Asked by: Helen Hayes (Labour - Dulwich and West Norwood)
Question to the Department for Education:
To ask the Secretary of State for Education, whether she has made an assessment of the potential implications for her policies of the Royal National Institute of Blind People's research entitled Provision under pressure: Gaps in Educational Support for Children and Young People with Vision Impairment in England (2023), published in February 2024; and what steps her Department (a) is taking and (b) plans to take to ensure that children and young people with vision impairment have equitable access to education.
Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)
The department’s ambition is that all children and young people receive the right support to succeed in their education and as they move into adult life.
The special educational needs and disabilities (SEND) and alternative provision (AP) Improvement Plan outlines the government’s mission to establish a single, national SEND and AP system, with the proposal to develop national standards a fundamental foundation for this.
This new single national system will set standards on what support should be made available in mainstream settings, including for children with vision impairment. The National Standards will outline the types of special educational provision that should be available, who is responsible for delivering that support, and clarify expectations on mainstream settings and local services. To inform national standards, the department is engaging with stakeholders across education, health and social care, as well as children, young people and their families, this includes members of the Royal National Institute of Blind People.
The department is committed to ensuring a steady supply of teachers of children with vision impairment in both specialist and mainstream settings. To teach a class of pupils with vision impairments, a teacher is required to hold the relevant mandatory qualification for sensory impairment (MQSI). There are currently six providers of the MQSI, with a seventh from September 2024. The Institute for Apprenticeships and Technical Education (IfATE) is developing a new occupational standard for teachers of sensory impairment, expected to be available from September 2025. Children and young people with special educational needs have more access to assistive technology following investment in remote education and accessibility features, which can reduce or remove barriers to learning.
Asked by: Viscount Waverley (Crossbench - Excepted Hereditary)
Question to the Cabinet Office:
To ask His Majesty's Government what support they are providing to small and medium-sized enterprises to help them adapt to new import and export regulations.
Answered by Baroness Neville-Rolfe - Minister of State (Cabinet Office)
The Government published the final Border Target Operating Model (BTOM) on 29 August 2023. It outlines new policies and processes that importers, the border industry and wider stakeholders including EU exporters will need to go through in order to import goods. We are implementing the BTOM in stages throughout 2024 to help industry get accustomed to the changes.
We have worked extensively with small and medium enterprises to help us define and help them adapt to new controls and requirements. Since publishing the final BTOM, Defra’s ongoing engagement has included regularly contacting 30,000 importers with up-to-date information, delivering over 50 webinars to thousands of businesses, providing bespoke training and working with HMRC to issue communication to 150,000 businesses in the UK.
The risk-based model outlined in the BTOM supports businesses of all sizes by minimising costs and burdens for traders and consumers. For example, low-risk products of animal origin will not require an Export Health Certificate or routine border checks and medium risk goods will undergo reduced intervention at the border. We are also piloting new Trusted Trader schemes that will support groupage loads, which is how SMEs often transport their goods.
All businesses will benefit from using the Single Trade Window, saving time and cost for traders. When fully operational, it will make better use of data and remove duplication to make it easier to trade internationally. This can also limit the requirement to use intermediaries and helps to support small businesses through the user interface on the platform. As the Single Trade Window develops, more information will be provided as to how SMEs can be involved and utilise the service.
The Department for Business and Trade supports small and medium enterprises with national programmes such as the Growth Hub network and through schemes such as Help to Grow. The new Help to Grow Campaign includes a dedicated website, acting as a resourcing hub for business support and advice, as well as SME leadership training schemes, Help to Grow Management and Help to Grow: Management Essentials. UK businesses can access DBT’s wealth of export support via Great.gov.uk. This comprises a digital self-serve offer and our wider network of support including trade advisers, Export Champions, the Export Academy, our International Markets network and UK Export Finance.
Furthermore, since its launch in October 2021, to February 2024, the Export Support Service (ESS) Export Digital Enquiry Service has supported over 16,800 enquiries. The ESS International Markets (IM) service has been live in all nine HMTC regions since April 2022 and has received 23,500 market enquiries from 10,700 businesses (up to February 2024).
Asked by: Karin Smyth (Labour - Bristol South)
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 that integrated care boards take into account a) clinical, b) patient and c) provider experience when commissioning specialised services.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
NHS England's delegation agreement with the integrated care boards (ICBs) requires each ICB to establish effective, safe, efficient, and economic arrangements for the commissioning of delegated specialised services, with particular reference to statutory obligations relating to health and care bodies, such as the triple aim.
