Written questions by Naish.

What resources her Department has allocated to the enforcement of heavy goods vehicle operator licensing standards; and what plans her Department has to strengthen enforcement in this area.

There is a robust operator licensing system administered by independent Traffic Commissioners for Great Britain who act as gatekeepers to the industry. The Driver and Vehicle Standards Agency (DVSA) supports this process by providing compliance and enforcement information, both as part of gatekeeper checks and in relation to existing operators. Traffic Commissioners have the authority to take regulatory action against licence holders, including suspending or revoking licences, if it is found that an operator does not hold the correct licence type or fails to meet the required standards. DVSA carry out a number of enforcement interventions to ensure heavy goods vehicle operators hold the correct licences. Specific sanctions relating to no or incorrect operator licenses include: Impounding activity: DVSA impounded 45 vehicles in 2024/25 and 18 year to date, this is for heavy goods vehicles (or passenger carrying vehicles) being used without an operator’s licence Prosecutions: DVSA successfully prosecuted 31 operator licence offences in 24/25 with 17 years to date. These figures are for cases that have resulted in court. DVSA is continuing to invest in new technology to support enforcement activities and deliver more effective and efficient compliance checks. This includes using vehicle technology to provide information, without having to stop the vehicle.

With reference to the Prime Minister's oral contribution in response to the question from the Hon. Member for Rushcliffe of 5 February 2025, Official report, column 751, what progress he has made on addressing the Patient Safety Commissioner’s report on sodium valproate and pelvic mesh; and what steps he will need to take before implementation of the report's recommendations can commence.

The Government is carefully considering the work by the Patient Safety Commissioner and her report, which set out options for redress for those harmed by valproate and pelvic mesh. This is a complex issue involving input from different Government departments. The Government will provide a further update to the Patient Safety Commissioner’s report.

Whether his Department has allocated funding for the Government response to the Hughes Report.

The Government is carefully considering the work by the Patient Safety Commissioner and her report, which set out options for redress for those harmed by valproate and pelvic mesh. This is a complex issue involving input from different Government departments. The Government will provide a further update to the Patient Safety Commissioner’s report.

What assessment he has made of the potential impact of new Energy Performance Certificate regulations on (a) holiday lets and (b) the tourism sector.

Government recently consulted on increasing minimum energy efficiency standards in the domestic private rented sector, including proposals for rented homes to achieve Energy Performance Certificate (EPC) C or equivalent by 2030. We have sought views on whether short-term lets should be included in the scope of our changes, to help ensure a consistent standard across all private rented properties. As outlined in the consultation government has proposed to maintain a range of exemptions available to landlords to ensure that required investment is fair and proportionate. Government remains committed to taking an evidence-based approach and will consider the balance between supporting tourism and reaching Net Zero goals. A government response to the consultation will be published in due course.

If he will consider how people with life-long disabilities caused by receiving sodium valproate in utero will be affected by welfare reforms when planning those reforms.

In our Pathways to Work Green Paper, we set out plans to remove the WCA and move to using the PIP assessment as the single assessment for additional financial support for disabled people and people with long-term health conditions in England and Wales. To ensure that PIP and the PIP assessment are fair and fit for the future, we have launched the Timms Review. The Review will look at PIP, the assessment criteria, and the wider role the assessment could play in providing access to the right support at the right level. To ensure lived experience is at the heart of its work, the Review will be co-produced with disabled people, the organisations that represent them, and other experts. It will be for the Review’s leadership group – building from the Terms of Reference – to set its strategic direction, priorities and workplan. It will also oversee a programme of participation and engagement that brings together the full range of views and voices. PIP assessments and Work Capability Assessments are not medical consultations and do not require Healthcare Professionals (HP) to diagnose conditions or recommend treatment. Instead, they are functional assessments designed to evaluate how an individual’s health conditions or impairments - including those caused by receiving sodium valproate in utero - affect their ability to carry out daily living activities and/or their capability for work HPs conducting assessments are trained specialists in disability analysis. Their focus is on understanding the functional impact of a claimant’s condition, rather than its clinical diagnosis. All HPs receive specific training on assessing the effects of physical and mental health conditions.

Whether she has had discussions with the Secretary of State for Housing, Communities and Local Government on investigating private car park operators in instances of repeated disputes over charges where appeals to the (a) operator, (b) independent appeals service and (c) relevant accredited trade association have been rejected.

No such discussions have taken place. Responsibility for the policy and legislation governing car parking at off-street locations rests with the Secretary of State for Housing, Communities and Local Government. This includes any issues relating to enforcement of off-street parking restrictions and associated representations and appeals procedures.

