Written questions by Anderson.

What steps he is taking to reduce the time taken for the delivery of disability medical equipment to (a) adults and (b) children.

Integrated care boards (ICBs) are responsible for commissioning services to meet the health needs of their local population, and responsibility for providing equipment to disabled people typically falls to the National Health Service and local authorities.We expect ICBs to follow guidance from the National Institute for Health and Care Excellence (NICE). In 2022, NICE published relevant guidance in relation to children, called Disabled children and young people up to 25 with severe complex needs: integrated service delivery and organisation across health, social care and education, which is available at the following link:https://www.nice.org.uk/guidance/ng213/chapter/Recommendations-on-service-organisation-integration-and-commissioningThe Medium-Term Planning Framework, published in October 2025, requires that from 2026/27 all ICBs and Community Health Services must actively manage and reduce the proportion of waits across all community health services over 18 weeks and develop a plan to eliminate all 52-week waits.Local authorities in England have a statutory duty, including under the Care Act 2014, to make arrangements for the provision of disability aids and community equipment to meet the assessed eligible needs of individuals who are resident in their area. Responsibility for managing the market for these services, including commissioning and oversight of delivery, rests with local authorities.

What steps he is taking to improve access to disability medical equipment for (a) adults and (b) children.

Integrated care boards (ICBs) are responsible for commissioning services to meet the health needs of their local population, and responsibility for providing equipment to disabled people typically falls to the National Health Service and local authorities.We expect ICBs to follow guidance from the National Institute for Health and Care Excellence (NICE). In 2022, NICE published relevant guidance in relation to children, called Disabled children and young people up to 25 with severe complex needs: integrated service delivery and organisation across health, social care and education, which is available at the following link:https://www.nice.org.uk/guidance/ng213/chapter/Recommendations-on-service-organisation-integration-and-commissioningThe Medium-Term Planning Framework, published in October 2025, requires that from 2026/27 all ICBs and Community Health Services must actively manage and reduce the proportion of waits across all community health services over 18 weeks and develop a plan to eliminate all 52-week waits.Local authorities in England have a statutory duty, including under the Care Act 2014, to make arrangements for the provision of disability aids and community equipment to meet the assessed eligible needs of individuals who are resident in their area. Responsibility for managing the market for these services, including commissioning and oversight of delivery, rests with local authorities.

What steps she is taking to support older people with the cost of utility bills.

We’re committed to helping pensioners with the cost of living and ensuring financial security in retirement. The State Pension is the foundation of that support. At Autumn Budget 2025 we announced that, in line with the Government’s commitment to the Triple Lock throughout this parliament, over 12 million pensioners will benefit from a 4.8% increase to their basic or new State Pension in April 2026, increasing their income by up to £575 a year. This follows a substantial increase in 2025/26. The Pension Credit Standard Minimum Guarantee will increase by 4.8% in April 2026, from £227.10 to £238 a week for a single pensioner and from £346.60 to £363.25 a week for a couple, protecting the income of the poorest pensioners. Those in receipt of Pension Credit will also automatically receive the Cold Weather Payment alongside other benefitsThe Winter Fuel Payment will benefit over three quarters of pensioners for the duration of this parliament, targeting help to those on lower and middle incomes while ensuring fairness for pensioners and taxpayersTo reduce cost of living pressures immediately, the Budget removed around £150 on average off household energy bills from April 2026 by ending the Energy Company Obligation and taking some of the expensive legacy levies off billsThe Government knows that more needs to be done to support vulnerable households struggling with their energy bills. That's why we are expanding the Warm Home Discount to around an additional 2.7 million households. From this winter, around 6 million low-income households will receive the £150 support to help with their energy bill costs. We are also providing support for low-income households through our Warm Homes Plan which will support investment in insulation and low carbon heating – upgrading millions of homes over this Parliament. At the recent Budget, we announced £1.5 billion in new funding to support households facing fuel poverty.

What recent estimate she has made of the number of older people unable to pay utility bills.

