Tag: Department of Health and Social Care

  • PRESS RELEASE : Sector leaders to drive progress on national Dame Barbara Windsor Mission to beat dementia [March 2023]

    The press release issued by the Department of Health and Social Care on 20 March 2023.

    The UK Government has named two leaders in dementia research to spearhead the ambitious national Mission to tackle dementia.

    • Hilary Evans and Nadeem Sarwar to chair national Mission to tackle dementia, launched in memory of Dame Barbara Windsor
    • Dementia Mission brings industry, academia and the NHS together to speed up dementia research, using the successful approach of the Covid Vaccine Taskforce
    • Government backing for dementia research to reach £160 million by 2024

    The UK Government has named two leaders in dementia research to spearhead the ambitious national Mission to tackle dementia, which was launched in memory of the late Dame Barbara Windsor.

    Hilary Evans is the Chief Executive of Alzheimer’s Research UK, the largest charitable funder of dementia research in Europe. Nadeem Sarwar is currently a senior leader at Eisai, one of the world’s leading pharmaceutical companies. Together, they will convene industry, the NHS, academia and families living with dementia, to tackle this devastating illness.

    Announcing the appointments at the World Dementia Council Summit today (Monday 20 March) Minister for Science, Research and Innovation, George Freeman said:

    “Dementia is an especially cruel condition for both patients and their loved ones; as Dame Barbara’s brave campaigning made powerfully clear for all. Breakthroughs in neuroscience like the Nobel Prize-winning work of John Gurdon and his team, combined with patient cohort studies and the integration of genomics, big data and clinical research offers hope of new diagnostics, treatments and cures.

    “The UK is determined to help lead this by harnessing the power of the NHS as a research engine. That’s why as 1st UK Minister of Life Science we hosted the first G20 Dementia Summit in London, and launched the Dementia Research Institute and Dementia Research Fund. Patient engagement is key, which is why our new Dementia Mission is patient centred with a key role for dementia charities.

    “Hilary and Nadeem will be instrumental in that, by driving this project in the spirit of Dame Barbara and all those desperate for hope of a cure. As cancer has become a treatable and increasingly curable disease in our lifetime, so too can dementia.”

    Health and Social Care Secretary, Steve Barclay, said:

    “Dementia is the leading cause of death in the UK but cutting edge research into new technologies that can help to detect and measure indicators of the condition has the potential to improve diagnosis, treatment and care – and today we’re taking another step forward to spearhead efforts into beating this disease and potentially help many people across the UK.

    “Hilary Evans and Nadeem Sarwar will be crucial to accelerating the development of the latest treatments and technologies, as well as driving collaboration across partners in industry, the NHS, academia and people affected by dementia.”

    The ‘Dame Barbara Windsor Dementia Mission’ was launched in August 2022, in honour of Dame Barbara and the millions of other people and their loved ones who have had their lives ruined by dementia. This national Mission will develop innovative research tools and boost the number and speed of clinical trials in dementia and neurodegeneration. This contributes to the commitment to double funding for dementia research to £160 million a year by 2024 to 2025.

    The Mission will follow the successful example set by the Covid Vaccine Taskforce, and forms one of eight Missions in the Government’s Life Sciences Vision and Drugs Strategy. These other Missions will also harness the power of the UK’s life sciences sector – which is Europe’s largest – to unlock new treatments and diagnoses for cancer, obesity, addiction and mental health problems.

    Hilary Evans, Chief Executive of Alzheimer’s Research UK, said:

    “I’m delighted to take on this vital role as co-chair of the UK’s Dementia Mission, alongside Nadeem. Over the last decade, I have developed partnerships with industry, academia and the NHS and will be ensuring that people with dementia are at the heart of this Mission.  This significant initiative will drive forward progress in dementia research and bring us closer to a cure.

    “Dementia research has made great strides in recent years, but there is still important progress to be made on multiple fronts, and this needs effective collaboration across the whole dementia landscape.  From researchers, to regulatory bodies responsible for making sure patients can access safe and effective treatments without delay, and of course the NHS and research workforce. I look forward to working closely with Nadeem to make this happen, and help ensure the UK is at the forefront of dementia research for years to come.”

    Professor Nadeem Sarwar said:

    “Driven by rapid and ongoing scientific advances, we have arrived at a true inflection in dementia research and innovation. We now have an unprecedented scientific foundation upon which to build, to deliver transformative solutions for people with and at risk of dementia. The UK – anchored by its world-class scientific ecosystem that intersects scalable human biology, health technology and data sciences – has the opportunity to serve as a global catalyst and help lead the fight against dementia. I am humbled, and inspired, therefore to serve as the Co-Chair of the UK Dementia Mission, and look forward to working with Hilary to help realize this vision.”

    Health Minister Will Quince said:

    “We’re harnessing the best of UK innovation to change the lives of people with dementia, as well as their families and loved ones.

    “Building on the success of the Covid Vaccine Taskforce, Hilary Evans and Nadeem Sarwar will co-chair the Dementia Mission to enhance collaboration across the sector, accelerate promising research and develop ground-breaking new ways to diagnose and treat this terrible disease.”

    One million people are predicted to be living with dementia by 2025, and 1.6 million by 2040. It is the leading cause of death in the UK. Up to 40% of dementia cases are potentially preventable but causes are still poorly understood. Dementia can affect the brain years before people show any symptoms, which means treatments need to be tested on people far earlier.

    The new national Mission will build on recent advances in biological and data sciences, including genomics, AI and the latest brain imaging technology, to test new treatments from a growing range of possible options. The Mission will work in partnership with industry and other key system partners and leverage the rich research ecosystem in the UK.

  • PRESS RELEASE : Temporary border measures to enhance Covid surveillance from China removed [March 2023]

    PRESS RELEASE : Temporary border measures to enhance Covid surveillance from China removed [March 2023]

    The press release issued by the Department of Health and Social Care on 17 March 2023.

    Precautionary and temporary measures introduced in January to improve the UK’s ability to detect potential new variants of Covid from China are being removed.

    • From today (Friday 17 March 2023) the UK Health Security Agency’s (UKHSA) voluntary, on-arrival testing programme of travellers arriving from China to London’s Heathrow airport is set to end
    • In addition, from 5 April 2023, people flying from mainland China to England will no longer require proof of a negative pre-departure test
    • The removal of these measures comes as China has increased information sharing regarding testing, vaccination and genomic sequencing results, providing greater transparency on their domestic disease levels
    • Latest data indicates that the Covid variants observed in China continue to be the same as those already circulating in the UK

    From today (Friday 17 March 2023), the Heathrow Covid testing surveillance programme delivered by the UK Health Security Agency (UKHSA) will end.

    The programme was first introduced as a temporary measure in January 2023 to improve Covid surveillance of travellers arriving from China to Heathrow. The aim was to help strengthen the UK’s ability to rapidly detect potential new variants circulating in China.

    Throughout the programme an average of 99 people per flight were tested, a total of 3,374 total to date. Over this time, 14 positive cases were identified, none of which were variants of concern.

    In addition, passengers flying directly or indirectly from mainland China to England or transiting through will no longer need to show proof of a negative pre-departure test after 5 April. The regulations were implemented under powers within the Public Health (Control of Diseases) Act 1984 but are set to expire.

    The removal of these measures comes as China has increased information sharing regarding testing, vaccination and genomic sequencing results, providing greater transparency on their domestic disease levels.

    Latest international genomics data indicates that the Covid variants observed in China continue to be the same as those already circulating in the UK. The Chinese Centre for Disease Control and Prevention also reports that all regions have passed their infection peak.

    The ending of this enhanced surveillance is in line with international partners such as the EU who are reducing border measures to monitor new variants from China. The UK continues to work closely with international partners on global security to detect and assess new Covid variants.

    The government will continue to maintain a range of contingency measures in reserve, which would enable detection and swift and proportionate action for potential new harmful variants of Covid entering the UK, should the need arise.

  • PRESS RELEASE : Government and health unions agree pay deal paving way for an end to strike action [March 2023]

    PRESS RELEASE : Government and health unions agree pay deal paving way for an end to strike action [March 2023]

    The press release issued by the Department for Health and Social Care on 16 March 2023.

    After constructive talks with health unions, the government has put forward an offer for more than 1 million NHS staff to receive an additional pay rise.

    More than 1 million NHS staff in England will receive an additional pay rise as part of an offer made following talks between the government and Agenda for Change unions.

    In the last 2 weeks, the government has been holding formal negotiations with unions representing staff including nurses, paramedics, 999 call handlers, midwives, security guards and cleaners, to find a fair and reasonable way forward on pay.

    All parties committed to finding a fair deal for hardworking NHS staff, and a deal that also acknowledged the wider economic pressures facing the UK that would ensure we can deliver the Prime Minister’s promise to halve inflation – one of his 5 priorities.

    The government hugely values the work of NHS staff. They showed bravery and dedication to support the country throughout the pandemic and are now playing a vital role in the government’s ambition to cut the waiting lists that have built up as a result of COVID.

    The government also recognises that families across the country are facing increasing financial pressures, fuelled by the war in Ukraine and the ongoing fallout from the pandemic.

    The talks have been constructive and the government has now put forward a final offer.

    The Royal College of Nursing (RCN), UNISON, GMB, the Chartered Society of Physiotherapy and the British Dietetic Association will recommend the offer to their members in consultations that will be held over the coming weeks. Strike action will continue to be paused while they are consulted.

    Under the deal, Agenda for Change staff will receive a non-consolidated award of 2% of an individual’s salary for 2022 to 2023.

