Written questions by Morgan.

Food and Rural Affairs, whether he has made an assessment the potential merits of implementing recommendation 10a of the report by Policy Connect entitled Bricks and Mortar: flood and coastal erosion risk management policy for a new Government, published on 22 January 2025.

We thank Policy Connect for their report and will consider its findings as we continue to review our flood and coastal erosion policies. This work includes a review of the current floods funding formula, and we will be launching a consultation this spring. This will ensure that the challenges facing businesses and rural and coastal communities are adequately taken into account when delivering flood protection, including consideration of alternative resilience approaches such as natural flood management and property flood resilience. The consultation will be open to everyone, and I welcome your, and your constituents’, participation. In January 2025 the Environment Agency commissioned an independent review of Property Flood Resilience. The review will identify current gaps and opportunities to grow the property flood resilience market, resulting in a new action plan for all relevant parties to take forward. Report due in Autumn 2025.

Food and Rural Affairs, whether he has made an assessment of the potential implications for his policies of the report by Policy Connect entitled Bricks and Water: Flood and Coastal Erosion Risk Management Policy for a New Government, published on 22 January 2025.

We thank Policy Connect for their report and will consider its findings as we continue to review our flood and coastal erosion policies. This work includes a review of the current floods funding formula, and we will be launching a consultation this spring. This will ensure that the challenges facing businesses and rural and coastal communities are adequately taken into account when delivering flood protection, including consideration of alternative resilience approaches such as natural flood management and property flood resilience. The consultation will be open to everyone, and I welcome your, and your constituents’, participation. In January 2025 the Environment Agency commissioned an independent review of Property Flood Resilience. The review will identify current gaps and opportunities to grow the property flood resilience market, resulting in a new action plan for all relevant parties to take forward. Report due in Autumn 2025.

Food and Rural Affairs, what his Department's planned timeline is for bringing forward a consultation on the funding formula for allocation of money for new flood defences.

We have set out plans to consult on a new approach for floods investment. A consultation will be launched shortly which will include a review of the existing formula to ensure that the challenges facing businesses and rural and coastal communities are adequately taken into account when delivering flood protection.

Communities and Local Government, whether she has made an assessment the potential merits of implementing recommendation 11 of the report by Policy Connect entitled Bricks and Water: Flood and Coastal Erosion Risk Management Policy for a New Government, published on 22 January 2025.

The government is committed to building the homes the country needs while ensuring they are safe from flooding. The Building Regulations set minimum standards for all new dwellings. Statutory guidance to the Building Regulations in Approved Document C promotes the use of flood resilient and resistant construction in flood prone areas, without placing undue costs onto any properties that do not require further flood resilience measures.

If she will make an assessment of the potential impact of reopening Baschurch railway station on the economy.

In light of the current spending review, it is vital that government spending is focused on the Prime Minister’s Plan for Change, and that every pound of taxpayers’ money represents value for money. Therefore, new projects must be carefully considered. I would encourage my honourable member to work with your Local Transport Authority, Shropshire Council, to develop a case for this proposal should it represent a local transport priority.

What information he holds on (a) rates of diabetic foot screening and (b) diabetes-related lower limb amputations by (i) region and (ii) other local areas.

NHS England continues to deliver the National Diabetes Audit (NDA) and provide footcare data, which is available in the NDA Core and National Diabetes Footcare Audit data dashboards, at the following link:https://digital.nhs.uk/data-and-information/clinical-audits-and-registries/national-diabetes-audit/dashboardsA trend of improvement in foot surveillance is evidenced by the NDA’s core data for 2023/24, showing that the percentage of people with type 1 diabetes who received general practice foot checks in England reached 70.6%, versus 67.2% in 2022/23. The proportion of people with type 2 diabetes who received foot check examinations in 2023/24 was 81.3%, up from 78.8% in 2022/23.

What steps she is taking to improve access to train services in North Shropshire.

We have allocated over £8 million to Shropshire in 2025/26 to maintain and enhance local transport infrastructure, including the roads, public transport, and active travel connection to rail stations. This is delivered through the £6.78 million of Local Transport Grant and £1.64 million of Integrated Transport Block funding. This figure is in addition to the highways payment and any bus funding Shropshire has received separately. Shropshire Unitary Authority have been allocated £659,352 under the Consolidated Active Travel Fund (CATF) for the financial year 2025/26. The CATF supports authorities with developing and constructing walking, wheeling and cycling facilities. The government is committed to delivering better bus services for passengers. In the Budget, the government confirmed investment of over £1 billion to support and improve bus services, and keep fares affordable in England outside London, including in rural areas. Shropshire Council has been allocated £4.4 million of this funding in 25/26. This level of government funding will help improve access to railway stations in North Shropshire. Ultimately, however, funding decisions are a matter for local authorities, based on local needs and priorities.

What assessment he has made of the effectiveness of the Quality and Outcomes Framework guidance in ensuring appropriate management of patients with diabetes.

