First elected: 4th July 2024
Speeches made during Parliamentary debates are recorded in Hansard. For ease of browsing we have grouped debates into individual, departmental and legislative categories.
e-Petitions are administered by Parliament and allow members of the public to express support for a particular issue.
If an e-petition reaches 10,000 signatures the Government will issue a written response.
If an e-petition reaches 100,000 signatures the petition becomes eligible for a Parliamentary debate (usually Monday 4.30pm in Westminster Hall).
Apply for the UK to join the European Union as a full member as soon as possible
Gov Responded - 19 Nov 2024 Debated on - 24 Mar 2025 View James MacCleary's petition debate contributionsI believe joining the EU would boost the economy, increase global influence, improve collaboration and provide stability & freedom. I believe that Brexit hasn't brought any tangible benefit and there is no future prospect of any, that the UK has changed its mind and that this should be recognised.
These initiatives were driven by James MacCleary, and are more likely to reflect personal policy preferences.
MPs who are act as Ministers or Shadow Ministers are generally restricted from performing Commons initiatives other than Urgent Questions.
James MacCleary has not been granted any Urgent Questions
James MacCleary has not been granted any Adjournment Debates
A Bill to require the Secretary of State to enter into negotiations with countries which are members of the European Union for the purpose of extending the Youth Mobility Scheme to applicants from those countries on a reciprocal basis; and for connected purposes.
A Bill to require the Secretary of State to publish proposals for measures to address gender inequality in football.
Poly and Perfluorinated Alkyl Substances (Guidance) Bill 2024-26
Sponsor - Munira Wilson (LD)
Political Donations Bill 2024-26
Sponsor - Manuela Perteghella (LD)
The Government Communication Service is not commissioning opinion polling on these topics.
The Cabinet Office does not hold a central estimate of the total government expenditure on external consultants to assist with EU-UK Trade and Cooperation Agreement implementation. This is due to the responsibility for implementing the agreement sitting across multiple departments. All departments are individually responsible for their consultancy spend. Further information on government specific contracts is available at https://www.gov.uk/contracts-finder.
The Government engages with the European Commission on a range of border issues, including the EU’s Entry/Exit System (EES). The system is expected to increase processing times at Schengen Area border crossing points, and the Government therefore continues to work with EU Member States, industry and operators to understand the possible impacts and support their plans to mitigate disruption for travellers and businesses. To support this, I have been having regular meetings with other HMG Ministers to progress cross-government efforts for EES, including communications to the travelling public. However, implementation of EES is a matter for the EU and EU Member States.
The Prime Minister and the president of the European Commission met in Brussels on 2 October and agreed to strengthen the relationship between the EU and the UK, putting it on a more solid, stable footing. We are committed to finding constructive ways to work together and deliver for the British people.
We are not going to give a running commentary on negotiations. We will obviously look at EU proposals on a range of issues, but we will not return to freedom of movement.
The UK has some of the strongest consumer product safety laws in the world, that already requires businesses to only make safe products available on the market, including lithium-ion batteries. The powers in the Product Regulation and Metrology Bill will allow us to update the regulatory framework, if we determine that is necessary to ensure the best protections for consumers.
In the meantime, the Office for Product Safety and Standards, as the national regulator, is taking action to prevent unsafe products, including lithium-ion batteries, from being sold in the UK.
The Government regularly engages with UK and EU businesses as we strengthen the UK-EU relationship. This includes engagement through formal channels such as the UK TCA Domestic Advisory Group and the Trade Strategy’s open call for input, as well as Ministerial roundtables.
As part of my visit to Brussels on 26 February, I held a roundtable with EU industry representatives on improving UK-EU trade relations. On 6 March, Minister Gustafsson led a business roundtable with Irish businesses regarding bilateral trade and investment opportunities. We will continue to engage businesses ahead of the UK-EU Summit.
