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 ensure patients diagnosed with Parkinson's disease receive an appointment with a specialist within six weeks.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The National Institute for Health and Care Excellence’s (NICE) guidance, Parkinson’s disease: Diagnosis and management in primary and secondary care, updated in 2017, sets out best practice for clinicians in the identification and treatment of Parkinson’s disease in line with the latest available evidence. The guidance states that if Parkinson’s disease is suspected, people should be referred quickly and without treatment to a specialist with expertise in the differential diagnosis of this condition.

We expect integrated care boards (ICBs) and National Health Service trusts to have due regard to relevant NICE guidelines. It is the responsibility of ICBs to make available the appropriate provision to meet the health and care needs of their local population, in line with these NICE guidelines.

More generally, cutting waiting lists is one of the Prime Minister’s top priorities. We are making good progress on tackling the longest waits, to ensure patients get the care they need when they need it. Ambitions to eliminate long waits were set out in the elective recovery plan, with the overall aim of eliminating waits of over a year for elective care, by March 2025.

To facilitate this across elective services, we are increasing activity, with plans to spend more than £8 billion from 2022/23 to 2024/25. This includes expanding capacity through the creation of a new network of community diagnostic centres, and maximising all available independent sector capacity.

Question to the Department for Levelling Up, Housing & Communities:

To ask the Secretary of State for Levelling Up, Housing and Communities, if he will make an assessment of the potential impact of the cost of maintaining (a) city walls and (b) city walls that people can walk around on the availability of local authority funding for other services.

Answered by Simon Hoare - Parliamentary Under Secretary of State (Department for Levelling Up, Housing and Communities)

The cultural significance of York City Walls is recognised nationally through the designation of many sections as Listed Buildings or Scheduled Monuments, yet their maintenance remains the responsibility of their owners.

The final Local Government Finance Settlement for 2024-25 makes available up to £64.7 billion, an increase in Core Spending Power of up to £4.5 billion or 7.5% in cash terms on 2023-24. This is an above-inflation increase.

For York this represents an increase in Core Spending Power of up to £11.32 million or 7% – making available a total of up to £172.5 million in 2024-25.

The majority of the funding provided through the Local Government Finance Settlement is unringfenced and local authorities are able to spend the money as most appropriate for their local area, according to local priorities.

Question to the Department for Levelling Up, Housing & Communities:

To ask the Secretary of State for Levelling Up, Housing and Communities, what steps he is taking to increase potential opportunities for planting in National Planning Policy Framework street design.

Answered by Lee Rowley - Minister of State (Minister for Housing)

The National Planning Policy Framework makes clear that trees have an important role to play in the design of new development, not only to improve the character and quality of our urban environment but also to help address the challenges of climate change. The Framework therefore encourages that tree planting is incorporated in new developments, including as part of street design, and that their long-term maintenance is secured.

Question to the Ministry of Justice:

To ask the Secretary of State for Justice, whether he has made an assessment of the potential merits of moving children from youth offenders institutes into secure children homes.

Answered by Edward Argar - Minister of State (Ministry of Justice)

The youth secure estate currently has three distinct types of establishments: young offender institutions (YOIs), secure training centres and secure children’s homes (SCHs). We will also open a Secure School this spring, which is also a registered SCH. This enables the Youth Custody Service (YCS) to make placements that are best suited to the needs of the individual child or young person. SCHs accommodate boys and girls aged between 10 and 17 who have complex needs. These placements can be made by local authorities. In addition, children and young people who have been sentenced or remanded to custody may be placed by the YCS in eight of the 14 SCHs in England and Wales. A SCH can decline to accept a placement if it feels it is not able to meet the needs of the individual child, or if accepting the placement would inhibit its ability to meet the needs of other children already accommodated at the home.

The YCS Placement Team considers each child’s placement on a case-by-case basis. It reviews information provided by the child’s Youth Offending Team, looking at the child’s needs, as well as any possible risks to, or originating with the child. The team will also try to consider geographical location and proximity to home as part of their decision making, though other factors may take precedence in terms of decision making. This evidence, together with the child’s immediate presentation following the court appearance, is considered in order to identify a placement that will meet the best interests of the child.

