Question to the Cabinet Office:

To ask His Majesty's Government how much has been paid through the Public Duty Costs Allowance since its inception to (1) each former Prime Minister and Deputy Prime Minister, and (2) in total.

Answered by Baroness Anderson of Stoke-on-Trent - Baroness in Waiting (HM Household) (Whip)

The Public Duty Costs Allowance (PDCA) was introduced to assist former Prime Ministers still active in public life. Payments are made only to meet the actual cost of continuing to fulfil public duties. The PDCA was exceptionally extended to the former Deputy Prime Minister, the Rt Hon Sir Nick Clegg from 2015-2019. No other former Deputy Prime Ministers claim the allowance.

The costs are a reimbursement of incurred expenses for necessary administrative costs arising from their special position in public life for example managing an office (staffing and administration costs); handling correspondence as a former Prime Minister; and support with visits and similar activities. The level of the limit is reviewed by the Prime Minister at the start of a Parliament and annually. Invoices are submitted to the Cabinet Office to cover relevant office and salary costs. PDCA claims are also subject to an annual audit by the National Audit Office.

The Cabinet Office does not hold a comprehensive record of claims made against the PDCA going back to 1991 when the allowance was established. However, I would refer the noble Lord to a written answer provided to him on 6 December 2022 by Baroness Neville-Rolfe, then Minister of State, (reference HL3763) which provides details of historical claims of PDCA.

Details of PDCA claims have been published in the Cabinet Office Annual Report and Accounts (ARA) since 2013-14. The written answer referred to above includes details of claims up to the financial year 2021-22. Details of claims for the financial years 2022-23 and 2023-24 are set out in Table 1 below, and can also be found in the relevant ARAs.

Table 1

In relation to the data provided in Table 1, it should be noted that The Rt Hon Lord David Cameron stopped receiving the allowance when he was appointed the Secretary of State for Foreign, Commonwealth and Development Affairs on 13 November 2023. The Rt Hon Boris Johnson was eligible to claim the Public Duty Cost Allowance, however no claims were received in 2022 to 2023. Due to 2022 to 2023 being the first year of set up, the Cabinet Office has agreed to reimburse these costs in 2023 to 2024. All future office costs are to be claimed in-year with claims received by 31 March. 2022 to 2023 office costs amounted to £67,083.

Details of the financial year 2024/25 will be published in the next Cabinet Office Annual Report and Accounts.

Question to the Cabinet Office:

To ask His Majesty's Government what steps they are taking to ensure that claims by former Prime Ministers and Deputy Prime Minister through the Public Duty Costs Allowance are not used to fund income-generating projects.

Answered by Baroness Anderson of Stoke-on-Trent - Baroness in Waiting (HM Household) (Whip)

The Public Duty Costs Allowance (PDCA) was introduced to assist former Prime Ministers still active in public life. Payments are made only to meet the actual cost of continuing to fulfil public duties. The PDCA was exceptionally extended to the former Deputy Prime Minister, the Rt Hon Sir Nick Clegg from 2015-2019. No other former Deputy Prime Ministers claim the allowance.

The costs are a reimbursement of incurred expenses for necessary administrative costs arising from their special position in public life for example managing an office (staffing and administration costs); handling correspondence as a former Prime Minister; and support with visits and similar activities. The level of the limit is reviewed by the Prime Minister at the start of a Parliament and annually. Invoices are submitted to the Cabinet Office to cover relevant office and salary costs. PDCA claims are also subject to an annual audit by the National Audit Office.

The Cabinet Office does not hold a comprehensive record of claims made against the PDCA going back to 1991 when the allowance was established. However, I would refer the noble Lord to a written answer provided to him on 6 December 2022 by Baroness Neville-Rolfe, then Minister of State, (reference HL3763) which provides details of historical claims of PDCA.

Details of PDCA claims have been published in the Cabinet Office Annual Report and Accounts (ARA) since 2013-14. The written answer referred to above includes details of claims up to the financial year 2021-22. Details of claims for the financial years 2022-23 and 2023-24 are set out in Table 1 below, and can also be found in the relevant ARAs.

Table 1

In relation to the data provided in Table 1, it should be noted that The Rt Hon Lord David Cameron stopped receiving the allowance when he was appointed the Secretary of State for Foreign, Commonwealth and Development Affairs on 13 November 2023. The Rt Hon Boris Johnson was eligible to claim the Public Duty Cost Allowance, however no claims were received in 2022 to 2023. Due to 2022 to 2023 being the first year of set up, the Cabinet Office has agreed to reimburse these costs in 2023 to 2024. All future office costs are to be claimed in-year with claims received by 31 March. 2022 to 2023 office costs amounted to £67,083.

Details of the financial year 2024/25 will be published in the next Cabinet Office Annual Report and Accounts.

