First elected: 4th July 2024
Speeches made during Parliamentary debates are recorded in Hansard. For ease of browsing we have grouped debates into individual, departmental and legislative categories.
e-Petitions are administered by Parliament and allow members of the public to express support for a particular issue.
If an e-petition reaches 10,000 signatures the Government will issue a written response.
If an e-petition reaches 100,000 signatures the petition becomes eligible for a Parliamentary debate (usually Monday 4.30pm in Westminster Hall).
These initiatives were driven by Helen Maguire, and are more likely to reflect personal policy preferences.
MPs who are act as Ministers or Shadow Ministers are generally restricted from performing Commons initiatives other than Urgent Questions.
Helen Maguire has not been granted any Urgent Questions
Helen Maguire has not been granted any Adjournment Debates
A Bill to require specified educational institutions to develop and maintain a mental health policy; and for connected purposes.
Youth Mobility Scheme (EU Countries) Bill 2024-26
Sponsor - James MacCleary (LD)
The information requested falls under the remit of the UK Statistics Authority.
A response to the Hon. Lady’s Parliamentary Question of 13 December is attached.
Following the general election, the Prime Minister was clear that he wanted national renewal and a return of politics to public service.
The Government is committed to ensuring the public has diverse opportunities to take part in our vibrant democracy. The Government is taking steps to ensure meaningful public involvement in the work of government, including as part of mission-driven government and the broader toolkit for policy development and public engagement.
In addition to regular national and local elections, the public can engage in our political system and the policy-making process through various avenues. These include writing to their MP or to a government department, attending constituency surgeries, signing a petition which may end up the subject of debate in Parliament, taking part in a consultation (see the GOV.UK website for current consultations) or a parliamentary call for evidence, and of course taking part in politics directly by, for example, standing for office. The public are also encouraged to come and visit the UK Parliament to meet with their representatives and see the work of politics in action.
Section 31 of the Postal Services Act 2011 outlines the minimum requirements of the universal postal service and includes the requirement that free-of-charge postal services are provided to people who are blind or partially sighted.
Earlier this year, I met representatives of Ofcom, who reasserted their commitment to ensuring that the universal postal service meets the reasonable needs of users. The Government has no current plans to change the minimum requirements set out in the legislation.
The UK has the oldest housing stock in Europe and the government recognises that there is no “one-size-fits-all" approach to tackle the UK’s diverse building stock, and the need to ensure more historic buildings are able to achieve Net Zero. The Department commissioned research into complex to decarbonise homes and is currently considering the findings available at: www.gov.uk/government/publications/defining-and-identifying-complex-to-decarbonise-homes.
Our Warm Homes Plan will help people find ways to save money on energy bills and transform our ageing building stock. We have committed £3.4 billion over the next 3 years towards heat decarbonisation and household energy efficiency. Further details will be set out in due course.
Local authorities hold the statutory duty to secure, so far as is reasonably practicable, sufficient provision of educational and recreational leisure-time activities for young people. In September 2023 DCMS published updated statutory guidance to support local authorities’ understanding of the existing duty and how to deliver it. Alongside this, DCMS funds a Peer Review programme for local authorities to learn from each other about the best approaches to youth service provision.
This government has also committed to co-producing a new National Youth Strategy, which is an opportunity to move away from one-size-fits all approaches from central government, bringing power back to young people and their communities and rebuilding a thriving and sustainable sector. We plan to publish the strategy in the summer.
This Strategy, co-produced with young people and the youth sector, will better coordinate youth services, bringing power back to young people and their communities, and rebuilding a thriving and sustainable sector.
Over the coming months, we will be developing our plans in partnership with young people and with organisations within the youth sector, engaging closely with them to fully understand their needs and the issues they consider to be most crucial in addressing. This National Youth Strategy will cover youth services and policy at local, regional and national levels, and will outline a long-term vision for how all young people can realise their potential, with choices and chances, and be empowered and active members of society. It will also look to empower local areas and communities, moving away from one-size-fits-all approaches.
We will be holding a series of youth-led roundtables and we will set up a youth advisory board to work alongside us, influence our work and challenge us every step of the way. We will ensure this is an accessible engagement period that reaches as many young people as possible.
We will be publishing the Strategy in 2025.
The department is committed to supporting the aspiration of every person who meets the requirements and wants to go to university, regardless of their background.
