Written questions by Cooper.

When he expects NICE to publish the updated fertility guidance.

The National Institute for Health and Care Excellence (NICE), the independent body responsible for translating evidence into authoritative guidance for the health and care system on best practice, is currently updating its guidance on the assessment and treatment of fertility problems. NICE’s consultation on its draft guidance will run from 10 September 2025 to 21 October 2025, and final guidance is expected to be published in March 2026.

What assessment he has made of the potential impact of hydrotherapy services on people with learning disabilities.

NHS England advises that there is not a strong evidence base for the benefits of hydrotherapy for people with learning disabilities. As part of their duties under the Care Act 2014, local authorities are expected to ensure high quality services that put the wellbeing of people who draw on care at the centre of decisions and ensure positive outcomes. It is the role of local authorities to facilitate the personalisation of care and support services and encourage a variety of services for their population, such as community support options.As set out in NHS England’s Planning Guidance, integrated care boards (ICBs) are expected to work with local system colleagues to ensure that there is high quality and accessible community infrastructure in place for people with a learning disability and autistic people. The guidance is available at the following link:https://www.england.nhs.uk/publication/2025-26-priorities-and-operational-planning-guidance/ICBs are expected to assign an executive lead role for learning disability and autism to support planning to meet the needs of people with a learning disability and autistic people.

What assessment he has made of the potential merits of introducing a right of appeal for visitor visa refusals.

Where a visitor visa is refused, the applicant will receive reasons for the decision which they can address in a further application. There are no current plans to change this position.

Food and Rural Affairs, what plans his Department has to provide financial support for the delivery of long-term sustainable drainage systems.

The revised National Planning Policy Framework we published on 12 December 2024 amended an existing paragraph regarding incorporating sustainable drainage systems in new development to make clear that developments of all sizes are expected to make use of sustainable drainage techniques where the development could have drainage impacts. National Planning Guidance is clear that local authorities should be satisfied that all Sustainable Urban Drainage Systems (SuDS) have clear maintenance and adoption arrangements in place for the lifetime of a development; however, the cost of delivery of SuDS would be covered by the developer.

Food and Rural Affairs, what assessment he has made of the potential impact of enacting Schedule 3 of the Flood and Water Management Act 2010 on the (a) uptake and (b) effectiveness of sustainable drainage systems on new developments.

The Government is strongly committed to improving the implementation of Sustainable Drainage Systems (SuDS) and we are looking at what additional steps might be taken to support this. We have made some immediate changes to the National Planning Policy Framework (NPPF) to support increased delivery of SuDS. The NPPF now requires all development to utilise SuDS where they could have drainage impacts. These systems should be appropriate to the nature and scale of the proposed development. See paragraphs 181 and 182 of the NPPF.

Food and Rural Affairs, what steps his Department is taking to provide (a) financial and (b) other support to local authorities to help improve surface water drainage.

We are investing £4.2 billion over three years, from 2026/27 to 2028/29, to construct new flood schemes, including surface water schemes, and maintain and repair existing defences across the country. This builds on the £2.65 billion that we are investing in 2024/25 and 2025/26. The full list of over 700 schemes to benefit from fresh funding this year was announced on 31 March 2025 and can be found here. The Government launched a consultation on 3 June on proposals to reform the way we fund flood and coastal defences. We will make it simpler for all risk management authorities to calculate their funding. The proposals would see the first £3 million of all projects fully funded. This would speed up delivery of vital schemes and ensure money was distributed more effectively across the country – including for surface water management schemes. The consultation has now closed, and we will publish our response in due course. The Government is strongly committed to improving the implementation of Sustainable Drainage Systems (SuDS), looking at what additional steps might be taken to support this. We have made some immediate changes to the National Planning Policy Framework (NPPF) to support increased delivery of SuDS where they could have drainage impacts and require all development to utilise SuDS where they could have drainage impacts. In June this year, the Government introduced new national standards.

Communities and Local Government, what information her Department holds on the number of (a) town and (b) parish councils that have taken on functions previously managed by (i) district, (ii) county, (iii) unitary and (iv) metropolitan authorities in each of the last five years.

There is no centrally held data on the total number of functions town and parish councils have taken on from principal local authorities.

What assessment she has made of the potential merits of extending the VAT relief for medical supplies afforded by VAT Notice 701/57 to include automated external defibrillators supplied for community use.