The Government regularly engages with UK and EU businesses as we strengthen the UK-EU relationship. This includes engagement through formal channels such as the UK TCA Domestic Advisory Group and the Trade Strategy’s open call for input, as well as Ministerial roundtables.
As part of my visit to Brussels on 26 February, I held a roundtable with EU industry representatives on improving UK-EU trade relations. On 6 March, Minister Gustafsson led a business roundtable with Irish businesses regarding bilateral trade and investment opportunities. We will continue to engage businesses ahead of the UK-EU Summit.
Carbon Capture, Usage and Storage (CCUS) technology has been proven in many countries across the world, and the Climate Change Committee have described it as a “necessity not an option” for reaching Net Zero. As a part of the initial assessment for choosing the first CCUS clusters, projects were assessed against five criteria including deliverability, under which technical viability was considered. It enables the lowest cost pathway to Net Zero and is a tried and tested technology that has been deployed across industry and power generation at scale. Geological carbon storage is a proven technology that has been in operation globally for decades.
As sustainable biomass is a limited resource, the Government expects to prioritise its use in sectors like aviation which have fewest options to decarbonise. Renewable liquid heating fuels (RLHF) are also much more expensive to use than other heating solutions.
Before taking decisions on whether to support the use of RLHFs, like hydrotreated vegetable oil, in heating, the Government would require stronger evidence on their affordability for consumers, and the availability of sustainable feedstocks.
Having the fastest, most reliable broadband means households no longer having to battle over bandwidth and gives people the freedom to live and work more flexibly. This is why we are committed to the rollout of fast, reliable broadband to all parts of the UK.
As part of Project Gigabit, CityFibre is delivering a contract to bring gigabit-capable broadband to premises across Sussex, including in Laughton, that would otherwise not be reached by suppliers’ commercial rollout.
Under the Online Safety Act, in-scope user-to-user and search services must assess for risks of illegal content and harm to children. Ofcom is the independent regulator for this regime. It sets out what steps small low-risk providers need to take to fulfil their duties following their risk assessment. When implementing these duties, Ofcom is legally required to ensure burdens on providers are proportionate to their risk factors, size, and capacity. Ofcom recently launched an online digital toolkit, aimed at helping SMEs with compliance (https://www.ofcom.org.uk/online-safety/illegal-and-harmful-content/ofcom-launches-digital-safety-toolkit-for-online-services/).
The guarantee of surcharge-free roaming with the EU ceased at the end of the Brexit Transition Period. Against this background, my Department, in close coordination with the Department for Business and Trade, is considering the Government’s approach to the issue of roaming fees for people travelling in Europe to ensure we deliver the best outcomes to promote competition and protect consumers.
The guarantee of surcharge-free roaming with the EU ceased at the end of the Brexit Transition Period. Against this background, my Department, in close coordination with the Department for Business and Trade, is considering the Government’s approach to the issue of roaming fees for people travelling in Europe to ensure we deliver the best outcomes to promote competition and protect consumers.
Horizon Europe runs from 2021 to 2027. Data on UK receipts from the Framework Programmes between 2010 and 2020 is available via the EU’s Horizon Dashboard.
The UK associated to Horizon Europe in January 2024, and with a small number of exceptions, UK organisations have not received any funding from prior to association. UK participation between 2021 and 2023 was funded by the UK Guarantee, and the funding data is available on the UK Research and Innovation website. As 2024 data becomes available, this will be published via the Dashboard.
Framework Programme 10 is still being developed by the EU.
There are a range of robust rules in place to ensure that gambling adverts, wherever they appear, are socially responsible and do not exacerbate harm.
The Gambling Commission is further strengthening protections on marketing to improve customer control over the marketing they receive and the tightening rules on the design of incentives such as free bets.
However, as the Gambling Minister set out in her speech at the GambleAware conference on 4 December, the government recognises that more needs to be done to improve protections. The industry now has a clear task to further raise standards to ensure that levels of gambling advertising does not exacerbate harm, and this work will be monitored closely.
