Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of the requirement to obtain a medical exemption certificate before being eligible to claim free prescriptions on people with chronic illnesses.

Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)

The Department has made no assessment.

The exemption certificate provides the patient with evidence to demonstrate to dispensers that they are entitled to have the National Health Service cover the cost of their prescriptions. The exemption certificate requirement also allows for the verification of claims for exemption, and for fraud to be identified and pursued.

It is straightforward to apply for a medical exemption certificate; the patient should ask their doctor for form FP92A. The form includes guidance on how to complete it and who can authorise it. A healthcare professional (HCP), e.g. a hospital doctor or general practitioner (GP), or at the GP’s discretion a member of the GP’s practice who can access medical records, must authorise the application to confirm the patient has the qualifying condition. If a patient is unable to complete the form themselves then a relative or HCP can complete it on their behalf and insert their name in the signature box.

Question to the Department for Education:

To ask the Secretary of State for Education, with reference to the Policy Exchange report entitled In absentia parentis, published on 24 August 2025, the Cass Review's final report, published in April 2024, and the Supreme Court judgement in the case of For Women Scotland v The Scottish Ministers of 16 April 2025, what guidance her Department has issued to local authorities to protect the welfare of gender-questioning children who are children in care.

Answered by Josh MacAlister - Parliamentary Under-Secretary (Department for Education)

Local authorities and social care practitioners are required to support children in a way that meets their needs and best interests. This support will look different on an individual case basis. In considering their safeguarding policies and how best to support children questioning their gender, leaders and practitioners should be led by the guidance and regulations most relevant to their setting or role. They can also be informed by the evidence and principles set out in the Cass Review.

Further resources on support for children questioning their gender can be found via the NHS here: https://www.genderreferralservice.nhs.uk/.

Question to the Department for Education:

To ask the Secretary of State for Education, with reference to the Policy Exchange report entitled In absentia parentis, published on 24 August 2025, what steps her Department is taking to ensure that local authorities have up-to-date safeguarding policies for gender-questioning children who are children in care.

Answered by Josh MacAlister - Parliamentary Under-Secretary (Department for Education)

Local authorities and social care practitioners are required to support children in a way that meets their needs and best interests. This support will look different on an individual case basis. In considering their safeguarding policies and how best to support children questioning their gender, leaders and practitioners should be led by the guidance and regulations most relevant to their setting or role. They can also be informed by the evidence and principles set out in the Cass Review.

Further resources on support for children questioning their gender can be found via the NHS here: https://www.genderreferralservice.nhs.uk/.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many NHS penalty charges for incorrectly claimed free prescriptions have been issued to individuals who qualified for but did not hold NHS medical exemption certificates in the last 12 months.

Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)

From November 2024 to October 2025, the NHS Business Service Authority issued 47,058 penalty charge notices (PCNs) to people who claimed a medical exemption but were found to have no exemption in place when checked. Of these, 21,328 were eased, for various reasons including the patient subsequently applying for an exemption successfully. The number of easements in this category cannot be confirmed. Of the 47,058 PCNs issued 3,583 people received multiple PCNs.

Although the Department has made no formal assessment of the effectiveness of issuing PCNs as a deterrent against improper claims, the fact that the vast majority who receive one PCN do not go on to receive another would, in my opinion, suggest a potential deterrent effect.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the effectiveness of issuing penalty charge notices as a deterrent against improper claims of free NHS prescriptions.

Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)

From November 2024 to October 2025, the NHS Business Service Authority issued 47,058 penalty charge notices (PCNs) to people who claimed a medical exemption but were found to have no exemption in place when checked. Of these, 21,328 were eased, for various reasons including the patient subsequently applying for an exemption successfully. The number of easements in this category cannot be confirmed. Of the 47,058 PCNs issued 3,583 people received multiple PCNs.

Although the Department has made no formal assessment of the effectiveness of issuing PCNs as a deterrent against improper claims, the fact that the vast majority who receive one PCN do not go on to receive another would, in my opinion, suggest a potential deterrent effect.

Question to the Department for Business and Trade:

To ask the Secretary of State for Business and Trade, whether his Department has collected data on the number of Breathing Space certifications which are subsequently cancelled due to ineligibility.

Answered by Blair McDougall - Parliamentary Under Secretary of State (Department for Business and Trade)

The Insolvency Service collects data regarding Breathing Space applications in England and Wales; this includes the number of applications subsequently cancelled due to ineligibility. 374,529 Breathing Space applications were registered between 4 May 2021, when the scheme was launched, and 3 December 2025. Of these, 2,292 registrations have been subsequently cancelled due to ineligibility, representing 0.6% of applications. The criteria for ineligibility is taken from the official Breathing Space guidance.

Question to the Department for Transport:

To ask the Secretary of State for Transport, what assessment her Department has made of the potential impact of preventing third parties from booking driving test slots on the range and quality of services driving instructors are able to offer pupils.

