Under the Care Standards Act 2000, organisations that undertake work to support adopted children, or children who are being prepared for adoption, need to register with Ofsted as an adoption support agency. This is to ensure that providers are suitable and properly qualified. Successive regulations have, however, increased flexibilities, enabling all those working under contract with an adoption agency or adoption support agency to provide services without registration. This ensures that provision is widened while keeping quality secure. It is not open to the department itself to introduce transitional or exceptional arrangements.

The Mental Health Act 1983, specifically Section 1, subsection 3, states that “Dependence on alcohol or drugs is not considered to be a disorder or disability of the mind” for the purposes of the act, and we did not amend this in the Mental Health Act 2025 that passed in December. We have no plans to change the definition of mental disorder.

We know that people with co-occurring substance use and mental health needs do not receive the integrated, person-centred care they require and deserve. The Department and NHS England have recently published Co-occurring mental health and substance use delivery framework, which is available at the following link:

https://www.gov.uk/government/publications/co-occurring-mental-health-and-substance-use-delivery-framework

This framework commits the Department and NHS England to delivering several national actions to improve delivery of integrated, person-centred care across drug and alcohol treatment and mental health services. The framework also includes recommended actions on how the health system can also work together to improve outcomes for those with co-occurring needs.

The last government had 14 years to fix Defence family housing and failed, delivering instead record low levels of satisfaction.

We reversed the disastrous privatisation of military housing.

And our landmark £9 billion housing strategy will renew or repair 9 in 10 homes and we are legislating to create a new Defence Housing Service which will put the interests of service personnel first.

We have already rapidly improved military homes transforming 1,000 of the worst homes – ahead of schedule.

Labour has delivered more in eighteen months than the party opposite managed in fourteen years.

The Government takes the findings from Safeguarding Adult Reviews (SARs), including those where substance dependence was a feature in deaths very seriously, and expects them to inform practice, guidance, and commissioning at both a local and national level.

The processes for this is through the SAR escalation protocol and the national SAR analysis. All Safeguarding Adults Board members and relevant organisations are required to cooperate with SARs and implement findings locally, including through local commissioning and workforce training. The national SAR analysis then allows us to review at a national level.

The recently published Clinical Guidelines for Alcohol Treatment were informed by national SAR analysis and therefore include specific recommendations on adult safeguarding, summarise relevant legislation and guidance, and signpost to this national SAR analysis and associated good practice briefings, including on homelessness. The Department and NHS England are working with the drug and alcohol treatment sector to ensure that their workforce is sustainable, multidisciplinary, and equipped with the capabilities and capacity to help people to reduce risk and initiate and sustain recovery. The Department and NHS England published a 10-year strategic plan for the drug and alcohol treatment and recovery workforce (2024–2034) in May 2024, which is available at the following link:

https://www.england.nhs.uk/publication/10-year-strategic-plan-for-the-drug-and-alcohol-treatment-and-recovery-workforce-2024-2034/

This government is putting high streets at the heart of economic renewal through our Small and Medium Sized Business Plan and MHCLG's £5 billion Pride in Place programme which will support areas in both of my Honourable Friends' constituencies.

At Budget, we confirmed permanently lower business rates for retail, hospitality and leisure and a £4.3 billion package to protect ratepayer bill increases because of property revaluation.

We also announced £15 million per year to support stronger enforcement on illegal high street activity, alongside other measures covering, retail crime and pro-growth regulatory changes for the retail and hospitality sectors.

The Government looks to the independent pay review bodies for a pay recommendation for National Health Service staff, including both contractor and salaried general practitioners (GPs). They consider a range of evidence from organisations including the Government, the NHS, and trade unions to reach their recommendations.

The independent review body on Doctors’ and Dentists’ Remuneration recommended an uplift of 6% to the pay ranges for salaried GPs, and to GP contractor pay for 2024/25. This recommendation was accepted and a 6% uplift was applied to the pay element of the GP Contract.

It is the responsibility of the integrated care board (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including autism and attention deficit hyperactivity disorder (ADHD) assessments, in line with relevant National Institute for Health and Care Excellence 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. Since publication, NHS England has been supporting systems and services to identify where there are challenges for implementation and how they might overcome these.

In respect of ADHD, NHS England has established an ADHD taskforce, which is working to bring together those with lived experience with experts from the NHS, education, charity, and justice sectors. The taskforce is working to get a better understanding of the challenges affecting those with ADHD, including timely and equitable access to services and support, with the final report expected in the summer of 2025.

The government recognizes the importance of ensuring that new housing is accessible and adaptable to meet the diverse needs of individuals throughout their lives. Accessibility standards for homes are governed by Part M of the Building Regulations 2010, which set out requirements for reasonable access and use of buildings. The Building Regulations are not retrospective; they apply only 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). M4(1) is the current standard, ensuring reasonable provision for people to access and use the dwelling and its facilities. Optional standards M4(2) and M4(3) provide enhanced accessibility, with M4(2) requiring features such as a living area and step-free access at entrance level, wider doorways and corridors, and clear access routes to windows. Homes built to M4(2) standards also offer greater potential for future adaptability. M4(3), the highest optional standard, ensures that homes can be easily adapted to meet the needs of wheelchair users.

Everyone should be able to access a home that is suitable for them and meets their needs. That is why providing a range of safe and suitable accessible housing is part of the Government's ambition to deliver 1.5 million new homes over the next five years. Offering those with mobility challenges a better choice of accommodation supports independent living, fosters community connections, and reduces health and care costs.

