Question to the HM Treasury:

To ask the Chancellor of the Exchequer, whether she has considered (a) removing the tapering-off of the personal allowance and (b) reducing the threshold for the additional rate of tax.

Answered by James Murray - Exchequer Secretary (HM Treasury)

The withdrawal of the Personal Allowance affects those with income over £100,000 a year, reducing by £1 for every £2 above this threshold until it is fully withdrawn at £125,140.

The additional rate threshold of income tax is currently £125,140, following its reduction from £150,000 in Autumn 2022. The Government remains committed to maintaining strong public finances and ensuring those on higher incomes contribute a fair share.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether his Department is taking steps to expand the number of organisations under the Right to Choose pathway that are able to have their ADHD prescriptions fulfilled by the NHS.

Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)

Shared care within the National Health Service refers to an arrangement whereby a specialist doctor formally transfers responsibility for all or some aspects of their patient’s care, such as the prescription of medication, over to the patient’s general practitioner (GP).

The General Medical Council (GMC), which regulates and sets standards for doctors in the United Kingdom, has made it clear that GPs cannot be compelled to enter into a shared care agreement. Shared care is not part of the GP Contract and as such, participation is voluntary. GPs may decline such requests on clinical or capacity grounds. A GP who has previously agreed to a shared care agreement but who can no longer support it must provide a clear rationale for their decision. Both the GP and the specialist clinician share responsibility for ensuring continuity of care for the patient.

The GMC has also issued guidance to help GPs decide whether to accept shared care responsibilities. In deciding whether to enter into a shared care agreement, a GP will need to consider a number of factors to determine whether it is within their sphere of competence, and therefore safe and suitable for their patient’s needs. This includes being satisfied that any prescriptions or referrals for treatment are clinically appropriate.

If a shared care agreement is not in place, the responsibility for ongoing prescribing remains with the specialist clinician, which applies to both NHS and private medical care.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that GPs can support ADHD patients under the shared care plans through (a) reassessment, (b) re-prescription of ADHD medication and (c) other measures.

Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)

Shared care within the National Health Service refers to an arrangement whereby a specialist doctor formally transfers responsibility for all or some aspects of their patient’s care, such as the prescription of medication, over to the patient’s general practitioner (GP).

The General Medical Council (GMC), which regulates and sets standards for doctors in the United Kingdom, has made it clear that GPs cannot be compelled to enter into a shared care agreement. Shared care is not part of the GP Contract and as such, participation is voluntary. GPs may decline such requests on clinical or capacity grounds. A GP who has previously agreed to a shared care agreement but who can no longer support it must provide a clear rationale for their decision. Both the GP and the specialist clinician share responsibility for ensuring continuity of care for the patient.

The GMC has also issued guidance to help GPs decide whether to accept shared care responsibilities. In deciding whether to enter into a shared care agreement, a GP will need to consider a number of factors to determine whether it is within their sphere of competence, and therefore safe and suitable for their patient’s needs. This includes being satisfied that any prescriptions or referrals for treatment are clinically appropriate.

If a shared care agreement is not in place, the responsibility for ongoing prescribing remains with the specialist clinician, which applies to both NHS and private medical care.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether his Department is taking steps to hire more specialists in the diagnosis of adult ADHD.

Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)

NHS England has established an attention deficit hyperactivity disorder (ADHD) taskforce which is working to bring together those with lived experience with experts from the National Health Service, education, charity, and justice sectors. The taskforce is working to get a better understanding of the challenges affecting those with ADHD, including timely and equitable access to services and support, with the final report expected in the summer of 2025.

In conjunction with the taskforce, NHS England has carried out detailed work to develop an ADHD data improvement plan, to inform future service planning. NHS England has also captured examples from integrated care boards who are trialling innovative ways of delivering ADHD services, and is using this information to support systems to tackle ADHD waiting lists and provide support to address people’s needs.

We will publish a refreshed Long Term Workforce Plan to deliver the transformed health service we will build over the next decade, and treat patients on time again. We will ensure the NHS has the right people, in the right places, with the right skills to deliver the care patients need, when they need it.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many mental health workers will be recruited in Cornwall by 2029.

Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)

As part of our mission to build a National Health Service that is fit for the future and that is there when people need it, the Government will recruit an additional 8,500 mental health workers to reduce delays and provide faster treatment, which will also help ease pressure on busy mental health services. We are working with NHS England to consider options to deliver this commitment.

Whilst we don’t have the breakdown of how many mental health workers will be recruited in specific constituencies, this summer we will publish a refreshed Long Term Workforce Plan to deliver the transformed health service we will build over the next decade and treat patients on time again. We will ensure the NHS has the right people, in the right places, with the right skills to deliver the care patients need when they need it.

