Written questions by Anderson.

Food and Rural Affairs, what steps her Department are taking to help support people with veterinary bills.

Defra has not made a recent assessment of veterinary bills however it welcomes the Competition and Markets Authority’s (CMA’s) market investigation into veterinary services for household pets. The CMA has made provisional recommendations to make veterinary fees more transparent, helping pet owners to make more informed choices on the type of veterinary care they value. The CMA and Defra have regular discussions on the CMA’s investigation and Defra will formally respond to the CMA’s final report when it is published in the Spring. Additionally, on 28 January, Defra released its consultation on reform of the Veterinary Surgeons Act 1966 which seeks to incorporate the CMA’s provisional recommendations following further assessment. The consultation is also proposing increased ability for veterinary nurse-led care and the regulation of currently unregulated allied veterinary professionals, increasing the choices of animal owners and supporting the cost of living whilst enhancing animal health and welfare.

Food and Rural Affairs, what recent conversations her Department has had with the Competition and Market Authority regarding veterinary bill costs.

Defra has not made a recent assessment of veterinary bills however it welcomes the Competition and Markets Authority’s (CMA’s) market investigation into veterinary services for household pets. The CMA has made provisional recommendations to make veterinary fees more transparent, helping pet owners to make more informed choices on the type of veterinary care they value. The CMA and Defra have regular discussions on the CMA’s investigation and Defra will formally respond to the CMA’s final report when it is published in the Spring. Additionally, on 28 January, Defra released its consultation on reform of the Veterinary Surgeons Act 1966 which seeks to incorporate the CMA’s provisional recommendations following further assessment. The consultation is also proposing increased ability for veterinary nurse-led care and the regulation of currently unregulated allied veterinary professionals, increasing the choices of animal owners and supporting the cost of living whilst enhancing animal health and welfare.

Food and Rural Affairs, what assessment her Department has made about the potential impact of high veterinary bills on animal health.

Defra has not made a recent assessment of veterinary bills however it welcomes the Competition and Markets Authority’s (CMA’s) market investigation into veterinary services for household pets. The CMA has made provisional recommendations to make veterinary fees more transparent, helping pet owners to make more informed choices on the type of veterinary care they value. The CMA and Defra have regular discussions on the CMA’s investigation and Defra will formally respond to the CMA’s final report when it is published in the Spring. Additionally, on 28 January, Defra released its consultation on reform of the Veterinary Surgeons Act 1966 which seeks to incorporate the CMA’s provisional recommendations following further assessment. The consultation is also proposing increased ability for veterinary nurse-led care and the regulation of currently unregulated allied veterinary professionals, increasing the choices of animal owners and supporting the cost of living whilst enhancing animal health and welfare.

Food and Rural Affairs, what assessment her Department has made about the potential impact of high veterinary bills in the context of the cost of living pressures.

Defra has not made a recent assessment of veterinary bills however it welcomes the Competition and Markets Authority’s (CMA’s) market investigation into veterinary services for household pets. The CMA has made provisional recommendations to make veterinary fees more transparent, helping pet owners to make more informed choices on the type of veterinary care they value. The CMA and Defra have regular discussions on the CMA’s investigation and Defra will formally respond to the CMA’s final report when it is published in the Spring. Additionally, on 28 January, Defra released its consultation on reform of the Veterinary Surgeons Act 1966 which seeks to incorporate the CMA’s provisional recommendations following further assessment. The consultation is also proposing increased ability for veterinary nurse-led care and the regulation of currently unregulated allied veterinary professionals, increasing the choices of animal owners and supporting the cost of living whilst enhancing animal health and welfare.

Food and Rural Affairs, what recent conversations her Department has held with animal charities regarding veterinary bills.

Proposed reforms to the VSA support the result of the Competition and Markets Authority’s (CMA’s) market investigation into veterinary services for household pets. The CMA has provisionally recommended making fees more transparent, thus helping owners to make more informed choices on of the type of veterinary care they value. Defra has engaged closely with several sector stakeholders, including representatives from the charity sector, in relation to our consultation on proposed reforms of the Veterinary Surgeons Act 1966. Defra shall continue to involve animal charities in this work. Proposed reforms will allow veterinary nurses to independently carry out a greater range of work within their skillset. Independently, this will aid animal charities by giving them more choice over who can provide treatment.

What steps his Department is taking to increase research into Sudden Unexplained Death in Childhood.

