Written questions by Snowden.

How many enforcement actions relating to breaches of animal welfare regulations at slaughterhouses were taken by the Food Standards Agency in each of the last five years; and how many of those related to non-stun slaughter.

Between April 2020 and March 2025, 1,935 animal welfare breaches posing potential or imminent animal welfare risk were recorded in slaughterhouses in England and Wales, requiring 2,320 enforcement actions. Some breaches required multiple actions, such as verbal advice followed by written advice.The Food Standards Agency (FSA) does not routinely collect data on slaughter methods. Approved slaughterhouses may use any compliant method and are not legally required to inform the FSA of the stunning method. Many establishments alternate between stunned and non-stunned slaughter to meet demand. Breaches of animal welfare regulations can occur at any stage after arrival, so it is not possible to confirm whether the method involved was stunned or non-stunned.

What assessment he has made of the potential impact of Resident Doctor strikes on the delivery of healthcare services in Lancashire.

The Department has not made a formal assessment of the potential impact of resident doctor strikes on the delivery of healthcare services in Lancashire specifically.The National Health Service makes every effort through rigorous contingency planning to minimise disruption as a result of industrial action and to mitigate its impact on patients and the public. During the industrial action by resident doctors from 14 to 19 November 2025, data published by NHS England showed that the NHS met its ambitious goal to maintain 95% of planned care, surpassing the 93% protected during action in July, while still maintaining critical services, including maternity services and urgent cancer care. All hospitals are asked to do a pre-assessment ahead of strike action.To minimise the potential impact of the next round of resident doctor strike action, planned for 17 to 22 December, NHS England wrote to all trusts on 15 December asking them to prepare for planned industrial action. This includes conducting risk assessments and collecting data to estimate the impact on elective care. This letter is available at the following link:https://www.england.nhs.uk/long-read/letter-industrial-action-by-bma-resident-doctors-17-22-december-2025/

What estimate he has made of the number of hospital admissions due to acute influenza across Lancashire; and how this compares to the same period last year.

Data on hospital admissions due to flu at a county level is not published. Between 25 November and 7 December 2025, there was a daily average of 346 adult general and acute beds occupied by flu patients in acute trusts in the North West. This was higher than over the same period last year when there was a daily average of 142 adult general and acute beds occupied by flu patients. NHS England began publication of Winter Situation Reports, which includes flu-specific bed occupancy at a regional level, from 24 November 2025 and from 25 November in 2024. These figures are published in the NHS England Winter Situation Reports, which are available at the following link: https://www.england.nhs.uk/statistics/statistical-work-areas/uec-sitrep/urgent-and-emergency-care-daily-situation-reports-2025-26/

Whether the Department has assessed the potential benefits of enabling GPs to issue automatic repeat prescriptions for patients on stable, long-term medication.

Responsibility for prescribing, including the issue of repeat prescribing and the duration of prescriptions, rests with the prescriber who has clinical responsibility for that particular aspect of a patient’s care.Electronic repeat dispensing is already implemented in the National Health Service and allows prescribers to authorise and issue a batch of repeat prescriptions for up to 12 months with just one digital signature. Since April 2019, the GP Contract has stated that electronic repeat dispensing should be used for all patients for whom it is clinically appropriate.Prescriptions for longer periods of time may be more appropriate and more convenient for some patients with stable long-term conditions. However, for some patients, issuing shorter prescriptions may be appropriate to give the prescriber the opportunity to review the patient’s medicines, which is important for some treatment courses that require greater scrutiny or monitoring to be managed appropriately.

What steps he is taking to reduce transmission of influenza in Lancashire.

Our flu vaccination campaign started in September, and is helping to keep people out of hospital. The UK Health Security Agency is also working closely with colleagues in NHS North West and local integrated care boards (ICBs). There continues to be sustained multi-agency communications and marketing across the localised area and work is ongoing to promote and amplify prevention measures. Work continues to encourage prevention through targeted communications using local data to both the public and stakeholders whilst work is ongoing, as in every winter season, to show trends locally to allow the local health family to act accordingly via shared data and intelligence. The ICB has stepped up public messaging around getting the flu vaccine for eligible groups and the importance of choosing the right service. This has included promoting a bespoke winter campaign in the local area as well as press releases, social media, and broadcast interviews at a local and regional level.Some local hospitals have made it mandatory for staff to wear a surgical mask in any areas with suspected or confirmed influenza patients, and those patients who are suspected as having influenza on triage may also be asked to wear a mask. Masks are also available to patients and relatives in waiting areas.

What mechanisms exist for healthcare professionals to report poverty in people with terminal illnesses to the Department for Work and Pensions.

