Written questions by Dillon.

Whether his Department plans to provide local authorities with guidance on whole society resilience.

In July 2025, the Government published its Resilience Action Plan which set out its approach to enable the whole of society to take action to increase resilience.The Resilience Guidance Doctrine on GOV.UK brings all resilience guidance together in one place. It supports local responders, including local authorities, to understand how to fulfil their duties under the Civil Contingencies Act 2004 and how to work with partners to drive community resilience.There is also specific guidance in the ‘Local Authorities Preparedness for Civil Emergencies: A Good Practice Guide for Chief Executives’, which provides assistance to local authorities to make sure they are well-prepared to respond and recover from emergencies, including how to work collaboratively with wider partners. In response to the Grenfell Inquiry recommendations, MHCLG has committed to review this guidance further.Additionally, the Government, UK Resilience Academy, Local Government Association and Society of Local Authority Chief Executives are running a pilot to test a new training offer to local authority chief executives and all relevant staff.

What progress his Department has made in developing independently verified, modelled projections of the number of NHS staff required to meet future population demand, as set out in the NHS Long Term Workforce Plan.

We have committed to publishing regular workforce planning. This will start with the 10 Year Workforce Plan, which will include updated workforce modelling and its underlying assumptions when published in spring 2026. The updated workforce modelling will be supported by independent external scrutiny to assess and test it.

What steps he is taking with Cabinet colleagues to provide support for women who are disproportionately affected by long-term health conditions like arthritis.

The Government is committed to supporting women with long-term conditions like arthritis. Through the 10-Year Health Plan’s three big shifts, we will ensure more tests are delivered in the community, improved working between services, and greater use of technology to support women managing their long-term conditions. Delivering these shifts will be a cross-Government effort.We are renewing the women’s health strategy, to tackle enduring challenges and build on vital progress in women’s health.For those with musculoskeletal (MSK) conditions, including women with arthritis, we are working to deliver the Getting It Right First Time (GIRFT) MSK Community Delivery Programme. GIRFT teams are working with health system leaders to reduce MSK community waiting times, which are the highest of all community waits, and improve data, metrics, and referral pathways to wider support services.

What steps he is taking to address rising legal costs associated with clinical negligence claims.

The rising costs of clinical negligence claims against the National Health Service in England are of great concern to the Government. Costs have more than doubled in the last ten years and are forecast to continue rising, putting further pressure on NHS finances.Although forecasts remain uncertain, it is likely that the costs of clinical negligence will continue to grow substantially. The Government Actuary’s Department forecasts that annual payments for compensation and legal costs will increase from £3 billion in 2024/25 to £4.1 billion by 2029/30.As announced in the 10-Year Health Plan for England, David Lock KC is providing expert policy advice on the rising costs of clinical negligence and how we can improve patients’ experience of claims. The review is ongoing, following initial advice to ministers and the recent National Audit Office report.We welcome the report by the National Audit Office. The results of David Lock’s work will inform future policy making in this area. No decisions on policy have been taken at this point, and the Government will provide an update on the work done and next steps in due course.

What steps he is taking with Cabinet colleagues to help tackle health disparities amongst people who live in the most deprived areas.

It is a priority for the Government is to increase the amount of time people spend in good health and prevent premature deaths, with a vision of ensuring that all individuals, regardless of background or location, live longer, healthier lives. Our 10-Year Health Plan for the National Health Service in England sets out a reimagined service designed to tackle inequalities in both access and outcomes, as well as to give everyone, no matter who they are or where they come from, the means to engage with it on their own terms. Delivering the plan is a cross-Government effort.For example, we know that the Carr-Hill formula is considered outdated, and evidence suggests that general practices (GPs) serving in deprived parts of England receive on average 9.8% less funding per needs-adjusted patient than those in less deprived communities, despite having greater health needs and significantly higher patient-to-GP ratios. This is why we are currently reviewing the formula to ensure that resources are targeted where they are most needed.We also recognise that much of what determines of health and wellbeing in influenced by factors other than health services. Recent cross-Government action has included the introduction of Awaab’s Law and reform of the Decent Homes Standard for the social and private rented sector, the English Devolution Bill, and a new statutory heath inequalities duty for strategic authorities.

Communities and Local Government, what support the Government is providing to local planning authorities to ensure they have the expertise to manage parks and gardens casework in the absence of guaranteed specialist input.