Answered by Simon Lightwood - Parliamentary Under-Secretary (Department for Transport)

To ensure fairness for everyone wanting to book a practical driving test, the Driver and Vehicle Standards Agency (DVSA) continues to work hard to combat the unscrupulous practice of reselling tests across the country.

The measures the Secretary of State for Transport announced on 12 November are designed to make the practical driving test booking process fairer, providing all learners with equal access to the booking system and ensuring that everyone pays the prescribed fee.

The decision follows a call for evidence and a public consultation that sought views from the driver training industry, learner drivers and other interested parties. In reaching this decision, impacts were fully considered. Further detail on the rationale, which will set out the detailed analysis, will be provided in the consultation report which will be published shortly.

The changes will come into effect from Spring 2026, and DVSA is working closely with a representative bodies group which includes national trade associations and large driving schools, to develop future communications to support and prepare the industry for the changes.

Question to the Department for Transport:

To ask the Secretary of State for Transport, what steps her Department took to communicate information regarding recent operational changes to the driving test booking system to Approved Driving Instructors ahead of those changes coming into force.

Answered by Simon Lightwood - Parliamentary Under-Secretary (Department for Transport)

To ensure fairness for everyone wanting to book a practical driving test, the Driver and Vehicle Standards Agency (DVSA) continues to work hard to combat the unscrupulous practice of reselling tests across the country.

The measures the Secretary of State for Transport announced on 12 November are designed to make the practical driving test booking process fairer, providing all learners with equal access to the booking system and ensuring that everyone pays the prescribed fee.

The decision follows a call for evidence and a public consultation that sought views from the driver training industry, learner drivers and other interested parties. In reaching this decision, impacts were fully considered. Further detail on the rationale, which will set out the detailed analysis, will be provided in the consultation report which will be published shortly.

The changes will come into effect from Spring 2026, and DVSA is working closely with a representative bodies group which includes national trade associations and large driving schools, to develop future communications to support and prepare the industry for the changes.

Question to the Ministry of Justice:

To ask the Secretary of State for Justice, what guidance his Department provides to county courts on (a) the verification of documents submitted in support of Mental Health Breathing Space applications and (b) instances in which concerns have been raised that such documents may be forged or fraudulent.

Answered by Sarah Sackman - Minister of State (Ministry of Justice)

When a Breathing Space is cancelled, the creditor will be automatically notified by the Insolvency Service. They should provide a copy of this notification to the county court when they apply for any further enforcement action.

The decision on whether someone enters a Breathing Space Moratorium is not initially determined by the court but by a debt advice provider authorised by the Financial Conduct Authority or by a local authority (where they provide debt advice to residents). For a Mental Health Breathing Space, an Approved Mental Health Professional must certify that a person is receiving mental health treatment. If a creditor disagrees with a notification, there are grounds under which they can ask the debt advisor for a review. After a review, if the creditor does not agree with the decision, they can then apply to the court to cancel the breathing space.

If a creditor who has applied to the court is concerned about the validity of documents supporting a Mental Health Breathing Space, they should include supporting evidence as to why the documentation may be invalid in their application, verified by a statement of truth. Such applications are treated as a Part 8 claim by the court. The evidence will be considered by a judge who will make the decision.

Question to the Ministry of Justice:

To ask the Secretary of State for Justice, what steps he plans to take to help ensure that county courts update their records to reflect the cancellation of Breathing Space certifications.

Answered by Sarah Sackman - Minister of State (Ministry of Justice)

When a Breathing Space is cancelled, the creditor will be automatically notified by the Insolvency Service. They should provide a copy of this notification to the county court when they apply for any further enforcement action.

The decision on whether someone enters a Breathing Space Moratorium is not initially determined by the court but by a debt advice provider authorised by the Financial Conduct Authority or by a local authority (where they provide debt advice to residents). For a Mental Health Breathing Space, an Approved Mental Health Professional must certify that a person is receiving mental health treatment. If a creditor disagrees with a notification, there are grounds under which they can ask the debt advisor for a review. After a review, if the creditor does not agree with the decision, they can then apply to the court to cancel the breathing space.

If a creditor who has applied to the court is concerned about the validity of documents supporting a Mental Health Breathing Space, they should include supporting evidence as to why the documentation may be invalid in their application, verified by a statement of truth. Such applications are treated as a Part 8 claim by the court. The evidence will be considered by a judge who will make the decision.

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, what assessment she has made of the effectiveness of safeguards in the online application process for the Breathing Space debt respite scheme in preventing fraudulent or duplicate applications by the same individuals.

Answered by Lucy Rigby - Economic Secretary (HM Treasury)

The Breathing Space Scheme gives debtors the space to engage with professional debt advice, or to receive crisis treatment for a mental health condition.

A standard breathing space provides people in problem debt with protections from creditor enforcement action for a period of 60 days. It can only be started if a regulated debt adviser assesses the individual to be eligible and that a breathing space would be appropriate for them. This includes ensuring the individual has not been in a standard breathing space in the last 12 months.

