Written questions by Mierlo.

What steps his Department is taking to ensure that overseas visitor charging regulations are applied uniformly across NHS trusts.

The overseas visitor charging regulations apply to all National Health Service trusts in England. The Department is working closely with NHS England to ensure the NHS (Charges to Overseas Visitors) Regulations 2015 are applied fairly and consistently across all NHS trusts.

What assessment her Department has made of the potential impact of ageing tankers, such as the 21 year old Kusto, transiting through the Channel on the environment.

The Department for Transport is clear about the risks that ageing shadow fleet vessels pose to the safety of mariners, the marine environment and the UK’s national security. The Government remains committed to deterring and disrupting the shadow fleet. The Foreign, Commonwealth and Development Office has sanctioned over 500 vessels, including the Kusto in May 2025, which prohibits these vessels from entering into a UK port, and signals to the global maritime community that these vessels are dangerous and should not be interacted with.DfT has operated the Voluntary Insurance Reporting Mechanism since October 2024, which increases scrutiny on shadow fleet vessels by challenging them for proof of their insurance as they transit the Channel. Since October 2024, over 600 vessels have been challenged.

Media and Sport, what assessment she has made of the potential impact of the Listed Places of Worship Grant Scheme on community services hosted by places of worship, including (a) food banks, (b) youth groups and (c) after school clubs.

DCMS conducted an evaluation of the Listed Places of Worship Grant Scheme, which included an extensive survey of current and past scheme users and is published here: https://www.gov.uk/government/publications/evaluation-of-the-listed-places-of-worship-scheme-final-report.The evaluation did not specifically assess the impact of the Listed Places of Worship Grant Scheme on community services hosted by places of worship, including (a) food banks, (b) youth groups and (c) after school clubs. However, we are aware that grants from the scheme will have enabled many recipients to continue to provide these vital community services.Our evaluation showed that while it had many benefits, 80% of respondents said that they would still have carried out the work without the rebate. As we look towards a new fiscal period and the evolving needs of our community, it is essential that government support is deployed to the areas where it can have the greatest impact and where it is needed most. That is why over the next four years, the Places of Worship Renewal Fund will invest £92 million capital funding into listed places of worship, some of which host these community services.

What plans his department has to address the potential misuse of legal proceedings for purposes associated with Strategic Lawsuit Against Public Participation.

I refer the honourable Member to the answer I gave on Friday 13 February to Question 111038.

Media and Sport, whether the Places of Worship Renewal Fund will support energy efficiency improvements such as low carbon heating and lighting systems.

Further details regarding the eligibility criteria and application process for the new Places of Worship Renewal Fund will be published in due course.

Commonwealth and Development Affairs, what assessment her Department has made of the effectiveness of sanctions on Russian oil exports.

I refer the Hon Member to the answer provided on 28 January in response to Question 106998.

What estimate he has made of the volume of Russian oil transported through the English Channel by UK‑sanctioned tankers in the last 12 months.

Deterring and disrupting the Russian shadow fleet is a priority for the UK, and the UK Government will continue to proactively monitor tanker activity to ensure the safety of seafarers, protect the marine environment, and for national security purposes. The volume of Russian oil transiting the English Channel is not data the Department for Energy Security and Net Zero owns.

Media and Sport, whether the Places of Worship Renewal Fund will provide (a) equivalent to and (b) greater financial support than the Listed Places of Worship Grant Scheme; and what steps she is taking to ensure transitional funding for places of worship.

The Places of Worship Renewal Fund will provide an equivalent overall level of financial support to that provided by the Listed Places of Worship Grant Scheme, £23 million per annum. The new Places of Worship Renewal Fund is a capital fund providing grants upfront, which in some cases, may award a greater proportion of the project costs than what would have previously been received through the Listed Places of Worship Grant Scheme. We are aware of concerns regarding the transition between the two schemes. Guidance, including eligibility criteria and application process on the new Places of Worship Renewal Fund, will be published in due course.

Media and Sport, what steps she is taking to prevent funding gaps during the transition from the Listed Places of Worship Grant Scheme to the new Places of Worship Renewal Fund.

The Places of Worship Renewal Fund will provide an equivalent overall level of financial support to that provided by the Listed Places of Worship Grant Scheme, £23 million per annum. The new Places of Worship Renewal Fund is a capital fund providing grants upfront, which in some cases, may award a greater proportion of the project costs than what would have previously been received through the Listed Places of Worship Grant Scheme. We are aware of concerns regarding the transition between the two schemes. Guidance, including eligibility criteria and application process on the new Places of Worship Renewal Fund, will be published in due course.

Pursuant to the answer of 19th January to question 105612, to ask what role the Department for Health and Social Care will have in drug price negotiations following the abolishment of NHS England.

The target operating model for the integration of NHS England operations into the Department has yet to be finalised. However, drug-price negotiations will continue uninterrupted up to and beyond April 2027, when NHS England will cease to exist as a separate entity.