The government continues to provide means-tested non-repayable grants to low income full time undergraduate students with children and/or adults who are financially dependent on them. We have announced an increase to maximum dependants’ grants for the 2025/26 academic year by 3.1%, based on forecast inflation using the RPIX inflation index. Students undertaking nursing, midwifery and allied health profession courses also qualify for non-repayable grant support through the NHS Learning Support Fund.
The department is also increasing the maximum maintenance loans for living costs for the 2025/26 academic year by 3.1%, in line with the forecast rate of inflation, to ensure that more support is targeted at students from the lowest income families. Higher rates of loan for living costs are also paid to students eligible for benefits such as lone parents and some disabled students as well as care leavers, who are normally assessed as low income independent students. In addition, care leavers are also entitled to a £2000 statutory bursary, paid via their local authority.
However, the department recognises that there is much more to do to expand access and improve outcomes for disadvantaged students. Too many people across our country do not get the opportunity to succeed. We will act to change this. We are calling for providers to go further and play a stronger role in expanding access and improving outcomes for disadvantaged students, making sure that they are delivering robust and ambitious access and participation plans. By the summer, the department will set out our plan for higher education (HE) reform and the part we expect HE providers to play in this.
Generally, to qualify for higher education (HE) student support and home fee status in England, a person must have settled status and have been ordinarily resident in the UK and Islands (Channel Islands and Isle of Man) for the three years preceding the first day of the first academic year of their course.
This means that under existing student support legislation, holders of a Hong Kong British National (Overseas) visa would qualify for home fee status and financial support once they have acquired settled status in the UK and meet the three-year ordinary residence requirement. This also applies to any dependants who have been granted Hong Kong British National (Overseas) status.
There are no plans to extend HE student support and home fee status to Hong Kong British Nationals (Overseas) or their dependants before they are settled in the UK.
High and rising school standards are at the heart of the government’s mission to break down barriers to opportunity and give every child the best start in life. The best way of supporting education in science, technology, engineering and mathematics (STEM) subjects is to ensure high quality teaching in these subjects, by helping schools to recruit and retain good teachers.
The department has therefore announced an Initial Teacher Training financial incentives package for the 2025/26 academic year worth £233 million, a £37 million increase on the last recruitment cycle. This includes a range of measures, including bursaries worth £29,000 tax-free and scholarships worth £31,000 tax-free, to encourage talented trainees in key STEM subjects such as mathematics, physics, chemistry and computing.
For the 2024/25 and 2025/26 academic years, the department is also offering a targeted retention incentive worth up to £6,000 after tax for mathematics, physics, chemistry and computing teachers in the first five years of their careers who choose to work in disadvantaged schools. This will support recruitment and retention of specialist teachers in these subjects and in the schools and areas that need them most.
In the 2025/26 financial year, the government will continue to fund subject continuing professional development (CPD) and other programmes in mathematics, computing and physics. This includes Maths Hubs, which co-ordinate mathematics CPD, and the ‘Subject knowledge for physics teachers’ programme, an intensive retraining programme for teachers teaching physics out of specialism.
This government’s ambition is that all children and young people with special educational needs and disabilities (SEND) or in alternative provision receive the right support to succeed in their education and as they move into adult life, breaking down the barriers to opportunity.
Educational psychologists play a crucial role in the support available to children and young people, including those with SEND. Local authorities, as the employers of educational psychology services, are responsible for ensuring that their services are adequately staffed.
However, the department is taking measures to support local authorities by investing in building the pipeline. We are investing over £21 million to train 400 more educational psychologists from 2024. This is in addition to the £10 million currently being invested in the training of over 200 educational psychologists who began their training in September 2023.
To support retention, following graduation, trainees who have had their training funded by the department are required to remain in local authority employment for a minimum period. For trainees beginning their course in September 2024, this requirement has increased to three years.
Tackling child poverty is at the heart of the government’s mission to break down barriers to opportunity and improve the life chances for every child. For too many children, living in poverty robs them of the opportunity to learn and to prosper.
The Ministerial Child Poverty Taskforce will harness all available levers to drive forward action across government to reduce child poverty. More detail on the approach and priorities for the strategy is set out in the publication ‘Tackling Child Poverty: Developing our Strategy’, which was published on 23 October and is available here: https://www.gov.uk/government/publications/tackling-child-poverty-developing-our-strategy.
The Children’s Wellbeing Bill will put children and their wellbeing at the centre of the education and children’s social care systems, and make sure every child has a fulfilling childhood, enabling them to achieve and thrive.
