Written statements

Government Ministers and a small number of other Members of the two Houses can make a written statement to one or both Houses.

Written statements are published below shortly after receipt in Parliament. They also reproduced in the next edition of the Daily Report and of Hansard in the relevant House.

Written statements made before 17 November 2014 were published only in Hansard:

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WS
Department for Digital, Culture, Media and Sport
Made on: 21 May 2019
Made by: Lord Ashton of Hyde (Parliamentary Under-Secretary of State for Digital, Culture, Media and Sport)
Lords

Education, Youth, Culture and Sport Council


My Right Honourable Friend the Secretary of State for Digital, Culture, Media and Sport (Rt Hon Jeremy Wright) has made the following Written Statement:

The Education, Youth, Culture and Sport (EYCS) Council will take place in Brussels on 22 and 23 May 2019. The UK’s Deputy Permanent Representative to the EU, Katrina Williams, will represent the UK for the Youth session on 22 May. Minister of State for School Standards Nick Gibb of the Department for Education will be representing the UK in the Education session. The Parliamentary Under Secretary of State for the Department of Digital, Culture, Media and Sport, Lord Ashton, will be representing the UK on 23 May for the Culture/Audio-visual and Sports Sessions.

Youth

This session will begin with the adoption of the Council Conclusions on young people and the future of work. Furthermore, the Council will also seek to adopt a Resolution on the Governance of the EU Youth Dialogue.

Also tabled for this session is a policy debate on young people as agents of democracy in the EU.

Other

There will be information from the European Commission in regards to DiscoverEU and information from the Portuguese Delegation on the World Conference of Ministers responsible for Youth 2019 and Youth Forum Lisboa (22 and 23 June 2019).

Culture/Audio-visual

This meeting will begin with the adoption of the Council Conclusions on young creative generations. In addition, the meeting will also look to adopt Conclusions on co-productions. This shall be followed with a policy debate on ‘from tackling disinformation to rebuilding EU citizens’ trust in the media’.

Other

Information will be provided from the Hungarian Delegation on the nomination of Veszprém for the European Capital of Culture 2023. Moreover, information will also be provided from the Spanish and Portuguese Delegation on celebrating the fifth centenary of the first circumnavigation of the world, led by Fernão de Magalhães and Juan Sebastián Elcano.

Sport

The sport session of EYCS will begin with the adoption of a Resolution on EU Member States’ representation and coordination for the World Anti-Doping Agency (WADA) meeting in Montreal. In addition, there will also be the adoption of the Council Conclusions on access to sport for persons with disabilities.

The session shall then proceed with a policy debate on increasing the participation of children and young people in sport in 21st century Europe.

Other

There will be information from the EU Member States’ representatives in the World Anti- Doping Agency (WADA) Foundation Board on the meeting with the WADA taking place in Montreal on the 14-16th May 2019. There will also be information from the Finnish Presidency on the work programme of the incoming Presidency and information from the Danish Delegation about the Council of Europe Convention on the Manipulation of Sports Competitions (match fixing) and the ways forward for the EU.

To conclude, there will be information from the Bulgarian, Greek and Romanian Delegations on the signing of a Memorandum of Understanding between Bulgaria, Greece, Romania and Serbia to host either the Euro 2028 championship or the 2030 World Cup.

WS
Ministry of Justice
Made on: 21 May 2019
Made by: Lord Keen of Elie (Lords Spokesperson for the Ministry of Justice)
Lords

Protecting Children and Parents from risk of harm in child arrangements cases in the family courts

My honourable friend the Parliamentary Under-Secretary of State for Justice (Paul Maynard) has made the following Written Statement.

"I wish to announce to the House the establishment of an expert panel to gather evidence on outcomes for children and parent victims in contact cases and other private law children proceedings, in particular any harm caused during or following such proceedings, where there are allegations and/or other evidence of domestic abuse or other crimes relevant to such a risk of harm.

The Government takes these matters extremely seriously and wants to understand the full range of available evidence on this issue.

The panel will gather evidence on the operation of Practice Direction 12J in the family courts, which sets out what the court should do in child arrangements cases where there are allegations, admissions, or evidence that domestic abuse has happened, or evidence of a risk that it could happen, to the child or another party. The panel will also consider the operation of this Practice Direction with the risk of harm exception to the presumption of parental involvement.

The panel will also gather evidence of effects on children and parents/guardians in proceedings in which a parent or other person seeking contact or residence arrangements is alleged to have or has committed domestic abuse or other offences relevant to a risk of harm to a child or parent/guardian. Such other offences may include, but are not limited to, abuse of a child, assaults, sexual assault, murder or other violent crime.

The Government is also aware of the potential for multiple and repeat court applications to coerce and frustrate victim parents. Therefore, lastly the panel will also gather evidence on the handling of repeat applications within the family justice system and the use of barring orders under section 91(14) of the Children Act 1989.

The membership of the panel will be drawn from academia, third sector organisations, the judiciary and officials from the Ministry of Justice. I will ask the panel to conduct a Call for Evidence and report within three months of its establishment. This will enable the Government to take, as a matter of urgency, evidence-based decisions about whether and what changes are necessary to current protections."

This statement has also been made in the House of Commons: HCWS1572
WS
Department of Health and Social Care
Made on: 21 May 2019
Made by: Baroness Blackwood of North Oxford (Parliamentary Under Secretary of State (Lords))
Lords

Care Quality Commission Thematic Review of Restrictive Practices, Seclusion and Segregation

My Hon. Friend the Minister of State for Care (Caroline Dinenage MP) has made the following written statement:

The Government has made improving the care and treatment of autistic people and people with a learning disability a priority. Society is rightly judged on the way it treats its most vulnerable citizens.

In November 2018, the Secretary of State for Health and Social Care made a statement to the House of Commons following the reporting of the case of Bethany, a young autistic woman who was held in seclusion in hospital for too long.

Like everyone across the House, I have been moved by these individual cases and personal stories. I do not believe this is just about a few individual cases where things went wrong; this is about a system. A system across health, education, social care and criminal justice that needs to change.