Pursuant to to the answers of 5 and 17 October 2025 to Questions 77387 and 86538, what progress he has made on ensuring a reliable supply of testosterone and oestrogen HRT implants.

We are continuing to work closely with the Medicines and Healthcare products Regulatory Agency (MHRA) to ensure safe access to these products. We have reached out to Specialist Importers who can source unlicensed medicines in order to find alternative sources of both oestrogen and testosterone hormone replacement therapy (HRT) implants, which are not licenced in the United Kingdom. We are engaging with companies globally to source supplies of HRT implants for UK patients. We are aware of a Specialist Importer who is able to source unlicensed testosterone implants. The decision to prescribe an unlicensed imported medicine sits with the prescriber. We are also engaging with companies globally to source supplies of HRT implants for UK patients. The MHRA has been working closely with current importers of the product and are also looking to encourage other applications for a licenced medicinal product. As oestrogen and testosterone HRT implants are not licenced in the UK, the MHRA is encouraging applications to supply products through the licenced medicines route.

Food and Rural Affairs, (a) what estimate she has made of the proportion of the £104 billion investment package that will be funded through higher customer bills rather than through water company capital investment and (b) what safeguards will be put in place to protect consumers from bill increases linked to the £104 billion investment programme.

The Government has secured a record £104 billion investment package to upgrade England’s water infrastructure by 2030. This investment will be funded through a combination of water company capital investment and customer bills, but the precise split cannot yet be confirmed. Affordability must be at the core of any future investment plans, and proposed bill impacts will be assessed through the statutory impact assessment for the Water Reform Bill. The Government have already taken action to protect customers. Funding for vital infrastructure is now ringfenced so it can only be spent on upgrades that benefit consumers and the environment. Where companies fail to deliver promised investment, they will be required to return money to customers through lower bills. Alongside this, we are strengthening safeguards for households, including reforms to WaterSure, expanding social tariff support, and introducing a new independent Water Ombudsman to ensure complaints are resolved quickly and fairly.

Food and Rural Affairs, when her department will confirm plans for the Environment Agency to hold a separate, stand alone bridges construction and maintenance budget to run alongside budgets for Locks & Weirs.

Environment Agency owned bridges along the non-tidal Thames are part of the overall Navigation infrastructure. Construction and maintenance allocations for the Environment Agency’s Navigation assets has already been set for the current Spending Review period. This includes Locks, Weirs, Bridges and their associated assets. The Environment Agency is also developing a partnership funding mechanism to accelerate specific bridge refurbishment projects. This will increase the overall amount of bridge construction and maintenance that the Environment Agency can deliver and help towards creating a sustainable Navigation service.

How much funding was allocated to dementia research by (a) the National Institute for Health and Care Research and (b) UK Research and Innovation in each of the last five years.

Government responsibility for delivering dementia research is shared between the Department of Health and Social Care, with research delivered via the National Institute for Health and Care Research (NIHR), and the Department for Science, Innovation and Technology, with research delivered via UK Research and Innovation (UKRI).The table in the document attached shows the NIHR and UKRI’s spend data for dementia research across the five financial years from 2020/21 to 2024/25Spend for dementia research is calculated retrospectively, with a time lag due to annual reporting cycles, therefore 2024/25 is the most recent year we have data for. The Department does not centrally hold data on dementia research funding from other public bodies, and 2024/25 data from UKRI is still being confirmed.The NIHR welcomes funding applications for research into any aspect of human health and care, including dementia. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality. Welcoming applications on dementia to all NIHR programmes enables maximum flexibility both in terms of the amount of research funding a particular area can be awarded, and the type of research which can be funded.

Whether he plans to reform powers in relation to Strategic Litigation Against Public Participation cases.

The Government implemented the Strategic Litigation Against Public Participation (SLAPPs) measures in the Economic Crime and Corporate Transparency Act 2023 (ECCTA) in June 2025, which provides protection against SLAPPs relating to economic crime. While this was a positive first step, we are considering all options for reform to ensure that all types of SLAPPs are addressed comprehensively.

Which (a) professional bodies and (b) legal organisations his Department consulted prior to the publication of proposals to restrict jury trials; and what alternative measures his Department has considered to reduce the Crown Court backlog.

