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Ministers will be aware of a rather boastful claim last weekend by the makers of Elfbar and Lost Mary vapes. They have already launched rechargeable, refillable products, which, with a coil in each pod, are not by definition single-use or disposable according to the published regulations. Can the Minister reassure the House and parents that they are alive to that and will pivot as necessary now that the Tobacco and Vapes Bill is going into Committee?
Ministers will be aware of a rather boastful claim last weekend by the makers of Elfbar and Lost Mary vapes. They have already launched rechargeable, refillable products, which, with a coil in each pod, are not by definition single-use or disposable according to the published regulations. Can the Minister reassure the House and parents that they are alive to that and will pivot as necessary now that the Tobacco and Vapes Bill is going into Committee?
I thank my hon. Friend for raising that matter, which shows the cynicism with which the tobacco and vaping industry is approaching these landmark public health reforms. On vapes, we have committed to consulting on the powers that we are adopting in the Bill precisely because we want to ensure that the regulations, when they come to the fore, address the realities of the market and the cynicism of the companies behind it, and help to ensure that our children do not continue being plied with these horrible items to get them hooked on nicotine.
While we are talking about the recovery of primary care and the Secretary of State is at the Dispatch Box, the recovering access plan released last May talked about high-quality online consultation, text messaging services and online booking tools. They were due in July, but that became August and then December, and I understand that it has now been delayed indefinitely due to a claim made against NHS England in what is a £300 million project. That delay is hitting access to primary care. Will the Secretary of State update the House?
While we are talking about the recovery of primary care and the Secretary of State is at the Dispatch Box, the recovering access plan released last May talked about high-quality online consultation, text messaging services and online booking tools. They were due in July, but that became August and then December, and I understand that it has now been delayed indefinitely due to a claim made against NHS England in what is a £300 million project. That delay is hitting access to primary care. Will the Secretary of State update the House?
We are determined to bring not just primary care but the whole NHS up to speed with technology. We are firm advocates of the idea that technology can help free clinicians’ time and ensure that they are spending time looking at their patients rather than at computer screens. In primary care, we are working to ensure the digital telephony services that have played such a critical role in providing those 50 million additional appointments, as I described. I will take away my hon. Friend’s points, and look into them carefully.
To ask the Secretary of State for Health and Social Care, what recent assessment she has made of the effectiveness of the (a) surveillance of infectious diseases and (b) Health Protection (Notification) Regulations 2010.
To ask the Secretary of State for Health and Social Care, what recent assessment she has made of the effectiveness of the (a) surveillance of infectious diseases and (b) Health Protection (Notification) Regulations 2010.
As part of our responsibility to protect citizens from the impact of infectious diseases, the UK Health Security Agency (UKHSA) carries out surveillance activities across a range of pathogens which represent a significant risk to health. This involves multiple UKHSA teams working with external partners across a wide range of activities. Our assessments of the effectiveness of surveillance are incorporated into annual reports on surveillance and progress towards the elimination of notifiable diseases, including tuberculosis and measles.
Health Protection (Notification) Regulations 2010 serve an important role in England’s ability to respond promptly to suspected cases of infectious disease that could have an impact on public health, by supporting a robust surveillance system. Regulations are reviewed by the Department and UKHSA, and include public consultations. A summary of responses to the recent Health Protection (Notification) Regulations 2010: proposed amendments consultation, is available at the following link:
The pressure on services is acute this winter, as it is every year. So far, we have heard very little mention in these 20 minutes of the biggest headache facing trusts, integrated care boards, patients and, of course, the Prime Minister’s pledge to cut the waiting lists further. Given that the British Medical Association ballot on consultants’ action closes today, and that the dispute among doctors in training continues, can the Secretary of State update the House on her message to those voting today, and on where we are in wider industrial disputes, which are a drag anchor on the NHS right now?
The pressure on services is acute this winter, as it is every year. So far, we have heard very little mention in these 20 minutes of the biggest headache facing trusts, integrated care boards, patients and, of course, the Prime Minister’s pledge to cut the waiting lists further. Given that the British Medical Association ballot on consultants’ action closes today, and that the dispute among doctors in training continues, can the Secretary of State update the House on her message to those voting today, and on where we are in wider industrial disputes, which are a drag anchor on the NHS right now?
My hon. Friend is right to point out that we are in the final few hours of the consultants’ ballot on the pay reform programme that we have offered the British Medical Association. I very much hope that consultants will feel able to support that programme, because it is about bringing together the frankly quite bureaucratic system that they have to deal with at the moment, so that they are assessed in a shorter time with less bother and paperwork, while respecting their need to train and keep up their education and supporting professional activities commitments. I hope that they will agree with us on that. As I have said to the junior doctors committee from this Dispatch Box, should they return with reasonable expectations, we will, of course, reopen negotiations.