The Department for Work and Pensions does not ask healthcare professionals to report a patient’s poverty status.The Government remains committed to providing a financial safety net for those who need it. Support is available through the welfare system to those who are unable to work, are on a low income, or have additional costs as a consequence of a long-term health condition or disability but who are not eligible to pensioner benefits because of their age For those nearing the end of their life, the Government’s priority is to provide people with financial support quickly and compassionately. The main way this is applied is through the Special Rules for End of Life. These enable people who are nearing the end of their lives to get faster, easier access to certain benefits, without needing to attend a medical assessment or serve waiting periods, and in most cases, receive the highest rate of benefit.

Whether his Department plans to publish yearly progress reports on the implementation of the Single Patient Record.

The Department and NHS England will be monitoring the implementation of the single patient record and will provide regular updates on progress.

What steps he is taking to ensure that the digital social care record system is designed and maintained to national security standards.

The Department has not designed a single digital social care record (DSCR) system. Rather, through the Digitising Social Care (DiSC) programme which ended in April 2025, the Government set standards for DSCRs and created a list of solutions that have been assured against those key standards and capabilities. This includes data, cybersecurity, and interoperability standards. There are now 21 assured solutions on the list. In partnership with NHS England, the Department has driven the adoption of DSCRs to 80% of Care Quality Commission registered care providers, benefiting 89% of people who draw on care. Most, but not all, care providers are using assured DSCRs. Building on the work of the DiSC programme, we have set an ambition for all care providers to be fully digitised by the end of this Parliament. A fully digitised care provider is a registered care provider that uses an assured DSCR and meets national data security standards as set out through the Data Security and Protection Toolkit. These standards protect people’s sensitive information and make sure systems can connect safely and securely across health and social care. In January 2025, the Department announced that it is investing in a new national data infrastructure for social care. This will lay the foundations for near real-time visibility of information from adult social care, such as DSCRs, and health care services. Data protection, privacy, and transparency, as well as the ethical use of data, will be central to the design of the infrastructure.

What steps the Government is taking with the NHS to end the practice of discharging mothers with newborn babies into B&Bs or other unsuitable accommodation.

The Government is working closely with the National Health Service to end the practice of mothers with newborns being discharged to bed and breakfasts or other forms of unsuitable shared housing.Our new Child Poverty Strategy was published 5 December 2025 and will end the unlawful placement of families in bed and breakfasts beyond the six-week limit. To support this, the Government is investing £8 million in Emergency Accommodation Reduction Pilots in 20 local authorities that have the highest use of bed and breakfasts for homeless families and is continuing the programme for the next three years.We will work with local authorities, supported by robust NHS pathways, to make sure safe and appropriate alternatives are available and used. This includes identifying issues as early as possible to help ensure that the housing a new mother and their newborn will be discharged to meets their needs.We are also working across the Government to support children in temporary accommodation. This includes introducing a clinical code for children in temporary accommodation, ensuring these families are proactively contacted by health services and ending the practice of discharging newborn babies into a bed and breakfast or other unsuitable shared accommodation.

What assessment she has made of the potential impact of issuing guidance to retailers on reducing the cost of infant formula for low-income families on that cost.

The Government, working with the devolved administrations of Wales, Northern Ireland, and Scotland, has set out a strong package of measures on 3 December 2025 in the four-nations’ Government response to the Competition and Markets Authority’s market study on competition in the infant formula market. This will give parents and carers the confidence to choose lower priced infant formula products, encourage manufacturers and retailers to compete more on price, and remove unnecessary barriers to making infant formula more affordable.As part of this work, we will update guidance to retailers making clear when store loyalty card points, coupons, or gift vouchers may be used as payment for infant formula, in lieu of cash.We anticipate that the guidance will remove an unnecessary barrier to supporting families with the cost of infant formula, as well as enabling retailers to confidently offer the use of these cash alternatives in compliance with the infant formula regulations.Modelling by the Competition and Market’s Authority estimated that switching from the most expensive to the cheapest infant formula products on the market could save families up to £540 in a baby’s first year. Our package of measures is aimed at supporting parents to make informed choices, including understanding that all infant formula products meet the same nutritional standards and are sufficient for a growing baby’s needs, regardless of the price or brand.

Whether NHS England audits the use of DNR notices in cases involving vulnerable adults.

NHS England does not audit the use of Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions in cases involving vulnerable adults. However, the Learning from Lives and Deaths Review (LeDeR) includes questions on the quality and content of DNACPR records. The review supports local service improvement and has been running for several years.

Whether guidance has been issued to NHS Trusts to ensure that DNR decisions are never made solely on the basis of disability, learning disability and special needs.

