Written questions by Morton.

What assessment he has made of the potential impact of discharges late on Friday evenings on the safeguarding and wellbeing of patients.

Every acute hospital has access to a multi-disciplinary care transfer hub, where National Health Service and social care professionals manage discharges and arrange appropriate support packages for patients, so they receive the services they need upon their discharge. As set out in the statutory guidance on hospital discharge and community support, these teams should ensure that any safeguarding concerns have been considered alongside other support needs.

What steps he is taking to help prevent industrial action in the NHS.

In May, we accepted the independent pay review bodies’ headline pay recommendations, giving doctors and Agenda for Change staff, including nurses, an above inflation pay rise for the second year in a row.As well as awarding resident doctors in England a pay rise of 28.9% over the last three years, we have listened to their concerns about the state of their training and employment for resident doctors and made proposals to tackle this. We have been clear that we cannot go further on pay but we remain committed to finding a way to end their dispute.We continue to work in partnership with stakeholders, including trade unions and employers, to implement a suite of non-pay measures to improve working conditions such as tackling violence against National Health Service staff, improving career progression for nurses, and improving the process for exception reporting for resident doctors.Our 10 Year Workforce Plan will set out how we will deliver change by making sure that staff are better treated, have better training, and more fulfilling roles.

Commonwealth and Development Affairs, what assessment she has made of the effectiveness of the pre-deployment of UK military teams to the Turks and Caicos Islands ahead of Hurricane Melissa, and whether similar pre-deployment strategies will be adopted in future hurricane seasons.

The UK military team pre-deployed to the Turks and Caicos Islands supported the disaster management preparations, response and recovery work as needed.After Hurricane Melissa passed, HMS Trent redeployed to Jamaica. HMS Trent was equipped with humanitarian and disaster relief trained troops and crisis response equipment. It provided swift access to affected areas and the delivery of essential supplies, specialist recovery personnel, transport and damage assessments.Similar pre-deployment strategies will be considered as part of response options in future hurricane seasons.

Commonwealth and Development Affairs, what assessment her Department has made of the potential benefits to the UK economy from the Global Fund’s partnerships with British research institutions, including in relation to innovations in HIV prevention and malaria control referenced in the Written Statement HCWS1043 made on 11 November 2025.

The Global Fund's partnerships with British research institutions have supported innovations such as long-lasting insecticidal nets, improved HIV prevention, antiretroviral therapies, and strengthened community-led responses. Such partnerships drive scientific advancement, support skilled employment, and reinforce the UK's leadership in global health, delivering benefits to both global health and the UK economy.

Commonwealth and Development Affairs, what steps her Department is taking to support global reform of multilateral health organisations referred to in Written Statement HCWS1043, made on 11 November 2025, including improving coordination between Gavi, the Global Fund and other global health institutions.

The UK is working with partners to drive reform of the multilateral system in line with the Lusaka Agenda, supporting countries to move along the path to self-sufficiency.The Foreign, Commonwealth and Development Office (FCDO) support the work that the Global Fund and Gavi leadership are undertaking to drive greater impact, efficiencies and effectiveness at country level and to explore more structural options for collaboration in future.

What assessment she has made of the adequacy of highways maintenance funding allocated to the West Midlands for 2025–26.

West Midlands Combined Authority (WMCA) is in receipt of £1.05bn of devolved City Region Sustainable Transport Settlements (CRSTS) funding for the period 2022/23 to 2026/27, and has been allocated £2.4bn of Transport for City Regions (TCR) funding for the period up until 2031/32. These funding settlements are for investment in the West Midlands local transport network including local highways maintenance. For 2025/26, the Department has allocated £1.6 billion in capital funding for local highways maintenance nationally, including a £500 million uplift compared to the previous year. 25% of this uplift is contingent on local authorities adhering to reporting requirements and demonstrating that they are following best practice in highways maintenance. WMCA are eligible to receive an additional £8.6 million from this additional funding. Decisions on how this funding is spent across the city region rests with the combined authority in line with local priorities.

What recent discussions she has had with West Midlands Rail Executive on improving rail connectivity between Walsall and Birmingham; and what assessment her Department has made of the potential merits of restoring previous services levels.

The service between Walsall and Birmingham is operating with four trains per hour, which means that the previous service levels operating before Covid-19 have already been restored. These services operate with newly introduced Class 730 trains. The Department is working with West Midlands Rail Executive, Walsall Council and the railway industry regarding rail services in the wider Walsall Council area serving the new stations at Willenhall and Darlaston from next year.

What steps she is taking to support bus operators in the West Midlands to maintain service frequency on key local routes, including those serving Aldridge and surrounding communities.

