Written questions by Hendrick.

How much funding his Department has allocated to genomic testing in Lancashire for the (a) 2026-27 (b) 2027-28 and (c) 2028-29 financial years.

NHS England is responsible for commissioning the NHS Genomic Medicine Service (GMS) for patients in the National Health Service in England. Genomic testing is currently delivered by a national genomic testing network of seven NHS Genomic Laboratory Hubs (GLHs). This includes the North West NHS GLH, which delivers genomic testing for patients in the North West of England, including those in the Lancashire Teaching Hospitals NHS Foundation Trust. NHS England has undertaken a procurement of the NHS GMS lead providers for services to be delivered from 1 April 2026, including genomic testing. The 2026/27 contract, that will include the financial value for the NHS GMS lead providers, will be complete by Quarter four of 2025/26. Financial values for subsequent years are to be agreed on an annual basis thereafter.

What steps her Department is taking to (a) encourage cyclists to comply with the legal requirement to use appropriate lights and (b) promote the use of (i) reflective and (ii) high‑visibility clothing.

On 7 January 2026 we published our new Road Safety Strategy, setting out our vision for a safer future on our roads for all. Rule 60 of The Highway Code states that cycles must be fitted with a rear reflector and must have front and rear lights lit at night. Cycling without proper lights is an offence and enforcement is a matter for the police. Rule 59 of the Highway Code recommends that cyclists should wear light-coloured or fluorescent clothing to help other road users to see them in daylight and poor light, with reflective clothing and/or accessories in the dark. This advice was made clearer in the updated version of The Highway Code that was published in January 2022.

If she will make an assessment of the potential impact of car sharing clubs on her (a) decongestion and (b) decarbonisation targets.

Government understands the value of car sharing as a sustainable travel option that can offer a flexible, cost effective alternative to private car ownership for drivers. Alongside our actions to deliver excellent public transport, promote active travel and our support for electric vehicles, car clubs can help people get where they need to go, whilst easing congestion. Car clubs often feature newer vehicles, which are more likely to be electric or have lower emissions than many private cars, which helps reduce carbon emissions and air pollution.

Commonwealth and Development Affairs, when her Department plans to lay the Kensington Treaty before Parliament for ratification.

The Treaty between the United Kingdom of Great Britain and Northern Ireland and the Federal Republic of Germany on Friendship and Bilateral Cooperation will be laid before Parliament for scrutiny shortly after the Christmas recess.

What steps he is taking to ensure the safety of North West Ambulance Service personnel in the context of a trends in the number of violent and abusive incidents directed at frontline NHS staff.

Everyone working in the National Health Service has a fundamental right to be safe at work, including those in the ambulance setting. Trends in violence towards NHS staff have generally stayed at the same levels in recent years and there is in place a zero-tolerance approach to any violent and abusive incidents.Individual employers are responsible for the health and safety of their staff, and they put in place measures, including, security, training, and emotional support for staff affected by violence. These measures will be strengthened by the introduction of a new set of staff standards, as detailed in the 10-Year Health Plan, which will cover issues that matter most to NHS staff including tackling violence in the NHS workplace.

Innovation and Technology, what discussions her Department has had with AI companies on ensuring that AI chatbots do not promote or encourage self-harming behaviour.

I meet regularly with civil society, industry and Ofcom to discuss online safety, including the risks of AI chatbots.AI services allowing users to share content with one another or that search the live web are covered under the Online Safety Act and have a duty to protect users from illegal content, and children from harmful content.To build on this, I have made encouraging self-harm a priority offence under the Act and in-scope chatbots will need to have measures in place to prevent users from encountering this content.

If she will make it her policy that people with convictions for any sexual offences should be prevented from serving in the police forces.

One of the Government’s key priorities is to restore public confidence in policing. To achieve this, we must ensure that those who enter policing are vetted in line with standards the public would expect.That is why, in alignment with our manifesto commitment, we are strengthening the vetting system by introducing new regulations which will place vetting standards on a legislative footing. These regulations will seek to include robust measures which will enable forces to exclude individuals from policing who have a caution or a conviction for relevant domestic abuse or sexual offences.

Media and Sport, what data her Department holds on gender disparities in access to youth sports training facilities; and what steps she is taking to decrease those disparities.

