not in receipt of any of the above benefits but meet the other eligibility criteria and will face financial hardship as a result of having to self-isolate. Depending on their individual circumstances, people who have no recourse to public funds may be eligible for a discretionary payment.

Prisoners eligible for transfer to National Health Service psychiatric units should be moved out of prison as quickly as possible.

NHS England and NHS Improvement have been working to revise the Department’s good practice guidance (2011) ‘Transfer and remission of adult prisoners under the Mental Health Act 1983 good practice guidance 2019’. The aim is to facilitate timely access to appropriate treatment under the Mental Health Act and reduce unnecessary delays based on clinical need.

NHS England and NHS Improvement have undertaken extensive public consultation on revisions to the guidance and had planned to publish the final version by spring 2020. The publication process has been delayed to the COVID-19 pandemic but NHS England and NHS Improvement intend to proceed towards publication as quickly as possible.

Prisoners eligible for transfer to National Health Service psychiatric units should be moved out of prison as quickly as possible.

NHS England and NHS Improvement have been working to revise the Department’s good practice guidance (2011) ‘Transfer and remission of adult prisoners under the Mental Health Act 1983 good practice guidance 2019’. The aim is to facilitate timely access to appropriate treatment under the Mental Health Act and reduce unnecessary delays based on clinical need.

NHS England and NHS Improvement have undertaken extensive public consultation on revisions to the guidance and had planned to publish the final version by spring 2020. The publication process has been delayed to the COVID-19 pandemic but NHS England and NHS Improvement intend to proceed towards publication as quickly as possible.

The report is currently being peer reviewed and will be published in due course.

Every woman who arrives at a prison in England is offered a pregnancy test on reception if they meet the eligibility criteria. Women can refuse to have a pregnancy test but if they do the subject is revisited with them as they settle into prison.

The take up of these tests is not nationally collected. We are unable to tell how many women take up the offer of the test as this information would sit on the patients’ notes.

As part of its ongoing policy responsibilities, the Department is considering the Charging Regulations in relation to the most vulnerable in society, including children and migrant pregnant women and new mothers. This includes ensuring the evidence base is sufficient and up to date where necessary and consideration of relevant legal duties, such as the Public Sector Equality Duty.

The Department has no plans to suspend the Charging Regulations or to launch an independent review of their impact.

Regulations came into force on 29 January 2020 to add Novel coronavirus (2019-nCoV) (now known as COVID-19) to Schedule 1 of the National Health Service (Charges to Overseas Visitors) Regulations 2015. This means there can be no charge made to an overseas visitor for the diagnosis, or treatment, of COVID-19. Patients that are known to be undergoing testing and treatment for coronavirus only are not subject to Home Office status checks.

This information has been widely communicated to NHS staff and the public, including a message published on Public Health England’s Migrant Health Guide, which has been translated into 40 languages.

NHS England and NHS Improvement haveconducted a demand and capacity review of adult medium and low secure services to ensure they are in the right geographical location and delivering the right type of service in a timely way. This fed into the commitment to use National Health Service-led provider collaboratives to get appropriate, high quality secure care in place, which is being delivered as part of the implementation of the NHS Long Term Plan.

For high secure services, NHS England and NHS Improvement are in the early stages of a similar demand and capacity review as part of strategic commissioning work. This has been delayed due to the COVID-19 restrictions but is expected to inform the workplan for the 2021-26 high secure demand and capacity plan.

NHS England and NHS Improvement are working with stakeholders to explore and model what impact COVID-19 might have on future demand and capacity in the adult secure estate.

Offenders should have access to the same range and quality of healthcare services as people in the community.

Responsibility for the provision of health services in prisons sits with NHS England and NHS Improvement, which will no doubt want to take the findings of this report and any possible implications for the delivery of prison health services into account.

No assessment is necessary as secondary care services are not provided by primary care staff in prisons.

Primary care staff facilitate the use of remote/digital services to support consultations carried out by secondary care staff where people in prisons have not travelled to out-patient settings.

Data on mental health transfers in prisons is only held at an aggregated level and it is not possible to determine median and percentile figures as this would require patient-level information.

Within adult prisons, 285 out of 979 (29.1%) transfers of a prisoner to a secure hospital for treatment under the Mental Health Act 1983 in 2019 occurred within 14 days.

Data on mental health transfers in prisons is only held at an aggregated level and it is not possible to determine median and percentile figures as this would require patient-level information.

Within adult prisons, 285 out of 979 (29.1%) transfers of a prisoner to a secure hospital for treatment under the Mental Health Act 1983 in 2019 occurred within 14 days.

We have made no such assessments. Primary care teams in prisons are working with their counterparts in secondary care to ensure people in prisons are able to access the care they need during the COVID-19 pandemic, including through telemedicine where appropriate.

As COVID-19 is a new disease, there is no high quality evidence to guide clinical management in protecting patients with the disease from the increased risk of thromboembolism. NHS England and NHS Improvement are urging clinicians to support research which may evaluate methods to prevent or reduce harm from thromboembolism in the context of COVID-19.

NHS England and NHS Improvement are not planning to publish clinical guidance it commissioned in relation to venous thromboembolism in patients with COVID-19. NHS England and NHS Improvement are engaging with other organisations and professional bodies and looking to them to publish the guidance as soon as possible.

As COVID-19 is a new disease, there is no high quality evidence to guide clinical management in protecting patients with the disease from the increased risk of thromboembolism. NHS England and NHS Improvement are urging clinicians to support research which may evaluate methods to prevent or reduce harm from thromboembolism in the context of COVID-19.