    This is on top of the pay increase of at least 4% they received for 2022 to 2023 last year, as recommended by the independent pay review body process, worth at least £1,400, meaning a newly qualified nurse received a 5.5% increase and those on the lowest salaries received a pay rise of 9.3%.

    In addition, they will receive a one-off ‘NHS backlog bonus’ which recognises the sustained pressure facing the NHS following the pandemic and the extraordinary effort staff have been making to hit backlog recovery targets and meet the Prime Minister’s promise to cut waiting lists.

    The backlog bonus will be worth at least £1,250 per person but will be determined based on how much experience staff have and based on an individual’s pay band. The average nurse in pay band 5, for example, will receive £1,350.

    For 2023 to 2024, the government is offering Agenda for Change staff a 5% consolidated increase in pay, worth at least £1,065.

    As a result of this package, a newly qualified nurse will see their salary go up by more than £2,750 over 2 years from 2021 to 2022 to 2023 to 2024. On top of this they will also receive over £1,890 in one-off payments this year.

    The deal will also provide a higher pay uplift for the lowest paid NHS staff, with all those in bands 1 and 2 having their pay raised to the same level.

    The government can guarantee that there will be no impact on frontline services or the quality of care that patients receive as a result of this pay offer.

    The government firmly believes this is a fair and reasonable deal for Agenda for Change staff, as well as being a fair deal for taxpayers and will ensure we can continue to reduce inflation.

    It remains the Prime Minister’s promise to halve inflation and the government’s objective to support the Bank of England to return inflation to the 2% target – because failing to control inflation will make every household poorer and make it harder to grow the economy.

    On top of the pay package, the government is also committing to a number of reforms.

    NHS staff should work in an environment that is free from deliberate violence, abuse and aggression. The government will ask the existing groups established in the NHS Social Partnership Forum working on violence reduction to work with the NHS Staff Council to identify ways to tackle and reduce violence against NHS staff.

    It will also make the suspension of pension abatement rules introduced during the pandemic permanent and introduce measures to ensure safer staffing levels in hospitals.

    In addition, the Health and Social Care Secretary has written to the RCN to outline that in undertaking work to address the specific challenges faced by nursing staff – in terms of recruitment, retention and professional development – this will involve how to take account of the changing responsibilities of nursing staff, and the design and implementation issues, including scope and legal aspects, of a separate pay spine for nursing staff exclusively.

    The government intends to complete this work such that resulting changes can be delivered within the 2024 to 2025 pay year. In conducting it, the government will also consider whether any separate measures may apply to other occupational groups, taking into account the views of NHS Employers and unions.

    Prime Minister Rishi Sunak said:

    I’m really pleased that after several weeks of constructive talks, the government and the Agenda for Change unions have come to an agreement that will provide a fair deal for NHS staff and put disruptive strike action behind us.

    It is right that we reward our hardworking NHS staff, who showed bravery and dedication throughout the pandemic and continue to make phenomenal progress to tackle waiting lists. Importantly this deal is also affordable for the taxpayer and continues to deliver on my promise to halve inflation.

    We have taken a reasonable approach throughout and this offer is good for NHS staff, it’s good for the taxpayer and most importantly it is good news for patients whose care will no longer be disrupted by strike action.

    Health and Social Care Secretary Steve Barclay said:

    I hugely admire the incredible work of NHS staff, including during the pandemic and the progress they have made to tackle the resulting backlog.

    This offer will give nurses, paramedics, physiotherapists and other non-medical staff a fair pay rise while protecting our commitment to halve inflation.

    We have engaged in constructive and meaningful discussions with unions and NHS Employers and I look forward to continuing our work together to make the NHS a better place to work.

  • PRESS RELEASE : UKHSA update on scarlet fever and invasive group A strep [March 2023]

    PRESS RELEASE : UKHSA update on scarlet fever and invasive group A strep [March 2023]

    The press release issued by the UK Health Security Agency on 16 March 2023.

    Latest data from the UK Health Security Agency (UKHSA) on scarlet fever and invasive group A streptococcus cases.

    Latest update

    The latest data from the UK Health Security Agency (UKHSA) shows that scarlet fever infections and invasive group A streptococcus (iGAS) infections remain high, although they have significantly reduced since the peak in December 2022.

    High levels of activity at such an early point in the season remains a concern, with further increases possible in the coming weeks as we move towards the usual peak time of the year for infections. While iGAS is still very rare, notifications remain relatively high in children compared to what we typically see – these rates are more in keeping with the previous high season of 2017 to 2018.

    There continue to be increased notifications in older adult age groups, and as in previous seasons, the majority of iGAS cases have continued to be among those aged over 45 years, particularly in those aged over 75 years.

    So far this season (from 12 September 2022 to 10 March 2023), there have been 49,372 notifications of scarlet fever. In the last comparable high season (from September 2017 to September 2018) there were 30,768 scarlet fever notifications overall across the year.

    iGAS infections remain rare but are currently higher than expected in a typical year. So far this season, there have been:

    • 2,415 iGAS cases across all age groups, compared to 2,898 across the whole of the last comparably high season in 2017 to 2018
    • 575 iGAS cases in children aged 18 years and under compared to 205 cases in the 2017 to 2018 season

    Sadly, so far this season, there have been 319 deaths across all age groups in England. This figure includes 40 children aged under 18 years in England. In the September 2017 to September 2018 season, there were 354 deaths in total across the season, including 27 deaths among children aged under 18 years.

    Previous updates

    Friday 3 March 2023

    The latest data from the UK Health Security Agency (UKHSA) shows that scarlet fever infections remain high and are fluctuating with levels similar to those seen during the last comparably high season in 2017 to 2018.

    The number of weekly notifications of invasive group A strep (iGAS) in children has slowed since December 2022. High levels of activity at such an early point in the season remains a concern, with further increases possible in the coming weeks as we move towards the usual peak time of the year for infections. While iGAS is still very rare, notifications remain relatively high in children compared to what we typically see – these rates are more in keeping with the previous high season of 2017 to 2018.

    There continue to be increased notifications in older adult age groups, and as in previous seasons, the majority of iGAS cases have continued to be among those aged over 45 years, particularly in those aged over 75 years.

    Dr Derren Ready, UKHSA incident director, said:

    Scarlet fever notifications have fallen significantly since the peak in December but remain at a high level. This decline should be treated with caution as spring is usually the period of the year that we could see infections rise again. Please contact NHS 111 or your GP if you suspect you or your child have scarlet fever – with symptoms such as fever, sore throat, difficulty swallowing and a sandpapery rash.

    Most winter illnesses can be managed at home, and NHS.UK has information to help parents look after children with mild illnesses. Contact NHS 111 or your GP surgery if you think your child is getting worse, for instance, if they are feeding or eating less than normal, are dehydrated, have a high temperature that won’t go down, are very hot and sweaty or seem more tired or irritable than normal.

    It is important that we continue to help stop the spread of all germs in the community and to vulnerable groups. Wash your hands regularly and thoroughly, catch coughs and sneezes in a tissue, and keep your home well ventilated. If you are unwell with any infection, you should avoid visiting vulnerable people, and stay away from school, nursery or work if you are unwell with a fever.

    So far this season (from 12 September 2022 to 28 February 2023), there have been 47,084 notifications of scarlet fever. In the last comparable high season of 2017 to 2018 (September to September), there were 30,768 scarlet fever notifications overall across the year.

    Invasive group A strep infections remain rare but are currently higher than expected in a typical year. So far this season, there have been:

    • 2,178 iGAS cases across all age groups, compared to 2,898 across the whole of the last comparably high season in 2017 to 2018
    • 242 iGAS cases in children aged 1 to 4 years compared to 194 cases in the 2017 to 2018 season
    • 160 cases in children aged 5 to 9 years, compared to 112 during the 2017 to 2018 season

    Sadly, so far this season, there have been 285 deaths across all age groups in England. This figure includes 35 children under 18 years in England. In the 2017 to 2018 season (September to September), there were 354 deaths in total across the season, including 27 deaths among children under 18 years.

    Thursday 16 February 2023

    The latest data from the UK Health Security Agency (UKHSA) continues to show that scarlet fever infections remain high, although they are now in line with levels seen during the last comparably high season in 2017 to 2018.

    The number of weekly notifications of invasive group A strep (iGAS) in children has slowed, but there has been a slight increase in recent weeks. While iGAS is still very rare, notifications remain relatively high in children compared to what we typically see, although these rates are more in keeping with the previous high season of 2017 to 2018. In recent weeks, there has been an increase in older adult age groups, and as in previous seasons, the majority of iGAS cases have continued to be among those over the age of 45, particularly in the over 65s.

    Dr Derren Ready, Incident Director, UKHSA, said:

    Although the number of scarlet fever notifications we are seeing each week has significantly fallen since the peak in December, the bacteria that cause the infection are still circulating at high levels for this time of the year. Please contact NHS 111 or your GP if you suspect you or your child have scarlet fever – with symptoms such as fever, sore throat, difficulty swallowing, and a sandpapery rash.

    Early treatment of scarlet fever with antibiotics is important to reduce the risk of a more serious infection and transmission to others. After starting antibiotics, children should be excused from school or nursery, and adults should be excused from work for the first 24 hours.

    Most winter illnesses can be managed at home, and NHS.UK has information to help parents look after children with mild illnesses. Contact NHS 111 or your GP surgery if you think your child is getting worse, for instance, if they are feeding or eating less than normal, are dehydrated, have a high temperature that won’t go down, are very hot and sweaty or seem more tired or irritable than normal.

