Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether he plans to publish a Sexual Health Action Plan.

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

We are committed to improving sexual heath in England, and the Department, the UK Health Security Agency (UKHSA), NHS England, and a broad range of system partners are working together to develop a new HIV Action Plan, which we aim to publish this year. A key objective of the new plan will be to stabilise and support wider sexual health system enablers.

To help improve local authority commissioned sexual and reproductive health services, in 2025/26 we are increasing funding through the ring-fenced Public Health Grant to £3.858 billion, providing local authorities with an average 5.4% cash increase and a 3% real terms increase. This represents a significant turning point for local health services, marking the biggest real-terms increase after nearly a decade of reduced spending.

We continue to support the delivery of local sexual health services, by providing guidance and data to support local decision makers. In October 2024, the UKHSA published the STI Prioritisation Framework, which, combined with ongoing support from the UKHSA, will enable local systems to identify which combination of interventions to focus on for which populations, informed by the local situation.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 7 March 2025 to Question 32628 on Parkinson's Disease: Medical Treatments, what steps he is taking to improve access to treatment for people with (a) advanced and (b) complex Parkinson's.

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

We have delivered an additional two million appointments in England, seven months ahead of schedule. This includes operations, consultations, diagnostic tests, and treatments. These additional appointments have taken place across a number of specialities, including neurology.

Once diagnosed, and with a management strategy in place, the majority of people with Parkinson’s disease can be cared for through routine access to primary and secondary care. NHS England commissions the specialised elements of Parkinson’s care that patients may receive from 27 specialised neurology centres across England. One of these neurological centres is based at the Salford Royal NHS Foundation Trust in Greater Manchester.

Within specialised centres, neurological multidisciplinary teams ensure patients can access a range of health professionals, including Parkinson’s disease nurses, psychologists, and allied health professionals such as dieticians and speech and language therapists, and that they can receive specialised treatment and support, according to their needs.

The service specification for neurology, which is in the process of being updated and published later this year, sets out the requirements for specialised neurology services, as well as the expectations of non-specialised neurology services, to support a system-wide approach.

Service specifications must be included in all future provider contracts for specialised services. This is agreed in jointly signed delegation agreements between integrated care boards (ICBs) and NHS England regional teams. ICBs are responsible for monitoring provider compliance with service specifications and may periodically carry out more detailed compliance exercises with providers, as a means of ensuring and improving the quality of care.

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 Parkinson's services in Integrated Care Systems meet the requirements of the neurology service specifications.

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

We have delivered an additional two million appointments in England, seven months ahead of schedule. This includes operations, consultations, diagnostic tests, and treatments. These additional appointments have taken place across a number of specialities, including neurology.

Once diagnosed, and with a management strategy in place, the majority of people with Parkinson’s disease can be cared for through routine access to primary and secondary care. NHS England commissions the specialised elements of Parkinson’s care that patients may receive from 27 specialised neurology centres across England. One of these neurological centres is based at the Salford Royal NHS Foundation Trust in Greater Manchester.

Within specialised centres, neurological multidisciplinary teams ensure patients can access a range of health professionals, including Parkinson’s disease nurses, psychologists, and allied health professionals such as dieticians and speech and language therapists, and that they can receive specialised treatment and support, according to their needs.

The service specification for neurology, which is in the process of being updated and published later this year, sets out the requirements for specialised neurology services, as well as the expectations of non-specialised neurology services, to support a system-wide approach.

Service specifications must be included in all future provider contracts for specialised services. This is agreed in jointly signed delegation agreements between integrated care boards (ICBs) and NHS England regional teams. ICBs are responsible for monitoring provider compliance with service specifications and may periodically carry out more detailed compliance exercises with providers, as a means of ensuring and improving the quality of care.

Question to the Department for Business and Trade:

To ask the Secretary of State for Business and Trade, whether he has consulted with independent retailers on the development of the New Business Growth Service.

Answered by Gareth Thomas - Parliamentary Under Secretary of State (Department for Business and Trade)

The new Business Growth Service will regularly review user feedback to ensure it delivers what businesses need to support their growth and productivity. My department is therefore engaging widely with stakeholders, especially entrepreneurs and small business owners, on the design and implementation of the service. This has included a series of roundtables and consultation events across the country and delivered via partners. This process will continue, even after the service launches to continue to refine and improve it.

The Department for Business and Trade engages regularly with retailers of all types, including independent retailers, through key trade associations in the Business Growth Service.

