Written questions by Platt.

Whether his Department has made an assessment of the potential impact of changes to employer National Insurance contributions on private nursing homes.

The Government considered the cost pressures facing adult social care as part of the wider consideration of local government spending within the Spending Review process in 2024.To enable local authorities to deliver key services such as adult social care, the Government is making available up to £3.7 billion of additional funding for social care authorities in 2025/26, which includes an £880 million increase in the Social Care Grant.The additional funding available to Wigan in 2025/26 means that they will see an increase to their core spending power of up to 9.0% in cash terms.Local authorities are best placed to understand and plan for the needs of their population, which is why, under the Care Act 2014, they are tasked with the duty to shape their care market to meet the diverse needs of all local people.

What steps she is taking to support people with (a) Long Covid and (b) ME back into the workplace.

Backed by £240m investment, the Get Britain Working White Paper launched on 26 November will drive forward approaches to tackling economic inactivity and work toward the long-term ambition of an 80% employment rate. We are committed to reforming the system of health and disability benefits so that it promotes and enables employment among as many people as possible. The system must also support disabled people to live independently. It is also vital to ensure that the system is financially sustainable in the long term. We are working to develop proposals for reform in the months ahead and will set them out in a Green Paper ahead of the Spring Statement later this year. Appropriate work is generally good for health and wellbeing, so we want everyone to get work and get on in work, whoever they are and wherever they live.Disabled people and people with health conditions, including those with Long Covid and/or ME, are a diverse group so access to the right work and health support, in the right place, at the right time, is key. We therefore have a range of specialist initiatives to support individuals to stay in work and get back into work, including those that join up employment and health systems.Measures include support from Work Coaches and Disability Employment Advisers in Jobcentres and Access to Work grants, as well as joining up health and employment support around the individual through Employment Advisors in NHS Talking Therapies and Individual Placement and Support in Primary Care.Employers play a key role in increasing employment opportunities and supporting disabled people and people with health conditions, to thrive as part of the workforce. Our support to employers includes increasing access to Occupational Health, a digital information service for employers and the Disability Confident scheme.

What steps she plans to take to support people with neurodiverse conditions into the workplace.

We recognise that neurodivergent people face particular barriers to employment, which is reflected in a poor overall employment rate. In our plan to Make Work Pay, we committed to raising awareness of neurodiversity in the workplace and across wider society. Our specialist initiatives to support neurodivergent people and other disabled people into work include support from Work Coaches and Disability Employment Advisers in Jobcentres and Access to Work grants. £12.3 million has also been invested into 23 lead Local Authority areas to provide support to autistic people and people with learning disabilities, under the Local Supported Employment Programme. Under the Government’s new Get Britain Working Strategy, the forthcoming voluntary, locally led Supported Employment programme ‘Connect to Work’ will support disabled people, those with health conditions and other complex barriers including neurodivergent people, to get into and on in work. Employers have a key role to play in inclusion for neurodiverse people. Our support to employers includes the online Support with Employee Health and Disability service, to support employers managing health and disability in the workplace. This includes questions of disclosure and equipping employers to feel confident having conversations about health and disability. The Disability Confident scheme also signposts employers to expert resources which support the employment of disabled people. We have recently launched an independent panel of academics with expertise in neurodiversity to advise ministers and employers on neurodiversity and inclusion at work.

What steps he is taking to help armed forces veterans access mental health support in Leigh and Atherton constituency.

NHS England commissions Op COURAGE, the integrated mental health and wellbeing service, which allows veterans to make self-referrals. The Op COURAGE North service, run by the Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, covers the Leigh and Atherton constituency area.The service, which is available across England, has been designed to support veterans from all areas, and is delivered from a range of locations, including National Health Service trusts, general practices (GPs), Poppy Shops, veteran hubs, and drop-in centres. Elements of the service may also be provided online if this is clinically appropriate. The Government recognises that not all veterans want to use veteran-specific mental health services and can instead choose to use mainstream National Health Services, such as talking therapies, which are available to both veterans and civilians.GPs are able to participate in the Veteran Friendly Practice Accreditation Scheme, which is a free support programme for GPs in England that enables GPs to easily identify, understand, and support veterans, and, where appropriate, refer them to specialist healthcare services designed especially for them, such as Op COURAGE. Over 99% of Primary Care Networks have at least one GP accredited as Veteran Friendly.

What steps her Department is taking to tackle tax evasion in vape shops.