    It is important that we continue to help reduce the spread of all infections in the community and to vulnerable groups. Wash your hands regularly and thoroughly, catch coughs and sneezes in a tissue, and where possible keep your home well-ventilated. If you are unwell with any infection, it’s best to avoid visiting vulnerable people, and stay away from school, nursery, or work if you are unwell with a fever.

    So far this season (from 12 September to 12 February), there have been 44,478 notifications of scarlet fever. In the last comparable high season of 2017 to 2018 (September to August), there were 30,768 scarlet fever notifications overall across the year.

    Invasive group A strep (iGAS) infections remain rare but are currently higher than expected in a typical year. So far this season, there have been:

    • 2,081 iGAS cases across all age groups, compared to 2,967 across the whole of the last comparably high season in 2017 to 2018
    • 233 iGAS cases in children aged 1 to 4 compared to 194 cases in the 2017 to 2018 season
    • 156 cases in children aged 5 to 9 years, compared to 117 during the 2017 to 2018 season

    Sadly, so far this season, there have been 262 deaths across all age groups in England. This figure includes 32 children under 18 in England. In the 2017 to 2018 season (September to August), there were 354 deaths in total across the season, including 27 deaths among children under 18.

    Friday 3 February 2023

    The latest data from the UK Health Security Agency (UKHSA) continues to show that scarlet fever infections remain high for this time of year. Although the weekly number of notifications has fallen since the peak in December, cases are still fluctuating at a level above what we usually see during this time of the year. UKHSA will continue to closely monitor the incidence rate.

    The symptoms of scarlet fever include:

    • sore throat
    • headache
    • fever
    • nausea
    • vomiting
    • a rash that feels like sandpaper to the touch

    The rash usually develops after 12 to 48 hours, typically on the chest and stomach first, then rapidly spreading to other parts of the body. On white skin, the rash looks pink or red. On brown and black skin, it might be harder to see a colour change, but you can still feel the sandpaper-like texture of the rash and see the raised bumps.

    Contact NHS 111 or your GP surgery if you suspect you or your child have scarlet fever so you can be assessed.

    The number of weekly notifications of invasive group A strep (iGAS) in children has slowed. While iGAS is still very rare, notifications remain relatively high in children compared to what we typically see. There has been a rise in older age groups in recent weeks and as with previous seasons, over recent weeks the majority of iGAS cases continue to be in those aged over 45 years.

    Dr Sarah Anderson at UKHSA said:

    Although the number of scarlet fever notifications we are seeing each week has significantly fallen since the peak in December, the bacteria that cause the infection are still circulating at high levels for this time of the year. Please contact NHS 111 or your GP if you suspect you or your child have scarlet fever – with symptoms such as fever, sore throat, difficulty swallowing and a sandpapery rash.

    Early treatment of scarlet fever with antibiotics is important to reduce the risk of a more serious infection and transmission to others. Children should stay off school or nursery and adults should stay off work for 24 hours after antibiotics have started.

    Most winter illnesses can be managed at home and NHS.UK has information to help parents look after children with mild illnesses. Contact NHS 111 or your GP surgery if you think your child is getting worse, for instance, if they are feeding or eating less than normal, are dehydrated, have a high temperature that won’t go down, are very hot and sweaty or seem more tired or irritable than normal.

    It is important that we continue to help stop the spread of all germs in the community and to vulnerable groups. Wash your hands regularly and thoroughly, catch coughs and sneezes in a tissue, and keep your home well-ventilated. If you are unwell with any infection you should avoid visiting vulnerable people, and stay away from school, nursery or work if you are unwell with a fever.

    Thursday 19 January 2023

    The latest data from the UK Health Security Agency (UKHSA) continues to show that scarlet fever infections remain high, although the number of notifications has fallen in recent weeks.

    So far this season (from 19 September to 15 January), there have been 38,429 notifications of scarlet fever. In the last comparably high season of 2017 to 2018 (September to August), there were 30,768 scarlet fever notifications overall across the year. There has been a reduction in the weekly number of notifications over the last few weeks, suggesting a decrease in transmission of the bacteria.

    Invasive group A strep (iGAS) infections remain rare but are currently higher than we see in a typical year. So far this season there have been:

    • 1,675 iGAS cases across all age groups, compared to 2,967 across the whole of the last comparably high season in 2017 to 2018
    • 190 iGAS cases in children aged 1 to 4 compared to 194 cases in the 2017 to 2018 season
    • 132 cases in children aged 5 to 9 years compared to 117 during the 2017 to 2018 season

    The number of weekly notifications of iGAS in children has decreased. However, in older age groups, particularly those over 65 years old, infections have not slowed at the same rate and we are monitoring this closely. As with previous seasons, over recent weeks the majority of iGAS cases continue to be in those over 45 years.

    Sadly, so far this season there have been 211 deaths across all age groups in England. This figure includes 30 children under 18 in England. In the 2017 to 2018 season (September to August), there were 355 deaths in total across the season, including 27 deaths in children under 18.

    Dr Derren Ready, UKHSA incident director, said:

    Although the number of scarlet fever notifications we are seeing each week is falling, the bacteria that cause the infection are still circulating at high levels. It’s also not unusual to have a dip in the number of cases before the spring, so we could see infections rise again in the coming months. Please contact NHS 111 or your GP if you suspect you or your child have scarlet fever – with symptoms such as fever, sore throat, difficulty swallowing and a sandpapery rash.

    Early treatment of scarlet fever with antibiotics is important to reduce the risk of a more serious infection and transmission to others. Children should stay off school or nursery and adults should stay off work for 24 hours after antibiotics have started.

    It’s not too late to take up the free flu and coronavirus (COVID-19) vaccines if you’re eligible – we know that group A streptococcus infections can be more serious when combined with another infection including flu.

    Most winter illnesses can be managed at home and NHS.UK has information to help parents look after children with mild illnesses. Contact NHS 111 or your GP surgery if you think your child is getting worse, for instance, if they are feeding or eating less than normal, are dehydrated, have a high temperature that won’t go down, are very hot and sweaty or seem more tired or irritable than normal.

    It is important that we continue to help stop the spread of all germs in the community and to vulnerable groups. Wash your hands regularly and thoroughly, catch coughs and sneezes in a tissue, and keep your home well-ventilated. If you are unwell with any infection you should avoid visiting vulnerable people, and stay away from school, nursery or work if you are unwell with a fever.

    Thursday 12 January 2023

    Latest data from the UK Health Security Agency (UKHSA) continues to show scarlet fever and group A strep (GAS) infections remain high, although the number of notifications has fallen in recent weeks.

    So far this season (from 19 September to 8 January), there have been 37,068 notifications of scarlet fever. This compares to a total of 4,490 at the same point in the year during the last comparably high season in 2017 to 2018 – although cases in that season started to rise at a different point. In 2017 to 2018, there were 30,768 scarlet fever notifications overall across the year.

    Invasive group A strep (iGAS) infections remain rare but are currently higher than we see in a typical year. So far this season there have been 1,539 iGAS cases across all age groups, compared to 2,967 across the whole of the last comparably high season in 2017 to 2018. So far this season, there have been 177 iGAS cases in children aged 1 to 4 compared to 194 cases in that age group across the whole of the 2017 to 2018 season.

    There have been 128 cases in children aged 5 to 9 years compared to 117 across the whole of the 2017 to 2018 season. As with previous seasons, over recent weeks the majority of iGAS cases continue to be in those over 45 years. There are early indications of an increase of iGAS notifications in the older age groups in recent weeks and we will monitor this trend closely.

    Sadly, so far this season there have been 190 deaths across all age groups in England. This figure includes 30 children under 18 in England. In the 2017 to 2018 season, there were 355 deaths in total across the season, including 27 deaths in children under 18.

    Dr Sarah Anderson, UKHSA incident director, said:

    The number of scarlet fever notifications we are seeing each week has fallen, but we are continuing to monitor the data closely as the school term gets underway, and children mix more. The bacteria that cause scarlet fever are still circulating at high levels so it is important that we continue to do our bit to stop the spread of germs to vulnerable groups, including the elderly by washing our hands regularly and thoroughly, catching coughs and sneezes in a tissue, and keeping our homes well ventilated.

    It’s not too late to take up the free flu and COVID-19 vaccines if you’re eligible – we know that group A streptococcus infections can be more serious when combined with another infection like flu.

    Most winter illnesses can be managed at home and NHS.UK has information to help parents look after children with mild illness. Deaths and serious illness following group A strep infection are very rare and the infection can be easily treated with antibiotics.

    Contact NHS 111 or your GP surgery if you think your child is getting worse, for instance they are feeding or eating less than normal, are dehydrated, have a high temperature that won’t go down, are very hot and sweaty or seem more tired or irritable than normal.

    Thursday 5 January 2022

    Latest data from the UK Health Security Agency (UKHSA) continues to show scarlet fever and group A strep (GAS) infections remain high.

    So far this season (from 19 September to 1 January) there have been 35,616 notifications of scarlet fever. This compares to a total of 4,192 at the same point in the year during the last comparably high season in 2017 to 2018 – although cases in that season started to rise at a different point. In 2017 to 2018 there were 30,768 scarlet fever notifications overall across the year.

    Invasive group A strep (iGAS) infections remain rare but are currently higher than we see in a typical year. So far this season, there have been 159 iGAS cases in children aged 1 to 4 compared to 194 cases in that age group across the whole year of the last comparably high season in 2017 to 2018. There have been 118 cases in children aged 5 to 9 years compared to 117 across the whole year of the last comparably high season in 2017 to 2018. The majority of iGAS cases continue to be in those over 45 years.

