Written questions by Morello.

What assessment he has made of the need for personalised care plans for stroke patients.

As set out in the 10-Year Health Plan, we are committed to improving services for patients locally by increasing the provision of services outside of a hospital setting that are delivered closer to home in the community. The National Stroke Service Model provides best practice for stroke care, including post-discharge, which should include comprehensive rehabilitation and personalised care and support. The National Stroke Quality Improvement in Rehabilitation programme is helping to transform community-based care by increasing access to specialist stroke rehabilitation at home.

If he will extend eligibility for free Covid vaccines to people with lung conditions.

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.The JCVI has advised that population immunity to COVID-19 has been increasing due to a combination of naturally acquired immunity following recovery from infection and vaccine-derived immunity. COVID-19 is now a relatively mild disease for most people, though it can still be unpleasant, with rates of hospitalisation and death from COVID-19 having reduced significantly since COVID-19 first emerged.The focus of the JCVI advised programme has therefore moved towards targeted vaccination of the two groups who continue to be at higher risk of serious disease, including mortality. These are the oldest adults and individuals who are immunosuppressed. The Government has accepted the JCVI’s advice for autumn 2025 and in line with the advice, a COVID-19 vaccination is being offered to the following groups:- adults aged 75 years old and over;- residents in care homes for older adults; and- individuals aged six months and over who are immunosuppressed.As for all vaccines, the JCVI keeps the evidence under regular review.

o ask the Minister for the Cabinet Office, what steps he is taking to ensure that (a) rural communities and (b) West Dorset are not disadvantaged by the introduction of digital ID.

The Government is committed to ensuring that the introduction of the national digital identity credential is inclusive, secure, and useful for everyone, including those in rural communities.We recognise that not everyone has the same level of digital access or confidence, and that’s why the scheme will be accompanied by a major government digital inclusion drive.As part of the consultation, we will look at providing support such as face-to-face help, 24/7 helplines, and physical alternatives for those less confident with technology or without smartphones. This will help ensure that everyone eligible for the credential is fully supported and able to benefit from simpler, safer access to services.

If he will increase support for tailored rehabilitation for stroke patients.

As set out in the 10-Year Health Plan, we are committed to improving services for patients locally by increasing the provision of services outside of a hospital setting that are delivered closer to home in the community. The National Stroke Service Model provides best practice for stroke care, including post-discharge, which should include comprehensive rehabilitation and personalised care and support. The National Stroke Quality Improvement in Rehabilitation programme is helping to transform community-based care by increasing access to specialist stroke rehabilitation at home.

If he will extent the eligibility for free Covid vaccines to people with other medical conditions in West Dorset.

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.The JCVI has advised that population immunity to COVID-19 has been increasing due to a combination of naturally acquired immunity following recovery from infection and vaccine-derived immunity. COVID-19 is now a relatively mild disease for most people, though it can still be unpleasant, with rates of hospitalisation and death from COVID-19 having reduced significantly since COVID-19 first emerged.The focus of the JCVI advised programme has therefore moved towards targeted vaccination of the two groups who continue to be at higher risk of serious disease, including mortality. These are the oldest adults and individuals who are immunosuppressed. The Government has accepted the JCVI’s advice for autumn 2025 and in line with the advice, a COVID-19 vaccination is being offered to the following groups:- adults aged 75 years old and over;- residents in care homes for older adults; and- individuals aged six months and over who are immunosuppressed.As for all vaccines, the JCVI keeps the evidence under regular review.

Communities and Local Government, what steps he is taking to improve access to housing for renters without traditional forms of affordability evidence.

There is no one-size-fits-all approach to determining whether any given tenancy will be sustainable and good landlords already assess tenant suitability on the basis of individual’s circumstances. Landlords and agents remain free to undertake referencing and affordability checks with a view to ascertaining whether a tenancy is sustainable. This may include a history of rental payments, but other available referencing criteria can also be taken into account. Where a private landlord or agent is not satisfied by the outcome of pre-tenancy checks, there remain options available to provide further reassurance such as requiring a tenant to provide a guarantor. Professional guarantor services are also available and can help prospective tenants acquire a guarantor in circumstances where they otherwise would not have been able to do so. Local authorities may also offer guarantee schemes or assistance with rent payments to help people on low incomes or at risk of homelessness to secure a property. The government has no current plans to legislate to require social or private landlords and agents to accept rental payment history as proof of affordability.

If he will take steps to ensure stroke patients receive individualised post-discharge care.

As set out in the 10-Year Health Plan, we are committed to improving services for patients locally by increasing the provision of services outside of a hospital setting that are delivered closer to home in the community. The National Stroke Service Model provides best practice for stroke care, including post-discharge, which should include comprehensive rehabilitation and personalised care and support. The National Stroke Quality Improvement in Rehabilitation programme is helping to transform community-based care by increasing access to specialist stroke rehabilitation at home.

Communities and Local Government, if he will bring forward legislative proposals to require landlords and agents to accept rental payment history as proof of affordability.