We’re committed to helping pensioners with the cost of living and ensuring financial security in retirement. The State Pension is the foundation of that support. At Autumn Budget 2025 we announced that, in line with the Government’s commitment to the Triple Lock throughout this parliament, over 12 million pensioners will benefit from a 4.8% increase to their basic or new State Pension in April 2026, increasing their income by up to £575 a year. This follows a substantial increase in 2025/26. The Pension Credit Standard Minimum Guarantee will increase by 4.8% in April 2026, from £227.10 to £238 a week for a single pensioner and from £346.60 to £363.25 a week for a couple, protecting the income of the poorest pensioners. Those in receipt of Pension Credit will also automatically receive the Cold Weather Payment alongside other benefitsThe Winter Fuel Payment will benefit over three quarters of pensioners for the duration of this parliament, targeting help to those on lower and middle incomes while ensuring fairness for pensioners and taxpayersTo reduce cost of living pressures immediately, the Budget removed around £150 on average off household energy bills from April 2026 by ending the Energy Company Obligation and taking some of the expensive legacy levies off billsThe Government knows that more needs to be done to support vulnerable households struggling with their energy bills. That's why we are expanding the Warm Home Discount to around an additional 2.7 million households. From this winter, around 6 million low-income households will receive the £150 support to help with their energy bill costs. We are also providing support for low-income households through our Warm Homes Plan which will support investment in insulation and low carbon heating – upgrading millions of homes over this Parliament. At the recent Budget, we announced £1.5 billion in new funding to support households facing fuel poverty.

What steps her Department is taking to improve the availability of tactile paving on platform edges at train stations.

All stations in England now have platform edge safety tactiles installed. The final station in Scotland is currently scheduled to have them installed by the end of December and the final station in Wales, currently closed for rebuilding, will have tactiles in place when it reopens in April 2026.

What assessment she has made of the effectiveness of penalties for people engaged in the illegal trade of tobacco products.

HM Revenue & Customs (HMRC) has a robust strategy to tackle the illicit tobacco trade which can be found here https://www.gov.uk/government/publications/stubbing-out-the-problem-a-new-strategy-to-tackle-illicit-tobacco/stubbing-out-the-problem-a-new-strategy-to-tackle-illicit-tobacco This strategy combines legislation, controls, operations and sanctions to penalise and deter those involved in the illegal trade of tobacco products. HMRC works together with partner agencies such as Border Force and Trading Standards in tackling illicit tobacco. Penalties provide a strong deterrent effect and play a key role in enforcement activity. Published data on seizures, criminal investigations and civil penalties related to tobacco can be found here https://www.gov.uk/government/publications/annual-outputs-for-tacking-tobacco-smuggling The scope, impact and effectiveness of penalties are continually reviewed as part of the wider tobacco strategy. Strong enforcement supported by robust penalties has contributed to a significant reduction in the estimated duty gap by around one third for cigarettes (from 16.9% in 2005 to 10.5% in 2023 to 2024) and by nearly two thirds for hand-rolling tobacco (from 65.2% to 22.9% over the same period).

How many people have been a) arrested b) charged and c) convicted in relation to (i) underage and (ii) illicit sales of cigarettes each year for the past five years.

The Department for Business and Trade does not hold this data.

How many Trading Standards enforcement officers there were in each (a) region, (b) local authority area and (c) parliamentary constituency in each year for the past 5 years.

Trading Standards enforcement officers are the responsibility of individual Local Authorities.

What steps his Department is taking to support research into ME/CFS.

We have outlined our approach to supporting myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), research in the ME/CFS Final Delivery Plan published in July. These steps include a research showcase event, a new funding opportunity for a development award focussed on evaluating repurposed pharmaceutical interventions, and the announcement of new funded studies in health and care services, and research infrastructure and capacity-building.We are determined to accelerate progress in the treatment and management of ME/CFS and will continue working with the ME/CFS community to identify and address barriers to research, with the ambition of supporting more research and capacity-building programmes.The National Institute for Health and Care Research (NIHR) and Medical Research Council have provided over £3.2 million towards the DecodeME study which aims to understand if there is a genetic component to the condition. While there is currently no diagnostic test for ME/CFS, we hope that DecodeME will help support the development of diagnostic tests and targeted treatments. Preliminary findings from DecodeME indicate genetic differences in eight areas linked to the immune and nervous systems in people with ME/CFS. This discovery of specific genetic signals may help us understand the biological pathways involved in ME/CFS in the future. Further research is needed for the development of diagnostic tests and targeted treatments.The Department funds research through the NIHR. The NIHR welcomes funding applications for research into any aspect of human health and care, including ME/CFS and the development of diagnostic tests. Research funding is available, and applications are subject to peer review and judged in open competition, with awards made on the basis of the importance of the topic to patients and health and care services, value for money, and scientific quality.

