First elected: 8th December 2016
Speeches made during Parliamentary debates are recorded in Hansard. For ease of browsing we have grouped debates into individual, departmental and legislative categories.
e-Petitions are administered by Parliament and allow members of the public to express support for a particular issue.
If an e-petition reaches 10,000 signatures the Government will issue a written response.
If an e-petition reaches 100,000 signatures the petition becomes eligible for a Parliamentary debate (usually Monday 4.30pm in Westminster Hall).
These initiatives were driven by Caroline Johnson, and are more likely to reflect personal policy preferences.
MPs who are act as Ministers or Shadow Ministers are generally restricted from performing Commons initiatives other than Urgent Questions.
Caroline Johnson has not been granted any Adjournment Debates
A Bill to make provision about the notice period for termination of funding agreements for secure 16 to 19 Academies; to make provision about the Secretary of State’s duty to consider the impact on existing educational institutions when it is proposed to establish or expand a secure 16 to 19 Academy; and to alter the consultation question required when it is proposed to establish or expand a secure 16 to 19 Academy.
Immigration and Asylum Bill 2023-24
Sponsor - Bob Seely (Con)
Disposal of waste (advertising and penalty provision) Bill 2023-24
Sponsor - Paul Bristow (Con)
Children not in school (register) Bill 2022-23
Sponsor - Flick Drummond (Con)
Healthcare (Delayed Discharges) Bill 2021-22
Sponsor - Andrew Murrison (Con)
The Supreme Court’s ruling has brought clarity for women and employers. The Equality and Human Rights Commission (EHRC) has already committed to supporting organisations, including workplaces, with updated guidance; we will work closely with the EHRC as they develop this. All government departments should follow the clarity the ruling provides.
The Supreme Court’s ruling has brought clarity and confidence that for the purposes of the Equality Act, the term ‘woman’ refers to a biological woman.
The Equality and Human Rights Commission has already committed to support organisations, including workplaces, with updated guidance; we will engage them as necessary as they progress this work. All government departments should follow the ruling.
The Government attaches significant importance to the effective and timely handling of correspondence from MPs, either directly or on behalf of their constituents. The Department’s correspondence team has already implemented an improvement plan that will deliver a more effective and streamlined process.
The correspondence performance of all Whitehall Departments is published quarterly. The full data for 2024 is due to be published soon by the Cabinet Office. Data for Quarter 1 of 2025 will be published in due course.
The Secretary of State and Ministers meet with health Ministers regularly to discuss a range of topics. The Secretary of State and Ministers have not met with health Ministers specifically to discuss the Data (Use and Access) Bill and sex data. Official level engagement has taken place to share information regarding the ways the NHS handles medical records in the process of an individual changing gender, and ensures individuals are correctly registered for relevant screenings and other sex/specific treatment. We have used the insights from this engagement to inform our approach to the Bill.
We have always been clear that, when it comes to women's sport, biology matters. We will continue to support sports to develop policies that protect fairness and safety, particularly when it is not possible to balance those factors with inclusion. In terms of gender eligibility, National Governing Bodies set their own policies for who can participate in their sports in domestic competitions.
Our Sports Councils produce guidance to provide domestic sports bodies with the framework and support to determine the right position for their sport. Our Sports Councils are consulting with legal experts to clarify whether the Supreme Court ruling affects the guidance. The outcome of this will feed into their timescale for a planned wider review of the guidance.
In addition the Equalities and Human Rights Commission has confirmed their work to develop a revised Code of Practice which supports service providers, public bodies and associations to understand their duties under the Equality Act and put them into practice. Their revised code will incorporate the implications of the Supreme Court judgment. They hope to lay the revised code before Parliament before the summer recess.
We have always been clear that, when it comes to women's sport, biology matters. We will continue to support sports to develop policies that protect fairness and safety, particularly when it is not possible to balance those factors with inclusion.
In terms of gender eligibility, National Governing Bodies set their own policies for who can participate in their sports in domestic competitions. Our Sports Councils produce guidance to provide domestic sports bodies with the framework and support to determine the right position for their sport. Our Sports Councils are consulting with legal experts to clarify whether the Supreme Court ruling affects the guidance. The outcome of this will feed into their timescale for a planned wider review of the guidance.
Alongside this, sports need to come up with approaches to ensure everyone has the opportunity to take part somehow - and I know that sporting bodies will be considering this in light of the Supreme Court decision.