Question to the Department for Business and Trade:

To ask the Secretary of State for Business and Trade, when the New Business Growth Service is going to be launched.

Answered by Gareth Thomas - Parliamentary Under Secretary of State (Department for Business and Trade)

The new Business Growth service will simplify the government’s business support ecosystem to ensure businesses get the support they need with local delivery at its heart and all underpinned by an improved online service. This will help deliver the government’s forthcoming Small Business Strategy, complementing the Industrial Strategy, Trade Strategy and Make Work Pay plans as part of a comprehensive approach to our Growth Mission.

We expect to launch this service in the summer.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 10 March to Question 34747, when responsibility for oversight and funding of the National Lung Screening Programme will transfer from NHS England to his Department.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

Ministers and senior Department officials will work with the new executive team at the top of NHS England, led by Sir Jim Mackey, to jointly lead this transformation. This reform is about devolving resources and responsibility to the frontline, thereby empowering staff to focus on delivering better care for patients.

As we work to return many of NHS England’s current functions to the Department, we will ensure that we continue to evaluate impacts of all kinds, and will put plans in place to ensure continuity of care. We recognise the importance of lung cancer screening and are committed to ensuring its continuity during the transformation.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will ensure that the planned reductions in headcount in NHS England and his Department do not result in disruption to the implementation of lung cancer screening.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

Ministers and senior Department officials will work with the new executive team at the top of NHS England, led by Sir Jim Mackey, to jointly lead this transformation. This reform is about devolving resources and responsibility to the frontline, thereby empowering staff to focus on delivering better care for patients.

As we work to return many of NHS England’s current functions to the Department, we will ensure that we continue to evaluate impacts of all kinds, and will put plans in place to ensure continuity of care. We recognise the importance of lung cancer screening and are committed to ensuring its continuity during the transformation.

Question to the Foreign, Commonwealth & Development Office:

To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, whether his Department has considered alternative (a) funding strategies and (b) partnerships to help tackle HIV/AIDS, in the context of the proposed reduction in Official Development Allowance funding.

Answered by Stephen Doughty - Minister of State (Foreign, Commonwealth and Development Office)

The UK remains committed to the global HIV response and regularly engages in dialogue, and works in partnership, with other likeminded countries towards achieving a collective goal of ending HIV and AIDS as a public health threat globally, including in developing countries. The UK looks forward to co-hosting the Global Fund's 8th replenishment (2026-28) alongside South Africa. It will be the first time that the Global Fund replenishment has been co-hosted in partnership with the Global South, reflecting the UK Government's commitment to working in genuine partnership with the Global South as part of its modernised development agenda, and our new approach to Africa. The reduced ODA settlement is for 2026/27 onwards and we will be taking a rigorous approach to ensuring all ODA delivers value for money. The impact on specific programmes will be informed by the ongoing Spending Review and departmental resource allocation processes. We will set out plans in the usual way in due course.

Question to the Foreign, Commonwealth & Development Office:

To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, whether his Department is taking steps to help mitigate the impact of reductions in funding for global HIV/AIDS programmes.

Answered by Stephen Doughty - Minister of State (Foreign, Commonwealth and Development Office)

The reduced ODA settlement is for 2026/27 onwards and we will be taking a rigorous approach to ensuring all ODA delivers value for money. The impact on specific programmes will be informed by the ongoing Spending Review and departmental resource allocation processes. We will set out plans in the usual way in due course.

We remain committed to our long-standing support to global health organisations at the core of the response to HIV and AIDS, and we continue to support efforts to end AIDS as a public health threat by 2030. We are excited to be co-hosting the 8th replenishment of the Global Fund to Fight AIDS, Tuberculosis and Malaria together with South Africa. In countries where the Global Fund invests, AIDS-related deaths have declined by 73 per cent since 2002.

Question to the Foreign, Commonwealth & Development Office:

To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, what steps his Department is taking to tackle HIV-related deaths and infection, in the context of the proposed reduction in Official Development Allowance funding.

Answered by Stephen Doughty - Minister of State (Foreign, Commonwealth and Development Office)

The reduced ODA settlement is for 2026/27 onwards and we will be taking a rigorous approach to ensuring all ODA delivers value for money. The impact on specific programmes will be informed by the ongoing Spending Review and departmental resource allocation processes. We will set out plans in the usual way in due course.

