First elected: 12th December 2019
Speeches made during Parliamentary debates are recorded in Hansard. For ease of browsing we have grouped debates into individual, departmental and legislative categories.
e-Petitions are administered by Parliament and allow members of the public to express support for a particular issue.
If an e-petition reaches 10,000 signatures the Government will issue a written response.
If an e-petition reaches 100,000 signatures the petition becomes eligible for a Parliamentary debate (usually Monday 4.30pm in Westminster Hall).
These initiatives were driven by Mary Kelly Foy, and are more likely to reflect personal policy preferences.
MPs who are act as Ministers or Shadow Ministers are generally restricted from performing Commons initiatives other than Urgent Questions.
Mary Kelly Foy has not been granted any Urgent Questions
Mary Kelly Foy has not been granted any Adjournment Debates
A Bill to impose duties on certain education and training providers in relation to safeguarding and promoting the welfare of children.
This Bill received Royal Assent on 29th April 2021 and was enacted into law.
Sale of Tobacco (Licensing) Bill 2022-23
Sponsor - Bob Blackman (Con)
Fashion Supply Chain (Code and Adjudicator) Bill 2022-23
Sponsor - Liz Twist (Lab)
The Police Reform and Social Responsibility Act 2011 created a ‘controlled area’ surrounding Parliament where the unauthorised use of loudspeakers, the erecting of tents and the use of ‘sleeping equipment’ is prohibited.
The Serjeant at Arms responded to a request from Westminster City Council for views on the use of a loudspeaker in Parliament Square for 30 October 2024. The Serjeant at Arms expressed objection because of the proximity to the Chamber and the significant noise this would cause whilst the Chamber is sitting.
Decisions over loudspeaker consent in Parliament Square are handled by the Serjeant at Arms. Each application is considered on a case-by-case basis and takes into consideration the sitting of the House and Committees, other business planned for the day, the location of the loudspeaker equipment, noise level from equipment and other considerations pertinent to the particular case. The House authorities recognise the importance of legitimate protest to our democracy; they also have a responsibility to ensure that the House is able to transact its business effectively.
Our Equality (Race and Disability) Bill will include a range of measures to tackle racial inequality
We will engage with a wide range of stakeholders while developing the Bill, and will ensure that Gypsy, Traveller and Roma civil society have the opportunity to share their views.
The current pattern of bank and public holidays is well established and accepted. The Government has no plans to change it.
Northern Ireland and Scotland have additional bank holidays for St Patrick’s Day and St Andrew’s Day respectively.
While an additional bank holiday may benefit some communities and sectors, the cost to the economy of an additional bank holiday remains considerable. The latest analysis estimates the cost to the UK economy for a one-off bank holiday to be around £2bn.
Following the UK's Exit from the European Union, the process of transposition of EU Directives has ceased. The Retained EU Law (Revocation and Reform) Act 2023 (REUL Act) ended the supremacy of EU law over domestic UK law, as of January 1, 2024. The European Accessibility Act (EAA) will not directly apply to the UK and, as such, there are no immediate plans within His Majesty's Government (HMG) to transpose this EU legislation. However, UK companies offering in-scope products or services in the EU will need to comply with its provisions, demonstrating that their products/services are compliant with the provisions.
The Energy Price Cap is set by Ofgem and there are different costs included in the price cap, such as the wholesale cost of energy. Any changes to these costs will affect how much the price cap will be each time it is reviewed, and the main driver of the price cap increase for the period 1 October to 31 December 2024 was an increase in wholesale energy prices.
As such, the Government believes the only way to protect consumers permanently is to speed up the transition towards homegrown clean energy and reduce our reliance on volatile international fossil fuel markets.
Whilst we make this transition to clean power by 2030, the Government is committed to ensuring vulnerable households are supported with their energy bills. We are looking at all options on how to make energy bills more affordable for these households.
In the short-term, we are continuing to deliver the Warm Home Discount which provides a £150 annual rebate on energy bills for eligible low-income households. We are also working with energy suppliers to ensure they are providing additional support to vulnerable customers that are struggling with bills
Although standing charges are a commercial matter for suppliers, and are regulated by Ofgem, we know that too much of the burden of the bill is placed on them. The Government has worked constructively with the regulator on the issue of standing charges, and we are committed to lowering the cost of them.
Ofgem’s proposal to move some operational costs from standing charges to unit rates would see low-income households’ overall bills reduced on average, but we are mindful of the distributional effects of changes to standing charges, particularly on vulnerable consumers.
