Written questions by Morgan.

What steps he is taking to help ensure the safety of Community First Responders.

Community First Responders (CFRs) are volunteers trained by ambulance services to attend certain types of emergency calls in the communities where they live or work. Decisions on operational arrangements, including safety measures and equipment for CFRs, are determined locally by ambulance trusts.As a complementary resource, CFRs are dispatched only to those calls that appropriately fall within the clinical scope of practice for a volunteer CFR role and assessment of this takes both the safety of the volunteer and patient into account.My Rt Hon. Friend, the Secretary of State for Health and Social Care, may, by regulations, make provisions for courses of training for driving vehicles at high speed. It is generally taken that those responding to incidents using blue lights and sirens are trained to an appropriate standard that is recognised by the despatching National Health Service ambulance service. The decision to authorise interested CFR and/or co-responder schemes to use blue lights and sirens and claim exemptions is for local determination by NHS ambulance services.The CFR scheme is designed so volunteers are typically located close to incidents requiring a response, meaning driving under emergency conditions would typically confer relatively little benefit compared with travelling at normal road speed. Any potential benefits must also be weighed against the increased risks to the public associated with using exemptions to road traffic regulations.

If he will make an assessment of the potential safety benefits of providing warning lights for vehicles used by Community First Responders.

Community First Responders (CFRs) are volunteers trained by ambulance services to attend certain types of emergency calls in the communities where they live or work. Decisions on operational arrangements, including safety measures and equipment for CFRs, are determined locally by ambulance trusts.As a complementary resource, CFRs are dispatched only to those calls that appropriately fall within the clinical scope of practice for a volunteer CFR role and assessment of this takes both the safety of the volunteer and patient into account.My Rt Hon. Friend, the Secretary of State for Health and Social Care, may, by regulations, make provisions for courses of training for driving vehicles at high speed. It is generally taken that those responding to incidents using blue lights and sirens are trained to an appropriate standard that is recognised by the despatching National Health Service ambulance service. The decision to authorise interested CFR and/or co-responder schemes to use blue lights and sirens and claim exemptions is for local determination by NHS ambulance services.The CFR scheme is designed so volunteers are typically located close to incidents requiring a response, meaning driving under emergency conditions would typically confer relatively little benefit compared with travelling at normal road speed. Any potential benefits must also be weighed against the increased risks to the public associated with using exemptions to road traffic regulations.

What assessment he has made of trends in the number of year-on-year changes to hospital handover delays in (a) Shropshire (b) West Midlands and (c) England.

Shropshire is primarily served by the West Midlands Ambulance Service, along with the wider West Midlands region, where in January 2026 average hospital handovers took one hour, 20 minutes and 15 seconds, which is worse than the same period the year before.For England overall, the most recent National Health Service performance figures show that average ambulance handover delays have improved, falling to 37 minutes 39 seconds from 40 minutes 23 seconds, an improvement of over two and a half minutes from the same period last year.From 2023, NHS England has published data on hospital handover delays at acute and ambulance trust level. There is no published data on individual hospital handover times publicly available, so the Deptartment is unable to list the longest hospital handover times recorded. However, the 90th centile of handovers times are published monthly. The data can be found at the following two links:https://digital.nhs.uk/data-and-information/publications/statistical/mi-nhse-ambulance-handover-times-by-acute-trusthttps://www.england.nhs.uk/statistics/statistical-work-areas/ambulance-quality-indicators/ambulance-quality-indicators-data-2025-26/

If he will list the longest hospital handover time recorded in each ambulance service area of England in each January of the past five years.

Shropshire is primarily served by the West Midlands Ambulance Service, along with the wider West Midlands region, where in January 2026 average hospital handovers took one hour, 20 minutes and 15 seconds, which is worse than the same period the year before.For England overall, the most recent National Health Service performance figures show that average ambulance handover delays have improved, falling to 37 minutes 39 seconds from 40 minutes 23 seconds, an improvement of over two and a half minutes from the same period last year.From 2023, NHS England has published data on hospital handover delays at acute and ambulance trust level. There is no published data on individual hospital handover times publicly available, so the Deptartment is unable to list the longest hospital handover times recorded. However, the 90th centile of handovers times are published monthly. The data can be found at the following two links:https://digital.nhs.uk/data-and-information/publications/statistical/mi-nhse-ambulance-handover-times-by-acute-trusthttps://www.england.nhs.uk/statistics/statistical-work-areas/ambulance-quality-indicators/ambulance-quality-indicators-data-2025-26/

What assessment he has made of the potential impact of ambulance station closures on ambulance response times in (a) Shropshire (b) rural areas and (c) England.