There is no one-size-fits-all approach to determining whether any given tenancy will be sustainable and good landlords already assess tenant suitability on the basis of individual’s circumstances. Landlords and agents remain free to undertake referencing and affordability checks with a view to ascertaining whether a tenancy is sustainable. This may include a history of rental payments, but other available referencing criteria can also be taken into account. Where a private landlord or agent is not satisfied by the outcome of pre-tenancy checks, there remain options available to provide further reassurance such as requiring a tenant to provide a guarantor. Professional guarantor services are also available and can help prospective tenants acquire a guarantor in circumstances where they otherwise would not have been able to do so. Local authorities may also offer guarantee schemes or assistance with rent payments to help people on low incomes or at risk of homelessness to secure a property. The government has no current plans to legislate to require social or private landlords and agents to accept rental payment history as proof of affordability.

If he will extend eligibility for free Covid vaccines to people with heart conditions in West Dorset.

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.The JCVI has advised that population immunity to COVID-19 has been increasing due to a combination of naturally acquired immunity following recovery from infection and vaccine-derived immunity. COVID-19 is now a relatively mild disease for most people, though it can still be unpleasant, with rates of hospitalisation and death from COVID-19 having reduced significantly since COVID-19 first emerged.The focus of the JCVI advised programme has therefore moved towards targeted vaccination of the two groups who continue to be at higher risk of serious disease, including mortality. These are the oldest adults and individuals who are immunosuppressed. The Government has accepted the JCVI’s advice for autumn 2025 and in line with the advice, a COVID-19 vaccination is being offered to the following groups:- adults aged 75 years old and over;- residents in care homes for older adults; and- individuals aged six months and over who are immunosuppressed.As for all vaccines, the JCVI keeps the evidence under regular review.

What steps his Department is taking to help develop (a) engineering and (b) maintenance adaptations to protect (i) roads, (ii) railways and (iii) embankments from an increase in the number of high soil moisture deficit events.

The maintenance of earthworks is the responsibility of the asset owner, specifically Network Rail for the mainline railway network, National Highways for the strategic road network and Local Authorities for local roads. The technical expertise needed to analyse how specific types of earthworks will be affected by the changing climate sits within those organisations and interventions to adapt the engineering and maintenance of these assets are being initiated and driven by them. The Department for Transport closely monitors the performance of the rail and road networks to assure itself that Network Rail and National Highways are taking effective measures to ensure climate resilience. The Office of Rail and Road are also responsible for ensuring that Network Rail is satisfactorily managing all risks that affect the safety of the railway.

Communities and Local Government, if he will make rental payments acceptable as proof of affordability for housing applications.

There is no one-size-fits-all approach to determining whether any given tenancy will be sustainable and good landlords already assess tenant suitability on the basis of individual’s circumstances. Landlords and agents remain free to undertake referencing and affordability checks with a view to ascertaining whether a tenancy is sustainable. This may include a history of rental payments, but other available referencing criteria can also be taken into account. Where a private landlord or agent is not satisfied by the outcome of pre-tenancy checks, there remain options available to provide further reassurance such as requiring a tenant to provide a guarantor. Professional guarantor services are also available and can help prospective tenants acquire a guarantor in circumstances where they otherwise would not have been able to do so. Local authorities may also offer guarantee schemes or assistance with rent payments to help people on low incomes or at risk of homelessness to secure a property. The government has no current plans to legislate to require social or private landlords and agents to accept rental payment history as proof of affordability.

What assessment his Department has made of the potential impact of high soil moisture deficit levels on rail infrastructure stability, earthwork movement and long-term service resilience across the national network.

High soil moisture deficit levels within earthworks arise when the earth has become dried out following prolonged dry hot weather, leading to the soil shrinking and cracks developing within. If this is followed by a period of extreme or prolonged rainfall, water entering these cracks can lead to rapid failure of the earthworks. Network Rail has commissioned an active nationwide monitoring regime using remote sensors, modelling and geotechnical assessments to monitor slope stability across the network. It has also supported academic research, such as the ACHILLES programme, to further industry understanding on the loss of material strength from repeated cycles of wetting and drying. Intelligence from such research is fed into strategic whole life costing modelling to inform future renewal and maintenance activities. At the same time, Network Rail is engaging in proactive measures to reinforce embankments in high risk areas and reduce water retention and erosion. Together, these measures should reduce the risk of earthworks failure and improve the long-term resilience of these assets despite the increasing number of extreme weather events that are expected due to climate change. I am aware that this issue has been particularly problematic on the West of England Line. I am assured by Network Rail that conditions are improving and that they plan to restore a full timetable from 29th November.

What assessment she has made of the potential impact of exposure to online drug marketing on teenage drug use in West Dorset.