On the 22nd of January, I was pleased to announce that the Listed Places of Worship Grant Scheme would continue from March 2025 to March 2026 with a budget of £23m. Further details can be found here in the Written Statement.
The Department monitors the implementation and impact of the grant scheme through the regular reporting of the grant administrator. Since 2010, the grant scheme has returned over £350 million to listed places of worship including churches.
Departmental settlements have been set following the Budget announcement on October 30. Individual programmes will now be assessed during the departmental Business Planning process.
We are introducing a registration scheme for short-term lets in England. Our aim is to reap the benefits of a thriving tourist economy whilst protecting the spirit and fabric of communities, including by giving local authorities valuable data on short-term lets in their area to help address housing impacts through the scheme.
The registration scheme will work to create a level playing field across the guest accommodations sector and ensure short-term lets are set to the same standards as more traditional accommodations such as hotels and B&Bs.
The scheme will support operators of short-term lets by boosting the reputation of England’s guest accommodation sector and attracting more visitors by giving visible assurance we have a high-quality, safe guest accommodation offer.
High and rising school standards are at the heart of this government’s mission to break down barriers to opportunity and give every child the best start in life. High-quality and sustainable buildings are a key part of that.
The Public Sector Decarbonisation Scheme supports schools, hospitals and other public sector bodies with funding to switch to cleaner heating and cut building emissions. Additionally, capital funding allocated by the department to the school sector each year can be used for projects that improve the energy efficiency and sustainability of school buildings, as well as improving the condition of the estate to keep schools safe and operational. From visits made to schools for the department’s Condition Data Collection programme (CDC2), we know that almost 30% of schools already have photovoltaic panels installed.
Decisions on which projects to prioritise with capital allocations are primarily taken at a local level. In the 2024/25 financial year, the department committed £1.8 billion in capital funding to improve the condition of the school estate. At the Autumn Budget 2024 the government increased funding to £2.1 billion for the 2025/26 financial year.
This is on top of the School Rebuilding Programme, which is rebuilding or refurbishing poor condition buildings at over 500 schools. Since November 2021, the department has required all new department-delivered schools be designed to be net zero carbon in operation. This is alongside delivering investment to increase green infrastructure and sustainable water management on school sites.
The department is aware of an increasing amount of interest in this area from schools and suppliers and is engaging with the sector to look at how it can further support schools in the move to solar. Our sustainability support programme provides online and in person help to education settings in identifying appropriate actions to become more sustainable, including considering decarbonisation of their energy supply. Where schools are considering the purchase of solar panels or other sustainable systems, our ‘Get help buying for schools’ service provides support to ensure that schemes procured are of high-quality and value to the sector. Information about the service can be found here: https://gethelpbuyingforschools.campaign.gov.uk/.
Pilot programmes such as the Net Zero Accelerator Service and the Decarbonisation Pilots have been working with small groups of schools to explore what interventions work best in different typologies of schools to reduce emissions and energy bills. The learning from these pilots will be captured and shared through the sustainability support programme.
The department has also published guidance for schools and colleges on sensible steps for reducing energy use and small-scale works to improve energy efficiency. Further details are available here: https://www.gov.uk/government/publications/energy-efficiency-guidance-for-the-school-and-fe-college-estate/energy-efficiency-guidance-for-the-school-and-further-education-college-estate. In addition, advice on reducing energy costs, including renewing energy contracts, and frameworks for procuring sustainable solutions, is available here: https://find-dfe-approved-framework.service.gov.uk/pages/rising-energy-prices.
The Centre for Latin Excellence has contacted all the schools involved in the Latin Excellence Programme and has received assurances that all pupils due to take Latin GCSE this summer will continue to do so.
The department is working closely with the Centre for Latin Excellence to ensure that teachers currently delivering the Latin curriculum to key stage 4 pupils will be prioritised and will receive extra support in the lead up to the end of the programme. All schools on the programme will continue to have access to the curriculum resources once the programme ends supporting them in the continue delivery of Latin teaching.
