Written questions by Thomas.

What assessment he has made of the adequacy of the performance of Northwick Park Hospital on cancer in the last five years.

London North West University Healthcare NHS Trust provides cancer services at Northwick Park, Central Middlesex, Ealing, and St Mark's Hospitals, with speciality cancer teams at each site. Performance data on cancer pathways is reported at trust level.The trust demonstrated strong performance up to mid-2023, particularly for the Faster Diagnosis Standard, with 84.7% performance in July 2023 being 14.7 percentage points above the 75% standard, and the 31-day treatment standard, with 100% performance in July 2023 being four percentage points above the 96% standard.From mid-202,3 data quality issues and a temporary reduction in activity following the implementation of Cerner, an electronic patient record system, plus capacity constraints, saw a decline in performance. Backlogs increased with the number of patients waiting over 104 days for treatment peaking significantly.A recovery programme was implemented to reduce the backlog, using real-time data to drive action and accountability. Actions included increasing the trust’s capacity and workforce, with specialist nurses, radiographers, and consultants, plus extended hours and weekend clinics. Rapid triage and assessment pathways led to faster diagnosis, along with expanded one-stop clinics, especially for breast cancer and gynaecology, with more patients also being sent straight to test for lower gastrointestinal cancers.By early 2025, the number of patients wating more than 104 days was close to zero, with a steady improvement seen in two-week waits and the Faster Diagnosis Standard. As the trust has started to stabilise its backlog, there has been significant improvement in the 62 day performance target with the trust continuing to be above the London target of 70%.Latest waiting time performance from July 2025 has been promising, with the trust achieving 81.5% Faster Diagnosis Standard performance and 100% 31-day treatment performance. 62-day referral to first treatment performance was 83%, one of the best in the country.Full cancer performance figures are published in the trust’s annual report, which is available at the following link:https://www.lnwh.nhs.uk/annual-report-and-accounts

Commonwealth and Development Affairs, what discussions she has had with international partners on greater protections for journalists in Gaza.

The UK is appalled by the extremely high number of fatalities, arrests and detentions of media workers in the State of Palestine. We have called on all parties to fully uphold International Humanitarian Law and ensure protection of civilians including journalists. In a recent joint statement with 28 other members of the Media Freedom Coalition, we called on the Israeli authorities and all other parties to make every effort to ensure that media workers in Gaza, Israel, the West Bank and East Jerusalem can conduct their work freely and safely. The statement also called for all attacks against media workers to be investigated and for those responsible to be prosecuted in compliance with national and international law. Earlier this year the UK provided funds to United Nations Educational, Scientific and Cultural Organization's (UNESCO) Special Fund for Gaza, supporting locally based journalists and providing vital equipment.

Commonwealth and Development Affairs, what discussions she has had with international partners on greater protections for humanitarian workers in Gaza.

The UK has repeatedly made both public and private representations to Israel to ensure that humanitarian workers are protected and medical and aid workers can do their jobs safely.At the UN, the UK has worked to enhance the safety of aid workers by co-sponsoring United Nations Security Council Resolution (UNSCR) 2730 on the Protection of Humanitarian Personnel in 2024. Working with our Australian counterparts, we developed the political Declaration for the Protection of Humanitarian Personnel which launched at the United Nations General Assembly (UNGA) on September 21 and secured endorsement from 105 states. We will continue our engagement to drive forward implementation.

Food and Rural Affairs, what assessment she made of the potential impact of agricultural cooperatives on the rural economy.

The Government strongly supports the benefits co-operatives can bring and recognises the important role they play in rural communities. For instance, through collaborating farmers and growers can benefit from peer to peer learning, being able to share equipment and being able to act at scale.

What assessment he has made of the potential merits of (a) social enterprises and (b) cooperatives providing (i) NHS and (ii) social care services.

Integrated care boards have a duty to provide health services to meet the needs of their population and already work closely with the voluntary, community, and social enterprise (VCSE) sector, which includes the commissioning and delivery of services and, in some cases, by appointing representatives from the VCSE sector to their boards.Charities, co-operatives, social enterprises and mutuals have always been part of the National Health Service and social care. Today, social enterprises provide services for approximately two thirds of the United Kingdom population, delivering more than £2.5 billion of NHS care each year. This includes services such as community care, primary and urgent care, out-of-hours services, mental health support, drug and alcohol rehabilitation centres, end of life care, physiotherapy, audiology.Social enterprises are often able to take a more agile approach and will continue to be critical to the success of the NHS and in delivery of the 10 Year Health Plan and supporting the three shifts.

What information her Department holds on the number of credit unions there are with more than (a) 500,000, (b) one million and (c) two million members.

The Government has made clear its strong support for the credit union sector, recognising the value that credit unions bring to their members in local communities across the country in providing savings products and affordable credit. HM Treasury is delivering on measures announced by the Chancellor in last year’s Mansion House speech, including: concluding a call for evidence on potential reforms to the credit union common bond, supporting the industry-led Mutual and Co-operative Sector Business Council, and commissioning the Financial Conduct Authority (FCA) and Prudential Regulation Authority (PRA) to publish a report on the mutuals landscape by the end of 2025. The Government currently has no plans to develop a central finance facility for credit unions but continues to engage with the sector and will keep all issues, like central finance functions, under review. There are currently no credit unions in Great Britain or Northern Ireland with more than 500,000 members. According to annual data published on the Bank of England’s website, there were a total of 1,520,300 credit union members in GB in 2024, served by a total of 220 credit unions.

Whether she has made an assessment of the potential merits of introducing a central finance facility for credit unions.

The Government has made clear its strong support for the credit union sector, recognising the value that credit unions bring to their members in local communities across the country in providing savings products and affordable credit. HM Treasury is delivering on measures announced by the Chancellor in last year’s Mansion House speech, including: concluding a call for evidence on potential reforms to the credit union common bond, supporting the industry-led Mutual and Co-operative Sector Business Council, and commissioning the Financial Conduct Authority (FCA) and Prudential Regulation Authority (PRA) to publish a report on the mutuals landscape by the end of 2025. The Government currently has no plans to develop a central finance facility for credit unions but continues to engage with the sector and will keep all issues, like central finance functions, under review. There are currently no credit unions in Great Britain or Northern Ireland with more than 500,000 members. According to annual data published on the Bank of England’s website, there were a total of 1,520,300 credit union members in GB in 2024, served by a total of 220 credit unions.