Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that hospice contracts reflect the cost of the services they provide and the needs of their local populations.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for commissioning palliative care services to meet the reasonable needs of their population, which can include hospice services available within the ICB catchment. To support ICBs in this duty, NHS England has published statutory guidance and a service specification.
The Government is developing a Palliative Care and End of Life Care Modern Service Framework for England. I refer the Hon. Member to the Written Ministerial Statement HCWS1087, which I gave to the House on 24 November 2025.
Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has considered plans to fully fund the specialist palliative care, advice and assessment provided by hospices.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for commissioning palliative care services to meet the reasonable needs of their population, which can include hospice services available within the ICB catchment. To support ICBs in this duty, NHS England has published statutory guidance and a service specification.
The Government is developing a Palliative Care and End of Life Care Modern Service Framework for England. I refer the Hon. Member to the Written Ministerial Statement HCWS1087, which I gave to the House on 24 November 2025.
Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure national accountability for equitable provision of palliative care across England.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Government is developing a Palliative Care and End of Life Care Modern Service Framework for England. I refer the Hon. Member to the Written Ministerial Statement HCWS1087, which I gave to the House on 24 November 2025.
This is further clarified in the recently published Strategic Commissioning Framework and the Medium Term Planning Guidance, which makes clear the expectation that integrated care boards should understand current and projected service utilisation and costs, creating an overall plan to more effectively meet these needs through neighbourhood health.
Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to reduce deaths from cardiovascular disease.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is committed to reducing premature mortality from heart disease and stroke by 25% in the next 10 years. To accelerate progress towards this ambition, we will publish a Modern Service Framework for Cardiovascular Disease (CVD) in 2026, which will identify the best evidenced interventions, and drive innovation in prevention, treatment, and care. The Department and NHS England are working closely to deliver the CVD modern service framework and will engage widely throughout its development.
Alongside this, the NHS Health Check, a core component of England’s CVD prevention programme which aims to detect those at risk of heart disease and stroke aged between 40 and 74 years old, engages over 1.4 million people and through behavioural and clinical interventions, prevents approximately 500 heart attacks and strokes a year. To improve access with the programme, we are piloting an NHS Health Check online service so that people can undertake a check at a time and place that is convenient to them.
We have invested in hypertension case-finding for those over 40 years old in community pharmacies, and nearly 4.2 million people have received a free blood pressure check through the service since October 2021.
Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to improve survival rates of out of hospital cardiac arrests in the North West.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
We recognise that there is more to do to improve cardiac arrest survival, including in the North West. The 10-Year Health Plan sets out the reforms and radical shifts needed to improve National Health Services and deliver better patient outcomes and includes a focus on improving cardiovascular disease detection and prevention. Key initiatives include improving the early detection and treatment of high-risk conditions like atrial fibrillation, high blood pressure, and high cholesterol, known as 'the ABCs', to prevent heart attacks and strokes, which can lead to cardiac arrest.
Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
Question to the Department for Business and Trade:
To ask the Secretary of State for Business and Trade, what assessment has been made of the number of people employed in contracts without guaranteed hours who have been refused credit because of their employment.
Answered by Kate Dearden - Parliamentary Under Secretary of State (Department for Business and Trade)
The Government has published its Impact Assessments for the Bill. Without guaranteed hours, workers are without certainty as to their earnings, making it difficult to apply for credit or a mortgage. The new right to guaranteed hours aims to ensure that all jobs provide a baseline of security and predictability - making it easier for qualifying workers to plan their lives and finances.
Consumer credit firms regulated by the Financial Conduct Authority (FCA) must follow the FCA’s detailed rules on affordability checks. FCA rules mean that firms should only lend to consumers who can afford repayments and this should be based on a careful assessment of their income, spending, and financial commitments. These rules aim to prevent over-indebtedness, promote responsible lending, and ensure fair treatment of customers.
Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
Question to the Department for Business and Trade:
To ask the Secretary of State for Business and Trade, what steps he has taken to protect university workers' terms and conditions when they are transferred to a subsidiary company.
