Written questions by Morello.

Whether his Department discussed the recruitment of pharmacists qualified in India to work in the UK during negotiations on the UK-India free trade agreement.

We have agreed a Professional Services Annex, which will require UK and India to identify and encourage mutually interested relevant bodies to enter into negotiations on mutual arrangements for recognition of professional qualifications. Regulated professions, which include dentists, pharmacists and medical practitioners in the UK, will be within the scope of the annex. These commitments will not affect the autonomy of UK relevant bodies nor compel them to engage in dialogues where there is no mutual interest.The ability of Indian professionals to supply professional services in the UK will remain subject to the UK's domestic regulatory and immigration systems.

Whether his Department discussed the recruitment of general practitioners trained in India to practise in the UK during negotiations on the UK-India free trade agreement.

We have agreed a Professional Services Annex, which will require UK and India to identify and encourage mutually interested relevant bodies to enter into negotiations on mutual arrangements for recognition of professional qualifications. Regulated professions, which include dentists, pharmacists and medical practitioners in the UK, will be within the scope of the annex. These commitments will not affect the autonomy of UK relevant bodies nor compel them to engage in dialogues where there is no mutual interest.The ability of Indian professionals to supply professional services in the UK will remain subject to the UK's domestic regulatory and immigration systems.

What incentives are in place to encourage universities to expand or introduce dental training programmes in the South west.

​​The department works closely with the Department of Health and Social Care (DHSC) on a wide range of matters, to help ensure the NHS has the dentistry workforce that it needs, including funding for dental schools and the training of dental students.Universities are autonomous bodies, independent from government and it is a decision for individual universities to decide whether they wish to establish a dental school.​The government is preparing the 10 Year Health Plan which will set out a bold agenda to reform and repair the NHS. Ensuring that we have the right people, in the right places and with the right skills, will be central to this vision. The government will also publish a refreshed workforce plan to deliver the transformed health service that we will build over the next decade and treat patients on time again.​The department continues to work closely with DHSC on the 10 Year Health Plan.

Media and Sport, whether she has made a recent assessment of the adequacy of the Charity Commission’s powers to (a) regulate and (b) take action against (i) misconduct and (ii) mismanagement in charities.

As the independent regulator, the Charity Commission for England and Wales has a wide range of powers to tackle misconduct or mismanagement in charities. It acts robustly to tackle those who abuse charities.In 2023-24 the Charity Commission concluded 3,710 regulatory concern cases, 65 statutory inquiries, and exercised its legal powers on 2,189 occasions.Concerns about links to hostile states are taken seriously. Any evidence that there is misconduct or mismanagement within a registered charity should be referred to the Charity Commission.Ministers and officials meet regularly with the Charity Commission and I met with the Commission last week to discuss these and other matters. We keep the Charity Commission's powers under regular review and are actively considering whether further powers are required.

Media and Sport, whether her Department plans to review the powers of the Charity Commission when allegations are made about links between UK charities and hostile states.

As the independent regulator, the Charity Commission for England and Wales has a wide range of powers to tackle misconduct or mismanagement in charities. It acts robustly to tackle those who abuse charities.In 2023-24 the Charity Commission concluded 3,710 regulatory concern cases, 65 statutory inquiries, and exercised its legal powers on 2,189 occasions.Concerns about links to hostile states are taken seriously. Any evidence that there is misconduct or mismanagement within a registered charity should be referred to the Charity Commission.Ministers and officials meet regularly with the Charity Commission and I met with the Commission last week to discuss these and other matters. We keep the Charity Commission's powers under regular review and are actively considering whether further powers are required.

What assessment her Department has made of the potential merits of streamlining the visa processes for overseas-qualified dentists seeking to work in the UK.

Dentists are eligible for the Health and Care visa. They usually receive a decision within 3 weeks and have a dedicated UKVI team that assists them with the application process.

What estimate he has made of the number of redundancies there will be as a result of the reorganisation of integrated care boards in Dorset.

Proposed changes to integrated care board (ICB) functions and geography are being discussed as part of a wider National Health Service reform programme, to reduce management costs and focus more money on the front line.All ICBs in England are being asked to significantly reduce running costs and shift to a more strategic role, with different responsibilities. Specifically, ICBs have been asked to reduce pay costs by approximately 50%.It is too early to predict the impact of potential redundancy numbers. The Dorset ICB is discussing proposals to form a wider ICB “cluster” with neighbouring colleagues at the NHS Somerset ICB and the NHS Bath and North East Somerset, Swindon, and Wiltshire ICB.Clustering will allow the ICBs to realise efficiencies, releasing resources for frontline care, while maintaining teams of sufficient size in order to be resilient and specialised.

