Lisa Smart

The previous Government formally responded to the report and its recommendations on 10 May 2024 (HC 774, published on 23 May 2024).

This Government continues to promote the PHSO complaint standards and support NHS England and NHS Resolution to further encourage the use of dispute resolution methods, including mediation, by the NHS.

The Government will consider the case for ombudsman reform alongside other policy and legislative priorities.

Digital inclusion is a priority for the Government and the Department for Science, Innovation and Technology is committed to extending the life of its equipment and devices, to reduce our environmental impact and provide more people with access to devices. Device donation is one of the issues we shall be looking at as we develop our approach on digital inclusion.

We operate one of the most rigorous and robust pet travel checking regimes in Europe. All dogs, cats and ferrets entering Great Britain non-commercially on approved routes undergo 100% documentary and identity check. We keep resource allocation for these checks under review in close liaison with enforcement agencies.

By its very nature, we cannot know the true extent of puppy smuggling operations. However, the Animal and Plant Health Agency does hold data on the numbers of interceptions and detentions. In 2023, there were over 500 landings of cats and dogs intercepted at the Port of Dover and found to be non-compliant with the import requirements. Of these, 116 puppies and kittens were quarantined for being below the legally required minimum age for import.

The Government is committed to introducing the most ambitious boost in animal welfare in a generation.  As outlined in the manifesto, this includes ending puppy smuggling.

As outlined in our manifesto, the Government is committed to ending puppy smuggling. We will clamp down on unscrupulous traders who prioritise profit over welfare. We are considering the most effective ways to deliver this and will be setting out next steps in due course

THINK!, the Government’s flagship road safety campaign, aims to reduce those killed and seriously injured on the roads in England and Wales by driving awareness of key road safety issues and encouraging attitude and behaviour change among high-risk road users.

We encourage the use of bright or reflective clothing for pedestrians and cyclists through our THINK! social channels, including at key moments such as around school term times, when the clocks change and darker mornings and evenings in the winter.

This advice is also shared via THINK! education resources, which are used widely by schools and other teaching intermediaries to support road safety education for children, and the THINK! campaign works closely with road safety charities and partners to share road safety advice and resources.

The primary audience for THINK! paid campaign activity is young men aged 17-24, who are four times more likely to be killed or seriously injured on the road than drivers aged 25 and over. To maximise the impact of our paid campaigns, these focus on the road safety issues which contribute to the highest numbers of deaths and serious injuries on our roads, such as speeding and drink driving.

It is not possible to block book car practical driving tests. A driving licence number can only be assigned to one car practical driving test at a time. A survey by The Driver and Vehicle Standards Agency (DVSA) suggests that only 10% of learner drivers use third parties to book their tests. Most either book appointments themselves or through their approved driving instructor (ADI).

To ensure fairness for everyone wanting to book a practical driving test, DVSA continues to work to combat the unscrupulous practice of reselling tests. Such apps or bots are not approved by DVSA. They make it harder for candidates to get a test and can also result in people paying more for a test. DVSA will continue to take steps to block cancellation services from accessing the booking system, which are having a positive impact.

DVSA operates an online booking service (OBS) for instructors and trainers so that they can book and manage driving and riding tests for their pupils. DVSA has made changes to the OBS by stopping automatic online registrations to use the service, ensuring each company that registers employs an ADI and removing access for any companies not linked to driving instructors.

In January 2023, DVSA changed the terms and conditions for using the booking service to help prevent anyone from selling tests at profit. Since then, DVSA has issued 283 warnings, 746 suspensions, and closed 689 businesses for misuse of its booking service.

I can confirm to the honourable member that my department continuously monitors the impact of the circular ‘Strategic road network and the delivery of sustainable development’ (Circular 01/2022), published by my department, to consider whether updates are needed. This Circular sets out National Highways’ relationship with the planning system. There is guidance on the placing of speed cameras contained in the document ‘Using speed and red-light cameras for traffic enforcement: deployment, visibility and signing’ (Circular 01/2007), also published by my department.

