Written questions by Brewer.

When her Department plans to assess whether national speed‑limit guidance remains adequate in light of changes to traffic volumes, vehicle technology and road‑safety developments; and when it intends to publish the updated guidance linked to the forthcoming Road Safety Strategy, including what information it will contain.

Work to update the Setting Local Speed Limits guidance is expected to commence shortly. No timetable has yet been set for the publication of the revised guidance.This update will ensure the guidance remains aligned with current policy priorities and emerging evidence. The detailed scope and content of the updated guidance will be developed as that work progresses.

Whether his Department has assessed the impact of not having access to statutory paid parental leave on kinship carers; and whether he is taking steps to consider options for improving employment support for kinship carers.

The Government’s Parental Leave and Pay Review will conclude in early 2027 with a set of findings which outline next steps for implementing any reforms.In addition to considering all current and upcoming parental leave and pay entitlements, the Review is considering the needs of other working families who do not qualify for existing leave and pay entitlements, such as kinship carers.The Government is also supporting kinship carers through other mechanisms and has recently launched a kinship pilot to support around 5,000 children by paying eligible carers an allowance equivalent to the Fostering National Minimum Allowance.

Pursuant to the Answer of 20 January 2026 to Question 104873, what additional steps her Department is taking beyond existing licensing‑authority and police powers to prevent glassware attacks; whether she is considering any new enforceable national measures; and what assessment she has made of the effectiveness of current Home Office‑led actions in reducing such incidents.

As set out in my earlier response, the police have a responsibility to protect the public by detecting and preventing crime, including violent crime within the nighttime economy. They already have a wide range of powers to do this effectively, including those provided under the Prevention of Crime Act 1953 in relation to the possession and use of offensive weapons.The Home Office keeps existing powers under review and would consider any new or emerging evidence as appropriate.

Pursuant to the Answer of 23 January 2026 to Question 106379, what measures her Department is using to evaluate public understanding of, and compliance with, the 2022 Highway Code changes.

I refer the Hon. Member to the Answer given on 5th March to PQ UIN 116052.

What steps her Department is taking to help ensure that banks respond more rapidly to reported fraud by freezing suspected scam accounts immediately pending investigation.

The Government takes the issue of fraud very seriously and is dedicated to protecting the public from this appalling crime.Financial institutions are required to maintain robust systems and controls to detect and prevent financial crime under the Money Laundering Regulations. Banks must report certain suspicious activity, including fraud, to the National Crime Agency under the Proceeds of Crime Act, and banks may already freeze or block accounts where suspicious activity is detected. We introduced new rules allowing banks to delay and investigate suspicious payments for up to 72 hours. This supports interception of suspicious payments — complementing existing account‑freezing powers — by giving firms more time to prevent funds reaching fraudsters when complex cases are identifiedAs set out in the Fraud Strategy published on 9 March, we are now taking decisive additional action to reinforce the system‑wide response. The new Online Crime Centre will bring together law enforcement, intelligence agencies and private‑sector partners, including the financial services industry, to improve real‑time data sharing and analysis, helping firms spot suspected scam accounts sooner and act more quickly to freeze or restrict them where appropriate. Alongside this, we have launched a call for evidence on economic‑crime information sharing to remove barriers that currently prevent firms acting on intelligence earlier.The Strategy also tasks the FCA with developing best‑practice guidance on preventing APP fraud and money‑mule activity, supporting firms to identify, investigate and close suspicious accounts more effectively, and improving protections for customers at risk.

What steps his Department is taking to support newly qualified allied health professionals, including physiotherapists, occupational therapists, speech and language therapists and radiographers, in securing employment following the completion of their training placements.

Decisions on the employment of newly qualified allied health professionals are a matter for individual National Health Service trusts which manage their recruitment at a local level, ensuring they have the right number of staff in place, with the right skill mix, to deliver safe and effective care.As set out in the 10-Year Health Plan, we are working closely with NHS England, employers and educators to improve transition into the workforce.

Pursuant to the Answer to Question 94138, what steps her Department is taking to achieve the 18‑minute Category 2 ambulance response target in North East Hampshire; and when she expects that target to be met.