NHS England and NHS Improvement are not planning to publish clinical guidance it commissioned in relation to venous thromboembolism in patients with COVID-19. NHS England and NHS Improvement are engaging with other organisations and professional bodies and looking to them to publish the guidance as soon as possible.

The Government launched its new NHS Test and Trace service on 28 May 2020. This includes enhanced contact tracing.

Public Health England’s local health protection teams and local authority public health teams are an integral part of the contact tracing system. They will be supported by around 25,000 additional contact tracers, a mix of call handlers and health professionals. Health professional applicants who meet the essential criteria for the role will be considered. The post is not band specific.

The Department does not hold this information.

Since 25 February the Government has delivered over 2 billion items of personal protective equipment (PPE) across the health and social care system within England, plus tens of millions more will have been distributed by the devolved administrations. This PPE is for frontline staff at care homes, home care providers and hospices as well as to hospitals, ambulance trusts, general practitioner practices and pharmacists.

Over 143 million items of PPE have been made available to social care providers through wholesalers. In addition to this, to date we have authorised the release of over 139 million items of PPE to local resilience forums.

The information is not available in the format requested. Since the start of the pandemic, nearly 125,000 workers in care settings and over 118,000 care home residents have been tested through Departmental and Public Health England testing routes.

The Department does not hold this information.

The Department does not hold this information.

The Department does not hold this information.

The data is not held in the format requested. Since the start of the pandemic, over 198,000 workers in care settings and over 177,000 care home residents have been tested through Departmental and Public Health England testing routes.

Data on the number of relatives of care home employees that were tested on the basis of being a relative of a care home employee is not currently available or published in the format requested.

Data on the number of relatives of care home residents that were tested on the basis of being a relative of a care home resident is not currently available or published in the format requested.

The information is not available in the required format.

The information is not available in the required format.

Healthcare services for prisons in England are commissioned by NHS England and NHS Improvement.

As of 18 May 2020, no sites were reporting staffing issues that would impact on their ability to manage their patients’ care.

The Government receives a daily report on the number of COVID-19 home kits dispatched. This single, reliable figure is the only one used for external statistical processes. Home kits returned to the laboratories are uniquely identifiable and therefore not counted in the daily statistics for the number of COVID-19 tests processed.

The Government supports the right of staff working in the National Health Service to speak up and raise concerns. Speaking up is vital for ensuring patient safety and improving the quality of services and should be a routine part of business in the NHS.

The Government has proactively encouraged NHS staff to raise concerns over recent years, and provided support by establishing an independent National Guardian to help drive positive cultural change across the NHS so that speaking up becomes business as usual.

NHS staff remain free to speak in a personal capacity about their work.

The Government supports the right of staff working in the National Health Service to speak up and raise concerns. Speaking up is vital for ensuring patient safety and improving the quality of services and should be a routine part of business in the NHS.

The Government has proactively encouraged NHS staff to raise concerns over recent years, and provided support by establishing an independent National Guardian to help drive positive cultural change across the NHS so that speaking up becomes business as usual.

NHS staff remain free to speak in a personal capacity about their work.

The Chancellor created a £5 billion contingency fund to ensure National Health Service and public services have the resources they need, including personal protective equipment and has been clear that the NHS will get whatever funding it needs to respond to the COVID-19.

The Department for Business, Energy and Industrial Strategy is looking for organisations who can support in the supply of ventilators and ventilator components across the United Kingdom as part of the Government’s response to COVID-19.

The Chancellor created a £5 billion contingency fund to ensure National Health Service and public services have the resources they need, including personal protective equipment and has been clear that the NHS will get whatever funding it needs to respond to the COVID-19.

The Department for Business, Energy and Industrial Strategy is looking for organisations who can support in the supply of ventilators and ventilator components across the United Kingdom as part of the Government’s response to COVID-19.

The Department has well-established procedures to deal with supply problems affecting all medical products and supplies, including medicines, medical devices and personal protective equipment regardless of the cause, and work closely with industry, the National Health Service and others in the supply chain to help prevent shortages and to ensure that the risks to patients are minimised.

A product supply response group has been set up to manage supply of products and to support any response to shortages required for the COVID-19 outbreak. The group is also considering the potential mid to long-term impacts of the outbreak globally. The Department is communicating with all stakeholders, including Royal Colleges, charities, patient groups, the NHS, the adult social care sector, and the devolved nations, and will continue to keep these stakeholders updated as the situation progresses.

Personal protective equipment has been issued to general practices since 9 March the packs include facemasks, aprons and gloves.

The Department has well-established procedures to deal with supply problems affecting all medical products and supplies, including medicines, medical devices and personal protective equipment regardless of the cause, and work closely with industry, the National Health Service and others in the supply chain to help prevent shortages and to ensure that the risks to patients are minimised.

A product supply response group has been set up to manage supply of products and to support any response to shortages required for the COVID-19 outbreak. The group is also considering the potential mid to long-term impacts of the outbreak globally. The Department is communicating with all stakeholders, including Royal Colleges, charities, patient groups, the NHS, the adult social care sector, and the devolved nations, and will continue to keep these stakeholders updated as the situation progresses.

Personal protective equipment has been issued to general practices since 9 March the packs include facemasks, aprons and gloves.

The Department and NHS England and NHS Improvement have worked with the independent sector to increase capacity and resource within the National Health Service, adding around 8000 beds and 20,000 clinical staff. This will ensure that more facilities are available for patients diagnosed with COVID-19.

The Department and NHS England and NHS Improvement have worked with the independent sector to increase capacity and resource within the National Health Service, adding around 8000 beds and 20,000 clinical staff. This will ensure that more facilities are available for patients diagnosed with COVID-19.

