Written questions by Hall.

What steps his Department is taking to help reduce regional inequalities with standing charge rates.

Regional variations in standing charges arise from differences in electricity distribution costs and reflect the different costs of maintaining and upgrading the distribution network in a specific area, and the number of consumers those costs are spread across. The Government is committed to bearing down on standing charges. Ofgem has also been working to ensure that domestic consumers can choose tariffs with lower standing charges. Ofgem’s consultation on these proposals closed on 23 October 2025, and they will provide a further update in due course. In addition, through their Cost Allocation and Recovery Review, Ofgem has also been reviewing how ‘fixed’ costs, which tend to be funded through standing charges, should be recovered in the future energy system. This includes whether those fixed costs could be recovered in more progressive ways, and we are working closely with the regulator on this.

What steps his department is taking to reduce the diagnosis waiting time for Endometriosis.

The Government is committed to prioritising women’s health, including endometriosis care. The Department, through the National Institute for Health and Care Research, has commissioned studies focused on endometriosis diagnosis, treatment, and patient experience.Diagnosis may involve magnetic resonance imaging (MRI) or ultrasound, but laparoscopy remains the definitive diagnostic and treatment method. We are taking action to transform diagnostic services and increase capacity, including MRI and ultrasound. This includes expanding existing community diagnostic centres (CDCs) and building up to five new ones in 2025/26. Our Elective Reform Plan also committed to CDCs opening 12 hours per day, seven days a week, delivering more same-day tests and consultations.Surgical hubs are helping endometriosis patients get quicker treatment. National Health Service surgical hubs deliver high-volume, low-complexity elective surgeries, including gynaecological procedures. Currently, over half of the 123 operational elective surgical hubs in England provide gynaecology services, and laparoscopies are a key part of this offering. The Elective Reform Plan commits to expand the number of hubs over the next three years to increase surgical capacity and reduce waiting times.From 2027, a new “online hospital” will also offer patients the choice to access specialist care, including for menstrual problems potentially indicating endometriosis or fibroids from home, providing additional appointments to cut waiting times.

What plans he has to fill vacant consultant posts in Paediatric and Perinatal Pathology working in the South West and the Midlands.

Decisions about recruitment are a matter for individual National Health Service employers, who manage this at a local level to ensure they have the staff they need to deliver effective care.The Government is committed to publishing a 10 Year Workforce Plan to set out action to create a workforce ready to deliver the transformed service set out in the 10-Year Health Plan. The 10 Year Workforce Plan will ensure the NHS has the right people in the right places, with the right skills when needed.

If he will consider an expansion of Paediatric and Perinatal Pathology training posts up to 37 (31.1 WTE) by 2030 to help fill consultant vacancies and help ensure succession planning.

In the 10-Year Health Plan for England, published in July 2025, we set out that over the next three years we will create 1,000 new specialty training posts with a focus on specialties where there is greatest need. We will set out next steps in due course.

Whether she will consider reducing VAT on hospitality services to 12.5% to encourage investment and support the sector.

The Government recognises the significant contribution made by hospitality businesses to economic growth and social life in the UK. VAT is a reserved tax, applying UK wide. VAT is a broad-based tax on consumption, and the 20 per cent standard rate applies to most goods and services, including alcohol, whether served in hospitality establishments or sold in supermarkets. HMRC estimate that the cost of a 5 per cent reduced rate for accommodation, hospitality and tourist attractions would be around £10 billion this financial year. If the scope were also to include alcoholic beverages, the cost would be approximately £3 billion greater.The Government is supporting the hospitality sector through the business rates system. To deliver our manifesto pledge, we intend to introduce permanently lower tax rates for retail, hospitality, and leisure (RHL) properties, including those on the high street, from 2026/27. Ahead of these changes being made, we have prevented RHL relief from ending in April 2025 by extending it for one year at 40 per cent up to a cash cap of £110,000 per business and frozen the small business multiplier.

What assessment she has made of the potential impact of the 2024 changes to Employer National Insurance Contributions on job creation and retention in the hospitality sector.

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. The hospitality sector makes significant contribution the exchequer, the UK economy, and society and we are determined to support hospitality businesses to succeed. The Government protected the smallest hospitality businesses from the recent changes to employer National Insurance by increasing the Employment Allowance to £10,500.We have also taken a number of other steps to support the hospitality industry. This includes:Introducing a permanently lower business rates multiplier for retail, hospitality, and leisure (RHL) properties with rateable values below £500,000 from 2026-27. Ahead of the new multipliers being introduced, the government extended the RHL relief for 2025-26 at 40 per cent up to a cash cap of £110,000 per business and frozen the small business multiplier.Establishing the Licensing Taskforce and issuing a call for evidence on a National Licensing Policy Framework which will set out national direction for licensing authorities to consider economic growth and cultural value,Protecting hospitality businesses from upward only rent clauses through the English Devolution Bill, and;Introducing a strong new ‘Community Right to Buy’ to help communities safeguard valued community assets – such as pubs.

