Written questions by Gibson.

What plans he has to improve the recording of miscarriage in NHS services.

The risk of miscarriage is estimated at 15%, and there are approximately 100,000 to 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 in March 2025 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.NHS England is in the early stages of a new project to review the Maternity Services Dataset, and we will carefully consider miscarriage information as part of this work.

Whether his Department has assessed the factors contributing to variation in intervention rates between NHS trusts.

The Department has made no specific assessment. Local National Health Service commissioners are responsible for planning healthcare services that meet the needs of their respective populations. NHS trust interventions will vary across services and in response to a range of local factors.

What steps he is taking to address variation in access to NHS-funded IVF treatment between integrated care boards.

The Government recognises that fertility treatment across the National Health Service in England is subject to variation in access. Work continues between the Department and NHS England to better understand NHS-funded fertility services and the effectiveness of these services. This work will take time to develop, and the Department is keen to ensure there will be stakeholder engagement during this process, beginning in the new year.Funding decisions for health services in England are made by integrated care boards (ICBs) and are based on the clinical needs of their population. We expect ICBs to commission fertility services in line with National Institute for Health and Care Excellence (NICE) guidelines ensuring equal access to fertility treatment across England.NICE is currently reviewing the fertility guidelines and will consider whether its current recommendations for access to NHS-funded treatment are still appropriate. A consultation on revised guidelines was published on 10 September and closed on 21 October 2025.

What recent assessment he has made of the adequacy of the condition of maternity wards and equipment across NHS trusts.

NHS England’s maternity and neonatal infrastructure review was completed in spring 2024 by all trusts in England that provide maternity and neonatal services. It found various issues with maternity and neonatal service infrastructure, including limited physical space, inadequate capacity for efficient services, and poor building conditions.However, all trust boards are asked to review their estates data and to seek assurance that all healthcare premises, from which they are delivering maternity and neonatal services, are of appropriate standard. In instances where the estate is not of appropriate standard, trust boards should ensure mitigating action is being taken accordingly.NHS England is developing a data dashboard to present maternity and neonatal estate survey data. This will enable trusts to capture the latest information on their estates and take action at the local level when required.The independent National Maternity and Neonatal Investigation, chaired by Baroness Amos, is considering the adequacy of maternity and neonatal infrastructure within its scope.

Whether the full funding for SME apprenticeships for people under 25 announced in the Budget will cover Level 7 apprenticeships, including architecture.

As announced at the Budget, the government will fully fund apprenticeships for non-levy paying employers (essentially SMEs) for eligible people aged under 25 from the next academic year. This does not change the policy on level 7 apprenticeships which the government announced in June. From January 2026, the government will no longer fund level 7 apprenticeships except for apprentices under the age of 22, and those under the age of 25 who are care leavers or have an Education, Health and Care Plan. This applies to all employers, including SMEs.

When he plans to publish the eligibility criteria for fully funded SME apprenticeships for people under 25.

As announced at the Budget, the government will fully fund apprenticeships for non-levy paying employers (essentially SMEs) for eligible people aged under 25 from the next academic year. This does not change the policy on level 7 apprenticeships which the government announced in June. From January 2026, the government will no longer fund level 7 apprenticeships except for apprentices under the age of 22, and those under the age of 25 who are care leavers or have an Education, Health and Care Plan. This applies to all employers, including SMEs.

With reference to the Ockenden report, what recent assessment his Department has made of the adequacy of the progress in delivering the Immediate and Essential Actions; and if he will publish an update on the implementation status of each action within every NHS trust providing maternity care.

The final report of the Ockenden review contained 96 immediate and essential actions (IEAs), some national and some for local implementation. The IEAs contained in the Ockenden review were brought together, alongside other reports and guidance, into NHS England’s three-year delivery plan for maternity and neonatal services. A review of progress against the national actions in April 2025 demonstrated that work has been completed for many actions, but that there have been some challenges, for example in pre-conception care for women with pre-existing medical conditions.NHS England wrote to all trusts and systems following publication of the review in April 2022, asking them to deliver the recommendations and report to their public boards. The expectation is that local board oversight of progress with implementation should be ongoing. Following discussion, it was agreed that some of the actions should not be universally implemented, for example newly qualified midwives remaining hospital based for one year post-qualifying.More widely, Baroness Amos is leading a rapid, national, independent investigation into National Health Service maternity and neonatal services to help us to understand the systemic issues behind why so many women, babies, and families experience unacceptable care. My Rt Hon. Friend, the Secretary of State for Health and Social Care, has agreed with Baroness Amos that the investigation will publish its final report and recommendations in the spring of 2026, bringing together the findings of past reviews into one clear national set of recommendations.The Government is also setting up a National Maternity and Neonatal Taskforce, chaired by My Rt Hon. Friend, the Secretary of State for Health and Social Care. The taskforce will take forward the recommendations of the investigation to develop a new national action plan to drive improvements across maternity and neonatal care.

