Written questions by Spencer.

Food and Rural Affairs, what metrics are in place to (a) monitor and (b) enforce the timely response of the Environment Agency to reports of (i) waterway obstructions, (ii) lack of waterway maintenance and (iii) damaged or broken assets.

The Environment Agency (EA) is accountable to Parliament via the Secretary of State for Environment, Food and Rural Affairs (Defra). As the principal sponsor of the EA, Defra works closely with EA officials at every level to provide constructive challenge and support on EA performance and delivery. Defra ministers regularly meet with the EA leadership to discuss the EA’s performance and delivery of departmental priorities. The EA has powers to undertake maintenance on main rivers. Where the EA undertakes watercourse maintenance to reduce flood risk, it focuses its efforts and resources on those areas where the consequences of flooding for communities, businesses, property and infrastructure are greatest. The EA measures, and reports on, the percentage of assets that are at target condition. Where assets are not at required condition, this identifies that work is needed. It does not present a risk of failure, or compromise performance in a flood, because mitigation measures are put in place such as more frequent inspections by the EA.

If she will make a comparative estimate of the potential reduction in local noise pollution on the M25 in Runnymede and Weybridge constituency by (a) repairing the sections of concrete motorway and (b) replacing the concrete with another road surface.

National Highways has already undertaken trials to monitor the noise generated by concrete road surfaces following surface treatments (including Next Generation Concrete Surfacing) and the noise generated by other types of road surface. The outcome of the trials indicated that using low noise surface material versus Next Generation Concrete Surfacing does not result in a materially different amount of noise. Due to the cost and disruption, replacing the existing sections of concrete road surface in the Runnymede and Weybridge constituency with a low-noise material is not being pursued until it is required (predicted to be after 2040). However, Next Generation Concrete Surfacing will be undertaken across the M25 from 2026 to 2039.

If she will make an assessment of the potential impact on (a) local traffic and (b) air pollution of a direct rail link from Egham to Heathrow.

A direct rail link from Egham to Heathrow is not currently being developed by the Department for Transport. Heathrow Southern Rail Ltd (HSRL) is developing proposals for a southern rail link to the airport, and I would expect impacts on local traffic and air quality to be assessed as part of their work.

If she will rebuild the Magna Carta School in Egham.

Magna Carta was announced as part of the school rebuilding programme in February 2024. The department remains committed to rebuild or refurbish all schools within the programme and we can confirm that early planning work for Magna Carta has started.

How many and what proportion of (a) named day and (b) ordinary written parliamentary questions were answered within the response deadline by (i) Department and (ii) month since 4 July 2024.

Data on response times to written parliamentary questions (PQs) is held by the House, not the government. PQs are an important part of the scrutiny of government and we are committed to ensuring that Members receive full and timely responses. In May 2024, the Procedure Committee published its report regarding Departmental performance in responding to Written Parliamentary Questions (PQs) in the 2022-23 Parliamentary Session (available at:https://publications.parliament.uk/pa/cm5804/cmselect/cmproced/676/report.html). The government has recently shared its response with the Committee and recognised that there is room for improvement upon the record of the previous government. I have written to all Members of Cabinet to ask that departments and Ministers consider how performance can be improved in this Parliament.The Procedure Committee monitors departmental PQ performance and their sessional reporting continues to be an effective tool. I look forward to working with the Committee on this.

What recent progress his Department has made on building a new healthcare facility to replace Weybridge Community Hospital.

Since the fire at Weybridge Community Hospital in 2017, the NHS Surrey Heartlands Integrated Care Board (ICB) has been working on plans to develop a replacement health centre. The planning application is due to be submitted shortly, following a public consultation to be held this month. Pending the approval of the planning application, the ICB will then submit a business case seeking approval for the funding for the new facility, which will be delivered by NHS Property Services. As with all schemes, this will need to be considered alongside other capital investment priorities, in the light of the forthcoming Spending Review.

Food and Rural Affairs, if he will take enforcement action against Thames Water in response to sewer flooding in the Runnymede and Weybridge Constituency.

The Environment Agency (EA) assesses all incident reports and responds to those which pose the greatest risk to the environment. The EA has received one recent report of sewer flooding in the Runnymede and Weybridge Constituency (since 1 September 2024). This related to the hydraulic overload of Thames Water’s sewer network and was assessed as having a low impact on the environment. The EA has no plans for enforcement action relating to this incident in line with its Enforcement & Sanctions Policy. This policy has been in place since December 2023. The current Government is examining ways to strengthen these powers.

Food and Rural Affairs, what assessment he has made of the effectiveness of the Environment Agency's (a) actions and (b) policies in managing flood risk from watercourse in riparian ownership.