What guidance his Department has provided to Integrated Care Boards on levels of redundancies due by the end of May 2025.

Integrated care boards have been asked to submit plans about how they will reduce their operating costs throughout this financial year. These are currently being assessed. The process of implementing any reductions will follow local employment change processes which will occur over several months. This will include local trade union involvement.

With reference to the letter from the Chief Executive of NHS England entitled Working together in 2025/26 to lay the foundations for reform, published on 1 April 2025, what assessment he has made of the potential impact of the (a) proposed funding reductions and (b) organisational reorganisation on staff (i) training, (ii) retention and (iii) morale.

NHS England has asked the integrated care boards (ICBs) to act primarily as strategic commissioners and to reduce the duplication of responsibilities within their structure, to achieve reductions in their running cost allowance. NHS England will work closely with the ICBs to ensure these changes do not compromise the quality of care or the statutory responsibilities of ICBs. ICBs will also consider how these changes impact on staff, and will take the necessary steps to ensure continuity of staff training and support for staff morale, thereby protecting frontline staff.ICBs have drafted and shared their delivery and resource plans in accordance with the guidance set out in Sir Jim Mackey's letter of 1 April and the Model ICB framework. NHS England is working with ICBs to review and implement these plans, including is supporting staff through the transition.

Whether his Department discussed the recognition of Indian dental qualifications for work in the UK during negotiations on the UK-India free trade agreement.

We have agreed a Professional Services Annex, which will require UK and India to identify and encourage mutually interested relevant bodies to enter into negotiations on mutual arrangements for recognition of professional qualifications. Regulated professions, which include dentists, pharmacists and medical practitioners in the UK, will be within the scope of the annex. These commitments will not affect the autonomy of UK relevant bodies nor compel them to engage in dialogues where there is no mutual interest.The ability of Indian professionals to supply professional services in the UK will remain subject to the UK's domestic regulatory and immigration systems.

If he will make an assessment of the potential impact of the reorganisation of integrated care boards in Dorset on the NHS estate in the next two years.

NHS England has asked integrated care boards (ICBs) to act primarily as strategic commissioners and reduce duplication of responsibilities within their structure. NHS England will work closely with ICBs to ensure their plans to deliver these changes do not compromise the quality of care or the statutory responsibilities of ICBs.NHS England has circulated the Model ICB blueprint which lists primary care operations and transformation, including estates support, and estates and infrastructure strategy as functions in scope for reviewing for ICBs to transfer over time to neighbourhood health providers and providers respectively. NHS trusts will maintain a statutory responsibility over their assets, including their estate.Currently, Dorset ICB has a small estates function which is predominantly focused on the primary care estate and some capital oversight. There has been significant investment in estates in Dorset over the last few years and continuing this year through the New Hospital Programme (NHP) and other capital programmes which will give improved facilities through the acute sites, namely University Hospitals Dorset and Dorset County Hospital, and hubs in the community including Wimborne, Shaftesbury, Sherborne and Forston. Much of this is already in place and being managed with NHS trusts and through the NHP.

What steps he is taking with Cabinet colleagues to help ensure that new housing developments have adequate access to GPs.

The Department of Health and Social Care continues to work closely with Ministry of Housing, Communities, and Local Government to ensure all new and existing developments have an adequate level of healthcare infrastructure. This is alongside guidance on how developer contributions from new housing developments can be better negotiated and used towards delivering local health services and infrastructure.Integrated care boards are responsible for commissioning, planning, securing, and monitoring general practice services within their health systems through delegated responsibility from NHS England. The National Health Service has a statutory duty to ensure there are sufficient medical services, including general practices, in each local area. It should take account of population growth and demographic changes.

Food and Rural Affairs, what assessment he has made of the potential impact of sewage discharge into (a) rivers and (b) coastal waters on public health in West Dorset constituency.

The UK Health Security Agency (UKHSA) South West regional team provides specialist advice and guidance on a range of public health threats to system partners across the South West region. This informs risk and needs assessments and includes routine surveillance to detect and manage exceedances of Gastro-Intestinal illnesses across the South West. As part of the historic £10 billion of investment by water companies on storm overflow improvements in Asset Management Period 8 (2025-2030), in the West Dorset Constituency, Wessex Water plan to investigate 30 frequently spilling overflows and improve a further 18. The upcoming Progress Report on the Storm Overflow Discharge Reduction Plan (SODRP), scheduled for publication later this year, will include assessment of Wessex Water’s progress toward the Human Health (bathing water) target. This target requires water companies to improve all storm overflows affecting designated bathing water sites by 2035, reducing sewage-related risks to human health. The UK and Welsh Governments have launched an Independent Water Commission, chaired by Sir Jon Cunliffe, to recommend reforms to reset the water sector and ultimately serve both customers and the environment. His Interim Report was published on 03 June 2025; the report's findings can be found at Independent Water Commission publishes interim findings - GOV.UK. The final report and recommendations will be published later in the summer. These recommendations are expected to form the basis of further legislation to attract long-term investment and clean up our waters for good.