We have always been clear that, when it comes to women's sport, biology matters. We will continue to support sports to develop policies that protect fairness and safety, particularly when it is not possible to balance those factors with inclusion.
In terms of gender eligibility, National Governing Bodies set their own policies for who can participate in their sports in domestic competitions. Our Sports Councils produce guidance to provide domestic sports bodies with the framework and support to determine the right position for their sport. Our Sports Councils are consulting with legal experts to clarify whether the Supreme Court ruling affects the guidance. The outcome of this will feed into their timescale for a planned wider review of the guidance.
Alongside this, sports need to come up with approaches to ensure everyone has the opportunity to take part somehow - and I know that sporting bodies will be considering this in light of the Supreme Court decision.
Single-sex spaces based on biological sex are protected in law and will always be protected by this government.
The department is currently reviewing the draft non-statutory guidance for schools and colleges on gender questioning children, in addition to reviewing the statutory guidance on relationships, sex and health education. The guidance on gender questioning children will reflect the legal protection for single-sex spaces and facilities in schools, as well as the Equality Act protection for single-sex sport in schools to ensure fairness and safety.
My right hon. Friend, the Secretary of State for Education, has been clear that children’s wellbeing must be at the heart of this guidance and, as such, the government is looking carefully at the consultation responses, discussing with stakeholders and considering the relevant evidence, including the final report of the Cass Review which was published post-consultation, before setting out next steps.
I refer the hon. Member for Sleaford and North Hykeham to the answer of 31 March 2025 to Question 41472.
All families are eligible for universal 15 hours of free childcare for three and four year-olds, including those who earn over £100,000.
The £100,000 level was chosen to correspond with income tax thresholds and to be easily understandable for parents. Only a very small proportion of parents, 3.8% of parents of three and four year-olds in 2023/24, earn over the £100,000 threshold.
The government needs to use public funds in a way that provides value for money and considers it reasonable to target this funding at those individuals earning under £100,000 adjusted net income.
The government has agreed that public sector employers will receive support in recognition of the increase in their National Insurance contributions (NICs) from April 2025. The department is providing schools and high needs settings with over £930 million in the 2025/26 financial year to support them with their increased NICs costs. This support is additional to the £2.3 billion increase to core school funding announced at the Autumn Budget 2024. This means that the core schools budget, which includes the core revenue funding for schools and high needs, will total over £64.8 billion in the 2025/26 financial year. The amount of public sector support is based on HM Treasury analysis of the proportion of employer NICs receipts paid by public sector organisations, and allocated between departments based on headcount and wage/salary data.
The NICs grant will allocate funding to schools according to their pupil numbers, and the numbers of pupils with additional needs, along with a lump sum component for every school regardless of pupil numbers. The department’s funding system is not designed so that every school receives funding that fully matches their precise spending as that, including the NICs costs, varies between institutions because of the decisions that each school takes on its staffing.
The department has distributed this funding in proportion to the needs of the different sectors and phases of education. The department will continue to monitor cost pressures, as it usually does.
The government has agreed that public sector employers will receive support in recognition of the increase in their National Insurance contributions (NICs) from April 2025. The department is providing schools and high needs settings with over £930 million in the 2025/26 financial year to support them with their increased NICs costs. This support is additional to the £2.3 billion increase to core school funding announced at the Autumn Budget 2024. This means that the core schools budget, which includes the core revenue funding for schools and high needs, will total over £64.8 billion in the 2025/26 financial year. The amount of public sector support is based on HM Treasury analysis of the proportion of employer NICs receipts paid by public sector organisations, and allocated between departments based on headcount and wage/salary data.
The NICs grant will allocate funding to schools according to their pupil numbers, and the numbers of pupils with additional needs, along with a lump sum component for every school regardless of pupil numbers. The department’s funding system is not designed so that every school receives funding that fully matches their precise spending as that, including the NICs costs, varies between institutions because of the decisions that each school takes on its staffing.
The department has distributed this funding in proportion to the needs of the different sectors and phases of education. The department will continue to monitor cost pressures, as it usually does.
I refer the hon. Member for Sleaford and North Hykeham to the answer of 11 November 2024 to Question 12804.
