Written questions by Snowden.

If he will make an assessment of the adequacy of communications in issuing heat alerts.

The UK Health Security Agency (UKHSA) operates a Weather Health Alerting (WHA) system in partnership with the Met Office, as part of its Adverse Weather and Health Plan (AWHP) for the health and social care sector. The UKHSA publishes annual reports which contain an assessment of the AWHP’s performance, including communication. The UKHSA collaborates with academic partners to assess how communications are received, and how guidance is utilised. The WHA system has approximately 35,000 subscribers. The UKHSA undertakes communication activity with the Met Office to ensure that the health system and the public are aware of periods of hot weather, the health risks of heat, and what action they should take. The UKHSA issues proactive communications for the first Heat Health Alert of any summer, and whenever an amber or red alert is issued.

What steps his Department is taking to help support the work of the Commonwealth War Graves Commission.

As set out in the Commonwealth War Graves Commission’s (CWGC) Royal Charter, the six member countries contribute to the funding of the Commission in proportion to the number of graves maintained for each nation’s Armed Forces. The United Kingdom is the largest contributor, paying 79% of the Commission’s budget via quarterly payments. For this year, that equates to a UK contribution of £59 million. Given the scale of the UK contribution, the Secretary of State for Defence is the Chair of the CWGC. Additionally, the Defence Services Secretary represents Defence at the quarterly CWGC Commissioners’ meetings and the regular finance meetings where budgets are agreed and expenditure monitored. The Department for Digital, Culture, Media and Sport (DCMS) also work closely with the CWGC on selected commemorative events. Alongside this year’s landmark VE Day 80 and VJ Day 80 anniversaries, DCMS are leading Government assistance to the CWGC’s delivery of the ‘For Evermore Tour’, a programme of over 250 mobile exhibitions and events across the UK and at key global commemorative sites, to honour and share the stories of those who served in the Second World War. Questions related to that specific assistance should be addressed to DCMS.

What support is available to ensure that children with Down syndrome receive (a) inclusive and (b) appropriate education in mainstream schools in (i) Fylde constituency and (ii) Lancashire.

Improving inclusivity and expertise in mainstream schools is a key part of our ambition to ensure that all children and young people receive the support they need, in the most appropriate setting.High-quality teaching is central to ensuring that all pupils, including those with Down’s Syndrome or other types of special educational needs and disabilities (SEND), are given the best possible opportunity to achieve. To support all teachers, the department is implementing a range of teacher training reforms to ensure teachers have the skills to support all pupils to succeed.On 1 September 2024, the government introduced a new mandatory leadership level qualification for special educational needs co-ordinators (SENCOs) in mainstream schools. The qualification will play a key role in improving outcomes for pupils with SEND, including Down’s Syndrome, by ensuring SENCOs consistently receive high-quality, evidence-based training on how best to support children with SEND.We are also strengthening the evidence base of what works to improve inclusive practice in mainstream settings. We have commissioned evidence reviews from Newcastle University and University College London. These will help to drive inclusive practices by highlighting what the best available evidence suggests are the most effective tools, strategies and approaches for teachers and other relevant staff in mainstream settings to identify and support children and young people with different types of needs.

What support his Department is providing to people with Alzheimer's disease in (a) Fylde constituency and (b) Lancashire.

The provision of dementia health care services is the responsibility of local integrated care boards (ICBs). We would expect ICBs to commission services based on local population needs, taking account of the National Institute for Health and Care Excellence’s guidelines.A review of the currently commissioned dementia post diagnostic support service for Lancashire and South Cumbria took place in 2023/24. The outcome of the review was a newly designed service specification, ensuring a consistent service model for all individuals who receive a diagnosis of dementia and who are currently living with dementia, and their carers, from point of diagnosis to end of life.Under this new service, individuals will be systematically referred upon diagnosis into a post diagnostic support service and will then be contacted by a named dementia navigator who will be the contact for the individual throughout their journey with dementia.Additionally, the Government’s 10-Year Health Plan will address the challenges diagnosed by Lord Darzi and will set the vision for what good joined-up care looks like for people with a combination of complex health and care needs. It will set out how we support and enable health and social care services to work together better to provide that joined-up care.

