The Westminster lensArchive · Written questions · 86 tabled · 86 answered

Written questions by Costigan.

Every parliamentary written question tabled by Deirdre Costigan this session, with the full answer and department. Back to the MP page.

Department:All (86)Department of Health and Social Care (28)Department for Transport (13)Ministry of Housing, Communities and Local Government (12)Department for Environment, Food and Rural Affairs (7)Home Office (6)Ministry of Justice (4)Department for Education (4)Department for Work and Pensions (3)Foreign, Commonwealth and Development Office (3)Department for Culture, Media and Sport (2)Women and Equalities (1)Department for Energy Security and Net Zero (1)

Showing 2128 of 28 · Department of Health and Social Care

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4 Oct 2024·Department of Health and Social Care·Answered
Asked

What steps he is taking to improve coordination between health services and homelessness support organisations to tackle the healthcare needs of rough sleepers with (a) substance misuse and (b) mental health challenges.

Reply

The Department is funding the Rough Sleeping Drug and Alcohol Treatment Grant (RSDATG) in 83 local authorities, of which Ealing is one. This programme funds targeted services to improve drug and alcohol treatment and support to people who sleep rough, or who are at risk of sleeping rough, and who have substance misuse needs. These services work closely with local homelessness organisations to ensure that coordinated support is provided, as well as providing support around people’s co-occurring substance misuse and mental health needs.In addition to the RSDATG, the Department is working to expand mental health outreach services to improve co-ordinated care for homeless individuals with co-occurring mental health needs. Since 2019/20 there has been a £30 million investment to meet the health needs of people sleeping rough, allowing for the establishment of 37 sites with new mental health provision for rough sleepers. Beyond 2023/24, NHS England will provide recurrent annual funding of £9 million to support the specialist services that have been established as part of the NHS Long Term Plan programme.

4 Oct 2024·Department of Health and Social Care·Answered
Asked

What steps he is taking to ensure adequate provision of early support for people with learning disabilities that live independently.

Reply

The Government is determined to stabilise the adult social care system and enable health and social care services to work together better to provide joined-up care for people with complex health and care needs, such as people with a physical or learning disability.To best support those drawing on care, the Government recognises the importance of holistic, joined-up services. The Department of Health and Social Care is working with partners across the Government, including the Department of Work and Pensions, the Ministry of Housing, Communities and Local Government, and the Department for Education, to build the right support across a range of public services including the social care, housing, and benefits systems.Under the Care Act, local authorities are responsible for shaping their care market to meet the diverse needs of all local people. This includes commissioning a diverse range of care and support services that enable people with either physical or learning disabilities, or both, to access quality care and, if they choose, live independently.Section 2 in the Care Act places a duty on local authorities to provide or arrange services, facilities, or other resources to prevent or delay the development of care and support needs for adults, with the aim of keeping people independent. This occurs in the context of local populations and the services available.Currently, adults who are receiving local authority support with their social care costs can choose to receive their personal budget, the amount of money they are assessed to require to meet their eligible needs under the Care Act 2014, as a direct payment. This allows the person, or their nominated representative, to commission their own care, providing them with greater independence, choice, and control in meeting their eligible personal care and support needs.In England, we continue to fund the locally administered Disabled Facilities Grant which helps eligible disabled people on low incomes to adapt their homes, through practical changes like installing stair lifts or level access showers, to make them safe and suitable for their needs.We also incentivise the supply of supported housing for adults with a physical or learning disability, autistic people, or adults with mental ill-health. These interventions seek to enable disabled adults to live more independent and healthy lives in their own home, for as long as possible.The extra costs disability benefits are not means–tested and are non-contributory and thus paid regardless of any income or savings. They are also tax-free and worth up to £184.30 a week, or over £9,580 a year. These benefits were not subject to the benefits freeze, having most recently been uprated by 6.7% from 8 April 2024, and were qualifying benefits for the Disability Cost of Living Payments paid in 2022 and 2023.The extra costs disability benefits can be paid in addition to other financial and practical support that those with a health condition or disability may be eligible for, such as other social security benefits or access to the Blue Badge scheme.Adult social care is not just a service for older adults, as it supports approximately 300,000 disabled people aged 18 to 64 years old to live independent and dignified lives. The Government wants to better support working age disabled people to participate in society and access employment.