We remain committed to our long-standing support to global health organisations at the core of the response to HIV and AIDS, and we continue to support efforts to end AIDS as a public health threat by 2030. We are excited to be co-hosting the 8th replenishment of the Global Fund to Fight AIDS, Tuberculosis and Malaria together with South Africa. In countries where the Global Fund invests, AIDS-related deaths have declined by 73 per cent since 2002.

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 hold integrated care boards to account for meeting their statutory duty and implementing policy frameworks on children’s palliative care.

Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)

Integrated care boards (ICBs) are responsible for the commissioning of palliative and end of life care services, including for children and young people, to meet the needs of their local populations. To support ICBs in this duty, NHS England has published statutory guidance and service specifications.

NHS England has a legal duty to annually assess the performance of each ICB in respect of each financial year, and to publish a summary of its findings. This assessment must assess how well the ICB has discharged its functions.

Question to the Foreign, Commonwealth & Development Office:

To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, what steps his Department is taking with international counterparts to help tackle HIV/AIDS.

Answered by Stephen Doughty - Minister of State (Foreign, Commonwealth and Development Office)

We are proud of our long-standing support to global health organisations at the core of the response to HIV and AIDS, including the Global Fund, Unitaid and UNAIDS which have helped reduce AIDS-related deaths by 69 per cent since the peak in 2004. The UK has played, and continues to play, a significant role in this success. We are pleased to be co-hosting the 8th replenishment of the Global Fund to Fight AIDS, Tuberculosis and Malaria together with South Africa. In 2023, 25 million people were on lifesaving antiretroviral therapy in countries where the Global Fund invests.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 10 March to Question 34747, whether it remains his Department's policy to reach full rollout of lung cancer screening to the eligible population by 2029.

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

The National Health Service is taking crucial steps to improve cancer outcomes across England, including for lung cancer. The NHS Lung Screening Cancer Programme is designed to catch more cancers earlier when they are more treatable, with the hope of saving more lives. The target is to be available to 100% of the population by the end of 2029/30.

St George’s Day 2025

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<p>Diolch yn fawr, Paul Davies. Clearly, this is an area where action is being taken in terms of tackling waiting times, and ophthalmology is crucially important. Of course, in Wales, we do have that eye care initiative, which enables optometrists to play a key role in engaging and then referring for secondary care. But this is an issue that I will, of course, draw to the attention of the Cabinet Secretary for Health and Social Care in terms of your question in your region, which, of course, is Hywel Dda. And I'm sure that you will be raising this with them, as it's their responsibility.</p>

<p>That takes us on to item 2, the Legislation (Procedure, Publication and Repeals) (Wales) Bill, Stage 2.&nbsp;Our first substantive item today is Stage 2 proceedings on the Legislation (Procedure, Publication and Repeals) (Wales) Bill.&nbsp;I welcome&nbsp;Julie James MS, Counsel General and Member in charge of the Bill, and&nbsp;Claire Fife, policy adviser to the Counsel General and head of the legislative codes office, Welsh Government.&nbsp;In relation to this item, Members should have before them the marshalled list of amendments and the groupings of amendments for debate. We also have correspondence from Adam Price MS and from the Open Spaces Society included within our papers.&nbsp;</p>
<p>The marshalled list of amendments is the list of all amendments that have been tabled, marshalled into the order of consideration we agreed on 17 March.&nbsp;You will see from the groupings list that amendments have been grouped to facilitate debate, but the order in which they are called and moved for a decision is dictated by the marshalled list.&nbsp;Members will need to follow the two papers, although I will advise Members, when I call them, whether they are being called to speak in the debate or to move their amendments for a decision.&nbsp;There will be one debate on each group of amendments.&nbsp;Members who wish to speak in a particular group should indicate this in the usual way.&nbsp;I will call the Counsel General to speak on each group. In accordance with the established convention, as Chair, I will move amendments in the name of the Counsel General. For expediency, I will assume that the Counsel General wishes me to move all her amendments and I will do so at the appropriate place in the marshalled list. I see a 'yes' from the Counsel General there. Counsel General, if you do not want a particular amendment to be moved, please indicate this at the relevant point in proceedings.&nbsp;</p>
<p>Amendment 1, in group 8, has been tabled by Paul Davies. I understand that Laura Anne Jones will move and speak to this amendment. In line with our usual practice, legal advisers to the committee and the Counsel General are not expected to provide advice on the record. If Members wish to seek legal advice during proceedings, please do so by passing a note to the legal adviser.</p>