We recognise the devastating impact of sudden unexplained death in childhood (SUDC) on affected families and communities. It is important that grieving families and friends who have lost loved ones have access to the support they need, when they need it. Bereavement support, including for parents and families affected by SUDC, is commissioned locally, in accordance with the needs of the local population. Information on SUDC is available on the National Health Service website, which also signposts to the charity SUDC.UK. This is available at the following link:https://www.nhs.uk/conditions/sudden-infant-death-syndrome-sidsThe Department funds research into SUDC through the National Institute for Health and Care Research (NIHR). Recent NIHR‑funded research includes studies focused on the promotion of safer sleeping practices for families at increased risk, the identification and management of genetic and cardiac risk factors, and the improvement of support for bereaved families.The NIHR actively encourages and funds high-quality research into SUDC, ensuring flexibility in both the funding and research type to meet the needs of patients and families.

What steps he is taking to support parents and families who lose a child to Sudden Unexplained Death in Childhood.

We recognise the devastating impact of sudden unexplained death in childhood (SUDC) on affected families and communities. It is important that grieving families and friends who have lost loved ones have access to the support they need, when they need it. Bereavement support, including for parents and families affected by SUDC, is commissioned locally, in accordance with the needs of the local population. Information on SUDC is available on the National Health Service website, which also signposts to the charity SUDC.UK. This is available at the following link:https://www.nhs.uk/conditions/sudden-infant-death-syndrome-sidsThe Department funds research into SUDC through the National Institute for Health and Care Research (NIHR). Recent NIHR‑funded research includes studies focused on the promotion of safer sleeping practices for families at increased risk, the identification and management of genetic and cardiac risk factors, and the improvement of support for bereaved families.The NIHR actively encourages and funds high-quality research into SUDC, ensuring flexibility in both the funding and research type to meet the needs of patients and families.

Food and Rural Affairs, what recent discussions he has had with UK fishers on (a) challenges and (b) support required.

Defra Ministers meet with representatives of the fishing industry regularly to discuss a wide variety of issues including to understand their perspectives on challenges and support they need.

Food and Rural Affairs, what recent assessment her Department has made of the potential impact of increasing water bills on households.

It is important that customers get value for money from their water bills and that support is available for those who need it. I meet water companies frequently to discuss a range of issues, including customer bills. As the independent economic regulator, it is Ofwat’s responsibility to scrutinise water company business plans and ensure the prices water companies charge their customers are fair and proportionate. It does this through its Price Review, every five years. Ofwat published the results of the 2024 Price Review in December 2024, this sets out company expenditure and customer bills for the next five years, up to 2030. These price controls came into effect on 01 April 2025. Price Review 2024 will deliver substantial improvements for customers and the environment through a £104 billion upgrade for the water sector - the highest level of investment in the water sector since privatisation. The average annual bill rise over the next 5 years will be £31 (or 36%). This will vary across households depending on their circumstances. Information on bills for each water company is available on Ofwat’s website. All water companies have measures in place for customers who struggle to pay for their water and wastewater services, such as WaterSure, social tariffs, payment breaks and holidays, and debt management support. Moreover, Government expects industry to keep the current support schemes under review to ensure that vulnerable customers are supported. The Government has committed to reforming the WaterSure support scheme which supports low-income households with high essential water use due to having a medical condition or three or more children living at home and has consulted on extending the list of qualifying benefits to include non-means tested disability benefits. This proposal is designed to provide better support for low-income households where a medical condition leads to high essential water use. The proposed reforms would also increase support for existing households and update the regulations to reflect best practice adopted across the water sector. The department will publish the response to the consultation in the coming months. Bill increases are necessary to make up for years of under-investment and make sure water companies can deliver a good service to customers and protect the environment. The Government is also bringing forward root and branch reform to secure better outcomes for billpayers and restore trust and accountability. This includes the creation of a powerful new consolidated regulator, which will work to ensure water company bills are fair and affordable for customers. These reforms are detailed in the Government’s Water White Paper.

Food and Rural Affairs, what steps her Department is taking to support people with the cost of water bills.