    Sadly, so far this season there have been 151 deaths across all age groups in England. This figure includes 29 children under 18 in England. In the 2017 to 2018 season, there were 355 deaths in total across the season, including 27 deaths in children under 18.

    Dr Obaghe Edeghere, UKHSA incident director, said:

    As children return to school, scarlet fever and ‘strep throat’ continue to circulate at high levels and so it is important that we all wash our hands regularly and thoroughly and catch coughs and sneezes in a tissue. This will help stop germs spreading between children and to other vulnerable groups and will help prevent the spread of other winter illnesses that are currently circulating at high levels, including flu and COVID-19.

    It’s not too late to take up the free flu and COVID-19 vaccines if you’re eligible – we know that group A strep infections can be more serious when combined with another infection like flu.

    Most winter illnesses can be managed at home and NHS.UK has information to help parents look after children with mild illness. Deaths and serious illness following group A strep infection are very rare and the infection can be easily treated with antibiotics.

    Speak to a healthcare professional if you think your child is getting worse, for instance they are feeding or eating less than normal, are dehydrated, have a high temperature that won’t go down, are very hot and sweaty or seem more tired or irritable than normal.

    Thursday 29 December 2022

    Latest data from the UK Health Security Agency (UKHSA) continues to show an out of season increase in scarlet fever and group A streptococcus infections and a higher number of cases than seen in a typical year.

    So far this season (from 19 September to 25 December) there have been 33,836 notifications of scarlet fever. This compares to a total of 4,672 at the same point in the year during the last comparably high season in 2017 to 2018 – although cases in that season started to rise at a different point. In 2017 to 2018 there were 30,768 scarlet fever notifications overall across the year.

    Invasive group A streptococcus (iGAS) infections remain rare. So far this season, there have been 151 iGAS cases in children aged 1 to 4 compared to 194 cases in that age group across the whole year of the last comparably high season in 2017 to 2018. There have been 102 cases in children aged 5 to 9 years compared to 117 across the whole year of the last comparably high season in 2017 to 2018. The majority of iGAS cases continue to be in those over 45 years.

    Sadly, so far this season there have been 122 deaths across all age groups in England. This figure includes 25 children under 18 in England. In the 2017 to 2018 season, there were 355 deaths in total across the season, including 27 deaths in children under 18.

    Dr Obaghe Edeghere, UKHSA incident director, said:

    We are continuing to see a rise in scarlet fever and ‘strep throat’ and this is understandably concerning for parents. However I would stress that the condition can be easily treated with antibiotics and it is very rare that a child will go on to become more seriously ill.

    Over the winter, there are lots of illnesses circulating that can make children unwell and so it is important to avoid contact with other people if you are feeling unwell, wash your hands regularly and thoroughly and catch coughs and sneezes in a tissue. I would also urge all those eligible for free winter vaccines to take advantage of these.

    Most winter illnesses can be managed at home and NHS.UK has information to help parents look after children with mild illness. However please do make sure you speak to a healthcare professional if you believe your child is getting worse for instance they are feeding or eating less than normal, are dehydrated, has a high temperature that won’t go down, is very hot and sweaty or seems more tired or irritable than normal.

    Thursday 22 December 2022

    Latest data from the UK Health Security Agency (UKHSA) continues to show an out of season increase in scarlet fever and group A streptococcus infections and a higher number of cases than seen in a typical year.

    So far this season (from 12 September to 18 December) there have been 27,486 notifications of scarlet fever. This compares to a total of 3,287 at the same point in the year during the last comparably high season in 2017 to 2018 – although cases in that season started to rise at a different point. In 2017 to 2018 there were 30,768 scarlet fever notifications overall across the year.

    Invasive group A streptococcus (iGAS) infections remain rare. So far this season, there have been 126 iGAS cases in children aged 1 to 4 compared to 194 cases in that age group across the whole year of the last comparably high season in 2017 to 2018. There have been 88 cases in children aged 5 to 9 years compared to 117 across the whole year of the last comparably high season in 2017 to 2018. The majority of iGAS cases continue to be in those over 45 years.

    Sadly, so far this season there have been 94 deaths across all age groups in England. This figure includes 21 children under 18 in England. In the 2017 to 2018 season, there were 355 deaths in total across the season, including 27 deaths in children under 18.

    Dr Colin Brown, Deputy Director, UKHSA, said:

    I understand how this large rise in scarlet fever and ‘strep throat’ may be concerning to parents, however the condition can be easily treated with antibiotics and it is very rare that a child will go on to become more seriously ill. At this time of year, there are lots of winter illnesses circulating that can make children unwell and I would urge all those eligible for free winter vaccines to take advantage of these.

    Most winter illnesses can be managed at home and NHS.UK has information to help parents look after children with mild illness. NHS services are under huge pressure this winter, but please visit NHS.UK, contact 111 online or your GP surgery if your child has symptoms of scarlet fever or ‘strep throat’ so they can be assessed for treatment.

    Thursday 15 December 2022

    Latest data from the UK Health Security Agency (UKHSA) continues to show an out of season increase in scarlet fever and group A streptococcus infections.

    So far this season (from 12 September to 11 December) there have been 7,750 notifications of scarlet fever. This compares to a total of 2,538 at the same point in the year during the last comparably high season in 2017 to 2018 – although cases in that season started to rise at a different point. In 2017 to 2018 there were 30,768 scarlet fever notifications overall across the year.

    Invasive group A streptococcus (iGAS) infections remain rare. So far this season, there have been 111 iGAS cases in children aged 1 to 4 compared to 194 cases in that age group across the whole year of the last comparably high season* in 2017 to 2018. There have been 74 cases in children aged 5 to 9 years compared to 117 across the whole year of the last comparably high season in 2017 to 2018. The majority of cases continue to be in those over 15 years.

    Sadly, so far this season there have been 74 deaths across all age groups in England. This figure includes 16 children under 18 in England. In the 2017 to 2018 season, there were 355 deaths in total across the season, including 27 deaths in children under 18.

    *We analyse scarlet fever seasons from week 37 to week 36 the following year. The majority of cases would typically be seen from the beginning of February to April.

    Dr Colin Brown, Deputy Director, UKHSA, said:

    Scarlet fever and ‘strep throat’ will make children feel unwell, but can be easily treated with antibiotics. Symptoms to look out for include fever, sore throat, swollen glands, difficulty swallowing, and headache. Scarlet fever causes a sandpapery rash on the body and a swollen tongue. NHS services are under huge pressure this winter, but please visit NHS.UK, contact 111 online or your GP surgery if your child has symptoms of scarlet fever or ‘strep throat’ so they can be assessed for treatment.

    At this time of year, there are lots of winter illnesses circulating that can make children unwell. Most of these can be managed at home and NHS.UK has information to help parents look after children with mild illness.

    It is very rare that a child will go on to become more seriously ill, but parents know better than anyone else what your child is usually like, so you’ll know when they are not responding as they would normally. Make sure you speak to a healthcare professional if your child is getting worse after a bout of scarlet fever, a sore throat or respiratory infection – look out for signs such as a fever that won’t go down, dehydration, extreme tiredness, intense muscle pains, difficulty breathing or breathing very fast.

    Good hand and respiratory hygiene are important for stopping the spread of many germs. By teaching your child how to wash their hands properly with soap for 20 seconds, using a tissue to catch coughs and sneezes, and keeping away from others when feeling unwell, they will be able to reduce the risk of picking up or spreading infections.

    The first symptoms of scarlet fever include flu-like symptoms, including a high temperature, a sore throat and swollen neck glands (a large lump on the side of your neck).

    A rash appears 12 to 48 hours later. It looks like small, raised bumps and starts on the chest and tummy, then spreads. The rash makes your skin feel rough, like sandpaper.

    On white skin the rash looks pink or red. On brown and black skin it might be harder to see a change in colour, but you can still feel the rash and see the raised bumps.

    Contact 111 (online if child over 5) or GP surgery if your child has scarlet fever symptoms.

    Symptoms can include nausea and vomiting.

    The symptoms of ‘strep’ throat include:

    Contact 111 (online if child over 5) or GP surgery if your child has ‘strep’ throat symptoms.

    The symptoms of iGAS include:

    • high fever
    • severe muscle aches
    • localised muscle tenderness
    • increasing pain, swelling and redness at site of wound
    • unexplained diarrhoea or vomiting

    There are several viruses circulating that cause sore throats, colds and coughs. These should resolve without needing medical attention. Antibiotics are not needed for viral infections. However, children can on occasion develop a bacterial infection at the same time as a virus and that can make them more unwell.

    As a parent, if you feel that your child seems seriously unwell, you should trust your own judgement. Contact NHS 111 (online if child over 5) or your GP surgery if:

    • your child is getting worse
    • your child is feeding or eating much less than normal
    • your child has had a dry nappy for 12 hours or more or shows other signs of dehydration
    • your baby is under 3 months and has a temperature of 38°C, or is 3 to 6 months and has a temperature of 39°C or higher
    • your baby feels hotter than usual when you touch their back or chest, or feels sweaty
    • your child is very tired or irritable

    Call 999 or go to A&E if:

    • your child is having difficulty breathing – you may notice grunting noises or their tummy sucking under their ribs
    • there are pauses when your child breathes
    • your child’s skin, tongue or lips are blue
    • your child is floppy and will not wake up or stay awake

    Cases of GAS usually increase during the winter and the last time significant numbers of cases were reported was in the 2017 to 2018 season. Seasons with high cases can occur every 3 to 4 years but social distancing measures implemented during the coronavirus (COVID-19) pandemic may have interrupted this cycle and may explain the current increase being observed.