Children and young people are likely to be more suited to one type of accommodation than another. For example, a SCH placement could be more suitable for children with a lower level of maturity, or with complex needs that require a higher level of support; a YOI placement might be considered appropriate where the young person has been observed to pose a risk towards peers and/or members of staff, or needs to access a specific programme or programmes provided at the YOI.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will make an assessment of the potential merits of bringing forward further policies to help reduce the (a) sugar, (b) fat and (c) salt content in diets.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Restrictions on the advertising and volume price promotions, such as buy-one-get-one free or three for £2 offers, for less healthy foods will come into force on 1 October 2025. The advertising legislation will lead to the introduction of a 9:00pm television watershed and restrict paid-for advertising of less healthy products online, United Kingdom wide.

Impact assessments already published for these measures show that the volume price promotions restrictions are expected to accrue health benefits of £2 billion, and National Health Service savings of £180 million over 25 years. The advertising restrictions are expected to deliver health benefits of £2 billion, and NHS savings of £50 million over the next 100 years.

Voluntary guidelines to reduce levels of sugar and salt in, and improve the labelling of, commercial baby food and drink aimed at those aged up to 36 months old, are currently being finalised and will be published in the spring.

Businesses are being given until the end of 2025 to deliver the sugar and calorie reduction targets through the voluntary reformulation programme. These targets were due to be delivered earlier than this, but businesses have been given additional time because of the impacts of the COVID-19 pandemic on the food system. The Government will continue to monitor this area, but will explore other levers if progress is not made. Through the sugar reduction workstream of the overarching reformulation programme, between 2015 and 2020 reductions in sugar levels were delivered in breakfast cereals, yogurts, and pre-packed flavoured milk based drinks of 14.9%, 13.5%, and 29.7%, respectively.

Discussions are also underway to establish a Food Data Transparency Partnership (FDTP). This is a multi-year partnership between the Government, industry, and civil society to improve access to, and the availability of, data to build consistent reporting requirements for businesses on key health and sustainability objectives.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether she has made an assessment of the potential merits of increasing the number of plasma donation points.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

NHS Blood and Transplant (NHSBT) are responsible for plasma collection in England. There are currently three plasma specific donation centres in Birmingham, Reading, and Twickenham. NHSBT will increase the number of plasma collection points over the coming years, and are currently assessing the optimum locations for this new capacity.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent assessment she has made of the implications for her policies of trends in the level of obesity; and what steps her Department is taking to help tackle obesity.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government is delivering a wide range of measures to reduce the numbers of both adults and children who are overweight, or living with obesity. To date this includes legislative measures to limit the advertising, and location and price promotion, of less healthy products, and to ensure calorie levels are provided on menus when eating out of the home. Impact assessments for the legislated measures suggest there will be substantial health benefits, as well as savings to the National Health Service, accrued.

We have seen important successes through the Soft Drinks Industry Levy (SDIL), which between 2015 and 2020 has seen sugar levels reduced by 46% in, and over 46,000 tonnes of sugar removed from, products in scope of the levy. Data from the National Diet and Nutrition Survey from 2019 shows that sugar intakes have fallen for some age groups. In older children and adolescents, this appears to be partly driven by soft drinks contributing less to sugar intakes, likely as a result of the changes made to drinks included in the SDIL. Further information from the survey is available at the following link:

https://www.gov.uk/government/statistics/ndns-results-from-years-9-to-11-2016-to-2017-and-2018-to-2019

A paper on the association of obesity in primary school children and the SDIL suggests that the reduction in the sugar content of soft drinks delivered by the SDIL could have prevented up to 5,000 cases of obesity in girls in the last year of primary school. Reductions were greatest in girls who attended schools in the 40% of the most deprived areas. Further information from the paper is available at the following link:

https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1004160

The voluntary reformulation programme requires businesses reduce levels of sugar, salt, and calories in everyday food and drink. Levels of sugar have reduced in breakfast cereals, yogurts, and pre-packed milk-based drinks by 15%, 13.5%, and 29.7% respectively, between 2015 and 2020. Levels of salt have reduced in some products by 20%.

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 taking steps to create a vape-free generation.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Smoking is the number one cause of ill-health, disability, and death, responsible for approximately 80,000 deaths a year in the United Kingdom, causing around one in four cancer deaths. It costs our country £17 billion a year, and puts a huge burden on the National Health Service. There is no more dangerous product that is legally sold in our shops than tobacco, a product that will kill two thirds of its users.

