Written questions by Perteghella.

Commonwealth and Development Affairs, what options her Department is exploring to support the British Council’s financial resilience, including grant support, loan refinancing, or alternative funding mechanisms.

I refer the Hon Member to the answer I provided on 28 October in response to question 906060, and to the oral evidence provided to the Foreign Affairs Committee on 9 December by the Permanent Under-Secretary to the Foreign, Commonwealth and Development Office, and on 16 December by the Secretary of State for Foreign, Commonwealth and Development Affairs, where these issues were addressed at length.

Commonwealth and Development Affairs, whether her Department plans to review the British Council’s funding and governance model to reduce its vulnerability to future global shocks.

I refer the Hon Member to the answer I provided on 28 October in response to question 906060, and to the oral evidence provided to the Foreign Affairs Committee on 9 December by the Permanent Under-Secretary to the Foreign, Commonwealth and Development Office, and on 16 December by the Secretary of State for Foreign, Commonwealth and Development Affairs, where these issues were addressed at length.

Communities and Local Government, if his Department will reform the Disabled Facilities Grant system to improve support for families who need to move to access an adaptable property.

Government recognises how important the right home environment is in enabling disabled people to live as safely, well and independently as possible.As part of the legislative framework for social housing allocations, Local Housing Authorities are required to give reasonable preference (priority) to people who need to move on medical or welfare grounds, including grounds relating to a disability. This is to ensure that social housing goes to those who need it most.The revised National Planning Policy Framework, published on 12 December 2024, requires local planning authorities to assess the size, type and tenure of housing needed for different groups in the community, including those of disabled people, and to reflect this in planning policies. Where an identified need exists, plans are expected to help bring forward an adequate supply of accessible housing. This can include setting out the proportion of new homes to be delivered to accessibility standards. The government will shortly set out its policies on accessible new build housing, reinforcing our commitment to ensuring everyone has access to a safe, suitable home.The Disabled Facilities Grant (DFG) is a capital grant administered by local authorities in England that can help meet the cost of adaptations for people of all ages and tenures to make their home safe and suitable for their needs.The DFG is there to enable all eligible disabled people to access vital home adaptations, subject to a needs assessment and means test. Local authorities have a statutory duty to provide adaptations for people who satisfy a needs assessment, eligibility criteria and a means test, and have powers to agree a more generous local policy. To support this duty, government have boosted funding for the DFG to £711 million for both 2024-25 and 2025-26.Government continues to keep all aspects of the DFG under consideration. We have consulted on a new approach to allocating DFG funding to local authorities in England to ensure funding for the grant is better aligned with local needs. Responses have been carefully analysed and we are now considering next steps.

Communities and Local Government, what plans his Department has to strengthen national guidance on accessible housing provision within local plans.

Government recognises how important the right home environment is in enabling disabled people to live as safely, well and independently as possible.As part of the legislative framework for social housing allocations, Local Housing Authorities are required to give reasonable preference (priority) to people who need to move on medical or welfare grounds, including grounds relating to a disability. This is to ensure that social housing goes to those who need it most.The revised National Planning Policy Framework, published on 12 December 2024, requires local planning authorities to assess the size, type and tenure of housing needed for different groups in the community, including those of disabled people, and to reflect this in planning policies. Where an identified need exists, plans are expected to help bring forward an adequate supply of accessible housing. This can include setting out the proportion of new homes to be delivered to accessibility standards. The government will shortly set out its policies on accessible new build housing, reinforcing our commitment to ensuring everyone has access to a safe, suitable home.The Disabled Facilities Grant (DFG) is a capital grant administered by local authorities in England that can help meet the cost of adaptations for people of all ages and tenures to make their home safe and suitable for their needs.The DFG is there to enable all eligible disabled people to access vital home adaptations, subject to a needs assessment and means test. Local authorities have a statutory duty to provide adaptations for people who satisfy a needs assessment, eligibility criteria and a means test, and have powers to agree a more generous local policy. To support this duty, government have boosted funding for the DFG to £711 million for both 2024-25 and 2025-26.Government continues to keep all aspects of the DFG under consideration. We have consulted on a new approach to allocating DFG funding to local authorities in England to ensure funding for the grant is better aligned with local needs. Responses have been carefully analysed and we are now considering next steps.

