Written questions by McMahon.

What discussions has he had with Northern Care Alliance on capital funding for additional parking at the Royal Oldham Hospital.

My Rt Hon. Friend, the Secretary of State for Health and Social Care, has not held discussions with the Northern Care Alliance NHS Foundation Trust regarding capital funding for additional parking at the Royal Oldham Hospital. Decisions on the provision and capital funding of car parking are made locally by National Health Service organisations. The Northern Care Alliance NHS Foundation Trust has been allocated over £211 million in operational capital funding for the 2026/27 to 2029/30 period. In addition, the Greater Manchester Integrated Care Board has been allocated over £18 million for this period. This funding may be utilised for additional parking at the Royal Oldham Hospital where this is a local priority.

Whether he has held discussions with the Northern Ireland Executive on the potential merits of a National Library for Northern Ireland.

Responsibility for libraries in Northern Ireland is a devolved matter. My Ministerial colleagues in the Northern Ireland Office and I hold regular meetings with Northern Ireland Executive Ministers, including the Communities Minister, to discuss areas of mutual interest. I welcome discussion about the potential merits of a National Library for Northern Ireland, although thus far no discussions on this topic have been held.

What assessment he has made of trends in the level of cancelled appointments as a result of strike action in the NHS since July 2024.

The National Health Service met its ambitious goal to maintain 95% of planned care during the November round of strike action, surpassing the 93% protected during action in July, while still maintaining critical services, including maternity services and urgent cancer care. Cancellations have reduced across successive periods of strikes. As a result of industrial action:there were 61,989 elective procedures and appointments rescheduled between 27 June and 1 July;there were 54,095 elective procedures and appointments rescheduled between 25 July and 29 July; andthere were 38,961 elective procedures and appointments rescheduled between 14 November to 18 November.

What discussions she has had with regulators on reviewing rules on credit unions offering insurance products such as income protection.

Credit unions are regulated by the Prudential Regulation Authority (PRA) and the Financial Conduct Authority (FCA) to ensure the stability and soundness of the sector. The regulators are independent and make decisions on the regulation of credit unions in line with their statutory objectives.Credit unions themselves are not insurance providers. Following the Financial Services and Markets Act 2023, credit unions were given clearer permissions to act as distributors, enabling their members to access insurance products through partner firms. This does not allow credit unions to underwrite insurance themselves, and any arrangements made under these rules would be subject to the regulators' consumer protection rules.In response to a request from HM Treasury, the PRA and FCA published reports on the mutuals sector on 5 December. As part of this, the regulators have committed to reviewing the regulatory framework governing credit unions.

What plans are in place to build medium and long term NHS directly provided capacity to increase appointments in (a) diagnostic tests and (b) elective treatment.

As set out in the Plan for Change, we are committed to returning by March 2029 to the National Health Service constitutional standard that 92% of patients wait no longer than 18 weeks from referral to consultant-led treatment. Increasing surgical and diagnostic capacity is a key part of our plan to deliver this ambition.We are providing additional diagnostic and elective capacity through a mixture of investments in new equipment and facilities in acute hospitals and community settings, as well as improving utilising and the productivity of our existing assets.Dedicated and protected surgical hubs transform the way the NHS provides elective care by focusing on providing high volume, low complexity surgery, as recommended by the Royal College of Surgeons of England. There are currently 123 operational surgical hubs across England, 23 of which have opened since the Government took office. We will expand the number of hubs over the next three years to increase surgical capacity and deliver faster access to common procedures.Community diagnostic centres (CDCs) provide a broad range of elective diagnostics away from acute facilities, reducing pressure on hospitals and giving patients quicker and more convenient access to tests. CDCs are now delivering additional tests and checks on 170 sites across the country. We will expand existing CDCs, as well as building up to five new ones in 2025/26. We are also committed to opening CDCs 12 hours per day, seven days a week.This is supported by £6 billion of additional capital investment over five years for diagnostic, elective, urgent, and emergency capacity in the NHS. This includes £1.65 billion of capital funding in 2025/26 to deliver new surgical hubs, diagnostic scanners, and beds to increase capacity for elective and emergency care.We will create an NHS fit for the future, modernising care so that it takes place efficiently and closer to home, prioritising patient experience and ensuring that wherever you live in England, you will be seen, diagnosed, and treated in a timely way.