The health advice on vaping is clear, vaping can play a role in helping adult smokers to quit, but if you don’t smoke, don’t vape. Vaping should never be used by, or targeted at, children, especially given the highly addictive nature of nicotine.

This is why we have announced strong measures to reduce the appeal, availability, and affordability of vapes to children, whilst ensuring that vapes remain an available quit aid for adult smokers. We will also ban the sale and supply of disposable vapes, which are clearly linked to the recent rise in vaping in children.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether she has had recent discussions with the food and drink sector on taking steps to provide healthy alternatives to products that are high in (a) fat, (b) sugar and (c) salt.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Discussions have been held by officials with the food and drink sector on taking steps to provide healthier alternatives to products that are high in salt since 2004, high in sugar since 2014, and high in calories since 2017. Provision of healthier alternatives to products that are high in saturated fat have been part of those discussions.

My Rt hon. Friend, the Secretary of State for Health and Social Care meets regularly with external stakeholders on a variety of issues. These ministerial meetings are routinely published on a quarterly basis in arrears on the GOV.UK website. However, my Rt hon. Friend, the Secretary of State for Health and Social Care will recuse herself on departmental issues relating to outside interests, all of which have been declared to the House and under the Ministerial Code.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to the research article by University College London entitled Cigarette smoking and e-cigarette use induce shared DNA methylation changes linked to carcinogenesis, published on 19 March 2024, if she will ban advertising for vapes.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government’s position on vaping remains unchanged, if you don’t smoke, don’t vape, and children should never vape. Studies are important in helping to better understand the long-term health risks associated with vaping, but the mentioned study, that was carried out by University College London, corroborated by Cancer Research UK, does not demonstrate a causal relationship between vaping and cancer.

Overall, studies on the effects of vaping have so far shown that vapes are less harmful than smoking and can help people quit, although the long-term risks are unknown. Vaping is never recommended for children, and carries potential harms of future addiction while their lungs and brains are still developing. There is a lack of research on the potential long-term harms from vaping, and we are exploring future opportunities with the United Kingdom’s research councils.

Otherwise, I refer the hon. Member to the answer I gave on 6 February 2024 to Question 12629, as our position on the advertising of vapes remains unchanged.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether she has commissioned research into cellular changes in lung tissue for those who vape to assess the risks of future cancer.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government’s position on vaping remains unchanged, if you don’t smoke, don’t vape, and children should never vape. Studies are important in helping to better understand the long-term health risks associated with vaping, but the mentioned study, that was carried out by University College London, corroborated by Cancer Research UK, does not demonstrate a causal relationship between vaping and cancer.

Overall, studies on the effects of vaping have so far shown that vapes are less harmful than smoking and can help people quit, although the long-term risks are unknown. Vaping is never recommended for children, and carries potential harms of future addiction while their lungs and brains are still developing. There is a lack of research on the potential long-term harms from vaping, and we are exploring future opportunities with the United Kingdom’s research councils.

Otherwise, I refer the hon. Member to the answer I gave on 6 February 2024 to Question 12629, as our position on the advertising of vapes remains unchanged.

Question to the Department for Education:

To ask the Secretary of State for Education, whether she has made an assessment of the potential merits of using the Boxall profile measurement tool to help measure the social emotional mental health and wellbeing of school pupils.

Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)

The department is committed to ensuring schools are safe, calm and supportive environments, which promote and support mental health and wellbeing.

Measuring pupil wellbeing can help schools to identify need and monitor the impact of policies and interventions, which is one of the core principles of the whole school approach to mental health and wellbeing recommended by the department. The department is offering every school and college a grant to train a senior mental health lead who can oversee this approach and has recently commissioned a Mental health lead resource hub which has a variety of relevant measurement tools, including the Boxall profile. More information can be found at: https://mentallyhealthyschools.org.uk/whole-school-or-college-resources/.

As set out in the Special Educational Needs and Disabilities (SEND) and Alternative Provision (AP) Improvement Plan, the department is also developing practitioner standards for frontline education staff, setting out the best available evidence of what works for identifying and supporting the needs of children and young people with special educational needs, including social, emotional and mental health, across early years, schools and post-16 education.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether dentists working in dental treatment vans will be offered one-off payments of up to £20,000.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

We will offer Golden Hellos of £20,000 to up to 240 dentists who join existing National Health Service practices, in areas where recruitment is particularly challenging. Golden Hello payments will be phased over three years, and require a commitment to stay in that area delivering NHS work for at least three years.

