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Written Question
Electronic Cigarettes
Wednesday 27th March 2024

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 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.


Written Question
Social Services: Finance
Wednesday 27th March 2024

Asked by: Vicky Foxcroft (Labour - Lewisham, Deptford)

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, whether his Department has made a recent assessment of the adequacy of funding for social care.

Answered by Laura Trott - Chief Secretary to the Treasury

The government has made available up to £8.6bn in additional funding over this financial year and next to support adult social care and discharge. This includes £500m announced in January which has specifically been made available to support local authorities with the cost of social care in 2024-25 in response to representations from local government stakeholders. This funding will enable local authorities to buy more care packages, help people leave hospital on time, improve workforce recruitment and retention, and reduce waiting times for care.

At Spring Budget, the government announced it is investing £165 million over the next 4 years to significantly expand the capacity of the children’s home estate in England, improving outcomes for looked after children and unlocking productivity savings by reducing local government reliance on emergency provision. The government is also exploring further ways to combat profiteering and bring down costs in the children’s care market. This is in addition to the £200 million the government has already committed in response to the Independent Review of Children’s Social Care.


Written Question
Genito-urinary Medicine
Wednesday 27th March 2024

Asked by: Lloyd Russell-Moyle (Labour (Co-op) - Brighton, Kemptown)

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 the adequacy of (a) genitourinary and (b) HIV care for the next five years; and if she will make an estimate of the number of consultants specialising in (i) genitourinary and (ii) HIV care who will be employed in the NHS in 2029.

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

NHS workforce statistics show that in November 2023, there were 243 full time equivalent (FTE) consultants working in the specialty of genito-urinary medicine (GUM) in NHS trusts and other core organisations in England, and 133 FTE consultants working in the specialty of community sexual and reproductive health in NHS trusts and other core organisations in England.

NHS England is responsible for providing HIV care and in March 2024 published the NHS England national service specification for adult specialised services for people living with HIV. Specialised adult inpatient and outpatient HIV services aim to provide specialist assessment and ongoing management of HIV, and associated conditions, to support individuals to stay well, remain engaged in care, and to reduce onward transmission. The services will ensure that outcomes, wellbeing, and quality of life are maximised, that they are culturally competent, in recognition of the disproportionate number of people from diverse backgrounds who access HIV care, and that people are central to decisions about the management of their health and social care.

The Department is consulting with NHS England to reform the funding of specialist training in genito-urinary and HIV care, to increase the ability of specialists to train and then practice in areas of greatest need. We are committed to achieving no new HIV transmissions within England by 2030. As part of the plan, we are investing an additional £20 million for new research, which will involve an expansion and evaluation of bloodborne virus opt-out testing in 47 additional emergency departments in areas of England with high HIV prevalence. This is expected to deliver approximately 1.5 million more HIV tests to help us get people with the virus into care. The Department is also allocating over £3.5 million to deliver a National HIV Prevention Programme between 2021 and 2024 to raise awareness of HIV, sexually transmitted infection (STI) testing, and prevention strategies, targeting populations most at risk of HIV, including young people.

We continue to support the delivery of local sexual health services, providing guidance and data through the UK Health Security Agency and the Department. In March 2023 we published the Integrated Sexual Health Service Specification to support local authorities in comprehensive commissioning of services, and providing advice and guidance on managing STIs outbreaks.


Written Question
Genito-urinary Medicine: Health Professions
Wednesday 27th March 2024

Asked by: Lloyd Russell-Moyle (Labour (Co-op) - Brighton, Kemptown)

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 adequacy of the number of sexual and reproductive health professionals in (a) post and (b) training in the context of trends in the level of sexually transmitted infection rates.

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

NHS workforce statistics show that in November 2023, there were 243 full time equivalent (FTE) consultants working in the specialty of genito-urinary medicine (GUM) in NHS trusts and other core organisations in England, and 133 FTE consultants working in the specialty of community sexual and reproductive health in NHS trusts and other core organisations in England.

NHS England is responsible for providing HIV care and in March 2024 published the NHS England national service specification for adult specialised services for people living with HIV. Specialised adult inpatient and outpatient HIV services aim to provide specialist assessment and ongoing management of HIV, and associated conditions, to support individuals to stay well, remain engaged in care, and to reduce onward transmission. The services will ensure that outcomes, wellbeing, and quality of life are maximised, that they are culturally competent, in recognition of the disproportionate number of people from diverse backgrounds who access HIV care, and that people are central to decisions about the management of their health and social care.

The Department is consulting with NHS England to reform the funding of specialist training in genito-urinary and HIV care, to increase the ability of specialists to train and then practice in areas of greatest need. We are committed to achieving no new HIV transmissions within England by 2030. As part of the plan, we are investing an additional £20 million for new research, which will involve an expansion and evaluation of bloodborne virus opt-out testing in 47 additional emergency departments in areas of England with high HIV prevalence. This is expected to deliver approximately 1.5 million more HIV tests to help us get people with the virus into care. The Department is also allocating over £3.5 million to deliver a National HIV Prevention Programme between 2021 and 2024 to raise awareness of HIV, sexually transmitted infection (STI) testing, and prevention strategies, targeting populations most at risk of HIV, including young people.

We continue to support the delivery of local sexual health services, providing guidance and data through the UK Health Security Agency and the Department. In March 2023 we published the Integrated Sexual Health Service Specification to support local authorities in comprehensive commissioning of services, and providing advice and guidance on managing STIs outbreaks.


Written Question
Smoking
Wednesday 27th March 2024

Asked by: Andrew Lewer (Conservative - Northampton South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what discussions officials in her Department have had with the Office for Health Improvements and Disparities on the findings in it's Vaping in England review, published on 29 September 2022, that non-tobacco flavours may play a positive role in helping people switch from smoking to vaping.