NHS England has an operating Framework for Managing the Response to Pandemic Influenza. It sets out the roles, responsibilities and functions of NHS England in preparing for and responding to an influenza pandemic. It is intended to complement and support existing plans, policies and arrangements. More information can be found at the following link:

https://www.england.nhs.uk/wp-content/uploads/2017/12/nhs-england-pandmic-influenza-operating-framework-v2.pdf

Extensive advice and guidance on COVID-19 has already been produced by Public Health England (PHE), the National Health Service and others, some of which will be of direct relevance to people who misuse drugs and alcohol, and those in specialist treatment for drug or alcohol misuse and dependence. Additional targeted information is being provided in specific settings, including prisons and approved premises. These populations may have particular vulnerabilities and needs that are considered within this guidance, alongside other populations. PHE cascaded this information directly to local authority commissioners on 14 February 2020. The Government will continue to carefully monitor whether further resources need to be made available to protect this vulnerable cohort.

NHS England has an operating Framework for Managing the Response to Pandemic Influenza. It sets out the roles, responsibilities and functions of NHS England in preparing for and responding to an influenza pandemic. It is intended to complement and support existing plans, policies and arrangements. More information can be found at the following link:

https://www.england.nhs.uk/wp-content/uploads/2017/12/nhs-england-pandmic-influenza-operating-framework-v2.pdf

Extensive advice and guidance on COVID-19 has already been produced by Public Health England (PHE), the National Health Service and others, some of which will be of direct relevance to people who misuse drugs and alcohol, and those in specialist treatment for drug or alcohol misuse and dependence. Additional targeted information is being provided in specific settings, including prisons and approved premises. These populations may have particular vulnerabilities and needs that are considered within this guidance, alongside other populations. PHE cascaded this information directly to local authority commissioners on 14 February 2020. The Government will continue to carefully monitor whether further resources need to be made available to protect this vulnerable cohort.

The London Ambulance Service remains committed to working with patient representative groups and the wider public, to further improve the care it delivers for Londoners.

I will meet with the Ambulance Trust and the Patients’ Forum to discuss the continuation of their partnership.

As part of the NHS Long Term Plan we have committed at least a further £2.3 billion a year to mental health services by 2023/24 meaning that spend on mental health will be growing faster than the overall National Health Service budget.

Based on core weighted population, an indicative allocation of £163.7m in clinical commissioning group (CCG) baseline investment and indicative allocation of £271.3 million in transformation funding will be made to North East London Sustainability and Transformation Partnership between 2019/20 to 2023/24, with Newham CCG modelled as receiving around 17.5% of this funding.

The Mental Health Investment Standard requires CCGs to increase the amount spent on mental health by at least as much as their overall budget increases. For the first time, in 2018/19 all CCGs met this level of investment.

Outpatient Hysteroscopy is an important topic, and we are open to discussing it at a future meeting of the Women’s Health Taskforce. It is not currently on the agenda for the next Women’s Health Taskforce meeting.

NHS England and NHS Improvement are responsible for the design of the National Tariff. Any changes to tariff are made following significant engagement with stakeholders throughout the sector. The final changes are consulted on alongside an assessment of the potential impact to providers and patients.

The current statutory consultation on the 2020/21 tariff is open until midnight on Wednesday 22 January. The document considers changes to outpatient tariffs to support the delivery of the Long Term Plan, including outpatient transformation.

Hysteroscopy is covered by the outpatient procedures best practice tariff (BPT). The aim of the BPT is to encourage procedures in an outpatient setting, where clinically appropriate. Outpatient procedures provide the patient with a quicker recovery, as well as allowing them to recuperate at home and get back to work and daily life sooner. The National Health Service in England does not collect data on the incidence of severe pain during hysteroscopy or women discouraged from taking up diagnostic hysteroscopy as a result of fear of severe pain due to the procedure.

NHS England and NHS Improvement are responsible for the design of the National Tariff. Any changes to tariff are made following significant engagement with stakeholders throughout the sector. The final changes are consulted on alongside an assessment of the potential impact to providers and patients.

The current statutory consultation on the 2020/21 tariff is open until midnight on Wednesday 22 January. The document considers changes to outpatient tariffs to support the delivery of the Long Term Plan, including outpatient transformation.

Hysteroscopy is covered by the outpatient procedures best practice tariff (BPT). The aim of the BPT is to encourage procedures in an outpatient setting, where clinically appropriate. Outpatient procedures provide the patient with a quicker recovery, as well as allowing them to recuperate at home and get back to work and daily life sooner. The National Health Service in England does not collect data on the incidence of severe pain during hysteroscopy or women discouraged from taking up diagnostic hysteroscopy as a result of fear of severe pain due to the procedure.

Communication plays a central role in instilling vaccine confidence. The Africa Vaccine Confidence Campaign is producing social media content to tackle vaccine hesitancy. The total amount allocated to the Campaign is £8,500.

The Africa Vaccine Confidence Campaign is only part of the UK's work to address vaccine hesitancy. The UK-convened G7 Global Vaccines Confidence Campaign is sharing best practice in increasing vaccine confidence and establishing partnerships across G7 and non-G7 countries and with key academic institutions. It is also creating a platform through which relevant data, insight and effective strategies are shared with non-G7 partners. To help countries tackle the Omicron COVID-19 variant, we are also providing an additional £20 million to our existing work with Unilever to promote vaccine uptake alongside messaging to reduce COVID-19 transmission such as handwashing.

The UK supports the principles of transboundary water management, however it is a matter for the Nile River Riparian States to agree on fair and equitable use of Nile Waters.

The UK has supported over 3,400 individuals to leave Afghanistan since the end of Op Pitting, this includes over 1,200 British nationals and eligible Dependents. The forms of support for these 3,400 individuals has been varied and on a case-by-case basis.