We will also be deploying dental vans offering appointments to patients in need, including targeted rural and coastal communities who have the most limited access to dentistry, starting later this year. We are working with NHS England and the integrated care boards on the precise nature of the contracting and payment model for dental vans.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many dentists were recruited from overseas by the NHS in the last 12 months; and if she will make an estimate of the number of dentists that will be recruited from overseas by the NHS in the next 12 months.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

To legally practise dentistry in the United Kingdom, a dentist must be registered with the General Dental Council (GDC), the independent regulator of dentistry. Once registered with the GDC, dentists can choose whether to practise in the National Health Service or privately. To practise in the NHS, dentists must be on the dental performers list.

The Department does not hold the information requested on the number of overseas-qualified dentists that have joined the performers list in the last 12 months. No estimate has been made of the number of overseas-qualified dentists that will join the performers list in the next 12 months.

Question to the Department for Transport:

To ask the Secretary of State for Transport, what steps he has taken to help ensure greater job security for seafarers in the last two years.

Answered by Guy Opperman - Parliamentary Under-Secretary (Department for Transport)

In July 2023 we launched the Seafarers’ Charter, which among other measures requires that operators who obtain full Charter status do not use voyage contracts except in exceptional circumstances. This means that seafarers aboard ships run by a Charter operator can be confident that in most cases after their period of time aboard a vessel has ended, they will continue to have work without needing to reapply. I am pleased that 5 of the 6 major international ferry companies operating from the UK have now committed to meeting the Charter requirements.

Examples of ‘exceptional circumstances’ might be if a seafarer has been taken ill and the operator needs to bring someone onboard at short notice to cover the position, or if a piece of machinery has broken and they brought an additional seafarer onboard to fix it while it the vessel was underway.

We continue to work to improve seafarer protections in the UK and around the world.

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 estimate of the number of dental practices that have announced that they plan to withdraw from NHS contracts since 7 February 2024.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Monthly data on the Units of Dental Activity (UDA) delivered is published by the NHS Business Services Authority, although this data has an approximate two-month time lag, and therefore we expect data for February 2024 to be published around Mid-May. Otherwise, UDA delivery data is available at the following link:

https://opendata.nhsbsa.net/dataset/english-contractor-monthly-general-dental-activity

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many units of dental activity her Department (a) had estimated would be and (b) have been undertaken between 7 February and 22 March 2024.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Monthly data on the Units of Dental Activity (UDA) delivered is published by the NHS Business Services Authority, although this data has an approximate two-month time lag, and therefore we expect data for February 2024 to be published around Mid-May. Otherwise, UDA delivery data is available at the following link:

https://opendata.nhsbsa.net/dataset/english-contractor-monthly-general-dental-activity

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many NHS dental contracts have been changed following a request from dental practices since 7 February 2024.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Monthly data on the Units of Dental Activity (UDA) delivered is published by the NHS Business Services Authority, although this data has an approximate two-month time lag, and therefore we expect data for February 2024 to be published around Mid-May. Otherwise, UDA delivery data is available at the following link:

https://opendata.nhsbsa.net/dataset/english-contractor-monthly-general-dental-activity

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many NHS dental contracts have been handed back 7 February 2024.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Monthly data on the Units of Dental Activity (UDA) delivered is published by the NHS Business Services Authority, although this data has an approximate two-month time lag, and therefore we expect data for February 2024 to be published around Mid-May. Otherwise, UDA delivery data is available at the following link:

https://opendata.nhsbsa.net/dataset/english-contractor-monthly-general-dental-activity

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether she has made an assessment of the potential merits of issuing warm home prescriptions to patients with Parkinson's disease.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

We have made no specific assessment. The Government recognises that warm home prescription schemes can be effective in helping to protect vulnerable people and households from the health impacts of living in a cold home. These schemes are good examples of local collaboration between the National Health Service, local government, and other partners.

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 provide the same (a) terms and conditions and (b) job evaluation systems to (i) Anaesthesia Associates and Physician Associates and (ii) junior doctors.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The role of medical associates is to work with and support doctors and not to replace them. Physician Associates, Anaesthesia Associates, and doctors in training are employed under different contractual arrangements. Physician Associates and Anaesthesia Associates are employed on the Agenda for Change (AfC) contract. Doctors in training follow a distinct medical training pathway, and are employed on the NHS Doctors and Dentists in Training (2016) contract.

