Written questions by Dhesi.

What recent discussions he has had with integrated care boards on reducing waiting times for breast cancer treatment in Slough constituency.

The Government and the local integrated care board (ICB) has taken action to reduce waiting times for breast cancer treatment. This includes expansion of one-stop breast clinics and improved access to breast imaging. Action has also been taken to use enhanced digital triage to prioritise highest-risk cases. Moreover, targeted action has been taken to reduce the proportion of patients diagnosed at stage 3 or stage 4, with early signs of improvement in the timeliness of staging and biopsy results.Additionally, there are plans for extended-hours breast imaging sessions for Slough Community Diagnostic Centre after the scheduled opening in March 2026. Moreover, action has been taken across the local ICB to safeguard capacity for triple assessment and surgery. Participation in the national AI-enabled breast cancer early detection programme will help to support improved accuracy and faster reporting.

If he will make an assessment of the adequacy of waiting times at urgent care centres in Slough constituency.

No assessment has been made. The Department monitors urgent and emergency care performance nationally through NHS England, and the Urgent and Emergency Care Plan for 2025/26 sets commitments and improvement measures. This includes £250 million of capital funding to continue the expansion of co-located urgent treatment centres and same day emergency care to improve patient streaming and reduce overcrowding.NHS England works with local systems to implement these improvements and ensure patients receive timely and appropriate care.

What recent steps her Department has taken alongside local authorities to help tackle persistent absence in schools in Slough constituency.

Tackling absence is at the heart of the government’s mission to break down barriers to opportunity. Thanks to the efforts of schools, absence is moving in the right direction, with children attending over 5.31 million more days this year compared to last. However, around one in five pupils are still missing 10% or more of school, which is why the department is continuing to drive further improvement.Steps taken to improve attendance includes developing real-time data tools that allows schools to compare attendance against similar schools and enable earlier intervention as well as investing in targeted support, including £15 million to set up the attendance mentors programme supporting 10,800 pupils.The department has also started to establish new Attendance and Behaviour Hubs, where up to 90 hubs led by schools with excellent attendance and behaviour practice will support more than 4,500 schools to improve.

Commonwealth and Development Affairs, what recent discussions she has had with her Iranian counterpart on reports of (a) property and (b) asset seizures from the Baha'i community in the Isfahan Province.

I refer the Hon. Member to the answer given on 18 September to the question 74968.

What estimate she has made of when the average waiting time for driving tests will be below seven weeks.

There are several factors driving higher demand for tests, and it is not currently possible to say when waiting times will reduce to 7-weeks or fewer. The Secretary of State will be working closely with DVSA in addressing this important issue. In the coming months, DVSA will:• change the booking service to allow only learner car drivers to book and manage their tests• introduce a limit on the number of times a learner car driver can move or swap a test to twice and also limit the area they can move a test to once booked.• make use of Ministry of Defence (MOD) driving examiners for up to 12 months to help tackle driving test waiting times.

What recent discussions she has had with local authorities on the (a) services and (b) level of financial support provided to kinship carers.

Local authorities have powers to provide a range of services, including financial support, to help children and families. They are best placed to decide what support is needed and any payments should follow their assessment models. The government does not set a minimum or maximum allowance for kinship carers, but statutory guidance makes clear that children and young people should receive the support they need to safeguard and promote their welfare.We recognise the financial pressures on local authorities and are committed to improving support for kinship families. To that end, we will soon launch a Kinship Allowance Pilot in selected local authorities in England to help eligible kinship carers with the costs of raising a child.

What recent assessment he has made of the adequacy of the level of training provided to General Practitioners on (a) the treatment and (b) symptoms of Postural Tachycardia Syndrome .