The Government knows that reliable and frequent bus services are vital to providing access to services and keeping communities connected. The Government’s Bus Services Act 2025 puts passenger needs, reliable services and local accountability at the heart of the industry by putting the power over local bus services back in the hands of local leaders right across England. As part of the Autumn 2024 Budget, the Government allocated over £1 billion to support and improve bus services in 2025/26 and keep fares affordable. This includes £243 million for operators through the Bus Service Operators Grant (BSOG) and BSOGPlus, and £712 million for local authorities. The BSOG helps operators to keep fares down and run services that might otherwise be unprofitable and could lead to cancellation. Of the £712 million for local authorities, the West Midlands Combined Authority has been allocated £50 million. Funding allocated to local authorities to deliver better bus services can be used in whichever way they wish to improve services for passengers, including expanding services and improving frequency. The Government reaffirmed its commitment to investing in bus services long-term in this Spending Review. On 11 June, the Government confirmed additional funding per year from 2026/27 to maintain and improve bus services, including taking forward franchising pilots and extending the £3 bus fare cap until March 2027.

Communities and Local Government, what recent assessment he has made of the adequacy of the financial resilience of metropolitan local authorities; and what steps his Department is taking to support councils implementing section 114 recovery plans.

The government is delivering a fairer system and realigning funding with need and deprivation through the first multi-year Local Government Finance Settlement in a decade. These changes will not fix the challenges facing local government overnight. Reform will take time and we recognise the potential for continued instability as we work to fix the foundations of local government, but these proposals are a fundamental step to improving the sustainability of the sector in the years to come and will allow councils to focus on service delivery and transformation. Issuing a Section 114 notice is a local decision and one that government has no formal role in. However, the government has now confirmed in the policy statement published on 20 November that there will continue to be a framework in place to support local authorities in the most difficult financial positions and remains committed to working collaboratively with them to work towards financial sustainability.

Commonwealth and Development Affairs, with reference to the Written Statement of 11 November 2025 (HCWS1043) on the Global Fund to Fight AIDS, Tuberculosis and Malaria, what assessment her Department has made of the UK’s ability to sustain previous levels of investment in multilateral health partnerships; and what analysis she has commissioned on the projected impact of this reduced fiscal envelope during the 2026–28 replenishment cycle on projected health outcomes.

I refer the Hon Member to the answer provided on 17 September to Question 72441.

Commonwealth and Development Affairs, what assessment she has made of the role the Global Fund will play in improving global surveillance systems for infectious diseases, including early warning capabilities for antimicrobial resistance and future pandemics; and how this aligns with the UK’s national health-security strategy.

I refer the Rt Hon Member to the answer provided on 1 September to Question 69322.

Communities and Local Government, what steps his Department is taking to support high street revitalisation in places such as Aldridge and Brownhills; and what funding streams are available for local regeneration projects.

Government’s commitment to the West Midlands Combined Authority (WMCA) area involves a Devolution Deal which provides more funding, a single departmental-style budget, and new powers over transport, skills, and housing. This approach gives the mayor and local leaders more control to invest in local priorities and deliver economic growth and regeneration as set out in the recently publish West Midlands Plan for Growth. In addition, in 2024 the Government introduced High Street Rental Auctions, giving local authorities the power to bring long-vacant commercial properties back into use. Councils can auction rental rights for properties empty for at least 366 days within two years, aiming to revitalise high streets. Landlords have eight weeks to secure a tenant after notice; if unsuccessful, the property can be auctioned, with the new tenant restricted to the “high street use” set by the authority.

Communities and Local Government, how the Infrastructure Levy will operate in metropolitan boroughs; and what the projected levy income for the West Midlands is over the next five years.

The government has made clear that it does not intend to commence the Infrastructure Levy provisions from the Levelling-up and Regeneration Act 2023.

What assessment she has made of trends in the level of rail freight crime; and what steps her department is taking to reduce those levels.

The British Transport Police (BTP) are responsible for policing the rail network in England, Scotland and Wales. The BTP work proactively with Freight Operating Companies (FOCs) to identify trends, advise on crime prevention and work to identify and arrest any offenders when crime is reported. BTP hold a 4-weekly Freight Working Group which is open to all freight operators. For 2025/26 year to date, BTP recorded 48 crimes across all FOCs, the majority of which relate to graffiti.

Commonwealth and Development Affairs, what steps her Department is taking to ensure that nutrition objectives are systematically integrated within women and girls’ programmes.

I refer the Hon Member to the answer provided on 18 November to Question 89032.

Commonwealth and Development Affairs, what recent assessment she has made of the security situation in Mali following reports of Jamat Nasr al-Islam wal Muslimin encircling Bamako and imposing a fuel blockade; and what steps she is taking to ensure the safety and departure of British nationals to leave the country.

The continued terrorist fuel blockade is deeply concerning for Mali, and for the wider region, and we condemn its impact on civilians. The Foreign Secretary wrote to Foreign Minister Diop on 6 November, and the Minister for International Development and Africa spoke to him on 10 November, encouraging him to cooperate closely with all West African partners to address this shared challenge.The UK works with Malian institutions and society to address fragility and support regional stability. Last year, we invested over £35 million in Mali through our regional overseas development assistance programmes. This year, we plan to spend £170 million in the Sahel region, to address the drivers of conflict and provide humanitarian support.On 30 October, we advised British nationals to leave Mali urgently by commercial means. No British nationals have requested support during this period, but our consular assistance remains available around the clock, and we continue to update Foreign, Commonwealth and Development Office Travel Advice as necessary.

