First elected: 4th July 2024
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).
Introduce 16 as the minimum age for children to have social media
Gov Responded - 17 Dec 2024 Debated on - 24 Feb 2025 View Maya Ellis's petition debate contributionsWe believe social media companies should be banned from letting children under 16 create social media accounts.
These initiatives were driven by Maya Ellis, 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.
Maya Ellis has not been granted any Urgent Questions
Maya Ellis has not been granted any Adjournment Debates
Maya Ellis has not introduced any legislation before Parliament
Perinatal Mental Health Assessments Bill 2024-26
Sponsor - Laura Kyrke-Smith (Lab)
Community Energy (Review) Bill 2024-26
Sponsor - Joe Morris (Lab)
The public consultation to the fourth statutory review of the Groceries Code Adjudicator asked whether there are unfair contractual practices in parts of the supply chain that are not covered by the Groceries Code or the Fair Dealing Regulations under the Agriculture Act 2020, but which are having a negative impact on grocery suppliers.
The government is currently considering responses to the consultation, alongside other evidence, and will publish a report on the findings of the review as soon as practicable.
The Government expects all UK companies to respect human rights, workers’ rights and the environment throughout their operations and supply chains in line with the UN Guiding Principles on Human Rights and the OECD Guidelines for Responsible Business Conduct (RBC). If there are concerns related to a multinational enterprise contravening the OECD Guidelines, a case can be raised with the Office for Responsible Business Conduct.
In the Trade Strategy, the Government also launched a review into the UK’s approach to RBC, focused on tackling human rights and labour abuses, modern slavery, and environmental harms in global supply chains. This includes the fashion industry.
A worker who ‘blows the whistle’ (known as making a ‘protected disclosure’) on certain types of wrongdoing is entitled to protections under the Employment Rights Act 1996 from detriment or dismissal as a result of blowing the whistle, and a route to redress through Employment Tribunals if those protections are infringed.
The Government’s Employment Rights Bill will strengthen protections for whistleblowers, by making it explicit that sexual harassment can be the basis for a protected disclosure. This will mean an employee making a protected disclosure about sexual harassment will be entitled to protection from being subjected to detriment or being dismissed by their employer for speaking out.
The government offers various support for business to transition to clean energy source, including the Boiler Upgrade Scheme for low carbon heating.
We also know that it is important that businesses have access to reliable information and advice to help them take action to reduce their emissions. We support the UK Business Climate Hub which provides advice to support business, particularly SMEs, to act. It is run by the Broadway Initiative, in partnership with government and a coalition of business organisations.
Government recognises the importance of diversifying the AI talent pool, and we will support this goal this through the design and delivery of our skills and talent programmes.
DSIT is standing up the new TechFirst programme that will reach 1 million young people across the UK with AI and tech educational opportunities. This will also support more of our most promising home talent into scholarship and PhD routes that they would not otherwise have accessed.
To further strengthen the UK’s AI skills base we are launching the prestigious AI Spärck scholarships and are expanding the Turing AI Fellowships. We are committed to ensuring that these programmes offer opportunities to a diverse range of participants.
UKRI is the primary funder of data science research and innovation in the UK. They required to show how they will ensure diversity of recruitment and support inclusion within their operations.
Government recognises the importance of diversifying the AI talent pool and we will support this goal this through the design and delivery of our skills and talent programmes.
DSIT is standing up the new TechFirst programme that will reach 1 million young people across the UK with AI and tech educational opportunities. This will also support more of our most promising home talent into scholarship and PhD routes that they would not otherwise have accessed.
We support initiatives such as the AI and Data Science Conversion Courses, which have successfully attracted a higher proportion of women than comparable STEM programmes.
To further strengthen the UK’s AI skills base we are launching the prestigious AI Spärck scholarships and are expanding the Turing AI Fellowships. We are committed to ensuring that these programmes offer opportunities to a diverse range of participants.
UKRI is the primary funder of data science research and innovation in the UK. They required to show how they will ensure diversity of recruitment and support inclusion within their operations.
We want to support local leaders to unlock their regions’ innovation potential – ensuring everyone benefits from innovation-led growth. Regardless of whether they have a Mayor or are a local authority. That’s why UK Research and Innovation invests in innovation across the UK, including through the £316 million Strength in Places Fund and £80 million Launchpads programmes. These are bolstering clusters in areas with and without devolution agreements. UKRI has awarded £85,000 to Ultraframe UK in the Ribble Valley, to develop high quality retrofit solutions.