Ofgem’s recently published discussion paper sets out the options for how standing charges could be reduced, including by moving some supplier operational costs off standing charges onto the unit rate, increasing the variety of tariffs available for consumer in the market, and in the longer term, reviewing how system costs are allocated. Ofgem's publication can be found here: https://www.ofgem.gov.uk/call-for-input/standing-charges-domestic-retail-options.
The Government is committed to supporting all consumers, including pensioners in the City of Durham and County Durham. We believe that the only way to protect billpayers permanently and to guarantee our energy security is to speed up our transition away from volatile, foreign, fossil fuel markets towards clean homegrown energy.
In the short-term, we are continuing to deliver the Warm Home Discount which provides a £150 rebate off energy bills to eligible low-income households. In August, I met with energy suppliers to discuss additional support they can provide this winter and we are working together to ensure vulnerable consumers, including pensioners, are supported this winter.
The Scheme Rules and their operation are agreed between the Mineworkers’ Pension Scheme Trustees and the Government. I will be meeting the Trustees shortly to discuss how best to deliver on our manifesto commitments.
As of today, the Government has received £4.8bn from the Mineworkers’ Pension Scheme and £3.1bn from the British Coal Staff Superannuation Scheme since 1994.
The government engages regularly with social media and search services and is clear that they should be taking action now to make their services safe for users.
Under the Online Safety Act, in-scope services must prevent all users from encountering illegal suicide and self-harm content, and children from legal content which encourages, promotes or provides instructions for suicide and self-harm.
The government are committed to continuing to engage with those with lived experience and keeping online safety policy under review and will take whatever steps are needed to protect the public.
The government engages regularly with social media and search services and is clear that they should be taking action now to make their services safe for users.
Under the Online Safety Act, in-scope services must prevent all users from encountering illegal suicide and self-harm content, and children from legal content which encourages, promotes or provides instructions for suicide and self-harm.
The government are committed to continuing to engage with those with lived experience and keeping online safety policy under review and will take whatever steps are needed to protect the public.
The Online Safety Act’s illegal content and, where relevant, child safety duties, will apply to services of all sizes. In September 2024, a public exchange of letters between the Secretary of State and Ofcom CEO outlined information about the taskforce: https://www.ofcom.org.uk/siteassets/resources/documents/about-ofcom/public-correspondence/2024/letter-from-dame-melanie-dawes-to-the-secretary-of-state-11-september-2024.pdf?v=380026. The taskforce is developing and delivering a workplan focusing on high priority themes such as terror, hate and offences against women and girls. Should small but risky services choose not to engage and there is evidence of non-compliance, Ofcom will undertake enforcement action.
The Online Safety Act’s illegal content and, where relevant, child safety duties, will apply to services of all sizes. In September 2024, a public exchange of letters between the Secretary of State and Ofcom CEO outlined information about the taskforce: https://www.ofcom.org.uk/siteassets/resources/documents/about-ofcom/public-correspondence/2024/letter-from-dame-melanie-dawes-to-the-secretary-of-state-11-september-2024.pdf?v=380026. The taskforce is developing and delivering a workplan focusing on high priority themes such as terror, hate and offences against women and girls. Should small but risky services choose not to engage and there is evidence of non-compliance, Ofcom will undertake enforcement action.
Public libraries are funded by local authorities and each local authority is responsible for assessing the needs of their local communities and designing a library service to meet those needs within available resources.
The Public Libraries and Museums Act 1964 requires the Secretary of State to “superintend and promote the improvement of the public library service provided by local authorities in England”. To assist this function the department regularly monitors and reviews changes to local authority library service provision, and engages with local authorities to discuss issues related to their respective library service.
I understand that as of 31 December 2023 the statutory library provision delivered by Durham County Council was 39 local authority-run static libraries and a mobile library service. Seven of these static libraries are located in the City of Durham constituency.
The government is committed to getting local government back on its feet. The final Local Government Finance Settlement for 2025-26 makes available over £69 billion for local government, which is a 6.8% cash terms increase on 2024-25.
This Government recognises that grassroots sports clubs are at the beating heart of communities up and down the country. High-quality, inclusive facilities help clubs to get more people active and, by backing these clubs, the Government will support more people to get onto the pitch wherever they live.