To ask the Secretary of State for Health and Social Care, what recent progress her Department has made on identifying the key reasons why people (a) may not be offered and (b) decline the offer of a HIV test in sexual health clinics.
To ask the Secretary of State for Health and Social Care, what recent progress her Department has made on identifying the key reasons why people (a) may not be offered and (b) decline the offer of a HIV test in sexual health clinics.
Further work is being undertaken by the UK Health Security Agency (UKHSA) to explore reasons why people may not be offered or decline the offer of an HIV test in Sexual Health clinics. UKHSA will provide a descriptive analysis of predictors in the third quarter of 2024.
To ask the Secretary of State for Health and Social Care, with reference to her Department's publication entitled Towards Zero - An action plan towards ending HIV transmission, AIDS and HIV-related deaths in England - 2022 to 2025, updated on 21 December 2021, what recent progress has been made on...
To ask the Secretary of State for Health and Social Care, with reference to her Department's publication entitled Towards Zero - An action plan towards ending HIV transmission, AIDS and HIV-related deaths in England - 2022 to 2025, updated on 21 December 2021, what recent progress has been made on...
A late HIV diagnoses steering group will be held in the second quarter of 2024 to review and agree the content of the protocol. Software is also under development to enable information to be captured.
To ask the Secretary of State for Health and Social Care, what progress her Department has made on understanding the circumstances surrounding HIV acquisitions in 2023.
To ask the Secretary of State for Health and Social Care, what progress her Department has made on understanding the circumstances surrounding HIV acquisitions in 2023.
Further analyses around HIV acquisitions will be undertaken to ensure the circumstances reflect a wide range of people living with HIV. This will be published in the third quarter of 2024.
Ministers know that Sir John Moore barracks in my constituency is due for disposal in 2026 as part of the future soldier programme, which will bring phase 1 capability to the Pirbright site and put 900 houses in its place. Will a Minister meet me to ensure that the current ministerial team is right behind the move and, if it is, that we have an intelligent masterplan that does not just help Winchester City Council to meet its housing targets?
Ministers know that Sir John Moore barracks in my constituency is due for disposal in 2026 as part of the future soldier programme, which will bring phase 1 capability to the Pirbright site and put 900 houses in its place. Will a Minister meet me to ensure that the current ministerial team is right behind the move and, if it is, that we have an intelligent masterplan that does not just help Winchester City Council to meet its housing targets?
I am more than happy to meet my hon. Friend.
The Government previously committed to publishing a dental recovery plan, which the former dental Minister, my hon. Friend the Member for Harborough (Neil O’Brien), said that the Government would publish shortly. He also told my Committee:
“We do want everyone who needs one to be able to access an NHS dentist”.
We were surprised, but he said it. We were told that the plan would be published during the summer or before the summer recess. When will the plan be published, if that is still the intention? Presumably it will come alongside the response to our “Dental Services” report, which was due on 14 September.
The Government previously committed to publishing a dental recovery plan, which the former dental Minister, my hon. Friend the Member for Harborough (Neil O’Brien), said that the Government would publish shortly. He also told my Committee:
“We do want everyone who needs one to be able to access an NHS dentist”.
We were surprised, but he said it. We were told that the plan would be published during the summer or before the summer recess. When will the plan be published, if that is still the intention? Presumably it will come alongside the response to our “Dental Services” report, which was due on 14 September.
I thank my hon. Friend and I look forward to being grilled by him and his Committee in due course—at least, I think I do. Perhaps I can assist him, first, on the very important dental report that his Committee published. I am looking through it myself this afternoon and I will be publishing the response and sending it to the Committee imminently. In relation to the dental plan, both the Under-Secretary of State for Health and Social Care, my right hon. Friend the Member for South Northamptonshire (Dame Andrea Leadsom), and I are looking carefully into the needs of communities in rural and coastal areas, as well as in more urban areas, to understand not just the need but the answers that we can provide to help with urgent care and, importantly, preventive care, particularly for our children and vulnerable people in our society.
Agreed to on question.
Agreed to on question.
Motion that this House has considered the third report of the Health and Social Care Committee, Workforce: recruitment, training and retention in health and social care, HC 115, published on 25 July 2022, and the Government response, HC 1289, published on 24 April 2023. Agreed to on question.
Motion that this House has considered the third report of the Health and Social Care Committee, Workforce: recruitment, training and retention in health and social care, HC 115, published on 25 July 2022, and the Government response, HC 1289, published on 24 April 2023. Agreed to on question.
To ask the Secretary of State for Education, if she will publish details of spending of early years entitlement funding by each local authority.
To ask the Secretary of State for Education, if she will publish details of spending of early years entitlement funding by each local authority.
Early years entitlement funding is one of the funding blocks of the Dedicated Schools Grant (DSG). The latest information regarding early years funding is available at: https://www.gov.uk/government/publications/early-years-funding-2023-to-2024.
As part of the annual Section 251 budget return, local authorities return data on their planned early years spending for the next financial year, which is then published by the department. The latest published planned expenditure data is for the 2022/23 financial year and is available at: https://explore-education-statistics.service.gov.uk/find-statistics/planned-la-and-school-expenditure.
The data collection process for planned expenditure data for the 2023/24 financial year is ongoing and will be published in the autumn of 2023. Local authorities also submit less detailed outturn data regarding spend which is published by the department. The latest available outturn data is for the 2021/22 financial year and can be found in the file named ‘LA expenditure on schools, other education and community’ at: https://explore-education-statistics.service.gov.uk/data-catalogue/la-and-school-expenditure/2021-22.
Back to NHS dentistry, I am afraid. Later this week, the Select Committee will publish its report on NHS dentistry services. Spoiler alert: it will be uncomfortable reading for some. Will the Secretary of State tell us when and how he plans to bring forward plans for the tie-in of newly qualified dentists? Could that go hand in hand with a “return to the NHS” campaign for dentists who have already left that part of the service?
Back to NHS dentistry, I am afraid. Later this week, the Select Committee will publish its report on NHS dentistry services. Spoiler alert: it will be uncomfortable reading for some. Will the Secretary of State tell us when and how he plans to bring forward plans for the tie-in of newly qualified dentists? Could that go hand in hand with a “return to the NHS” campaign for dentists who have already left that part of the service?
It is characteristically astute of my hon. Friend to zero in on the tie-in, which is an important part of the long-term workforce plan. Around two thirds of dentists do not go into NHS work after training, so having a tie-in is more pertinent there than it might be elsewhere in the NHS workforce. I look forward to the Select Committee’s report but, with some of the reforms already in place, we are boosting the number of patients treated. There were a fifth more dental treatments in 2022 than in the previous year. We are also making NHS dentistry more attractive with some of the changes to the previous 2006 contract, but we recognise that there is more to do, which is why we will shortly set out our dental recovery plan.
To ask the Secretary of State for Education, what information the Government holds on whether any underspends in childcare funding in local councils have been ringfenced for early years education as of June 2023.
To ask the Secretary of State for Education, what information the Government holds on whether any underspends in childcare funding in local councils have been ringfenced for early years education as of June 2023.
Early years funding is one of the funding blocks of the dedicated schools grant (DSG). Whilst the department does collect information around the total level of DSG underspend from local authorities, specific information regarding which funding blocks within the DSG the underspends have originated from is not collected.
I met a group of headteachers in Chandler’s Ford, in my constituency, on Friday, and it is clear that they feel they are currently subsidising the surplus in places from falling school rolls, and particularly in universal infant free school meals. The Minister and I discussed this in my recent Westminster Hall debate, and he said he was “actively looking” at the issue. Since then, the Hampshire school meals provider has put up the price again. Will the Minister give me an update?
I met a group of headteachers in Chandler’s Ford, in my constituency, on Friday, and it is clear that they feel they are currently subsidising the surplus in places from falling school rolls, and particularly in universal infant free school meals. The Minister and I discussed this in my recent Westminster Hall debate, and he said he was “actively looking” at the issue. Since then, the Hampshire school meals provider has put up the price again. Will the Minister give me an update?
I am happy to discuss this further with my hon. Friend. As I said in the Westminster Hall debate, we have been looking at this issue carefully and have increased the price per pupil of the universal infant free school meal, backdated to April. We understand the cost pressures that schools and suppliers of catering to schools are facing because of higher food prices.
Women living with HIV of course have the right to healthcare on the same terms as anyone else, except that now they do not when it comes to starting a family. Many people living with HIV are currently excluded from accessing fertility treatment, both by law and by the Government’s microbiological safety guidelines. So will the Government now follow the scientific evidence, particularly on undetectable viral load, and remove what are surely discriminatory restrictions on the basis of HIV status?
Women living with HIV of course have the right to healthcare on the same terms as anyone else, except that now they do not when it comes to starting a family. Many people living with HIV are currently excluded from accessing fertility treatment, both by law and by the Government’s microbiological safety guidelines. So will the Government now follow the scientific evidence, particularly on undetectable viral load, and remove what are surely discriminatory restrictions on the basis of HIV status?
I thank the Chair of the Health and Social Care Committee for his question, as he raises an important point. Last year, we asked the Advisory Committee on the Safety of Blood, Tissues and Organs to reconsider this specific issue. It set up a working group in June last year to look at it and we expect its recommendations this month. We will take them seriously and address them swiftly once we have its advice.
Owen Carey died just across the river from here, underneath the London Eye, after suffering a severe allergic reaction while out celebrating his 18th birthday. He had simply eaten a chicken burger at a restaurant. Unbeknown to him, and
despite his asking, it had been marinated in buttermilk. Owen’s sister, Emma, who is my constituent, was in Parliament last week with her dad and brother for a debate on food labelling and support for those with allergies. They are fighting for Owen’s law, which is, among other things, a campaign to change the food information regulations on allergy labelling in restaurants. It has attracted huge support. Will the Prime Minister meet me and Owen’s family to see how we can ensure that something positive comes of that tragic loss of a young life?
Owen Carey died just across the river from here, underneath the London Eye, after suffering a severe allergic reaction while out celebrating his 18th birthday. He had simply eaten a chicken burger at a restaurant. Unbeknown to him, and
despite his asking, it had been marinated in buttermilk. Owen’s sister, Emma, who is my constituent, was in Parliament last week with her dad and brother for a debate on food labelling and support for those with allergies. They are fighting for Owen’s law, which is, among other things, a campaign to change the food information regulations on allergy labelling in restaurants. It has attracted huge support. Will the Prime Minister meet me and Owen’s family to see how we can ensure that something positive comes of that tragic loss of a young life?
I thank my hon. Friend for raising Owen’s case, and I know that the whole House will join me in expressing our condolences to Emma and all of Owen’s family for what happened. I will absolutely ensure that my hon. Friend gets a meeting with the relevant Minister to discuss appropriate food labelling so that we can ensure that such things do not happen.
To ask the Secretary of State for Health and Social Care, whether his Department is taking steps to provide Descovy to people with HIV through the NHS.
To ask the Secretary of State for Health and Social Care, whether his Department is taking steps to provide Descovy to people with HIV through the NHS.
People living with human immunodeficiency virus (HIV) who meet the relevant criteria can access emtricitabine and tenofovir alafenamide (Descovy®) through the NHS England clinical commissioning policy: Tenofovir Alafenamide for treatment of HIV 1 in adults and adolescents, which is available at the following link:
https://www.england.nhs.uk/wp-content/uploads/2017/03/f03-taf-policy.pdf
To ask the Secretary of State for Health and Social Care, whether his Department has had recent discussions with the (a) UK Health Security Agency, (b) British HIV Association and (c) other representatives of people with HIV on taking steps to encourage people who are living with HIV to seek...
To ask the Secretary of State for Health and Social Care, whether his Department has had recent discussions with the (a) UK Health Security Agency, (b) British HIV Association and (c) other representatives of people with HIV on taking steps to encourage people who are living with HIV to seek...
As part of the human immunodeficiency virus (HIV) Action Plan, we committed to optimising access to treatment and retention and re-engagement in HIV care. As part of the HIV Action Plan Implementation Steering Group, which drives forward the implementation of the Plan, we established a retention and re-engagement in care Task and Finish subgroup including UK Health Security Agency, British HIV Association and other key stakeholders who will provide advice on how to increase the number of people retained and re-engaged in care and receive effective medical care. The Implementation Steering Group will be considering the advice and, if needed, take appropriate action to ensure we meet our Action Plan’s objectives.
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to help tackle the level of diabetes in pregnant women with HIV.
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to help tackle the level of diabetes in pregnant women with HIV.
All pregnant women receive a Personalised Care and Support Plan, which is a series of facilitated conversations in which the person actively gets involved to explore the management of their health and well-being, taking into account individual needs and requirements, including pre-existing health conditions.
Further to this, NHS England have developed 14 Maternal Medicine Networks across England, to ensure that all women with chronic and acute medical problems around pregnancy, including diabetes, have access to specialist management and care from physicians and obstetrics.
With relation to human immunodeficiency virus (HIV), the Specialised Adult HIV Service Specification sets out the requirements for service providers to support the appropriate management of people living with HIV, including pregnant women with HIV, through referral to and liaison with primary care for management of non-HIV care needs. Service providers are required to ensure that pathways are in place for access to other specialties.