Tag: UK Government

Statutory levy and online slot stake limits to be introduced to tackle gambling harm

UK Government to bring forward statutory levy on gambling operators to generate £100 million for the research, prevention and treatment of gambling harms

  • Government to bring forward statutory levy as first step to strengthening harmful gambling protections
  • Mandated levy to generate £100 million for the research, prevention and treatment of gambling harms, with half of funding to directly benefit NHS-led gambling treatment system
  • Government also confirms online slot stake limits of £5 for over 25s and £2 for young adults aged 18 to 24

The Westminster government has taken its first steps towards strengthening gambling harm legislation today, confirming plans to implement a statutory levy on gambling profits and online slot stake limits to help tackle the issue of gambling addiction. 

Gambling Minister Baroness Twycross has outlined how a levy on gambling operators will be designed and implemented as the government moves forward on its manifesto commitment to reduce gambling harm. 

The landmark levy will be charged to all licensed operators and will guarantee increased, ringfenced and consistent funding to prevent and tackle gambling harm. 

Under the current voluntary system not all gambling companies contribute equally, with some operators paying as little as £1 a year towards research, prevention and treatment. The new mandatory levy will ensure all operators contribute a fair share. 

The Gambling Minister has also confirmed that the government will introduce stake limits for online slots, a higher-risk gambling product associated with large losses, long sessions, and binge play. 

Stake limits will be set at £5 per spin for adults aged 25 and over and £2 per spin for 18-24 year olds. 

Evidence from the Office for Health Improvement and Disparities and the Gambling Survey for Great Britain shows young adults can be particularly vulnerable to gambling related harm with under 25s having one of the highest proportion of respondents scoring 8 or more on the Problem Gambling Severity Index (PGSI) of any age group.

Minister for Gambling, Baroness Twycross said: “Gambling harm can ruin people’s finances, relationships, and ultimately lives. We are absolutely committed to implementing strengthened measures for those at risk, as well as providing effective support for those affected. 

“The introduction of the first legally mandated levy will be instrumental in supporting research, raising awareness and reducing the stigma around gambling-related harm. 

“We are also helping to protect those at risk, with a particular focus on young adults, by introducing stake limits for online slots. 

“These measures will help build an NHS fit for our future and strengthen protections whilst also allowing people to continue to gamble safely.”

From October 2023 to January 2024, the government sought views from clinicians, academics, the industry and the wider public on how the levy should be designed and implemented. 

In its response to this consultation, the government has confirmed 50% of all funding generated will be directed to NHS England and appropriate bodies in Scotland and Wales to develop a comprehensive support and treatment system. This will include referrals and triage, through to recovery and aftercare.

Prevention is a crucial part of the government’s efforts to tackle gambling harm. 30% of levy funding will go towards investment in this area, which could include measures such as national public health campaigns and training for frontline staff. The government is taking the time to get the important decision on the future of prevention right and will publish next steps in the coming months.

The remaining 20% of funding will be directed to UK Research and Innovation (UKRI) and the Gambling Commission to develop bespoke Research Programmes on Gambling, undertaking vital research to inform future policy and regulation.

Claire Murdoch, NHS national director for mental health, said: “Problem gambling can completely ruin lives and the issue has skyrocketed, with NHS services treating record numbers and our latest data showing a staggering 129% increase in service referrals compared with the same period last year.

“I am delighted to welcome this commitment to a mandatory gambling levy which the NHS, bereaved families and the voluntary sector have been calling for so we can treat this growing problem – and we will continue to work with government to do all we can to protect problem gamblers from this billion-pound industry.”

Professor Henrietta Bowden-Jones, National Clinical Advisor on Gambling Harms at NHS England, said: “Gambling harms have a devastating effect on people’s lives. We know that 2.5% of the population are gambling in a severe and harmful way but many more are affected, whether family members or gamblers already experiencing negative consequences but below the clinical threshold. 

“We recognise the need for more action, which is why I am thrilled to support the Government’s new levy, which will help us address the negative impact of gambling harms on communities using treatment, prevention and research through an independent evidence-based strategy at last.”

Funding from the levy will be distributed to the NHS and UKRI, the umbrella body for research councils, by the Gambling Commission under the strategic direction of the government. The gambling industry will have no say over how money for research, prevention and treatment is spent. 

The levy will be charged to all licensed gambling activity at varying levels depending on the sector and nature of the gambling activity to ensure impacts are proportionate. Rates take into account the difference in operating costs and the levels of harmful gambling associated with different gambling activities. 

Minister for Health Andrew Gwynne said: “Tackling gambling harm is a crucial part of our commitment to support people to live longer, healthier lives.

“This levy will provide an important funding boost for the NHS, whilst also enabling independent research and more effective prevention initiatives.

“By making NHS England responsible for all treatment and support services for those experiencing gambling-related harms in England, we will ensure people are getting the most effective care possible.”

Technological developments in recent years have paved the way for a dramatic shift in the ways people gamble. Gambling has moved away from betting shops and casinos to people being able to play anywhere, anytime, on their phones, leading to a significant increase in online gambling behaviour. 

The levy and online slot stake limits announced today complements a raft of major changes the government and the Gambling Commission is delivering to make gambling safer in an age of technological advances. This includes including financial risk checks to better alert operators to risky behaviours and tighter controls on marketing. 

Spending watchdog disclaims UK Government’s accounts for the first time

  • The disclaimed audit opinion from the Comptroller and Auditor General (C&AG), Gareth Davies, on the Whole of Government Accounts (WGA) 2022-23 is the first ever.
  • The cause is the severe backlogs in English local authority audits, with the consequence that there is inadequate assurance over material amounts throughout the WGA.
  • The WGA is a vital tool in the management and scrutiny of public spending, as it brings together all public sector assets and liabilities. It is essential that the steps being taken by Government to restore timely and robust local authority audited accounts are effective.  
  • The PAC Chair’s statement can be found here PAC Chair’s statement – WGA.pdf. The link to the WGA 22/23 can be found in the notes to editors. 

