First elected: 16th June 2016
Speeches made during Parliamentary debates are recorded in Hansard. For ease of browsing we have grouped debates into individual, departmental and legislative categories.
e-Petitions are administered by Parliament and allow members of the public to express support for a particular issue.
If an e-petition reaches 10,000 signatures the Government will issue a written response.
If an e-petition reaches 100,000 signatures the petition becomes eligible for a Parliamentary debate (usually Monday 4.30pm in Westminster Hall).
These initiatives were driven by Rosena Allin-Khan, 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.
Rosena Allin-Khan has not been granted any Urgent Questions
Rosena Allin-Khan has not been granted any Adjournment Debates
Rosena Allin-Khan has not introduced any legislation before Parliament
Pavement Parking Bill 2024-26
Sponsor - Marsha De Cordova (Lab)
Smoking Prohibition (National Health Service Premises) Bill 2017-19
Sponsor - Tracy Brabin (LAB)
Mental Health Units (Use of Force) Act 2018
Sponsor - Steve Reed (LAB)
The Government is committed to supporting British businesses, ensuring they have maximum opportunities to win UK public contracts and deliver high-quality goods and services.
The new Procurement Act contains measures that help British businesses and manufacturers by creating a simpler and more transparent system that will deliver better value for money, giving small businesses greater access to nearly £400billion of yearly spend.
Our new National Procurement Policy statement also encourages contracting authorities to consider how procurement can foster economic growth, support small businesses, strengthen UK supply chains and drive delivery of the Government’s Industrial Strategy and missions.
The Government is committed to supporting British businesses and the products they produce, ensuring they have the best opportunities to win UK public contracts and deliver high-quality goods and services.
The new Procurement Act contains measures that help British businesses and manufacturers by creating a simpler and more transparent system that will deliver better value for money, giving small businesses greater access to £385 billion of annual spend.
Our new National Procurement Policy Statement encourages contracting authorities to consider how procurement can foster economic growth, support small businesses, strengthen UK supply chains and drive delivery of the Government’s Industrial Strategy and missions.
We have also recently announced a package of further measures to demonstrate how central government will implement the NPPS, further helping British firms succeed.
Furthermore, our modern Industrial Strategy will set out how public procurement can support growth and investment in key sectors of the economy by encouraging innovation and the development of new technologies.
Ofcom is the independent regulator of postal services, and the Government does not collect or hold information concerning service issues in specific areas.
However, Ministers and officials have discussions with Royal Mail on a regular basis in its capacity as the universal service provider. In November, I met with Royal Mail’s CEO, Emma Gilthorpe, and stressed the importance of a reliable postal service.
The additional consumer rights provided to travellers under The Package Travel and Linked Travel Arrangements Regulations 2018 (“PTRs”) have played an important role in ensuring consumers are supported through supplier insolvencies. The Department is currently working with stakeholders and consumer representatives to review the framework and identify whether it can be further strengthened. This has taken the form of:
Our conclusions from this evidence gathering will be published in due course. Separately, the Department for Transport is continuing work with the Civil Aviation Authority (CAA) exploring how the ATOL scheme should operate in the future.
The rights provided under The Package Travel and Linked Travel Arrangement Regulations 2018 (PTRs) have been key to resolving many consumer issues in recent years- including supplier insolvencies. DBT is looking to expand options for businesses to protect consumer deposits, while working with stakeholders and consumer organisations to identify whether the framework can be further strengthened.
In relation to ATOL, the responsibility of the Secretary of State for Transport. The ATOL Regulations have provided valued protection to consumers for over 50 years. The Department for Transport is continuing work with the Civil Aviation Authority (CAA) exploring how the ATOL scheme should operate in the future.
DBT is implementing the Digital Markets, Competition and Consumers Act which strengthens consumer law enforcement by giving the CMA new administrative powers, and the CMA and courts the ability to impose significant monetary penalties.
The Act also updates the Consumer Protection from Unfair Trading Regulations 2008, setting out new ‘banned practices’ relating to the buying, selling, and publishing of fake consumer reviews and prohibiting ‘drip pricing’.
The Product Regulation and Metrology Bill was introduced on 4 September and aims to address the gap in consumer protections which allow online marketplaces to facilitate the sale of unsafe and illegal products.