How many safety breaches have there been at rail road level crossings in Greater Manchester since 2015.

Great Britain’s level crossings are among the safest in Europe. The number of incidents at rail-road level crossings in Greater Manchester since 2017/18 is set out below. No comparable data is available for previous years. .Fiscal YearIncidents2017/2018382018/2019342019/2020312020/2021152021/2022362022/2023402023/2024582024/2025412025/2026 (to 12 December)38Total331

Communities and Local Government, what assessment he has made of the potential safeguarding risk of unknown adults from the general public being on premises such as B&Bs and hotels along with families with children living in temporary accommodation.

The Government is clear that B&B accommodation is never suitable for families with children and their use in emergencies should be rare and short. Our National Plan to End Homelessness sets a target to end the use of B&B accommodation for families with children by the end of this parliament.

Communities and Local Government, what assessment he has made of levels of homelessness relative to (a) levels of affordability of rented accommodation and (b) rates of local housing allowance.

A lack of affordable housing is a key driver of homelessness. This Government plan to deliver a decade of renewal for social and affordable housing, including with £39 billion funding for the Social and Affordable Homes Programme. We recognise some private renters need support with their rent. That is why we will work across government to keep Local Housing Allowance rates under review in order to deliver on the government's priorities, including maintaining the long-term fiscal sustainability of the welfare system.

What assessment she has been made of the potential impact, average level and trends of business rates payable by businesses in the retail, hospitality and leisure sectors since 2015.

The amount of business rates paid on each property is based on the rateable value of the property, assessed by the Valuation Office Agency (VOA), and the multiplier values, which are set by the Government. Rateable values are re-assessed every three years. Revaluations ensure that the rateable values of properties (i.e. the tax base) remain in line with market changes, and that the tax rates adjust to reflect changes in the tax base. At the Budget, the VOA announced updated property values from the 2026 revaluation. This revaluation is the first since Covid, which has led to significant increases in rateable values for some properties as they recover from the pandemic. To support with bill increases, at the Budget, the Government announced a support package worth £4.3 billion over the next three years, including protection for ratepayers seeing their bills increase because of the revaluation. As a result, over half of ratepayers will see no bill increases, including 23% seeing their bills go down. This means most properties seeing increases will see them capped at 15% or less next year, or £800 for the smallest.Without our support, the pub sector as a whole would have faced a 45% increase in the total bills they pay next year. Because of the support we’ve put in place, this has fallen to just 4%. The new RHL tax rates replace the temporary RHL relief that has been winding down since Covid. Unlike RHL relief, the new rates are permanent, giving businesses certainty and stability, and there will be no cap, meaning all qualifying properties on high streets across England will benefit.The National Insurance Contributions (NICs) Employment Allowance has been more than doubled to £10,500, ensuring that over half of businesses with National Insurance liabilities, including those in the hospitality sector, will either gain or see no change this year. A Tax Information and Impact Note was published alongside changes to employer NICs.

What assessment he has made of the regional representation of new peers appointed for each year since 2015 to the current December 2025 list.

The House of Lords works best when there is a diversity of perspectives represented, including from all the nations and regions of the United Kingdom. The Prime Minister published a statement in June 2025, setting out the roles and responsibilities of those involved in the appointments system, in which he emphasised that party leaders should consider national and regional representation when making nominations, to ensure the second chamber better reflects the country it serves.As a first step in reform of the House of Lords, the Government introduced the House of Lords (Hereditary Peers) Bill which removes the right of hereditary peers to sit and vote in the House of Lords. The Government’s priority is to get this Bill on the statute book as soon as possible.

When the local housing allowance was last updated; and what estimate he has made of the difference between average rents at the time of the last update compared with the most recent available data.