The Government is concerned about the sustainability of local journalism and DCMS is developing a Local Media Strategy, in recognition of the importance of this vital sector. We also recognise that local press continues to play a vital role in informing local communities, and that public notices play an important role in helping inform the public of decisions made by their council which may affect their quality of life, local services or amenities, or their property.
However, we are also aware of concerns from some sectors about the audience reach of these notices and the desire for greater digitalisation. In this context, the sector’s Public Notice Portal is a welcome innovation, taking advantage of print publishers’ growing digital audiences and providing a centralised resource for all types of public notice. We also welcome the Portal's current expansion to include archive and consultation functions to help public bodies and commercial entities engage with the public more effectively.
DCMS is monitoring the progress of the Portal, and the effect that it has on the audience reach of public notices. This type of industry innovation and collaboration is integral to securing the sector’s future. It will be taken into account in our planned review of public notices as part of the Local Media Strategy, which will more broadly consider the merits of making changes to existing requirements to place public notices in print local newspapers. More will be announced on the Strategy in the coming months.
Between 2023/24 and 2024/25 four arts and cultural organisations in the Ribble Valley constituency received Arts Council England funding totalling £81,281. For the same period, three museums and 114 arts and cultural organisations received Arts Council England Funding in Lancashire, with awards totalling £11,721,145.
Sustainability of local journalism across the country is an area of particular concern for this Government, including in Ribble Valley and Lancashire. The Government understands the important work that local news does across the UK, including outlets such as the Lancs Live and the Lancashire Telegraph. We are developing a Local Media Strategy, in recognition of the importance of this vital sector. Our vision is a thriving local media that can continue to play an invaluable role as a key channel of trustworthy information at local level, reporting on the issues that matter to communities, reflecting their contributions and perspectives, and helping to foster a self-confident nation in which everyone feels that their contribution is part of an inclusive national story.
We are working across Government and with other stakeholders as the Strategy develops, and we recently held a roundtable discussion with local news editors to discuss our planned approach and collaboration with industry on the Strategy. An industry working group has now been set up to consider the issues in more detail and we will announce more in the coming months.
The government provides financial support to creative professionals through DCMS funding programmes, grants from arm’s length bodies and wider government support, including through InnovateUK.
The Creative Industries Sector Plan sets out an ambitious target to increase annual investment in the Creative Industries from £17 billion to £31 billion by 2035 and delivers £380 million of targeted spending in the sector over the next Spending Review. This builds on the £40 million in funding announced earlier this year, supporting cross-sector initiatives plus programmes in music, video games, film and TV.
The Best Start in Life Parent Hub website launched on 1 September as the department’s first step in developing the Best Start digital service. The site has been designed based on insights from extensive user research with parents and brings together content from across government under the Best Start in Life banner, aligning with the campaign launch and Giving Every Child the Best Start in Life.
The department is ambitious for the digital service and as we move into the next stage, building new, rather than existing content, we will work with families and organisations such as local authorities, the Local Government Association, and the NHS to ensure the service fulfils parents’ needs.
The department is supporting the sector to attract talented new staff to join the workforce, as well as encourage skilled and qualified staff to return to early years roles by creating conditions for improved recruitment.
The department has been running a pilot that tests whether offering an incentive payment would increase recruitment levels in 20 local authorities. New starters in early years settings, and those returning to the sector, were required to have started in an eligible provider and meet certain eligibility criteria in one of these local authorities in order to receive a £1,000 payment.
Delivery on the scheme ended in March 2025. Data on the number of recruits receiving financial incentives will be included in the evaluation report, which will be published in due course.
My right hon. Friend, the Secretary of State for Education has regular discussions with the Scottish Government over a range of important matters.
Eligible undergraduate students from England, who are attending a course in nursing at a university in Scotland, qualify for the same student support package from Student Finance England as English students studying in England, which includes a fee loan for meeting the full costs of their tuition, a partially means-tested loan for living costs and, for students with adult or child dependants, means-tested dependants’ grants. In addition, students with disabilities may qualify for non-means-tested Disabled Students’ Allowance.
The government has increased maximum grants and loans for living and other costs for students from England by 3.1% for the 2025/26 academic year, in line with forecast inflation, based on the RPIX inflation index.
