Monday, 13 November 2023

Campaign Reply: Support for carers

I recognise the valuable contribution made by carers of all kinds - residential, domiciliary, paid, unpaid - many of whom spend a significant proportion of their life providing support to family members, friends and neighbours.

I completely agree that carers must receive the right support to help them carry out their caring roles. A tenth of adults in the UK provide unpaid care for a friend or family member, and these people should be supported in the invaluable work they do.

The Government is continuing to support the implementation of improved rights for carers, enshrined in the Care Act 2014. Carers can receive support through the Carer Element in Universal Credit and through Pension Credit and Carer's Allowance has been increased to £69.70 per week. Over the last twelve years successive changes will have provided an additional £800 a year for carers.

The Government’s Social Care White Paper outlined a number of measures to support carers including up to £25 million to kick start a change in the services provided to support unpaid carers. The Carer’s Leave Act has also been introduced to give unpaid carers the right to take unpaid leave from work to care for older, disabled or seriously ill relatives.

Local authorities are also required to undertake a Carer's Assessment for carers who require support. This may include recording a career's needs and the impact of providing care. Local authorities have a legal duty to meet a carer's needs if these are assessed as being eligible for support.

Going forward, NHS England at a national level and Integrated Care Boards at a local level will have a duty to involve carers when care is being commissioned for their loved one. The Department for Education will be amending the School Census to include young carers. In 2023/24, £327 million of Better Care Fund funding has been earmarked to provide short breaks and respite services for carers, as well as additional advice and support.

The Government understands that people are worried about the cost-of-living challenges ahead and has announced further support for the next financial year designed to target the most vulnerable households. This cost of living support is worth £26 billion in 2023/24, in addition to benefits uprating, which is worth £11 billion to working age households and people with disabilities. This support for 2023/24, is on top of the £37 billion of support for the cost of living already in place to support households in 2022/23, in addition to the Energy Price Guarantee.

Campaign Reply: Climate Change and Net Zero Commitments

It is crucial that we recognise the importance and urgency of action needed on climate change. The UN's Intergovernmental Panel on Climate Change has concluded that the world is warming faster than anticipated, the effects of which are being seen in every single region of our planet. Immediate global action is needed to limit warming, heatwaves, heavy precipitation, droughts, and loss of Arctic Sea ice, snow cover and permafrost.

The debate on climate change has been stuck between two extremes. It’s important to bring everyone with us as we forge ahead in eradicating the UK’s contribution to climate change. We can do this and still meet our international commitments and interim domestic targets.

The UK was the first G7 country to legislate to achieve net zero by 2050, and I am proud that the UK has made progress to cut emissions faster than any other G7 country, having already slashed emissions by 48 per cent, compared to 41 per cent in Germany, 23 per cent in France, as well as surpassing the targets most countries have set for 2030. It is this over-delivery on reducing emissions that provides the space to take a more pragmatic, proportionate, and realistic approach to reaching net zero. I am pleased that these recently revised plans will ease the burden on working people, as the Government has made it clear that the plans to meet net zero will only succeed if public support is maintained. 

However, the UK accounts for less than 1 cent of global emissions; clearly, global action is required. When the UK took on the COP26 Presidency, in partnership with Italy, only 30 per cent of the world was covered by net zero targets. This figure is now at around 90 per cent. I am strongly encouraged by the ambitions of the Glasgow Climate Pact which calls on accelerated global efforts to phase down unabated coal power and phase out inefficient fossil fuel subsidies, while providing targeted transitional support to the poorest and most vulnerable in line with national circumstances.

I am encouraged that the UK will produce enough offshore wind to power every home, quadrupling how much we currently produce to 50GW by 2030, and supporting up to 60,000 jobs, and I welcome the Prime Minister’s recent announcement about promoting more offshore wind. The Government will work with industry and aim to generate 10GW of low carbon hydrogen production capacity by 2030 for industry, transport, power and homes. In addition, the Government aims to develop the first town heated entirely by hydrogen by the end of the decade. The Government has launched a new Energy Security Strategy, which will see a significant acceleration of nuclear, with an ambition of up to 24GW by 2050 to come from what I am assured by my ministerial colleagues is a safe, clean, and reliable source of power.  

Other measures include a target to install 600,000 heat pumps every year by 2028, £1 billion funding to make our schools, hospitals and homes more energy efficient, planting 30,000 hectares of trees every year, promoting and investing in zero-emission transport and £20 million to develop clean maritime technology. The plan also includes a pledge to end the sale of new petrol and diesel cars and vans by 2035.

Getting to net zero by 2050 is feasible and consistent with avoiding most damaging climate change. Aiming for zero emissions by 2030 is almost certainly impossible, disruptive, not required by the science, economically unfeasible and risks undermining consensus. I am pleased the Prime Minister has set out a fairer and more pragmatic path to achieving net zero that eases the financial burden on British families.

