The Department recognises that a particular treatment may not be available at local hospitals, which would mean that travel to a specialist centre would be required, in order to receive the best possible care. The Department also knows that the cost of travel is an important issue for patients, including their unpaid carers.

NHS England and the integrated care boards are responsible for commissioning and ensuring the healthcare needs of local communities in England are met.

The Department has not made a formal assessment of the potential impact of the time taken to access specialist cancer treatments on patient outcomes and long-term National Health Service costs, the potential impact of prolonged or distant cancer treatment on the personal finances of patients and unpaid carers, and the potential impact of travel distance and associated costs on access to specialist cancer treatment. In addition, the Department has not made a formal estimate of the long-term cost to the NHS of delayed and disrupted access to specialist cancer treatment.

The NHS in England runs schemes to provide financial assistance for travel to a hospital, or other NHS premises, for specialist NHS treatment or diagnostics tests, when referred by a doctor or other primary healthcare professional. This includes the NHS Healthcare Travel Costs Scheme (HTCS), which provides financial assistance to patients who do not have a medical need for transport, but who require assistance with the costs of travelling to receive certain NHS services. Patients who do not qualify for the HTCS and who are on a low income may be able to claim the costs from the Department for Work and Pensions through Universal Credit or Personal Independence Payment.

I refer my Hon. friend to the answer I gave on 13^th April to PQ 122869.

Support for unpaid carers on low incomes is primarily provided through Universal Credit and Pension Credit, which include carer amounts in addition to the standard allowance or Standard Minimum Guarantee. These additions are worth up to £2,500 a year. In England and Wales, support is also available through Carer’s Allowance.

For those who are able to balance paid work with their caring responsibilities, this is also a means of increasing household income. It also contributes to the wellbeing of the carer, and to the skills available to employers. The Carer’s Leave Act 2023 gives employees a right to time off to provide care, and the Government will be consulting on further changes to care leave. The Employment Rights Act 2025 contains provisions to support improved work‑life balance, including measures to strengthen access to flexible working.

Unpaid carers receiving Carer’s Allowance receive a Class 1 National Insurance Credit which helps protect entitlement to the State Pension and contributory working-age benefits. Those receiving Universal Credit or a Carer’s Credit receive a Class 3 National Insurance Credit which helps protect entitlement to the State Pension. In all cases other contributions and entitlement conditions for the benefits or pension concerned would also need to be satisfied.

Universal Credit for self-employed individuals aims to encourage sustainable work choices and support self-employment where it is a realistic route to financial self-sufficiency.

The Minimum Income Floor is designed to encourage low-earning customers to increase their earnings and grow their business. The level of the Minimum Income Floor is calculated using the number of hours per week that a customer is expected to work, tailored specifically to customers individual circumstances, including for health conditions and caring responsibilities. It is set at a maximum of 35 hours for individuals with no limitations on their expected working hours.

To align with the offer of 30 hours of free childcare for working parents, self-employed individuals with children aged 3-12 typically have their Minimum Income Floor set using a maximum of 30 hours per week.

Carer’s Credit is a National Insurance credit designed to help people aged 16 to State Pension age who provide at least 20 hours of care a week for a disabled person, to build qualifying years for the State Pension, where they might otherwise miss out. The current rules allow more than one person to receive Carer’s Credit for the same cared‑for person, provided each meets the conditions for entitlement in their own right.

As the hon. Gentleman has rightly said, we have now started reviewing those 200,000 cases. We anticipate that there will probably be 25,000 people among the 200,000 who could have debts cancelled, or could possibly be refunded. If carer’s allowance has been overpaid and should not have been, we will of course need to recover the money. The problem has been that the previous Government’s guidance in the Department was wrong. We have now corrected that, so I am hopeful that that particular kind of mistake will not occur again.

The Department for Work and Pensions is currently reviewing over 200,000 cases of overpayments for carers, some of whom have accrued up to £20,000 through a situation not of their own making. In the light of this, will the Secretary of State stop applying carers penalties until the Department has completed this review?

Obtaining this information would require a manual review of individual claims and could be done only at disproportionate cost.

There is no existing standalone legal duty to compel a parent, carer or any other bystander to report any criminality, including the procurement or possession of knives and weapons.

Where parents are unable or unwilling to respond to potential safeguarding risk relating to knives, the strength of the system around the child (including schools, children’s services, police and youth justice) is vital in spotting concerns and linking children to support.

The Government keeps legislation around knives under constant review. We are clear that knives should not be sold to those under 18 and measures in the Crime and Policing Bill (currently going through Parliament) are strengthening the legislation in this area by introducing a new two-step age verification process for online sale and delivery of knives. This will require buyers to provide a copy of their identification document, alongside a current photo, which will be verified at the point of sale and on delivery. It will be unlawful to deliver a parcel containing a knife to anyone except the verified buyer or to leave it on the doorstep or with a neighbour.