We know there is good practice out there and excellent examples of staff working incredibly hard and supporting individuals and their families to receive the best possible care. We need to recognise and widely spread this practice so that it becomes the practice of all. However, there is variability and unacceptable practice. We must tackle this.

That is why the Secretary of State for Health and Social Care charged the Care Quality Commission (CQC) with undertaking a section 48 thematic review looking at the extent to which restrictive practice is being used in the NHS. This includes the use of segregation, prolonged seclusion and all forms of restraint: physical, mechanical or chemical.

We are adamant that no stone should remain unturned in identifying problems, poor practice and care which falls so far short of what we’d expect for our own family.

The CQC is today publishing it’s interim report of this review, copies of which have been placed in the Library. This report makes difficult reading. It provides early findings and recommendations on the use of segregation on mental health wards for children and young people and on wards for autistic people and/or those with learning disabilities.

This is an interim report and as the CQC themselves describe there is much work that remains to be done in the rest of the review. However, the Government accepts these recommendations in full and is committed to working with partners across the health, education and care system to ensure that they are implemented.

It is absolutely essential that we take all necessary actions to learn from the issues raised in this interim report:

  • We will ensure each and every case of seclusion and long term segregation is thoroughly scrutinised and that every element of their care has been reviewed. We are clear that every possible step must be taken to ensure people get the care, support and treatment they need. We will ensure that they have access to specialist independent advocacy to support them and their families.
  • The model of care for autistic people and those with learning disabilities must be fit for purpose – we will convene an expert group for learning disabilities and autism, bringing together leading experts, including those from other countries, clinicians, academics, parents and carers and others, to develop a new care model taking the very best practice as the foundation.
  • We will strengthen safeguards, addressing the lack of join up across the reviews of care that people receive and working the Care Quality Commission to bolster the oversight arrangements for hospitals that use segregation.
  • We will empower specialist advocates to raise concerns when they know something is not right. We will also develop a new awareness raising campaign, to encourage staff, families and friends to come forward if they have concerns about care.

Honourable members will be aware of the recent allegations of abuse at Whorlton Hall, in to which Durham Constabulary are now leading a criminal investigation.

These allegations of abuse have been treated with the utmost seriousness. Steps have been taken to ensure the safety of residents at Whorlton Hall.

Where people – staff, family and friends – have concerns about any service they must raise them.

We will ensure that we continue to make progress across the board on fostering a just and open culture around safety and raising concerns in the NHS.

We need to improve the quality of concerns handling and ensure that this is true for every patient. Working with the Health Ombudsman we will deliver a single vision for improving how the NHS responds when concerns or complaints are raised, whether concerns are raised by patients, families, advocates or staff.

The National Guardian and the local network of Freedom to Speak Up Guardians are playing a crucial role across the country in providing safe avenues for staff to raise concerns within their own organisations. We will make it even easier for people to raise concerns about patient safety in the NHS by introducing a new digital reporting system.

Where it is essential that someone is supported at distance from home, we will make sure that those arrangements are adequately supervised. We cannot have people out of sight and out of mind. That is why we are introducing stronger oversight arrangements. Where someone with a learning disability or an autistic person is an inpatient out of area they will be visited every 6 weeks if they are a child and every 8 weeks if they are an adult, on site. The host Clinical Commissioning Group will also be given new responsibilities to oversee and monitor the quality of care.

But we must be clear: improving the quality of specialist inpatient care is critical. But we are committed to stopping people from going into crisis and being admitted into specialist inpatient care in the first place.

For example, we know that autistic children often have a range of needs. They require support from education, health and social care. We must strengthen this join up. That is why we are reviewing our autism strategy and will be extending it to include children.

We must ensure autistic children get the right support they need - at the right time – and as close to home as possible. By making our strategy all age we will look at how earlier intervention can stop escalating needs.

We know that autistic children and those with learning disabilities and their families can face difficulties when transitioning from child to adult services. We will continue to improve community services to support people appropriately from childhood into adulthood.

As part of the implementation of the NHS’s Long Term Plan there will be concerted effort in implementing arrangements to ensure that those at the highest risk of admission to a specialist hospital or other institutional setting are getting the help they need. We will ensure that every area has such ‘dynamic support registers’ in place.

We think all staff in every setting should have improved awareness of learning disability and autism. That’s why, in the coming months, we will be setting out our response to our consultation on proposals to introduce mandatory training for all health and care staff.

We will continue to bring down inpatient numbers. We will take every step to take hold of the very best practice going on across the health and care system and make that the norm everywhere. There is no room for complacency.

This statement has also been made in the House of Commons: HCWS1569
WS
Department of Health and Social Care
Made on: 21 May 2019
Made by: Baroness Blackwood of North Oxford (Parliamentary Under Secretary of State (Lords))
Lords

NHS Accountability Framework

My Hon. Friend the Minister of State for Health (Stephen Hammond MP) has made the following written statement:

I will today lay before Parliament the Government's 2019-20 accountability framework with NHS England and NHS Improvement. For the first time, this combines the Government’s annual statutory mandate to NHS England with the annual remit set for NHS Improvement.

NHS England oversees the commissioning of health services in England and NHS Improvement oversees and holds to account NHS foundation trusts, NHS trusts, and independent providers of NHS-funded care. Working together they will play a vital role in leading the NHS as it takes forward its Long Term Plan, which has been created in partnership with doctors, nurses, other clinicians and builds on the views and insights of patients and the public. They have come together under a joint senior leadership team to do this effectively and the Government is supporting them with a funding settlement that will see the NHS’s annual budget increase by £33.9 billion by 2023-24, the largest cash settlement in the history of the NHS.

This is an important year for the NHS as it transitions into full implementation of the NHS Long Term Plan whilst at the same time ensuring that every patient in England will continue to receive vital services as the country leaves the EU. To put it beyond doubt that these are the most important things that the NHS has to deliver this year, the Accountability Framework sets NHS England and NHS Improvement two objectives for 2019-20: to ensure the effective delivery of the Long Term Plan, and to support the Government in managing the effects of EU Exit on health and care.

