Asked by: Sarah Bool (Conservative - South Northamptonshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential implications for his policies of the ELSA Diabetes screening study; and whether he has made an assessment of the potential merits of scaling it to a universal programme.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
In the United Kingdom, national screening programmes are introduced based on the recommendations of the UK National Screening Committee (UK NSC), an independent scientific advisory committee which advises ministers and the National Health Service in all four countries on all aspects of population and targeted screening and supports implementation.
The UK NSC is aware of the ELSA study that is looking at screening children for type 1 diabetes and looks forward to receiving the results of this study when the trial is complete.
Asked by: Sarah Bool (Conservative - South Northamptonshire)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, what recent discussions she has had with Hewlett Packard on the change in value of pre-1997 pension scheme members’ pensions; and what steps she is taking to support affected pensioners.
Answered by Torsten Bell - Parliamentary Secretary (HM Treasury)
The Department for Work and Pensions has had no discussions with Hewlett Packard on this issue. Discretionary increases in benefits above the statutory minimum and those required by scheme rules are a matter for the scheme sponsor and trustees.
Most schemes do pay some pre-1997 indexation, because of scheme rules or as a discretionary benefit. Analysis published last year by the Pensions Regulator shows that as of March 2023, only 17 per cent of members of private sector defined benefit pension schemes did not receive any pre-1997 indexation on benefits. This information can be found at: https://www.thepensionsregulator.gov.uk/en/document-library/research-and-analysis/data-requests#f3a5fe60511a445f91112bd7dd8a64ae
The Government’s pension reforms on the use of surpluses in defined benefit schemes will make it easier for individual schemes to make decisions that improve outcomes for both sponsoring employers and members, which could include discretionary benefit increases. These changes are being taken forward through the Pension Schemes Bill which had its second reading on Monday 7th July.
Asked by: Sarah Bool (Conservative - South Northamptonshire)
Question to the Ministry of Justice:
To ask the Secretary of State for Justice, pursuant to the Answer of 11 June 2025 to Question 55645 on Legal Aid Scheme: Rural Areas, what data her Department holds on the average (a) travel distance and (b) waiting time for residents to access in-person legal aid services in (i) rural and (ii) urban areas.
Answered by Sarah Sackman - Minister of State (Ministry of Justice)
Citizens in England and Wales should be able to access legal aid services regardless of where they live, provided they meet the relevant eligibility criteria. The Legal Aid Agency (LAA) is responsible for commissioning legal aid services, and it monitors the numbers of providers in each procurement area and across all categories of law. It takes operational action where it can, to respond to market pressures that may arise and works closely with the Ministry of Justice on policy solutions concerning the supply of legal aid.
Greater use of technology can enable people to access a wide range of specialist advice from across the country. For example, legal advice for education, discrimination, housing and debt issues is always available through the Civil Legal Advice telephone service, wherever you are in England and Wales.
As part of the £24 million increase for criminal solicitors implemented in 2024, the Ministry of Justice is paying for travel time for solicitors who work or commute to work in a small number of scheme areas with fewer than two legal aid providers, as well as the Isle of Wight.
The Department continues to monitor office locations and travel distances between providers and clients as part of its assessment of geographical coverage.
The Government’s grant funding of over £6 million going to 60 frontline organisations in 2025/26 funds charitable, benevolent or philanthropic organisations delivering legal support and information services in relation to a range of social welfare legal problems. Organisations include some local Citizen’s Advice centres, Shelter and Law Centres, who provide legal support services across England and Wales, including in rural areas, with some organisations also providing outreach services. Online services delivered by organisations like AdviceNow also provide support and information to individuals in relation to civil, family and tribunal matters regardless of location. The Advicenow website includes information about how to get legal aid in relevant areas of law and signposts users to further information and support.
Asked by: Sarah Bool (Conservative - South Northamptonshire)
Question to the Ministry of Justice:
To ask the Secretary of State for Justice, pursuant to the Answer of 11 June 2025 to Question 55645 on Legal Aid Scheme: Rural Areas, what assessment her Department has made of the effectiveness of the legal aid procurement model on improving access to legal aid services in rural areas.
Answered by Sarah Sackman - Minister of State (Ministry of Justice)
Citizens in England and Wales should be able to access legal aid services regardless of where they live, provided they meet the relevant eligibility criteria. The Legal Aid Agency (LAA) is responsible for commissioning legal aid services, and it monitors the numbers of providers in each procurement area and across all categories of law. It takes operational action where it can, to respond to market pressures that may arise and works closely with the Ministry of Justice on policy solutions concerning the supply of legal aid.
