Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking to prevent increased synthetic drug use.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is actively monitoring, and responding to, the continued threat posed by the growing levels of potent synthetic opioids in the United Kingdom. We are working to increase awareness of the dangers of synthetic opioids. The Government’s drug information and advice service, Talk to FRANK, aims to reduce drug misuse and its harms by increasing awareness among young people and parents. Information on synthetic opioids and the danger of their misuse is available at the following link:
https://www.talktofrank.com/drug/synthetic-opioids
Education on drug use is also a statutory component of relationships and sex education and health education in England. The Office for Health Improvement and Disparities and the Department for Education have commissioned lesson plans and other resources to support teachers in delivering quality drug prevention interventions. The lesson plans target primary and secondary students, teaching them how to manage influences and pressure, and keep themselves healthy and safe. These resources are being updated, and will have an increased emphasis on the risks of synthetic drugs.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make it her policy to require an independent second assessment prior to discharging a person from mental health services.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
On 26 January 2024, new statutory guidance was published for those being discharged from mental health inpatient settings. This sets out how health and care systems can work together effectively to support the discharge process from all mental health inpatient settings, and ensure the right support in the community. The guidance also includes best practice on how patients and carers should be involved in discharge planning. There are currently no plans to update this guidance covering the process for discharge.
The Mental Health Act Code of Practice provides statutory guidance on the care and treatment of patients detained under the Mental Health Act, including consideration of whether someone is ready to be discharged, and who should be involved in making this decision.
As part of its planning guidance, NHS England has asked all local systems to review their community mental health services to ensure that they have clear policies and practice in place for patients with serious mental illness, who require intensive community treatment and follow-up, but where engagement is a challenge. NHS England plans to provide national guidance by Autumn 2024, to support these reviews. NHS England will consider further steps as appropriate, following the completion of the reviews.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking to ensure that mental health discharge processes protect the (a) patient and (b) community.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
On 26 January 2024, new statutory guidance was published for those being discharged from mental health inpatient settings. This sets out how health and care systems can work together effectively to support the discharge process from all mental health inpatient settings, and ensure the right support in the community. The guidance also includes best practice on how patients and carers should be involved in discharge planning. There are currently no plans to update this guidance covering the process for discharge.
The Mental Health Act Code of Practice provides statutory guidance on the care and treatment of patients detained under the Mental Health Act, including consideration of whether someone is ready to be discharged, and who should be involved in making this decision.
As part of its planning guidance, NHS England has asked all local systems to review their community mental health services to ensure that they have clear policies and practice in place for patients with serious mental illness, who require intensive community treatment and follow-up, but where engagement is a challenge. NHS England plans to provide national guidance by Autumn 2024, to support these reviews. NHS England will consider further steps as appropriate, following the completion of the reviews.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an assessment of the potential impact of (a) an ageing population and (b) trends in the level of comorbidities on demand for rehabilitation services.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
Effective capacity and demand planning supports the provision of adequate rehabilitation packages. The 2023-2025 Better Care Fund Policy Framework requires local areas to agree and submit a plan showing:
- expected demand for intermediate care services, and other short-term care, to help people to remain independent at home;
- services to support this recovery, including rehabilitation and reablement;
- expected capacity in the health and wellbeing board area to meet this demand.
Appropriate capacity should be commissioned, within available budgets, for people with step-down intermediate care needs. This includes, but is not limited to, older people and those with comorbidities.
In addition, the Major Conditions Strategy outlines our approach in tackling six groups of major health conditions, by creating a health and care system that is faster, simpler, and fairer, focusing on prevention, proactive care and more person-centred care.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she is taking steps to ensure that family hubs provide advice on smoking and vaping harm reduction.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Smoking is the number one entirely preventable cause of ill-health, disability, and death in this country. It is responsible for 80,000 yearly deaths in the United Kingdom, and one in four of all UK cancer deaths. It costs our country £17 billion a year, £14 billion of which is through lost productivity alone. It puts a huge pressure on the National Health Service and social care, costing over £3 billion a year.
The Government is investing an additional £300 million to improve support for families, though the joint Department of Health and Social Care and Department for Education Family Hubs and Start for Life programme. The Family Hubs and Start for Life programme guide sets out minimum expectations that local authorities receiving programme funding should deliver by March 2025. With regards to smoking support, the programme guide sets out that staff in a family hub are expected to be trained in delivering Very Brief Advice on smoking to parents identified as smokers, and some family hubs may provide smoking cessation support on-site, for example through drop-ins.
Staff in family hubs know what stop smoking services (SSS) are provided locally, and connect families to these services. Smokers are three times as likely to succeed with SSS, when compared to an unsupported quit attempt. As announced in Stopping the start: our new plan to create a smokefree generation, published in October 2023, the Government is investing an additional £70 million per year, for five years, to support local authority led SSS, almost doubling current spend and supporting 360,000 people to set a quit date each year.