Backlogs in firms’ audits of England’s 426 local authorities have led to the National Audit Office (NAO) disclaiming the 2022-23 WGA for the first time.

As well as local authority accounts, the WGA combines the accounts of over 10,000 public bodies, such as central government departments, devolved administrations, the NHS, academy schools and public corporations.

Within his audit report, the NAO’s head, Gareth Davies, said he had been “unable to obtain sufficient, appropriate evidence upon which to form an opinion”.

Just over 10% (43) of England’s 426 local authorities submitted reliable data to the WGA.

Of the near 90% of local authorities that failed to submit reliable data, 46% (196) submitted information that hasn’t been audited, and 44% (187) did not submit any data at all.

The Government is taking steps to address the backlog in audited accounts for English local authorities, including the use of fixed dates by which each year’s audits must be completed.

This process is unlikely to allow the disclaimer on WGA to be removed for 2023-24, but it does offer a medium-term solution to the problem.

The WGA is a vital tool in the management and scrutiny of public spending, as it brings together all public sector assets, liabilities, income and expenditure. This means that long-term costs to the public purse such as clinical negligence and nuclear decommissioning are visible to policy makers and Parliamentarians.

Gareth Davies, head of the NAO said: “It is clearly not acceptable that delays in audited accounts for English local authorities have made it impossible for me to provide assurance on the Whole of Government Accounts for 2022-23.

“It is essential that the steps being taken by Government to restore timely and robust local authority audited accounts are effective”.

  • The disclaiming of the WGA is in relation to local authority audit omissions and unaudited returns. The impact of this impact is so large and pervasive that the Comptroller and Auditor General is unable to give any opinion on the WGA at all. The C&AG continues to provide assurance over all central government departments via their statutory departmental accounts on an annual basis, and the disclaimer of the WGA does not impact upon the opinions he gives on those accounts.
  • The 22/23 accounts can be found here: WGA_2022-23_final_accounts.pdf 
  • Page 279 includes the audit certificate from the Comptroller and Auditor General. 

MPs to vote on landmark smoking ban

Votes on the world-leading Tobacco and Vapes Bill will move the UK one step closer to becoming smoke-free

  • Vote will move the UK one step closer to becoming smoke-free, shielding the next generation from the harms of smoking.
  • Ambitious plans to protect children from vaping, including ban on vape advertising and sale of vapes in vending machines, in addition to restricting vape flavours, packaging and shop display.
  • Bill bolstered by additional £10m of support for enforcement and £70m for stop smoking services.

MPs will today (26 November) vote on the world-leading Tobacco and Vapes Bill, moving the UK one step closer to protecting future generations from the harms of smoking and vaping.

The ambitious Bill includes plans to clamp down on youth vaping with many of the measures specifically aimed at protecting children.   

Subject to consultation, the sale of vape flavours that overtly appeal to children – such as bubble gum, gummy bear and cotton candy – could be brought to an end, alongside restrictions on vape packaging that is designed to appeal to young people.  

The Bill will bring in a total ban on vape advertising and sponsorship which will include displays that will likely be seen by children and young people such as on buses, in cinemas, and in shop windows, bringing this in line with current tobacco restrictions.  

All vaping and nicotine products will be banned from being sold to under 18s – closing loopholes on non-nicotine vapes and nicotine pouches. Vapes will also be banned in vending machines, where they can be easily accessed by children. The free distribution of these products will also be banned.  

If passed, the Bill will progress to the next parliamentary stage, bringing the UK one step closer to creating the first smoke-free generation. 

The Bill will help achieve one of the three key shifts in the government’s 10 Year Health Plan, to move from sickness to prevention. 

Secretary of State for Health and Social Care, Wes Streeting, said:  “The number of children vaping is growing at an alarming rate and without urgent intervention, we’re going to have a generation of children with long-term addiction. 

“It is unacceptable that these harmful products are being deliberately targeted at children with brightly coloured packaging and flavours like ‘gummy bear’ and ‘rainbow burst’.  

“The Tobacco and Vapes Bill provides the protection that children and young people need to avoid a life imprisoned by addiction. That’s why it’s so incredibly important it is voted through.”  

To support current smokers to quit smoking, the government will provide £70 million for stop smoking services. This is in addition to all hospitals integrating ‘opt-out’ smoking cessation interventions into routine care, making every clinical consultation count.  

To bolster enforcement, the government will provide an additional £10 million for Trading Standards to crack down on illicit trade. This comes off the back of new data from National Trading Standards (NTS) that show over 1 million illicit vapes were seized inland by Trading Standards in 2023-24, a 59% increase compared to the previous year.  

In a separate programme coordinated by NTS, 19 million illicit cigarettes and 5.2 tonnes of illicit hand-rolled tobacco were seized by Trading Standards in 2023-24. This is on top of the over 1 billion illicit cigarettes and 92.4 tonnes of illicit hand-rolled tobacco seized by HMRC and Border Force. 

The Bill will also include powers to introduce a licensing scheme for retailers to sell tobacco, vape and nicotine products in England, Wales and Northern Ireland, and will introduce on the spot fines of £200 to retailers found to be selling these products to people underage. 

Expanding the use of highly effective standardised packaging to all tobacco products will also be explored. 

Chief Medical Officer for England, Professor Chris Whitty, said: “If this major piece of legislation is passed, it will accelerate a smokefree generation and lead to children never being trapped by addiction to cigarettes with lifelong harms to their health.

