Written questions by Collins.

What steps his Department is taking to improve early diagnosis of endometriosis.

The Government is committed to prioritising women’s health, and we are making progress to ensure that women with endometriosis receive a timely diagnosis and effective treatment.Clinical guidelines support healthcare professionals to diagnose and treat conditions. In November 2024, the National Institute for Health and Care Excellence updated its guideline on the diagnosis and management of endometriosis. This includes updated recommendations that for women with symptoms of endometriosis, initial pharmacological treatment should take place in primary care, and that this can take place in parallel with additional investigations and referral to secondary care if needed. This will help women receive more timely treatment. The guideline is available at the following link:https://www.nice.org.uk/guidance/ng73We have taken urgent action to tackle gynaecology waiting lists through the Elective Reform Plan. In gynaecology, the plan supports innovative models offering patients care closer to home, and piloting gynaecology pathways in community diagnostic centres. Alongside the plan we published a new partnership agreement between the National Health Service and the independent sector, which will help cut gynaecology waiting lists faster.Additionally, to provide quicker access for patients to common surgical hub procedures such as a laparoscopy, which can be used to diagnose and treat endometriosis, we have committed to opening 17 new and expanded surgical hubs by June 2025 and ramping up the number of hubs over the next three years.

What steps his Department is taking to improve the training of healthcare employees in recognising symptoms of endometriosis.

The Government is committed to prioritising women’s health and improving the diagnosis, treatment and ongoing care for gynaecological conditions including endometriosis.National Institute for Health and Care Excellence (NICE) guidelines support healthcare professionals to diagnose and treat conditions. In November 2024, NICE published updated recommendations on the diagnosis, management and treatment of endometriosis. This can be accessed through the following link:https://www.nice.org.uk/guidance/ng73Endometriosis is included in the core curriculum for general practitioners, and for obstetricians and gynaecologists. The General Medical Council has introduced the Medical Licensing Assessment for most incoming doctors, including all medical students graduating from academic year 2024/25 and onwards. Within this assessment are several topics relating to women’s health, including endometriosis. This will encourage a better understanding of endometriosis among doctors as they start their careers in the United Kingdom.

Communities and Local Government, what guidance her Department is providing to local planning authorities for major development applications in areas where water and sewage infrastructure is operating at or beyond capacity.

As set out in Paragraph 7 of the National Planning Policy Framework (NPPF), the purpose of the planning system is to contribute to the achievement of sustainable development, including the provision of homes, commercial development and supporting infrastructure in a sustainable manner. Sustainable development should be pursued both through the preparation and implementation of local development plans, and the application of policies in the framework. The government is clear that housing must come with appropriate infrastructure, including appropriate water infrastructure. We believe that strategic issues such as water capacity are best dealt with at a strategic level through the plan-making process, rather than through individual planning applications. A key function of local development plans is to guide development to the most suitable and sustainable locations and to ensure that the associated infrastructure requirements are addressed. Effective co-operation early in the plan-making process is essential to ensuring not only that housing and infrastructure need is appropriately planned for, but that they are aligned with each other. The NPPF makes it clear that local planning authorities should collaborate with each other and with other public bodies, including infrastructure providers, to identify relevant strategic matters to be addressed, including providing for sustainable water supplies. Water companies are under a statutory duty to provide new water and sewerage connections to residential properties, as well as planning to meet the needs of growth as part of water resource management plans, and drainage and wastewater management plans. The water resources planning guidance published by the government set out how those companies should forecast demand for water based on existing customers and planned levels of household and non-household growth, with the number of planned developments being based on published local plans. Planning applications may require information from developers on how the proposed development will be drained and wastewater dealt with, especially where a connection to a public sewage treatment plant is not feasible. Local planning authorities are encouraged to phase developments so they are not occupied until any necessary improvements to the public sewage system have been carried out, ensuring sustainable infrastructure management. Strategic Flood Risk Assessments are the primary source of flood risk information and should be used to manage flood risk from all sources. In addition, local planning authorities are encouraged to collaborate with water companies, utilise Drainage and Wastewater Management Plans, and draw on independent technical expertise where necessary to verify network capacity claims. This approach ensures that evidence of repeated sewage discharges, flooding, and infrastructure failures is robustly assessed and addressed during the planning process. Relevant planning practice guidance sets out that good design and mitigation measures should be secured during development, both through site-specific and non-site-specific policies on water infrastructure. The revised NPPF published on 12 December 2024 makes clear that developments of all sizes should use sustainable drainage techniques when the development could have drainage impacts and should have appropriate maintenance arrangements in place. We continue to explore whether more needs to be done to ensure sustainable drainage technologies are taken up more widely in new development, either through planning policy or by commencing schedule 3 to the Flood and Water Management Act 2010, and a decision on the best way forward will be made in the coming months. Ensuring that we take a strategic spatial planning approach to the management of water, including tackling pollution and managing pressures on the water environment at a catchment, regional and national scale, is a core objective of the ongoing independent review into the regulatory system of the water sector, launched in October 2024 by the UK and Welsh Governments. The review is expected to report next year, and we will carefully consider its findings.

