Written questions by Coghlan.

Whether he is taking steps to attract health workers to (a) train for and (b) work in community pharmacies.

As private employers, community pharmacies are responsible for the recruitment and retention of staff. The Department and NHS England also provides support and funding for initial education and training, apprenticeships, and upskilling staff to develop knowledge and skills and deliver better and safer care to patients and the public.NHS England and the General Pharmaceutical Council have been working with education providers to increase pharmacy training places. Recent announcements include the establishment of new schools of pharmacy at Plymouth University, Teesside University, the University of Leicester, and Bangor University, which will improve training opportunities and build resilience in these areas.The Government will make sure the National Health Service has the staff it needs to be there for all of us when we need it. We have launched a 10-Year Health Plan to reform the NHS. A central part of the 10-Year Health Plan will be our workforce and how we ensure we train and provide the staff, technology, and infrastructure the NHS needs to care for patients across our communities.In summer 2025, 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.

Communities and Local Government, what steps her Department plans to take to ensure that there is adequate provision for affordable social housing for elderly.

I refer the hon. Member to my answer to Question UIN 11383 on 31 October 2024.

Communities and Local Government, whether she has made an assessment of the potential merits of ensuring sheltered accommodation and social housing for the elderly are built in a community based setting.

The government recognises that well-designed, suitable housing can help improve the quality of life, health and wellbeing of older people.A range of highly regarded sector-led expert guidance on best practice in the development and design of housing for older people is already available, including the Housing our Ageing Population Innovation Panel (HAPPI) design principles and the Lifetime Homes Standard.This year, the government will publish a long-term housing strategy which will set out our vision for a housing market that works for all age groups, including older people.

What steps she is taking to help schools identify children who need SEND education within the school system.

The department knows that children’s early years are crucial to their development, health and life chances, and we recognise the importance of the early identification of needs to ensure the right support is put in place as early as possible to ensure children with special educational needs and disabilities (SEND) and emerging special educational needs can get the best start in life.The department is working as quickly as possible to ensure every child has the best chance in life, by prioritising early intervention and inclusive provision in mainstream settings.The department knows that early intervention prevents unmet needs from escalating, and that it supports children and young people to achieve their goals alongside their peers. That is why we are currently funding three specific early intervention programmes:The Partnerships for Inclusion of Neurodiversity in Schools (PINS) programme.The Nuffield Early Language Intervention (NELI) programme.The Early Language and Support for Every Child (ELSEC) pathfinders.The PINS programme deploys specialists from both health and education workforces to strengthen training and resources for school staff to identify and meet the needs of neurodiverse children. It will upskill around 1,600 (10%) mainstream primary schools by March 2025.11,100 schools are registered for the NELI programme, which has improved the speech and language skills of an estimated 211,700 children aged 4 to 5 between September 2020 and July 2024.Over 640,000 primary school children have been screened to identify those with language development difficulties.Evaluation of NELI shows the programme improved the development of oral language skills by 4 months’ progress for pupils receiving the intervention. Children eligible for free school meals (FSM) made 7 months additional progress compared to children eligible for FSM that did not receive the intervention.In partnership with NHS England, we are funding the ELSEC pathfinders within our SEND and alternative provision Change Programme.When a child is aged between two and three, educators must review their progress and provide parents and / or carers with a short, written summary of their child’s development in the prime areas, known as the EYFS progress check at age 2. It highlights areas in which a child is progressing well, where additional support might be needed and describes the strategies the educator intends to adopt to address any concerns.The progress check at age two and the Healthy Child Programme review both offer opportunities to identify additional needs for children aged two to three and to work in partnership with parents or carers and relevant professionals.This is funding nine joint Integrated Care Boards and local area partnerships within each of our Change Programme Partnerships to trial new ways of working to better identify and support children with speech, language and communication needs in early years and primary schools, utilising pre-qualification Therapy Support Assistants. The interim report is due in February 2025, but areas like Barnet have already supported over 1000 children through their ELSEC universal and targeted offer.

What steps she is taking to help children from SEND schools into (a) work and (b) further education.