“The rising number of children vaping is a significant concern, and the Tobacco and Vapes Bill will help prevent marketing vapes to children, which is utterly unacceptable. Smoking results in direct harm across a person’s life course but also causes harms to others around them, including children, pregnant women and the medically vulnerable.

“Reducing the number of vulnerable people exposed to second-hand smoke, as well as preventing non-smokers taking up vaping is important and will improve the health of the nation.”

The NHS also recently announced the rollout of a once-a-day pill that could help tens of thousands of people give up cigarettes. It also follows the government laying new legislation in October banning the sale of single-use vapes from 1 June 2025. 

NHS national medical director, Professor Sir Stephen Powis, said: “Vaping among young people is a significant and growing concern and we wholeheartedly welcome the Government’s commitment to tackle this as part of the measures outlined in this bill.

“Smoking also remains the leading cause of preventable deaths and has a huge impact on the NHS, costing billions every year and we look forward to working with the government and partners to ensure the next generation grow up smoke and vape free.”

The Tobacco and Vapes Bill will give government the powers to extend the indoor smoking ban to specific outdoor spaces: with children’s playgrounds, outside schools and hospitals all being considered in England, subject to consultation. These powers will also allow places that are currently smoke-free to be made vape-free, subject to consultation.  

Sarah Sleet, chief executive at Asthma + Lung UK, said: “The announcement of additional funding for smoking cessations services is desperately needed to help the tens of thousands of existing smokers who want to quit, which is incredibly difficult to do without support.

“Stop smoking services have suffered drastic cuts in recent years, but when they are appropriately funded they do a fantastic job of supporting people to stop smoking for good.

“Today’s vote on the Tobacco and Vapes Bill is the crucial next step towards protecting younger generations from the harms of smoking, by stopping them from ever taking up cigarettes.

“However, it’s only by tackling the whole problem that we can truly begin to put a stop to the devasting effects this deadly addiction has on the health of the nation, and the huge burden it places on the NHS.”

Hazel Cheeseman, chief executive of Action on Smoking and Health said: “Every day around 350 young people start smoking, and two thirds of long-term smokers will die due to smoking.

“Passing this Bill is a vital way the Government can start to end the unprecedented harm caused by tobacco, protecting the health of the next generation by ensuring they won’t become addicted to smoking.

“Alongside the legislation funding is necessary to help the millions who currently smoke to quit and accelerate the creation of a smokefree country and the announcement today is welcome.”

Dr Ian Walker, executive director of policy at Cancer Research UK, said: “Tobacco still causes around 160 cancer cases every day in the UK. But with strong political will and bold action, these staggering numbers can be turned around. 

“By voting in favour of this historic legislation, MPs have the power to help save lives and make the UK a world leader in tobacco control.

“Raising the age of sale of tobacco products and funding cessation support will save people from a deadly and costly addiction. I urge politicians to prioritise the health of the nation and help end cancers caused by smoking for good.” 

In England, the Health and Social Care Secretary launched Change.NHS.UK to encourage the biggest conversation ever about the NHS to help inform the plan.

House of Lords to consider landmark reforms to mental health care 

Mental Health Bill will give patients enhanced rights to make decisions regarding their own care, ensuring their voice is heard throughout the treatment process

  • Landmark reforms to better care for mental health patients one step closer to becoming law, with Second Reading of the Mental Health Bill in the House of Lords today  
  • The Bill will also address inadequate care of people with a learning disability and autistic people, as well as reducing the number of unnecessary detentions 

Long awaited legislation to reform care for mental health patients is one step closer to becoming law, as the Mental Health Bill has Second Reading in the House of Lords today (25th November 2024).  

The Mental Health Bill, introduced earlier this month, will modernise the Mental Health Act, giving patients a greater say in their care, along with bolstered support from family and friends as part of treatment to ensure that their interests are protected and that their voice is heard throughout the treatment process.  

Last year, over 50,000 people were detained under the Mental Health Act, but an independent review of the Mental Health Act, chaired by Professor Sir Simon Wessely, President of the Royal Society of Medicine, found rising rates of detention under the act, along with racial disparities, and poor patient experience especially for autistic people and those with a learning disability, with patients being detained unnecessarily and for longer than needed. 

Alongside making it legal requirement for each patient to have a care and treatment plan, the Bill will also give patients the right to an Advance Choice Document, which can be used by patients to set out what they want their care to look like in the event of a mental health crisis.  

These changes will ensure that care is tailored to individual needs and encourage patients to remain in contact with health services and continue to engage with treatment.  

Police and prison cells will also no longer be used to place people who need care under the Mental Health Act. Instead, patients will be supported to access a suitable healthcare facility that will better support their needs.  

Secretary of State for Health and Social Care, Wes Streeting, said: “The Mental Health Act is there to protect people when they’re at their most vulnerable, and in many cases, it has saved lives. But it is hugely outdated, depriving people of their liberty, especially autistic people and people with a learning disability. 

“We are now one step closer to bringing forward the essential reforms that will transform the care of some of our most vulnerable people, meaning patients receive the right care in the right place. 

“Modernising the act will strengthen the decision-making processes, helping to better support people, and giving them the appropriate and compassionate care they need.”

The Bill will help deliver the government’s commitment to transform mental health care, giving it the same focus and attention as physical health. 

It will also address unnecessary detentions for people with a learning disability or autistic people. At the end of October 2024, 1,880 people with these conditions were detained in hospital under the Mental Health Act, and research suggests that some would be better suited to care in the community. 

If passed, the Act will limit the length of time that they can be detained under the Act if they do not have a co-occurring mental health condition that needs hospital treatment and have not committed a criminal offence. 