DBT supports broader government efforts to tackle fraud through its funding of Citizens Advice and National Trading Standards to advise on and enforce consumer law, including fraud.
DBT is also implementing the Digital Markets, Competition and Consumers Act, which strengthens consumer law enforcement powers and introduces significant new monetary penalties to better deter wrongdoers.
Through the Consumer Protection Partnership, Citizens Advice run an annual Scams Awareness campaign to give consumers the skills to identify scams, share their experiences and gain the confidence to report scams. The next campaign, focusing on financial scams launches on 21 October.
Developers of transmission projects and all nationally significant infrastructure projects in England and Wales must assess the impacts of their proposals. This includes conducting assessments of projects’ impacts on the environment through Environmental Impact Assessments. Additionally, developers engage with statutory and non-statutory stakeholders through consultations to ensure their feedback is considered and incorporated into project proposals. These assessments are considered as part of the consenting process by the Secretary of State. Scottish planning requirements are a devolved matter but also require due and proper consideration of environmental and other impacts and the opportunity for public scrutiny within the planning process.
Under the Online Safety Act all in scope services, including Meta, will be required to have systems and processes to enable users and other affected persons to report instances of the types of content the services have responsibility for. This includes illegal content, and, where relevant, content that is harmful to children (where services are likely to be accessed by children).
The Act also requires Ofcom to review the efficacy of content reporting and complaints mechanisms once the above duties have been implemented.
The Government wants all areas of the UK, including London, to benefit from reliable and good quality mobile coverage. Our ambition is for all populated areas to have higher-quality standalone 5G by 2030, and to increase 4G coverage to 95% of the UK landmass by the end of 2025.
Vodafone, Virgin Media O2 and BT/EE have all launched standalone 5G services in London.
We work closely with the mobile industry and are committed to ensuring we have the right policy and regulatory framework to support investment and competition in the market.
The Online Safety Act requires all in-scope services to swiftly remove illegal content as soon as they become aware of it. This includes content that intentionally encourages or assists suicide and self-harm, including eating disorder behaviours. User-to-user services which are likely to be accessed by children must use highly effective age assurance to prevent children encountering this material.
Search services also have targeted duties that focus on minimising the risk of all users encountering illegal suicide and self-harm search content, and children from harmful but legal suicide and self-harm content.
The Online Safety Act requires all in-scope services to swiftly remove illegal content as soon as they become aware of it. This includes content that intentionally encourages or assists suicide and self-harm, including eating disorder behaviours. User-to-user services which are likely to be accessed by children must use highly effective age assurance to prevent children encountering this material.
Search services also have targeted duties that focus on minimising the risk of all users encountering illegal suicide and self-harm search content, and children from harmful but legal suicide and self-harm content.
The government recognises the importance of the UKs copyright regime to the economic success of the cultural and creative industries, one of eight growth-driving sectors as identified in our Industrial Strategy. We also recognise the basic principle that rights holders should have control over and seek payment for their work, including when thinking about the role of AI. The current UK Copyright Framework enables creative right holders to prevent the use of protected works, but we are aware that this can be very difficult to implement in the context of AI, especially for individual firms and creators.
Responses to our consultation on the impact of AI on the copyright regime, which was published on 17 December and closed on 25 February, will inform our approach to the design and delivery of a solution to these issues. Our aim is to clarify the copyright framework for AI – delivering certainty through a copyright regime that provides creators with real control and transparency, and helps them licence their content, while supporting AI developers' access to high-quality material.
The consultation was published alongside an accompanying options assessment. The consultation sought to gather further evidence on the potential impact on the creative industries of both AI and any change to the copyright regime. We will now consider the full range of responses we have received through our consultation and if legislative changes are needed, a full economic impact assessment will be undertaken.
On 1 April, the department announced that the adoption and special guardianship support fund (ASGSF) would continue into 2025/26, with a budget of £50 million. A further announcement about arrangements for applications will be made as soon as possible. We remain committed to supporting families, who play an essential role in providing stable and loving homes for children in need. This funding will enable eligible families to apply for support in the coming year.
The ASGSF provides support for adopted children and those under special guardianship or child arrangement orders. The only group of foster carers and foster children who can access the ASGSF are those on the ‘foster to adopt’ pathway, where the plan is for the foster carer to adopt the child they are caring for if the court makes a placement order. Foster carers who obtain a special guardianship order can also ask that an application be made to the fund for a child they previously fostered.
