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Written Question
Neurological Diseases: Health Services
Monday 15th December 2025

Asked by: Greg Smith (Conservative - Mid Buckinghamshire)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of the NHS England Neurology Transformation Programme on access to specialised neurology care, including care from specialist nurses, for people living with multiple sclerosis.

Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)

At the national level, there are a number of initiatives supporting service improvement and better care for patients with multiple sclerosis (MS), including those in the Mid Buckinghamshire constituency, including the RightCare Progressive Neurological Conditions Toolkit and the Getting It Right First Time Programme for Neurology.

NHS England’s Neurology Transformation Programme has developed a new model of integrated care for neurology services, to support systems to deliver the right service, at the right time for all neurology patients, including those with MS. This focuses on providing access equitably across the country, care as close to home as possible, and early intervention to prevent illness and deterioration in patients with long-term neurological conditions.

The Neurology Transformation Programme has developed guidance on improving access to disease-modifying treatments for MS with the aim of enabling people to receive care closer to home. The guidance includes successful delivery models and good practice case studies, and has been made available to National Health Service colleagues. The Neurology Transformation Programme is working with a number of systems across England to implement change, which will be implemented within individual systems, and which would also assess the impact on access to specialised neurology care, including care from specialist nurses, for people living with MS.

On 13 August 2025, NHS England updated its service specification for specialised adult neurology services, following extensive consultation. A copy of this service specification is attached. The service specification includes guidance on both the specialised and core neurology services that should be available for patients with MS with a clear model for networked care to improve access to specialist services in underserved areas. The service specification outlines that specialised neurology centres must include access to treatment services for MS and have clear pathways for access to disease-modifying therapies.


Written Question
Multiple Sclerosis: Mid Buckinghamshire
Monday 15th December 2025

Asked by: Greg Smith (Conservative - Mid Buckinghamshire)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to support people living with multiple sclerosis to access timely, high-quality care and treatment in Mid Buckinghamshire constituency.

Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)

At the national level, there are a number of initiatives supporting service improvement and better care for patients with multiple sclerosis (MS), including those in the Mid Buckinghamshire constituency, including the RightCare Progressive Neurological Conditions Toolkit and the Getting It Right First Time Programme for Neurology.

NHS England’s Neurology Transformation Programme has developed a new model of integrated care for neurology services, to support systems to deliver the right service, at the right time for all neurology patients, including those with MS. This focuses on providing access equitably across the country, care as close to home as possible, and early intervention to prevent illness and deterioration in patients with long-term neurological conditions.

The Neurology Transformation Programme has developed guidance on improving access to disease-modifying treatments for MS with the aim of enabling people to receive care closer to home. The guidance includes successful delivery models and good practice case studies, and has been made available to National Health Service colleagues. The Neurology Transformation Programme is working with a number of systems across England to implement change, which will be implemented within individual systems, and which would also assess the impact on access to specialised neurology care, including care from specialist nurses, for people living with MS.

On 13 August 2025, NHS England updated its service specification for specialised adult neurology services, following extensive consultation. A copy of this service specification is attached. The service specification includes guidance on both the specialised and core neurology services that should be available for patients with MS with a clear model for networked care to improve access to specialist services in underserved areas. The service specification outlines that specialised neurology centres must include access to treatment services for MS and have clear pathways for access to disease-modifying therapies.


Written Question
Hospitality Industry: Young People
Friday 12th December 2025

Asked by: Greg Smith (Conservative - Mid Buckinghamshire)

Question to the Department for Business and Trade:

To ask the Secretary of State for Business and Trade, what steps his department is taking to reduce youth unemployment in light of recent job losses in the hospitality sector, the largest employer of young people.

Answered by Kate Dearden - Parliamentary Under Secretary of State (Department for Business and Trade)

The Government recognises the importance of the Hospitality in providing employment for young people. At Budget, we announced more than £1.5 billion of investment over the next three years, funding £820m for the Youth Guarantee to support young people to earn or learn, and an additional £725 million for the Growth and Skills Levy. Through the expanded Youth Guarantee, young people aged 16-24 across Great Britain are set to benefit from further support into employment and learning.