The Autumn Budget 2024 confirmed £1.8 billion in the 2025/26 financial year to support the expansion of the early years entitlement offer for eligible working parents from 15 hours to 30 hours from September 2025. This £1.8 billion will mean the budget for childcare entitlements next year will be over £8 billion, reflecting the additional money needed for the 30 hour expansion, and ensuring funding for the entitlements reflects the national living wage.
An estimate will be made when an updated Agricultural Land Classification (ALC) map is published later this year.
Land classification is a devolved matter, and each nation within the UK takes a different approach. In England and Wales, the ALC system is used to assess agricultural land quality.
The Government remains committed to maintaining accurate land classification data to support planning and policy decisions. The new strategic-scale ALC map will replace the 1960s provisional map in England, ensuring alignment with current ALC guidelines and including the subdivision of Grade 3 land into subgrades 3a and 3b.
The Environment Agency maintains a public register of registered producers and approved compliance schemes under the Waste Electrical and Electronic Equipment Regulations 2013. There are currently 34 registered vape producers in the UK.
Distributors are not required to register under the Waste Electrical and Electronic Equipment (WEEE) Regulations 2013. There are takeback obligations on vape distributors which are enforced by the Office for Product Safety and Standards (OPSS). OPSS regulates in a proportionate, evidenced and risk-based manner, that utilises a range of regulatory interventions to promote compliance. OPSS has taken no enforcement action, such as prosecutions, on vape distributors in either 2023 or 2024. OPSS has, however, been working closely checking compliance with distributors through 2024 to build the takeback network with some 10,500 points added so far this year.
Importers and manufacturers of electrical and electronic equipment are required to register with their appropriate environment regulator, with companies based in England registering with the Environment Agency. OPSS does not have an enforcement role under the WEEE regulations in respect of importers and manufacturers, whether registered or not.
The Environment Agency (EA) holds a public register of battery producers and approved battery (producer) compliance schemes. Only battery producers that qualify as large producers are required to join a battery compliance scheme. Large producers are those that place more than one tonne of batteries on the UK market during a year.
There are currently 25 vape producers that are also registered as battery producers, 21 of which have joined a battery producer compliance scheme.
There is no regulatory requirement for battery distributors to register with the EA or a producer compliance scheme.
No enforcement action has been taken against vape producers or distributors under the Waste Batteries and Accumulators Regulations 2009 in either 2023 or 2024 to date.
The information requested is in the table below. Please note that some correspondence received in January will not be due for reply until February and so that month has been excluded.
Month | Number of Cases | Number Closed | Number still Open | % Still Open |
August | 383 | 382 | 1 | 0.2% |
September | 343 | 338 | 5 | 1.5% |
October | 402 | 398 | 4 | 1% |
November | 385 | 366 | 19 | 5% |
December | 382 | 337 | 45 | 12% |
Total | 1895 | 1821 | 74 | 4% |
It is the responsibility of the Local Authority, Lincolnshire County Council, to provide the Department with a Full Business Case, which will be reviewed and assessed prior to a decision whether to grant full approval for the scheme. We are expecting to see the Full Business Case in the summer of 2025 and my officials are working with the council to progress that.
As the Chancellor set out in her statement on 23 September, the Government has inherited extremely challenging fiscal conditions and a litany of unfunded commitments. The Transport Secretary is undertaking a review of the previous governments transport plans, including unfunded schemes.
The value of roads projects is assessed using the principles set out in the Green Book. Rather than assessing value and prioritisation of individual projects, the review will consider the alignment of capital schemes across mode with the Government’s priorities and provide strategic advice to the Secretary of State on how she might approach prioritisation of projects.
The Department supports people nearing the end of life through special benefit rules – called the Special Rules for End of Life (SREL). These enable people who are nearing the end of their lives to get faster, easier access to certain benefits, without needing to attend a medical assessment, serve waiting periods and in most cases, receive the highest rate of benefit.
SREL applies to these benefits Personal Independence Payment (PIP), Universal Credit (UC), Employment and Support Allowance (ESA), Disability Living Allowance for children (DLAc) and Attendance Allowance (AA).
The department holds some data on special rules for end of life (SREL) claims for PIP and UC based on receipt of the medical evidence form, the SR1, but does not centrally collate equivalent data on SREL claims for AA, DLA and ESA, so we cannot provide the total number of SREL claimants. We have therefore provided data for UC and PIP only below.
