Written questions by Morello.

What recent assessment he has made of the adequacy of access to respite care services for unpaid carers in (a) West Dorset and (b) other rural areas.

The Care Act 2014 requires local authorities to deliver a wide range of sustainable, high-quality care and support services, including support for carers. Additionally, the Government’s Better Care Fund can also be used for carer support, including short breaks and respite services. Local areas determine how the money is best used to support carers, depending on local need and with reference to their statutory responsibilities.The Care Quality Commission (CQC) provides assessments of how well local authorities in England are performing against their duties under Part 1 of the Care Act 2014, including their duties relating to unpaid carers. Formal assessments commenced in December 2023 and as of June 2025, the CQC has published over 40 local authority assessments, which can be accessed via the CQC website at the following link:https://www.cqc.org.uk/care-services/local-authority-assessment-reports

What steps her Department is taking to introduce a Young Carers Pupil Premium.

​Statutory guidance ’Keeping children safe in education’ sets out that all school and college staff should be alert to the potential need for early help of young carers and requires designated safeguarding leads to undergo training to provide them with the necessary knowledge and skills to carry out their role, including having a good understanding of the specific needs of young carers. ​This will ensure they receive tailored support and do not miss out on vital educational opportunities.Whilst young carer status does not attract pupil premium funding, evidence suggests that around 60% of young carers are eligible for this funding through free school meals entitlement. Our guidance to school leaders is clear that pupil premium should not be restricted to those pupils who have eligibility for the funding, and schools should use it to support other pupils with identified needs, including young carers.

What assessment he has made of the potential impact of making caring a protected characteristic on carers in (a) rural communities and (b) West Dorset.

The Government is committed to ensuring that families have the support that they need.People with caring responsibilities are afforded protections under the Equality Act 2010 by provisions relating to age and disability discrimination.The act also protects people from direct discrimination “by association”, meaning that individuals with caring responsibilities for someone who is a child, elderly, or disabled has protection from unlawful discrimination due to their association with someone with a recognised protected characteristic.

What steps she is taking to expand eligibility for Carer’s Allowance in West Dorset.

The Government keeps all aspects of Carer’s Allowance (CA) under review to see if it is meeting its objectives. It is not means-tested but is subject to a weekly earnings limit. This was increased by a record amount in April 2025, which will benefit at least 60,000 unpaid carers between 2025/26 and 2029/30. Beyond that, to be entitled to CA, a carer must be over the age of 16 and provide 35 hours of care per week to a severally disabled person in receipt of a qualifying benefit. They must not be in ‘gainful employment’ (earning more than the equivalent of 16 hours at the National Living Wage), or in full time education (defined as being more than 21 hours per week). There are currently no plans to change the existing eligibility rules for CA. The level of CA is protected by uprating it each April in line with inflation as measured by the CPI for the previous September. The purpose of benefit uprating is to ensure that the value of benefits stays in line with the general level of prices. From April 2025, the rate of CA was increased to £83.30 per week. Between 2025/26 and 2029/30 real terms expenditure on CA is forecast to rise by over 6% - around £285 million. By 2029/30, the Government is forecast to spend over £4.7 billion in real terms a year on CA in England and Wales. CA may be supplemented for those on low incomes through Universal Credit and Pension Credit. These are paid at a higher rate for carers through the Universal Credit carer element of £201.68 per monthly assessment period, paid in addition to the Standard Allowance; or the additional amount for carers in Pension Credit of £46.40 a week, paid in addition to the Standard Minimum Guarantee.

Whether her Department plans to (a) increase the rate of and (b) expand eligibility for Carer’s Allowance, in the context of trends in the number of unpaid carers.

The Government keeps all aspects of Carer’s Allowance (CA) under review to see if it is meeting its objectives. It is not means-tested but is subject to a weekly earnings limit. This was increased by a record amount in April 2025, which will benefit at least 60,000 unpaid carers between 2025/26 and 2029/30. Beyond that, to be entitled to CA, a carer must be over the age of 16 and provide 35 hours of care per week to a severally disabled person in receipt of a qualifying benefit. They must not be in ‘gainful employment’ (earning more than the equivalent of 16 hours at the National Living Wage), or in full time education (defined as being more than 21 hours per week). There are currently no plans to change the existing eligibility rules for CA. The level of CA is protected by uprating it each April in line with inflation as measured by the CPI for the previous September. The purpose of benefit uprating is to ensure that the value of benefits stays in line with the general level of prices. From April 2025, the rate of CA was increased to £83.30 per week. Between 2025/26 and 2029/30 real terms expenditure on CA is forecast to rise by over 6% - around £285 million. By 2029/30, the Government is forecast to spend over £4.7 billion in real terms a year on CA in England and Wales. CA may be supplemented for those on low incomes through Universal Credit and Pension Credit. These are paid at a higher rate for carers through the Universal Credit carer element of £201.68 per monthly assessment period, paid in addition to the Standard Allowance; or the additional amount for carers in Pension Credit of £46.40 a week, paid in addition to the Standard Minimum Guarantee.

