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1682052

registered interest
date	15/01/2024
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	Earwax: Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment she has made of the adequacy of the availability of NHS ear syringing treatment in the West Midlands.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	9384
answer	answer is ministerial correction date of answer 22/01/2024 answer text <p>The National Health Service will often recommend home treatment remedies to alleviate ear wax build-up. Manual ear syringing is no longer advised by the National Institute for Health and Care Excellence (NICE) due to risks associated with it, such as trauma to their ear drum or infection.</p><p>However, in line with NICE guidance, a person may require ear wax removal treatment if the build-up of earwax is linked with hearing loss. A general practice could then consider referring the patient into audiology services. Integrated Care Boards (ICBs) are responsible for commissioning healthcare services that meet the needs of their local populations – including for audiology and ear wax removal services.</p><p>ICBs should therefore arrange for the provision of ear wax removal services for when a patient has a clinical need for ear wax removal beyond home treatments.</p><p>The NICE published guidelines last year on hearing loss – and specifically on ear wax removal treatment, at the following link:</p><p><a href="https://www.nice.org.uk/guidance/ng98/chapter/Recommendations#removing-earwax" target="_blank">https://www.nice.org.uk/guidance/ng98/chapter/Recommendations#removing-earwax</a></p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom grouped question UIN 9681 question first answered 22/01/2024 16:11:50 answering member 4117 label Biography information for Andrea Leadsom
tabling member	298 label Biography information for Steve McCabe

1682053

registered interest
date	15/01/2024
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Nitrous Oxide: West Midlands
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for the Home Department, what assessment he has made of the effectiveness of measures taken by the police to tackle nitrous oxide use in the West Midlands.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	9385
answer	answer is ministerial correction date of answer 22/01/2024 answer text <p>The government controlled nitrous oxide as a Class C drug under the Misuse of Drugs Act 1971 on 8 November last year. We are keeping implementation of the ban under review with police forces and key stakeholders.</p><p>The government is aware of early successes from law enforcement partners, including the first conviction under the new law this month. The government has committed to publish a review of the effect of the control of nitrous oxide under the 1971 Act.</p><p>This will be a broad-ranging assessment of the effect of control and will be published three years from the date of its control in November 2026.</p><p> </p> answering member constituency Croydon South answering member printed Chris Philp question first answered 22/01/2024 17:32:12 answering member 4503 label Biography information for Chris Philp
tabling member	298 label Biography information for Steve McCabe

1682060

registered interest
date	15/01/2024
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	Social Prescribing
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether she has made an assessment of the effectiveness of social prescribing; and whether her Department issues guidance on which models provide the most effective treatment.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	9387
answer	answer is ministerial correction date of answer 22/01/2024 answer text <p>As a relatively new programme, the evidence base around nationally linked social prescribing is still evolving and robust quantitative evidence is limited. However, a growing body of work is suggestive of positive effects. The Department continues to work to understand the effectiveness of social prescribing to enhance physical and mental health and wellbeing, building on existing positive local evidence.</p><p> </p><p>The Department of Health and Social Care works on the Green Social Prescribing programme established with the Department for Environment, Food and Rural Affairs to increase the use and connection to the natural environment to tackle mental ill health. The Department of Health and Social Care funds the evaluation and research element including research studies into angling and outdoor swimming.</p><p>The Department funds via grant the National Academy for Social Prescribing (NASP). Their role is to support and promote social prescribing at a local and national level and develop the evidence base. A range of research into the effectiveness of social prescribing published by NASP is available at the following link:</p><p><a href="https://socialprescribingacademy.org.uk/read-the-evidence/" target="_blank">https://socialprescribingacademy.org.uk/read-the-evidence/</a></p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 22/01/2024 09:39:52 answering member 4117 label Biography information for Andrea Leadsom
tabling member	298 label Biography information for Steve McCabe

1682061

registered interest
date	15/01/2024
answering body	Department for Education
answering dept id	60
answering dept short name	Education
answering dept sort name	Education
hansard heading	Pre-school Education: Allergies
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Education, what assessment she has made of the adequacy of support available for children with allergies in pre-school nurseries in the West Midlands.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	9388
answer	answer is ministerial correction date of answer 23/01/2024 answer text <p>The early years foundation stage framework (EYFS) sets the standards that all registered early years providers in England must meet for the learning, development and care of children from birth to age five and includes provisions to support children with allergies. The framework is available at: <a href="https://www.gov.uk/government/publications/early-years-foundation-stage-framework--2" target="_blank">https://www.gov.uk/government/publications/early-years-foundation-stage-framework--2</a>.</p><p>The EYFS requires that before a child is admitted to the setting the provider must obtain information about any special dietary requirements, preferences and food allergies that the child has, and any special health requirements.</p><p>In addition to this, the EYFS states that at least one person who has a current paediatric first aid (PFA) certificate must be on the premises and available at all times when children are present. PFA training must include how to help a baby or child suffering from anaphylactic shock.</p><p>The EYFS also signposts to the Department of Health and Social Care document: ‘Example menus for early years settings in England’ which includes guidance on menu planning, food safety, managing food allergies and reading food labels, which staff preparing food will find helpful in ensuring that children are kept safe. The document is available at: <a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/658870/Early_years_menus_part_1_guidance.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/658870/Early_years_menus_part_1_guidance.pdf</a>.</p><p> </p><p>In September 2023, the department changed the adequate supervision requirement within the EYFS to be explicit that “adequate supervision” while children are eating means that children must always be in sight and hearing of an adult, not within sight or hearing. This will help practitioners to be able to notice the signs of an allergic reaction as soon as they present and allow them to act quickly.</p><p> </p><p>The new early years educator Level 3 qualification criteria will come into force in September 2024. The criteria is available at: <a href="https://www.gov.uk/government/publications/early-years-educator-level-3-qualifications-criteria/early-years-educator-level-3-qualifications-criteria-from-1-september-2024" target="_blank">https://www.gov.uk/government/publications/early-years-educator-level-3-qualifications-criteria/early-years-educator-level-3-qualifications-criteria-from-1-september-2024</a>. Changes have been made to ensure that early years practitioners have an understanding of allergies and anaphylaxis.</p> answering member constituency Wantage answering member printed David Johnston question first answered 23/01/2024 13:05:41 answering member 4761 label Biography information for David Johnston
tabling member	298 label Biography information for Steve McCabe