Communities and Local Government, what plans his Department has to help families in which at least one person has a serious medical condition to access appropriate housing.

Government recognises how important the right home environment is in enabling disabled people to live as safely, well and independently as possible.As part of the legislative framework for social housing allocations, Local Housing Authorities are required to give reasonable preference (priority) to people who need to move on medical or welfare grounds, including grounds relating to a disability. This is to ensure that social housing goes to those who need it most.The revised National Planning Policy Framework, published on 12 December 2024, requires local planning authorities to assess the size, type and tenure of housing needed for different groups in the community, including those of disabled people, and to reflect this in planning policies. Where an identified need exists, plans are expected to help bring forward an adequate supply of accessible housing. This can include setting out the proportion of new homes to be delivered to accessibility standards. The government will shortly set out its policies on accessible new build housing, reinforcing our commitment to ensuring everyone has access to a safe, suitable home.The Disabled Facilities Grant (DFG) is a capital grant administered by local authorities in England that can help meet the cost of adaptations for people of all ages and tenures to make their home safe and suitable for their needs.The DFG is there to enable all eligible disabled people to access vital home adaptations, subject to a needs assessment and means test. Local authorities have a statutory duty to provide adaptations for people who satisfy a needs assessment, eligibility criteria and a means test, and have powers to agree a more generous local policy. To support this duty, government have boosted funding for the DFG to £711 million for both 2024-25 and 2025-26.Government continues to keep all aspects of the DFG under consideration. We have consulted on a new approach to allocating DFG funding to local authorities in England to ensure funding for the grant is better aligned with local needs. Responses have been carefully analysed and we are now considering next steps.

Communities and Local Government, if he will meet with the hon. Member for Stratford-on-Avon and their constituents to discuss how to improve access to appropriate accommodation for families with significant medical needs.

Government recognises how important the right home environment is in enabling disabled people to live as safely, well and independently as possible.As part of the legislative framework for social housing allocations, Local Housing Authorities are required to give reasonable preference (priority) to people who need to move on medical or welfare grounds, including grounds relating to a disability. This is to ensure that social housing goes to those who need it most.The revised National Planning Policy Framework, published on 12 December 2024, requires local planning authorities to assess the size, type and tenure of housing needed for different groups in the community, including those of disabled people, and to reflect this in planning policies. Where an identified need exists, plans are expected to help bring forward an adequate supply of accessible housing. This can include setting out the proportion of new homes to be delivered to accessibility standards. The government will shortly set out its policies on accessible new build housing, reinforcing our commitment to ensuring everyone has access to a safe, suitable home.The Disabled Facilities Grant (DFG) is a capital grant administered by local authorities in England that can help meet the cost of adaptations for people of all ages and tenures to make their home safe and suitable for their needs.The DFG is there to enable all eligible disabled people to access vital home adaptations, subject to a needs assessment and means test. Local authorities have a statutory duty to provide adaptations for people who satisfy a needs assessment, eligibility criteria and a means test, and have powers to agree a more generous local policy. To support this duty, government have boosted funding for the DFG to £711 million for both 2024-25 and 2025-26.Government continues to keep all aspects of the DFG under consideration. We have consulted on a new approach to allocating DFG funding to local authorities in England to ensure funding for the grant is better aligned with local needs. Responses have been carefully analysed and we are now considering next steps.

What steps he is taking to (a) monitor and (b) regulate the cost of COVID-19 vaccinations offered by private providers for people who are not eligible for a free vaccination.

The availability of COVID-19 vaccines to supply the private market and the price charged for private COVID-19 vaccination is a matter for the companies concerned, not for the Government. All those eligible to receive a COVID-19 vaccination this autumn through the National Health Service, in line with advice by the independent expert Joint Committee on Vaccination and Immunisation, are encouraged to take up this offer. The national programme launched on 1 October 2025 and runs until 31 January 2026.

What assessment his Department has made of the potential impact of restricting eligibility for free covid-19 vaccinations on (a) infection rates, (b) hospital admissions and (c) levels of mortality during winter 2025–26.

