Written questions by Dhesi.

Food and Rural Affairs, what recent steps he has taken to improve farmed animal welfare.

This Government was elected on a mandate to introduce the most ambitious plans to improve animal welfare in a generation. The Department is engaging with key stakeholders as part of the development of our overarching approach to animal welfare. We will be outlining more details on this in due course. This will build on the support already available through the Animal Health and Welfare Pathway, which includes access to testing for priority diseases and advice to continually improve the health, welfare and productivity of farmed animals through funded vet visits.

What steps he is taking to reduce health inequalities (a) in general and (b) for children.

The United Kingdom faces significant health inequalities, with healthy life expectancy varying widely across and between communities. Through our Health Mission, we are focused on addressing the wider determinants of health to improve healthy life expectancy for all and to halve the gap in healthy life expectancy between different regions of England.Addressing healthcare inequalities is a fundamental part of the Health Mission and the workstreams of the 10-Year Health Plan. The 11 working groups have now concluded their development that will feed into the plan. These working groups included a dedicated workstream focused on how care should be designed and delivered to improve healthcare equity, however this was also fully considered by each workstream.Tackling health inequalities will also be central to the Government’s mission to break down barriers to opportunity and the ambition to raise the healthiest generation of children ever. As a first step, in 2025/26, £126 million is being invested into Family Hubs and Start for Life services to improve support through pregnancy and early childhood.We are also developing an ambitious Child Poverty Strategy which will also help reduce health inequalities for children. The Department is working closely with the Child Poverty Ministerial Taskforce to reduce child poverty, tackle its root causes, and give every child the best start in life.

What steps she is taking to support pupils undertaking exams when experiencing (a) health issues and (b) bereavement.

There are existing arrangements in place to support students who may experience disruption at the time of their exams and assessments known as special consideration.Special consideration is any adjustment given to a student who has temporarily experienced an illness, injury, or other event outside of their control, including bereavement, at the time of the examination or assessment which significantly affects their ability to either take an assessment or fully demonstrate what they can do within it.Students must have been fully prepared for the assessment and have covered the whole course to be eligible for special consideration.More information about special consideration and the eligibility criteria can be found here: https://www.jcq.org.uk/wp-content/uploads/2024/11/JCQ-A-guide-to-the-special-consideration-process-24-25_FINAL_accessible.pdf.

What steps she is taking to encourage active travel in (a) Slough and (b) Berkshire.

Slough Unitary Authority has been allocated over £415,000 for active travel in 2024/25 and 2025/26. Over £3.2 million has been allocated to local transport authorities in Berkshire for the same period. Decisions on how to use this funding to improve local cycling and walking routes would be a matter for the respective authorities. The Government is committed to improving the safety of all road users, especially the most vulnerable such as pedestrians, horse riders and cyclists. This is a key priority for the Department which was reflected in the updated Highway Code in January 2022 with the implementation of a Hierarchy of Road Users. We are committed to reducing the numbers of those killed and injured on our roads. The Department is developing our Road Safety Strategy and will set out more details in due course.

What recent steps her Department has taken to ensure (a) compliance with and (b) raise awareness of legal lighting requirements for cyclists at night.

Those who cycle have a duty to behave in a safe and responsible manner and to follow the rules set out in The Highway Code. The enforcement of cycling offences is an operational matter for the police. We promote cycle safety advice for cyclists and motorists via the THINK! website, social channels, education resources and radio filler advertising. We continually review our campaign priorities using data and research to make sure we are addressing the most important road safety issues to help make our roads safer. The Department is developing our Road Safety Strategy and will set out more details in due course.

What steps his Department is taking to help ensure that NHS patients who are deaf are able to adequately communicate with NHS staff about their care.

It is for individual National Health Service organisations, including NHS trusts and integrated care boards, to comply with the Equality Act 2010. Under the Equality Act 2010, organisations have a legal duty to make changes in their approach or provision to ensure that services are as accessible to disabled people, including deaf people, as they are for everybody else. This includes responsibility for ensuring that there is adequate provision of British Sign Language interpreters to support deaf patients.Health and social care organisations must make reasonable adjustments to ensure that disabled people are not disadvantaged. The Reasonable Adjustment Digital Flag was developed to enable health and care workers to record, share, and view details of reasonable adjustments, across the NHS and social care, wherever the person is seen or treated. Following the launch of the Reasonable Adjustment Digital Flag Information Standard, published September 2023, the flag went live in the National Care Record Service, and is being rolled out across England.Since 2016, all NHS organisations and publicly funded social care providers are expected to meet the Accessible Information Standard (AIS), which details the recommended approach to supporting the information and communication support needs of patients and carers with a disability, impairment, or sensory loss, including deaf people. NHS England has been undertaking a review of the AIS to help ensure that the communication needs of people with a disability, impairment, or sensory loss are met in health and care provision. A revised AIS will be published in due course. In the meantime, the current AIS remains in force, and therefore there should not be a gap in provision for people using services.

