Written questions by Dean.

Whether staff transferring from NHS England to his Department will have their existing terms and conditions, including pay protections, preserved; and whether the transfer will be conducted in line with TUPE principles.

We can confirm that we will follow Transfer of Undertakings Protection of Employment (TUPE) like principles, whether TUPE or another statutory transfer mechanism, in line with the Cabinet Office Statement of Practice. This means that recognised trade unions will be formally consulted and engaged on measures related to the transfer with no changes to contractual terms and conditions made without proper consultation and engagement.

What assessment she has made of the potential merits of extending online marketplace VAT liability rules to domestic sellers as a way to reduce fraud and close the tax gap.

The Government has and will continue to engage with stakeholders to understand the impact of any changes to online marketplace liability rules on both platforms and sellers. Certified analysis by the Office for Budget Responsibility (OBR) estimates the current online marketplace liability rules, together with the abolishment of Low Value Consignment relief, will raise £1.8 billion per annum by 2026-27. HMRC has an overall compliance strategy which focuses on addressing all forms of non-compliance. The most recent published VAT gap shows a continued downward trend, falling from 13.7% to 5.4% between tax years 2005/06 and 2023/24.

What assessment her Department has made of the relative value for money of reforming the Lifetime ISA compared with introducing a new product to replace it.

At Autumn Budget 25 the government announced that it will publish a consultation in early 2026 on the implementation of a new, simpler ISA product to support first time buyers to buy a home. Once available, this new product will be offered in place of the Lifetime ISA. The LISA was designed to help people save for both their first home and later life. A 2025 report by the Treasury Select Committee, however, concluded the dual purpose has made it unnecessarily complex and that ‘the Lifetime ISA may not be the most efficient use of taxpayers’ money to achieve those disparate objectives’. In addition, the provision of an upfront bonus requires a withdrawal charge for non-compliant withdrawals. HMRC have also conducted research into use of the Lifetime ISA which can be found here: Understanding the use of the Lifetime ISA: qualitative research - GOV.UK The new design will include the government bonus being paid at the point the individual makes a withdrawal for a house purchase. This removes the need for a withdrawal charge and means a saver can withdraw funds, should their circumstances change, without penalty. It will remain possible to open a Lifetime ISA until the new product becomes available and for account holders to continue to save into their Lifetime ISA in line with the existing rules indefinitely.

When funding for Start for Life services will be confirmed for Sutton Council; and what assessment he has made of the potential impact of the absence of such funding on support for babies and new parents in Carshalton and Wallington constituency in 2025–26.

The 10-Year Health Plan sets out an ambitious agenda on how we will improve the nation’s health by creating a new model of care that is fit for the future.We recognise that local authorities such as Sutton Council are ambitious, seeking to deliver universal support to babies, children, and their families, and prevent escalating need. We are committed to delivering the 10-Year Health Plan’s ambition to match Healthy Babies, formerly Start for Life, to Best Start Family Hubs over the next decade.Healthy Babies funding is helping families during the critical 1,001 days, and parents have said they are more confident in feeding their babies and have better perinatal mental health because of this support. We continue to assess how we can best support early-years service integration across the country and remain committed to working with delivery partners locally to achieve this.Healthy Babies is one element of our broader commitment to supporting babies, children and families. From April 2026, Best Start Family Hubs will expand to every single local authority, including Sutton Council, backed by over £500 million to reach up to half a million more children and families. This funding will help all local authorities to integrate a range of statutory and non-statutory health and family services.

What assessment her Department has made of the potential impact on saving behaviour and consumer confidence of existing Lifetime ISA users arising from the introduction of a new product to replace the Lifetime ISA.

At Autumn Budget 25 the government announced that it will publish a consultation in early 2026 on the implementation of a new, simpler ISA product to support first time buyers to buy a home. Once available, this new product will be offered in place of the Lifetime ISA. The LISA was designed to help people save for both their first home and later life. The Treasury Select Committee‘s 2025 LISA inquiry concluded that this dual purpose has made it unnecessarily complex and that ‘the Lifetime ISA may not be the most efficient use of taxpayers’ money to achieve those disparate objectives’. The upfront bonus that requires a withdrawal charge for non-compliant withdrawals was highlighted as a specific concern. The new design will include the government bonus being paid at the point the individual makes a withdrawal for a house purchase. This removes the need for a withdrawal charge and means a saver can withdraw funds, should their circumstances change, without penalty. It will remain possible to open a Lifetime ISA until the new product becomes available and for account holders to continue to save into their Lifetime ISA in line with the existing rules indefinitely.