The primary aim of the national COVID-19 vaccination programme remains the prevention of serious illness, resulting in hospitalisations and deaths, arising from COVID-19.The JCVI is an independent expert committee which reviews the latest data on COVID-19 risks, vaccine safety, and effectiveness and advises the Government on eligibility for vaccination and immunisation programmes. The JCVI’s advice on COVID-19 vaccination for autumn 2025 is based on published analysis which considers the health impacts of vaccination against COVID-19 in various groups. This is available at the following link:https://www.sciencedirect.com/science/article/pii/S0264410X25002452The JCVI has advised that population immunity to COVID-19 has been increasing due to a combination of naturally acquired immunity following recovery from infection and vaccine-derived immunity. COVID-19 is now a relatively mild disease for most people, though it can still be unpleasant, with rates of hospitalisation and death from COVID-19 having reduced significantly since COVID-19 first emerged.The focus of the JCVI advised programme has moved towards targeted vaccination of the two groups who continue to be at higher risk of serious disease, including mortality. These are the oldest adults and individuals who are immunosuppressed.The Government has accepted the JCVI advice for autumn 2025 and in line with the advice, a COVID-19 vaccination is being offered to the following groups:adults aged 75 years old and over;residents in care homes for older adults; andindividuals aged six months old and over who are immunosuppressed, as defined in the ‘immunosuppression’ sections of tables 3 or 4 in the COVID-19 chapter of the UK Health Security Agency Green Book.The JCVI keeps all vaccination programmes under review.The UK Health Security Agency (UKHSA) continues to monitor COVID-19 through a variety of indicators and surveillance systems. Data are analysed and published by the UKHSA in weekly official statistics in the National Influenza and COVID-19 Surveillance Report. For the autumn 2025 campaign, this is available at the following link:https://www.gov.uk/government/statistics/national-flu-and-covid-19-surveillance-reports-2025-to-2026-season

What assessment his Department has made of the potential impact of restricting eligibility for free covid-19 vaccinations on (a) infection rates, (b) hospital admissions and (c) mortality during winter 2025–26 on adults aged between 65 and 74 years old.

The primary aim of the national COVID-19 vaccination programme remains the prevention of serious illness, resulting in hospitalisations and deaths, arising from COVID-19.The JCVI is an independent expert committee which reviews the latest data on COVID-19 risks, vaccine safety, and effectiveness and advises the Government on eligibility for vaccination and immunisation programmes. The JCVI’s advice on COVID-19 vaccination for autumn 2025 is based on published analysis which considers the health impacts of vaccination against COVID-19 in various groups. This is available at the following link:https://www.sciencedirect.com/science/article/pii/S0264410X25002452The JCVI has advised that population immunity to COVID-19 has been increasing due to a combination of naturally acquired immunity following recovery from infection and vaccine-derived immunity. COVID-19 is now a relatively mild disease for most people, though it can still be unpleasant, with rates of hospitalisation and death from COVID-19 having reduced significantly since COVID-19 first emerged.The focus of the JCVI advised programme has moved towards targeted vaccination of the two groups who continue to be at higher risk of serious disease, including mortality. These are the oldest adults and individuals who are immunosuppressed.The Government has accepted the JCVI advice for autumn 2025 and in line with the advice, a COVID-19 vaccination is being offered to the following groups:adults aged 75 years old and over;residents in care homes for older adults; andindividuals aged six months old and over who are immunosuppressed, as defined in the ‘immunosuppression’ sections of tables 3 or 4 in the COVID-19 chapter of the UK Health Security Agency Green Book.The JCVI keeps all vaccination programmes under review.The UK Health Security Agency (UKHSA) continues to monitor COVID-19 through a variety of indicators and surveillance systems. Data are analysed and published by the UKHSA in weekly official statistics in the National Influenza and COVID-19 Surveillance Report. For the autumn 2025 campaign, this is available at the following link:https://www.gov.uk/government/statistics/national-flu-and-covid-19-surveillance-reports-2025-to-2026-season

What recent assessment she has made of local authority compliance with the national legislation establishing the threshold of (a) 10 sessions of unauthorised absence and (b) a rolling 10-school-week period for issuing fixed penalty notices.

