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: Adam Afriyie (Conservative - Windsor)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate her Department has made of the number of adult vapers that may return to tobacco products as a result of the disposable vapes ban.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
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, and children should never vape. However, youth vaping has tripled in the last three years, and one in five children have now used a vape. We know that disposable vapes have played a significant role in this rise, with 69% of 11 to 17-year-olds who vape now using disposables, compared to just 7% in 2021. Disposable vapes also cause significant environmental harm, with five million disposable vapes thrown away every week.
To protect children and the environment, the Government has taken the decision to ban the sale and supply of disposable vapes.
The Impact Assessment on the disposable vape ban, published by the Department for Food, Environment and Rural Affairs on 11 March 2024, states that it is difficult to quantify the number of people switching either between different types of vapes, disposable to reusable, switching from vaping to smoking cigarettes, or stopping vaping or smoking altogether, as a result of a ban on disposable vapes.
However, reusable and refillable vapes will still be available for adult smokers to use as a quit aid and as a more affordable option than smoking. Therefore, it will not be necessary for adult vapers to return to tobacco products because refillable vapes will remain easily available to them, at a small cost relative to most tobacco products.
Asked by: Wes Streeting (Labour - Ilford North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate she has made of the number of patients (a) waiting for mental healthcare and (b) on NHS waiting lists for physical conditions who are also waiting for mental healthcare.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
There is currently no waiting times standard covering all mental health service areas. For services where a waiting times standard does exist, the latest position over the period from November 2023 to January 2024 was published by NHS England on 14 March 2024.
Information on routine and urgent referrals to children and young people’s eating disorder services and referrals to the early Intervention in Psychosis pathway is available at the following link:
Information on referrals to NHS Talking Therapies is available at the following link:
For referrals to adult community mental health services waiting for a second contact, referrals to children and young people’s community mental health services waiting for a first contact and Accident & Emergency attendances for mental health or self-harm, information is being collected to prepare for the proposed new waiting time standards being developed as part of the Clinically-led review of National Health Service access standards but these are NOT yet associated with a target. The latest position over the period from November 2023 to January 2024 is available at the following link:
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-services-monthly-statistics/performance-january-2024
Information on the number of patients on NHS waiting lists for physical conditions who are also waiting for mental healthcare is not held centrally.
Through the NHS Long Term Plan, we are expanding and transforming NHS mental health care so that more people can get the support that they need more quickly. Between 2018/19 and 2023/24, the NHS forecasts that spending on mental health services has increased by £4.6 billion in cash terms, compared to the target of £3.4 billion in cash terms set out at the time of the NHS Long Term Plan. All integrated boards are also on track to meet the Mental Health Investment Standard in 2023/24.
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.
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.
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.
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.
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.
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.
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.