Written questions by Allin-Khan.

Whether she has made an assessment of the potential merits of reforming the Expensive Car Supplement component of Vehicle Excise Duty for used vehicles to reflect a) vehicle depreciation and b) purchase price at the point of resale.

The Expensive Car Supplement (ECS) is a supplement to Vehicle Excise Duty (VED) payable by vehicle keepers for five years, from years two to six following a car's first registration. The ECS rate is currently £425 per year, increasing to £440 from 1 April 2026 in line with RPI. The ECS currently applies to new cars with a list price of £40,000 or more. As announced at Budget 2025, the threshold will increase to £50,000 for zero-emissions cars only from 1 April 2026, as such vehicles tend to be more expensive. The ECS was introduced so that those who can afford to access the most expensive cars make a fair contribution. The Government has no plans to change the scope of the ECS.

Communities and Local Government, when he plans to publish the draft Leasehold and Commonhold Reform Bill.

Leasehold and commonhold reform are key priorities for this government and we remain determined to honour the commitments made in our manifesto and do what is necessary to finally bring the feudal leasehold system to an end. As per my letter to the Chair of the Select Committee dated 18 December 2024, the government expect to be in a position to publish the draft Bill for scrutiny in the coming weeks.

What steps he is taking to ensure the adequate availability of NHS funded continence products in the London Borough of Wandsworth.

Integrated care boards (ICBs) are responsible for commissioning continence services in their areas. These services include assessment, treatment, and, where clinically appropriate, the supply of continence products. Decisions on the type and quantity of products are made by clinicians following individual assessment, in line with National Institute for Health and Care Excellence guidance on urinary and faecal incontinence and professional standards.NHS Supply Chain supports trusts with the procurement of continence products through value-based procurement initiatives to ensure products are safe, effective, and cost-efficient. Local continence services in Wandsworth are delivered by community providers such as the Central London Community Healthcare NHS Trust, which offers specialist assessment and management for housebound patients and those in care settings. Further information on continence commissioning is available at the following link:https://www.england.nhs.uk/commissioning/continence/

What assessment he has made of the adequacy of support provided by HM Prison Service for the welfare of (a) Qesser Zuhrah, (b) Amy Gardiner-Gibson, (c) Jon Cink, (d) Heba Muraisi, (e) Teuta Hoxha, (f) Kamran Ahmed, (g) Muhammad Umer Khalid and (h) Lewie Chiaramellob during their hunger strike.

The safety and wellbeing of those held in our prisons is of vital importance. Healthcare in prisons is the responsibility of the NHS: Prison Service staff work with healthcare partners to ensure that those held in prison have access to the same quality and range of services as the general public receives from the NHS, as required by the Prison Rules 1999.His Majesty’s Prison and Probation Service has well-established and effective procedures in place for managing prisoners who refuse food, and these are being followed in the case of those of the named prisoners who are currently refusing food, with appropriate medical assessment and support in place.When a prisoner refuses food, prison staff will act immediately in accordance with the Prison Safety Policy Framework. This includes notifying healthcare professionals and conducting regular welfare checks. The Framework also provides for close monitoring of the person’s health by healthcare staff. Additionally, prison chaplaincy teams are available to provide pastoral care.

What assessment she has made of the potential merits of allowing individuals to provide a physical proof of residency for applications under the EU Settlement Scheme.

The Home Office seeks to process all applications to the EU Settlement Scheme (EUSS) as swiftly as possible.Details of the processing times can be found on the GOV.UK website – (EU Settlement Scheme: current estimated processing times for applications - GOV.UK) which advises on expected processing times and common reasons why an application may take longer to conclude.As it is now more than four years since the deadline to apply to the main scheme, the majority of applications are from people who already hold an initial grant of pre-settled status who are seeking settled status. To improve customer service we have introduced an automated process to automatically convert eligible pre-settled status holders to settled status, without the need for them to make a further application.The EUSS automation process reduces the burden on tens of thousands of customers and supports our ambition to ensure people have the right EUSS status.The EU Settlement Scheme was the first fully digital immigration route. As such, customers provide evidence to support their applications online, rather than sending in physical evidence. This approach ensures that applicants can retain their key documents.