    While invasive group A strep is rare, close contacts of cases are at greater risk of developing the infection. Health protection teams follow national guidance to manage the contacts of iGAS cases and advise preventative treatment if necessary.

    Following an evidence review of individuals who are at greater risk of invasive group A strep, UKHSA has updated guidance to expand the number of vulnerable groups who would be potentially eligible for prophylactic antibiotics following a risk assessment by health protection teams. This evidence review was underway before the current rise in cases, and is now being implemented.

    Data published by Public Health Wales and Public Health Scotland is also available.

    Thursday 8 December 2022

    The latest data from the UK Health Security Agency (UKHSA) continue to indicate that there is an out of season increase in scarlet fever and group A strep infections. Cases usually show steepest rises in the new year, but have increased sharply in recent weeks.

    So far this season (from 12 September to 4 December) there have been 6,601 notifications of scarlet fever. This compares to a total of 2,538 at the same point in the year during the last comparably high season in 2017 to 2018.

    In very rare occasions, the bacteria causing scarlet fever, group A streptococcus (GAS) can get into the bloodstream and cause an illness called invasive group A strep (iGAS), which can be very serious, particularly in older, younger and more vulnerable groups. iGAS cases across all age groups are slightly higher than expected at this time of year. The latest data continues to highlight a higher proportion of iGAS cases in children than we would normally see. However, iGAS remains uncommon.

    So far this season, there have been 85 iGAS cases in children aged 1 to 4 compared to 194 cases in that age group across the whole of the last comparably high season in 2017 to 2018. There have been 60 cases in children aged 5 to 9 compared to 117 across the whole of the last comparably high season in 2017 to 2018. The majority of cases continue to be in those over 45.

    Sadly, so far this season there have been 60 deaths across all age groups in England. This figure includes 13 children under 18. In the 2017 to 2018 season, there were 355 deaths in total across the season, including 27 deaths in children under 18.

    Cases of GAS usually increase during the winter and the last time significant numbers of cases were reported was in the 2017 to 2018 season. Seasons with high cases can occur every 3 to 4 years but social distancing measures implemented during the coronavirus (COVID-19) pandemic may have interrupted this cycle and explain the current increase being observed.

    Currently, there is no evidence that a new strain of GAS is circulating or any increase in antibiotic resistance. Antibiotics are the best treatment and work well against the circulating strains. The increase is likely to reflect increased susceptibility to these infections in children due to low numbers of cases during the pandemic, along with current circulation of respiratory viruses, which may increase the chances of children becoming seriously unwell. However, investigations are under way to understand if there are other factors that could be contributing to the increase this season and to better understand who is currently most affected.

    Dr Colin Brown, Deputy Director, UKHSA, said:

    Scarlet fever and ‘strep throat’ are common childhood illnesses that can be treated easily with antibiotics. Please visit NHS.UK, contact 111 online or your GP surgery if your child has symptoms of this infection so they can be assessed for treatment.

    Very rarely, the bacteria can get into the bloodstream and cause more serious illness called invasive group A strep. We know that this is concerning for parents, but I want to stress that while we are seeing an increase in cases in children, this remains very uncommon. There are lots of winter bugs circulating that can make your child feel unwell, that mostly aren’t cause for alarm. However, make sure you talk to a health professional if your child is getting worse after a bout of scarlet fever, a sore throat or respiratory infection – look out for signs such as a fever that won’t go down, dehydration, extreme tiredness and difficulty breathing.

    Good hand and respiratory hygiene are important for stopping the spread of many bugs. By teaching your child how to wash their hands properly with soap for 20 seconds, using a tissue to catch coughs and sneezes, and keeping away from others when feeling unwell, they will be able to reduce the risk of picking up or spreading infections.

    There are lots of viruses that cause sore throats, colds and coughs circulating. These should resolve without medical intervention. However, children can on occasion develop a bacterial infection on top of a virus and that can make them more unwell. As a parent, if you feel that your child seems seriously unwell, you should trust your own judgement.

    Call 999 or go to A&E if:

    • your child is having difficulty breathing – you may notice grunting noises or their tummy sucking under their ribs
    • there are pauses when your child breathes
    • your child’s skin, tongue or lips are blue
    • your child is floppy and will not wake up or stay awake

    Note: We analyse scarlet fever seasons from week 37 to week 36 the following year. The majority of cases would typically be seen from the beginning of February to April.

    Friday 2 December 2022

    The latest data from the UK Health Security Agency (UKHSA) shows that scarlet fever cases continue to remain higher than we would typically see at this time of year.

    There were 851 cases reported in week 46, compared to an average of 186 for the preceding years.

    Scarlet fever is usually a mild illness, but it is highly infectious. Therefore, look out for symptoms in your child, which include a sore throat, headache, and fever, along with a fine, pinkish or red body rash with a sandpapery feel. On darker skin, the rash can be more difficult to detect visually but will have a sandpapery feel. Contact NHS 111 or your GP if you suspect your child has scarlet fever, because early treatment of scarlet fever with antibiotics is important to reduce the risk of complications such as pneumonia or a bloodstream infection. If your child has scarlet fever, keep them at home until at least 24 hours after the start of antibiotic treatment to avoid spreading the infection to others.

    Scarlet fever is caused by bacteria called group A streptococci. These bacteria also cause other respiratory and skin infections such as strep throat and impetigo.

    In very rare occasions, the bacteria can get into the bloodstream and cause an illness called invasive group A strep (iGAS). While still uncommon, there has been an increase in invasive group A strep cases this year, particularly in children under 10. There were 2.3 cases per 100,000 children aged 1 to 4 compared to an average of 0.5 in the pre-pandemic seasons (2017 to 2019) and 1.1 cases per 100,000 children aged 5 to 9 compared to the pre-pandemic average of 0.3 (2017 to 2019) at the same time of the year.

    So far this season there have been 5 recorded deaths within 7 days of an iGAS diagnosis in children under 10 in England. During the last high season for group A strep infection (2017 to 2018) there were 4 deaths in children under 10 in the equivalent period.

    Investigations are also underway following reports of an increase in lower respiratory tract group A strep infections in children over the past few weeks, which have caused severe illness.

    Currently, there is no evidence that a new strain is circulating. The increase is most likely related to high amounts of circulating bacteria and social mixing.

    There are lots of viruses that cause sore throats, colds and coughs circulating. These should resolve without medical intervention. However, children can on occasion develop a bacterial infection on top of a virus and that can make them more unwell.

    As a parent, if you feel that your child seems seriously unwell, you should trust your own judgement. Contact NHS 111 or your GP if:

    • your child is getting worse
    • your child is feeding or eating much less than normal
    • your child has had a dry nappy for 12 hours or more or shows other signs of dehydration
    • your baby is under 3 months and has a temperature of 38°C, or is 3 to 6 months and has a temperature of 39°C or higher
    • your baby feels hotter than usual when you touch their back or chest, or feels sweaty
    • your child is very tired or irritable

    Call 999 or go to A&E if:

    • your child is having difficulty breathing – you may notice grunting noises or their tummy sucking under their ribs
    • there are pauses when your child breathes
    • your child’s skin, tongue or lips are blue
    • your child is floppy and will not wake up or stay awake

    Good hand and respiratory hygiene are important for stopping the spread of many bugs. By teaching your child how to wash their hands properly with soap for 20 seconds, using a tissue to catch coughs and sneezes, and keeping away from others when feeling unwell, they will be able to reduce the risk of picking up or spreading infections.

    Dr Colin Brown, Deputy Director, UKHSA, said:

    We are seeing a higher number of cases of group A strep this year than usual. The bacteria usually causes a mild infection producing sore throats or scarlet fever that can be easily treated with antibiotics. In very rare circumstances, this bacteria can get into the bloodstream and cause serious illness – called invasive group A strep (iGAS). This is still uncommon; however, it is important that parents are on the lookout for symptoms and see a doctor as quickly as possible so that their child can be treated and we can stop the infection becoming serious. Make sure you talk to a health professional if your child is showing signs of deteriorating after a bout of scarlet fever, a sore throat, or a respiratory infection.

  • PRESS RELEASE : MHRA trialling pioneering stem cell robot that could transform the availability of life-saving cell therapies [March 2023]

    PRESS RELEASE : MHRA trialling pioneering stem cell robot that could transform the availability of life-saving cell therapies [March 2023]

    The press release issued by the Department of Health and Social Care on 16 March 2023.

    The MHRA’s UK Stem Cell Bank is one of only two places in the world to test this technology.

    An innovative new robot that grows stem cells, the CellQualiaTM Intelligent Cell Processing System, is being trialled by the Medicines and Healthcare products Regulatory Agency (MHRA). This robotic system has the potential to bring safer and more cost-effective treatments to people with a wide range of diseases. It is currently the only one in the world outside of Japan, where it was developed.

    Stem cells have a unique ability to turn into different types of cells with specialised functions. This makes them particularly useful in medicine because they can replace cells that have been damaged or lost from disease – for example restoring eyesight after corneal disease.

    Because stem cell-based therapeutics are difficult to manufacture, their current availability is limited. This means that most treatments for degenerative diseases are focused on limiting the extent of damage rather than fixing the damage that has already occurred. The system being tested at the MHRA has the potential to change this, offering new hope to patients with serious diseases such as Parkinson’s.