Attendance Allowance, Disability Living Allowance and Personal Independence Payment (PIP) provide a contribution towards the extra costs that may arise from a long-term disability or health condition. These benefits are assessed on the basis of needs arising and not on the condition itself so are available to those with inflammatory bowel disease and other, hidden conditions.

The extra costs benefits are non-contributory, non-means-tested and can be worth over £9,500 a year, tax free. Individuals can choose how to use their benefit, in the light of their individual needs and preferences. The benefit can also be paid in addition to any other financial or practical support someone may be entitled to such as Universal Credit, Employment and Support Allowance, NHS services, free prescriptions, help with travel costs to appointments or the Blue Badge scheme. The benefits have been consistently uprated in line with inflation since they were introduced and were, like other benefits, increased by 6.7% from 8 April 2024.

Government very much values people who come forward to take on the challenging but rewarding role of being an adoptive parent. That is why there is provision for Local Authorities to make discretionary payments, equivalent to Maternity Allowance, to self-employed adopters who do not qualify for Statutory Adoption Pay, where they satisfy the relevant criteria. This payment is means-tested and ensures that resources are targeted at those adopters who need it most, as part of a package of post-adoption support.

Prospective adopters and the child or children that they intend to adopt are also entitled to an assessment of their family’s needs. This includes a whole host of support including discretionary means-tested financial support, advice, information and counselling, and support services.

Depending on individual circumstances, additional financial support, such as Universal Credit and Child Benefit, as well as the Sure Start Maternity Grant (a lump sum payment of £500) may also be available to new parents.

Jobcentre work coaches will consider the range of barriers faced by claimants to best support them into work and to progress in their careers. Digital inclusion is amongst the challenges that some claimants may experience and work coaches are encouraged to take action to address issues relating to poor digital skills and/or digital connectivity (access).

Where claimants have poor Essential Digital Skills, work coaches will consider referral to locally available skills provision to help them address these needs.

Where claimants are digitally excluded due to issues relating to access to digital equipment or connectivity, work coaches are able to use the Flexible Support Fund to procure devices, internet dongles, talk time, and broadband in the home on the basis that this will support labour market progression.

DWP has also ensured that all operational staff in Jobcentres, Universal Credit service centres, Pension Centres, and partnership managers who engage with claimants and stakeholders are able to signpost to information promoting broadband social tariffs.

Employers play a key role in increasing employment opportunities and supporting autistic people to thrive as part of the workforce. Our current support to employers includes the Disability Confident scheme and a digital information service for employers which offers tailored guidance on supporting health and disability in the workplace.

In our plan to Make Work Pay, we committed to raising awareness of neurodiversity in the workplace. Our forthcoming employment White Paper considers how to improve employment outcomes and experiences for disabled people and people with health conditions. We are exploring how we can build on the earlier, independent, Buckland Review which was focused more narrowly on autism and employment, to improve understanding and support for all neurodivergent people at work.

The Government announced funding to extend the Household Support Fund (HSF) for a further 6 months, from 1 October 2024 until 31 March 2025.

As set out by the Chancellor in July, the Government has inherited a number of significant pressures within public spending and took immediate action to reduce spending in-year and set out a clear process to a Budget this autumn and a full Spending Review to follow. The Government will set out its overall fiscal and spending plans then.

NHS England’s Getting It Right First Time Programme on gastroenterology aims to reduce variations in care, increase early diagnosis and proactive management of Crohn’s disease and colitis, and increase access to inflammatory bowel disease (IBD) specialist nurses.

The National institute for Health and Care Excellence (NICE) has also produced a range of guidance on IBD, Crohn’s disease and colitis, to support early diagnosis and effective management of these conditions. It ensures that the care provided to people with IBD is based on the best available evidence. In the last two years, the NICE has recommended four new drugs for the treatment of moderate to severe Crohn’s disease and ulcerative colitis, including Upadacitinib, Risankizumab, Mirikizumab, and Etrasimod.