Greater use of technology can enable people to access a wide range of specialist advice from across the country. For example, legal advice for education, discrimination, housing and debt issues is always available through the Civil Legal Advice telephone service, wherever you are in England and Wales.
As part of the £24 million increase for criminal solicitors implemented in 2024, the Ministry of Justice is paying for travel time for solicitors who work or commute to work in a small number of scheme areas with fewer than two legal aid providers, as well as the Isle of Wight.
The Department continues to monitor office locations and travel distances between providers and clients as part of its assessment of geographical coverage.
The Government’s grant funding of over £6 million going to 60 frontline organisations in 2025/26 funds charitable, benevolent or philanthropic organisations delivering legal support and information services in relation to a range of social welfare legal problems. Organisations include some local Citizen’s Advice centres, Shelter and Law Centres, who provide legal support services across England and Wales, including in rural areas, with some organisations also providing outreach services. Online services delivered by organisations like AdviceNow also provide support and information to individuals in relation to civil, family and tribunal matters regardless of location. The Advicenow website includes information about how to get legal aid in relevant areas of law and signposts users to further information and support.
Asked by: Sarah Bool (Conservative - South Northamptonshire)
Question to the Ministry of Justice:
To ask the Secretary of State for Justice, pursuant to the Answer of 11 June 2025 to Question 55645 on Legal Aid Scheme: Rural Areas, what steps her Department is taking to help ensure that the £6 million legal support grant funding reaches legal aid deserts in rural areas.
Answered by Sarah Sackman - Minister of State (Ministry of Justice)
Citizens in England and Wales should be able to access legal aid services regardless of where they live, provided they meet the relevant eligibility criteria. The Legal Aid Agency (LAA) is responsible for commissioning legal aid services, and it monitors the numbers of providers in each procurement area and across all categories of law. It takes operational action where it can, to respond to market pressures that may arise and works closely with the Ministry of Justice on policy solutions concerning the supply of legal aid.
Greater use of technology can enable people to access a wide range of specialist advice from across the country. For example, legal advice for education, discrimination, housing and debt issues is always available through the Civil Legal Advice telephone service, wherever you are in England and Wales.
As part of the £24 million increase for criminal solicitors implemented in 2024, the Ministry of Justice is paying for travel time for solicitors who work or commute to work in a small number of scheme areas with fewer than two legal aid providers, as well as the Isle of Wight.
The Department continues to monitor office locations and travel distances between providers and clients as part of its assessment of geographical coverage.
The Government’s grant funding of over £6 million going to 60 frontline organisations in 2025/26 funds charitable, benevolent or philanthropic organisations delivering legal support and information services in relation to a range of social welfare legal problems. Organisations include some local Citizen’s Advice centres, Shelter and Law Centres, who provide legal support services across England and Wales, including in rural areas, with some organisations also providing outreach services. Online services delivered by organisations like AdviceNow also provide support and information to individuals in relation to civil, family and tribunal matters regardless of location. The Advicenow website includes information about how to get legal aid in relevant areas of law and signposts users to further information and support.
Asked by: Sarah Bool (Conservative - South Northamptonshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the annual cost of treating (a) patients over 18 and (b) children with Diabetic Ketoacidosis is.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
A central mission of the Government is to build a health and care system that is fit for the future. Tackling preventable ill health, such as type 2 diabetes, is crucial. Shifting the focus from treatment to prevention is one of three shifts for the Government’s mission for a National Health Service that is fit for the future, and is a cornerstone of supporting people to live healthier lives.
Preventing diabetes, like obesity, is a complex issue and requires multi-faceted action across both the public and private sector. Prevention involves collaboration across the public and private sectors to tackle underlying issues such obesity, poor diets, and lifestyle issues.
The Department is taking steps to prevent type 2 diabetes through programmes such as the NHS Health Check, England’s flagship cardiovascular disease prevention programme for those aged between 40 and 74 years old, which aims to identify people at risk of developing type 2 diabetes, as well as heart disease, stroke, kidney disease, and some cases of dementia, and to signpost them to behavioural support such as weight management and clinical treatment if needed.
Once identified, those at risk of developing type 2 diabetes can also be referred by their general practitioner into the Healthier You NHS Diabetes Prevention Programme. The programme is highly effective, cutting the risk of developing type 2 diabetes by 37% for people completing the programme, compared to those who do not attend.
