Asked by: Lord Bishop of St Albans (Bishops - Bishops)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of the impact of low rates of breastfeeding on incidences of breast cancer.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
Improving early diagnosis of cancer, including breast cancer, is a priority for the National Health Service. The public health benefits of breastfeeding for child and maternal health are significant and well established. Evidence suggests a range of potential benefits, for example, research published in the British Medical Journal found breastfeeding gave protection against breast cancer.
We want to ensure that every parent and carer understands the benefits of breastfeeding and has access to the high-quality infant feeding services they need, in their local area, to achieve their breastfeeding goals. Through the Family Hubs and Start for Life Programme, we are investing £50 million to increase the range of specialist support, which is enabling parents to access face-to-face and virtual support whenever they need it.
Asked by: Navendu Mishra (Labour - Stockport)
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 improve specialist services for patients diagnosed with myalgic encephalomyelitis.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for commissioning specialist myalgic encephalomyelitis (ME), also known as chronic fatigue syndrome (CFS), services that meet the needs of their population, subject to local prioritisation and funding. The process of commissioning services should take into account best practice guidance, such as the National Institute for Health and Care Excellence’s (NICE) guidance on ME and CFS diagnosis and management, published in October 2021.
In October 2023, the British Association of Clinicians in ME/CFS published the ME/CFS National Services Survey. This report provides insight into the services being delivered for adults, children, and young people with ME and CFS. 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.
Alongside the publication of the interim delivery plan, we ran a public consultation to build a picture of how well the interim plan meets the needs of the ME and CFS 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, and will publish a summary of the consultation responses in due course. Those consultation responses, along with continued close engagement with key stakeholders, will drive the development of the final cross-Government ME/CFS Delivery Plan, which will be published later this year.
Asked by: Gill Furniss (Labour - Sheffield, Brightside and Hillsborough)
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 including material on (a) diagnosing and (b) detecting cardiovascular diseases in women's health hubs.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
No specific assessment has been made. We are investing £25 million in women’s health hubs, so that women can get better access to care for menstrual problems, contraception, menopause, and more. Integrated care boards (ICBs) are responsible for commissioning services that meet the needs of their local population, and will determine the exact services that their women’s health hub will provide, so long as they deliver the core services set out in the Women’s Health Hubs: Core Specification, which is available at the following link:
Future expansion of women’s health hubs will reflect the need to meet women’s health needs holistically. This could also include developing care pathways into wider health and public services, including those for cardiovascular disease, however hubs should not create an additional step in the patient journey, or delay referral for specialist or urgent care where required.
Asked by: Sharon Hodgson (Labour - Washington and Sunderland West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she has taken to tackle changes in the level of premature deaths caused by liver disease in women under 75 between 2001 and 2022.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Through the 2021 Drugs Strategy, we are making the largest ever single increase in drug and alcohol treatment and recovery funding, with £780 million of additional investment. Of this, £532 million is being invested to rebuild local authority commissioned drugs and alcohol treatment services in England. This is in addition to the funding invested through the Public Health Grant
By February 2024, the funding had enabled an additional 9,878 people to benefit from treatment for alcohol problems, where alcohol was their only substance misuse problem, and a further 6,258 people where, as well as their alcohol problems, they were also being treated for problems associated with non-opiate drug use.
Local authorities are responsible for understanding the drug and alcohol treatment needs of their local communities, and planning and commissioning services to meet that need, including ensuring women have good access to the most effective treatment. The Department supports them in doing this, with data and guidance.
The National Health Service’s piloting of early diagnosis and prevention through 19 community diagnostic hubs reached over 7000 people in 2022/23, and is identifying undiagnosed liver disease. The Community Liver Health Check pilot provides FibroScans in one-stop community clinics, where patients also have other investigations as required.
Beyond treatment and early diagnosis, we are committed to tackling alcohol harms, including reducing consumption levels, and in 2023 the Government introduced reforms to alcohol duty, meaning products are taxed directly in proportion to their alcohol content.
Asked by: Baroness Finlay of Llandaff (Crossbench - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of new data from the Office for National Statistics showing that alcohol-specific deaths are now 32.8 per cent higher than in 2019 and at an all-time high; and what steps they plan to take to tackle rising alcohol harm.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government keeps all official health data related to alcohol consumption and alcohol related harms under regular review. The 2021 Public Health England publication, Monitoring alcohol consumption and harm during the COVID-19 pandemic, found that increases in alcohol consumption since the beginning of the pandemic tended to be among people who were already heavy drinkers before this period, which may be a factor in the increase.
The most effective way to prevent alcohol specific deaths, is drinking within the United Kingdom Chief Medical Officers’ low-risk drinking guidelines, namely under 14 units per week. The Government is supporting people who drink above low-risk levels to reduce their alcohol consumption. As part of the NHS Health Check, questions are asked about alcohol consumption, and appropriate advice given to support people to make healthier choices. Those identified to be drinking at higher-risk levels are referred for liver investigation. The Department is also supporting people with alcohol dependency through the Drug Strategy and NHS Long Term Plan, by facilitating more people in need of treatment into local authority commissioned alcohol treatment services.
