Written questions by Campbell.

What steps his Department is taking to support GPs who are the subject of a complaint arising from a specialist denying a person a face-to-face appointment.

As independent businesses who hold contracts with the National Health Service, general practices (GPs) are responsible for managing patient complaints relating to services delivered by their GP and the wider health system. In cases where specialist advice has been used, such as Advice and Guidance, and the outcome of the advice was that care management in GPs is clinically appropriate, the GP may still subsequently refer their patient again at any point if they have concerns. NHS England has published guidance for both primary care referrers and specialists to support effective use of Advice and Guidance.For patients who have been under a specialist’s care, clinical governance procedures for the relevant provider will apply.

Commonwealth and Development Affairs, what engagement has the Government had with Mexican Authorities on the safety of UK football fans attending World Cup matches in Guadalajara.

The Foreign, Commonwealth and Development Office (FCDO) is working across Government and with sporting bodies to support UK fans travelling to matches for the FIFA World Cup in 2026. Our Embassy in Mexico remains in regular contact with the Mexican Federal and State Governments. We are closely monitoring the situation and keep travel advice under regular review to ensure it reflects the latest assessment of risk to British nationals. We encourage those travelling to Mexico to consult our Mexico (https://www.gov.uk/foreign-travel-advice/mexico/entry-requirements) and World Cup (https://www.gov.uk/foreign-travel-advice/mexico/world-cup-2026) travel advice pages before making travel arrangements.

What steps his Department is taking to (a) reduce delays and (b) improve (i) flow and (ii) efficiency in NHS Surgical Theatres.

As set out in the Elective Reform Plan, we are committed to returning by March 2029 to the National Health Service constitutional standard that 92% of patients wait no longer than 18 weeks from referral to consultant-led treatment, which includes those waiting for surgical procedures.The productivity and modernisation efforts needed to meet that standard includes the expansion of the number of elective surgical hubs. Hubs, which are protected from urgent and emergency care, improve patient outcomes and reduce hospital pressures by reducing cancellations and improving efficiency. They focus on high-volume, low-complexity procedures, support day-case surgery, and align with the standards of the Getting It Right First Time (GIRFT) programme, including a national target of 85% theatre utilisation. NHS England, in partnership with the Royal College of Surgeons of England, runs a surgical hub accreditation programme to ensure hubs meet best practice standards, including theatre utilisation. Currently, 125 hubs are operational, with 63 accredited. Theatre utilisation across all specialties reached 81% in August 2025, up from 79% the previous year.To support these improvements, the National Theatre Programme, led by GIRFT since 2021, provides national guidance as well as targeted support for trusts to improve theatre productivity. To drive forward further progress, one of the areas of focus for 2025/26 is the establishment of ‘high flow theatre’ lists becoming regular practice across the country. Further national actions include earlier and more robust pre-operative risk-assessment to support earlier identification of patients suitable for treatment at hubs, productivity initiatives focussing on flow, scheduling, utilisation and workforce, and the deployment of data analytics and digital scheduling tools to improve real-time theatre management.

What steps his Department is taking to help improve GP Practice premises to increase the number of (a) consulting rooms to allow practices to train more medical students, (b) GP Registrars and (c) hire more GPs in (i) Broxtowe Constituency, (ii) the East Midlands and (iii) England.

In May 2025, we announced schemes which were prioritised by integrated care boards (ICBs) to benefit from the £102 million Primary Care Utilisation and Modernisation Fund (PCUMF). This fund is to deliver upgrades to more than a thousand general practice (GP) surgeries across England this financial year. These schemes will create additional clinical space within existing building footprints to enable practices to see more patients, boost productivity, and improve patient care.Building on this, the Government has committed £426 million of Utilisation and Modernisation funding over the next four years to continue upgrading the GP estate. This funding will also support refurbishing the existing estate to deliver neighbourhood health centres over this Parliament, as part of the 10-Year Health Plan commitment.Through the PCUMF, the NHS Nottingham and Nottinghamshire ICB has committed £1.9 million to creating space for 250,000 new appointments for 2025/26. For the Broxtowe constituency this was an allocation of £335,000, which creates space for 52,500 appointments across two schemes in Beeston, and one each in Chilwell and Newthorpe. All clinical rooms are flexible in design so can be used for face-to-face clinical consultations with patients, used by GP Registrars, and/or to increase training capacity.The Department does not hold East Midlands-level data. The Government has taken steps to grow the GP workforce. We currently have the highest number of fully qualified GPs since 2015, and we want to go further. Following feedback from the 2026/27 GP Contract consultation, we are introducing a practice-level GP reimbursement scheme using £292 million of repurposed funding from the current Capacity and Access Payment. This funding will be available to practices to hire additional GPs or fund additional sessions with existing GPs to improve access in GPs. We are also increasing the flexibility of the Additional Roles Reimbursement Scheme enabling primary care networks to recruit more experienced GPs.We are also committed to training thousands more GPs. We have expanded GP training places by 250, taking the total number of available places to 4,250 for 2025/26, and we plan to expand this again for 2026/27. Current and future expansions to post-graduate training, including foundation training and GP specialty training, have been planned on the basis of relative need, balanced with ability of locations to support trainees.

