Asked by: Nadia Whittome (Labour - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the implications for his policies of the recommendation in the report entitled A Workforce Strategy for Adult Social Care in England, published by Skills for Care's on 18 July 2024, that all social care workers should have dementia training aligned to the Dementia Training Standards Framework
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
National training, including the Department’s Care Workforce Pathway and new Level 2 Adult Care Certificate qualification, has been developed using current standards and competency frameworks to support people with dementia. This includes the Dementia Training Standards Framework.
As we develop a long-term plan for social care, those working in social care will be at the heart of our reforms. We will outline further plans for social care workforce reform in due course.
Asked by: Nadia Whittome (Labour - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of the exercise by the National Institute for Health and Care Excellence of its discretionary power to show flexibility in relation to its (a) Standard Technology Appraisal and (b) Highly Specialised Technologies programme routing decisions in circumstances where there is (i) uncertainty on the incidence and prevalence of the disease and (ii) high unmet clinical need to ensure fair and equitable access to innovative new treatments for patients living with rare diseases.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department has regular discussions with the National Institute for Health and Care Excellence (NICE) about a range of issues, including about the delivery of public commitments. The NICE will consult on proposed changes to its criteria for highly specialised technology appraisals in 2024/25.
We have made no assessment of the extent to which the NICE has demonstrated flexibility in making decisions on whether new medicines should be routed to its highly specialised technologies (HST) programme. Decisions on whether topics should be routed to the HST programme are taken independently of the Department by the NICE’s Prioritisation Board, in line with the routing criteria set out in the NICE’s published prioritisation framework, and through engagement with experts and other interested parties. The board’s decisions are published on the NICE’s website.
This Government is aware of the challenges facing those living with rare diseases, including access to specialist care, treatment, and medicines. The NICE is actively monitoring the impact of the changes that it made to its methods and processes in 2022 on the availability of medicines for rare diseases, and is planning to publish a report by the end of 2024.
Asked by: Nadia Whittome (Labour - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what discussions he has had with the National Institute for Health and Care Excellence on implementing the commitment in the England Rare Disease Action Plan 2024 to review the criteria for determining whether a medicine should be routed to its Highly Specialised Technologies programme.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department has regular discussions with the National Institute for Health and Care Excellence (NICE) about a range of issues, including about the delivery of public commitments. The NICE will consult on proposed changes to its criteria for highly specialised technology appraisals in 2024/25.
We have made no assessment of the extent to which the NICE has demonstrated flexibility in making decisions on whether new medicines should be routed to its highly specialised technologies (HST) programme. Decisions on whether topics should be routed to the HST programme are taken independently of the Department by the NICE’s Prioritisation Board, in line with the routing criteria set out in the NICE’s published prioritisation framework, and through engagement with experts and other interested parties. The board’s decisions are published on the NICE’s website.
This Government is aware of the challenges facing those living with rare diseases, including access to specialist care, treatment, and medicines. The NICE is actively monitoring the impact of the changes that it made to its methods and processes in 2022 on the availability of medicines for rare diseases, and is planning to publish a report by the end of 2024.
Asked by: Nadia Whittome (Labour - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential merits of increasing funding to increase capacity in children and young people's gender services.
Answered by Maria Caulfield
This year NHS England has more than doubled the level of financial investment into children and young people’s gender services compared to last year, and will make significant further investment this year and in subsequent years, as up to eight regional providers are established in line with the recommendations of the Cass Review.
NHS England has made significant progress on its overhaul of children’s gender identity services. NHS England closed the Tavistock Gender Clinic last month and opened two new, regional services operating under a fundamentally differing service model earlier this month. A third clinic is set to open in Bristol this autumn, and NHS England has committed to a further three services by 2026. These new services will increase service capacity and reduce waiting lists.
Asked by: Nadia Whittome (Labour - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what support her Department is providing to families of children with poor mental health.
Answered by Maria Caulfield
The Every Mind Matters website and the National Health Service website both contain helpful advice for parents and carers of a child or young person with poor mental health. This includes signposting to a number of voluntary organisations offering support and information.
Family members of children with poor mental health, who feel they themselves need psychological support, should speak to their general practitioner, or can self-refer to NHS Talking Therapies online. Details are available on the NHS website.
In addition, NHS England is developing a new waiting time measure for children and their families and carers to start receiving community-based mental health care within four weeks of referral. NHS England began publishing this new data in 2023, to improve transparency and drive local accountability.
Asked by: Nadia Whittome (Labour - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to protect children from unhealthy food and drink marketing.