The delegation agreement supports these responsibilities, including following all relevant legislation, guidance, and good practice. In commissioning delegation specialised services, ICBs must: consider how they can meet their legal duties to involve patients and the public in shaping the provision of services; work with local communities, under-represented groups, and those with protected characteristics; consider how they can address health inequalities; assist in the development of national standards, including service specifications and clinical commissioning policies; support the development of local clinical leadership and expertise in respect of specialised services; support specialised clinical networks and clinical reference groups, including participating in development and agreement of the annual plan for relevant clinical networks; and work with providers as commissioners of specialised services, including management of contracts and the annual contracting round, financial management, and working with providers on identification and management of any issues relating to quality of services.
Appropriate oversight and assurance arrangements are in place to assure the commissioning capability and capacity of ICBs, and so that NHS England, as the accountable commissioner, has the right mechanisms where support or intervention is needed, regardless of whether a service is retained by NHS England or falls within scope of delegated commissioning arrangements.
Asked by: Tanmanjeet Singh Dhesi (Labour - Slough)
Question to the Department for Environment, Food and Rural Affairs:
To ask the Secretary of State for Environment, Food and Rural Affairs, what steps he is taking to support farmers to adopt (a) integrated pest management and (b) other alternative pest management approaches.
Answered by Mark Spencer - Minister of State (Department for Environment, Food and Rural Affairs)
The forthcoming UK National Action Plan on the Sustainable Use of Pesticides (NAP) will set out Defra’s ambition to minimise the risks and impacts of pesticides to human health and the environment. Within the NAP we will set out our policies to increase the uptake of Integrated Pest Management (IPM) across all sectors.
We have not waited for the publication of the NAP to move forward with work to support sustainable pest management. We introduced new paid IPM actions within the SFI scheme in 2023. Farmers are now paid to complete an IPM assessment and produce an IPM plan; establish and maintain flower-rich grass margins, blocks, or in-field strips; establish a companion crop and move towards insecticide-free farming. Paid actions for precision application of herbicides will be available from this year.
Defra has recently funded a package of research projects that will bring together scientific evidence underpinning IPM to look at ways of further encouraging its uptake. This work will support farmers’ access to the most effective IPM tools available and ensure that we understand changing trends in pest threats across the UK.
Asked by: Karin Smyth (Labour - Bristol South)
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 adequacy of the progress towards full delegated commissioning for Integrated Care Boards by April 2025 in (a) the South West, (b) the South East, (c) London and (d) the North East.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
The total spend on commissioning specialised services was £22.7 billion in 2022/23 and £25 billion in 2023/24. As formal delegation of specialised services to integrated care boards (ICBs) begins from 1 April 2024, all spend on commissioning these services in previous years has been the responsibility of NHS England, and not the ICBs. For 2024/25, NHS England is delegating £5.3 billion of commissioning resource to ICBs in the three regions, where delegation will begin from April 2024. This figure excludes high-cost drugs and devices spend.
The nine joint committee arrangements arose from a robust process, which included a readiness assessment, the Pre-Delegation Assessment Framework, made between the ICBs and NHS England regional teams, followed by a National Moderation Panel, and final decision taken by the NHS England Board. The NHS England Board papers for February 2023, December 2023, and March 2024 are available, respectively, at the following links:
The process concluded that a transitional year of joint commissioning would offer the most secure and stable transition towards delegation. There is a comprehensive programme structure in place to support the ICBs in the four regions that are working towards delegation in April 2025, to support them in being ready to take on the responsibilities. NHS England is continuing to work alongside ICBs to ensure that delegation agreements are in place, including ensuring appropriate collaborative arrangements are developed to support ICB commissioning of specialised services. These arrangements will be monitored by NHS England through its assurance processes for specialised services.
A webinar series for commissioning staff, including colleagues in ICBs, was delivered in 2023 across different aspects of specialised services, and there are additional webinars planned in 2024. There has been, and will continue to be, local engagement between regional commissioning teams and ICB teams, as the future operating model is co-developed. A suite of support materials has been shared with teams and continues to be updated. As examples, these include: Commissioning Change Management Business Rules; Finance and Accounting Standard Operating Procedure; and the Contracting Standard Operating Procedure.
NHS England develops services specification and clinical policies through its Clinical Reference Groups. There are 250 published service specifications which include clinical pathway, quality, and other relevant standards, which are specific to the clinical service. Regional commissioning teams, overseen by the statutory joint committees, are responsible for implementing the specifications in their commissioning of services, along with assessing compliance against national standards. NHS England has developed Specialised Services Quality Dashboards alongside service specifications, which provide additional data to monitor the quality of services.
Asked by: Karin Smyth (Labour - Bristol South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what (a) training and (b) support on specialised services is provided for staff working in integrated care boards in the (i) East of England, (ii) Midlands and (iii) North West following full delegation of commissioning in 2024-25.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
The total spend on commissioning specialised services was £22.7 billion in 2022/23 and £25 billion in 2023/24. As formal delegation of specialised services to integrated care boards (ICBs) begins from 1 April 2024, all spend on commissioning these services in previous years has been the responsibility of NHS England, and not the ICBs. For 2024/25, NHS England is delegating £5.3 billion of commissioning resource to ICBs in the three regions, where delegation will begin from April 2024. This figure excludes high-cost drugs and devices spend.