No specific assessment has been made. Responsibility for the delivery, implementation, and funding decisions for services ultimately rests with the appropriate National Health Service commissioner. The West Midlands Ambulance Service have two hubs in Shropshire and no current plans to change that.Integrated care boards are best placed to work with and consult local health and care organisations, local authorities and local stakeholders to decide how to best deliver and meet their local population care needs and national targets for ambulance response times. The Urgent and Emergency Care Plan for 2025/26 commits to reducing ambulance response times for Category 2 incidents to 30 minutes on average this year.

What steps she is taking to encourage police forces to apply the National Police Chiefs’ Council’s revised guidance on abnormal loads.

NPCC guidance for forces on managing abnormal loads was updated in May 2025. This seeks to promote greater national alignment across forces, where possible, noting the need for variations.Police Chiefs are responsible for decisions on escorting abnormal loads and for how guidance should be implemented in their areas. Local variation in the management of abnormal loads may be necessary to account for factors such as geography and road infrastructure.The NPCC has committed to review this guidance twelve months after publication to ensure it remains fit for purpose.

What assessment she has made of the potential impact of changes to the National Police Chiefs’ Council guidance on abnormal loads on the haulage sector.

We continue to monitor the impact of the guidance issued in June 2025 by the National Police Chiefs Council (NPCC), aimed at improving coordination, transparency, and efficiency for both law enforcement and the transport industry. NPCC have set a review date for the document of 1 May 2027. We are working with industry, including the Heavy Transport Association and agencies, such as National Highways, to ensure the appropriate balance between efficient movement of abnormal loads, whilst ensuring road safety and minimised disruption to other road users.

What estimate he has made of the number of cases due to be affected by the decision to allow pending cases to be tried by a judge alone.

The Ministry of Justice has published information about the impacts of the IRCC measures in the Courts and Tribunals Bill, in the IRCC Impact Assessment (Courts and Tribunals Bill (Structural Criminal Court) Impact Assessment). This includes the impacts of re-allocating cases in the open caseload to the Crown Court Bench Division and judge-alone trials for technical and lengthy cases. The package of measures is estimated to reduce incoming demand on the Crown Court by the equivalent of around 27,000 sitting days in 2028/29. These changes are annual and continue into future years. In 2028/29 a further one-off gain of c. 3,500 Crown Court sitting days will accrue from changing mode of trial on cases already in the Crown Court open caseload from jury trial to trial by judge alone (either under the Crown Court Bench Division or on grounds of technicality or length). The modelling of this gain takes into account the time needed to review open cases when re-allocating cases.

What modelling his department has used to establish that allowing pending cases to be tried by a judge alone will deliver swifter justice as referenced in the Minister for Courts and Legal Services’ letter to the Justice Select Committee dated 17 February 2026.

The Ministry of Justice has published information about the impacts of the Independent Review of the Criminal Courts (IRCC) measures in the Courts and Tribunals Bill, in the IRCC Impact Assessment (Courts and Tribunals Bill (Structural Criminal Court) Impact Assessment). This includes the impacts of re-allocating cases in the open caseload to the Crown Court Bench Division and judge-alone trials for technical and lengthy cases to cases. Sir Brian’s Review gave a ‘conservative’ estimate that trials without a jury will make hearings at least 20% faster. This assumption was reached through quantitative analysis and workshops with HMCTS operational experts and engagement with judges. The Impact Assessment details the methodology used to reach this estimate. The assumption is also consistent with international evidence: data from New South Wales shows an average 16% reduction in trial length for judge-only trials, rising to around 29% for complex cases. The package of reforms in the Courts and Tribunals Bill are designed to free up Crown Court capacity so that the most serious cases can be put before a jury more quickly, reducing delays for victims and witnesses.

What assessment he has made of the potential impact of the decision to allow pending cases to be tried by a judge alone on (a) the number of pre-trial hearings and (b) the number of appeals to these hearings.