Whether she will consider extending Employer NICs exemptions to young people and those returning to work from welfare to support employment growth in sectors such as hospitality.

Businesses can claim a number of employer NICs reliefs including those for under-21s and under-25 apprentices. This means employers will pay no employer NICs for apprentices under 25 or employees under 21 on earnings up to £50,270. There are a wide range of factors to take into consideration when introducing or expanding a tax relief. These include how effective the relief would be at achieving the policy intent, how targeted support would be, whether it adds complexity to the tax system, and the cost. The Government keeps all taxes under review as part of the policy making process. The Chancellor will announce any changes to the tax system at fiscal events in the usual way.

If she will consider introducing the maximum business rates discount for hospitality properties with a rateable value under £500,000 to support high street recovery.

In April 2026, the Government will introduce permanently lower business rates multipliers for retail, hospitality, and leisure (RHL) properties with rateable values (RVs) below £500,000. This permanent tax cut will ensure eligible RHL businesses benefit from much-needed certainty and support. The Government is sustainably funding this by introducing a higher tax rate on properties with RVs of £500,000 and above. The final design, including the rates, for the new business rates multipliers will be announced at Budget 2025, so that the Government can factor the revaluation outcomes, as well as the broader economic and fiscal context, into decision-making.

What assessment her Department has made of the potential impact of the 20% VAT rate on the competitiveness of the UK hospitality and tourism sectors compared with European nations with rates of 10–13%.

The Government recognises the significant contribution made by hospitality businesses to economic growth and social life in the UK. VAT is a reserved tax, applying UK wide. VAT is a broad-based tax on consumption, and the 20 per cent standard rate applies to most goods and services, including alcohol, whether served in hospitality establishments or sold in supermarkets. HMRC estimate that the cost of a 5 per cent reduced rate for accommodation, hospitality and tourist attractions would be around £10 billion this financial year. If the scope were also to include alcoholic beverages, the cost would be approximately £3 billion greater.The Government is supporting the hospitality sector through the business rates system. To deliver our manifesto pledge, we intend to introduce permanently lower tax rates for retail, hospitality, and leisure (RHL) properties, including those on the high street, from 2026/27. Ahead of these changes being made, we have prevented RHL relief from ending in April 2025 by extending it for one year at 40 per cent up to a cash cap of £110,000 per business and frozen the small business multiplier.

Whether she will consider exempting larger hospitality venues from the business rates surcharge as part of her Department’s review of support for high street and community-based businesses.

In April 2026, the Government will introduce permanently lower business rates multipliers for retail, hospitality, and leisure (RHL) properties with rateable values (RVs) below £500,000. This permanent tax cut will ensure eligible RHL businesses benefit from much-needed certainty and support. The Government is sustainably funding this by introducing a higher tax rate on properties with RVs of £500,000 and above. The final design, including the rates, for the new business rates multipliers will be announced at Budget 2025, so that the Government can factor the revaluation outcomes, as well as the broader economic and fiscal context, into decision-making.

What recent assessment he has made of the cumulative impact of property taxes, staffing costs, food and drink inflation and energy prices on the financial sustainability of hospitality businesses.

The Government recognises the significant pressures facing the hospitality sector and the Government is providing support through various measures to help ease these pressures.We aim to permanently reduce business rates for RHL properties with a rateable value of less than 500,000 and we have announced a new Zero Carbon Services Hospitality trial which aims for Pubs, cafes, restaurants and hotels to receive free energy and carbon cutting advice to slash their energy bills as part of the government’s Plan for Change.Additionally, the Employment Allowance has been increased to £10,500, meaning 865,000 employers will pay no National Insurance Contributions enabling businesses to employ up to four full-time staff on the National Living Wage without incurring employer NIC costs.The Department will continue to engage with the sector, including through the Hospitality Sector Council with an aim to co-create solutions to the issues impacting the sector.

What steps his Department is taking to ensure that the government endorsed Trustmark scheme protects consumers from rogue traders.

This Government is working to ensure we have a high-quality and professional construction industry, with consumer protection at its heart. We work closely with TrustMark, which is sponsored by the Department and licenced by the Government, as the Government Endorsed Quality Scheme that covers work a consumer chooses to have carried out in or around their home. The Government is supporting TrustMark to continue to further its ability to improve the quality of the information it has and to identify firms and individuals that pose a risk to consumers.