What support is available for young carers in West Dorset to ensure they can fully participate in education.

​Statutory guidance ’Keeping children safe in education’ sets out that all school and college staff should be alert to the potential need for early help of young carers and requires designated safeguarding leads to undergo training to provide them with the necessary knowledge and skills to carry out their role, including having a good understanding of the specific needs of young carers. ​This will ensure they receive tailored support and do not miss out on vital educational opportunities.Whilst young carer status does not attract pupil premium funding, evidence suggests that around 60% of young carers are eligible for this funding through free school meals entitlement. Our guidance to school leaders is clear that pupil premium should not be restricted to those pupils who have eligibility for the funding, and schools should use it to support other pupils with identified needs, including young carers.

Whether he plans to introduce a more generous means test for social care funding in line with the framework set out in the Care Act 2014.

The Government inherited a commitment to implement charging reforms, including a cap on care costs and an extended means test, in October 2025. Regrettably, funding for these reforms had not been guaranteed, preparations for full rollout were not on track, and thus it was impossible to deliver these reforms by October.The means test thresholds for support with adult social care costs continue to be reviewed annually.The Government remains committed to reforming the adult social care sector and we have launched an independent commission into adult social care as part of our critical first steps towards delivering a National Care Service. The Terms of Reference are sufficiently broad to enable Baroness Casey to independently consider how to build a social care system fit for the future, including considering the affordability of care costs if she sees fit.

Whether he plans to implement the provisions of the Care Act 2014 on protecting individuals from unaffordable care costs.

The Government inherited a commitment to implement charging reforms, including a cap on care costs and an extended means test, in October 2025. Regrettably, funding for these reforms had not been guaranteed, preparations for full rollout were not on track, and thus it was impossible to deliver these reforms by October.The means test thresholds for support with adult social care costs continue to be reviewed annually.The Government remains committed to reforming the adult social care sector and we have launched an independent commission into adult social care as part of our critical first steps towards delivering a National Care Service. The Terms of Reference are sufficiently broad to enable Baroness Casey to independently consider how to build a social care system fit for the future, including considering the affordability of care costs if she sees fit.

What steps his Department is taking to improve (a) diagnosis and (b) treatment pathways for people with temporomandibular joint disorder.

Temporomandibular joint disorder (TMJD) treatment is considered as planned non-emergency care. The NHS.UK website advises that it is not usually serious and generally gets better without treatment. Further information is available at the following link:https://www.nhs.uk/conditions/temporomandibular-disorder-tmd/Treatment options for TMJD are:- conservative treatments such as pain relief, physiotherapy, bite guards, and self-management advice. These are usually provided through primary care and would be considered as non-urgent but necessary care;- specialist referral, if conservative treatment does not help, specifically referral to oral maxillofacial surgery or a specialist pain clinic may occur. These referrals are part of the routine National Health Service pathways but are prioritised on clinical need; and- surgical treatments in severe cases, which are scheduled as planned elective procedures. In NHS terms this falls under elective care, but it is not optional in a cosmetic sense, as it is clinically indicated.NHS England Getting It Right First Time and the Royal College of Surgeons’ Faculty of Dental Surgery have produced guidance to better manage the condition, which is available at the following link:https://www.rcseng.ac.uk/-/media/FDS/Comprehensive-guideline-Management-of-painful-Temporomandibular-disorder-in-adults-March-2024.pdfNo assessment has been made on the adequacy of the training for general practitioners and dentists on recognising and managing TMJD. The standard of training is the responsibility of the General Medical Council and General Dental Council, which are independent statutory bodies.

Media and Sport, what assessment her Department has made of the adequacy of access to youth work provision in (a) West Dorset constituency and (b) other rural areas.