VAT is a broad-based tax on consumption, and the 20 per cent standard rate applies to most goods and services. Exceptions to the standard rate have always been limited and balanced against affordability considerations. The Government currently provides VAT reliefs to aid the purchase of defibrillators. For example, when an Automated External Defibrillator is purchased with funds provided by a charity and then donated to an eligible body, no VAT is charged. Furthermore, all state schools in England have been fitted with AEDs.

What steps her Department is taking to work with manufacturers of Concerta XL to (a) resolve the ongoing supply shortages and (b) prevent disruption for patients reliant on this medication.

The Department can confirm that the supply disruptions affecting various strengths of Concerta XL, generic name methylphenidate, tablets have now been fully resolved. We continue to support the NHS England’s attention deficit hyperactivity disorder (ADHD) taskforce, which brings together expertise from the National Health Service, education, and justice sectors to coordinate a system-wide response to rising demand. In collaboration with NHS England’s national ADHD data improvement plan, we are developing future growth forecasts to support improved demand planning. These forecasts will be shared with industry to help ensure a more responsive and sustainable supply of ADHD medicines. We continue to work closely with the supplier of Concerta XL tablets to help ensure a stable and increased supply for the United Kingdom’s market. To further strengthen supply chain resilience, we are also engaging with new suppliers to expand the UK supplier base for generic bioequivalents of Concerta XL. This approach will help improve the availability and reduce the risk of future shortages for patients across the UK. The Department also maintains and regularly updates a list of currently available and unavailable ADHD products on the Specialist Pharmacy Service website. This resource supports prescribers and dispensers in making informed decisions with patients. The list is available at the following link: www.sps.nhs.uk/articles/prescribing-available-medicines-to-treat-adhd

What his planned timeline is for the restoration of a (a) normal and (b) stable supply of Concerta XL; and what contingency measures his Department is putting in place until then.

The Department can confirm that the supply disruptions affecting various strengths of Concerta XL, generic name methylphenidate, tablets have now been fully resolved. We continue to support the NHS England’s attention deficit hyperactivity disorder (ADHD) taskforce, which brings together expertise from the National Health Service, education, and justice sectors to coordinate a system-wide response to rising demand. In collaboration with NHS England’s national ADHD data improvement plan, we are developing future growth forecasts to support improved demand planning. These forecasts will be shared with industry to help ensure a more responsive and sustainable supply of ADHD medicines. We continue to work closely with the supplier of Concerta XL tablets to help ensure a stable and increased supply for the United Kingdom’s market. To further strengthen supply chain resilience, we are also engaging with new suppliers to expand the UK supplier base for generic bioequivalents of Concerta XL. This approach will help improve the availability and reduce the risk of future shortages for patients across the UK. The Department also maintains and regularly updates a list of currently available and unavailable ADHD products on the Specialist Pharmacy Service website. This resource supports prescribers and dispensers in making informed decisions with patients. The list is available at the following link: www.sps.nhs.uk/articles/prescribing-available-medicines-to-treat-adhd

Communities and Local Government, what assessment she has made of the potential impact of the Help to Buy scheme on low income, first time buyers.

The Help to Buy Scheme was closed in May 2023. An evaluation into the impact of the scheme is ongoing.

What steps her Department is taking to support young people into sustained employment after education.

As part of our plan to Get Britain Working, we are launching a new Youth Guarantee for all young people aged 18-21 in England to ensure that they can access quality training opportunities, an apprenticeship or help to find work. The Department for Work and Pensions and the Department for Education are working closely with the eight Mayoral Strategic Authorities in England which began mobilising the Youth Guarantee Trailblazers in April 2025. The eight areas delivering Trailblazers are: the West of England, Tees Valley, East Midlands, Cambridgeshire and Peterborough, Liverpool City Region, West Midlands and two areas within the Greater London Authority. The trailblazers will run for 12 months, and we will use the learning to inform the future design and development of the Youth Guarantee as it rolls-out across the rest of England. This is part of a broader package of reforms, including introduction of a new jobs and careers service to help get more people into work, the development of work, health and skills plans for the economically inactive, and the launch of Skills England to open up new opportunities for young people. We will work in partnership with organisations and businesses at the national and local level to offer exciting and engaging opportunities to young people. This could include work experience, training courses or employability programmes. In addition, DWP provides young people aged 16-24 with labour market support through an extensive range of interventions at a national and local level. This includes flexible provision driven by local need, nationwide employment programmes and support delivered by work coaches based in our Jobcentres and in local communities working alongside partners. At Jobcentres, young people receive tailored support from youth work coaches. Those facing multiple barriers to employment are assisted by a Youth Employability Coach.