What steps she has taken to improve the process for applications under the EU Settlement Scheme.

The Home Office seeks to process all applications to the EU Settlement Scheme (EUSS) as swiftly as possible.Details of the processing times can be found on the GOV.UK website – (EU Settlement Scheme: current estimated processing times for applications - GOV.UK) which advises on expected processing times and common reasons why an application may take longer to conclude.As it is now more than four years since the deadline to apply to the main scheme, the majority of applications are from people who already hold an initial grant of pre-settled status who are seeking settled status. To improve customer service we have introduced an automated process to automatically convert eligible pre-settled status holders to settled status, without the need for them to make a further application.The EUSS automation process reduces the burden on tens of thousands of customers and supports our ambition to ensure people have the right EUSS status.The EU Settlement Scheme was the first fully digital immigration route. As such, customers provide evidence to support their applications online, rather than sending in physical evidence. This approach ensures that applicants can retain their key documents.

If she will take steps to improve access to Disability Living Allowance for children with achondroplasia.

Disability Living Allowance (DLA) is available to children under the age of 16 who, due to a disability or health condition, have mobility issues and/or have care needs which are substantially in excess of a child the same age without the disability or health condition. Entitlement to DLA depends on the extent to which a child needs help with personal care, needs supervision or has difficulties with walking. It is the effects of the condition and the needs arising from those effects that are important, rather than the child’s particular diagnosis.

Media and Sport, whether she has held discussions with the Competition and Markets Authority on the implications for UK consumers of further consolidation in the global streaming and entertainment market.

In our Creative Industries Sector Plan DCMS set out how the TV market is transforming, including where the convergence of broadcast, on-demand and video sharing markets is leading to greater consolidation as broadcasters and streaming services seek economies of scale and other strategic advantages. That is why we have committed to supporting our domestic TV companies, including our public service media, to ensure UK viewers continue to benefit from a wide range of high quality original programming. We will also ask the Competition and Markets Authority, working with Ofcom, to set out how changes in the sector could be taken into account as part of any future assessment of the television and advertising markets.

What steps he is taking to support people with myalgic encephalomyelitis in South West London.

We published the myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), final delivery plan on 22 July 2025. The plan focusses on boosting research, improving attitudes and education, and bettering the lives of people with this debilitating disease, including those in South West London.The ME/CFS final delivery plan includes an action for the Department and NHS England to explore whether a specialised service should be prescribed by my Rt Hon. Friend, the Secretary of State for Health and Social Care, for people with very severe ME/CFS across England. Officials from the Department have commenced discussions with NHS England on how best to take forward this action.NHS England has also started its work on co-designing resources for systems to improve services for mild and moderate ME/CFS, including for patients in South West London. It will meet a group of key stakeholders to progress this in the coming weeks.To support healthcare professionals in the diagnosis and management of ME/CFS, as set out in the final delivery plan, the Department has worked with NHS England to develop an e-learning programme on ME/CFS for healthcare professionals, with the aim of supporting staff to be able to provide better care and improve patient outcomes. All three sessions of the e-learning programme, with sessions one and two having universal access, whilst the third session is only available to healthcare professionals, are now available at the following link:https://learninghub.nhs.uk/catalogue/mecfselearning?nodeId=7288

If he will make an assessment of the adequacy of myalgic encephalomyelitis treatment in South West London.

We published the myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), final delivery plan on 22 July 2025. The plan focusses on boosting research, improving attitudes and education, and bettering the lives of people with this debilitating disease, including those in South West London.The ME/CFS final delivery plan includes an action for the Department and NHS England to explore whether a specialised service should be prescribed by my Rt Hon. Friend, the Secretary of State for Health and Social Care, for people with very severe ME/CFS across England. Officials from the Department have commenced discussions with NHS England on how best to take forward this action.NHS England has also started its work on co-designing resources for systems to improve services for mild and moderate ME/CFS, including for patients in South West London. It will meet a group of key stakeholders to progress this in the coming weeks.To support healthcare professionals in the diagnosis and management of ME/CFS, as set out in the final delivery plan, the Department has worked with NHS England to develop an e-learning programme on ME/CFS for healthcare professionals, with the aim of supporting staff to be able to provide better care and improve patient outcomes. All three sessions of the e-learning programme, with sessions one and two having universal access, whilst the third session is only available to healthcare professionals, are now available at the following link:https://learninghub.nhs.uk/catalogue/mecfselearning?nodeId=7288