Benefit* | Claim duration less than 12 months | Claim duration of 12 months or more. | Total |
PIP | 16,900 | 15,400 | 32,300 |
UC | 5,900 | 4,800 | 10,700 |
*All figures are rounded to the nearest hundred.
The PIP data covers England and Wales and is from October 2024. The UC data covers Great Britain and is from September 2024.
The numbers above count the number of claims for each benefit, not the number of individuals. Some individuals may be counted more than once, as they may be in receipt of both benefits.
It is possible, although rare, to make a SREL claim without a SR1 form, so these data do not necessarily present the full picture in terms of total numbers of SREL claims.
‘DLA: Cases in Payment - Data from May 2018’ and ‘AA: Cases in Payment - Data from May 2018’ data is available on Stat-Xplore by ‘Main Disabling Condition’, this includes ‘Terminally Ill’ claims. This data is available by ‘Duration of Current Claim’. ESA - Data from May 2018 is available on Stat-Xplore by ‘Medical condition’ which includes ‘Neoplasms’. This data is available by ‘Duration of Current Claim’. A claimant’s main disabling condition being ‘Terminally Ill’ does not necessarily mean they are classed as an SREL claimant. Users can log in or access Stat-Xplore as a guest user and, if needed, can access guidance on how to extract the information required.
The Department does not keep this information centrally and therefore it is not readily available. Providing the information that the Department does hold would incur disproportionate costs.
Statistics on Pension Credit application volumes were published on 28 November 2024. This includes numbers of applications that were received, awarded and not awarded, up to 17 November 2024. Pension Credit applications and awards: November 2024 - GOV.UK.
Please note, the next publication of Pension Credit application statistics is due around the end of February 2025 and will cover the data up to week commencing 10 February 2025.
Because of how we capture our operational data, information on claims received over that period which have not been paid to the claimant/refused on the grounds of the claimant being ineligible is not available and to provide it would incur disproportionate costs.
Statistics on Pension Credit award volumes were published on 28 November 2024. This publication includes numbers of applications that were received, awarded and not awarded, up to 17 November 2024. Pension Credit applications and awards: November 2024 - GOV.UK. Please note, the next publication of Pension Credit application statistics is due around the end of February 2025 and will cover the data up to week commencing 10 February 2025.
These estimates are provided at a pensioner unit level. The estimated number of pensioner units with the gross annual incomes specified are stated in the following text. Numbers have been rounded to the nearest 100,000 and then displayed in millions. Individual figures have been rounded independently, so figures may not sum due to rounding.
(a) (i) lower than £23,795.20 – 4.1m, (ii) higher than £23,795.20 – 4.6m
(b) (i) lower than £12,570 – 1.0m, (ii) higher than £12,570 – 7.7m
(c) (i) lower than £50,271 – 7.4m, (ii) higher than £50,271 – 1.2m
(d) (i) lower than £125,140 – 8.5m, (ii) higher than £125,140 – 0.2m
(e) (i) lower than £60,000 – 7.9m, (ii) higher than £60,000 – 0.8m
(f) (i) lower than £70,000 – 8.2m, (ii) higher than £70,000 – 0.5m
(g) (i) lower than £24,000 – 4.2m, (ii) higher than £24,000 – 4.5m
These estimates are based on Pensioners’ Incomes data derived from the Family Resources Survey and cover private householders in the United Kingdom and the financial year 2022/23.
A pensioner unit can be a single pensioner over State Pension age, a pensioner couple where one member is over State Pension age, or a pensioner couple where both members are over State Pension age.
The principle of the Child Maintenance Service is to increase levels of cooperation between separated parents and encourage parents to meet their responsibilities to provide financial support for their children through their own family-based arrangements where possible. Where a family-based child maintenance arrangement is not suitable we offer a statutory scheme to those parents who need it.
The Government is dedicated to ensuring parents meet their obligations to children and the Child Maintenance Service will do everything within its powers to make sure parents comply. Where parents fail to pay their child maintenance, the Service will not hesitate to use its enforcement powers, including deductions from earnings orders, removal of driving licences, disqualification from holding a passport, and committal to prison. The Service is committed to using these powers fairly and in the best interests of children and separated families.
The Department publishes quarterly statistics for the Child Maintenance Service and the latest statistics are available up to March 2024. The number of Paying Parents using the Collect and Pay service are published on Stat-Xplore in the CMS Paying Parents dataset.