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

Due to the nicotine content and the unknown long-term harms, vaping carries risks to health and lifelong addiction for children. Vaping is, therefore, only recommended for adult smokers who wish to quit smoking. Young people and people who have never smoked, should not vape.

Our youth vaping call for evidence, published in 2023, demonstrated that the flavours are one of the main reasons that vapes appeal to children. However, as set out in the 2022 Nicotine vaping in England review, we also recognize that there is some evidence that non-tobacco flavours can play a positive role in smoking cessation. This is why it is critical we strike the balance between restricting flavours in vapes to reduce their appeal to young people, whilst also ensuring that vapes remain available for adult smokers as a viable smoking cessation tool.

In the upcoming Tobacco and Vapes Bill, we will introduce powers to restrict vape flavours. Subject to Parliamentary approval, the Department will then undertake further analysis and consultation before introducing any specific flavour restrictions. The Office for Health Improvement and Disparities (OHID) is an internal part of the Department, and OHID officials are leading on our smokefree generation and youth vaping work.


Written Question
Smoking
Wednesday 27th March 2024

Asked by: Andrew Lewer (Conservative - Northampton South)

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 effectiveness of (a) vapes, (b) vapes with flavoured e-liquids and (c) vapes with fruit, dessert and sweet flavoured e-liquids at successful tobacco smoking cessation.

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

Due to the nicotine content and the unknown long-term harms, vaping carries risks to health and lifelong addiction for children. Vaping is, therefore, only recommended for adult smokers who wish to quit smoking. Young people and people who have never smoked, should not vape.

Our youth vaping call for evidence, published in 2023, demonstrated that the flavours are one of the main reasons that vapes appeal to children. However, as set out in the 2022 Nicotine vaping in England review, we also recognize that there is some evidence that non-tobacco flavours can play a positive role in smoking cessation. This is why it is critical we strike the balance between restricting flavours in vapes to reduce their appeal to young people, whilst also ensuring that vapes remain available for adult smokers as a viable smoking cessation tool.

In the upcoming Tobacco and Vapes Bill, we will introduce powers to restrict vape flavours. Subject to Parliamentary approval, the Department will then undertake further analysis and consultation before introducing any specific flavour restrictions. The Office for Health Improvement and Disparities (OHID) is an internal part of the Department, and OHID officials are leading on our smokefree generation and youth vaping work.


Written Question
Social Services: Finance
Tuesday 26th March 2024

Asked by: Mark Eastwood (Conservative - Dewsbury)

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

To ask the Secretary of State for Levelling Up, Housing and Communities, whether he has held discussions with adult social care providers on potential future risks to the local financing of the provision of care.

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

Through the Local Government Finance Settlement for 2024-25, we are providing over £1.5 billion in additional grant for social care compared to 2023-24. This is part of an above-inflation increase in Core Spending Power for local government from 2023-24 of up to £4.5 billion, or 7.5% in cash terms.

Details of ministerial meetings with external organisations are published on gov.uk.


Written Question
Social Services
Tuesday 26th March 2024

Asked by: Mark Eastwood (Conservative - Dewsbury)

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 support local authorities to deliver adult social care.

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

Through the Local Government Finance Settlement for 2024-25, we are providing over £1.5 billion in additional grant for social care compared to 2023-24. This is part of an above-inflation increase in Core Spending Power for local government from 2023-24 of up to £4.5 billion, or 7.5% in cash terms.

Details of ministerial meetings with external organisations are published on gov.uk.


Written Question
Education: Autism
Monday 25th March 2024

Asked by: Daisy Cooper (Liberal Democrat - St Albans)

Question to the Department for Education:

To ask the Secretary of State for Education, if she will make an assessment of the potential impact of average waiting times for autism assessments on educational attainment.

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

The government recognises that there can be long waits for autism assessments. The Department of Health and Social Care (DHSC) is taking steps to improve access to assessments for autism. In 2023/24 DHSC allocated £4.2 million to improve services for autistic children and young people including assessments, pre-and post-diagnostic support, and the continuation of the Autism in Schools programme. Additionally, in April 2023, NHS England published a national framework to support the local NHS to commission and deliver autism assessment services for children, young people, and adults.

The Department for Education wants all children and young people to be able to reach their full potential and receive the right support to succeed in their education and as they move into adult life. The SEND Code of Practice is clear that meeting the needs of a child with SEND does not require a diagnostic label or assessment. Instead, the department expects teachers to monitor the progress of all children and young people and put support in place where needed, including arranging diagnostic tests where appropriate.

The 2023 SEND and Alternative Provision Improvement Plan set out the department’s vision to improve mainstream education through setting standards for early and accurate identification of need, and timely access to support to meet those needs. The standards will clarify the types of support that should be ordinarily available in mainstream settings and practitioner standards will be developed to support frontline professionals, including one on autism.

The department’s Universal Services contract brings together SEND-specific continuing professional development and support for the school and further education workforce to improve outcomes for children and young people, including those with autism, through one programme, which aims to reach 70% of schools and colleges in England per year.

The contract offers autism awareness training and resources: over 135,000 professionals have undertaken autism awareness training provided by the Autism Education Trust through the programme's train the trainer model.


Written Question
Social Services: Pay
Monday 25th March 2024

Asked by: Matt Warman (Conservative - Boston and Skegness)

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 cost to (a) the public purse and (b) social care providers of increasing pay for staff in the social care sector by 65p per hour.

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

The Department has previously estimated that the cost to the public purse of raising minimum pay in adult social care to the National Living Wage plus 65p is approximately £600 million per year. This includes direct care staff only and excludes ancillary staff.

This estimate does not include the additional costs of higher pay which would be borne by the group of at least 221,000 ‘self-funders’ in care homes and using community care who pay for their own care.