NHS England’s National Bladder and Bowel Health Project is delivering better care for people with IBD, with a focus on developing clinical pathways. NHS England commissions specialised colorectal services nationally to support the equity of access to high-quality treatment for patients with IBD requiring complex surgery. This work is supported within NHS England by the clinical leadership of the Specialised Colorectal Services Clinical Reference Group, which is made up of experts in surgery, medicine, radiology, pathology, and nursing, alongside patient and public voice representatives.

To raise awareness of IBD among general practitioners and other primary care staff, the Royal College of General Practitioners has produced an Inflammatory Bowel Disease Toolkit. The toolkit outlines when to suspect IBD, the appropriate investigative tests and diagnostic tools for IBD, how to manage a flare-up of symptoms, and how to support patients with IBD.

Under the Equality Act 2010, health and social care organisations must make reasonable adjustments to ensure that disabled people are not disadvantaged. NHS England has issued guidance for National Health Service commissioners with respect to the Reasonable Adjustments Digital Flag (the Flag). The Flag has been developed to enable health and care workers to record, share, and view, in digital records, details of the reasonable adjustments required by an individual across the NHS, wherever the person is treated. The Flag was built and launched by NHS England in September 2023, and is being implemented in phases. NHS organisations will be required to fully comply with the requirements of the Flag by 31 December 2025.

As part of the Government’s health mission, we will shift from sickness to prevention, to tackle ill health, prevent premature deaths, and build a fairer United Kingdom where everyone lives longer, healthier lives.

We have committed to developing a 10-year plan to deliver a National Health Service fit for the future. We will carefully be considering policies, including those that impact people with dementia care needs, with input from the public, patients, and health staff as we develop the plan.

Since 2018, dementia risk reduction has been incorporated in the NHS Health Check to increase dementia awareness and motivate people to make positive changes to reduce their risks.

We recognise that air pollution is one of the risk factors for dementia. The National Institute for Health and Care Research is supporting research to explore the link between dementia and air pollution, including a project to address how air pollution mitigation measures impact on neurological endpoints.

NHS England’s National Bladder and Bowel Health Project is delivering better care for people with inflammatory bowel disease (IBD), with a focus on developing best practice clinical pathways. NHS England commissions specialised colorectal services nationally to support equity of access to high-quality treatment for patients with IBD requiring complex surgery. This work is supported within NHS England by the clinical leadership of the Specialised Colorectal Services Clinical Reference Group.

NHS England’s Getting It Right First Time Programme on gastroenterology aims to reduce variations in care, increase early diagnosis and proactive management of Crohn’s disease and colitis, and increase access to IBD specialist nurses.

We have also committed more broadly to ensuring patients get the care they need as quickly as possible. Funding announced in the Autumn Budget for elective care will also support the delivery of an additional 2 million operations, scans, and appointments during our first year in Government, which is equivalent to 40,000 per week, across all specialties, as a first step in our commitment to ensuring that patients can expect to be treated within 18 weeks. As part of this package, £1.5 billion of capital funding in 2025/26 will enable new surgical hubs and diagnostic scanners to build capacity for over 30,000 additional procedures and over 1.25 million diagnostic tests, as they come online.

The Government plans to tackle the challenges for patients trying to access National Health Service dental care with a rescue plan to provide 700,000 more urgent dental appointments, and recruit new dentists to the areas that need them most. To rebuild dentistry in the long term and increase access to NHS dental care, we will reform the dental contract, with a shift to focus on prevention and the retention of NHS dentists.

The responsibility for commissioning primary care services, including NHS dentistry, to meet the needs of the local population has been delegated to integrated care boards (ICBs) across England. For the Hazel Grove constituency, this is the Greater Manchester ICB.