Local Housing Allowance (LHA) rates were last updated in April 2024. The Office for National Statistics ‘Price Index of Private Rents’ (PIPR) provides monthly estimates for average rents in the whole private rental sector. PIPR data is available on the ONS website: https://www.ons.gov.uk/economy/inflationandpriceindices/datasets/priceindexofprivaterentsukmonthlypricestatistics

What assessment he has made of possible generational links to suicide; and what support is available to children of people who have taken their own lives.

The Government has not made an assessment of possible generational links to suicide. The Suicide Prevention Strategy for England, published in 2023, identifies eight priority groups, including children and young people, for targeted and tailored support at a national level. Another key priority area is to improve support for people bereaved by suicide. The purpose of the Suicide Prevention Strategy is to set out our aims to prevent suicide through action by working across Government and other organisations. One of the key visions of the strategy is to reduce the stigma surrounding suicide and mental health, so people feel able to seek help through the routes that work best for them. This includes raising awareness that no suicide is inevitable. The Government is expanding access to mental health support teams in all schools and colleges to reach all pupils by 2029, ensuring that every pupil has access to early support services. This expansion will ensure that up to 900,000 more children and young people will have access to support from trained education mental health practitioners in 2025/26.

What estimate he has made of the number of cancelled annual leave days as a result of strike action in the NHS since July 2024.

The Department has made no estimate of the number of cancelled annual leave days as a result of strike action in the National Health Service. Information is not held centrally on the level of cancellation of annual leave of NHS staff, including for the reason of cover of staff who are undertaking industrial action.Our priority is to keep patients as safe as possible during any industrial action. The NHS makes every effort through rigorous contingency planning to minimise the disruption of industrial action and its impact on patients and the public. Assessments are made by local Trusts about levels of resourcing available, and they can escalate concerns via regions and nationally, where appropriate.

What assessment he has made of the adequacy of inpatient mental health capacity in Greater Manchester; and what discussions he has had with Pennine Care NHS Trust on that issue.

No such specific assessment has been made. The Greater Manchester Integrated Care Partnership is responsible for commissioning National Health Service mental health inpatient beds to meet the needs of the local population across Greater Manchester. Neither ministers nor departmental officials have held discussions with the Pennine Care NHS Trust on that issue.Nationally, our ambition is to avoid unnecessary admissions to mental health inpatient services and provide care close to home, including alternatives to admission. The 10-Year Health Plan sets out our plans to transform mental health services to improve access and treatment, and to promote good mental health and wellbeing for the nation. This includes piloting neighbourhood mental health centres, which will bring together a range of community mental health services under one roof, including crisis services and short-stay beds.In addition, all integrated care boards (ICBs) were asked to publish a three-year plan to localise and realign mental health, learning disability, and autism inpatient care. The Greater Manchester ICB shared their plan at their public board on 20 November 2024. The plan commits to making the best use of resource and reducing reliance on inpatient care, so that more people can access care and support for their mental health, as and when they need it.We will move care closer to home by reducing out of area placements for mental health patients by March 2027, as outlined in the medium-term planning framework. We will also use new integrated health organisations to break down barriers between services and ensure more integrated, holistic care, addressing both physical and mental health care needs, with more freedom to determine how best to meet the needs of their local populations.

Communities and Local Government, what assessment he has made of the potential impact of trends in the cost of building materials on house building costs.

Construction costs have increased 52% over the past ten years. Prices are now stable, rising only 1% between January 2024 and January 2025. We are taking urgent action to support housebuilding and meet our mission to build 1.5m homes through bold planning reforms and a record £39bn investment to kickstart social and affordable housebuilding at scale across the country.

What assessment he has made of the potential impact of professional accreditation of home care workers on levels of recruitment and retention; and what discussions he has had with relevant stakeholders on this issue.