4 Oct 2024·Department of Health and Social Care·Answered
Asked

What steps he is taking to ensure adequate support for people with physical disabilities that live independently.

Reply

The Government is determined to stabilise the adult social care system and enable health and social care services to work together better to provide joined-up care for people with complex health and care needs, such as people with a physical or learning disability.To best support those drawing on care, the Government recognises the importance of holistic, joined-up services. The Department of Health and Social Care is working with partners across the Government, including the Department of Work and Pensions, the Ministry of Housing, Communities and Local Government, and the Department for Education, to build the right support across a range of public services including the social care, housing, and benefits systems.Under the Care Act, local authorities are responsible for shaping their care market to meet the diverse needs of all local people. This includes commissioning a diverse range of care and support services that enable people with either physical or learning disabilities, or both, to access quality care and, if they choose, live independently.Section 2 in the Care Act places a duty on local authorities to provide or arrange services, facilities, or other resources to prevent or delay the development of care and support needs for adults, with the aim of keeping people independent. This occurs in the context of local populations and the services available.Currently, adults who are receiving local authority support with their social care costs can choose to receive their personal budget, the amount of money they are assessed to require to meet their eligible needs under the Care Act 2014, as a direct payment. This allows the person, or their nominated representative, to commission their own care, providing them with greater independence, choice, and control in meeting their eligible personal care and support needs.In England, we continue to fund the locally administered Disabled Facilities Grant which helps eligible disabled people on low incomes to adapt their homes, through practical changes like installing stair lifts or level access showers, to make them safe and suitable for their needs.We also incentivise the supply of supported housing for adults with a physical or learning disability, autistic people, or adults with mental ill-health. These interventions seek to enable disabled adults to live more independent and healthy lives in their own home, for as long as possible.The extra costs disability benefits are not means–tested and are non-contributory and thus paid regardless of any income or savings. They are also tax-free and worth up to £184.30 a week, or over £9,580 a year. These benefits were not subject to the benefits freeze, having most recently been uprated by 6.7% from 8 April 2024, and were qualifying benefits for the Disability Cost of Living Payments paid in 2022 and 2023.The extra costs disability benefits can be paid in addition to other financial and practical support that those with a health condition or disability may be eligible for, such as other social security benefits or access to the Blue Badge scheme.Adult social care is not just a service for older adults, as it supports approximately 300,000 disabled people aged 18 to 64 years old to live independent and dignified lives. The Government wants to better support working age disabled people to participate in society and access employment.

4 Oct 2024·Department of Health and Social Care·Answered
Asked

What steps he is taking to ensure that unpaid carers (a) are adequacy supported and (b) have access to (i) short breaks and (ii) legal advice.

Reply

Lord Darzi’s independent review of the NHS is clear that a fresh approach to supporting and involving unpaid carers is required to improve outcomes for carers, people needing care and the NHS.We will carefully consider these findings as part of our 10-year plan for reforming and modernising the NHS and as we develop plans to reform adult social care, including through the National Care Service.This Government also recognises the scale of the reforms needed in social care. That is why we will engage widely with a range of stakeholders, including unpaid carers, to ensure their voices are heard as we develop plans to create a National Care Service.The Government are also committed to reviewing the implementation of Carer’s Leave and examining the benefits of introducing paid Carer’s Leave. We will also keep Carer’s Allowance under review to ensure it meets its objectives.The Care Act 2014 requires local authorities to deliver a wide range of sustainable, high-quality care and support services, including support for carers, such as access to short breaks or information and advice. The Better Care Fund (BCF) includes funding that can be used for unpaid carer support, including short breaks and respite services for carers.

