Written questions by MacCleary.

Whether he has had recent discussions with Sussex Police on their investigation into alleged medical negligence at the Royal Sussex County Hospital; and whether he has considered providing additional resources to support their inquiry.

The Secretary of State for Health and Social Care has not had recent discussions with Sussex Police on their investigation and the provision of additional resources has not been considered to support them.Ministers have met with the leadership of University Hospitals Sussex NHS Foundation Trust and are aware of the ongoing investigation. We have been reassured that the Trust and Sussex Police maintain an open and constructive working relationship, and governance frameworks are in place to safeguard patients, families, and staff.

If he will have discussions with Cabinet colleagues on how to support individuals who develop temporomandibular disorder as a result of orthodontic treatment.

Information is not held centrally on the number of people with temporomandibular disorder linked to orthodontic treatment.More widely, the Government plans to tackle the challenges for patients trying to access National Health Service dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to the areas that need them most. To rebuild dentistry in the long term, we will reform the dental contract with the sector, with a shift to focus on prevention and the retention of NHS dentists.

What assessment her Department has made of the potential merits of appointing cross-government leadership on the issue of missing persons.

The Government recognises the need for an effective multi-agency response to missing person investigations and we are clear in our ambition to reduce missing incidents and safeguard those vulnerable to going missing. Missing children and adults represent a concern which spans many cross-Governmental priorities and policy areas. The Home Office is committed to working with the Department for Education and Department for Health and Social Care and other relevant departments; sending a clear message that missing needs a whole-system response.Repeat missing incidents are often a red flag for a number of the harms, such as child sexual or criminal exploitation. The Home Office is heavily invested in supporting and protecting vulnerable people, particularly children and young people from all forms of harm.The Home Office and Department for Education have been supporting the National Police Chiefs' Council (NPCC) lead for Missing Persons in the development of a 'Missing Children from Care' framework, which has been piloted in West Yorkshire. This framework outlines good practice that can be adopted by local areas when setting up their own multi-agency protocols for the strategic and operational response to a missing incident, with an aim to ensure that the appropriate safeguarding partner responds in the best interest of the missing person.

What recent estimate his Department has made of the number of people diagnosed with temporomandibular disorder linked to orthodontic malpractice.

Information is not held centrally on the number of people with temporomandibular disorder linked to orthodontic treatment.More widely, the Government plans to tackle the challenges for patients trying to access National Health Service dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to the areas that need them most. To rebuild dentistry in the long term, we will reform the dental contract with the sector, with a shift to focus on prevention and the retention of NHS dentists.

What steps her Department plans to take to reduce the number of repeat missing incidents amongst children.

The Government recognises the need for an effective multi-agency response to missing person investigations and we are clear in our ambition to reduce missing incidents and safeguard those vulnerable to going missing. Missing children and adults represent a concern which spans many cross-Governmental priorities and policy areas. The Home Office is committed to working with the Department for Education and Department for Health and Social Care and other relevant departments; sending a clear message that missing needs a whole-system response.Repeat missing incidents are often a red flag for a number of the harms, such as child sexual or criminal exploitation. The Home Office is heavily invested in supporting and protecting vulnerable people, particularly children and young people from all forms of harm.The Home Office and Department for Education have been supporting the National Police Chiefs' Council (NPCC) lead for Missing Persons in the development of a 'Missing Children from Care' framework, which has been piloted in West Yorkshire. This framework outlines good practice that can be adopted by local areas when setting up their own multi-agency protocols for the strategic and operational response to a missing incident, with an aim to ensure that the appropriate safeguarding partner responds in the best interest of the missing person.

Communities and Local Government, pursuant to the Answer of 20 March to Question 37889 on High Rise Flats: Insulation, what assessment her Department has made of the potential impact of increased insurance premiums due to cladding on the finances of leaseholders in buildings under 11 metres in height.

We do not hold information on insurance premiums for buildings under 11 metres in height. However, insurers should offer affordable premiums in line with risk, where life safety fire risk is generally proportional to the height of buildings. The department has been examining buildings under 11 metres on a case-by-case basis. To date, we have only identified a small number of under 11 metre buildings that require cladding remediation works. In the rare cases where remediation work is required, the department has engaged the relevant developers in conversations about funding these works so that leaseholders do not pay. Regardless of the height of the building, the responsibility for the costs of fixing such defects should rest with building owners, and not leaseholders.

What recent discussions he has had with EU-based businesses on UK-EU trade relations.