The National Framework for Penalty Notices, which was designed to embed our support-first approach and improve consistency and fairness across the country, was introduced in August 2024.Every local authority must draw up, and is expected to publish, a local code of conduct, which must be adhered to by all parties issuing a penalty notice. Amongst other things, each code is expected to include details of the national threshold and local arrangements for determining if the support provided has been sufficient. Further details are listed in paragraph 197 of our statutory attendance guidance, which is available at: https://assets.publishing.service.gov.uk/media/66bf300da44f1c4c23e5bd1b/Working_together_to_improve_school_attendance_-_August_2024.pdf#page=60.Local authorities are also expected to supply details related to the use of penalty notices in their area as part of the parental responsibility measures census, which is available at: https://www.gov.uk/government/publications/parental-responsibility-measures-statistics-guide.Data is collected annually for the previous academic year. The department expects the first set of data related to after the introduction of the National Framework to be published in January 2026.

What steps his Department is taking to utilise electronic health records indicating familial genetic predisposition to improve risk identification for men at increased risk of prostate cancer.

The NHS Retrospective Genetic Testing Programme is using electronic health records to identify people who have had a cancer diagnosis, between 2008 and 2018, making them eligible for inherited breast and ovarian cancer genetic testing on R208/R207 panels in line with the criteria set out in the National Genomic Test Directory, but who have not received testing. This will identify more people and their family members who have cancer susceptibility genes, including BRCA1/2 variants, enabling them to access relevant National Health Service screening and care pathways as appropriate.My Rt Hon. Friend, the Secretary of State for Health and Social Care will consider the final recommendation of the UK National Screening Committee (UK NSC) on screening for prostate cancer when it is received. He will make a decision on implementation, including any changes to the identification of men at risk of prostate cancer at that point.It is anticipated that the final recommendation will be provided in early 2026 after the conclusion of a 12 week consultation which opened on 28 November 2025. This seeks views on an evidence review and a draft recommendation to:- offer a targeted national prostate cancer screening programme to men with confirmed BRCA1/2 gene variants every two years, from 45 years old to 61 years old;- not recommend population screening;- not recommend targeted screening of black men;- not recommend targeted screening of men with family history; and- collaborate with the Transform trial team to answer outstanding questions on screening effectiveness for black men and men with a family history as soon as the trial data becomes available, and to await the results of the study to develop and trial a more accurate test than the prostate specific antigen test alone, to improve the balance of benefit and harm of screening.

What recent assessment he has made of the potential merits of improving systems to identify men with (a) BRCA1 and (b) BRCA2 gene variations who may be eligible for prostate cancer screening.

The National Inherited Cancer Predisposition Register (NICPR), launched 1 July 2025, captures data on all individuals with a likely pathogenic/pathogenic variant in a cancer susceptibility gene in England. This world-first national dataset of individuals at increased cancer risk provides significant opportunities for improved clinical care, audit, and research.The NICPR is part of the National Disease Registration Service and is a new initiative for NHS England. In view of the UK National Screening Committee’s (UK NSC) draft recommendations on screening men for prostate cancer, NHS England is working closely with colleagues in regional clinical genetics services to ensure that accurate data is gathered and can be applied effectively to inform future work.My Rt Hon. Friend, the Secretary of State for Health and Social Care will consider the final recommendation of the UK NSC on screening for prostate cancer when it is received. He will make a decision on implementation, including any changes to BRCA testing eligibility, at that point.It is anticipated that the final recommendation will be provided in early 2026 after the conclusion of a 12 week consultation which opened on 28 November 2025. This seeks views on an evidence review and a draft recommendation to:- offer a targeted national prostate cancer screening programme to men with confirmed BRCA1/2 gene variants every two years, from 45 years old to 61 years old;- not recommend population screening;- not recommend targeted screening of black men;- not recommend targeted screening of men with family history; and- collaborate with the Transform trial team to answer outstanding questions on screening effectiveness for black men and men with a family history as soon as the trial data becomes available, and to await the results of the study to develop and trial a more accurate test than the prostate specific antigen test alone, to improve the balance of benefit and harm of screening.

Commonwealth and Development Affairs, what assessment she has made of the potential implications for her policies of the findings of the British Council’s Global Perceptions 2025 report on the role of soft power; and how the Government plans to ensure that cultural relations organisations such as the British Council remain adequately resourced.

We welcome the latest edition of the British Council's Global Perceptions report, and we will take into account its insights across a range of different areas when shaping the substance and communication of the UK's foreign policies over the year ahead.

