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Written Question
Carer's Allowance: Overpayments
Tuesday 23rd April 2024

Asked by: Jessica Morden (Labour - Newport East)

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, how many people received fines for overpayment of Carer's Allowance in (a) 2020, (b) 2021, (c) 2022, (d) 2023 and (e) as of 1 April 2024; and what was the total amount of these fines.

Answered by Paul Maynard - Parliamentary Under-Secretary (Department for Work and Pensions)

Claimants have a responsibility to ensure they are entitled to benefits they claim and to inform the DWP of any changes in their circumstances that could impact their award.

Overpayments occur when an individual receives a payment they are not entitled to. The fines imposed by DWP for overpayments vary depending on the circumstances of the overpayment.

Administrative Penalties may be offered by the fraud investigator as an alternative to a prosecution in certain cases where there has been benefit fraud or attempted benefit fraud.

The table below provides the volume and value of Administrative Penalties accepted due to an overpayment of Carer’s Allowance, by financial year.

Financial Years

Volume of Administrative Penalties

Value

2020/21

64

£114.4k

2021/22

43

£80.2k

2022/23

43

£81.3k

2023/24

75

£140.8k

For cases of claimant error, a £50 Civil Penalty may be imposed by DWP where an individual incurs an overpayment as a result of failing to provide accurate information and have not taken reasonable steps to correct the error.

The table below provides the volume and value of Civil Penalties given due to an overpayment of Carer’s Allowance, by financial year.

Financial Years

Volume of Civil Penalties

Value

2020/21

14.9k

£0.747m

2021/22

26.3k

£1.309m

2022/23

24.8k

£1.241m

2023/24

30.1k

£1.506m

Note that our latest figures show there are approximately 1.4 million people claiming Carer’s Allowance.

The data provided for this response is for the volume of penalties, and it is important to note that individuals can receive more than one penalty.

Data been sourced from internal DWP management information, which is intended only to help the Department to manage its business. It is not intended for publication and has not been subject to the same quality assurance checks applied to our published official statistics. Our analysis has not captured a small but unknown number of penalties that are logged as debts in their own right on the debt MI system. Our understanding is that this approach is rarely used for Carer’s Allowance.

More information about DWP penalties policy can be found here: Penalties policy: in respect of social security fraud and error - GOV.UK (www.gov.uk)


Written Question
Hospices: Finance
Tuesday 23rd April 2024

Asked by: Desmond Swayne (Conservative - New Forest West)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will make it her policy to end the funding of hospices through integrated care boards.

Answered by Victoria Atkins - Secretary of State for Health and Social Care

I commend my Rt Hon. Friend’s tireless advocacy for high-quality end-of-life care, through his work on the APPG for Dying Well.

I understand his concerns about potential variation in provision. However, the Health and Care Act 2022 included a legal duty for integrated care boards to commission palliative and end of life care, in line with wider NHS devolution.

Integrated care boards are best positioned to understand and meet the needs of their local population, and commission appropriate end-of-life services, including from the NHS and voluntary sector organisations, such as hospices.


Written Question
Department for Environment, Food and Rural Affairs: Advertising
Tuesday 23rd April 2024

Asked by: Stephanie Peacock (Labour - Barnsley East)

Question to the Department for Environment, Food and Rural Affairs:

To ask the Secretary of State for Environment, Food and Rural Affairs, what proportion of his Department’s (a) advertising and (b) marketing expenditure was on (i) local newspapers in print and online, (ii) national newspapers in print and online, (iii) social media, (iv) search engines, (v) broadcast and on-demand television and (vi) other channels in the most recent year for which data is available.

Answered by Mark Spencer - Minister of State (Department for Environment, Food and Rural Affairs)

Attached is a breakdown of the Department’s advertising and marketing expenditure broken down by channels for 2023/24.

Marketing/advertising is an important part of delivering some of the Department’s policies. Advertising spend allows us to reach audiences in places and ways that ensure they are more responsive and open to hearing about our work and hopefully changing their attitudes and behaviours towards positive action.