In the latest quarter ending on 31 March 2024, there were 188,945 parents due to pay through the Collect and Pay service. Information on the full arrears status of those parents is not readily available and to provide it would incur disproportionate cost.
Following the election, the Government outlined its ambitions through the Plan for Change, which sets out an ambitious set of milestones, across the missions, for this Parliament.
As the House of Commons would expect, the Government continually reviews its work to ensure that it is delivering the best outcomes for the people of the United Kingdom, and that its policies continue to represent the best value for the taxpayer.
Public reviews will be available on the GOV.UK website as they are published.
The National Health Service is reviewing its Delivering same-sex accommodation guidance, and will ensure that it reflects the Supreme Court’s ruling and is aligned with the Equality and Human Rights Commission’s statutory guidance, when this becomes available.
The information is not held in the format requested. Weekly reports with figures for food poisoning by region are available at the following link:
https://www.gov.uk/government/publications/notifiable-diseases-weekly-reports-for-2025.
My Rt Hon. Friend, the Secretary of State for Health and Social Care and ministers from the Department have had no recent meetings on the potential risks to public health posed by uncollected rubbish in Birmingham.
The UK Health Security Agency (UKHSA) is part of a multi-agency response Strategic Coordinating Group, led by Birmingham City Council, and has contributed to their risk assessment. The UKHSA will continue to provide advice and support to Birmingham City Council.
I refer the Hon. Member to the answer I gave to the Hon. Member for Thirsk and Malton on 25 April 2025 to Question 45661.
The UK Health Security Agency (UKHSA) and NHS England’s joint Tuberculosis (TB) Action Plan for England 2021 to 2026 contains actions to encourage the use of new tools to raise awareness of TB in at risk populations and the healthcare workforce. Full details are available at the following link:
The UKHSA produced a TB stakeholder communications toolkit which is shared widely at a national and regional level, including by the British Chamber of Commerce. A copy of the toolkit is attached.
The UKHSA continues to raise awareness through national, regional, and specialist media coverage, as well as through community engagement through our regional health protection teams. The UKHSA also commissioned a radio campaign for the Prison Radio Association to raise the prison population’s awareness of TB in England and Wales. Further campaigns are planned.
The NHS England funded Getting It Right First Time TB report, published in March 2025, noted numerous examples of information for awareness-raising for the public from both national and locally developed sources, often in multiple languages. The report is available at the following link:
The UK Health Security Agency (UKHSA) and NHS England’s collaborative Tuberculosis (TB): action plan for England, 2021 to 2026 aims to reduce the numbers of cases of TB in non-United Kingdom born individuals migrating to the UK. The plan is available at the following link:
The UK pre-entry TB screening programme operates in 102 countries and is intended to reduce the importation of TB by screening applicants for long term visas, those greater than six months, from high TB incidence countries, those with more than 40 cases per 100,000 people. People are screened in line with the UK Technical Instructions, which are available at the following link:
Identifying the contacts of people with active TB allows people who would be at high risk of developing the disease to be treated before they become ill. Enhancing contact tracing is a key pillar of the national action plan.
There is also NHS England’s Latent Tuberculosis Infection Testing and Treatment programme, for migrants from high TB burden countries within five years of entry to the UK. In 2023, 34,680 people were tested, an increase of over 100% compared with the pre- pandemic year of 2019.
In the UK, an appropriate test to confirm or discard cases is essential. As per the guidelines, all suspected measles cases reported to Health Protection Teams are sent an oral fluid kit for testing at the Virus Reference Department at UKHSA Colindale.
The UK Health Security Agency publishes national clinical and public health guidelines for the management of all suspected measles cases at the following link: https://www.gov.uk/government/publications/national-measles-guidelines
High quality surveillance is a fundamental component of the UK measles and rubella elimination strategy, which can be found at the following link:
https://www.gov.uk/government/publications/measles-and-rubella-elimination-uk-strategy
Measles is a notifiable disease and healthcare professionals are legally required to report all suspected cases to their local Health Protection Team.
The UK Health Security Agency (UKHSA) monitors trends in measles epidemiology and publishes a monthly report of laboratory confirmed cases of measles by age, region, and upper-tier local authority, available at the following link:
https://www.gov.uk/government/publications/measles-epidemiology-2023
The UKHSA also publishes a quarterly report of laboratory confirmed cases of measles by age, region, vaccination status, and imported vs community acquired cases, available at the following link:
Between 1 January and 10 April 2025, there have been 213 laboratory confirmed measles cases reported in England. The number of laboratory confirmed measles cases by month of symptom onset in 2025 to date are: 89 in January; 67 in February; 54 in March; and three so far in April.