Claire Murdoch, NHS national mental health director, said: “This Mental Health Bill is a once in a generation opportunity to ensure that patients experiencing serious mental illness and crises receive safe, modern, evidence-based care, and that the needs and wishes of patients and their loved ones are central to their care and better mental health outcomes.

“This comes alongside the NHS’s work to transform mental health services which are treating record numbers with existing resources – either through intervening earlier with hundreds of NHS teams working in schools, or trialling new 24/7 crisis mental health hubs to prevent people needing hospital care in the first place, and if an admission to hospital is needed the health service is working with local services to ensure this is delivered in a safe and therapeutic environment close to people’s homes.

Dr Layla McCay, director of policy at the NHS Confederation, said: “This marks another important milestone towards the long overdue reforming and updating of the Mental Health Act to ensure people with severe mental illness are given greater control over their treatment and are not subjected to unnecessary detentions.

“Our members have long called for these reforms to address the unacceptable disparities in rates of detention for people from some ethnic minority backgrounds.

“The Bill should also stop patients with a learning disability and autistic people from being detained long-term, unless they also have a severe mental illness for which detention may be needed.

“This is a welcome step towards these vital reforms, and we look forward to working with the government to ensure there is enough capacity to implement the Bill’s plans.”

Mark Winstanley, Chief Executive, Rethink Mental Illness: “In the depths of a mental health crisis, everyone deserves care that respects their rights and gives them a say in their treatment. Today marks another milestone in the journey to reform the Mental Health Act, bringing us closer to vital legislation that’s fit for the 21st century.

“After years of tireless campaigning, we’re determined that this legislation fulfils its potential. We will support efforts to ensure the Bill passes through parliament to deliver meaningful, positive change for the tens of thousands of people detained under the Mental Health Act every year.

“In tandem, we will look to the new Ten Year Plan for the NHS to provide the resources and support necessary to ensure people receive the right care and treatment at the right time, to prevent people from experiencing a mental health crisis.”

Measures in the Bill will ensure patients, staff and the general public are better protected, through improved decision making and new processes requiring clinicians to seek a second opinion before discharging a patient. Discharge processes will also be reviewed more broadly and will include a safety management plan for the patient, to keep them and others safe.

Starmer pledges joint action to keep women and girls safe at night

  • Police chiefs, industry executives and transport bosses called to Downing Street to crack down on spiking and protect women and girls
  • Spiking will become a new criminal offence in England and Wales
  • Commitment to halve violence against women and girls is central to the government’s mission to make our streets safe

Police chiefs, industry executives and transport bosses must work together to keep women and girls safe, the Prime Minster will urge when he convenes leaders in Downing Street later today.

Reiterating his personal commitment to halve violence against women and girls, the Prime Minister will also confirm that his government will make spiking a new criminal offence. This will send a clear signal that this is a crime, and perpetrators should feel the full force of the law, empowering victims to report offences and giving them confidence the justice system will support them.

Speaking to leaders later today, the Prime Minister will set out how the new offence is just one of part of the solution. He will demand coordinated action across the police, transport network and venues to stamp out this cowardly act and take back our streets.

This will include training thousands of staff working in the nighttime economy on how to spot and tackle spiking. Piloted from December, the training will help equip staff with the skills they need to prevent incidents, support victims and help police collect evidence. This will be rolled out to up to 10,000 bar staff across the country by spring next year.

At today’s meeting, which comes just weeks before Christmas and when violence against women and girls is known to rise, the Prime Minister will hear from police forces and industry leaders about the tactics already being used to keep women safe and urge other forces and venues to follow their lead.

  • Chief Constable Jason Hogg, Thames Valley Police, will set out how his force has deployed plain clothed officers into areas around bars and clubs to spot predatory sexual behaviour. This tactic is now being used by over 20 forces across England and Wales.
  • Chief Constable Lucy D’Orsi, British Transport Police will set out work being undertaken to keep women safe using public transport. This includes relaunching the text-to-report number, 61016, that is now free across all major networks, allowing women to discretely contact British Transport Police for help if they are or someone else is being harassed on the train. In one case, a victim texted 61016 to alert the police, officers met the train, and the offender was arrested just half an hour later.
  • Kate Nicholls, CEO of UKHospitality and Chair of Institute of Licensing, will discuss supporting the Home Office in its plans to roll out nationwide training to make sure all door and bar staff know how to prevent spiking and have the skills needed to act if they suspect someone has been spiked.
  • Chief Constable Maggie Blyth, the NPCC lead for VAWG, will talk about the ongoing scale and threat of violence against women and girls, its prevalence in the night-time economy and what policing needs to tackle offenders and reduce the number of victims enduring abuse.

Prime Minister Keir Starmer said: “My government was elected on a pledge to take back our streets, and we will never achieve this if women and girls do not feel safe at night. 

“Today, I will bring together police chiefs, heads of industry and transport bosses to demand coordinated action to stop women being targeted, whether they are out with friends or simply travelling home. 

“Cracking down on spiking is central to that mission. 

“We know it can be incredibly difficult for victims to come forward to report this awful crime, and these cases can be very hard to prosecute. We must do more to bring the vile perpetrators who carry out this cowardly act, usually against young women and often to commit a sexual offence, to justice.

“That is why I made a promise that, if elected, I would make spiking a new criminal offence. Today, I am proud to have come good on that pledge.”

Action against spiking is just one of the measures being taken to meet the government’s unprecedented manifesto commitment to halve violence against women and girls in the next decade, a fundamental part of the mission to make our streets safe.

Within the first few months of being in office, the government has already announced plans to launch new Domestic Abuse Protection Orders to give greater protection to victims, and that domestic abuse specialists will be embedded in 999 control rooms. More announcements are expected in the coming weeks.

