Written questions by McIntyre.

How many of the additional 6,700 Mental Health workers recruited nationally are working in (a) Gloucester constituency and (b) NHS Gloucestershire.

Data for the Gloucester constituency is not available, as workforce information is not collected at a parliamentary constituency level.Between June 2024 and October 2025, the NHS Gloucestershire Integrated Care Board saw an increase of 128 full‑time equivalent mental health staff, rising from 1,416 to 1,544, representing 9.1% growth, compared with 5% nationally over the same period.

What assessment her Department has made of the adequacy of the provision of secondary school places in Gloucester.

The Curriculum and Assessment Review considered the extent to which the curriculum and the assessment system in England is fit for purpose and meeting the needs of children and young people. The government’s response set out key reforms to the national curriculum that we will be taking forward. Schools are expected to organise the school day and school week in the best interests of their pupils, to provide them both with a full-time education suitable to their age, aptitude and ability, and to incorporate time for play and other activities.The department is working to make sure that all children and young people have access to a variety of enrichment opportunities at school as an important part of our mission to break down barriers to opportunity. For some schools, these opportunities may be used to encourage children and young people to play.

How many and what proportion of patients waited longer than 12 hours in Gloucestershire Royal Hospital in December (a) 2024 and (b) 2025; and what steps is he taking to help reduce A&E waiting times.

NHS England began publishing data on 12-hour accident and emergency waits at a site level from October 2025. Figures for the Gloucestershire Royal Hospital are available at the following link:https://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/ae-attendances-and-emergency-admissions-2025-26/Our Urgent and Emergency Care Plan for 2025/26 sets out clear actions to deliver improvements this winter and beyond. We are aiming for 78% of patients to be seen in four hours this year, meaning over 800,000 people will receive more timely care.We are investing £250 million into expanding same day and urgent care services, helping avoid unnecessary admissions to hospital and supporting faster diagnosis, treatment, and discharge for patients.We have also introduced new clinical operational standards for the first 72 hours of care to support better hospital flow. These set minimum expectations for timely review, availability of advice, and coordinated care when multiple specialist teams are involved.

Communities and Local Government, what assessment he has made of the adequacy of temporary accommodation available in Gloucester; and what steps his Department is taking to help reduce the time people spend in temporary accommodation in Gloucester constituency.

This government inherited a homelessness crisis with record numbers in temporary accommodation. Our National Plan to End Homelessness sets out how we will get back on track to ending homelessness by tackling its root causes. We are building 1.5 million homes, including a generational increase in new social and affordable homes. We have set out a new 10-year Social and Affordable Homes Programme backed by a £39 billion investment. We will also increase the supply of good quality temporary accommodation and support resettlement through the £950 million Local Authority Housing Fund.Legislation and statutory guidance are clear that local authorities should, wherever possible, place homeless households within their own area. Authorities receiving out-of-area placements must be notified in accordance with the law: this is not a tick-box exercise but should involve engagement with the receiving authority where necessary to minimise disruption and promote the welfare of any children. The former Deputy Prime Minister wrote to councils in November 2024 to remind them of this duty and made clear that failures to notify are unacceptable, as they put additional pressure on services and risk the safety of those placed.In October 2025, we provided £10.9 million funding for 61 local authorities to support families and children in temporary accommodation, including those placed out of area, making a tangible impact on their quality of life whilst they remain in need. This will fund a range of interventions to support families to access basic facilities, including Wi-Fi, laundry services, travel passes for school, improved communal spaces for homework and recreation and assistance with paying for food and leisure facilities.

What steps her Department is taking to support Gloucestershire Constabulary to tackle knife crime in Gloucester constituency.