We are supporting more than 50,000 young people into apprenticeships in England by fully funding apprenticeship training costs for all eligible 16-24-year-olds, removing the need for non-levy paying employers to co-fund these learners. We are also expanding foundation apprenticeships into sectors such as hospitality and retail, where young people are traditionally recruited.


Written Question
Hospitality Industry: Business Rates
Thursday 11th December 2025

Asked by: Greg Smith (Conservative - Mid Buckinghamshire)

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, what assessment she has made of the reasons for the difference in the projected changes in liabilities for (a) pubs and (b) distribution warehouses over the three-year revaluation period after transition.

Answered by Dan Tomlinson - Exchequer Secretary (HM Treasury)

The amount of business rates paid on each property is based on the rateable value of the property, assessed by the Valuation Office Agency (VOA), and the multiplier values, which are set by the Government. Rateable values are re-assessed every three years. Revaluations ensure that the rateable values of properties (i.e. the tax base) remain in line with market changes, and that the tax rates adjust to reflect changes in the tax base.

At the Budget, the VOA announced updated property values from the 2026 revaluation. This revaluation is the first since Covid, which has led to significant increases in rateable values for some properties. To support with bill increases, at the Budget, the Government introduced a support package worth £4.3 billion over the next three years to protect ratepayers seeing their bills increase because of the revaluation. As a result, over half of ratepayers will see no bill increases, including 23% seeing their bills go down. This means most properties seeing increases will see them capped at 15% or less next year, or £800 for the smallest.

Without this support, pubs would have faced a 45% increase in the total bills they pay next year. Because of the support we’ve put in, this falls to just 4%.

More broadly, the Government is delivering a long overdue reform to rebalance the business rates system and support the high street, as promised in our manifesto. The Government is doing this by introducing permanently lower tax rates for eligible retail, hospitality and leisure (RHL) properties. These new tax rates are worth nearly £900 million per year, and will benefit over 750,000 properties.

The RHL multipliers are being funded through a higher rate for high-value properties (those with a RV of £500,000 and above). These high-value properties cover the majority of distribution warehouses, including those used by the online giants. Distribution warehouses will pay around £100 million more in business rates in 2026/27, with this going directly to lower bills for in-person retail, including pubs.


Written Question
Retail Trade: Business Rates
Thursday 11th December 2025

Asked by: Greg Smith (Conservative - Mid Buckinghamshire)

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, what impact assessments the Government has conducted on the potential effect of rateable value increases and changes to business rates relief, announced at Budget 2025, on a) vacancy rates on local high streets b) job losses c) businesses closures and d) price levels.

Answered by Dan Tomlinson - Exchequer Secretary (HM Treasury)

The amount of business rates paid on each property is based on the rateable value of the property, assessed by the Valuation Office Agency (VOA), and the multiplier values, which are set by the Government. Rateable values are re-assessed every three years. Revaluations ensure that the rateable values of properties (i.e. the tax base) remain in line with market changes, and that the tax rates adjust to reflect changes in the tax base.

At the Budget, the VOA announced updated property values from the 2026 revaluation. This revaluation is the first since Covid, which has led to significant increases in rateable values for some properties. To support with bill increases, at the Budget, the Government introduced a support package worth £4.3 billion over the next three years to protect ratepayers seeing their bills increase because of the revaluation. As a result, over half of ratepayers will see no bill increases, including 23% seeing their bills go down. Most properties seeing increases will see them capped at 15% or less next year, or £800 for the smallest. The Valuation Office Agency has published statistics on changes in the rateable value of properties in the 2026 revaluation.

More broadly, the Government is delivering a long overdue reform to rebalance the business rates system and support the high street, as promised in our manifesto. The Government is doing this by introducing permanently lower tax rates for eligible retail, hospitality and leisure (RHL) properties. These new tax rates are worth nearly £900 million per year, and will benefit over 750,000 properties.

The new RHL tax rates replace the temporary RHL relief that has been winding down since COVID. The 40% RHL relief was forecast to cost £1.7 billion in 2025/26, less than the £2.1 billion we are spending on Transitional Relief and Supporting Small Business relief in 2026/27. Unlike RHL relief, the new rates are permanent, giving businesses certainty and stability, and there will be no cap, meaning all qualifying properties on high streets across England will benefit.

