Written questions by Tice.

Whether his Department has made an assessment of the adequacy of access to spinal services for patients in Boston and Skegness constituency; and what steps he is taking to ensure that residents can access (a) timely and (b) geographically appropriate spinal care.

The local acute trust in Lincolnshire, United Lincolnshire Teaching Hospitals NHS Trust (ULTH), does not have a spinal service. Emergency services take non-complex patients with potential spinal issues to the closest accident and emergency within Lincolnshire to be treated or stabilised, but if the patient is assessed at scene as having a spinal injury they will be transported directly to the Tertiary Centre at Nottingham University Hospital (NUH). NUH also provides a spinal consultant who supports ULTH on a weekly basis.General practitioners in the Skegness and Boston area can refer patients to a local spinal assessment service which completes a full assessment of the patient’s condition with appropriate diagnostics. There are then two pathways for spinal services based on clinical need. Non-complex patients will be offered choice of local acute services and complex patients are offered a choice of the tertiary centres at NUH & Sheffield.NHS England’s Midlands Regional Team has developed and implemented a network model of care for spinal cord injury (SCI) patients. Specialist clinicians in SCI provide acute care, intervention and training including outreach to local hospitals for patients who need SCI rehabilitation whilst they are waiting for a bed at a specialist SCI centre. SCI rehabilitation for Lincolnshire patients is primarily delivered via the specialist SCI centre in Sheffield. For Lincolnshire, NHS England has recognised that there is a significant clinical gap in these patients being managed locally whilst waiting for a specialist SCI rehabilitation bed. NHS England has allocated funding as part of the Network Model of Care for a post to be based at Lincoln Country Hospital to provide specialist support for Lincolnshire residents. Currently, this post is vacant, but NHS England and the trust are working towards successful recruitment.

Whether NHS England supports the policy of excluding children from community health services on the basis of school type; and what assessment he has made of the merits of such a policy.

There is no policy that excludes children from community health services on the basis of school type. The National Health Service is free at the point of use and provides care to anyone who need it based on clinical need. NHS occupational therapy services are provided for all children with an education, health and care plan (EHCP). For those without an EHCP, some schools provide on-site NHS occupational therapy.

What assessment his Department has made of the adequacy of the (a) availability and (b) timeliness of end-of-life palliative care support in Boston and Skegness constituency; and what steps he is taking to ensure that terminally ill patients fast-tracked due to a prognosis of fewer than 12 weeks to live receive appropriate physical and social care at home without having to wait until their final four weeks of life.

Palliative care services are included in the list of services an integrated care board (ICB) must commission, including Lincolnshire ICB, which covers the Boston and Skegness constituency. This promotes a more consistent national approach and supports commissioners in prioritising palliative and end of life care. ICBs are responsible for the commissioning of palliative and end of life care services, to meet the needs of their local populations.To support ICBs in this duty, NHS England has published statutory guidance and service specifications. The statutory guidance requires ICBs to work to ensure that there is sufficient provision of palliative and end of life care services to meet the needs of their local populations.Additionally, the Lincolnshire ICB area benefits from a single palliative point of access that operates 24 hours a day, seven days a week: a single phone number, facilitated by specialist palliative nurses and the urgent and emergency care clinical assessment service, through which patients, families, carers and professionals can access care that is co-ordinated and delivered locally.NHS Continuing Healthcare (CHC) is a package of National Health Service-funded ongoing health and social care for adults with the highest levels of complex, intense or unpredictable needs that have arisen as a result of disability, accident or illness.Lincolnshire ICB’s policy for fast-track CHC funding does not set out a timeframe for applications based on the number of weeks of prognosis, but it is based on the narrative within the National Framework for NHS CHC of “rapidly deteriorating and entering end phase of life”. The CHC team works seven days a week to ensure fast-track applications are processed in a timely manner.There is a dedicated CHC End of Life Case Manager for Boston and Skegness, who ensures people’s packages of care are appropriate and meeting the needs of the individual throughout their time they are in receipt of fast-track funding. Lincolnshire ICB has a contract in place with a single provider for Boston and Skegness, which ensures packages of care are arranged and delivered in a timely manner.

Whether her Department has made an assessment of the potential impact of Regulation C9 of the Police Pensions Regulations 1987 that removes survivor benefits on (a) widows and (b) widowers who (i) remarry and (ii) cohabit.