In recognition of the link between mental health and problem debt, eligible individuals receiving mental health crisis treatment can access a mental health crisis breathing space (MHCBS) which provides the same protections from creditor enforcement for the duration of the individual’s crisis treatment. A MHCBS can only be started if an Approved Mental Health Professional confirms that the individual is receiving mental health crisis treatment. The debt adviser must also seek confirmation from a nominated point of contact every 30 days that the individual is still receiving eligible mental health crisis treatment in order for the individual to continue to receive the moratorium’s protections.

HM Treasury does not issue guidance to police forces on the handling of alleged abuse or fraudulent use of the Breathing Space scheme. However, HM Treasury does provide guidance for creditors. This outlines that where a creditor considers that an individual or a specific debt does not qualify for a breathing space, or that the debtor has enough funds to repay their debts, they can ask the debt advice provider to conduct a review within 20 days of the breathing space starting. Creditors also have the right to apply to a court at any time for permission to take enforcement action in relation to a debt included in a breathing space.

The Government keeps the scheme under review to ensure it is operating as intended.

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, whether she has made an assessment of the potential merits of introducing a mechanism for creditors to seek redress where a Breathing Space certification has been incorrectly granted and financial loss has resulted.

Answered by Lucy Rigby - Economic Secretary (HM Treasury)

The Breathing Space Scheme gives debtors the space to engage with professional debt advice, or to receive crisis treatment for a mental health condition.

A standard breathing space provides people in problem debt with protections from creditor enforcement action for a period of 60 days. It can only be started if a regulated debt adviser assesses the individual to be eligible and that a breathing space would be appropriate for them. This includes ensuring the individual has not been in a standard breathing space in the last 12 months.

In recognition of the link between mental health and problem debt, eligible individuals receiving mental health crisis treatment can access a mental health crisis breathing space (MHCBS) which provides the same protections from creditor enforcement for the duration of the individual’s crisis treatment. A MHCBS can only be started if an Approved Mental Health Professional confirms that the individual is receiving mental health crisis treatment. The debt adviser must also seek confirmation from a nominated point of contact every 30 days that the individual is still receiving eligible mental health crisis treatment in order for the individual to continue to receive the moratorium’s protections.

HM Treasury does not issue guidance to police forces on the handling of alleged abuse or fraudulent use of the Breathing Space scheme. However, HM Treasury does provide guidance for creditors. This outlines that where a creditor considers that an individual or a specific debt does not qualify for a breathing space, or that the debtor has enough funds to repay their debts, they can ask the debt advice provider to conduct a review within 20 days of the breathing space starting. Creditors also have the right to apply to a court at any time for permission to take enforcement action in relation to a debt included in a breathing space.

The Government keeps the scheme under review to ensure it is operating as intended.

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, what guidance her Department provides to police forces in England regarding the handling of cases where there has been an alleged abuse or fraudulent use of the Breathing Space scheme.

Answered by Lucy Rigby - Economic Secretary (HM Treasury)

The Breathing Space Scheme gives debtors the space to engage with professional debt advice, or to receive crisis treatment for a mental health condition.

A standard breathing space provides people in problem debt with protections from creditor enforcement action for a period of 60 days. It can only be started if a regulated debt adviser assesses the individual to be eligible and that a breathing space would be appropriate for them. This includes ensuring the individual has not been in a standard breathing space in the last 12 months.

In recognition of the link between mental health and problem debt, eligible individuals receiving mental health crisis treatment can access a mental health crisis breathing space (MHCBS) which provides the same protections from creditor enforcement for the duration of the individual’s crisis treatment. A MHCBS can only be started if an Approved Mental Health Professional confirms that the individual is receiving mental health crisis treatment. The debt adviser must also seek confirmation from a nominated point of contact every 30 days that the individual is still receiving eligible mental health crisis treatment in order for the individual to continue to receive the moratorium’s protections.

HM Treasury does not issue guidance to police forces on the handling of alleged abuse or fraudulent use of the Breathing Space scheme. However, HM Treasury does provide guidance for creditors. This outlines that where a creditor considers that an individual or a specific debt does not qualify for a breathing space, or that the debtor has enough funds to repay their debts, they can ask the debt advice provider to conduct a review within 20 days of the breathing space starting. Creditors also have the right to apply to a court at any time for permission to take enforcement action in relation to a debt included in a breathing space.

The Government keeps the scheme under review to ensure it is operating as intended.

Found: Johnson (Conservative; Sleaford and North Hykeham) Darren Paffey (Labour; Southampton Itchen) Rebecca Paul

Found: present: Sarah Owens (Chair); Alex Brewer; Christine Jardine; Kim Leadbeater; Kevin McKenna; Rebecca Paul

Found: Q9 Rebecca Paul: I want to touch on Peter’s question.

Found: Edinburgh West) Kim Leadbeater (Labour; Spen Valley) Kevin McKenna (Labour; Sittingbourne and Sheppey) Rebecca Paul