To mark the achievements of England’s senior men’s and women’s football teams, and inspire the next generation as we look ahead to hosting UEFA EURO 2028 across the UK and Ireland, we have set out plans to strengthen our support for grassroots clubs. This includes continuing delivery of funding to build and improve pitches and facilities through the Multi-Sport Grassroots Facilities Programme this year, and a commitment to work with the sector to develop a funding package that will support these plans in future years.
Currently in England, the Multi-Sport Grassroots Facilities Programme is delivered through the Football Foundation. The Foundation is working with local authorities (and local football associations and other partners) to refresh Local Football Facility Plans that identify the specific needs of local areas. These are used to inform the pipeline of projects which will receive funding from the Foundation.
The Government provides the majority of support for grassroots sport through our arm’s-length body, Sport England – which annually invests over £250 million of National Lottery and government money. Sport England’s newly established Movement Fund offers crowdfunding pledges, grants and resources to improve physical activity opportunities for the people and communities who need it the most.
This government is committed to ensuring there is a thriving further education (FE) sector, which is vital to our missions to break down the barriers to opportunity and deliver economic growth.
At the October 2024 Budget, my right hon. Friend, the Chancellor of the Exchequer set out an additional £300 million for FE revenue funding to ensure young people are developing the skills this country needs, as well as £300 million new capital funding to address condition and capacity issues in the FE estate. The department will set out in due course how this funding will be distributed.
This investment is on top of around an additional £600 million in FE across the 2024/25 and 2025/26 financial years. This includes extending retention payments of up to £6,000 after tax for eligible early career FE teachers in key subject areas,
The government does not set pay or conditions within FE. This remains the responsibility of individual providers. However, the department continues to support the sector to recruit and retain expert teachers. We have continued to offer financial incentives for those undertaking teacher training for the FE sector in priority subject areas, worth up to £30,000 each, tax free. Additionally, the department is supporting industry professionals to enter the teaching workforce through the Taking Teaching Further programme.
Tackling child poverty is at the heart of breaking down barriers to opportunity and improving the life chances for every child. For too many children, living in poverty robs them of the opportunity to learn and prosper.
Child poverty has increased by 700,000 since 2010, with over four million children now growing up in a low-income family. This not only harms children’s lives but also damages their future prospects and holds back our society and economy.
With this in mind, the Child Poverty Taskforce will drive forward action across government to reduce child poverty, including considering a range of metrics which can be tracked. These will be published in the government’s Child Poverty Strategy in the spring.
Tackling child poverty is at the heart of breaking down barriers to opportunity and improving the life chances for every child. For too many children, living in poverty robs them of the opportunity to learn and to prosper.
On 17 July 2024, my Right hon. Friend, the Prime Minister, announced the appointment of the Secretary of State for Work and Pension and the Secretary of State for Education to be the joint leads of a new ministerial taskforce to begin work on a child poverty strategy.
This urgent work has started and the ministerial taskforce will harness all available levers to drive forward short-term and long-term actions across government to reduce child poverty, with a child poverty strategy published in spring next year.
The department is working with the Department of Health and Social Care to deliver supervised toothbrushing for 3 to 5 year olds in the most deprived communities. These programmes prevent tooth decay and encourage toothbrushing routines at home.
In addition, the period product scheme continues to provide schools and colleges with access to a wide range of period products for their learners. Since its launch in 2020, 99% of secondary schools and 94% of colleges in England have used the scheme.
Furthermore, the government has announced an extension of the Household Support Fund for a further six months, from 1 October 2024 until 31 March 2025. In England, an additional £421 million will be provided to enable the extension of the Fund to support the cost of essentials, plus funding for the devolved governments through the Barnett formula to be spent at their discretion, as usual.
Ofsted and the Care Quality Commission inspected local arrangements for children with special educational needs and disabilities (SEND) in County Durham in June 2024. The report is due to be published in August 2024.
County Durham is part of the department's Delivering Better Value (DBV) programme. The DBV programme, which was established by the previous government, aims to work with selected authorities to review how services are structured and delivered to achieve better outcomes for children and young people with SEND in a sustainable way. The DBV programme achieves this by helping each of the participating local areas complete a diagnostic to work out the root causes of their challenges and identify local opportunities to sustainably improve the outcomes and experiences of the children and young people with SEND in their care.
On completion of their diagnostic, County Durham created an action plan to address their key local challenges and implement service reforms. Based on this, the department provided grant funding of £1 million to support the delivery of their plans.