Planning rules already require councils to consider the needs of disabled people when planning new homes. The revised National Planning Policy Framework (NPPF), issued in December 2024, promotes mixed-use and mixed-tenure developments, which can include housing designed for specific groups. Local authorities are expected to assess the size, type, and tenure of housing needed for different groups in their communities, including older people and those with disabilities, and to reflect this in their Local Plans. Such an approach supports the creation of diverse communities and the timely delivery of housing. The government will shortly set out its policies on accessible new build housing, reinforcing our commitment to ensuring everyone has access to a safe, suitable home.

The park homes sector is an important part of the housing market.

The government recognises that there are longstanding concerns about the requirement to pay site owners a commission upon sale of a park home.

We will set out plans in due course to seek further evidence from the sector on the rationale for the commission.

The Government is committed to improving the lives of those living with rare diseases, such as Ehlers-Danlos Syndrome (EDS). The UK Rare Diseases Framework sets out four priorities collaboratively developed with the rare disease community, which include better coordination of care and improving access to specialist care, treatments, and drugs. We remain committed to delivering under the framework and published the fourth annual England action plan on 28 February 2025, which reports on progress.

NHS England commissions some specialist services for patients with EDS, which are currently delivered by two centres in England, namely the London North West University Healthcare Trust and the Sheffield Children’s NHS Foundation Trust. The complex EDS service provides diagnosis and advice to referrers on the treatment and management of complex cases.

It is for the marketing authorisation holder to propose a complex patient access scheme for a medicine being evaluated by the National Institute for Health and Care Excellence (NICE), which would then be considered by the NICE and NHS England through the established process. The marketing authorisation holder has proposed a commercial agreement for ruxolitinib but the NICE was unable to recommend it as a clinically and cost effective use of National Health Service resources at the price proposed in its final draft guidance, published in July 2024. A number of organisations appealed against the draft guidance. The NICE has not yet published final guidance, and its Appraisal Committee will consider the upheld appeal points at a future meeting, scheduled for 14 May 2025. The NICE is open to working with NHS England to ensure that commercial arrangements that are operationally manageable for the NHS can be taken into account.

Where the NICE does not recommend a treatment as a clinically and cost-effective use of NHS resources, it will not usually be routinely funded by the NHS. NHS commissioners are, however, required to consider exceptional funding requests for individual patients.

42 integrated care boards (ICBs) across England are responsible for meeting the healthcare needs and demands of their respective populations. There is evidence that public health and adult social care interventions of different kinds can be effective, and cost-effective, in preventing or delaying the onset of ill health, which in turn supports better use of health and care resources. A shift from treatment to prevention and from acute hospital services to community are part of the three strategic shifts underpinning our 10-Year Health Plan.

We also recognise the need to alleviate pressures through increasing supply and reducing demand. We will make sure the future of general practice is sustainable by training more general practitioners, guaranteeing a face-to-face appointment for all those who want one and delivering a modern booking system. For example, in the NHS Derby and Derbyshire ICB, 539,000 general practice appointments were delivered in December 2024, up from 510,000 in December 2023. Additionally, in early 2025, the Government will publish a plan setting out how urgent and emergency care services across England will be supported to deliver improvements.

Furthermore, for 2025/26, approximately £9 billion will be committed to the Better Care Fund (BCF), a framework for ICBs and local authorities to make joint plans and pool budgets for the purposes of delivering better joined-up care. This includes around £3.3 billion provided to local authorities and £5.6 billion to ICBs.

Its main objectives are to support:

- the shift from sickness to prevention;

- people living independently; and

- the shift from hospital to home.

These objectives should reduce demand on services, and the recently revised BCF framework, published on 30 January 2025, sets out the actions that local authorities and ICBs should take to achieve these objectives, including improving discharge, preventing avoidable admissions, reducing the pressure on social care, intermediate care, unpaid carers and housing.

The government appreciates that planning departments across the country are experiencing challenges with recruitment, retention, and skills gaps and that in many cases these issues are having a negative impact on service delivery.

At the Budget, the Chanceller announced a £46 million package of investment into the planning system as a one-year settlement for 2025-2026. A proportion of this funding will be used to support capacity and capability in local planning authorities, including the recruitment and training of 300 graduate and apprentice planners and developing the skills needed to implement reforms and unlock housing delivery.

This will be further underpinned by increases in planning fees that will help improve the resourcing of planning application services, so that local planning authorities can fund the skills they need.

More broadly, the Department’s established Planning Capacity and Capability programme is also developing a wider programme of support, working with partners across the planning sector, to ensure that local planning authorities have the skills and capacity they need, both now and in the future, to modernise local plans and speed up decision making, including through innovative use of digital planning data and software.

This government recognises the vital role youth services play in reducing a young person’s likelihood of becoming involved in crime. This will be a vital element of our Young Futures Programme, which will establish a network of Young Futures Hubs and Young Futures Prevention Partnerships, to intervene earlier to ensure this cohort is identified and offered support in a more systematic way, as well as creating more opportunities for young people in their communities, through the provision of open access to mental health and careers support.

In addition, in 2025/26 DCMS will launch the Local Youth Transformation pilot, which will support local authorities to build youth service capacity. They will also allocate over £85m of capital funding in 2025/26 to create fit-for-purpose, welcoming spaces for young people, including launching the new Better Youth Spaces fund, which will allocate at least £26m for youth clubs to buy new equipment and undertake renovations. This will also include completing the Youth Investment Fund projects.

The Home Office does not measure the outcomes for council run youth centres.

At the Budget on 30 October 2024, the Chancellor confirmed that local authorities can now retain 100% of their receipts from Right to Buy sales.

Approximately 65% of these receipts are conditionally retained by councils on the basis that they will be used for replacement social housing and approximately 35% may be used for any capital purpose, including for replacement housing.

In our recent Reforming the Right to Buy consultation, we sought views from local authorities and other stakeholders on simplifying the rules governing the use of Right to Buy receipts. We are analysing responses to that consultation and will set out next steps in due course.