Written questions by Dillon.

What steps his Department is taking to improve services for people with Parkinson's disease.

At the national level, there are a number of initiatives supporting service improvement and better care for patients with Parkinson’s disease in England, including the Getting It Right First Time Programme for Neurology and the RightCare Progressive Neurological Conditions Toolkit. NHS England has also established a Neurology Transformation Programme, a multi-year, clinically-led programme, which has developed a new model of integrated care to support integrated care boards to deliver the right service, at the right time, for all neurology patients, including those with Parkinson’s.NHS England commissions the specialised elements of Parkinson’s care that patients may receive from 27 specialised neurology centres across England. Within specialised centres, neurological multidisciplinary teams ensure patients can access a range of health professionals and specialised treatment and support, according to their needs. NHS England is updating the Neurosciences specialised neurology (adults) service specification, which will: set out clear deliverables for specialised centres; provide a clearer model of care, incorporating up-to-date guidance and best practice; and set out new quality outcomes focusing on improving patient outcomes and experience. We are expecting the revised specification and standards to be published later in 2025.We have also set up a United Kingdom-wide Neuro Forum, facilitating formal, biannual meetings across the Department, NHS England, the devolved administrations and health services, and the Neurological Alliances of all four nations. The new forum brings key stakeholders together, to share learnings across the system and discuss challenges, best practice examples, and potential solutions for improving the care of people with neurological conditions, including Parkinson’s.

When her Department plans to publish details of the changes to inheritance tax.

The Government has already published significant details about the reforms to inheritance tax announced at Autumn Budget 2024. The Government is currently considering the responses to the technical consultation on the application of agricultural property relief and business property relief to trusts. The Government is also considering the responses to the technical consultation on the liability for reporting and paying any inheritance tax due on pensions. The Government will respond to both these technical consultations in due course. Draft legislation will be published in the normal way later this year and legislation implementing these policies will be brought forward ahead of the measures taking effect.

What plans his Department has to improve support for family carers providing care at home for relatives with learning disabilities.

The Government is committed to ensuring that the families of people with learning disabilities have the support they need.On the 7 of April 2025, the Government increased the Carer's Allowance weekly earnings limit from £151 a week to £196, the equivalent of 16 hours at the National Living Wage. This represents the largest increase in the earnings limit since the Carer’s Allowance was introduced in 1976.Lord Darzi’s independent review of the National Health Service highlighted the need for a fresh approach to supporting and involving unpaid carers, to improve outcomes across the board, for carers, for those they care for, and for the NHS itself.These findings will be carefully considered as part of our 10-year plan to reform and modernise the NHS, and as we continue to shape our plans to reform adult social care, including through the National Care Service.We have also launched an independent commission into adult social care as part of our critical first steps towards delivering a National Care Service.The commission will start a national conversation about what care and support working age adults, older people, and their families can expect from adult social care, including exploring the needs of unpaid carers, who provide vital care and support.

What assessment she has made of the potential merits of providing full compensation to Equitable Life policyholders.

The Equitable Life Payment Scheme has been fully wound down and closed since 2016 and there are no plans to reopen any decisions relating to the Payment Scheme or review the £1.5 billion funding allocation previously made to it. Further guidance on the status of the Payment Scheme after closure is available at: https://www.gov.uk/guidance/equitable-life-payment-scheme#closure-of-the-scheme.

What plans his Department has to improve NHS dental service provision in Newbury.

The Government plans to tackle the challenges for patients trying to access National Health Service dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to the areas that need them most. To rebuild dentistry in the long term, we will reform the dental contract with the sector, with a shift to focus on prevention and the retention of NHS dentists.The responsibility for commissioning primary care services, including NHS dentistry, to meet the needs of the local population has been delegated to the integrated care boards (ICBs) across England. For the Newbury constituency, this is the NHS Buckinghamshire, Oxfordshire and Berkshire West ICB. ICBs have been asked to start making extra urgent dental appointments available from April 2025. The Buckinghamshire, Oxfordshire and Berkshire West ICB is expected to deliver 15,454 additional urgent dental appointments as part of the scheme.

Whether he has made an assessment of the potential merits of developing a national brain tumour strategy.

I refer the Hon. Member to the answer given to the Hon. Member for Inverness, Skye and West Ross-shire on 14 March 2025 to Question 36024.

What assessment she has made of the potential impact of changes to employer's National Insurance on small healthcare businesses.

A Tax Information and Impact Note (TIIN) was published alongside the introduction of the Bill containing the changes to employer NICs. The TIIN sets out the impact of the policy on the exchequer, the economic impacts of the policy, and the impacts on individuals, businesses, and civil society organisations, as well as an overview of the equality impacts.

What plans his Department has to provide support services for autistic adults in West Berkshire who are not supported (a) existing services and (b) charitable organisations.