This government is committed to providing the necessary support to improve the experiences for children and young people with SEND and their families. The department is committed to taking a community-wide approach, to improving inclusivity and expertise in mainstream schools and alternative provision settings, and to ensure that special schools cater to those with the most complex needs.
The Government is reviewing the policy. Our ambition, set out in our election manifesto, is for half of all food supplied into the public sector to be from local British producers, or certified to higher environmental standards whilst being in line with World Trade Organisation and domestic procurement obligations.
This Government strongly believes in the importance of farming. For this Government, food security is national security, requiring a sustainable, resilient and healthy food system that works with nature and supports British Farmers.
The Government understands the importance of stability for the sector and so have delivered on our commitment to restore stability by continuing the rollout of the Sustainable Farming Incentive (SFI) scheme.
Record numbers of farmers are now in an Environmental Land Management scheme, and the Government wants to maintain the momentum built over recent months. This Government will continue to support farmers by optimising its schemes and grants in an orderly way, ensuring they produce the right outcomes for all farmers while delivering food security and nature recovery in a just and equitable way.
We recognise the pressures that so many farmers are under, including cost pressures. We need to make sure the agricultural transition is fair and will back British farmers in everything we do.
The Government is offering a new deal for farmers giving farmers their future back, including:
The Animal Welfare Committee’s updated opinion on the welfare of farmed fish at the time of killing was published last year. A GB-wide farmed trout joint Government and industry working group is now examining the issues raised in the report to explore the potential options for more detailed welfare at killing requirements. The Scottish Government are also working closely with the salmon industry.
Ofwat will not hesitate to hold water companies to account where they fall short of our expectations. For example, Ofwat recently issued a proposed enforcement order against Northumbrian Water for the management of wastewater treatment works which proposes financial penalties of £17 million (5% of their relevant annual turnover). The consultation period closed on 10th September after which Ofwat will make their final decision. The Water (Special Measures) Bill will also give Ofwat further powers to hold water companies to account where they do not deliver for customers and the environment.
The Government will also soon carry out a review to shape further legislation that will fundamentally transform how our water system works and clean up our rivers, lakes and seas for good, ensuring that the regulatory framework that underpins our water sector delivers long-term stability, with clear, achievable targets.
This Government is committed to preventing the use of those neonicotinoid pesticides that threaten our vital pollinators. At this stage, officials are currently determining the most effective way to implement this commitment.
Flexible Season Tickets are available across all contracted train operators. They offer most commuters who travel two or three days per week better value compared to both day tickets and other season tickets.
All TOCs offer anytime and off-peak tickets for flexible travel through the day. While LNER have removed off-peak tickets on a small number of trial routes, passengers can still purchase flexibility on these routes with the semi-flexible ticket. This ticket allows passengers to travel 70 minutes either side of the booked journey.
Local authorities are responsible for the management of local roads, within the rules set by Government. It is for the local council to decide what measures may be appropriate in their local areas.
The Safer Roads Fund is an innovative, non-competitive programme that provides funding for the most high risk rural ‘A’ roads in England. To date 99 roads have been funded amounting to £185.8 million - including £2.94 million this year for the A690 in County Durham.
These 99 schemes can include designing new junctions and roundabouts, improving signage and road markings, landscape management, road resurfacing, improved crossings, and cycle lanes. The Safer Roads Fund schemes are estimated to save approximately 2,600 lives and serious injuries throughout their 20-year economic life, as well as reducing congestion, improving journey times, and lowering emissions.
The safety of our roads is an absolute priority for this Government and will support our health mission. We are committed to delivering a new Road Safety Strategy – the first in over a decade. We will set out next steps on this in due course.
Between 2020/21 to 2023/24, almost £4,000,000 of capital funding has been invested in County Durham for new and improved schemes to improve safety and boost walking, wheeling and cycling, including on the National Cycle Network. In addition, the North East Combined Authority has been awarded over £5,600,000 of revenue funding since 2021/22.
Active Travel England has been working closely with the North East Combined Authority and its constituent local authorities to boost officer capability to design schemes that improve safety of cyclists and pedestrians. Durham also receives support through national training and engagement programmes that improve safety, including Bikeability cycle training, Walk to School Outreach and Big Bike Revival.
We are committed to supporting pensioners – with millions set to see their yearly basic State Pension rise by around £1,500, or their new State Pension rise by around £1,900, over this parliament, through our commitment to the Triple Lock.