The Framework clearly demonstrates the Government’s commitment to NHS staff, to the public, to patients and to taxpayers, that the Long Term Plan will be delivered and that the safety and quality of NHS services will be safeguarded through a period of change. As required by the Act, NHS England and Healthwatch England have been consulted on the objectives set in it, along with NHS Improvement.

NHS England and NHS Improvement are co-ordinating a system-wide process of implementation planning, at both local and national level. This will culminate in a national implementation programme for the Long Term Plan to 2023-24, and an NHS workforce implementation plan, by the end of 2019. My intention is then to set a further Accountability Framework from 2020-21 to 2023-24 taking account of these, the outcome of our Spending Review, the needs of patients and the public, and the views of Government.

As in previous years, I will also today re-lay the mandate for 2018-19. This is to take account of in-year revisions to NHS England’s budget for 2018-19. There are no other changes.

This statement has also been made in the House of Commons: HCWS1570
WS
Department for Exiting the European Union
Made on: 21 May 2019
Made by: Lord Callanan (Minister of State for Exiting the European Union)
Lords

General Affairs Council, May 2019

I will attend the General Affairs Council in Brussels on 21 May 2019 to represent the UK. Until we leave the European Union, we remain committed to fulfilling our rights and obligations as a full Member State and continue to act in good faith.

The provisional agenda includes:

Multiannual Financial Framework 2021 - 2027

Ministers and the Commission will discuss progress on the Multiannual Financial Framework (MFF) negotiations. The intention is to reach an agreement on the negotiations in autumn 2019.

Preparation of the European Council on 20-21 June 2019: Annotated Draft Agenda

The Council will discuss the draft agenda for the June European Council. The agenda is expected to comprise: the adoption of the 2019-2024 Strategic Agenda for the European Union, MFF, Climate Change, the European Semester, and the disinformation and elections report prepared by the Romanian Presidency in cooperation with the European Commission and the High Representative of the Union for Foreign Affairs and Security Policy. The Presidency will also provide Ministers with an update on progress in implementing previous European Council conclusions.

WS
Department of Health and Social Care
Made on: 21 May 2019
Made by: Baroness Blackwood of North Oxford (Parliamentary Under Secretary of State (Lords))
Lords

The third annual report of the Learning Disabilities Mortality Review Programme

My Hon. Friend the Minister of State for Care (Caroline Dinenage MP) has made the following written statement:

I am announcing today the publication of the third annual report of the Learning Disabilities Mortality Review Programme (LeDeR). A copy has been deposited in the Libraries of both Houses.

The LeDeR programme was established in June 2015 to help reduce early deaths and health inequalities for people with a learning disability by supporting local areas in England to review the deaths of people with a learning disability and to ensure that the learning from these reviews lead to improved health and care services. The programme is led by the University of Bristol and commissioned by the Healthcare Quality Improvement Partnership (HQIP) on behalf of NHS England.

It finds that the quality of care offered to people with a learning disability sometimes falls short of the standards we expect. The existence of LeDeR programme testifies to our commitment to ensure that people with learning disabilities can access the best possible quality care and support.

Since the second LeDeR report was published in May 2018 the Government and its system partners have continued to make progress to implement the recommendations in that report.

  • To support delivery of the LeDeR programme in 2018/19, NHS England allocated an additional £1.4m to support local areas to better establish their review programmes and reduce the backlog of reviews.
  • In November 2018, I wrote to health and social care employers to remind them of their statutory obligations in terms of staff training. We have also consulted on introducing mandatory learning disability and autism training to ensure that staff across health and social care have the right skills and knowledge to provide better support and will announce our next steps following analysis of the responses.
  • Work also continues on the inclusion of a digital flag in the records of people with a learning disability and autism to share information across health and care organisations and in the NHS Long-Term Plan we have committed to implementing this by 2023/24.

NHS England have also today published its Action from Learning Report, which highlights the considerable work underway which will have a positive impact on the safety and quality of care to reduce early deaths and health inequalities.

The third annual LeDeR report covers the period 1 July 2016 – 31 December 2018, with a particular focus on deaths in 2018. From 1 July 2016 – 31 December 2018, 4,302 ‘in-scope’ deaths were notified to the LeDeR programme. The majority of these (2,926) were notified in 2018. In seventy-one of the cases reviewed, people received care that fell so far short of expected good practice that it significantly impacted on their well-being or directly contributed to their cause of death.

Based on the evidence from completed LeDeR reviews, the Report makes twelve recommendations for the education, health and care system which include:

  • Support for CCGs to ensure the timely completion of mortality reviews
  • Support to recognise deteriorating health in people with learning disabilities
  • Care co-ordination
  • Transition planning for young people

I am particularly concerned at the evidence the review presents of occasional poor practice in doctors giving the fact that a person has a learning disability or Down’s syndrome, as a rationale for a Do Not Attempt Cardio-Pulmonary Resuscitation (DNACPR) order. To address this, the NHS medical director has written to senior doctors and nurses, the British Medical Association and the medical Royal Colleges to ensure that doctors are reminded that a patient having a learning disability can never be an acceptable reason for a DNACPR and that they must avoid this form of discrimination. People with a learning disability have the same right to enjoy a meaningful life as anyone.

While the increase in the number of reviews carried out is welcome, we acknowledge that the pace with which reviews are conducted needs to increase. I am pleased that NHS England have today announced a further £5m to speed up reviews to ensure that they are carried out as quickly and as thoroughly as possible.

It is essential that we take all necessary actions to learn from the issues raised in the LeDeR report. We will consider the report and its recommendations in the coming weeks and consider the recommendations in due course.

This statement has also been made in the House of Commons: HCWS1571
WS
Department for Digital, Culture, Media and Sport
Made on: 21 May 2019
Made by: Jeremy Wright (Secretary of State for Digital, Culture, Media and Sport)
Commons

Education, Youth, Culture and Sport Council

The Education, Youth, Culture and Sport (EYCS) Council will take place in Brussels on 22 and 23 May 2019. The UK’s Deputy Permanent Representative to the EU, Katrina Williams, will represent the UK for the Youth session on 22 May. Minister of State for School Standards Nick Gibb of the Department for Education will be representing the UK in the Education session. The Parliamentary Under Secretary of State for the Department of Digital, Culture, Media and Sport, Lord Ashton, will be representing the UK on 23 May for the Culture/Audio-visual and Sports Sessions.