Home Secretary, Yvette Cooper said: “Spiking is a disturbing and serious crime which can have a damaging and long-lasting impact on victims.

“That’s why today we are taking decisive action to prevent this devastating crime and to crack down on perpetrators, by introducing a new criminal offence for spiking and launching specialist training for thousands of bar staff nationwide.

“People shouldn’t have to worry about the safety of their drinks on a night out. These changes are about giving victims greater confidence to come forward, and ensuring that there is a robust response from the police whenever this appalling crimes take place.”

Kate Nicholls, Chief Executive of UKHospitality, said: “Our pubs, bars, clubs and restaurants are where Brits go to enjoy themselves and our priority is to ensure everyone can do that safely.

“I’m pleased that we’re able to support the Home Office in its plans to roll out a nationwide training programme as part of these efforts, to help ensure all staff know how to prevent spiking and have the skills to act if they suspect someone has been spiked.

“This is all part of hospitality’s unwavering commitment to keeping customers safe and ensuring our teams have the knowledge and skills they need.”

Minister for Victims and Violence Against Women and Girls, Alex Davies-Jones, said: “Christmas should be a time for celebration and community but all too often perpetrators of vile crimes like spiking take advantage of festivities to target women and girls.

“As a society we cannot accept that, and this government is taking firm action to keep them safe – from creating a new criminal offence of spiking to working hand-in-hand with police and business to crack down on this behaviour. 

“These are just some of the steps that will allow us to achieve our aim of halving violence against women and girls.”

Assistant Chief Constable Samantha Millar, National Police Chiefs’ Council Violence Against Women and Girls Strategic Programme Director, said: “Spiking can have a significant, traumatic impact on victims and feelings of safety in the night-time economy, particularly for women and girls.

“Spiking is a complex offence to investigate as drugs can pass through the system quickly and there is often a lack of evidential opportunities, which is why quick reporting and early evidence gathering, including forensic testing, is key.

“Police forces across the country have been working proactively to stop spiking from happening in the night-time economy and improve feelings of safety for women and girls. This includes regular, targeted patrols of busy town centres and visiting organisations, such as universities, to raise awareness of the symptoms of spiking. 

“Forces also work closely with bars, pubs and clubs to tackle spiking, and during the first national spiking police week of action in March, forces collectively visited over 1900 licensed venues to ensure that staff understood how to support victims. 

“I hope that the policing response to protect women and girls in the night-time economy shows how committed we are to making our streets safer. I would encourage anyone who is a victim of spiking to report it to the police, you will be listened to, and you will be taken seriously.”

One million visits to Change.NHS.UK

  • Public health minister and NHS national director visited Wigston, Leicestershire as more than 100 people from across the Midlands took part in a debate on future of NHS
  • The second national event will ensure views from the communities in the Midlands help to shape the government’s plans to build an NHS fit for the future
  • Over one million visits to change.nhs.uk, after rallying cry was issued to ‘entire nation’ to help shape 10 Year Health Plan

The biggest ever conversation about the future of the NHS came to the Midlands yesterday (Saturday 23 November) as part of a nationwide series of public debates about how to fix the health service.

More than 100 people from the region visited Wigston in Leicestershire to discuss their views of the NHS, share their experiences, and offer their suggestions for delivering an NHS fit for the future.

Public Health Minister Andrew Gwynne and NHS England’s National Director for Urgent and Emergency Care Sarah-Jane Marsh both attended. They asked people for their opinions on NHS reform and how the government’s 10 Year Health Plan can help tackle disparities in the region.

Addressing the event, Andrew Gwynne, Minister for Public Health and Prevention said: “I want to say a big thank you to so many people coming out so that you can be part of this 10 Year Health deliberation. 

“We can’t change the NHS and make it better without you. When we say that the NHS is broken but not beaten, it’s not beaten because the staff are incredible, it is because the NHS is not where we need it to be.

“The NHS makes me proud to be British, it’s still the incredible service that was set up after the Second World War. But the NHS of 1948 is not an NHS that is fit for the future, with people living longer now and with more complex conditions.

“This opportunity allows us to recreate an NHS that’s fit for the future. Central to this is our three shifts from: hospital to community; analogue to digital; and from sickness to prevention. 

“It’s exciting times and we’ve got a big task ahead. You are part of it and we can’t do it without your ideas. Let’s fix our NHS for the better.”

 Sarah-Jane Marsh, National Director of Urgent and Emergency Care and Deputy Chief Operating Officer for NHS England said: “As someone with over 20 years’ experience working in the NHS in the Midlands – including almost 14 years as CEO of Birmingham Women’s and Children’s Hospital – I know how vital it is to hear from patients and their families directly, so it is truly fantastic that more than a million people have already come forward to let us know about their experiences.

“The 10 Year Health Plan is our chance to help the NHS continue to innovate and adapt, and make best practice, normal practice across the country.

“That’s why we want even more people to come forward and share their views, so if you work for the NHS or are a patient, family member or simply someone with a good idea, please share with us what we do well, what we need to do better, and your ideas for the future – we are waiting to hear from you.”

The minister and national director also visited a mobile vaccination unit in Loughborough, met a super vaccinator, who offers a full range of childhood vaccines and seasonal and adult vaccines. They saw first-hand the impact that the mobile vaccination unit and super vaccinators are having on the community.

Last month, the government issued a rallying cry to the nation – including all 1.5 million NHS staff, patients, experts, and the wider public – to visit the online platform change.nhs.uk to share their experiences, views and ideas for fixing the NHS and to help shape the plan.

Change.nhs.uk has already received over one million visits. It will be live until spring 2025 and is available via the NHS App. 