The Royal College of General Practitioners (RCGP) provides education on postural tachycardia syndrome (PoTS) through its Syncope Toolkit, which includes an e-learning module, a podcast and a webinar. These resources cover diagnosis and management and include patient perspectives to improve clinical understanding. The toolkit is available to GPs via the RCGP e-learning platform.As part of its Clinical Knowledge Summary (CKS) resources, the National Institute for Health and Care Excellence (NICE) has also published detailed guidance on the assessment and management of syncope and blackouts, which includes advice on PoTS. The purpose of CKSs is to provide primary care practitioners with quick, accessible, and evidence-based guidance on best practice for commonly occurring conditions.The guidance is available at the following link:https://cks.nice.org.uk/topics/blackouts-syncope/diagnosis/assessment/PoTS is diagnosed by a combination of GPs and specialist clinicians. GPs can diagnose PoTS in many cases but, if they are unsure of symptoms or if symptoms are complex, they will refer patients to specialists for diagnosis. The RCGP’s Syncope Toolkit provides diagnostic information to GPs, including the use of the active stand test, to rule out other conditions and potentially diagnose PoTS more quickly.Where patients are referred to secondary care for diagnosis, we are investing in additional capacity to deliver appointments to help bring waiting lists and times down. The Elective Reform Plan, published in January 2025, sets out the specific productivity and reform efforts needed to return to the constitutional standard, that 92% of patients to wait no longer than 18 weeks from Referral to Treatment, by March 2029.By expanding community-based services for routine monitoring and follow up, employing artificial intelligence for productivity and investing in digital tools and data, as outlined in the 10-Year Health Plan, we can ensure that consultants’ time is reserved for complex cases of PoTS, including specialist diagnostic assessments.While the Department recognises the significant challenges of PoTS diagnosis, responsibility for specific clinical pathways and specialist training rests with local NHS bodies.

What recent steps his Department has taken to reduce the average diagnosis time for Postural Tachycardia Syndrome.

The Royal College of General Practitioners (RCGP) provides education on postural tachycardia syndrome (PoTS) through its Syncope Toolkit, which includes an e-learning module, a podcast and a webinar. These resources cover diagnosis and management and include patient perspectives to improve clinical understanding. The toolkit is available to GPs via the RCGP e-learning platform.As part of its Clinical Knowledge Summary (CKS) resources, the National Institute for Health and Care Excellence (NICE) has also published detailed guidance on the assessment and management of syncope and blackouts, which includes advice on PoTS. The purpose of CKSs is to provide primary care practitioners with quick, accessible, and evidence-based guidance on best practice for commonly occurring conditions.The guidance is available at the following link:https://cks.nice.org.uk/topics/blackouts-syncope/diagnosis/assessment/PoTS is diagnosed by a combination of GPs and specialist clinicians. GPs can diagnose PoTS in many cases but, if they are unsure of symptoms or if symptoms are complex, they will refer patients to specialists for diagnosis. The RCGP’s Syncope Toolkit provides diagnostic information to GPs, including the use of the active stand test, to rule out other conditions and potentially diagnose PoTS more quickly.Where patients are referred to secondary care for diagnosis, we are investing in additional capacity to deliver appointments to help bring waiting lists and times down. The Elective Reform Plan, published in January 2025, sets out the specific productivity and reform efforts needed to return to the constitutional standard, that 92% of patients to wait no longer than 18 weeks from Referral to Treatment, by March 2029.By expanding community-based services for routine monitoring and follow up, employing artificial intelligence for productivity and investing in digital tools and data, as outlined in the 10-Year Health Plan, we can ensure that consultants’ time is reserved for complex cases of PoTS, including specialist diagnostic assessments.While the Department recognises the significant challenges of PoTS diagnosis, responsibility for specific clinical pathways and specialist training rests with local NHS bodies.

What steps he is taking to reduce repeat offending.