Youth

This session will begin with the adoption of the Council Conclusions on young people and the future of work. Furthermore, the Council will also seek to adopt a Resolution on the Governance of the EU Youth Dialogue.

Also tabled for this session is a policy debate on young people as agents of democracy in the EU.

Other

There will be information from the European Commission in regards to DiscoverEU and information from the Portuguese Delegation on the World Conference of Ministers responsible for Youth 2019 and Youth Forum Lisboa (22 and 23 June 2019).

Culture/Audio-visual

This meeting will begin with the adoption of the Council Conclusions on young creative generations. In addition, the meeting will also look to adopt Conclusions on co-productions. This shall be followed with a policy debate on ‘from tackling disinformation to rebuilding EU citizens’ trust in the media’.

Other

Information will be provided from the Hungarian Delegation on the nomination of Veszprém for the European Capital of Culture 2023. Moreover, information will also be provided from the Spanish and Portuguese Delegation on celebrating the fifth centenary of the first circumnavigation of the world, led by Fernão de Magalhães and Juan Sebastián Elcano.

Sport

The sport session of EYCS will begin with the adoption of a Resolution on EU Member States’ representation and coordination for the World Anti-Doping Agency (WADA) meeting in Montreal. In addition, there will also be the adoption of the Council Conclusions on access to sport for persons with disabilities.

The session shall then proceed with a policy debate on increasing the participation of children and young people in sport in 21st century Europe.

Other

There will be information from the EU Member States’ representatives in the World Anti- Doping Agency (WADA) Foundation Board on the meeting with the WADA taking place in Montreal on the 14-16th May 2019. There will also be information from the Finnish Presidency on the work programme of the incoming Presidency and information from the Danish Delegation about the Council of Europe Convention on the Manipulation of Sports Competitions (match fixing) and the ways forward for the EU.

To conclude, there will be information from the Bulgarian, Greek and Romanian Delegations on the signing of a Memorandum of Understanding between Bulgaria, Greece, Romania and Serbia to host either the Euro 2028 championship or the 2030 World Cup.

WS
Ministry of Justice
Made on: 21 May 2019
Made by: Paul Maynard (Parliamentary Under-Secretary of State for Justice)
Commons

Protecting Children and Parents from risk of harm in child arrangements cases in the family courts

I wish to announce to the House the establishment of an expert panel to gather evidence on outcomes for children and parent victims in contact cases and other private law children proceedings, in particular any harm caused during or following such proceedings, where there are allegations and/or other evidence of domestic abuse or other crimes relevant to such a risk of harm.

The Government takes these matters extremely seriously and wants to understand the full range of available evidence on this issue.

The panel will gather evidence on the operation of Practice Direction 12J in the family courts, which sets out what the court should do in child arrangements cases where there are allegations, admissions, or evidence that domestic abuse has happened, or evidence of a risk that it could happen, to the child or another party. The panel will also consider the operation of this Practice Direction with the risk of harm exception to the presumption of parental involvement.

The panel will also gather evidence of effects on children and parents/guardians in proceedings in which a parent or other person seeking contact or residence arrangements is alleged to have or has committed domestic abuse or other offences relevant to a risk of harm to a child or parent/guardian. Such other offences may include, but are not limited to, abuse of a child, assaults, sexual assault, murder or other violent crime.

The Government is also aware of the potential for multiple and repeat court applications to coerce and frustrate victim parents. Therefore, lastly the panel will also gather evidence on the handling of repeat applications within the family justice system and the use of barring orders under section 91(14) of the Children Act 1989.

The membership of the panel will be drawn from academia, third sector organisations, the judiciary and officials from the Ministry of Justice. I will ask the panel to conduct a Call for Evidence and report within three months of its establishment. This will enable the Government to take, as a matter of urgency, evidence-based decisions about whether and what changes are necessary to current protections.

This statement has also been made in the House of Lords: HLWS1534
WS
Department of Health and Social Care
Made on: 21 May 2019
Made by: Caroline Dinenage (Minister of State for Care)
Commons

The third annual report of the Learning Disabilities Mortality Review Programme

I am announcing today the publication of the third annual report of the Learning Disabilities Mortality Review Programme (LeDeR). A copy has been deposited in the Libraries of both Houses.

The LeDeR programme was established in June 2015 to help reduce early deaths and health inequalities for people with a learning disability by supporting local areas in England to review the deaths of people with a learning disability and to ensure that the learning from these reviews lead to improved health and care services. The programme is led by the University of Bristol and commissioned by the Healthcare Quality Improvement Partnership (HQIP) on behalf of NHS England.

It finds that the quality of care offered to people with a learning disability sometimes falls short of the standards we expect. The existence of LeDeR programme testifies to our commitment to ensure that people with learning disabilities can access the best possible quality care and support.

Since the second LeDeR report was published in May 2018 the Government and its system partners have continued to make progress to implement the recommendations in that report.

  • To support delivery of the LeDeR programme in 2018/19, NHS England allocated an additional £1.4m to support local areas to better establish their review programmes and reduce the backlog of reviews.
  • In November 2018, I wrote to health and social care employers to remind them of their statutory obligations in terms of staff training. We have also consulted on introducing mandatory learning disability and autism training to ensure that staff across health and social care have the right skills and knowledge to provide better support and will announce our next steps following analysis of the responses.
  • Work also continues on the inclusion of a digital flag in the records of people with a learning disability and autism to share information across health and care organisations and in the NHS Long-Term Plan we have committed to implementing this by 2023/24.

NHS England have also today published its Action from Learning Report, which highlights the considerable work underway which will have a positive impact on the safety and quality of care to reduce early deaths and health inequalities.

