16 Sept 2025·Department for Environment, Food and Rural Affairs·Answered
AskedFood and Rural Affairs, what estimate she has made of the level of fines that will be levied against water companies in each of the next five years.
ReplyIt is for the regulators to determine fines against water companies. In May this year, Ofwat issued a £104.5m fine to Thames Water for breaches of rules relating to the company’s wastewater operations. A payment plan has since been confirmed, with 20% of the fine to be paid by the end of this month.
16 Sept 2025·Department for Environment, Food and Rural Affairs·Answered
AskedFood and Rural Affairs, whether she plans to grant the Environment Agency statutory powers to test for (a) E. coli and (b) other harmful pathogens in watercourses.
ReplyThe Environment Agency (EA) regularly samples and monitors for E.coli and Intestinal enterococci bacteria in watercourses that are officially designated as Bathing Waters. This information is available to the public, via the Swimfo website. The EA may require water companies to take environmental samples for E. Coli and other faecal indicator organism bacteria during sewage pollution incidents which have potential to impact on bathing waters. The EA also requires that water companies report faecal indicator concentration downstream of sites permitted to provide disinfection. All sites are required to report on E. Coli. Sites that are designated bathing waters are additionally required to report Intestinal Enterococci (I.E.). The EA reviews this reported data to check disinfection plants are meeting their design objectives. The Independent Water Commission made a number of recommendations relating to Public Health. The Government will reply to these in their White Paper later this year.
12 Sept 2025·Department for Transport·Answered
AskedWhether she will undertake a review of the timeline to bring the Automated Vehicles Act 2024 into force to allow an earlier rollout of proven supervised systems (a) to support older drivers seeking safe mobility and (b) in general.
ReplyThe Automated Vehicles (AV) Act 2024 implementation timeline is designed to prioritise the development and implementation of a regulatory framework that maximises innovation, public safety, and public confidence by the second half of 2027. By incorporating opportunity for extensive consultation, the timeline will help facilitate the realisation of AV benefits to specific demographics and more broadly. In June 2025, the Government announced an acceleration of the Automated Passenger Services (APS) permitting scheme to spring 2026, subject to consultation. In deciding whether to grant a permit, the Secretary of State must have regard to whether, and to what extent, the granting of the permit is likely to lead to an improvement in the understanding of how automated passenger services should best be designed for, and provided to, older or disabled passengers. A consultation on the scheme is open until 28th September. Alongside developing our domestic regulations, we are playing a leading role in work to harmonise international rules on self-driving; this work is anticipated to complete in early 2027.
10 Sept 2025·Department of Health and Social Care·Answered
AskedWhether his Department plans to establish an independent inquiry into the historic prescribing of Diethylstilbestrol.
ReplyThe issue of diethylstilbesterol (DES) and vaginal carcinoma in the daughters of women who took DES during pregnancy was reviewed by the Committee on Safety of Medicines (CSM) in the early 1970s. In 1973, the CSM wrote to all doctors to inform them of the results of a study into the topic from the United States, and the absence of identified cases in the United Kingdom.The work of the committee predates the existence of the Medicines and Healthcare products Regulatory Agency (MHRA), when medicines vigilance was only in its infancy and there were no electronic records and no systematic monitoring of prescriptions.There has been a step change in reporting and record keeping since this time, and today's regulatory frameworks are significantly different, with much stricter post-authorisation monitoring allowing for earlier identification and action on emerging safety issues. The MHRA regulates medicines supplied in the UK. Its activity spans the whole of a medicine’s lifecycle. The MHRA keeps the safety of all medicines under continual review.Government advice currently is that routine cervical screening is appropriate for those who believe they were exposed to DES in utero. Further information is available at the following link:https://www.gov.uk/government/publications/cervical-screening-programme-and-colposcopy-management/5-screening-and-management-of-immunosuppressed-individualsParticipation in the National Breast Screening Programme is also recommended. Pregnant women who know that they were exposed in utero to DES should inform their obstetrician and be aware of the increased risks of ectopic pregnancy and preterm labour.The Department does not have any plans to establish a public inquiry into the historic prescribing of DES.