Breakfast clubs will remove barriers to opportunity by ensuring primary school children, no matter their circumstance, are well prepared with a supportive start to the school day. This will help to drive improvements in behaviour, attendance and attainment, and provide families with more affordable childcare choices. This will also support families, particularly those from disadvantaged backgrounds.
This government sees the early years as central to our mission to give every child the best start in life and in the 2025/26 financial year expect to provide over £8 billion for the early years entitlements, to help even more families access affordable, high quality childcare and early education. We have also announced a new £75 million expansion grant, to be allocated later this year, to support nurseries, childminders and other providers to deliver the 35,000 additional staff and 70,000 places required to meet demand for next September.
High quality early education leads to better outcomes for all children, but is particularly impactful for those from disadvantaged backgrounds and those with special educational needs and disabilities (SEND), where early identification of needs and support can help them to thrive.
Families of 2 year olds in receipt of certain benefits can access 15 hours of early education and care per week, over 38 weeks a year, and all 3 and 4 year olds are eligible for 15 hours of early education. Further support for disadvantaged children is available through Early Years Pupil Premium. This government will also be delivering the largest ever uplift to the Early Years Pupil Premium, increasing rates by over 45% to up to £570 per eligible child per year. This unprecedented increase is an investment in quality early education for those children who need it most, in the areas that need it most.
To respond to parents’ concerns about the cost of school, as committed in the King’s Speech, we will legislate to limit the number of costly branded items of uniform schools can require, ensuring uniforms make children smarter not families poorer.
In addition to free school meals (FSM), schools continue to receive the pupil premium grant, worth over £2.9 billion in the 2024/25 financial year, to support the educational outcomes of disadvantaged pupils. Also this year, all 153 local authorities in England have continued to deliver the Holiday and Activities Food programme during Easter, summer and Christmas holidays. The programme provides heathy meals, enriching activities and free childcare places to children from low-income families, benefiting their health, wellbeing and learning. It is primarily targeted at children who receive benefits-related FSM, however local authorities also have the flexibility to use some of their funding to target other vulnerable children.
It is the department’s ambition that all families have access to high quality, affordable and flexible early education and care, improving the life chances for every child and the work choices for every parent.
From September 2024, eligible working parents of children aged nine months and above can access 15 hours government funded childcare a week over 38 weeks a year. From September 2025, this will be extended so eligible working parents will be able to access 30 hours per week (over 38 weeks a year) for children from the age of 9 months to when they start school.
The government has committed to continue to roll out the expanded childcare entitlements for eligible working parents of children aged from nine months. The department is also growing the provision of wraparound before and after school provision of childcare for primary school children.
In 2024/25, the department expects to provide over £1.7 billion to support local authorities and providers to deliver the childcare expansion. In Surrey, the hourly rate for government funded childcare entitlements for 3 to 4 year olds is £6.77, which is an increase of 5.8%. For two year olds, this figure is £9.61 per hour and for under 2’s, £13.04 per hour.
The government has also committed to upgrading unused space in primary schools to create much needed places in 3,000 nurseries by working in partnership with all parts of the sector and local authorities.
In addition to the entitlements, parents may also be eligible for childcare support through Tax-Free Childcare or Universal Credit. Parents can check what childcare support they are entitled to via the Childcare Choices website.
The department has regular contact with each local authority in England about their sufficiency of childcare and any issues they are facing, including supporting them through its childcare delivery support contract where appropriate.
The government is committed to delivering a modern childcare system from the end of parental leave to the end of primary school, providing every child with a firm foundation which sets them up for life and ensures parents are able to work the jobs and hours they choose to effectively break down the barriers to opportunity for every family.
Surrey had their Ofsted and Care Quality Commission Local Area special educational needs and disabilities (SEND) inspection in September 2023 which identified inconsistent experiences and outcomes for children and young people with SEND. The report, published on 24 November 2023, included four areas for improvement.
The department’s regional team has put in place systems to track outcomes against the areas for improvement found by inspectors and the progress made by children and young people with SEND. Surrey County Council are committed to working closely with the department to improve services.
Surrey County Council entered into a Safety Valve agreement with the department in March 2022 with a view to addressing the effectiveness and financial sustainability of the local high needs system.
The Government has taken immediate and substantial action to address the performance of water companies who are not delivering for the environment or their customers.
The Water (Special Measures) Bill will provide the most significant increase in enforcement powers for the regulators in a decade, giving them the teeth they need to take tougher action against water companies in the next investment period. The Bill will drive meaningful improvements in the performance and culture of the water industry as a first important step in enabling wider, transformative change across the water sector.