At a local level, the Government has launched a Local Energy Programme which will provide support to Local Enterprise Partnerships and local authorities to help them implement energy projects which reduce carbon emissions and benefit their communities. Substantial funding has also been provided to support Heat Networks and other low carbon projects, while the National Planning Policy Framework includes guidance on how local authorities can meet the challenge of climate change.

Nearly 400,000 people are working in the low-carbon economy and the Government is committed to creating thousands of highly skilled, well paid jobs up and down the country. For instance, I welcome that the Offshore Wind Sector Deal could see the number of jobs triple in this sector to 27,000 by 2030. Furthermore, the Net Zero Strategy lays the Government's plans for how to level up the UK, while supporting up to 190,000 green jobs in 2025 and up to 440,000 jobs across net zero sectors in 2030.

I am pleased that in the recent revisions to the net zero strategy, the Government recommitted to banning the sale of new petrol and diesel cars, but moved the date of the ban back to 2035 to ease high upfront costs for families struggling with the cost of living. This will still enable the UK to hit its ambitious, legally binding target to reach net-zero greenhouse gas emissions by 2050, while supporting jobs in the electric vehicle manufacturing sector.

Moreover, the Transport Decarbonisation Plan, launched in July 2021, commits to delivering a Net Zero rail network by 2050, with sustained carbon reductions in rail along the way. The Government's ambition is to remove all diesel-only trains from the network by 2040.

The next decade is critical; every country, government, business and citizen must unite to tackle this huge threat to our planet and humanity. 


Campaign Reply: Dementia Diagnosis and Research

An estimated one million people will be living with dementia by 2025, so research is crucial to understanding the condition and improving outcomes for those affected. I was proud to stand on a manifesto that committed to doubling dementia research funding and finding a cure for dementia.

In memory of the late Dame Barbara Windsor, the Government launched a new mission in 2022 to put this into practice. Research funding for dementia will rise to a total of £160 million a year by 2024, with an additional £95 million being provided to increase clinical trials and research projects.

A new taskforce – made up of industry, the NHS, academia and families affected by dementia – will lead this work to allocate funding.  You can register your interest to take part through the Join Dementia Research website here: https://www.joindementiaresearch.nihr.ac.uk/

Finally, the Government has announced its intention to develop and publish a Major Conditions Strategy. The strategy will set out a strong and coherent policy agenda that sets out a shift to integrated, whole-person care. Interventions set out in the strategy will aim to alleviate pressure on the health system, as well as support the Government’s objective to increase healthy life expectancy and reduce ill-health related labour market inactivity. Dementia is one of the six major conditions included in the strategy.

On 17 May, the Government launched its call for evidence for the Major Conditions Strategy which ran until 27 June. The Government is analysing responses and will respond shortly.

Campaign Reply: Brexit Pub Guarantee

I believe that pubs make an important contribution to our culture – fostering a sense of place and community – and the UK economy. The Government’s ‘Brexit Pubs Guarantee’ confirms the alcohol duty you pay for a drink on tap at your local pub will be up to 11p less per pint than what you will pay in a supermarket. Moreover, the new alcohol duty system implemented in August included a new Draught Relief that provides a significant duty discount on alcohol sold in containers of 20 litres or more in the on-trade.

Pubs will also benefit from business rates support worth £13.6 billion over the next five years, including a more generous Retail, Hospitality and Leisure relief scheme that has increased from 50 per cent to 75 per cent in 2023-24.

The Energy Bill Relief Scheme provided £7.4 billion of energy bill support to businesses including pubs. Eligible businesses will continue to get a baseline discount on energy bills under the Energy Bills Discount Scheme from 1 April 2023 until 31 March 2024.

Moreover, to continue to support the hospitality sector, the Government recently announced the extension of the temporary off-sales regulatory easement – set out in the Business and Planning Act 2020 – until 31 March 2025. This extension enables holders of licences that only cover ‘on sales’ to continue to sell alcohol for consumption off the premises, including ‘takeaway pints’, for a further 18 months.

Campaign Reply: Excess Covid-19 Deaths

Thank you for contacting me about the excess deaths reported by the Office of National Statistics (ONS); I understand your concerns.

 

The Government is taking steps to reduce excess deaths (the number of deaths above the five-year average), including those which involve Covid-19. Vaccines remain the first line of defence against Covid-19. Antivirals and other treatments play a crucial role in protecting patients who become infected with Covid-19, particularly those for whom the vaccine may be less effective such as the immunosuppressed.