What assessment she has made of the potential impact of the upcoming rise in undergraduate tuition fees on the take up of university courses by students from deprived backgrounds.

In January 2025, the government published an Equality Impact Assessment of the impact of changes to fee limits and student support for the 2025/26 academic year on undergraduate students with protected characteristics and disadvantaged students. This is available here: https://www.legislation.gov.uk/ukia/2025/41/pdfs/ukia_20250041_en.pdf.The department does not believe that the increase in tuition fee limits by forecast RPIX inflation of 3.1% for the 2025/26 academic year will significantly alter participation decisions for most students, as the value of tuition fees will remain unchanged in real terms and the corresponding increase in upfront tuition fee loans for the 2026/26 academic year will ensure that higher education remains free at the point of access for students eligible for support.

What assessment she has made of trends in the number of university graduates currently in non-graduate roles; and what assessment she has made of the adequacy of careers service support in assisting graduates in accessing graduate roles.

The department has not undertaken any specific assessment of trends of graduates in non-graduate roles. However, the Office for National Statistics have previously released data on numbers of graduates in non-graduate roles using one particular definition of graduate roles supplied by the Institute for Employment Research. The releases are for 2021 to 2022 and 2012 to 2020, and they show that the percentage of graduates in non-graduate roles has dropped from 37.2% in 2012 to 36.0% in 2020. The full 2021 to 2022 release is available here: https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/employmentandemployeetypes/adhocs/1450onslocalgraduatesandnongraduatesemployedingraduateandnongraduaterolesnumbersandproportionsforukcountriesandregions2021and2022.The full 2012 to 2020 release is available here: https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/employmentandemployeetypes/adhocs/13929employedgraduatesinnongraduaterolesincityregions2012to2020.While most universities provide graduate careers support, the National Careers Service complements this by offering personalised, accessible and impartial advice to all adults, including recent graduates.Careers service support should assist graduates in accessing graduate roles, ensuring that they contribute to the economy and society through the skills that they acquire. The department knows from Skills England’s September 2024 report ‘Driving Growth and Widening Opportunities’ that many of England’s businesses are dependent on graduate skills.

Food and Rural Affairs, what steps his Department is taking to consult young people in the development of (a) environmental policy and (b) climate-related decision-making.

This Government recognises that young people are at the heart of environmental and climate-related decision making and actively considers their views and needs. This year, Defra collaborated with the Department for Education, Policy Lab and environmental NGOs to invite young people and representative groups to participate in an online ‘Collective Intelligence’ debate to inform our review of the government’s Environmental Improvement Plan. Defra also works closely with the Department for Energy Security and Net Zero, who will publish a net zero Public Participation Strategy later this year which will set out how we will empower individuals and communities to take action, whilst ensuring that policies are designed in a way that is responsive to people’s needs, including young people. As the lead Government department for climate adaptation, we are currently developing our approach to the next National Adaptation Programme. This includes how we will engage with wider society, including with young people, about building resilience to the climate change impacts we are already experiencing. At the international level. Defra financed the participation of two UK members of the Global Youth Biodiversity Network at COP16 in Cali Colombia in October 2024. At COP29 in 2024, we were the first national government to endorse the Universal Youth Clause in Nationally Determined Contributions (NDCs).

What steps her Department is taking to ensure that (a) support and (b) care workers who work with children and young people with SEN have access to adequate training before starting their roles.

The training that care and support workers receive before working with children and young people with special educational needs and disabilities (SEND) will depend on who employs the worker, and the purpose for which they are employed. If workers are supporting children with specific medical conditions, the following guidance explains how staff should be supported and trained in line with this guidance: https://assets.publishing.service.gov.uk/media/5ce6a72e40f0b620a103bd53/supporting-pupils-at-school-with-medical-conditions.pdfFor social workers, Social Work England is the regulator for the social work profession in England. It sets the professional standards that all social workers must meet throughout their careers. These standards include promoting the rights, strengths, and wellbeing of individuals, families, and communities, including those with SEND.The department has recently consulted on new Post Qualifying Standards, which give greater clarity on the knowledge and skills expected of child and family social workers, including in relation to children with SEND.

What steps she is taking to help reduce waiting times for driving tests for first-time applicants aged under 25 in Mid Cheshire constituency.