What steps his Department is taking to ensure that paying parents who owe child maintenance are held responsible; and that enforcement action is taken to recover arrears and support children in separated families.

The Child Maintenance Service (CMS) is committed to ensuring separated parents support their children financially, taking robust enforcement action against those who do not. If paying parents fail to meet their financial obligation to their children, the CMS has a range of strong enforcement powers including deduction from earnings orders and bank accounts, removing a parent’s passport or driving license and commitment to prison. In the past year to June 2025, CMS collected £202m through administrative and legal enforcement actions (including deduction from earnings orders and requests) which is increasing year on year and is the highest amount collected through the administration of robust collection and enforcement powers. We are working to introduce administrative liability orders (ALOs) which will replace the current requirement for the CMS to apply to the court for a liability order. Introducing a simpler administrative process will enable the CMS to take faster action against those paying parents who actively avoid their responsibilities and will get money to children more quickly.Once in operation, we expect the new liability order process in the majority of cases to take around 6 weeks. Changes will mean the CMS can use its strong enforcement powers more quickly to go after those who wilfully avoid their financial obligations to their children.We are working with His Majesty’s Courts and Tribunals Service and the Scottish Government to establish a process for implementing ALOs and plan to introduce regulations to Parliament as soon as possible.

What steps his Department is taking to ensure that sufficient entry-level employment opportunities are available for graduates; and to support employers in providing roles which enable graduates to gain the experience necessary to progress in their careers.

Whilst UK graduates continue to have strong and above-average employment rates, we recognise some face challenges in getting jobs. Starting out in the world of work is a pivotal moment for young people, where the right support at the right time can help jobseekers to access better opportunities and significantly improve labour market participation. This is why Jobcentre Plus provides personalised support, from CV advice to interview coaching, and connects graduates to roles through partners like Milkround, Gradplus, and Prospects. Jobcentres also have strong links with universities and signpost graduates to specialist support. To support employers, Jobcentre District Employer & Partnership teams work with them to promote local opportunities and provide suitable employment and skills support, where appropriate. We are working collaboratively with employers to shape the new Jobs and Careers Service to meet their diverse needs, including helping graduates find meaningful work and develop the skills to progress in their careers.

What the timetable is for implementing the National Screening Committee’s In-Service Evaluation of newborn screening for spinal muscular atrophy; what the duration of the evaluation will be; and when the NSC expects to reach a recommendation on whether SMA should be added to the newborn blood spot screening programme.

On all aspects of population and targeted screening, Ministers are advised by the UK National Screening Committee (UK NSC).The UK NSC recommended an in-service evaluation (ISE) of newborn blood spot screening for spinal muscular atrophy (SMA) in National Health Services in 2023. Since then, the SMA Newborn Screening ISE Partnership Board was set up to plan and develop work to shape the ISE, and progress is being made. This includes planning the duration of the ISE and planning for newborn laboratories to screen blood spot samples for SMA. The laboratories in England that will form part of the ISE are under consideration by the SMA partnership board led by NHS England. The researchers and the National Institute for Health and Research (NIHR) will be responsible for determining the number of babies and services that will be required to answer the research questions.Earlier in the year, the NIHR published their Health Technology Assessment research brief to appoint researchers for this work. Applications closed at the end of September 2025, and final funding decisions are expected in spring 2026. A decision on the shape and roll out of the ISE will be made after the research call process has concluded.A recommendation by the UK NSC on newborn screening for SMA is expected following the conclusion of an ISE, which is needed to answer several outstanding questions related to the implementation of a screening programme for SMA.

What steps he is taking to improve the migration process for claimants transitioning from income-related Employment and Support Allowance to Universal Credit; and what measures are in place to ensure that vulnerable individuals are adequately supported during this transition.