In developing his recommendations, Sir Brian Leveson and his expert advisers, including Professor David Ormerod, engaged with many external bodies and organisations with invaluable expertise of our Criminal Justice System including criminal legal organisations, charities, academics, and members of the judiciary. A full list is at Annex C of Part 1 of his report. When considering Sir Brian’s recommendations and developing our proposals, I have engaged regularly with stakeholders and relevant sectors including but not limited to representatives from the legal sector (Law Society, Bar Council, Criminal Bar Association), victims and victims representatives (the Victims Commissioner, the Domestic Abuse Commissioner, Rape Crisis), judiciary (Circuit leaders, Judicial leadership), magistracy (Magistrates’ Association, Magistrates’ Leadership Executive), non-governmental organisations (Appeal, JUSTICE, Transform Justice), court staff in criminal courts around the country (Wood Green, Snaresbrook, Kingston, Southwark, Telford, Birmingham etc) and similar international jurisdictions. For example, I met judges and visited courts in Canada, which uses types of judge-only trial. We welcome the recommendations made in Part 1 of Sir Brian’s Review, which provided the blueprint for reform. Sir Brian’s recommendations were ambitious, but he also recognised that the Government might need to take his recommendations further to address the scale of the challenge we are facing. We have three levers for restoring stability and confidence in the criminal courts system – investment, modernisation, and structural reform. Pursuing any one of these levers in isolation would not be enough to meet projected demand into the courts, let alone address the rising caseload. The Government has already invested heavily in the system – in record sitting days, court buildings and technology, and in legal professionals. On 4 February 2026, Sir Brian published Part 2 of his Independent Review of the Criminal Courts, which makes recommendations to improve the efficiency of the criminal courts. We will urgently consider the proposals set out, alongside Sir Brian’s remaining recommendations from Part 1, and respond to them in due course.

What assessment he has made of the potential impact of trends in the number of court sitting days on the Crown Court backlog.

We have funded 112,250 Crown Court sitting days this financial year – 5,000 more than the previous Government and a record number. The Deputy Prime Minister has made clear that sitting days will continue to increase in both the Crown and magistrates’ courts. As our latest published projections show, demand by 2030 is forecast to be 7% higher in the Crown Court than current levels. This means the courts would need to sit 139,000 days just to keep up with demand and even that would not enable us to reduce the backlog. The system is not able to deliver that number – there are insufficient prosecutors, defence barristers and judges to keep up with the demand. As a benchmark, the Lady Chief Justice has said that the maximum the judiciary could presently sit is around 113,000 sitting days. Therefore, even with record-breaking investment in sitting days, the Crown Court backlog will continue to grow, leaving people waiting for longer and longer for justice. That is why we are pulling every lever we have – investment, reform and efficiency – to turn the tide on the backlog and begin to deliver justice for victims.

What assessment he has made of the potential impact of the length of time medical malpractice legal proceedings take to complete on (a) families and (b) staff.

NHS Resolution handles claims for compensation against National Health Service providers of healthcare and has a strategic priority to keep patients and healthcare staff out of litigation to minimise distress. To achieve this, NHS Resolution deploys a range of dispute resolution techniques including mediation, resolution meetings, and early neutral evaluation, and aims to resolve claims promptly and fairly. As a result, the percentage of cases resolving without litigation has continued to increase, reaching 83% of clinical claims in 2024/25. Each case must be, however, considered on its own merits in line with the prevailing law with appropriate investigation into legal liability and the amount of compensation due. Court involvement remains necessary for those who lack capacity and may also be required to determine points of law or where there is conflicting evidence.

Food and Rural Affairs, with reference to her Department's White Paper entitled A New Vision for Water, published on 20 January 2026, what assessments he has made of the potential impact of the proposed joined‑up local planning measures on the prevention of surface‑to‑foul water misconnections in new housing developments.

In the White Paper Defra has committed to delivering an enhanced, better joined up regional water planning function. This will enable a more holistic, coordinated approach to water environment and supply planning which supports delivery of national strategic objectives such as the economic growth mission, housing building targets and nature recovery, whilst enabling regional and local priorities to be realised. Defra is engaging a range of stakeholders to understand what works well, and where there are challenges with water sector planning, within the current river basin planning system. This engagement is helping us test emerging thinking, identifying opportunities to strengthen planning and delivery and ensure policy development is informed by practical experience as well as evidence and analysis. Property owners are legally responsible for resolving misconnected pipework on their property; public misconnections are the responsibility of water companies. Should misconnections not be resolved, the responsible party can be prosecuted; in some cases, local authorities and water companies can access private property to fix misconnections and then recover their costs from the owner.

Communities and Local Government, what assessment he has made of the potential merits of extending the Freedom of Information Act 2000 to cover housing associations in England.

This government is committed to increasing transparency and accountability in the social rented sector.In September 2025, we directed the Regulator of Social Housing to introduce new Social Tenant Access to Information Requirements (STAIRs) for private registered providers (PRPs) of social housing, including housing associations, to enable residents to request information about their housing management. From October 2026, PRPs will be required to proactively publish information relating to the management of their social housing. From April 2027, they will also be required to respond to information requests from tenants.We carefully considered the case for bringing PRPs of social housing within the scope of the Freedom of Information Act 2000 but ultimately decided that a bespoke scheme would be the most effective and proportionate way of ensuring that all social tenants can access information about the management of their homes.The divergences from FOI, such as specifying that only tenants and their representatives can access information and that information requests must relate to issues relevant to the management of social housing, are proportionate for PRPs in their capacity as private businesses.