The Government is committed to prioritising women’s health and improving the diagnosis, treatment, and ongoing care for gynaecological conditions. National Institute for Health and Care Excellence (NICE) guidelines support healthcare professionals to diagnose and treat conditions. The NICE has published a Women’s and reproductive health guidelines, which is available at the following link:

https://www.nice.org.uk/hub/indevelopment/gid-hub10001

In April 2024, the NICE published updated recommendations on the treatment of endometriosis when fertility is a priority, and in November 2024, published updated recommendations on the diagnosis and management of endometriosis. The NICE has also published a guideline on heavy menstrual bleeding assessment and management. This guideline contains recommendations for the diagnosis of women with suspected adenomyosis. Women's health is also embedded into the Royal College of General Practitioners’ curriculum for trainee general practitioners.

Tackling waiting lists is a key part of the Government’s Health Mission, and we are urgently looking into waiting times for gynecological issues, including for endometriosis and adenomyosis. Funding has been confirmed to support the delivery of our commitment of an extra 40,000 National Health Service operations, scans, and appointments per week, as a first step to delivering on the 18-week standard.

The government believes there should be strong protections in place to ensure that customers can make payments in a secure and informed way. There are already such protections in place for Direct Debit payments under the rules made by its operator, Pay.UK, which is regulated by the Bank of England and the Payment Systems Regulator. As such, the government does not currently have plans to legislate in this area.

Under these rules, when a Direct Debit is established the receiving organisation is required to verify that the Direct Debit instruction has been authorised by the payment account holder. Notice of the amounts and dates of collection for each Direct Debit payment must also be given to customers in advance, unless otherwise agreed, enabling customers to review their upcoming outgoing payments and plan ahead.  In the case of any incorrect or fraudulent payments, the account holder is entitled to an immediate refund of any unauthorised amounts collected from their account provider under the Direct Debit Guarantee scheme. Further information about Direct Debits is available at: www.directdebit.co.uk

The government believes there should be strong protections in place to ensure that customers can make payments in a secure and informed way. There are already such protections in place for Direct Debit payments under the rules made by its operator, Pay.UK, which is regulated by the Bank of England and the Payment Systems Regulator. As such, the government does not currently have plans to legislate in this area.

Under these rules, when a Direct Debit is established the receiving organisation is required to verify that the Direct Debit instruction has been authorised by the payment account holder. Notice of the amounts and dates of collection for each Direct Debit payment must also be given to customers in advance, unless otherwise agreed, enabling customers to review their upcoming outgoing payments and plan ahead.  In the case of any incorrect or fraudulent payments, the account holder is entitled to an immediate refund of any unauthorised amounts collected from their account provider under the Direct Debit Guarantee scheme. Further information about Direct Debits is available at: www.directdebit.co.uk

The government believes there should be strong protections in place to ensure that customers can make payments in a secure and informed way. There are already such protections in place for Direct Debit payments under the rules made by its operator, Pay.UK, which is regulated by the Bank of England and the Payment Systems Regulator. As such, the government does not currently have plans to legislate in this area.

Under these rules, when a Direct Debit is established the receiving organisation is required to verify that the Direct Debit instruction has been authorised by the payment account holder. Notice of the amounts and dates of collection for each Direct Debit payment must also be given to customers in advance, unless otherwise agreed, enabling customers to review their upcoming outgoing payments and plan ahead.  In the case of any incorrect or fraudulent payments, the account holder is entitled to an immediate refund of any unauthorised amounts collected from their account provider under the Direct Debit Guarantee scheme. Further information about Direct Debits is available at: www.directdebit.co.uk

Pubs make an enormous contribution to our economy and society, and this is recognised in the tax system.

The current alcohol duty system supports pubs through Draught Relief, which ensures eligible products served on draught pay less duty.

The Government is closely monitoring the impact of the recent reforms and rates that took effect on 1 August 2023. As with all taxes, the Government keeps the alcohol duty system under review during its Budget process.

The transition towards eVisas is already underway, with millions of people already receiving and using eVisas successfully, by logging into the View and Prove service using their UK Visas and Immigration (UKVI) account.

While most people are able to use the online services successfully without problems, where issues do occur, we have robust processes in place. Any person experiencing issues with their eVisa should contact the UKVI Resolution Centre which provides a full range of digital and telephone support. The Resolution Centre can assist users who are experiencing technical issues with their eVisa, and where necessary, enable a person’s status to be verified through alternative means.