Communities and Local Government, what steps he is taking to improve sanction processes for private parking companies that repeatedly (a) generate upheld complaints and (b) lose appeals.

The Government is determined to drive up standards in the private parking sector.The Parking (Code of Practice) Act 2019 places a duty on the Government to prepare a code of practice containing guidance on the operation and management of private parking facilities.My department recently consulted on the new Code and an accompanying compliance framework for private parking companies. As part of this framework, we are developing an independent Certification Scheme to audit the parking industry’s compliance with the new Code. The scheme will operate as a third-party certification process, whereby only organisations accredited by the United Kingdom Accreditation Service as Conformity Assessment Bodies will be able to certify private parking companies.Parking operators who fail to comply with the Code risk losing access to Driver and Vehicle Licensing Agency (DVLA) data. This data includes information on vehicle keepers, so any company blocked from accessing it would be unable to pursue parking charges.

Whether she has considered joining The Global Solidarity Levies Taskforce set up at COP28.

We are committed to helping deliver global climate finance, including the New Collective Quantified Goal agreed at COP29 of at least $300bn per year to developing countries by 2035, and responding to the wider call on all actors to increase climate finance to developing countries to £1.3trn per year. As part of that effort, we are pressing for faster and more ambitious reforms to the global financial system to deliver much more and higher quality climate and development finance. Alongside this, we are supportive of exploring revenue raising mechanisms for climate action. We recognise the work being undertaken by the Global Solidarity Levies Taskforce and will consider their proposals and those of other organisations on a case-by-case basis.

What discussions he has had with NHS trusts on accountability measures for contracted NHS transport providers in instances where they repeatedly fail to meet required standards.

No such discussions have been held.Local integrated care boards (ICBs) hold responsibility for the implementation of patient transport services at a local level, including monitoring and improving performance against targets. ICBs are best placed to work and consult with their local stakeholders, health and care organisations and local authorities to decide how to best meet and deliver for the needs of their local population.

Whether her Department has made an estimate of the amount of potential revenue that could be raised from taxing sport utility vehicles in line with France.

The Government annually reviews the rates and thresholds of taxes and reliefs to ensure that they are appropriate and reflect the current state of the economy. The Chancellor makes decisions on tax policy at fiscal events in the context of the public finances.

If he will launch a public consultation before introducing legislation to abolish the statutory functions of local Healthwatch.

Although there are no plans to carry out a direct public consultation on the abolition of local Healthwatch arrangements. Dr Dash’s report on patient safety across the health and care landscape was published in July 2025 and made nine recommendations which the Government have accepted in full. Dr Dash’s findings and recommendations have also fed into the 10-Year Health Plan which itself was devised on the basis of the widest ever public consultation on the future of the National Health Service.Dr Dash’s review recommends bringing together the work of local Healthwatch organisations with the engagement functions of integrated care boards and providers to ensure patient and wider community input into the planning and design of services.These changes will improve quality, including safety, by making it clear where responsibility and accountability sit at all levels of the system. The changes will make it easier for staff, patients and service users to feed directly into the system to improve quality of care. We believe after these changes that patients and users will have a stronger voice and one that is more easily heard inside the system.

How much funding she has provided to Sutton Bonington Primary School for rebuilding in the last 12 months.

The School Rebuilding Programme (SRP) is a centrally delivered programme. Therefore, no funding is allocated or distributed directly to schools.Details of all contracts awarded over £10,000 are published on the ‘Contracts Finder’ website, which can be accessed at: https://www.gov.uk/contracts-finder. Payments made to the contractor are in line with agreed milestones for the project.In addition to the SRP, the department is investing almost £3 billion per year by 2034/35 in capital maintenance and renewal to improve the condition of the school and college estate, rising from £2.4 billion in 2025/26. As part of that, Equals Trust, which is responsible for Sutton Bonington Primary, was allocated just under £1.1 million in capital funding for the 2025/26 financial year to decide how to invest across its schools.

Whether his Department has decided on the future availability of the Complex Cancer Late Effects Rehabilitation Service provided by Royal United Hospitals Bath NHS Foundation Trust.

The responsibility for the delivery, implementation and funding decisions for services ultimately rests with the appropriate National Health Service commissioning body. NHS England commissions the Royal United Hospitals Bath NHS Foundation Trust’s Complex Cancer Late Effects Rehabilitation Service. NHS England has no immediate plans to decommission the rehabilitation service.