Halving knife crime over the next decade is a priority for Government. Since this Government has been in office, knife homicides have fallen by 18% while knife crime overall has fallen for the first time in 4 years, dropping by 5% in our first year. Our approach to tackling knife-crime is centred around smart, targeted interventions, prevention and enforcement, and a tough legislative landscape to remove dangerous weapons from our streets.Gloucestershire Constabulary will receive £1 million from the Government’s Hotspot Action Fund for 2025/26 as part of a national £66 million investment to tackle serious violence, knife crime and anti-social behaviour. This funding will support regular, highly visible patrols and targeted problem-solving in 21 identified hotspot locations across Gloucester. In 2025/26, Gloucestershire have also received £330k to support their delivery of the statutory requirements under the Serious Violence Duty.

If her Department will make an assessment of the adequacy of the availability of educational psychologists in Gloucester constituency.

Educational psychologists play a critical role in the support available to children and young people, including those with special educational needs and disabilities (SEND). This is why the department has already invested more than £21 million to train 400 more educational psychologists over two cohorts, starting their studies in 2024 and 2025. This is in addition to the £10 million invested in training more than 200 educational psychologists who began their training in September 2023.As these trainees complete their studies, they will join the workforce to support local authority educational psychology services for a minimum period of three years.Following a Joint Area SEND inspection in Gloucestershire in December 2023, leaders in the local area have developed a local strategy to improve access to educational psychologists, including a virtual service. Officials and SEND advisors from both the department and NHS England meet regularly with Gloucestershire local area leaders to monitor progress.

What steps his Department is taking to improve patient access to GPs.

In our manifesto we said that we will end the 8am scramble, and that is precisely what we are doing. In September 2024, patient satisfaction with ease of accessing their GPs stood at just 61%, today it stands at 73%. This is huge progress, but we still have a lot more to achieve, and we have taken our ambitions up another notch as we progress 26 / 27 contract consultation with the BMA.

What steps he is taking to tackle and identify economic abuse in the welfare system to support victims and survivors.

The Department for Work and Pensions (DWP) is committed to safeguarding vulnerable individuals and preventing economic abuse within the welfare system. Front line staff receive mandatory domestic abuse training, including economic abuse. Specialist training is provided for teams such as Child Maintenance Service, Universal Credit, Counter Fraud and Debt, ensuring colleagues can identify, respond, and support claimants safely and appropriately. As part of the '“Freedom from Violence and Abuse: a cross-government strategy to build a safer society for women and girls”, DWP has committed to strengthening domestic abuse training for staff. We have also pledged to remove the Direct Pay service type so that the Child Maintenance Service manages and transfers payments between parents, preventing it being used as a tool of abuse. DWP supports vulnerable customers by considering individual circumstances in debt recovery and signposting to specialist services. Our Debt Management Vulnerability Framework and annual adviser training strengthen this approach. DWP collaborates with Surviving Economic Abuse to ensure safeguards are in place for new debt recovery powers under the Public Authorities Fraud, Error and Recovery Act, protecting victims of domestic abuse.

If he will consider removing the charges for the Child Maintenance Service's collect pay service.

Cases on the Collect and Pay service are typically those where the paying parent has demonstrated an unwillingness to pay, or has not been compliant in a Direct Pay arrangement. For this service, a fee of 20% is added to what the paying parent needs to pay, while 4% is deducted from the amount paid out to receiving parents. Following a public consultation on wider reforms to consolidate the Child Maintenance Service into a single service type where the CMS collects and transfers payments, the Government published its response setting out plans to reform the CMS. This includes plans to reduce fees to 2% for both receiving parents and paying parents, maintaining the 20% rate for non-compliant paying parents on top of their calculated maintenance amount. We believe fees are an important part of the service, offsetting the cost of the service and investment needed to make the reforms, reducing the burden on the taxpayer. The proposed fee structure is also intended to incentivise compliance by the paying parent.

What steps his Department is taking to help ensure that people with (a) chronic obstructive pulmonary disease and (b) other long-term lung conditions have access to integrated (i) psychological and (ii) mental health support as part of their care pathway.