10 Sept 2025·Department of Health and Social Care·Answered
AskedIf his Department will take steps to ensure that historic (a) NHS and (b) GP records can be reviewed to identify women who were prescribed Diethylstilbestrol between the 1940s and 1970s.
ReplyThe issue of diethylstilbesterol (DES) and vaginal carcinoma in the daughters of women who took DES during pregnancy was reviewed by the Committee on Safety of Medicines (CSM) in the early 1970s. In 1973, the CSM wrote to all doctors to inform them of the results of a study into the topic from the United States, and the absence of identified cases in the United Kingdom.The work of the committee predates the existence of the Medicines and Healthcare products Regulatory Agency (MHRA), when medicines vigilance was only in its infancy and there were no electronic records and no systematic monitoring of prescriptions.There has been a step change in reporting and record keeping since this time, and today's regulatory frameworks are significantly different, with much stricter post-authorisation monitoring allowing for earlier identification and action on emerging safety issues. The MHRA regulates medicines supplied in the UK. Its activity spans the whole of a medicine’s lifecycle. The MHRA keeps the safety of all medicines under continual review.Government advice currently is that routine cervical screening is appropriate for those who believe they were exposed to DES in utero. Further information is available at the following link:https://www.gov.uk/government/publications/cervical-screening-programme-and-colposcopy-management/5-screening-and-management-of-immunosuppressed-individualsParticipation in the National Breast Screening Programme is also recommended. Pregnant women who know that they were exposed in utero to DES should inform their obstetrician and be aware of the increased risks of ectopic pregnancy and preterm labour.The Department does not have any plans to establish a public inquiry into the historic prescribing of DES.
29 Aug 2025·Department for Transport·Answered
AskedWhat service standards the DVLA is working to; and what steps her Department is taking to hold them accountable for meeting them.
ReplyMy department keeps governance and assurance procedures under review. The department measures the performance of the Driver and Vehicle Licensing Agency against their Key Performance Indicators as set out in their Business Plan, together with regular meetings at Ministerial and official level.
29 Aug 2025·Department for Transport·Answered
AskedWhat steps she is taking to reduce the backlog for medical driving licence assessments.
ReplyThe Driver and Vehicle Licensing Agency (DVLA) aims to process all applications as quickly as possible. Driving licence applications where a medical condition(s) must be investigated before a licence can be issued can take longer as the DVLA is often reliant on information from third parties, including medical professionals, before a licence can be issued. The quickest way to transact with the DVLA is by using its extensive suite of online services. Drivers with diabetes, epilepsy, Parkinson’s disease, visual impairments, sleep conditions or heart conditions can renew their driving licence online. The DVLA continues to make improvements to the services provided to drivers with medical conditions and is currently rolling out a new casework system. This is expected to deliver significant improvements which will enhance the handling of medical cases, support growing customer demand and help to reduce processing times. It is important to note that most applicants renewing an existing licence will be able to continue driving while their application is being processed, providing the driver can meet specific criteria. More information can be found online at: https://www.gov.uk/government/publications/inf1886-can-i-drive-while-my-application-is-with-dvla.
29 Aug 2025·Department for Environment, Food and Rural Affairs·Answered
AskedFood and Rural Affairs, what discussions he has had with industry stakeholders on reducing water consumption in data centre operations.
ReplyThe Environment Agency (EA) is engaging with the data centre sector to gain a better understanding of current and future water needs. In August, techUK published a white paper to summarise the results of a survey carried out in collaboration with the EA. When data centres are planned and designed, consideration should be given to the types of cooling technology being selected and the corresponding water needs. An assessment of the options should be made, including closed-loop water cooling which uses much less water, and air cooling where feasible. Consideration must also be given to where the data centre is going to be located to ensure that any water needs can be met. The EA encourage data centre developers to consider use of non-potable water, to embed water efficiency or water reuse in their design and contact their proposed water and wastewater supplier early in the planning process.
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhether his Department has made an estimate of the annual cost to the NHS of repeated or unnecessary appointments resulting from poor communication between departments and trusts.