The UK is deeply concerned by the appalling devastation caused by the volcanic eruption and tsunami in Tonga. While full details of the humanitarian impact are still unknown, it is estimated that up to 80,000 people will have been affected. Her Majesty's Government has been working with partners on options for support, helping to ensure a coordinated regional response.

On Friday 21 January, the UK sent supplies to support the humanitarian and disaster relief effort on Australia's HMAS Adelaide. 17 pallets are on board, including 90 family tents, 8 community tents and wheel barrows. All of these items were requested by the Tongan government.

In addition, HMS Spey has now set sail for Tonga, loaded with additional items including fresh water and medical supplies.

The UK is also funding the deployment of crisis experts through the United Nations. They will support the Tongan authorities to coordinate the international response.

The UK-funded International Federation of Red Cross and Red Crescent Societies' Disaster Relief Emergency Fund (DREF) has also released £345,000 to support Tonga. The UK has committed a £6 million contribution to the DREF through an annual £1.5 million donation 2020-2023.

The UK and Kenya are close partners in the fight against global terrorism, and strengthening our counterterrorism cooperation is a priority under the UK-Kenya Strategic Partnership. To tackle the threat posed by Al Shabaab, the UK Government provides the Kenyan authorities with a range of support to develop their counter terrorism capabilities. This includes partnering in the development of counter-IED (Improvised Explosive Device) capability with a regional Centre of Excellence based in Nairobi that benefits the whole region.

Since 2011, the UK has played a leading role in supporting refugees fleeing fighting and drought. This has included significant investments in drought mitigation and famine prevention initiatives which range from building capacities of governments and institutions to supporting early warning systems, adaptation and resilience efforts. UK support is making a difference on the ground. I [Minister Ford] have just announced £17 million of UK emergency humanitarian support via the Crisis Reserve to address drought and food insecurity needs in Somalia (£8 million), Ethiopia (£5 million), South Sudan (£3 million) and Kenya (£1 million).

In October 2021, the UN Organisation Stabilisation Mission in the Democratic Republic of the Congo (MONUSCO) dispatched a standing combat deployment to set up a temporary operational base in Bibokoboko. Its purpose was to assist in the safe and secure return of people displaced as a result of clashes between rival armed groups in Bibokoboko. MONUSCO have since facilitated the deployment of Congolese national security forces to the area. They are therefore shutting the base, which was always intended to be a short term deployment. As a result, we would not anticipate MONUSCO reopening the base unless the situation changed. The UK supports the work carried out by MONUSCO, to protect civilians, humanitarian personnel, and human rights defenders under imminent threat of physical violence, and to support the Government of the Democratic Republic of the Congo (DRC) in its stabilization and peace consolidation efforts.

We continue to monitor and discuss the cases of Dr Abduljalil al-Singace, and Hassan Mushaima, with the Bahraini Government as well as with the independent oversight bodies. We encourage those with concerns to raise them directly with the relevant oversight bodies.

We continue to monitor and discuss the cases of Dr Abduljalil al-Singace, and Hassan Mushaima, with the Bahraini Government as well as with the independent oversight bodies. We encourage those with concerns to raise them directly with the relevant oversight bodies.

The UK's Integrated Review sets out the UK Government's approach to fighting corruption and illicit finance as threats to democratic values and open societies around the world. We are fully committed to driving forward this commitment in South Africa and across the African continent, including through our law enforcement agencies. In South Africa, President Ramaphosa has identified the fight against corruption as one of his top priorities; we are working in close partnership with his government on this agenda. As an example of our commitment to tackling corruption in South Africa, in May 2021 under the UK Global Anti-Corruption Sanctions regime, the UK imposed sanctions against Ajay Gupta, Atul Gupta, Rajesh Gupta and Salim Essa for their roles in serious corruption. As a long-standing friend of South Africa, the UK will continue to engage the South African authorities, business and civil society on a shared agenda of security, economic and social issues including in light of the conclusions of the Zondo Report. We will, of course, also consider carefully any implications for UK public procurement.

Conflict, climate change and now Covid-19 have caused food insecurity and acute hunger to reach record levels. Agriculture investment has plummeted, and recovery is not yet visible. Food prices have risen above a 10-year high. The poor are highly vulnerable to food price inflation, and within that are women who are traditionally land poor and more dependent on the informal economy or in poorly paid, precarious jobs.

The UK provides humanitarian aid but also invests in building resilience to crises and supporting sustainable recovery. We provided assistance to 40 countries to help adapting social protection in response to COVID-19, integrating gender equality and social inclusion to support women and girls and other groups disproportionately impacted by the crisis.

The FCDO also adapted ongoing programmes, preventing countries from deteriorating into full-blown emergency and influenced partners, including to promote women's economic empowerment. For example:

• FCDO's CASA programme works to improve food security by attracting investment into the agri-food sector and helping to keep food supply chains flowing. Women account for nearly half of the farmers reached.
• The multilateral GAFSP has adapted its commitments to mitigating COVID-19 impacts and build resilience for the most vulnerable. In 2021 the total share of women reached has increased to 38%, while 54% of the full-time equivalent jobs created has gone to women.

We are concerned that the Ugandan novelist, Kakwenza Rukirabashija, following a series of tweets, was detained at his home on 28 December 2021 and then held without charge for 14 days at an unknown facility. Using legislation, such as the Computer Misuse Act, to stifle freedom of expression is very worrying. We welcome the decisions of the Chief Magistrate's Court and the High Court in relation to Rukirabashija's release and habeas corpus. We note, however, that Rukirabashija was subsequently charged and placed on remand.