What recent steps his Department has taken to improve early diagnosis and support for children born with Down syndrome in (a) Fylde constituency and (b) Lancashire.

Pregnant people will be offered a screening test for Down syndrome between 10 and 14 weeks of pregnancy. If the screening test shows that the chance of the baby having Down syndrome is higher than one in 150, this is called a higher-chance result. People who receive a higher-chance result can decide to:not have any further testing;have a second screening test called a non-invasive prenatal testing, which is a blood test that can give a more accurate screening result, and can help people to decide whether to have a diagnostic test or not; andhave a diagnostic test, such as amniocentesis or chorionic villus sampling straight away, which tells people for certain whether or not their baby has Down syndrome, but in rare cases can cause a miscarriage.We are taking action to improve access to services for people with Down syndrome and to raise awareness and understanding of their needs through implementation of the Down Syndrome Act 2022. The act requires my Rt Hon. Friend, the Secretary of State for Health and Social Care to give statutory guidance to the relevant authorities regarding the appropriate actions they should be taking to support the needs of people with Down syndrome.We are taking forward the development of the statutory guidance as a priority and expect to publish it for public consultation this autumn. The guidance will help to clarify the help and services people with Down syndrome can expect to receive. The draft guidance will set out the process for diagnosing Down syndrome, and the support that health services should provide to a parent carrying a baby with Down syndrome.The draft guidance will also raise awareness of the needs of children with Down syndrome in relation to health, social care, and education, and will set out practical steps that organisations should take to meet these needs.

What steps he is taking to help tackle (a) stigma and (b) discrimination against people with Down syndrome.

The Government is committed to championing the rights of disabled people, including people with Down syndrome. We are taking action to break down barriers to opportunity for people with Down syndrome and to raise awareness and understanding of their needs through the implementation of the Down Syndrome Act 2022. The act requires my Rt Hon. Friend, the Secretary of State for Health and Social Care to give statutory guidance to the relevant authorities regarding the appropriate actions they should be taking to support the needs of people with Down syndrome.We are taking forward the development of the draft statutory guidance as a priority and expect to publish it for public consultation this autumn. The draft guidance will set out the existing protection from discrimination for disabled people under the Equality Act, which applies to people with Down syndrome.Under the Health and Care Act 2022, from 1 July 2022, Care Quality Commission registered providers are required to ensure their staff receive specific training on learning disability and autism appropriate to their role. This will help to ensure that staff have the right knowledge and skills to provide safe and informed care. We have published a Code of Practice to guide providers on how to meet this requirement.

Food and Rural Affairs, what steps his Department is taking to raise public awareness of the dangers of leaving dogs in hot cars during warm weather.

The Government maintains a Code of Practice for the Welfare of Dogs which can be found here: Code of practice for the welfare of dogs. The Code summarises important information owners and keepers should consider when caring for their dogs. This includes advice on preventing dogs suffering from heat stress in cars and other enclosed areas on warm days.

Food and Rural Affairs, what guidance his Department issues to police forces on intervening when dogs are reported to be in distress in locked vehicles during hot weather.

Under the Animal Welfare Act 2006 (the Act) police officers and local authority inspectors have broad powers to intervene where an animal is in distress, including where they are enclosed in vehicles during hot weather. The powers are explained in the Act and its Explanatory Note.

What information her Department holds on when the Legal Aid Agency's online services will be restored following the cyber attack on 23 April 2025.

This is an unprecedented event involving sophisticated organised crime. It is an evolving situation and every effort is being made to restore systems following the criminal attack on our services. The Legal Aid Agency’s (LAA) digital services have been taken offline to negate the serious criminal threat and prevent further exposure of legal aid providers and users. We will not reopen the system until the appropriate steps have been taken to enable us to do so. We have been able to return some to internal use, enabling an improved ability to support criminal legal aid applications and payments. The Government are committed to ensuring that operational delivery of legal aid continues. We have put in place business contingency plans to ensure that those most in need of legal support can continue to access the help that they need and that those providing vital legal services can be confident they will continue to receive payments whilst systems are offline. In this way we are continuing to provide legal aid to those who need in without interruption. The recent data breach is the result of heinous criminal activity, but it was enabled by the fragility of the LAA’s IT systems as a result of the long years of underinvestment under the last Conservative Government. By contrast, since taking power this Government has prioritised work to reverse the damage of over a decade of under-investment. That includes the allocation of over £20 million in extra funding this year to stabilise and transform the Legal Aid Agency digital services. This investment will make the system more robust and resilient in the face of similar cyber-attacks in future.