What her planned timeline is for reinstating the School Support Staff Negotiating Body.

The School Support Staff Negotiating Body (SSSNB) is being established in primary legislation through the Employment Rights Bill, which was introduced in Parliament within the first 100 days of government on 10 October 2024. The Bill is currently at committee stage in the House of Lords. Due to the uncertainties of Parliamentary business and scheduling, we cannot confirm at this stage when the Bill will receive Royal Assent. After Royal Assent, secondary legislation will be required to constitute the body.

What recent steps he has taken to increase early stage detection rates for prostate cancer.

Currently, the UK National Screening Committee (UK NSC) does not recommend a national prostate cancer screening programme due to the limitations of the current best test, the Prostate Specific Antigen test, which may lead to overdiagnosis and overtreatment of cancers that would not have caused harm during a man’s lifetime. However, the UK NSC is undertaking a comprehensive evidence review to assess six potential approaches to targeted screening for those at higher risk of developing prostate cancer. Recommendations will be published upon the conclusion of this review.In addition, the Government has invested £16 million in the £42 million United Kingdom-wide TRANSFORM trial, led by Prostate Cancer UK, which aims to identify new ways of detecting prostate cancer at an earlier stage, including in men without symptoms. The trial will ensure that at least 10% of participants are black men, reflecting their higher risk and the importance of ensuring new tests are effective across all groups.The UK NSC does not currently recommend a national screening programme for prostate cancer, as the current PSA test lacks the necessary accuracy. It can lead to overdiagnosis and unnecessary treatment, as well as false reassurance for some men. This is particularly important given that many prostate cancers are slow-growing and may not cause harm during a man's lifetime.NHS England is taking steps to increase public understanding of prostate cancer and its risk factors. This includes working in partnership with Cancer Alliances, charities, and local representatives to reach people in their communities with tailored messaging and support.

Whether he plans to take steps to increase awareness of the availability of a PSA blood test.

Currently, the UK National Screening Committee (UK NSC) does not recommend a national prostate cancer screening programme due to the limitations of the current best test, the Prostate Specific Antigen test, which may lead to overdiagnosis and overtreatment of cancers that would not have caused harm during a man’s lifetime. However, the UK NSC is undertaking a comprehensive evidence review to assess six potential approaches to targeted screening for those at higher risk of developing prostate cancer. Recommendations will be published upon the conclusion of this review.In addition, the Government has invested £16 million in the £42 million United Kingdom-wide TRANSFORM trial, led by Prostate Cancer UK, which aims to identify new ways of detecting prostate cancer at an earlier stage, including in men without symptoms. The trial will ensure that at least 10% of participants are black men, reflecting their higher risk and the importance of ensuring new tests are effective across all groups.The UK NSC does not currently recommend a national screening programme for prostate cancer, as the current PSA test lacks the necessary accuracy. It can lead to overdiagnosis and unnecessary treatment, as well as false reassurance for some men. This is particularly important given that many prostate cancers are slow-growing and may not cause harm during a man's lifetime.NHS England is taking steps to increase public understanding of prostate cancer and its risk factors. This includes working in partnership with Cancer Alliances, charities, and local representatives to reach people in their communities with tailored messaging and support.

What recent steps he has taken to increase awareness of the risk factors associated with prostate cancer.

Currently, the UK National Screening Committee (UK NSC) does not recommend a national prostate cancer screening programme due to the limitations of the current best test, the Prostate Specific Antigen test, which may lead to overdiagnosis and overtreatment of cancers that would not have caused harm during a man’s lifetime. However, the UK NSC is undertaking a comprehensive evidence review to assess six potential approaches to targeted screening for those at higher risk of developing prostate cancer. Recommendations will be published upon the conclusion of this review.In addition, the Government has invested £16 million in the £42 million United Kingdom-wide TRANSFORM trial, led by Prostate Cancer UK, which aims to identify new ways of detecting prostate cancer at an earlier stage, including in men without symptoms. The trial will ensure that at least 10% of participants are black men, reflecting their higher risk and the importance of ensuring new tests are effective across all groups.The UK NSC does not currently recommend a national screening programme for prostate cancer, as the current PSA test lacks the necessary accuracy. It can lead to overdiagnosis and unnecessary treatment, as well as false reassurance for some men. This is particularly important given that many prostate cancers are slow-growing and may not cause harm during a man's lifetime.NHS England is taking steps to increase public understanding of prostate cancer and its risk factors. This includes working in partnership with Cancer Alliances, charities, and local representatives to reach people in their communities with tailored messaging and support.

