Written questions by Collins.

What steps Companies House is taking to support (a) micro companies and (b) residents’ management companies with volunteer directors to complete its identity verification before 18 November 2025.

Companies House is continuing to develop alternative options that will offer more support to individuals who are unable to verify their identities through the available routes. Further guidance will be issued. In the meantime, Companies House is ensuring that staff are on hand to help users who require assistance via its helpline and by email. In providing this support Companies House will be mindful of the entities directors represent such as flat management companies, charities and micro companies.

What steps his Department is taking to tackle ensure that children have access to health play services in (a) children's hospitals and (b) children's wards in district general hospitals.

The Department recognises the importance of supporting and maintaining children’s right to play in healthcare settings, because games and active play in all settings build social skills and promote children’s well-being.To support this, in June 2025 NHS England and Starlight, a national charity for children’s play in healthcare, co-published the Play Well Toolkit. The toolkit provides guidance on best practice, and includes a checklist to support the auditing, monitoring, and evaluation of services. NHS England is promoting the Play Well toolkit to managers of health play services across a wide range of settings, including community clinics, emergency departments, children’s hospices, and acute paediatric wards.

What discussions he has had with NHS England on including postural orthostatic tachycardia syndrome training in junior doctor specialty training programmes.

No discussions have been held. The curricula for postgraduate training are set by the Academy of Medical Royal Colleges for foundation training, and by individual royal colleges and faculties for specialty training. The General Medical Council approves curricula and assessment systems for each training programme. Whilst not all curricula may necessarily highlight a specific condition, they all nevertheless emphasize the skills and approaches a doctor must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients.

What steps his Department is taking to ensure that patients with postural orthostatic tachycardia syndrome have access to (a) specialist (i) clinicians, (ii) nurses, (iii) physiotherapists, (iv) occupational therapists, (v) dieticians and (vi) clinical psychologists and (b) (A) equipment and (B) clinic space in Harpenden and Berkhamsted constituency.

Services for people with postural tachycardia syndrome (PoTS) are commissioned locally by integrated care boards (ICBs). ICBs have a statutory responsibility to provide a health service to the local population, subject to local prioritisation and funding, which includes access to specialist medical services for people with PoTS as appropriate.The treatment of patients with PoTS in the Harpenden and Berkhamsted constituency area is managed on an individual, case-by-case basis. A multi-disciplinary team approach has been adopted, involving specialists such as physiotherapists, cardiologists, and neurologists. Patients are referred into specialist centres in London if their diagnosis or treatment requires a more specialist approach or facilities.More widely, the Government is committed to publishing a 10 Year Workforce Plan which will ensure that the National Health Service has the right people in the right places, with the right skills to care for patients, when they need it, including for patients with PoTS.

If she will meet with Esther Ghey to discuss her campaign for a statutory ban on mobile phones in schools.

Mobile phones have no place in school.Schools should prohibit the use of mobile phones and other smart technology with similar functionality to mobile phones throughout the school day, including during lessons, the time between lessons, breaktimes and lunchtime, as set out in the ‘Mobile phones in schools’ guidance, published in 2024.The department expects all schools to take steps in line with this guidance to ensure mobile phones do not disrupt pupils’ learning.My right hon. Friend, the Secretary of State for Education, met with Esther Ghey at the start of November to discuss her Phone Free Education campaign.

What assessment her Department has made of the potential impact of proposed reforms to Landfill Tax on the (a) viability and (b) cost of (i) residential housebuilding and (ii) major infrastructure projects.

The Government recently consulted on proposals for reform of Landfill Tax to ensure the regime remains effective in encouraging waste to be diverted away from landfill and to support our environmental goals. As part of the consultation, the Government has received a wide range of views from stakeholders, including representatives from the construction sector. The consultation closed on 28 July, and the government is considering responses and will set out next steps, including a summary of responses, in due course. This government is committed to delivering 1.5 million homes over 5 years as set out in the Plan for Change, and any final proposals will be designed to maintain the environmental effectiveness of the tax while supporting these plans.