Asked by: Peter Gibson (Conservative - Darlington)
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 reduce levels of liver disease in Darlington constituency.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Through the 2021 Drugs Strategy we are making the largest ever single increase in drug and alcohol treatment and recovery funding, with £780 million of additional investment. Of this, £532 million is being invested to rebuild local authority commissioned substance misuse treatment services in England. As alcohol and drug services are commissioned together, this will benefit people seeking treatment for alcohol use.
In the financial years 2022/23 to 2024/25, Darlington has been allocated just over £1.9 million through the Supplementary Substance Misuse Treatment and Recovery Grant and Inpatient Detoxification Grant, to increase the number of people benefiting from alcohol and drug treatment and recovery services, and the outcomes they achieve. This is additional to the amounts invested through the Public Health Grant.
Work in the National Health Service, specifically piloting early diagnosis and prevention through 19 community diagnostic hubs, is identifying undiagnosed liver disease. The North East and North Cumbria Integrated Care Board is enrolled in a Community Liver Health Check pilot in Newcastle, being delivered by the system’s Hepatitis C Operational Delivery Networks. This will provide FibroScans in one-stop community clinics, where patients also have other investigations, as required. The pilot has expanded into North Tyneside, and when resources allow, they intend to develop clinics elsewhere.
Beyond treatment, we are committed to tackling alcohol harms including reducing consumption levels, and in 2023 the Government introduced reforms to alcohol duty, meaning products are taxed directly in proportion to their alcohol content.
Asked by: Alex Cunningham (Labour - Stockton North)
Question to the Home Office:
To ask the Secretary of State for the Home Department, if his Department will make an assessment of the potential impact of No Recourse to Public Funds on people who are (a) destitute and (b) facing destitution.
Answered by Tom Pursglove - Minister of State (Minister for Legal Migration and Delivery)
The Home Office is committed to the continuous review of the NRPF policy and are engaging with public and private sector organisations on a regular basis to understand the impacts of the NRPF condition.
The Government published an overarching Equality Impact Assessment on the Compliant Environment measures, of which No Recourse to Public Funds (NRPF) is part; Compliant environment: overarching equality impact assessment (accessible) - GOV.UK (www.gov.uk).
In general, temporary migrants are expected to support themselves and any accompanying family members in the UK without recourse to public funds. This is a well-established principle that protects taxpayer-funded public services from becoming overburdened.
Nonetheless, there are important safeguards in place for those in genuine need. Migrants with permission under the Family or Private Life routes, or the Hong Kong British National (Overseas) routes, can apply, for free, to have their NRPF condition lifted by making a ‘Change of Conditions’ application. An individual on these routes can apply to have their NRPF condition lifted if they are destitute or at risk of imminent destitution, if there are reasons relating to the welfare of a relevant child, or where they are facing exceptional circumstances affecting their income or expenditure.
For all other immigration routes (other than Family or Private Life, or the Hong Kong BN(O) routes), the general expectation is that they will return to their home country should they become unable to meet their essential living needs in the UK. If there are particularly compelling circumstances why leaving the UK is not possible, discretion can be used to consider if the circumstances justify access to public funds.
Local authorities may also provide basic safety net support, regardless of immigration status, if it is established either that there is a risk to the wellbeing of a child or there is a genuine care need that does not arise solely from destitution: for example, where a person has community care needs or serious health problems. Support provided to a child by local authorities is not dependent on the immigration status of the child or their parent(s).
Migrants with NRPF who have paid the necessary National Insurance contributions or have relevant periods of employment or self-employment, can claim contributory benefits and statutory payments such as New Style Jobseekers Allowance, Statutory Sick Pay, and the State Pension.
Asked by: Lord Hunt of Kings Heath (Labour - Life peer)
Question to the Department for Levelling Up, Housing & Communities:
To ask His Majesty's Government how they plan to reduce the rates of deaths of despair in the North East, which has over double the rate of London; and what assessment they have made of using rates of deaths of despair to assess progress on levelling up.
Answered by Baroness Swinburne - Parliamentary Under Secretary of State (Department for Levelling Up, Housing and Communities)
The Supplemental Substance Misuse Treatment and Recovery (SSMTR) Grant is the mechanism by which local authorities receive Drug Strategy funding to increase substance misuse treatment service capacity and the quality of interventions people receive. The SSMTR Grant is made available to local authorities on the condition of maintaining existing funding through the Public Health Grant.
