Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to help tackle increases in legal costs for clinical negligence.

Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)

The rising costs of clinical negligence claims against the National Health Service in England are of great concern to the Government. Costs have more than doubled in the last 10 years and are forecast to continue rising, putting further pressure on NHS finances.

As announced in the recently published 10-Year Health Plan for England, David Lock KC will be providing expert policy advice on the rising legal costs of clinical negligence and how we can improve patients’ experience of claims, ahead of a review by the Department in the autumn.

The results of David Lock’s work will inform future policy making in this area. No decisions on policy have been taken at this point, and the Government will provide an update on the work done and next steps in due course.

Question to the HM Treasury:

To ask the Chancellor of the Exchequer, whether the UK delegation attending the fourth Meeting of Parties to the Framework Convention on Tobacco Control plans to (a) oppose the extension of the scope of application of the Protocol to Eliminate Illicit Trade in Tobacco Products beyond tobacco products to electronic nicotine delivery services and (b) help ensure that proposed amendments of the Treaty follow the proper procedures.

Answered by Dan Tomlinson - Exchequer Secretary (HM Treasury)

The procedures for amending the World Health Organization Protocol to Eliminate Illicit Trade in Tobacco Products are laid down in Articles 38 and 39 of that treaty. These stipulate that any proposals need to be communicated to parties at least six months before the session at which they are proposed to be adopted.

As no such communication has been made in this case, if any proposals for extending the Treaty to electronic nicotine delivery services were to emerge, they would need to be considered at a future Meeting of Parties (MOP) rather than this MOP. The UK would always seek to ensure that any proposals to amend the Treaty follow the proper procedures.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to support the (a) health and (b) wellbeing of the NHS workforce (i) on the Isle of Wight and (ii) in Hampshire.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The health and wellbeing of all National Health Service staff is a top priority. Local employers across the NHS have in place existing arrangements for supporting staff, including occupational health provision, employee support programmes, and a focus on healthy working environments. At a national level NHS staff have access to the SHOUT helpline for crisis support alongside the Practitioner Health service for more complex mental health and wellbeing support, including trauma and addiction.

As set out in the 10-Year Health Plan, at a national level, we will roll out Staff Treatment hubs to ensure all staff have access to enhanced occupational health support, with a focus on mental health and musculoskeletal services.

To further support this ambition, we are working with the Social Partnership Forum to introduce a new set of staff standards for modern employment, covering issues such as access to healthy meals, support to work healthily and flexibly, and tackling violence, racism, and sexual harassment in the workplace.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will take steps to issue guidance to NHS Trusts to discourage them from supporting City of Sanctuary.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

There are no plans to issue guidance on this matter. National Health Service organisations are required to use their resources in the interests of patients and to secure value for money for taxpayers.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, Pursuant to the answer of 10 October, to Question 75034, on Trade Union: Equality, which civil service diversity networks in (a) his department and (b) NHS England are eligible for network time; and whether individual staff can claim both network time and trade union facility time.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

Within the Department, paid facility time is provided for accredited trade union representatives to carry out duties in line with legislation and the trade union partnership framework, but not for participation in staff networks.

Chairs and committee members of the Department’s internal diversity networks are permitted to use up to 10% of their work time for network activity.

Whilst NHS England will be abolished and its functions integrated into the Department in the coming years, they are not a Civil Service employer. Therefore, NHS England has no Civil Service diversity networks.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of the early flu season on corridor care, hospital capacity, and patient outcomes.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The Department is continuing to take key steps to ensure the health service is prepared for the colder months. This includes taking actions to try and reduce demand pressure on accident and emergency, increasing vaccination rates, and offering health checks to the most vulnerable, as well as stress-testing integrated care boards and trust winter plans to ensure they are able to meet demand and ensure patient flow. Ministers meet every week on winter and consider flu levels as part of this.

Flu is a recurring pressure that the NHS faces every winter. There is particular risk of severe illness for older people, the very young, pregnant, and those with certain underlying health conditions. The flu vaccine remains the best form of defense against influenza, particularly for the most vulnerable, and continues to be highly effective at preventing severe disease and hospitalisation.

Question to the Department for Transport:

To ask the Secretary of State for Transport, whether the Electric Car Grant criteria will change when the new science based targets come into place.

Answered by Keir Mather - Parliamentary Under-Secretary (Department for Transport)

All vehicle grants are regularly reviewed to ensure they continue to achieve their objectives and deliver value for taxpayer's money. This includes the eligibility criteria for the Electric Car Grant.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what plans his Department has to ensure continued funding for Start for Life (a) infant feeding support, (b) parent–infant relationships, (c) perinatal mental health care and (d) other services.

Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)

The 10-Year Health Plan sets out an ambitious agenda to improve the nation’s health. As part of this, we will expand Start for Life services and integrate zero- to five-year olds’ health and children’s services into communities, with a strong focus on the critical first 1,001 days.