The Quality and Outcomes Framework (QOF) 2024/25 includes indicators for the effective control and management of diabetes. Performance improvements associated with the indicators in the QOF are seen in improvements in the care and management of diabetes.Annual diabetes reviews are associated with reduced emergency admissions, amputations, retinopathy, and mortality. Following a significant decrease in routine care delivery associated with the pandemic, the proportion of people with type 1 diabetes receiving all eight care processes had recovered back to 43.3% in 2023/24, and 62.3% for type 2 diabetes. This is comparted to 27% and 37% for 2020/21, respectively.The National Diabetes Audit core data for 2023/24 shows a steady trend of improvement in foot surveillance. The audit shows that the percentage of people with type 1 diabetes who received general practice foot checks in England reached 68.9%, versus 67.2% in 2022/23. The proportion of people with type 2 diabetes who received foot check examinations in 2023/24 was 81.3%, up from 78.8% in 2022/23. The foot check is financially incentivised via the QOF, and this is an important lever for maintaining high quality foot care.

What steps he is taking to help increase rates of diabetic foot screening in (a) North Shropshire constituency and (b) England.

The NHS Shropshire, Telford and Wrekin Primary Care team continues to work with practices and primary care networks (PCNs) to improve the access to low-risk diabetic foot screening, as well as with its providers to ensure timely access to medium- and high-risk foot screening. The integrated care system is in the process of transforming its diabetes care pathway to ensure high quality, consistent care, closer to home for those with, or at risk of, diabetes across Shropshire, Telford, and Wrekin, which includes access to diabetic foot screening.Whilst levels of diabetic foot screening across six of our nine PCNs are above the average levels for England, at 51.2% to 64.5% against an average for England of 46.9%, the integrated care board recognises that this is not universally the case, particularly in North Shropshire, where two of the three PCNs achieving below the average for England are situated, at 18.2% to 37.6%. These statistics are available in the National Diabetes Audit 2024/25 Quarterly Report April 2024 to December 2024.

How many NHS trusts have informed his Department that they plan to reduce the number of staff employed for non-corporate functions.

The Department has made no specific estimate of the change in contracted National Health Service staff, bank and agency staff, corporate functions staff, or those in other functions in NHS trusts in England over the 2025/26 financial year, beyond the position outlined in the 2025/26 NHS Priorities and Operational Planning Guidance. This guidance set out that integrated care boards and NHS trusts must:- reduce agency expenditure, as far as possible, as part of optimising costs and productivity. As a minimum, all systems are expected to deliver a 30% reduction based on current spending, with further reductions over this Parliament;- reduce bank use, with all systems expected to deliver a minimum 10% reduction. Bank rates should be optimised as far as possible; and- conduct a robust review of establishment growth and reduce spend on support functions to April 2022 levels. The Department and NHS England will continue to work with systems to develop plans that are affordable within the allocations set, exhausting all opportunities to improve productivity and tackle waste, and take decisions on how to prioritise resources to best meet the health needs of their local population.The Department does not hold information on the number of NHS trusts who may be planning to reduce the number of staff employed in non-corporate functions.

What estimate his Department has made of the potential change in the number of staff employed in (a) corporate and (b) other functions in the NHS in 2025-26.

The Department has made no specific estimate of the change in contracted National Health Service staff, bank and agency staff, corporate functions staff, or those in other functions in NHS trusts in England over the 2025/26 financial year, beyond the position outlined in the 2025/26 NHS Priorities and Operational Planning Guidance. This guidance set out that integrated care boards and NHS trusts must:- reduce agency expenditure, as far as possible, as part of optimising costs and productivity. As a minimum, all systems are expected to deliver a 30% reduction based on current spending, with further reductions over this Parliament;- reduce bank use, with all systems expected to deliver a minimum 10% reduction. Bank rates should be optimised as far as possible; and- conduct a robust review of establishment growth and reduce spend on support functions to April 2022 levels. The Department and NHS England will continue to work with systems to develop plans that are affordable within the allocations set, exhausting all opportunities to improve productivity and tackle waste, and take decisions on how to prioritise resources to best meet the health needs of their local population.The Department does not hold information on the number of NHS trusts who may be planning to reduce the number of staff employed in non-corporate functions.

What estimate his Department has made of the potential change in the number of (a) contracted staff and (b) bank and agency staff in the NHS in 2025-26.

The Department has made no specific estimate of the change in contracted National Health Service staff, bank and agency staff, corporate functions staff, or those in other functions in NHS trusts in England over the 2025/26 financial year, beyond the position outlined in the 2025/26 NHS Priorities and Operational Planning Guidance. This guidance set out that integrated care boards and NHS trusts must:- reduce agency expenditure, as far as possible, as part of optimising costs and productivity. As a minimum, all systems are expected to deliver a 30% reduction based on current spending, with further reductions over this Parliament;- reduce bank use, with all systems expected to deliver a minimum 10% reduction. Bank rates should be optimised as far as possible; and- conduct a robust review of establishment growth and reduce spend on support functions to April 2022 levels. The Department and NHS England will continue to work with systems to develop plans that are affordable within the allocations set, exhausting all opportunities to improve productivity and tackle waste, and take decisions on how to prioritise resources to best meet the health needs of their local population.The Department does not hold information on the number of NHS trusts who may be planning to reduce the number of staff employed in non-corporate functions.