The nine joint committee arrangements arose from a robust process, which included a readiness assessment, the Pre-Delegation Assessment Framework, made between the ICBs and NHS England regional teams, followed by a National Moderation Panel, and final decision taken by the NHS England Board. The NHS England Board papers for February 2023, December 2023, and March 2024 are available, respectively, at the following links:
The process concluded that a transitional year of joint commissioning would offer the most secure and stable transition towards delegation. There is a comprehensive programme structure in place to support the ICBs in the four regions that are working towards delegation in April 2025, to support them in being ready to take on the responsibilities. NHS England is continuing to work alongside ICBs to ensure that delegation agreements are in place, including ensuring appropriate collaborative arrangements are developed to support ICB commissioning of specialised services. These arrangements will be monitored by NHS England through its assurance processes for specialised services.
A webinar series for commissioning staff, including colleagues in ICBs, was delivered in 2023 across different aspects of specialised services, and there are additional webinars planned in 2024. There has been, and will continue to be, local engagement between regional commissioning teams and ICB teams, as the future operating model is co-developed. A suite of support materials has been shared with teams and continues to be updated. As examples, these include: Commissioning Change Management Business Rules; Finance and Accounting Standard Operating Procedure; and the Contracting Standard Operating Procedure.
NHS England develops services specification and clinical policies through its Clinical Reference Groups. There are 250 published service specifications which include clinical pathway, quality, and other relevant standards, which are specific to the clinical service. Regional commissioning teams, overseen by the statutory joint committees, are responsible for implementing the specifications in their commissioning of services, along with assessing compliance against national standards. NHS England has developed Specialised Services Quality Dashboards alongside service specifications, which provide additional data to monitor the quality of services.
Asked by: Karin Smyth (Labour - Bristol South)
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 proportion of specialised services that met national standards in the (a) 2022-23 and (b) 2023-24 financial years.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
The total spend on commissioning specialised services was £22.7 billion in 2022/23 and £25 billion in 2023/24. As formal delegation of specialised services to integrated care boards (ICBs) begins from 1 April 2024, all spend on commissioning these services in previous years has been the responsibility of NHS England, and not the ICBs. For 2024/25, NHS England is delegating £5.3 billion of commissioning resource to ICBs in the three regions, where delegation will begin from April 2024. This figure excludes high-cost drugs and devices spend.
The nine joint committee arrangements arose from a robust process, which included a readiness assessment, the Pre-Delegation Assessment Framework, made between the ICBs and NHS England regional teams, followed by a National Moderation Panel, and final decision taken by the NHS England Board. The NHS England Board papers for February 2023, December 2023, and March 2024 are available, respectively, at the following links:
The process concluded that a transitional year of joint commissioning would offer the most secure and stable transition towards delegation. There is a comprehensive programme structure in place to support the ICBs in the four regions that are working towards delegation in April 2025, to support them in being ready to take on the responsibilities. NHS England is continuing to work alongside ICBs to ensure that delegation agreements are in place, including ensuring appropriate collaborative arrangements are developed to support ICB commissioning of specialised services. These arrangements will be monitored by NHS England through its assurance processes for specialised services.
A webinar series for commissioning staff, including colleagues in ICBs, was delivered in 2023 across different aspects of specialised services, and there are additional webinars planned in 2024. There has been, and will continue to be, local engagement between regional commissioning teams and ICB teams, as the future operating model is co-developed. A suite of support materials has been shared with teams and continues to be updated. As examples, these include: Commissioning Change Management Business Rules; Finance and Accounting Standard Operating Procedure; and the Contracting Standard Operating Procedure.
NHS England develops services specification and clinical policies through its Clinical Reference Groups. There are 250 published service specifications which include clinical pathway, quality, and other relevant standards, which are specific to the clinical service. Regional commissioning teams, overseen by the statutory joint committees, are responsible for implementing the specifications in their commissioning of services, along with assessing compliance against national standards. NHS England has developed Specialised Services Quality Dashboards alongside service specifications, which provide additional data to monitor the quality of services.
Asked by: Karin Smyth (Labour - Bristol South)
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 cost to (a) integrated care boards and (b) NHS England of commissioning specialised services in the (i) 2022-23 and (ii) 2023-24 financial years.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
The total spend on commissioning specialised services was £22.7 billion in 2022/23 and £25 billion in 2023/24. As formal delegation of specialised services to integrated care boards (ICBs) begins from 1 April 2024, all spend on commissioning these services in previous years has been the responsibility of NHS England, and not the ICBs. For 2024/25, NHS England is delegating £5.3 billion of commissioning resource to ICBs in the three regions, where delegation will begin from April 2024. This figure excludes high-cost drugs and devices spend.
