Asked by: Dean Russell (Conservative - Watford)
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 help support children with cerebral palsy.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The National Institute for Health and Care Excellence has published a range of guidance on care and support for children and young people and adults with cerebral palsy, to support healthcare professionals and commissioners. The guidance recommends service providers develop clear pathways that allow patients with cerebral palsy access to multi-disciplinary teams, specialist neurology services and regular reviews of their clinical and functional needs.
NHS England’s Getting It Right First Time Programme aims to improve care for people with neurological conditions, including those with cerebral palsy, by reducing variation and delivering care more equitably across the country.
The majority of services for people with cerebral palsy are commissioned locally by integrated care boards, which are best placed to make decisions according to local need. Nevertheless, at a national level, the Government is working closely with NHS England to continue to improve services for people with neurological conditions, including those with cerebral palsy.
The NHS Long-term Workforce Plan (LTWP) aims to grow the number and proportion of National Health Service staff working in mental health, primary and community care. The LTWP, published in 2023, sets out an ambition to grow these roles 73% by 2036/37, including plans to increase the community workforce specifically by 3.9% each year. By growing the community workforce, we will be better able to support people to participate in daily living, including those with cerebral palsy.
As set out in the LTWP, NHS England’s ambition is that, by 2028, no child or young person will be lost in the gaps between any children’s and adult services, and that their experience of moving between services is safe, well planned and prepared for so they feel supported and empowered to make decisions about their health and social care needs. The Department is working closely with NHS England to support this work, and the Children and Young People’s Transformation Programme has developed a national framework for transition which includes the key principles of a 0-25 model of care, including for young people with cerebral palsy.
Asked by: Dean Russell (Conservative - Watford)
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 help support adults with cerebral palsy.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The National Institute for Health and Care Excellence has published a range of guidance on care and support for children and young people and adults with cerebral palsy, to support healthcare professionals and commissioners. The guidance recommends service providers develop clear pathways that allow patients with cerebral palsy access to multi-disciplinary teams, specialist neurology services and regular reviews of their clinical and functional needs.
NHS England’s Getting It Right First Time Programme aims to improve care for people with neurological conditions, including those with cerebral palsy, by reducing variation and delivering care more equitably across the country.
The majority of services for people with cerebral palsy are commissioned locally by integrated care boards, which are best placed to make decisions according to local need. Nevertheless, at a national level, the Government is working closely with NHS England to continue to improve services for people with neurological conditions, including those with cerebral palsy.
The NHS Long-term Workforce Plan (LTWP) aims to grow the number and proportion of National Health Service staff working in mental health, primary and community care. The LTWP, published in 2023, sets out an ambition to grow these roles 73% by 2036/37, including plans to increase the community workforce specifically by 3.9% each year. By growing the community workforce, we will be better able to support people to participate in daily living, including those with cerebral palsy.
As set out in the LTWP, NHS England’s ambition is that, by 2028, no child or young person will be lost in the gaps between any children’s and adult services, and that their experience of moving between services is safe, well planned and prepared for so they feel supported and empowered to make decisions about their health and social care needs. The Department is working closely with NHS England to support this work, and the Children and Young People’s Transformation Programme has developed a national framework for transition which includes the key principles of a 0-25 model of care, including for young people with cerebral palsy.
Asked by: Lord Hunt of Kings Heath (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of the extent to which the 2021 NICE guidance for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) has been implemented (1) in general, and (2) in relation to the training health and social care professionals on how to employ the new recommendations, (a) establishing a UK-wide network of hospital-based ME/CFS specialist services, (b) making all NHS services accessible and capable of providing personalised ongoing care and support to those with ME/CFS, and (c) ensuring social care provision for ME/CFS is monitored and regularly reviewed.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
No formal assessment has been made of the extent to which the 2021 National Institute for Health and Care Excellence (NICE) guidance for myalgic encephalomyelitis (ME), also known as chronic fatigue syndrome (CFS), has been implemented.