How many (a) integrated care boards and (b) NHS trusts have contacted his Department to discuss the potential cost of redundancies since 1 January 2025.

The Prime Minister has announced the integration of the Department and NHS England and the associated reduction in size, and NHS England has also set out separate ambitions of reducing integrated care board running costs as well as National Health Service trusts’ corporate costs. These reforms will deliver a more efficient, leaner centre, and will also free up capacity and help deliver significant savings of hundreds of millions of pounds a year, which will be reinvested into frontline services, to cut waiting times through the Government’s Plan for Change.Clearly these reforms will have workforce implications, and we are working closely with NHS England and HM Treasury to deliver these, however we do not yet have a robust estimate of costs for 2025/26. Discussions have been with NHS England at a national level, and not with individual integrated care boards or trusts.

What estimate his Department has made of the cost of redundancies in the NHS in 2025-26.

The Prime Minister has announced the integration of the Department and NHS England and the associated reduction in size, and NHS England has also set out separate ambitions of reducing integrated care board running costs as well as National Health Service trusts’ corporate costs. These reforms will deliver a more efficient, leaner centre, and will also free up capacity and help deliver significant savings of hundreds of millions of pounds a year, which will be reinvested into frontline services, to cut waiting times through the Government’s Plan for Change.Clearly these reforms will have workforce implications, and we are working closely with NHS England and HM Treasury to deliver these, however we do not yet have a robust estimate of costs for 2025/26. Discussions have been with NHS England at a national level, and not with individual integrated care boards or trusts.

What proportion of the reduction in NHS waiting lists that took place between July and December 2024 was due to people (a) receiving the procedure they were on the waiting list for and (b) being removed from the waiting list because it was determined they no longer required the treatment.

Data is not held in the format requested.

For what reason cross-party talks on social care have not yet taken place.

We are committed to building a national, cross-party consensus to create a fair and affordable adult social care system for all. This is why we have asked Baroness Casey of Blackstock to lead an independent commission into adult social care as part of our critical first steps towards building a National Care Service.As the commission is independent, Baroness Casey and her team are taking forward the arrangement of discussions with political parties.

When he plans to hold the first round of cross party talks on social care.

We are committed to building a national, cross-party consensus to create a fair and affordable adult social care system for all. This is why we have asked Baroness Casey of Blackstock to lead an independent commission into adult social care as part of our critical first steps towards building a National Care Service.As the commission is independent, Baroness Casey and her team are taking forward the arrangement of discussions with political parties.

How many people came off an NHS waiting list without receiving treatment since September 2024; and what new (a) care pathways and (b) triaging policies his Department has introduced since July 2024.

A breakdown of the reasons for coming off the waiting list is not available in the aggregate monthly official statistics.There are a number of reasons why a patient may come off an NHS waiting list without receiving treatment including: the patient or their clinician initiating active monitoring; a decision being reached that no treatment is needed or no further contact required; the patient declining treatment; and the patient dying before treatment, including deaths unrelated to the condition the referral was made.The Elective Reform Plan, published in January 2025, set out key commitments to reform elective care, return to the constitutional standard of 92% of patients receiving treatment within 18 weeks, and build a sustainable National Health Service. This includes the commitment to transforming pathways, including: delivering at least 10 straight-to-test pathways by March 2026; opening CDCs 12 hours a day, seven days a week; ensuring all patients with long term conditions, who are on appropriate pathways, are offered Patient Initiated Follow-Up by March 2026; and undertaking pathway reform in five challenged specialties.The Plan also set a focus on increased delivery of Advice & Guidance and effective triage, with a new incentivised model for pre-referral Advice & Guidance going live in April 2025; and a commitment to develop an implementation toolkit for triage services by March 2026.

What steps he is taking to repurpose spending on hospital care and emergency admissions for people at the end of life into improving community care services.

We want a society where every person receives high-quality, compassionate care from diagnosis through to the end of life.The Government is determined to shift more healthcare out of hospitals and into the community, to ensure patients and their families receive personalised care in the most appropriate setting, and community palliative and end of life care services will have a big role to play in that shift.Funding provision for hospital care and community care services is subject to the forthcoming Spending Review.

Whether she plans to increase VAT to 20% for private hire passenger fares outside of London.

Private hire vehicle services provided by VAT-registered businesses are, and always have been, subject to the standard rate of VAT (20%). The Government is carefully considering the wide range of views shared through last year's consultation on the VAT Treatment of Private Hire Vehicles.