Details of the SSMTR Grant and the Inpatient Detox (IPD) Grant allocations for the North East are set out below.
| 2022-23 | 2023-24 | 2024-25 | 2022-23 to 2024-25 |
SSMTR | £7,051,992 | £13,677,970 | £24,787,253 | £45,517,215 |
IPD | £727,295 | £727,295 | £727,295 | £2,181,885 |
DHSC is also providing £1,157,212 in funding to three local authorities in the North East (Middlesborough, Newcastle and Durham) to improve access to drug and alcohol treatment services for people who sleep rough or who are at risk of sleeping rough.
On 11 September 2023, the Government published a Suicide Prevention Strategy for England, with over 130 actions that we believe will make progress towards our ambition to reduce the suicide rate within two and a half years. The Strategy includes an intention to write guidance for local areas to support them to align their own strategies with the national strategy.
On 4 March 2024, we announced that 79 organisations up and down the country, including some in the North East, have been allocated funding from the £10 million Suicide Prevention VCSE Grant Fund. These organisations, from local, community-led through to national, are delivering a broad and diverse range of activity that will prevent suicides and save lives.
The Levelling Up White Paper set out 12 missions, including the health mission, focused on improving Healthy Life Expectancy and narrowing the gap between local areas where it is highest and lowest.
We are supporting people to live healthier lives, helping the NHS and social care to provide the best treatment and care for patients and tackling health disparities through national and system interventions such as the NHS’s Core20PLUS5 programme.
We are monitoring progress on a range of behavioural risk factors and underlying drivers of health, which are likely to impact on the health mission. We continue to use metrics that are publicly available and routinely updated to measure the levelling up missions, chosen to show as comprehensive a picture across the UK as possible. We are committed to developing this data picture and improving understanding of health disparities at a local level.
Asked by: Tanmanjeet Singh Dhesi (Labour - Slough)
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 fund HIV treatment.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The HIV Action Plan is the cornerstone of our approach to driving progress and achieving our goal of ending new HIV transmissions, AIDS, and HIV-related deaths within England by 2030. Rapid access to, and retention in, HIV treatment and care can support those diagnosed with HIV in living healthy lives and maintaining an undetectable viral load, meaning they cannot transmit HIV to their sexual partners.
As demonstrated by our success in meeting the Joint United Nations Programme on HIV/AIDS’s 95-95-95 targets, England does very well on viral suppression and retention in care, with 98% of those diagnosed being on treatment, and 98% of those on treatment having an undetectable viral load. HIV treatment and care remain world class in England, and most beneficial outcomes remain high across all population groups. HIV treatment is available free of charge from open access HIV clinics in the National Health Service, and funded by the Department though our budget allocation to NHS England.
The HIV Action Plan identifies that regional directors of public health will provide system leadership on HIV at a regional level, and local governance arrangements take various forms. It is for regional and local systems to oversee relevant care provision. The Department has not assessed the adequacy of health care provision for those diagnosed with HIV in local or regional areas, including Slough and the South East.
Local authorities in England are responsible for commissioning open access sexual health services, including HIV prevention and testing services, through the public health grant, funded at £3.6 billion in 2024/25. It is for individual local authorities to decide their spending priorities based on an assessment of local need, and to commission the service lines that best suit their population. The UK Health Security Agency provides support to regions and local government, including helping areas to understand the local situation in depth and identify where to focus efforts.
Asked by: Tanmanjeet Singh Dhesi (Labour - Slough)
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 ensure constituencies with a high prevalence of HIV are provided with adequate (a) healthcare provision, (b) prevention services and (c) support services.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The HIV Action Plan is the cornerstone of our approach to driving progress and achieving our goal of ending new HIV transmissions, AIDS, and HIV-related deaths within England by 2030. Rapid access to, and retention in, HIV treatment and care can support those diagnosed with HIV in living healthy lives and maintaining an undetectable viral load, meaning they cannot transmit HIV to their sexual partners.
As demonstrated by our success in meeting the Joint United Nations Programme on HIV/AIDS’s 95-95-95 targets, England does very well on viral suppression and retention in care, with 98% of those diagnosed being on treatment, and 98% of those on treatment having an undetectable viral load. HIV treatment and care remain world class in England, and most beneficial outcomes remain high across all population groups. HIV treatment is available free of charge from open access HIV clinics in the National Health Service, and funded by the Department though our budget allocation to NHS England.
The HIV Action Plan identifies that regional directors of public health will provide system leadership on HIV at a regional level, and local governance arrangements take various forms. It is for regional and local systems to oversee relevant care provision. The Department has not assessed the adequacy of health care provision for those diagnosed with HIV in local or regional areas, including Slough and the South East.
Local authorities in England are responsible for commissioning open access sexual health services, including HIV prevention and testing services, through the public health grant, funded at £3.6 billion in 2024/25. It is for individual local authorities to decide their spending priorities based on an assessment of local need, and to commission the service lines that best suit their population. The UK Health Security Agency provides support to regions and local government, including helping areas to understand the local situation in depth and identify where to focus efforts.