The Government is determined to ensure that everyone has access to quality sport and physical activity opportunities. The Government has invested £98 million through the Multi-Sport Grassroots Facilities Programme across the UK in 2025/26, funding projects such as new and upgraded grass pitches, pitch maintenance equipment and floodlights. Following the Spending Review we have committed another £400 million to transform facilities across the whole of the UK over the next four years. We are now working closely with sporting bodies and local leaders to establish what communities need and will then set out further plans. We are committed to supporting every aspect of women’s sport and ensuring all women and girls, no matter their background, are able to participate in sport and physical activity. We will more than double priority access to grassroots football pitches for women and girls in England over the next five years as part of a series of plans to honour the success of the Lionesses following the team’s victory at Euro 2025, as well as dedicating flagship sites and pitches to the Lionesses. The Government provides the majority of support for grassroots sport in England through Sport England, which annually invests over £250 million in Exchequer and Lottery funding in areas of greatest need to tackle inactivity levels through community-led solutions.

What steps his Department is taking to ensure that access to information about the contribution of good eye care is readily available.

The NHS.UK website sets out the importance of regular sight tests whilst also providing information about entitlement to free National Health Service sight tests. The Department also looks for opportunities to promote the importance of NHS sight tests, such as through National Eye Health Week.

What provisions he is making in the National Health Service to ensure that patients with long term eye conditions receive adequate practical and emotional support.

We recognise the importance of practical and emotional support for people living with long term eye conditions. Under the Care Act 2014, local authorities are responsible for assessing individuals’ care and support needs and, where eligible, for meeting those needs. This includes the legal duty for local authorities to support people with sight loss.NHS England has published a patient support toolkit for eye care commissioners and providers which aims to ensure that patients with ophthalmic conditions are supported throughout their care journey. It sets out that whilst receiving care provided by the hospital, patients need information and support through diagnosis, monitoring, and treatment. Individuals can also refer themselves into talking therapies, which are widely available.We are also taking steps to revise the certificate of visual impairment to improve signposting to local support for newly certified patients with a sight impairment or severe sight impairment.

What steps her department is taking to make transports systems more easily accessible for people with sight loss, to allow them to travel independently and spontaneously.

The government is committed to improving transport services so they are more inclusive and enable people with sight loss to travel safely, confidently and with dignity. As part of our broader mission to break down barriers to opportunity, we recognise that more needs to be done to ensure transport is accessible to all.Our Bus Services Act 2025 includes a comprehensive package of measures to improve the accessibility and inclusivity of local transport. Through the Act, we are helping authorities to provide safer and more accessible bus stations and stops and mandating more streamlined disability training for bus drivers and frontline staff. We are also requiring local authorities to regularly review the accessibility of their bus networks through the development and publishing of a Bus Network Accessibility Plan.The government recognises the concerns which have been raised about floating bus stops, particularly. On 20 November I wrote to all local traffic authorities in England requesting that they put on hold designs which require people to board or alight directly from or into a cycle track. The Act requires the Secretary of State to publish statutory guidance on their provision and design within three months of Royal Assent, drafting of which is underway.We are also continuing the implementation of the Public Service Vehicles (Accessible Information) Regulations (AIR), which will require audible and visible destination and next stop information on board most local bus services by October 2026.Ensuring the rail network is also accessible is at the heart of our passenger-focused approach to improving rail services. We are committed to improving the experience for disabled passengers and that is why we have published a roadmap to an accessible railway. It sets out what we are doing now to improve the day-to-day travelling experience for disabled passengers in the lead up to Great British Railways being established. We have installed platform edge tactile paving at every station in England with the final station in Scotland due to be complete next month. The final Welsh station, currently closed for refurbishment, will have them installed when it reopens in April.We are also committed to developing an Accessible Travel Charter. The Charter is a commitment to a shared vision for accessible travel. It will set out what disabled travellers can expect from their journeys, share best practice across organisations and create consistency in end-to-end journeys for disabled travellers.

How many medical appointments were missed by (a) deaf and (b) hearing impaired people due to a lack of information support (i) at Lancashire Teaching Hospitals, (ii) in the North West and (c) in England over the last three years.