From 1 April 2015, the 1987 police pension scheme was amended to allow widows, widowers and civil partners of police officers who have died as a result of an injury on duty to receive their survivor benefits for life regardless of remarriage, civil partnership or cohabitation.

Food and Rural Affairs, what steps he is taking to support farmers following changes in the level of funding for mental health support; and whether he has made an assessment of the potential impact of this change on rural communities.

Defra are continuing to fund the Farmer Welfare Grant. This funds charities to deliver projects which will support mental health and build resilience in local farming communities. In the Hon. Member’s county, the Lincolnshire Rural Support Network is in receipt of funding and actively delivering projects specifically tailored to engage and support young people living, entering and working within the farming industry. The project will focus on education, resilience and the provision of 1:1 support. For 2025/26, total Government mental health spending is forecast to amount to £15.6 billion. This represents a significant uplift of £680 million in cash terms in spending on mental health compared to the previous financial year In addition, integrated care boards, including those with rural areas, are forecast to meet the Mental Health Investment Standard over the 2025/26 financial year, meaning that local health services will invest a greater share of their budgets into frontline mental health services. As part of our commitment to mental health, the Government will hire 8,500 new mental health support workers. This will give mental health the same attention and focus as physical health, reduce delays and provide faster treatment closer to people’s homes. Rural communities, including farmers, will benefit from this increased spending.

What steps her Department is taking with police forces to (a) help prevent antisemitic marches and (b) ensure that public order legislation is effectively enforced where protests involve (i) incitement, (ii) intimidation and (iii) groups that are known to have previously perpetrated hate crimes; and if her Department will issue national guidance to police forces on the protection of Jewish communities from (A) harassment and (B) abuse during protests.

The Government is committed to tackling antisemitism and other forms of hate crimes and supports the police in taking robust action where protests cross the line into criminality. Where protest activity does involve criminality, the police have a broad range of powers to respond. The use of these powers and the management of demonstrations are operational matters for individual forces, and Government ministers are unable to intervene in these decisions.On the issue of antisemitism, I would also refer the Hon Member to the Speech given by the Home Secretary at the annual dinner of the Community Security Trust on 26 March, which can be found here:https://www.gov.uk/government/speeches/home-secretary-speech-at-the-community-security-trust

Food and Rural Affairs, how many confirmed Avian Influenza outbreaks there have been in Boston and Skegness constituency, by site size; what assessment he has made of the adequacy of the (a) availability and (b) location of Avian Influenza testing in that area; what the (i) volume and (ii) origin of imported poultry and hatching eggs entering local markets is; and what steps his Department is taking to ensure that restrictions are (A) proportionate and (B) fairly applied to small-scale producers and vendors in Boston and Skegness constituency.

During the current outbreak there has been one outbreak of highly pathogenic avian influenza (HPAI) in the Boston and Skegness constituency in a commercial duck rearing enterprise near Skegness, East Lindsay, Lincolnshire and was confirmed on the 28 January 2025. All diagnostic testing undertaken by HM Government for avian influenza is conducted at the avian influenza National Reference Laboratory (NRL) at the Animal and Plant Health Agency (APHA) Weybridge laboratory using United Kingdom Accreditation Service (UKAS) validated tests. Testing is in line with World Animal Health Organisation (WOAH) standards as set out for Avian Influenza in the WOAH Terrestrial Manual. Defra have published further information on Avian influenza and influenza of avian origin diagnostic testing, controls and reporting obligations on gov.uk. Defra does not hold data on the volume and origin of imported poultry and hatching eggs entering local markets. To ensure controls are proportionate to the risk bird keepers face, Defra’s approach to avian influenza considers the latest scientific and ornithological evidence and veterinary advice. Current policy reflects our experience of responding to past outbreaks of exotic animal disease and is in line with international standards of best practice for disease control.

What steps his Department is taking to ensure that qualified (a) counsellors and (b) psychotherapists are (i) supported and (ii) distinguished from (A) psychiatric and (B) diagnostic services.

It is essential that all National Health Service staff, including counsellors and psychotherapists, can work in a supportive and compassionate environment that recognises and prioritises health and wellbeing. NHS England has a wide-ranging package of mental health and wellbeing support for all staff.All healthcare professionals should follow the National Institute for Health and Care Excellence guidelines, which state that healthcare professionals directly involved in a patient's care should introduce themselves and explain their role to the patient.Counsellors and psychotherapists are not statutorily regulated in the United Kingdom. Health professionals that are not subject to statutory regulation can join voluntary registers accredited by the Professional Standards Authority for Health and Social Care (PSA), such as the UK Council for Psychotherapy and the British Association for Counselling and Psychotherapy, who also provide support to their members.The organisations accredited by the PSA are independent, representative bodies and as such, they do not fall under Government oversight, and therefore any decisions about the practice requirements for the professions they represent are a matter for those organisations and their members.