Students studying on nursing courses also qualify for additional support through the NHS Learning Support Fund. However, this is only available to students who study at English Universities, regardless of where they are domiciled.
I refer my hon. Friend, the Member for Ribble Valley to the answer of 9 June 2025 to Question 55746.
The Best Start in Life website, launched on 1 September. This is accessible at: https://www.beststartinlife.gov.uk/.
As development continues, the department is committed to ensuring the service is designed, positioned, and delivered in a way that meets the needs of parents and families. To date, discussions have taken place with officials across Whitehall and parents have been engaged directly through user research. We will broaden this engagement, including with local authorities and other key stakeholders, and continue to conduct further user research to ensure the service is responsive, effective and accessible to those who will benefit most.
Tackling absence is at the heart of the government’s mission to break down barriers to opportunity. Thanks to the efforts of the sector, overall absence is moving in the right direction, with children attending over 3.1 million more days this year compared to last, and over 100,000 fewer children persistently absent.
Some children face complex barriers to attendance, such as pupils who have special educational needs and disabilities. Whatever the cause of absence, school staff should always first work with families and pupils to understand the barriers to attendance and provide support where possible. This might include providing pastoral support or making reasonable adjustments where a pupil has a disability. Our statutory guidance expects this ‘support first’ approach from all types of school. The guidance can be accessed at: https://www.gov.uk/government/publications/working-together-to-improve-school-attendance.
The law does not exempt parents from receiving penalty notices for absence based solely on their child’s characteristics. It is up to the school and the local authority to decide whether to issue a penalty notice for unauthorised absence or not. They retain discretion about whether to issue a penalty notice because only they know the specific facts of the particular case.
The decision to issue a penalty notice must be made on an individual case by case basis and should only be used in cases where it is deemed likely to change parental behaviour and improve attendance, and in cases where support has already been provided and has not worked or not been engaged with or is not appropriate. For example, in cases of holidays taken in term-time.
Following the Autumn Budget 2024, the department is providing an increase of £1 billion for high needs budgets in England in the 2025/26 financial year, bringing total high needs funding for children and young people with complex special educational needs and disabilities (SEND) to over £12 billion. Of that total, Lancashire County Council is being allocated over £219 million through the high needs funding block of the dedicated schools grant (DSG), an increase of £18 million on this year’s DSG high needs block, calculated using the high needs national funding formula (NFF). This NFF allocation is an 8.8% increase per head of their 2-18 year old population, on their equivalent 2024/25 NFF allocation.
In addition, local authorities will receive a separate core schools budget grant for high needs in the 2025/26 financial year. We plan to publish individual local authorities’ allocations later in May 2025.
Schools have the discretion to identify the most appropriate workforce to deliver their breakfast and after school clubs, depending on their school’s context, existing staff contracts and arrangements and the mix of skills and experience required.
The department does not collect data on the number of breakfast and after school clubs run by volunteers, however these clubs can be led by various individuals, including teachers, teaching assistants, school catering staff, volunteers such as parents or others specifically hired to deliver the role. As such, the department has not made any specific assessment of the sustainability of breakfast and after school clubs that rely on volunteers.
Schools have the discretion to identify the most appropriate workforce to deliver their breakfast and after school clubs, depending on their school’s context, existing staff contracts and arrangements and the mix of skills and experience required.
The department does not collect data on the number of breakfast and after school clubs run by volunteers, however these clubs can be led by various individuals, including teachers, teaching assistants, school catering staff, volunteers such as parents or others specifically hired to deliver the role. As such, the department has not made any specific assessment of the sustainability of breakfast and after school clubs that rely on volunteers.
Children’s early years are crucial to their development, health and life chances. That is why the Plan for Change set out the government’s ambition for a record proportion of children starting school ready to learn in the classroom. The department will measure our progress through 75% of children reaching a good level of development in the Early Years Foundation Stage Profile assessment by 2028.
We are clear that in driving progress towards our milestone we must deliver better early education experiences and outcomes for children from low-income families and children with special educational needs and disabilities. The department will set out further plans in due course.
Children’s early years are crucial to their development, health and life chances. That is why the Plan for Change set out the government’s ambition for a record proportion of children starting school ready to learn in the classroom. The department will measure our progress through 75% of children reaching a good level of development in the Early Years Foundation Stage Profile assessment by 2028.