We urge the Government of Uganda to ensure that the rule of law is upheld as a vital component of democracy. Rukirabashija must be afforded all of his rights under the Constitution of Uganda, including access to legal representation. I (Minister for Africa) expressed the importance of upholding human rights with the President of Uganda during my visit to Uganda on 19 January 2022. Our High Commission in Kampala issued a tweet on 7 January publicly stating our concern over Rukirabashija's continued detention. The High Commission has also set out our concerns over his detention with the Government of Uganda, Uganda's human rights institutions and the security services. We have urged all to ensure that Uganda honours its constitutional commitments and international human rights law.

The current Houthi offensive in Marib is worsening the humanitarian crisis and increasing levels of need. Humanitarian agencies have recorded over 60,000 displaced in Marib since September 2021 and a total of more than 200,000 have been displaced around Marib since January 2020. Our partners the International Committee of the Red Cross (ICRC), United Nations Children's Fund (UNICEF) and World Food Programme (WFP) are currently responding in Marib. We are also working with the UN to ensure adequate presence on the ground and updated contingency planning for all potential scenarios. In 2021, the UK contributed £63.5 million to the UN Central Emergency Response Fund (CERF), which has provided $40 million to UN agencies for Marib. This is in addition to £87 million in aid that the UK is spending in Yemen for this financial year.

A negotiated political settlement is the only way to bring long-term stability to Yemen. On 10 January, I [Minister Cleverly] hosted UN Special Envoy for Yemen, Hans Grundberg, in London and reiterated UK support for UN led peace efforts to drive forward the political process in Yemen. We urge the parties to engage constructively in negotiations to end the conflict and alleviate the dire humanitarian crisis.

We note that Abdifatah Mohamoud Abdi, Khadar Farah Rikaah, Hamze Abdi Ahmed and Mukhtaar Hersi Waal were released on 3 January without any charges. The UK engages with the Somaliland Government on an ongoing basis, including with regular meetings between the UK Ambassador to Somalia and President Muse Bihi Abdi, most recently on 18 December 2021. This meeting did not involve specific discussion of the four cases; however, our regular engagement covers a broad range of issues, including discussion of our shared interests in upholding human rights in Somaliland - of which freedom of expression and freedom from arbitrary arrest or detention are important elements.

We are concerned by deteriorating security in North West Nigeria. Intercommunal violence and attacks by criminal groups are having a devastating impact on communities in this region, as well as in the Maradi region of Niger. I discussed insecurity in Nigeria with Foreign Minister Onyeama in a bilateral meeting in November and I will hold further such discussions with the Nigerian Government during the upcoming Security and Defence Dialogue.

We condemn the recent attacks in Zamfara State in North West Nigeria. On 10 January, I publicly expressed my concern about these horrific attacks and reiterated our commitment to working with the Government of Nigeria to support sustainable peace and security. We are working with our Nigerian partners to monitor the situation. In 2020 we supported more than 15,000 displaced people in Kaduna State, North West Nigeria, with cash grants to address food security as well as water and sanitation needs. Furthermore, we are supporting local peace-building efforts, including through our work with the Nigeria Governors' Forum. The UK Government is also supporting the International Organisation for Migration's work with the Governments of Niger and Nigeria to improve border management.

We are concerned by deteriorating security in North West Nigeria. Intercommunal violence and attacks by criminal groups are having a devastating impact on communities in this region, as well as in the Maradi region of Niger. I discussed insecurity in Nigeria with Foreign Minister Onyeama in a bilateral meeting in November and I will hold further such discussions with the Nigerian Government during the upcoming Security and Defence Dialogue.

We condemn the recent attacks in Zamfara State in North West Nigeria. On 10 January, I publicly expressed my concern about these horrific attacks and reiterated our commitment to working with the Government of Nigeria to support sustainable peace and security. We are working with our Nigerian partners to monitor the situation. In 2020 we supported more than 15,000 displaced people in Kaduna State, North West Nigeria, with cash grants to address food security as well as water and sanitation needs. Furthermore, we are supporting local peace-building efforts, including through our work with the Nigeria Governors' Forum. The UK Government is also supporting the International Organisation for Migration's work with the Governments of Niger and Nigeria to improve border management.

The global Integrated food security Phase Classification (IPC) estimates there will be over 223 million people living in crisis or worse levels of acute food insecurity by the middle of 2022. This is up from 164 million at the end of 2020. Conflict is the primary cause of this increase in need, but it is being exacerbated by climate change and the socio-economic impacts of the COVID-19 pandemic, as well as global food price rises, compromising people's access to nutritious food. Our recently launched approach paper to Ending Preventable Deaths includes strengthening and transforming food systems to make safe and nutritious food accessible.

The UK's humanitarian response helps address the rising need in the short term. In 2021, the UK brokered the first-ever G7 Famine Prevention and Humanitarian Crises Compact to tackle this challenge, securing £5 billion in humanitarian assistance and resilience strengthening, helping to address people's immediate food insecurity in the 42 countries one-step from famine. FCDO have committed additional funding to deteriorating food crises since, including £50 million for Afghanistan and £76 million for Ethiopia, helping to tackle food insecurity and malnutrition.

The UK is very concerned by the increase in conflict in the Horn of Africa and the unprecedented range and severity of humanitarian crises in the region - where drought and flooding, alongside ongoing conflict and issues of access, are putting tens of millions of people at risk. We hope that greater international interest will result in increased support for international efforts to deescalate and resolve conflicts, and address the substantial humanitarian needs. The UK Special Envoy for the Red Sea and Horn of Africa has been working with international partners to help coordinate international efforts. We welcome China's recent calls for a peaceful resolution to the conflict in Ethiopia at the United Nations Security Council. We look forward to China naming its new Envoy and discussing with them how we can work together to address these most pressing concerns.

