Written questions by Braverman.

Whether his Department plans to reform the Personal Independence Payment reassessment process for people with (a) Type 1 diabetes and (b) other lifelong conditions.

Other than for claims made under the special rules for people nearing the end of their life, all claims to PIP are treated in the same way. Entitlement to PIP is assessed on the basis of the needs arising from a health condition or disability, rather than the health condition or disability itself. Individuals can be affected in different ways by the same condition and so the outcome of a PIP claim depends very much on individual circumstances, including age and the ability to manage a condition without supervision or assistance. I have launched the Timms Review with the aim of ensuring we have a system that supports disabled people to achieve better health, higher living standards and greater independence, including through employment. The Review will be co-produced with disabled people, the organisations that represent them, and other experts. This means the Government will share ownership and responsibility for how the Review runs and what it recommends. The Timms Review will report to my right hon. Friend the Secretary of State for Work and Pensions by autumn 2026, with an interim update expected ahead of that.

What steps his Department is taking to help reduce the potential impact of PIP reassessments for chronic conditions on the mental health of families affected.

Other than for claims made under the special rules for people nearing the end of their life, all claims to PIP are treated in the same way. Entitlement to PIP is assessed on the basis of the needs arising from a health condition or disability, rather than the health condition or disability itself. Individuals can be affected in different ways by the same condition and so the outcome of a PIP claim depends very much on individual circumstances, including age and the ability to manage a condition without supervision or assistance. I have launched the Timms Review with the aim of ensuring we have a system that supports disabled people to achieve better health, higher living standards and greater independence, including through employment. The Review will be co-produced with disabled people, the organisations that represent them, and other experts. This means the Government will share ownership and responsibility for how the Review runs and what it recommends. The Timms Review will report to my right hon. Friend the Secretary of State for Work and Pensions by autumn 2026, with an interim update expected ahead of that.

Whether his Department has considered exemptions or streamlined processes for PIP claimants with (a) Type 1 diabetes and (b) other lifelong and progressively complex conditions.

Other than for claims made under the special rules for people nearing the end of their life, all claims to PIP are treated in the same way. Entitlement to PIP is assessed on the basis of the needs arising from a health condition or disability, rather than the health condition or disability itself. Individuals can be affected in different ways by the same condition and so the outcome of a PIP claim depends very much on individual circumstances, including age and the ability to manage a condition without supervision or assistance. I have launched the Timms Review with the aim of ensuring we have a system that supports disabled people to achieve better health, higher living standards and greater independence, including through employment. The Review will be co-produced with disabled people, the organisations that represent them, and other experts. This means the Government will share ownership and responsibility for how the Review runs and what it recommends. The Timms Review will report to my right hon. Friend the Secretary of State for Work and Pensions by autumn 2026, with an interim update expected ahead of that.

What assessment his Department has made of the potential impact of PIP reassessments on (a) teenagers with Type 1 diabetes and (b) their carers.

Other than for claims made under the special rules for people nearing the end of their life, all claims to PIP are treated in the same way. Entitlement to PIP is assessed on the basis of the needs arising from a health condition or disability, rather than the health condition or disability itself. Individuals can be affected in different ways by the same condition and so the outcome of a PIP claim depends very much on individual circumstances, including age and the ability to manage a condition without supervision or assistance. I have launched the Timms Review with the aim of ensuring we have a system that supports disabled people to achieve better health, higher living standards and greater independence, including through employment. The Review will be co-produced with disabled people, the organisations that represent them, and other experts. This means the Government will share ownership and responsibility for how the Review runs and what it recommends. The Timms Review will report to my right hon. Friend the Secretary of State for Work and Pensions by autumn 2026, with an interim update expected ahead of that.

What plans his Department has to improve public awareness of the early signs of Type 1 diabetes.

The National Health Service has publicly accessible information on its website about the signs and symptoms of type 1 diabetes, available at the following link:https://www.nhs.uk/conditions/type-1-diabetes/symptoms/The DigiBete app, launched in June 2020, provides a wide range of clinically approved, age-appropriate resources to help with the self-management and awareness of type 1 diabetes, with further information available at the following link:https://www.digibete.org/type-1-awareness/It is the responsibility of the National Institute for Health and Care Excellence (NICE) to provide guidance and quality standards for the treatment and care of diabetes in England. The NICE NG18 guideline for type 1 and 2 diabetes provides clinical guidelines for the diagnosis, treatment, and care of children and young people.NG18 recommends that children and young people with suspected type 1 diabetes are referred immediately, on the same day, to a multidisciplinary paediatric diabetes team with the competencies needed to confirm diagnosis and provide immediate care.

What guidance his Department issues to GPs on immediate blood glucose testing when symptoms of Type 1 diabetes are reported.