In addition, we are establishing a financial incentives scheme to help pregnant smokers and their partners to quit smoking, with smoking cessation support. This evidence-based intervention will encourage pregnant women to give up smoking, and remain smokefree throughout pregnancy and beyond, helping to improve the health and wellbeing of both mother and baby.
Whilst anyone smoking should focus on giving up cigarettes before giving up vaping, giving up vaping is an important step in overcoming nicotine dependence. We are working with the NHS Better Health website to provide advice for people who want to quit vaping. The National Centre for Smoking Cessation and Training has produced guidance for local SSS staff, on how best to support vapers to quit. We are also exploring further ways to support people to quit vaping, as part of the national Swap to Stop programme.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking with Cabinet colleagues to help tackle under-age alcohol use.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Guidance from England’s Chief Medical Officer for healthcare professionals is clear, an alcohol-free childhood is the healthiest and best option. The Department promotes this through online platforms such as the NHS.UK website, and the Talk to FRANK online resource. Local authorities promote these guidelines as part of their public health duties.
The Department for Education’s statutory guidance, Relationships education, relationships and sex education and health education, became mandatory in September 2020. Through this, education on drugs, alcohol, and tobacco became compulsory at state-funded primary and secondary schools, teaching children and young people how to manage influences and pressures, and keep themselves healthy and safe.
To deter individuals selling alcohol to a person aged under 18 years old, the maximum fine for the offence of persistently selling alcohol to children was increased from £10,000 to £20,000, under s 147A(8) of the 2003 Licensing Act.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will take steps to ensure that people experiencing acute or chronic side effects from taking gabapentin do not have to wait for a (a) referral and (b) assessment by mental health services.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
While we have no specific plans to do so, we are committed to expanding and transforming mental health services in England through the NHS Long Term Plan, so that more people, including those experiencing side effects from taking gabapentin, can get the mental health help and support that they need.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, what steps he is taking to reduce the number of children from single parent households that are in poverty.
Answered by Jo Churchill - Minister of State (Department for Work and Pensions)
Our focus is on supporting parents into work as we know that work substantially reduces the chances of poverty. The latest available statistics show that in 2022/23, children in workless lone parent families were nearly 3 times more likely to be in absolute low income after housing costs than children in working lone parent families.
We have consistently set out a sustainable, long-term approach to tackling child poverty based on evidence about the important role of work, particularly where it is full-time. Single parents are better off in work under Universal Credit due to a simple taper system (claimants can keep more of their earnings).
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department for Environment, Food and Rural Affairs:
To ask the Secretary of State for Environment, Food and Rural Affairs, if he will work with metro mayors on delivering the White Rose forest objectives.
Answered by Rebecca Pow - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)
The White Rose Forest is the community forest for North and West Yorkshire, working in partnership with local authorities, landowners, businesses and communities to increase woodland across the region and improve our natural environment. To deliver the objectives of our Community Forests and Woodland Creation Partnerships Defra works with a wide range of stakeholders in local government, the NGO sector and beyond.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department for Education:
To ask the Secretary of State for Education, with reference to the findings in the report by Action for Children in their report entitled Above and beyond, published on 25 April 2024 on the number of children that experience barriers to their education due to issues outside school, what steps her Department is taking to provide (a) early and (b) timely help to affected families.
Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)
This government recognises the importance of providing early and timely help for children to support them to achieve their full potential at school so that they can thrive in adulthood.
At the last spending review, the department announced over £1 billion toward programmes to improve early help services from birth to adulthood, including delivering on Family Hubs and helping families facing multiple disadvantage through the Supporting Families and Holiday Activities and Food programmes.
The department’s statutory guidance, titled ‘Working together to safeguard children’, which was updated in 2023, confirms the expectation that local areas should have a range of evidence-based services available to provide early support for children and families who need it.
In ‘Stable Homes, Built on Love’, the department announced plans to build on the strengths of early help services through the implementation of Family Help. In the Families First for Children Pathfinder, the department is investigating how multi-disciplinary family help teams can provide targeted support to help children and families overcome challenges at the earliest opportunity.
The department is spending more on children’s mental health services than ever before and working across government to ensure partnerships working across different sectors are delivering for children who need support.
The department is also continuing to roll out Mental Health Support Teams in education settings and supporting schools and colleges to train senior mental health leads, ensuring that as many young people as possible have access to the support they need.
Up to an additional £2.3 billion of additional funding a year since 2018/19 has been allocated to expand and transform mental health services. This is with the aim that 345,000 more children and young people will have been able to access NHS-funded mental health support by March 2024.
The department is making the ‘Working together to improve school attendance’ guidance statutory from September 2024. This sets out how schools, local authorities and other services need to work together to support pupils at risk of poor attendance and how support provided to these families is consistent across the country.
The department’s package of wide-ranging reforms designed to support schools to improve attendance means there were 440,000 fewer children persistently absent or not attending in 2022/23 compared to 2021/22.