The third annual LeDeR report covers the period 1 July 2016 – 31 December 2018, with a particular focus on deaths in 2018. From 1 July 2016 – 31 December 2018, 4,302 ‘in-scope’ deaths were notified to the LeDeR programme. The majority of these (2,926) were notified in 2018. In seventy-one of the cases reviewed, people received care that fell so far short of expected good practice that it significantly impacted on their well-being or directly contributed to their cause of death.

Based on the evidence from completed LeDeR reviews, the Report makes twelve recommendations for the education, health and care system which include:

  • Support for CCGs to ensure the timely completion of mortality reviews
  • Support to recognise deteriorating health in people with learning disabilities
  • Care co-ordination
  • Transition planning for young people

I am particularly concerned at the evidence the review presents of occasional poor practice in doctors giving the fact that a person has a learning disability or Down’s syndrome, as a rationale for a Do Not Attempt Cardio-Pulmonary Resuscitation (DNACPR) order. To address this, the NHS medical director has written to senior doctors and nurses, the British Medical Association and the medical Royal Colleges to ensure that doctors are reminded that a patient having a learning disability can never be an acceptable reason for a DNACPR and that they must avoid this form of discrimination. People with a learning disability have the same right to enjoy a meaningful life as anyone.

While the increase in the number of reviews carried out is welcome, we acknowledge that the pace with which reviews are conducted needs to increase. I am pleased that NHS England have today announced a further £5m to speed up reviews to ensure that they are carried out as quickly and as thoroughly as possible.

It is essential that we take all necessary actions to learn from the issues raised in the LeDeR report. We will consider the report and its recommendations in the coming weeks and consider the recommendations in due course.

This statement has also been made in the House of Lords: HLWS1530
WS
Department of Health and Social Care
Made on: 21 May 2019
Made by: Stephen Hammond (Minister of State for Health)
Commons

NHS Accountability Framework

I will today lay before Parliament the Government's 2019-20 accountability framework with NHS England and NHS Improvement. For the first time, this combines the Government’s annual statutory mandate to NHS England with the annual remit set for NHS Improvement.

NHS England oversees the commissioning of health services in England and NHS Improvement oversees and holds to account NHS foundation trusts, NHS trusts, and independent providers of NHS-funded care. Working together they will play a vital role in leading the NHS as it takes forward its Long Term Plan, which has been created in partnership with doctors, nurses, other clinicians and builds on the views and insights of patients and the public. They have come together under a joint senior leadership team to do this effectively and the Government is supporting them with a funding settlement that will see the NHS’s annual budget increase by £33.9 billion by 2023-24, the largest cash settlement in the history of the NHS.

This is an important year for the NHS as it transitions into full implementation of the NHS Long Term Plan whilst at the same time ensuring that every patient in England will continue to receive vital services as the country leaves the EU. To put it beyond doubt that these are the most important things that the NHS has to deliver this year, the Accountability Framework sets NHS England and NHS Improvement two objectives for 2019-20: to ensure the effective delivery of the Long Term Plan, and to support the Government in managing the effects of EU Exit on health and care.

The Framework clearly demonstrates the Government’s commitment to NHS staff, to the public, to patients and to taxpayers, that the Long Term Plan will be delivered and that the safety and quality of NHS services will be safeguarded through a period of change. As required by the Act, NHS England and Healthwatch England have been consulted on the objectives set in it, along with NHS Improvement.

NHS England and NHS Improvement are co-ordinating a system-wide process of implementation planning, at both local and national level. This will culminate in a national implementation programme for the Long Term Plan to 2023-24, and an NHS workforce implementation plan, by the end of 2019. My intention is then to set a further Accountability Framework from 2020-21 to 2023-24 taking account of these, the outcome of our Spending Review, the needs of patients and the public, and the views of Government.

As in previous years, I will also today re-lay the mandate for 2018-19. This is to take account of in-year revisions to NHS England’s budget for 2018-19. There are no other changes.

This statement has also been made in the House of Lords: HLWS1532
WS
Department of Health and Social Care
Made on: 21 May 2019
Made by: Caroline Dinenage (Minister of State for Care)
Commons

Care Quality Commission Thematic Review of Restrictive Practices, Seclusion and Segregation

The Government has made improving the care and treatment of autistic people and people with a learning disability a priority. Society is rightly judged on the way it treats its most vulnerable citizens.

In November 2018, the Secretary of State for Health and Social Care made a statement to the House of Commons following the reporting of the case of Bethany, a young autistic woman who was held in seclusion in hospital for too long.

Like everyone across the House, I have been moved by these individual cases and personal stories. I do not believe this is just about a few individual cases where things went wrong; this is about a system. A system across health, education, social care and criminal justice that needs to change.

We know there is good practice out there and excellent examples of staff working incredibly hard and supporting individuals and their families to receive the best possible care. We need to recognise and widely spread this practice so that it becomes the practice of all. However, there is variability and unacceptable practice. We must tackle this.

That is why the Secretary of State for Health and Social Care charged the Care Quality Commission (CQC) with undertaking a section 48 thematic review looking at the extent to which restrictive practice is being used in the NHS. This includes the use of segregation, prolonged seclusion and all forms of restraint: physical, mechanical or chemical.

We are adamant that no stone should remain unturned in identifying problems, poor practice and care which falls so far short of what we’d expect for our own family.

The CQC is today publishing it’s interim report of this review, copies of which have been placed in the Library. This report makes difficult reading. It provides early findings and recommendations on the use of segregation on mental health wards for children and young people and on wards for autistic people and/or those with learning disabilities.

This is an interim report and as the CQC themselves describe there is much work that remains to be done in the rest of the review. However, the Government accepts these recommendations in full and is committed to working with partners across the health, education and care system to ensure that they are implemented.

It is absolutely essential that we take all necessary actions to learn from the issues raised in this interim report:

  • We will ensure each and every case of seclusion and long term segregation is thoroughly scrutinised and that every element of their care has been reviewed. We are clear that every possible step must be taken to ensure people get the care, support and treatment they need. We will ensure that they have access to specialist independent advocacy to support them and their families.
  • The model of care for autistic people and those with learning disabilities must be fit for purpose – we will convene an expert group for learning disabilities and autism, bringing together leading experts, including those from other countries, clinicians, academics, parents and carers and others, to develop a new care model taking the very best practice as the foundation.
  • We will strengthen safeguards, addressing the lack of join up across the reviews of care that people receive and working the Care Quality Commission to bolster the oversight arrangements for hospitals that use segregation.
  • We will empower specialist advocates to raise concerns when they know something is not right. We will also develop a new awareness raising campaign, to encourage staff, families and friends to come forward if they have concerns about care.