What steps she is taking to ensure teachers receive the necessary training to support pupils with ME/CFS.

The department engages regularly with schools on a range of issues.Schools should ensure they are aware of any pupils with medical conditions and have policies and processes in place to ensure these can be well managed. Governing bodies must ensure that the arrangements they put in place are sufficient to meet their statutory responsibilities and that policies, plans, procedures and systems are properly and effectively implemented. This includes the duty under Section 100 of the Children and Families Act 2014 to make arrangements for supporting pupils with medical conditions and the duties under the Equality Act 2010.Policies should set out how staff will be supported in carrying out their role to support pupils, including how training needs are assessed and how training is commissioned and provided. Any member of school staff providing support to a pupil with medical needs should have received suitable training.

What assessment he has made of the potential implications for his policies of trends in the number of illegitimate businesses and rogue retailers selling tobacco and nicotine products.

Underage and illicit sales of tobacco and vapes undermine the Government’s work to protect people from harm and risk of addiction. The Tobacco and Vapes Bill will strengthen enforcement, supporting legitimate businesses and cracking down on rogue retailers who breach tobacco and vape regulations. The bill introduces new £200 fixed penalty notices in England and Wales for certain offences, including underage sales, and enables the introduction of a retail licensing scheme in England, Wales, and Northern Ireland for the sale of tobacco, vapes, and nicotine products, and a new registration scheme for tobacco, vape, and nicotine products sold on the United Kingdom’s market.Alongside the bill, we are investing £30 million of new funding for enforcement agencies in 2025/26, including Trading Standards, HM Revenue and Customs, and Border Force. This funding is being used to support the enforcement of illicit and underage tobacco and vape sales in England, including a boost to the Trading Standards workforce by recruiting 94 new apprentices.

What assessment he has made of the potential merits of testing for other commonly linked conditions when running diagnosis tests for ME/CFS.

The Department recognises the significant challenges faced by individuals living with multiple complex conditions such as myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), and Ehlers-Danlos syndrome (EDS). Our approach focuses on improving care coordination and access to appropriate services.For ME/CFS, we have published a cross-Government final delivery plan, which sets out actions to boost research, improve professional education, and enhance support for daily living, including community-based services and better benefit assessments. While the plan is specific to ME/CFS, it acknowledges overlaps with other long-term conditions such as EDS and commits to exploring synergies during implementation.Additionally, the 10-Year Health Plan aims to transform services and outcomes for people living with complex conditions such as EDS and ME/CFS by prioritising integrated, personalised care. The plan focuses on earlier diagnosis and promotes multidisciplinary teams and community-based services to deliver coordinated support closer to home, reducing reliance on hospital care. Digital innovations, including remote monitoring and personalised care planning, will help manage long-term conditions more effectively.Guidance published by the National Institute for Care Excellence on the diagnosis and management of ME/CFS, reference code NG206, does not recommend routine testing for conditions such as EDS as part of the diagnostic process for ME/CFS. The guideline makes clear that there is no single test for ME/CFS and diagnosis should be based on the clinical assessment of symptoms persisting for at least three months. It advises clinicians to carry out investigations only to rule out other possible causes of symptoms or to identify comorbidities that require separate management. Testing for other conditions, like EDS, should be considered if clinical features suggest their presence, rather than as a standard part of ME/CFS assessment.

Communities and Local Government, what steps he is taking to ensure that newly constructed buildings have good disability access.

The government recognises how important home adaptations are in enabling disabled people to live as independently as possible in a safe and suitable environment. The Disabled Facilities Grant (DFG) is a capital grant administered by local authorities in England that can help meet the cost of adaptations for people of all ages and tenures to make their home safe and suitable for their needs. This government has boosted funding for the DFG to £711 million for both 2024-25 and 2025-26. Accessibility standards for homes are governed by Part M of the Building Regulations 2010. The Building Regulations apply to new homes, or those undergoing a material change of use. There are three standards of accessibility prescribed in the Building Regulations: M4(1); M4(2) and M4(3).