The Government is preparing for variants of Covid-19 and influenza through the Covid-19 booster and flu vaccination programmes, minimising hospital admissions from both viruses. Going forward, I strongly encourage eligible people to get their booster jab and their flu jab to protect themselves, their loved ones and the NHS.

Clearly, the disruption caused by Covid-19 has had a significant impact on those people who were living with cancer and other major conditions. The Government is taking steps to reduce excess deaths due to these conditions, including through a delivery plan setting out how the NHS will expand elective services over the next three years. The plan commits the NHS to deliver nine million additional treatments and diagnostic procedures over the next three years and around 30 per cent more elective activity than it was doing before the pandemic by 2024/25.

Furthermore, the Government intends to publish a Major Conditions Strategy to tackle conditions that contribute most to morbidity and mortality across the population in England including: cancers; cardiovascular disease, including stroke and diabetes; chronic respiratory diseases; dementia; mental ill health; and musculoskeletal conditions.

Campaign Reply: LGBT Rights

Thank you for contacting me about LGBT rights. 

I am determined that everyone in the UK should be free to live their lives and fulfil their potential regardless of their sex, sexual orientation or gender identity. The LGBT community must be free to proposer in modern Britain.

I am encouraged that my colleagues in the Government Equalities Office have, over recent years, looked carefully and thoroughly into the gender recognition process, including considering potential changes to the Gender Recognition Act 2004. After careful consideration, it is their view that this existing legislation strikes the right balance between ensuring there are proper checks and balances in the system and ensuring there is support in place for people who want to change their legal sex. However, following the National LGBT survey, transgender people highlighted the obstacles of bureaucracy and cost when applying for a Gender Recognition Certificate. The Government responded to these concerns by moving the entire procedure is now online and reducing the fee from £140 to £5. 

I know that my colleagues in the Equalities Office also remain committed to tackling conversion therapy in the UK. I am absolutely clear that this practice has no place in civilised society. Being lesbian, gay or bisexual is not an illness to be treated or cured.  From the outset the Government has also been guided by the principle that any approach to banning conversion therapy has to be carefully considered to ensure that any legislation that is brought forward is effective - while not resulting in unintended impacts which can arise in this complex area. 

 I am glad that the Government is committed to ensuring that everyone has access to excellent healthcare, regardless of their sex or gender identity. In 2019, the Government appointed Dr Michael Brady as the first national adviser for LGBT health. Since his appointment, Dr Brady has liaised across NHS England and ensured that LGBT health inequalities are given consideration in its long-term planning and implementation. Further, he is working on improving data collection on sexual orientation and gender identity, has held roundtables on LGBT health, and hosted the first national NHS LGBT health conference. 

Further, I understand that the Department for Health and Social Care is currently working on guidance to enable GPs to have a better understanding of the health concerns of transgender patients, which will improve their experience of primary and community care. 

More broadly, the Government is also committed to reducing the length of waiting lists at NHS gender clinics. I understand that four new gender clinics were opened in 2020-21, which are ensuring that transgender people have greater patient choice, shorter waiting times, better geographical coverage, and, crucially, easier access. The Government has put an additional £7.9 million into the four gender clinics to bring waiting times down further. The clinics are also making it easier to fulfil the medical requirements of obtaining a Gender Recognition Certificate.

 I am positive about the steps that have been made so far in the UK to achieve LGBT equality, and this is an issue I will continue to monitor closely. 

Campaign Reply: Junior Doctors Pay

Thank you for contacting me about pay and conditions for junior doctors. 

The passion, commitment, and specialist knowledge of our junior doctors is part of what makes our NHS so special. I sympathise with the issues and challenges they are facing.

 

For 2023-24, the Government has accepted the independent pay review bodies’ pay recommendations in full, recognising the vital contribution that NHS staff make to our country. This will mean that pay scales for most doctors and dentists will increase by at least 6 per cent this year.

 

Around 130,000 full-time equivalent doctors and dentists, including junior doctors and consultants, will see their pay rise in line with the Review Body on Doctors’ and Dentists’ Remuneration’s recommendations.

 

Pay for junior doctors will be increased by 8.8 per cent on average. Average basic pay for a first year junior doctor will increase from £29,300 to £32,300, while a junior doctor in core training with 3 years’ experience will see their salaries increase from £40,200 to £43,900.

 

This pay deal recognises the vital contribution of junior doctors in delivering patient care. In recent months, strike action has significantly disrupted patient care, and I strongly encourage the BMA to accept this deal, and shift away from their unsustainable position of demanding full pay restoration. 

 

Strike action has also cost taxpayers millions of pounds, with the NHS having to pay for cover to ensure patients can continue to be cared for - money that could be used to deliver more operations. The Government remains open to talks with the BMA on matters other than pay, such as improving working conditions for junior doctors.