We are clear that in driving progress towards our milestone we must deliver better early education experiences and outcomes for children from low-income families and children with special educational needs and disabilities. The department will set out further plans in due course.
The department is working with the sector to create an integrated early years and childcare system that works for parents and gives every child the best start in life.
Childcare providers’ feedback, intelligence and engagement are at the heart of the department’s way of working.
Departmental officials and ministers meet regularly with sector representatives including the National Partnership in Early Learning and Childcare (NPELC), the London Early Years Foundation (LEAF), the Early Education and Childcare Coalition (EECC) and the Professional Association for Childcare and Early Years (PACEY) to gather feedback and inform policy development and delivery.
Departmental officials meet regularly with each local authority and ministers visit settings across England to gather feedback from managers, staff, childminders and parents.
Since January 2024, we have been running provider roadshows across England to support the expansion of childcare entitlements, giving hundreds of providers the opportunity to speak directly to policy officials on a range of early years topics.
The government is committed to delivering the expansion of the 30 hours free childcare offer so that, from September 2025, eligible working parents in England will be able to access 30 hours of free childcare per week, over 38 weeks of the year, from the term after their child turns nine months old to when they start school. Accessible and high-quality early education and childcare is a crucial part of giving every child the best start in life, boosting children’s life chances and giving parents work choices.
Students who work in addition to their studies and earn the equivalent of at least 16 hours a week at National Minimum Wage, which is equivalent to £183 per week/£9,518 per year in 2024/25, and under £100,000 adjusted net income per year, may be eligible for this offer. If parents are unable to meet this threshold, they will remain eligible for the universal 15 hours of free early education, which is available to all three and four-year-olds regardless of family circumstances.
We recognise the value of parents continuing in education and provide a range of support for students in further or higher education (HE) to support them with childcare. Support available to full-time HE students with dependent children includes the Childcare Grant and Parents’ Learning Allowance. Entitlement to these grants is based on a student’s household income.
In 2025/26 the Ribble Catchment around Edisford Bridge was identified as a priority area for farm inspections due to a new bathing water designation. Since April this year 13 farms in the area of the new bathing water and Bashall Brook have been inspected and advice and guidance provided where non-compliance relating to the Farming Rules for Water and SSAFO Regulations (Storing silage, slurry and agricultural fuel oil - GOV.UK ) has been identified.
In the wider Ribble Catchment in Lancashire, the Environment Agency has inspected 27 farms since April this year. Where advice and guidance has been given and not followed, the Environment Agency will consider enforcement in line with its Enforcement and Sanctions Policy.
The Environment Agency, Lead Local Flood Authorities and other stakeholders continue to work in partnership with local communities to deliver innovative and alternative flood risk management practices. This includes Natural Flood Management measures, demonstrated most notably in Ribchester with an £80,000 investment. Advice and support are given to flood action groups, and the Environment Agency continue to issue flood warnings to residents. Collectively, all these measures serve to reduce the risk of flooding for households within the Ribble Valley.
Defra officials have engaged extensively with local authorities and representative bodies such as the Local Government Association and the Local Authority Recycling Advisory Committee on the introduction of the Simpler Recycling reforms to both workplaces and households. Through Simpler Recycling, every household and workplace across England will be able to recycle the same materials in the following core waste streams: metal, glass, plastic, paper and card, food waste, and garden waste (for households only). This includes some items which are not currently widely collected for recycling, such as cartons. From 31 March 2027, this will also include kerbside plastic film collections.
Alongside Extended Producer Responsibility for packaging and a Deposit Return Scheme, these reforms should guarantee a consistent supply of recyclable materials. This should provide certainty, increasing investor confidence and unlocking investment in waste infrastructure.
We are working with the waste management sector to explore opportunities for infrastructure development and how we support them to create these conditions. We recently published a Recycling Infrastructure Capacity Analysis in partnership with WRAP, setting out the size of the investment opportunity. Those looking to invest in waste management infrastructure are encouraged to engage with the National Wealth Fund.
In advance of establishing Great British Railways, the Government is developing a long-term rolling stock and infrastructure strategy, which will be the first for over 30 years. The strategy will set out our assessment of the likely long-term future rolling stock needs, and how those needs can best be met.
Passengers will be at the heart of the strategy. It will move us towards more consistent and accessible train designs that meet the needs of the passengers that use them, including families.