What recent steps he has taken to make NHS services more accessible for deaf patients.

It is for individual National Health Service organisations, including NHS trusts and integrated care boards, to comply with the Equality Act 2010. Under the Equality Act 2010, organisations have a legal duty to make changes in their approach or provision to ensure that services are as accessible to disabled people, including deaf people, as they are for everybody else. This includes responsibility for ensuring that there is adequate provision of British Sign Language interpreters to support deaf patients.Health and social care organisations must make reasonable adjustments to ensure that disabled people are not disadvantaged. The Reasonable Adjustment Digital Flag was developed to enable health and care workers to record, share, and view details of reasonable adjustments, across the NHS and social care, wherever the person is seen or treated. Following the launch of the Reasonable Adjustment Digital Flag Information Standard, published September 2023, the flag went live in the National Care Record Service, and is being rolled out across England.Since 2016, all NHS organisations and publicly funded social care providers are expected to meet the Accessible Information Standard (AIS), which details the recommended approach to supporting the information and communication support needs of patients and carers with a disability, impairment, or sensory loss, including deaf people. NHS England has been undertaking a review of the AIS to help ensure that the communication needs of people with a disability, impairment, or sensory loss are met in health and care provision. A revised AIS will be published in due course. In the meantime, the current AIS remains in force, and therefore there should not be a gap in provision for people using services.

What assessment his Department has made of the adequacy of the post-diagnosis support available to people with dementia.

The provision of dementia health care services is the responsibility of local integrated care boards (ICBs). We would expect ICBs to commission services based on local population needs, taking account of National Institute for Health and Care Excellence guidelines.The Government is committed to improving dementia care and is empowering local leaders with the autonomy they need to provide the best services to their local community, including for those with dementia. That is why we have recently published the Dementia 100 Pathway Assessment Tool, which brings together multiple resources into a single, consolidated tool. This will help simplify best practice for busy system leaders and help create communities and services where the best possible care and support is available to those with dementia. The Dementia 100 Pathway Assessment Tool has now been launched, and is available at the following link:https://www.rcpsych.ac.uk/improving-care/nccmh/service-design-and-development/dementia-100-pathway-assessment-toolTo improve care for patients with dementia, we have refreshed the RightCare Dementia Scenario. The scenario works through the dementia well pathway journey from diagnosing well through to dying well, detailing optimal and sub optimal approaches, with associated costings for each. They have developed a dementia model pathway based on data for each component of the dementia well pathway, to provide a high-level view of what dementia care activity looks like for local areas and to aid targeted support where appropriate.

Whether he has made an assessment of the potential merits of prostate cancer screening for high risk groups.

Currently, the UK National Screening Committee (UK NSC) does not recommend a national prostate cancer screening programme due to the limitations of the current best test, the Prostate Specific Antigen test, which may lead to overdiagnosis and overtreatment of cancers that would not have caused harm during a man’s lifetime. However, the UK NSC is undertaking a comprehensive evidence review to assess six potential approaches to targeted screening for those at higher risk of developing prostate cancer. Recommendations will be published upon the conclusion of this review.In addition, the Government has invested £16 million in the £42 million United Kingdom-wide TRANSFORM trial, led by Prostate Cancer UK, which aims to identify new ways of detecting prostate cancer at an earlier stage, including in men without symptoms. The trial will ensure that at least 10% of participants are black men, reflecting their higher risk and the importance of ensuring new tests are effective across all groups.The UK NSC does not currently recommend a national screening programme for prostate cancer, as the current PSA test lacks the necessary accuracy. It can lead to overdiagnosis and unnecessary treatment, as well as false reassurance for some men. This is particularly important given that many prostate cancers are slow-growing and may not cause harm during a man's lifetime.NHS England is taking steps to increase public understanding of prostate cancer and its risk factors. This includes working in partnership with Cancer Alliances, charities, and local representatives to reach people in their communities with tailored messaging and support.

What recent steps her Department has taken to help improve cycling safety on roads.

Slough Unitary Authority has been allocated over £415,000 for active travel in 2024/25 and 2025/26. Over £3.2 million has been allocated to local transport authorities in Berkshire for the same period. Decisions on how to use this funding to improve local cycling and walking routes would be a matter for the respective authorities. The Government is committed to improving the safety of all road users, especially the most vulnerable such as pedestrians, horse riders and cyclists. This is a key priority for the Department which was reflected in the updated Highway Code in January 2022 with the implementation of a Hierarchy of Road Users. We are committed to reducing the numbers of those killed and injured on our roads. The Department is developing our Road Safety Strategy and will set out more details in due course.

What assessment he has made of the potential merits of introducing mandatory (a) Accessible Information Standard and (b) deaf awareness training for NHS staff.