It is important that customers get value for money from their water bills and that support is available for those who need it. I meet water companies frequently to discuss a range of issues, including customer bills. As the independent economic regulator, it is Ofwat’s responsibility to scrutinise water company business plans and ensure the prices water companies charge their customers are fair and proportionate. It does this through its Price Review, every five years. Ofwat published the results of the 2024 Price Review in December 2024, this sets out company expenditure and customer bills for the next five years, up to 2030. These price controls came into effect on 01 April 2025. Price Review 2024 will deliver substantial improvements for customers and the environment through a £104 billion upgrade for the water sector - the highest level of investment in the water sector since privatisation. The average annual bill rise over the next 5 years will be £31 (or 36%). This will vary across households depending on their circumstances. Information on bills for each water company is available on Ofwat’s website. All water companies have measures in place for customers who struggle to pay for their water and wastewater services, such as WaterSure, social tariffs, payment breaks and holidays, and debt management support. Moreover, Government expects industry to keep the current support schemes under review to ensure that vulnerable customers are supported. The Government has committed to reforming the WaterSure support scheme which supports low-income households with high essential water use due to having a medical condition or three or more children living at home and has consulted on extending the list of qualifying benefits to include non-means tested disability benefits. This proposal is designed to provide better support for low-income households where a medical condition leads to high essential water use. The proposed reforms would also increase support for existing households and update the regulations to reflect best practice adopted across the water sector. The department will publish the response to the consultation in the coming months. Bill increases are necessary to make up for years of under-investment and make sure water companies can deliver a good service to customers and protect the environment. The Government is also bringing forward root and branch reform to secure better outcomes for billpayers and restore trust and accountability. This includes the creation of a powerful new consolidated regulator, which will work to ensure water company bills are fair and affordable for customers. These reforms are detailed in the Government’s Water White Paper.

Food and Rural Affairs, what recent discussions she has had with water companies on the cost of water bills to customers.

It is important that customers get value for money from their water bills and that support is available for those who need it. I meet water companies frequently to discuss a range of issues, including customer bills. As the independent economic regulator, it is Ofwat’s responsibility to scrutinise water company business plans and ensure the prices water companies charge their customers are fair and proportionate. It does this through its Price Review, every five years. Ofwat published the results of the 2024 Price Review in December 2024, this sets out company expenditure and customer bills for the next five years, up to 2030. These price controls came into effect on 01 April 2025. Price Review 2024 will deliver substantial improvements for customers and the environment through a £104 billion upgrade for the water sector - the highest level of investment in the water sector since privatisation. The average annual bill rise over the next 5 years will be £31 (or 36%). This will vary across households depending on their circumstances. Information on bills for each water company is available on Ofwat’s website. All water companies have measures in place for customers who struggle to pay for their water and wastewater services, such as WaterSure, social tariffs, payment breaks and holidays, and debt management support. Moreover, Government expects industry to keep the current support schemes under review to ensure that vulnerable customers are supported. The Government has committed to reforming the WaterSure support scheme which supports low-income households with high essential water use due to having a medical condition or three or more children living at home and has consulted on extending the list of qualifying benefits to include non-means tested disability benefits. This proposal is designed to provide better support for low-income households where a medical condition leads to high essential water use. The proposed reforms would also increase support for existing households and update the regulations to reflect best practice adopted across the water sector. The department will publish the response to the consultation in the coming months. Bill increases are necessary to make up for years of under-investment and make sure water companies can deliver a good service to customers and protect the environment. The Government is also bringing forward root and branch reform to secure better outcomes for billpayers and restore trust and accountability. This includes the creation of a powerful new consolidated regulator, which will work to ensure water company bills are fair and affordable for customers. These reforms are detailed in the Government’s Water White Paper.

What steps she is taking to help make public transport more affordable.

The Government knows how important affordable and reliable public transport services are in keeping communities connected. We introduced the Bus Services Act 2025 to put power over local bus services back into the hands of local leaders, including in rural areas. In addition, the Government has confirmed over £3 billion from 2026/27 to support local leaders and bus operators to improve bus services over the spending review period. This includes multi-year allocations for local authorities under the Local Authority Bus Grant (LABG) totalling nearly £700 million per year. East Midlands Combined Authority will be allocated £65.5 million under the LABG from 2026/27 to 2028/29, in addition to the £21.7 million they are already receiving this year. On 1 January 2025, the Government introduced a new £3 cap on single bus fares in England outside London, and in the Spending Review announced that this would be extended until March 2027. The £3 cap replaced the £2 cap, and without action, the cap would have ended and fares would have returned to their previous levels. Local authorities can also use their LABG funding to introduce local fares initiatives to further reduce travel costs Rail services in East Midlands Combined Authority are supported by requirements on train operators to plan services and design timetables to meet both current and future passenger demand, while also ensuring value for money for the taxpayer. The government commitment to public ownership through Great British Railways will also help to deliver a unified system that focuses on reliable, affordable, high-quality and efficient transport services, whilst also ensuring safety and accessibility. Under public ownership, passenger services can be operated in the interests of passengers, not shareholders.