Commonwealth and Development Affairs, whether she has made an assessment of the potential implications for her policies of the findings of the British Council’s Global Perceptions 2025 report on the likelihood of young people who have participated in British Council programmes to express an intention to do business and trade with the UK; and whether this has implications for future funding for cultural and educational exchange.

We welcome the latest edition of the British Council's Global Perceptions report, and we will take into account its insights across a range of different areas when shaping the substance and communication of the UK's foreign policies over the year ahead.

Commonwealth and Development Affairs, what recent assessment she has made of the potential implications for her policies UK’s trust ratings in France, Germany and Italy as reported in the British Council’s Global Perceptions 2025 study; and what diplomatic steps the Government is taking to help improve the UK's reputation within Europe.

We welcome the latest edition of the British Council's Global Perceptions report, and we will take into account its insights across a range of different areas when shaping the substance and communication of the UK's foreign policies over the year ahead.

Commonwealth and Development Affairs, what assessment she has made of the potential implications for her strategies on trade, inward investment and international partnerships of the finding in the British Council’s Global Perceptions 2025 report on trust in the UK.

We welcome the latest edition of the British Council's Global Perceptions report, and we will take into account its insights across a range of different areas when shaping the substance and communication of the UK's foreign policies over the year ahead.

With reference to the planned inclusion of menopause in women’s health checks from 2026, what preparations his Department is making for that change.

We will be working with experts, including general practitioners, over the coming months to design the menopause content for the NHS Health Check.The NHS Health Check Best Practice Guidance will be updated to reflect the addition of menopause, and it will be for local authority commissioners to implement this through their NHS Health Check providers and to ensure that staff have adequate training. This will support eligible women to access high quality information on the menopause including advice on managing symptoms and where to seek support plus treatment options.

What steps he is taking to improve support for women’s menopausal health, including (a) training for GPs and (b) training for prescribing nurses.

The Government is committed to prioritising women’s health, including menopause, as we reform the National Health Service, and women’s equality will be at the heart of our health missions.That is why menopause will be added to the NHS Health Checks from 2026 for eligible women aged 40 to 55 years old who attend. This will support up to five million eligible women across England to access high quality information on menopause, including advice on managing symptoms and where to seek support.For new doctors starting their careers in the United Kingdom, the General Medical Council has introduced the Medical Licensing Assessment to encourage a better understanding of common women’s health problems. The content for this assessment includes several topics relating to women’s health, including menopause, and will encourage a better understanding of common women’s health problems.Additionally, for general practitioners and other primary healthcare professionals, the Royal College of General Practitioners (RCGP) has published a Women’s Health Library which brings together educational resources and guidelines on women’s health, including menopause, from the RCGP, the Royal College of Obstetricians and Gynaecologists, and the College of Sexual and Reproductive Healthcare.The National Institute for Health and Care Excellence has also developed a women’s and reproductive health topic suite, and updated guidelines on menopause in November 2024. The guideline recommends more treatment choices for menopause symptoms, and prescribers are encouraged to use these guidelines as best practice when making decisions relating to menopause.

What assessment he has made of the potential impact of permanently removing in-patient beds from the Ellen Badger Hospital in Shipston on Stour on acute hospital discharges.

This is a matter for the Coventry and Warwickshire Integrated Care Board (ICB). That is because it is for ICBs to consider, working in partnership with local National Health Service providers and adult social care services, the right configuration of capacity locally to minimise delayed discharges from acute hospitals. In doing so, ICBs must consider the interests of their whole population and value for the taxpayer.

What assessment he has made of burial authorities’ adherence to the guidance that laying memorials flat should be used only where necessary following a risk assessment.

While the Department is responsible for burial law and policy, the Government does not have day-to-day operational responsibility for burial grounds, which lies instead with providers.The Government’s guidance documents Managing the safety of Burial Ground Memorials and Guide for Burial Ground Managers set out best practice for memorial safety inspections, including guidance that laying memorials flat should only occur where necessary and following a risk assessment. The documents also advise burial authorities to make every effort to contact families before taking action, where this does not compromise safety.Burial authorities are expected to follow this guidance when carrying out inspections. Any concerns or complaints about how inspections have been conducted can be raised directly with the relevant burial authority.