Honourable members will be aware of the recent allegations of abuse at Whorlton Hall, in to which Durham Constabulary are now leading a criminal investigation.

These allegations of abuse have been treated with the utmost seriousness. Steps have been taken to ensure the safety of residents at Whorlton Hall.

Where people – staff, family and friends – have concerns about any service they must raise them.

We will ensure that we continue to make progress across the board on fostering a just and open culture around safety and raising concerns in the NHS.

We need to improve the quality of concerns handling and ensure that this is true for every patient. Working with the Health Ombudsman we will deliver a single vision for improving how the NHS responds when concerns or complaints are raised, whether concerns are raised by patients, families, advocates or staff.

The National Guardian and the local network of Freedom to Speak Up Guardians are playing a crucial role across the country in providing safe avenues for staff to raise concerns within their own organisations. We will make it even easier for people to raise concerns about patient safety in the NHS by introducing a new digital reporting system.

Where it is essential that someone is supported at distance from home, we will make sure that those arrangements are adequately supervised. We cannot have people out of sight and out of mind. That is why we are introducing stronger oversight arrangements. Where someone with a learning disability or an autistic person is an inpatient out of area they will visited every 6 weeks if they are a child and every 8 weeks if they are an adult, on site. The host Clinical Commissioning Group will also be given new responsibilities to oversee and monitor the quality of care.

But we must be clear: improving the quality of specialist inpatient care is critical. But we are committed to stopping people from going into crisis and being admitted into specialist inpatient care in the first place.

For example, we know that autistic children often have a range of needs. They require support from education, health and social care. We must strengthen this join up. That is why we are reviewing our autism strategy and will be extending it to include children.

We must ensure autistic children get the right support they need - at the right time – and as close to home as possible. By making our strategy all age we will look at how earlier intervention can stop escalating needs.

We know that autistic children and those with learning disabilities and their families can face difficulties when transitioning from child to adult services. We will continue to improve community services to support people appropriately from childhood into adulthood.

As part of the implementation of the NHS’s Long Term Plan there will be concerted effort in implementing arrangements to ensure that those at the highest risk of admission to a specialist hospital or other institutional setting are getting the help they need. We will ensure that every area has such ‘dynamic support registers’ in place.

We think all staff in every setting should have improved awareness of learning disability and autism. That’s why, in the coming months, we will be setting out our response to our consultation on proposals to introduce mandatory training for all health and care staff.

We will continue to bring down inpatient numbers. We will take every step to take hold of the very best practice going on across the health and care system and make that the norm everywhere. There is no room for complacency.

This statement has also been made in the House of Lords: HLWS1533
WS
Department for Exiting the European Union
Made on: 21 May 2019
Made by: Mr Robin Walker (Parliamentary Under Secretary of State for Exiting the European Union)
Commons

General Affairs Council, May 2019

Lord Callanan, Minister of State for Exiting the European Union, has made the following statement:

I will attend the General Affairs Council in Brussels on 21 May 2019 to represent the UK. Until we leave the European Union, we remain committed to fulfilling our rights and obligations as a full Member State and continue to act in good faith.

The provisional agenda includes:

Multiannual Financial Framework 2021 - 2027

Ministers and the Commission will discuss progress on the Multiannual Financial Framework (MFF) negotiations. The intention is to reach an agreement on the negotiations in autumn 2019.

Preparation of the European Council on 20-21 June 2019: Annotated Draft Agenda

The Council will discuss the draft agenda for the June European Council. The agenda is expected to comprise: the adoption of the 2019-2024 Strategic Agenda for the European Union, MFF, Climate Change, the European Semester, and the disinformation and elections report prepared by the Romanian Presidency in cooperation with the European Commission and the High Representative of the Union for Foreign Affairs and Security Policy. The Presidency will also provide Ministers with an update on progress in implementing previous European Council conclusions.

WS
Cabinet Office
Made on: 20 May 2019
Made by: Oliver Dowden (Minister for Implementation)
Commons

Facility Time Guidance

I wish to update the House on the progress being made to monitor Trade Union facility time usage within the public sector.

The Trade Union (Facility Time Publication Requirements) Regulations 2017 came into force on 1 April 2017, requiring public sector organisations who employ over 49 full-time equivalent employees to publish information relating to trade union usage/spend.

The Government is today publishing updated guidance to support organisations to meet this important legislative requirement. On the 3rd June we will launch a new online recording system as part of the Facility Time Publication Service, enabling all public sector organisations to centrally submit facility time data by the deadline of the 31st July. All organisations should report facility time data before this date, and guidance to this effect is included in the tool.

The Government recognises that there are significant benefits to both employers and employees when organisations and unions work together effectively to deliver high quality public services, but facility time within the public sector must be accountable and represent value for money.

For 2017-2018, compliance varied considerably across the wider public sector, with returns in some areas of just over 60%. The Civil Service saw the highest levels of compliance, with just over 99% of expected returns received.

Returns to the Civil Service show a 0.06% spend on facility time as a percentage of the pay bill, demonstrating greater accountability and an effective use of taxpayers’ money. Measures taken to encourage these sensible savings include reforms that require Trade Union representatives to spend at least 50% of their time delivering their Civil Service job. Average spend across the public sector was higher, especially in local government.

The Government encourages all public sector organisations to reduce facility time spend to the levels seen in the Civil Service, in order to ensure it achieves value for money. The Government estimates these potential savings amount to £14m across the public sector.