What assessment her Department has made of the potential merits of reforming the Lifetime ISA, rather than replacing it with a new product.

At Autumn Budget 25 the government announced that it will publish a consultation in early 2026 on the implementation of a new, simpler ISA product to support first time buyers to buy a home. Once available, this new product will be offered in place of the Lifetime ISA. The LISA was designed to help people save for both their first home and later life. The Treasury Select Committee‘s 2025 LISA inquiry concluded that this dual purpose has made it unnecessarily complex and that ‘the Lifetime ISA may not be the most efficient use of taxpayers’ money to achieve those disparate objectives’. The upfront bonus that requires a withdrawal charge for non-compliant withdrawals was highlighted as a specific concern. The new design will include the government bonus being paid at the point the individual makes a withdrawal for a house purchase. This removes the need for a withdrawal charge and means a saver can withdraw funds, should their circumstances change, without penalty. It will remain possible to open a Lifetime ISA until the new product becomes available and for account holders to continue to save into their Lifetime ISA in line with the existing rules indefinitely.

What assessment she has made of the adequacy of the restriction on tax relief for banks' compensation payments for motor finance compensation payments.

We are monitoring the redress situation closely and want to see it resolved in an efficient way that provides certainty for consumers and firms.In line with international norms, companies generally obtain Corporation Tax deductions for compensation payments, though the bank compensation restriction which was introduced as part of a wider bank tax regime, prevents banks from doing so.

Whether she plans to increase funding for research on low‑grade gliomas and other rare brain tumours.

The Department invests over £1.6 billion per year in research through the National Institute for Health and Care Research (NIHR).The NIHR is continuing to invest in brain tumour research. For example, in December 2025, the NIHR announced the pioneering Brain Tumour Research Consortium to accelerate research into new brain tumour treatments. NIHR is investing an initial £13.7 million in the consortium with significant further funding due to be awarded early in 2026. The world-leading consortium aims to transform outcomes for adults and children and their families who are living with brain tumours, ultimately reducing lives lost to cancer.Brain tumours are one of the toughest cancers to treat. This new NIHR investment will help researchers and clinicians understand the disease better, test new treatments earlier and make trials available to more adults and children closer to home.The consortium brings together 48 organisations from across leading universities, National Health Service trusts, and charities, along with patients, to help deliver better research, faster. It is a coordinated national effort to improve the development and evaluation of treatments for brain tumours across adult and paediatric populations.The NIHR continues to welcome high quality funding applications for research into any aspect of human health and care, including low-grade glioma and other rare brain tumours.

What discussions his Department has had with UKRI and the National Institute for Health and Care Research on supporting new and emerging treatments for low‑grade gliomas.

The Department invests over £1.6 billion per year in research through the National Institute for Health and Care Research (NIHR).Government responsibility for delivering cancer research is shared between Department for Health and Social Care, with research delivered by the NIHR, and Department for Science, Innovation and Technology, with research delivered via UK Research and Innovation.Department of Health and Social Care and Department of Science, Innovation and Technology officials meet regularly to discuss a range of research investments to drive the maximum collective research impact on policy, practice, and individual lives.The NIHR is continuing to invest in brain tumour research. In December 2025, the NIHR announced the pioneering Brain Tumour Research Consortium to accelerate research into new brain tumour treatments. NIHR is investing an initial £13.7 million in the consortium, with significant further funding due to be awarded early in 2026. The world-leading consortium aims to transform outcomes for adults and children and their families who are living with brain tumours, ultimately reducing lives lost to cancer.The NIHR continues to welcome high quality funding applications for research into any aspect of human health and care, including low-grade glioma.

What information his Department collects on the number of patients receiving care in corridors in NHS hospitals.