ReplyThe Department has not estimated the cost to the NHS of any repeated or unnecessary appointments which might conceivably have resulted from poor communication between departments and trusts.
29 Aug 2025·Ministry of Justice·Answered
AskedIf she will take steps to help ensure that transgender people giving evidence in court proceedings can access facilities without being required to disclose their gender identity.
ReplyHM Courts & Tribunals Service is waiting for the Equality and Human Rights Commission to publish their updated statutory Code of Practice for Services, Public Functions and Associations to support service providers. This follows the UK Supreme Court Ruling on definition of ‘sex’ in the Equality Act 2010.
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhat steps his Department is taking to ensure full interoperability between NHS IT systems.
ReplyThe Health and Social Care Act 2022, the Data (Use and Access) Act 2025 and the Health and Social Care Information Standards (Procedure) Regulations 2025, establish a new legislative framework for setting mandatory information standards for public and private health and adult social care providers and IT suppliers in the health and care system. This will provide the basis for ensuring interoperability between IT systems. Mandatory information standards will be introduced in a staged process, allowing for different systems to communicate and share data more effectively.
29 Aug 2025·Ministry of Justice·Answered
AskedWhat steps her Department is taking to protect the (a) safety, (b) dignity and (c) privacy of transgender people participating in the criminal justice process.
ReplyAgencies across the criminal justice system are governed by the provisions of the Equality Act (2010), so must ensure that transgender people’s rights under the Act are protected. The Victims’ Code (2020) sets out the minimum level of service that all victims of crime should receive from criminal justice agencies, including the right to be treated with respect, dignity, sensitivity, compassion and courtesy and to have their privacy respected in accordance with the relevant privacy and data protection laws. This sits alongside a robust risk assessment framework to ensure the safety and security of all remanded defendants and prisoners.
29 Aug 2025·Ministry of Justice·Answered
AskedWhat guidance has been provided to court staff on the treatment of (a) trans and (b) non-binary people, following the update to the Equal Treatment Bench Book.
ReplyNo guidance has been provided to court staff on the treatment of (a) trans and (b) non-binary people, following the update to the Equal Treatment Bench Book. HMCTS is waiting for the Equality and Human Rights Commission to publish their updated statutory Code of Practice for Services, Public Functions and Associations to support service providers. This follows the UK Supreme Court Ruling on definition of ‘sex’ in the Equality Act 2010.
29 Aug 2025·Department of Health and Social Care·Answered
AskedIf he will (a) review and (b) update the NHS Continuing Healthcare guidance to ensure that mobility assessments fully consider the impact of severe dementia and other cognitive impairments on an person's care needs.
ReplyThere are no plans to update NHS Continuing Healthcare (CHC) guidance regarding mobility assessments or specialist assessments by dementia nurses. The CHC assessment process is supported by the Decision Support Tool. This provides practitioners with a way to bring together and record an individual’s needs in the twelve ‘care domains’, including mobility. The assessment should consider the ways in which an individual’s needs interact with one another, for example how cognition impacts on mobility.Eligibility for CHC is not determined by diagnosis or condition but is assessed on a case-by-case basis considering the totality of an individual’s needs, ensuring a person-centred approach. Someone with specialist knowledge of an individual’s condition, for example dementia, should be involved in the process. Assessments should take into account evidence from a comprehensive range of assessments relating to the individual. For individuals with dementia, this could include specialist assessments by dementia nurses.
29 Aug 2025·Department for Science, Innovation and Technology·Answered
AskedInnovation and Technology, what steps he is taking to ensure that (a) legislation and (b) policy relating to technology is informed by experts with technical knowledge.
ReplyThe internal policies associated with technology (such as the AI Playbook) used within government, are directly informed by industry leading technical experts, which include digital and data civil servants, specialist third parties and expert non-exec board level advisors with extensive experience.
29 Aug 2025·Foreign, Commonwealth and Development Office·Answered
AskedCommonwealth and Development Affairs, what recent discussions he has had with his (a) Pakistani and (b) Bangladeshi counterpart on (i) the provision of support following recent floods and (ii) strengthening resilience to future climate-related flooding.