The majority, 128 of 213, or 60%, of these cases were in children aged 10 years old and under, and 34%, or 72 of 213, were in young people and adults aged 15 years old and over. 24%, or 52, of these cases have been in London, 21%, or 44 cases, in the South West, and 17%, or 37 cases, in Yorkshire and Humber. 57 out of the 152 upper-tier local authorities have reported at least one confirmed case with symptom onset since January 2025, with the highest numbers reported in Bristol, at 34 of 213, or 16%, Leeds, at 29 of 213, or 14%, and Hertfordshire at 13 of 213, or 6%.
Data on measles cases by ethnicity is monitored but is not routinely published.
The Department is working alongside its partners to increase vaccine uptake and coverage across all childhood vaccination programmes, including the measles, mumps, and rubella (MMR) programme.
The National Health Service and general practices (GPs) have been sending reminders to the families of children who are not fully vaccinated, with GPs providing catch-up doses for any missed vaccinations.
NHS England works with the UK Health Security Agency (UKHSA) and local health partners and communities to understand the needs of their populations, and to tailor immunisation programmes to meet the needs of under-vaccinated communities.
Regional outbreaks of measles and overall increases in cases since autumn 2023 led to a renewed focus on MMR coverage and targeted catch-up activity, including an NHS campaign which ran from November 2023 until April 2024 and resulted in over 180,000 additional doses given. The UKHSA and NHS England ran a second wave of England-wide childhood immunisation campaigns targeted towards parents and carers of children in autumn 2024. The campaign reminded parents of the risks to their children due to missing out on protection against the serious diseases that are re-emerging in the country, with an urgent call to action to catch up on missed vaccinations.
It is vitally important that everyone takes up the vaccinations they are entitled to, for themselves, their families, and wider society. The MMR vaccine is highly effective, safe, and is the best way to prevent measles.
The UK Health Security Agency (UKHSA) met with the previous Parliamentary Under-Secretary of State for Public Health and Prevention in February 2025 to discuss tuberculosis (TB).
UKHSA and NHS England’s joint plan, Tuberculosis action plan for England, 2021 to 2026, details actions to achieve a 90% reduction in people with TB by 2035. This is aligned with the World Health Organization’s elimination targets. Work to review and update the National Action Plan, including a call for evidence, is underway.
The action plan is available at the following link:
Detailed analysis on drug resistance is published in the annual Tuberculosis Diagnosis and Microbiology England reports, with the most recent being from 2023. Rifampicin-resistant (RR) and multidrug resistant (MDR) tuberculosis (TB) is reported in a single category, in line with World Health Organization’s categorisation. The full report is available at the following link:
Definitive diagnosis of RR or MDR TB requires the TB bacteria to be isolated from culture. 71 people, or 2.4% of the 2,973 individuals with positive cultures, were diagnosed with RR or MDR TB in 2023. An additional 37 individuals were treated for RR or MDR TB in England in 2023 in the absence of a positive culture. Overall, 108 out of 4,855 people, or 2.2%, were treated for RR or MDR TB in 2023.
The UK Health Security Agency routinely undertakes whole genome sequencing of all TB strains through the National Mycobacterial Reference Service, to support treatment decisions based on resistance profiles.
In September 2023, the United Kingdom reconfirmed its commitment to the fight against tuberculosis (TB), including to World Health Organization’s (WHO) elimination targets, at the United Nations high-level meeting on TB.
The UK Health Security Agency (UKHSA) and NHS England’s joint Tuberculosis (TB): action plan for England, 2021 to 2026 outlines outcomes and indicators to achieve a 90% reduction in people with TB by 2035, aligned with the WHO’s elimination targets.
The action plan includes measures to address TB prevention, detection, and control, as well as supporting the TB workforce. Measures include actions targeted at improving tracing of contacts of people with TB, treatment completion, and ensuring effective management of drug-resistant TB. Further information is available at the following link:
A pre-entry screening programme to detect active pulmonary TB has been in place since 2012. All migrants from high TB incidence countries arriving on visas for over six months are required to complete TB testing and, if necessary, treatment, before UK entry.