This government is committed to ensuring that all learners have access to a world-class education that sets them up for life and supports them to achieve positive outcomes.The department knows that with the right preparation and support, the overwhelming majority of young people with special educational needs and disabilities (SEND) are capable of sustained, paid employment. All professionals working with them should share that presumption, and should provide the career advice and support that help young people to progress in their education, to develop the skills and experience and achieve the qualifications, that they need to succeed in their careers.The department supports schools and college careers leaders, including special schools, to develop high-quality careers programmes, including careers advice, for children, young people and young adults with SEND and put in place a personalised support and transition plan. The programmes use a wide range of imaginative approaches, such as taster opportunities, work experience, mentoring, exploring entrepreneurial options, role models and inspiring speakers that are crucial to raise aspirations and broaden employment horizons helping young people transition to work or further training.As part of the commitment to developing the skills children and young people with SEND need as they move into adult life, the department is building capacity in supported internships, aiming to double the number of internships each year to around 4,500 to support more young people with education, health and care plans to gain the skills to transition into employment.

Food and Rural Affairs, if he will take steps to help reduce the cost of groceries.

This Government cares deeply about the cost of living and food security; therefore, it closely monitors food prices and the factors impacting them. After a period of high inflation experienced during 2022 and 2023, with a peak at over 19% in March 2023, year-on-year food price inflation (based on ONS CPI data) has been at or below 2% since May 2024. In 2025 food price inflation is expected to remain positive, with current industry forecasts indicating an average rate of 3.4% for 2025. Defra regularly engages with supermarkets and producers about a number of issues, including to explore the range of measures they can take to ensure the availability of affordable food. For example, by maintaining value ranges, price matching and price freezing measures. However, it is not for HM Government to set retail food prices nor to comment on day-to-day commercial decisions by companies. It is for each individual food retailer to take the commercial decision around which products they sell in their stores. This Government is committed to ensuring that everyone in Great Britain and Northern Ireland can access nutritious and fairly priced food. To further support struggling families, £1 billion, including Barnett impact, will be invested to extend the Household Support Fund in England by a full year until 31 March 2026, on top of the six months already announced, and to maintain Discretionary Housing Payments in England and Wales. To support people with the cost of living we are tripling investment in breakfast clubs to over £30 million, introducing a Fair Repayment Rate for deductions from Universal Credit, and increasing the National Living Wage, boosting the pay of 3 million workers.

How many children are waiting for a SEND school placement in (a) Surrey and (b) Dorking and Horley constituency.

The department does not hold information on how many children are waiting for a special educational needs and disabilities (SEND) school placement. Surrey County Council will be best placed to provide this information.Local authorities must ensure there are sufficient school places for all pupils, including children and young people with SEND. The Children and Families Act 2014 requires local authorities to keep the provision for children and young people with SEND under review (including its sufficiency), working with parents, young people, and providers.

What steps she is taking to open more SEND schools in (a) Surrey and (b) Dorking and Horley constituency.

We know that many children and young people with special educational needs and disabilities (SEND) struggle to find a suitable school placement that is close to their home and meets their needs. This government is committed to addressing this by improving inclusivity and expertise in mainstream schools, as well as ensuring special schools cater to children and young people with the most complex needs.The department wants more children and young people to receive the support they need to thrive in their local mainstream school, reducing the need for pupils to travel a long way to access a specialist placement. Many mainstream settings are already going above and beyond to deliver specialist provision locally, including through resourced provision and special educational needs (SEN) units.However, the department remains committed to ensuring special schools play a vital role in supporting those pupils with the most complex needs. The Children and Families Act 2014 requires local authorities to ensure there are sufficient school places for all pupils, including those with SEN. If a local authority identifies a shortage of special school places, resulting in a significant number of pupils needing to travel a long way to access a placement, they could consider creating or expanding provision.The department supports local authorities to provide suitable school places for children and young people with SEND through annual high needs capital funding. In December, we announced £740 million for high needs capital in 2025/26 to support children and young people with SEND or who require alternative provision. This can be used to deliver new places in mainstream and special schools, as well as other specialist settings. It can also be used to improve the suitability and accessibility of existing buildings. It will start to pave the way for the government’s wide-ranging long-term plans for reform to help more pupils with SEND to have their needs met in mainstream schools.In Surrey, work is continuing on two previously announced special schools: Betchwood Vale, which is in the Dorking and Horley constituency, and Frimley Oak. As with all government investment, special and alternative provision free school projects will be subject to value for money consideration through their development, in line with the government’s vision for the SEN system.A new special school, Hopescourt School, opened in Walton-on-Thames in September 2024, delivered by Surrey County Council, with support from the department. It created 77 school places in its first year of opening, increasing to 200 at full capacity, as an ‘all-through school’.