Under the Flood and Water Management Act 2010, the Environment Agency (EA) has a strategic overview of the management of all sources of flooding and coastal change and are the lead authority for managing the risk of flooding from main rivers, estuaries and the sea. Landowners are responsible, under common law, for maintaining the bed and banks of any watercourses that run through their land in a state which avoids flooding on their neighbours’ or other land. This common law duty also extends to keeping watercourses and culverts clear of anything that could cause an obstruction, either on their own land or downstream if it is washed away. The EA has published guidance on owning a watercourse on GOV.UK, and has supplemented their riparian guidance with Your Watercourse: rights and roles to help Risk Management Authorities, EA staff, and landowners have more effective conversations on this matter.

If she will make an assessment of the adequacy of lift (a) availability and (b) maintenance and repair at train stations.

This is an operational matter for Network Rail and the train operating companies. Lifts should be available whenever passengers need them, however, there have been many occasions where this has not been the case. Network Rail has been aware of lift and escalator performance issues and established an improvement strategy in October 2023. In March 2024, the independent regulator, the Office of Rail and Road carried out a review into lift performance, which reinforced the need to deliver the national improvement strategy. Since then, Network Rail has implemented new contracts, invested in strategic spares across the country and reviewed the operating model for delivering lift and escalator asset management.

Food and Rural Affairs, what assessment he has made of the potential merits of extending the provisions of Flood:Re beyond 2039.

Flood Re is a flood re-insurance scheme that aims to ensure UK householders living in properties at high risk of flooding can access affordable home insurance. The scheme is due to end in 2039, at which point the aim is for the market to offer affordable risk-reflective pricing of flood insurance for households. Flood Re have a statutory purpose to manage the transition to risk-reflective pricing of flood insurance for household premises between 2016 and 2039. Flood Re published their most recent Transition Plan in July 2023, outlining its progress and action on moving to affordable risk-reflective pricing by 2039 this summer. Flood Re’s next Transition plan (Transition Plan 4) will be published in summer 2028.

Food and Rural Affairs, whether he plans to introduce flood performance certificates.

Protecting communities from flooding is a key priority for this Government. Flood Re is a UK-wide, Government and industry led flood re-insurance scheme which aims to promote the affordability and availability of insurance for UK households at high flood risk. It is also required to manage the transition to risk-reflective pricing of flood insurance for household premises, ahead of the scheme closure in 2039. In their 2023 Transition Plan, Flood Re have committed to bring to the market a 'Flood Performance Certificate' which will enable assessments to be undertaken of property-level resilience to flooding. Whilst there is no statutory requirement for ministers to comment or respond to the published transition plans, the Government continues to work closely with Flood Re on the transition to risk reflective pricing for household insurance.

Food and Rural Affairs, how many enforcement actions relating to flood risk prevention were taken by the Environment Agency in each constituency in 2023.

The Environment Agency (EA) regulate works in rivers through a permissions-based approach under the Environmental Permitting Regulations. These are referred to as “flood risk activities”. The primary purpose of the regulations is to ensure in-river works do not damage the environment or cause a flood risk to others. Enforcement actions can occur due to a breach in permit condition but are predominantly for unauthorised works. Enforcement actions can vary from advice and guidance, formal warnings, notices, civil sanctions and prosecutions. There were 65 Enforcement Actions across the country relating to flood risk prevention in 2023. Please see the table below for the number of enforcement actions for each EA area. Number of enforcement actions for each Environment Agency area Environment Agency areaNumber of enforcement actionsCumbria and Lancashire0Devon, Cornwall and Isles of Scilly2East Anglia30East Midlands0Greater Manchester and Merseyside0Hertfordshire and North London0Kent, South London and East Sussex2Lincolnshire and Northamptonshire0North East0Solent and South Downs0Thames0West Midlands1Wessex0Yorkshire30

Communities and Local Government, whether she plans to take steps to ensure that (a) new homes are not build on high risk flood areas and (b) cumulative development does not increase local flood risk.

The government recognises the devastating impact which flooding can have on communities, and the role the planning system plays in directing development to areas of lowest possible flood risk. National planning policy is clear that inappropriate development in areas at risk of flooding should be avoided. In the recent consultation on proposed reforms to the National Planning Policy Framework, we sought views on how the planning system can be more effective in managing flood risk. The consultation closed on the 24 September and officials in my department are currently analysing responses with a view to publishing a government response before the end of the year.

What estimate she has made of the number of Park Home Residents who are unable to take up Pension Credit due to pitch fees not being treated equivalently to ground rent in the application process.

An award of Pension Credit can include certain housing costs where the dwelling occupied as the home is not owned by the claimant and if these costs cannot be covered by Housing Benefit. Examples of housing costs covered by Pension Credit include: rents or ground rents on long tenanciesservice chargesrent chargesco-ownership schemestenancies or licences of Crown tenantstents and their sites It is not possible to provide an accurate estimate of the number of Park Homes residents whose Pension Credit applications were unsuccessful due to pitch fees not being included in the assessment.

Whether he has made an assessment of the implications for his policies for the (a) care and (b) treatment of myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS) of the report entitled Maeve Boothby O’Neill: Prevention of Future Deaths Report, published on 8 October 2024.