Since 2021, the end-to-end process for becoming a teacher has been managed through the department’s digital services. This means that we have access to real-time recruitment data which allows us to identify the challenges that candidates are facing. From this data, we know that the longer it takes for an initial teacher training (ITT) provider to respond to a candidate, the more likely they are to drop-out.
To alleviate this, the department has set out the need for timely responses to candidate applications in the ITT criteria and we encourage providers to respond to candidates within 30 working days. The department’s digital services have also made it quicker and easier for ITT providers to manage and process their applications.
Additionally, the department has implemented changes to encourage providers to make more timely decisions. Now, if a candidate does not receive a response to their application within 30 days, they will be allowed to apply to a different ITT provider. We have also developed weekly performance reports, which allow providers to compare their recruitment performance to national averages.
The department is aware that large volumes of applications can impact a provider’s ability to respond to applications quickly. That is why we implemented functionality last cycle, to prevent candidates from applying to courses that they are ineligible for.
The department will act to address the persistent gaps for different student groups and to break down the barriers to opportunity.
The government introduced postgraduate loans which, alongside other sources of funding, are a contribution to the cost of postgraduate level study to stimulate take-up.
Decisions on student finance have had to be taken to ensure the system remains financially sustainable and that the costs of higher education (HE) are shared fairly between students and taxpayers, not all of whom have benefited from going to university.
The department will set out this government’s longer term plan for HE reform by summer 2025.
From 1 October 2025, UK Research and Innovation (UKRI) is increasing the minimum stipend they pay to PhD students by 8% to £20,780. This is the largest real terms increase in the stipend for UKRI funded students since 2003.
Skills England will reset the government’s approach to skills in England, making sure skills are prioritised in government decision making. Shadow Skills England is currently bringing together up-to-date analysis and engagement with key partners to identify and fill skills gaps at all levels of education, including at postgraduate level, particularly for under-represented groups, with the aim of breaking down the barriers to opportunity and driving growth.
Ensuring that parents are able to access affordable and high quality childcare is a priority for this government. Our focus in reforming the system will be to ensure that there are greater and more equal opportunities to access early education for every family, and that there are greater opportunities for children to thrive and develop. As an initial step, we are progressing work to deliver new places in 3,000 nurseries through upgrading space in primary schools.
Families that are not eligible for the childcare entitlements for working parents may be entitled to other forms of support, including the 15 hours entitlement for disadvantaged two year olds and the 15 hours universal entitlement for three and four year olds. The universal entitlement is available to all parents of three and four year olds, regardless of income or immigration status. In terms of the disadvantaged two year olds entitlement, parents do not need to work to claim this entitlement. However, they will need to be claiming certain benefits and have a household net income of less than £15,400 per year. All two year olds with an education, health and care (EHC) plan, those in receipt of Disability Living Allowance (DLA) and looked after children are eligible regardless of household income. Some two year olds with ‘no recourse to public funds’ immigration status may also be eligible subject to different income thresholds.
Working families claiming universal credit can also claim up to 84% of the childcare costs back through Universal Credit Childcare. This offer can be used alongside the entitlements set out above.
We will be undertaking a comprehensive evaluation programme of the expansion of childcare entitlements for working parents which will explore how families not eligible for the new entitlements experience finding and accessing childcare, including the associated costs. Further, the impact evaluation will assess how the expansion has impacted upon the quality of childcare provision and children’s development, for all children, and wider family outcomes. As per Government Social Research guidelines, evaluation findings will be available within 12 weeks of the projects being finalised. We expect the first to be available from spring 2026.
Maintained nursery schools (MNS) are a valuable part of early years provision. There are 381 MNS as at January 2024. They are predominantly located in disadvantaged areas.
Additional supplementary funding is provided to local authorities for MNS in their areas. In the 2024/25 financial year, the initial budget for MNS supplementary funding is £82.6 million, subject to final budget update. The national average hourly rate for MNS supplementary funding is £5.27, the minimum supplementary funding rate is £4.64 and the cap on the hourly rate is £10.