Written Question
Ticks
Tuesday 23rd April 2024

Asked by: Earl of Caithness (Conservative - Excepted Hereditary)

Question to the Department of Health and Social Care:

To ask His Majesty's Government, following the publication of the UK Health Security Agency report Health Effects of Climate Change (HECC) in the UK: State of the evidence 2023 in January, what steps they are taking to inform health professionals of the heightened risk to public health of (1) Lyme disease, and (2) emerging tick-borne diseases, including tick-borne encephalitis, from an increase in the UK distribution of tick species as a result of a warming climate; and what advice are they providing to those exposed to this risk through work or leisure.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

The UK Health Security Agency (UKHSA) has an active programme to promote awareness of tick-borne diseases among local authorities, health professionals and the public by 2025 in line with the Third National Adaptation Programme. This includes Lyme disease and tick-borne encephalitis. UKHSA has worked to develop a toolkit for local authorities and key stakeholders to raise awareness of the potential risks created by ticks and tick-borne disease, a copy of which is attached. UKHSA also publishes Lyme disease data on Fingertips, which is an open access public health data platform which allows the public, health professionals, and local authorities to view trends, compare indicators and understand the incidence of Lyme disease in their area.

Clinicians are also engaged via teaching sessions for General Practitioners, seminars for infection specialists, and briefing notes to notify clinicians of the possibility of tick-borne diseases, with detail of compatible signs and symptoms. Disease messaging is shared through media, social, and stakeholder channels at a national and regional level, such as the #BeTickAware campaign which aims to raise awareness in the population, including those at risk of exposure through work or leisure.


Written Question
Strikes (Minimum Service Levels) Act 2023
Tuesday 23rd April 2024

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 recent assessment her Department has made of the impact of the Strikes (Minimum Service Levels) Act 2023 on the ability of healthcare professionals to participate in industrial action.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The Strikes (Minimum Service Levels) Act 2023 allows for regulations to be laid in Parliament in the health sector. The Strikes (Minimum Service Levels: NHS Ambulance Services and the NHS Patient Transport Service) Regulations 2023 came into force on 8 December 2023.

As we set out in in our consultation response on minimum service levels in the ambulance sector, in our engagement with representatives from ambulance trusts, they indicated that establishing a minimum service level at the level specified in the regulations would require approximately 80% of an ambulance service’s resources on a typical shift. Therefore, if an employer chose to issue work notices during a strike, it is likely that a high proportion of all levels of paramedics, emergency care assistants, and other staff in the ambulance teams rostered to work on a strike would be named, and this would have a significant impact on the ability of employees to participate in strike action. The Department has consulted on whether to implement similar regulations for hospital services, and will set out its response in due course.


Written Question
Breast Cancer: Screening
Tuesday 23rd April 2024

Asked by: Dawn Butler (Labour - Brent Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent assessment she has made of trends in the level of uptake for breast cancer screenings amongst ethnic minority women.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The national breast screening programme does not currently have the capability to routinely cross reference patient’s ethnicity data with uptake data. NHS England has started work to improve its data collection capabilities as part of the development of the new screening IT system, through the Digital Transformation of Screening programme. This will support the collection of population-level data on protected characteristics such as ethnicity, to support services in improving uptake.

More widely, NHS England has developed a national plan to improve uptake, including interventions to address inequalities and screening barriers. This includes ensuring appointments are as convenient as possible, and efforts are focused on areas and groups with low uptake.


Written Question
Dementia and Parkinson's Disease: Health Services and Social Services
Tuesday 23rd April 2024

Asked by: Peter Dowd (Labour - Bootle)

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 health and social care professionals are trained in Parkinson’s-related dementia care.

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

The standard of training for health care professionals is the responsibility of the health care independent statutory regulatory bodies. They set the outcome standards expected at undergraduate level and approve courses and Higher Education Institutions to write and teach the curricula content that enables their students to meet the regulators outcome standards.

Whilst not all curricula may necessarily highlight a specific condition, they all nevertheless emphasize the skills and approaches a health care practitioner must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients, including for dementia.

Individual employers across health and social care are responsible for ensuring their staff are trained and competent to carry out their role, and for investing in the future of their staff by providing continuing professional development (CPD) funding. The required training needs are set out in the Dementia Training Standards Framework, which is available at the following link:

https://www.skillsforhealth.org.uk/info-hub/dementia-2015-updated-2018/

The framework was commissioned and funded by the Department, and developed in collaboration with the sector. It sets out the essential knowledge, skills, and expected learning outcomes applicable across the health and care spectrum.

It is applicable to health and social care staff who work with people living with dementia, staff providing direct care and support, and those who provide leadership in transforming care, including social care managers and leaders.

To supplement local National Health Service employer investment for CPD, the NHS Long Term Workforce Plan, published on 30 June 2023, sets out NHS England’s commitment to continue national CPD funding for nurses, midwives, and allied health professionals. There are a variety of resources available on the NHS England e-learning for health platform, designed to enhance the training and education of the health and social care workforce. This includes a programme on dementia care, and modules in Parkinson’s disease in geriatric medicine.


