Written questions by Evans.

How many NHS appointments were lost due to strike action between July to November (a) 2023 and (b) 2024.

NHS England publishes data on the number of rescheduled appointments due to industrial action, which is available at the following link:https://www.england.nhs.uk/publication/preparedness-for-potential-industrial-action-in-the-nhs/We are pleased that a deal was agreed in summer 2024 between the Government and the British Medical Association Resident Doctors Committee bringing an end to its prolonged strike action. The Government can now work with resident doctors to get on with its mission of fixing the health service for patients, including tackling waiting lists.As set out in the Plan for Change, we have committed to return to the NHS constitutional standard that 92% of patients wait no longer than 18 weeks from referral to treatment by March 2029. We have already supported this with additional investment in the Autumn Budget 2024, which has enabled us to deliver an additional two million appointments, seven months ahead of schedule.

If he will publish the NHS-commissioned independent economic analysis of pharmacy funding before the conclusion of the Community Pharmacy Contractual Framework contract negotiations.

NHS England commissioned Frontier Economics to undertake an independent economic analysis of National Health Service pharmacy funding in 2024. Both the interim and draft final reports of the economic analysis have been shared with Ministers and Community Pharmacy England and are informing the current consultation.This work is nearing completion and will be published soon.

What recent discussions he has had with the Care Quality Commission on trends in the quality of patient hospital care.

The Care Quality Commission (CQC) is not operationally fit for purpose and has been subject to a review from Penny Dash. It has itself commissioned reviews from Mike Richards and Vic Rayner to support recovery of the organisation. It is working at pace to improve its performance, and the Department is holding the CQC to account to ensure that it oversees safe care of patients, in all settings.Ministers regularly meet with arms-length bodies, external stakeholders and key organisations to discuss a variety of issues, including but not limited to the quality of patient hospital care. There have also been discussions with the Care Quality Commission (CQC) at official level on the trends in maternity and urgent and emergency care.Patient safety is a top priority for the Government, and the CQC plays an important role in ensuring that providers meet the standards of care expected by patients, carers, families and loved ones.

What recent assessment he has made of the adequacy of the Care Quality Commission's ability to oversee safe care of patients in hospital premises.

The Care Quality Commission (CQC) is not operationally fit for purpose and has been subject to a review from Penny Dash. It has itself commissioned reviews from Mike Richards and Vic Rayner to support recovery of the organisation. It is working at pace to improve its performance, and the Department is holding the CQC to account to ensure that it oversees safe care of patients, in all settings.Ministers regularly meet with arms-length bodies, external stakeholders and key organisations to discuss a variety of issues, including but not limited to the quality of patient hospital care. There have also been discussions with the Care Quality Commission (CQC) at official level on the trends in maternity and urgent and emergency care.Patient safety is a top priority for the Government, and the CQC plays an important role in ensuring that providers meet the standards of care expected by patients, carers, families and loved ones.

Communities and Local Government, what assessment she has made of the potential impact of changes to employer National Insurance contributions on (a) homelessness charities and (b) homelessness service provision contracted from councils.

Due to the difficult economic inheritance from the previous government, we had to take a number of difficult decisions on tax, welfare and spending to fix the public finances, fund public services, and restore economic stability. The Government has considered the implications of this policy change, and the impacts were published in the usual way as part of the Autumn Budget process. As announced at the Budget, funding for homelessness services is increasing next year by £233 million compared to this year, making a total spend of almost £1 billion in 2025/26.

What assessment she has made of the adequacy of the (a) level of support and (b) opportunities to access long-term education for people with cerebral palsy with no cognitive impairment.

I refer the hon. Member for Hinckley and Bosworth to the answer of 14 January 2025 to Question 22163.

Pursuant to the Answer of 11 October 2024 to Question 5385 on Pension Credit, what recent steps she has taken to ensure that funding for additional staffing is reducing pension credit application processing times.

As referenced in previous responses HL4289 and Question 5385, DWP works to a planned timescale of 50 working days to clear Pension Credit claims. The funding was the first stage followed by securing staffing resource, training those people and enabling learning consolidation to process Pension Credit claims. As a result the Department has deployed over 500 additional people to ensure it has the capacity to assess all claims in reasonable timescales. Since this action, the latest Average Actual Clearance Time is now down to 56 working days in week commencing 3 February 2025 after a peak of 87 working days week commencing 9 December 2024. However, Pension Credit is a complex benefit, and some claims require additional investigation or information from the customer, which can result in longer processing times. Statistics on Pension Credit application volumes were published on 28 November 2024. This includes numbers of applications that were received, awarded and not awarded, up to 17 November 2024.Pension Credit applications and awards: November 2024 - GOV.UK The latest publication is due on 27th February 2025 and will cover data up to week commencing 17th February 2025. Please note, the Average Actual Clearance Time figures shown is unpublished management information, collected and intended for internal departmental use and has not been quality assured to National Statistics or Official Statistics publication standard. It is rounded to the nearest working day and based on the week the claim was cleared, rather than the week the claim was made.