<p>Diolch, Cadeirydd. So, I completely agree, Alun, with your summary there, and I'm very grateful, actually, to both Adam and Paul Davies for the amendments because I think the amendments that have been brought forward show a set of ambitions that we share broadly. It's clear that a lot of thought has gone into the aims of the Bill and what we're trying to do with it, so I'm grateful for that, and I think this group and the one that follows really show that as well.</p>
<p>There's clearly a developing strength of feeling that procedures established in Westminster decades ago are probably not the only way to look at subordinate legislation. Personally, I agree with that entirely. As I said in the general principles debate, I also think a committee that looks at the actual merits of the instrument and its content is something we need as well. So, this is not just about amending it, because, as I said, we have increasingly a situation where we have policy content in statutory instruments. And, at the moment, we have this committee looking at statutory instruments because they're considered to be a technical legislative instrument, but we don't have a policy committee looking at them, although I think we could have that.</p>
<p>The committee is, clearly, also looking at the possibility of amending instruments, and what Adam is proposing with amendment 23 could be one way of amending an instrument, subject to the new section 37C, before it's approved and made. I just want to remind the committee what Ruth Fox from the Hansard Society noted in her evidence to the committee during Stage 1, which is that the new section 37C requires the Senedd to reach a resolution to approve an instrument. It doesn't set out how the Senedd reaches that point, and she argued it could be done in Standing Orders. In fact, her view was that as little as possible should be set out on the face of a Bill, and procedures played a role in achieving that. She also pointed to concerns about whether a Parliament's decision to amend instruments, which has been delegated to the Executive to make, might undermine the fundamental principles of the delegation.</p>
<p>So, I think there are some complexities there. I'm not saying I agree with that, but I think that there are some complexities there around the way that the delegation to the Executive in the various instruments that set out the statutory instrument-making power needs to be seriously considered, and I thought the committee dealt with all of these points very sensibly at Stage 1 when it recommended, in effect, that the Business Committee needed to consider the issues.&nbsp;My understanding is that the Business Committee have yet to consider recommendations 5 and 6 of the Stage 1 report, but I'm sure that they are going to do that as part of their forward work programme.&nbsp; &nbsp;</p>
<p>Look, this is something that the Senedd and the Government both have an interest in, but I think it needs a fuller and wider debate, and probably a committee inquiry where a range of views can be taken. But I think there is a suitable way forward to be taken, and whilst, Adam, I absolutely appreciate what you're trying to do here, I don't support it in this particular guise. But, as Adam said, I think it's something that we really should seriously consider recommending. Alun and I both sit on the Future Senedd Committee, where we've been looking at some of the recommendations as well, and I know that the Business Committee is considering some of them.&nbsp;</p>
<p>So, I suppose, overall, I'm saying I don't support it in the amendment that you've brought forward today, but I'm very happy to engage in an ongoing conversation about the best way of doing it.</p>

<p>Yes, I know. Thank you, Chair. Sorry. Well, you've probably heard what I'm going to say, but thank you very much for that, Chair. As my colleague Paul Davies has already made clear, the Bill does not provide for the creation of a King's Printer for Wales as a separate role, and I share the Counsel General's view that a separate administration is not needed. Therefore, I will be opposing amendment 34. Thanks.&nbsp;</p>

<p>Thank you, Chair, and yes, I move the amendment in the name of my colleague Paul Davies. I believe the amendment is pretty self-explanatory. I believe that there should be a review of the Legislation (Wales) Act 2019, as amended by this Bill, on the new Parts 2A and 2B. It presents a vital opportunity to make sure that this legislation is serving its intended purpose. The committee has rightly encouraged the Welsh Government to give further consideration to undertaking a post-legislative review of the Bill, so I hope all Members will continue to support that principle. As part of that review, I believe there needs to be a requirement to consider the format of Welsh statutory instruments in order to address any problems and the requirement to consult with the Welsh Language Commissioner, so that he or she can provide a commentary on any impacts that there might be on the Welsh language. Diolch.</p>

<p>That takes us on to group 8. The eighth and final group of amendments relates to&nbsp;post-legislative review. The lead amendment in this group is amendment 1, and I call on Laura Anne Jones to move and speak to the lead amendment, tabled in the name of Paul Davies, and speak to the other amendment in the group.</p>

<p>Amendment 1 (Paul Davies) moved.</p>