What steps he is taking to ensure community pharmacy provision in new housing developments in Dorset.

Local authorities are required to undertake a pharmaceutical needs assessment (PNA) every three years to assess whether their population is adequately served by local pharmacies. Legislation requires PNAs to include considerations of the future need for pharmaceutical services in the area. The Department has published an information pack to support local authorities in preparation of PNAs, with the pack available at the following link:https://assets.publishing.service.gov.uk/media/617bdc31d3bf7f5601cf3168/pharmaceutical-needs-assessment-information-pack.pdfChapter 6 of the information pack provides advice on how future needs, improvement or better access should be articulated in the PNA, including following any new housing developments. These assessments inform commissioning decisions by integrated care boards.

What recent assessment his Department has made of the potential impact of increases in the cost of living on households in West Dorset constituency.

The Plan for Change outlines key milestones, including raising living standards in every part of the United Kingdom to put more money back in people’s pockets. In the latest data, living standards (as measured by real household disposable income per capita) are already growing at their fastest quarterly rate in two years. The Government has set out the next steps in delivering our approach for regional growth, spreading growth across the country through investment and reform, including via devolution of funding and powers. This will benefit people across the country, including in the West Devon constituency.

What steps his Department is taking increase the number of optometrists in West Dorset.

NHS England provides an annual grant for supervisors of optometry trainees. This payment is an essential element of ensuring adequate training provision is available for new optometrists.Integrated care boards are responsible for commissioning primary and secondary eye care services and receive an annual allocation of funding to secure services to meet the needs of their local population. Any decisions about the recruitment of optometrists are a matter for individual employers.We will publish a refreshed workforce plan to deliver the transformed health service we will build over the next decade and treat patients on time again.

If he will publish the risk assessment for the abolition of NHS England.

The abolition of NHS England will strip out the unnecessary bureaucracy and cut the duplication that comes from having two organisations doing the same job. By the end of the process, we estimate that these changes will save hundreds of millions of pounds a year, which will be reinvested in frontline services.It is only right that with such significant reform, we commit to carefully assessing and understanding the potential impacts, as is due process. These ongoing assessments will inform our programme as appropriate.The Government is committed to transparency and will consider how best to ensure that the public and parliamentarians are informed of the outcomes.

What assessment he has made of the potential impact of the abolition of NHS England on the (a) planning and (b) delivery of primary care services.

Ministers and senior Department officials are working with the new executive team in NHS England, led by Sir Jim Mackey, to form a new joint centre. As we bring the two organisations together, we will continue to evaluate impacts of all kinds, and will put plans in place to mitigate any identified risks.

Whether he has held discussions with his EU counterparts on negotiating changes to the 90 in 180-day visa rule to allow British citizens to stay in the EU for longer for (a) leisure, (b) family visits and (c) seasonal work.

HMG officials and Ministers regularly engage the EU and EU Member State counterparts on a range of issues affecting UK nationals. The UK and the EU allow for visa-free, short-term travel in line with their respective arrangements for third country nationals. The UK allows EU citizens visa-free travel for up to six months; the EU allows for visa-free travel within the Schengen Area for up to 90 days in any rolling 180-day period; this is standard for third country nationals travelling visa-free. UK nationals planning to stay longer will need permission from the relevant Member State. The UK Government will continue to listen to and advocate for UK nationals.

What steps his Department is taking to support farmers experiencing mental health difficulties in rural areas.

We know that too many people are not receiving the mental health care they need, and we recognise that those living and working in isolated communities, including farmers, may face particular challenges in accessing the mental health services that they need.Specifically in relation to farmers and agricultural communities, the Department for Environment, Food and Rural Affairs is supporting access to farmer mental health support services by funding the Farmer Welfare Grant. This aids organisations in delivering projects which will support mental health and build resilience in local farming communities. One recipient, the Farming Community Network, is using the funding to expand their FarmWell platform. This online resource provides business and personal resilience advice on topics including mental health, isolation, depression, and suicide.The Department for Environment, Food and Rural Affairs is also developing options in consultation with communities, farming support organisations, and experts across the Government, as to how it can further support the Department for Health and Social Care’s investment in mental health interventions for those in agricultural communities.