What steps she is taking to train staff in the provision of SEND education.

The within school factor that makes the biggest difference to a young person’s educational outcome is high-quality teaching. Supporting expert teachers is therefore critical to the government’s mission to break down barriers to opportunity and boost the life chances for every child.All teachers are teachers of special education needs and disabilities (SEND), and the department is committed to ensuring that all pupils receive excellent support from their teachers.The Teachers’ Standards set clear expectations that teachers must understand the needs of all pupils, including those with SEND.Our recruitment and retention reforms will support all teachers. Consideration of SEND underpins both the Initial Teacher Training (ITT) and early career framework (ECF), and they have been designed around how to support all pupils to succeed.We recently reviewed the mandatory ITT core content framework alongside the ECF and the new framework includes significantly more content related to adaptive teaching and supporting all pupils with SEND.Headteachers use their professional judgement to identify any further training, including specific specialisms, for individual staff that is relevant to them, the school, and its pupils.All mainstream schools must have a special educational needs co-ordinator (SENCO) who must be a qualified teacher, or the head teacher, working at the school. On 1 September 2024, the department introduced a new mandatory leadership level National Professional Qualification (NPQ) for SENCOs. The NPQ will play a key role in improving outcomes for children and young people with SEND by ensuring SENCOs consistently receive high-quality, evidence-based training.To further support the needs of pupils and students with SEND, the department has funded the Universal Services programme, backed by almost £12 million. It brings together SEND-specific continuing professional development and support for schools and the further education workforce so that the needs of children and young people with SEND are met earlier and more effectively.

What steps she plans to take to reduce gilt rates.

The government issues debt to the market, and the price of government debt is determined by the market. The government does not comment on specific financial market movements. Gilt yields are determined by a wide range of international and domestic factors, and it is normal for the yields of gilts to fluctuate when there are wider movements in the global financial markets.

Food and Rural Affairs, whether his Department (a) monitors and (b) tracks sewage discharge into (i) rivers and (ii) seas by (A) location and (B) water company.

Since 01 January 2025, water companies are required to publish data related to discharges from all storm overflows within one hour of the discharge beginning (under section 141DA of the Water Industry Act 1991 as inserted by section 81 of the Environment Act 2021). Data must be published in a way that is accessible to the public and in a form that allows the public readily to understand it. This includes providing information on the location and operating water company of each storm overflow. To support this, Water UK have launched a central hub that provides discharge data of every storm overflow in England on a single website. This has created an unprecedented level of transparency, enabling the public and regulators to see where, and how often, overflows are discharging, and to hold water companies to account. In addition to this, the Water (Special Measures) Bill will introduce a duty for water companies to publish data related to discharges from all emergency overflows within one hour of the discharge beginning. This will ensure that every sewage discharge outlet is monitored.

What information her Department holds on what (a) oversight and (b) scrutiny there is over Surrey County Council's education department.

In terms of educational performance of schools maintained by local authorities, the department exercises oversight of the performance of schools, informed by Ofsted’s inspections, rather than of local authority education departments. The department’s support and intervention guidance sets out the roles and responsibilities of my right hon. Friend, the Secretary of State for Education, and local authorities in relation to school performance. It sets out expectations about how the local authorities will work with the department to support underperforming schools.In relation to special educational needs and disabilities (SEND) service delivery, the department and NHS England have been supporting local areas to improve for a number of years. This includes monitoring, support and challenge following an inspection by Ofsted and the Care Quality Commission that identifies areas for improvement.Surrey’s most recent local area SEND inspection was in September 2023 and found that the local area partnership’s arrangements lead to inconsistent experiences and outcomes for children and young people. The department, working alongside NHS England, has put in place systems to track the progress that the Surrey Partnership is making against these areas for improvement and offer support. For example, the department has appointed a SEND advisor who will continue to provide support and advice to the local authority as they make improvements.