The Government recognises that sometimes businesses do not declare all of their income and thereby conceal their true earnings. We are committed to creating a level playing field for all, by ensuring that everyone pays the right amount of tax at the right time, to ensure trust and fairness in the tax system. Most taxpayers pay what they owe, but a small minority fail to register with HMRC or only declare a portion of their earnings. This small minority deprive our vital public services of funding, affect fair competition between businesses, and place unfair burdens on everyone else. It is vital these revenues are collected to fund our essential public services. Closing the tax gap and making sure that more of the tax that is owed is correctly paid, is one of the Government’s top priorities for HMRC. HMRC is making it increasingly difficult for businesses to hide their earnings and have an extensive range of powers, including information gathering powers, that help build a picture of risk and identify those who are trying to abuse the system. HMRC’s approach to tax evasion aims to tackle current non-compliance and change future behaviours. These range from producing learning packages on tax obligations for schools, through to national campaigns and specialist task forces which incorporate intensive bursts of compliance activity in specific trade sectors and locations across the UK. HMRC undertakes a range of compliance activity, across every sector of the economy, to ensure that our customers are paying the correct amount of tax.

Communities and Local Government, what steps her Department is taking to encourage investment into high streets in (a) Leigh, (b) Atherton, (c) Golborne and (d) Tyldesley.

The government is determined to reverse the decline of our high streets and bring them back to life as part of our mission to drive growth, raise living standards and deliver an era of national renewal.In December High Street Rental Auctions regulations came into force, which will help to tackle high vacancy rates in high streets across Wigan. Wigan was also recently confirmed as a recipient of the Long-Term Plan for Towns - it was confirmed at Autumn Budget that this programme would be retained and reformed as part of a new regeneration programme.

If she will make an assessment of the potential merits of a regional transport strategy to improve connectivity between towns.

Transport doesn’t stop at local authority boundaries. It is therefore important that transport is also considered at a regional level to provide context for transport schemes and help improve connectivity between areas. In England, regional transport strategies have been developed by the seven Sub-national Transport Bodies (STBs) which represent the entirety of England except London, which is covered by separate arrangements. The strategies produced by STBs reflect the collective priorities of their constituent authorities who are represented by local leaders and Mayors. The devolved governments of Scotland, Wales and Northern Ireland each publish their own National Transport Strategies. Partnership working is also further facilitated by the Council of the Nations and Regions and Mayoral Council. These forums provide unparalleled opportunities for Mayors, working hand in glove with other local leaders, to engage government at the highest levels on a systematic basis. This government is committed to resetting the relationship with local and regional government, empowering local leaders and Mayors to make the right decisions for their communities, and working together to grow an inclusive economy, reform public services and secure better outcomes.

Whether she has had discussions with the Secretary of State for Justice on the potential merits of introducing mandatory minimum sentences for individuals in breach of protective orders.

Minimum sentences are rare in England and Wales and are only provided in legislation for certain offences where there is a particular concern.It is the function of the court to decide the sentence in each case subject to the maximum that Parliament has provided, and any relevant Sentencing Guidelines published by the Sentencing Council. Sentencing must also be proportionate to the offence committed, taking into account all the circumstances of each case. That is why, even in cases where a minimum sentencing requirement applies, the court retains discretion not to apply it in exceptional circumstances.The government has launched an Independent Review of Sentencing, chaired by former Lord Chancellor David Gauke, to provide a comprehensive re-evaluation of our sentencing framework with the aim to provide long-term solution for our justice system and to ensure we are never again forced to rely on the emergency release of prisoners.This government is committed to strengthening protective orders and launched new Domestic Abuse Protection Orders (DAPOs) in select areas in November 2024. The DAPO provides stronger protection for victims as it is the first order to cover all forms of domestic abuse including, coercive and controlling behaviour and also has the ability to impose electronic monitoring and attendance to a behaviour change programme. Breach of a DAPO is a criminal offence punishable by up to 5 years’ imprisonment.

If he will make an assessment of the potential merits of establishing a centre of excellence for care and research for infection-associated chronic conditions.

We do not anticipate setting up a new centre of excellence for care and research specifically for post-viral or infection-associated conditions. The Department funds research on post-viral conditions through the National Institute for Health and Care Research (NIHR). The NIHR and Medical Research Council (MRC) remain committed to funding high-quality research to understand the causes, consequences, and treatment of post-viral conditions such as myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), and long COVID, and are actively exploring next steps for stimulating further research in this area. The MRC and NIHR currently fund research through a variety of routes, including infrastructure, research programmes, capacity building, for example research fellowships, and in the case of NIHR, research delivery to support recruitment to studies. Funding is available for infection-associated research.

