Written questions by Mathew.

Food and Rural Affairs, if he will hold discussions with the Consortium for Labelling for the Environment, Animal Welfare and Regenerative Farming on tackling carbon emissions.

Defra officials working on carbon emissions data policy regularly meet with CLEAR and we welcome their contributions, including the recent methodological review of UK eco-labels.

What steps her Department is taking to improve bus transport for people with hidden disabilities.

The Government is committed to improving bus services right across the country, so they are more inclusive and enable disabled people to travel safely, confidently and with dignity, including people with hidden disabilities. On 1st October 2024, the first phase of the Public Service Vehicles (Accessible Information) Regulations 2023 came into force, meaning that newer vehicles providing local services must provide accessible audible and visible information on stops, destinations and diversions. The majority of services will need to comply by October 2026. On 17th December, the government introduced a new Bus Services Bill that will give local leaders the freedom to take decisions to deliver their local transport priorities and ensure networks meet the needs of the communities who rely on them, including for disabled people. The Bill includes measures to make the design of bus and coach stations and stops safer and more accessible, and sets requirements for training for staff on disability-assistance and disability awareness to ensure bus drivers and staff dealing directly with the travelling public are better informed of the rights and needs of disabled passengers.

Communities and Local Government, if her Department will include the potential impact of new developments on air pollution in planning decisions in the National Planning Policy Framework.

The National Planning Policy Framework already makes clear that planning policies and decisions should prevent new and existing development from contributing to, being put at unacceptable risk from, or being adversely affected by, unacceptable levels of air pollution.Planning policies and decisions should also sustain and contribute towards compliance with relevant limit values or national objectives for pollutants, taking into account the presence of Air Quality Management Areas and Clean Air Zones, and the cumulative impacts from individual sites in local areas.

Communities and Local Government, whether her Department has plans to introduce a private parking code of practice.

The Government recognises the need for high standards in the private parking industry and is committed to delivering a Code of Practice, in accordance with The Parking (Code of Practice) Act 2019. Our code will contain guidance about the operation and management of private parking facilities. We are currently reviewing all options and will announce our plans for the code in due course.

What steps his Department is taking to increase the availability of ear wax removals in primary care settings in Melksham and Devizes constituency.

Integrated care boards (ICBs) have a statutory responsibility to commission cost-effective healthcare to meet the needs of their local population. This includes the arrangement of services for ear wax removal. When ICBs exercise their functions, including commissioning healthcare services such as ear wax removal, they have a duty to reduce inequalities between persons with respect to their ability to access health services, and to reduce inequalities between patients with respect to the outcomes achieved for them by the provision of health services.Manual ear syringing is no longer advised by the National Institute for Health and Care Excellence (NICE) due to the risks associated with it, such as trauma to their ear drum or infection, so general practitioners (GPs) will often recommend home treatment remedies to alleviate ear wax build-up.However, in line with the NICE’s guidance, a person may require ear wax removal treatment if the build-up of earwax is linked with hearing loss. A GP could then consider referring the patient into audiology services, which ICBs are responsible for commissioning.

Whether his Department plans to prioritise (a) lung and (b) respiratory health in the NHS Long Term Plan.

The 10-Year Health Plan will deliver the three big shifts the National Health Service needs to be fit for the future: from hospital to community, from analogue to digital, and from sickness to prevention. All of these are relevant to improving respiratory health in all parts of the county.More tests and scans delivered in the community, better joint working between services, and greater use of apps and wearable technology will all help people manage their long-term conditions, including respiratory conditions, closer to home. Earlier diagnosis of conditions will help people manage their conditions, prevent deterioration and improve survival rates.

Communities and Local Government, what impact neighbourhood plans will have on planning decisions following reforms to the national planning process.

The revised National Planning Policy Framework (NPPF) published on 12 December 2024 is clear as to the important role that neighbourhood plans play in the planning system and includes important protections for neighbourhood plans from speculative development. Once passed at referendum, neighbourhood plans form part of the development plan, which is the starting point in making planning decisions. The revised NPPF is clear that where a planning application conflicts with policies in an up-to-date local plan or neighbourhood plan, the application should not usually be granted.

Whether her Department is taking steps to (a) simplify the process and (b) support people making applications for visa extensions for Ukrainian refugees.

The Ukraine Permission Extension Scheme opened to applications on 4 February 2025, which enables Ukrainians in the UK under the Ukraine visa schemes to apply for a further 18 months’ temporary permission to remain in the UK.  Further information on eligibility and application processes is available at Applying to the Ukraine Permission Extension scheme - GOV.UK.Applicants who still have their BRP may be able to reuse previously submitted biometrics (fingerprint and photograph) and may not need to attend a UK Visas and Citizenship Application (UKVCAS) service point. Applicants that apply before their current permission expires will retain the conditions of their current visa whilst their application is under consideration, and these conditions are demonstrated on an applicant’s eVisa.

What steps his Department is taking to further research into rare diseases.