The Medium-Term Planning Framework states that by 2028/29, nationally Category 2 incidents will be responded to in an average of 18 minutes, with 90% of responses within 40 minutes. These targets will ensure patients in urgent need receive care more quickly, wherever they are. We expect all ambulance trusts, including the South Central Ambulance Service, to contribute to meeting this ambition, with more specific targets set out in individual planning returns.National Health Service performance figures for the South-Central Ambulance Service NHS Foundation Trust (SCAS), which serves North- East Hampshire, show that this financial year to date, from April 2025 to February 2026, Category 2 incidents were responded to in 30 minutes 18 seconds on average. This is over two minutes faster than the same period last year.SCAS has set out a range of improvement initiatives, closely aligned with actions in the Urgent and Emergency Care Plan, to improve ambulance response times, such as expanding hear and treat.

What steps his Department is taking to help increase uptake of the measles vaccination, and what plans are in place to support the rollout.

The Department continues to work with the UK Health Security Agency and NHS England to promote vaccine uptake by providing diverse delivery methods to make getting vaccinated easier, increasing outreach efforts to under-served groups, and raising awareness of the dangers of vaccine preventable diseases.The launch of the measles, mumps, rubella and varicella (MMRV) vaccination programme in January 2026 saw a press campaign to inform and educate the public on the benefits of vaccination, with key bursts of activity on all childhood immunisations to continue throughout the year. In February 2026 the Department launched a national childhood vaccination campaign targeting parents and guardians of children aged zero to five years old to encourage uptake of all childhood vaccinations. This includes television and video on demand advertising, online video, social media, and digital display advertising, and partnerships with parenting forums, with activity prioritised to low uptake communities and geographical areas.From January 2026, the age at which the second MMRV dose is offered was brought forward to 18 months from three years and four months old, based on evidence that this earlier appointment could improve uptake and provide earlier protection against measles.In line with the 10-Year Health Plan, pathfinders are underway in 12 locations across the country, delivering childhood vaccinations, including MMRV, during health visits to pre-school children from underserved groups.

What assessment her Department has made of the potential impact of the Plan 2 student loan system on graduates whose repayments do not cover the interest added to their balance.

Plan 2 student loans were designed and implemented by previous governments and students in England starting degrees under this government have different arrangements.Plan 2 loans interest rates are applied at the Retail Price Index (RPI) only, then variable up to RPI +3% depending on earnings. Interest rates do not impact monthly repayments made by student loan borrowers, which stay at a constant rate of 9% above an earnings threshold to protect lower earners.Any outstanding loan and interest written off at the end of the loan term, and debt is never passed on to family members or descendants.

What estimate her Department has made of the level of economic growth required to support long‑term defence spending commitments.

This Government has announced a significant uplift in defence spending over the Spending Review period, paid for by a reduction to ODA. This uplift is underpinned by our non-negotiable fiscal rules; reducing borrowing whilst investing in defence to keep the UK and allies safe and thus providing the stability that underpins the plans to boost economic growth. Future years’ spending allocations will be considered at the next Spending Review in 2027, which will be underpinned by the independent Office for Budget Responsibility’s economic and fiscal forecasts.

What steps his Department is taking to (a) improve procedures to tackle kidney disease and (b) to help prevent a future rise in cases.

NHS England is delivering a comprehensive programme to improve the diagnosis, treatment, and outcomes of people with kidney disease. NHS England has published a renal services transformation toolkit to support earlier identification of chronic kidney disease and more joined up services. These changes are intended to make it easier to deliver improvements along the whole patient pathway including earlier diagnosis and treatment, that can potentially prevent or delay the need for dialysis and transplants.Chronic kidney disease (CKD) and cardiovascular disease (CVD) are closely linked, with shared risk factors, as well as being risk factors for each other. As set out in the 10-Year Health Plan, we will publish a new cardiovascular disease Modern Service Framework. As part of its development, officials are also considering opportunities for earlier identification and diagnosis of CKD and are engaging widely to identify the best evidenced interventions.

What financial support the Department is providing to families of children affected by trauma; and what assessment she has made of the potential impact of the reduction in the Adoption Support Fund (ASGSF) on individuals that would benefit from that Fund.