    This trial is part of a UK-based international research programme, launched in 2021, and a partnership between the MHRA, SAKARTA (a Scottish Regenerative Medicine start-up), and Sinfonia Technology Co. Ltd (a Tokyo-based electrical equipment manufacturer), supported by Foundation for Biomedical Research and Innovation at Kobe (FBRI). The UK Stem Cell Bank is testing the robot over a 12-month period to see whether the cells produced by the fully automated Intelligent Cell Processing System meet the standards needed for them to be used in the manufacture of potentially life-saving treatments.

    Marc Bailey, MHRA Chief Scientific Officer said:

    At the MHRA, we’re committed to being at the forefront of the latest scientific developments so that we can help bring safe and effective treatments to the people who need them most.

    Cell-based therapeutics have the potential to treat, and even cure, a vast number of diseases but their availability has been limited because they are often very difficult to manufacture.

    The new Intelligent Cell Processing System being tested at the MHRA, of which there are only two machines in use in the world, could make this manufacturing process much easier and therefore transform the availability of these treatments. It also has the potential to reduce human error in this process and produce a more consistent final product which will result in safer and more effective treatments.

    We look forward to communicating the results of our testing.

    Health and Social Care Secretary Steve Barclay said:

    This pioneering new robot has the potential to speed up access to more cost-effective, safer stem cell therapies. By replacing cells that have been damaged or lost, this new technology could transform the lives of tens of thousands of people with Parkinson’s and other devastating diseases.

    The UK is only the second country where this technology has been tested, thanks to a partnership between the MHRA and industry. It is yet another example of how clinical research is ensuring patients benefit from the very latest scientific breakthroughs.

  • PRESS RELEASE : NHS prescription charges from 1 April 2023 [March 2023]

    PRESS RELEASE : NHS prescription charges from 1 April 2023 [March 2023]

    The press release issued by the Department of Health and Social Care on 9 March 2023.

    The National Health Service (Charges for Drugs and Appliances) (Amendment) Regulations 2023 (‘the Amendment Regulations’) have today been laid before Parliament to increase certain National Health Service charges in England from 1 April 2023.

    We have applied an inflation rate of 3.21%. This year we have increased the prescription charge by 30 pence from £9.35 to £9.65 for each medicine or appliance dispensed. The cost of prescription pre-payment certificates (PPCs) will also be increased: 3-month PPC increases by £1 to £31.25 and 12-month PPC increases by £3.50 to £111.60. The recently introduced HRT PPC will cost £19.30.

    Charges for wigs and fabric supports will also be increased in line with the blended inflation rate, as described above. Details of the revised charges for 2023 to 2024 can be found below.

    Prescription charges

    • Single charge: £9.65
    • 3-month PPC: £31.25
    • 12-month PPC: £111.60
    • HRT PPC: £19.30

    Wigs and fabric supports

    • Surgical bra: £31.70
    • Abdominal or spinal support: £47.80
    • Stock modacrylic wig: £78.15
    • Partial human hair wig: £207.00
    • Full bespoke human hair wig: £302.70
  • PRESS RELEASE : £25 million for women’s health hub expansion [March 2023]

    PRESS RELEASE : £25 million for women’s health hub expansion [March 2023]

    The press release issued by the Department of Health and Social Care on 8 March 2023.

    Women across the country to benefit from better access to care for essential services for menstrual problems, contraception, pelvic pain and menopause care.

    • £25 million new funding allocated to create new women’s health hubs, as part of the Women’s Health Strategy for England
    • New hubs to reduce pressure on secondary care, waiting lists and tackle health inequalities

    Women across England will benefit from tailored healthcare and support by new women’s health hubs – improving access and quality of care for services for menstrual problems, contraception, pelvic pain, menopause care and more.

    A £25 million investment over the next two years will accelerate the development of new women’s health hubs to benefit women across England and helping to ease pressures facing the NHS.

    The hub models will be tailored to meet local women’s needs. They will focus on delivering services in the community that better fit around women’s lives and streamline access to women’s health services. Hubs aim to address fragmentation in provision, for example by providing management of contraception and heavy bleeding in one visit, or integrating cervical screening with other aspects of women’s health care. At the moment, women often need to attend multiple appointments and go to different places to access these essential services.

    As well as improving women’s experiences of healthcare, hubs can create longer-term savings for the NHS through improving access to preventative care and reducing pressure on secondary care services.

    Health and Social Care Secretary Steve Barclay said:

    As we celebrate International Women’s Day, it is important we look back on the real progress made on the rollout of our Women’s Health Strategy – including making hormone replacement therapy more accessible and supporting women’s reproductive health in the workplace.

    New funding of £25 million for women’s health hubs – which provide tailored services for women including menopause care, menstrual health and contraception – mean more women can get the right support that works around their daily lives.

    Minister for Women’s Health, Maria Caulfield said:

    Women make up 51% of the population and should not be an afterthought in healthcare.

    Better access to specialist services is key to tackling health inequalities – the £25 million funding will create new Women’s Health Hubs providing specialist care and advice to women across the country.

    We are making excellent headway to meet our commitments set out in England’s first ever Women’s Health Strategy, aiming to boost the health and wellbeing of women and girls.

    Early adopter women’s health hubs already exist in England including in Liverpool and Manchester. These have been well received by women in their area and are offering a significant increase in appointments for long-acting reversible contraception, alongside other services such as menstrual health, menopause, and pelvic floor care.

    Other existing hubs make use of digital models to tackle inequalities in access to care and ensure services are delivered efficiently. These include City and Hackney women’s health hub which is leading the way with virtual menopause engagement events and group consultations, with follow up in a physical location hub where needed.

    Based on consultation with more than 100,000 people across England, the Women’s Health Strategy sets out an ambitious ten-year plan for improving the health and wellbeing of women and girls and reforming how the health and care system listens to them.

    As part of this, Professor Dame Lesley Regan was appointed as the Women’s Health Ambassador. Her role is instrumental in raising the profile of women’s health, increasing awareness of ‘taboo’ topics, and supporting implementation of the strategy’s priorities.

    Professor Dame Lesley Regan, Women’s Health Ambassador:

    As a practicing gynaecologist, I have first-hand experience of how important it is for women to have easy access to the right care when they need it.

    Although a woman’s health needs change during her life course, most of them are predictable. It is crucial that we provide her with the best information and support at each and every stage of her journey.

    Women’s health hubs offer us the opportunity to provide holistic care – including contraception, help with period problems, early pregnancy problems, pelvic pain, menopause and cancer screening. Timely access to high quality services will help to build women’s confidence in the healthcare system.

    Expanding women’s health hubs across England is a key commitment in the first ever government-led Women’s Health Strategy for England, with an initial aim to see at least one hub in every integrated care system (ICS).

    The Department of Health and Social Care is working collaboratively with stakeholders across the health and care system to develop resources to support local creation of women’s health hubs, including a best practice guide, possible care pathways for local adoption, case studies and a cost benefit analysis. This will be published in due course.

    Expanding women’s health hubs is one of ministers’ top priorities for the first year of implementing the Women’s Health Strategy. The eight priorities are:

    1. Encouraging expansion of women’s health hubs to improve women’s access to services and to create efficiencies for the NHS
    2. Improving information provision on women’s health, including improvements to the NHS website and supporting teachers to deliver women’s health elements of the relationships and sex curriculum.
    3. Supporting women’s health in the workplace, including through the Health and Wellbeing Fund 2022-25.
    4. Pregnancy loss, including through reporting findings of the independent Pregnancy Loss Review and developing the pregnancy loss certificate.
    5. Fertility, including improving access to NHS fertility treatment for female same-sex couples and assessing the use of non-clinical access criteria locally.
    6. Improving access to hormone replacement therapy (HRT) by introducing the HRT prescription prepayment certificate in April 2023 and boosting HRT supply.
    7. Healthy ageing and long-term conditions – with work feeding into the government’s forthcoming Major Conditions Strategy.
    8. Boosting research and evidence into women’s health

    NHS chief executive, Amanda Pritchard, said:

    For too long, too many women have felt that their pain has been ignored, misunderstood or downplayed when they approach health professionals for help.

    The NHS is continuing to find ways to ensure women’s health is prioritised, that more focus is placed on their needs, and that access to the care they need is as convenient as possible – whether that’s for menstrual problems, menopause or contraception.

    So it is fantastic, particularly on a day where we are recognising women, that this new funding will be made available to support the NHS to expand these one stop shops across the country.

    They are already making a huge difference where they are up and running and will hopefully go a long way in improving the health and experiences of women.

    This comes following last week’s announcement that the government has appointed a Department of Work and Pensions Menopause Employment Champion. Helen Tomlinson will work with employers to ensure women affected by the menopause are properly supported in the workplace.

  • PRESS RELEASE : £5 million Innovation Fund to reduce drug use [March 2023]

    PRESS RELEASE : £5 million Innovation Fund to reduce drug use [March 2023]

    The press release issued by the Department of Health and Social Care on 8 March 2023.

    Five projects will receive part of £5 million innovation fund to test new ways to reduce use of so-called recreational drugs.

    • On-the-ground projects include skills development and education for young people
    • Supports strategy to reduce drug use to a 30-year low and build a world-class knowledge base

    Five projects aimed at reducing drug use have been awarded £734,000 of the first allocation of a £5 million grant, with the remaining funding available across two further phases.

    As part of the government’s Drug Strategy Innovation Fund, Phase 1 will see the successful applicants begin the initial stage of their projects offering a range of education-based programmes, skills development for young people and community outreach.