Answered by Andrea Leadsom
The Government is committed to working with businesses to ensure that we create the conditions for a healthier nation, and we are implementing an ambitious programme of measures to tackle childhood obesity. On 1 October 2022, the Government introduced legislation to restrict the location of foods high in fat, salt, or sugar in shops and online.
On 1 October 2025, the volume price promotion restrictions will come into force, restricting volume price promotions such as three for two offers on less healthy products. The Government will simultaneously introduce a United Kingdom-wide 9:00pm television watershed for products high in fat, salt, or sugar, and a restriction of paid-for advertising of these products online, also on 1 October 2025. We continue to work with industry on the Food Data Transparency Partnership, to co-develop voluntary reporting requirements for food business to demonstrate the healthiness of their sales.
The Government, through its focus on prevention, is committed to improving the oral health of our young children through the Smile for Life programme, so that they have good habits by the time they start primary school.
Asked by: Nadia Whittome (Labour - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential impact of transitioning from CAMHS to adult mental health services on the support provided to young people.
Answered by Maria Caulfield
Under the NHS Long Term Plan, local health systems have been tasked with delivering a comprehensive offer for zero to 25 year-olds to ensure young adults receive appropriate mental health support, regardless of their age or diagnostic profile.
Between the ages of 16 to 18 years old, young people are more susceptible to mental illness, undergoing physiological change and making important transitions in their lives. The structure of the National Health Service’s mental health services often creates gaps for young people undergoing the transition from children and young people’s mental health services to appropriate support, including adult mental health services. The new approach to young adult mental health services for people aged 18 to 25 years old will better support the transition to adulthood.
Asked by: Nadia Whittome (Labour - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what support her Department is providing to children experiencing addiction issues.
Answered by Andrea Leadsom
Alcohol or drug dependence is rare in children and young people under the age of 18 years old, although they may be drinking problematically. Children may also experience second-hand harms of parental alcohol or drug dependence. The most effective and sustainable approach to reducing alcohol and drug harms in children is by giving them the best start in life, the best education possible, and keeping them safe, well, and happy.
Statutory guidance on relationships, sex, and health education requires all primary and secondary school pupils to be taught the key facts and risks of alcohol and drug use, as well as how to manage influences and pressure, and keep themselves healthy and safe. The Department has worked with the PSHE Association to develop the lesson plans on alcohol and is currently commissioning an update of the resources to be published later this year. Current resources are available at the following link:
https://pshe-association.org.uk/drugeducation
Through the cross-Government Drug Strategy, the Department has allocated £532 million of additional funding through to 2024/25, to support improvements in alcohol and drug treatment, including facilitating 5,000 more young people into age-appropriate treatment by 2024/25. Local authorities can also invest their allocation in options from a menu of interventions, some of which include strengthening the services available to children and families.
The Government also has an information and advice service called Talk to FRANK, which aims to reduce alcohol and drug use and its harms, by providing awareness to young people, parents, and concerned others. Further information is available at the following link:
Asked by: Nadia Whittome (Labour - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether additional funding will be provided to local Children and Adolescent Mental Health Services for ongoing support beyond initial assessment for young people who are currently on the waiting list for gender services.
Answered by Maria Caulfield
NHS England has committed £17.1 million to the two new hubs for children and young people’s gender services in 2024/25. Additional funding will be made available for children and young people’s gender services as new providers are established, from 2024/25. NHS England is also making additional investment in front line mental health services in 2024/25, to support an assessment of need for all children and young people who are on the waiting list for gender services, or who have recently been transferred to one of the new providers of these services following the closure of the Tavistock Clinic gender service in March 2024.
Mental health is a key priority for the Government and NHS England. We are committed to continuing to increase access to mental health support for children and young people, supported by an additional £70 million of Service Development Funding for children and young people’s mental health services.
Asked by: Nadia Whittome (Labour - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking to help support 17-year-olds on the waiting list for gender identity services who have had their appointments with adult services cancelled and are not eligible for young people’s services.
Answered by Maria Caulfield
NHS England has asked adult gender clinics to delay offering first appointments to young people until they have reached their 18th birthday, in response to the findings of the Cass Review, and advised that clinicians should exercise extreme caution before initiating medical interventions for young people below the age of 18 years old.
The number of individuals affected is likely to be very small, and Gender Dysphoria Clinics are commissioned to provide support to individuals while they are on the waiting list, for example through the use of outreach support staff. NHS England also announced that it is bringing forward its review of the adult service specifications.