We note that the Economic Community of West African States (ECOWAS) has imposed a range of measures against Mali, following the Malian transitional authorities request to delay elections by up to five years. These measures include regional border closures and a suspension of non-essential commercial transactions, as announced at the ECOWAS Summit on 9 January. The UK has consistently called for elections and a return to constitutional rule in line with the conditions set out by ECOWAS. I made this clear in my statement on 29 September 2021, and the UK Government again reiterated its position in the joint statement with international partners on 23 December 2021.

We stand behind ECOWAS mediation efforts and continue to call on the Malian transitional authorities to prepare for elections without delay so that constitutional order can be restored as soon as possible. We are monitoring the situation closely, including risks to UK nationals and troops. We remain committed to providing support to those most in need in Mali. We are in touch with partners, including agencies on the ground, to assess potential unintended consequences for humanitarian needs and the ability of our humanitarian partners to respond.

We note that the Economic Community of West African States (ECOWAS) has imposed a range of measures against Mali, following the Malian transitional authorities request to delay elections by up to five years. These measures include regional border closures and a suspension of non-essential commercial transactions, as announced at the ECOWAS Summit on 9 January. The UK has consistently called for elections and a return to constitutional rule in line with the conditions set out by ECOWAS. I made this clear in my statement on 29 September 2021, and the UK Government again reiterated its position in the joint statement with international partners on 23 December 2021.

We stand behind ECOWAS mediation efforts and continue to call on the Malian transitional authorities to prepare for elections without delay so that constitutional order can be restored as soon as possible. We are monitoring the situation closely, including risks to UK nationals and troops. We remain committed to providing support to those most in need in Mali. We are in touch with partners, including agencies on the ground, to assess potential unintended consequences for humanitarian needs and the ability of our humanitarian partners to respond.

The seismic impact of the COVID-19 pandemic on the UK economy forced tough but necessary decisions, including exiting from Neglected Tropical Diseases (NTDs) implementation programmes. The UK has made a significant contribution to global efforts to protect hundreds of millions of people from NTDs. Our programmes have delivered NTD treatments and strengthened health systems to deliver these services in future.

The latest target for the total number of treatments to be delivered by the ASCEND (Accelerating the Sustainable Control and Elimination of NTDs) programme between 2019 and 2022 was 600 million. Hundreds of millions of treatments have been distributed to date under the programme. The full results and spend of the programme will be published by March 2022.

FCDO research has helped deliver innovative technologies such as new diagnostics and treatments for NTDs, for example the first rapid diagnostic test as well as the first ever oral only drug to treat all stages of sleeping sickness. We currently fund the Coalition for Operational Research on NTDs and the Drugs for Neglected Diseases initiative.

Global health remains a priority for UK Official Development Assistance. We will invest in health systems strengthening through our support for the World Health Organisation (WHO), multi-country global funds and bilateral support for health programmes within countries, including those affected by NTDs. The UK fully endorses the WHO's 2030 NTDs Road map and its focus on sustainability and delivery through health systems.

The seismic impact of the COVID-19 pandemic on the UK economy forced tough but necessary decisions, including exiting from Neglected Tropical Diseases (NTDs) implementation programmes. The UK has made a significant contribution to global efforts to protect hundreds of millions of people from NTDs. Our programmes have delivered NTD treatments and strengthened health systems to deliver these services in future.

The latest target for the total number of treatments to be delivered by the ASCEND (Accelerating the Sustainable Control and Elimination of NTDs) programme between 2019 and 2022 was 600 million. Hundreds of millions of treatments have been distributed to date under the programme. The full results and spend of the programme will be published by March 2022.

FCDO research has helped deliver innovative technologies such as new diagnostics and treatments for NTDs, for example the first rapid diagnostic test as well as the first ever oral only drug to treat all stages of sleeping sickness. We currently fund the Coalition for Operational Research on NTDs and the Drugs for Neglected Diseases initiative.

Global health remains a priority for UK Official Development Assistance. We will invest in health systems strengthening through our support for the World Health Organisation (WHO), multi-country global funds and bilateral support for health programmes within countries, including those affected by NTDs. The UK fully endorses the WHO's 2030 NTDs Road map and its focus on sustainability and delivery through health systems.

The seismic impact of the COVID-19 pandemic on the UK economy forced tough but necessary decisions, including exiting from Neglected Tropical Diseases (NTDs) implementation programmes. The UK has made a significant contribution to global efforts to protect hundreds of millions of people from NTDs. Our programmes have delivered NTD treatments and strengthened health systems to deliver these services in future.

The latest target for the total number of treatments to be delivered by the ASCEND (Accelerating the Sustainable Control and Elimination of NTDs) programme between 2019 and 2022 was 600 million. Hundreds of millions of treatments have been distributed to date under the programme. The full results and spend of the programme will be published by March 2022.

FCDO research has helped deliver innovative technologies such as new diagnostics and treatments for NTDs, for example the first rapid diagnostic test as well as the first ever oral only drug to treat all stages of sleeping sickness. We currently fund the Coalition for Operational Research on NTDs and the Drugs for Neglected Diseases initiative.

Global health remains a priority for UK Official Development Assistance. We will invest in health systems strengthening through our support for the World Health Organisation (WHO), multi-country global funds and bilateral support for health programmes within countries, including those affected by NTDs. The UK fully endorses the WHO's 2030 NTDs Road map and its focus on sustainability and delivery through health systems.