4 Oct 2024·Department of Health and Social Care·Answered
Asked

What steps he is taking to improve access to podiatry services for rough sleepers that are not eligible for full public funding due to their immigration status.

Reply

Integrated care boards are responsible for ensuring that the services they commission meet the needs of their local population with the resources they are allocated, including in respect of podiatry services. This starts with general practice (GP) registration, and everyone is entitled to register with a GP regardless of residential or immigration status.The Department recognises the importance of reducing barriers to services for those experiencing homelessness and rough sleeping. This is why we supported the development and implementation of the National Institute for Health and Care Excellence’s guidance, which provides recommendations on ways to improve access to, and engagement with, health and social care services for people experiencing homelessness. This guidance is available at the following link:https://www.nice.org.uk/guidance/ng214

4 Oct 2024·Department of Health and Social Care·Answered
Asked

What steps he is taking to improve access to optometry services for rough sleepers who are not eligible for full public funding due to their immigration status.

Reply

Individuals can apply for help with the cost of sight tests and glasses through the NHS low-income scheme. This includes people seeking asylum, refused asylum seekers in receipt of Home Office support and some refugees who will be eligible for cost exemption certificates. Furthermore, NHS England have recently taken steps to ensure that having no fixed abode should not prevent access to sight tests.The Department of Health and Social Care recognises the importance of reducing barriers to services for those experiencing rough sleeping. This is why we supported the development of NICE guidance which provides recommendations on ways to improve access to, and engagement with, health and social care services for people experiencing homelessness.More broadly, there are some services that are free at the point of use for all patients regardless of immigration status. These include, for example, accident and emergency services.

4 Oct 2024·Department of Health and Social Care·Answered
Asked

What steps he is taking to improve access to dental care for rough sleepers who are not eligible for full public funding due to their immigration status.

Reply

The Department recognises the importance of reducing barriers to services for those experiencing homelessness and rough sleeping. This is why we supported the development and implementation of the National Institute for Health and Care Excellence’s guidance, which provides recommendations on ways to improve access to, and engagement with, health and social care services for people experiencing homelessness. This guidance is available at the following link:https://www.nice.org.uk/guidance/ng214Certain groups of patients, such as rough sleepers, may be vulnerable to oral health problems and may find it difficult to access dental care. Integrated care boards are responsible for assessing the needs of their population and ensuring that the relevant dental services are available. Individuals with no recourse to public funds including failed asylum seekers remain eligible to receive help with dentistry costs through the NHS Low Income Scheme. Dentists are not required to ask for proof of identity, proof of address or proof of immigration status from individuals applying to become an NHS patient.We are tackling the immediate dental crisis with a rescue plan to provide 700,000 more urgent dental appointments and to recruit new dentists to the areas that need them most.

4 Oct 2024·Department of Health and Social Care·Answered
Asked

What steps he is taking to improve adult social care workforce retention.

Reply

Skills for Care data shows improvement in workforce retention in adult social care, the staff turnover rate decreased from 29.1% in 2022/23 to 24.8% in 2023/24 in the independent and local authority sectors. This may be partly due to the increase in international recruitment.Whilst much of the responsibility for recruitment and retention rests with adult social care employers, we are committed to ensuring the adult social care workforce feels supported, recognised, and there are opportunities to develop and progress, all of which contribute to retention. On 10 October 2024, recognising the central role of our care workforce, we took a critical step, introducing the legislation that will establish the first ever Fair Pay Agreement for care professionals. More information is available at the following link:https://bills.parliament.uk/bills/3737Fair Pay Agreements will work to empower workers, employers, and others in partnership to negotiate pay and terms and conditions in a regulated and responsible manner and will help to address the recruitment and retention crisis in the sector, in turn supporting the delivery of high-quality care.

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Sources
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