Whether his Department has plans to allocate additional funding towards the Government's myalgic encephalomyelitis/chronic fatigue delivery plan.

There are currently no plans to allocate additional funding towards the myalgic encephalomyelitis / chronic fatigue (ME/CFS) final delivery plan. The ME/CFS final delivery plan continues to be developed.The plan will focus on improving research, attitudes and education, and bettering the lives of people with this disease. The consultation responses, alongside continued stakeholder engagement via the ME/CFS Task and Finish Group, will inform the development of the final delivery plan for ME/CFS, which we aim to publish by the end of March 2025.

Pursuant to the Answer of 14 January to Question 22097 on Drugs: Organised Crime, what steps she is taking to tackle cuckooing.

The Government is clear that cuckooing is an appalling practice associated with violence, exploitation and anti-social behaviour.Through the County Lines Programme we are targeting exploitative drug dealing gangs, including those who take over the homes of vulnerable people.The Government’s Safer Streets Mission will continue to tackle these issues and we will make further announcements in the normal way in due course.

Media and Sport, how (a) the Local News Commission and (b) other similar organisations will be able to contribute to the development of her planned local media strategy.

We have been working across Government as the Local Media Strategy develops and are also engaging with key external stakeholders, from industry, academia, civil society and local government. Officials have already met with the Public Interest News Foundation, founders of the Local News Commission, as part of that engagement. Our work is also being informed by the range of studies conducted into the state of local journalism in the UK in recent years. With this in mind, we look forward to publication of the Local News Commission’s report and any new insights or recommendations that the Commission is able to offer.

Whether his Department is taking steps to ensure that all eligible NHS Trusts participate in the early access programme for givinostat.

ITF Pharma UK, the United Kingdom marketing authorisation holder for givinostat, is providing access to givinostat through a type of compassionate use scheme called an Early Access Programme (EAP). Under the EAP, givinostat is free to both patients taking part in it and to the National Health Service, but the trusts must still cover the cost of administering it to patients. Only Duchenne muscular dystrophy clinicians can make requests for givinostat for their patients. Decisions are made on a case-by-case basis for individual named patients, aligned to eligibility criteria.NHS England does not have any initiatives to encourage participation in compassionate use schemes, which are the responsibility of individual pharmaceutical companies. Participation in the EAP for givinostat, which must be through one of the 23 NorthStar Centres in the UK, is decided at an individual NHS trust level, although there is general advice that trusts should engage with the relevant commissioner if they choose to participate, so that any impacts on the wider service can be taken into account. A NorthStar Centre will not be able to provide givinostat if its local trust has not approved participation.NHS England has published guidance for integrated care systems (ICS) on free of charge medicines schemes such as EAPs, including providing advice on potential financial, administrative, and clinical risks. The guidance aims to support the NHS to drive value from the medicines and ensure consistent and equitable access to medicines across England. ICSs should follow the recommendations to determine whether to implement any free of charge scheme, including assessing suitability and any risks in the short, medium, and long term. The guidance is available at the following link:https://www.england.nhs.uk/long-read/free-of-charge-foc-medicines-schemes-national-policy-recommendations-for-local-systems/

What recent discussions he has had with (a) NHS England and (b) ITF Pharma UK on the provision of (i) resources and (ii) guidance to NHS trusts to enable them to take part in the Early Access Programme for givinostat.

ITF Pharma UK, the United Kingdom marketing authorisation holder for givinostat, is providing access to givinostat through a type of compassionate use scheme called an Early Access Programme (EAP). Under the EAP, givinostat is free to both patients taking part in it and to the National Health Service, but the trusts must still cover the cost of administering it to patients. Only Duchenne muscular dystrophy clinicians can make requests for givinostat for their patients. Decisions are made on a case-by-case basis for individual named patients, aligned to eligibility criteria.NHS England does not have any initiatives to encourage participation in compassionate use schemes, which are the responsibility of individual pharmaceutical companies. Participation in the EAP for givinostat, which must be through one of the 23 NorthStar Centres in the UK, is decided at an individual NHS trust level, although there is general advice that trusts should engage with the relevant commissioner if they choose to participate, so that any impacts on the wider service can be taken into account. A NorthStar Centre will not be able to provide givinostat if its local trust has not approved participation.NHS England has published guidance for integrated care systems (ICS) on free of charge medicines schemes such as EAPs, including providing advice on potential financial, administrative, and clinical risks. The guidance aims to support the NHS to drive value from the medicines and ensure consistent and equitable access to medicines across England. ICSs should follow the recommendations to determine whether to implement any free of charge scheme, including assessing suitability and any risks in the short, medium, and long term. The guidance is available at the following link:https://www.england.nhs.uk/long-read/free-of-charge-foc-medicines-schemes-national-policy-recommendations-for-local-systems/

Communities and Local Government, what additional funding and resources will be allocated to local authorities to implement the recommendations of the Government's Resilience Review.