    Each project will receive initial funding to help develop interventions for evaluation. Those that are successful, and new projects, will be able to apply for further funding in Phase 2 which will launch later in the year to evaluate interventions over 12 months.

    Projects for phase 1 are based in Huddersfield, Derbyshire, Manchester, Dorset and the South East of England and will include schemes tailored to meet local needs, including pop-up pods at festivals and events to educate people on the harms of using drugs – as well as workforce support to help young people develop personal and social skills to reduce vulnerability to illegal substance use.

    Other projects include training programmes for night-time economy staff, such as people working in nightclubs, as well as experts from public health, voluntary services, the NHS and the police.

    Health Minister Neil O’Brien said:

    Stopping drug use in its tracks is essential to protecting people and the community from the harms caused by addiction, which has devastating impacts and drives half of all crime.

    Projects like these will pave the way for new research into preventing drug addiction and enable us to meet our national strategy aim to cut drugs and crime.

    This is part of government plans to reduce the demand for drugs and will decrease the number of people requiring treatment as well as drive down the illegal and exploitative supply chain, anti-social behaviour and wider crime.

    The Department of Health and Social Care and the Joint Combating Drugs Unit – a cross governmental team based in the Home Office – have selected the National Institute for Health and Care Research (NIHR) to lead the research bidding process.

    The selection process focused on encouraging creativity and innovation from applicants – looking at prevention of experimental drug use or early intervention as a way to prevent people going on to problematic or dependent use in the future.

    Projects showing to be successful after evaluation and implementation in specific areas will be considered for national roll out across the country to stop drug taking in its early stages. The results of the studies will also be used to build a world class evidence base on how to tackle drug use.

    Professor Lucy Chappell, Scientific Advisor for the Department of Health and Social Care, NIHR Chief Executive Officer, said:

    This is a really positive step towards expanding the evidence base on this important issue. I hope that the range of projects in this, and future phases, will identify effective interventions that can have a real impact across the country in the future. I look forward to seeing the outcomes of these projects.

    Projects were chosen following a competitive bidding process and passing an independent assessment committee made up of experts.

    Successful projects

    Zoë Welch, Head of Research, Change Grow Live said:

    Change Grow Live, in partnership with Middlesex University, are delighted to have the support of the NIHR Innovation Fund to Reduce Demand for Illicit Substances to prepare our Derbyshire 1625 Outreach Service for evaluation.

    1625 Outreach supports young people and young adults (aged 16-25) through place-based early interventions that improve knowledge and reduce demand and harm around substance use and associated risky behaviours.

    The innovative multi-strand approach works across rural and urban settings in Derbyshire and Derby city offering education programmes, responsive outreach, a branded van and pop-up pod at festivals/events, digital interventions, and night-time economy staff training.

    Our aim is to prepare 1625 Outreach for robust evaluation through literature review, stakeholder feedback, data linkage and creative methods to capture process and outcomes. We will use desk research, PPI, stakeholder consultation, and county-wide collaboration to refine the model and develop a framework to evaluate the different strands of outreach activity.

    Professor Michael Doyle, Professor in Mental Health Research, University of Huddersfield said:

    We are excited to start work on our project to reduce demand for illicit substances in young people through co-production, skills training and early intervention. As researchers at the University of Huddersfield, we are looking forward to working in partnership with young people and a multi-agency team of practitioners and experts from public health, voluntary services, the NHS, the police and education.

    We hope that getting input from all these stakeholders will help us develop learning resources that help young people build the skills they need, raise awareness and improve understanding to support positive lifestyle choices and reduce risky behaviours, including the use of illicit substances.

    Fiona Spargo-Mabbs, CEO, Daniel Spargo-Mabbs Foundation said:

    We’re very excited to have secured Phase 1 of this funding, to work with Middlesex University Drug and Alcohol Research Centre team led by Prof Betsy Thom, to develop and refine the DSM Foundation’s existing universal, multi-component drug education programme. Drug use often begins during adolescence, a period of life when attitudes and behaviours are emerging, and therefore have potential to be influenced before becoming established.

    There is evidence to show a multi-component approach to drug education can increase its effectiveness in preventing or delaying the onset of drug use in adolescence, but recent research is lacking, so we’re keen to establish what works, how and why.

    We’ll be engaging key stakeholders’ insights through surveys and focus groups, including young people and parents, as well as revisiting our current programme theory. By the end of this project we will have developed and refined our existing programme, and produced an evaluation strategy and methodology, ready for delivery and evaluation with young people aged 13–15 in a range of schools in Phase 2.

    Dr William Floodgate, Lecturer in Criminology, University of Manchester

    Our project will refine a new evidence-based, harm reduction-focused drugs education programme called The Staying Safe Programme (TSSP) so that it can be rolled out to universities across the UK. TSSP has been designed to reduce the demand for drugs among university students by equipping young adults with the knowledge required to reduce harms associated with recreational drug use, by deterring or delaying the onset of drug use, or by preventing the transition to heavy, or problematic use.

    We will use a range of methods to establish the appropriateness of TSSP, its in-built assessment of learning, and the effects of TSSP on the students who complete it.

    The core research team consists of Dr William Floodgate, Professor Judith Aldridge, & Lydia Swan (University of Manchester), and at the University of South Wales, Professor Katy Holloway and Shannon Murray. Collaborators include: Professor Adam Winstock, Students for Sensible Drug Policy, and Universities UK.”

    Claire Shiels, Corporate Director of Commissioning & Partnerships, Dorset Council

    The partnership in Dorset is absolutely delighted to be successful in this Phase 1 bid to test interventions that will help our workforce support young people to develop personal and social skills interventions that seek to reduce their vulnerability to illegal substance use and to develop effective communications with communities about the social impact of illegal substance use.

    Active collaboration between researchers, skilled practitioners, children, young people and parents and parents and carers are central to our programme and we believe this is an excellent opportunity to make a real difference.  This work will be part of our local Combatting Drugs strategy and is an active collaboration between two local councils – Dorset and Bournemouth, Christchurch and Poole (BCP), the local health system and the police.

  • PRESS RELEASE : Thousands of patients to benefit from quicker diagnosis and more accurate tests from ground-breaking AI research [March 2023]

    PRESS RELEASE : Thousands of patients to benefit from quicker diagnosis and more accurate tests from ground-breaking AI research [March 2023]

    The press release issued by the Department of Health and Social Care on 3 March 2023.

    Nine of the most promising artificial intelligence healthcare technologies to receive nearly £16 million in government funding to accelerate research.

    • Nine of the most promising artificial intelligence healthcare technologies to receive nearly £16 million in government funding to accelerate research
    • Examples include systems to run cancer checks, diagnose rare diseases and identify women at highest risk of premature birth
    • Successful technologies will be fast-tracked into NHS to improve speed and accuracy of diagnoses, tackle waiting lists and free up clinician time

    Tens of thousands of patients across the country could benefit from quicker, earlier diagnoses and more effective treatments for a range of conditions – as the government invests nearly £16 million into pioneering artificial intelligence (AI) research.

    Nine companies have been awarded funding through the third round of the AI in Health and Care Awards, which is accelerating the testing and deployment of the most promising AI technologies. The awards were set up in 2019 to develop AI technology focused on helping patients manage long-term conditions, improve the speed and accuracy of diagnosis, and ultimately help tackle the COVID backlogs and cut waiting lists. They are delivered between the NHS AI Lab, the Accelerated Access Collaborative and the National Institute for Health and Care Research.

    The winners include AI systems which can help detect cancer, diagnose rare diseases, identify women at highest risk of premature birth and support the treatment of neurological conditions like dementia. The funding will be used to support the testing, evaluation and adoption of their technologies by the NHS.

    So far, in total, £123 million has been invested in 86 AI technologies across 3 rounds of awards supporting over 300,000 patients and improving their care and treatment for health conditions such as cancer, heart disease, diabetes, mental health and neurological disorders.

    Health and Social Care Secretary Steve Barclay said:

    Artificial intelligence has the potential to speed up diagnoses and treatments and free up time for our doctors and nurses so they can focus on caring for patients. Around 300,000 people have already benefited from companies supported by our AI awards, with tens of thousands more set to benefit.

    These schemes include technology that could recognise the signs of cancer more quickly and accurately, predict which women are more likely to give birth prematurely or analyse electronic health records to detect the signs of an undiagnosed rare disease.

    Start-up Ibex has been awarded more than £1.5 million and it has developed an AI-driven algorithm to run checks for breast cancer. The technology analyses images of tissue extracts, helping pathologists detect cancer, so they can complete diagnoses more quickly. Its high accuracy rate could reduce the need for patients to repeat the biopsy process and free up more time for consultants.

    Known as Galen Breast, it will be trialled at Nottingham University Hospitals, Cambridge University Hospitals, North West Anglia NHS Foundation Trust, Betsi Cadwaladr University Health Board and University Hospitals Birmingham. Researchers will analyse its findings on 10,000 patients and evaluate improvements in the quality of diagnosis, cost-effectiveness and quicker turnaround times for patients.

    Ibex previously won an AI award in 2020, enabling the roll-out of Galen Prostate – the equivalent technology for prostate cancer – at 6 hospitals including University College London and University Hospitals Coventry and Warwickshire.

    Another winner, medical device company Medtronic, has been rolling out devices and therapies to treat more than 30 chronic diseases, including Parkinson’s and diabetes, some of which are being trialled in the NHS. It has been awarded £2.5 million to further develop an AI-based medical device called GI Genius, which has been trained to process colonoscopy images and detect signs of colon cancer, enabling earlier, more accurate diagnoses. An earlier study carried out in Dublin, Ireland suggested the technology could increase the detection of hard-to-detect precancerous polyps – small growths on the inner lining of the rectum – by up to 14.4%. In the 2021 study it was shown to reduce the missed polyp rate by nearly 50%.