The Government is determined to get the National Health Service back on its feet, so patients can be treated with dignity.  We are therefore doing everything we can as fast as we can to consign the delivery of care in temporary escalation spaces to the history books.Our Urgent and Emergency Care Plan, published in June 2025, set out steps we are taking to ensure that patients will receive better, faster, and more appropriate emergency care this winter, backed by a total of nearly £450 million of funding. This includes a commitment to publish data on the prevalence of corridor care for the first time.We have started collecting data on the prevalence of corridor care and we will look to publish it once data quality improves.

What plans his Department has to improve (a) transparency and (b) reporting on corridor care incidents in NHS trusts.

The Government is determined to get the National Health Service back on its feet, so patients can be treated with dignity.  We are therefore doing everything we can as fast as we can to consign the delivery of care in temporary escalation spaces to the history books.Our Urgent and Emergency Care Plan, published in June 2025, set out steps we are taking to ensure that patients will receive better, faster, and more appropriate emergency care this winter, backed by a total of nearly £450 million of funding. This includes a commitment to publish data on the prevalence of corridor care for the first time.We have started collecting data on the prevalence of corridor care and we will look to publish it once data quality improves.

What steps his Department is taking to reduce the use of corridor care in NHS hospitals.

The Government is determined to get the National Health Service back on its feet, so patients can be treated with dignity.  We are therefore doing everything we can as fast as we can to consign the delivery of care in temporary escalation spaces to the history books.Our Urgent and Emergency Care Plan, published in June 2025, set out steps we are taking to ensure that patients will receive better, faster, and more appropriate emergency care this winter, backed by a total of nearly £450 million of funding. This includes a commitment to publish data on the prevalence of corridor care for the first time.We have started collecting data on the prevalence of corridor care and we will look to publish it once data quality improves.

Whether his Department plans to integrate (a) Sleepio and (b) other digital cognitive behavioural therapy solutions for insomnia into (i) standard primary care pathways and (ii) NHS app services.

The Department does not currently have plans to integrate Sleepio or other Digital Cognitive Behavioural Therapy for Insomnia (dCBT-I) solutions into primary care pathways or National Health Service app services but is committed to exploring options to make digital tools, supporting people living with insomnia, nationally available.NHS England is currently running an open process to secure equitable national access to dCBT-I and has recently published a Request For Information and questionnaire. This creates an opportunity for all suppliers in this market to engage in a fair and transparent commercial process.There is an ongoing programme of work within NHS England, exploring the feasibility of integrating Digital Therapeutics into the NHS app. This is in the early phases and will form the foundations of the HealthStore App Marketplace, which is a commitment in our10-Year Health Plan. The store will explore options to support the availability of digital health technologies across multiple condition areas.

What steps his Department is taking to ensure increased availability of (a) Sleepio and (b) other clinically approved digital cognitive behavioural therapy programmes for people with insomnia.

The Department does not currently have plans to integrate Sleepio or other Digital Cognitive Behavioural Therapy for Insomnia (dCBT-I) solutions into primary care pathways or National Health Service app services but is committed to exploring options to make digital tools, supporting people living with insomnia, nationally available.NHS England is currently running an open process to secure equitable national access to dCBT-I and has recently published a Request For Information and questionnaire. This creates an opportunity for all suppliers in this market to engage in a fair and transparent commercial process.There is an ongoing programme of work within NHS England, exploring the feasibility of integrating Digital Therapeutics into the NHS app. This is in the early phases and will form the foundations of the HealthStore App Marketplace, which is a commitment in our10-Year Health Plan. The store will explore options to support the availability of digital health technologies across multiple condition areas.

Commonwealth and Development Affairs, whether her Department is taking steps to help support independent election observation in Uganda before its next general election in 2026.

Our High Commission in Kampala will aim to conduct local observation of the election, in consultation with relevant stakeholders, including the Electoral Commission of Uganda. The UK also provides financial support to the African Union via the Electoral Institute for Sustainable Democracy in Africa and to the Commonwealth Secretariat, which can support election observation.

Food and Rural Affairs, what assessment her Department has made of the effectiveness of Environment Agency investigations.

Defra Ministers meet regularly with the Environment Agency’s investigations to discuss its performance and delivery of departmental priorities. This financial year we have introduced new performance indicators on the effectiveness and delivery of Environment Agency investigations.

Whether her Department considers the (a) have regard duty on the Financial Conduct Authority and (b) guidance provided in the Government’s remit letter, published on 14 November 2024, to be sufficient basis for the Financial Conduct Authority to take steps to support people with low financial resilience.

The Government recognises the key role the Financial Conduct Authority (FCA) has in improving financial inclusion for UK consumers. This is why the FCA is part of the Financial Inclusion Committee which has been convened to develop a Financial Inclusion Strategy. The membership of the committee reflects the fact that the whole financial inclusion ecosystem will need to work together for the strategy to be a success, including government, industry, consumer representatives, and the regulator. The strategy will be published later this year and will seek to tackle a range of barriers which prevent individuals from accessing the financial services and products they need. This will include actions for the FCA to take forward as part of their responsibilities within the sector, as well as relevant metrics to monitor the strategy’s progress. The Government will work closely with the FCA to deliver the strategy and regularly engages with the FCA on this topic at ministerial and official level. In November, the Chancellor also included reinforcing financial inclusion as a matter for the FCA to have regard to in her letter of recommendation. In response to this, Nikhil Rathi noted the FCA’s support for the development of the Financial Inclusion Strategy and its collaboration with partners to help build consumers’ financial resilience.

What outcomes her Department has set for the Financial Conduct Authority to deliver under the forthcoming National Financial Inclusion Strategy; and how will these be (a) measured and (b) reported.

The Government recognises the key role the Financial Conduct Authority (FCA) has in improving financial inclusion for UK consumers. This is why the FCA is part of the Financial Inclusion Committee which has been convened to develop a Financial Inclusion Strategy. The membership of the committee reflects the fact that the whole financial inclusion ecosystem will need to work together for the strategy to be a success, including government, industry, consumer representatives, and the regulator. The strategy will be published later this year and will seek to tackle a range of barriers which prevent individuals from accessing the financial services and products they need. This will include actions for the FCA to take forward as part of their responsibilities within the sector, as well as relevant metrics to monitor the strategy’s progress. The Government will work closely with the FCA to deliver the strategy and regularly engages with the FCA on this topic at ministerial and official level. In November, the Chancellor also included reinforcing financial inclusion as a matter for the FCA to have regard to in her letter of recommendation. In response to this, Nikhil Rathi noted the FCA’s support for the development of the Financial Inclusion Strategy and its collaboration with partners to help build consumers’ financial resilience.

Whether he plans to (a) reinstate and (b) establish dedicated long covid support services in St Helier and Epsom.

The St George’s, Epsom and St Helier NHS Foundation Trust’s chronic fatigue service had a waiting list of 350 patients waiting 25 weeks or more for their first appointment. To manage this, the trust temporarily paused new referrals from June. During the temporary pause, the service will continue to care for existing patients. Any new patients who were referred before the pause will still be offered an appointment within 25 weeks.The St George’s, Epsom and St Helier NHS Foundation Trust continues to keep this under review. Patients needing help should still visit their general practice if they are experiencing long COVID symptoms.

What assessment his Department has made of the adequacy of the guidance it has issued to healthcare professionals on how to (a) identity different clinical subtypes of long covid and (b) provide appropriate treatment pathways for those diagnosed.

While no specific assessment has been made, there is targeted advice for healthcare professionals to manage long COVID. Patients should be managed according to current clinical guidance such as that published and updated by the National Institute for Health and Care Excellence (NICE). This is available at the following link: https://www.nice.org.uk/guidance/NG188NICE is responsible for keeping its published guidelines up to date and under active surveillance to ensure that they reflect developments in the evidence base and its recommendations on new medicines.Integrated care boards (ICBs) are responsible for commissioning specialist services that meet the needs of their population, subject to local prioritisation and funding. In the commissioning of services, commissioners should take account of NICE guidance and other best practice.NHS England has published commissioning guidance for post-COVID (long COVID) services, which sets out the commissioning, service requirements and oversight of post-COVID services by ICBs in England for adults and children and young people. It outlines the elements that post-COVID services should include and the principles of care for long COVID. The commissioning guidance is available at the following link: https://www.england.nhs.uk/long-read/commissioning-guidance-for-post-covid-services-for-adults-children-and-young-people/.