Separately, the regulators have also launched the largest criminal and civil investigations into water company sewage discharges ever They will take action if any illegality is identified. As part of their investigation, Ofwat has proposed fines of £168 million against the first three companies. This investigation is a priority for Ofwat, and it will continue to work as quickly as possible on all remaining companies.
Additionally, through the next investment period, which runs from 2025 – 2030, there will be improvements at wastewater treatment works protecting rivers across England and Wales.
Since July the Defra Secretary of State has met with water company Chief Executives and chairs, including Thames Water.
The Government is committed to ensuring that everyone has access to nutritious, affordable food. The Government’s recently launched Food Strategy will ensure that access to healthy food is affordable and accessible to all.
The Government has also committed to roll out free breakfast clubs at all primary schools, whilst also tripling investment in breakfast clubs to over £30 million. Additionally, this Government has committed to delivering its plan to make work pay to turn the minimum wage into a real living wage so that working families can afford healthy food
Defra regularly engages with supermarkets and producers about a range of measures they can take to ensure the availability of affordable food. These measures include maintaining value ranges, price matching and price freezing. The range and price of food is a commercial decision for each retailer and the Government does not interfere in their day-to-day operations.
This Government will also be introducing a Fair Repayment Rate for deductions from Universal Credit, and increasing the National Living Wage, boosting the pay of 3 million workers, ensuring that everyone can afford to make healthy food choices.
For too long, water companies have discharged record levels of sewage into our rivers, lakes and seas. That is why we are placing water companies under special measures through the Water (Special Measures) Bill, which will strengthen regulation, including delivering new powers to ban the payment of bonuses for polluting water bosses and bringing criminal charges against persistent law breakers.
For Price Review 2024, which runs from 2025 – 2030, water companies are investing almost £12 billion to improve 2,800 storm overflows across England and Wales. Where required outcomes are not met, companies must reimburse customers, thereby holding water companies to account to deliver the investment.
Going forward, the Secretary of State and I continue to meet regularly with water company leadership teams to hold them to account for and ensure they are delivering for customers and the environment.
In October 2024, the Secretary of State, in conjunction with the Welsh Government, also launched an Independent Commission on the water sector regulatory system. This is a wide-ranging review to fundamentally transform how our water system works and clean up our rivers, lakes and seas for good.
Ofwat regularly meet with Defra, other Government departments and regulators to discuss enforcement policy and activities. As part of their investigation into all water companies, earlier this year Ofwat proposed fines of £168 million for three companies (Thames, Yorkshire and Northumbria Water) for failing to manage their wastewater treatment works and networks, as part of the first batch of outcomes from its biggest ever investigation. These fines are alongside proposed enforcement orders, which require each company to rectify issues to bring them into compliance. Ofwat has also recently announced four more enforcement cases in relation to management of wastewater treatment works and networks.
Furthermore, the Water (Special Measures) Bill will provide the most significant increase in enforcement powers to the regulators in a decade, giving them the teeth they need to take tougher action against water companies in the next investment period, which is due to start in April next year. The Bill will provide Ofwat with legal powers to ban bonuses, where currently they can only set expectations, and ensure that imprisonment will always be available to the courts as a sentencing option where investigations by the environmental regulators have been obstructed.
On 23 October 2024, the UK and Welsh Governments launched an independent commission, led by Sir Jon Cunliffe, to recommend reforms to reset the water sector regulatory system. The Commission will publish a report in Q2 2025, with recommendations for actionable solutions to the sector’s problems.
The Secretary of State has regular discussions with Cabinet colleagues on a range of issues, and Cabinet discussions are considered confidential. The Government recognises the importance of having a robust drainage system both now and for future demand and expects water companies to plan their infrastructure appropriately to meet new growth.
As part of the Environment Act 2021, water companies in England are required to produce Drainage and Wastewater Management Plans (DWMPs). DWMPs set out how a water company intends to improve their drainage and wastewater systems over the next 25 years, accounting for factors including growing population and changing environmental circumstances. These plans will help sewerage companies to fully assess the capacity of the wastewater network and develop collaborative solutions to current problems and future issues.
The Government is committed to the protection and restoration of our cherished chalk streams. We have taken immediate action to clean up our waterways, including a new Water (Special Measures) Bill to ban the payment of unfair bonuses to polluting water bosses, and bring criminal charges against those who persistently break the law. In October we launched an independent commission into the water sector regulatory system to deliver transformative change to the water system.