The fiscal situation this government inherited means there are difficult decisions to take on how money is spent right across the public sector to ensure the department delivers on our priorities. Given this, we have taken the difficult decision not to extend the Latin Excellence Programme beyond the end of the current contract on 28 February 2025.
Further education (FE) colleges, rather than government, are responsible for setting and negotiating pay within colleges. Colleges are not bound by the national pay and conditions framework for school teachers, but are free to implement their own pay arrangements in line with their own local circumstances. FE Colleges were incorporated under the terms of the 1992 Further and Higher Education Act, which gave them autonomy over the pay and contractual terms and conditions of their staff.
This government is committed to ensuring there is a thriving FE sector, which is vital to our missions to break down the barriers to opportunity and boost economic growth.
At the October Budget 2024, my right hon. Friend, the Chancellor of the Exchequer set out an additional £300 million revenue funding for FE in the 2025/26 financial year to ensure young people are developing the skills this country needs. The department will set out in due course how this funding will be distributed.
This builds on our investment to extend targeted retention incentive payments of up to £6,000 after tax to eligible early career FE teachers in key subject areas. The department is also delivering funding to support those young people who do not pass mathematics and English GCSE at 16, who are predominantly studying in FE.
The department will continue to offer financial incentives for those undertaking teacher training for the FE sector in priority subject areas. For the 2024/25 academic year, FE training bursaries are worth up to £30,000 each, tax free. Additionally, we are supporting industry professionals to enter the teaching workforce through our ‘Taking Teaching Further’ programme.
The 5.5% pay award announced in the summer for the 2024/25 academic year was for school teachers only. School teachers’ pay is set through an independent, statutory process each year, and for 2024/25 the department accepted the School Teachers' Review Body’s (STRB) recommendation in full.
The process for determining the school teacher pay award for 2025/26 is currently underway. On 10 December, the department published its written evidence to the STRB, to inform their recommendations. The evidence sets out that in the context of the challenging national economic picture, a 2.8% pay award for school teachers would be appropriate, ensuring school teachers’ pay remains competitive.
In making their recommendations for 2025/26 school teacher pay, the STRB have been asked to consider the impact of their recommendations on the FE teaching workforce in England. This does not change how pay is set in FE, but, as the FE and school workforces are closely related, it is important that the STRB consider the totality of the workforce when they look at the evidence.
Helping children and young people to both achieve and thrive, including through work on mentoring and supporting wellbeing, is critical to breaking down barriers to opportunity – one of the five missions of this government.
The department is investing £17 million across two mentoring projects that will support the school attendance of at least 12,000 pupils in 15 areas. These programmes will be evaluated and the effective practice shared with schools and local authorities nationally. The first project is set to conclude this academic year, while the second, larger pilot will continue until 2028.
To support mental health and wellbeing, the government has also committed to providing access to specialist mental health professionals in every school in England.
The department has also launched a targeted mental wellbeing support toolkit to further help schools select the most effective targeted support options. This covers a range of evidence-based interventions, including mentoring, which we recognise can be a useful component of a whole school approach to wellbeing.
The government is committed to deliver on its pledge to provide a free breakfast club in every state-funded school with primary aged children. We have made early progress towards this, including announcing that up to 750 early adopters will be delivering these new breakfast clubs by April 2025. Breakfast clubs offer much more than just food. They can serve as a welcoming space for children, providing valuable opportunities for them to play, learn, and socialise at the beginning of the school day.
Across government, we are also supporting a variety of other schemes with a focus on mentoring and wellbeing for young people in wider communities.
Young Futures Hubs will bring together services to help improve the way that children and young people can access opportunities and support in their local communities, in doing so, promoting their development, improving mental health, and preventing young people being drawn into crime. Expertise has been brought together from across government departments to deliver on this manifesto commitment, and the government will be engaging with national and local partners, local communities and children and young people to co-design and explore options for the design and delivery of the hubs.