Commonwealth and Development Affairs, whether his Department has made an assessment of the humanitarian impact of recent Israeli strikes in the Bekaa Valley and what steps is the Government taking to de-escalate tensions in the region.

We are concerned about the military escalation in Lebanon, especially the impact on civilians, and we are coordinating closely with the Government of Lebanon and humanitarian partners to provide support. On 3 March, I discussed the situation with Lebanese Foreign Minister Rajji, and we will continue to press for de-escalation in our other talks with international partners.

What steps his Department is taking to support the availability of Peer Supported Open Dialogue in the NHS.

There is no national policy specifically focused on implementing Peer Supported Open Dialogue.The National Health Service follows evidence when implementing any approach at scale and will respond to any future changes in National Institute for Health and Care Excellence guidance. A research trial evaluating the impact of open dialogue in the NHS is due to report soon, at the following link:https://www.ucl.ac.uk/brain-sciences/pals/research/clinical-educational-and-health-psychology/research-groups/oddessi/oddessi-trialNationally, we are committed to working with local NHS mental health providers to develop a new approach for mental health in 2026, including through the upcoming modern service framework for severe mental illness.The Department is also supporting the development of the evidence base on mental health care through research and evaluation, including studies funded by the National Institute for Health and Care Research, to inform future decisions on effective models of care.

Whether he will make an assessment of the potential merits of reducing the number of hospitals and departments that doctors rotate through as part of Internal Medical Training.

The Government recognises the importance of continuity in postgraduate medical training for both doctors and patients. Following the 2024 Resident Doctors Agreement, the Department, working in partnership with NHS England and the British Medical Association, established a review of rotational training. This review drew on some 13,000 responses to surveys and found that rotations can provide valuable breadth of experience, but that in some cases frequent moves can disrupt learning, wellbeing, team integration, and patient care NHS England has developed pilots within the Rotations Review programme, and these are being recruited to with start dates in August of this year. As set out in the 10-Point Plan to Improve Resident Doctors’ Working Lives, these test longer placements, smaller geographic footprints, and more flexible arrangements for less-than-full-time trainees. The future work will become part of the Medical Education and Training Review. One of these pilots has focussed on Internal Medicine Training programmes being based at a single provider for the entire three years. The evaluation of these pilots will inform future policy decisions on placement length and continuity benefits.

Communities and Local Government, what steps his Department is taking to support the high streets of the Broxtowe towns of (i) Beeston, (ii) Stapleford, and (iii) Eastwood.

This Government is committed to supporting high streets across the country, including those in Beeston, Stapleford and Eastwood. The Department is working closely with Broxtowe Borough Council as an early adopter of High Street Rental Auctions (HSRA) by providing direct support and funding to bring long‑term vacant properties back into use to boost local trade and growth. Government will bring forward a High Streets Strategy this year to support high streets.

How many dental students have undertaken training in (a) Nottingham, (b) Nottinghamshire, (c) the East Midlands and (d) England in each of the last 15 years.

There are currently no dental schools in Nottingham, Nottinghamshire, or the East Midlands. Consequently, no dental students have undertaken undergraduate training in Nottingham, Nottinghamshire, or the East Midlands. The following table shows the number of entrants to undergraduate dentistry courses in England from 2012 to 2025:Year of EntryEntrants20128752013875201480020157802016800201780520188102019810202089520219802022815202381520248302025815Source: Office for Students Medical and Dental Students Survey.Note: data for 2025 is provisional as entrants are based on initial figures and may change.

Whether his Department has made an assessment of the potential merits of using the Multi‑Specialty Recruitment Assessment.