NHS England does not centrally commission services for ME. Services to support people living with ME are commissioned by integrated care boards (ICBs) to meet the needs of their local population, and are not reviewed or assessed by NHS England centrally. In October 2023, the British Association of Clinicians in ME published their ME/CFS National Services Survey 2023. This survey provides insight on the services being delivered for adults, and children and young people, living with ME. A copy of the survey is attached.
In relation to the training of health and social care professionals, it is the duty of clinicians to keep themselves appraised of best practice, in particular guidance issued by the NICE. The Department is working with NHS England to develop an e-learning course on ME for healthcare professionals, with the aim of supporting staff to be able to provide better care and improve patient outcomes. This has involved feedback and input from the ME Research Collaborative (MERC) Patient Advisory Group. The Medical Schools Council will promote the NHS England e-learning package on ME to all United Kingdom medical schools, and encourage medical schools to provide undergraduates with direct patient experience of ME.
The Department published My full reality: an interim delivery plan for ME/CFS in August 2023, which sets out a number of actions to improve the experiences and outcomes for people living with the condition, including better education of professionals and improvements to service provision. More information about the interim plan is available on the GOV.UK website, in an online only format.
Alongside the publication of the interim delivery plan, we ran a public consultation to build a picture of how well the plan meets the needs of the ME community, and to understand if there are any gaps where further action may be necessary. The Department is currently analysing over 3,000 responses to the consultation on the interim delivery plan on ME, and will publish a final delivery plan later this year.
In relation to the monitoring of social care provision for individuals with ME, the Department has made a landmark shift in how we hold local authorities to account for their adult social care duties, through a new Care Quality Commission (CQC) assessment. The CQC will examine how well local authorities deliver their Care Act duties, increasing transparency and accountability and, most importantly, driving improved outcomes for people, including those with ME, who draw on care and support. The CQC completed five pilot assessments and is now rolling out assessment to all local authorities.
Asked by: Anneliese Dodds (Labour (Co-op) - Oxford East)
Question
To ask the Minister for Women and Equalities, if she will make an assessment of the potential implications for his policies of the recommendation on ethnicity pay gap reporting in paragraph 35 of the guide entitled Considering Social Factors in Pension Scheme Investments, published by Taskforce on Social Factors in October 2023.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Government published guidance in April 2023 which sets out how employers can measure, report on, and address any unfair ethnicity pay gaps within their workforce. This was an action from our ambitious Inclusive Britain strategy, published in March 2022.
We have no plans to introduce mandatory ethnicity pay reporting. Instead, we want to encourage and support those employers who want to use ethnicity pay reporting to improve transparency and build trust among their employees.
Asked by: Kerry McCarthy (Labour - Bristol East)
Question to the Department for Environment, Food and Rural Affairs:
To ask the Secretary of State for Environment, Food and Rural Affairs, whether his Department is taking steps to help tackle microplastic pollution originating from textiles.
Answered by Robbie Moore - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)
Microplastics can enter the environment from several sources such as vehicle tyre wear, machine-washing clothes and from textiles themselves.
Defra funded a rapid evidence assessment in 2022 to better understand the costs, benefits, and efficiencies of installing filters in washing machines to trap textile microfibres during the laundry cycle and before discharge to wastewater treatment works. Evidence gaps were identified from the review and the conclusion was made that further information is required to meet the legal framework to drive action. For example, there is a need to better understand how to avert additional costs incurred by consumers of new washing machines with filters, and the consumer’s sustainable disposal of used filters. We need to ensure all evidence to support the introduction of filters is robust and fully reviewed. We have conveyed this to the industry, and we look forward to any proposals they are able to share when they are able to do so.
We are also working with the UK water industry to understand the effectiveness of other interventions in the wastewater system to tackle microplastic pollution and to characterise and quantify microplastics and fibres entering wastewater treatment works. Research to-date shows that wastewater treatment plants are effective at removing microplastics and -fibres from wastewater from the home environment, with up to 99% of microplastic particles removed throughout the wastewater treatment process.