On 18 November 2025, my Department published a consultation on reforms to the statutory consultee system. That consultation, which can be found on gov.uk here, closed on 13 January 2026. The consultation asked for views on the impact of removing consultee status in the planning application process from the Gardens Trust, The Theatres Trust and Sport England. No final decisions will be taken on the role of these statutory consultees until all consultation feedback has been fully analysed and considered. A government response will be published in due course. Regardless of consultation outcomes, these statutory consultees will continue to engage through public consultation and targeted notifications in the planning process.

Communities and Local Government, what assessment he has made of the potential impact on planning outcomes of the decision to remove statutory consultee status from certain bodies in the planning process.

On 18 November 2025, my Department published a consultation on reforms to the statutory consultee system. That consultation, which can be found on gov.uk here, closed on 13 January 2026. The consultation asked for views on the impact of removing consultee status in the planning application process from the Gardens Trust, The Theatres Trust and Sport England. No final decisions will be taken on the role of these statutory consultees until all consultation feedback has been fully analysed and considered. A government response will be published in due course. Regardless of consultation outcomes, these statutory consultees will continue to engage through public consultation and targeted notifications in the planning process.

What assessment he has made of the potential merits of repealing section 2(4) of the Law Reform (Personal Injuries) Act 1948.

The rising costs of clinical negligence claims against the National Health Service in England are of great concern to the Government. Costs have more than doubled in the last ten years and are forecast to continue rising, putting further pressure on NHS finances.Although forecasts remain uncertain, it is likely that the costs of clinical negligence will continue to grow substantially. The Government Actuary’s Department forecasts that annual payments for compensation and legal costs will increase from £3 billion in 2024/25 to £4.1 billion by 2029/30.As announced in the 10-Year Health Plan for England, David Lock KC is providing expert policy advice on the rising costs of clinical negligence and how we can improve patients’ experience of claims. The review is ongoing, following initial advice to ministers and the recent National Audit Office report.We welcome the report by the National Audit Office. The results of David Lock’s work will inform future policy making in this area. No decisions on policy have been taken at this point, and the Government will provide an update on the work done and next steps in due course.

When he plans to announce the next phase of the National Service Frameworks.

Early priorities for Modern Service Frameworks will include cardiovascular disease, sepsis, severe mental illness and the first ever service framework for frailty and dementia. As advised by the National Quality Board, the Government will consider other conditions for future phases of MSFs and has recently announced an MSF on palliative and end-of-life care.

Whether he is taking steps to establish staff treatment hubs.

Following the publication of the 10-Year Health Plan on 3 July 2025, work is underway to develop implementation and operational plans for the Staff Treatments Hubs. This will determine factors such as location, budgets, timeframes, and capacity.

Commonwealth and Development Affairs, what steps her Department is taking to ensure that UK Official Development Assistance reaches the people most in need.

I refer the Hon Member to the responses given on 20 January to the identical set of questions asked by his colleague, the Member for South Cambridgeshire, on 12 January (UINs 105089, 105090, 105095 and 105097)

Commonwealth and Development Affairs, what steps her Department is taking to address humanitarian crises caused or exacerbated by climate change.

I refer the Hon Member to the responses given on 20 January to the identical set of questions asked by his colleague, the Member for South Cambridgeshire, on 12 January (UINs 105089, 105090, 105095 and 105097)

Whether he is taking steps to improve workplace (a) catering and (b) rest facilities for healthcare workers.

Good physical working environments are important for staff wellbeing and retention. Staff need to be given the time and space to rest and recover from their work, particularly when working on-call or overnight. This is recognised as a priority in the NHS People Promise which sets out the importance of employers prioritising spaces for staff to rest and recuperate, and ensuring access to hot food and drinks.In May 2024, NHS England and NHS Charities Together launched a £10 million Workforce Wellbeing Programme to support National Health Service staff in England. It will provide tailored health and wellbeing support to NHS staff, including grants to improve facilities. A three-year programme of work named Great Food, Good Health, led by NHS England, aims to improve the experience and quality of nutritious food that patients, staff, and visitors receive in hospital. As part of this, the NHS made clear that NHS organisations must be able to demonstrate they have suitable 24/7 food service provision.

With reference to the Elective Recovery Plan, what progress his Department has made on the 18-week referral-to-treatment targets.