The UK National Recruitment Board, which oversees specialty training recruitment on behalf of the four United Kingdom health departments, has governance processes which determine whether the Multi-Specialty Recruitment Assessment (MSRA) is used by a specialty in their selection processes, and how. Any new specialties considering using the MSRA undergo modelling before a decision is made.NHS England will take forward reform measures to consider the future shape and delivery model for selection assessments beyond 2027. These will provide a decision point for NHS England on replacing the current MSRA with an updated assessment fit for purpose to be adopted by a broader group of specialties.

Communities and Local Government, what steps his Department is taking to support community cohesion and interfaith in (i) the constituency of Broxtowe, (ii) Nottingham, (iii) the East Midlands, (iv) and England as a whole.

MHCLG's Community Cohesion Unit works to support and promote cohesion and interfaith relations across England, through working closely with local authorities, voluntary and community sector and faith organisations, and other government departments. Several places in the East Midlands have received continued support after the summer disorder of 2024. Specific projects to help develop cohesive communities have been supported, including the ‘Vista Collective’ in Derby - bringing together diverse community groups for dialogue and engagement and empowering residents to tackle issues affecting community cohesion. In Leicester three projects have been funded aimed at connecting and integrating separate communities, whilst in Nottingham the ‘More In Common’ partnership has been developed. The partnership has; awarded grants to local projects, provided community cohesion outreach vehicle for partnership use, arranged conversations with the public (over hate crime, flags, and wider issues of tension), distributed leaflets on hate crime, myth busting and the Prevent process (in a variety of languages) and arranged hate crime workshops, for staff and partners, delivered by Nottinghamshire Police. Additionally, areas have been awarded funding under the recently announced Pride in Place Programme. £20 million, over a ten-year period, will be spent on projects within each of the following areas; Clifton, Worksop, Chesterfield, Mansfield, Newark-on-Trent, North East Derbyshire (Grassmoor & Holmewood), Derby (Chaddesden West), and Leicester (Eyres Monsell, Braunstone Park West, Thurnby Lodge). This long-term preventative investment will help sustain local cohesion capability. Furthermore, MHCLG is co-ordinating cross-Government efforts to develop a longer-term, more strategic approach to social cohesion - working in partnership with local government, communities and local stakeholders to rebuild, renew and address the deep-seated issues. At a national level, the government supports strong interfaith relations which are vital for cohesive communities. The Government funded Inter Faith Week 2025 as an important national platform for fostering positive interfaith relations. Alongside this, MHCLG funds grassroots programmes across England such as Near Neighbours and Schools Linking which promote dialogue and understanding across different faiths and beliefs.

What steps his Department is taking to support medical students' (a) wellbeing and (b) welfare in (i) Nottingham, (ii) Nottinghamshire, (iii) the East Midlands and (iv) England.

The professional regulator the General Medical Council sets guidance for all university medical schools and placement providers, who have a responsibility to routinely monitor and support the health, safety, and wellbeing of students whilst studying and on placement.

Commonwealth and Development Affairs, what steps she is taking international partners to encourage de-escalation between Pakistan and Afghanistan; and what recent discussions she has had with her (a) Pakistani and (b) Afghan counterpart on the October 2025 ceasefire.

The UK is deeply concerned by rising tensions between Pakistan and the Taliban. An escalation in hostilities is in no one's interest. At the United Nations in February, the Foreign Secretary discussed the situation with her Pakistani counterpart Ishaq Dar and, on 10 March, I expressed my concern about ongoing hostilities in a meeting with Pakistan Interior Minister Mohsin Naqvi. More broadly, in January, the UK Special Envoy to Afghanistan visited Islamabad and encouraged de-escalation in talks with both Pakistani and Taliban interlocutors. Alongside that, UK officials regularly engage Taliban Ministers and officials to encourage them to engage in dialogue, as well as relevant third parties, including Qatar, Türkiye, and Saudi Arabia who can help to support these goals.

Commonwealth and Development Affairs, what assessment her Department has the risk of an imminent liquidity crisis of the UN; and what steps she is taking, including with international partners, to support the financial stability of the UN system and to protect the delivery of core programmes.

The UK is deeply concerned by the financial challenges faced by the UN and we support efforts to put the organisation on a more sustainable financial footing to ensure it can continue to deliver its mandate. The UK stands ready to work with the UN Secretariat to find additional sustainable and effective solutions to manage these challenges, and we continue to encourage budget discipline across the UN System. The UK submitted its regular budget contribution of USD $128 million for 2026 in full and on time, the first permanent UN Security Council member to do so and the 14th Member State overall. We call for all Member States to do likewise.