The seismic impact of the COVID-19 pandemic on the UK economy forced tough but necessary decisions, including exiting from Neglected Tropical Diseases (NTDs) implementation programmes. The UK has made a significant contribution to global efforts to protect hundreds of millions of people from NTDs. Our programmes have delivered NTD treatments and strengthened health systems to deliver these services in future.

The latest target for the total number of treatments to be delivered by the ASCEND (Accelerating the Sustainable Control and Elimination of NTDs) programme between 2019 and 2022 was 600 million. Hundreds of millions of treatments have been distributed to date under the programme. The full results and spend of the programme will be published by March 2022.

FCDO research has helped deliver innovative technologies such as new diagnostics and treatments for NTDs, for example the first rapid diagnostic test as well as the first ever oral only drug to treat all stages of sleeping sickness. We currently fund the Coalition for Operational Research on NTDs and the Drugs for Neglected Diseases initiative.

Global health remains a priority for UK Official Development Assistance. We will invest in health systems strengthening through our support for the World Health Organisation (WHO), multi-country global funds and bilateral support for health programmes within countries, including those affected by NTDs. The UK fully endorses the WHO's 2030 NTDs Road map and its focus on sustainability and delivery through health systems.

We support the temporary extension of the UN Security Council (UNSC) mandate for the African Union Mission in Somalia (AMISOM) until 31 March. As 'pen-holder', the UK has urged all stakeholders to use this three month rollover period to engage transparently and in good faith to reach consensus on the way ahead. It is essential that the UN and the African Union (AU) produce their joint proposal on the strategic objectives, size and composition of a reconfigured AU-led mission rapidly, and within necessary timelines, to ensure that there can be a mutually agreeable UNSC mandate that supports security transition in Somalia. In the coming months, the UK will participate in a range of bilateral and international meetings with the AU, UN, Federal Government of Somalia, Troop Contributing Countries, EU and others to encourage progress towards these goals.

The UK recognises that community demand and vaccine confidence are key factors influencing vaccine rollout. Through FCDO's Africa Vaccine Confidence Campaign, the UK is working with Wits University in South Africa and the Botswana Institute for Technology Research and Innovation to develop content which seeks to tackle vaccine hesitancy. The campaign has been used and amplified in the following countries: Botswana, Ghana, Uganda, Liberia, Madagascar, Mozambique, Nigeria, Senegal, South Africa, and Sudan.

In terms of funding, £7,000 has been spent on producing new high quality video content, for use by HMG Posts across Africa and partners to support traditional and social media activity that builds Covid-19 vaccine confidence. The campaign is ongoing so the total number of people reached cannot yet be quantified, but in November 2021 alone, 60,000 people across Sub-Saharan Africa engaged with (liked, shared or viewed) the campaign on social media. The Africa Vaccine Confidence Campaign is to run until the end of April 2022. The UK is also supporting wider efforts in vaccine delivery on the continent. For example, in South Africa we have contributed £1.8 million to the Covid-19 Solidarity Fund to support the roll out of Covid-19 vaccines and provided technical advice for vaccine deployment.

The UK is concerned about escalating violence in Burkina Faso, including the closure of more than 3000 schools as of December 2021 due to insecurity. The UK is the largest bilateral donor to Education Cannot Wait (ECW), a global fund to transform the delivery of education in emergencies. We have earmarked £30 million of our ECW funding between 2019-24 to the Sahel and surrounding countries, including Burkina Faso. This supports access to quality and safe education for children affected by crisis and conflict.

The National Assembly elections in Senegal in July will be the responsibility of the Government of Senegal, all political parties, and the Senegalese people. Peaceful, free and credible elections, in line with international law, are an opportunity to build long-term peace and stability in Senegal. Our Ambassador and Embassy in Dakar regularly engage with government and civil society groups to reinforce these messages.

The African Union (AU) provides important support to African nations' development, cooperation and democratic processes. The UK has pledged £35 million (2018 - 22) towards the African Union's objectives, including on peace and security and governance. The UK provides further support to the AU's Political Analysis Cell, which supports democratic processes, including free elections, and transitional justice in countries undergoing political transition. I underlined the importance of Senegal as a stable democracy which supports regional security and stability in West Africa, during my visit in November.

Upcoming general elections in August are the responsibility of the Government of Kenya, all political parties, and the Kenyan people. Peaceful, free and credible elections, in line with international law, are critical to maintaining long term stability in Kenya. The UK is playing an important role in the international community to encourage all parties to work towards this goal. We are engaging at senior levels to encourage all parties to participate responsibly, avoid the use of inflammatory language, and denounce violence and hate speech.

The UK is also working with media and civil society to help deliver effective and peaceful elections, including through support for short and long term election monitoring, and promoting peace and community security in priority regions of the country - with a focus on elections security and preventing election related violence against women. We also encourage the accurate coverage of sensitive issues through our work with media organisations and journalists. We continue to support the African Union's Department for Political Affairs, Peace and Security to deliver peaceful and credible elections across Africa, including in Kenya. This includes support to short and long-term observation missions, longer-term capacity building and specific areas of technical assistance through third parties.

We are aware of the recent influx of Cameroonian refugees into Chad and continue to monitor this. The UK is providing life-saving humanitarian support through the UN's Central Emergency Response Fund (CERF) for protection and basic needs.

We are concerned by instances of intercommunal violence in the Far North of Cameroon, and the impact this has on communities across the Lake Chad Basin. We urge all to engage in dialogue to de-escalate the situation, and ensure delivery of vital humanitarian assistance.