Employers in the health system are responsible for ensuring that their staff are trained to the required standards to deliver safe and effective treatment for patients, and to deploy them in the best way to ensure the delivery of health services to their populations.Since 2016, all National Health Service organisations and publicly funded social care providers are expected to meet the Accessible Information Standard (AIS), which details the recommended approach to supporting the information and communication support needs of patients and carers with a disability, impairment, or sensory loss.NHS England has been undertaking a review of the AIS to help ensure that the communication needs of people with a disability, impairment, or sensory loss are met in health and care provision.A revised AIS will be published in due course. In the meantime, the current AIS remains in force, and therefore there should not be a gap in provision for people using services. NHS England is working to support implementation of the AIS with awareness raising, communication, and engagement, and a review of the current e-learning modules on the AIS. The intention is to ensure that staff and organisations in the NHS are aware of the AIS and the importance of meeting the information and communication needs of the disabled people using these services.

What assessment he has made of the adequacy of NHS compliance with the Accessible Information Standard.

Since 2016, all National Health Service organisations and publicly funded social care providers are expected to meet the Accessible Information Standard (AIS), which details the recommended approach to supporting the information and communication support needs of patients and carers with a disability, impairment, or sensory loss.The AIS conformance criteria, published in 2016, set out how NHS organisations and publicly funded social care providers should comply with the AIS, with further information available at the following link:https://www.england.nhs.uk/about/equality/equality-hub/patient-equalities-programme/equality-frameworks-and-information-standards/accessibleinfo/resources/assess-conformance/The responsibility for monitoring compliance with the AIS sits with the commissioner of the service.

Commonwealth and Development Affairs, what recent steps he has taken to ensure (a) the safety of humanitarian workers and (b) the delivery of humanitarian aid in Sudan.

The UK is playing a leading role in response to the crisis in Sudan, including efforts to facilitate more consistent humanitarian delivery into and across the country. During last month's London Sudan Conference, the Foreign Secretary announced a further £120 million towards the crisis which will provide life-saving aid to more than 650,000 people. Sudan remains an extremely perilous context for humanitarian personnel. Nearly 100 humanitarian aid workers have been killed since the conflict started in April 2023. To protect civilians including aid workers, the UK continues to advocate that parties to the conflict uphold international humanitarian and human rights obligations as applicable, whilst calling for the implementation of relevant UN Security Council resolutions (UNSCR), including UNSCR 2736 (2024) on El Fasher, Darfur. On 24 April, the Foreign Secretary also issued a statement following renewed attacks in El Fasher, calling for security guarantees in order to deliver aid rapidly and safely.

Commonwealth and Development Affairs, what steps he has taken to help enable humanitarian aid to reach people in Tawila, fleeing Zamzam camp in Sudan.

The UK strongly condemns the continued violence in and around El Fasher and Zamzam camp which has resulted in the deaths of nearly 500 people and has displaced over 403,000 people from the camp. In response to the deteriorating humanitarian context in El Fasher, the UK will provide £2 million in funding through the Mercy Corps-led cash consortium which will help to deliver urgent cash-based assistance to vulnerable communities. Sustained engagement and advocacy are also vital to ensure food and humanitarian supplies are not blocked from reaching regions such as Tawila. On 24 April, the Foreign Secretary issued a statement following the attacks calling for the warring parties to ensure humanitarian actors are provided with the security guarantees needed to deliver aid rapidly and safely. This followed the UN Security Council statement, released on 16 April, condemning the escalation of violence and calling for the parties to urgently implement UN Security Council Resolution 2736.

What assessment she has made of the potential impact of headlight dazzling on road user safety.

All types of road vehicle headlamps, are designed, tested and approved to internationally recognised standards to help prevent undue glare on a broad range of roads and environments. Police recorded collision statistics in Great Britain do not show any discernible trend over time that would suggest an underlying road safety issue linked to advances in lighting technology. However, Government recognises increased public concern around headlamp glare and has commissioned independent research. This is measuring light levels experienced by drivers during real driving on UK roads and considers factors like vehicle characteristics, weather conditions and ambient lighting. It also includes a programme of stakeholder engagement to build a comprehensive understanding of the issues. Careful consideration will be given to that work when it reports later this year to determine what future actions may be appropriate to ensure the safety of all road users.

What recent discussions she has had with car manufacturers on the prevention of headlight dazzling from SUV style cars.

Officials from the Department for Transport are actively engaged in the recently established United Nations glare prevention taskforce which includes representatives from headlamp and vehicle manufacturers, including those which produce SUV style cars. The first meeting of the taskforce was in April. In parallel, Government has commissioned independent research into headlamp glare. Careful consideration will be given to that work when it reports later this year to determine what future actions may be appropriate to ensure the safety of all road users.