What steps his department are taking to improve the reliability of ME/CFS diagnosis tests.

We have outlined our approach to supporting myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), research in the ME/CFS Final Delivery Plan published in July. These steps include a research showcase event, a new funding opportunity for a development award focussed on evaluating repurposed pharmaceutical interventions, and the announcement of new funded studies in health and care services, and research infrastructure and capacity-building.We are determined to accelerate progress in the treatment and management of ME/CFS and will continue working with the ME/CFS community to identify and address barriers to research, with the ambition of supporting more research and capacity-building programmes.The National Institute for Health and Care Research (NIHR) and Medical Research Council have provided over £3.2 million towards the DecodeME study which aims to understand if there is a genetic component to the condition. While there is currently no diagnostic test for ME/CFS, we hope that DecodeME will help support the development of diagnostic tests and targeted treatments. Preliminary findings from DecodeME indicate genetic differences in eight areas linked to the immune and nervous systems in people with ME/CFS. This discovery of specific genetic signals may help us understand the biological pathways involved in ME/CFS in the future. Further research is needed for the development of diagnostic tests and targeted treatments.The Department funds research through the NIHR. The NIHR welcomes funding applications for research into any aspect of human health and care, including ME/CFS and the development of diagnostic tests. Research funding is available, and applications are subject to peer review and judged in open competition, with awards made on the basis of the importance of the topic to patients and health and care services, value for money, and scientific quality.

Communities and Local Government, what steps his Department is taking to support the adaptation of existing buildings to support better disability access.

The government recognises how important home adaptations are in enabling disabled people to live as independently as possible in a safe and suitable environment. The Disabled Facilities Grant (DFG) is a capital grant administered by local authorities in England that can help meet the cost of adaptations for people of all ages and tenures to make their home safe and suitable for their needs. This government has boosted funding for the DFG to £711 million for both 2024-25 and 2025-26. Accessibility standards for homes are governed by Part M of the Building Regulations 2010. The Building Regulations apply to new homes, or those undergoing a material change of use. There are three standards of accessibility prescribed in the Building Regulations: M4(1); M4(2) and M4(3).

What steps his Department is taking to help support children and young people with ME/CFS.

We published the final delivery plan (FDP) for myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), on 22 July, which focuses on boosting research, improving attitudes and education, and bettering the lives of people with this debilitating disease.To support healthcare professionals in the diagnosis and management of ME/CFS, as set out in the FDP, the Department of Health and Social Care (DHSC) has worked with NHS England to develop an e-learning programme on ME/CFS for healthcare professionals, with the aim of supporting staff to be able to provide better care and improve patient outcomes. All three sessions, with sessions one and two having universal access, whilst the third session is only available to healthcare professionals, of the e-learning programme are now available at the following link:https://learninghub.nhs.uk/catalogue/mecfselearning?nodeId=7288The Medical Schools Council will promote the NHS England e-learning programme on ME/CFS to all United Kingdom medical schools and will encourage those medical schools to provide undergraduates with direct patient experience of ME/CFS. The General Medical Council (GMC) is the regulator of medical schools, and it is important that education is reenforced at different stages of medical training. Royal colleges play an important role in this. The GMC has included ME/CFS in the content map for the new national exam, so all medical schools will need to teach it as a subject.As outlined in the FDP, we will improve awareness of ME/CFS by launching a public awareness initiative to promote wider awareness and understanding of the condition and support available to people with ME/CFS and their families.DHSC will also engage stakeholders to discuss timely diagnosis and support for children who have ME/CFS and their families, as well as best practice in relation to safeguarding responsibilities. This will be taken forward in parallel with NHS England’s actions on ME/CFS services and neighbourhood multidisciplinary teams for children and young people.Furthermore, as outlined in the FDP, the Department for Education is encouraging the sharing of ME/CFS-specific information with relevant organisations and promoting relevant training and resources to support children and young people.

What assessment they are taking to help support people living with ME/CFS and Ehlers-Danlos Syndrome simultaneously.