Thousands of ideas to fix the health service have been submitted, with suggestions including:

  • Establishing an NHS research health company that can be used to get insights on early prevention
  • Digital records, so records from all hospitals are available to view at all GP surgeries 
  • Pop-up / mobile clinics to meet surge demand for services in areas of need
  • Stop giving out paper leaflets and sending letters, and limit this to those who do not have access to IT to reduce waste

All submitted ideas will be carefully considered as part of the engagement process so that we can better understand the priorities of the public, patients and people working in health and care.

It comes after the government announced a package of tough reforms to cut wasteful spending and ensure the health service delivers greater value for money – so more goes back to the frontline of care to benefit patients and staff everywhere.

People in the Midlands – an NHS region – are being affected by a range of health issues. The latest data shows there were:

  • over 1.4 million patients on the waiting list in the Midlands, with nearly 50,000 waiting more than a year
  • over 100,000 patients on the waiting list at University Hospitals of Leicester NHS Trust, with more than 2,000 waiting more than a year
  • nearly 130,000 patients on the waiting list at Leicester, Leicestershire and Rutland Integrated Care Board, with more than 2,500 waiting more than a year
  • over 300,000 patients waiting for diagnostic tests and scans in the Midlands
  • there are over 25,000 patients waiting for diagnostic tests and scans at University Hospitals of Leicester NHS Trust

At the end of September 2024, data shows there were:

  • over 100,000 patients waited more than four weeks for a GP appointment in the Midlands
  • nearly 15,000 patients waited more than four weeks for a GP appointment at NHS Leicester, Leicestershire and Rutland ICB

The public engagement exercise will help shape the government’s 10 Year Health Plan, which will be published in spring 2025 and will be underlined by 3 big shifts in healthcare:

  • hospital to community
  • analogue to digital
  • sickness to prevention 

As part of the first shift from ‘hospital to community’, the government wants to deliver plans for new neighbourhood health centres, which will be closer to homes and communities. Patients will be able to see family doctors, district nurses, care workers, physiotherapists, health visitors or mental health specialists, all under the same roof. 

In transforming the NHS from analogue to digital, the government will create a more modern NHS by bringing together a single patient record, summarising patient health information, test results and letters in one place, through the NHS App.

By moving from sickness to prevention, the government wants to shorten the amount of time people spend in ill health and prevent illnesses before they happen.

Child Poverty Taskforce holds first Scottish summit

Ministers hear from families, public bodies and charities to tackle issues including wages, work and welfare and help those most in need

The UK Government’s Child Poverty Taskforce was in Scotland for the first time on Thursday, hearing from child poverty charities, experts, parents and children in Glasgow as it develops plans for an ambitious, cross-Government strategy to drive down child poverty.

Work and Pensions Secretary Liz Kendall, who co-chairs the Taskforce, said that tackling child poverty is back where it should be – at the top of the UK Government’s agenda – and that driving down child poverty across Scotland was a key priority.

The visit comes following last month’s Budget announcement of a new ‘Fair Repayment Rate’ in Universal Credit, making 110,000 of Scotland’s poorest households better off from next April.

On average, households will each benefit by £420 a year. The new rate means Universal Credit deductions will be capped at 15 per cent, down from 25 per cent.

This move comes alongside the rise in the Minimum Wage, which will benefit 3 million of the lowest paid workers by up to £1,400 year, and wider action the UK Government is taking to Make Work Pay and create more good jobs in every part of the country including in clean energy and through its modern industrial strategy.

With more than 200,000 children living in poverty in Scotland, and over 33,000 in Glasgow City, Liz Kendall MP heard the vast scale of the challenge facing communities and what is already being done locally to tackle the issue, including two child poverty ‘pathfinders’ in Glasgow and Dundee aiming to provide joined up support for families.

After hearing from families, leading organisations, the Scottish Government and public bodies with vital roles in children’s lives spanning from health to housing, including Public Health Scotland and the Scotland’s Children Commissioner, shared their insight and learnings with the Secretary of State at a roundtable discussion.

Charities including Aberlour, Joseph Rowntree Foundation Scotland and One Parent Families Scotland attended the event, as did the Scotland Minister for Equalities Kaukab Stewart MSP, the UK Minister for Employment Alison McGovern MP, and the Parliamentary Under Secretary of State for Scotland, Kirsty McNeill MP.

Both governments have pledged to work closely together to achieve the common aim of making sure every child in Scotland has the support they need to reach their full potential.

Secretary of State for Scotland Ian Murray is part of the Child Poverty Taskforce, which met earlier this week on the theme of increasing parents’ earned incomes, building employment stability and enabling progression in work.

Work and Pensions Secretary Liz Kendall MP: “Tackling child poverty is a priority for the UK Government, and a personal priority for me.

“It is a moral stain on this country that there are now over 4 million children in the UK living in poverty, including 200,000 in Scotland.

“That is why the work of our Child Poverty Taskforce is so urgent. We will look at all the levers available at our disposal across Government to drive down poverty and drive-up opportunity for children and families in every corner of the UK.

“Scottish families and organisations are at the heart of our ambitious plans. The experiences and ideas they shared today are critical to our work to give all children in Scotland – and across the UK – the very best start in life.”

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UK Government Minister for Scotland Kirsty McNeill: “Hearing such stark and painful accounts from families about their daily struggles has been hugely humbling but a vitally important reminder about why we must and will reduce child poverty across the whole of the UK.

“It’s a national shame that more than 200,000 children are living in poverty in Scotland. We are taking action – the UK Budget progressed our commitment to transforming the lives of Scottish children facing poverty, and we’re making work pay to improve living standards by raising the minimum wage and making the biggest improvements to workers’ rights in a generation.