As part of our move to an immigration system which is more digital and streamlined, we stopped issuing any new BRPs and BRCs on 31 October 2024. People with existing permission in the UK are encouraged to take action now to create a UKVI account if they have not already done so, to access their eVisa. Most people will be able to see their status right away. Anyone who cannot do so should be able to see their status shortly. Those who cannot see their status can use the existing Prove your right to work to an employer: Overview - GOV.UK (www.gov.uk) and Prove your right to rent in England: Overview - GOV.UK (www.gov.uk) online services in the meantime, and, if they still have it, use their BRP to prove their rights for other purposes. Otherwise, they should contact the UKVI Resolution Centre.

We have designed our digital services to be highly resilient, with rigorous testing to build assurance, and deployed across multiple data centres. Our online services and their constituent parts are also proactively monitored for failures, which highlight any potential problems to allow support teams to triage and resolve them as quickly as possible. We are constantly improving the accuracy, reliability and accessibility of our digital status services, including the View and Prove service. This includes proactive work to enhance the service as well as resolving issues reported to us by customers. We also continue to engage with stakeholders to test whether any improvements to implementation or our communications need to be made. The View and Prove platform is rigorously tested for security and stability and proven to be reliable in terms of availability.

The latest Home Office statistics for the overall Police Workforce show a 1.2% increase when compared to the previous year. The total paid police workforce in the 43 territorial police forces in England and Wales was 236,588 full-time equivalents (FTE) as at 31 March 2024; an increase of 2,752 FTE, compared to 233,836 FTE as at 31 March 2023. This includes 147,746 FTE police officers (up 0.2% on 147,434 in March 2023); and 81,303 FTE police staff and designated officers (up 3.4% on 78,596 in March 2023).

This Government is committed to ensuring police forces are supported to tackle crime effectively. As part of the Government’s Safer Streets mission, the Home Secretary has made a clear commitment to strengthen neighbourhood policing through the introduction of a Neighbourhood Policing Guarantee. This includes getting thousands of additional neighbourhood police officers and PCSOs back on the beat in communities across the country.

The Home Office does not have an official measure of ‘deployable’.

The Home Office collects and publishes data annually on the number and proportion of police officers available for duty as at 31 March each year in the ‘Police Workforce, England and Wales’ statistical bulletin, available here: https://www.gov.uk/government/collections/police-workforce-england-and-wales.

Table H1 of the data tables accompanying the publication provides the number and proportion of police officers available for duty, by Police Force Area, as at 31 March 2024. The number of police officers available for duty is calculated by excluding those on long-term absence (that has lasted for more than 28 calendar days). Long-term absence includes career breaks, compassionate leave, maternity or paternity leave, sickness, special leave, study leave and suspension.

The number of police officers available for duty includes police officers that are on recuperative (duties falling short of full deployment, undertaken by a police officer following an injury, accident, illness or medical incident) or adjusted (duties falling short of full deployment, in respect of which workplace adjustments have been made to overcome barriers to working) duties. The Home Office does not collect data on the reason for recuperative or adjusted duties.

Table W5 and W6 of the data tables accompanying the publication provide the number and proportion of police officers on recuperative and adjusted duties, by Police Force Area, as at 31 March 2024.

The Home Office does not collect data on officers that are non-deployable due to management restricted duties.

It is important that the inquest process is as swift, efficient and sensitive as possible and that bereaved families are put at the heart of the process in order to avoid additional distress at such a difficult time in their lives.

Whilst the Ministry of Justice is responsible for coroner law and policy, this Department does not have operational responsibility for coroner services which are administered and funded by individual local authorities according to local priorities and need.

These issues were raised by the Justice Committee in their recent follow-up inquiry into the coroner service. The Government is carefully considering the Committee’s findings, including on guidance and what additional support for bereaved people may be needed and will respond on the steps it intends to take to further support the coroner service in due course.

We will continue to work with the Chief Coroner to consider and address any issues of consistency and to share best practice across coroner areas.