Asked by: Marsha De Cordova (Labour - Battersea)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will take steps to ensure that the budget for the Special Schools Eye Care Service is not reduced so that (a) children with Special Educational Needs can receive free eye care in schools and (b) optometrists can afford to continue providing the service.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England has committed to invest up to £12.7 million annually for the provision of sight tests and associated optical vouchers in special educational settings. This represents an approximate 87% increase compared to the current budget. This additional investment has the potential to increase coverage from 4% of special educational settings to 100%. This is a new additional budget for providing sight tests and vouchers in these settings, and so represents a recurrent increased investment in sight testing and the sight testing sector. Service delivery will continue within the proof-of-concept settings, to ensure continuity of service, whilst the required regulatory changes are laid in Parliament to underpin wider rollout during 2024/25.
Asked by: Marsha De Cordova (Labour - Battersea)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an assessment of the potential impact of cutting the special schools eye care budget on children with special educational needs.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England has committed to invest up to £12.7 million annually for the provision of sight tests and associated optical vouchers in special educational settings. This represents an approximate 87% increase compared to the current budget. This additional investment has the potential to increase coverage from 4% of special educational settings to 100%. This is a new additional budget for providing sight tests and vouchers in these settings, and so represents a recurrent increased investment in sight testing and the sight testing sector. Service delivery will continue within the proof-of-concept settings, to ensure continuity of service, whilst the required regulatory changes are laid in Parliament to underpin wider rollout during 2024/25.
Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what current guidance they have issued about the maximum recommended dietary intake of (1) saturated, and (2) unsaturated, fat per day; and on the basis of what scientific evidence they made such a recommendation.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government encourages everyone to have a healthy balanced diet in line with the United Kingdom’s healthy eating model, The Eatwell Guide, which shows that foods high in saturated fat, salt, or sugar should be eaten less often, or in small amounts. The Government’s dietary guidelines are based on recommendations from the Scientific Advisory Committee on Nutrition (SACN) and its predecessor, the Committee on Medical Aspects of Nutrition Policy (COMA), and based on comprehensive assessments of the evidence.
In its 1994 report, Nutritional aspects of cardiovascular disease, the COMA recommended a reduction in the average contribution of total fat to dietary energy in the population to approximately 35%, and that trans fats should provide no more than approximately 2% of dietary energy. In relation to unsaturated fatty acids, the COMA concluded that: monounsaturated fatty acids (MUFA) had no specific recommendation; for n-6 polyunsaturated fatty acids (PUFA), there should be no further increase in average intakes, and the proportion of the population consuming in excess of about 10% energy should not increase; linolenic acid provided at least 1% of total energy; and alpha linolenic acid provided at least 0.2% total energy. The report also included recommendations on saturated fats, which were updated by the SACN in 2019.
A joint SACN and Committee on Toxicity report, Advice on fish consumption: benefits and risks published in 2004, endorsed the recommendation that the population, including pregnant women, should eat at least two portions of fish per week, one of which should be oily. Two portions of fish per week, one white and one oily, contains approximately 0.45 grams per day of long chain n-3 PUFA. This recommendation represented an increase in the population’s average consumption of long chain n-3 PUFA, from approximately 0.2 grams to approximately 0.45 grams per day.
The SACN’s 2019 report on saturated fats and health recommended: the dietary reference value for saturated fats remains unchanged, and the population’s average contribution of saturated fatty acids to total dietary energy be reduced to no more than approximately 10%, which also applies to adults and children aged five years and older; and that saturated fats are substituted with unsaturated fats, as it was noted that more evidence is available supporting substitution with PUFA than substitution with MUFA.
Asked by: Lord Bishop of St Albans (Bishops - Bishops)
Question to the Department of Health and Social Care:
To ask His Majesty's Government, further to the World Health Organization report A focus on adolescent substance use in Europe, central Asia and Canada, published on 25 April, what plans they have to address the high levels of child alcohol consumption in England.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
Guidance from England’s Chief Medical Officer for healthcare professionals is clear that an alcohol-free childhood is the healthiest and best option. The Department promotes this through online platforms such as the NHS.UK website, the Talk to FRANK online resource, and the GOV.UK website. Local authorities promote these guidelines as part of their public health duties. As part of the Government’s 10-year drug strategy, the Department has an ambition to support 5,000 more children and young people in receiving treatment than at the start of the strategy in March 2022.
The Department for Education’s statutory guidance, Relationships education, relationships and sex education and health education, became mandatory in September 2020. Through this, education on drugs, alcohol, and tobacco became compulsory at state-funded primary and secondary schools, teaching children and young people how to manage influences and pressure, and keep themselves healthy and safe. To deter individuals selling alcohol to a person aged under 18 years old, the maximum fine for the offence of persistently selling alcohol to children was increased from £10,000 to £20,000, under section 147A(8) of the 2003 Licensing Act.
Asked by: Andrea Jenkyns (Conservative - Morley and Outwood)
Question to the Department for Education:
To ask the Secretary of State for Education, what steps she is taking to reduce the time taken for children to receive (a) SEN assessments and (b) mental health treatment in Morley and Outwood constituency.
Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)
The department wants to ensure that Education, Health and Care (EHC) needs assessments, where required, are conducted as quickly as possible, so that children and young people can access the support they need. In March 2023, the government set out its plans to reform and improve the special educational needs and disabilities (SEND) system through its SEND and alternative provision (AP) Improvement Plan. The plan commits to establishing a single national system that delivers for every child and young person with SEND, so that they enjoy their childhood, achieve good outcomes and are well prepared for adulthood and employment. Wakefield, Leeds, Calderdale and Bradford are in the SEND Change Programme, representing the Yorkshire and Humber region, to test these reforms. Specifically, these reforms focus on early intervention, improving the quality of EHC plans, streamlining the EHC plan process, reducing conflicts within the EHC plan system through better co-production and ultimately enhancing outcomes for children and young people.
