Rosena Allin-Khan

For too long, investment has not kept pace with the challenges of an ageing infrastructure system, a rapidly growing population and climate change. Bills will therefore now need to rise to invest in our crumbling infrastructure and deliver cleaner waterways.

Ofwat’s five-yearly ‘price review’ sets the price, investment and service package for water companies in England and Wales. Ofwat published their final determinations for Price Review 2024 on 19 December, which sets company expenditure and customer bills for 2025-2030. This will deliver substantial, lasting, improvements for customers and the environment through a £104bn upgrade for the water sector.

Government expects water companies to put robust support in place for customers that are struggling to pay their bills. These include bill discount schemes such as WaterSure and Social Tariffs as well as financial support measures to assist households to better manage their budgets and provide flexible payments including payment holidays, payment matching, benefit entitlement checks and money/debt advice referral arrangements.

The Government expects industry to keep the current support schemes under review to ensure that vulnerable customers across the country are supported. Bills must remain affordable, and customers cannot be expected to pay the price for years of underperformance in the past.

For too long, investment has not kept pace with the challenges of an ageing infrastructure system, a rapidly growing population and climate change. Bills will therefore now need to rise to invest in our crumbling infrastructure and deliver cleaner waterways.

Ofwat’s five-yearly ‘price review’ sets the price, investment and service package for water companies in England and Wales. Ofwat published their final determinations for Price Review 2024 on 19 December, which sets company expenditure and customer bills for 2025-2030. This will deliver substantial, lasting, improvements for customers and the environment through a £104bn upgrade for the water sector.

Government expects water companies to put robust support in place for customers that are struggling to pay their bills. These include bill discount schemes such as WaterSure and Social Tariffs as well as financial support measures to assist households to better manage their budgets and provide flexible payments including payment holidays, payment matching, benefit entitlement checks and money/debt advice referral arrangements.

The Government expects industry to keep the current support schemes under review to ensure that vulnerable customers across the country are supported. Bills must remain affordable, and customers cannot be expected to pay the price for years of underperformance in the past.

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.

The Government is committed to supporting disabled people and people with health conditions, including people with mental health conditions, with their employment journey. Appropriate work is generally good for health and wellbeing, so we want everyone to get work and get on in work, whoever they are and wherever they live. The Government announced an 80% employment rate ambition in the Getting Britain Working White Paper.

Disabled people and people with health conditions are a diverse group so access to the right work and health support, in the right place, at the right time, is key. My department therefore is investing in a range of support for individuals to help them stay in work and get back into work, including several that join up employment and health systems.

Additional Work Coach Support, delivered through our Jobcentres, provides disabled people and people with health conditions, including mental health conditions, with increased one-to-one personalised support from their work coach to help them move towards, and into, work. Support is now available in all Jobcentres across England, Scotland and Wales. This rollout has been informed by trialling in Jobcentres. This personalised support from Work Coaches aims to enable disabled people and people with health conditions, to access employment, wider support including our employment programmes earlier.

Work coaches receive specialist support from Disability Employment Advisers on how to tailor their support to help disabled customers move closer or into the labour market. Disability Employment Advisers can also offer “direct support” to disabled people and those with long-term health conditions, including mental health conditions, where additional bespoke support would benefit the customer. We will continue to ensure that every Work Coach has access to support from a Disability Employment Adviser.

The Access to Work Scheme provides grant funding to disabled people, as well as those with a health condition. The grant supports workplace adjustments that go beyond what would normally be expected from an employer through their duty to provide reasonable adjustments as outlined in the Equality Act 2010. The Scheme also includes the Mental Health Support Service which provides up to nine months of non-clinical support for people who need additional help with their wellbeing while in employment. In 2023/24, 49,920 people were in receipt of a payment for an Access to Work element. Of those, 14,310 (29%) received one or more payments for the Mental Health Support Service element in the same period.

Work in partnership between the DWP and health systems, currently includes Individual Placement and Support in Primary Care (IPSPC) a Supported Employment programme (using the place, train and maintain model) delivered in primary care settings and is aimed at people with physical or common mental health disabilities, both out of work who need help into work, and those needing support with their health issues to stay in work. IPSPC is integrated with an individual’s normal health treatment encouraging recognition of employment as an important driver of an individual’s health and wellbeing. We will be bringing this approach to all areas of England and Wales through the roll out of the Connect to Work Programme which will support 100,000 people a year from 2026/27. This complements the delivery of Individual Placement and Support for Severe Mental Illness which is delivered in secondary mental health services by the NHS in England.