Food and Rural Affairs, whether her Department plans to end temporary restrictions on the import of (a) meat, (b) dairy and (c) animal products from the European Union in the context of the World Organisation for Animal Health's recognition of all European Union member states as free from foot-and-mouth disease.

Restrictions on commercial imports of certain meat, dairy and animal products from Slovakia in response to foot and mouth disease (FMD) remain in place pending UK recognition of FMD freedom. Restrictions on personal imports of certain meat, dairy and animal products from the EU will remain in place while the biosecurity risk remains. As well as FMD, these measures mitigate against incursions of other animal diseases circulating in the EU, including African swine fever, sheep pox and goat pox, peste des petits ruminants and lumpy skin disease.

Communities and Local Government, if he will make an assessment of the potential merits of requiring an Electrical Installation Condition Report at the point of sale of a property.

On 6 October 2025, the government published two consultations outlining reform proposals to transform home buying and selling. They can be found on gov.uk here and here.The consultations include proposals to mandate the provision of upfront property information.Final decisions are subject to the outcome of these consultations.

Pursuant to the Answer of 15 October 2025 to Question 78382 on Members: Correspondence, when he plans to respond to the correspondence of 24 June, 1 August and 15 September 2025 from the hon. Member for Tooting relating to case reference RA69084.

The Department of Business and Trade aims to respond to correspondence in 15 working days. The case from 24 June was transferred to the Ministry of Housing, Communities & Local Government (MHCLG) to answer, who accepted in error. This case has now been passed back to DBT and I have asked my officials to investigate this. I apologise for the delay.

What steps his Department is taking to ensure that NHS IT suppliers with dominant market positions do not engage in anti-competitive practices.

The Competition and Markets Authority, the “CMA”, is responsible for investigating anti-competitive practices. As an independent authority, the CMA has discretion to investigate competition cases which, according to its prioritisation principles, it considers most appropriate. It would therefore not be appropriate for government to intervene on such matters. Any concerns regarding anti-competitive conduct can be raised directly with the CMA. Details of how to submit information, along with general guidance, can be found at: https://www.gov.uk/government/publications/report-anti-competitive-or-market-issues-to-the-cma

What steps he is taking to maintain levels of (a) quality of care and (b) patient safety following cost improvement plans in the NHS.

The National Quality Board (NQB) published a Quality Impact Assessment (QIA) framework in June 2025. QIAs ensure that quality of care considerations, which incorporates patient safety, clinical effectiveness, and patient experience, are central to decision-making for the design and delivery of health and care services. The new framework is available at the following link:https://www.england.nhs.uk/long-read/quality-impact-assessment-framework/The new framework updates the guidance from the NQB published in 2012, a copy of which is attached. The updates from the framework recognise the need for QIAs to be carried out in a wider range of circumstances when any service change is proposed, not only those focused on financial efficiencies.The new framework is intended to be used by commissioners and providers of health and care services to support the development of organisational policy and processes for undertaking QIAs. This may include National Health Service providers, independent sector providers, integrated care boards (ICBs), and local authorities.The 2025/26 NHS priorities and operational planning guidance also asks ICBs to embed a robust quality and equality impact assessment process into financial and operational decision-making, test all changes with boards, and consider the appropriate involvement by the public, service users, staff, local authorities, and wider stakeholders. Further information on the 2025/26 NHS priorities and operational planning guidance is available at the following link:https://www.england.nhs.uk/long-read/2025-26-priorities-and-operational-planning-guidance/#annex-principles-for-local-prioritisationIn addition, a new Quality Strategy is being developed under the leadership of the NQB, to coordinate key commitments within the 10-Year Health Plan and to support the delivery of high quality care across the NHS, specifically care that is safe, effective, and that provides a positive experience for patients, parents, carers, and service users.