The Department remains clear that it is unacceptable for Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions to be applied in a blanket fashion to any group of people and should be fully discussed with the individual and their family where possible and appropriate. NHS England clinical leaders have issued a number of statements and letters to health and care providers which emphasise personalised approaches to care and treatment and which reiterate that there has never been an instruction or directive issued by the National Health Service to put in place a DNACPR solely on the basis of disability, learning disability, or special needs.Agreement to a DNACPR is an individual decision and should involve the person concerned or, where the person lacks capacity, their families, carers, guardians, or other legally recognised advocates. Guidance from clinical bodies such as the British Medical Association, the Resuscitation Council UK, and Royal College of Nursing reflects this. These decisions should take into account the patient’s wishes, or those of people close to the patient, informed by a sensitive explanation of the risks and burdens associated with giving cardiopulmonary resuscitation. The treating doctor should try to reach agreement with the patient or those close to the patient. If, after discussion, the doctor remains of the view that cardiopulmonary resuscitation would not be clinically appropriate, there is not an obligation to attempt it. However, the rationale for not doing so should be clearly articulated. NHS England has published public-facing guidance on DNACPR decisions on the NHS.UK website. This includes advice on asking for a second opinion or review if patients, or their families, disagree with a DNACPR decision.The Department has not received any complaints regarding DNACPR decisions being applied without consent in the last five years.

How many complaints his Department has received in each of the last five years regarding DNR notices being applied without consent.

The Department remains clear that it is unacceptable for Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions to be applied in a blanket fashion to any group of people and should be fully discussed with the individual and their family where possible and appropriate. NHS England clinical leaders have issued a number of statements and letters to health and care providers which emphasise personalised approaches to care and treatment and which reiterate that there has never been an instruction or directive issued by the National Health Service to put in place a DNACPR solely on the basis of disability, learning disability, or special needs.Agreement to a DNACPR is an individual decision and should involve the person concerned or, where the person lacks capacity, their families, carers, guardians, or other legally recognised advocates. Guidance from clinical bodies such as the British Medical Association, the Resuscitation Council UK, and Royal College of Nursing reflects this. These decisions should take into account the patient’s wishes, or those of people close to the patient, informed by a sensitive explanation of the risks and burdens associated with giving cardiopulmonary resuscitation. The treating doctor should try to reach agreement with the patient or those close to the patient. If, after discussion, the doctor remains of the view that cardiopulmonary resuscitation would not be clinically appropriate, there is not an obligation to attempt it. However, the rationale for not doing so should be clearly articulated. NHS England has published public-facing guidance on DNACPR decisions on the NHS.UK website. This includes advice on asking for a second opinion or review if patients, or their families, disagree with a DNACPR decision.The Department has not received any complaints regarding DNACPR decisions being applied without consent in the last five years.

Whether (a) families and (b) attorneys holding Power of Attorney are notified immediately when a DNR notice is added to a vulnerable adult’s medical record.

The Department remains clear that it is unacceptable for Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions to be applied in a blanket fashion to any group of people and should be fully discussed with the individual and their family where possible and appropriate. NHS England clinical leaders have issued a number of statements and letters to health and care providers which emphasise personalised approaches to care and treatment and which reiterate that there has never been an instruction or directive issued by the National Health Service to put in place a DNACPR solely on the basis of disability, learning disability, or special needs.Agreement to a DNACPR is an individual decision and should involve the person concerned or, where the person lacks capacity, their families, carers, guardians, or other legally recognised advocates. Guidance from clinical bodies such as the British Medical Association, the Resuscitation Council UK, and Royal College of Nursing reflects this. These decisions should take into account the patient’s wishes, or those of people close to the patient, informed by a sensitive explanation of the risks and burdens associated with giving cardiopulmonary resuscitation. The treating doctor should try to reach agreement with the patient or those close to the patient. If, after discussion, the doctor remains of the view that cardiopulmonary resuscitation would not be clinically appropriate, there is not an obligation to attempt it. However, the rationale for not doing so should be clearly articulated. NHS England has published public-facing guidance on DNACPR decisions on the NHS.UK website. This includes advice on asking for a second opinion or review if patients, or their families, disagree with a DNACPR decision.The Department has not received any complaints regarding DNACPR decisions being applied without consent in the last five years.

When he plans to provide an answer to Question 89730 on Chronic Illnesses: Diagnosis.

I refer the hon. Member to the answer I gave on 27 November 2025 to Question 89730.

What steps he is taking to help ensure that patients are not adversely affected by strike action.

Our priority is to keep patients as safe as possible during any industrial action. The National Health Service 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 on the levels of resourcing available, and they can escalate concerns via regions and nationally, where appropriate.The NHS works hard to prioritise resources to protect all patients using its services during the period of strike action, in particular emergency treatment, critical care, neonatal care, maternity, and trauma, and to ensure we prioritise patients who have waited the longest for elective care and cancer surgery.Due to the dedication of NHS staff and a different operational approach from previous strikes, the NHS in England significantly reduced disruption to patients during resident doctor strikes in July, with data showing that 11,000 extra patients received care compared to the previous period of strike action.