Ensuring that parents are able to access affordable and high-quality childcare is a priority for the department. This includes delivering new nursery provision in primary schools to help deliver the expansion in childcare entitlements and ensuring that a variety of different types of provision are available that suit the needs of different parents. The department is continuing to monitor the sufficiency of childcare places.
The key measure of sufficiency is whether the supply of available places is sufficient to meet the requirements of parents and children. The department’s Childcare and Early Years Provider Survey shows that the number of places available has remained broadly stable since 2019. Under Section 6 of the Childcare Act 2006, local authorities are responsible for ensuring that the provision of childcare is sufficient to meet the requirements of parents in their area.
The department has regular contact with each local authority in England about their sufficiency of childcare and any issues they are facing. Where local authorities report sufficiency challenges, the department will discuss what action they are taking to address those issues, and where needed, the department will support the local authority with any specific requirements through our childcare sufficiency support contract.
Where a MNS does close, or is merged with a school, what replaces it must be of equal quantity, preserve expertise and specialisms, and it must be more accessible and convenient for local parents. The department has not received any reports on sufficiency challenges in Wandsworth.
Defra officials are actively engaging with key stakeholders, including representatives from the BVA (British Veterinary Association), as well as the RCVS (Royal College of Veterinary Surgeons), BVNA (British Veterinary Nursing Association), and the Vet Schools Council to review opportunities for reform of the Veterinary Surgeons Act (VSA). This core working group is looking at how changes to policy can support the profession, animals, and consumers in the future.
The Environment Agency are responsible for the regulation of the environmental permit held by Reston Waste Management at 77 Weir Road. After being notified of the fire late on Saturday 7 September by the London Fire Brigade (LFB), Environment Agency staff worked throughout the weekend with LFB to review potential impacts to air, land and water. As the incident continued, the Environment Agency provided advice to LFB and London Boroughs of Merton and Wandsworth regarding impacts to the environment and maintained input via multi-agency meetings. Environment Agency staff attended the site on Tuesday 10th September following a large number of complaints about the smoke from the fire. Their attendance ensured that waste was being managed appropriately and no longer causing a discharge to enter the River Wandle.
Officers from the Environment Agency are in regular contact with the Cllrs in Merton and Wandsworth whose Wards were affected by the fire, along with officers from those boroughs. The cause of the fire is being investigated by the Environment Agency, alongside those partners. They will be working with the fire brigade to understand the cause of the fire, and the reasons why it took so long to extinguish. The London Borough of Merton is leading a formal multi-agency review of the incident and the Environment Agency will feed into this review. Alongside this, the Environment Agency is assessing the actions taken by Restons Waste Management, to understand if any more could have reasonably been done to prevent or mitigate the effects of the fire.
This Government takes road safety seriously, and we are committed to reducing the numbers of those killed and injured on our roads. My Department is developing our road safety strategy and will set out more details in due course.
This Government takes road safety seriously, and we are committed to reducing the numbers of those killed and injured on our roads. My Department is developing our road safety strategy, and will set out more details in due course.
Ensuring a decent foundation State Pension for pensioners is a priority for this Government. That is why we have set out our commitment to the Triple Lock, which will substantially improve outcomes for current and future pensioners.
There are already other benefits for those who are disabled, Attendance Allowance (AA) provides additional financial support towards the extra costs faced by those over State Pension age (SPa) with a severe disability who have care needs. It is neither means-tested, nor based on National Insurance contributions paid and recipients can choose how they wish to spend it.
Those already in receipt of Disability Living Allowance or Personal Independence Payment when they reach SPa can continue to receive those benefits. They are not obliged to switch to claiming AA.
Disability benefits open the door to additional amounts in means tested support, receipt of a disability benefit can provide a passport to additional amounts in means-tested benefits (notably Pension Credit and Housing Benefit) for those on low incomes and to Carer’s Allowance for the person providing care for them.
The Motability scheme is open to recipients of enhanced mobility Personal Independence Payment, higher rate mobility Disability Living Allowance, War Pensioner’s Mobility Supplement and Armed Forces Independence Payment.
Attendance Allowance does not have a mobility component for those whose needs arise after State Pension age. This is because it is expected that many older people will develop mobility issues as part of the ageing process. Eligible benefits such as DLA or PIP are awarded to individuals under pensionable age and, as long as entitlement conditions remain satisfied, the mobility component can continue to be paid beyond State Pension age.