What eligibility criteria his Department plans to use for covid vaccination eligibility in winter 2025-26.

The Government is committed to protecting those most vulnerable to COVID-19 through vaccination, as guided by the independent Joint Committee on Vaccination and Immunisation (JCVI). The primary aim of the national COVID-19 vaccination programme remains the prevention of serious illness (hospitalisations and deaths) arising from COVID-19. Population immunity to COVID-19 has been increasing due to a combination of naturally acquired immunity following recovery from infection and vaccine-derived immunity. COVID-19 is now a relatively mild disease for most people, though it can still be unpleasant, with rates of hospitalisation and death from COVID-19 having reduced significantly since COVID-19 first emerged.The focus of the JCVI advised programme has therefore moved towards targeted vaccination of the two groups who continue to be at higher risk of serious disease, including mortality. These are the oldest adults and individuals who are immunosuppressed.On 13 November 2024, JCVI published advice on who should be offered vaccination in autumn 2025. On 26 June 2025, the Government accepted the JCVI’s advice that in autumn 2025, a COVID-19 vaccination should be offered to the following groups:adults aged 75 years and over;residents in care homes for older adults;individuals aged 6 months and over who are immunosuppressed (as defined in the ‘immunosuppression’ sections of tables 3 or 4 in the COVID-19 chapter of the UK Health Security Agency Green Book).The Government has no plans to change eligibility for autumn 2025. It has accepted the JCVI advice for this campaign in full. As for all vaccines, the JCVI keeps the evidence under regular review.

What assessment he has made of the potential impact of the 10 Year Plan for the NHS on migraine care.

At the national level, there are a number of initiatives supporting service improvement and better care for patients with migraine, including those in Lincolnshire, such as the Getting It Right First Time (GIRFT) Programme for Neurology and the RightCare Headache and Migraine Toolkit. The GIRFT programme published a National Speciality Report, which makes several recommendations in relation to improving recognition and diagnosis of migraine by general practitioners. Additionally, the RightCare Toolkit sets out key priorities for improving care for patients with migraine, including those in Lincolnshire, which includes correct identification and diagnosis of headache disorders. The Royal College of General Practitioners has developed two e-learning modules about migraine and cluster headaches, which aim to raise awareness amongst primary care clinicians about the different types of migraine and their associated symptoms, and how to differentiate. NHS England has also established a Neurology Transformation Programme, a multi-year, clinically led programme, which has developed a new model of integrated care for neurology services, to support integrated care boards to deliver the right service, at the right time for all neurology patients, including for those with migraine. There are a number of policies outlined in the 10-Year Health Plan which have the potential to have a very positive impact on care for patients with migraine. More tests and scans delivered in the community, better joint working between services, and greater use of technology will all support people to manage their long-term conditions, including migraine, closer to home. As set out in the 10-Year Health Plan, the NHS App will be enhanced to allow patients to manage appointments, medications, and view or create their own care plans. Patients will be able to manage their care in one place, giving them direct access and preference over the services they need. The My Medicines section will enable patients to manage their prescriptions, and the My Health section will enable patients to monitor their symptoms and bring all their data into one place. Patients will be able to self-refer to services where clinically appropriate through the My Specialist section on the NHS App. This will accelerate their access to treatment and support.

Whether his Department has contingency plans in place to extend eligibility for coronavirus vaccinations if infection rates rise in winter 2025-26.

The aim of the COVID-19 vaccination programme is to prevent serious disease, hospitalisation and/or mortality arising from COVID-19. Population immunity to COVID-19 has been increasing due to a combination of naturally acquired immunity following recovery from infection and vaccine-derived immunity.COVID-19 is now a relatively mild disease for most people, though it can still be unpleasant. With rates of hospitalisation and death from COVID-19 having reduced significantly since COVID-19 first emerged, the focus of the independent expert Joint Committee on Vaccination and Immunisation (JCVI) advice programme has moved towards targeted vaccination of the oldest adults and individuals who are immunosuppressed. These are the two groups who continue to be at higher risk of serious disease, including mortality.On 13 November 2024, the JCVI published advice on who should be offered vaccination in autumn 2025. On 26 June 2025, the Government decided, in line with this advice, that a COVID-19 vaccine should be offered in autumn 2025 to the following groups:adults aged 75 years and over;residents in a care home for older adults; andindividuals aged six months and over who are immunosuppressed, as defined in the immunosuppression sections of tables three or four in the COVID-19 chapter of the UK Health Security Agency Green Book.While the JCVI keeps the available data under regular review, there are no plans to offer vaccination through the national programme outside these JCVI-advised groups for autumn 2025. All those individuals who are eligible are encouraged to take up the offer of vaccination.The JCVI has advised that the emergence of a new COVID-19 variant of concern which escaped from current widespread immunity, and therefore results in serious disease, in a wider range of individuals, is unlikely. However, if this scenario did emerge, the JCVI does not consider it likely that current vaccines would be effective. This means that expanding groups eligible for vaccination is unlikely to be clinically useful when compared with developing a new variant vaccine matched to the variant of concern. In this scenario, which the JCVI believes to be unlikely, new advice would be required on which groups were at risk of serious disease and should therefore be eligible for vaccination.