The mental health of children is a national priority for this government and the department recognises that some children will need specialist support for their mental health issues. The department is supporting children and young people nationally, including those in the Morley and Outwood area, in the expansion and transformation of mental health services through an increase in spending through the NHS overall, as well as improved access to early mental health support.
To expand access to early mental health support, the department is continuing to roll out Mental Health Support Teams (MHSTs) to schools and colleges. As of April 2024, MHSTs now covers 44% of pupils in schools and learners in further education in England. The department is extending coverage of MHSTs to at least 50% of pupils and learners by the end of March 2025.
The department has also committed to offering all state schools and colleges a grant to train a senior mental health lead by 2025, enabling them to introduce effective whole school approaches to mental health and wellbeing. So far 16,700 settings have claimed a grant so far, including more than 8 in 10 state-funded secondary schools.
Asked by: Nadia Whittome (Labour - Nottingham East)
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 protect children from unhealthy food and drink marketing.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is committed to working with businesses to ensure that we create the conditions for a healthier nation, and we are implementing an ambitious programme of measures to tackle childhood obesity. On 1 October 2022, the Government introduced legislation to restrict the location of foods high in fat, salt, or sugar in shops and online.
On 1 October 2025, the volume price promotion restrictions will come into force, restricting volume price promotions such as three for two offers on less healthy products. The Government will simultaneously introduce a United Kingdom-wide 9:00pm television watershed for products high in fat, salt, or sugar, and a restriction of paid-for advertising of these products online, also on 1 October 2025. We continue to work with industry on the Food Data Transparency Partnership, to co-develop voluntary reporting requirements for food business to demonstrate the healthiness of their sales.
The Government, through its focus on prevention, is committed to improving the oral health of our young children through the Smile for Life programme, so that they have good habits by the time they start primary school.
Asked by: Nadia Whittome (Labour - Nottingham East)
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 impact of transitioning from CAMHS to adult mental health services on the support provided to young people.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Under the NHS Long Term Plan, local health systems have been tasked with delivering a comprehensive offer for zero to 25 year-olds to ensure young adults receive appropriate mental health support, regardless of their age or diagnostic profile.
Between the ages of 16 to 18 years old, young people are more susceptible to mental illness, undergoing physiological change and making important transitions in their lives. The structure of the National Health Service’s mental health services often creates gaps for young people undergoing the transition from children and young people’s mental health services to appropriate support, including adult mental health services. The new approach to young adult mental health services for people aged 18 to 25 years old will better support the transition to adulthood.
Asked by: Nadia Whittome (Labour - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what support her Department is providing to families of children with poor mental health.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Every Mind Matters website and the National Health Service website both contain helpful advice for parents and carers of a child or young person with poor mental health. This includes signposting to a number of voluntary organisations offering support and information.
Family members of children with poor mental health, who feel they themselves need psychological support, should speak to their general practitioner, or can self-refer to NHS Talking Therapies online. Details are available on the NHS website.
In addition, NHS England is developing a new waiting time measure for children and their families and carers to start receiving community-based mental health care within four weeks of referral. NHS England began publishing this new data in 2023, to improve transparency and drive local accountability.
Asked by: Lord Alton of Liverpool (Crossbench - Life peer)
Question to the Foreign, Commonwealth & Development Office:
To ask His Majesty's Government, further to the reply by Lord Ahmad of Wimbledon on 25 April (HL Deb cols 642GC–644GC), whether they plan to provide official development assistance to the government of Pakistan for the purposes of seizing assets of owners of brick kilns illegally using bonded labour so that those assets can be reused for the education and welfare of families trapped in bonded labour.
Answered by Lord Ahmad of Wimbledon - Minister of State (Foreign, Commonwealth and Development Office)
The UK is committed to eradicating all forms of modern slavery, forced labour and human trafficking anywhere in the world. In Pakistan, our Aawaz II Accountability, Inclusion and Reducing Modern Slavery Programme and Asia Regional Child Labour Programme are working with partners, including the Government of Pakistan, to reduce child and bonded labour. Meanwhile, our Girls and Out of School Action for Learning programme is improving education outcomes for marginalised children from the most vulnerable sections of society. The UK is aiming to triple Official Development Assistance to Pakistan this financial year. We will continue to use our funding to support Pakistan's long-term development, focusing on improving human capital (health, education, gender equality), governance and human rights, macroeconomic stability and trade, and climate resilience.
Asked by: Lord Alton of Liverpool (Crossbench - Life peer)
Question to the Foreign, Commonwealth & Development Office:
To ask His Majesty's Government, further to the reply by Lord Ahmad of Wimbledon on 25 April (HL Deb cols 640GC–644GC), whether any development funding for Pakistan will be allocated to providing advice and assistance to the government of that country to create a national trust fund to support the education of children from the families of bonded labour.
Answered by Lord Ahmad of Wimbledon - Minister of State (Foreign, Commonwealth and Development Office)
The UK is committed to eradicating all forms of modern slavery, forced labour and human trafficking anywhere in the world. In Pakistan, our Aawaz II Accountability, Inclusion and Reducing Modern Slavery Programme and Asia Regional Child Labour Programme are working with partners, including the Government of Pakistan, to reduce child and bonded labour. Meanwhile, our Girls and Out of School Action for Learning programme is improving education outcomes for marginalised children from the most vulnerable sections of society. The UK is aiming to triple Official Development Assistance to Pakistan this financial year. We will continue to use our funding to support Pakistan's long-term development, focusing on improving human capital (health, education, gender equality), governance and human rights, macroeconomic stability and trade, and climate resilience.