We are investing in initiatives to improve chalk streams including 55 projects this financial year through the Water Environment Improvement Fund. As part of the Water Resources Chalk Partnership Fund, this financial year, the Government will contribute £1m for chalk stream projects with partners on 30 projects, aimed at safeguarding these rare and irreplaceable habitats.
We are committed to ending damaging abstraction of water from rivers and groundwater wherever possible. We will make full use of our existing powers to amend abstraction licences to protect and improve the environment and make sure water companies deliver the improvements in their current business plans, including licence reductions of around 100 million litres per day in chalk streams.
Through the Price Review 2024, Ofwat will set out the next cycle of planned water company investment covering 2025-2030, which will include further actions to restore chalk streams. The exact funding is currently being determined by Ofwat, with final determinations due to be published on 19 December. Environmental requirements for abstraction reductions to improve chalk streams flows are part of the environmental planning scenarios that Regional Water Resources Groups and water companies have included in their planning to 2050.
The Government is committed to making EV charging infrastructure affordable and accessible.
Energy suppliers providing energy to EV chargepoints are regulated by Ofgem. Ofgem does not currently set a limit for the price that can be charged for the resale of electricity through EV chargepoints. We continue to work with DESNZ and Ofgem on measures to keep EV charging affordable.
Under the Public Charge Point Regulations 2023, all chargepoint operators must display the price of charging using a common metric of p/kWh and make their data on pricing available freely. This allows drivers to easily compare the price of charging and find the best chargepoint for their needs.
There are already specific criteria in place to assess the need for a Blue Badge for children under three years old who require the use of bulky mobility aids. The Department has no plans to amend the current eligibility criteria.
Department officials have regular conversations with the operator seeking to improve accessibility across South Western Railway’s fleet. Improvements include the new fleet of Class 701s with fully accessible toilets replacing the Class 455s which do not have toilets, an App with Artificial Intelligence generated British Sign Language and a planned rollout of improved Passenger Information Screens on services between Waterloo and Exeter. South Western Railway also has guards on all of its fleet providing assistance for all passengers who require it.
Budgeting Advances help Universal Credit customers meet intermittent miscellaneous expenses, such as buying essential items like furniture or household equipment. These advances ensure that low-income families that have an emergency financial need and do not have access to adequate savings or affordable loans can access funding to meet the emergency.
Only eligible customers are able to access Budgeting Advances and there are limits set out in regulation on the amount that can be awarded. Information on the eligibility criteria can be found in the House of Commons Library.
The three month qualifying period is not a waiting period. Its purpose is to help establish that the disability or health condition, and the resulting care, supervision or mobility needs are of a long-standing nature. This ensures that disability benefits are targeted to support those with long term health conditions or disabilities.
Children applying for DLA do not always have to wait for the full three months from the date of their claim before they become entitled to the benefit. The case manager will always look at whether, and for how long, the person has required the necessary level of help for care/daily living and/or mobility purposes before the date of claim and consider whether some or all of the qualifying period has already been completed.
Children claiming DLA under the special rules for end of life do not have to satisfy the three--month qualifying period. Their claim is fast tracked, and they are eligible for the higher-rate care component from the date of claim.
Financial and practical support may be available during the qualifying period, for example through the Healthcare Travel Costs Scheme or support provided by Local Authority.
The decision to maintain Local Housing Allowance (LHA) rates at current levels for 2025/26 considered a range of factors such as, rental data, the impacts of LHA rates, the Government’s missions and wider fiscal context and the fact that rates were increased in April.
We are also investing £1bn in funding for both the Household Support Fund (HSF) and Discretionary Housing Payments (DHPs) (including Barnett impacts) for 2025/26 and will be ensuring DHP funding is maintained at current levels. DHPs are available from local authorities for those unable to meet a shortfall in their rent.
We are publishing a Long-Term Housing Strategy in the Spring, to reform the housing market so that it works better for communities, to build 1.5 million high-quality homes, and deliver the biggest increase in affordable housing for a generation, this includes an extra £500m in new funding for the Affordable Homes Programme.
Given the current cost of living it is essential for individuals to possess the knowledge and skills necessary to effectively manage their finances. DWP invests in upskilling their staff to increase their confidence in guiding customers through conversations about enhancing their financial skills and understanding the advantages of doing so.
DWP supports customers to improve their financial skills by signposting them to MoneyHelper in order to help them make better financial choices. MoneyHelper operates across the UK, however, as financial skills is a devolved matter, additional support is available in Scotland and Wales.