“But we know there’s much more to be done and the testimonies of these families is key in shaping our next steps. By joining together with the Scottish Government and with other agencies and charities we will work to boost incomes, improve financial resilience and ensure better local support.”

Aberlour, CEO, SallyAnn Kelly OBE: “We welcome the UK Child Poverty Taskforce coming to Scotland to hear about and better understand the impact of poverty on the lives of children and families.

“We hope the Taskforce has heard what Aberlour has to say, and more importantly what families have told them, and will take away those calls on how to reduce and tackle child poverty.

“We know that this will require urgent action to respond to what children and families need to alleviate the impact of poverty in their lives right now, as well as long term actions to achieve our shared ambition to end child poverty for good.” 

Fellow co-chair, Education Secretary Bridget Phillipson, met with the Minister for Northern Ireland, Fleur Anderson, in Belfast, along with several key poverty organisations including Action for Children NI and Save the Children NI, as the Taskforce brings in voices from across the UK.

As part of the regular and widespread engagement on developing the Child Poverty Strategy, for the first time all the devolved governments and the UK Government met together on this issue last week.

This comes as the Government prepares to launch the Get Britain Working White Paper including plans to overhaul Jobcentres and join up work, health and skills plans to help people get back into work and get on in work, so they can build a better life for them and their families.

New powers to clamp down on anti-social behaviour in England

New Respect Orders will see repeat perpetrators of anti-social behaviour subject to tough restrictions

Hooligans who wreak havoc on local communities will face tough restrictions under new powers announced by the Home Secretary today.  

Meeting a manifesto pledge to crack down on anti-social behaviour, the new Respect Orders will give the police and local councils powers to ban persistent offenders from town centres or from drinking in public spots such as high streets and local parks, where they have caused misery to local people. These will be piloted prior to national rollout to make sure they are as effective as possible.

Perpetrators can also be required to address the root cause of their behaviour by being mandated to undertake positive rehabilitation, such as attending drug or alcohol treatment services, or an anger management course to address the underlying causes of their behaviour. 

Failure to comply with Respect Orders will be a criminal offence. Police will have the ability to immediately arrest anybody who is breaching their Respect Order.

Police will also be given stronger powers to seize vehicles involved in anti-social behaviour will also be strengthened, with officers no longer required to issue a warning before seizing the vehicles which bring misery to local communities. 

This will allow police to deal more swiftly with the scourge of off-road bikes in public parks and dangerous e-scooters on pavements, street racing and cruising. It will also assist the police in tackling car meets, which can see hundreds of cars gather in public spaces that often include loud aggressive engine revving and intimidating music. 

Home Secretary, Yvette Cooper said: “Too many town centres and neighbourhoods across our country are being plagued by anti-social behaviour, be it street drinking, harassment or vandalism on the high street or noisy and intimidating off-road bikes terrorising our estates.

“Antisocial behaviour chips away at communities’ sense of confidence and pride, undermines local businesses and can have a devastating impact on victims.  

“This cannot be allowed to continue. Respect Orders will give police and councils the powers they need to crack down on repeated anti-social behaviour, keeping our communities safe and ensuring repeat offenders face the consequences of their actions. We will also make it easier to seize the vehicles causing misery in too many neighbourhoods, including deafening off-road bikes or e-scooters ridden dangerously on the pavement. 

“These new powers alongside thousands more neighbourhood officers and PCSOs will help this government deliver on our mission to take back our streets.”

As well as prison sentences of up to two years, criminal courts will also be able to issue unlimited fines and community orders, such as unpaid work, and curfews as punishment for breaching a Respect Order. This will ensure that the most serious offenders are dealt with before their behaviour can escalate and cause further harm.

The new powers will be introduced as part of the forthcoming Crime and Policing Bill, partially replacing existing Civil Injunction powers for adults, to ensure a wider range of penalties as breaches will be dealt with in the criminal courts, alongside the new power of arrest. Existing legislation will be amended to allow the police to seize nuisance off-road bikes – and other vehicles which are used in an anti-social manner – without having to first give a warning to the offender.

Enhanced powers will complement the government’s commitment to restoring neighbourhood policing in England and Wales. The Neighbourhood Policing Guarantee will bring back police patrols to town centres, recruit thousands of additional officers to neighbourhood roles and ensure every community has a named local officer to turn to.

Deputy Chief Constable Andy Prophet, National Police Chiefs’ Council Lead for Anti-Social Behaviour, said: “I welcome the introduction of Respect Orders and stronger powers to seize vehicles being driven in an anti-social manner.

“Respect Orders will give the police and councils the ability crack down on those who persistently make our streets and public spaces feel unsafe. I am pleased to see the ability to ban offenders from our high street and parks, with a power of arrest for those who ignore such direction, as well as the power to require individuals to seek help for underlying causes of their poor behaviour such as drug or alcohol misuse.

“Similarly, giving officers the option to immediately seize vehicles from those who use their vehicle in an anti-social manner is welcome addition to the powers available to officers to crack down on ASB and make our street safer.”

Harvinder Saimbhi, ASB Help CEO said: “As the national charity that supports victims of ASB, we regularly hear from victims who share with us the impact and harm they experience from repeated incidents of ASB.

“We welcome the approach of addressing the root causes of the anti-social behaviour which will in turn work towards reducing reoffending rates, therefore bringing respite to victims and communities. We are keen to see how the respect orders will be implemented.”

PM at G20: ‘We need renewed, resolute global leadership to tackle poverty and hunger’ 

Keir Starmer’s remarks at the G20 summit in Rio de Janeiro, Brazil:

Thank you, President Lula – you know, I’m a great admirer of Brazil. It’s not just the football, it’s also your culture and your commitment to working people.

