Written questions by Morgan.

Whether his Department has approved a national redundancy scheme for the 50% integrated care board cost reduction target; and whether he has allocated funds allocated to meet exit costs.

There are significant workforce implications following the Prime Minister’s announcement of the integration of the Department and NHS England, and the associated reduction in size, as well as the subsequent announcement of integrated care board and National Health Service trusts corporate cost reductions. These reforms will deliver a more efficient, leaner centre, and will also free up capacity and help deliver significant savings of hundreds of millions of pounds a year, which will be reinvested in frontline services to cut waiting times through the Government’s Plan for Change. Through the 2025 Spending Review, we are working with NHS England and HM Treasury on how the costs of restructuring will be met. Those discussions have not yet concluded. NHS England expects to launch a national scheme shortly.

Whether NHS England has set formal (a) criteria and (b) guidance on the key functions Integrated Care Boards will be expected to provide under the proposed cost envelope.

NHS England has asked integrated care boards (ICBs) to act primarily as strategic commissioners of health and care services and to reduce the duplication of responsibilities within their structure with the expectation of achieving a reduction in their running cost allowance. NHS England provided additional guidance to ICBs, National Health Service trusts, and NHS foundation trusts in a letter on 1 April 2025. This letter is available at the following link:https://www.england.nhs.uk/long-read/working-together-in-2025-26-to-lay-the-foundations-for-reform/NHS England has circulated the document, Model Integrated Care Board – Blueprint v1.0, to all ICBs to assist them in shaping their plans. The document identifies the functional changes that ICBs will have to manage and indicates the responsibilities they may look to grow, adapt, or review for transfer, including the functions and activities that might be safely transferred to other parts of the system over time, such as national bodies, regional teams, or providers.NHS England’s transformation team will continue to work with ICBs to develop their plans, including how the key functions will be delivered within the revised running cost allocations, ensuring a focus on delivering NHS statutory functions in line with the legislation.

On what statutory basis NHS England has required Integrated Care Boards to reduce their running cost allowances by 50% by Quarter 3 of the 2025-26 financial year.

The National Health Service Act 2006, as amended by The Health and Care Act 2022, grants NHS England powers to establish integrated care boards (ICBs) as statutory bodies for commissioning the majority of health and care services in England. The National Health Service Act 2006 also grants NHS England powers to ensure that expenditure incurred by ICBs does not exceed the aggregated sum allocated to them in a financial year.

What plans he has to bring forward legislative proposals to to transfer (a) statutory duties and (b) functions from Integrated Care Boards to other bodies.

NHS England has asked the integrated care boards (ICBs) to act primarily as strategic commissioners of health and care services and to reduce the duplication of responsibilities within the health and care structure.To deliver on this commitment, NHS England rapidly convened a group of ICB leaders, including clinical representatives, in order to start developing the blueprint. The work was split into three areas: defining a vision and the future functions of ICBs; mapping functions and duties across the system; and managing a safe transition.We recognise that not all function transferrals can be done this year, particularly those rooted in ICB statutory duties. For the areas which will be reviewed for transfer, we recognise that further work and engagement is required, and we acknowledgment that, even with this flexibility, transferring functions requires careful consideration of interdependencies with other functions and the readiness of partner organisations to receive the function.The Department is working with NHS England and the ICBs to develop these plans to ensure the timely implementation of the changes, whilst expecting ICBs to continue to deliver on their statutory responsibilities.

If he will publish the template issued by NHS England to Integrated Care Boards for completing their cost reduction plans by 31 May 2025.

NHS England has asked integrated care boards (ICBs) to act primarily as strategic commissioners of health and care services and to reduce the duplication of responsibilities within their structure with the expectation of achieving a reduction in their running cost allowance. NHS England provided additional guidance to ICBs, National Health Service trusts, and NHS foundation trusts in a letter on 1 April 2025. This letter is available at the following link:https://www.england.nhs.uk/long-read/working-together-in-2025-26-to-lay-the-foundations-for-reform/NHS England has circulated the document, Model Integrated Care Board – Blueprint v1.0, to all ICBs to assist them in shaping their plans. The document identifies the functional changes that ICBs will have to manage and indicates the responsibilities they may look to grow, adapt, or review for transfer, including the functions and activities that might be safely transferred to other parts of the system over time, such as national bodies, regional teams, or providers.NHS England’s transformation team will continue to work with ICBs to develop their plans, including how the key functions will be delivered within the revised running cost allocations, ensuring a focus on delivering NHS statutory functions in line with the legislation.

If he will list (a) all functions identified for (i) transfer and (ii) decommissioning in the NHS England Model Integrated Care Board Blueprint and (b) the designated receiving organisations for each function.