There are currently around 65 locally funded early support hubs in England open to those aged 11 to 25. These are open to anyone who may not meet the threshold to receive NHS support. This means children and young people experiencing feelings of anxiety or stress will have a physical space to go to in their community when their problems first emerge without the need for a referral. Early support hubs also offer advice on wider issues which may affect a young person’s mental health, including careers advice, educational support or support with their financial circumstances. In 2024/25, the Department of Health and Social Care (DHSC) is also running a Shared Outcomes Fund project, backed by £8 million, to boost and evaluate the impact of 24 existing early support hubs.
In the wider healthcare system, DHSC will also recruit an additional 8,500 new mental health staff to treat children and adults.
Supporting mentoring in wider communities, Youth Futures Foundation receives funding through the Dormant Assets Scheme, which is led by industry and backed by the government, for their ‘Building Futures’ programme with the Football Beyond Borders as their year 1 partner, which will enable thousands of vulnerable young people to access crucial mentoring support.
I refer the hon. Member for Lewes to the answer of 29 October 2024 to Question 10604.
Defra announced on 4 March that it would be providing an additional £33 million for the Rural England Prosperity Fund in financial year 2025-26. This announcement continues funding beyond the lifetime of the original scheme providing new money for new projects in rural areas.
The Autumn Statement on 30 October confirmed Defra’s budgets for 2024-25 and 2025-26. Funding allocations for individual programmes have been determined through the departments business planning exercise. Future funding decisions remain subject to the Government spending review.
This is a devolved matter and the information provided therefore relates to England only.
The Government will introduce the most ambitious programme for animal welfare in a generation. As outlined in our manifesto, we will bring an end to the use of snare traps. We are considering the most effective way to deliver this commitment and will be setting out next steps in due course
This is a devolved matter with regard to Scotland and NI; hunting with dogs is a reserved matter with respect to Wales and therefore, the information provided relates to England and Wales.
The Government is committed to enacting a ban on Trail Hunting, and work to determine the best approach for doing so is ongoing. Further announcements will be made in due course.
This Government shares the British public’s high regard for animal welfare. Foie gras production using force feeding has been banned in the UK for 17 years and it is not compatible with our animal welfare legislation.
This Labour Government will introduce the most ambitious programme for animal welfare in a generation.
Ministers are reviewing policies, which will be announced in due course.
The Drinking Water Inspectorate’s (DWI) current guideline limit on individual types of PFAS of 100 nanograms per litre for treated drinking water was set in 2021 based on an assessment of existing scientific knowledge. These limits were agreed with the UK Health Security Agency to be robust levels with an appropriate margin to ensure our drinking water is not a danger to human health. Work now continues across Government to assess levels of PFAS to safeguard current high drinking water quality and ensure our regulations remain fit for purpose.
More widely, as we look to improve and maintain our water quality standards, this Government has been clear that vital infrastructure investment is ringfenced and can only be spent on upgrades benefiting customers and the environment. When money for investment is not spent, companies must refund customers, with money never allowed to be diverted for bonuses, dividends or salary increases.
The Water (Special Measures) Bill will also deliver on the Government’s manifesto commitment to put water companies under special measures to clean up our water. Through the Bill, we will drive meaningful improvements in the performance and culture of the water industry.
The price of most railcards increased by £5 from 2 March 2025, except the Disabled Persons Railcard. Railcards still offer significant savings on rail fares with the average railcard holder saving up to £158 annually. In many cases, the price of railcards has not increased in a decade, during which time the cost of running the railway and the subsidy provided to the railway by the taxpayer has increased significantly. This small price increase helps to balance the funding for the railway between passengers and taxpayers.
In her letter of 27 February 2025, my Right Honourable Friend, the Secretary of State for Transport indicated that she was minded to approve the proposed development of the Gatwick Airport Northern Runway Project based on the principles of the requirements set out by the Examining Authority in its report. It is now for the applicant to respond. Both the letter and the report are published on The Planning Inspectorate’s website - https://national-infrastructure-consenting.planninginspectorate.gov.uk/projects/TR020005 .