People with long-term physical health conditions such as cardiovascular disease, chronic obstructive pulmonary disease, diabetes, and musculoskeletal disorders can refer into NHS Talking Therapies for treatment if they have a common mental health disorder, for instance anxiety and/or depression. NHS Talking Therapies also offers integrated pathways of care for people with long-term conditions which are integrated with physical care services, usually through co-location. The NHS Talking Therapies Long Term Conditions (LTC) service does not treat the underlying physical health condition but treats the anxiety and/or depression that is either caused or exacerbated by having the LTC.NHS England has put together a best practice directory for LTC pathways across NHS Talking Therapies services to provide a national picture of what pathways are in place and how they work. Information collected as part of the work to develop the national LTC directory will help to frame a review of the NHS Talking Therapies LTC Implementation Guidance.

What steps he is taking to help ensure that funding for the implementation of the recommendations in the National Cancer Plan is shared across (a) prevention, (b) diagnosis and (c) treatment.

The forthcoming National Cancer Plan for England will cover the entirety of the cancer pathway, including prevention, diagnosis, and treatment, to ultimately drive up this country’s cancer survival rates. It will seek to improve every aspect of cancer care to better the experiences and outcomes for people with cancer.The Department settlement means that annual National Health Service day-to-day spending will increase by £29 billion in real terms, a £53 billion cash increase, by 2028/29 compared to 2023/24.

What funding has been allocated to support digital transformation as set out in the 10-Year Health Plan.

In advance of the 10-Year Health Plan’s publication, the Government confirmed an allocation of up to £10 billion for National Health Service digital, data, and technology through the Spending Review. This is a nearly 50% uplift on current investment, with a 3% real terms uplift overall.That investment will support delivery of the 10-Year Health Plan, while yielding substantial improvements in the public experience of using the NHS, and in the experience of staff working for it. It will also make a material contribution to achieving the 2% productivity target and wider efficiency targets.

What steps he is taking to support NHS staff with Postural tachycardia syndrome.

Improving health outcomes for everyone living with a long-term condition, including postural tachycardia syndrome (PoTS), is a key part of the Government's mission to build a National Health Service fit for the future.People with PoTS can access a variety of NHS services, which are locally commissioned by integrated care boards (ICBs). ICBs are responsible for ensuring that their local area has appropriate services in place to meet the needs of their population.Many patients can be diagnosed and managed effectively within primary care. In complex cases, or where patients do not respond to initial treatment, patients may be referred to specialised cardiology or neurology services.The health and wellbeing of NHS staff is a top priority, and it is important that employers across the NHS take a preventative and proactive approach to supporting their staff, keeping them healthy, and to improving workplace culture.NHS employers have their own arrangements in place for supporting their staff, including occupational health provision, employee support programmes, and board level scrutiny through health and wellbeing guardians.At a national level, NHS England has made available additional support. This includes a focus on healthy working environments, tools and resources to support line managers to hold meaningful conversations with staff to discuss their wellbeing, and emotional and psychological health and wellbeing support.

What steps he is taking to support NHS staff with endometriosis.

The Government recognises the challenges faced by women with endometriosis and the impact it has on their lives, their relationships, and their participation in education and within the National Health Service workforce. We are improving workplace support for women with endometriosis through a number of measures in the Employment Rights Bill. Strengthening statutory sick pay arrangements, making flexible working available to more people, and opening up conversations about women’s health through employer action plans will benefit all employees managing the condition.In terms of supporting NHS staff with endometriosis, NHS trusts are expected to have local policies and procedures in place to support staff who have long-term health conditions and should be taking a proactive approach to supporting them. NHS England has made available tools and resources to support line managers to hold meaningful conversations with staff to discuss their emotional and psychological health and wellbeing.Staff in need of additional support can also access their employer's occupational health service or employee support programme.

What progress her Department has made on establishing Young Futures Hubs in Gloucester.

Officials from across a range of departments are working jointly to make progress, using evidence of what works to start to shape the Young Futures Hubs model. As part of this we are engaging with local areas, communities, statutory partners, charities, and other key stakeholders to support the design of the Young Futures Hubs and explore options for their delivery, including considering how best to engage with those young people who would benefit most from support.To roll-out Young Futures Hubs, building on the success of existing infrastructure and provision, the government will establish a number of early adopter hubs, the locations of which will be determined by where they will have the most impact. These early adopters and work in local areas and will inform the longer-term development of the programme, including how quickly we move to a greater number of hubs and where they may be located.The government will set out more details in due course.

