Written questions by Antoniazzi.

Whether he has made representations to the National Institute for Health and Care Excellence on the availability of Enhertu for patients with HER2-low breast cancer.

The National Institute for Health and Care Excellence (NICE) makes recommendations on whether new medicines should be routinely funded by the National Health Service in England independently on the basis of the available evidence of costs and benefits and through engagement with the NHS, manufacturers, patient groups and other interested parties.The Department regularly meets with colleagues in NICE to discuss a range of issues, including Enhertu for patients with HER2-low breast cancer. However, the National Institute for Health and Care Excellence (Constitution and Functions) and the Health and Social Care Information Centre (Functions) Regulations 2013 provide that Ministers must not direct NICE as to the substance of its recommendations. These are very difficult decisions to make. NICE recognises that its decisions have important implications for patients and their families and only publishes final guidance on the use of a drug after a very careful consideration of the evidence and extensive engagement with interested parties including patients and clinicians. Therefore, it would not be appropriate for Ministers to intervene.

Whether he has had discussions with his counterparts in (a) Scotland, (b) Wales and (c) Northern Ireland on access to Enhertu for patients with HER2-low breast cancer.

My Rt hon. Friend, the Secretary of State for Health and Social Care, spoke with his counterparts in Scotland and Wales on his first full day in office and will continue to engage with them on a regular basis. However decisions on the availability of individual treatments to National Health Service patients in Wales, Scotland and Northern Ireland are for the devolved administrations so he has therefore had no discussions about the availability of Enhertu for HER2-low breast cancer with his counterparts.

Media and Sport, what assessment her Department has made of the potential impact of a statutory gambling levy on funds available to charities who operate a charity lottery.

We are in the early stages of the new Government and are still considering the full range of gambling and lotteries policy.

Media and Sport, if she will make an assessment of the potential merits of regulating commercial free prizes draws as a gambling product.

We are in the early stages of the new Government and are still considering the full range of gambling and lotteries policy.

Media and Sport, what data her Department holds on the funding raised for good causes by (a) the National Lottery and (b) society lotteries in each of the last five years.

The National Lottery has raised over £49 billion for good causes since 1994. In the last five years, over £6 billion of funding and 120,000 grants were delivered by distributor bodies.The National Lottery grants database which details the allocations made, is publically available at https://nationallottery.dcms.gov.uk/charts.Data regarding society lottery good causes funding is updated annually by the Gambling Commission. In 2022/23, society lotteries raised £421.72 million for good causes.

Media and Sport, whether her Department has received representations from charities on annual sale limits for society lotteries.

Society lotteries are a vital fundraising tool for many charities, community groups, sports clubs and other non-commercial organisations.In 2020, the annual sales limit was increased from £10 million to £50 million as part of a wider package of changes to society lottery limits.My department continues to work closely with the Gambling Commission to monitor society lotteries and the charities they support.

Media and Sport, if she will take steps to remove the annual sale limits for society lotteries.

Society lotteries are a vital fundraising tool for many charities, community groups, sports clubs and other non-commercial organisations.In 2020, the annual sales limit was increased from £10 million to £50 million as part of a wider package of changes to society lottery limits.My department continues to work closely with the Gambling Commission to monitor society lotteries and the charities they support.

Media and Sport, whether her Department plans to ensure that commercial free prizes draws are free to enter by digital means.

Prize competitions and free prize draws are not subject to statutory regulatory control under the Gambling Act 2005. However, they must comply with the requirement in the Act to offer a free entry route for participation by post and/or offer paid entries online, in order to avoid being considered as an illegal lottery. Whilst the Gambling Commission has no regulatory responsibilities for these products, it does monitor the boundary between them and lotteries.Prize draw operators must also comply with relevant consumer protection legislation.

Media and Sport, whether her Department plans to bring forward proposals for a statutory gambling levy.

His Majesty’s Government recognises the changes to the gambling landscape since 2005 and that while millions of people gamble without experiencing problems, for some it becomes an addiction with serious consequences.As stated in the Government's manifesto, we are absolutely committed to reducing gambling-related harm. We will ensure responsible gambling and strengthen protections for those at risk.

What support the Government is providing to help people in Gower exit prostitution.

The trafficking of woman and girls for sexual exploitation is a truly horrific crime. We are determined to safeguard victims and to bring the ruthless perpetrators of this crime to justice.We are working closely with law enforcement partners and the devolved administrations to tackle the drivers of trafficking for sexual exploitation, including through operational intensifications to target perpetrators and implementing the Online Safety Act 2023 so online companies fulfil their duty to eradicate this exploitation from their sites.We are committed to making our streets safer by tackling the harm and exploitation associated with prostitution. This Government will work closely with the voluntary and community sector to ensure that those who want to leave are able to.The Home Office is funding a three-year project by Changing Lives to tackle violence against women and girls online, which includes providing early intervention and support for women and girls at high risk of commercial online exploitation.

What steps her Department is taking to help reduce demand for trafficking for sexual exploitation in Gower constituency.

The trafficking of woman and girls for sexual exploitation is a truly horrific crime. We are determined to safeguard victims and to bring the ruthless perpetrators of this crime to justice.We are working closely with law enforcement partners and the devolved administrations to tackle the drivers of trafficking for sexual exploitation, including through operational intensifications to target perpetrators and implementing the Online Safety Act 2023 so online companies fulfil their duty to eradicate this exploitation from their sites.We are committed to making our streets safer by tackling the harm and exploitation associated with prostitution. This Government will work closely with the voluntary and community sector to ensure that those who want to leave are able to.The Home Office is funding a three-year project by Changing Lives to tackle violence against women and girls online, which includes providing early intervention and support for women and girls at high risk of commercial online exploitation.