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, what assessment she has made of the adequacy of the Office for Budget Responsibility's methodology for understanding fiscal multipliers.

Answered by Emma Reynolds - Economic Secretary (HM Treasury)

The independent Office for Budget Responsibility (OBR) is responsible for preparing forecasts for the UK economy and public finances. This includes an assessment of the impact of government policies, where the OBR regularly reviews and publish papers on its approach.

The OBR assesses the demand side impacts of policy using multipliers – these estimate the impact on real GDP from government policy. The OBR’s multiplier framework is described in Dynamic scoring of policy measures in OBR forecasts.

The OBR also takes account of how specific policies affect the supply side of the economy. This approach is set out in Forecasting potential output - the supply side of the economy.

The OBR have also recently published a new framework for assessing public investment which can be found in the OBR’s Discussion Paper No. 5: Public investment and potential output. This framework was used in the Autumn Budget 2024, where the OBR judged the increase in departmental capital spending would directly raise potential output by 1.1 percent by 2073-74.

The Chancellor and OBR Budget Responsibility Committee speak regularly, and there is an ongoing dialogue at official level on a range of issues. This includes the OBR’s approach to preparing forecasts for the UK economy and public finances.

The OBR committed to reviewing their demand multipliers in their most recent forecast, published on Wednesday 26^th March 2025.

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, whether her Department has considered introducing a small levy on imported sugar; and if she will make an assessment of the potential impact of such a levy on (a) tariff revenues following the suspension of Ukrainian sugar tariffs and (b) incentives in the food and beverage industry to transition to sweeteners.

Answered by James Murray - Exchequer Secretary (HM Treasury)

The UK already has significant tariffs on UK sugar imports which are imported via the Most Favoured Nation route. These are £280 per tonne for cane sugar for refining and £350 per tonne for other types of sugar. They are, other than in exceptional circumstances, effectively prohibitive to imports via this route and instead imports come from jurisdictions with preferential access. The government has no plans to introduce tariffs on imports from countries which have preferential access into the UK market.

The government recognises the harms caused by high sugar intake and took steps at Autumn Budget 2024 to ensure the Soft Drinks Industry Levy (SDIL) remains effective and fit-for-purpose. The levy will be increased, over the next five years to reflect inflation since 2018.

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, if she hold discussions with HMRC on the potential merits of extending terms for the collection of taxes from businesses; and if she will make an assessment of the potential impact of doing so on working capital for businesses.

Answered by James Murray - Exchequer Secretary (HM Treasury)

HMRC takes its responsibility seriously to make sure that individuals and businesses who can pay, do so on time. Where taxpayers need additional support, they can enter into payment arrangements with HMRC, allowing taxpayers to pay their tax, including VAT and PAYE, via instalments.

Companies pay Corporation Tax nine months and one day after the end of the accounting period, or in quarterly payments if they are a large company.

At the Spring Statement the Government announced further measures to close the tax gap, to ensure more taxpayers pay the tax they owe.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will have discussions with Cabinet colleagues on reforming student loan repayment rules to exempt nurses from repaying those loans while they are employed within the NHS.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The Government currently has no plans to exempt nurses from repaying student loans. The Government keeps the funding arrangements for all healthcare students under close review in order to balance the use of finite financial resources with the level of support students require.

Question to the Foreign, Commonwealth & Development Office:

To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, what assessment he has made of the potential merits of asking British International Investment to produce a critical minerals strategy that (a) strengthens the UK's supply chains and (b) supports its development goals.

Answered by Stephen Doughty - Minister of State (Foreign, Commonwealth and Development Office)

British International Investment's (BII) mission is to help solve the biggest global development challenges by investing patient, flexible capital to support private sector growth and innovation. With regards to the critical minerals sector, BII's role is currently most relevant where it supports investments in the enabling infrastructure around critical minerals projects. As part of BII's next strategy, we will consider whether and how BII's approach to critical minerals should evolve.

Found: Watch the meeting Members present: Sarah Champion (Chair); Tracy Gilbert; Noah Law; Brian Mathew; David

Found: Watch the meeting Members present: Sarah Champion (Chair); Tracy Gilbert; Noah Law; Brian Mathew; David

Submit Evidence (by 16 May 2025)

Energy lies at the core of the 2030 Agenda for Sustainable Development and the 2015 Paris Agreement on Climate Change. Yet, the international community remains largely off track in meeting these commitments. According to the International Energy Agency, around 750 million people lack access to electricity, and more than 2 billion people lack access to clean cooking fuels, predominantly in sub-Saharan Africa.