The integration of health services in Best Start Family Hubs is fundamental to improving outcomes for babies, children, and their families and for delivering on neighbourhood health. This is why the Government will prioritise funding the continuation of existing Start for Life services including for infant feeding, perinatal mental health, and parent-infant relationships.

Provisional funding allocations have been shared with local authorities. The Government remains committed to supporting all local areas to strengthen and join up health services for babies, children, and their families.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the potential impact of extending Start for Life services to a wider age range on costs to the public purse.

Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)

The 10-Year Health Plan sets out an ambitious agenda to improve the nation’s health. As part of this, we will expand Start for Life services and integrate zero- to five-year olds’ health and children’s services into communities, with a strong focus on the critical first 1,001 days.

The integration of health services in Best Start Family Hubs is fundamental to improving outcomes for babies, children, and their families and for delivering on neighbourhood health. This is why the Government will prioritise funding the continuation of existing Start for Life services including for infant feeding, perinatal mental health, and parent-infant relationships.

Provisional funding allocations have been shared with local authorities. The Government remains committed to supporting all local areas to strengthen and join up health services for babies, children, and their families.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, when his Department plans to confirm funding allocations for the Start for Life programme beyond 1 April 2026.

Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)

The 10-Year Health Plan sets out an ambitious agenda to improve the nation’s health. As part of this, we will expand Start for Life services and integrate zero- to five-year olds’ health and children’s services into communities, with a strong focus on the critical first 1,001 days.

The integration of health services in Best Start Family Hubs is fundamental to improving outcomes for babies, children, and their families and for delivering on neighbourhood health. This is why the Government will prioritise funding the continuation of existing Start for Life services including for infant feeding, perinatal mental health, and parent-infant relationships.

Provisional funding allocations have been shared with local authorities. The Government remains committed to supporting all local areas to strengthen and join up health services for babies, children, and their families.

Question to the Department for Transport:

To ask the Secretary of State for Transport, pursuant to the answer of 17 October 2025, to Question 77644, on THINK! Campaign, what is the budgeted spending on publicity on drug driving in (a) 2024-25 and (b) 2025-26, and whether such expenditure has been revised following the July 2024 savings.

Answered by Lilian Greenwood - Government Whip, Lord Commissioner of HM Treasury

The budgeted spend on publicity on drug driving is below:

The increased expenditure for 2025/26 reflects the launch of a new THINK! marketing campaign to raise awareness on drug driving, in response to the increasing trend of collisions involving a driver impaired by drugs. Following the reduction in overall budget, the decision has been made to prioritise budget to focus on issues and audiences where we can have the greatest impact.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what his policy is on the banning of cigarette filters, in the context of the upcoming eleventh Conference of the Parties to the Framework Convention on Tobacco Control.

Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)

We are confident that the best way to tackle tobacco litter and to protect people’s health is to reduce the prevalence of smoking. That is why we are taking decisive action through the Tobacco and Vapes Bill to create a smoke-free generation alongside continuing with evidence-based approaches to supporting smokers to quit. We therefore have no current plans to ban cigarette filters.

Question to the Home Office:

To ask the Secretary of State for the Home Department, with reference to the strategy Replacing animals in science: A strategy to support the development, validation and uptake of alternative methods, published on 11 November 2025 and the target to replace animals used for eye irritation testing, how many procedures were carried out for this purpose in 2024.

Answered by Dan Jarvis - Minister of State (Cabinet Office)

The Home Office is committed to supporting the development, validation and uptake of alternative methods to animal testing, as outlined in the published strategy: Replacing animals in science’, published on 11 November 2025.

The last licence authorising the use of the rabbit pyrogen test was granted in 2017. The most recent reported use of the test was in 2018. No pyrogen testing has been reported since this date.

The latest published statistics show that no procedures were reported under the category of ‘skin irritation/corrosion’ tests.

In 2024, three procedures were reported under the category of ‘eye irritation/corrosion’ tests.

The Home Office publishes annual statistics on the use of animals in scientific procedures. The statistics can be found at: www.gov.uk/government/collections/animals-in-science-statistics

Question to the Home Office:

To ask the Secretary of State for the Home Department, with reference to the strategy Replacing animals in science: A strategy to support the development, validation and uptake of alternative methods, published on 11 November 2025 and the target to replace in vivo skin irritation testing, how many procedures were carried out for this purpose in 2024.

Answered by Dan Jarvis - Minister of State (Cabinet Office)

The Home Office is committed to supporting the development, validation and uptake of alternative methods to animal testing, as outlined in the published strategy: Replacing animals in science’, published on 11 November 2025.

The last licence authorising the use of the rabbit pyrogen test was granted in 2017. The most recent reported use of the test was in 2018. No pyrogen testing has been reported since this date.