The new RHL tax rates will be 5p below the national tax rates.


Written Question
Business Rates: Internet
Thursday 11th December 2025

Asked by: Greg Smith (Conservative - Mid Buckinghamshire)

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, whether it remains the Government’s policy to reform the business rates system to level the playing field between bricks and mortar businesses and large online businesses.

Answered by Dan Tomlinson - Exchequer Secretary (HM Treasury)

The Government is delivering a long overdue reform to rebalance the business rates system and support the high street, as promised in our manifesto.

The Government is doing this by introducing permanently lower tax rates for eligible retail, hospitality and leisure (RHL) properties, while ensuring that warehouses used by online giants will pay more. These new tax rates are worth nearly £900 million per year and will benefit over 750,000 properties.

Unlike RHL relief, the new rates are permanent, giving businesses certainty and stability, and there will be no cap, meaning all qualifying properties on high streets across England will benefit.

The Government is paying for lower tax rates for RHL through higher rates on the top one per cent of most expensive properties. Large distribution warehouses, such as those used by online giants, will pay around £100m more in 2026/27, with this going directly to lower bills for in-person retail.


Written Question
Retail Trade: Business Rates
Thursday 11th December 2025

Asked by: Greg Smith (Conservative - Mid Buckinghamshire)

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, whether it is her policy to use the business rates system to help support high street businesses in the context of their competition with online retailers.

Answered by Dan Tomlinson - Exchequer Secretary (HM Treasury)

The Government is delivering a long overdue reform to rebalance the business rates system and support the high street, as promised in our manifesto.

The Government is doing this by introducing permanently lower tax rates for eligible retail, hospitality and leisure (RHL) properties, while ensuring that warehouses used by online giants will pay more. These new tax rates are worth nearly £900 million per year and will benefit over 750,000 properties.

Unlike RHL relief, the new rates are permanent, giving businesses certainty and stability, and there will be no cap, meaning all qualifying properties on high streets across England will benefit.

The Government is paying for lower tax rates for RHL through higher rates on the top one per cent of most expensive properties. Large distribution warehouses, such as those used by online giants, will pay around £100m more in 2026/27, with this going directly to lower bills for in-person retail.


Written Question
Retail Trade: Business Rates
Wednesday 10th December 2025

Asked by: Greg Smith (Conservative - Mid Buckinghamshire)

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, what guidance or analysis her department has undertaken on the potential impact on high street businesses of the removal of business rates relief and the simultaneous business rates revaluation.

Answered by Dan Tomlinson - Exchequer Secretary (HM Treasury)

The amount of business rates paid on each property is based on the rateable value of the property, assessed by the Valuation Office Agency (VOA), and the multiplier values, which are set by the Government. Rateable values are re-assessed every three years. Revaluations ensure that the rateable values of properties (i.e. the tax base) remain in line with market changes, and that the tax rates adjust to reflect changes in the tax base.

At the Budget, the VOA announced updated property values from the 2026 revaluation. This revaluation is the first since Covid, which has led to significant increases in rateable values for some properties as they recover from the pandemic. To support with bill increases, at the Budget, the Government announced a support package worth £4.3 billion over the next three years, including protection for ratepayers seeing their bills increase because of the revaluation. As a result, over half of ratepayers will see no bill increases, including 23% seeing their bills go down. This means most properties seeing increases will see them capped at 15% or less next year, or £800 for the smallest.

More broadly, the Government is delivering a long overdue reform to rebalance the business rates system and support the high street, as promised in our manifesto.

The Government is doing this by introducing new permanently lower tax rates for eligible retail, hospitality and leisure (RHL) properties, including pubs. These new tax rates are worth nearly £900 million per year, and will benefit over 750,000 properties.

The new RHL tax rates replace the temporary RHL relief that has been winding down since Covid. Unlike RHL relief, the new rates are permanent, giving businesses certainty and stability, and there will be no cap, meaning all qualifying properties on high streets across England will benefit.