As set out in the Plan for Change and the Elective Reform Plan, 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.We have already made significant progress on this. As of November 2025, the waiting list has reduced by over 312,000 since the Government came into office, and performance against the referral to treatment standard has improved by 2.9%, reaching 61.8%.We’ve made this progress through setting ambitious targets, investing in modernisation, reforming and simplifying pathways, increasing surgical and diagnostic capacity, and empowering patients with faster and more convenient access to care.This has been supported by the delivery of 5.2 million additional appointments between July 2024 and June 2025 compared to the previous year, more than double the Government’s pledge of two million. This marked a vital First Step towards delivering the constitutional standard.

Commonwealth and Development Affairs, what steps her Department is taking to promote the rights and wellbeing of children in conflict zones.

I refer the Hon Member to the responses given on 20 January to the identical set of questions asked by his colleague, the Member for South Cambridgeshire, on 12 January (UINs 105089, 105090, 105095 and 105097)

Commonwealth and Development Affairs, what steps her Department is taking to ensure the continued delivery of humanitarian aid in Gaza and the West Bank.

I refer the Hon Member to the responses given on 20 January to the identical set of questions asked by his colleague, the Member for South Cambridgeshire, on 12 January (UINs 105089, 105090, 105095 and 105097)

Whether he plans to assess the impact of changes to the State Pension age on women born in the 1950s living in Newbury constituency.

All women born since 6 April 1950 have been affected by changes to State Pension age. Estimates can be made with ONS 2022 Census Data of how many women born in the 1950s were resident in each constituency in that year.

What steps he is taking to reduce elective care waiting times for (a) joint replacement surgery and (b) other surgeries.

Reducing elective waiting times across all specialties is a key part of the Government’s Health Mission, and this includes waiting times for trauma and orthopaedics. We exceeded our pledge to deliver an extra two million appointments, tests, and operations in our first year of Government, delivering 5.2 million additional appointments between July 2024 and June 2025. This marked a vital First Step to delivering on our commitment to return to the National Health Service constitutional standard that 92% of patients wait no longer than 18 weeks from referral to consultant-led treatment by March 2029.As of the end of November 2025, the number of trauma and orthopaedic pathways within 18 weeks stood at 59.2%, an improvement of 3.1% since the start of July 2024.However, we know there is more to do, and have confirmed over £6 billion of additional capital investment to expand capacity across diagnostics, electives, and urgent care. This includes increasing the number of surgical hubs, which provide protected surgical capacity across elective specialities, including trauma and orthopaedics.By separating elective services from urgent and emergency care, hubs improve patient outcomes and reduce hospital pressures. Almost three quarters of the 124 operational elective surgical hubs in England currently provide trauma and orthopaedics services.

What steps her Department is taking to address levels of school exclusion in West Berkshire.

The department publishes detailed exclusion data at a regional and local authority level and regularly monitors trends in school exclusion rates for pupil groups.The department is delivering a comprehensive programme of behaviour support for schools, including Attendance and Behaviour Hubs which are targeting schools with the highest need and providing wider national support The Suspension and Permanent Exclusion guidance states that schools, local authorities, and partners should work together to understand local trends. Local leaders should also use this to plan and implement targeted action suitable to local context. The guidance can be read in full here:https://www.gov.uk/government/publications/school-exclusion.Furthermore, the statutory relationships, sex and health education guidance includes curriculum content on drugs, alcohol, tobacco and vaping to ensure that pupils can understand the risks and implications of misuse. This guidance can be read in full here:https://www.gov.uk/government/publications/relationships-education-relationships-and-sex-education-rse-and-health-education.

What plans her Department has to help reduce levels of school exclusion related to (a) drugs and (b) alcohol in West Berkshire.

The department publishes detailed exclusion data at a regional and local authority level and regularly monitors trends in school exclusion rates for pupil groups.The department is delivering a comprehensive programme of behaviour support for schools, including Attendance and Behaviour Hubs which are targeting schools with the highest need and providing wider national support The Suspension and Permanent Exclusion guidance states that schools, local authorities, and partners should work together to understand local trends. Local leaders should also use this to plan and implement targeted action suitable to local context. The guidance can be read in full here:https://www.gov.uk/government/publications/school-exclusion.Furthermore, the statutory relationships, sex and health education guidance includes curriculum content on drugs, alcohol, tobacco and vaping to ensure that pupils can understand the risks and implications of misuse. This guidance can be read in full here:https://www.gov.uk/government/publications/relationships-education-relationships-and-sex-education-rse-and-health-education.