The Department recognises the significant challenges faced by individuals living with multiple complex conditions such as myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), and Ehlers-Danlos syndrome (EDS). Our approach focuses on improving care coordination and access to appropriate services.For ME/CFS, we have published a cross-Government final delivery plan, which sets out actions to boost research, improve professional education, and enhance support for daily living, including community-based services and better benefit assessments. While the plan is specific to ME/CFS, it acknowledges overlaps with other long-term conditions such as EDS and commits to exploring synergies during implementation.Additionally, the 10-Year Health Plan aims to transform services and outcomes for people living with complex conditions such as EDS and ME/CFS by prioritising integrated, personalised care. The plan focuses on earlier diagnosis and promotes multidisciplinary teams and community-based services to deliver coordinated support closer to home, reducing reliance on hospital care. Digital innovations, including remote monitoring and personalised care planning, will help manage long-term conditions more effectively.Guidance published by the National Institute for Care Excellence on the diagnosis and management of ME/CFS, reference code NG206, does not recommend routine testing for conditions such as EDS as part of the diagnostic process for ME/CFS. The guideline makes clear that there is no single test for ME/CFS and diagnosis should be based on the clinical assessment of symptoms persisting for at least three months. It advises clinicians to carry out investigations only to rule out other possible causes of symptoms or to identify comorbidities that require separate management. Testing for other conditions, like EDS, should be considered if clinical features suggest their presence, rather than as a standard part of ME/CFS assessment.

If he will make an estimate of the cost to the public purse of the COP30 climate summit.

The UK Government has rigorous processes in place to ensure costs for COP summits are managed effectively and represent value for money. A full cost will be confirmed and published once all expenditure is finalised.

What steps his Department is taking to help increase awareness of ME symptoms.

We published the final delivery plan (FDP) for myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), on 22 July, which focuses on boosting research, improving attitudes and education, and bettering the lives of people with this debilitating disease.To support healthcare professionals in the diagnosis and management of ME/CFS, as set out in the FDP, the Department of Health and Social Care (DHSC) has worked with NHS England to develop an e-learning programme on ME/CFS for healthcare professionals, with the aim of supporting staff to be able to provide better care and improve patient outcomes. All three sessions, with sessions one and two having universal access, whilst the third session is only available to healthcare professionals, of the e-learning programme are now available at the following link:https://learninghub.nhs.uk/catalogue/mecfselearning?nodeId=7288The Medical Schools Council will promote the NHS England e-learning programme on ME/CFS to all United Kingdom medical schools and will encourage those medical schools to provide undergraduates with direct patient experience of ME/CFS. The General Medical Council (GMC) is the regulator of medical schools, and it is important that education is reenforced at different stages of medical training. Royal colleges play an important role in this. The GMC has included ME/CFS in the content map for the new national exam, so all medical schools will need to teach it as a subject.As outlined in the FDP, we will improve awareness of ME/CFS by launching a public awareness initiative to promote wider awareness and understanding of the condition and support available to people with ME/CFS and their families.DHSC will also engage stakeholders to discuss timely diagnosis and support for children who have ME/CFS and their families, as well as best practice in relation to safeguarding responsibilities. This will be taken forward in parallel with NHS England’s actions on ME/CFS services and neighbourhood multidisciplinary teams for children and young people.Furthermore, as outlined in the FDP, the Department for Education is encouraging the sharing of ME/CFS-specific information with relevant organisations and promoting relevant training and resources to support children and young people.

What steps his Department is taking to improve access to ME/CFS support in Ashfield.

Residents of Ashfield with myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), are supported primarily through the Community Pain Management Service (CPMS), commissioned by the NHS Nottingham and Nottinghamshire Integrated Care Board for the mid Nottinghamshire area, which covers Mansfield and Ashfield and Newark and Sherwood. The CPMS delivers a multi-disciplinary, community-based service for adults, those aged 16 years old and over, with chronic pain and/or ME/CFS. The service is designed to be accessible, equitable, and holistic, supporting both physical and psychological needs. Ashfield residents can access the service at several local clinics, including Ashfield Health and Wellbeing Centre in Sutton-in-Ashfield, as well as other sites across mid Nottinghamshire, including Mansfield Community Hospital and Oak Tree Health Centre. Referrals are accepted from general practitioners, musculoskeletal services, and hospital consultants. The service acts as a single point of access, ensuring streamlined and timely triage and assessment.