There are no current plans to include Attendance Allowance as an eligible benefit for the Scheme.
The Government is committed to putting patients first. It is crucial that patients receive the right diagnostic tests, at the right time, in the right place.
The Elective Reform Plan, published in January 2025, commits to transforming and expanding diagnostic services and speeding up waiting times for tests, a crucial part of reducing overall waiting times and returning to the referral-to-treatment standard.
We have wasted no time in getting to work cutting National Health Service waiting lists and ensuring that people have the best possible experience during their care. We promised change, and we’ve delivered early, with a reduction in the waitlists of 160,000 pathways and over two million extra appointments provided, which includes diagnostic tests.
As part of a return to meeting performance standards, the Elective Reform Plan commits to continuing the roll out of the iRefer clinical decision support tool, which supports clinicians to facilitate appropriate diagnostic imaging referrals by using on-demand, real-time evidence-based guidance to improve health and healthcare delivery. This will support the reduction of diagnostic bias by promoting the ordering of the most clinically appropriate tests, especially for clinicians working in emergency medicine, and will reduce the number of unnecessary tests.
The Elective Reform Plan also commits to continuing the support for the education and training of clinicians, to support their development in independent clinical practice.
Very importantly, we know that biases in diagnostic services and other clinical services can lead to harm and worse patient outcomes. The Elective Reform Plan commits to reducing health inequalities by strengthening the accountability and oversight of providers addressing health inequalities in elective care, and by improving the reporting and monitoring of health inequalities and their impacts. This will support the NHS to better identify and address health inequalities.
It's vital that the National Health Service is there when people need it, and that symptoms are investigated to provide a diagnosis promptly, to enable treatment.
That is why we are committed to fixing the front door of the NHS and improving access to general practices (GPs). We are bringing back the family doctor, and incentivising continuity of care so that patients can see the same doctor at each appointment, which can play an important role in identifying and managing health conditions. Additionally, we have announced a proposed £889 million uplift to the GP Contract in 2025/26, the largest uplift in years, with a rising share of total NHS resources going to GPs. We are also currently consulting on key proposals to improve GP access and recruitment.
Cutting waiting lists for diagnostic tests is a key priority for the Government. It is unacceptable that some patients are waiting over six weeks for a diagnostic test. Our Elective Reform Plan, published in January 2025, builds on the investments already made with an ambitious vision for the future of diagnostic testing. This will include more straight-to-test pathways, increasing and expanding community diagnostic centres, and better use of technology.
Working with NHS England we continue to keep the selection process for all applicants to medical speciality training under review.
We are committed to ensuring that the number of medical specialty training places meets the demands of the National Health Service in the future. NHS England will work with stakeholders to ensure that any growth is sustainable and focused in the service areas where the need is greatest.
Working with NHS England we continue to keep the selection process for all applicants to medical speciality training under review.
We are committed to ensuring that the number of medical specialty training places meets the demands of the National Health Service in the future. NHS England will work with stakeholders to ensure that any growth is sustainable and focused in the service areas where the need is greatest.
Fracture Liaison Services are commissioned by integrated care boards, which make decisions according to local need. This includes the NHS South West London Integrated Care Board.
Officials continue to work closely with NHS England to explore a range of options to provide better quality and access to these important preventative services. This includes how best to support systems, who are responsible for commissioning.
The Falls and Fragility Fracture Audit Programme, which includes a dedicated Fracture Liaison Service database, is a national clinical audit of fracture prevention care, delivered by the Royal College of Physicians. This includes reporting on individual Fracture Liaison Services, and supporting local and national service improvement.
On 6 January 2025, NHS England published the new Elective Reform Plan, which sets out a whole system approach to hitting the 18-week Referral to Treatment target by the end of this Parliament. Further information on the Elective Reform Plan is available at the following link:
https://www.england.nhs.uk/publication/reforming-elective-care-for-patients/
Part of the plan sets out funding to boost bone density scanning capacity, to support improvements in early diagnosis and bone health for conditions such as osteoporosis. This will provide an estimated 29,000 extra scans per year.