Whether he plans to review the Women’s Health Strategy.

The Government is committed to prioritising women’s health as we build a National Health Service fit for the future.Our focus is on turning the commitments in the Women's Health Strategy into tangible actions, for instance by providing emergency hormonal contraception free of charge at pharmacies on the NHS from October 2025, taking urgent action to tackle gynaecology waiting lists through the Elective Reform Plan, and setting out how we will eliminate cervical cancer by 2040 through the new cervical cancer plan.

If he will make an assessment of the adequacy of (a) commissioning funding of integrated care boards and (b) other funding provided to hospice services.

Palliative care services are included in the list of services an integrated care board (ICB) must commission. ICBs are responsible for commissioning palliative and end of life care services to meet the needs of their local populations. To support ICBs in this duty, NHS England has published statutory guidance which outlines areas for consideration when commissioning.Additionally, although not statutory, the National Institute for Health and Care Excellence has published guidance on the service delivery of end of life care. There is an expectation that commissioners and service providers take the guidelines into account when making decisions about how to best meet the needs of their local communities.Most hospices are charitable, independent organisations which receive some statutory funding for providing National Health Services. The amount of funding each charitable hospice receives varies both within and between ICB areas. This will vary depending on demand in that ICB area but will also be dependent on the totality and type of palliative and end of life care provision from both NHS and non-NHS services, including charitable hospices, within each ICB area.NHS England has a legal duty to annually assess the performance of each ICB in respect of each financial year and to publish a summary of its findings. This assessment must assess how well the ICB has discharged its functions.We are, at a national level, also supporting the hospice sector with a £100 million capital funding boost for adult and children’s hospices in England to ensure they have the best physical environment for care. The Government has released the first £25 million tranche of the £100 million of capital funding, with Hospice UK kindly allocating and distributing the money to hospices throughout England. An additional £75 million will be allocated in the coming weeks for use in 2025/26.Additionally, we are providing £26 million of revenue funding to support children and young people’s hospices for 2025/26. This is a continuation of the funding which until recently was known as the children and young people’s hospice grant. NHS England has now communicated the details of the 2025/26 funding allocation and dissemination to individual hospices.In February, I met with key palliative and end of life care and hospice stakeholders, with a focus on long-term sector sustainability within the context of our 10-Year Health Plan.

What steps his Department is taking to support GPs in diagnosing ovarian cancer.

The Government is committed to supporting the National Health Service to diagnose cancer, including ovarian cancer, earlier and faster.We are improving public awareness of cancer signs and symptoms, streamlining referral routes, and increasing the availability of diagnostic capacity through the roll-out of more community diagnostic centres. We are also investing an additional £889 million in general practice (GP) to reinforce the front door of the NHS, bringing total spend on the GP Contract to £13.2 billion in 2025/26.In October 2024, we invested £82 million into the Additional Roles Reimbursement Scheme, which has enabled the recruitment of over 1,500 recently qualified GPs across England, which will increase the number of appointments delivered and care for thousands of patients.We are committed to ensuring that GPs have the right training and systems to identify cancer. The Department will continue to look at opportunities to utilise artificial intelligence to transform diagnostic performance and ultimately bring down waiting times. The National Cancer Plan will include further details on how we will improve outcomes for cancer patients, including for rare and less common cancers. It will aim to speed up diagnosis and treatment and will ensure that all patients have access to the latest treatments and technology.