What steps she is taking to improve public transport provision in rural areas.

The Government knows how important affordable and reliable public transport services are in keeping communities connected. We introduced the Bus Services Act 2025 to put power over local bus services back into the hands of local leaders, including in rural areas. In addition, the Government has confirmed over £3 billion from 2026/27 to support local leaders and bus operators to improve bus services over the spending review period. This includes multi-year allocations for local authorities under the Local Authority Bus Grant (LABG) totalling nearly £700 million per year. East Midlands Combined Authority will be allocated £65.5 million under the LABG from 2026/27 to 2028/29, in addition to the £21.7 million they are already receiving this year. On 1 January 2025, the Government introduced a new £3 cap on single bus fares in England outside London, and in the Spending Review announced that this would be extended until March 2027. The £3 cap replaced the £2 cap, and without action, the cap would have ended and fares would have returned to their previous levels. Local authorities can also use their LABG funding to introduce local fares initiatives to further reduce travel costs Rail services in East Midlands Combined Authority are supported by requirements on train operators to plan services and design timetables to meet both current and future passenger demand, while also ensuring value for money for the taxpayer. The government commitment to public ownership through Great British Railways will also help to deliver a unified system that focuses on reliable, affordable, high-quality and efficient transport services, whilst also ensuring safety and accessibility. Under public ownership, passenger services can be operated in the interests of passengers, not shareholders.

What steps his Department is taking to improve (a) diagnosis time and (b) medical care for people with non-alcoholic fatty liver disease.

Non-alcoholic fatty liver disease is now commonly referred to as metabolic dysfunction-associated steatotic liver disease (MASLD), although the terms are still often used interchangeably.While the Department has not had any recent discussions with medical professionals about care for people with MASLD, NHS England has recently commenced a programme for the transformation of liver services. This programme is being led by the NHS England Hepatobiliary and Pancreas Clinical Reference Group (HPB CRG). HPB CRG is working with partners to co-produce resources to raise public knowledge and awareness of all forms of liver disease. In time, this may include incorporating liver health checks into the NHS Making Every Contact Count and NHS Health Checks initiatives.The HPB CRG is also aiming to improve early diagnosis and intervention through developing evidence-based best-practice pathways for both primary care and referral to secondary care services. The HPB CRG is looking at access and equity of access to diagnostic tests across England and exploring the applicability of automated Fib4 tests and Intelligent Liver Function Testing, potentially utilising community diagnostic centres.The British Society for Gastroenterology is currently updating its pathways and guidance for MASLD for both primary and secondary care, diagnostics, and treatment, which we anticipate will be published soon. There are also a number of ongoing National Institute for Health and Care Excellence assessments looking at new treatments for MASLD, including Resmetirom and Semaglutide. Outputs and recommendations are expected to be published in mid-2026.Clinical teams also have access to NHS England’s Getting it Right First Time Advice and Guidance toolkit and templates for gastroenterology, which feature advice on managing abnormal liver function tests and MASLD. These templates enable general practitioners to seek timely advice from secondary care specialists, helping to reduce unnecessary delays.

What recent discussions his Department has had with medical professionals about care for people with non-alcoholic fatty liver disease.

Non-alcoholic fatty liver disease is now commonly referred to as metabolic dysfunction-associated steatotic liver disease (MASLD), although the terms are still often used interchangeably.While the Department has not had any recent discussions with medical professionals about care for people with MASLD, NHS England has recently commenced a programme for the transformation of liver services. This programme is being led by the NHS England Hepatobiliary and Pancreas Clinical Reference Group (HPB CRG). HPB CRG is working with partners to co-produce resources to raise public knowledge and awareness of all forms of liver disease. In time, this may include incorporating liver health checks into the NHS Making Every Contact Count and NHS Health Checks initiatives.The HPB CRG is also aiming to improve early diagnosis and intervention through developing evidence-based best-practice pathways for both primary care and referral to secondary care services. The HPB CRG is looking at access and equity of access to diagnostic tests across England and exploring the applicability of automated Fib4 tests and Intelligent Liver Function Testing, potentially utilising community diagnostic centres.The British Society for Gastroenterology is currently updating its pathways and guidance for MASLD for both primary and secondary care, diagnostics, and treatment, which we anticipate will be published soon. There are also a number of ongoing National Institute for Health and Care Excellence assessments looking at new treatments for MASLD, including Resmetirom and Semaglutide. Outputs and recommendations are expected to be published in mid-2026.Clinical teams also have access to NHS England’s Getting it Right First Time Advice and Guidance toolkit and templates for gastroenterology, which feature advice on managing abnormal liver function tests and MASLD. These templates enable general practitioners to seek timely advice from secondary care specialists, helping to reduce unnecessary delays.