This statement has also been made in the House of Lords: HLWS1529
WS
Cabinet Office
Made on: 20 May 2019
Made by: Lord Young of Cookham (Lord in Waiting (Government Whip))
Lords

Facility Time Guidance

My right honourable friend the Chancellor of the Duchy of Lancaster and Minister for the Cabinet Office has today made the following Written Ministerial Statement:

I wish to update the House on the progress being made to monitor Trade Union facility time usage within the public sector.

The Trade Union (Facility Time Publication Requirements) Regulations 2017 came into force on 1 April 2017, requiring public sector organisations who employ over 49 full-time equivalent employees to publish information relating to trade union usage/spend.

The Government is today publishing updated guidance to support organisations to meet this important legislative requirement. On the 3rd June we will launch a new online recording system as part of the Facility Time Publication Service, enabling all public sector organisations to centrally submit facility time data by the deadline of the 31st July. All organisations should report facility time data before this date, and guidance to this effect is included in the tool.

The Government recognises that there are significant benefits to both employers and employees when organisations and unions work together effectively to deliver high quality public services, but facility time within the public sector must be accountable and represent value for money.

For 2017-2018, compliance varied considerably across the wider public sector, with returns in some areas of just over 60%. The Civil Service saw the highest levels of compliance, with just over 99% of expected returns received.

Returns to the Civil Service show a 0.06% spend on facility time as a percentage of the pay bill, demonstrating greater accountability and an effective use of taxpayers’ money. Measures taken to encourage these sensible savings include reforms that require Trade Union representatives to spend at least 50% of their time delivering their Civil Service job. Average spend across the public sector was higher, especially in local government.

The Government encourages all public sector organisations to reduce facility time spend to the levels seen in the Civil Service, in order to ensure it achieves value for money. The Government estimates these potential savings amount to £14m across the public sector.

This statement has also been made in the House of Commons: HCWS1567
WS
Home Office
Made on: 20 May 2019
Made by: Baroness Williams of Trafford (The Minister of State, Home Office)
Lords

Border Arrangements

My rt hon Friend the Secretary of State for the Home Department (Sajid Javid) has today made the following Written Ministerial Statement:

I am pleased to inform the House that from today visitors and entry clearance holders from Australia, Canada, Japan, New Zealand, Singapore, South Korea, and the United States will be able to use ePassport gates at all 15 UK airports and juxtaposed controls where they are in operation. I am further pleased to inform the House that from today the requirement to complete a landing card will be removed for passengers of any nationality arriving in the UK.

Allowing these seven nationalities to use ePassport gates and removing the requirement for arriving passengers of any nationality to complete a landing card will allow us to control our borders in a way that works to the UK’s best interests, while also demonstrating to the rest of the world that Britain is absolutely open for business. The vast majority of these nationals arriving in the UK will be eligible to use ePassport gates, with only some groups coming for specific migration purposes still needing to see a Border Force officer on arrival, for instance short term students who do not hold a visa.

The expansion of ePassport gate eligibility to eligible travellers from Australia, Canada, Japan, New Zealand, Singapore, South Korea, and the United States was first announced in the Budget last year. I further announced on 3 December 2018 that this expansion would also include eligible travellers from Singapore and South Korea.

Introducing these changes has required a large body of work to be completed, including the introduction of a Statutory Instrument allowing the seven nationalities to use ePassport gates, which was laid before the House on 3 December 2018 and came into force on 11 March 2019. The decision to withdraw landing cards for all passengers has been taken following a public consultation, the response to which I am placing in the Libraries of the House today.

I am pleased that we have been able to introduce these changes ahead of schedule.

This statement has also been made in the House of Commons: HCWS1566
WS
Home Office
Made on: 20 May 2019
Made by: Sajid Javid (The Secretary of State for the Home Department)
Commons

Border Arrangements

I am pleased to inform the House that from today visitors and entry clearance holders from Australia, Canada, Japan, New Zealand, Singapore, South Korea, and the United States will be able to use ePassport gates at all 15 UK airports and juxtaposed controls where they are in operation. I am further pleased to inform the House that from today the requirement to complete a landing card will be removed for passengers of any nationality arriving in the UK.

Allowing these seven nationalities to use ePassport gates and removing the requirement for arriving passengers of any nationality to complete a landing card will allow us to control our borders in a way that works to the UK’s best interests, while also demonstrating to the rest of the world that Britain is absolutely open for business. The vast majority of these nationals arriving in the UK will be eligible to use ePassport gates, with only some groups coming for specific migration purposes still needing to see a Border Force officer on arrival, for instance short term students who do not hold a visa.

The expansion of ePassport gate eligibility to eligible travellers from Australia, Canada, Japan, New Zealand, Singapore, South Korea, and the United States was first announced in the Budget last year. I further announced on 3 December 2018 that this expansion would also include eligible travellers from Singapore and South Korea.

Introducing these changes has required a large body of work to be completed, including the introduction of a Statutory Instrument allowing the seven nationalities to use ePassport gates, which was laid before the House on 3 December 2018 and came into force on 11 March 2019. The decision to withdraw landing cards for all passengers has been taken following a public consultation, the response to which I am placing in the Libraries of the House today.

I am pleased that we have been able to introduce these changes ahead of schedule.

This statement has also been made in the House of Lords: HLWS1528
WS
Cabinet Office
Made on: 16 May 2019
Made by: Mr David Lidington (Chancellor of the Duchy of Lancaster and Minister for the Cabinet Office)
Commons

The European Union (Withdrawal) Act and Common Frameworks

I am today laying before Parliament a report, ‘The European Union (Withdrawal) Act and Common Frameworks - 26 December 2018 to 25 March 2019’ as required by paragraph 4 of Schedule 3 to the European Union (Withdrawal) Act 2018.

The report is available on Gov.uk and details the progress made in discussions between the UK Government and devolved administrations regarding common frameworks in the third reporting period covered under the legislation, and sets out that no ‘freezing’ regulations have been brought forward under section 12 of the European Union (Withdrawal) Act.

A copy of the “The European Union (Withdrawal) Act and Common Frameworks - 26 December to 25 March 2019” report has been placed in the library of both Houses." The publication of the report reflects the Government’s continued commitment to transparency.