What steps he is taking to support people with Li-Fraumeni syndrome in Gloucester.

Working under the UK Rare Diseases Framework, the Government is committed to improving the lives of those living with rare diseases, such as Li-Fraumeni syndrome.The England Rare Diseases Action Plan committed to developing a funding mechanism that incentivises centres to undertake whole body scans for individuals with rare conditions resulting in a predisposition to cancer. NHS England has now agreed to proceed with the process for identifying providers of whole-body magnetic resonance imaging scanning services for adults and children with Li-Fraumeni syndrome.Anyone identified with Li-Fraumeni syndrome in Gloucestershire will receive counselling and support from the specialist clinical genetics service hosted at the University Hospitals Bristol and the Weston NHS Foundation Trust, with satellite clinics held in Gloucestershire. Testing and support for their families will also be offered by the Bristol service. Children identified with Li-Fraumeni are cared for by specialist paediatric teams at Bristol Children’s Hospital. Ongoing surveillance and screening for cancer, as well as opportunities to take part in research trials, are offered as appropriate.

What steps his Department is taking to ensure that the NHS 10-Year health plan (a) prioritises areas of economic deprivation and (b) effectively meets the needs of working people.

The focus of the 10-Year Health Plan is to ensure the National Health Service is there for anyone who needs it whenever they need it. We cannot do this without tackling health inequalities, including for working class people and those living in areas of economic deprivation. Addressing healthcare inequalities is a fundamental part of the Health Mission and the 10-Year Health Plan.Our reimagined NHS will be designed to tackle inequalities in both access and outcomes, as well as giving everyone, no matter who they are or where they come from, the means to engage with the NHS on their own terms.Furthermore, patients will be able to leave feedback easily and confidently, which will amplify patient voices, particularly for those who face worse healthcare access, experiences, and outcomes.

What steps he is taking to support phlebotomists in Gloucester.

Local organisations are responsible for supporting their workforce, including staff in phlebotomy roles. We are aware of local industrial action in Gloucester. This is a local issue for the Gloucestershire Hospitals NHS Foundation Trust to manage, working in partnership with trade unions.

What steps he is taking to improve access to treatment for people with alopecia areata in Gloucester.

The Government is committed to supporting all those living with dermatological conditions, including alopecia areata. Dermatology services are being transformed to make sure that patients are seen on time. NHS England’s Getting It Right First Time Programme for Dermatology is working with National Health Service trusts to deliver rapid clinical transformation. The work brings together clinicians and operational teams to work collectively to transform patient pathways, reduce unnecessary appointments, and improve access and waiting times for patients.In March 2024, the National Institute for Health and Care Excellence (NICE) recommended ritlecitinib as an option for treating severe alopecia areata in people 12 years old and over. The NHS is legally required to make funding available for treatments recommended in NICE technology appraisal guidance within three months of publication of the guidance, opening the way for patients across the country, including in Gloucester, to access this treatment.It is a clinician’s responsibility to make decisions appropriate to the circumstances of their patient, whilst ensuring they are taking account of appropriate national guidance on clinical effectiveness, as well as the local commissioning decisions of their respective integrated care board (ICB), in this case the NHS Gloucestershire ICB.

Communities and Local Government, what steps she is taking to support the (a) implementation and (b) effectiveness of high street rental auctions in Gloucester.

The Government is fully committed to revitalising our high streets and supporting businesses to make our towns and cities, including Gloucester, successful. High Street Rental Auctions (HSRAs) are supported by a fund of over £1 million, a new burdens payment and a suite of detailed guidance and practical templates to support implementation. My department are working closely with 11 local authority early adopters, who will be amongst the first to deliver, and will help shape future guidance and champion these powers.