The annual costs of treating patients over 18 years old and children with diabetic ketoacidosis is not available, as this data is not routinely collected and/or analysed nationally.
Asked by: Sarah Bool (Conservative - South Northamptonshire)
Question to the Ministry of Defence:
To ask the Secretary of State for Defence, what assessment his Department has made of the potential merits of implementing a reserve-style service as part of the Cyber and Specialist Operations Command.
Answered by Luke Pollard - Parliamentary Under-Secretary (Ministry of Defence)
SDR 2025 directs that “the future Cyber & EM Force should be a whole force endeavour, drawing heavily on reserves and civilians where expertise lies”. The future Cyber & EM Forces will be part of the Cyber & Specialist Operations Command. Planning to date is drawing heavily on our experience of using specialist cyber reserves and will seek to expand opportunities for reserve-style service; this is likely to include increasing the number of cyber specialist reserves, adjusting forms of military service (including expanding the Cyber Direct Entry scheme), and partnering differently with industry to leverage skills & capacity in wider workforce.
Asked by: Sarah Bool (Conservative - South Northamptonshire)
Question to the Department for Transport:
To ask the Secretary of State for Transport, pursuant to the Answer of 11 June 2025 to Question 57937 on Roads: Closures, whether her Department has considered introducing a centralised digital platform to improve transparency and real-time coordination between (a) statutory undertakers, (b) HS2 Ltd and (c) local authorities during roadworks planning and implementation.
Answered by Lilian Greenwood - Parliamentary Under-Secretary (Department for Transport)
My department has already introduced Street Manager, our digital service that is used by all highway authorities and statutory undertakers in England. Our online service allows highway authorities to plan and manage street and road works on their road network. HS2 Ltd also uses this service. We stream open data on live and planned works that is made available to the public via apps and websites.
Traffic Regulation Orders (TROs) can be used during works to regulate or restrict use of a road. My department has been developing a central publication platform, known as D-TRO (digital TRO service). The service will improve efficiency and provide real time updates on restrictions. It is currently in private beta testing with a selection of authorities.
Asked by: Sarah Bool (Conservative - South Northamptonshire)
Question to the Department for Transport:
To ask the Secretary of State for Transport, pursuant to the Answer of 11 June 2025 to Question 57937 on Roads: Closures, what assessment her Department has made of the effectiveness of the Code of Practice for the Co-ordination of Street and Road Works in reducing levels of disruption caused by overlapping works from (a) statutory bodies and (b) HS2 Ltd.
Answered by Lilian Greenwood - Parliamentary Under-Secretary (Department for Transport)
My department provides the statutory code of practice for the co-ordination of street and road works. It is not possible to assess the effectiveness of this code of practice alone in reducing disruption. The code of practice is one tool amongst many others, including other legislation, statutory guidance and guidance that enables highway authorities to coordinate works on their network and reduce disruption caused by overlapping works.
HS2 Ltd also use a range of mitigation measures to manage disruption across the route and keep local communities informed. To help coordinate works with other parties in the area, HS2 Ltd uses traffic management plans, and holds regular local traffic liaison meetings with highway authorities along the route.
Asked by: Sarah Bool (Conservative - South Northamptonshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will make an estimate of the potential cost to the public purse of a universal, paediatric Type 1 Diabetes screening programme.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
In the United Kingdom, national screening programmes are introduced based on the recommendations of the UK National Screening Committee (UK NSC), an independent scientific advisory committee which advises ministers and the National Health Service in all four countries on all aspects of population and targeted screening, and which supports implementation.
A proposal for screening for neonatal diabetes mellitus was submitted to the UK NSC via its 2021 annual call process. An evidence-mapping exercise was conducted at that time which concluded that there was not sufficient evidence to recommend screening for this condition.
The UK NSC received a submission via its 2024 annual call process to consider screening for autoimmune type 1 diabetes through blood testing. The committee requested further information from the submitter, and this is now in the process of being reviewed. Further information on the annual call process is available at the following link:
The UK NSC is aware of the ELSA study that is looking at screening children for type 1 diabetes and looks forward to receiving the results of this study in due course.
When the UK NSC makes a recommendation to introduce any screening programme they consider the cost effectiveness of the programme, and the Department estimates the cost of implementing the recommendation before ministers agree to the recommendation. Therefore, if the UK NSC makes a recommendation to screen for type 1 diabetes, a cost assessment will be made.