The Government regularly engages with UK and EU businesses as we strengthen the UK-EU relationship. This includes engagement through formal channels such as the UK TCA Domestic Advisory Group and the Trade Strategy’s open call for input, as well as Ministerial roundtables.As part of my visit to Brussels on 26 February, I held a roundtable with EU industry representatives on improving UK-EU trade relations. On 6 March, Minister Gustafsson led a business roundtable with Irish businesses regarding bilateral trade and investment opportunities. We will continue to engage businesses ahead of the UK-EU Summit.

What steps he is taking to consult UK businesses ahead of the UK-EU May Summit.

The Government regularly engages with UK and EU businesses as we strengthen the UK-EU relationship. This includes engagement through formal channels such as the UK TCA Domestic Advisory Group and the Trade Strategy’s open call for input, as well as Ministerial roundtables.As part of my visit to Brussels on 26 February, I held a roundtable with EU industry representatives on improving UK-EU trade relations. On 6 March, Minister Gustafsson led a business roundtable with Irish businesses regarding bilateral trade and investment opportunities. We will continue to engage businesses ahead of the UK-EU Summit.

What steps his Department is taking through the Product Safety and Metrology Bill to improve safety standards in relation to the (a) use and (b) sale of lithium-ion batteries.

The UK has some of the strongest consumer product safety laws in the world, that already requires businesses to only make safe products available on the market, including lithium-ion batteries. The powers in the Product Regulation and Metrology Bill will allow us to update the regulatory framework, if we determine that is necessary to ensure the best protections for consumers. In the meantime, the Office for Product Safety and Standards, as the national regulator, is taking action to prevent unsafe products, including lithium-ion batteries, from being sold in the UK.

What assessment she has made of trends in the level of the cost of railcards; and what steps her Department is taking to ensure rail travel remains affordable for (a) young people, (b) older passengers and (c) people on lower incomes.

The price of most railcards increased by £5 from 2 March 2025, except the Disabled Persons Railcard. Railcards still offer significant savings on rail fares with the average railcard holder saving up to £158 annually. In many cases, the price of railcards has not increased in a decade, during which time the cost of running the railway and the subsidy provided to the railway by the taxpayer has increased significantly. This small price increase helps to balance the funding for the railway between passengers and taxpayers.

What assessment her Department has made of the potential impact of Gatwick Airport expansion on the (a) capacity and (b) reliability of the rail network serving that airport; and what steps she is taking to mitigate potential disruption to (i) passengers and (ii) local communities.

In her letter of 27 February 2025, my Right Honourable Friend, the Secretary of State for Transport indicated that she was minded to approve the proposed development of the Gatwick Airport Northern Runway Project based on the principles of the requirements set out by the Examining Authority in its report. It is now for the applicant to respond. Both the letter and the report are published on The Planning Inspectorate’s website - https://national-infrastructure-consenting.planninginspectorate.gov.uk/projects/TR020005 .The effects of the proposed development on the rail network, its users and local communities will be taken into account in the final decision, though my Right Honourable friend will note both Network Rail and rail operators were consulted as part of the application and have not objected to the proposals. However as this remains a live planning application with the Department, I cannot comment further on those issues at the current time.

Communities and Local Government, what assessment her Department has made of the (a) effectiveness and (b) adequacy of the pace of the existing system for identifying and remediating dangerous cladding and fire safety issues; and what steps she is taking to accelerate the process.

This government has been clear that the pace on remediation has been too slow. Seven years on from the Grenfell Tower tragedy, it is unacceptable that so many buildings still have unsafe cladding. We have announced a step change towards addressing the building safety crisis through the publication of our ambitious Remediation Acceleration Plan (RAP). Our plan will drive the pace of remediation through new proposed legal duties and powers, new funding, new resources and new partnerships. In December 2024, the Remediation Acceleration Plan was launched. We recognise that the scale and importance of the challenge is so significant that we expect to publish a further update on this plan in summer 2025 to report on progress and to reflect the second phase of the spending review. Through this plan, we aim that by the end of 2029 all 18m+ (high-rise) buildings with unsafe cladding in a government funded scheme will have been remediated. Furthermore, by the end of 2029, every 11m+ building with unsafe cladding will either have been remediated, have a date for completion, or the landlords will be liable for severe penalties. We are also driving pace and effectiveness through existing funding schemes. The Cladding Safety Scheme (CSS) was launched in 2023 to help fund work to address unsafe cladding for buildings between 11-18 metres, as well as those over 18 metres outside London, but has since been expanded to include all government funded remediation projects outside London. The benefits of transferring buildings to this scheme include increased pace through the use of automated processes, better experience for residents, and greater cost effectiveness. We are continuing to seek opportunities to exploit the benefits of the CSS further.