Pension Credit provides vital financial support for pensioners, including women. It tops up state and private pensions to a guaranteed weekly minimum - the Standard Minimum Guarantee, which, for single pensioners, is set to increase from £218.15 to £227.10 in April 2025.
In order to maximise take-up, we have been running the biggest ever Pension Credit campaign because we want all eligible pensioners to claim what they are entitled to.
The Government offers further direct financial help to low-income pensioners through the Warm Home Discount – and the Department for Work and Pensions provides Cold Weather Payments (in England & Wales), and discretionary support through the Household Support Fund in England to support those most in need.
For those people who are unable to work but who are not yet eligible for pensioner benefits because of their age, financial support is available through the welfare system.
The Department is committed to pursuing a just, equal and inclusive society, ensuring independence and control for all customers, including all disabled people and those with complex needs. This means we need to ensure that our customers have access to reasonable adjustments or additional support, to enable them to access benefits and our services.
If a customer is unable to manage their own affairs, an appointee may be appropriate. For customers without an appointee, and unable to complete forms through other channels, the DWP Visiting service can conduct home visits to provide support. Some benefits also offer a telephony option.
Universal Credit customers can access the UC Helpline or the Help to Claim Universal Credit service, offered by the Citizens Advice Bureau. Support is also offered within our Jobcentres.
We aim to provide a tailored service, producing forms in alternative formats such as Braille, large print, coloured paper, as well as screen-readable formats such as word and web-accessible PDF. The Department’s forms are designed to be accessible for people who use assistive technology. Our online PDFs are compliant with Work Content Accessibility Guidelines (WCAG) 2.1 accessible standards and claim form design and standards are regularly tested to ensure they continue to meet user needs.
The State Pension is the foundation of income in retirement. Immediate support for pensioners includes our commitment to the Triple Lock, with over 12 million pensioners set to benefit through the course of this parliament, with the full yearly rate of the new State Pensions forecast to increase by around £1700.
Pension Credit provides financial support to pensioners on a low income. We know there are low-income pensioners who aren’t claiming Pension Credit, and we urge those people to apply. This will passport them to receive a Winter Fuel Payment alongside other benefits – hundreds of pounds that could really help them. We will ensure that the poorest pensioners get the support they need.
The Secretary of State and Deputy Prime Minister wrote to all Local Authorities in late August, asking them to redouble their efforts to reach those pensioners who could benefit from Pension Credit. We will be working closely with charities and Local Authorities to encourage pensioners to check their eligibility and apply.
In line with the Code of Practice for Statistics, the Chief Statistician determines the need for new official statistics, and the development of existing statistics. User engagement is at the heart of our considerations for future statistics. These development priorities are regularly updated and published as part of the DWP Statistical Work Programme.
Whilst a full appraisal of the resources needed to enable the development and publication of statistics on the number of children living in households subject to a Universal Credit sanction has not been made, our data on sanctions is for individuals and it is not possible to identify children in the households of individuals receiving a sanction without significant development of the data we hold.
DWP has a close working relationship with the police and other law enforcement agencies to enable the Department to investigate fraud. This joint working allows full exchange of information from the police to DWP and the DWP to police, under data sharing legislation.
There are already special rules in place for how War Pensions and Armed Forces Compensation Scheme (AFCS) awards interact with State Pensions and benefits. These payments are already fully ignored in the State Pension and in Universal Credit.
The first £10 per week of a War Pension or AFCS award is disregarded in: income-related Employment and Support allowance; income-based Jobseeker’s Allowance; and Income Support. Armed Forces Independence Payments are fully disregarded in these benefits and can also allow the recipient to qualify for an additional disability amount. Furthermore, these are legacy benefits, in the process of being replaced by Universal Credit, in which War Pensions and AFCS are ignored.
By default, the first £10 per week of a War Pension or Armed Forces Compensation Scheme is disregarded in Housing Benefit. Furthermore, a discretionary scheme allows local authorities to fully disregard them.
In relation to Pension Credit, the first £10 of any War Pension payments or AFCS award made due to injury or disablement is disregarded. Four additions to the War Disablement Pension are completely disregarded: Constant Attendance Allowance; Mobility Supplement; Severe Disablement Occupational Allowance; and dependency increases for anyone other than the applicant or her/his partner. War Pensions and AFCS awards are a qualifying income for the Savings Credit element of Pension Credit, which is available to those who reached State Pension age before April 2016. Armed Forces Independence Payments are fully disregarded in Pension Credit and can also allow the recipient to qualify for an additional disability amount.