Local Authorities have a statutory duty to secure, so far as is reasonably practicable, sufficient provision of educational and recreational leisure-time activities for young people in their area. Local Authorities fund youth services from their Local Government Finance Settlement in line with local need.DCMS has also published statutory guidance to support local authorities’ understanding of the existing duty and how to deliver it.

Media and Sport, whether her Department has made an assessment of the potential impact of youth workers on improving young people’s (a) physical and (b) mental health outcomes.

This Government fully recognises the importance of youth services to help young people live safe and healthy lives, and we are committed to giving all young people the chance to reach their full potential. We know that youth workers are vital to youth services, building trusted relationships and creating safe spaces for young people.That is why this government launched the co-production of an ambitious new National Youth Strategy, which has been developed together with the youth sector. The new National Youth Strategy is being co-produced with cross-sector input from stakeholders working with and for young people, particularly drawing on the connections and expertise of the youth sector.DCMS has also commissioned research analysis of the Millennium Cohort Study and the UK Households Longitudinal Survey (longitudinal surveys) which found that at the time of participation, regular attendees of youth activities were more likely to be in good health and not drink/take illegal drugs compared to young people who do not attend youth activities.

If she will take steps to review pharmacy procurement practices for generic cancer drugs in rural areas.

The Department has no current plans to specifically review pharmacy procurement practices for generic cancer drugs in rural areas. Pharmacies are largely private businesses which provide National Health Services, and therefore have their own buying arrangements.The Government’s policy on generic medicines is to allow suppliers freedom of pricing for their products, relying on competition between suppliers and efficient purchasing by community pharmacies to deliver value for money for the NHS.

Food and Rural Affairs, what steps his Department is taking to support local authorities (a) in West Dorset constituency (b) nationwide to limit the use of disposable barbecues during periods of high wildfire risk.

The Government has no plans to ban disposable barbeques. Local authorities already have powers to apply local bans on council or public land. It is a crime to litter a disposable barbecue for which councils have powers to issue fixed penalty notices of up to £500 or prosecute. Research published under the previous Government titled Sky Lanterns, Single-Use Barbecues and Helium Balloons - Risks and Mitigation Options - EV04104 considered the risks posed by disposable barbecues but failed to demonstrate a clear net benefit from a total ban. National Landscapes and National Parks also have powers to regulate and prohibit fires on access land. The public are encouraged to behave responsibly when using products which have a fire risk. We are working across government to increase wildfire messaging to the public. The Countryside Code advises visitors to only use barbecues where signs state they are allowed. Voluntary guidelines by the British Retail Consortium encourage retailers to restrict the sale of disposable barbecues during extreme heat events, or when there are increased fire risks, or when asked to by local authorities. Wildfires are not in Defra’s remit, but instead fall to the Ministry for Housing, Communities and Local Government (MHCLG). If you would like further information on wildfires, please reach out to MHCLG.

Media and Sport, what steps she is taking to support youth organisations serving (a) isolated and (b) rural communities in West Dorset constituency.

This Government fully recognises the importance of youth services to help young people live safe and healthy lives, and we are committed to giving all young people the chance to reach their full potential.We also, however, acknowledge the challenges facing the sector and the changing needs of the young people it supports — especially those in rural areas, who often face additional barriers such as limited access to services, transport, and opportunities.That is why we are co-producing a new National Youth Strategy. The Strategy will support better coordination of youth services across different regions — including remote and underserved areas and move away from one-size-fits-all approaches from central government. By doing so, we will bring power back to young people and their communities, rebuild a thriving and sustainable sector, and ensure that rural youth are not left behind.We will be publishing an interim report shortly, and the Strategy will be published in Autumn.

Media and Sport, what assessment she has made of the potential impact of youth work on (a) helping young people stay safe and (b) building relationships in communities.

This Government recognises the important role that youth work plays in young people’s lives. We know that youth workers are vital to youth services, building trusted relationships and creating safe spaces for young people. We also acknowledge the challenges facing the sector and the changing needs of the young people it supports.That is why this government launched the co-production of an ambitious new National Youth Strategy, which has been developed together with the youth sector. As part of the National Youth Strategy, we are exploring what young people’s current needs are, looking at access to safe spaces, role models, communities and much more. We will be publishing an interim report shortly, and the Strategy will be published in the autumn.

Media and Sport, what recent steps she has taken to support youth work that promotes volunteering opportunities among young people.