What steps his Department is taking to ensure that the NHS Cancer Vaccine Launch Pad includes clinical trials for brain cancer.

The NHS Cancer Vaccine Launch Pad (CVLP) is a platform set up to accelerate the development of cancer vaccines and speed up access to mRNA personalised cancer vaccine clinical trials for cancer patients. The CVLP has been instrumental in accelerating trial activity in cancer research, with CVLP sites driving faster activation and enrolment timelines. The platform is designed to be company and clinical trial type agnostic, and so any company that wishes to deliver trials via the platform, including those developing vaccines for brain tumours, can contact the CVLP to explore how the platform can support their research.

What funding her Department is providing to local authorities to improve the (a) quality and (b) accessibility of pavements for (i) wheelchair users, (ii) people with mobility impairments and (iii) other people.

The Department provides a range of funding streams to local authorities that can be used to improve the quality and accessibility of pavements for wheelchair users, people with mobility impairments, and other pedestrians. In 2025/26, local authorities will receive a share of £1.6 billion highways maintenance capital funding, which includes a £500 million uplift from 2024/25. Authorities are encouraged to adopt a whole-life asset management approach, which includes maintaining footways and ensuring accessibility for all users. In addition, the Integrated Transport Block and Local Transport Grant provide a combined total of £396 million in 2025/26 to support local transport enhancements, including improvements to pedestrian infrastructure. Eight eligible Mayoral Combined Authorities will also receive £5.7bn in funding between 2022 and 2027, to invest in local transport improvements, including enhancements to accessibility. Beyond these funding pots, the Department has also announced dedicated funding for walking, wheeling and cycling. In the Spending Review, the Government announced £616 million for Active Travel England from 2026/27 to 2029/30 to support local authorities to build and maintain walking and cycling infrastructure. This is in addition to the almost £300 million funding for active travel in 2024/25 and 2025/26 which was announced in February 2025. This will help local authorities to provide high-quality and easily accessible active travel schemes across England and will enable more children to walk and cycle to school.

What steps his Department is taking to help support (a) rural and (b) off-grid households that use heating oil in the context of the Warm Homes Plan; and what assessment she has made of the potential contribution of renewable liquid heating fuels for supporting those households to decarbonise affordably.

For most off-grid properties, decarbonising heat will involve installing a heat pump. The Boiler Upgrade Scheme grants offer £7,500 for heat pumps, and £5,000 for biomass boilers in specific rural cases. The government recognises that renewable liquid fuels (RLF) could play a role in heating. We expect sustainable biomass, a limited resource, to be prioritised where there are fewer alternatives to decarbonisation. RLFs are also more expensive to use than other heating solutions. The government continues to review evidence on the affordability and availability of sustainable feedstocks for RLFs.

What recent discussions he has had with (a) National Institute for Health and Care Excellence, (b) NHS England, (c) the Medicines and Healthcare products Regulatory Agency, (d) the National Institute for Health and Care Research and (e) the Medical Research Council on (i) expediting and (ii) improving access to (A) novel treatments, (B) therapeutics and (C) technologies for brain cancer patients.

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. That is why the Department is committed to working closely with partners and patient groups to shape the long-term vision for cancer.The Department has regular discussions with system partners on a number of topics, including access to novel treatments, therapeutics, and technologies for brain cancer patients. The National Institute for Health and Care Excellence evaluates the clinical and cost effectiveness of all new licensed medicines, including for the treatment of brain cancer, and aims to issue guidance on whether they should be routinely funded by the National Health Service in England as close as possible to licensing.The Department has engaged widely with stakeholders as part of the development of the National Cancer Plan, which will include further details on how the Government will improve outcomes for cancer patients, as well as speeding up diagnosis and treatment, ensuring patients have access to the latest treatments and technology.Furthermore, a new national Brain Tumour Research Consortium was established in December 2024, funded by the National Institute for Health and Care Research, to bring together researchers from a range of different disciplines and institutions with the aim of driving scientific advancements in how to prevent, detect, manage, and treat cancers in adults and children. The work being undertaken by the consortium aims to ensure that patients have access to the latest treatments and technology and to clinical trials.The Government also supports the Rare Cancers Private Members Bill. The bill will make it easier for clinical trials on brain cancer to take place in England, by ensuring the patient population can be more easily contacted by researchers.The Medicines and Healthcare products Regulatory Agency is engaging with industry and patient stakeholder groups to see how the agency can encourage research and product licencing in this area. It remains focused on enabling safe access to innovative treatment as rapidly as possible.