The Driver and Vehicle Standards Agency’s (DVSA) main priority is upholding road safety standards while it works hard to reduce car practical driving test waiting times.
On the 23 April, the Secretary of State for Transport appeared before the Transport Select Committee and announced that DVSA will take further actions to reduce driving test waiting times across the country.
Further information on these actions and progress on the plan can be found on GOV.UK at: www.gov.uk/government/news/transport-secretary-acts-to-make-thousands-of-extra-driving-tests-available-each-month.
The driving test centres that serve candidates in the Ribble Valley are Blackburn, Nelson, Skipton and Preston. Blackburn and Nelson are part of the same cluster of centres. From recruitment campaigns, DVSA has recruited two new entrant driving examiners (DE) and offered a further four DEs a position for this cluster. Following successful completion of training the new entrant DEs will be in post late autumn. A further DE has also been offered a post in Skipton. After successful completion of training, they will also be in post by late autumn.
All drone operators in the UK must adhere to the Drone and Model Aircraft Code, overseen by the Civil Aviation Authority (CAA). This includes protections for privacy. For a drone operator to undertake operations under 400ft they must successfully apply for an Operational Authorisation from the CAA.
Government is currently reforming Uncrewed Aircraft Systems (UAS or drones) Regulations, which should come into force from 1 January 2026 and will enhance the safety, security and manufacturing standards for drones. These reforms will include the requirement for Remote Identification (a system that allows drones to be tracked and identified in real time) for all drones over 250g, which will enable law enforcement to identify non-compliant operators.
The causes of homelessness are multi-faceted and often complex; they interact dynamically making it very difficult to isolate the relative importance of individual factors. We do however work closely with other departments, including MHCLG, to ensure the impacts of Local Housing Allowance (LHA) on homelessness are considered.
The Secretary of State considers LHA rates annually at Autumn Budget. Decisions on LHA will be taken in the round considering a range of factors such as rental data, the Government’s missions, its goals on housing and the challenging fiscal context.
LHA rates were restored to the 30th percentile of local market rents from April 2024 for one year, costing £1.2bn in 2024/25 and £7bn over 5 years.
Discretionary Housing Payments (DHPs) can be paid by local authorities to those entitled to Housing Benefit or the housing element of Universal Credit who face a shortfall in meeting their housing costs. DHPs include a ring-fenced pot for the most rural areas
In developing a Child Poverty Strategy, the Taskforce is considering all children across the United Kingdom. The UK Government is committed to tackling child poverty across the UK where progress is contingent on reserved, devolved, and local levers. The Child Poverty Strategy will be UK-wide, drawing on devolved and reserved levers and working closely with Devolved Governments, recognising the progress that has been made on their poverty strategies and policies, and in England, with mayors and other local leaders.
Local authorities are a key part of our approach to learning directly about the experience of poverty in different communities and solutions already underway. Both the Taskforce and officials in the Child Poverty Unit have engaged with local communities regularly throughout the development of the strategy. This includes through a ministerial taskforce meeting with local leaders from combined and local governments in England, who joined Ministers to discuss the experience of poverty in their local communities, and innovative solutions underway. The Child Poverty Unit also consulted local authorities across England through a virtual webinar in December 2024, allowing authorities to feed into the development of the strategy. and visits to Manchester, Ashton-Under-Lyme, Cheshire and Merseyside.
As a significant downpayment ahead of strategy publication, we have already taken substantive action across major drivers of child poverty including an expansion of Free School Meals and a £39 billion investment in social and affordable housing. At the 2025 Spending Review we also announced a new March 2025 £1 billion package to reform crisis support, including the first ever multi-year settlement to transform the Household Support Fund into a new Crisis and Resilience Fund. This longer-term funding approach enables local authorities to provide preventative support to communities as well as assist people when faced with a financial crisis.
In developing a Child Poverty Strategy, the Taskforce is considering all children across the United Kingdom. The UK Government is committed to tackling child poverty across the UK where progress is contingent on reserved, devolved, and local levers. The Child Poverty Strategy will be UK-wide, drawing on devolved and reserved levers and working closely with Devolved Governments, recognising the progress that has been made on their poverty strategies and policies, and in England, with mayors and other local leaders.