The Department for Work and Pensions (DWP) reviews and amends its approach for migration to Universal Credit based on lessons learned from earlier migrations (Tax Credits, Income Support) and continues to refine support strategies for customers. We recognise that many claimants making this transition have complex health conditions and additional needs, which can make the process particularly challenging. DWP is committed to ensuring that these individuals receive the support they need. We have dedicated support mechanisms in place for customers with vulnerabilities. This includes clear communication, accessible guidance and personalised assistance where needed. The Migration Notice itself signposts to our helpline, gov.uk website and ‘Help to Claim’, a service provided by Citizens Advice Bureau. Contact via these routes allows further support to be provided, based on individual need from the outset. All Employment and Support Allowance (ESA) customers who have not made their claim to Universal Credit within two weeks of the deadline of their migration notice will automatically enter the Enhanced Support journey. This journey provides tailored and flexible assistance, including phone calls and home visits, to support the migration process. We recognise that the digital nature of Universal Credit can pose significant challenges for claimants with learning disabilities, dyslexia, or limited digital literacy. To address this, we offer alternative access routes, including telephone support and face-to-face appointments, which can be arranged upon request. Additionally, Universal Credit statements and letters are written and formatted in plain English and undergo rigorous content design testing to ensure clarity and accessibility. DWP is regularly reviewing its correspondence templates to ensure that responses are concise, clear and free from unnecessary technical language while maintaining transparency and accuracy. Furthermore, Jobcentre staff are trained to discuss complex needs and vulnerabilities. There is a facility in the Universal Credit account to record these, along with any agreed reasonable adjustments. Customers can request email communications, home visits, or support from an authorised representative (family member, friend, or adviser). In addition to this, we also offer:Enhanced Support Journey for vulnerable claimants, including proactive calls, text reminders, and home visits.Financial safeguards such as Transitional Protection and two-week run-on payments for ESA claimants.Digital and manual process enhancements to ensure accurate transitional protection calculations and prevent payment delays.DWP continues to review and iterate our services to optimise our services and any further feedback is welcomed.

What assessment his Department has made of the potential benefits of allowing men who require Hormone Replacement Therapy in the form of testosterone to be added to the HRT Prescription Prepayment Certificate.

The hormone replacement therapy prescription prepayment certificate (HRT PPC) was introduced to support women in accessing hormone replacement therapy medicines on the National Health Service as part of their care during menopause. The equalities impact assessment is available at the following link:https://www.gov.uk/government/publications/hormone-replacement-therapy-prescription-prepayment-certificate-equality-impact-assessment/introducing-the-hrt-ppc-equality-impact-assessment#:~:text=The%20policy%20intention%20is%20that,benefit%20from%20the%20HRT%20PPC%20Testosterone products are not in scope for the HRT PPC because, even though they can be used "off-label" to treat menopause symptoms, they are not licensed for this purpose. No United Kingdom licensed testosterone products for the treatment of menopause symptoms have been launched in the UK.Anyone can purchase the HRT PPC if they feel that it is the most appropriate product for them. The three-month or 12-month PPC, which cover all medicines prescribed on the NHS, may be more appropriate for patients who are prescribed medicines not covered by the HRT PPC.

With reference to the NHS 10 year plan commitment to carry out DNA mapping on all new born babies, what steps he is taking to protect personal health data.

The 10-Year Health Plan set out an ambition to “implement universal genomic testing” within the next decade. Delivering against this ambition will be subject to evidence gathered through the Generation Study, delivered by Genomics England and the National Health Service. This research programme is evaluating the effectiveness of using whole genome sequencing to test 100,000 newborns for genetic mutations associated with more than 200 rare genetic conditions. The study is asking parents for consent to securely store their baby’s genomic and health data, with strict safeguards to protect identities. With consent, data is stored securely in the National Genomic Research Library, run by Genomics England, to support research on the causes of genetic conditions. Access is tightly controlled, overseen by an independent committee, and only permitted within a secure environment.

What steps he is taking to improve the process in which domestic abuse cases reach the family court in a) the north west and b) Warrington.

This Government is committed to improving the experience of victims of domestic abuse in the family courts across England and Wales, including in the north west and Warrington.In early 2026, His Majesty’s Courts and Tribunals Service (HMCTS) plans to roll out a new digital service for applications for non-molestation orders and occupation orders. This service will make it easier and quicker for applicants to submit applications for these protective orders via an online portal.Additional support is available to litigants in person via CourtNav, a free online tool operated by RCJ Advice, a citizens advice and law centre dedicated to improving access to justice. CourtNav guides individuals through applying for non-molestation and occupation orders, assisting with drafting applications and supporting statements. Applicants also have the option to have their application checked by a legal adviser, who can help identify the most appropriate course of action.To streamline the process, the CourtNav system can automatically direct applications to HMCTS’s digital service. This enables information entered in CourtNav to transfer directly into the HMCTS system, ensuring better integration and efficiency when applications are submitted to the court.

What steps his Department is taking to tackle rogue traders and protect consumers.

Consumer legislation sets out protections for consumers. The Digital Markets, Competition and Consumers Act 2024 strengthens consumer law enforcement by giving the Competition and Markets Authority (CMA) new administrative powers, and the CMA and courts the ability to impose significant monetary penalties of up to 10% of turnover. DBT provides additional funding through the National Trading Standards Board and Trading Standards Scotland to prioritise and coordinate national and regional consumer enforcement in England, Wales and Scotland respectively. DBT also funds Citizens Advice to provide the consumer service which supports consumers to assert their rights. Citizens Advice also run an annual Scams Awareness campaign.