We are tackling the root causes of reoffending by investing in a range of interventions which address offenders’ underlying criminogenic needs and support their rehabilitation journey. This includes education, employment, accommodation and access to substance misuse treatment.We know that education, employment, and accommodation can reduce the chance of reoffending. That is why we are delivering vocational courses, a future skills programme, and expanding the prisoner apprenticeship scheme. All 93 resettlement prisons have key roles in place to prepare prisoners for employment on release, and we have launched regional Employment Councils, which for the first time bring businesses together with prisons, probation, and the Department for Work and Pensions to support prison leavers. We are also expanding our community accommodation service - to support prison leavers at risk of homelessness by providing up to 12 weeks of temporary accommodation for those under probation supervision.We also know that drug treatment is effective in reducing the risk of reoffending. We work closely with health partners to identify prisoners with a drug need, refer them into treatment, and support recovery. We have funded Incentivised Substance-Free Living units (ISFLs) in 85 prisons, where prisoners sign a behaviour compact, agree to be regularly drug tested and can access enhanced opportunities compared to a standard wing.

Whether he has made an assessment of the potential impact of increasing sentences for serial offenders on (a) public safety and (b) crime rates.

This Government takes prolific offending extremely seriously, which is why we commissioned the Independent Sentencing Review (ISR) to specifically consider the sentencing approach in cases involving prolific offenders alongside, more broadly, how the sentencing framework could be reformed to reduce reoffending, cut crime, and make our streets safer. We know prolific offenders are one of the most challenging cohorts with high levels of criminogenic needs, that typically commit a multitude of low-harm but high-nuisance offences, such as shoplifting, which attract maximum sentences of up to 12 months. The ISR referenced robust Ministry of Justice evidence which shows that offenders released from short prison sentences of less than 12 months reoffend at a higher rate than similar offenders given a community or suspended sentence. The ISR therefore recommended that the Government legislate to ensure that short custodial sentences are only used in exceptional circumstances. For prolific offenders specifically, the ISR recommended that the Government expand the availability of Intensive Supervision Courts (ISCs) to address prolific offending. The ISCs provide a robust alternative to custody, using enhanced community-based sentences to divert those at risk of facing custodial sentences of two years in the Crown Court, and twelve months in the Magistrates’ Court. International studies show that similar courts reduce arrests by 33% compared to standard sentences. We ran an Expression of Interest process to identify new sites which closed on 17 October 2025. We will announce successful new sites in the coming months. The Sentencing Bill 2025 delivers many of the reforms recommended by the ISR. For instance, Clause 1 introduces a presumption for the courts to suspend short sentences of immediate custody of 12 months or less. We are not abolishing short sentences. They will continue to be available where an offender has committed an offence involving, or closely connected to, breach of a court order – including breaching the requirements of a previous suspended sentence order or committing a further offence. Short prison sentences will also be available where an individual is at significant risk of harm, and in exceptional circumstances. Limiting the use of short sentences will not only help offenders to leave the merry-go-round of re-offending but reduce crime, leading to fewer victims and safer communities.

What steps he is taking to improve the rehabilitation of prisoners.

We are tackling the root causes of reoffending by investing in a range of interventions which address offenders’ underlying criminogenic needs and support their rehabilitation journey. This includes education, employment, accommodation and access to substance misuse treatment.We know that education, employment, and accommodation can reduce the chance of reoffending. That is why we are delivering vocational courses, a future skills programme, and expanding the prisoner apprenticeship scheme. All 93 resettlement prisons have key roles in place to prepare prisoners for employment on release, and we have launched regional Employment Councils, which for the first time bring businesses together with prisons, probation, and the Department for Work and Pensions to support prison leavers. We are also expanding our community accommodation service - to support prison leavers at risk of homelessness by providing up to 12 weeks of temporary accommodation for those under probation supervision.We also know that drug treatment is effective in reducing the risk of reoffending. We work closely with health partners to identify prisoners with a drug need, refer them into treatment, and support recovery. We have funded Incentivised Substance-Free Living units (ISFLs) in 85 prisons, where prisoners sign a behaviour compact, agree to be regularly drug tested and can access enhanced opportunities compared to a standard wing.

What recent assessment he has made of the availability of lactose free Olanzapine in (a) Slough and (b) Berkshire.