The National Health Service contracts reflect the different needs of different members of the workforce, and are managed by different collective bargaining structures. The AfC contract is managed by the NHS Staff Council and is underpinned by the NHS Job Evaluation Scheme. There is no equivalent job evaluation scheme for doctors and dentists’ terms and conditions.

There are currently no plans for Physician Associates, Anaesthesia Associates, and doctors in training to be employed under the same terms and conditions, with the same job evaluation system.

Question to the Department for Environment, Food and Rural Affairs:

To ask the Secretary of State for Environment, Food and Rural Affairs, by what criteria he grades the cleanliness of rivers.

Answered by Robbie Moore - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)

The cleanliness of rivers in England is graded through the assessment of their ecological and chemical status as set out here: River basin planning process overview - 3. Defining and describing the water environment - Guidance - GOV.UK (www.gov.uk)).

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, if he will take steps to ensure that the sanctions regime does not disadvantage those who experience mental health challenges.

Answered by Jo Churchill - Minister of State (Department for Work and Pensions)

Customers in the No Work Related Requirements Group, for example those with a severe mental health condition or disability, are not subject to conditionality requirements and therefore not subject to sanctions.

Customers are only ever sanctioned if they fail to meet their agreed requirements without good reason and they are given every opportunity to explain why they failed to meet their agreed conditionality requirement before a decision is made. We recognise the importance of understanding how a mental health condition impacts someone’s ability to search for or prepare for work and Claimant Commitments are set in discussion with the claimant and tailored to their capability and circumstances, making them realistic and achievable.

Question to the Department for Environment, Food and Rural Affairs:

To ask the Secretary of State for Environment, Food and Rural Affairs, when he expects sewage releases into (a) the River Foss, (b) the River Ouse and (c) their tributaries to stop.

Answered by Robbie Moore - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)

The Government is clear that the amount of sewage currently being discharged into our waters is unacceptable. Through the government’s Storm Overflows Discharge Reduction Plan, we have set stringent targets for water companies to reduce the use of storm overflows. Our Plan will eliminate ecological harm from all storm sewage discharges by 2050.

In 2023 the Environment Agency carried out 17 targeted compliance inspections of Yorkshire Water’s waste-water treatment works which discharge into the Foss/Ouse and their tributaries.

Within the current Price Review Period, which runs from 2020 to 2025, Yorkshire Water will be improving Hutton and Stillington treatment works, which discharge into the Foss catchment, in order to ensure they comply with requirements under the Water Framework Directive (WFD). These improvements should reduce Phosphorus from the final effluent, and drive improvement of the WFD status.

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, if she will take steps to ensure that cost is not a barrier to people accessing heritage visitor attractions in their area.

Answered by Julia Lopez - Minister of State (Department for Science, Innovation and Technology)

Many heritage visitor attractions are free to visit or offer schemes to support access, and DCMS-sponsored museums are free to enter for people of any age. The vast majority of the 400 sites in the National Heritage Collection, which is managed by English Heritage Trust on behalf of HM Government, are also free to enter. Where the charity does need to charge visitors an entry fee to support its work, it works to increase engagement with under-represented groups, so that everyone has the opportunity to connect with our shared heritage. English Heritage is also one of the largest providers of free school visits in the UK.

The National Lottery also runs ‘National Lottery Open Week’ which provides free admission for holders of a lottery ticket or scratch card at venues across the UK, including English Heritage Trust, Historic Royal Palaces, and National Trust properties.

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, what steps she is taking to ensure that important items from national collections are shared with museums and galleries around the country.

Answered by Julia Lopez - Minister of State (Department for Science, Innovation and Technology)

Museums with national collections have a long history of loaning objects from their collection and touring exhibitions across the country. The 15 museums and museum groups directly sponsored by DCMS report annually on their UK loans and regional engagement, encouraging strategic dialogue between national collections to lend and foster collaborations, with data from 2022/23 showing that over 1,100 UK venues received loans. Non-national museums are also supported to borrow, through public funding, via Arts Council England, to organisations like the Touring Exhibition Group.

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, what recent steps her Department has taken to help support libraries that have had a reduction in funding from local authorities.

Answered by Julia Lopez - Minister of State (Department for Science, Innovation and Technology)

Local authorities in England have a statutory duty to provide a comprehensive and efficient library service which meets local needs. It is for each local authority to consider how best to deliver this.