Local authorities are a key part of our approach to learning directly about the experience of poverty in different communities and solutions already underway. Both the Taskforce and officials in the Child Poverty Unit have engaged with local communities regularly throughout the development of the strategy. This includes through a ministerial taskforce meeting with local leaders from combined and local governments in England, who joined Ministers to discuss the experience of poverty in their local communities, and innovative solutions underway. The Child Poverty Unit also consulted local authorities across England through a virtual webinar in December 2024, allowing authorities to feed into the development of the strategy. and visits to Manchester, Ashton-Under-Lyme, Cheshire and Merseyside.
As a significant downpayment ahead of strategy publication, we have already taken substantive action across major drivers of child poverty including an expansion of Free School Meals and a £39 billion investment in social and affordable housing. At the 2025 Spending Review we also announced a new March 2025 £1 billion package to reform crisis support, including the first ever multi-year settlement to transform the Household Support Fund into a new Crisis and Resilience Fund. This longer-term funding approach enables local authorities to provide preventative support to communities as well as assist people when faced with a financial crisis.
In developing a Child Poverty Strategy, the Taskforce is considering all children across the United Kingdom. The UK Government is committed to tackling child poverty across the UK where progress is contingent on reserved, devolved, and local levers. The Child Poverty Strategy will be UK-wide, drawing on devolved and reserved levers and working closely with Devolved Governments, recognising the progress that has been made on their poverty strategies and policies, and in England, with mayors and other local leaders.
Local authorities are a key part of our approach to learning directly about the experience of poverty in different communities and solutions already underway. Both the Taskforce and officials in the Child Poverty Unit have engaged with local communities regularly throughout the development of the strategy. This includes through a ministerial taskforce meeting with local leaders from combined and local governments in England, who joined Ministers to discuss the experience of poverty in their local communities, and innovative solutions underway. The Child Poverty Unit also consulted local authorities across England through a virtual webinar in December 2024, allowing authorities to feed into the development of the strategy. and visits to Manchester, Ashton-Under-Lyme, Cheshire and Merseyside.
As a significant downpayment ahead of strategy publication, we have already taken substantive action across major drivers of child poverty including an expansion of Free School Meals and a £39 billion investment in social and affordable housing. At the 2025 Spending Review we also announced a new March 2025 £1 billion package to reform crisis support, including the first ever multi-year settlement to transform the Household Support Fund into a new Crisis and Resilience Fund. This longer-term funding approach enables local authorities to provide preventative support to communities as well as assist people when faced with a financial crisis.
The Department is not currently able to provide constituency data on Pension Credit applications and awards.
Statistics on Pension Credit application volumes, for Great Britain only, were published on 29th May 2025. This includes numbers of applications that were received, awarded and not awarded, and outstanding, from week commencing 3rd April 2023 up to week commencing 19th May 2025: Pension Credit applications and awards: May 2025. The next quarterly release of Pension Credit applications and awards statistics for Great Britian has been announced for late-August 2025: Pension Credit Applications and Awards Statistics: August 2025 - Official statistics announcement - GOV.UK.
The NHS Long Term Plan and the accompanying guidance, Universal Personalised Care, made commitments to deliver choice and personalised care in maternity services. The NHS Long Term Plan and the Universal Personalised Care guidance are available, respectively, at the following two links:
https://www.england.nhs.uk/long-term-plan/
https://www.england.nhs.uk/personalisedcare/comprehensive-model/
The Maternity Programme supports local maternity systems to improve choice and deliver personalised care for women and their families.
NHS England has published guidance which sets out the four birthing choices: home birth; birth in a unit run by midwives; hospital birth; and unassisted birth. This guidance is available at the following link:
The provision of arrangements for home birth and information on how this is provided is the responsibility of local National Health Service trusts, who are directed as appropriate by their integrated care board.
The NHS Long Term Plan and the accompanying guidance, Universal Personalised Care, made commitments to deliver choice and personalised care in maternity services. The NHS Long Term Plan and the Universal Personalised Care guidance are available, respectively, at the following two links:
https://www.england.nhs.uk/long-term-plan/
https://www.england.nhs.uk/personalisedcare/comprehensive-model/
The Maternity Programme supports local maternity systems to improve choice and deliver personalised care for women and their families.
NHS England has published guidance which sets out the four birthing choices: home birth; birth in a unit run by midwives; hospital birth; and unassisted birth. This guidance is available at the following link:
The provision of arrangements for home birth and information on how this is provided is the responsibility of local National Health Service trusts, who are directed as appropriate by their integrated care board.