We are also creating a new offence of possessing a knife with the intention to commit unlawful violence, a duty on sellers to report bulk sales, and giving the police a new power to seize knives when they believe they are likely to be used in connection with unlawful violence. Additionally, measures are being introduced to provide the police with the power to require social media, marketplaces, and search services to take down content about illegal knives and offensive weapons.

In relation to bringing forward new legislation, the Chair of the Southport Inquiry recommended that the Law Commission review the merits of legal reform to introduce a legal duty on specified categories of person to report the criminality of another person. The Government will provide a full response to the recommendations from the Phase 1 report by the summer 2026.

There is no existing standalone legal duty to compel a parent, carer or any other bystander to report any criminality, including the procurement or possession of knives and weapons.

Where parents are unable or unwilling to respond to potential safeguarding risk relating to knives, the strength of the system around the child (including schools, children’s services, police and youth justice) is vital in spotting concerns and linking children to support.

The Government keeps legislation around knives under constant review. We are clear that knives should not be sold to those under 18 and measures in the Crime and Policing Bill (currently going through Parliament) are strengthening the legislation in this area by introducing a new two-step age verification process for online sale and delivery of knives. This will require buyers to provide a copy of their identification document, alongside a current photo, which will be verified at the point of sale and on delivery. It will be unlawful to deliver a parcel containing a knife to anyone except the verified buyer or to leave it on the doorstep or with a neighbour.

We are also creating a new offence of possessing a knife with the intention to commit unlawful violence, a duty on sellers to report bulk sales, and giving the police a new power to seize knives when they believe they are likely to be used in connection with unlawful violence. Additionally, measures are being introduced to provide the police with the power to require social media, marketplaces, and search services to take down content about illegal knives and offensive weapons.

In relation to bringing forward new legislation, the Chair of the Southport Inquiry recommended that the Law Commission review the merits of legal reform to introduce a legal duty on specified categories of person to report the criminality of another person. The Government will provide a full response to the recommendations from the Phase 1 report by the summer 2026.

Where existing statutory frameworks underpin safeguarding processes, there is no requirement for parents or carers to co-operate. However, parental or carer consent is not required for agencies to share information relating to safeguarding and child protection. This is set out in Department for Education guidance on information sharing for safeguarding practitioners.

Government is making this even clearer through the Children’s Wellbeing and Schools Bill, which includes a new Information Sharing Duty for the purposes of safeguarding and promoting the welfare of children, and will be accompanied by statutory guidance to support frontline practitioners to understand their responsibilities.

Where a safeguarding concern has been identified relating to a child or young person, or there is suspected criminality relating to knife-related violence, multi-agency and law-enforcement partners can share information and conduct investigations without the consent of the relevant parent or guardian.

In relation to Youth Justice processes, there are legal obligations that can be placed on parents and carers, to ensure that any risk relating to a minor can be appropriately managed. A court can issue a Parenting Order in a number of different circumstances, where children are engaged in criminal or antisocial behaviour. Parenting Orders require the parent or guardian to attend counselling or parenting support sessions and comply with other requirements the court considers necessary. Non-compliance can lead to breach proceedings in court and is punishable with a fine.

Criminal orders that are placed on a child or young person themselves are applied by the court and generally (with few exceptions) parental or carer consent is not required.

Where there are concerns that a child or young person is involved in criminality, and to protect public safety and prevent harm, the police will take forward their enquiries as appropriate, and parental or carer cooperation is not required to share information, conduct an investigation, place a minor under caution, or charge a minor with a criminal offence.

The law already provides significant stop and search and wider enforcement powers, enabling police to disrupt immediate risk and remove weapons from the streets, including without the need for reasonable suspicion. Police can also arrest suspects, seize weapons, and evidence, and conduct searches of persons and premises where legal thresholds are met. These powers apply to children as well as adults. Where these powers are used on children, they are subject to additional statutory safeguards under the Police and Criminal Evidence Act 1984 and its Codes of Practice to protect welfare and ensure proportionality.

The Southport Inquiry Phase 1 report, published on 13 April, considers in detail the actions of the perpetrator’s parents and many of the issues raised here. The Chair has rightly raised the challenging question of how to minimise the risk that parents may choose not to co-operate or report concerns to safeguarding agencies such as social care or healthcare, or the police about their child having knives or other weapons, and has made two recommendations relevant to parents.

In relation to future changes to strengthen oversight and powers, Government is considering these recommendations alongside the others in the report and will respond by summer 2026.