The National Health Service has publicly accessible information on its website about the signs and symptoms of type 1 diabetes, available at the following link:https://www.nhs.uk/conditions/type-1-diabetes/symptoms/The DigiBete app, launched in June 2020, provides a wide range of clinically approved, age-appropriate resources to help with the self-management and awareness of type 1 diabetes, with further information available at the following link:https://www.digibete.org/type-1-awareness/It is the responsibility of the National Institute for Health and Care Excellence (NICE) to provide guidance and quality standards for the treatment and care of diabetes in England. The NICE NG18 guideline for type 1 and 2 diabetes provides clinical guidelines for the diagnosis, treatment, and care of children and young people.NG18 recommends that children and young people with suspected type 1 diabetes are referred immediately, on the same day, to a multidisciplinary paediatric diabetes team with the competencies needed to confirm diagnosis and provide immediate care.

What steps his Department is taking to ensure that general practitioners receive training on recognising symptoms of Type 1 diabetes in children and young people.

The National Health Service has publicly accessible information on its website about the signs and symptoms of type 1 diabetes, available at the following link:https://www.nhs.uk/conditions/type-1-diabetes/symptoms/The DigiBete app, launched in June 2020, provides a wide range of clinically approved, age-appropriate resources to help with the self-management and awareness of type 1 diabetes, with further information available at the following link:https://www.digibete.org/type-1-awareness/It is the responsibility of the National Institute for Health and Care Excellence (NICE) to provide guidance and quality standards for the treatment and care of diabetes in England. The NICE NG18 guideline for type 1 and 2 diabetes provides clinical guidelines for the diagnosis, treatment, and care of children and young people.NG18 recommends that children and young people with suspected type 1 diabetes are referred immediately, on the same day, to a multidisciplinary paediatric diabetes team with the competencies needed to confirm diagnosis and provide immediate care.

Whether his Department has considered implementing routine screening for Type 1 diabetes in children.

A National Institute for Healthcare Research funded the EarLy Surveillance for Autoimmune diabetes, or ELSA, study, which is currently underway in England to explore the feasibility and benefits of screening for type 1 diabetes in children aged three to 13 years old.The UK National Screening Committee, which advises ministers on all aspects of population and targeted screening, is aware of the ELSA study and looks forward to receiving the results of this study when the trial is complete.

If his Department will review eligibility criteria for Carer’s Allowance in cases where unpaid carers support individuals with severe epilepsy.

The government keeps eligibility criteria under review to ensure they are meeting the needs of carers. Entitlement to Carer's Allowance depends on certain conditions relating to the circumstances of both the disabled person and the carer being satisfied. A carer must care for a severely disabled person for a minimum of 35 hours per week. The disabled person (including those with severe epilepsy) must be in receipt of a gateway benefit:Attendance Allowance.The middle or highest rate care component of Disability Living Allowance.The middle or highest rate care component of Child Disability Payment.The daily living component of Personal Independence Payment.The daily living component of Adult Disability Payment.The equivalent rate of a Constant Attendance Allowance.Armed Forces Independence Payment.Pension Age Disability Payment.Scottish Adult Disability Living Allowance.

What steps his Department is taking to ensure that people with uncontrolled epilepsy are adequately assessed for the daily living component of Personal Independence Payment.

The Department for Work and Pensions (DWP) ensures that all health professionals (HPs) receive comprehensive training in disability analysis, including how to assess the impacts of medical conditions on people’s day-to-day activities, as well as awareness training on epilepsy and uncontrolled seizures.Assessment quality is assured by suppliers and through DWP’s independent audit function, which checks assessments against a set of guidelines to ensure the criteria is applied appropriately and consistently in all cases, including those involving epilepsy and uncontrolled seizures.The Personal Independence Payment Assessment Guide (PIPAG) provides detailed instructions for HPs, with Part 2, Section 2.3 covering guidance for HPs on applying the criteria for the daily living component. HPs also have access to Condition Insight Reports and Continuing Professional Development materials on epilepsy, offering clinical and functional information to support HP’s in delivering informed assessments.Furthermore, if during the course of the assessment a HP identifies a deterioration in symptoms, or new symptoms that their usual health care professional is not aware of, DWP has a robust process in place to ensure this information is passed to the NHS, or if the individual if acutely unwell, they are transferred to an NHS service on the same day.

What guidance his Department provides to PIP assessors on the (a) risks and (b) limitations for people with uncontrolled seizures.