Answered by Kate Dearden - Parliamentary Under Secretary of State (Department for Business and Trade)
When a business changes its owner, its employees may be protected under the Transfer of Undertakings (Protection of Employment) Regulations (TUPE). TUPE may also apply when a service transfers to a new provider. If TUPE applies, the employees’ jobs usually transfer over to the new company, and their employment terms and conditions transfer. The new employer cannot change an employee’s terms and conditions if the reason is the transfer itself.
Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
Question to the Home Office:
To ask the Secretary of State for the Home Department, what assessment has she made of the use of car washes in money laundering activity.
Answered by Alex Norris - Minister of State (Home Office)
The Government takes illegal working and worker exploitation very seriously and is committed to tackling non-compliance in high-risk sectors, including car washes. Immigration Enforcement activity has intensified over the past year, with enforcement teams carrying out over 11,000 visits to businesses across all sectors suspected of using illegal workers, marking a 51% increase. These resulted in more than 8,000 arrests, a 63% increase on the same period 12 months prior.
These figures demonstrate that enforcement is having a significant impact in disrupting this illegal activity. However, challenges remain, including the informal nature of the sector. To strengthen outcomes, the forthcoming Fair Work Agency will bring a cross-government response to improve intelligence sharing to increase co-ordination across enforcement bodes.
The Government recognises that car washes can present a risk of being exploited for money laundering and other illicit financial activity. Recent enforcement activity led by the National Crime Agency (Operation MACHINIZE) has identified links between some car washes being used for money laundering and grey economy. As part of targeted enforcement, the National Crime Agency works closely with law enforcement partners, including immigration enforcement to disrupt these activities and strengthen compliance. This approach forms part of a wider strategy to tackle organised crime, protect vulnerable workers, and ensure the integrity of the financial system.
Civil penalties for illegal working remain the principal sanctions for tackling non-compliance and are designed to hold non-compliant employers to account and disrupt illegal working activity. The Home Office will actively pursue debt recovery action in every case. If the employer does not pay the penalty in full or by instalments when due, the penalty will be passed to our external specialist debt recovery agents, registered with the civil court, after which enforcement action will commence. This includes a pre-legal and legal debt recovery strategy where enforcement officers have the powers to apply a range of additional tools including Charging Orders, Attachment of Earnings, Third Party Debt Orders and Orders to Obtain Information.
The Home Office publishes online, on a quarterly basis, details of all employers who have been found liable for a civil penalty and have not paid or are not making regular payments towards the penalty.
Immigration Enforcement acts on intelligence and applies sanctions where immigration offences occur, including civil penalties up to £60,000 per illegal worker, criminal convictions with up to 5 years’ imprisonment, business closure, director disqualification, loss of sponsorship rights, and seizure of illegal earnings. We also work closely with the Insolvency Service to hold non-compliant directors to account and consider them for disqualification. Migrants working illegally face up to 51 weeks’ imprisonment (England and Wales) or 6 months (Scotland and Northern Ireland) and/or a fine.
The Home Office does not hold centrally collated data on the number of car washes that have been permanently closed or the number of owners jailed for employing illegal workers in each year.
Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
Question to the Home Office:
To ask the Secretary of State for the Home Department, many car washes found to employ illegal workers have (a) been permanently closed and (b) led to the owners jailed in each year for which information is available.
Answered by Alex Norris - Minister of State (Home Office)
The Government takes illegal working and worker exploitation very seriously and is committed to tackling non-compliance in high-risk sectors, including car washes. Immigration Enforcement activity has intensified over the past year, with enforcement teams carrying out over 11,000 visits to businesses across all sectors suspected of using illegal workers, marking a 51% increase. These resulted in more than 8,000 arrests, a 63% increase on the same period 12 months prior.
These figures demonstrate that enforcement is having a significant impact in disrupting this illegal activity. However, challenges remain, including the informal nature of the sector. To strengthen outcomes, the forthcoming Fair Work Agency will bring a cross-government response to improve intelligence sharing to increase co-ordination across enforcement bodes.
The Government recognises that car washes can present a risk of being exploited for money laundering and other illicit financial activity. Recent enforcement activity led by the National Crime Agency (Operation MACHINIZE) has identified links between some car washes being used for money laundering and grey economy. As part of targeted enforcement, the National Crime Agency works closely with law enforcement partners, including immigration enforcement to disrupt these activities and strengthen compliance. This approach forms part of a wider strategy to tackle organised crime, protect vulnerable workers, and ensure the integrity of the financial system.