How much his Department spent on ovarian cancer research in the latest period for which data is available.

Research is crucial in tackling cancer, which is why the Department invests £1.6 billion each year on research through its research delivery arm, the National Institute for Health and Care Research (NIHR), with cancer being one of the largest areas of spend, at over £133 million in 2023/24, reflecting its high priority. The NIHR has funded 17 research projects into ovarian cancer for the period 2019/20 to 2023/24, with a combined total funding value of £6.4 million, and enabled 109 clinical research studies into ovarian cancer to take place in the National Health Service in 2023/24.Examples of NIHR investments in ovarian cancer research include the ROCkeTS study, which aims to identify the best diagnostic tests for ovarian cancer. The NIHR has also funded the MR in Ovarian Cancer, or MROC, study, which studies the impact of multiparametric magnetic resonance imaging on the staging and management of patients with ovarian cancer.The NIHR continues to welcome high quality funding applications for research into any aspect of human health and care, including ovarian cancer research.

What steps his Department is taking to support small and medium-sized businesses in Harpenden and Berkhamsted, in the context of US tariffs.

We will always act in the best interests of UK businesses. That’s why the government has been focused on negotiating an economic deal with the US. We will continue to engage with businesses to assess and understand the impact of these tariffs. On 3 April the government launched a Request for Input from businesses to help inform the UK’s response to US tariffs. We continue to support businesses to grow and export across the world, including to the United States. Through the recently announced Business Growth Service, businesses can access export support via Great.gov.uk. including the Export Academy, International Markets Network, Growth Hubs and Help to Grow: Management scheme.

Innovation and Technology, if he will take steps to provide financial support to help scientists phase out the use of animals in medical research.

The Government is committed to supporting the uptake and development of alternative methods to the use of animals in science. UK Research and Innovation is committed to reducing the use of animals in research and provide a number of financial support mechanisms to do that. This includes, for example, core funding to the National Centre for the Replacement, Refinement and Reduction of Animals in Research, and supporting ‘human-specific’ research through the MRC Experimental medicine programme.

Food and Rural Affairs, what steps his Department is taking to (a) improve testing methods, (b) strengthen labelling regulations and (c) help tackle honey adulteration in other ways.

Defra carries out scientific research in partnership with the Food Standards Agency to help improve testing methods help address honey adulteration. The Honey (England) Regulations 2015 lay down detailed specifications which honey must comply with regarding its composition and quality criteria. They mandate that honey cannot be sold in England unless the country of origin where the honey has been harvested is indicated on the label. However, for reasons of practicality special provisions apply to ‘blended’ honeys, where honey producers can opt for alternative wording indicating that the honey is a blend from more than one country. Defra works closely with enforcement authorities, responsible for enforcing our honey laws on investigating any potential fraud issues raised, to ensure honey sold in the UK is not subject to adulteration, meets our high standards and maintains a level playing field between honey producers.

With reference to the Official Statistics by HMRC entitled Measuring tax gaps 2024 edition: tax gap estimates for 2022 to 2023, updated on 20 June 2024, updated on 21 March 2025, what steps she is taking to collect the uncollected theoretical tax liabilities.

A key part of restoring economic stability and fiscal responsibility is closing the tax gap. Unpaid tax deprives UK public services of vital funding and puts businesses who pay the right tax at a competitive disadvantage. At the Budget last autumn, the government introduced the most ambitious package ever to close the tax gap, ensuring more individuals and businesses pay the taxes they owe. At the Spring Statement, the government built on this and announced a package of measures to further close the tax gap and raise over £1 billion in additional gross tax revenue per year by 2029-30. At the Spring Statement, the government announced it will fund the recruitment of a further 500 compliance officers, bringing the total compliance officer growth since July 2024 to 5,500 by 2029/30.In addition, the government will fund the recruitment of an additional 600 staff into HMRC’s debt management teams to ensure those who can afford to pay their tax debts do so. It is also delivering on its commitments to prosecute more tax fraudsters, to introduce a new HMRC reward scheme for informants, to tackle ‘phoenixism’, and to overhaul HMRC’s approach to offshore tax non-compliance. The government has also set out its plans to go further in the future to make it easier for taxpayers to pay the right tax through a modern and digital tax system.