The effects of the proposed development on the rail network, its users and local communities will be taken into account in the final decision, though my Right Honourable friend will note both Network Rail and rail operators were consulted as part of the application and have not objected to the proposals. However as this remains a live planning application with the Department, I cannot comment further on those issues at the current time.
EES will need to be implemented at the juxtaposed controls in the UK. In general, ports are expected to provide infrastructure relating to border controls without government funding. Given the specific issues caused by the need to implement EES, the previous Government awarded a £3.5m grant to each of Port of Dover, Eurotunnel and Eurostar to assist with achieving the optimum implementation models at these juxtaposed controls.
My Department, National Highways and Kent County Council are working with Port of Dover on minor capacity improvements to the A20/Union Street junction to support the port’s new Western Docks EES processing facility. This is being led by Kent County Council.
British airports, and maritime ports other than Port of Dover, will not be implementing EES, as these ports do not host juxtaposed controls.
The Integrated National Transport Strategy will be published later this year following collaborative and open engagement with our stakeholders and will meet the manifesto commitment to develop a “long-term strategy for transport”.
Regarding the A259 South Coast Road Corridor scheme, all future spend is subject to the Spending Review and until that is completed, I am unable to provide assurances on any individual project. Local authority scheme promoters will be updated on the future of schemes in due course.
The Integrated National Transport Strategy will be published later this year following collaborative and open engagement with our stakeholders and will meet the manifesto commitment to develop a “long-term strategy for transport”.
Regarding the A259 South Coast Road Corridor scheme, all future spend is subject to the Spending Review and until that is completed, I am unable to provide assurances on any individual project. Local authority scheme promoters will be updated on the future of schemes in due course.
Successive studies over the last two decades have indicated that the significant costs associated with re-instating the line between Lewes and Uckfield would exceed the benefits to passengers across Sussex. As such, our current focus remains on improving the performance and reliability of existing infrastructure and services.
The Department recognises that the majority of road fatalities (according to the latest statistics) occurred on rural roads (60%) with fewer fatalities on urban roads (35%) and motorways (5%).
We have awarded local authorities £185.8 million of funding between 2017 and 2024 through the Safer Roads Fund to improve the safety of England's most high risk 'A' roads. To date, it has funded 445.3 miles of rural roads which make up 62.4% of all funded routes.
My Government is developing a road safety strategy, the first in over ten years, and we will set out more details in due course.
East Sussex County Council is responsible for making decisions about roads in their area and as such, is best placed to bring forward proposals to improve safety on the C7 road.
No estimate has been made of the cost of consultancy by my department used during negotiation and implementation of new cross-border transport arrangements with the EU since January 2020.
Since the UK-EU Withdrawal Agreement came into effect on 31st January 2020, and subsequent application of the EU-UK Trade and Cooperation Agreement from 1 January 2021, there has been an extensive programme of work across numerous government departments to facilitate implementation of our new relationship with the EU and ensure the continued flow of people and goods.
Most cross-border impacts of EU Exit for transport relate to border checks such as immigration controls, checks on goods and security arrangements on which other departments lead. The National Audit Office has produced a number of reports on EU Exit preparations including one on borders last year: The UK border: Implementing an effective trade border - NAO report.
The Driver and Vehicle Standards Agency’s (DVSA) main priority is upholding road safety standards while it works hard to reduce car practical driving test waiting times.
Measures in place to reduce waiting times for customers at all driving test centres (DTC), include the recruitment of new driving examiners (DE), conducting tests outside regular hours, including at weekends and on public holidays, and buying back annual leave from DEs.
DVSA also continues to deploy DEs from areas with lower waiting times into those where waiting times are longer.
We have no current plans to raise the PCN levels. It is important to strike the right balance between deterrence and fairness on this issue.