What discussions his Department has had with the Academy of Medical Royal Colleges on overseas doctors competing for UK training posts.

The Department has regular discussions with the Academy of Medical Royal Colleges about a range of issues, including recruitment to foundation and specialty training posts.

Whether his Department is taking steps to ensure that UK medical graduates are prioritised for training posts in the National Health Service.

As set out in our 10-Year Health Plan, published on 3 July, we will work across the Government to prioritise United Kingdom medical graduates for foundation training, and to prioritise UK medical graduates and other doctors who have worked in the National Health Service for a significant period for specialty training. We will set out next steps in due course.NHS England has also taken steps to tackle competition for speciality training places this year by changing General Medical Council registration requirements and limiting the number of applications that can be submitted by individuals.

What assessment he has made of recent trends in the length of NHS waiting lists in (i) Fylde and (ii) Lancashire.

We are clear that the extent of waits for treatment is unacceptable, and cutting waiting lists is a key priority for the Government. We have committed to returning by March 2029 to the National Health Service constitutional standard that 92% of patients should wait no longer than 18 weeks from referral to treatment.We are committed to transforming elective services to ensure patients get timely access to the care they need. This includes investing £6 billion of additional capital investment over five years for diagnostic, elective, and urgent and emergency capacity in the NHS.Between July 2024 and June 2025, we delivered 5.2 million additional appointments compared to the previous year, more than double our pledge of two million. This marks a vital first step towards delivering the constitutional standard.We promised change, and we have made good progress. As of the end of September 2025, 61.8% of pathways on the waiting list are within 18 weeks, an improvement of 3.3% since September 2024, and the number of waits over 18 weeks has reduced by almost 320,000 over the same period.Waiting list data is not available by constituency. The NHS trust that covers the Fylde constituency is the Blackpool Teaching Hospitals NHS Foundation Trust. As of the end of September 2025, the waiting list at this trust stood at 42,630, and 56.1% of these pathways were within 18 weeks, an improvement of 0.4% since the start of July 2024, when it was 55.7%.As of the end of September 2025, the waiting list at the NHS Lancashire and South Cumbria Integrated Care Board stood at 248,818, 61.6% of which were within 18 weeks, an improvement of 2.5% since the start of July 2024, when it was 59.1%.

What assessment his Department has made of the number of medical graduates who have been unable to secure training scheme posts in the last three years.

Upon entering the National Health Service after graduation, medical students enter a two-year period of foundation programme placements. The United Kingdom Foundation Programme Office has successfully allocated foundation programme places to all eligible applicants in each of the past three years. These total 10,634 applicants for the 2025 programme, 9,702 for the 2024 programme, and 8,655 in 2023.Upon successful completion of the foundation programme most doctors choose to apply for speciality training programmes. Competition for speciality training posts has grown in recent years, in part due to the introduction of health and care visas in 2020, as well as the decision to remove the Resident Labour Market Test for doctors in 2020 which has meant that more international medical graduates are applying for speciality training places, increasing the number of candidates for roles.The table below presents the number of specialist training program applicants and the number of available posts in England by round. The difference between these two numbers is not exactly the number of candidates unable to secure a position as some applicants may not meet the thresholds set for recruitment to specialty training and some may be offered a specialty training post but for a range of reasons do not take up that position.Round OneRound TwoEntry yearUnique ApplicantsAvailable PostsUnique ApplicantsAvailable Posts202320,2979,2656,0813,415202426,2039,3317,1793,412202533,8709,4798,4813,354Source: NHS England Medical Specialty Programme Applications Data.Round one of the medical specialty application process includes applications to first year specialty training and core training programmes, often referred to as ST1 and CT1 respectively, and some ‘higher’ medical specialty training programmes, usually at year three, often referred to as ST3. Round two is for entry to most ‘higher’ medical specialty training programmes, ST3 or ST4. There will be a limited number of doctors who apply in a year to both rounds one and two.The 10-Year Health Plan set out that 1,000 more specialty training places would be created over the next three years.On 8 December, the Government put an offer in writing to the British Medical Association Resident Doctors Committee which would have put in place emergency legislation in the new year which would prioritise UK and Republic of Ireland medical graduates for foundation training, and prioritise UK and Republic of Ireland medical graduates and doctors who have worked in the NHS for a significant period of time for specialty training. This would have applied for current applicants for training posts starting in 2026, and every year after that.The British Medical Association has rejected the Government's offer and the Government will consider its next steps.