DWP is consistently striving to enhance the services provided to our customers, ensuring they receive the most effective guidance by directing them to bodies that can assist in improving their financial skills.
The extra costs disability benefits are not means–tested, paid regardless of any income or savings and worth up to £9,580 a year, tax free.
They were uprated by 6.7 per cent from April and will be uprated by 1.7 per cent from next April subject to Parliamentary approval.
We are determined to take all the necessary steps to improve early diagnosis for all cancers, including leukaemia and other non-stageable cancers. To accomplish this, the National Health Service is implementing non symptom specific pathways for patients who present with non-specific symptoms or combinations thereof that can indicate several different cancers. This includes leukaemia, which can present non-specific symptoms, such as unexpected weight loss and night sweats. NHS England’s national evaluation showed that blood cancers are one of the most common cancer types diagnosed through these pathways.
The National Cancer Plan will have patients at its heart and will cover the entirety of the cancer pathway, including diagnosis. We are currently exploring interventions to reduce the number of lives lost to cancer and on 4 February we launched a Call for Evidence, in which the views of people across the country will inform our plan to improve cancer care. Those who wish to share their views can do so on the new online platform, via the following link:
https://www.gov.uk/government/calls-for-evidence/shaping-the-national-cancer-plan
General practitioners (GPs) can only prescribe unlicensed cannabis-based products for medicinal use if under the direction of a specialist.
These medicines are not first-line treatments and patients will be at a stage in their treatment pathway where they will be under the care of a specialist doctor. Whilst the evidence-base remains limited on the safety, quality, and efficacy of these products, it is right that the decision to prescribe remains essentially with specialist doctors. As with all laws, we will keep its impact under review.
The law allows United Kingdom specialist doctors to prescribe cannabis-based products for medicinal use (CBPMs). Cannabis-based medicines licensed by the Medicines and Healthcare products Regulatory Agency (MHRA) are routinely available on the National Health Service, for example Epidyolex, for the treatment of two rare forms of epilepsy and tuberous sclerosis. However, some patients and families are seeking to access unlicensed forms of CBPMs, which have not been assessed by the MHRA. Clinical guidelines from the National Institute for Health and Care Excellence demonstrate a clear need for more evidence to support routine prescribing and funding decisions for unlicensed CBPMs.
We continue to call on manufacturers to conduct research to prove their products are safe, and clinically and cost effective. NHS England and the National Institute for Health and Care Research have agreed funding for two randomised control trials relating to the use of CBPMs for the treatment of drug-resistant epilepsies. These will be world-first trials and will be crucial in furthering the evidence base and informing future NHS funding decisions.
In England, palliative care services are included in the list of services an integrated care board (ICB) must commission. This promotes a more consistent national approach and supports commissioners in prioritising palliative and end of life care. To support ICBs in this duty, NHS England has published statutory guidance and service specifications for adults, and children and young people. ICBs are responsible for commissioning palliative and end of life care services to meet the needs of their local populations. Further information on palliative and end of life care services’ statutory guidance, the guidance for adults, and the guidance for children is available, respectively, at the following three links:
Whilst the majority of palliative and end of life care is provided by National Health Service staff and services, we recognise the vital part that voluntary sector organisations, including hospices, also play in providing support to people at the end of life, and their loved ones.
Most hospices are charitable, independent organisations that receive some statutory funding for providing NHS services. The amount of funding each charitable hospice receives varies both within and between ICB areas. The variation is dependent on demand in the area, and on the totality and type of palliative and end of life care provision from NHS and non-NHS services, including charitable hospices, within each ICB footprint.
I met with key palliative and end of life care and hospice stakeholders on 3 February to discuss the long-term sustainability of palliative and end of life care, within the context of our 10-Year Health Plan.
The safety of National Health Service staff and patients is of vital importance to the Government. That is why repairing and rebuilding our hospital estate is a key part of our ambition to create an NHS that is fit for the future through our 10-Year Health Plan.
In July 2024, my Rt Hon. Friend, the Secretary of State for Health and Social Care commissioned Lord Darzi to conduct an independent and immediate investigation of the NHS. This report provided the Department with an expert of understanding of the current performance of the NHS across England and the challenges facing the healthcare system. As highlighted in Lord Darzi’s independent review of the NHS in England, demand is growing for new and improved health infrastructure that addresses the deteriorating condition of the NHS estate. The Darzi Review highlighted the impact of aging infrastructure on clinical activity, finding that aging infrastructure affected services at 13 hospitals a day in 2022/23.