What recent discussions his Department has had on the use of AI-based mental health tools in the NHS; and whether he plans to consult relevant stakeholders on the use of such tools.

The Department recognises the potential of artificial intelligence-based tools to support mental health services in the National Health Service. Recent discussions have focused on ensuring that these technologies meet safety, ethical, and clinical standards. We are working with NHS England, regulators such as the Medicines and Healthcare products Regulatory Agency and the National Institute for Health and Care Excellence, and other partners to develop robust evaluation frameworks. Plans include consultation with clinicians, patient groups, and industry to ensure transparency and public confidence. Any adoption will comply with NHS standards and data protection requirements.

What recent discussions his Department has had with relevant stakeholders on the use of AI-based mental health tools in the NHS; and what plans he has to consult on the use of these tools.

The Department recognises the potential of artificial intelligence-based tools to support mental health services in the National Health Service. Recent discussions have focused on ensuring that these technologies meet safety, ethical, and clinical standards. We are working with NHS England, regulators such as the Medicines and Healthcare products Regulatory Agency and the National Institute for Health and Care Excellence, and other partners to develop robust evaluation frameworks. Plans include consultation with clinicians, patient groups, and industry to ensure transparency and public confidence. Any adoption will comply with NHS standards and data protection requirements.

Whether his Department holds data on the proportion of neurodivergent service personnel.

The Ministry of Defence is committed to a diverse workforce and regularly reviews both its policies and its data collection requirements on neurodiversity, however, there are no current plans to revise Joint Service Publication 822 Defence Direction for Training and Education (Volume 7, Specific Learning Differences) to specifically require monitoring of neurodiversity status. As at 1 July 2025, two per cent of Serving UK Regular Armed Forces personnel had a read code for autism, ADHD, dyslexia or dyspraxia entered into their electronic medical record. This figure is a minimum; if personnel have not discussed their condition with their military GP, they will not have a read code for the condition in their medical record.

What assessment he has made of the potential merits of introducing routine monitoring and data collection on neurodivergent Service Personnel, including those with conditions beyond Specific Learning Differences; and whether his Department plans to revise the guidance entitled JSP 822, Volume 7, to require such monitoring.

The Ministry of Defence is committed to a diverse workforce and regularly reviews both its policies and its data collection requirements on neurodiversity, however, there are no current plans to revise Joint Service Publication 822 Defence Direction for Training and Education (Volume 7, Specific Learning Differences) to specifically require monitoring of neurodiversity status. As at 1 July 2025, two per cent of Serving UK Regular Armed Forces personnel had a read code for autism, ADHD, dyslexia or dyspraxia entered into their electronic medical record. This figure is a minimum; if personnel have not discussed their condition with their military GP, they will not have a read code for the condition in their medical record.

Whether the Government will commit to publishing outcome data and not only referral figures for Op COURAGE and Op RESTORE as set out in the Veterans Strategy.

NHS England has been working with the regional providers of Op COURAGE to ensure that they are meeting the needs of veterans. This includes reviewing the time that veterans wait for assessment and treatment. Any required changes identified through this internal review will be implemented from April 2026.All primary care networks in Wiltshire have at least one general practice (GP) accredited as being veteran friendly. NHS England, in partnership with the Royal College of General Practitioners, are continuing to encourage GPs to participate in the Armed Forces Veteran Friendly GP accreditation scheme. This voluntary initiative is available to GPs across England and is free to access.NHS England is working with Op COURAGE and Op RESTORE to develop more meaningful data on outcomes, patient satisfaction, and to demonstrate progress on continuous improvement in services and clinical provision. This work will focus on ensuring that future reporting is both purposeful and proportionate, to avoid detracting from the delivery of frontline services.

What the timeline is for implementing the Government’s Forces First approach for new homes built on surplus Ministry of Defence land, and whether any such sites are planned in Wiltshire.

The Government’s Forces First approach will apply to a proportion of new homes on selected surplus Defence sites, agreed between the Ministry of Defence (MOD), the local authority and the developer based on demand and site viability. This will increase the number of Service Family Accommodation through MOD acquisition of high-quality new build properties developed on surplus Defence sites, where these are needed. This ensures military families benefit directly from the construction taking place on former military land, creating investment and improvement. Final plans for construction are pending, so any future military housing in Wiltshire cannot yet be confirmed. Priority access to selected sites will be agreed with local authorities and developers to support Service personnel and national housebuilding targets.

Whether he plans to publish the membership and terms of reference for the cross-government delivery group for veterans.