Our deepest sympathies go out to Maeve’s family and friends in this tragic case. Every patient deserves to have their condition understood and treated to the highest standard, and this is a heart-wrenching example of a patient falling through the cracks.The Department has received a Prevention of Future Deaths (PFD) report, which we are currently reviewing. It is important that we learn the lessons from every PFD report, and we will consider the report carefully before responding appropriately.We are committed to improving the care and support for all those affected by myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS). It is a priority to publish the response to the 2023 consultation on the ME/CFS interim delivery plan. The consultation responses, alongside continued stakeholder engagement, will inform the development of the final delivery plan, which we aim to publish in the winter of 2024/25.

Whether he has had discussions with the National Institute for Health and Care Excellence on reviewing guidance for the (a) diagnosis, (b) care and (b) treatment of myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS).

We have had no discussions with the National Institute for Health and Care Excellence (NICE) on reviewing its guidance for the diagnosis, care, and treatment of myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS).The NICE develops its guidance independently and keeps its published guidelines under active surveillance so that it is able to update its recommendations in light of any significant new evidence. Decisions on updates to existing guidance are made by the NICE’s Prioritisation Board in line with the NICE’s published common prioritisation framework. The NICE does not currently have plans to update this guideline.

What meetings he has had with (a) NHS clinical teams specialising in the care and treatment of myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS), (b) researchers, (c) patients and (d) patient group representatives on ME/CFS.

The Government has made a commitment to publish a final delivery plan for ME/CFS. The consultation responses, alongside continued stakeholder engagement, will inform the development of the final delivery plan, which we aim to publish in the winter of 2024/25. The plan will focus on boosting research, improving attitudes and education, and bettering the lives of people with this debilitating disease.In 2021, the National Institute for Health and Care Excellence (NICE) published guidance on the management and diagnosis of ME/CFS. The NICE’s guideline provides recommendations on principles of care for people with severe ME/CFS, including hospital care, and adapting a multidisciplinary approach with access to a range of health and social care professionals based on needs. Although NICE guidance is not mandatory, the Government does expect healthcare commissioners to take the guidelines fully into account in designing services to meet the needs of their local population, and to work towards their implementation over time.My Rt Hon. Friend, the Secretary of State for Health and Social Care has not yet had any meetings with National Health Service clinical teams specialising in myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), ME/CFS researchers, patients, or patient group representatives.

Whether he plans to produce a national myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS) strategy.

The Government has made a commitment to publish a final delivery plan for ME/CFS. The consultation responses, alongside continued stakeholder engagement, will inform the development of the final delivery plan, which we aim to publish in the winter of 2024/25. The plan will focus on boosting research, improving attitudes and education, and bettering the lives of people with this debilitating disease.In 2021, the National Institute for Health and Care Excellence (NICE) published guidance on the management and diagnosis of ME/CFS. The NICE’s guideline provides recommendations on principles of care for people with severe ME/CFS, including hospital care, and adapting a multidisciplinary approach with access to a range of health and social care professionals based on needs. Although NICE guidance is not mandatory, the Government does expect healthcare commissioners to take the guidelines fully into account in designing services to meet the needs of their local population, and to work towards their implementation over time.My Rt Hon. Friend, the Secretary of State for Health and Social Care has not yet had any meetings with National Health Service clinical teams specialising in myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), ME/CFS researchers, patients, or patient group representatives.

Whether he has had recent discussions with the National Institute for Health and Care Research on support for research into (a) care and (b) treatment for people with myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS).

My Rt Hon. Friend, the Secretary of State for Health and Social Care has not had any recent discussions with the National Institute for Health and Care Research (NIHR) specifically on research into myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS). Departmental officials are working with the NIHR on behalf of my Rt Hon. Friend, the Secretary of State for Health and Social Care. The NIHR and the Medical Research Council are committed to funding high-quality research to understand the causes, consequences, and treatment of long COVID and ME/CFS, and are actively exploring next steps for research in these areas.

Whether he has issued guidance to integrated care systems (ICS) on commissioning specialist care and treatment services for myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS); and whether he has made an assessment of the potential merits of requiring ICSs to commission minimum levels of those services.

The Government has made a commitment to publish a final delivery plan for ME/CFS. The consultation responses, alongside continued stakeholder engagement, will inform the development of the final delivery plan, which we aim to publish in the winter of 2024/25. The plan will focus on boosting research, improving attitudes and education, and bettering the lives of people with this debilitating disease.In 2021, the National Institute for Health and Care Excellence (NICE) published guidance on the management and diagnosis of ME/CFS. The NICE’s guideline provides recommendations on principles of care for people with severe ME/CFS, including hospital care, and adapting a multidisciplinary approach with access to a range of health and social care professionals based on needs. Although NICE guidance is not mandatory, the Government does expect healthcare commissioners to take the guidelines fully into account in designing services to meet the needs of their local population, and to work towards their implementation over time.My Rt Hon. Friend, the Secretary of State for Health and Social Care has not yet had any meetings with National Health Service clinical teams specialising in myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), ME/CFS researchers, patients, or patient group representatives.