As announced in the Get Britain Working white paper, we are delivering the joint Department for Work and Pensions, Department of Health and Social Care, and NHS England Getting It Right First-Time (GIRFT) Musculoskeletal (MSK) Community Delivery Programme. With a £3.5 million funding boost, GIRFT teams will deploy their proven Further Faster model to work with integrated care board leaders to further reduce MSK community waiting times, including for those with osteoporosis, and improve data, metrics, and referral pathways to wider support services.
The Government is taking action to improve the efficacy and efficiency of NHS Pathways across the health system.
The NHS Pathways clinical content and assessment protocols are consistent with the latest advice from the respected bodies that provide evidence and guidance for medical practice. In particular, NHS Pathways is concordant with the latest guidelines from the National Institute for Health and Clinical Excellence, the UK Resuscitation Council, and the UK Sepsis Trust.
The NHS Pathways Clinical Decision Support System (CDSS) is a triage product used to support urgent and emergency care in England, and is embedded in NHS 111 and 999 telephony service, and NHS 111 online. It is continuously reviewed to ensure it remains safe, effective, and efficient. The system is developed and maintained by a group of experienced National Health Service clinicians with an urgent and emergency care background. The safety of the clinical triage process is overseen by the Academy of Medical Royal Colleges and the relevant royal colleges, and clinical professional groups endorse and approve the CDSS.
The NHS triages patients waiting for elective care, including surgeries, through clinical prioritisation, ensuring the order in which patients are seen reflects clinical judgement on need as well as taking into account overall wait time.
The Government is taking action to improve efficacy and efficiency of NHS Pathways across the health system. The recently published Elective Reform Plan commits to reforming outpatient care through clinical pathway transformation. Reform will include doing more activity in the community and increasing the opportunities for patients to be referred straight to diagnostic tests without the need to first see a consultant, reducing unnecessary follow-up appointments and freeing up clinical time for those who need it most. The Elective Reform Plan also makes changes to advice and guidance to support more patients being cared for outside of hospitals, avoiding 800,000 unnecessary referrals each year.
The National Health Service contracts independent dental providers to deliver NHS dental treatment. Dentists must make clear which treatments can be provided on the NHS and which can only be provided on a private basis, and the costs associated for each. If a patient decides to choose alternative private options, this should be included in their treatment plan.
The Department and NHS England do not control the cost of private dental or orthodontic treatment.
The Government is committed to National Health Service dental services being available for all those who need them. Free NHS dental care is available to people who meet one of the following criteria:
Support is also available through the NHS Low Income Scheme for those patients who are not eligible for exemption or full remission of dental patient charges. Further information is available at the following link:
https://www.nhs.uk/nhs-services/dentists/who-is-entitled-to-free-nhs-dental-treatment-in-england/
NHS England’s Health and Justice Oversight Delivery Group is responsible for governance and oversight of delivery and continuous improvement in health and justice commissioned services.
NHS England, via the regional health and justice teams, has regular meetings with prison healthcare providers to ensure the quality of the services that are provided. These are also supplemented with local partnership boards, where governors, commissioners, and providers meet to discuss any issues, risks, and areas of concern.
NHS England also works closely with the Prisons and Probation Ombudsman to identify themes, trends, and learning from recommendations made as part of the investigations into deaths in custody, and also takes learning and insights around preventable events from preventing future deaths reports and commissioner-led complaints.
NHS England is undertaking a review of health and justice service specifications to ensure they remain fit for purpose in relation to patient needs, developments in health and justice, and the wider National Health Service. This review includes engagement with lived experience, commissioners, providers, clinical leads, partner organisations, and stakeholders, along with NHS England directorates. This review of service specifications may also provide opportunities for the improvement of the provision of services. It is expected that publication of the refreshed specifications will start in 2025, and will be fully complete by the end of March 2026.
Healthcare services at HMP Wandsworth underwent inspection, jointly undertaken by His Majesty’s Inspectorate of Prisons and the Care Quality Commission, in May 2024. The joint inspectorate noted that improvements had been made across the provision of healthcare since the last inspection. The full report is available at the following link:
https://hmiprisons.justiceinspectorates.gov.uk/hmipris_reports/hmp-wandsworth-3/
NHS England continues to monitor service provision and the quality of the healthcare service, meeting with the healthcare provider on a quarterly basis to discuss quality and assurance matters. Quality and assurance visits to the service are also taking place, attended by the Lead Commissioner and Clinical Quality Lead.