ReplyThe UK was among the first to respond to the floods in Pakistan, approving £2.13 million in emergency funding across seven most affected districts reaching nearly 223,000 people with search and rescue, emergency medical care, food, water, hygiene, and household items. His Majesty the King, the Prime Minister, the former Foreign Secretary and I have shared messages of condolence and support with the Pakistani government.In Bangladesh, we have supported over 150,000 climate-vulnerable people since 2023. We provided £1.6 million for cyclone and flood response and recovery between May 2024 and March 2025. We are working with the Government of Bangladesh to strengthen flood forecasting and early warning systems in partnership with the UK Met Office. In March 2025, the Bangladesh Adviser for Environment, Forests and Climate Change discussed disaster preparedness with the UK Special Representative for Climate.
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhat assessment he has made of the potential impact of fragmented care pathways on (a) patient outcomes and (b) NHS resource use; and what steps he is taking to improve care coordination for patients with long-term conditions.
ReplyThe Neighbourhood Health Service will embody our new preventative principle that care should happen as locally as it can: digitally by default, in a patient’s home, if possible, in a neighbourhood health centre when needed, and only in a hospital if necessary. Through this model, we will rebalance our health and care system so that it fits around people’s lives, not the other way round. This approach will mean patients are not sent from pillar to post, improving outcomes and making better use of resources.In the meantime, we have launched the National Neighbourhood Health Implementation Programme (NNHIP) to support systems across the country by driving innovation and integration at a local level, to accelerate improvements in patient outcomes and patient satisfaction and ensure that care is more joined-up, accessible, and responsive to community needs. The initial focus for all the first places in the NNHIP will be adults with multiple long-term conditions and rising risk, before progressing to other places and populations. There will be a rigorous monitoring of outcomes and metrics for the NNHIP.
21 Jul 2025·Department of Health and Social Care·Answered
AskedWhat steps he is taking to help ensure that the pathway into paramedicine is accessible to (a) mature students and (b) career changers, in the context of the requirement for new paramedics to hold a BSc qualification.
ReplyParamedicine students are able to access the Learning Support Fund (LSF), a non-repayable grant of £5,000 per academic year. Further financial support is available for childcare, travel, and dual accommodation costs while on clinical placements. Students studying paramedicine as a second degree are also able to access the LSF, subject to meeting other eligibility criteria. Apprenticeships offer an alternative training route for those for whom a full-time university course is not practical or preferred, allowing people to earn as they learn.Pathways can also be shortened, depending on the level of someone's prior learning, via a process called Accreditation of Prior Experiential Learning (APEL), which recognises previous learning and experience. People with non-traditional qualifications can apply to universities to determine if their skills, knowledge, and abilities may be recognised via APEL.
21 Jul 2025·Department of Health and Social Care·Answered
AskedWhether his Department plans to make second-degree Paramedic Science students eligible for (a) student finance and (b) the NHS Learning Support Fund.
ReplyStudents studying paramedicine as a second degree are able to access the Learning Support Fund (LSF), subject to meeting the other eligibility criteria. The LSF comprises a non-repayable training grant of £5,000 per academic year. Further financial support is available for childcare and travel and dual accommodation costs while on clinical placements.Access to student loans is governed by The Education (Student Support) Regulations 2011 (as amended) and is a matter for the Department for Education.The Government keeps the funding arrangements for all healthcare courses, including paramedicine, under close review.
21 Jul 2025·Department of Health and Social Care·Answered
AskedWhat assessment his Department has made of the potential financial barriers for people studying Paramedic Science as a second undergraduate degree.
ReplyStudents studying paramedicine as a second degree are able to access the Learning Support Fund (LSF), subject to meeting the other eligibility criteria. The LSF comprises a non-repayable training grant of £5,000 per academic year. Further financial support is available for childcare and travel and dual accommodation costs while on clinical placements.Access to student loans is governed by The Education (Student Support) Regulations 2011 (as amended) and is a matter for the Department for Education.The Government keeps the funding arrangements for all healthcare courses, including paramedicine, under close review.