Food and Rural Affairs, what the outcome was of the Flood Resilience Taskforce Meeting held on 5 February 2025.

The Flood Resilience Taskforce met for the second time on 5 February. It included representation from national and local government, the emergency services, businesses and environmental interest groups. The Taskforce discussed the impacts and learning from flooding experienced since September and outline proposals to reform the flood investment framework ahead of a consultation later this Spring. Outcomes from the discussion included agreement to continue work to improve warning and informing services, to consider the support available to local authorities, and identify vulnerable communities. This work will be taken forward through action groups that will report to the next Taskforce meeting.

Commonwealth and Development Affairs, what recent discussions he has had with the UK Special Envoy for Freedom of Religion and Belief on the role of freedom of religion or belief in his policies.

The Special Envoy for Freedom of Religion or Belief (FoRB) holds regular discussions with the Minister for Human Rights on key FoRB issues and reports to the Foreign Secretary through the Minister for Human Rights. The UK Government champions the right to FoRB and promotes tolerance and mutual respect through our engagement in multilateral fora - including our position at the UN and Article 18 Alliance - our bilateral work, and programme funding.

With reference to the Answer of 5 February 2025 to Question HL4289 on Pension Credit and with reference to the oral contribution of the Economic Secretary to the Treasury of 3 December 2024, Official Report, column 141, what steps she is taking to improve the processing of pension credit claims.

As referenced in previous responses HL4289 and Question 5385, DWP works to a planned timescale of 50 working days to clear Pension Credit claims. The funding was the first stage followed by securing staffing resource, training those people and enabling learning consolidation to process Pension Credit claims. As a result the Department has deployed over 500 additional people to ensure it has the capacity to assess all claims in reasonable timescales. Since this action, the latest Average Actual Clearance Time is now down to 56 working days in week commencing 3 February 2025 after a peak of 87 working days week commencing 9 December 2024. However, Pension Credit is a complex benefit, and some claims require additional investigation or information from the customer, which can result in longer processing times. Statistics on Pension Credit application volumes were published on 28 November 2024. This includes numbers of applications that were received, awarded and not awarded, up to 17 November 2024.Pension Credit applications and awards: November 2024 - GOV.UK The latest publication is due on 27th February 2025 and will cover data up to week commencing 17th February 2025. Please note, the Average Actual Clearance Time figures shown is unpublished management information, collected and intended for internal departmental use and has not been quality assured to National Statistics or Official Statistics publication standard. It is rounded to the nearest working day and based on the week the claim was cleared, rather than the week the claim was made.

Communities and Local Government, pursuant to the Answer of 21 January 2025 to Question 22692, what assessment he has made of the potential impact of the Midlands Engine on business investment in the East and West Midlands.

Midlands Engine have undertaken a range of valuable work and have supported collaboration on shared growth opportunities. Moving forward, the government intends to support Mayors in collaborating at pan-regional level and creating convening bodies whose purpose, priorities and membership are decided at a regional level.At the Autumn Budget, the Government announced that it would consult on its minded to decision not to extend funding for the six pan-regional partnerships beyond the agreed allocations to the end of the 2024-25 financial year. We are currently considering the responses received and will confirm a final decision shortly.

Pursuant to the Answer of 17 January 2025 to Question 22689 on Carers: Social Security Benefits, what assessment she has made of the potential impact of the Kinship Allowance Trial on investment in kinship care; and when she plans to announce details on the process for selecting local authorities for that trial.

As previously mentioned, the government has recently announced a £40 million package to trial a new kinship allowance. The pilot will begin in 2025, and the department will evaluate the pilot to build an evidence base on how best to deliver financial support for kinship families.The department will share further details on the process for selecting local authorities in due course.The department’s ambition is that all kinship carers will get the support they need to care for their children. It is important that we first build the evidence base to find out how best to deliver financial support for kinship families. Decisions about future national rollout will be informed by the findings of the evaluation.

What assessment his Department has made of the potential implications for his policies of the Sky News investigation into UK care homes.

These are damning reports which the Government takes incredibly seriously. Everyone deserves to live an independent, dignified life.Dr Penny Dash’s report into the operational effectiveness of the Care Quality Commission (CQC), published on 15 October 2024, showed that the CQC needs to make significant improvements.My Rt Hon. Friend, the Secretary of State for Health and Social Care, has asked Dr Dash to carry out a second review looking at patient safety across the health and care landscape in England, within the context of wider regulation and improvement of quality of care.The CQC has a new Chief Executive, Julian Hartley, who has a record of delivering transformational change. Julian is prioritising improvements following Dr Dash’s report and the Department is monitoring the CQC’s progress closely.