We know that being part of supportive communities, accessing youth work, youth provision and volunteering opportunities can transform young people’s lives. The Department for Culture Media and Sport (DCMS) supports the youth work sector in a number of ways, including through funding the National Youth Agency (NYA) to maintain youth work qualifications, curriculum and national standards for England. The NYA youth work curriculum outlines why and how to involve young people in volunteering and social action in their communities.We also fund and support the #iwill Movement, the only national movement which champions and supports young people engaged in social action, including volunteering. The National Lottery Community Fund and DCMS have jointly run the #iwill Fund since 2016, funding the creation of youth social action opportunities for an estimated 900,000 young people across the country.

What steps her Department is taking to ensure that patients prescribed Letrozole are able to access a brand they can tolerate.

Where a prescriber specifies a specific brand or manufacturer on the prescription, the pharmacy should provide that specific product to the patient. However, obtaining a product from a particular supplier may take the pharmacy longer to source.Pharmacies are largely private businesses, which provide National Health Services and have their own buying arrangements. Not all manufacturers supply to all wholesalers and not all pharmacies use the same wholesalers. This can mean there may be some specific manufacturer’s products that a pharmacy may not easily be able to source.Where a pharmacy is unable to supply a particular medicine promptly, their professional guidance states that they should talk to the patient to discuss the possible options available to them. This includes checking whether the medicine is available at another pharmacy or offering to contact the patient’s prescriber to jointly consider whether another suitable brand or medicine is available.

Food and Rural Affairs, whether he plans to introduce a national policy on the (a) use and (b) sale of disposable barbecues in relation to increased wildfire risk.

The Government has no plans to ban disposable barbeques. Local authorities already have powers to apply local bans on council or public land. It is a crime to litter a disposable barbecue for which councils have powers to issue fixed penalty notices of up to £500 or prosecute. Research published under the previous Government titled Sky Lanterns, Single-Use Barbecues and Helium Balloons - Risks and Mitigation Options - EV04104 considered the risks posed by disposable barbecues but failed to demonstrate a clear net benefit from a total ban. National Landscapes and National Parks also have powers to regulate and prohibit fires on access land. The public are encouraged to behave responsibly when using products which have a fire risk. We are working across government to increase wildfire messaging to the public. The Countryside Code advises visitors to only use barbecues where signs state they are allowed. Voluntary guidelines by the British Retail Consortium encourage retailers to restrict the sale of disposable barbecues during extreme heat events, or when there are increased fire risks, or when asked to by local authorities. Wildfires are not in Defra’s remit, but instead fall to the Ministry for Housing, Communities and Local Government (MHCLG). If you would like further information on wildfires, please reach out to MHCLG.

Food and Rural Affairs, what assessment his Department has made of the potential merits of banning the use of disposable barbecues during periods of elevated wildfire risk due to dry conditions.

The Government has no plans to ban disposable barbeques. Local authorities already have powers to apply local bans on council or public land. It is a crime to litter a disposable barbecue for which councils have powers to issue fixed penalty notices of up to £500 or prosecute. Research published under the previous Government titled Sky Lanterns, Single-Use Barbecues and Helium Balloons - Risks and Mitigation Options - EV04104 considered the risks posed by disposable barbecues but failed to demonstrate a clear net benefit from a total ban. National Landscapes and National Parks also have powers to regulate and prohibit fires on access land. The public are encouraged to behave responsibly when using products which have a fire risk. We are working across government to increase wildfire messaging to the public. The Countryside Code advises visitors to only use barbecues where signs state they are allowed. Voluntary guidelines by the British Retail Consortium encourage retailers to restrict the sale of disposable barbecues during extreme heat events, or when there are increased fire risks, or when asked to by local authorities. Wildfires are not in Defra’s remit, but instead fall to the Ministry for Housing, Communities and Local Government (MHCLG). If you would like further information on wildfires, please reach out to MHCLG.

Media and Sport, what discussions she has had with youth sector representatives on the role of youth work in helping young people (a) prepare for and (b) access employment.

This Government fully recognises the importance of youth services to help young people live safe and healthy lives, and we are committed to giving all young people the chance to reach their full potential. That is why this government launched the co-production of an ambitious new National Youth Strategy, which has been developed together with the youth sector.The new National Youth Strategy is being co-produced with cross-sector input from stakeholders working with and for young people, particularly drawing on the connections and expertise of the youth sector. We have run engagement sessions in partnership with a range of services, to ensure the strategy can advise and support the youth sector effectively, including to support young people to prepare for and access employment.