What steps her Department is taking to ensure that (a) pupil and (b) parent survey data is used effectively to assess the inclusivity of (i) schools and (ii) early years settings.

This government is committed to improving inclusivity and expertise in mainstream schools to break down barriers to education, alongside ensuring that special schools are able to support children with the most complex needs. The Expert Advisory Group for Inclusion, chaired by Tom Rees, will play a key role in engaging the sector, including leaders, practitioners, children and families.What maintained schools and academies must publish is set out in the department’s guidance. This does not include survey data collected by schools relating to inclusion. From November 2025, Ofsted inspections will assess inclusion as part of their renewed inspection framework.To help support schools understand pupil experience and improve pupil engagement, the department has committed to work with partners to draw up a framework, due to be published next year. A key part of this will be supporting schools to measure pupil experience in an evidence-based way to understand, and take action on, the in-school factors which influence whether their pupils attend, achieve and thrive. We have also committed to amplifying the voices of children and young people at a national level, by publishing annual data on pupils’ sense of school belonging, safety and enjoyment.

If she will take steps to require (a) schools and (b) nurseries to publish information on how they respond to feedback from (i) pupils and (ii) parents in inclusion-related surveys.

This government is committed to improving inclusivity and expertise in mainstream schools to break down barriers to education, alongside ensuring that special schools are able to support children with the most complex needs. The Expert Advisory Group for Inclusion, chaired by Tom Rees, will play a key role in engaging the sector, including leaders, practitioners, children and families.What maintained schools and academies must publish is set out in the department’s guidance. This does not include survey data collected by schools relating to inclusion. From November 2025, Ofsted inspections will assess inclusion as part of their renewed inspection framework.To help support schools understand pupil experience and improve pupil engagement, the department has committed to work with partners to draw up a framework, due to be published next year. A key part of this will be supporting schools to measure pupil experience in an evidence-based way to understand, and take action on, the in-school factors which influence whether their pupils attend, achieve and thrive. We have also committed to amplifying the voices of children and young people at a national level, by publishing annual data on pupils’ sense of school belonging, safety and enjoyment.

Whether her Department has made an assessment of the potential merits of requiring (a) taxis, (b) buses, (c) hire cars and (d) other vehicles used for (i) public and (ii) quasi-public purposes to carry automated external defibrillators.

The Department has not assessed mandating these vehicles to carry defibrillators. In England outside London, commercial bus operators provide the majority of bus services and have responsibility for managing their fleets. Any decision on whether to fit buses with defibrillators is one for operators to make, and some have taken the decision to equip their depots with these.Similarly, it would be the decision for individual taxi and private hire vehicle operators to decide to carry defibrillators.

If he will make it his policy to renew the National Maternity Safety Ambition at the end of 2025.

Our commitment to set an explicit target to close the black and Asian maternal mortality gaps has not wavered. Addressing the shocking inequalities that exist across maternity and neonatal services is fundamental to ensuring that all women and babies receive safe, personalised, and compassionate care.We are working closely with NHS England, and the wider sector, to identify the right actions and interventions to tackle the stark inequalities that exist. The Government is committed to setting an explicit target to close the black and Asian maternal mortality gap. We are ensuring that we take an evidence-based approach, and that any targets set are women and baby centred.It is vital that the system is supported with the right actions to meet any target or ambition set. This is why, through the national investigation and taskforce, we will work with families and stakeholders to develop further actions to meet our ambitions.

