Written questions by Brewer.

What assessment his Department has made of the (a) safety and (b) regulation of (i) snus and (ii) nicotine pouches.

Oral tobacco, otherwise known as snus, has been banned in the United Kingdom and the European Union since 1992. All tobacco products are harmful to health, and the International Agency for Research on Cancer has determined that smokeless tobacco is carcinogenic to humans. The Tobacco and Vapes Bill re-enacts the existing ban in a way that is more comprehensive, clearer, and more accessible for the relevant parties, such as retailers and enforcement agencies. We have no intention of allowing a banned and harmful product into the UK market.There is currently limited research and evidence into the harms of nicotine pouches. However, they are never recommended for children. Nicotine, the active ingredient in pouches, is a highly addicted drug, and we have a duty to protect children and young people from future harm and addiction. Advice on the health impacts of nicotine can be found on the Talk to Frank website, which is available at the following link:https://www.talktofrank.com/drug/nicotineThat is why, through the Tobacco and Vapes Bill, we are banning the advertisement and sponsorship of these products, introducing age of sale restrictions to 18 years old for nicotine pouches, banning free samples, and providing powers to restrict packaging, flavours, and point of sale displays.Whilst the use of nicotine pouches is currently low among adults, it is increasingly popular with younger male audiences. We will continue to monitor the use of these products and will update public health guidance and messaging accordingly.

What assessment his Department has made of the potential impact of changes to National Insurance employer contributions on hospices in North East Hampshire constituency.

We have taken necessary decisions to fix the foundations in the public finances at the Autumn Budget, enabling the Spending Review settlement of £22.6 billion increase in resource spending for the Department from 2023/24 outturn to 2025/26.The employer National Insurance contribution rise will be implemented in April 2025, and planning guidance published on 30 January 2025 sets out the funding available to integrated care boards and the overall approach to funding providers in the next financial year. It considers a variety of pay and non-pay factors and pressures on the providers of secondary healthcare, including charitable hospices.  Further information on the planning guidance is available at the following link:https://www.england.nhs.uk/publication/2025-26-priorities-and-operational-planning-guidance/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 pleased to confirm that the Government has released the first £25 million tranche of the £100 million of capital funding, with Hospice UK kindly allocating and distributing the money to hospices throughout England. An additional £75 million will be available from April 2025.In addition, I recently met the major palliative and end of life care and hospice stakeholders, and long-term sector sustainability, within the context of our 10-Year Health Plan, was discussed at length.

What account his review of the frequency of infant head measurements will take of (a) research by Harry’s Hydrocephalus Awareness Trust and (b) the experience of other developed countries.

It is vitally important that babies are diagnosed as early as possible, so treatment can be provided. Current National Institute for Health and Care Excellence (NICE) guidance recommends measuring the head circumference of babies in the first week, at approximately eight weeks old, and at other times only if there are concerns. The baby’s general practitioner, or nominated primary care examiner, has a responsibility for ensuring the six-to-eight-week newborn infant physical examination screen, where head size is measured, is completed for all registered babies. The Department is seeking advice from the NICE and the royal colleges on the value of a clinical review of the current guidelines surrounding infant head circumference.The Healthy Child Programme sets out the requirements for health visiting services, including five mandated reviews where the child’s health and development is assessed. This includes when the baby is 10 to 14 days old and at six-to-eight-weeks old, and additional contacts depending on need, providing an opportunity to identify any health or development concerns and to make the appropriate referrals.

Whether he has taken steps to introduce the measurement of infant head circumference to existing health visits since his meeting with Harry’s Hydrocephalus Awareness Trust on 6 November 2024; and whether he has set a deadline for commissioning a clinical review into infant head circumference measurement.

It is vitally important that babies are diagnosed as early as possible, so treatment can be provided. Current National Institute for Health and Care Excellence (NICE) guidance recommends measuring the head circumference of babies in the first week, at approximately eight weeks old, and at other times only if there are concerns. The baby’s general practitioner, or nominated primary care examiner, has a responsibility for ensuring the six-to-eight-week newborn infant physical examination screen, where head size is measured, is completed for all registered babies. The Department is seeking advice from the NICE and the royal colleges on the value of a clinical review of the current guidelines surrounding infant head circumference.The Healthy Child Programme sets out the requirements for health visiting services, including five mandated reviews where the child’s health and development is assessed. This includes when the baby is 10 to 14 days old and at six-to-eight-weeks old, and additional contacts depending on need, providing an opportunity to identify any health or development concerns and to make the appropriate referrals.