Where existing statutory frameworks underpin safeguarding processes, there is no requirement for parents or carers to co-operate. However, parental or carer consent is not required for agencies to share information relating to safeguarding and child protection. This is set out in Department for Education guidance on information sharing for safeguarding practitioners.

Government is making this even clearer through the Children’s Wellbeing and Schools Bill, which includes a new Information Sharing Duty for the purposes of safeguarding and promoting the welfare of children, and will be accompanied by statutory guidance to support frontline practitioners to understand their responsibilities.

Where a safeguarding concern has been identified relating to a child or young person, or there is suspected criminality relating to knife-related violence, multi-agency and law-enforcement partners can share information and conduct investigations without the consent of the relevant parent or guardian.

In relation to Youth Justice processes, there are legal obligations that can be placed on parents and carers, to ensure that any risk relating to a minor can be appropriately managed. A court can issue a Parenting Order in a number of different circumstances, where children are engaged in criminal or antisocial behaviour. Parenting Orders require the parent or guardian to attend counselling or parenting support sessions and comply with other requirements the court considers necessary. Non-compliance can lead to breach proceedings in court and is punishable with a fine.

Criminal orders that are placed on a child or young person themselves are applied by the court and generally (with few exceptions) parental or carer consent is not required.

Where there are concerns that a child or young person is involved in criminality, and to protect public safety and prevent harm, the police will take forward their enquiries as appropriate, and parental or carer cooperation is not required to share information, conduct an investigation, place a minor under caution, or charge a minor with a criminal offence.

The law already provides significant stop and search and wider enforcement powers, enabling police to disrupt immediate risk and remove weapons from the streets, including without the need for reasonable suspicion. Police can also arrest suspects, seize weapons, and evidence, and conduct searches of persons and premises where legal thresholds are met. These powers apply to children as well as adults. Where these powers are used on children, they are subject to additional statutory safeguards under the Police and Criminal Evidence Act 1984 and its Codes of Practice to protect welfare and ensure proportionality.

The Southport Inquiry Phase 1 report, published on 13 April, considers in detail the actions of the perpetrator’s parents and many of the issues raised here. The Chair has rightly raised the challenging question of how to minimise the risk that parents may choose not to co-operate or report concerns to safeguarding agencies such as social care or healthcare, or the police about their child having knives or other weapons, and has made two recommendations relevant to parents.

In relation to future changes to strengthen oversight and powers, Government is considering these recommendations alongside the others in the report and will respond by summer 2026.

The School Census requires schools to indicate if a child has been identified as a young carer, and if so, by whom. Young carers can be identified by parents, the pupil themselves or by the school.

The return of this data is a requirement for all schools, except nurseries, and data must be returned in the Spring Census each year. Schools do not need to seek the permission of the pupil or parent to return this data to the department.

Data on young carers has been collected since the 2022/23 academic year and is published each summer.

The Department has made no such assessment.

During the application process for Universal Credit the applicant is asked whether they are caring for someone with a health condition or disability. Information is not collected as part of a claim for New Style Jobseekers Allowance as it is not relevant for the award.

The Government is committed to protecting those most vulnerable to COVID-19 through vaccination, as guided by the independent Joint Committee on Vaccination and Immunisation (JCVI). The primary aim of the national COVID-19 vaccination programme remains the prevention of serious illness, resulting in hospitalisations and deaths, arising from COVID-19.

Although seasonal flu and COVID-19 can both cause severe disease, they differ in their epidemiology and pathology. As such, the population groups at higher risk of severe disease will not necessarily be the same for each pathogen and the JCVI has considered each programme individually.

The JCVI advised in its autumn 2024 advice that, in the current era of high population immunity to COVID-19 and with all cases due to Omicron sub-lineages of COVID-19, currently available COVID-19 vaccines provide limited protection against transmission and mild or asymptomatic disease. The JCVI therefore advised that the focus of the programme should be on offering vaccination where it directly protects an individual at higher risk. In line with this advice, unpaid carers ceased to be offered COVID-19 vaccination in autumn campaigns from autumn 2024. Eligibility for the spring COVID-19 vaccination campaigns has never included unpaid carers.

The focus of the COVID-19 vaccination programme is on vaccination of older adults and individuals who are immunosuppressed. These are the two groups who continue to be at higher risk of serious disease, including mortality.

In line with JCVI advice for spring 2026 and autumn 2026, a COVID-19 vaccination is being offered this spring and autumn to the following groups:

- adults aged 75 years old and over;

- residents in care homes for older adults; and

- individuals aged six months old and over who are immunosuppressed.

The JCVI keeps all vaccination programmes under review.