The Resilience Review is considering established practices and policies to support UK resilience against the full spectrum of risks we face. It is evidence based and is identifying what should be kept, changed or improved to ensure we are best prepared now and into the future.Government will continue to work closely with local partners to ensure local resilience is at the heart of the Review; and relevant outcomes will be considered as part of any future investment into national and local resilience.The Resilience Review is due to conclude in Spring 2025.

What steps he has taken to ensure that the findings of the Government's Resilience Review (a) reflect the specific needs of and (b) engage with (i) people on low incomes, (ii) people who face discrimination and (iii) other disproportionately impacted communities.

Disproportionate impacts and vulnerability is a key focus of the Cabinet Office-led review of our approach to resilience. We are engaging with charitable, faith and other representative organisations to understand how the reduction and prevention of disproportionate impacts to at-risk groups and persons can be better considered in resilience planning and policy.

How the Resilience Review has incorporated input from the voluntary and community sector; and what steps he plans to take to facilitate ongoing collaboration in resilience planning and response.

The Cabinet Office recognises the valuable role that the voluntary and community sector can play in all aspects of resilience. The Cabinet Office has ensured that contributions from a range of Voluntary, Community, and Faith sector representatives have been able to inform the resilience review, specifically to inform the understanding of disproportionate impacts to at-risk groups in emergencies. The Cabinet Office has ongoing engagement with the sector. The Head of Resilience in the Cabinet Office chairs the Voluntary and Community Sector Strategic Discussion Forum every six months. The Forum brings together senior leaders from national voluntary sector organisations and central government. We will continue to explore opportunities to further strengthen voluntary, community and faith sector engagement to build national resilience as part of the resilience review.

What discussions he has had with the Chancellor of the Exchequer on long-term funding and resource allocations for cross-government resilience work; and how these agreements will support the delivery of the Government's Resilience Review recommendations.

The Spending Review will set resource or day-to-day departmental budgets until 2028-29 and capital departmental budgets until 2029-30. I and my Cabinet Office officials engage regularly with HM Treasury to support the Spending Review, the outcomes of which will inform the delivery of the Resilience Review. The resilience review is considering established practices and policies to support UK resilience against the full spectrum of risks we face. It is evidence based and is identifying what should be kept, changed or improved to ensure we are best prepared now and into the future.

What steps her Department is taking to (a) financially and (b) emotionally support victims of domestic abuse (i) when seeking a non-molestation order and (ii) in other circumstances, in the context of seeking a non-molestation order.

It is incredibly important that victims of domestic abuse get the support they need to apply for protective orders. The Ministry of Justice funds FLOWS (Finding Legal Options for Women Survivors), a free and confidential service delivered by RCJ Advice, which helps survivors apply for a non-molestation order in the family court. Legal aid is also available to eligible victims of domestic abuse for the new Domestic Abuse Protection Orders (DAPOs) currently piloted in selected areas, and for non-molestation orders.It is equally important that victims of domestic abuse receive emotional and practical support to recover from abuse and rebuild their lives. The 42 Police and Crime Commissioners (PCCs) in England and Wales receive annual grant funding from the Ministry of Justice to commission local practical, emotional, and therapeutic support services for victims of all crime types. This includes ring-fenced funding for sexual violence and domestic abuse community-based services and Independent Sexual Violence and Domestic Abuse Advisers.  In addition, the Home Office runs the Flexible Fund, administered by Women’s Aid Federation, which can offer financial support to victims in specific circumstances.

Innovation and Technology, whether his Department has conducted a market impact assessment for the options in the open consultation entitled Copyright and Artificial Intelligence, published on 17 December 2024.

The Government published the consultation on Copyright and AI in December 2024. Prior to its publication, the Government considered a range of approaches to clarify copyright law and meet its objectives for AI innovators and the creative industries. Further detail of the Government’s assessment of options can be found in the summary assessment (external link) published alongside the consultation. The consultation closes on 25 February.