If his Department will consider adopting new National Maternity Safety Ambitions to eliminate inequalities in maternal and neonatal outcomes based on ethnicity and deprivation.

Our commitment to set an explicit target to close the black and Asian maternal mortality gaps has not wavered. Addressing the shocking inequalities that exist across maternity and neonatal services is fundamental to ensuring that all women and babies receive safe, personalised, and compassionate care.We are working closely with NHS England, and the wider sector, to identify the right actions and interventions to tackle the stark inequalities that exist. The Government is committed to setting an explicit target to close the black and Asian maternal mortality gap. We are ensuring that we take an evidence-based approach, and that any targets set are women and baby centred.It is vital that the system is supported with the right actions to meet any target or ambition set. This is why, through the national investigation and taskforce, we will work with families and stakeholders to develop further actions to meet our ambitions.

What assessment his Department has made of the adequacy of the steps taken by NHS England to ensure (a) transparency when maternal and neonatal care goes wrong and (b) that bereaved parents receive full answers on (i) their and (ii) their babies’ care.

In June 2025, the Secretary of State for Health and Social Care announced measures to hold National Health Service maternity and neonatal services to greater account and improve transparency. This included the introduction of a new early warning system, powered by a real-time data tool, to detect safety issues earlier and allow action to be taken more swiftly to improve outcomes. Since the announcement, the NHSE Chief Executive has met with leaders of the four trusts of greatest concern in maternity and neonatal care. He set out the priority they need to give to turning around their services in Leeds, Gloucester, Mid and South Essex, and Sussex, with ongoing oversight and support being led by Regional Directors. As set out in the terms of reference for the independent national Investigation into NHS maternity and neonatal services announced by the Secretary of State, the Investigation will assess the quality of the response of NHS trusts and integrated care boards (ICBs) when things go wrong or harm occurs, including investigating and learning from incidents and promoting honesty, transparency and candour. The Investigation, chaired by Baroness Amos, will develop and publish one set of national recommendations. These recommendations will be taken forward by the National Maternity and Neonatal Taskforce, chaired by Secretary of State for Health, and formed into a national action plan to help bereaved and harmed families to receive justice and accountability.

What steps his Department is taking to support families who have experienced baby loss in Harpenden and Berkhamsted constituency.

East and North Hertfordshire NHS Trust, the Princess Alexandra Hospital NHS Trust and West Hertfordshire Teaching Hospitals NHS Trust all provide seven-day maternity bereavement care, meaning women and families can access support from a maternity professional trained in specialist bereavement care.Watford General Hospital has a team of midwives who provide families with individualised support and specialist bereavement care when faced with the death of their baby. The hospital has also opened the Rose Room, a special space for families who experience the loss of a baby to spend time with their baby and begin to process their grief. There are facilities for families and siblings, including hand and foot casting services, to provide lasting memories.The Hertfordshire Perinatal Trauma and Loss Care service is a psychology-led, county-wide specialist service for people who are experiencing moderate to severe mental health difficulties as a direct result of a perinatal loss of any kind, including loss by separation through safeguarding processes.The charity Petals is also now able to provide specialist counselling support to bereaved parents who are Hertfordshire residents, no matter where their maternity care was delivered.

What steps his Department is taking to establish routine data collection on miscarriages.

An update to digital record standards on maternity means that the National Health Service is now able to record the pregnancy outcome for any woman, including miscarriage, where they have been in contact with NHS maternity services.

Whether she has considered extending National Insurance Contribution exemptions; and if she will make an assessment of the potential impact of doing so on levels of recruitment in the hospitality sector.

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.

Whether he has made a comparative assessment of neonatal death rates in (a) the UK and (b) other European countries in the last ten years.

The United Kingdom neonatal mortality rate for babies after at least 24 weeks of pregnancy decreased between 2013 and 2020, before rising in 2021 and 2022 and falling slightly in 2023.This is similar to the trend across Europe, where rates generally decreased or fluctuated about a similar level between 2015 to 2019.In 2019, the UK neonatal mortality rate was slightly higher than the median across Europe.