NHS England has asked integrated care boards (ICBs) to act primarily as strategic commissioners of health and care services and to reduce the duplication of responsibilities within their structure with the expectation of achieving a reduction in their running cost allowance. NHS England provided additional guidance to ICBs, National Health Service trusts, and NHS foundation trusts in a letter on 1 April 2025. This letter is available at the following link:https://www.england.nhs.uk/long-read/working-together-in-2025-26-to-lay-the-foundations-for-reform/NHS England has circulated the document, Model Integrated Care Board – Blueprint v1.0, to all ICBs to assist them in shaping their plans. The document identifies the functional changes that ICBs will have to manage and indicates the responsibilities they may look to grow, adapt, or review for transfer, including the functions and activities that might be safely transferred to other parts of the system over time, such as national bodies, regional teams, or providers.NHS England’s transformation team will continue to work with ICBs to develop their plans, including how the key functions will be delivered within the revised running cost allocations, ensuring a focus on delivering NHS statutory functions in line with the legislation.

What steps she is taking to reduce business rates for the owners and tenants of buildings containing market stalls.

Business rates are paid by the occupiers of commercial properties. In the event a property is unoccupied, the property owner is liable for the property’s business rates bill. To deliver our manifesto pledge, we intend to introduce permanently lower tax rates for qualifying retail, hospitality, and leisure (RHL) properties, including those on the high street, from 2026-27. Eligibility for these new RHL multipliers will broadly mirror the scope of the existing RHL relief scheme. During the interim period, for 2025-26, RHL businesses will receive a 40 per cent relief on their business rates up to a cash cap of £110,000 per business.

Pursuant to Answer of 11 March 2025 to Question 35636 on Agriculture and Business: Inheritance Tax, if her Department will publish its modelling for an alternative clawback mechanism for agricultural property relief and business property relief.

The Office for Budget Responsibility only certifies costings for the Exchequer impact of the Government’s tax policies. In accordance with standard practice, the Government does not publish modelling of alternative tax proposals that are not Government policy.

What assessment he has made of the potential impact of the (a) cost and (b) complexity of public procurement applications on the capacity of small and medium-sized businesses.

The Government is determined to ensure the £385 billion of public money spent on public procurement annually, delivers economic growth and supports small businesses. For too long, small and medium-sized enterprises (SMEs) and voluntary, community and social enterprises (VCSEs) have been held back by government procurement processes that are too slow, bureaucratic, and difficult to navigate. The National Procurement Policy Statement (NPPS) sets out the Government’s strategic priorities for public procurement and builds on measures in the Procurement Act including an expectation for all public bodies to maximise procurement spend with SMEs and VCSEs. In central government, we have also announced new rules to drive greater transparency and accountability for increasing numbers of SMEs and VCSEs delivering public contracts. From 1 April 2025 central government departments must set three-year targets for direct spend with SMEs, and from 1 April 2026 for VCSEs, and to publish progress annually. The Government will consult on further reforms to our public procurement processes to drive economic growth, support small businesses, and better support innovation.

What steps he is taking to support small businesses with public procurement applications.

The Government is determined to ensure the £385 billion of public money spent on public procurement annually, delivers economic growth and supports small businesses. For too long, small and medium-sized enterprises (SMEs) and voluntary, community and social enterprises (VCSEs) have been held back by government procurement processes that are too slow, bureaucratic, and difficult to navigate. The National Procurement Policy Statement (NPPS) sets out the Government’s strategic priorities for public procurement and builds on measures in the Procurement Act including an expectation for all public bodies to maximise procurement spend with SMEs and VCSEs. In central government, we have also announced new rules to drive greater transparency and accountability for increasing numbers of SMEs and VCSEs delivering public contracts. From 1 April 2025 central government departments must set three-year targets for direct spend with SMEs, and from 1 April 2026 for VCSEs, and to publish progress annually. The Government will consult on further reforms to our public procurement processes to drive economic growth, support small businesses, and better support innovation.

Innovation and Technology, what discussions he has had with Freedom Fibre on Project Gigabit contracts since 1 January 1 2025; and whether he will publish the minutes of those meetings.

As the executive agency responsible for delivering Project Gigabit, Building Digital UK (BDUK) holds regular meetings with suppliers, including Freedom Fibre, to discuss their progress with delivery of their Project Gigabit contracts. Ministers have had no such meetings with Freedom Fibre since 1 January 2025.

What steps he is taking to increase the proportion of public procurement contracts awarded to small and medium sized businesses.

The Government is determined to ensure the £385 billion of public money spent on public procurement annually, delivers economic growth and supports small businesses. For too long, small and medium-sized enterprises (SMEs) and voluntary, community and social enterprises (VCSEs) have been held back by government procurement processes that are too slow, bureaucratic, and difficult to navigate. The National Procurement Policy Statement (NPPS) sets out the Government’s strategic priorities for public procurement and builds on measures in the Procurement Act including an expectation for all public bodies to maximise procurement spend with SMEs and VCSEs. In central government, we have also announced new rules to drive greater transparency and accountability for increasing numbers of SMEs and VCSEs delivering public contracts. From 1 April 2025 central government departments must set three-year targets for direct spend with SMEs, and from 1 April 2026 for VCSEs, and to publish progress annually. The Government will consult on further reforms to our public procurement processes to drive economic growth, support small businesses, and better support innovation.