Written Question
Hospitality Industry and Retail Trade: Business Rates
Wednesday 10th December 2025

Asked by: Greg Smith (Conservative - Mid Buckinghamshire)

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, if she will make an assessment of the potential impact of applying a) a 10p multiplier b) a 15p multiplier or c) the full 20p discount on high street and hospitality businesses; and if she will publish that assessment.

Answered by Dan Tomlinson - Exchequer Secretary (HM Treasury)

The amount of business rates paid on each property is based on the rateable value of the property, assessed by the Valuation Office Agency (VOA), and the multiplier values, which are set by the Government. Rateable values are re-assessed every three years. Revaluations ensure that the rateable values of properties (i.e. the tax base) remain in line with market changes, and that the tax rates adjust to reflect changes in the tax base.

At the Budget, the VOA announced updated property values from the 2026 revaluation. This revaluation is the first since Covid, which has led to significant increases in rateable values for some properties. To support with bill increases, at the Budget, the Government introduced a support package worth £4.3 billion over the next three years to protect ratepayers seeing their bills increase because of the revaluation. As a result, over half of ratepayers will see no bill increases, including 23% seeing their bills go down. This means most properties seeing increases will see them capped at 15% or less next year, or £800 for the smallest.

More broadly, the Government is delivering a long overdue reform to rebalance the business rates system and support the high street, as promised in our manifesto. The Government is doing this by introducing permanently lower tax rates for eligible retail, hospitality and leisure (RHL) properties. These new tax rates are worth nearly £900 million per year, and will benefit over 750,000 properties.

The new RHL tax rates replace the temporary RHL relief that has been winding down since COVID. Unlike RHL relief, the new rates are permanent, giving businesses certainty and stability, and there will be no cap, meaning all qualifying properties on high streets across England will benefit.

The new RHL tax rates will be 5p below the national tax rates. Making the RHL tax rates even lower would have led to a higher tax rate for high-value properties.


Written Question
Hospitality Industry and Leisure: Business Rates
Wednesday 10th December 2025

Asked by: Greg Smith (Conservative - Mid Buckinghamshire)

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, what estimate her department has made of how many a) pubs b) hotels c) restaurants d) indoor leisure and e) night clubs are expected to see their business rates bill i) go up ii) stay the same or iii) decrease from April 2026 as a result of the measures announced in Budget 2025.

Answered by Dan Tomlinson - Exchequer Secretary (HM Treasury)

The amount of business rates paid on each property is based on the rateable value of the property, assessed by the Valuation Office Agency (VOA), and the multiplier values, which are set by the Government. Rateable values are re-assessed every three years. Revaluations ensure that the rateable values of properties (i.e. the tax base) remain in line with market changes, and that the tax rates adjust to reflect changes in the tax base.

At the Budget, the VOA announced updated property values from the 2026 revaluation. This revaluation is the first since Covid, which has led to significant increases in rateable values for some properties, including those in the hospitality and leisure sectors as they recover from the pandemic. To support with bill increases, at the Budget, the Government announced a support package worth £4.3 billion over the next three years, including protection for ratepayers seeing their bills increase because of the revaluation. As a result, over half of ratepayers will see no bill increases, including 23% seeing their bills go down. This means most properties seeing increases will see them capped at 15% or less next year, or £800 for the smallest.

For the pubs sector, the increase in rateable values will be 30%, which combined with the loss of the temporary RHL relief would lead to an increase in total bills paid by the sector of 45%. However, due to government intervention, the sector’s total bill will only increase by 4% next year.

More broadly, the Government is delivering a long overdue reform to rebalance the business rates system and support the high street, as promised in our manifesto.

The Government is doing this by introducing new permanently lower tax rates for eligible retail, hospitality and leisure (RHL) properties, including pubs. These new tax rates are worth nearly £900 million per year, and will benefit over 750,000 properties.

The new RHL tax rates replace the temporary RHL relief that has been winding down since Covid. Unlike RHL relief, the new rates are permanent, giving businesses certainty and stability, and there will be no cap, meaning all qualifying properties on high streets across England will benefit.