What steps his Department plans to take to monitor coronavirus levels in winter 2025-26.

The UK Health Security Agency (UKHSA) continues to monitor COVID-19 through a variety of indicators and surveillance systems. Positive and negative laboratory tests, primarily taken in secondary health care settings, are reported through laboratory surveillance systems, and a sample of these positive tests are sequenced to monitor COVID-19 variants.In primary care, the Royal College of General Practitioners’ surveillance centre reports on the testing of those attending sentinel general practices with respiratory symptoms. In addition, selected National Health Service trusts report on the number of COVID-19 admissions, and all NHS trusts report on intensive care unit and high-dependency unit COVID-19 cases. Local health protection teams will report on outbreaks of respiratory viruses, including COVID-19, in settings such as care homes, schools, and places of detention.These data are analysed and published by the UKHSA in weekly official statistics in the National Influenza and COVID-19 Surveillance Report, which summarises information from the disease surveillance systems that are used to monitor seasonal influenza, COVID-19, and other seasonal respiratory illnesses. Further information is available at the following link:https://www.gov.uk/government/statistics/national-flu-and-covid-19-surveillance-reports-2025-to-2026-season

What steps his Department has taken to ensure that vulnerable patients receive appropriate NHS transport services.

Non-Emergency Patient Transport Services (NEPTS) are designed to provide transport for patients who have particular clinical or mobility needs that necessitate such support, which may include elderly or vulnerable patients. The eligibility criteria for NEPTS have been set nationally by NHS England, and the details are available at the following link: https://www.england.nhs.uk/wp-content/uploads/2022/05/B1244-nepts-eligibility-criteria.pdf The Healthcare Travel Cost Scheme (HTCS) is available for eligible patients and provides financial support to facilitate journeys to and from National Health Service funded secondary care. Details on the eligibility for HTCS is available at the following link:https://www.nhs.uk/nhs-services/help-with-health-costs/healthcare-travel-costs-scheme-htcs/.Local integrated care boards (ICBs) hold responsibility for the implementation of patient transport services at a local level, including monitoring and improving against performance targets. ICBs are best placed to work and consult with their local stakeholders, health and care organisations, and local authorities to decide how to best meet and deliver for the needs of their local population. NHS England is funding and co-ordinating a range of Patient Transport Pathfinder projects to explore more effective approaches to supporting patients with their NHS travel needs.

Commonwealth and Development Affairs, what assessment she has made of the potential impact of Israel’s evacuation order from Gaza City on the adequacy of (a) food, (b) medical supplies and (c) space in humanitarian zones.

I refer the Hon Member to the answer of 17 September to Question 71870.

What steps his Department has taken to monitor NHS transport service performance standards.

Non-Emergency Patient Transport Services (NEPTS) are designed to provide transport for patients who have particular clinical or mobility needs that necessitate such support, which may include elderly or vulnerable patients. The eligibility criteria for NEPTS have been set nationally by NHS England, and the details are available at the following link: https://www.england.nhs.uk/wp-content/uploads/2022/05/B1244-nepts-eligibility-criteria.pdf The Healthcare Travel Cost Scheme (HTCS) is available for eligible patients and provides financial support to facilitate journeys to and from National Health Service funded secondary care. Details on the eligibility for HTCS is available at the following link:https://www.nhs.uk/nhs-services/help-with-health-costs/healthcare-travel-costs-scheme-htcs/.Local integrated care boards (ICBs) hold responsibility for the implementation of patient transport services at a local level, including monitoring and improving against performance targets. ICBs are best placed to work and consult with their local stakeholders, health and care organisations, and local authorities to decide how to best meet and deliver for the needs of their local population. NHS England is funding and co-ordinating a range of Patient Transport Pathfinder projects to explore more effective approaches to supporting patients with their NHS travel needs.