The Department does not hold data on medical appointments missed in the format requested. Our Elective Reform Plan sets out the focussed action we are taking to reduce missed appointments, as part of delivering the Government’s commitment to return to the constitutional standard of 92% of patients having their first treatment within 18-weeks of referral. This includes enhancing communication between hospitals and patients, using the results of artificial intelligence to predict missed appointments, and targeting support to vulnerable patient groups, saving up to one million missed appointments.The Elective Reform Plan and the 10-Year Health Plan commit to modernising care equitably and inclusively, including ensuring consistency in the availability of information, so that patients, including those that are deaf or have hearing impairments, are supported to attend appointments and have the best possible experience of care.As part of this, NHS England published a refreshed Accessible Information Standard (AIS) in July 2025. This sets out a specific, consistent approach to meeting the information and communication support needs of service users with a disability, impairment, or sensory loss, and requires that relevant staff are adequately trained. NHS England is supporting implementation of AIS, so that staff and organisations are aware of the importance of meeting the needs of disabled people using services.

If he will publish a timeline for when the NHS app will be made British Sign Language accessible.

The Government has set out a commitment to make the NHS App British Sign Language (BSL) accessible in the 10-Year Health Plan, which covers the period to 2035. Currently, there is no timeline for when the NHS App will be made BSL accessible. The NHS App roadmap is published and regularly updated, and is available at the following link: https://digital.nhs.uk/services/nhs-app/roadmap

How many BSL-interpreters were provided at the outset for patients seeking healthcare treatment in (a) Preston, (b) Lancashire and (c) England over the last 12 months.

The information requested is not held centrally. Integrated care boards (ICBs) are responsible for commissioning services to meet the needs of their local population, which includes responsibility for ensuring that there is adequate provision of British Sign Language interpreters to support deaf patients in the community.On 30 June 2025, a revised Accessible Information Standard (AIS) was published. NHS England is working to support implementation of the AIS with awareness raising, communication, and engagement, and a review of the current e-learning modules on AIS. The intention is to ensure that staff and organisations in the National Health Service are aware of the AIS and the importance of meeting the information and communication needs of disabled people using these services.The AIS implementation guidance outlines support for people with hearing loss, and is available at the following link:https://www.england.nhs.uk/long-read/accessible-information-standard-implementation-guidance/#:~:text=Common%20types%20of%20communication%20support%20and%20alternative%20formats NHS England is rolling out a Reasonable Adjustment Digital Flag which enables the recording of key information about a patient and their adjustment needs, to ensure support can be tailored appropriately.

If he will make an assessment of the implications for his policies of the RNID report entitled Still Ignored: the fight for accessible healthcare; what steps his Department plans to take to ensure that the communication barriers and health inequalities for deaf and hearing-impaired people are reduced.

Under the 2010 Equality Act, health and social care organisations must make reasonable adjustments to ensure that disabled people are not disadvantaged. This includes responsibility for ensuring that there is adequate provision of British Sign Language interpreters to support deaf patients.NHS England published a revised Accessible Information Standard (AIS) on 30 June 2025 and is working to support implementation of the AIS with awareness raising, communication and engagement, and a review of the current e-learning modules on the AIS. The intention is to ensure that staff and organisations in the National Health Service are aware of the AIS and the importance of meeting the information and communication needs of disabled people using services.In July 2016, NHS England published the report Commissioning Services for People with Hearing Loss: A Framework for Clinical Commissioning Groups. This framework supports the newly established integrated care boards in England to make informed decisions on maximising value for local populations and providing consistent, high quality, integrated care. It also addresses inequalities in access and outcomes between hearing services.NHS England is also rolling out a Reasonable Adjustment Digital Flag which enables the recording of key information about a patient and their adjustment needs, to ensure support can be tailored appropriately. Guidance and free training on the Reasonable Adjustment Digital Flag are available for health and social care staff.

What plans are in place to ensure that the medical records of deaf and hearing-impaired patients are appropriately marked prior to the introduction of the Single Patient Record in 2028.

The Reasonable Adjustment flag is part of the NHS Spine, and professionals and their administrative staff can work with an individual to create the flag using the National Care Records Service, to ensure that an individual’s needs for reasonable adjustments are recorded and shared, to ensure appropriate support by health and care services. Work is continuing to allow direct integration of the flag with clinical systems, using the Patient Flags Application Programming Interface. The Single Patient Record (SPR) programme is at an early stage of development. Inclusivity and ease of access is central to the vision for the design of the SPR, and the record of people’s reasonable adjustments, and their needs, will be part of the information made available to staff.