If she will review sentencing guidelines for animal cruelty offences in connection with (a) confining an animal in a hot vehicle and (b) other cases of causing unnecessary suffering to animals.

Sentencing guidelines are developed and reviewed by the Sentencing Council for England and Wales, in fulfilment of its statutory duty to do so.In July 2023, the Council issued guidelines on animal cruelty, which provide the Court with guidance on factors that should be considered, which may affect the sentence given. They set out different levels of sentence based on the harm caused and how culpable the offender is. This is available on its website at: https://www.sentencingcouncil.org.uk/offences/crown-court/item/animal-cruelty/.Whilst the Government has no current plans to ask the Council to consider reviewing the animal cruelty guidelines, it is open to individuals to approach the Council to ask that they do so.

What steps his Department is taking to improve access to effective (a) treatment and (b) support for people experiencing chronic insomnia in (i) Fylde and (ii) Lancashire.

It is for the NHS Lancashire and South Cumbria Integrated Care Board to decide what treatments and support for insomnia are offered to its local population, including people living in Fylde. NHS Talking Therapies for anxiety and depression offers low-intensity therapy, including cognitive behavioural therapy (CBT), which may include interventions around sleep hygiene. Individuals who are experiencing symptoms of anxiety and/or depression can be referred by their general practitioner, or can self-refer to NHS Talking Therapies via the following link: https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/talking-therapies-and-counselling/nhs-talking-therapies/ Individuals can also access helpful resources on sleep problems on the Every Mind Matters website, at the following link: https://www.nhs.uk/every-mind-matters/mental-health-issues/sleep/ In addition, the National Institute for Health and Care Excellence’s Prioritisation Board has agreed to prioritise digital technologies that deliver CBT interventions for insomnia and insomnia symptoms as a topic for the development of HealthTech guidance.

What recent assessment his Department has made of trends in the level of demand for adult ADHD assessments in (a) Fylde constituency and (b) Lancashire.

Lord Darzi’s independent review of the National Health Service, published September 2024, highlighted that demand for assessments for attention deficit hyperactivity disorder (ADHD) has grown significantly in recent years and that there are severe delays for accessing ADHD assessments.For the first time, NHS England published management information on ADHD waits at a national level on 29 May 2025 as part of its ADHD data improvement plan, which has also released technical guidance to integrated care boards (ICBs) to improve the recording of ADHD data, with a view to improving the quality of ADHD waits data and publishing more localised data in future. NHS England has also captured examples from ICBs who are trialling innovative ways of delivering ADHD services and is using this information to support systems to tackle ADHD waiting lists and provide support to address people’s needs.NHS England has established an ADHD taskforce which is bringing together those with lived experience with experts from the NHS, education, charity, and justice sectors to get a better understanding of the challenges affecting those with ADHD, including in accessing services and support. An interim report was published on 20 June, with the final report expected in the summer.

If he will make an assessment of the potential merits of amending the Armed Forces Compensation Scheme to include chronic primary pain as a compensable condition.

Under the Armed Forces Compensation Scheme, pain and suffering are already included in awards for all conditions, the aim being a holistic approach to compensation. How chronic pain could be better addressed under the Scheme is currently being considered by the Independent Medical Expert Group (IMEG) as part of their Forward Work Programme.

Pursuant to the Answer of 18 June 2025 to Question 59059 on Carer's Allowance, whether her Department has made a comparative assessment of Carer's Allowance with equivalent support mechanisms provided to unpaid carers in other OECD countries.