His Majesty’s Government has provided an additional £600 million on top of the £64 billion Local Government Finance Settlement for 2024-25 — an increase of 7.5% in cash terms. This uplift will help to reduce pressure on councils’ budgets, and protect services including public libraries.

In addition, DCMS announced on 25 March that 43 library services in England would benefit from Round 3 of the Libraries Improvement Fund which is allocating £10.5 million across this financial year and next. The Fund has allocated £20.5 million since 2021 to public library services across England to support them to upgrade their buildings and improve digital infrastructure so that they are better placed to respond to the changing ways people want to use them.

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, what steps she is taking to ensure that libraries are receiving adequate funding from local authorities.

Answered by Julia Lopez - Minister of State (Department for Science, Innovation and Technology)

Local authorities in England have a statutory duty to provide a comprehensive and efficient library service which meets local needs. It is for each local authority to consider how best to deliver this.

His Majesty’s Government has provided an additional £600 million on top of the £64 billion Local Government Finance Settlement for 2024-25 — an increase of 7.5% in cash terms. This uplift will help to reduce pressure on councils’ budgets, and protect services including public libraries.

In addition, DCMS announced on 25 March that 43 library services in England would benefit from Round 3 of the Libraries Improvement Fund which is allocating £10.5 million across this financial year and next. The Fund has allocated £20.5 million since 2021 to public library services across England to support them to upgrade their buildings and improve digital infrastructure so that they are better placed to respond to the changing ways people want to use them.

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, what steps she is taking to increase access to libraries.

Answered by Julia Lopez - Minister of State (Department for Science, Innovation and Technology)

We will be publishing a refreshed Government strategy for public libraries later this year. This will be informed by Baroness Sanderson’s independent review of English public libraries and will help ensure that people across the country can benefit from great public library services.

The DCMS-funded £20.5 million Libraries Improvement Fund (2021-2025) is supporting public library services in England. It is enabling them to upgrade their buildings and improve digital infrastructure, increasing their potential to develop more flexible spaces and improving digital access, thereby increasing library access and use.

Question to the Department for Science, Innovation & Technology:

To ask the Secretary of State for Science, Innovation and Technology, what recent discussions she has had with social media companies on the potential effects of social media on mental health.

Answered by Saqib Bhatti - Parliamentary Under Secretary of State (Department for Science, Innovation and Technology)

Ministers hold regular meetings and discussions with a wide range of stakeholders, including social media platforms, on a range of issues. Details of Ministerial meetings are published quarterly on the Gov.uk website.

While most children have a positive experience online, using the internet to connect with peers and to access educational resources, information, and entertainment, the government is concerned about the impact of harmful and age-inappropriate content and activity online.

The Online Safety Act places robust, much-needed responsibilities on technology companies – including social media platforms – to keep all users, but particularly children, safe online.

Question to the Home Office:

To ask the Secretary of State for the Home Department, if he will take steps to ensure that women who are held in police cells are supported by at least one officer who is a woman.

Answered by Chris Philp - Minister of State (Home Office)

The Government is committed to ensuring that custody is a safe and dignified environment for all detainees, visitors and staff which operates professionally, respectfully and lawfully.

Police custody is governed by the Police and Criminal Evidence Act 1984 (PACE) Codes of Practice which sets out the legal framework for the detention, treatment and questioning of persons by police officers. PACE Code C requires that as soon as practicable after arrival at the police station, each detainee must be given an opportunity to speak in private with a member of custody staff of the same sex as them about any matter concerning their personal needs relating to their health, hygiene and welfare that might affect or concern them whilst in custody. Arrangements must also be made for ensuring that a girl under the age of 18 is placed under the care of a female member of staff.

As policing is operationally independent of Government, Chief Constables and elected Police and Crime Commissioners are responsible for the operational management of custody suites.

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 help raise awareness of careers in (a) medical physics and (b) clinical engineering.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

Promoting healthcare science careers is a vital part of our NHS Health Careers team’s work, covering 350 careers in the National Health Service. Almost 240,000 people accessed information on healthcare science careers over the last 12 months.

As part of National Careers Week and Healthcare Science Week, an estimated 10,000 students heard directly from a range of NHS staff, including an apprentice Clinical Engineer and other healthcare scientists, as their stories were shown in classrooms across the country.