There is also NHS England’s national Latent Tuberculosis Infection Testing and Treatment programme, for recent migrants from high incidence countries. Detection and treatment of latent infection prevents people from developing active TB.
The UKHSA routinely undertakes whole genome sequencing of all TB strains through the National Mycobacterial Reference Service, to support treatment decisions based on resistance profiles and public health action with high resolution typing.
Work has been initiated, including a call for evidence, to develop a joint UKHSA and NHS England action plan for 2026 to 2031.
My Rt Hon. Friend, the Secretary of State for Health and Social Care and ministers have had no recent meetings on leptospirosis. The UK Health Security Agency undertakes routine surveillance for leptospirosis infections in humans and publishes a quarterly report on the common animal-associated infections. Further information is available at the following link:
We have always supported the protection of single-sex spaces based on biological sex. The Supreme Court ruling about the meaning of ‘sex’ in the Equality Acy 2010 case has provided much needed confidence and clarity to service providers.
The National Health Service is reviewing its ‘delivering same-sex accommodation’ guidance and will ensure it reflects the Supreme Court ruling. Single-sex spaces are protected in law and will always be protected by the Government.
I along with my hon. Friend, the Minister of State for Care, both met with the Review Body on Doctors' and Dentists' Remuneration at the scheduled oral evidence sessions in February 2025, one focussing on secondary care doctors, and the other on general practitioners and dentists.
Oral evidence sessions are a regular feature of the annual pay review process and enable the pay review body to ask questions directly of ministers or to clarify points from the Department’s written evidence. Officials accompany ministers to these meetings. All parties to the pay review process, including the British Medical Association, are invited to give oral evidence.
Children are identified as a specific population group requiring actions in the joint UK Health Security Agency and NHS England plan, Tuberculosis (TB): action plan for England, 2021 to 2026, but there are no high-level indicators to report relating to TB in children as the number of infections and the rate of TB in children are low.
Enhanced surveillance involving rigorous data collection is carried out for all individuals with TB. For specific population groups where TB is more common, for example, those who have a social risk factor, detailed data analysis is presented in the Annual Reports for Tuberculosis in England, which are available at the following link:
Indicators to monitor actions are identified in the joint plan, which is available at the following link:
In 2023, 102 out of 259, or 39.4% of, children under 18 years old notified with TB with a known country of birth, were born in the United Kingdom. In the group of children aged between zero and four years old, the proportion born in the UK was 80.4%, or 41 out of 51 individuals.
Data on ethnicity are not reported separately for children due to small numbers. Information about travel history and source of infection is not available for this age group.
Bacillus Calmette-Guérin (BCG) vaccination coverage for eligible children is captured as part of the Cover of Vaccination Evaluated Rapidly programme. The latest quarterly national data available is for infants at age three months for children, born between April and June 2024, and at age 12 months, born between July and September 2023. Measured at three months, coverage in England was 78.4% and measured at 12 months, it was 84.1%. The full data is available at the following link:
The eligibility criteria for BCG in the UK is a selective risk-based programme targeting children with a parent or grandparent born in a high incidence country or infants in areas of the UK with high TB incidence. Further information is available at the following link:
Emergency department opt out testing is currently being offered to all extremely high and high HIV prevalence areas in England until 2026/27. A detailed list of specific sites offering opt-out HIV, hepatitis B, and hepatitis C testing is in the attached table. Emergency departments not listed in the attached table are not currently offering opt-out testing.
The Department, the UK Health and Security Agency (UKHSA), and NHS England are working together in the development of a new HIV Action Plan which we aim to publish this year. The plan will include a focus on scaling up HIV testing, including an assessment of the future of opt out testing, based on the programme’s progress and the available data, in line with our 2030 ambition.
Emergency department opt out testing is currently being offered to all extremely high and high HIV prevalence areas in England until 2026/27. A detailed list of specific sites offering opt-out HIV, hepatitis B, and hepatitis C testing is in the attached table. Emergency departments not listed in the attached table are not currently offering opt-out testing.
The Department, the UK Health and Security Agency (UKHSA), and NHS England are working together in the development of a new HIV Action Plan which we aim to publish this year. The plan will include a focus on scaling up HIV testing, including an assessment of the future of opt out testing, based on the programme’s progress and the available data, in line with our 2030 ambition.