As part of the management of their estate, NHS trusts regularly assess the physical condition of their estate. The Estates Related Information Collection survey collects data from trusts on the quality of their estate annually, including estates related incidents. The latest data is available at the following link:
The Department funds research via the National Institute for Health and Care Research (NIHR). The NIHR is not a direct funder of the Modifying Immune Response and Outcomes in Amyotrophic Lateral Sclerosis (MIROCALS) trial. It was funded by the European Union’s Horizon 2020 programme, the Motor Neurone Disease Association, the Programme Hospitalier de Recherche Clinique, the My Name’5 Doddie Foundation, the Association Francaise contre les Myopathies, MND Scotland, and the Association pour la recherche sur la SLA.
The UK’s Health Research Authority recommends that summary results from clinical trials of investigational medicinal products, such as the MIROCALS study, are made available within a year of the study being complete. However, it is the study sponsor’s responsibility, in this case the University Hospital Nimes, to publish the results. Both the Department and the NIHR are committed to publishing the results from research with full transparency and in a timely manner. The Medicines and Healthcare Regulatory Agency (MHRA) does not publish data from clinical trials.
It is critical that medicines used in the United Kingdom are safe and effective and as such, medicines cannot be marketed in the UK without a marketing authorisation. These are granted by the MHRA, which assesses all medicines with regard to their quality, safety, and efficacy. Proleukin (interleukin-2, Aldesleukin) has not been licensed by the MHRA as a treatment for motor neurone disease. It is the responsibility of the company to apply to the MHRA for a relevant marketing authorisation. Should an application for it be received, the MHRA will consider this accordingly.
In England, newly licensed medicines are also appraised by the National Institute for Health and Care Excellence (NICE) to determine whether they represent a clinically and cost-effective use of National Health Service resources. If the manufacturer of Proleukin seeks a licence from the MHRA for the treatment of motor neurone disease, then the NICE will consider it through its topic selection process. If selected for evaluation, the NICE aims to issue recommendations close to the point of licensing wherever possible.
The Government recognises the pressures on the National Health Service during the winter period and the impact this is having on waiting times for emergency care, including in Epsom and Ewell.
We are committed to supporting the NHS to improve performance and achieve the standards set out in the NHS Constitution, but we must be clear that there are no quick fixes.
However, we are determined to turn things around through investment and reform. My Rt. Hon. Friend, the Chancellor of the Exchequer announced £25.6 billion of additional healthcare funding over the next two years, and we will set out an urgent and emergency care improvement plan shortly, as well as a 10-Year Health Plan to radically reform the NHS and build a health service that is fit for the future.
Youth services play a vital role in supporting the Government’s prevention agenda and for achieving positive outcomes for public health. These services provide early intervention and support that can prevent the development of more serious health and social issues, including mental health challenges, substance misuse, and physical health problems.
The Department recognises the importance of youth services in promoting healthy behaviours, building resilience, and improving mental and physical wellbeing among young people. In the context of mental health, the Government’s commitment to improving outcomes for babies, children, and young people is outlined in the publication Improving the mental health of babies, children, and young people, which highlights the value of preventative approaches and the role of youth-focused interventions. Further information on this publication is available at the following link:
Tackling child poverty is at the heart of the Government’s mission to break down barriers to opportunity, and its commitment to raising the healthiest generation of children in history.
The Department is working closely with the Child Poverty Taskforce to develop and deliver an ambitious strategy to reduce child poverty, tackle the root causes, and give every child the best start in life. An important part of this will be alleviating the negative experience of living in poverty, through supporting families and enhancing public services.
The National Health Service also makes a central contribution to tackling inequalities, in access to services, patient experience, and healthcare outcomes. For example, the 2024/2025 NHS Priorities and Operational Planning Guidance makes explicit the requirement to address the inequalities of healthcare facing children and young people.
Local authorities are responsible for assessing individuals’ care and support needs, including kidney patients, and where eligible, for meeting those needs. Where individuals do not meet the eligibility threshold, they can get support from their local authorities in making their own arrangements for care services, as set out in the Care Act 2014.
Local authorities further have a duty to shape their care markets and commission a diverse range of care and support services that enables people to access quality care.
We recognise that too many people with mental health issues are not getting the support or care they need, which is why we will fix the broken system to ensure that we give mental health the same attention and focus as physical health and that people, including kidney patients where appropriate, can be confident in accessing high-quality mental health support when they need it.