Innovation and Technology, how many properties had been connected to full fibre under the North Shropshire Project Gigabit contract on 1 May 2025.

As part of Project Gigabit, Freedom Fibre was awarded a contract to deliver gigabit-capable broadband to premises in North Shropshire that were not expected to be reached by suppliers’ commercial rollout.As of 1 May 2025, Building Digital UK (BDUK) had received reports from the supplier confirming the delivery for 845 premises under this contract in the North Shropshire constituency.

Innovation and Technology, whether he has made and assessment of the suitability of Freedom Fibre to deliver the Project Gigabit contract in North Shropshire constituency since the termination of Freedom Fibre’s Project Gigabit contract for Cheshire.

The Project Gigabit contract for North Shropshire was awarded following a procurement which was compliant with the Public Contracts Regulations 2015.Officials in Building Digital UK (BDUK) meet regularly with Freedom Fibre to oversee its delivery of this contract.

Innovation and Technology, what assessment he has made of the progress of the Project Gigabit rollout in North Shropshire constituency since 1 January 2025.

As part of Project Gigabit, Freedom Fibre was awarded a contract to deliver gigabit-capable broadband to premises in North Shropshire that were not expected to be reached by suppliers’ commercial rollout.As of 1 May 2025, Building Digital UK (BDUK) had received reports from the supplier confirming the delivery for 845 premises under this contract in the North Shropshire constituency.

What estimate his Department has made of the potential savings to the public purse from reduced usage of on-framework staffing agencies.

We have answered this question referencing the Planning Guidance for 2024/25, where NHSE England stated that trusts should end the use of off-framework agencies.The 2025/26 NHS priorities and operational planning guidance aims to improve procurement, contract management, and work to accept operating models that meet commercial standards.Use of off-framework agencies, which tends to be more expensive, is at record lows, contributing to a forecast cost reduction of £1.4 billion from 2024/25 (approximately 38% reduction) - NHS England » Financial performance update.Off-framework use is actively monitored through NHS England governance mechanisms, with additional oversight applied to Trusts with recurring non-compliance.

Whether he plans to personally meet with cross-party representatives to discuss social care reform.

Building a cross-party consensus is fundamental to the national conversation that the Prime Minister has tasked Baroness Louise Casey of Blackstock to facilitate.The commission is independent and Baroness Casey has the full support of my Rt. Hon. friend, the Secretary of State for Health and Social Care, in taking this work forward and deciding how best to engage other political parties and in building cross-party consensus.

What assessment he has made of the potential impact of the planned 30 per cent reduction in agency spend outlined in the NHS Planning Guidance 2025-26 on nurse fill rates.

As outlined in the NHS Planning Guidance 2025/26, all trusts are required to reduce agency spend by at least 30%, with an additional focus on achieving a 10% reduction in spend on bank staff. This aims to transition away from a reliance on costly temporary staff and to promote investment in permanent roles.While this specific assessment has not been made, fill rates on temporary staff, including nurses, are monitored monthly. It is essential that patient safety considerations continue to be the most important priority.Spend on agency increased significantly in 2021/22 to £2.96 billion and to £3.46 billion in 2022/2023. However, spend appears to have peaked as 2023/24 spend was £3 billion and it has decreased further in 2024/25.My Rt. Hon. Friend, the Secretary of State for Health and Social Care, and Jim Mackey, Chief Executive of NHS England, wrote to trusts and integrated care boards in early June 2025 to reinforce the message in the Planning Guidance and set the ambition to eliminate agency spend in this parliament as part of optimising costs and productivity. The expectation is that staff will move to bank and substantive roles.

Food and Rural Affairs, whether his Department has updated its contingency plans following foot and mouth disease outbreaks in mainland Europe in 2025.

Defra’s approach to foot and mouth disease (FMD) control is set out in the Foot and Mouth Disease Control Strategy for Great Britain supported by the Contingency plan for exotic notifiable diseases of animals in England.Defra and the Animal and Plant Health Agency (APHA) keep preparedness under continual review but have refocused efforts following the recent outbreaks of FMD in mainland Europe. To this end, the FMD Control Strategy is being reviewed and will be published on GOV.UK in due course. The Contingency plan for exotic notifiable diseases of animals in England is reviewed annually, and the next update is due to be laid before parliament in late autumn this year.APHA, which leads Government action on animal disease control in Great Britain, is in the planning stages of a national tier 2 exercise to test and validate our response to an outbreak of FMD, scheduled for late 2025.

What steps her Department is taking to help support pensioners in North Shropshire constituency whose pre-1997 contributions are not subject to indexation.

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 do 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#f3a5fe60511a445f91112bd7dd8a64aeBut for those affected by a lack of indexation I recognise the significance this can have.Members of these pension schemes are now understandably concerned at seeing inflation erode the value of their retirement income.It would be unreasonable to retrospectively increase the cost to schemes for benefits already earned, as these costs could not have been taken into account in the funding assumptions used to set contribution rates at the time.The Government’s upcoming 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.