There are beneficial effects of accredited qualifications and structured learning on the recruitment and retention of care workers. Skills for Care data shows that turnover rates are approximately 10% lower for staff who hold a relevant qualification compared to those without. Additionally, staff who received more than 30 instances of training evidenced a turnover rate 3.4% lower than those who recorded only one to five instances, with further information available in Skills for Care’s the ‘State of’ report at the following link:https://www.skillsforcare.org.uk/Adult-Social-Care-Workforce-Data/workforceintelligence/Reports-and-visualisations/National-information/The-State-of-report.aspxThe Department introduced the Care Workforce Pathway, the first universal career structure for adult social care, which sets out clear skills, and progression routes to help retain staff and attract newcomers by recognising care workers as professionals and promoting development opportunities.Additionally, we launched the Learning and Development Support Scheme, which provides funding support for training, including recognised qualifications like the Level 2 Adult Social Care Certificate, which provides a portable, recognised foundation of skills and knowledge, aiming to reduce duplication of training and increase retention. Furthermore, the Quality Assured Care Learning Service ensures training is high-quality, meets sector needs, and supports career growth.

Media and Sport, if she will regulate the commercial use of copyright protected material by generative AI.

This is a complex and evolving area. The government’s priority is to get this right - not legislate prematurely. We have said that we won’t act unless that action works for creators. We continue to engage with a range of stakeholders across sectors, and with parliament as we consider all options. This includes engagement through our technical working groups and the parliamentary working group chaired by the DCMS and DSIT Secretaries of State. We will also publish an economic impact assessment and a report on the use of copyright works in the development of AI systems, by 18 March 2026.

What assessment she has made of the adequacy of the provision of youth autism advocacy programmes in local authorities in England.

As part of our Plan for Change, the department is determined to fix the special educational needs and disabilities (SEND) system and restore the trust in it. To help us deliver this, we are having a further period of co-creation with families, teachers, children and young people and experts from across the sector to test our proposals further. We will bring forward a full Schools White Paper soon.Through our Participation programme, we fund support and training to local authorities to strengthen and grow children and young people’s participation at a local level.The department continues to strengthen co-production with children and young people via monthly meetings with our national SEND young people’s group and regional SEND young people’s groups across England, who share their views and experiences with us.Local authorities should use existing organisations and young people forums to enable engagement with children, young people and their parents. The Special Educational Needs and Disabilities Information and Support Services offer information, advice and support for parents, carers children and young people with SEND.

Whether he plans to prevent NHS trusts from generating surpluses from car parking income charged to staff, patients and visitors.

Free National Health Service hospital carparking is in place for in-need groups. This includes disabled blue badger holders, frequent outpatient attenders, parents of children staying overnight, and NHS staff working overnight.Car parking charges, where they do exist, are a significant control mechanism within trusts to manage capacity as there are a limited number of car parking spaces available for patients and staff. The income from car parking is primarily used to pay for the cost of running the car park, for example security and maintenance costs. Any surplus income is re-invested in NHS services.All trusts are expected to follow the published NHS Car Parking Guidance. This states that where car parking charges do exist, they should be reasonable for the area. The guidance is available at the following link:https://www.gov.uk/government/publications/nhs-patient-visitor-and-staff-car-parking-principles/nhs-patient-visitor-and-staff-car-parking-principles

Whether her Department are considering introducing a requirement for users to (a) licence and (b) insure (1) e bikes and (2) e scooters.

There are no plans to require the licensing or insurance of e-bikes. A previous detailed review of licensing and insurance for all cyclists (including e-bike users) concluded that the cost and complexity of introducing such a system would far outweigh the benefits. Private e-scooters are illegal to use on public roads, cycle lanes and pavements. Rental e-scooters can only be used as part of the Government’s national rental e-scooter trials, in which e-scooters must be covered by a motor vehicle insurance policy, and users must have at least a provisional driving licence. The Government has committed to pursuing legislative reform for micromobility vehicles, which is likely to include e-scooters, when parliamentary time allows. No decisions on future micromobility legislation have yet been made and we will use evidence from the trials to learn how to effectively and safely regulate them.