As part of our mission to build a National Health Service that is fit for the future and that is there when people need it, we will recruit an additional 8,500 mental health workers across child and adult mental health services to reduce delays and provide faster treatment, which will also help ease pressure on busy mental health services.
The 10-Year Health Plan will ensure a better health service for everyone, regardless of condition or service area. On 21 October, we launched a national conversation on the future of the NHS, inviting views from across the country on how to deliver a health service fit for the future. Patients, staff, and organisations, including those with experience of or expertise in kidney disease, can make themselves heard by logging onto the online portal, which is available at the following link:
NHS England published the Excellence in Continence Care on 23 July 2018, bringing together evidence-based resources and research for guidance for commissioners, providers, and health and social care staff, and which is available at the following link:
https://www.england.nhs.uk/publication/excellence-in-continence-care/
In addition, the National Institute of Health and Care Excellence has produced guidance on the management of faecal incontinence in adults, which healthcare professionals and commissioners are expected to take fully into account when delivering services for people with bowel incontinence.
NHS Blood and Transplant (NHSBT) is responsible for organ donation across the United Kingdom. The Department works closely with NHSBT to identify opportunities to encourage people to record their wishes on the Organ Donor Register, as we know that approximately nine in 10 families support organ donation going ahead when they know that it is what their loved one wanted. Current examples include building registration into the UK driving licence application and passport renewal process, as well as providing links to the Organ Donor Register in the NHS App. Partnerships like these account for approximately 90% of registrations.
NHSBT runs high profile, year-round campaigns, including Organ Donation Week, World Sight Day, and World Kidney Day, in partnership with a wide range of charities and community groups. NHSBT also funds a network of Organ Donor Ambassadors and provides grants to community groups who raise awareness at a local level.
The ceasefire marks the first step in ensuring long-term peace and security for Israelis, Palestinians and the wider region, bringing much-needed stability. Our attention must turn to how we secure a permanently better future for the Israeli and Palestinian people. Palestinians must be given a credible route to a Palestinian state, which is the right of the Palestinian people. We will recognise a Palestinian state at a time that is most conducive to making statehood a reality, and we will continue working with partners to support a path to long term peace and stability with a two-state solution: a safe and secure Israel alongside a viable and sovereign Palestinian state.
The Foreign Secretary and I have repeatedly and publicly made clear that Greenland is part of the Kingdom of Denmark and that the future of their constitutional arrangements is a matter for the people and government of Greenland, and the Kingdom of Denmark.
The UK has a strong relationship with all parts of the Kingdom of Denmark and recognises the strategic importance of Greenland. We are working with our North Atlantic Treaty Organisation (NATO) Allies to ensure the stability and security of the High North and North Atlantic areas.
We are aware that individuals who have chosen to take up the BN(O) visa route face difficulties in the early drawing down of their savings. This government is in regular contact with banks on a range of issues. Documentary requirements for withdrawing funds are a matter for the Hong Kong authorities, and officials continue to raise this issue directly with the Hong Kong Government to encourage a pragmatic solution.
The UK is committed to supporting the Luanda process which aims to bring about sustainable peace in the Democratic Republic of Congo (DRC) and encourages continued engagement and delivery on commitments by all parties. The postponement of the tripartite summit on 15 December was disappointing and the UK has urged both parties to return to the negotiating table. In August and September, Lord Collins visited Angola, DRC and Rwanda where he met with their respective presidents and urged de-escalation. The UK is delivering a three-year £115 million humanitarian programme in the east of DRC, providing life-saving emergency assistance and increasing the resilience of crisis affected communities.
The provision of banking services is a commercial decision taken by the banking sector.
In response to feedback from community account holders about difficulties in securing and maintaining suitable current accounts, UK Finance launched a website in July 2024, including guidance and an Account Finder tool, to help voluntary sector organisations locate an appropriate account for their needs. UK Finance also signpost where free banking services can be accessed.
In developing these resources, UK Finance worked with charitable organisations, members, and regulators, with the aim of improving how community accounts are opened and run.
The Prime Minister has set out the Plan for Change for this government, with early intervention at the centre of the government's priorities, including giving children the best start in life, putting police back on the beat, and ending hospital backlogs.
The Chancellor also set out that prevention would be a key theme of the Spending Review. HMT will work with departments to develop proposals on prevention, including their social and economic impact, through phase 2 of the Spending Review.