The NHS Long Term Plan and the accompanying guidance, Universal Personalised Care, made commitments to deliver choice and personalised care in maternity services. The NHS Long Term Plan and the Universal Personalised Care guidance are available, respectively, at the following two links:
https://www.england.nhs.uk/long-term-plan/
https://www.england.nhs.uk/personalisedcare/comprehensive-model/
The Maternity Programme supports local maternity systems to improve choice and deliver personalised care for women and their families.
NHS England has published guidance which sets out the four birthing choices: home birth; birth in a unit run by midwives; hospital birth; and unassisted birth. This guidance is available at the following link:
The provision of arrangements for home birth and information on how this is provided is the responsibility of local National Health Service trusts, who are directed as appropriate by their integrated care board.
We know that too many people are not receiving the mental health care they need, and we recognise that British farmers, and others living and working in isolated communities, may face particular challenges in accessing the mental health services that they need.
We are working with NHS England on a refreshed workforce plan, which will revolve around the three shifts to deliver our 10-Year Health Plan: moving more care from hospitals to communities; making better use of technology in health and care; and focusing on preventing sickness, not just treating it, including in rural and agricultural communities.
Specifically in relation to farmers mental health and wellbeing, the Department for Environment, Food and Rural Affairs (Defra) is supporting access to farmer mental health support services by funding the Farmer Welfare Grant. This aids organisations in delivering projects which will support mental health and build resilience in local farming communities. One recipient, the Farming Community Network, is using the funding to expand their FarmWell platform. This online resource provides business and personal resilience advice on topics including mental health, isolation, depression, and suicide.
Defra is also developing options in consultation with communities, farming support organisations, and experts across Government, as to how it can further support the investment in mental health interventions for those in agricultural communities.
A number of interventions specifically aimed at addressing maternal and neonatal inequalities are underway. These include the Perinatal Equity and Anti-Discrimination Programme, delivery of an inequalities dashboard, and projects on removing racial bias from clinical education and embedding genetic risk equity. Additionally, all local maternity and neonatal systems have published Equity and Equality actions plans to tackle inequalities for women and babies from ethnic minorities and those living in the most deprived areas.
An important aspect of both the National Maternity and Neonatal Investigation and the National Maternity and Neonatal Taskforce announced in June 2025, is to address inequalities in maternal and neonatal care and promote health equity in the delivery of those services.
The Government remains committed to setting an explicit target to close the Black and Asian maternal mortality gap, and is taking an evidence-based approach to ensure that any targets set are women and baby-centred.
There are no plans to review the list of medical conditions that entitle someone to apply for a medical exemption certificate.
There are extensive arrangements in place in England to ensure that prescriptions are affordable for everyone. Approximately 89% of prescription items are dispensed free of charge in the community in England, and there is a wide range of exemptions from prescription charges already in place for which those with chronic illnesses may be eligible. Eligibility depends on the patient’s age, whether they are in qualifying full-time education, whether they are pregnant or have recently given birth, whether they have a qualifying medical condition or whether they are in receipt of certain benefits or a war pension.
People on low incomes can apply for help with their health costs through the NHS Low Income Scheme. People who need to pay and need many prescription items could save money with a prescription prepayment certificate (PPC). PPCs allow people to claim as many prescriptions as they need for a set cost, with 3-month and 12-month certificates available. The 12-month PPC can be paid for in direct debit instalments.
Lancashire Teaching Hospitals NHS Foundation Trust (the Trust) has agreed a Diagnostic Improvement Programme with key focuses including:
The Trust also makes use of mutual aid. In the NHS, mutual aid is the voluntary cooperation and resource-sharing between different healthcare organisations or sectors to meet shared needs, especially during emergencies or when systems are under extreme pressure. The Trust continues to scope other options to increase capacity and support from other local organisations via mutual aid.
Performance at the Trust has significantly improved against the Diagnostics Waiting Times and Activity data collection (DM01) six-week target from 49.3 percent of patients on the waiting list waiting in excess of 6 weeks from referral in June 2024, to 39.6 percent in June 2025.
Nationally, the government is supporting the NHS to recover diagnostic services and bring down waiting times through investment in new capacity and technology. At the Spending Review in June 2025, the Chancellor of the Exchequer announced £6 billion in capital funding across 5 years for new diagnostic, elective and urgent and emergency capacity in the NHS. This includes £600 million in 2025/26.