I have made no assessment of the availability of lactose free olanzapine in Slough and Berkshire. Information is not held at that level. However, I am informed by the Medicines and Healthcare products Regulatory Agency (MHRA) that records show that lactose free olanzapine should be readily available throughout the United Kingdom. At present there are 11 companies that do not list lactose as an ingredient in their olanzapine. All ingredients are listed on the relevant summary of product characteristics and should be confirmed by the healthcare professional prescribing the medicine and the pharmacist performing the dispensing.

What recent assessment his Department has made of the availability of treatment for those with Friedreich’s Ataxia.

Under the UK Rare Diseases Framework, the Government is working to improve access to specialist care, treatments, and drugs across all rare conditions. In February, we published the fourth England action plan reporting on progress.Following extensive consultation, NHS England has revised the national service specification for specialised neurology, which now includes an annex providing greater clarity for neurology sub-specialties. This includes the categories of both movement disorders and neurogenetics into which Friedreich’s Ataxia falls. Every specialised National Health Service neurology centre could and should see patients with Friedreich’s Ataxia.Although Skyclarys (omaveloxolone) is now licensed for those aged 16 years old and over, following an update from the company, Biogen, the National Institute for Health and Care Excellence (NICE) has had to terminate its appraisal of this medicine as the company has withdrawn its evidence submission. NICE will review its decision if the company decides to make a new submission. Further information is available at the following link:https://www.nice.org.uk/guidance/TA1061To avoid the possibility of creating a way to circumvent the appraisal process, NHS England is unable to fund medicines where companies have not engaged with NICE.

Pursuant to the Answer of 3 March 2025 to Question 35028 on LGBT Veterans Independent Review, what progress he has made on recommendations (a) 31, (b) 35, (c) 36, (d) 38 and (e) 42.

For recommendation 31, NHS England, in partnership with the Royal College of General Practitioners (GPs), continues to encourage participation in the Veteran Friendly GP accreditation scheme. To date, over 99% of primary care networks have at least one accredited GP in their area. For recommendation 35, since June 2025, 100% of National Health Service trusts have been accredited as ‘veteran aware’. This achievement, led by the Veterans Covenant Healthcare Alliance, reflects a national commitment to providing compassionate, personalised care to the Armed Forces Community.As for recommendations 36 and 38, I refer the Hon. Member to the answers I gave on 31 October 2025 to Questions 84296 and 84297.Finally, for recommendation 42, we recognise the importance of training for NHS staff on the needs of the Armed Forces Community. The NHS National Armed Forces Training and Education Programme will see NHS staff across England receiving dedicated training to help them identify and support patients with military backgrounds. This will be provided through a variety of channels: face to face; webinars; train the trainer; and e-learning. This launched in October 2025 and is supported by £1.8 million of investment over three years.

Commonwealth and Development Affairs, what recent diplomatic steps she has taken with international partners to help ensure that (a) pregnant women and (b) breastfeeding women and (c) young children can access (i) healthcare and (ii) humanitarian aid in Gaza.

I refer the Hon. Member to the answer provided on 4 November to Question 85841.

What recent steps she has taken to tackle (a) violence and (b) verbal abuse towards public transport workers while at work in (i) Slough and (ii) the South East.

The Department for Transport is working with the transport industry to ensure that public transport is a safe environment for staff and passengers. Ensuring that staff feel safe at work is a priority. Following the horrific attack on the 18:25 LNER Doncaster to London service at Huntingdon on the 1st November, my Department are working with British Transport Police (BTP) and the rail industry to understand if any immediate interventions are required. The heroic efforts of rail staff meant that further harm was avoided and undoubtedly saved lives. Prior to the incident, this government brought in the Bus Services Act 2025 which mandates training for staff working in the bus industry, including drivers and those who deal directly with the travelling public, on how to recognise and respond to incidents of crime and anti-social behaviour on public transport. This training will require a person to take steps to prevent crime or anti-social behaviour only where it is safe to do so. This will apply to all bus operators including those in Slough and the South East. BTP are responsible for policing the railway, and they deploy their officers across the network, including in Slough and the South East, based on intelligence led briefings with daily taskings to provide reassurance to the public. They work closely with rail operators that serve those areas to conduct joint operations and have regular engagement with staff and safeguarding and security managers.