The nine joint committee arrangements arose from a robust process, which included a readiness assessment, the Pre-Delegation Assessment Framework, made between the ICBs and NHS England regional teams, followed by a National Moderation Panel, and final decision taken by the NHS England Board. The NHS England Board papers for February 2023, December 2023, and March 2024 are available, respectively, at the following links:
The process concluded that a transitional year of joint commissioning would offer the most secure and stable transition towards delegation. There is a comprehensive programme structure in place to support the ICBs in the four regions that are working towards delegation in April 2025, to support them in being ready to take on the responsibilities. NHS England is continuing to work alongside ICBs to ensure that delegation agreements are in place, including ensuring appropriate collaborative arrangements are developed to support ICB commissioning of specialised services. These arrangements will be monitored by NHS England through its assurance processes for specialised services.
A webinar series for commissioning staff, including colleagues in ICBs, was delivered in 2023 across different aspects of specialised services, and there are additional webinars planned in 2024. There has been, and will continue to be, local engagement between regional commissioning teams and ICB teams, as the future operating model is co-developed. A suite of support materials has been shared with teams and continues to be updated. As examples, these include: Commissioning Change Management Business Rules; Finance and Accounting Standard Operating Procedure; and the Contracting Standard Operating Procedure.
NHS England develops services specification and clinical policies through its Clinical Reference Groups. There are 250 published service specifications which include clinical pathway, quality, and other relevant standards, which are specific to the clinical service. Regional commissioning teams, overseen by the statutory joint committees, are responsible for implementing the specifications in their commissioning of services, along with assessing compliance against national standards. NHS England has developed Specialised Services Quality Dashboards alongside service specifications, which provide additional data to monitor the quality of services.
Asked by: Karin Smyth (Labour - Bristol 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 potential impact of the nine statutory joint committees formed between integrated care boards and NHS England regions on specialised commissioning.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
The total spend on commissioning specialised services was £22.7 billion in 2022/23 and £25 billion in 2023/24. As formal delegation of specialised services to integrated care boards (ICBs) begins from 1 April 2024, all spend on commissioning these services in previous years has been the responsibility of NHS England, and not the ICBs. For 2024/25, NHS England is delegating £5.3 billion of commissioning resource to ICBs in the three regions, where delegation will begin from April 2024. This figure excludes high-cost drugs and devices spend.
The nine joint committee arrangements arose from a robust process, which included a readiness assessment, the Pre-Delegation Assessment Framework, made between the ICBs and NHS England regional teams, followed by a National Moderation Panel, and final decision taken by the NHS England Board. The NHS England Board papers for February 2023, December 2023, and March 2024 are available, respectively, at the following links:
The process concluded that a transitional year of joint commissioning would offer the most secure and stable transition towards delegation. There is a comprehensive programme structure in place to support the ICBs in the four regions that are working towards delegation in April 2025, to support them in being ready to take on the responsibilities. NHS England is continuing to work alongside ICBs to ensure that delegation agreements are in place, including ensuring appropriate collaborative arrangements are developed to support ICB commissioning of specialised services. These arrangements will be monitored by NHS England through its assurance processes for specialised services.
A webinar series for commissioning staff, including colleagues in ICBs, was delivered in 2023 across different aspects of specialised services, and there are additional webinars planned in 2024. There has been, and will continue to be, local engagement between regional commissioning teams and ICB teams, as the future operating model is co-developed. A suite of support materials has been shared with teams and continues to be updated. As examples, these include: Commissioning Change Management Business Rules; Finance and Accounting Standard Operating Procedure; and the Contracting Standard Operating Procedure.
NHS England develops services specification and clinical policies through its Clinical Reference Groups. There are 250 published service specifications which include clinical pathway, quality, and other relevant standards, which are specific to the clinical service. Regional commissioning teams, overseen by the statutory joint committees, are responsible for implementing the specifications in their commissioning of services, along with assessing compliance against national standards. NHS England has developed Specialised Services Quality Dashboards alongside service specifications, which provide additional data to monitor the quality of services.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether her Department plans to update the National Safety Standards for Invasive Procedures in relation to the potential risk surgical of fires.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
In January 2023, following a consultation, the Centre for Perioperative Care published revised National Safety Standards for Invasive Procedures (NatSSIPs2). These national standards specifically cover all invasive procedures, and include a requirement for local fire safety policies to minimise the risk of surgical fires and to contain a management plan in the event of one occurring. NHS England and the Department are not responsible for the NatSSIPs2 guidance, or further updates.