What steps her Department is taking to strengthen (a) counter-extremism measures and (b) public order enforcement following the recent attack on the Israeli Embassy in London; and how the Department plans to ensure the continued safety of diplomatic (i) premises and (ii) staff from politically motivated violence.

The Government takes the protective security of diplomatic missions extremely seriously. The UK Government's protective security system is rigorous and proportionate. It is our longstanding policy not to provide detailed information on those arrangements, as doing so could compromise their integrity and affect individuals' and sites' security.

How many Iranian nationals have been detected arriving in the United Kingdom via small boat crossings in (a) 2023, (b) 2024 and (c) 2025 to date.

The Home Office publishes statistics on detected small boat arrivals to the UK in the ‘Immigration System Statistics Quarterly Release’. Data on small boat arrivals by nationality and year is published in table Irr_02b of the ‘Irregular migration to the UK summary tables’, with the latest data up to the end of December 2024. Data up to the end of March 2025 will be published on 22 May 2025.

Innovation and Technology, for what reason funding was allocated to the Advanced Research and Invention Agency to support research into solar radiation modification techniques.

As set out in ARIA's Framework Agreement, ARIA has unique operational freedoms, including over its research and project choice and its procedures. This independence allows ARIA to take bold steps to better understand the world we live in, and the Government supports ARIA exploring critical areas like this.The Government is not in favour of using Solar Radiation Modification. ARIA is an independent research body, and they are conducting cautious, controlled research aimed at improving understanding of its risks and impacts. This will produce important information for decisions around the world.

What steps the Department is taking to (a) improve value for money, (b) prevent profiteering, (c) remove conflicts of interest in referral practices and (d) otherwise improve (i) oversight and (ii) regulation of private companies delivering NHS-funded eye care.

All National Health Service patients must receive safe and high-quality care, whether being treated by private providers or directly by the NHS. While the independent sector has a role to play in tackling the waiting list backlog, we will not tolerate any overpriced or sub-par care. We will also not tolerate any distortion of patient choice, and the recently published Partnership Agreement between NHS England and the Independent Healthcare Providers Network commits to ending incentives that can lead to this, supporting equal access and genuine choice for all patients. We are now working together to deliver on this.Improving value for money is a priority across all NHS pathways, not just in eyecare. This has been emphasised in various documents such as the Provider Selection Regime, the NHS Standard Contract and most importantly the Independent Sector Agreement, published in January 2025.NHS-funded eye care is funded based on national prices and funded equitably across all providers with no opportunities to gain increased payment; prices are adjusted each year to reflect expected improvements in efficiency and are set to cover costs but not margins.To prevent profiteering, providers are paid based on national prices, based in turn on the average cost of providing the service and adjusted to reflect the complexity of the procedure and the patient. This ensures that the provider is appropriately reimbursed, and they do not make excess profits by targeting the simplest cases.NHS England expects all its providers to support patient choice and to act in accordance with the Law, with Good Practice and this is supported by the requirements of the NHS Standard Contract, the NHS Provider License, the General Ophthalmic Services contract and the Law itself. The NHS Standard Contract gives a useful overview of the Provider Selection Regime, which are the regulations the NHS must adhere to when commissioning health care services, including conflict of interest declarations.Finally, private companies are commissioned and managed by integrated care boards under the terms of the NHS Standard Contract which applies the same standards of oversight and regulation as are applied to NHS providers.

What assessment his Department has made of the potential impact of (a) solar radiation management initiatives and (b) other Government-funded geoengineering research projects on (i) the environment and (ii) public health; and whether he plans to (A) consult and (B) seek Parliamentary approval before any large-scale experimentation is undertaken.

The Government is not in favour of using Solar Radiation Modification. Given the significant uncertainty around the possible risks and impacts of deployment on the climate and environment, the Government is not deploying SRM and has no plans to do so.

Whether her Department is taking steps to review the Medical Certificate of Cause of Death process to speed up that process in (a) Boston and Skegness constituency and (b) the UK.