What steps he is taking to make (a) dental mouth guards and (b) other dental orthotics services available for free on the NHS for people who are on Pension Credit.

Dental mouth guards are available for free to any patient who is in receipt of Pension Credit, Guarantee Credit, or anyone else who is exempt from dental patient charges, where they have a specific dental need for one. There are currently no plans to change the dental patient charge exemption criteria.National Health Service orthodontic treatment is free for people under 18 years old with a clear health need for treatment. Orthodontic treatment is not usually available on the NHS for adults. More information is available at the following link:https://www.nhs.uk/conditions/orthodontics/

How much her Department has spent on infrastructure upgrades for (a) ports and (b) airports in preparation for the implementation of the Entry/Exit System.

EES will need to be implemented at the juxtaposed controls in the UK. In general, ports are expected to provide infrastructure relating to border controls without government funding. Given the specific issues caused by the need to implement EES, the previous Government awarded a £3.5m grant to each of Port of Dover, Eurotunnel and Eurostar to assist with achieving the optimum implementation models at these juxtaposed controls. My Department, National Highways and Kent County Council are working with Port of Dover on minor capacity improvements to the A20/Union Street junction to support the port’s new Western Docks EES processing facility. This is being led by Kent County Council. British airports, and maritime ports other than Port of Dover, will not be implementing EES, as these ports do not host juxtaposed controls.

If she will have discussions with East Sussex County Council on ensuring timely progress on (a) the Bishopstone Junction and (b) other key infrastructure improvements.

The Integrated National Transport Strategy will be published later this year following collaborative and open engagement with our stakeholders and will meet the manifesto commitment to develop a “long-term strategy for transport”. Regarding the A259 South Coast Road Corridor scheme, all future spend is subject to the Spending Review and until that is completed, I am unable to provide assurances on any individual project. Local authority scheme promoters will be updated on the future of schemes in due course.

When she plans to (a) publish her long-term transport strategy and (b) make a decision on the Major Road Network project put forward by East Sussex County Council.

The Integrated National Transport Strategy will be published later this year following collaborative and open engagement with our stakeholders and will meet the manifesto commitment to develop a “long-term strategy for transport”. Regarding the A259 South Coast Road Corridor scheme, all future spend is subject to the Spending Review and until that is completed, I am unable to provide assurances on any individual project. Local authority scheme promoters will be updated on the future of schemes in due course.

Food and Rural Affairs, for what reason the Rural England Prosperity Fund has been reduced for the year 2025-2026.

Defra announced on 4 March that it would be providing an additional £33 million for the Rural England Prosperity Fund in financial year 2025-26. This announcement continues funding beyond the lifetime of the original scheme providing new money for new projects in rural areas. The Autumn Statement on 30 October confirmed Defra’s budgets for 2024-25 and 2025-26. Funding allocations for individual programmes have been determined through the departments business planning exercise. Future funding decisions remain subject to the Government spending review.

Pursuant to the Answer of 22 July 2024 to Question 374 on Schools: Solar Power, what steps her Department has taken to support schools in the move to solar; and what funding they will provide to schools for the installation of solar PV panels.