The Department funds rare disease research through the National Institute for Health and Care Research (NIHR). 17 NIHR Biomedical Research Centres support research into rare diseases and the NIHR is working in partnership with the Medical Research Council to co-fund a UK Rare Disease Research Platform which brings together research teams across the United Kingdom with patients, stakeholders and technologies to deliver rare disease research with greater impact.

What assessment his Department has made of the potential of targeted mutation treatments through genetic treatment for rare cancers.

Improvements in genomic capabilities have accelerated the development of new precision medicines which can target genomic mutations, including for rare cancers. To help make precision medicines available to patients, the National Health Service has supported access to clinical trials, where the eligibility is based on genomic variants. They also support the adoption and spread of innovative medicines through an innovative genomic testing service and commercial medicines framework.In October 2022, NHS England published the first NHS Genomics Strategy, Accelerating Genomic Medicine in the NHS, which outlines the vision for embedding genomics in the NHS over the next five years. The strategy includes a commitment to work with partners, including the National Institute for Health and Care Excellence and the Medicines and Healthcare products Regulatory Agency, to identify and prepare for the rapid introduction of companion diagnostic genomic testing. This is critical to ensuring easy access to innovative precision medicines and technologies. Further information on Accelerating Genomic Medicine in the NHS is available at the following link:https://www.england.nhs.uk/wp-content/uploads/2022/10/B1627-Accelerating-Genomic-Medicine-October-2022.pdfAdditionally, the National Cancer Plan will include further details on how we will improve outcomes for cancer patients, as well as speeding up diagnosis and treatment, ensuring patients have access to the latest treatments and technology, including genetic treatments.

Whether his Department will allow UK oncologists to test for genetic weaknesses by carrying out Whole Genomic Sequencing.

Genomic testing in the National Health Service in England is provided through the NHS Genomic Medicine Service and delivered by a national genomic testing network of seven NHS Genomic Laboratory Hubs (GLHs). The NHS GLHs deliver testing as directed by the National Genomic Test Directory, which includes tests for over 7,000 rare diseases and over 200 clinical indications of cancer. Testing can be delivered using a range of technologies, including whole genome sequencing (WGS) or Next Generation Sequencing technology, large cancer gene panels, to ensure that a patient receives the most appropriate genomic testing depending on their individual circumstances.The National Genomic Test Directory sets out the eligibility criteria for patients to access testing as well as the genomic targets to be tested and the method that should be used. For most cancers, the National Genomic Test Directory outlines that large gene panels inclusive of targets for treatments should be offered as the first line option. WGS can then be offered to any cancer patient that requires it to determine their next stage of treatment.

Food and Rural Affairs, what steps he is taking to protect chalk streams.

Cleaning up our waters, including iconic sites such as chalk streams is a top government priority. That is why on 23 October 2024, the Secretary of State announced the launch of an independent commission to fundamentally transform how our water system works. Fixing the systemic issues in the water system is essential to address the multiple pressures facing chalk streams, namely over abstraction, phosphorous pollution and physical modifications of habitats. Restoring our chalk streams to better ecological health is part of our holistic programme of reforms for the water sector. Alongside this, we are continuing to direct investment to projects that will improve chalk streams. In 2024/2025, there are over 45 chalk stream projects receiving funding from the Government's Water Environment Improvement Fund, each leveraging private investment.

Communities and Local Government, what steps her Department is taking to protect chalk streams in Wiltshire when building new developments.

The National Planning Policy Framework sets out that to protect and enhance biodiversity and geodiversity, local plans should identify, map and safeguard components of local wildlife-rich habitats and wider ecological networks such as chalk streams. It is for local planning authorities to apply this policy when planning for new development.Chalk streams are specifically referenced in the definitions of ‘natural environment’ and ‘environmental protection’ for the new system of Environmental Outcomes Reports that the government intend to introduce. This will ensure the protection of chalk streams is taken into account as part of this new approach to environmental assessment.The government will consult on draft regulations in due course following policy development and engagement with key stakeholders. While we want to realise the benefits of reform as quickly as possible, we recognise the need to manage the transition to the new system carefully. Until a new system is implemented, current legislation on environmental assessment and its supporting guidance continues to apply.

If he will supply Ukraine with additional Challenger 2 tanks.

At present there are no plans to supply additional Challenger 2 tanks to Ukraine.The UK's decision to send a squadron of 14 Challenger 2 Main Battle Tanks to Ukraine in 2023 delivered a coherent and combat effective capability and spearheaded the provision of dozens of additional Western Main Battle Tanks from international partners.We recently announced we will be providing Ukraine with more than 50 armoured and protected vehicles, including modernised T-72 tanks, by the end of spring, building on over 1,000 armoured, protected and logistics vehicles the UK has previously delivered to Ukraine.We continue to work closely with the Ukrainian Government to ensure the capabilities we provide meet the priorities of the Armed Forces of Ukraine.