The UK National Screening Committee is currently reviewing the evidence surrounding breast density in screening.
Improving early diagnosis of cancer, including breast cancer, is a priority for NHS England. To support early detection and diagnosis, the National Health Service carries out approximately 2.1 million breast cancer screens each year in hospitals and mobile screening vans, usually in convenient community locations.
The UK National Screening Committee is currently reviewing the evidence surrounding breast density in screening.
Improving early diagnosis of cancer, including breast cancer, is a priority for NHS England. To support early detection and diagnosis, the National Health Service carries out approximately 2.1 million breast cancer screens each year in hospitals and mobile screening vans, usually in convenient community locations.
As part of the NHS Breast Screening Programme, S07b is the ‘screening standard’ whereby ‘incident screens’, that is any subsequent breast screen after first screen, are referred for further assessment.
NHS England has advised that there is expected to be an initial light touch review of the breast screening standards by the end of March 2025, with a full review of all standards in screening year 2025/6. During the full review in 2025/26, the programme performance in ‘percentage referrals to assessment’ will be reviewed to determine whether the acceptable and achievable limits should be changed.
However, increasing the thresholds for this standard, will mean that the number of women referred for follow up tests, namely biopsy, mammograms, and ultrasound, will increase, many of whom will have no cancer. Screening programmes must continue to maximise benefit while minimising harm.
Lord Darzi’s report has set out the scale of the challenges we face in fixing the National Health Service and the need to improve cancer waiting time performance and cancer survival, including for breast cancer. In particular, he has highlighted the need to improve the number of patients starting their treatment within 62 days of referral and to increase the number of patients diagnosed at an earlier stage.
The Government is committed to meeting all three NHS cancer waiting time standards across England within the next five years. Meeting these will ensure no patient waits longer than they should for diagnosis or treatment.
The NHS Breast Screening Programme offers all women in England from 50 years old up to their 71st birthday the opportunity to be screened every three years for breast cancer, to help detect abnormalities and intervene early to reduce the number of lives lost to invasive breast cancer.
NHS England has also developed a national plan in collaboration with key stakeholders such as cancer alliances to improve uptake within the breast screening programme. The plan sets out the priorities, interventions and monitoring of impact and outcomes to be achieved to improve uptake through: Expanding access, data and analytics, reducing inequalities, contracting, communication and IT developments.
The UK Heath Security Agency (UKHSA) provided expertise in local health protection and environmental hazards to support the response to this incident.
UKHSA engaged with other stakeholders, including the London Fire Brigade and the Environment Agency, as well as the Directors of Public Health for both the London Borough of Wandsworth and the London Borough of Merton. UKHSA assessed the impacts on air quality to inform health advice for residents, and remained involved with the incident until the fire was extinguished.
The Department has been working hard with industry and NHS England to help resolve supply issues with some attention deficit hyperactivity disorder (ADHD) medicines, which are affecting the United Kingdom and other countries around the world. As a result of intensive work, some issues have been resolved. All strengths of lisdexamfetamine, atomoxetine capsules, and guanfacine prolonged-release tablets are now available.
We are continuing to work to resolve medicine supply issues, where they remain, for some strengths of methylphenidate. We are engaging with all suppliers of methylphenidate prolonged-release tablets to assess the challenges faced, and their actions to address them. We are also directing suppliers to secure additional stocks, expedite deliveries where possible, and review plans to further build capacity to support continued growth in demand for the short and long-term. It is anticipated the methylphenidate supply issues will be resolved by October 2024.
In parallel, the Department has worked with specialist clinicians, including those within the National Health Service, to develop management advice for the NHS clinicians to consider prescribing available alternative brands of methylphenidate prolonged release tablets. We would expect ADHD service providers and specialists to follow our guidance to offer rapid response to primary care teams seeking urgent advice or opinion for the management of patients, including those known to be at a higher risk of adverse impact because of these shortages.
To aid ADHD service providers and prescribers further, we have widely disseminated our communications and continually update a list of currently available and unavailable ADHD products on the Specialist Pharmacy Service website, helping ensure that those involved in the prescribing and dispensing of ADHD medications can make informed decisions with patients. Further information is available at the following link:
https://www.sps.nhs.uk/articles/prescribing-available-medicines-to-treat-adhd/
We replied to the hon. Member’s letter on 16 September 2024. We apologise for the delay in replying, as this was due to Conference.