DWP monitors the operation of Carer’s Allowance (CA) and keeps the benefit under continual review to see if it is meetings its objectives, which are to provide a measure of financial support and recognition for people who are not able to work full time because of their caring responsibilities. We will continue to spend record amounts on CA to provide unpaid carers with the help and support they need and deserve, with CA being uprated each year by the Consumer Price Index to help ensure it maintains its value. As set out in my answer to PQW/24-25/2025/54424, it is important to remember that unpaid carers can also receive means-tested benefits which contain additional amounts specifically to recognise the extra costs and responsibilities of being an unpaid carer. Making international comparisons of benefits and other support is far from straightforward. There are a range of support measures introduced by national governments where caring is taking place. Sometimes their primary objective is to provide financial support for the older or disabled person to help meet the additional costs of needing care and are typically accessed through an assessment of the amount of help required by the disabled or older person. They are also frequently paid to the person receiving care, on the assumption that they will then pass them on to a family caregiver of their choice, sometimes with no formal requirement of how it should be used.Many national schemes are funded through social health or protection insurance payments and the carer’s access to any support is often entirely dependent on the insurance entitlement of the individual or person receiving care. In other instances, ‘cash for care’ measures are aimed at offering consumer-style choice to older and disabled people. In such instances, benefitting carers, if at all, is a secondary aim. In both instances these measures differ widely in terms of target group, eligibility criteria, interactions with formal care service, payment levels and whether they are means-tested. Their impact on carers also varies, depending on local labour markets, the availability of formal long-term care services, and social attitudes towards the roles of families in caring for older and disabled people. Australia and Ireland have schemes which are most similar to the UK system in that they offer support directly to carers, but very importantly they are means tested, unlike CA. We have no current plans to commission specific research into the adequacy of CA or its detailed impacts.

Pursuant to the Answer of 18 June 2025 to Question 59059 on Carer's Allowance, whether her Department has (a) conducted and (b) commissioned research into the potential impact of the level of Carer’s Allowance on carers’ (i) mental health, (ii) financial stability and (iii) ability to access respite.

DWP monitors the operation of Carer’s Allowance (CA) and keeps the benefit under continual review to see if it is meetings its objectives, which are to provide a measure of financial support and recognition for people who are not able to work full time because of their caring responsibilities. We will continue to spend record amounts on CA to provide unpaid carers with the help and support they need and deserve, with CA being uprated each year by the Consumer Price Index to help ensure it maintains its value. As set out in my answer to PQW/24-25/2025/54424, it is important to remember that unpaid carers can also receive means-tested benefits which contain additional amounts specifically to recognise the extra costs and responsibilities of being an unpaid carer. Making international comparisons of benefits and other support is far from straightforward. There are a range of support measures introduced by national governments where caring is taking place. Sometimes their primary objective is to provide financial support for the older or disabled person to help meet the additional costs of needing care and are typically accessed through an assessment of the amount of help required by the disabled or older person. They are also frequently paid to the person receiving care, on the assumption that they will then pass them on to a family caregiver of their choice, sometimes with no formal requirement of how it should be used.Many national schemes are funded through social health or protection insurance payments and the carer’s access to any support is often entirely dependent on the insurance entitlement of the individual or person receiving care. In other instances, ‘cash for care’ measures are aimed at offering consumer-style choice to older and disabled people. In such instances, benefitting carers, if at all, is a secondary aim. In both instances these measures differ widely in terms of target group, eligibility criteria, interactions with formal care service, payment levels and whether they are means-tested. Their impact on carers also varies, depending on local labour markets, the availability of formal long-term care services, and social attitudes towards the roles of families in caring for older and disabled people. Australia and Ireland have schemes which are most similar to the UK system in that they offer support directly to carers, but very importantly they are means tested, unlike CA. We have no current plans to commission specific research into the adequacy of CA or its detailed impacts.

Whether her Department plans to provide training in (a) military and (b) trauma-informed care to Personal Independence Payment assessors working with veterans in Fylde.

Personal Independence Payment (PIP) assessments are not medical consultations and do not require Health Professionals (HPs) to diagnose conditions or recommend treatment. Instead, they are functional assessments designed to evaluate how an individual’s health conditions or impairments affect their ability to carry out daily living activities. HPs conducting PIP assessments are trained specialists in disability analysis. Their focus is on understanding the functional impact of a claimant’s condition, rather than its clinical diagnosis. All HPs receive specific training on assessing the effects of mental health conditions and are supported by Mental Health Function Champions (MHFCs). MHFCs are experienced professionals with relevant expertise in mental health, cognitive, developmental, and learning disabilities. They are available to provide advice and support throughout the assessment process. Additionally, HPs have access to Condition Insight Reports and Continuing Professional Development guides. These resources offer detailed clinical and functional information on a range of conditions, including Post-Traumatic Stress Disorder, to support HPs in delivering informed assessments.