Investment in cycling is crucial to supporting the economy, with recent evidence indicating that 3.6%, or over a million people, usually cycle to work and contributes about £5.4 billion to the British economy annually, with £4.1 billion resulting from reductions in mortality, pollution and congestion. The average benefit-cost ratio for Active Travel Fund 4 estimated that for every £1 of investment in active travel infrastructure schemes, there would be a return £2.40 of economic, social, and environmental benefits.
Building on this evidence, Active Travel England is delivering a national active travel evaluation that will seek to include a proportionate assessment of the impact of active travel investment on employment.
No discussions on this subject have taken place with HSBC. The design of a pension offered as part of an employer’s reward package is a matter for that employer, provided that it meets the relevant legal requirements.
The Secretary of State for Health and Social Care has not had recent discussions with Sussex Police on their investigation and the provision of additional resources has not been considered to support them.
Ministers have met with the leadership of University Hospitals Sussex NHS Foundation Trust and are aware of the ongoing investigation. We have been reassured that the Trust and Sussex Police maintain an open and constructive working relationship, and governance frameworks are in place to safeguard patients, families, and staff.
Information is not held centrally on the number of people with temporomandibular disorder linked to orthodontic treatment.
More widely, the Government plans to tackle the challenges for patients trying to access National Health Service dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to the areas that need them most. To rebuild dentistry in the long term, we will reform the dental contract with the sector, with a shift to focus on prevention and the retention of NHS dentists.
Information is not held centrally on the number of people with temporomandibular disorder linked to orthodontic treatment.
More widely, the Government plans to tackle the challenges for patients trying to access National Health Service dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to the areas that need them most. To rebuild dentistry in the long term, we will reform the dental contract with the sector, with a shift to focus on prevention and the retention of NHS dentists.
Dental mouth guards are available for free to any patient who is in receipt of Pension Credit, Guarantee Credit, or anyone else who is exempt from dental patient charges, where they have a specific dental need for one. There are currently no plans to change the dental patient charge exemption criteria.
National Health Service orthodontic treatment is free for people under 18 years old with a clear health need for treatment. Orthodontic treatment is not usually available on the NHS for adults. More information is available at the following link:
Health is a devolved matter and decisions on the availability of medicines in Scotland and Wales are a matter for their own administrations. Other European countries operate very different health systems and direct comparisons of medicine availability are very difficult.
Decisions on whether new medicines should be routinely funded by the National Health Service in England are made on the basis of recommendations from the National Institute for Health and Care Excellence (NICE) following an evaluation of a treatment’s costs and benefits. These are very difficult decisions to make, and it is important that they are made independently and on the basis of the available evidence.
The NICE has recommended Enhertu (trastuzumab deruxtecan) in advanced breast cancer for treating HER2-positive unresectable or metastatic breast cancer after one or more anti-HER 2 treatments, and for treating HER2-positive unresectable or metastatic breast cancer after two or more anti-HER2 therapies. Enhertu is now routinely funded for eligible patients in England in line with the NICE’s recommendations.
The NICE published guidance in July 2024 on the use of Enhertu for the treatment of HER-2 low metastatic and unresectable breast cancer and was unfortunately unable to recommend it for routine NHS funding. I understand that the NICE and NHS England have sought to apply as much flexibility as they can in their considerations of Enhertu for HER2-low breast cancer, and have made it clear to the companies that their pricing of the drug remains the only obstacle to access.
Ministers met with the manufacturers of Enhertu, AstraZeneca and Daiichi Sankyo, in November 2024, to encourage them to re-engage in commercial discussions with NHS England. Despite the NICE and NHS England offering unprecedented flexibilities, the companies were unable to offer Enhertu at a cost-effective price. The NICE’s guidance, published in July 2024, will therefore remain unchanged. Although the deadline for a rapid review has now passed, the NICE has reassured me that the door remains open for the companies to enter into a new NICE appraisal if they are willing to offer Enhertu at a cost-effective price.