Commonwealth and Development Affairs, what assessment she has made of the adequacy of consular support provided to British nationals in Jamaica during and after Hurricane Melissa, including the evacuation flight operated on 2 November and the handling of over 700 consular enquiries.

The consular team at the Foreign, Commonwealth and Development Office (FCDO) provides 24/7 assistance to British nationals and dealt with 850 consular enquiries related to Hurricane Melissa. The Register Your Presence portal was launched from the outset of the crisis to identify and contact British nationals in Jamaica, enabling us to provide targeted assistance.The FCDO provided regularly updated information and advice to British nationals in Jamaica. Between 22 October and 2 November, the FCDO made 11 public updates to Jamaica's Travel Advice related to Hurricane Melissa.The evacuation flight which operated on 2 November carried 104 passengers. Commercial options were available shortly thereafter resulting in low demand for further HMG flights.The Rapid Deployment Team were present at both Kingston and Montego Bay Airports every day when commercial airlines were running their own flights between Friday 31 October and Tuesday 4 November to assist British nationals travelling on commercial flights to the UK. During that time, roughly 2,150 passengers passed through Kingston and 2,274 through Montego Bay on TUI and Virgin flights bound for the UK.

What recent progress he has made on social care reform.

The Government is progressing towards a National Care Service with a vision that everyone, regardless of their needs, background, or where they live, should have the opportunity to lead healthy, independent, and fulfilling lives.We have made recent progress on key reforms, laying the foundations to turn this vision into reality, underpinned with over £4 billion of additional funding made available for adult social care by 2028. This progress has been aligned with the Government’s three objectives for adult social care, to:- improve the quality of care by valuing and supporting our vital care workforce by legislating for a Fair Pay Agreement backed by £500 million of funding and expanding career opportunities through the Care Workforce Pathway, and investing £12 million in learning, development, and new qualifications. We're also supporting the Care Quality Commission to recover and become a confident, credible force for improvement, supported by their local authority assessments that shine a light on local authority performance;- strengthen the join-up between health and social care services, so that people experience more integrated and person-centred care, by developing neighbourhood health services and reforming the Better Care Fund. This will be underpinned by improved national data and digital infrastructure to ensure health and care staff can access real-time information to improve the safety and quality of care. For example, we have been driving the adoption of Digital Social Care Records (DSCR), with up to 89% of people drawing on care now benefiting from a DSCR; and- enable people to have more choice and control over their care, for instance by promoting greater use of direct payments. We are also expanding care options to boost independent living at home through an additional £172 million for the Disabled Facilities Grant over two years, enabling approximately 15,600 extra home adaptations, and introducing care technology standards to help people choose the right support.

What steps he is taking to increase access to care in the community.

The 10-Year Health Plan sets out our vision for a Neighbourhood Health Service.The Neighbourhood Health Service will embody our new preventative principle that care should happen as locally as it can, digitally by default, in a person’s home if possible, in a neighbourhood health centre when needed, and only in a hospital if necessary.The Neighbourhood Health Service will mean people are treated and cared for closer to their home by new teams of health professionals. It will rebalance our health system so that it fits around peoples’ lives, not the other way round. We expect neighbourhood teams and services to be designed in a way that reflects the specific needs of local populations. This is why we have launched wave 1 of the National Neighbourhood Health Implementation Programme (NNHIP) across 43 places in England. The NNHIP will support systems across the country by driving innovation and integration at a local level, to accelerate improvements in outcomes, satisfaction, and experiences for people by ensuring that care is more joined-up, accessible, and responsive to community needs.

Communities and Local Government, what steps his Department is taking to accelerate brownfield regeneration in the West Midlands; and what support is available to local authorities to bring derelict land back into use.

The National Planning Policy Framework (NPPF) makes clear that substantial weight should be given to the value of using suitable brownfield land within settlements, including the development of under-utilised land and buildings to meet the need for homes and other uses. Through the revisions made to the NPPF on 12 December 2024 we broadened the definition of brownfield land, set a strengthened expectation that applications on brownfield land will be approved, and made clear that plans should promote an uplift in density in urban areas. On 22 September 2024, the government published a ‘brownfield passport’ working paper inviting views on how we might further prioritise and fast-track building on previously used urban land. This included exploring the role of national policy in setting minimum density expectations for certain types of locations, to support intensification in the right places. Utilising the feedback provided, we intend to consult this year on a new suite of national policies for decision making that will give effect to these proposals. On 18 June 2025, my Department announced £5 billion of new capital grant funding for infrastructure and land. This funding will be administered by the new National Housing Delivery Fund, through which councils will be able to secure funding for prospective projects, to contribute to the Government’s priority of delivering 1.5 million homes. Details of the funding made available to WMCA in 2025/26, via the Integrated Settlement, is available on gov.uk here. Details of the funding for 2026/27 onwards will be set out shortly.