We will continue to promote all healthcare science careers, including Medical Physics and Clinical Engineering, as part of our work to raise awareness of all careers in the NHS, and encouraging people to join the NHS workforce. There are several case studies promoting careers in Medical Physics and Clinical Engineering on the National School of Healthcare Science website.

Question to the Home Office:

To ask the Secretary of State for the Home Department, if he will issue guidance to the police on ensuring that people providing statements are asked whether they have had their drink spiked.

Answered by Laura Farris - Parliamentary Under Secretary of State (Ministry of Justice) (jointly with Home Office)

The Home Office does not intend to issue guidance as described, as it would not be appropriate for such a question to be asked to all individuals providing statements to the police.

All incidents are taken seriously by the police, and officers will always seek to follow relevant lines of enquiry. The questions asked by the police will therefore be specific to the circumstances of each particular incident, including the individual’s version of events.

If there is anything to indicate that there is an element of spiking it will be fully investigated.

Question to the Home Office:

To ask the Secretary of State for the Home Department, what training is provided to police officers on the impact of the spiking of drinks on victims of that crime.

Answered by Laura Farris - Parliamentary Under Secretary of State (Ministry of Justice) (jointly with Home Office)

Each Police force has a dedicated spiking lead who all meet regularly to share learning. At present, forces design and deliver their own spiking training and this is informed by NPCC and Home Office policies.

Some forces, including Cumbria Police and the Metropolitan Police Service, are in the process of reviewing their spiking training.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment has she made of the potential implications for her policies of the findings of the research article by University College London entitled Cigarette smoking and e-cigarette use induce shared DNA methylation changes linked to carcinogenesis, published on 19 March 2024.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government’s position on vaping remains unchanged, if you don’t smoke, don’t vape, and children should never vape. Studies are important in helping to better understand the long-term health risks associated with vaping, but the mentioned study, that was carried out by University College London, corroborated by Cancer Research UK, does not demonstrate a causal relationship between vaping and cancer.

Overall, studies on the effects of vaping have so far shown that vapes are less harmful than smoking and can help people quit, although the long-term risks are unknown. Vaping is never recommended for children, and carries potential harms of future addiction while their lungs and brains are still developing. There is a lack of research on the potential long-term harms from vaping, and we are exploring future opportunities with the United Kingdom’s research councils.

Otherwise, I refer the hon. Member to the answer I gave on 6 February 2024 to Question 12629, as our position on the advertising of vapes remains unchanged.

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 (a) recruit and (b) train more (i) medical physicists and (ii) clinical engineers.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The number of Scientist Training Programme (STP) trainees in Medical Physics and Clinical Engineering has tended to increase, with larger increases in recent years. The number of Higher Specialist Scientist Training (HSST) trainees has remained fairly constant. The following two tables show the number of trainees in the Medical Physics and Clinical Engineering STP each year since 2011, and the number of Medical Physics and Clinical Engineering trainees in HSST each year since 2014, respectively:

Note: The data for 2024 is subject to change, and without the Wales numbers.

Notes:

- the data for 2024 is subject to change, and without the Wales numbers; and

- data is not available for the year 2022.

The NHS Long Term Workforce Plan sets out the future National Health Service workforce requirements, and includes healthcare science figures, though this is not broken down into Medical Physics and Clinical Engineering workforce targets. The plan assesses that education and training places for healthcare scientists need to increase by 20 to 34%, reaching between 930 and 1,039 places by 2033/34. The ambition set out in this plan is to increase training places for healthcare scientists by 32%, to over 1,000 places, by 2031/32. We will work towards achieving this ambition by increasing training places by 13%, to over 850, by 2028/29.

The workforce plan also sets out the ambition to retain up to 130,000 more staff across the NHS over the next 15 years, through measures to improve staff’s experience of working in the NHS. This applies to all NHS staff groups, including medical physicists and clinical engineers.

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 develop tools on social media to improve health literacy for (a) men and (b) women.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The National Health Service website and the NHS App are our main digital tools available to citizens, to support them in accessing services and making decisions about their health.

These are supported by the Department and NHS social media channels through a range of proactive media campaigns to help citizens make and sustain healthy behaviour changes, as well as receive the care they need by accessing the NHS at the right time, in the right way.

Clinicians across the NHS also support patients’ health literacy by providing clear information, increasing patients’ knowledge, and sharing decision making on their care.

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