    Digital health start-up Mendelian has been awarded £1.4 million to support an AI system which identifies patients with undiagnosed rare diseases, as well as recommending the best management options, by analysing electronic health records. In the past decade undiagnosed rare diseases have cost the NHS in excess of £3.4 billion and data shows that patients with rare diseases attend hospitals more than twice as often as other patients, costing the NHS 4 times as much on average. To complement this kind of research, a new Rare Diseases Action Plan for England was published this week to ensure those living with these conditions continue to receive better care and treatment along with fairer access to testing.

    The winners also include a consortium led by the University of Bristol which has already developed an online medical tool which is identifying pregnant women who are most at risk of giving birth prematurely or of developing complications that could lead to stillbirth. Tommy’s App has been created to process information gathered at pregnancy check-ups which then generated a risk score for each patient. This is used to provide personalised care recommendations, lowering the risk of preterm birth or stillbirth. The team will receive nearly £1.9 million in government funding to build on the clinical decision tool.

    Last year, data was published in obstetrics and gynaecology journal BJOG, showing the tool can help reduce health inequalities in Black, Asian and other pregnant women in ethnic minority groups. Researchers found perinatal death rates – those affecting pregnant women and others up to a year after giving birth – were 3 times higher in ethnic minority mothers. However, when the tool was used alongside targeted care, these rates fell to approximately the same across all the ethnic groups.

    Professor Emad Rakha, Honorary Consultant Pathologist at the University of Nottingham and Nottingham University Hospitals NHS trust, said:

    Over the last several years in the UK, cancer cases increased while the number of pathologists decreased, resulting in record-high workloads for pathology departments.

    Timely and accurate diagnosis can significantly impact breast cancer survival rates, making Ibex’s solution a vital and welcome addition into NHS trusts.

    Dr Jackie Cook, Consultant in Clinical Genetics and Co-Clinical Director at North East and Yorkshire NHS Genomic Medicine Service Alliance, said:

    Patients with rare diseases can face a long diagnostic journey, often taking many years with multiple investigations and appointments before a diagnosis is made.

    By using this technology to interrogate patient records, my hope is that patients with rare diseases will be identified much faster, avoid unnecessary investigations and achieve a diagnosis in a much shorter timeframe.

    This could enable patients to receive potential treatments earlier, inform ongoing care and, where appropriate, allow reproductive decisions.

    Dr Bu Hayee, Consultant Gastroenterologist and Principle Investigator of Medtronic’s study, said:

    I’m pleased to be working on this project to establish whether the use of AI in colonoscopy might influence endoscopy performance and improve outcomes for patients.

    There has never been a greater need for innovation in the NHS and this research may be able to shine a light on the possible benefits this technology can provide.

    Our NAIAD (National study of Artificial Intelligence in Adenoma Detection for colonoscopy) study is set to explore the use of AI in a ‘real world’ setting, and how it might influence endoscopists in their day-to-day practice.

    Professor Basky Thilaganathan, Clinical Director to the Tommy’s National Centre for Maternity Improvement, said:

    We believe that our Clinical Decision Support Tool can make a significant change in the delivery and experience of maternity care.

    We are thrilled to be able to expand our work with this funding, and further our learning to support our aim for NHS-wide adoption.

    Dominic Cushnan, Director of AI, Imaging and Deployment at the NHS Transformation Directorate, said:

    The AI Award is helping to develop the clinical and economic evidence for AI technologies we need to help build confidence among the NHS workforce that these technologies can not only free up some of their time but safely support them in providing care for patients.

    Cutting NHS waiting times is one of the government’s top 5 priorities, backed by record funding including up to £14.1 billion for health and social care over the next 2 years. Advances in innovation and technology – including in robotics and artificial intelligence – will give patients greater control and help tackle some of the biggest healthcare challenges from cancer to genetic diseases. These kinds of innovations can free up staff time while speeding up treatments and diagnoses.

  • PRESS RELEASE : Transformational reform begins for children and young people with SEND [March 2023]

    PRESS RELEASE : Transformational reform begins for children and young people with SEND [March 2023]

    The press release issued by the Department of Health and Social Care on 2 March 2023.

    Plan for better, fairer access to high quality special educational needs and disabilities support.

    Children and young people across England with special educational needs and disabilities (SEND) or in alternative provision (AP) will get high-quality, early support wherever they live in the country.

    The SEND and AP improvement plan published today (Thursday 2 March) confirms investment in training for thousands of workers so children can get the help they need earlier, alongside thousands of additional specialist school places for those with the greatest needs – as 33 new special free schools are approved to be built as of today.

    The transformation of the system will be underpinned by new national SEND and AP standards, which will give families confidence in what support they should receive and who will provide and pay for it, regardless of where they live.

    There will be new guides for professionals to help them provide the right support in line with the national standards but suited to each child’s unique experience, setting out for example how to make adjustments to classrooms to help a child remain in mainstream education.

    To improve parents’ and carers’ experiences of accessing support, the plan will cut local bureaucracy by making sure the process for assessing children and young people’s needs through education health and care (EHC) plans is digital-first, quicker and simpler wherever possible.

    This package forms part of the government’s significant investment into children and young people with SEND and in AP, with investment increasing by more than 50% compared with 2019 to 2020 – to over £10 billion by 2023 to 2024.

    Minister for Children, Families and Wellbeing, Claire Coutinho said:

    Parents know that their children only get one shot at education and this can have an enormous impact on their child’s ability to get on with life. Yet for some parents of children with special educational needs and disabilities, getting their child that superb education that everyone deserves can feel like a full-time job.

    The improvement plan that we are publishing today sets out systemic reforms to standards, teacher training and access to specialists as well as thousands of new places at specialist schools so that every child gets the help they need.

    The local authorities selected today to have 33 new special free schools built in their areas add to the 49 already in the pipeline. These new places come with the government’s £2.6 billion investment between 2022 and 2025 to increase special school and alternative provision capacity.

    There will be expanded training for staff, ranging from up to 5,000 early years special educational needs co-ordinators to 400 educational psychologists, covering a wide range of educational needs. The Institute for Apprenticeships and Technical Education will develop an apprenticeship for teachers of sensory impairments.

    The £70 million change programme will work over the next 2 to 3 years with selected local authorities in 9 regions, working alongside families to implement, test and refine longer-term plans – including new digital requirements for local authority EHCP processes and options for strengthening mediation.

    The changes are also underpinned by a strengthened local authority inspection regime joint between Ofsted and the Care Quality Commission.

    This plan follows extensive engagement with around 6,000 consultation responses and 175 events, ensuring the new reforms take into account the views of children, young people, parents and carers. The plan sets out a clear roadmap to transform the SEND and AP system and make it sustainable over the long term.

    Minister for Learning Disabilities and Autism, Maria Caulfield said:

    Everyone with special educational needs and disabilities deserves to live a happy, healthy and productive life – but we know there are often barriers to accessing the right support, especially for parents navigating the start of their children’s educational experiences.

    It is vital that health, care and education are working together properly from day one for people with additional needs, which is why we’re making sure steps are being taken to better join up the system and provide support more readily for children and young people with special educational needs and for their families.

    Children’s Commissioner for England Dame Rachel de Souza said:

    Children with SEND and their families have, for too long, felt penalised by a system that doesn’t support their needs.

    I am particularly pleased to see this plan’s focus on early help, which will prevent families from reaching breaking point, and the increase in specialist school places so that many more children are able to attend a great school, every day.

    I have called for children’s voices to be at the heart of this plan, so I am encouraged by the move to make EHC Plans digital, standardised, and more focused on what each child wants.

    Our focus must now be on delivering these reforms, in tandem with those for children’s social care, and matching the ambition that children have for themselves.

    Dame Christine Lenehan, Director of Council for Disabled Children said:

    The SEND and AP improvement plan has set out the DfE’s understanding of the complexity and level of challenge that exists in the system whilst also acknowledging the difficult experiences of some children and families as a result.

    CDC welcome the focus on early intervention and providing families support at the earliest opportunity which is key to ensuring needs are met effectively. It will be vital to provide strengthened accountability routes and to continue to focus on the improved experiences of children and families to ensure outcomes are met.

    We look forward to continuing to engage children, young people and their families as well as practitioners across the SEND sector in ongoing opportunities to input into the plans moving forwards.

    Additional measures confirmed today in the improvement plan include:

    • a new leadership level Special Educational Needs Co-ordinator National Professional Qualification (SENCo NPQ) will be created, ensuring teachers have the training they need to provide the right support to children
    • a new approach to AP will focus on preparing children to return to mainstream or prepare for adulthood. AP will act as an intervention within mainstream education, as well as high-quality standalone provision, in an approach that meets children’s needs earlier and helps prevent escalation
    • an extension of AP Specialist Taskforces, which work directly with young people in AP to offer intensive support from experts, including mental health professionals, family workers, and speech and language therapists, backed an additional £6 million investment
    • a doubling of the number of supported internship places by 2025, from around 2,500 to around 5,000, backed with £18 million of funding to help young people make the transition into adulthood
    • £30 million to go towards developing innovative approaches for short breaks for children, young people and their families, providing crucial respite for families of children with complex needs – the programme funds local areas to test new services including play, sports, arts and independent living activities, allowing parents time to themselves, while their child enjoys learning new skills