Innovation and Technology, what measures his Department has discussed with social media companies to help tackle the spread of misinformation online.

The Online Safety Act focuses on the worst kinds of mis- and disinformation - that which is illegal content or content harmful to children. For example, its Foreign Interference Offence forces platforms to take proactive action against state-linked online interference. Platforms must remove other in-scope illegal mis- and disinformation where they become aware of it.The government is clear on platforms’ responsibility to keep their users safe and tackle harmful content, and DSIT engages with major social media platforms on issues or events that create risks for public safety or national security.

Innovation and Technology, whether his Department plans to take steps to regulate unrealistic beauty standards in online content aimed at younger children.

Under the Online Safety Act, platforms and search services that are likely to be accessed by children must prevent children of all ages from encountering content that promotes, encourages or provides instructions for eating disorders.Providers must also consider how algorithms can impact children’s exposure to harmful content and mitigate this risk.Ofcom’s draft children’s code of practice also acknowledge that body image content may be linked to significant harm arising from body or image dissatisfaction.

What steps her Department is taking to ensure disabled children can access social care support.

This government is taking forward significant reform of children’s social care, with the aim to rebalance the system towards earlier intervention and ensure that all children and families can access the right help at the point of need, rather than needing to meet a particular threshold. This is particularly the case for children with disabilities, whose need is potentially different from others who may require help and support from children’s social care. Disabled children may require support for the entirety of their childhood and sit across children’s social care, education and health, and their support offer should be adjusted to reflect this.To that end, on Thursday 20 March, I announced the launch of the national Families First Partnership Programme, including the publication of the Families First Programme guide. The guide has been produced to support safeguarding partnerships across England implement Family Help and multi-agency child protection reforms and make greater use of Family Group Decision Making. The guide can be found here: https://www.gov.uk/government/publications/families-first-partnership-programme.The programme is backed by over £500 million of investment in the 2025/26 financial year, made available through England’s final local government finance settlement (LGFS) for the 2025/26 financial year. This doubles direct investment into preventative support, ensuring access to support at the earliest opportunity, which over time, we expect to safely reduce the number of looked after children, keeping more families together. More information on the LGFS can be found here: https://www.gov.uk/government/collections/final-local-government-finance-settlement-england-2025-to-2026.Programmes delivered by local government over many years have paved the way for these reforms, including evidence from the Supporting Families, and Strengthening Families, Protecting Children programmes. We will also take forward lessons so far from the ten local areas part of the Families First for Children Pathfinder. Best practice for improving the support provided to disabled children includes appointing special educational needs and disabilities (SEND) specialist lead practitioners to lead work with families and recruiting SEND expertise into local authorities’ ‘front doors’ to ensure timely and effective decision making and promote access to services at the earliest opportunity.

If she will make it her policy to fund the Adoption and Special Guardianship fund after 2025/26.

The department remains committed to supporting adoptive and kinship families, who play an essential role in providing stable and loving homes for children in need. On 1 April, it was announced that the adoption and special guardianship support fund would continue into 2025/26, with a budget of £50 million. This funding will enable eligible families to receive support in the coming year. All decisions regarding the future of the fund past March 2026 will be made as part of the next spending review.

What steps he is taking to help improve staffing levels at GP surgeries to ensure ring timely access to women's health services.

The Government committed to recruiting over 1,000 recently qualified general practitioners (GPs) through an £82 million boost to the Additional Roles Reimbursement Scheme over 2024/25, as part of an initiative to address GP unemployment and secure the future pipeline of GPs. Since 1 October 2024, 851 full-time equivalent (FTE) GPs have been recruited through the scheme.In addition, for GPs employed by practices directly, as of January 2025, there were 573 more fully qualified, FTE GPs working in practices in England compared to July 2024. The recruitment boost, part of the Government’s Plan for Change, will help to end the scandal of patients struggling to see a doctor, easing pressure on GPs and cutting waiting times. Alongside changes to the GP Contract for 2025/26, these additional GPs will help end the 8:00am scramble for appointments which so many patients currently endure every day.The Government is committed to prioritising women’s health as we reform the National Health Service. Women's health is included the Royal College of General Practitioners’ curriculum for trainee GPs, including gynaecology, menopause, sexual health, and breast health.