Question to the Cabinet Office:

To ask His Majesty's Government what they consider the public duties of former Prime Ministers to be in relation to the Public Duty Cost Allowance; and what plans they have to review the Public Duty Cost Allowance to increase transparency.

Answered by Baroness Anderson of Stoke-on-Trent - Baroness in Waiting (HM Household) (Whip)

The Public Duty Costs Allowance (PDCA) was introduced to assist former Prime Ministers still active in public life. Payments are made only to meet the actual cost of continuing to fulfil public duties. The PDCA was exceptionally extended to the former Deputy Prime Minister, the Rt Hon Sir Nick Clegg from 2015-2019. No other former Deputy Prime Ministers claim the allowance.

The costs are a reimbursement of incurred expenses for necessary administrative costs arising from their special position in public life for example managing an office (staffing and administration costs); handling correspondence as a former Prime Minister; and support with visits and similar activities. The level of the limit is reviewed by the Prime Minister at the start of a Parliament and annually. Invoices are submitted to the Cabinet Office to cover relevant office and salary costs. PDCA claims are also subject to an annual audit by the National Audit Office.

The Cabinet Office does not hold a comprehensive record of claims made against the PDCA going back to 1991 when the allowance was established. However, I would refer the noble Lord to a written answer provided to him on 6 December 2022 by Baroness Neville-Rolfe, then Minister of State, (reference HL3763) which provides details of historical claims of PDCA.

Details of PDCA claims have been published in the Cabinet Office Annual Report and Accounts (ARA) since 2013-14. The written answer referred to above includes details of claims up to the financial year 2021-22. Details of claims for the financial years 2022-23 and 2023-24 are set out in Table 1 below, and can also be found in the relevant ARAs.

Table 1

In relation to the data provided in Table 1, it should be noted that The Rt Hon Lord David Cameron stopped receiving the allowance when he was appointed the Secretary of State for Foreign, Commonwealth and Development Affairs on 13 November 2023. The Rt Hon Boris Johnson was eligible to claim the Public Duty Cost Allowance, however no claims were received in 2022 to 2023. Due to 2022 to 2023 being the first year of set up, the Cabinet Office has agreed to reimburse these costs in 2023 to 2024. All future office costs are to be claimed in-year with claims received by 31 March. 2022 to 2023 office costs amounted to £67,083.

Details of the financial year 2024/25 will be published in the next Cabinet Office Annual Report and Accounts.

Question to the Cabinet Office:

To ask His Majesty's Government what assessment they have made of the need to scrutinise claims for Public Duty Costs Allowance.

Answered by Baroness Anderson of Stoke-on-Trent - Baroness in Waiting (HM Household) (Whip)

The Public Duty Costs Allowance (PDCA) was introduced to assist former Prime Ministers still active in public life. Payments are made only to meet the actual cost of continuing to fulfil public duties. The PDCA was exceptionally extended to the former Deputy Prime Minister, the Rt Hon Sir Nick Clegg from 2015-2019. No other former Deputy Prime Ministers claim the allowance.

The costs are a reimbursement of incurred expenses for necessary administrative costs arising from their special position in public life for example managing an office (staffing and administration costs); handling correspondence as a former Prime Minister; and support with visits and similar activities. The level of the limit is reviewed by the Prime Minister at the start of a Parliament and annually. Invoices are submitted to the Cabinet Office to cover relevant office and salary costs. PDCA claims are also subject to an annual audit by the National Audit Office.

The Cabinet Office does not hold a comprehensive record of claims made against the PDCA going back to 1991 when the allowance was established. However, I would refer the noble Lord to a written answer provided to him on 6 December 2022 by Baroness Neville-Rolfe, then Minister of State, (reference HL3763) which provides details of historical claims of PDCA.

Details of PDCA claims have been published in the Cabinet Office Annual Report and Accounts (ARA) since 2013-14. The written answer referred to above includes details of claims up to the financial year 2021-22. Details of claims for the financial years 2022-23 and 2023-24 are set out in Table 1 below, and can also be found in the relevant ARAs.

Table 1

In relation to the data provided in Table 1, it should be noted that The Rt Hon Lord David Cameron stopped receiving the allowance when he was appointed the Secretary of State for Foreign, Commonwealth and Development Affairs on 13 November 2023. The Rt Hon Boris Johnson was eligible to claim the Public Duty Cost Allowance, however no claims were received in 2022 to 2023. Due to 2022 to 2023 being the first year of set up, the Cabinet Office has agreed to reimburse these costs in 2023 to 2024. All future office costs are to be claimed in-year with claims received by 31 March. 2022 to 2023 office costs amounted to £67,083.

Details of the financial year 2024/25 will be published in the next Cabinet Office Annual Report and Accounts.