The Government is monitoring the impact of the death certification reforms, which came into legal effect on 9 September 2024, through the Death Certification Strategic Board and a cross-Government data strategy group. Since the introduction of the reforms, the median time taken to register a death appears to have risen by two days, from seven days to nine days. This figure is for all deaths, as it includes those certified by a doctor and those investigated by a coroner. Working with the Office for National Statistics, weekly data is now published on the time taken to register a death by region and also by setting. This is supporting NHS England and the Welsh administration to offer support and challenges.The median time taken to register a death varies depending on the type of certification. Deaths certified by a doctor, that comprise approximately 80% of deaths registered each week, have typically had a median time to registration of seven days, though there can be variation at a local level. It’s important to note that the medical examiner system was active on a non-statutory basis before the introduction of the statutory system on 9 September 2024, and this makes direct ‘before’ and ‘after’ comparisons challenging to draw conclusions from.The introduction of medical examiners is in part about making sure deaths are properly described and improving practice, but the impact on the bereaved is also central. The reforms aim to put the bereaved at the centre of the process, and the medical examiner’s office must offer a conversation with representatives of the deceased, so they can ask any questions they have about the death or raise any concerns. Ensuring the system is appropriately resourced and works for all those who interact with it is crucial, and something we will continue to monitor with NHS England.

What information her Department holds on the number of people (a) arrested and (b) charged following the trans rights demonstration on 19 April 2025; and what were the offences recorded.

The Home Office does not hold the information requested.This is an operational matter for the Metropolitan Police.

Communities and Local Government, what plans her Department has to bring forward legislative proposals to grant local authorities increased powers to remove unauthorised traveller encampments from public and private land.

Local planning authorities already have a wide range of enforcement powers, with strong penalties for non-compliance, which they can use to tackle all types of unauthorised development. We will keep the use of these powers under review.

Whether she has considered reallocating Child Tax Credit payments previously claimed by a child’s parents prior to their entering foster care to that child while in care.

Child Tax Credit has been fully replaced by Universal Credit and Pension Credit since 6 April 2025. The Department for Work and Pensions has invited all eligible customers to claim. There are consequently no plans to review past Child Tax Credit rules or arrangements.

Media and Sport, what assessment she has made of the potential impact of the increase in employer National Insurance contributions on charitable organisations; and what steps she plans to take to fiscally support those organisations.

DCMS Ministers have met with representatives from the voluntary, community and social enterprise sector and are aware of their concerns about the National Insurance contributions (NICs) changes. We recognise the need to protect the smallest businesses and charities, which is why we have more than doubled the Employment Allowance to £10,500, meaning that more than half of businesses (including charities) with NICs liabilities will either gain or see no change next year.We are expanding eligibility of the Employment Allowance by removing the £100,000 eligibility threshold, to simplify and reform employer NICs so that all eligible employers now benefit. Employers will also continue to benefit from employer NICs reliefs including for hiring those under 21 and apprentices under 25, where eligible.The government has taken a number of difficult decisions on tax, welfare, and spending to fix the public finances, fund public services, and restore economic stability. The need to raise income required the government to make this tough financial choice; the Chancellor was clear in her open letter to the voluntary sector that raising the rate of employer NICs was one of the most difficult decisions in the budget.Within the tax system, we provide support to charities through a range of reliefs and exemptions, including reliefs for charitable giving. The tax reliefs available to charities are a vital element in supporting charitable causes across the UK, with more than £6 billion in charitable reliefs provided to charities and their donors. The biggest individual reliefs provided are Gift Aid at £1.6 billion and business rates relief at nearly £2.4 billion.

Whether her Department has made an estimate of the proportion of Personal Independence Payment recipients who would remain eligible for support under the proposed changes to the disability benefits system.

The publication ‘Spring Statement 2025 health and disability benefit reforms – Impacts’ provides some information on the numbers affected by the proposed changes to the disability benefits system. In particular, table A3 on page 8 shows the estimated impacts of the proposed changes on the working age Personal Independence Payment and Daily Living Allowance caseload, and table A4 on page 9 shows the volume of people in receipt of PIP estimated to be affected by the change, divided into the pre-implementation caseload, and people claiming from November 2026 onwards. More information on the impacts of the Pathways to Work Green Paper will be published in due course. A further programme of analysis to support development of the proposals in the Green Paper will be developed and undertaken in the coming months.

Whether she will consider introducing a (a) transitional period and (b) grace window for homebuyers who began the property purchase process before recent changes to Stamp Duty rates to help prevent transactions from falling through.

I refer the hon member to the answer given to UIN 38297.