What steps his Department is taking to help increase the number of available NHS dental appointments in Harpenden and Berkhamsted constituency.

I refer the hon. Member to the answer I gave on 14 April 2025 to Question 44281.

What steps his Department is taking to help improve (a) rates of early diagnosis, (b) access to treatment and (c) specialist care for people with Duchenne Muscular Dystrophy.

The Government is committed to improving the lives of those living with rare diseases, such as Duchenne muscular dystrophy (DMD), by supporting earlier diagnosis, improving access to treatment, and enhancing specialist care. Under the England Rare Diseases Action Plan 2025, we remain focused on delivering against the four key priorities set out in the UK Rare Diseases Framework. The 2025 England Rare Diseases Action Plan was published on 28 February 2025, and is available at the following link:https://www.gov.uk/government/publications/england-rare-diseases-action-plan-2025.To support earlier diagnosis, we are digitalising the National Genomic Test Directory to improve access to genomic testing, and have established eight Genomic Networks of Excellence to standardise services and speed up diagnoses.We are improving access to treatment for rare conditions like DMD by reforming clinical trial regulations through the Medicines and Healthcare products Regulatory Agency (MHRA), which facilitates the development and approval of new therapies.Progress is also being made on repurposing existing medicines and advancing new therapies, to expand treatment options. The National Institute for Health and Care Excellence (NICE) plays a key role by making recommendations on which licensed medicines should be routinely funded by the National Health Service, based on an assessment of their costs and benefits. The NICE has recently published guidance recommending vamorolone as an option for treating DMD in people aged four years old and older, and the NHS in England is legally required to fund treatment for eligible patients in line with the NICE’s recommendations. The NICE is currently appraising givinostat, which received a conditional marketing authorisation from the MHRA in December 2024 for treating DMD in patients aged six years old and over, to see if it can be recommended for routine funding on the NHS.To enhance specialist care, NHS England is supporting multi-system disorder clinics to reduce appointments and ease care coordination for families. Research is underway to improve service integration, and five new Rare Disease Collaborative Networks have been launched to strengthen specialist support across the NHS.

What discussions he has had with the Secretary of State for Justice on reviewing the eligibility of unpaid carers for (a) legal aid and (b) advocacy; and what assessment he has made of the potential merits of increasing funding for respite breaks for unpaid carers.

To be eligible for legal aid, which includes advice, assistance, and advocacy, where applicable, generally an applicant’s legal matter must be in scope for legal aid, and they must pass both a merits and a means test. The merits test, for civil legal aid, and the interests of justice test, for criminal legal aid, assess the merits of the case, including the likelihood of success, and the benefit to the applicant. The means test assesses an applicant’s financial eligibility. Unpaid carers that meet the eligibility criteria are eligible for legal aid.On the potential merits of increasing funding for respite breaks for unpaid carers, local authorities have duties to support people caring for their family and friends. The Care Act 2014 requires local authorities to deliver a wide range of sustainable, high-quality care and support services, including support for carers.The Better Care Fund includes funding that can be used for carer support, including short breaks and respite services. Local areas determine how the money is best used to support carers, depending on local need and with reference to their statutory responsibilities.Ministers regularly engage with colleagues in other Government departments on a range of issues.

Whether the 2025/26 NHS Payment Scheme applies a currency model to commission (a) palliative and (b) end-of-life care services.

Palliative care services are included in the list of services an integrated care board (ICB) must commission. This promotes a more consistent national approach and supports commissioners in prioritising palliative and end of life care. To support ICBs in this duty, NHS England has published statutory guidance and service specifications.  ICBs are responsible for commissioning palliative and end of life care services to meet the needs of their local populations.Details of currency models for the last year of life and end of life care were published as supporting documents to the 2025/26 NHS Payment Scheme. This supporting document is available at the following link:https://www.england.nhs.uk/publication/2025-26-nhs-payment-scheme/#heading-3The currencies are not directly linked to payment for 2025/26, but providers and commissioners should ensure that all data items for the currency models are collected. The currencies should be used to inform ICB commissioning plans and to support service planning and local benchmarking, as well as evaluating service provision.