How many prosecutions have been brought under the Animal Welfare Act 2006 in the last three years for incidents involving dogs left in dangerously hot vehicles.

The Ministry of Justice publishes data on the number of prosecutions under the Animal Welfare Act 2006 at criminal courts in England and Wales in the Outcomes by Offences data tool, that can be downloaded from the Criminal Justice Statistics landing page here: Criminal Justice Statistics. However, data held centrally does not include information on whether defendants were prosecuted for offences related to “incidents involving dogs left in dangerously hot vehicles”. This information may be held in court records but to examine individual court records would be of disproportionate costs.

Whether her Department had discussions with veterans' organisations in (a) Fylde and (b) Lancashire on the unique needs of veterans during the development of her proposed welfare reforms.

We welcome the views of veterans and representative organisations. The Pathways to Work consultation invites people to share their views on the proposals set out in the Green Paper. We would encourage organisations supporting and representing veterans, from across the United Kingdom, to respond to the consultation setting out their thoughts and views on how wounded, injured and sick veterans can best be supported. To further facilitate input, we held a specific consultation event for Armed Forces and veterans’ organisations to hear their experiences and thoughts directly. As we develop proposals further, we will continue to consider the impacts of changes, including on veterans, as part of our wider consideration of responses to the Green Paper consultation. We are also providing detailed briefings on the proposals to Ministry of Defence (MoD) and Office for Veterans' Affairs (OVA). Once we have completed the consultation we will be building up to a White Paper, and we will continue to engage with MoD and the OVA.

Pursuant to the Answer of 18 June 2025 to Question 59059 on Carer's Allowance, what (a) metrics and (b) criteria her Department uses to assess the adequacy of Carer’s Allowance in meeting carers' financial needs.

DWP monitors the operation of Carer’s Allowance (CA) and keeps the benefit under continual review to see if it is meetings its objectives, which are to provide a measure of financial support and recognition for people who are not able to work full time because of their caring responsibilities. We will continue to spend record amounts on CA to provide unpaid carers with the help and support they need and deserve, with CA being uprated each year by the Consumer Price Index to help ensure it maintains its value. As set out in my answer to PQW/24-25/2025/54424, it is important to remember that unpaid carers can also receive means-tested benefits which contain additional amounts specifically to recognise the extra costs and responsibilities of being an unpaid carer. Making international comparisons of benefits and other support is far from straightforward. There are a range of support measures introduced by national governments where caring is taking place. Sometimes their primary objective is to provide financial support for the older or disabled person to help meet the additional costs of needing care and are typically accessed through an assessment of the amount of help required by the disabled or older person. They are also frequently paid to the person receiving care, on the assumption that they will then pass them on to a family caregiver of their choice, sometimes with no formal requirement of how it should be used.Many national schemes are funded through social health or protection insurance payments and the carer’s access to any support is often entirely dependent on the insurance entitlement of the individual or person receiving care. In other instances, ‘cash for care’ measures are aimed at offering consumer-style choice to older and disabled people. In such instances, benefitting carers, if at all, is a secondary aim. In both instances these measures differ widely in terms of target group, eligibility criteria, interactions with formal care service, payment levels and whether they are means-tested. Their impact on carers also varies, depending on local labour markets, the availability of formal long-term care services, and social attitudes towards the roles of families in caring for older and disabled people. Australia and Ireland have schemes which are most similar to the UK system in that they offer support directly to carers, but very importantly they are means tested, unlike CA. We have no current plans to commission specific research into the adequacy of CA or its detailed impacts.

Food and Rural Affairs, what (a) funding and (b) other support his Department gives to seasonal campaigns run by (i) the RSPCA, (ii) the Dogs Trust and (iii) other campaigning organisations to highlight the risks of leaving pets in hot vehicles.

The Government greatly appreciates the work undertaken by the nation’s animal welfare organisations to highlight the risks associated with leaving pets in hot vehicles. The Government regularly engages with animal welfare organisations to discuss their campaigns but does not provide funds.