What steps his Department is taking to reduce reoffending rates.

Reoffending in England and Wales costs taxpayers £22.7 billion per year (adjusted to 24/25 prices). Tackling reoffending is crucial to reducing crime, reducing demand on prison and probation services and protecting the public.Working across Government, we are taking steps to tackle the root causes of reoffending by investing in a range of interventions which address offenders’ underlying criminogenic needs and support their rehabilitation journey. This includes, but is not limited to, education, employment, accommodation and substance misuse treatment services.We have launched regional Employment Councils, which for the first time bring businesses together with prisons, probation, and the Department for Work and Pensions to support prison leavers. We are expanding our community accommodation service to support prison leavers at risk of homelessness by providing up to 12 weeks of temporary accommodation for those under probation supervision. And we have funded Incentivised Substance-Free Living units (ISFLs) in 85 prisons, where prisoners sign a behaviour compact, agree to be regularly drug tested and can access enhanced opportunities compared to a standard wing.

What steps her Department are taking to ensure rural communities can access in person banking services.

Banking is changing, with many customers benefitting from the convenience and flexibility of managing their finances remotely. However, Government understands the importance of face-to-face banking to communities and is committed to supporting sufficient access for customers in rural areas and across the country.Through the Financial Services and Markets Act 2023, the Government gave the Financial Conduct Authority regulatory responsibility for access to cash. Its rules ensure cash continues to be a viable method of payment for the millions of people who depend on it by providing reasonable access to cash withdrawal and deposit facilities for individuals and businesses, including free services for personal accounts. In addition to traditional bank branches, the financial services industry is committed to rolling out 350 banking hubs across the UK by the end of this Parliament. Over 240 hubs have been announced so far, and more than 200 are already open. Government is working closely with industry on this commitment, including through regular ministerial engagement. Most recently, on 8 January, I chaired a roundtable with banks, Cash Access UK and UK Finance to discuss banking hubs. Banking hubs are allocated based on independent assessments by LINK, which consider factors such as branch closures, cash reliance and community vulnerability. The criteria also differentiate between rural and urban areas. For example, LINK applies a wider three-mile catchment area in rural locations to recognise that villages often rely on nearby market towns. Customers can also access everyday banking services at a nearby Post Office. The Post Office Banking Framework allows personal and business customers of participating banks to withdraw and deposit cash, check their balance, pay bills and cash cheques at over 10,000 Post Office branches across the UK. The Government protects the Post Office network by setting minimum access criteria. These include ensuring that 99% of the UK population lives within three miles of a Post Office and 90% of the population within one mile.Beyond bank branches, banking hubs and Post Office banking services, some banks also provide points of access through initiatives such as pop-up services in libraries and community centres, or mobile banking vans serving remote areas. The Government supports initiatives which give customers access to in-person banking, as well as digital access.

What steps her Department is taking to support regional airports.

Regional airports connect all regions of the UK to national and international opportunities. They serve our local communities by supporting thousands of jobs while maintaining social and family ties and strengthening the bonds between the four nations. The UK aviation market operates predominantly in the private sector. Airports invest in their infrastructure to attract passengers and airlines, while airlines are well placed to deliver services to their customers by responding to demand for different routes. Ministers and officials at the Department meet regularly with regional airports to discuss issues such as regional air connectivity. Government supports connectivity through our joint funding of three Public Service Obligation (PSO) routes into London from Newquay, Dundee and Derry/Londonderry.

Communities and Local Government, what recent assessment he has made of the impact of immigration on housing availability.

I refer the hon. Member to the answers given to Question UIN 62663 on 22 July 2025 and to Question UIN 51990 on 19 May 2025.

What recent assessment she has made of the effectiveness of the national safeguarding guidelines for (a) primary and (b) secondary schools.

Schools and colleges have a critical role to play in protecting children and keeping them safe. The department publishes statutory safeguarding guidance Keeping children safe in education (KCSIE) which all schools and colleges must have regard to when carrying out their duties to safeguard and promote the welfare of children. KCSIE is subject to regular review to ensure it is kept up to date and relevant. We are proposing to make changes to KCSIE 2026 and plan to launch a public consultation very soon.