The UK is working with partners, through our Sahel Humanitarian Emergency Response Programme, to address the needs of those displaced in the Sahel. UK support includes responding to urgent food insecurity, responding to severe acute malnutrition, providing basic life-saving assistance to conflict affected people, as well as supporting safe access for humanitarian workers. Since 2019, we have supported 10.5 million people with life-saving assistance across the G5 Sahel countries (Burkina Faso, Chad, Mali, Niger, and Mauritania).

According to the Cadre Harmonise, which analyses current and projected food and nutrition situations across West Africa, over 8.1 million people in the Central Sahel are expected to face severe food insecurity during the 2022 lean season. This is a 25% increase compared to 2021. Across West Africa the Cadre Harmonise estimates that 35.8 million people are expected to face severe food insecurity during the 2022 lean season, a 23% increase compared to 2021.

The UK is a major humanitarian donor in the region and continues to support the humanitarian response in the Sahel and West Africa. We are working with partners to address urgent food insecurity, respond to severe acute malnutrition, and provide basic life-saving assistance to conflict-affected people. Examples of UK support include: contributing towards feeding 1.7 million people in Nigeria, providing 400,000 children and 84,000 pregnant and lactating women in Nigeria with nutrition support in 2021; providing life-saving assistance to 10.5 million people across the G5 Sahel since (Burkina Faso, Chad, Mali, Niger, and Mauritania) since 2019; and providing humanitarian assistance including nutrition services and health treatment for children in Cameroon.

The UK shares the concerns outlined by the UN Office for the Coordination of Humanitarian Affairs (OCHA) in their report on 3 January. We concur with OCHA's analysis that 6.4 million people in Oromia and Somali regions require food assistance due to drought conditions. Humanitarian agencies report alarming nutrition indicators among young children which in some locations in Somali region exceed internationally agreed emergency thresholds. In the financial year 2021/2022 the UK has provided almost £59 million to humanitarian agencies working throughout Ethiopia including Oromia and Somali regions.

The UK was saddened to see the devastation wrought by Typhoon Rai on the Philippines on 16 and 17 December. We offer our deepest sympathies to those who have been affected.

The UK has committed £1 million to the International Federation of Red Cross and Red Crescent Societies (IFRC) emergency appeal, launched on 18 December. This will go towards supporting the immediate and early recovery needs of affected people in areas including water, sanitation and hygiene; shelter; and protection of the most vulnerable.

The UK is also one of the top contributors to the UN Central Emergency Response Fund (CERF) which is contributing £9 million to the UN's Humanitarian Response Plan for Typhoon Odette. With CERF funding, UN agencies and partners are providing life-saving assistance in areas including health; protection; food assistance; and education to a total of 244,800 people. The IFRC are still considering what the longer-term support to those affected by the Typhoon is appropriate.

We know that women and girls are amongst the hardest hit by the indirect impacts of the COVID-19 pandemic. That is why the FCDO has been working with international partners to ensure the needs and priorities of women and girls are central to every aspect of our response.

This has included donating £10 million for the United Nations Population Fund's COVID-19 response and an additional £1 million to the UN Trust Fund to End Violence Against Women for the COVID-19 Crisis Response Window. This funding helped address reproductive health supply shortages caused by the pandemic, and scale up reporting, protection, and support services for women and girls affected by the surge in gender based violance (GBV). In addition, FCDO has supported over 40 countries to flex and adapt their social protection systems in response to COVID-19. This integrated a focus on gender equality and social inclusion to support women disproportionately impacted by the crisis. Social protection when well-designed can increase women's economic participation and reduce their unpaid care responsibilities, which have increased during the COVID crisis. The FCDO will continue to champion women and girls rights because that's the only way we will create a fairer, safer and more prosperous world.

We are concerned by the political situation in Somalia and have strongly urged Somalia's leaders to take immediate steps to de-escalate political tensions. It is vital for Somalia's stability that its leaders conclude the electoral process as soon as possible in a way that ensures the confidence of the Somali people.

In a statement on 26 December, I called for all parties to refrain from provocative actions that could exacerbate tensions or lead to violence. On 30 December, I spoke with Prime Minister Roble to underline the UK's support for an urgent National Consultative Council (NCC) meeting as the appropriate forum to resolve fundamental issues and address observed electoral shortcomings, and we welcome the commencement of an NCC meeting with Federal Member State (FMS) leaders on 3 January. The UK's Ambassador in Mogadishu continues to engage with all parties. With international partners, we continue efforts to support a swift and credible conclusion to the electoral process to aid long-term peace, security and stability in Somalia.

Sudan has been on a delicate path from oppressive autocratic rule to potential freedom and democracy following the August 2019 Constitutional Declaration, signed by the Sudanese military and the civilian Forces of Freedom and Change political movement. Despite progress on economic reforms and peace talks since then, fractures between different political actors, including relating to the role of the military in government, have led to a political crisis, including the military coup of 25 October 2021, significant protests against the military, and the resignation of Abdallah Hamdok as Prime Minister on 2 January.

Abdallah Hamdok has played a major role in leading Sudan's democratic and economic reforms. His resignation underscores the urgent need for all Sudanese political actors to re-commit to the country's democratic transition, to work together, and to deliver the civilian rule millions continue to call for. The Troika (UK, Norway, US) and EU issued a statement on 4 January urging the Sudanese military and other actors to engage in an immediate, Sudanese-led and internationally facilitated dialogue to secure a lasting solution to the political crisis. Since the coup, British Embassy staff in Khartoum, the UK Special Representative to Sudan and South Sudan and FCDO officials have engaged with all parties to encourage dialogue and demonstrate UK support for the democratic transition. With our international partners, we will continue to urge all parties to work on the basis of the 2019 Constitutional Declaration to overcome the political crisis and deliver the Sudanese people's demands for freedom, peace and justice.