The Driver and Vehicle Standards Agency’s (DVSA) main priority is upholding road safety standards while it works hard to reduce car practical driving test waiting times. On the 23 April, the Secretary of State for Transport appeared before the Transport Select Committee and announced that DVSA will take further actions to reduce waiting times for all customers across Great Britain. Further information on these actions and progress of DVSA’s plan to reduce driving test waiting times, which was announced in December 2024, can be found on GOV.UK. DVSA continues with recruitment at driving test centres (DTCs) that serve customers in Mid Cheshire. From recent recruitment campaigns, DVSA has had four new entrant driving examiners (DE), which allow more deployments into Northwich DTC. A current recruitment campaign is ongoing and will close later this month. DVSA is committed to providing its customers, including those in rural areas, with the best service possible. DVSA continually reviews its estate to ensure it represents good value for money and is efficient. The Department for Transport (DfT), or any of its agencies, has no mechanism for providing financial support to help young people, including those in rural areas, with the cost of learning to drive. DVSA does not employ driving instructors and so has no power or control over what they charge for their services, including lessons.

What steps her Department is taking to help improve public transport access to sports stadia for young people.

The government knows that public transport is vital to keeping communities connected, and able to access venues including sports stadia. The government introduced the Bus Services (No.2) Bill on 17 December to put the power over local bus services back into the hands of local leaders. In addition, the government has confirmed £955 million for the 2025 to 2026 financial year to support and improve bus services in England outside London. Cheshire East Council and Cheshire West and Chester Council have been allocated £5.4 million and £5.8 million of this funding respectively. This funding can be used in whichever way local authorities wish to improve services for passengers, including improving bus services connecting sports stadia. Rail services are supported by requirements on train operators to plan services and design timetables to meet both current and future passenger demand, while also ensuring value for money for the taxpayer. The government commitment to public ownership through Great British Railways will also help to deliver a unified system that focuses on reliable, affordable, high-quality, and efficient transport services, whilst also ensuring safety and accessibility. Under public ownership, passenger services can be operated in the interests of passengers, not shareholders, including by helping to improve access to sports stadia.

If she will make an assessment of the potential merits of introducing a financial support scheme to help young people in rural areas with the cost of learning to drive.

The Driver and Vehicle Standards Agency’s (DVSA) main priority is upholding road safety standards while it works hard to reduce car practical driving test waiting times. On the 23 April, the Secretary of State for Transport appeared before the Transport Select Committee and announced that DVSA will take further actions to reduce waiting times for all customers across Great Britain. Further information on these actions and progress of DVSA’s plan to reduce driving test waiting times, which was announced in December 2024, can be found on GOV.UK. DVSA continues with recruitment at driving test centres (DTCs) that serve customers in Mid Cheshire. From recent recruitment campaigns, DVSA has had four new entrant driving examiners (DE), which allow more deployments into Northwich DTC. A current recruitment campaign is ongoing and will close later this month. DVSA is committed to providing its customers, including those in rural areas, with the best service possible. DVSA continually reviews its estate to ensure it represents good value for money and is efficient. The Department for Transport (DfT), or any of its agencies, has no mechanism for providing financial support to help young people, including those in rural areas, with the cost of learning to drive. DVSA does not employ driving instructors and so has no power or control over what they charge for their services, including lessons.

What steps her Department is taking to improve access to driving tests for young people in Mid Cheshire constituency, in the context of levels of (a) waiting times and (b) local availability.

The Driver and Vehicle Standards Agency’s (DVSA) main priority is upholding road safety standards while it works hard to reduce car practical driving test waiting times. On the 23 April, the Secretary of State for Transport appeared before the Transport Select Committee and announced that DVSA will take further actions to reduce waiting times for all customers across Great Britain. Further information on these actions and progress of DVSA’s plan to reduce driving test waiting times, which was announced in December 2024, can be found on GOV.UK. DVSA continues with recruitment at driving test centres (DTCs) that serve customers in Mid Cheshire. From recent recruitment campaigns, DVSA has had four new entrant driving examiners (DE), which allow more deployments into Northwich DTC. A current recruitment campaign is ongoing and will close later this month. DVSA is committed to providing its customers, including those in rural areas, with the best service possible. DVSA continually reviews its estate to ensure it represents good value for money and is efficient. The Department for Transport (DfT), or any of its agencies, has no mechanism for providing financial support to help young people, including those in rural areas, with the cost of learning to drive. DVSA does not employ driving instructors and so has no power or control over what they charge for their services, including lessons.