The Employment Advice in Talking Therapies programme combines the expertise of therapists and employment advisers to give those with mental health conditions the support they need to find work tailored to them. Employment Advisors support patients in NHS Talking Therapies irrespective of their employment or benefit status. People who are looking for work will be supported to improve the quality of their CVs, complete application forms and improve the quality of their performance in interviews. If the client wishes, Employment Advisors can also work with NHS Talking Therapies clients and their employers to support returns to work following mental health-related absences. This could include suggesting coping mechanisms empowering clients to have better conversations with their colleagues or manager, or through suggesting workplace reasonable adjustments or a graduated return to work.

WorkWell sites went live in 15 areas across England from October 2024, providing low intensity holistic support for health-related barriers to employment, and a single joined up gateway to existing local work and health service provision. Each area designs and delivers an integrated work and health support offer, that brings together partnerships between Integrated Care Boards, local government, Jobcentres and community partners, including mental health services. People can be referred via their GP, Jobcentre, via other local services or can self-refer. By Spring 2026, WorkWell is expected to support up to 56,000 disabled people and people with health conditions, including mental health conditions, to get into work or get on at work.

Furthermore, in March we announced in the Pathways to Work Green Paper that we would establish a new guarantee of support for all disabled people and people with health conditions claiming out of work benefits who want help to get into or return to work, backed up by £1 billion of new funding.

As the Green Paper notes, we are keen to engage widely on the design of this guarantee and the components needed to deliver it. To get this right, we will be seeking input from a wide range of stakeholders including devolved governments, local health systems, local government and Mayoral Strategic Authorities, private and voluntary sector providers, employers and potential users. We will confirm further details in due course after we have completed our consultation process.

The Government is committed to supporting disabled people and people with health conditions, including people with mental health conditions, with their employment journey. Appropriate work is generally good for health and wellbeing, so we want everyone to get work and get on in work, whoever they are and wherever they live. The Government announced an 80% employment rate ambition in the Getting Britain Working White Paper.

Disabled people and people with health conditions are a diverse group so access to the right work and health support, in the right place, at the right time, is key. My department therefore is investing in a range of support for individuals to help them stay in work and get back into work, including several that join up employment and health systems.

Additional Work Coach Support, delivered through our Jobcentres, provides disabled people and people with health conditions, including mental health conditions, with increased one-to-one personalised support from their work coach to help them move towards, and into, work. Support is now available in all Jobcentres across England, Scotland and Wales. This rollout has been informed by trialling in Jobcentres. This personalised support from Work Coaches aims to enable disabled people and people with health conditions, to access employment, wider support including our employment programmes earlier.

Work coaches receive specialist support from Disability Employment Advisers on how to tailor their support to help disabled customers move closer or into the labour market. Disability Employment Advisers can also offer “direct support” to disabled people and those with long-term health conditions, including mental health conditions, where additional bespoke support would benefit the customer. We will continue to ensure that every Work Coach has access to support from a Disability Employment Adviser.

The Access to Work Scheme provides grant funding to disabled people, as well as those with a health condition. The grant supports workplace adjustments that go beyond what would normally be expected from an employer through their duty to provide reasonable adjustments as outlined in the Equality Act 2010. The Scheme also includes the Mental Health Support Service which provides up to nine months of non-clinical support for people who need additional help with their wellbeing while in employment. In 2023/24, 49,920 people were in receipt of a payment for an Access to Work element. Of those, 14,310 (29%) received one or more payments for the Mental Health Support Service element in the same period.

Work in partnership between the DWP and health systems, currently includes Individual Placement and Support in Primary Care (IPSPC) a Supported Employment programme (using the place, train and maintain model) delivered in primary care settings and is aimed at people with physical or common mental health disabilities, both out of work who need help into work, and those needing support with their health issues to stay in work. IPSPC is integrated with an individual’s normal health treatment encouraging recognition of employment as an important driver of an individual’s health and wellbeing. We will be bringing this approach to all areas of England and Wales through the roll out of the Connect to Work Programme which will support 100,000 people a year from 2026/27. This complements the delivery of Individual Placement and Support for Severe Mental Illness which is delivered in secondary mental health services by the NHS in England.

The Employment Advice in Talking Therapies programme combines the expertise of therapists and employment advisers to give those with mental health conditions the support they need to find work tailored to them. Employment Advisors support patients in NHS Talking Therapies irrespective of their employment or benefit status. People who are looking for work will be supported to improve the quality of their CVs, complete application forms and improve the quality of their performance in interviews. If the client wishes, Employment Advisors can also work with NHS Talking Therapies clients and their employers to support returns to work following mental health-related absences. This could include suggesting coping mechanisms empowering clients to have better conversations with their colleagues or manager, or through suggesting workplace reasonable adjustments or a graduated return to work.