Civil penalties for illegal working remain the principal sanctions for tackling non-compliance and are designed to hold non-compliant employers to account and disrupt illegal working activity. The Home Office will actively pursue debt recovery action in every case. If the employer does not pay the penalty in full or by instalments when due, the penalty will be passed to our external specialist debt recovery agents, registered with the civil court, after which enforcement action will commence. This includes a pre-legal and legal debt recovery strategy where enforcement officers have the powers to apply a range of additional tools including Charging Orders, Attachment of Earnings, Third Party Debt Orders and Orders to Obtain Information.
The Home Office publishes online, on a quarterly basis, details of all employers who have been found liable for a civil penalty and have not paid or are not making regular payments towards the penalty.
Immigration Enforcement acts on intelligence and applies sanctions where immigration offences occur, including civil penalties up to £60,000 per illegal worker, criminal convictions with up to 5 years’ imprisonment, business closure, director disqualification, loss of sponsorship rights, and seizure of illegal earnings. We also work closely with the Insolvency Service to hold non-compliant directors to account and consider them for disqualification. Migrants working illegally face up to 51 weeks’ imprisonment (England and Wales) or 6 months (Scotland and Northern Ireland) and/or a fine.
The Home Office does not hold centrally collated data on the number of car washes that have been permanently closed or the number of owners jailed for employing illegal workers in each year.
Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
Question to the Home Office:
To ask the Secretary of State for the Home Department, what assessment has she made of the effectiveness of enforcement on illegal car washes.
Answered by Alex Norris - Minister of State (Home Office)
The Government takes illegal working and worker exploitation very seriously and is committed to tackling non-compliance in high-risk sectors, including car washes. Immigration Enforcement activity has intensified over the past year, with enforcement teams carrying out over 11,000 visits to businesses across all sectors suspected of using illegal workers, marking a 51% increase. These resulted in more than 8,000 arrests, a 63% increase on the same period 12 months prior.
These figures demonstrate that enforcement is having a significant impact in disrupting this illegal activity. However, challenges remain, including the informal nature of the sector. To strengthen outcomes, the forthcoming Fair Work Agency will bring a cross-government response to improve intelligence sharing to increase co-ordination across enforcement bodes.
The Government recognises that car washes can present a risk of being exploited for money laundering and other illicit financial activity. Recent enforcement activity led by the National Crime Agency (Operation MACHINIZE) has identified links between some car washes being used for money laundering and grey economy. As part of targeted enforcement, the National Crime Agency works closely with law enforcement partners, including immigration enforcement to disrupt these activities and strengthen compliance. This approach forms part of a wider strategy to tackle organised crime, protect vulnerable workers, and ensure the integrity of the financial system.
Civil penalties for illegal working remain the principal sanctions for tackling non-compliance and are designed to hold non-compliant employers to account and disrupt illegal working activity. The Home Office will actively pursue debt recovery action in every case. If the employer does not pay the penalty in full or by instalments when due, the penalty will be passed to our external specialist debt recovery agents, registered with the civil court, after which enforcement action will commence. This includes a pre-legal and legal debt recovery strategy where enforcement officers have the powers to apply a range of additional tools including Charging Orders, Attachment of Earnings, Third Party Debt Orders and Orders to Obtain Information.
The Home Office publishes online, on a quarterly basis, details of all employers who have been found liable for a civil penalty and have not paid or are not making regular payments towards the penalty.
Immigration Enforcement acts on intelligence and applies sanctions where immigration offences occur, including civil penalties up to £60,000 per illegal worker, criminal convictions with up to 5 years’ imprisonment, business closure, director disqualification, loss of sponsorship rights, and seizure of illegal earnings. We also work closely with the Insolvency Service to hold non-compliant directors to account and consider them for disqualification. Migrants working illegally face up to 51 weeks’ imprisonment (England and Wales) or 6 months (Scotland and Northern Ireland) and/or a fine.
The Home Office does not hold centrally collated data on the number of car washes that have been permanently closed or the number of owners jailed for employing illegal workers in each year.