Asked by: Baroness Drake (Labour - Life peer)
Question to the HM Treasury:
To ask His Majesty's Government when they anticipate the Bank of England will publish the results of its second climate biennial exploratory scenarios, the first having been published in May 2022.
Answered by Baroness Vere of Norbiton - Parliamentary Secretary (HM Treasury)
The Government welcomes the results of the Bank’s Climate Biennial Exploratory Scenario (CBES), which has been an important milestone in assessing UK system-wide exposures and boosting firms’ capabilities to assess climate-related risk.
Following publication of the CBES results in 2022[1], a Prudential Regulation Authority letter to CEOs[2] set out feedback on how to enhance scenario analysis and further embed supervisory expectations. In recognition that this feedback will take time to embed, the Bank has publicly stated that it will not launch a concurrent exercise in the near-term that further explores climate risks.
The Bank also affirmed in its 2023 report on climate-related risks and the regulatory capital frameworks[3] that it will further develop its capabilities to test the resilience of the financial system to climate risks- including how scenario exercises and stress tests can help the Bank and firms understand the exposure of the financial system to risks and progress work to understand material regime gaps in the capital frameworks. Further, the Bank continues to support the development of climate scenarios as a member of the NGFS’s dedicated “Scenario Design and Analysis” Workstream.
The Bank of England has statutory responsibilities for monetary policy and financial stability, and operational independence from the Government to carry out those objectives.
[1] CBES results
[2] Prudential Regulation Authority letter to CEOs
[3] 2023 report on climate-related risks and the regulatory capital frameworks
Asked by: Kerry McCarthy (Labour - Bristol East)
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 make an assessment of the potential merits of including a grant scheme for saltmarshes in the Nature for Climate Fund.
Answered by Rebecca Pow - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)
The UK recognises the important role that saltmarsh can play in climate change mitigation, adaptation and resilience. Saltmarsh habitats are also richly biodiverse, benefit fish stocks and provide a crucial buffer from coastal flooding.
Building on this recognition, the UK Government is supporting blue carbon restoration efforts through various initiatives, for example by providing £640,000 funding for domestic blue carbon habitat restoration.
This includes funds to support the development of a Saltmarsh Code to help drive investment flows from the private sector towards nature. This funding has also increased the capacity of the Restoring Meadow, Marsh and Reef initiative (ReMeMaRe), helping to create a pipeline of restoration projects in saltmarsh and other key estuarine and coastal habitats.
Defra has set up the UK Blue Carbon Evidence Partnership in partnership with the Devolved Administrations to address evidence gaps that currently prevent the inclusion of saltmarsh habitats in the UK Greenhouse Gas Inventory (GHGI). Inclusion of saltmarsh in the GHGI and the development of a Saltmarsh Code will allow blue carbon to be marketed and traded as a carbon offset, leveraging private investment into these vital natural carbon stores.
In addition, funding has been made available for saltmarsh restoration through the Landscape Recovery and Countryside Stewardship Environmental Land Management schemes. In the ELMS Countryside Stewardship scheme approximately 5,000 hectares of saltmarsh is being maintained or restored to a good condition.
The £750m of Nature for Climate funding is due to end in March 2025 and the Programme will be delivering against its agreed Business Case in that time. The Fund’s impact is being evaluated and any future funding for Trees, Peat and Saltmarshes will be a matter for the next Spending Review. We are continuing to explore further means of supporting saltmarsh restoration.
Asked by: Nick Fletcher (Conservative - Don Valley)
Question
To ask the Minister for Women and Equalities, what steps she is taking with the Secretary of State for Education to help close the gap in exam results between boys and girls.
Answered by Damian Hinds - Minister of State (Education)
Raising attainment for all pupils, no matter their gender or background is at the heart of this government’s agenda, and we are committed to providing a world-class education system for all.
The latest data show that, while girls continue to outperform boys across most headline measures, the gender gap between boys and girls is narrowing.