Under the previous administration, no assessment was made of the mental health impacts of benefits sanctions. The new government will reform labour market policy and operations with the aim of increasing employment and integrating work and health support.
Sanctions are not applied to those with a severe medical health condition or disability where they have been found to have Limited Capability for Work and Work-Related Activity following their Work Capability Assessment (WCA), or where they have a specified condition or are undergoing certain treatments ahead of their WCA.
Those subject to work-related requirements will only be sanctioned if they fail to meet the labour market requirements that they’ve agreed to with their work coach without demonstrating good reason for doing so. To ensure these requirements are realistic and achievable, they are discussed and agreed with the claimant and based on their individual capabilities and household circumstances, including any health issues, caring responsibilities, earnings, and ongoing work or volunteering.
We acknowledge that there will be times when a claimant’s circumstances are such that there their ability to carry out their labour market requirements is disrupted due to their personal circumstances. In these cases, an easement can be applied to lift these requirements completely for an agreed period of time.
To support those who demonstrates that they cannot meet their most immediate and essential needs as a result of receiving a sanction, we have a system of recoverable hardship payments. These needs can include heating, food, and hygiene.
No formal assessment has been made.
We recognise the wide-ranging causes of child poverty, and we will explore how we can use all the available levers we have across government and wider society to drive forward the change our children need.
As a newly formed Government, we need time to review the Ombudsman’s report along with the evidence provided during the investigation. We will listen to all views, including those of 1950s-born women as we take this work forward.
The WASPI organisation has written to me and I intend to meet with their representatives in due course.
The Dental Statistics - England 2023/24, published by the NHS Business Services Authority on 22 August 2024, is available at the following link:
https://www.nhsbsa.nhs.uk/statistical-collections/dental-england/dental-statistics-england-202324
In the NHS Northeast and North Cumbria Integrated Care Board, which includes the City of Durham constituency, 45% of adults were seen by a National Health Service dentist in the previous 24 months to June 2024, compared to 40% in England. In addition, 58% of children were seen by an NHS dentist in the previous 12 months to June 2024, compared to 56% in England.
The Government plans to tackle the challenges for patients trying to access NHS dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to the areas that need them most.
We are supporting the hospice sector with a £100 million capital funding boost for adult and children’s hospices in England to ensure they have the best physical environment for care. We are working at great pace to get this year’s funding to hospices as soon as possible. We are currently finalising the delivery mechanisms, and are pleased that Hospice UK is standing ready to distribute the money to hospices throughout England, including to hospices in the City of Durham constituency.
We are also providing £26 million of revenue funding to support children and young people’s hospices in 2025/26. NHS England is currently making decisions on the allocation and administration mechanisms for that funding and hopes to communicate plans to the sector later this month.
Earlier this month, I met with key palliative and end of life care, including hospice, stakeholders on 3 February to discuss the long-term sustainability of palliative and end of life care, within the context of our 10-Year Health Plan.
The National Health Service is taking crucial steps to improve cancer outcomes for patients across England, including for leukaemia. We will improve cancer survival rates and hit all NHS cancer waiting time targets, so no patient waits longer than they should.
The Department is committed to implementing the recommendations of the Lord O'Shaughnessy review into commercial clinical trials, making sure that the United Kingdom leads the world in clinical trials, and to ensure that innovative, lifesaving treatments are accessible to NHS patients, including those with leukaemia.
NHS England is also committed to ensuring that cancer patients in all parts of England are offered Holistic Needs Assessment and Personalised Care and Support Planning, ensuring care is focused on what matters most to each person. This commitment is being delivered in line with the NHS Comprehensive Model for Personalised Care, empowering people to manage their care and the impact of their cancer and maximise the potential of digital and community-based support.
Health and wellbeing information and support is provided by healthcare professionals from diagnosis onwards and includes access to NHS Talking Therapy services for anxiety and depression, where considered clinically appropriate. These services are provided alongside wider work to improve psychosocial support for people affected by cancer where possible, such as through local partnerships with cancer support charities.
The National Cancer Plan will include further details on how we support cancer patients, including those with blood cancer. We are now in discussions about what form that plan should take, and what its relationship to the 10-Year Health Plan and the Government’s wider Health Mission should be and will provide updates in due course.