WorkWell sites went live in 15 areas across England from October 2024, providing low intensity holistic support for health-related barriers to employment, and a single joined up gateway to existing local work and health service provision. Each area designs and delivers an integrated work and health support offer, that brings together partnerships between Integrated Care Boards, local government, Jobcentres and community partners, including mental health services. People can be referred via their GP, Jobcentre, via other local services or can self-refer. By Spring 2026, WorkWell is expected to support up to 56,000 disabled people and people with health conditions, including mental health conditions, to get into work or get on at work.

Furthermore, in March we announced in the Pathways to Work Green Paper that we would establish a new guarantee of support for all disabled people and people with health conditions claiming out of work benefits who want help to get into or return to work, backed up by £1 billion of new funding.

As the Green Paper notes, we are keen to engage widely on the design of this guarantee and the components needed to deliver it. To get this right, we will be seeking input from a wide range of stakeholders including devolved governments, local health systems, local government and Mayoral Strategic Authorities, private and voluntary sector providers, employers and potential users. We will confirm further details in due course after we have completed our consultation process.

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 creating a more inclusive society where autistic people are supported to thrive.

The Department is taking action to increase awareness and understanding of autism within health and adult social care services. From 1 July 2022, service providers registered with the Care Quality Commission are required to ensure their staff receive learning disability and autism training appropriate to their role, as set out in the Health and Care Act 2022. To support this, we are rolling out the Oliver McGowan Mandatory Training on Learning Disability and Autism. Over two million people have now completed the e-learning module, which is the first part of the training.

The Government has also committed to raising awareness of all forms of neurodiversity, including autism, in the workplace. An independent panel made of academics with expertise and experiences of neurodiversity, including autism, has been launched to advise the Government on fostering more inclusive workplaces. This will build on the recommendations outlined in the Buckland Review of Autism Employment, which related solely to autism.

The panel will advise employers and ministers on boosting neurodiversity awareness and inclusion at work, including for autistic people. The panel will consider mechanisms for change, making recommendations in the summer.

Data on new birth health visitor reviews is officially recorded and published annually. In 2023/24, the most recent annual data available, 97.8% of newborns received a health visitor review within 30 days following birth, a statistic stable from the previous year. The same data shows that 81.8% of newborns received a six to eight week health visitor review by week eight, which is 2.2% higher than 2022/23, but 3.3% lower than the comparable figure from 2019/20. Meanwhile, 86.5% of children received a 12-month health visitor review by month 15. This 12-month review figure represents an increase of 3.9% from 2022/23. It also represents a 2.9% increase from 2019/20.

The Government laid out its commitment to strengthen health visiting services in the Plan for Change.

National Health Service mental health services can support adults who have experienced trauma as a result of childhood abuse.

The Government has chosen to prioritise funding to deliver expansions of NHS Talking Therapies. These offer well-governed, evidence-based, and effective psychological therapy services for common mental health problems, including depression, anxiety disorders, and post-traumatic stress reactions. These services are available in every integrated care system through self-referral.

NHS Talking Therapies consistently meet the existing waiting time standards, which state that 75% of referrals should be seen within six weeks, and 95% of referrals should be seen within 18 weeks. NHS Talking Therapies continue to expand to deliver additional courses of treatment and to increase the number of sessions available. It is expected that an additional 384,000 people will access treatment by 2028/29.

Guidance published by the National Institute for Health and Care Excellence recommends that individuals with post-traumatic stress disorder should receive high-intensity interventions from the outset. The recent expansion focuses on the high-intensity workforce within NHS Talking Therapies, who receive training on how to support individuals impacted by abuse. This workforce includes therapists trained in trauma focussed Cognitive Behavioural Therapy and Eye Movement Desensitization and Reprocessing for Post Traumatic Stress Disorder.

National Health Service mental health services can support adults who have experienced trauma as a result of childhood abuse.

The Government has chosen to prioritise funding to deliver expansions of NHS Talking Therapies. These offer well-governed, evidence-based, and effective psychological therapy services for common mental health problems, including depression, anxiety disorders, and post-traumatic stress reactions. These services are available in every integrated care system through self-referral.

NHS Talking Therapies consistently meet the existing waiting time standards, which state that 75% of referrals should be seen within six weeks, and 95% of referrals should be seen within 18 weeks. NHS Talking Therapies continue to expand to deliver additional courses of treatment and to increase the number of sessions available. It is expected that an additional 384,000 people will access treatment by 2028/29.

Guidance published by the National Institute for Health and Care Excellence recommends that individuals with post-traumatic stress disorder should receive high-intensity interventions from the outset. The recent expansion focuses on the high-intensity workforce within NHS Talking Therapies, who receive training on how to support individuals impacted by abuse. This workforce includes therapists trained in trauma focussed Cognitive Behavioural Therapy and Eye Movement Desensitization and Reprocessing for Post Traumatic Stress Disorder.

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.