What steps his Department is taking to ensure that concerns raised regarding elderly care homes are dealt with appropriately.

The Care Quality Commission (CQC) is the independent regulator for health and social care in England. The CQC monitors, inspects, and regulates adult social care services to make sure they meet fundamental standards of quality and safety. Where concerns on quality or safety are identified, the CQC uses the regulatory and enforcement powers it has available, and will take action to ensure the safety of the people drawing on care and support.By law, all health and social care services must have a procedure for dealing efficiently with complaints, and anyone who has seen or experienced poor-quality care has the right to complain to the organisation that provided or paid for the care. If an individual is not satisfied with the way a provider or local authority has dealt with a complaint, they may escalate it to the local government and Social Care Ombudsman who can investigate individual concerns.The CQC also encourages the public to share their experience through an online feedback mechanism which allows them to raise concerns about the services they receive from providers. Although the CQC is not able to take forward individual complaints, all information given helps protect others from going through the same experience.Following the publication of the Dash Review into the operational effectiveness of the CQC, the Department is working closely with the CQC to ensure operational performance improves, by understanding how they will be implementing their recommendations, including those for adult social care. The Government has also launched an independent commission into adult social care as part of our critical first steps towards delivering a National Care Service.

What recent discussions he has had with leadership at the Care Quality Commission on ensuring concerns raised regarding elderly care homes are dealt with appropriately.

Ministers regularly meets with external stakeholders and key organisations to discuss a variety of issues, including but not limited to social care provision. I met with the Care Quality Commission on Friday 14 March 2025.

How many times the Minister for Care has met with leadership at the Care Quality Commission to discuss social care provision since July 2024.

Ministers regularly meets with external stakeholders and key organisations to discuss a variety of issues, including but not limited to social care provision. I met with the Care Quality Commission on Friday 14 March 2025.

Pursuant to the Answer of 3 February 2025 to Question 23858 on NHS Business Services Authority: Workplace Pensions, whether additional resources have been allocated to help tackle the backlog in remedial pension savings statements required to be issued by the NHS Business Services Authority.

The Department is working closely with the NHS Business Services Authority (NHSBSA) to ensure that issuance of remediable pension savings statements is prioritised and that affected members do not suffer financial detriment as a consequence of these delays.The NHSBSA is increasing service delivery capacity within the NHS Pensions team. They are taking measures such as overtime, recruiting additional staff, and upskilling and redeploying current staff within the organisation.

If he will conduct a review into the performance of the NHS Business Services Authority.

The NHS Business Services Authority (NHSBSA) underwent an independent review in 2023 as part of the Cabinet Office led Public Body Review programme, and was assessed as ‘a high performing Arm’s-Length Body’. The review is available at the following link:https://www.gov.uk/government/publications/nhs-business-services-authority-review-report/independent-review-of-the-nhs-business-services-authority-final-report-and-recommendationsAs a Special Health Authority and Arm’s-Length Body of the Department, performance is reviewed regularly by Departmental policy teams who sponsor individual services, and a quarterly accountability meeting is held to assess the NHSBSA’s performance across all its services.

How many times he has met with the leadership of the NHS Business Service Authority since 4 July 2024.

The Minister of State for Health met with the leadership of the NHS Business Services Authority (NHSBSA) on 9 December 2024, and regular meetings are now being scheduled.As a Special Health Authority and Arm’s-Length Body of the Department, there are quarterly accountability reviews between NHSBSA leadership and Department officials. Department officials also attend the NHSBSA’s Audit and Risk Committee and Board meetings, and there is less formal engagement in the form of regular one-to-ones with senior managers.

Pursuant to the Answer of 27 January 2025 to Question 23852 on Surgery: Reform, which straight-to-test pathways are being considered for Community Diagnostic Centres.

The Elective Reform Plan, published in January 2025, announced that integrated care boards (ICBs) will make optimal use of the new diagnostic capacity by implementing the new standards for Community Diagnostic Centres (CDCs), in particular, increasing direct referrals and rolling out at least 10 straight-to-test pathways by March 2026.To date, NHS England has agreed three national CDC diagnostic pathways which ICBs will be expected to implement by March 2026. These are: breathlessness; children and young people’s asthma; and unscheduled bleeding on hormone replacement therapy. NHS England is working with clinicians to best determine other priority pathways in CDCs, where clinically appropriate. Implementation of these pathways will be determined by population need, and where there is a clear opportunity for improving timescales and journeys to diagnosis. As well as these three priority CDC pathways, a number of other pathway developments are underway in CDCs across the country, including: lower gastrointestinal; liver; lung; head and neck; and adult hearing loss.The Elective Reform Plan also set out clear expectations for significant elective care reform to be delivered in at least five specialties: ear nose and throat; gastroenterology; respiratory; and urology and cardiology. Clinical pathway optimisation work, including in CDCs, will centre around these.