Food and Rural Affairs, how his Department plans to ensure that sewage treatment facilities (a) in Horley and (b) nationally are upgraded according to agreed timescales.

For Price Review 2024 (PR24), which runs from 2025 – 2030, water companies will be delivering record levels of investment: £104 billion over the next five years. Ofwat, Environment Agency (EA) and Natural Resources Wales have developed a new Delivery Monitoring Framework for the delivery period from 2025-30. It will establish a system for tracking and reporting on water company delivery of their WINEP obligations, to report to their customers and regulators on progress. Thames Water will be expected to comply with the 6 monthly reporting requirements. As part of the Environment Act 2021, water companies in England are required to produce Drainage and Wastewater Management Plans (DWMPs). DWMPs set out how a water company intends to improve their drainage and wastewater systems over the next 25 years. These plans will help sewerage companies to fully assess the capacity of the drainage and wastewater network and develop collaborative solutions to current problems and future issues.

Communities and Local Government, whether she has made an assessment of the potential impact of her policies on house-building on house prices.

The effects of housing undersupply can be seen in affordability and rent pressures. That is precisely why the government’s Plan for Change includes an ambitious milestone of delivering 1.5 million safe and decent homes in this Parliament and why we remain committed to delivering the biggest increase in social and affordable housebuilding in a generation. We continue to review the impacts of our policies on a range of outcomes as they develop.

What steps he is taking to improve access to cardiac screening for young people who take part in sports and exercise.

The UK National Screening Committee (UK NSC) last reviewed screening for sudden cardiac death (SCD) in people under the age of 39 years old in 2019, and concluded that screening should not be offered. Further information is available at the following link:https://view-health-screening-recommendations.service.gov.uk/sudden-cardiac-death/Research showed that current tests are not accurate enough to use in young people without symptoms, and that treatments and interventions were not based on good scientific evidence to prevent SCD.To stop SCDs in young people, the current consensus is to focus on rapid identification and care of people who are likely to be at risk of SCD due to a family link or because they have had symptoms, and to train people to carry out cardiopulmonary resuscitation and to use defibrillators.NHS England has published guidance for inherited cardiac conditions which requires services to investigate patients with previously undiagnosed cardiac disease, suggestive symptoms, or patients from families with sudden unexplained deaths. Where a genetic variation is identified, cascade testing is offered to relatives based on risk.We are aware that the UK NSC has received a submission via its annual call process to consider SCD screening in young people aged 14 to 35 years old engaging in sport. The UK NSC is currently reviewing all annual call proposals. Further information on the annual call process is available at the following link:https://www.gov.uk/government/publications/uk-nsc-annual-call-submitting-a-screening-proposal/uk-nsc-annual-call-how-to-submit-a-proposal

What steps she plans to take to improve consumer protections for air travel.

The UK already has a Regulatory framework to protect air passenger rights, including during disruptions such as cancellations and delays, and for disabled and less mobile passenger. The Department for Transport will continue to consider options for strengthening air passenger rights; working with industry, stakeholders and the Civil Aviation Authority (CAA) to ensure consumers continue to have a high level of protection whilst travelling by air. The Department for Transport launched the Aviation Accessibility Task and Finish Group in November. It brings together industry experts and consumer representatives to identify practical and achievable actions to improve aviation accessibility. Furthermore, the Department for Transport is continuing work with the CAA exploring how the Air Travel Organisers’ Licensing (ATOL) scheme should operate in the future to continue to provide valued protection for consumers.

If he will make an assessment of the potential merits of support for (a) householders and (b) businesses to mitigate of the costs of net zero transition.