High and rising school standards are at the heart of this government’s mission to break down barriers to opportunity and give every child the best start in life. High-quality and sustainable buildings are a key part of that.The Public Sector Decarbonisation Scheme supports schools, hospitals and other public sector bodies with funding to switch to cleaner heating and cut building emissions. Additionally, capital funding allocated by the department to the school sector each year can be used for projects that improve the energy efficiency and sustainability of school buildings, as well as improving the condition of the estate to keep schools safe and operational. From visits made to schools for the department’s Condition Data Collection programme (CDC2), we know that almost 30% of schools already have photovoltaic panels installed.Decisions on which projects to prioritise with capital allocations are primarily taken at a local level. In the 2024/25 financial year, the department committed £1.8 billion in capital funding to improve the condition of the school estate. At the Autumn Budget 2024 the government increased funding to £2.1 billion for the 2025/26 financial year.This is on top of the School Rebuilding Programme, which is rebuilding or refurbishing poor condition buildings at over 500 schools. Since November 2021, the department has required all new department-delivered schools be designed to be net zero carbon in operation. This is alongside delivering investment to increase green infrastructure and sustainable water management on school sites.The department is aware of an increasing amount of interest in this area from schools and suppliers and is engaging with the sector to look at how it can further support schools in the move to solar. Our sustainability support programme provides online and in person help to education settings in identifying appropriate actions to become more sustainable, including considering decarbonisation of their energy supply. Where schools are considering the purchase of solar panels or other sustainable systems, our ‘Get help buying for schools’ service provides support to ensure that schemes procured are of high-quality and value to the sector. Information about the service can be found here: https://gethelpbuyingforschools.campaign.gov.uk/.Pilot programmes such as the Net Zero Accelerator Service and the Decarbonisation Pilots have been working with small groups of schools to explore what interventions work best in different typologies of schools to reduce emissions and energy bills. The learning from these pilots will be captured and shared through the sustainability support programme.The department has also published guidance for schools and colleges on sensible steps for reducing energy use and small-scale works to improve energy efficiency. Further details are available here: https://www.gov.uk/government/publications/energy-efficiency-guidance-for-the-school-and-fe-college-estate/energy-efficiency-guidance-for-the-school-and-further-education-college-estate. In addition, advice on reducing energy costs, including renewing energy contracts, and frameworks for procuring sustainable solutions, is available here: https://find-dfe-approved-framework.service.gov.uk/pages/rising-energy-prices.

If she will make an estimate of the value of goods traded from (a) the UK to Russia via Georgia and (b) Russia to the UK via Georgia.

HM Revenue & Customs (HMRC) is responsible for the collection and publication of data on imports and exports of goods to and from the UK. HMRC releases this information monthly, as an Accredited Official Statistic called the Overseas Trade in Goods Statistics (OTS), which is available via their dedicated website (www.uktradeinfo.com). HMRC only collects and holds information for exports based on the initial country of destination that the goods were exported to and therefore are unable to provide an estimate for goods that are traded onwards. Exports to Georgia are published as stated below, but we do not hold information on goods that then move on to Russia from there. Import information including country of origin (CoO) is available from www.tradeinfo.com. From this website, it is possible to build your own data tables based upon bespoke search criteria.These tables include country of dispatch (CoD) which gives information on the country of export. If specifically wanting information on CoO this is available in the  bulk datasets archive. The data available includes value and volume/weight of imports. If you need help or support in constructing a table from the data on uktradeinfo, please contact uktradeinfo@hmrc.gov.uk.

What assessment his Department has made of the adequacy of the availability of Enhertu in (a) Scotland and (b) Europe compared to (c) England and (d) Wales.

Health is a devolved matter and decisions on the availability of medicines in Scotland and Wales are a matter for their own administrations. Other European countries operate very different health systems and direct comparisons of medicine availability are very difficult.Decisions on whether new medicines should be routinely funded by the National Health Service in England are made on the basis of recommendations from the National Institute for Health and Care Excellence (NICE) following an evaluation of a treatment’s costs and benefits. These are very difficult decisions to make, and it is important that they are made independently and on the basis of the available evidence.The NICE has recommended Enhertu (trastuzumab deruxtecan) in advanced breast cancer for treating HER2-positive unresectable or metastatic breast cancer after one or more anti-HER 2 treatments, and for treating HER2-positive unresectable or metastatic breast cancer after two or more anti-HER2 therapies. Enhertu is now routinely funded for eligible patients in England in line with the NICE’s recommendations.The NICE published guidance in July 2024 on the use of Enhertu for the treatment of HER-2 low metastatic and unresectable breast cancer and was unfortunately unable to recommend it for routine NHS funding. I understand that the NICE and NHS England have sought to apply as much flexibility as they can in their considerations of Enhertu for HER2-low breast cancer, and have made it clear to the companies that their pricing of the drug remains the only obstacle to access.Ministers met with the manufacturers of Enhertu, AstraZeneca and Daiichi Sankyo, in November 2024, to encourage them to re-engage in commercial discussions with NHS England. Despite the NICE and NHS England offering unprecedented flexibilities, the companies were unable to offer Enhertu at a cost-effective price. The NICE’s guidance, published in July 2024, will therefore remain unchanged. Although the deadline for a rapid review has now passed, the NICE has reassured me that the door remains open for the companies to enter into a new NICE appraisal if they are willing to offer Enhertu at a cost-effective price.