Communities and Local Government, whether her Department plans to extend the right to acquire to tenants living in rural areas.

In "designated rural areas" properties cannot be sold under the Right to Acquire so as to preserve social housing in perpetuity for local people. The government has no plans to change this.

Communities and Local Government, whether she plans to increase funding for the building of social housing in rural areas.

I refer the hon. Member to the answer given to Question UIN 25804 on 10 February 2025.

Communities and Local Government, if her Department will take steps to ensure that new build houses will not be placed in (a) coastal areas at risk for rising sea levels and erosion and (b) upstream flood areas that will also be at risk for rising sea levels.

National planning policy is clear that development should be directed to areas with the lowest possible flood risk from all sources, including from the sea.Where development is proposed in areas at risk of the impacts of coastal change, development should not be approved unless it can be demonstrated that it will be safe for its lifetime.Development proposals would have to pass these robust tests to proceed in such locations.

What steps his Department is taking to tackle shortages of ADHD medication.

The resilience of the United Kingdom’s supply chains is a key priority, and we are committed to helping build long term supply chain resilience for medicines. The Department works in partnership with industry, the National Health Service, and the wider health system to help ensure the continuity of the supply of medical products, including for attention deficit hyperactivity disorder (ADHD) medicines. These issues are often global in nature. We monitor and manage medicine supply issues at a national level, so that stocks remain available to meet regional and local demand, and therefore there are no specific measures for the West Midlands.As a result of intensive work, some issues with ADHD medicines have been resolved. All strengths of lisdexamfetamine, atomoxetine capsules, atomoxetine oral solution, and guanfacine prolonged-release tablets are now available.However, whilst the supply of methylphenidate prolonged-release tablets has improved, issues still persist. We are continuing to work to resolve these remaining issues by engaging with all suppliers of methylphenidate prolonged-release tablets to assess the challenges faced and their actions to address them. We are also directing suppliers to secure additional stocks, expedite deliveries where possible, and review plans to further build capacity to support the continued growth in demand for the short and long-term. The Department is also working with new suppliers of methylphenidate prolonged-release tablets to improve supply and resiliency for the UK market.We are supporting an ADHD taskforce that NHS England has established to examine ADHD service provision. The taskforce will bring together expertise from across a broad range of sectors, including the NHS, education, and justice, to help provide a joined-up approach in response to concerns around rising demand. In collaboration with NHS England’s national ADHD data improvement plan, we plan to combine modelling for future growth forecasts, which will be shared with industry to improve demand forecasting for ADHD medicines.The Department has worked with NHS specialists to develop advice on prescribing alternative ADHD medications. We expect that ADHD service providers should follow this guidance and offer rapid responses for urgent advice, especially for high-risk patients. To aid decision-making at the point of the prescribing and dispensing of ADHD medicines, we continue to update a list of available ADHD products on the Specialist Pharmacy Service website.

What steps his Department is taking to (a) improve child and adolescent mental health services and (b) increase the speed of diagnosis for (i) ADHD and (ii) autism.

Too many children and young people are not receiving the mental health care they need, and we know that waits for mental health services are far too long. We are determined to change that. We will recruit 8,500 additional mental health workers across children and adult services to reduce delays and provide faster treatment. We will also provide access to a specialist mental health professional in every school in England and introduce open access Young Futures hubs in every community.It is the responsibility of integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including autism and attention deficit hyperactivity disorder (ADHD) services, in line with relevant National Institute for Health and Care Excellence guidelines.In April 2023, NHS England published a national framework and operational guidance to help ICBs and the National Health Service to deliver improved outcomes for children, young people and adults referred to an autism assessment service. In 2024/25, £4.3 million is available nationally to improve services for autistic children and young people, including autism assessment services.We are supporting a taskforce that NHS England has established to look at ADHD service provision and its impact on patient experience. The taskforce is bringing together expertise from across a broad range of sectors, including the NHS, education and justice, to better understand the challenges affecting people with ADHD including timely access to services and support.In conjunction with the taskforce, NHS England is carrying out detailed work to develop a data improvement plan, understand the provider and commissioning landscape and capture examples from ICBs who are trialling innovative ways of delivering ADHD services.

Commonwealth and Development Affairs, who has been appointed as Special Representatives for Nature and Climate; what their qualifications for these posts were; what their budget is; what their (a) aims and (b) objectives are; and whether any of these have been achieved.

Rachel Kyte CMG and Ruth Davis OBE were appointed as the UK's Special Representatives for Climate and for Nature, respectively, on 21 October and 15 November.Their biographies and objectives are set out at https://www.gov.uk/government/people/rachel-kyte and https://www.gov.uk/government/people/ruth-davis.These roles are covered by wider Foreign, Commonwealth and Development Office (FCDO), Department for Energy Security and Net Zero (DESNZ) and Department for Environment Food and Rural Affairs (DEFRA) budgets. The Special Representatives have agreed priorities with departments, which are being implemented.