The Ministry of Justice has published information about the impacts of the IRCC measures in the Courts and Tribunals Bill, in the IRCC Impact Assessment (Courts and Tribunals Bill (Structural Criminal Court) Impact Assessment). This includes the impacts of re-allocating cases in the open caseload to the Crown Court Bench Division or judge-alone for technical and lengthy cases. Re-allocation of these cases may be done on the papers, ie without a hearing. The package of measures is estimated to reduce incoming demand on the Crown Court by the equivalent of around 27,000 sitting days in 2028/29. These changes are annual and continue into future years. In 2028/29 a further one-off gain of c. 3,500 Crown Court sitting days will accrue from changing mode of trial on cases already in the Crown Court open caseload from jury trial to trial by judge alone (either under the Crown Court Bench Division or on grounds of technicality or length). The modelling of this gain takes into account the time needed to review open cases when re-allocating cases. There will be no right to appeal against an allocation decision or order made to hear a trial by judge alone. Parliament has long held that decisions about mode of trial (e.g., allocation decisions in the magistrates’ court) are not normally subject to appeal given the need for procedural finality and avoiding delay in cases.

What steps she is taking to improve the availability of CCTV coverage in train carriages.

Most new train procurements since 1996 have included provision of CCTV. National Rail Contracts and Service Agreements between the Government and train operators impose obligations that where CCTV is installed or upgraded, operators are contractually required to comply with relevant CCTV guidance and industry standards. Where CCTV is provided, train operators are expected to follow the Rail Safety and Standards Board (RSSB) Rail Industry Standard for On-Train Camera Monitoring Systems. This standard sets out requirements for camera placement, image quality, secure data storage and integration with passenger alarms. The RSSB Key Train Requirements also emphasise the importance of internal CCTV as an element of passenger security, including good coverage, reliable performance and proper maintenance over the life of the train. The Key Train Requirements document assists rolling stock procurers, specifiers, manufacturers, and system suppliers to compile procurement specifications for new and refurbished trains. As we move towards public ownership we will be working with train operators to ensure equipment is working and retention periods are adhered to.

What assessment his Department has made of the potential impact of corridor care on NHS workforce numbers.

Whilst no assessment has been made, the health and wellbeing of all National Health Service staff is a top priority. NHS organisations have a responsibility to create supportive working environments for staff, ensuring they have the conditions they need to thrive, including access to high quality health and wellbeing support. We recognise that periods of high demand can leave NHS staff feeling overworked and unsupported. The government is committed to publishing a 10 Year Workforce Plan to create a workforce ready to deliver the transformed service set out in the 10-Year Health Plan, including new staff standards focused on improving retention, flexible working and staff health and wellbeing.Corridor care refers to care delivered in non-designated clinical areas and is not an acceptable standard of care. We are committed to eliminating corridor care before the end of this Parliament.On 3 March 2026, NHS England wrote to NHS organisations, including trusts and integrated care boards, setting out a clear definition of corridor care and the additional actions required to eliminate it. This introduction of a clear national definition will enable trusts to collect and report consistent and validated data on corridor care, supporting transparency and system improvement. Subject to data quality, this information will be published monthly on the NHS England website from May 2026.Where corridor care cannot be avoided, updated national guidance has been issued to ensure patient safety, dignity and privacy are protected and to reduce impacts on patients and staff.

What steps he is taking to help facilitate compliant data sharing between organisations involved in the National Neighbourhood Health Implementation Programme.

In September 2025, we launched the National Neighbourhood Health Implementation Programme (NNHIP) in 43 places across England.The NNHIP is a large-scale change programme for all partners involved in delivering neighbourhood health: the National Health Service; local government; social care providers; other statutory and non-statutory organisations; and the voluntary sector.We are working closely with the relevant transformation teams to strengthen data‑sharing arrangements across the programme. Sites are already exchanging learning on effective local approaches, and we are jointly developing practical guidance to support safe and consistent data sharing while wider national solutions are progressed.

What assessment his Department has made of the adequacy of Dementia Assessment Services in Shropshire.

No central assessment has been made of the adequacy of Dementia Assessment Services in Shropshire. The provision of dementia health care services is the responsibility of local integrated care boards and ensuring they are responsive to the needs of local communities.However, NHS England does collect and publish data about people with dementia at each general practice (GP) in England, including those in Shropshire, to enable National Health Service GPs and commissioners to make informed choices about how to plan their dementia services around patients’ needs.GPs also provide a count of patients up to the end of the reporting period who have received an assessment for dementia and who have received or declined an initial memory assessment, a referral to a memory clinic, a care plan, a care plan review, and/or a medication review.