At KS2 in 2022/23, the gender gap between boys and girls at the expected standard in reading, writing and maths has decreased since 2021/22 and is the lowest it has been since 2016/17. KS4 results show the gender gap has narrowed across all headline measures when comparing 2022/23 with both 2018/19 and 2021/22.
The Schools White Paper (March 2022) was clear about the direction of travel needed to improve attainment. It set out our long-term vision for a school system that helps every child to fulfil their potential by ensuring that they receive the right support, in the right place, at the right time – founded on achieving world-class literacy and numeracy.
This is supported by significant investment in education. Next year, including the recently announced funding for pension contributions, overall school funding is increasing by £2.9 billion compared to 2023-24, taking the total to £60.7 billion in 2024-25 – the highest ever level in real terms per pupil. This will help schools in their vital work to close attainment gaps, and level up educational opportunities.
Alongside this, the department takes a range of steps to improve attainment and outcomes for all pupils, including improving the quality of teaching and curriculum resources, strengthening the school system, increasing attendance, and providing targeted support where needed.
We know that disadvantaged pupils and those with additional needs are more likely to fall behind and need extra support to reach their full potential. This is why we provide additional funding as part of schools’ overall funding to support disadvantaged pupils through the pupil premium, which will rise to over £2.9 billion in 2024-25, an increase of £80 million from 2023-24.
Programmes such as Free School Meals that support over 2 million children, the Holiday Activities and Food programme (HAF), and support for up to 2,700 breakfast clubs also support disadvantaged pupils.
We also continue to collaborate with other government departments to address out-of-school factors that we know have a significant impact on attainment outcomes.
Asked by: Kerry McCarthy (Labour - Bristol East)
Question to the Department for Environment, Food and Rural Affairs:
To ask the Secretary of State for Environment, Food and Rural Affairs, what assessment he has made of the implications for his policies of the Evidence Needs Statement published by the UK Blue Carbon Evidence Partnership in June 2023.
Answered by Rebecca Pow - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)
The UK established the cross-Administration UK Blue Carbon Evidence Partnership (UKBCEP) to progress the evidence base on blue carbon habitats in UK waters. Through this partnership, Defra, DESNZ and the Devolved Administrations share information, data and knowledge on blue carbon evidence across UK administrations.
The UKBCEP’s Evidence Needs Statement, published last year (2023), will support our ambition to fill critical evidence gaps relating to blue carbon habitats, increasing our understanding and thereby our ability to protect and restore these important habitats. These evidence gaps currently prevent the inclusion of coastal wetlands in the UK Greenhouse Gas Inventory (GHGI)that would allow for saltmarsh habitats to contribute to the UK’s Net Zero target in accounting terms.
The UKBCEP’s Evidence Needs Statement will help to address this, and together with our £640,000 funding commitment, will enable the development of a UK Saltmarsh Code, which will allow saltmarsh carbon to be marketed and traded as a carbon offset, prompting further investment in these crucial habitats; and support the creation of a restoration project pipeline for blue carbon habitats in the UK.
Asked by: Janet Daby (Labour - Lewisham East)
Question to the Ministry of Justice:
To ask the Secretary of State for Justice, with reference to the HM Chief Inspector of Prisons publication entitled Report on an unannounced inspection of HMYOI Wetherby by HM Chief Inspector of Prisons (20 November – 7 December 2023), published on 5 March 2024, what assessment he has made of the quality of risk assessments completed by resettlement practitioners.
Answered by Edward Argar - Minister of State (Ministry of Justice)
Following the previous inspection of HMYOI Wetherby, additional emphasis was placed on resettlement work. This has resulted in improved outcomes for children and young people in our care. HM Inspectorate’s latest report notes that children and 18-year-olds received good support from resettlement practitioners (RPs) and the social workers who worked with them, and Home Detention Curfew (HDC), transitions, parole and early release processes were managed well.
The Head of Resettlement at HMYOI Wetherby will lead improvement in the quality and consistency of risk-assessment work by RPs, by undertaking the following actions: