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1693612

	registered interest
	date	04/03/2024
	answering body	Department for Environment, Food and Rural Affairs
	answering dept id	13
	answering dept short name	Environment, Food and Rural Affairs
	answering dept sort name	Environment, Food and Rural Affairs
	hansard heading	Deposit Return Schemes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Environment, Food and Rural Affairs, whether he has had recent discussions with the Welsh Government on a potential exclusion from the United Kingdom Internal Market Act 2020 in the context of the inclusion of glass in a deposit return scheme.
	tabling member constituency	Swansea East
	tabling member printed	Carolyn Harris
	uin	16973
	answer	answer is ministerial correction date of answer 09/04/2024 answer text <p>We have always maintained that deposit return schemes across the UK should be interoperable to reduce complexity for businesses and consumers, and to avoid unnecessary barriers to trade. We want to ensure that the schemes operate seamlessly for businesses and consumers across the UK.</p><p> </p><p>Defra is working closely with devolved administrations on the next steps to achieve interoperable schemes that work across the UK.</p><p> </p><p>There has been no recent discussion with the Welsh Government on a potential exclusion from the United Kingdom Internal Market Act 2020 in the context of the inclusion of glass in a deposit return scheme.</p><p> </p> answering member constituency Keighley answering member printed Robbie Moore question first answered 09/04/2024 10:06:23 answering member 4861 label Biography information for Robbie Moore
	tabling member	4480 label Biography information for Carolyn Harris

1693642

	registered interest
	date	04/03/2024
	answering body	Department for Environment, Food and Rural Affairs
	answering dept id	13
	answering dept short name	Environment, Food and Rural Affairs
	answering dept sort name	Environment, Food and Rural Affairs
	hansard heading	River Mersey: Water
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Environment, Food and Rural Affairs, what steps he is taking to improve the quality of water in the River Mersey.
	tabling member constituency	Stockport
	tabling member printed	Navendu Mishra
	uin	17003
	answer	answer is ministerial correction date of answer 02/04/2024 answer text <p>We are committed to continue to improving water quality and are delivering the record investment, the stronger regulation and the tougher enforcement to improve our water for our own health, for nature and the economy. For example, on 20 February we announced plans to more than quadruple Environment Agency (EA) water company inspections, strengthening oversight, reducing the reliance on self-monitoring.</p><p> </p><p>The EA has been working with United Utilities in Stockport and in the upstream catchments of the River Tame and River Goyt. Within the current investment programme (2020-2025) there are improvements due to be completed at 2 storm overflows and at 6 of the wastewater treatment works in the upstream catchments. EA has also been working with United Utilities on their investment programme for 2025-2030.</p><p> </p><p>The EA also have national programmes investigating persistent chemical failures and historic sources of chemicals across the Mersey catchment.</p> answering member constituency Keighley answering member printed Robbie Moore question first answered 02/04/2024 12:32:21 answering member 4861 label Biography information for Robbie Moore
	tabling member	4811 label Biography information for Navendu Mishra

1693188

	registered interest
	date	04/03/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Anaesthesia Associates and Physician Associates
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if she will take steps to provide the same (a) terms and conditions and (b) job evaluation systems to (i) Anaesthesia Associates and Physician Associates and (ii) junior doctors.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	16684
	answer	answer is ministerial correction date of answer 02/04/2024 answer text <p>The role of medical associates is to work with and support doctors and not to replace them. Physician Associates, Anaesthesia Associates, and doctors in training are employed under different contractual arrangements. Physician Associates and Anaesthesia Associates are employed on the Agenda for Change (AfC) contract. Doctors in training follow a distinct medical training pathway, and are employed on the NHS Doctors and Dentists in Training (2016) contract.</p><p>The National Health Service contracts reflect the different needs of different members of the workforce, and are managed by different collective bargaining structures. The AfC contract is managed by the NHS Staff Council and is underpinned by the NHS Job Evaluation Scheme. There is no equivalent job evaluation scheme for doctors and dentists’ terms and conditions.</p><p>There are currently no plans for Physician Associates, Anaesthesia Associates, and doctors in training to be employed under the same terms and conditions, with the same job evaluation system.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 02/04/2024 12:19:36 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4471 label Biography information for Rachael Maskell

1693294

	registered interest
	date	04/03/2024
	answering body	Department for Education
	answering dept id	60
	answering dept short name	Education
	answering dept sort name	Education
	hansard heading	Parents
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Education, whether her Department has made an assessment of the potential impact of parenting programmes on (a) levels of expenditure associated with (i) child and adult mental health and (ii) youth anti-social behaviour and (b) the proportion of parents able to return to the workplace as a result of a reduction in school refusal rates.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	16740
	answer	answer is ministerial correction date of answer 28/03/2024 answer text <p>The department is clear that parents should do everything they can to ensure that their child is in school every day. Regular school attendance is vital for children’s attainment, mental wellbeing and long-term development. It is crucial that the department has a system of support in place to ensure every child attends school every day, ready to learn and thrive.</p><p>The government’s ‘Working Together to Improve School Attendance’ guidance, which will become statutory ahead of the next school year, includes a core set of functions that local authority attendance support staff, whether titled education welfare officers, attendance officers or early help practitioners, are expected to provide free of charge to all schools and funded centrally through the Central Schools Service Block and Supporting Families Grant. Some early adopters have reported benefits from integrating attendance into other services, and providing better, more joined up whole family support, that has the potential to reduce demand for higher cost crisis services over time.</p><p>The department’s attendance mentors pilot sees mentors supporting a group of persistently absent pupils and their families, on a one-to-one basis, to help identify and address their barriers to education. The department has had positive feedback from parents, pupils and schools who have engaged with the attendance mentors programme and have started to see some promising impact data. The department has recently announced an additional investment of £15 million to expand mentoring into ten new areas over the next three years.</p><p>The government’s Supporting Families programme continues to work with families where attendance issues are a significant concern. ‘Getting a good education’ is a headline indicator in the national Supporting Families Outcomes Framework, which requires sustained good attendance for all children in the family, across two consecutive school terms. It is important that those identifying attendance issues begin to explore and identify any issues which may be behind the attendance problems, including any needs and circumstances in the wider family as part of Early Help Assessment processes.</p><p>The department’s reforms are starting to make a difference. There were 440,000 fewer pupils persistently absent or not attending in 2022/23 than in the year before. Overall absence during the 2023/24 autumn term was 6.8%, down from 7.5% in the 2022/23 autumn term.</p><p>Alongside this, the department is currently considering options for widening access to parenting support through family hubs and is undertaking assessments of the effectiveness and value for money of evidence-based parenting programmes, as well as other forms of support for parents. As part of this work to inform future fiscal events, the department will consider the downstream economic impacts of parenting programmes.</p><p> </p> answering member constituency Wantage answering member printed David Johnston question first answered 28/03/2024 17:31:21 answering member 4761 label Biography information for David Johnston
	tabling member	4122 label Biography information for Alex Cunningham

1693169

	registered interest
	date	04/03/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Gonorrhoea and Syphilis: Sick Leave
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of the increase in incidents of (1) gonorrhoea, from 58 diagnoses per 100,000 people in 2013 to 146 diagnoses in 2023, and (2) syphilis, from 6.4 diagnoses per 100,000 people in 2013 to 15.4 diagnoses in 2023; and what assessment they have made of the impact of the resulting loss of working days.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL2987
	answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>Sexually transmitted infection diagnosis data is published annually, as official statistics by the UK Health Security Agency (UKHSA), and is available at the GOV.UK website, in an online only format. There were 82,592 gonorrhoea diagnoses and 8,692 infectious syphilis diagnoses, including primary, secondary, and early latent, reported in sexual health services in England, in 2022. This is compared to 31,177 gonorrhoea diagnoses and 3,345 infectious syphilis diagnoses, primary, secondary, and early latent, in 2013.</p><p> </p><p>Gonorrhoea is increasing in people of all ages, but the rise is highest among young people aged 15 to 24 years old. Infectious syphilis, including primary, secondary, and early latent, is increasing among gay, bisexual, or other men, who have sex with men and heterosexual people.</p><p> </p><p>Dedicated sexual health services play a key public health role in diagnosis, early treatment and management of STIs and we are providing local authorities with more than £3.5 billion in 2023/24 (increasing to £3.6 billion in 2024/25) through our public health grant to support this activity.</p><p> </p><p>We continue to support the delivery of local services, providing guidance and data through UKHSA and my department. In March 2023 the Department of Health and Social Care in collaboration with UKHSA, published the Integrated Sexual Health Service Specification to support local authorities in comprehensive commissioning of services and provide advice and guidance on managing STIs outbreaks.</p><p> </p><p>UKHSA has also published a Syphilis Action Plan to address the increase in syphilis diagnosis in England, focusing on key interventions such as targeted testing, partner notification and awareness raising.</p><p> </p><p>No assessment has been made of any resulting loss of working days, due to gonorrhoea and syphilis diagnoses.</p> answering member printed Lord Markham question first answered 26/03/2024 14:27:50 answering member 4948 label Biography information for Lord Markham
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1693446

	registered interest
	date	04/03/2024
	answering body	Church Commissioners
	answering dept id	9
	answering dept short name	Church Commissioners
	answering dept sort name	Church Commissioners
	hansard heading	Clergy: Universal Credit
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Member for South West Bedfordshire, representing the Church Commissioners, whether the Commissioners have had discussions with the Department of Work and Pensions on the potential impact of the migration of claimants of Child Tax Credit to Universal Credit on the financial position of members of the clergy.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	16862
	answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>The Ministry Development Team of the Archbishops’ Council estimates that around 1,800 clergy families are currently in receipt of child tax credits. As has been reported, some of these may stand to lose up to £10,000 a year as a result of the planned migration to Universal Credit.</p><p>Representations have been made to the Department of Work and Pensions about the impact on clergy who have savings or property for retirement, of the ineligibility for Universal Credit for those with assets or savings over the £16,000 threshold. A key concern is that this will not only affect living standards for clergy families reliant on stipendiary income but will have an adverse effect on all people in tied accommodation seeking to make adequate provisions for their retirement.</p><p>The Ministry Development Team also estimates that around 400 of the 1,800 clergy families receiving child tax credits have more than two children and are therefore also likely to be affected by the two-child cap on Universal Credit.</p> answering member constituency South West Bedfordshire answering member printed Andrew Selous question first answered 26/03/2024 11:28:36 answering member 1453 label Biography information for Andrew Selous
	tabling member	4471 label Biography information for Rachael Maskell

1693190

	registered interest
	date	04/03/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Respiratory Syncytial Virus: Vaccination
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government when they will decide on the tender for the Respiratory Syncytial Virus immunisation for infants and young adults.
	tabling member printed	Baroness Ritchie of Downpatrick
	uin	HL3002
	answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>The Government has engaged the market on its requirements for products that would enable respiratory syncytial virus vaccination programmes to be implemented for infants and older adults, as advised by the Joint Committee on Vaccination and Immunisation. Final decisions on these programmes have not yet been taken. There are no plans for a respiratory syncytial virus vaccination programme for young adults.</p><p>The Invitation to Offer was published on 24 January 2024, and closed on 29 February. Bids received will now be evaluated based on cost-effectiveness. Following this, a full business case will be developed for the Government’s approval this spring.</p> answering member printed Lord Markham question first answered 25/03/2024 15:53:22 answering member 4948 label Biography information for Lord Markham
	tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1693154

	registered interest
	date	04/03/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Antidepressants: Young People
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government how many antidepressant prescriptions were issued to patients under the age of 25 in each year since 2014.
	tabling member printed	Lord Alton of Liverpool
	uin	HL2972
	answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>Many medicines, including medicines used to treat depression, are licensed and prescribed for other conditions. The Department expects prescribers to always satisfy themselves that the medicines they consider appropriate for their patients can be safely prescribed.</p><p>The following table shows the number of patients aged under 18 and 25 years old, who were prescribed antidepressants, each year from 2015 to 2023:<br></p><table><tbody><tr><td><p>Year</p></td><td><p>Antidepressants prescribed to people under 18 years old</p></td><td><p>Antidepressants prescribed to people under 25 years old</p></td></tr><tr><td><p>2015/16</p></td><td><p>312,113</p></td><td><p>2,477,798</p></td></tr><tr><td><p>2016/17</p></td><td><p>332,706</p></td><td><p>2,759,953</p></td></tr><tr><td><p>2017/18</p></td><td><p>346,126</p></td><td><p>2,910,607</p></td></tr><tr><td><p>2018/19</p></td><td><p>367,850</p></td><td><p>3,202,784</p></td></tr><tr><td><p>2019/20</p></td><td><p>393,762</p></td><td><p>3,525,602</p></td></tr><tr><td><p>2020/21</p></td><td><p>406,391</p></td><td><p>3,890,347</p></td></tr><tr><td><p>2021/22</p></td><td><p>437,365</p></td><td><p>4,170,154</p></td></tr><tr><td><p>2022/23</p></td><td><p>448,515</p></td><td><p>4,119,463</p></td></tr></tbody></table><p>Source: NHS Business Services Authority</p><p>Notes:</p><ol><li>This is based on the information within the published statistics for medicines used in mental health, that uses British National Formulary section 0403 for antidepressant drugs, prescribed in England and dispensed in the community in England, Scotland, Wales, the Isle of Man, or the Channel Islands.</li><li>Prescriptions do not state the purpose for which they are written, so there may be instances where medicines are used for other conditions.</li></ol> answering member printed Lord Markham grouped question UIN HL2971 question first answered 25/03/2024 12:08:33 answering member 4948 label Biography information for Lord Markham
	tabling member	738 label Biography information for Lord Alton of Liverpool

1693153

	registered interest
	date	04/03/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Antidepressants: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government how many antidepressant prescriptions were issued to patients under the age of 18 in each year since 2014.
	tabling member printed	Lord Alton of Liverpool
	uin	HL2971
	answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>Many medicines, including medicines used to treat depression, are licensed and prescribed for other conditions. The Department expects prescribers to always satisfy themselves that the medicines they consider appropriate for their patients can be safely prescribed.</p><p>The following table shows the number of patients aged under 18 and 25 years old, who were prescribed antidepressants, each year from 2015 to 2023:<br></p><table><tbody><tr><td><p>Year</p></td><td><p>Antidepressants prescribed to people under 18 years old</p></td><td><p>Antidepressants prescribed to people under 25 years old</p></td></tr><tr><td><p>2015/16</p></td><td><p>312,113</p></td><td><p>2,477,798</p></td></tr><tr><td><p>2016/17</p></td><td><p>332,706</p></td><td><p>2,759,953</p></td></tr><tr><td><p>2017/18</p></td><td><p>346,126</p></td><td><p>2,910,607</p></td></tr><tr><td><p>2018/19</p></td><td><p>367,850</p></td><td><p>3,202,784</p></td></tr><tr><td><p>2019/20</p></td><td><p>393,762</p></td><td><p>3,525,602</p></td></tr><tr><td><p>2020/21</p></td><td><p>406,391</p></td><td><p>3,890,347</p></td></tr><tr><td><p>2021/22</p></td><td><p>437,365</p></td><td><p>4,170,154</p></td></tr><tr><td><p>2022/23</p></td><td><p>448,515</p></td><td><p>4,119,463</p></td></tr></tbody></table><p>Source: NHS Business Services Authority</p><p>Notes:</p><ol><li>This is based on the information within the published statistics for medicines used in mental health, that uses British National Formulary section 0403 for antidepressant drugs, prescribed in England and dispensed in the community in England, Scotland, Wales, the Isle of Man, or the Channel Islands.</li><li>Prescriptions do not state the purpose for which they are written, so there may be instances where medicines are used for other conditions.</li></ol> answering member printed Lord Markham grouped question UIN HL2972 question first answered 25/03/2024 12:08:33 answering member 4948 label Biography information for Lord Markham
	tabling member	738 label Biography information for Lord Alton of Liverpool

1693160

	registered interest
	date	04/03/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Physician Associates
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government why the NHS England’s Network Contract Directed Enhanced Service specifies that physician associates employed under the Additional Roles Reimbursement Scheme have key responsibility for providing first point of contact care for patients presenting with undifferentiated, undiagnosed problems.
	tabling member printed	Baroness Bennett of Manor Castle
	uin	HL2978
	answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>Physician Associates have been part of the National Health Service workforce for a number of years. They are an important part of clinical teams across the NHS, providing support to thousands of patients every day, under the supervision of doctors.</p><p>The Additional Roles Reimbursement Scheme provides funding for a number of additional roles, including Physician Associates, to help create bespoke, multi-disciplinary teams. All these roles are in place to assist general practice (GP) doctors in reducing their workload and assisting patients directly with their needs, allowing doctors to focus on more complex patients and other priorities, including continuity of care. Physician Associates work alongside GPs and the wider practice team to provide care as part of the multidisciplinary team.</p> answering member printed Lord Markham question first answered 25/03/2024 12:07:11 answering member 4948 label Biography information for Lord Markham
	tabling member	4719 label Biography information for Baroness Bennett of Manor Castle