The Government is monitoring the impact of the death certification reforms, including the Medical Certificate of Cause of Death Regulations 2024, which came into legal effect on 9 September 2024. The median time taken to register a death since the introduction of the reforms in England and Wales has typically been eight days. This figure is for all deaths, as it includes those certified by a doctor and those investigated by a coroner. The median time taken to register a death varies depending on the type of certification. Deaths certified by a doctor, that comprise approximately 80% of deaths registered each week, have typically had a median time to registration of seven days. These figures are not broken down by hospital or community setting. It is important to note that the medical examiner system was active on a non-statutory basis before the introduction of the statutory system on 9 September, and this makes direct before and after comparisons challenging to draw conclusions from.
The core purposes of the death certification reforms are to introduce scrutiny of the cause of death to detect and deter malpractice, to improve reporting, and crucially to put the bereaved at the centre of the process by offering a conversation with the medical examiner about the cause of death. The expectation on doctors and medical examiners is clear, that they should complete certification as quickly and efficiently as possible, and the Government is working with all stakeholders to make sure this is the case.
The Government is monitoring the impact of the death certification reforms, including the Medical Certificate of Cause of Death Regulations 2024, which came into legal effect on 9 September 2024. The median time taken to register a death since the introduction of the reforms in England and Wales has typically been eight days. This figure is for all deaths, as it includes those certified by a doctor and those investigated by a coroner. The median time taken to register a death varies depending on the type of certification. Deaths certified by a doctor, that comprise approximately 80% of deaths registered each week, have typically had a median time to registration of seven days. These figures are not broken down by hospital or community setting. It is important to note that the medical examiner system was active on a non-statutory basis before the introduction of the statutory system on 9 September, and this makes direct before and after comparisons challenging to draw conclusions from.
The core purposes of the death certification reforms are to introduce scrutiny of the cause of death to detect and deter malpractice, to improve reporting, and crucially to put the bereaved at the centre of the process by offering a conversation with the medical examiner about the cause of death. The expectation on doctors and medical examiners is clear, that they should complete certification as quickly and efficiently as possible, and the Government is working with all stakeholders to make sure this is the case.
The United Kingdom faces significant health inequalities, with life expectancy varying widely across and within communities. The Government is committed to building a fairer Britain by tackling the structural inequalities that contribute to poor health, particularly for disadvantaged groups.
The Office for Health Improvement and Disparities’ North East and Yorkshire Regional Team collaborates with partners to provide system leadership for public health, reducing health inequalities. The team facilitates the delivery of national and local public health priorities, providing expert advice. It works with Directors of Public Health in local authorities, integrated care systems, Mayoral Combined Authorities, NHS England, and the wider National Health Service. The team also leads for public health workforce development and with Local Knowledge and Intelligence colleagues, and provides enhanced data, intelligence, and insights for population health.
North East local authorities received a total of £238 million in Public Health Grant funding for 2024/25, with Durham County Council receiving £53.9 million for 2024/25. This provides services such as stop smoking, drug and alcohol treatment, health visiting and school nursing, and sexual health, among others, all of which contribute to addressing health inequalities. Additionally, Directors of Public Health from each local authority are working in partnership with the North East and North Cumbria Integrated Care Board to support action to address inequalities in access, experience, and outcomes associated with health care.
Existing initiatives to reduce inequalities in relation to health services, in England, include NHS England’s Core20Plus5, which focuses on improving the five clinical areas in most need of accelerated improvement in the poorest 20% of the population, along with other underserved population groups identified at a local level, including groups that share protected characteristics, and socially excluded groups such as people experiencing homelessness.
Durham County Council is one of 75 local authorities with high levels of deprivation receiving Family Hubs and Start for Life programme funding. The Government has committed a £126 million boost for families in 2025/26 to give every child the best start in life. Of this, Durham County Council will receive £1.68 million.
The United Kingdom faces significant health inequalities, with life expectancy varying widely across and within communities. The Government is committed to building a fairer Britain by tackling the structural inequalities that contribute to poor health, particularly for disadvantaged groups.
The Office for Health Improvement and Disparities’ North East and Yorkshire Regional Team collaborates with partners to provide system leadership for public health, reducing health inequalities. The team facilitates the delivery of national and local public health priorities, providing expert advice. It works with Directors of Public Health in local authorities, integrated care systems, Mayoral Combined Authorities, NHS England, and the wider National Health Service. The team also leads for public health workforce development and with Local Knowledge and Intelligence colleagues, and provides enhanced data, intelligence, and insights for population health.