It is the responsibility of the integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including access to support for autistic adults, in line with relevant National Institute for Health and Care Excellence (NICE) guidelines.On 5 April 2023, NHS England published a national framework and operational guidance to help ICBs and the National Health Service to deliver improved outcomes for children, young people, and adults referred to an autism assessment service. The guidance also sets out what support should be available before an assessment and what support should follow a recent diagnosis of autism based on the available evidence. Since publication, NHS England has been supporting systems and services to identify where there are challenges for implementation and how they might overcome these.The Department has launched an independent commission into adult social care as part of our critical first steps towards delivering a National Care Service. Chaired by Baroness Louise Casey and reporting to the Prime Minister, the commission will work with people who draw on care and their families, staff, Parliamentarians, local government, and the public, private, and third sector to make clear recommendations for how to rebuild the adult social care system to meet the current and future needs of the population. The Government has also made available up to £3.7 billion of additional funding for social care authorities in 2025/26, which includes a £880 million increase in the Social Care Grant.

Whether her Department plans to increase school funding to expand the provision of free school meals.

The department spends around £1.5 billion annually on free lunches for 2.1 million school pupils under benefits-based free school meals, over 90,000 disadvantaged students in further education, and around 1.3 million infants under universal infant free school meals. In addition to this, eligibility for free meals drives billions of additional pounds in disadvantage funding.Schools have autonomy to allocate their budgets to comply with their duty to provide free meals in line with nutritional guidance set out in the school food standards.As with all government programmes, including free school meals, we keep our approach under continued review.

What steps she is taking to ensure that funding allocated to schools for free school meals is not used for other purposes.

The department spends around £1.5 billion annually on free lunches for 2.1 million school pupils under benefits-based free school meals, over 90,000 disadvantaged students in further education, and around 1.3 million infants under universal infant free school meals. In addition to this, eligibility for free meals drives billions of additional pounds in disadvantage funding.Schools have autonomy to allocate their budgets to comply with their duty to provide free meals in line with nutritional guidance set out in the school food standards.As with all government programmes, including free school meals, we keep our approach under continued review.

Communities and Local Government, what assessment she has made of the potential impact of the Planning and Infrastructure Bill on the health of chalk streams.

I refer the hon. Member to the answer given to Question UIN 45278 on 30 April 2025.

What plans he has to improve (a) the referral process and (b) treatment for people with brain tumours.

The Department recognises that cancer patients, including those with brain tumours, are often waiting too long for referral and treatment. It is a priority for the Government to support the National Health Service to diagnose cancer, including brain tumours, earlier, and to treat them faster, so more patients survive, and patient experience improves across the system.As the first step to ensuring early diagnosis and treatment, NHS England has delivered an extra 40,000 operations, scans, and appointments each week since the start of this administration.The Department recognises that there are currently limited treatment options available for people who have been diagnosed with brain tumours, and the significant impact that rarer forms of cancer can have on patients, carers, and their families. The Government is invested in driving new lifesaving and life-improving research, supporting those diagnosed and living with brain tumours.In the five years between 2018/19 and 2022/23, the National Institute for Health and Care Research (NIHR) directly invested £11.3 million in brain cancer research projects, plus an estimated £31.5 million to enable brain tumour research to take place through NIHR research infrastructure, namely facilities, services, and the research workforce, enabling delivery of 227 studies involving 8,500 people.The National Cancer Plan will have patients at its heart and will cover the entirety of the cancer pathway, from referral and diagnosis to treatment and ongoing care. Research is a key focus of the plan, and the Department will work closely with partners, including the National Institute for Health and Care Research, on this.The Department, with NHS England, will develop the plan, which will address the challenges in diagnostic waiting times, providing the number of computed tomography, magnetic resonance imaging, and other tests that are needed to reduce cancer waits. The Government’s goal is to reduce the number of lives lost to cancer over the next ten years, including to brain tumours.The Department expects to publish the National Cancer Plan later this year, following publication of the 10-Year Health Plan.

Food and Rural Affairs, what his Department's timetable is for announcing future funding arrangements for the Stewardship Scheme.

We will open our improved Countryside Stewardship Higher Tier (CSHT) later this year. We have started inviting farmers and land managers to begin the pre-application process and have published information that sets out what farmers and land managers can do now to help prepare to apply. CSHT will initially roll out in a controlled way by invitation, so everyone gets the right level of support.

Food and Rural Affairs, what steps his Department is taking with water companies to (a) reduce discharge levels and (b) improve water quality in local waterways in Newbury constituency.

The Environment Agency (EA) monitors water quality in the Thames catchment, including in Newbury constituency. This is set out in The Thames River Basin Management Plan. Water quality impacts from wastewater pollution are one of the key pressures resulting in many waterbodies not currently achieving good ecological status. Improving water quality is a priority for the EA who are leading the Water Industry National Environment Programme (WINEP) as part of Ofwat’s 5-yearly Price Review process. The recent 2020 – 2025 cycle included investment by Thames Water to improve wastewater treatment works (including East Shefford, Boxford and Chieveley). During the 2025-2030 cycle Thames Water is expected to reduce spills from storm overflows by 29% and reduce pollution incidents by 30%. This will involve further improvements, including at Newbury, Hungerford, and East Shefford, The EA is currently transforming its regulatory approach, developing a larger specialised workforce and delivering a step-change in inspections of permitted sites and associated enforcement.