The Veterans Strategy commits to redesign the underpinning governance and engagement that drives delivery of veterans’ priorities and decision making. I will work with Ministers across UK Government and Devolved Governments to deliver on the priorities set out in the strategy. The cross-Government delivery group is an official level group that supports Ministers to implement this important strategy.

What steps his Department is taking to reduce waiting times for veterans accessing Op COURAGE services, including for those in rural counties such as Wiltshire.

NHS England has been working with the regional providers of Op COURAGE to ensure that they are meeting the needs of veterans. This includes reviewing the time that veterans wait for assessment and treatment. Any required changes identified through this internal review will be implemented from April 2026.All primary care networks in Wiltshire have at least one general practice (GP) accredited as being veteran friendly. NHS England, in partnership with the Royal College of General Practitioners, are continuing to encourage GPs to participate in the Armed Forces Veteran Friendly GP accreditation scheme. This voluntary initiative is available to GPs across England and is free to access.NHS England is working with Op COURAGE and Op RESTORE to develop more meaningful data on outcomes, patient satisfaction, and to demonstrate progress on continuous improvement in services and clinical provision. This work will focus on ensuring that future reporting is both purposeful and proportionate, to avoid detracting from the delivery of frontline services.

What steps he is taking to ensure that VALOUR-recognised support centres will be evenly distributed across rural areas.

Applications are currently open for organisations to bid to become VALOUR recognised centres. The locations of centres will be dependent on which organisations apply and are awarded funding; however, consideration will be given to the geographic spread of centres. The programme guidance for applicants encourages them to consider how their bid will deliver more equity of access and consistency in service quality throughout the UK. VALOUR recognised centres will facilitate in-person access to multiple services for veterans right across the UK. These centres will be required to meet high standards and provide timely data to the UK Government regarding the needs and experiences of veterans to inform future service improvements.

What steps he is taking to help ensure that veterans without reliable digital access can still obtain the Digital Veteran Card.

We recognise that not all veterans can reliably access digital services or the internet. The digital Veteran Card is an optional version of the existing physical HM Armed Forces Veteran Card. Eligibility for a digital version, includes that applicants must already hold a physical card.Applications for both Veteran Cards can be made either online or via post, ensuring that a fully non-digital route remains available. This approach ensures that all veterans can access the support and benefits they are entitled to. Veterans who require additional help can access support through the Veterans UK helpline.

When the Government plans to publish the first tranche of data gathered through VALOUR support centres, and whether that data will be disaggregated by region.

The VALOUR programme is being developed and funding for VALOUR Recognised Centres opened on 10 November and closes on 14 January 2026. There will be an expectation on centres to share data with VALOUR HQ, where it will then be reviewed and analysed, to be then be used to further inform policymaking.

What assessment he has made of GP accreditation coverage for Veteran Aware practices in Wiltshire, and what steps are being taken to close any gaps.

NHS England has been working with the regional providers of Op COURAGE to ensure that they are meeting the needs of veterans. This includes reviewing the time that veterans wait for assessment and treatment. Any required changes identified through this internal review will be implemented from April 2026.All primary care networks in Wiltshire have at least one general practice (GP) accredited as being veteran friendly. NHS England, in partnership with the Royal College of General Practitioners, are continuing to encourage GPs to participate in the Armed Forces Veteran Friendly GP accreditation scheme. This voluntary initiative is available to GPs across England and is free to access.NHS England is working with Op COURAGE and Op RESTORE to develop more meaningful data on outcomes, patient satisfaction, and to demonstrate progress on continuous improvement in services and clinical provision. This work will focus on ensuring that future reporting is both purposeful and proportionate, to avoid detracting from the delivery of frontline services.

What steps the new cross-government veteran employment taskforce is taking to ensure that small and medium-sized enterprises, including those in rural areas, have access to veteran talent.

The Government recognises the vital role small and medium-sized enterprises (SMEs) across the UK play in our economy and is committed to ensuring they have access to the skills and talents they need to succeed. Veterans bring exceptional qualities such as leadership, teamwork, critical thinking, and resilience, which are invaluable to UK business, from SMEs to large organisations. The recently published Veterans Strategy sets out how this Government will ensure veterans can maximise the skills gained during their time in service, whether supporting them into sustainable careers in high growth, critical industries, or ensuring they can access the tools needed to set up and scale their own business. The Veteran Employment Taskforce will bring together teams from across government, including the Defence Office for Defence Small Business Growth, to ensure veterans are reflected in the Government's employment strategies and identify opportunities for SMEs to access veteran talent effectively. This will be supported by ongoing collaboration with businesses, particularly the 8,000+ Defence Employer Recognition Scheme holders, to identify and share best practice.