Asked by: Rebecca Paul (Conservative - Reigate)
Question to the Department for Education:
To ask the Secretary of State for Education, with reference to the Policy Exchange report entitled In absentia parentis, published on 24 August 2025, the Cass Review's final report, published in April 2024, and the Supreme Court judgement in the case of For Women Scotland v The Scottish Ministers of 16 April 2025, what guidance her Department has issued to local authorities to protect the welfare of gender-questioning children who are children in care.
Answered by Josh MacAlister - Parliamentary Under-Secretary (Department for Education)
Local authorities and social care practitioners are required to support children in a way that meets their needs and best interests. This support will look different on an individual case basis. In considering their safeguarding policies and how best to support children questioning their gender, leaders and practitioners should be led by the guidance and regulations most relevant to their setting or role. They can also be informed by the evidence and principles set out in the Cass Review.
Further resources on support for children questioning their gender can be found via the NHS here: https://www.genderreferralservice.nhs.uk/.
Asked by: Rebecca Paul (Conservative - Reigate)
Question to the Department for Education:
To ask the Secretary of State for Education, with reference to the Policy Exchange report entitled In absentia parentis, published on 24 August 2025, what steps her Department is taking to ensure that local authorities have up-to-date safeguarding policies for gender-questioning children who are children in care.
Answered by Josh MacAlister - Parliamentary Under-Secretary (Department for Education)
Local authorities and social care practitioners are required to support children in a way that meets their needs and best interests. This support will look different on an individual case basis. In considering their safeguarding policies and how best to support children questioning their gender, leaders and practitioners should be led by the guidance and regulations most relevant to their setting or role. They can also be informed by the evidence and principles set out in the Cass Review.
Further resources on support for children questioning their gender can be found via the NHS here: https://www.genderreferralservice.nhs.uk/.
Asked by: Rebecca Paul (Conservative - Reigate)
Question to the Department for Business and Trade:
To ask the Secretary of State for Business and Trade, whether his Department has collected data on the number of Breathing Space certifications which are subsequently cancelled due to ineligibility.
Answered by Blair McDougall - Parliamentary Under Secretary of State (Department for Business and Trade)
The Insolvency Service collects data regarding Breathing Space applications in England and Wales; this includes the number of applications subsequently cancelled due to ineligibility. 374,529 Breathing Space applications were registered between 4 May 2021, when the scheme was launched, and 3 December 2025. Of these, 2,292 registrations have been subsequently cancelled due to ineligibility, representing 0.6% of applications. The criteria for ineligibility is taken from the official Breathing Space guidance.
Asked by: Rebecca Paul (Conservative - Reigate)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many NHS penalty charges for incorrectly claimed free prescriptions have been issued to individuals who qualified for but did not hold NHS medical exemption certificates in the last 12 months.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
From November 2024 to October 2025, the NHS Business Service Authority issued 47,058 penalty charge notices (PCNs) to people who claimed a medical exemption but were found to have no exemption in place when checked. Of these, 21,328 were eased, for various reasons including the patient subsequently applying for an exemption successfully. The number of easements in this category cannot be confirmed. Of the 47,058 PCNs issued 3,583 people received multiple PCNs.
Although the Department has made no formal assessment of the effectiveness of issuing PCNs as a deterrent against improper claims, the fact that the vast majority who receive one PCN do not go on to receive another would, in my opinion, suggest a potential deterrent effect.