What steps she is taking to help reduce the number of e-scooters on high streets in Newbury constituency.

Tackling anti-social behaviour is a top priority for the Government and a key part of the Safer Streets Mission. We are giving police the powers they need to tackle anti-social vehicles including the illegal use of e-scooters, to make it easier for them to seize these vehicles from offenders and dispose of them.On 25 February 2025, the Crime and Policing Bill was introduced to Parliament. The Bill includes proposals to give the police greater powers against illegal use of e-scooters involved in anti-social behaviour with officers no longer required to issue a warning before seizing these vehicles.Removing this requirement to provide a warning will make the s59 Police Reform Act powers easier to apply, allowing police to put an immediate stop to offending and seize vehicles which are used anti-socially and send a clear message that this sort of behaviour is not tolerated.Law enforcement, including the enforcement of law on the roads, is an operational matter for the relevant Chief Officer, who will decide how to deploy available resources taking into account any specific local problems and demands they faceProduct safety laws require all consumer products to be safe before they are sold. In addition, distributors, including online marketplaces, must not supply products they know, or should know, are unsafe.

What steps his Department plans to take to provide funding to increase the availability of medical equipment in local communities.

At the 2024 Autumn Budget, the Government announced a £22.6 billion increase in day-to-day health spending and a £3.1 billion increase in the capital budget over the financial years 2024/2025 and 2025/2026. Departmental budgets beyond 2025/26 will be set through phase two of the Spending Review, which will conclude and be published in June 2025.Local authorities and National Health Service procuring authorities are responsible for discussing and agreeing contracts with community equipment suppliers, which will take into account the resources available to them. Economic growth is the Government’s number one mission and the Government supports businesses to invest, grow, and export, creating jobs and opportunities across the country. To support the growth mission, the Government is driving forward work to implement a modern Industrial Strategy, reset trade relations, support small business, and deliver a new deal for working people.

What assessment she has made of the potential impact of the arrest made at a Quaker meeting house in London in March 2025 on peaceful protest.

The Metropolitan Police are operationally independent of the government. It is for the police to make decisions about how to respond to specific incidents based on their professional judgement and the circumstances at hand.

What steps his Department is taking to help ensure that all schools within a local authority accept children with Education, Health and Care Plans.

The Children and Families Act 2014 places a duty on schools named by a local authority on an education, health and care plan to admit a child. The local authority must have consulted with the school and carefully considered any views expressed before naming it on a plan. This duty to admit applies to maintained schools, academies, non-maintained special schools and independent schools approved for these purposes by my right hon. Friend, the Secretary of State for Education, under section 41 of the Act.This government’s ambition is that all children and young people with special educational needs and disabilities (SEND) or in alternative provision receive the right support to succeed in their education and as they move into adult life. We are committed to improving inclusivity and expertise in mainstream schools, and ensuring special schools cater to children and young people with the most complex needs, restoring parents’ trust that their child will get the support they need.The department is working closely with experts on reforms, recently appointing a Strategic Advisor for SEND, who will play a key role in convening and engaging with the sector, including leaders, practitioners, children and families as we consider the next steps for the future of SEND reform.

What plans his Department has to improve the standard of care for people with Hidradenitis Suppurativa in Newbury constituency.

Dermatology services are being transformed to make sure that patients are seen on time. NHS England’s Getting It Right First Time (GIRFT) programme for dermatology is working with National Health Service trusts to deliver rapid clinical transformation. The work brings together clinicians and operational teams to work collectively to transform patient pathways, reduce unnecessary appointments, and improve access and waiting times for patients, including for patients with hidradenitis suppurativa. A clinical transformation group for dermatology was established in summer 2023, focusing on sharing and learning from best practice. Topics for collaboration have included innovative clinic models, for instance super clinics, best practice in the use of technology for telemedicine, best practice in reducing did not attends, reducing unnecessary follow ups through patient initiated follow-up, the role of artificial intelligence, how to develop nurses into advanced roles, and factors to help motivate and retain staff. GIRFT is also planning a programme to support primary care colleagues, offering training for new staff to recognise harmless skin lesions such as moles and warts, with the aim of reducing unnecessary referrals to hospital and freeing up capacity for other patients on the waiting list. The National Institute for Health and Care Excellence has published technology appraisal guidance recommending two biologics, adalimumab and secukinumab, for the treatment of moderate to severe hidradenitis suppurativa, opening the way for patients with this condition to access these medications on the NHS.

Food and Rural Affairs, what steps his Department is taking to support farmers with slurry testing to ensure correct pH levels are maintained.

Investing in proper slurry storage and management equipment is a critical step livestock farmers need to take to make best use of their organic nutrients and prevent pollution. This includes ensuring that correct pH levels are maintained prior to any application to land. We will confirm any future grant rounds in due course.