The Department for Work and Pensions (DWP) ensures that all health professionals (HPs) receive comprehensive training in disability analysis, including how to assess the impacts of medical conditions on people’s day-to-day activities, as well as awareness training on epilepsy and uncontrolled seizures.Assessment quality is assured by suppliers and through DWP’s independent audit function, which checks assessments against a set of guidelines to ensure the criteria is applied appropriately and consistently in all cases, including those involving epilepsy and uncontrolled seizures.The Personal Independence Payment Assessment Guide (PIPAG) provides detailed instructions for HPs, with Part 2, Section 2.3 covering guidance for HPs on applying the criteria for the daily living component. HPs also have access to Condition Insight Reports and Continuing Professional Development materials on epilepsy, offering clinical and functional information to support HP’s in delivering informed assessments.Furthermore, if during the course of the assessment a HP identifies a deterioration in symptoms, or new symptoms that their usual health care professional is not aware of, DWP has a robust process in place to ensure this information is passed to the NHS, or if the individual if acutely unwell, they are transferred to an NHS service on the same day.

What steps his Department is taking to improve public (a) awareness and (b) education on (i) epilepsy and (ii) Sudden Unexpected Death in Epilepsy.

National Institute for Health and Care Excellence (NICE) guidance on epilepsy recommends that clinicians should discuss the risk of Sudden Unexpected Death in Epilepsy (SUDEP) with patients newly diagnosed with epilepsy, and ensure their understanding of the risk, which will raise awareness of the issue among patients and their families.Additionally, the Royal College of General Practitioners aims to raise awareness of SUDEP amongst GPs and other primary care professionals, through its e-learning modules on SUDEP and seizure safety, which were developed in collaboration with SUDEP Action and last updated in December 2024.Health Education England, now part of NHS England, has also developed an Epilepsy Programme in collaboration with SUDEP Action, which is designed to enable healthcare professionals, particularly those who are not specialists in epilepsy, to better understand SUDEP and how the risk of SUDEP can be reduced.

What assessment his Department has made of the potential impact of levels of epilepsy medication availability on patient safety.

Medicine supply issues are global in their nature and, whilst not wholly preventable, the Department has a range of well-established processes and tools to manage and mitigate risks to patients. The Department has worked hard with industry to help resolve intermittent supply issues with some epilepsy medications. As a result of ongoing activity and intensive work, including asking manufacturers to expedite deliveries, most issues have been resolved.The Department is currently aware of supply issues affecting some suppliers of clobazam 10 milligram tablets, all strengths of topiramate tablets, clonazepam 2 milligram tablets, and phenobarbital 15 milligram tablets, used in the management of epilepsy.The supply issue with clonazepam 2mg tablets from one manufacturer is expected to resolve late January 2026. The affected suppliers of topiramate 25 milligram and 50 milligram tablets, and clobazam 10 milligram tablets, are expected to resupply these products by early December 2025. The resupply date from the other affected manufacturers for topiramate 50 milligram, 100 milligram and 200 milligram tablets and phenobarbital 15 milligram tablets is yet to be confirmed. Stock remains available from alternative manufacturers of these products to meet patient demand, and we have issued comprehensive management guidance to the National Health Service.We have issued guidance for the discontinuation of sodium valproate (Epilim Chronosphere) 750 milligram and 1000 milligram modified release (MR) granules sachets. Alternative strengths of sodium valproate MR granules sachets remain available.

Whether he plans to introduce mandatory epilepsy training for (a) employers and (b) employees.

Employers have a key role to play in supporting workers with long-term health conditions or disabilities in the workplace and it is for employers to assess the training requirements for their workforce. However, the Department of Health and Social Care has no plans to introduce mandatory epilepsy training.The Department for Work and Pensions’ current offer to employers includes a digital information service which provides tailored guidance to businesses to support employees, including epileptic employees, to remain in work.The service was developed with user-centred design principles. It offers a simple, interactive, and highly usable resource which helps employers to feel more confident having conversations with their employees about health and disability as well as understanding and fulfilling their legal obligations.This digital service provides tailored guidance on supporting employees in common workplace scenarios involving health and disability. This enables small businesses to self-serve, by guiding them through key processes. Employers are also able to access links to related government products and services as well as links to sources of external expert support including Epilepsy Action and Epilepsy Society.The digital information service is available at the following link:https://www.support-with-employee-health-and-disability.dwp.gov.uk/support-with-employee-health-and-disability

Communities and Local Government, if his Department will take steps to ensure transparency in the (a) service charges, (b) insurance premiums, (c) permissions for property alterations and (d) other management practices of freehold companies.

I refer the hon. and Rt Hon. Members to the answer given to Question UIN 80700 on 20 October 2025.

Communities and Local Government, whether he plans to introduce (a) statutory limits and (b) oversight mechanisms to prevent excessive administrative fees by freeholders for routine property requests.

I refer the hon. and Rt Hon. Members to the answer given to Question UIN 80700 on 20 October 2025.

Communities and Local Government, if his Department will publish a register of freehold management companies subject to repeated (a) complaints and (b) enforcement action.