Commonwealth and Development Affairs, what steps her Department is taking to help ensure the protection of Christian communities from persecution in Maldives.

The UK continues to champion Freedom of Religion or Belief (FoRB) for all, including in Sudan, Mali, Burkina Faso, Maldives, Mauritania, Cuba, Niger, Tajikistan and other countries on the Open Doors' World Watch List where Christians face persecution or discrimination because of their faith. Last July, the UK's Special Envoy for Freedom of Religion or Belief, David Smith MP, set out the Government's new strategy on FoRB, providing a framework for engagement with other countries, and describing the links between the protection of FoRB and other goals including the prevention of conflict. As part of this strategy, the UK continues to champion FoRB on the international stage, including through our position in the United Nations and the Article 18 Alliance.

Commonwealth and Development Affairs, what steps her Department is taking to help ensure the protection of Christian communities from persecution in Cuba.

The UK continues to champion Freedom of Religion or Belief (FoRB) for all, including in Sudan, Mali, Burkina Faso, Maldives, Mauritania, Cuba, Niger, Tajikistan and other countries on the Open Doors' World Watch List where Christians face persecution or discrimination because of their faith. Last July, the UK's Special Envoy for Freedom of Religion or Belief, David Smith MP, set out the Government's new strategy on FoRB, providing a framework for engagement with other countries, and describing the links between the protection of FoRB and other goals including the prevention of conflict. As part of this strategy, the UK continues to champion FoRB on the international stage, including through our position in the United Nations and the Article 18 Alliance.

Commonwealth and Development Affairs, what steps her Department is taking to help ensure the protection of Christian communities from persecution in Mauritania.

The UK continues to champion Freedom of Religion or Belief (FoRB) for all, including in Sudan, Mali, Burkina Faso, Maldives, Mauritania, Cuba, Niger, Tajikistan and other countries on the Open Doors' World Watch List where Christians face persecution or discrimination because of their faith. Last July, the UK's Special Envoy for Freedom of Religion or Belief, David Smith MP, set out the Government's new strategy on FoRB, providing a framework for engagement with other countries, and describing the links between the protection of FoRB and other goals including the prevention of conflict. As part of this strategy, the UK continues to champion FoRB on the international stage, including through our position in the United Nations and the Article 18 Alliance.

Commonwealth and Development Affairs, what steps her Department is taking to help ensure the protection of Christian communities from persecution in Niger.

The UK continues to champion Freedom of Religion or Belief (FoRB) for all, including in Sudan, Mali, Burkina Faso, Maldives, Mauritania, Cuba, Niger, Tajikistan and other countries on the Open Doors' World Watch List where Christians face persecution or discrimination because of their faith. Last July, the UK's Special Envoy for Freedom of Religion or Belief, David Smith MP, set out the Government's new strategy on FoRB, providing a framework for engagement with other countries, and describing the links between the protection of FoRB and other goals including the prevention of conflict. As part of this strategy, the UK continues to champion FoRB on the international stage, including through our position in the United Nations and the Article 18 Alliance.

Commonwealth and Development Affairs, what steps her Department is taking to help ensure the protection of Christian communities from persecution in Burkina Faso.

The UK continues to champion Freedom of Religion or Belief (FoRB) for all, including in Sudan, Mali, Burkina Faso, Maldives, Mauritania, Cuba, Niger, Tajikistan and other countries on the Open Doors' World Watch List where Christians face persecution or discrimination because of their faith. Last July, the UK's Special Envoy for Freedom of Religion or Belief, David Smith MP, set out the Government's new strategy on FoRB, providing a framework for engagement with other countries, and describing the links between the protection of FoRB and other goals including the prevention of conflict. As part of this strategy, the UK continues to champion FoRB on the international stage, including through our position in the United Nations and the Article 18 Alliance.

Commonwealth and Development Affairs, what steps her Department is taking to help ensure the protection of Christian communities from persecution in Sudan.

The UK continues to champion Freedom of Religion or Belief (FoRB) for all, including in Sudan, Mali, Burkina Faso, Maldives, Mauritania, Cuba, Niger, Tajikistan and other countries on the Open Doors' World Watch List where Christians face persecution or discrimination because of their faith. Last July, the UK's Special Envoy for Freedom of Religion or Belief, David Smith MP, set out the Government's new strategy on FoRB, providing a framework for engagement with other countries, and describing the links between the protection of FoRB and other goals including the prevention of conflict. As part of this strategy, the UK continues to champion FoRB on the international stage, including through our position in the United Nations and the Article 18 Alliance.