More than just their right to be free from exploitation, but their right to be lifted up, to enjoy greater opportunities, and to enjoy life. We share that passion. It fuels our politics. And it is a great pleasure to be here with you.

This is my first G20. So I want to take the opportunity to say that under my leadership the UK will always be at the table, Listening, upholding our values, ready to work with you as a responsible global partner. 

I want work together on the huge challenges before us, like conflict and climate change, because these forces work against everything we want to achieve. 

They destroy economic growth, undermine security and opportunity, and generate migration at a level that we can’t sustain. 

But if we can find solutions to these problems then there are also real opportunities here for growth and for investment, to cut the cost of living at home and improve the lives of those we are here to represent. 

So I want to build the partnerships we need to support progress. And that includes in the fight against hunger and poverty. I want to thank President Lula for putting this on the agenda.

We look back on a lost decade in the fight against poverty due to Covid, climate change, and rising levels of conflict. It can’t go on. 

We need renewed, resolute global leadership to tackle poverty and hunger. 

President Lula’s Global Alliance will help us to meet that challenge. And I am pleased that the UK is playing its part. 

We’re not just joining the Alliance, we’re joining its Board of Champions to help steer this work.

And we’re delivering practical support for communities to keep food on the table, helping to build climate resilience and protect harvests in countries across Africa and Asia.

We’re also launching a new partnership to combat child wasting with UNICEF, the World Food Programme and the WHO. And we are doubling our support for those displaced by the war in Sudan.

The suffering from that conflict is horrendous. And it highlights a crucial point: that famine is man made. 

The greatest step in the fight against hunger today would come from resolving conflicts. And so we call again for an immediate ceasefire in Gaza. 

For the hostages to be released. We are deeply concerned about the plight of Palestinian civilians, facing catastrophic hunger and starvation – particularly in northern Gaza. 

In defending itself, Israel must act in compliance with international humanitarian law and do much more to protect civilians and aid workers.

The UK has provided £100 million of humanitarian aid but we also need to see a massive increase in the amount of aid reaching civilians in Gaza. UNRWA must be able to carry out its mandate, particularly at the onset of winter.

Finally, it is important in this room that we address Russia’s illegal war in Ukraine. Tomorrow marks the 1,000th day of their invasion of a peaceful, sovereign state. 

And they have inflicted damage on the wider world, including on food and energy security. 

So we call, again, for a just and durable peace, consistent with the UN Charter. 

Thank you, Chair.

UK doubles aid for Sudan and neighbouring countries facing humanitarian crisis

  • UK announces a major aid increase of £113 million for people in Sudan and those who have fled to neighbouring countries
  • Foreign Secretary will call for the Adre border crossing to remain open indefinitely and for immediate action to end the violence
  • Draft UN Security Council resolution introduced to push for the protection of civilians and an unrestricted passage of aid.

THE UK has announced an aid package which will support more than one million people affected by the devastating war in Sudan, providing vital aid for those in need.

The new £113 million aid package, which doubles the UK’s aid commitment to Sudan and the region this year, will assist over 600,000 people in Sudan and 700,000 people in neighbouring countries who have fled the conflict, including Chad and South Sudan.

During the Foreign Secretary’s visit to the United Nations Security Council today [Monday 18 November], he will call on the Sudanese Armed Forces (SAF) to keep the vital Adre border crossing open indefinitely and for the removal of restrictions, which have limited the amount of aid coming through it.  The Foreign Secretary will also call for the SAF and Rapid Support Forces to stop blocking aid convoys.

After 18 months of violent conflict, Sudan is facing the worst humanitarian crisis of the decade, with over 500,000 people in Darfur in famine conditions. Over 11 million people are displaced, 25 million are in desperate need of aid, and famine is likely to spread.

The new funding package announced today will support UN and NGO partners in providing food, cash, shelter, medical assistance, water and sanitation.

Not only is this aid vitally needed, but it will also help people to stay within their home region so they can return to their homes when conditions allow.

Foreign Secretary David Lammy said: “The brutal conflict in Sudan has caused unimaginable suffering. The people of Sudan need more aid, which is why the UK is helping to provide much-needed food, shelter and education for the most vulnerable.

“But we cannot deliver aid without access. Starvation must not be used as a weapon of war and we can only stop this famine if every border crossing and route is open, accessible and safe.

“As the lead on Sudan in the UN Security Council, I will be using the UK’s Presidency on Monday to press for a resolution that ensures the protection of civilians and an unrestricted passage of aid.

“The UK will never forget Sudan.”

At the UN, the Foreign Secretary will bring together international partners to lead a discussion on steps to push the warring parties to remove obstacles to humanitarian access.

Humanitarian workers face significant challenges delivering aid to those most in need with instances of aid workers killed, access being blocked by the warring parties, and UN workers unable to move freely.

The Adre border crossing re-opened in August and offers a vital lifeline to allow aid to be delivered from Chad into Darfur.

The Minister of State for Development Anneliese Dodds said: “During my visit to South Sudan in August, I saw first-hand the heart-breaking impact the violence is having on those fleeing the conflict.

“The humanitarian crisis in Sudan is worsening. Famine and disease are spreading, and by next year, many more will be in desperate need of aid.

“We have to prevent further suffering by acting now. Support announced today will reach over a million people, providing food for some of those most in need and will assist neighbouring countries to continue hosting refugees.”

The UK has also introduced a new UN Security Council resolution which will pressure the Sudanese Armed Forces and the Rapid Support Forces to protect civilians, deliver a ceasefire and allow the safe passage of aid. 

On 22 August, the UK Minister for Development, Anneliese Dodds, announced £15 million to support those fleeing violence in Sudan, including those displaced to South Sudan and Chad.