This statement has also been made in the House of Lords: HLWS1526
WS
Home Office
Made on: 16 May 2019
Made by: Baroness Williams of Trafford (The Minister of State, Home Office)
Lords

European Union JHA Opt-In Decisions: Second Additional Protocol to the Cybercrime Convention and EU US negotiations on cross-border data access

My rt hon Friend the Minister of State for Security (Ben Wallace) has today made the following Written Ministerial Statement:

The Government has decided not to opt into (under the UK’s JHA opt-in Protocol) either the proposed EU Council Decision to participate in the negotiations of the Second Additional Protocol to the Cybercrime (“Budapest”) Convention or the proposed EU Council Decision to authorise EU US negotiations on a cross-border data access agreement.

The first proposed Council Decision enables the EU Commission to participate in negotiations relating to the Second Additional Protocol to the Council of Europe Cybercrime (“Budapest”) Convention, on behalf of the European Union.

The second proposed Council Decision authorises the EU Commission to commence negotiations with the US on an EU US international data access agreement, with the aim of ensuring compliance by US-established Service Providers to requests from EU Member States for stored electronic content. The US’s Clarifying Lawful Overseas Use of Data (CLOUD) Act provides that only an international agreement between the US and a foreign government can allow for such compliance by US-established Service Providers.

I have decided not to opt into the EU Council Decision on participating in the Second Additional Protocol to the Council of Europe Budapest Convention to ensure that the UK is able to negotiate its own position and interests, without being limited or bound by the EU negotiation policy. This includes enabling the UK to ensure that a flexible approach is taken in negotiating the Protocol to accommodate the different systems and processes of a wide range of participant states (beyond the participating EU Member States).

The UK is already in the process of negotiating its own reciprocal UK-US data access agreement, a bilateral treaty (as required under the CLOUD Act) that enables US companies to comply with lawful orders from UK authorities for the production of electronic communications without any conflict of law. As such my rt hon Friend the Minister of State for Policing and the Fire Service has decided not to opt into the Council Decision on opening EU US negotiations on cross-border data access. This is in line with the UK’s decision not to opt into the draft EU e-evidence Regulation, which sets internal EU rules relating to the production of electronic communications.

Until the UK leaves the EU we remain a full member, and the Government will continue to consider the application of the UK’s opt-in to EU legislation on a case by case basis, with a view to maximising our ability to protect the public.

This statement has also been made in the House of Commons: HCWS1563
WS
Cabinet Office
Made on: 16 May 2019
Made by: Lord Young of Cookham (Lord in Waiting (Government Whip))
Lords

The European Union (Withdrawal) Act and Common Frameworks

My right honourable friend the Chancellor of the Duchy of Lancaster and Minister for the Cabinet Office has today made the following Written Ministerial Statement:

I am today laying before Parliament a report, ‘The European Union (Withdrawal) Act and Common Frameworks - 26 December 2018 to 25 March 2019’ as required by paragraph 4 of Schedule 3 to the European Union (Withdrawal) Act 2018.

The report is available on Gov.uk and details the progress made in discussions between the UK Government and devolved administrations regarding common frameworks in the third reporting period covered under the legislation, and sets out that no ‘freezing’ regulations have been brought forward under section 12 of the European Union (Withdrawal) Act.

A copy of the “The European Union (Withdrawal) Act and Common Frameworks - 26 December to 25 March 2019” report has been placed in the library of both Houses." The publication of the report reflects the Government’s continued commitment to transparency.

This statement has also been made in the House of Commons: HCWS1565
WS
Foreign and Commonwealth Office
Made on: 16 May 2019
Made by: Lord Ahmad of Wimbledon (Minister of State for Foreign and Commonwealth Affairs)
Lords

Iraq: Export Licence System

My Right Honourable Friend, the Secretary of State for Foreign and Commonwealth Affairs (Mr Jeremy Hunt), has made the following written Ministerial statement:

This Statement updates and supersedes the Written Ministerial Statement of 11 November 2010 on the ‘Iraq: Export Licence System’ (Official Report, 11 Nov 2010: Column 24WS).

UN Security Council Resolution 1546 of 2004 (UNSCR 1546) includes an exemption to the arms embargo on Iraq for supplies of arms and related materiel required by the Government of Iraq (GoI) or the multinational force to serve the purposes of the resolution. The Written Ministerial Statement on 11 November 2010 stated that Her Majesty’s Government would consider as exempt from the embargo exports to the GoI, the United Nations Assistance Mission for Iraq, diplomatic missions in Iraq, the US forces in Iraq, the NATO training mission in Iraq, the UK naval training mission training the Iraqi Navy and entities contracted or subcontracted to the GoI, US or UK forces or NATO.

In light of the deployment of military forces of non-NATO EU countries in Iraq and in accordance with the GoI request for international support, the Government wishes to make clear that it considers as exempt from the embargo exports serving the purposes of UNSCR 1546 to the forces of EU as well as NATO countries deployed in Iraq at the request of the GoI. The Government also wishes to make clear that it considers exports serving the same purposes to United Nations agencies present in Iraq at the request of the GoI, and their contractors and subcontractors, as exempt from the embargo.

Accordingly, the Government considers as exempt from the embargo exports to the GoI, the United Nations Assistance Mission for Iraq (UNAMI), UN agencies in Iraq, diplomatic missions in Iraq, the NATO [training] mission in Iraq, the forces of NATO or EU countries in Iraq, and entities contracted or subcontracted to the GoI, NATO, the forces of such NATO or EU countries, UNAMI or such UN agencies. As in the statement of 11 November 2010, export licence applications to these end users will not therefore require the approval of the GoI prior to approval of the application but may require extra information to be provided by the entity seeking the export licence. For exports serving the purposes of UNSCR 1546 to entities other than these, the exporter is required to provide a supporting document from the GoI to demonstrate that the proposed export is required and thus exempt from the embargo. All export licence applications for Iraq as elsewhere will be assessed on a case-by-case basis against the Consolidated EU and National Arms Export Licensing Criteria and the Government will not issue a licence where to do so would be inconsistent with the criteria.

This statement has also been made in the House of Commons: HCWS1561
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