Whether his Department plans to introduce mandatory visual display screens in (a) GP practices and (b) medical waiting rooms to ensure (i) deaf and (ii) hearing impaired patients are made aware of their appointment.

The Department has no plans to mandate screens in general practices. However, a revised Accessible Information Standard (AIS) was published on 30 June 2025, to ensure that people who have a disability, impairment, or sensory loss can access and understand information about National Health Services and receive the communication support they need to use those services. Nationally, all NHS organisations and publicly funded social care providers are required to be fully compliant with all aspects of the standard.NHS England is working to support implementation of the AIS with awareness raising, communication, and engagement, and a review of the current e-learning modules on the AIS.

Whether he plans to take steps to improve access to interpreters for pregnant women and their families who are receiving maternity and neonatal care; and whether he plans to introduce national guidance to ensure consistency of interpretation provision across all maternity and neonatal services.

Community language translation and interpretation services are crucial for patient safety. The responsibility to commission these services sits with integrated care boards and National Health Service providers as they are better placed to make decisions about how they use their funding based on the needs of their local populations. Local commissioners are responsible for applying the highest quality standards possible.To identify the most effective way to improve interpretation provision across all clinical services including maternity and neonatal care, NHS England has completed a strategic review, building on the recommendations of independent safety investigations.In response, NHS England has developed a Framework for NHS action on Community Language Translation and Interpreting, to help improve interpretation services so that they meet the needs of communities and support equitable access, experience, and outcomes for all. A six-month period of engagement work ensured that issues relating to maternal and neonatal care were considered in the development of the Improvement Framework, which is available at the following link:https://www.england.nhs.uk/publication/improvement-framework-community-language-translation-interpreting-services/

What assessment he has made of the potential implications for his policies of average (a) stillbirth and (b) neonatal mortality rates among (i) Black and Asian babies and (ii) babies born to mothers in the most deprived areas; and (b) what steps he is taking to help reduce maternal inequalities.

The Department recognises that there are stark inequalities for women and babies, and that they should receive the high-quality care they deserve, regardless of their background, location or ethnicity.A number of interventions specifically aimed at addressing maternal and neonatal inequalities are underway. These include the Perinatal Equity and Anti-Discrimination Programme, delivery of an inequalities dashboard and projects on removing racial bias from clinical education and embedding genetic risk equity. Additionally, all local areas have published Equity and Equality action plans to tackle inequalities for women and babies from ethnic minorities and those living in the most deprived areas.An important aspect of both the National Maternity and Neonatal Investigation and the National Maternity and Neonatal Taskforce announced in June, is to address inequalities in maternal and neonatal care and promote health equity in the delivery of those services.We are putting in place immediate actions to improve safety across maternity and neonatal care, which includes the implementation of the Saving Babies Lives Care Bundle in all Trusts to reduce the rates of stillbirth, preterm birth and neonatal care.NHS England is also introducing a Maternal Mortality Care Bundle to set clear standards across all services, and address the leading causes of maternal mortality. Women from Black and Asian backgrounds are more at risk of specific clinical conditions that are the leading causes of death. This bundle will target these conditions, and we expect a decline in deaths and harm.

Whether he plans to take steps to routinely monitor and report miscarriage rate trends; and what steps he has taken to reduce the rate of miscarriages.

The risk of miscarriage is estimated at 15%, or approximately 100,000-150,000 miscarriages per year in the United Kingdom. However, due to lack of data on the earliest losses, the true figure could be higher at approximately 250,000 a year. An update to digital record standards on maternity means that the National Health Service is now able to record the pregnancy outcome for any woman, including miscarriage, where they have been in contact with NHS maternity services.The Tommy’s Miscarriage Centre at Birmingham Women and Children’s Hospital has completed its pilot assessing the effectiveness of a graded model of sporadic or recurrent miscarriage care and is in the final stages of evaluating the study. Under the ‘Graded Model of Care’, women receive dedicated care from their first miscarriage. It includes bereavement support, health advice and risk assessment for women who wish to become pregnant again, screening for mental health support, and a clear pathway to manage congenital risks.Research on the feasibility and affordability of this care is due to be published later this year. The Department has received headline positive early findings from Tommy’s and will continue to engage with Tommy’s through our planning for maternity and neonatal services.We look forward to discussing the full findings of this important work with Tommy's in the coming weeks, and to consider what immediate and longer-term actions the Government can put in place that will help to transform care and deliver the outcomes and experience we want to see.