The government is committed to ensuring that those living in the rented and leasehold sectors are protected from abuse and poor service at the hands of unscrupulous property agents.Property agents must already belong to a government-approved redress scheme. This legislative requirement is currently enforced by local authorities and by the National Trading Standards’ Lettings and Estate Agency Team, who have the power to issue warnings and banning orders to rogue estate and letting agents.The redress schemes publish data on the number of complaints they receive, the amount awarded to consumers, and maintain a public list of agents that have been expelled from their respective schemes.Many leaseholders face persistent delays and high costs when trying to sell their properties. Currently, freeholders and managing agents are responsible for providing essential sales information, but they often have little incentive to do so efficiently. Homeowners living on private or mixed tenure estates, who contribute to the maintenance and upkeep of communal areas, can face similar challenges when trying to obtain relevant information from their estate manager. The government will take forward measures in the Leasehold and Freehold Reform Act 2024 (LFRA) which will speed up the provision of information for leaseholders and homeowners on private or mixed tenure estates who wish to sell their property, and protect sellers from unreasonable fees when requesting this information.The previous government committed to regulate the property agent sector in 2018 and asked a working group Chaired by Lord Best to advise them how to do it, yet it failed to respond to their findings from 2019. Managing agents play a key role in the maintenance of multi-occupancy buildings and freehold estates, and their importance will only increase as we transition toward a commonhold future, and so we are looking again at Lord Best’s 2019 report on regulating the property agent sector, particularly in light of the recommendations in the final Grenfell Inquiry report.On 4 July 2025, we launched a wide-ranging consultation on proposals to hold landlords and managing agents to account for the services they provide and the charges and fees they levy. This included a number of proposals recommended by Lord Best, including the introduction of mandatory qualifications for managing agents and estate managers on freehold estates. We are clear that this consultation is not the final step in the regulation of managing agents and we will continue to reflect on the various other recommendations made in the 2019 report.We will set out our full position on regulation of estate, letting and managing agents in due course.

Communities and Local Government, what guidance his Department provides to (a) local authorities and (b) planning bodies on supporting leaseholders unable to sell homes due to unresolved disputes with freeholders.

Leaseholders involved in disputes may contact the government-funded Leasehold Advisory Service (LEASE) which provides free initial legal advice and information on leasehold, building safety, commonhold and park home issues for consumers.

Communities and Local Government, what assessment his Department has made of the potential impact of freehold management practices on the ability of leaseholders to sell properties.

The government is committed to ensuring that those living in the rented and leasehold sectors are protected from abuse and poor service at the hands of unscrupulous property agents.Property agents must already belong to a government-approved redress scheme. This legislative requirement is currently enforced by local authorities and by the National Trading Standards’ Lettings and Estate Agency Team, who have the power to issue warnings and banning orders to rogue estate and letting agents.The redress schemes publish data on the number of complaints they receive, the amount awarded to consumers, and maintain a public list of agents that have been expelled from their respective schemes.Many leaseholders face persistent delays and high costs when trying to sell their properties. Currently, freeholders and managing agents are responsible for providing essential sales information, but they often have little incentive to do so efficiently. Homeowners living on private or mixed tenure estates, who contribute to the maintenance and upkeep of communal areas, can face similar challenges when trying to obtain relevant information from their estate manager. The government will take forward measures in the Leasehold and Freehold Reform Act 2024 (LFRA) which will speed up the provision of information for leaseholders and homeowners on private or mixed tenure estates who wish to sell their property, and protect sellers from unreasonable fees when requesting this information.The previous government committed to regulate the property agent sector in 2018 and asked a working group Chaired by Lord Best to advise them how to do it, yet it failed to respond to their findings from 2019. Managing agents play a key role in the maintenance of multi-occupancy buildings and freehold estates, and their importance will only increase as we transition toward a commonhold future, and so we are looking again at Lord Best’s 2019 report on regulating the property agent sector, particularly in light of the recommendations in the final Grenfell Inquiry report.On 4 July 2025, we launched a wide-ranging consultation on proposals to hold landlords and managing agents to account for the services they provide and the charges and fees they levy. This included a number of proposals recommended by Lord Best, including the introduction of mandatory qualifications for managing agents and estate managers on freehold estates. We are clear that this consultation is not the final step in the regulation of managing agents and we will continue to reflect on the various other recommendations made in the 2019 report.We will set out our full position on regulation of estate, letting and managing agents in due course.

What contingency plans he has in place if Capita is deemed unsuitable to continue administering civil service pensions.

Contingency plans are linked to contractual obligations placed on the pension administrator with several options available to the Cabinet Office in the event that a third party is unable to meet its contractual obligations. In the event of a catastrophic failure, the Cabinet Office has the right to step in to manage the contract.