The Department of Health and Social Care provides support through funding a range of health services, including targeted services, that can support children who are affected by physical and mental trauma.For example, in December 2025, my Rt Hon. Friend, the Secretary of State for Health and Social Care, announced a three-year pilot project to improve mental health support for children in care and their families. “Adoption support that works for all”, published in February, confirmed that this pilot will be designed so that it includes support for adoptive families.The Department for Education revised criteria for the Adoption and Special Guardianship Support Fund (ASGSF) in April 2025 to ensure support for all those applying for ASGSF funding. An equalities impact assessment was published in July 2025. My Hon. Friend, the Parliamentary Under-Secretary of State for Children, Families and Wellbeing, recently announced the continuation of the ASGSF for 2026 to 2028, and a consultation on the longer-term future of adoption support, including a call for evidence on what works for children and families.

What assessment he has made of the adequacy of levels of provision of hoists and other accessibility equipment in GP surgeries to enable disabled and wheelchair‑using patients to undergo routine screening, including cervical smear tests; and what steps his Department is taking to ensure that such equipment is available locally so that patients are not required to travel long distances to access routine NHS services.

We want disabled people’s access to, and experience of, healthcare services to be equitable, effective, and responsive to their needs.Under the Equality Act (2010), health and social care organisations must make reasonable adjustments to ensure that disabled people are not disadvantaged.Commissioners are responsible for ensuring any necessary equipment or environmental adaptations are delivered within general practices.NHS England is rolling out a Reasonable Adjustment Digital Flag which enables the recording of key information about a disabled patient or client and the reasonable adjustments to care and treatment that they need, to ensure support can be tailored appropriately and equitably.Guidance and free training on the Flag is available for health and social care staff.

Whether his Department plans to provide additional funding for safety measures for NHS staff.

Everyone working in the National Health Service has a fundamental right to be safe at work. Individual employers are responsible for the health and safety of their staff, and they put in place measures, including security, training, and emotional support for staff affected by violence, abuse, or harassment. There are currently no plans to provide additional funding for safety measures for NHS staff.At a national level there are several policy measures being implemented and developed to help keep staff safe and to prevent and reduce violence in the workplace. This includes measures to improve data and reporting, strengthen risk assessment, and improve training and support for victims. This will be bolstered by the introduction of a new set of staff standards, as detailed in the 10-Year Health Plan. The standards will be included in the NHS Oversight Framework and act as an early warning signal for the Care Quality Commission.

What steps his Department is taking to ensure the safety of frontline NHS staff, including receptionists working in GP surgeries.

Everyone working in the National Health Service has a fundamental right to be safe at work without fear of violence or abuse.Individual employers are responsible for the health and safety of their staff, and they put in place measures, including, security, training, and emotional support for staff affected by violence, abuse, or harassment.At a national level there are several policy measures being implemented and developed to help keep staff safe and to prevent and reduce violence in the workplace. This includes measures to improve data and reporting, strengthen risk assessment, and improve training and support for victims. This will be bolstered by the introduction of a new set of staff standards, as detailed in the 10-Year Health Plan. The standards will be included in the NHS Oversight Framework and act as an early warning signal for the Care Quality Commission.Additionally, the You and your general practice guidance makes clear that general practice staff should be treated with respect. A practice also reserves the right to remove patients from their list if they are violent or abusive to staff. The You and your general practice guidance is available at the following link:https://www.england.nhs.uk/long-read/you-and-your-general-practice-english/

What steps his Department is taking to reduce outpatient waiting times for neurology appointments in North East Hampshire constituency.

Modernisation of outpatient care is a top priority for the Government so that waits for outpatient appointments are shorter and elective pathways are more productive. The majority of people on the waiting list, including for neurology, are waiting for outpatient care. Through our Elective Reform Plan (ERP), we have expanded the Advice and Guidance (A&G) scheme, which helps ensure patients get care in the right place and only see a specialist if it’s really necessary, freeing up capacity in secondary care for those who need it, including certain patients with neurology conditions or symptoms. The ERP also commits to reducing missed appointments and unnecessary follow ups to further free up capacity. This will benefit patients across England, including in North East Hampshire.The 10-Year Health Plan builds on the ERP with a more sustainable vision for elective care where, by 2035, most outpatient care will happen outside of hospitals. Patients' access to specialists, including neurologists, will be improved by providing this specialist care in the community where possible and increasing digital access to specialists through the NHS App, where it’s more convenient for patients.The Medium-Term Planning Framework outlines targets for the National Health Service from 2026/27 to 2028/29 to deliver the 10-Year Health Plan’s ambitions. This includes an ask of systems to transform pathways to give patients more control over their follow up care to reduce unnecessary appointments and expand the use of Advice and Guidance from April so that, by October, all requests/referrals across the 10 specialties providers deemed to have the most potential for this model to be effective go via an elective Single Point of Access. This will mean a more efficient approach to triaging patients, where all appropriate requests and referrals, excluding urgent suspect cancer, will flow through a single ‘front door’ to support clinical triage to the most appropriate service or outcome, meaning timelier, more joined up care for patients.