What steps he is taking to ensure that NHS trusts are not subject to inappropriate (a) pricing and (b) contractual practices by major IT suppliers.

National Health Service trusts procure from suppliers on the Clinical Digital Health Solutions Framework, which is available at the following link: https://www.commercialsolutions-sec.nhs.uk/frameworks/clinical-digital-health-solutions-cdhs#nav-suppliers The pricing and policies related to the Oracle Cerner system are based on the NHS frameworks for purchasing electronic patient record (EPR) systems. We are constantly reviewing the effectiveness of the system in the interests of our patients and staff.The costs of specific trust EPR implementations are dealt with in the EPR business cases that trust boards themselves agree to, and which are submitted for approval. A key Business Case test will be whether trusts can afford both the capital and revenue costs of EPR implementation and upgrades.

What assessment he has made of the potential impact of Oracle Cerner’s (a) pricing and (b) upgrade policies on (i) St George's University Hospitals NHS Foundation Trust and (ii) other NHS trusts.

National Health Service trusts procure from suppliers on the Clinical Digital Health Solutions Framework, which is available at the following link: https://www.commercialsolutions-sec.nhs.uk/frameworks/clinical-digital-health-solutions-cdhs#nav-suppliers The pricing and policies related to the Oracle Cerner system are based on the NHS frameworks for purchasing electronic patient record (EPR) systems. We are constantly reviewing the effectiveness of the system in the interests of our patients and staff.The costs of specific trust EPR implementations are dealt with in the EPR business cases that trust boards themselves agree to, and which are submitted for approval. A key Business Case test will be whether trusts can afford both the capital and revenue costs of EPR implementation and upgrades.

Whether his Department has considered the potential merits of introducing financial support for the cost of temporary wheelchairs for children following discharge from an NHS hospital.

The Government is committed to raising the healthiest generation of children ever and ensuring every child gets the support they need. Integrated care boards (ICBs) are responsible for the provision and commissioning of local wheelchair services.NHS England is taking steps to reduce regional variation in the quality and provision of National Health Service wheelchairs, and to support ICBs to reduce delays in people, including children, receiving timely wheelchair equipment. This includes publishing a Wheelchair Quality Framework in April 2025, which sets out quality standards and statutory requirements for ICBs, such as offering personal wheelchair budgets. The framework is available at the following link:https://www.england.nhs.uk/long-read/wheelchair-quality-framework/

What assessment she has made of the potential impact of the closure of the West Coast Main Line in December 2025 and January 2026 on commuters.

Network Rail has been working closely with operators to try and keep passengers on trains for as much of their journey as possible during this period of essential works. The Settle to Carlisle line will be used as a diversionary route for long-distance services for the first time in a decade. Rail replacement buses will also be available to assist passengers to continue their journeys onwards.

What assessment he has made of the potential merits of uprating temporary accommodation subsidy rates to 90 per cent of 2024 Local Housing Allowance rates.

The Department for Work and Pensions pays local authorities a Housing Benefit subsidy for Temporary Accommodation cases. There are restrictions on the amount paid, including a subsidy cap which is the lowest of £500 per week in certain areas of London or £375 elsewhere, 90% of 2011 LHA rates, or the claimant’s Housing Benefit entitlement. This incentivises local authorities to ensure Temporary Accommodation is good value for money.We recognise the financial pressures which local authorities are experiencing. This Government has invested £1bn in homelessness and rough sleeping services this year (2025/26), a £233m increase on the previous year.We want to encourage better investment into Temporary Accommodation stock up-front to minimise costs to local authorities and £950m was announced in the latest round of the Local Authority Housing Fund. This coupled with measures to strengthen local authorities’ financial position such as a new £39 billion Affordable Homes Programme and a 10-year rental settlement at Consumer Price Index + 1, will support local authorities in England to increase the supply of good quality Temporary Accommodation and drive down the use of costly bed and breakfasts and hotels.We continue to work with the Ministry of Housing, Communities and Local Government as part of the Homelessness and Rough Sleeping Inter Ministerial Group.