Question to the Department of Health and Social Care:

To ask His Majesty's Government whether the national cancer plan will include steps to integrate exercise, nutrition and well-being support into prehabilitation and rehabilitation programmes for all cancer patients, as recommended in The White Rose Cancer Report, published by Yorkshire Cancer Research on 18 June; and what plans they have to adopt the ROSE model to ensure equity in research funding and implementation across the country.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government and the National Health Service recognise the importance of physical activity for the prevention and management of long-term health conditions, including cancer.

The National Cancer Plan, due to be published later this year, will set out how experiences and outcomes can be improved for people at every stage of the cancer pathway, including prehabilitation and rehabilitation. The Department acknowledges that more can be done to support people living with and beyond cancer.

The NHS Cancer Programme, through local Cancer Alliances, is working to ensure physical activity is fully integrated across the whole cancer pathway, which includes opportunities within rehabilitation for people who have undergone treatment.

NHS England has highlighted the positive impact of efficient prehabilitation and rehabilitation on cancer outcomes and the potential to lead to cost savings. The ‘PRosPer’ Cancer Prehabilitation and Rehabilitation learning programme, launched in partnership between NHS England and Macmillan Cancer support, aims to support allied health professionals and the wider healthcare workforce in developing their skills in providing personalised care, prehabilitation, and rehabilitation in the cancer pathway.

The Department is committed to ensuring that all patients have access to cutting-edge clinical trials and innovative, lifesaving treatments, and to supporting equity of research funding and implementation cross the country.

The Department funded National Institute for Health and Care Research (NIHR) supports the principles outlined in the ROSE model, by funding research and research infrastructure, which supports patients and the public to participate in high-quality research.

The NIHR has made research inclusion a condition of its funding. Applicants to domestic research programmes are required to demonstrate how inclusion is being built into all stages of the research lifecycle and are also required to provide details of how their research contributes towards the NIHR’s mission to reduce health and care inequalities.

The NIHR’s Applied Research Collaborations are regional partnerships which generate high-quality research and evaluation, and work with the system to support the scaling and adoption of effective interventions and models of care nationally, particularly in areas of high disease burden and service demand.

Question to the HM Treasury:

To ask His Majesty's Government how many (1) calls, and (2) online submissions, have been made to HMRC fraud hotline services in relation to illicit tobacco in each of the past ten years.

Answered by Lord Livermore - Financial Secretary (HM Treasury)

The table below shows the number of contacts received by HMRC’s Fraud Reporting Gateway in relation to illicit tobacco. The data is only available for the last 7 years due to HMRC’s retention policies.

Question to the Department of Health and Social Care:

To ask His Majesty's Government what steps they are taking to reduce the number of people diagnosed with cancer in an emergency care setting in (1) Yorkshire, and (2) other regions of the country.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

It is a priority for the Government to support the National Health Service to diagnose cancer as early and quickly as possible and to treat it faster, to improve outcomes. This will help cancer patients across England, including in Yorkshire.

We are improving public awareness of cancer signs and symptoms, streamlining referral routes, and increasing the availability of diagnostic capacity through the roll-out of more community diagnostic centres. We are also investing an additional £889 million in general practices (GPs) to reinforce the front door of the National Health Service, bringing total spend on the GP Contract to £13.2 billion in 2025/26. This is the biggest increase in over a decade.

Alongside improving cancer waiting time performance, the NHS has implemented non-specific symptom pathways for patients who present with vague and non-site-specific symptoms, which do not clearly align to a tumour type. To support the use of rapid diagnostic centres, non-specific symptom (NSS) pathways have been rolled out across England for patients who present with vague symptoms which could indicate multiple different types of cancer, for example unexplained weight-loss and fatigue.

The Government has announced that the National Cancer Plan will be published later this year, following the recent publication of the 10-Year Health Plan. The National Cancer Plan will ensure that cancer patients in England, including in Yorkshire, will have access to the best cancer care and treatments. It will have patients at its heart and will cover the entirety of the cancer pathway, from referral and diagnosis to treatment and ongoing care.

Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of the potential cost savings to the NHS and social care system of implementing automatic stop smoking support at NHS touchpoints; and how will that inform future funding decisions.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

Whilst no specific assessment has been made of the potential cost savings from stop smoking support in all National Health Services, we know that supporting more people to stop smoking reduces preventable illness and therefore pressure on health and social care services.

An evaluation of a pilot opt-out model in Manchester showed the gross financial return was £2.12, and the public value return was £30.49, per £1 invested. NHS England has also made a tool that estimates the potential cost savings associated with the reduced demand on front line services available for maternity services.

As of the end of 2024/25, 93% of NHS in-patient services and 97% of maternity services had a tobacco dependence treatment offer.

As set out in the 10-Year Health Plan, we remain committed to ensuring that all hospitals integrate smoking cessation interventions into routine care. As part of their allocations for 2025/26, integrated care boards have access to funding to support the provision of tobacco dependency treatment for smokers. Funding for future years is subject to final decisions following the recent Spending Review.

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