There are no current plans to review the list of medical conditions that entitle someone to apply for a medical exemption certificate. Approximately 89% of prescription items are dispensed free of charge in the community in England, and there are a wide range of exemptions from prescription charges already in place for which those with asthma 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, 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. Prescription prepayment certificates (PPCs) are also available. PPCs allow people to claim as many prescriptions as they need for a set cost, with three month and 12-month certificates available, and PPCs can be paid for in instalments.
We have repeatedly condemned Taliban restrictions on women and girls' rights, including through UN Security Council and Human Rights Council resolutions. As the Foreign Secretary has said, exclusion of women from all aspects of public life is a tragic setback for Afghanistan. Officials from the Doha-based UK Mission to Afghanistan continue to press Taliban acting ministers and Afghan officials on human rights abuses in Afghanistan, including the most recent ban on female medical education. Our current £161 million aid programme provides vital life-saving support to the country's most vulnerable people, including access to healthcare and education. We are committed that at least 50 percent of people reached with UK aid in Afghanistan will be women and girls.
HM Revenue and Customs (HMRC) estimates the size of the tax gap, which is the difference between the amount of tax that should, in theory, be paid to HMRC, and what is actually paid. The tax gap statistics are published annually. The latest estimates are available at: Measuring tax gaps 2024 edition: tax gap estimates for 2022 to 2023 - GOV.UK (www.gov.uk).
In the tax year 2022 to 2023 the tax gap for Corporation Tax gap was 13.9% of the total theoretical Corporation Tax liability, or £13.7 billion in absolute terms. The amount of the Corporation Tax gap in 2022 to 2023 due to evasion is estimated to be around £2.9 billion, and due to avoidance, around £1.0 billion.
HM Revenue and Customs’ (HMRC) Large Business team manages the tax compliance of the UK’s 2,000 largest businesses through a resource intensive Customer Compliance Manager (CCM) model because their tax at stake, their size and complexity mean that this is the most cost-effective way of ensuring they pay the right amount of tax. This approach is in line with international best practice on cooperative compliance.
CCMs are senior, highly trained compliance professionals, who lead teams of skilled specialists to scrutinise HMRC’s large business customers. This gives an in-depth knowledge of the business and the economic and commercial environment in which it operates, its appetite for tax planning and its internal governance, which allows HMRC to effectively identify and tackle tax compliance risk and ensure the right amount of tax is paid.
The UK Tax Gap in 2022 to 2023 (Measuring Tax Gaps 2024 Edition) was £39.8bn or 4.8% of total theoretical tax liabilities. The element of the Tax Gap relating to large businesses in 2022 to 2023 was £4.3bn (or 0.5% of the UK’s total theoretical liabilities) decreasing from £7.4bn (or 1.7% of the UK’s total theoretical liabilities) in 2005 to 2006. Whilst the UK tax gap for large businesses remains low (the latest figures showing this customer segment pays over 99% of its theoretical liabilities), HMRC continues to take a risk-based approach, focusing resources to close the Tax Gap.
HMRC subjects large businesses to an exceptional level of scrutiny, investigating around half of the UK’s largest businesses at any given time
As of 31 March 2024, HMRC’s tax under consideration for large businesses was £44.9 billion. Tax under consideration is an estimate of the amount at stake in open enquiries, which demonstrates that HMRC is very actively challenging large businesses on tax that may be due.
During 2023 to 2024, by effectively policing the tax rules as they apply to large businesses, HMRC successfully achieved compliance yield of £11.4bn
Eligibility is assessed on a per person rather than per household basis because the application is made by the individual, it aligns to the existing boundary in the tax system and means there is no incentive for the lower earner in the household to reduce their income in order to be eligible. The eligibility criteria are kept under review.
The Equitable Life Payment Scheme has been fully wound down and closed since 2016, and there are no plans to reopen any decisions relating to the Payment Scheme or review the £1.5 billion funding allocation previously made to it. Further guidance on the status of the Payment Scheme after closure is available at: https://www.gov.uk/guidance/equitable-life-payment-scheme#closure-of-the-scheme.