What assessment he has made of the adequacy of care for people who have received dementia diagnoses, in the context of the contribution of (a) continued activity and (b) social engagement for slowing the progression of dementia.

The provision of dementia health care services is the responsibility of local integrated care boards (ICBs). Therefore no central assessment has been made of the adequacy of care for people who have received dementia diagnoses in the context of the contribution of continued activity and social engagement for slowing the progression of dementia. We expect ICBs to commission services based on local population needs, taking account of National Institute for Health and Care Excellence guidelines, and oversee the quality of the services they commission.We will deliver the first ever Modern Service Framework for Frailty and Dementia to deliver rapid and significant improvements in quality of care and productivity. The Modern Service Framework for Frailty and Dementia will seek to reduce unwarranted variation and narrow inequality for those living with dementia and will set national standards for dementia care and redirect National Health Service priorities to provide the best possible care and support.

If he will make an assessment of the potential merits of moving data controller responsibilities from GPs to (a) NHS and (b) government bodies.

As set out in the Life Sciences Sector Plan, we will build on our programme of national public engagement on the use of health data and work with the system, including clinical staff, to move towards national and regional models of decision making for access to all National Health Service data for secondary uses, for instance data used for purposes beyond an individual’s care, for example planning NHS services and research. We will use a combination of policy and legislative change to implement this and speed up secure access to this data. This may result in changes to data controllership responsibilities for secondary uses of data.General practices (GPs) would remain data controllers for data in GP records for an individual’s care.

What guidance he has issued to (a) public (b) private and (c) voluntary organisations involved in the National Neighbourhood Health Implementation Programme on best practice data sharing.

In September 2025, we launched the National Neighbourhood Health Implementation Programme (NNHIP) in 43 places across England.The NNHIP is a large-scale change programme for all partners involved in delivering neighbourhood health: the National Health Service; local government; social care providers; other statutory and non-statutory organisations; and the voluntary sector.We are working closely with the relevant transformation teams to strengthen data‑sharing arrangements across the programme. Sites are already exchanging learning on effective local approaches, and we are jointly developing practical guidance to support safe and consistent data sharing while wider national solutions are progressed.

Innovation and Technology, what steps she is taking to help improve collaboration between landowners, telecoms infrastructure providers and mobile operator companies.

The Government is keen that landowners, infrastructure providers and operators work as collaboratively as possible.We therefore endorse the work of the National Connectivity Alliance, an alliance of telecommunications providers, infrastructure providers, landowners and their professional advisers who are brought together to collaborate on areas of mutual interest.We are committed to implementing the remaining provisions of the Product Security and Telecommunications Infrastructure Act 2022, including section 70 relating to the handling of complaints, as soon as possible.

What steps his Department is taking to ensure that people with dementia are able to access a timely diagnosis.

We remain committed to recovering the dementia diagnosis rate to the national ambition of 66.7%. The estimated dementia diagnosis rate for patients aged 65 years old and over at the end of January 2026 was 66.1%.To support recovery of the dementia diagnosis rates and implementation of the Dementia Care Pathway, we have developed a memory service dashboard for management information purposes. The aim is to support commissioners and providers with appropriate data and enable targeted support where needed.To reduce variation in diagnosis rates, the Office for Health Improvement and Disparities’ Dementia Intelligence Network has developed a tool for local systems, which includes an assessment of population characteristics such as rurality and socio-economic deprivation. This enables systems to investigate local variation in diagnosis and takes informed action to enhance their diagnosis rates. The tool has been released and is available via the NHS Futures Collaboration platform.We will deliver the first ever Modern Service framework for Frailty and Dementia to deliver rapid and significant improvements in quality of care and productivity. The Modern Service framework for Frailty and Dementia will seek to reduce unwarranted variation and narrow inequality for those living with dementia and will set national standards for dementia care and redirect National Health Service priorities to provide the best possible care and support.

Innovation and Technology, how many existing mobile masts have been removed in (a) England (b) Wales (c) Scotland and (d) Northern Ireland in each of the past 10 years.

The Department does not track the number of mobile masts that are removed. Masts may be removed or relocated for a number of reasons and this is a commercial matter for operators.Over the last 10 years, Ofcom reports that 4G coverage from at least one operator has risen from 72% in 2016 to 96% in 2025.