The Government has not made an assessment of the potential impact of online drug marketing on drug use among young people. We are committed to protecting young people from the harms of drug use through a range of universal and targeted prevention activity and are using the recent report from the Advisory Council on the Misuse of Drugs (ACMD) ‘A Whole-System Response to Drug Prevention in the UK’ to inform our approach.Furthermore, the Government is taking a co-ordinated approach to tackle harmful online content, which includes illegal drugs. This strategy combines law enforcement activity, stronger engagement with technology companies, improved education to raise awareness of risks and harms, and the introduction of measures that require internet companies to take responsibility for content on their platforms.This includes strengthening the regulatory framework to address online harms. The unlawful sale of controlled drugs online is a priority offence under the illegal content duties in the Online Safety Act 2023. In-scope providers are legally required to implement measures to protect their users and to remove illegal content from their platforms. Ofcom, as the independent regulator of the Act, is closely monitoring compliance with the regime.

What steps he is taking with Network Rail to prevent high soil moisture deficit levels affecting (a) track stability, (b) lineside earthworks and (c) embankment safety.

Between 2024 and 2029, Network Rail is investing £2.8bn to support the resilience of Great Britain’s rail network to extreme weather and climate change, including enhancements to drainage systems to reduce water accumulation during heavy rainfall, reinforcing embankments to improve slope stability, and implementing more advanced monitoring and early warning systems to detect potential hazards before they escalate. The West of England line has been particularly affected by the prolonged period of dry and warm weather, with the spring of 2025 being UK’s warmest since 1910, accompanied by the lowest level of rainfall since 1976.  This has required Network Rail to impose speed restrictions and reduce the timetable to ensure the safety of the public.  Conditions are now improving and Network Rail plans to restore a full timetable from 29 November. Over the long term, Network Rail plans to upgrade the West of England line to make it more resilient to extreme weather and to increase capacity.

Whether her Department has made an assessment of the potential merits of restricting the sale of high-noise fireworks in response to reports of harm to livestock and working farm dogs in West Dorset.

No assessment has been made of the potential impact of unregulated fireworks use on animal welfare, or merits of restricting sales of high-noise fireworks. Building on the work of my predecessor, I will continue to engage with stakeholders, including veterinary organisations, to gather evidence on the issues with and impacts of fireworks to inform any future action. The Government launched a public campaign on fireworks safety for this year’s fireworks season. The campaign includes guidance for those running community events, which encourages the use of low-noise fireworks and social media posts that emphasise the risks from the misuse of fireworks.

What recent discussions he has had with veterinary organisations on the effects of fireworks noise on dogs and companion animals in (a) rural constituencies and (b) West Dorset constituency.

No assessment has been made of the potential impact of unregulated fireworks use on animal welfare, or merits of restricting sales of high-noise fireworks. Building on the work of my predecessor, I will continue to engage with stakeholders, including veterinary organisations, to gather evidence on the issues with and impacts of fireworks to inform any future action. The Government launched a public campaign on fireworks safety for this year’s fireworks season. The campaign includes guidance for those running community events, which encourages the use of low-noise fireworks and social media posts that emphasise the risks from the misuse of fireworks.

What assessment he has made of the potential impact of unregulated fireworks use on animal welfare in (a) rural constituencies (b) West Dorset constituency.

No assessment has been made of the potential impact of unregulated fireworks use on animal welfare, or merits of restricting sales of high-noise fireworks. Building on the work of my predecessor, I will continue to engage with stakeholders, including veterinary organisations, to gather evidence on the issues with and impacts of fireworks to inform any future action. The Government launched a public campaign on fireworks safety for this year’s fireworks season. The campaign includes guidance for those running community events, which encourages the use of low-noise fireworks and social media posts that emphasise the risks from the misuse of fireworks.

What steps he is taking to improve public awareness of the potential impact of fireworks on animals in (a) rural constituencies and (b) West Dorset constituency.

No assessment has been made of the potential impact of unregulated fireworks use on animal welfare, or merits of restricting sales of high-noise fireworks. Building on the work of my predecessor, I will continue to engage with stakeholders, including veterinary organisations, to gather evidence on the issues with and impacts of fireworks to inform any future action. The Government launched a public campaign on fireworks safety for this year’s fireworks season. The campaign includes guidance for those running community events, which encourages the use of low-noise fireworks and social media posts that emphasise the risks from the misuse of fireworks.

Whether his Department plans to review the licensing regime for fireworks.

No assessment has been made of the potential impact of unregulated fireworks use on animal welfare, or merits of restricting sales of high-noise fireworks. Building on the work of my predecessor, I will continue to engage with stakeholders, including veterinary organisations, to gather evidence on the issues with and impacts of fireworks to inform any future action. The Government launched a public campaign on fireworks safety for this year’s fireworks season. The campaign includes guidance for those running community events, which encourages the use of low-noise fireworks and social media posts that emphasise the risks from the misuse of fireworks.

Food and Rural Affairs, what steps her Department is taking to protect livestock in West Dorset from distress and injury caused by fireworks.

I refer the hon. Member to the answer given on 18 November 2025 to the hon. Member for Halesowen, PQ UIN 89247.