On 5 April 2023, NHS England published a national framework and operational guidance to help integrated care boards (ICBs) and the National Health Service to deliver improved outcomes for children, young people and adults referred to an autism assessment service. The guidance also sets out what support should be available before an assessment and what support should follow a recent diagnosis of autism, based on the available evidence. Since publication, NHS England has been supporting systems and services to identify where there are challenges for implementation and how they might overcome these.
The NHS Lancashire and South Cumbria ICB has secured £1.8 million in funding to improve the Neurodivergent Pathway across Lancashire and South Cumbria, which the ICB has decided will primarily focus on children and young people (CYP) in the first instance, given the complexities and inconsistency of current CYP pathways. This investment will support frontline services, digital systems, a redesign of clinical pathways, and an increase in direct support available for families and young people. The ICB is working closely with Lancashire County Council and local schools to ensure the offer is joined up. The ICB has also commissioned an all-age online pre- and post-diagnostic support resource.
The Government did consider the cost pressures facing adult social care as part of the wider consideration of local government spending within the Spending Review process in 2024.
To enable local authorities to deliver key services such as adult social care, the Government has made available up to £3.7 billion of additional funding for social care authorities in 2025/26, which includes an £880 million increase in the Social Care Grant.
The number of mental health inpatient beds required to support a local population is dependent on both local mental health need and the effectiveness of the whole local mental health system in providing timely access to care and supporting people to stay well in the community, therefore reducing the likelihood of an inpatient admission being necessary.
The Department expects individual trusts and local health systems to effectively assess and manage bed capacity and the ‘flow’ of patients being discharged or moving to another setting.
Over the past few years, the National Health Service has been developing the community mental health framework to improve community support for people with severe mental illness, thus avoiding the need for an inpatient admission where possible, and freeing up more beds.
The 2025/26 NHS Planning Guidance sets out the expectation that ICBs should work with providers to improve patient flow through mental health crisis and acute pathways, reducing the average length of stay in adult acute beds, and improving access to children and young people’s mental health services.
As part of our mission to build an NHS fit for the future, we will make sure more mental health care is delivered in the community, close to people’s homes, through new models of care and support, so that fewer people need to go into hospital.
A table showing the number of participants recruited into phase three trials in England, supported by the National Institute for Health and Care Research, for dementia, cancer, stroke, and coronary heart disease in the last five years is attached. It should be noted that this includes studies on atherothrombosis and the prevention of coronary artery disease.
The numbers of participants declined between the years 2020/21 and 2021/22. While it is not possible to confirm the exact reasons for this decline, this is likely due to the impact of the COVID-19 pandemic, and the focus on recruiting participants to urgent COVID-19 studies over these years. Other fluctuations are likely due to large sample size studies within the dataset, which have since opened or closed recruitment.
There have been no discussions between the department and the Care Quality Commission (CQC) on NHS-funded nursing care (FNC).
The department is responsible for FNC policy and for setting the FNC rate each year. NHSE and integrated care boards (ICBs) are responsible for the implementation of FNC, including paying the FNC rate direct to care homes with nursing.
The FNC rate for 2025/26 increased by 7.7% from the 2024/25 rate. From the 1 April 2025, this increases the standard weekly rate per eligible individual from £235.88 to £254.06 and from £324.50 to £349.50 for the higher rate payment. FNC contributes to the provision of nursing care by a registered nurse and does not cover the costs of wider non-nursing care or accommodation. The rate increase accounts for the increase in the cost of providing nursing care.
Providers registered with CQC are expected to comply with the fundamental standards under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. CQC monitor and assess services and publish their findings, and can take regulatory and enforcement action if services are not providing people with safe, effective, compassionate, high-quality care.
The National Institute for Health and Care Excellence’s (NICE) guidelines are evidence-based recommendations for health and care in England and Wales. They help health and social care professionals to prevent ill health, promote good health, and improve the quality of care and services. Practitioners are expected to refer to the NICE’s guidance when assessing, signposting to, and prescribing pain relief medications, including for chronic urinary tract infections (UTIs).
When providing clinical care for conditions such as chronic UTIs, it is a prescriber’s duty to prescribe medicines, including for pain relief, when they have adequate knowledge of the patient’s health and are satisfied that the medicine is clinically suitable for the patient.