What recent assessment has been made of the adequacy of legal protections for public transport workers who have been assaulted in the workplace.

Following the horrific attack on the 18:25 LNER Doncaster to London service on the 1st November, my Department are working with British Transport Police (BTP) and the rail industry to understand if any immediate interventions are required. The heroic efforts of rail staff meant that further harm was avoided and undoubtedly saved lives. There is no place for abuse or assault of any worker. Public transport workers and the wider public should be assured that where offenders commit acts of violence they will be arrested and brought before the courts quickly and that the British Transport Police have a specific remit to protect all rail staff and passengers. Public transport workers do of course already have extensive protection in existing legislation such as the Offences Against the Person Act 1861 which also covers more serious violence such as actual bodily harm (ABH) and grievous bodily harm (GBH), and courts must already consider offences against public facing workers as an aggravating factor under the Police Crime and Sentencing Act 2022.

What recent assessment he has made of the adequacy of the availability of lactose-free medication in the South East.

The patient’s doctor is best placed to understand their requirements and might consider it necessary to prescribe lactose free products, possibly by brand. Alternatively, the doctor might be able to stipulate “lactose free” on the prescription and liaise with local pharmacists to find a suitable product.The British National Formulary is an evidence-based independent drug formulary used by health professionals as a source of key information on the selection, prescribing, dispensing, and administration of medicines. It advises that the lactose content in most medicines is too small to cause problems in most lactose-intolerant patients. However, in patients with severe lactose intolerance, lactose content should be determined before prescribing, especially if they are taking several products containing lactose.It is a requirement to state the presence of lactose on the label of a medicine. All ingredients present in a medicine must be declared in the patient information leaflet (PIL). The PIL is provided in the packaging of all medicines. In addition, the Medicines and Healthcare products Regulatory Agency and the electronic medicines compendium can be used to see the composition of medicines licensed in the United Kingdom, with further information available at the following link:https://www.medicines.org.uk/emc

What estimate he has made of the number of patients admitted to hospital with (a) covid, (b) flu and (c) respiratory syncytial virus in (i) 2025, (ii) 2024 and (iii) 2023.

NHS England publishes data on hospital admissions, including due to influenza and respiratory syncytial virus (RSV). The data is available at the following link:https://digital.nhs.uk/data-and-information/publications/statistical/hospital-accident--emergency-activityNHS England publishes data on hospital admissions including those that relate to the number of patients admitted with COVID-19. The data is available at the following link:https://www.england.nhs.uk/statistics/statistical-work-areas/covid-19-hospital-activity/The following table shows the number of hospital admissions for COVID-19, influenza, and RSV in 2023/24 and 2024/25:Hospital Admissions2023/242024/25Influenza28,00359,320RSV19,57219,457COVID-1935,50723,507Source: NHS England Digital

Commonwealth and Development Affairs, what discussions she has had with her Bangladeshi counterpart on ending religious-based violence in that country.

The UK remains deeply concerned about religious-based violence in Bangladesh. The previous Minister for the Indo-Pacific visited Bangladesh in November 2024 and discussed the importance of protection of religious minorities with the Chief Adviser. In February 2025, the UK's Human Rights Ambassador, Eleanor Sanders, visited Bangladesh and held meetings with the Interim Government to discuss issues of justice, accountability, and the protection of fundamental freedoms.The UK welcomed public condemnations of violence from Bangladeshi leaders and civil society and supports the interim Government's actions to safeguard vulnerable communities.Our commitment to Freedom of Religion or Belief (FoRB) is reflected in our £27 million Bangladesh Collaborative, Accountable and Peaceful Politics programme (2023-2028), which aims to protect civic space, foster inclusive dialogue, and address tensions that can lead to violence.