North East local authorities received a total of £238 million in Public Health Grant funding for 2024/25, with Durham County Council receiving £53.9 million for 2024/25. This provides services such as stop smoking, drug and alcohol treatment, health visiting and school nursing, and sexual health, among others, all of which contribute to addressing health inequalities. Additionally, Directors of Public Health from each local authority are working in partnership with the North East and North Cumbria Integrated Care Board to support action to address inequalities in access, experience, and outcomes associated with health care.
Existing initiatives to reduce inequalities in relation to health services, in England, include NHS England’s Core20Plus5, which focuses on improving the five clinical areas in most need of accelerated improvement in the poorest 20% of the population, along with other underserved population groups identified at a local level, including groups that share protected characteristics, and socially excluded groups such as people experiencing homelessness.
Durham County Council is one of 75 local authorities with high levels of deprivation receiving Family Hubs and Start for Life programme funding. The Government has committed a £126 million boost for families in 2025/26 to give every child the best start in life. Of this, Durham County Council will receive £1.68 million.
The Department monitors and manages medicine supply at a national level so that stocks remain available to meet regional and local demand. Information is not collected on a local level. The Department has been working hard with industry and NHS England to help resolve supply issues with some attention deficit hyperactivity disorder (ADHD) medicines, which are affecting the United Kingdom and other countries around the world. As a result of intensive work, some issues have been resolved, and all strengths of lisdexamfetamine, atomoxetine capsules, and guanfacine prolonged-release tablets are now available.
We are continuing to work to resolve supply issues where they remain, for methylphenidate prolonged-release tablets. We are engaging with all suppliers of methylphenidate prolonged-release tablets to assess the challenges faced and their actions to address them. We are also directing suppliers to secure additional stocks, expedite deliveries where possible, and review plans to further build capacity to support continued growth in demand for the short and long-term. We expect supply to improve in the UK throughout December 2024 and January 2025. However, we anticipate supply to be limited for some strengths, and we continue to work with all suppliers to ensure that the remaining issues are resolved as soon as possible. To improve supply chain resiliency, we are also working with prospective new suppliers of methylphenidate prolonged-release tablets to expand the UK supplier base.
We are supporting an ADHD taskforce that NHS England is establishing to examine ADHD service provision. The taskforce will bring together expertise from across a broad range of sectors, including the National Health Service, education, and justice, to help provide a joined-up approach in response to concerns around rising demand. In collaboration with NHS England’s national ADHD data improvement plan, we plan to combine modelling for future growth forecasts, which will be shared with industry to improve demand forecasting for ADHD medicines.
To minimise the impact of the shortages on patients, the Department has worked with specialist clinicians, including those within the NHS, to develop management advice for NHS clinicians to consider prescribing available alternative brands of methylphenidate prolonged release tablets generically, or available alternative ADHD medicines. To support ADHD patients throughout the NHS, we would expect all ADHD service providers and specialists to follow our guidance, which includes offering rapid response to primary care teams seeking urgent advice or opinions for the management of patients, including those known to be at a higher risk of adverse impact because of these shortages.
To aid ADHD service providers and prescribers further we have widely disseminated our communications and continually update a list of currently available and unavailable ADHD products on the Specialist Pharmacy Service (SPS) website, helping ensure that those involved in the prescribing and dispensing of ADHD medications can make informed decisions with patients. The SPS website also offers additional guidance from NHS England specialists to help systems and healthcare professionals manage ADHD supply disruptions.
Since July 2024, no members of the Department have met with the vaping industry. This includes my Rt Hon. Friend, the Secretary of State for Health and Social Care. Details of ministerial meetings are updated quarterly in arrears, on the GOV.UK website.
The landmark Tobacco and Vapes Bill was introduced into Parliament on 5 November, and will be the single biggest public health intervention since the banning of smoking in indoor public spaces.
This bill goes further than ever before. It will create the first smoke-free generation, gradually phasing out the sale of tobacco products across the country, enable the Government to strengthen the existing ban on smoking in public places to reduce the harms of passive smoking in certain outdoor settings, ban vapes and nicotine products from being promoted and advertised to children, and introduce tougher enforcement measures, including through providing powers to introduce a retail licensing scheme for tobacco and vapes.
This bill will help deliver our ambition for a smoke-free United Kingdom, and forms part of our Health Mission to shift the health system from treatment to prevention.