Written Question
Dementia and Parkinson's Disease: Health Services and Social Services
Tuesday 23rd April 2024

Asked by: Mary Glindon (Labour - North Tyneside)

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 provide training in Parkinson’s-related dementia care for health and social care professionals.

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

The standard of training for health care professionals is the responsibility of the health care independent statutory regulatory bodies. They set the outcome standards expected at undergraduate level and approve courses and Higher Education Institutions to write and teach the curricula content that enables their students to meet the regulators outcome standards.

Whilst not all curricula may necessarily highlight a specific condition, they all nevertheless emphasize the skills and approaches a health care practitioner must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients, including for dementia.

Individual employers across health and social care are responsible for ensuring their staff are trained and competent to carry out their role, and for investing in the future of their staff by providing continuing professional development (CPD) funding. The required training needs are set out in the Dementia Training Standards Framework, which is available at the following link:

https://www.skillsforhealth.org.uk/info-hub/dementia-2015-updated-2018/

The framework was commissioned and funded by the Department, and developed in collaboration with the sector. It sets out the essential knowledge, skills, and expected learning outcomes applicable across the health and care spectrum.

It is applicable to health and social care staff who work with people living with dementia, staff providing direct care and support, and those who provide leadership in transforming care, including social care managers and leaders.

To supplement local National Health Service employer investment for CPD, the NHS Long Term Workforce Plan, published on 30 June 2023, sets out NHS England’s commitment to continue national CPD funding for nurses, midwives, and allied health professionals. There are a variety of resources available on the NHS England e-learning for health platform, designed to enhance the training and education of the health and social care workforce. This includes a programme on dementia care, and modules in Parkinson’s disease in geriatric medicine.


Written Question
Dementia: General Practitioners
Tuesday 23rd April 2024

Asked by: Elliot Colburn (Conservative - Carshalton and Wallington)

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 help improve the knowledge of GPs on the symptoms of young onset dementia.

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

We want all general practitioners to have received appropriate training, in order to provide high quality care to people with dementia, regardless of the person’s age or individual needs.

The standard of training for health care professionals is the responsibility of the health care independent statutory regulatory bodies who set the outcome standards expected at undergraduate level and approve courses and Higher Education Institutions to write and teach the curricula content that enables their students to meet the regulators outcome standards.

Whilst not all curricula may necessarily highlight a specific condition, they all nevertheless emphasize the skills and approaches a Health Care Practitioner must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients, including for dementia.

The NHS Long Term Workforce Plan, published on 30 June 2023, sets out NHS England’s commitment to improving training for workers caring for people with dementia.

The Long Term plan also sets out the plan for there to be more healthcare staff working in and with GP practices, which will mean people will be able to get an appointment with the right professional depending on their needs. This means that those with dementia will be able to access the most appropriate support more quickly.

The plan will include more GPs, nurses and 20,000 additional pharmacists, physiotherapists, paramedics, physician associates and social prescribing link. These bigger teams of staff will work with other local services to make sure people, including those with dementia, get better access to a wider range of support for their needs.

We are seeing more people from younger cohorts with multimorbidity. Multimorbidity challenges the specialised approach to medicine, which has improved our ability to successfully treat single diseases. The Long Term Plan also addresses the increased need for medical and other clinical professionals with generalist and core skills to manage and support patients with seemingly unrelated diseases.

There are also a variety of resources available on the NHS England E-learning for Health platform, including a programme on dementia care, designed to enhance the training and education of the health and social care workforce.


Written Question
Social Security Benefits
Tuesday 23rd April 2024

Asked by: Tahir Ali (Labour - Birmingham, Hall Green)

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, what steps his Department is taking to help people claim each benefit to which they are entitled.

Answered by Jo Churchill - Minister of State (Department for Work and Pensions)

GOV.UK (www.gov.uk) provides information on eligibility and how to make a claim for benefits, including signposting to telephony routes (including textphone and Relay UK) for people who are unable to complete forms online. There are videos on the DWP YouTube channel that provide further information on a range of benefits including Personal Independence Payment, Universal Credit, Winter Fuel Payment, Pension Credit and DLA for Children and these explain how to claim and what to expect once a claim has been made.

Guidance on GOV.UK (www.gov.uk) includes information on benefits people may be able to claim and other financial support. This includes housing support, help with council tax and direct payments for social care. Where appropriate DWP letters include signposting to additional help and support.