Whether he has made an assessment of the potential merits of including clear information on the signs and symptoms of type 1 diabetes in the Personal Child Health Record.

While the Personal Child Health Record (PCHR) does not currently contain a dedicated section on diabetes, it includes signposting to National Health Service online information on serious childhood illness, including symptoms of diabetes.NHS England is working with clinical experts, royal colleges, and wider stakeholders to review whether further opportunities exist to improve awareness of the key signs and symptoms of type 1 diabetes among both healthcare professionals and the public. This includes, as I set out in the Westminster Hall debate on this issue last week, looking carefully to see what further improvements might be made to the red book.

Whether he is taking steps to introduce pay progression for Change Band 2 roles.

As part of the 2023 Agenda for Change (AfC) pay deal between the Government, employers, and trade unions in England, it was agreed to uplift the value of the bottom pay point of Band 2 to the same value as the top pay point of that band. This position was ratified by the NHS Staff Council, a partnership body made up of trade unions and employers that has overall responsibility for the AfC pay system and terms and conditions of service.The Government accepted the NHS Pay Review Body recommendations for 2024/25 and 2025/26 in full, which included a recommendation to provide the NHS Staff Council with a funded mandate to make improvements to the AfC pay structure. Any changes to the AfC pay structure, including for Band 2 staff, will be for the NHS Staff Council to agree.The Department will work closely with the NHS Staff Council to agree changes to the pay structure which will be backdated to 1 April 2026.

Whether his Department has made an assessment of the adequacy of job evaluation scores for pharmacy assistants.

This specific assessment has not been made.Agenda for Change pay is underpinned by the Job Evaluation Scheme (JES). This scheme was developed through collaboration between National Health Service leaders, NHS trade unions, and independent job evaluation experts. The JES is a structured method of comparing job demands and seeks to ensure that staff receive equal pay for work of equal value.The JES focuses on the demands of the role as set out in the job documentation, for example the job description and person specification, and not the skills and knowledge an individual has. The requirements, as set out in the job documentation, are then analysed using the JES to determine the relative job demand, or weight, of the role which in turn determines which pay band the role sits in. This model of weighting has been legally tested and proven to be robust.All local employing organisations are responsible for correctly and consistently implementing the JES to ensure staff are paid correctly for the work they are asked to deliver.The NHS Staff Council’s Job Evaluation Group is responsible for maintaining the national role profiles that are used to support job evaluation practice.

What steps he is taking to ensure (a) pay progression and (b) career development opportunities for the lowest-paid NHS staff.

Section 1 of the NHS Terms and Conditions of Service, also referred to as Agenda for Change (AfC), sets out the principles for pay progression in the National Health Service in England. It states that pay progression for all AfC pay points, within each pay band, is conditional upon employees demonstrating that they have the requisite knowledge and skills and competencies for their role and that they have demonstrated the required level of performance and delivery during the review period.The Government accepted the NHS Pay Review Body recommendations for 2024/25 and 2025/26 in full, which included a recommendation to provide the NHS Staff Council with a funded mandate to make improvements to the AfC pay structure.Improvements to the AfC pay structure, including any band progression for the lowest paid NHS staff, will be for the NHS Staff Council to agree. The NHS Staff Council is a partnership body made up of trade unions and employers and has overall responsibility for maintaining the AfC pay system and associated terms and conditions of service.The Department intends to issue this mandate as soon as possible. Once the mandate is confirmed, the Department will work closely with the NHS Staff Council to agree reforms to the pay structure which will be backdated to 1 April 2026.It is the responsibility of individual employers to ensure career development opportunities for their lowest paid staff through investing in the future of their workforce and ensuring appropriate ongoing training and continuing professional development.