To reach net zero requires a wide-reaching transformation of the UK economy, which brings with it incredible opportunity for jobs and growth across the country. It will attract investment into our communities and help support new jobs. Accelerating to net zero will unlock a range of benefits for businesses, including new market opportunities, access to green finance and reduced energy bills. We support the UK Business Climate Hub which provides advice to support business, particularly SMEs, to take action to reduce emissions. We have also committed to publishing a Public Participation Strategy for Net Zero this year, which will include how we will support people to adopt new technologies. In an unstable world, the only way to guarantee our energy security and protect billpayers permanently is to speed up the transition away from fossil fuels and towards homegrown clean energy.

If he will (a) review (i) diagnostic and (ii) treatment practices for people with chronic urinary tract infections and (b) take steps to improve conditions for people with such infections.

NHS England published Excellence in Continence Care on 23 July 2018, bringing together evidence-based resources and research for guidance for commissioners, providers, and health and social care staff. This guidance covers both urinary and bowel, also known as faecal, incontinence, and is available at the following link:https://www.england.nhs.uk/publication/excellence-in-continence-care/NHS England will consider the next steps for Excellence in Continence Care.

What assessment he has made of the potential impact of waiting until the publication of the final Module 3 Covid-19 Inquiry report to (a) recognise the role of airborne transmission of SARS-Cov-2 and (b) update (i) Infection Prevention Controls guidance in the National Infection Prevention and Control Manual and (ii) Health Technical Memoranda guidelines to limit airborne transmission of (A) Covid-19 and (B) other respiratory viruses on (1) health workers and (2) patients.

NHS England maintains efforts to evaluate potential revisions to the National Infection Prevention and Control Manual (NIPCM), which aim to maintain high infection, prevention, and control standards. Any updates will ensure consistent application across healthcare settings. Current guidance balances scientific evidence, operational feasibility, and sustainable infection, prevention, and control practices to protect healthcare workers and patients.Delaying NIPCM updates until the final Module 3 COVID-19 inquiry report risks greater exposure to infection, slower practice improvements, and training gaps. Timely updates, based on emerging evidence, strengthen healthcare worker and patient safety through evidence-based, locally adapted measures.The updated acute respiratory virus guidance, published in March 2024, advises adult social care providers on precautions for preventing respiratory infection transmission, addressing masks, ventilation, and other measures based on current evidence. The acute respiratory virus guidance is available at the following link:https://www.gov.uk/government/publications/infection-prevention-and-control-in-adult-social-care-acute-respiratory-infection/infection-prevention-and-control-ipc-in-adult-social-care-acute-respiratory-infection-ari

If he will make an assessment of the potential merits of revising the Infection Prevention Controls guidance in the National Infection Prevention and Control Manual and Health Technical Memoranda guidelines prior to 1 March 2025 to ensure (a) recognition of the role of airborne transmission of SARS-Cov-2 and (b) appropriate guidance on (i) the use of FFP3 masks, (ii) improved standards of ventilation and air filter devices in (A) clinical and (B) non-clinical healthcare settings and (iii) other measures to limit airborne transmission of (1) Covid-19 and (2) other respiratory viruses; and if he will take steps to ensure the distribution of those guidelines to all employers and providers of healthcare workers.

The emerging evidence on airborne transmission of SARS-CoV-2 and other respiratory viruses is continually reviewed by the UK Health Security Agency, NHS England, and the Department. Assessment of research on aerosol behaviour, Aerosol Generating Procedures (AGPs), and personal protective equipment, including FFP3 masks, ensures that the guidance reflects the latest science and best practice.The National Infection Prevention and Control Manual offers practical guidance on respiratory transmission, including airborne pathways, with non-pathogen-specific standards providing a robust framework for diverse infection, prevention, and control challenges.The updated acute respiratory virus guidance, published in March 2024, advises adult social care providers on precautions for preventing respiratory infection transmission, addressing masks, ventilation, and other measures based on current evidence. The acute respiratory virus guidance is available at the following link:https://www.gov.uk/government/publications/infection-prevention-and-control-in-adult-social-care-acute-respiratory-infection/infection-prevention-and-control-ipc-in-adult-social-care-acute-respiratory-infection-ari