The latest published statistics show that no procedures were reported under the category of ‘skin irritation/corrosion’ tests.

In 2024, three procedures were reported under the category of ‘eye irritation/corrosion’ tests.

The Home Office publishes annual statistics on the use of animals in scientific procedures. The statistics can be found at: www.gov.uk/government/collections/animals-in-science-statistics

Question to the Home Office:

To ask the Secretary of State for the Home Department, with reference to the strategy Replacing animals in science: A strategy to support the development, validation and uptake of alternative methods, published on 11 November 2025 and the target to replace the rabbit pyrogen test, when was the last time this test was authorised for use in the UK.

Answered by Dan Jarvis - Minister of State (Cabinet Office)

The Home Office is committed to supporting the development, validation and uptake of alternative methods to animal testing, as outlined in the published strategy: Replacing animals in science’, published on 11 November 2025.

The last licence authorising the use of the rabbit pyrogen test was granted in 2017. The most recent reported use of the test was in 2018. No pyrogen testing has been reported since this date.

The latest published statistics show that no procedures were reported under the category of ‘skin irritation/corrosion’ tests.

In 2024, three procedures were reported under the category of ‘eye irritation/corrosion’ tests.

The Home Office publishes annual statistics on the use of animals in scientific procedures. The statistics can be found at: www.gov.uk/government/collections/animals-in-science-statistics

Question to the Department for Transport:

To ask the Secretary of State for Transport, what timetable has been set for the transfer of assets, staff and responsibilities from Network Rail to Great British Railways.

Answered by Keir Mather - Parliamentary Under-Secretary (Department for Transport)

Network Rail and its functions will become a foundational part of Great British Railways (GBR) as it is stood up. The detailed GBR design process is underway, considering how all functions in Network Rail, DfT Operator, publicly-owned train operating companies (TOC) and parts of the Rail Delivery Group (RDG) should transfer to GBR.

Question to the Department for Transport:

To ask the Secretary of State for Transport, what estimate she has made of changes to staffing levels resulting from the establishment of Great British Railways.

Answered by Keir Mather - Parliamentary Under-Secretary (Department for Transport)

Details on exact roles are subject to further design work. GBR will need colleagues from across the railway to continue the hard work that they do delivering for passengers. We will continue to engage with the industry on our plans for GBR.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 11 September 2024 to Question 73326 on NHS: Strikes, if he will take steps to amend NHS contracts to ban the practice of NHS employees who are on strike from being paid by other parts of the NHS on strike days.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The Department of Health and Social Care has indicated that it will not be possible to answer this question within the usual time period. An answer is being prepared and will be provided as soon as it is available.

Question to the Department for Transport:

To ask the Secretary of State for Transport, further to the press release, Red tape slashed to revamp high streets with new cafes and bars, of 26 July 2025, whether the Department for Transport has conducted or is planning to conduct a review of changes to the alcohol drink drive limit and potential mitigations.

Answered by Lilian Greenwood - Government Whip, Lord Commissioner of HM Treasury

The Government is committed to reducing the numbers of those killed and injured on our roads.

We are considering a range of policies under the new Road Safety Strategy; the first for ten years. This includes the case for changing the motoring offences, such as drink driving.

Question to the Department for Transport:

To ask the Secretary of State for Transport, whether changes are being made to the eligibility for central government funding for Kent County Council, in the context of plans not to switch its fleet of vehicles to electric vehicles.

Answered by Keir Mather - Parliamentary Under-Secretary (Department for Transport)

Local authorities have access to a range of central Government funding to support residents to transition to zero emission vehicles. Kent County Council remains eligible for their allocated £13.2 million capital and resource funding through the Local Electric Vehicle Infrastructure (LEVI) Fund to increase the number of local public chargepoints across Kent. Their LEVI funding application has been approved to go to delivery.

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, how much funding her Department plans to provide to (a) tennis and (b) padel in each year until 2028.

Answered by Stephanie Peacock - Parliamentary Under Secretary of State (Department for Culture, Media and Sport)

The Government is determined to ensure that everyone has access to quality sport and physical activity opportunities. That is why we have committed another £400 million to transform facilities across the whole of the UK following the Spending Review. We are now working closely with sporting bodies and local leaders to establish what communities need and will then set out further plans. I have met with the Lawn Tennis Association, the National Governing Body for tennis and padel, along with representatives from other sports, to discuss this.

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. This includes long term investment in the Lawn Tennis Association, which receives up to £10.2 million for five years from 2022 to 2027 to invest in community tennis and padel initiatives that will benefit as many people as possible.

Question to the Department for Transport:

To ask the Secretary of State for Transport, pursuant to the answer of 27 October 2025, to Question 82997, on Restoring Your Railway Fund, how much central government money was written off as a consequence of the decision to cancel the fund.

Answered by Simon Lightwood - Parliamentary Under-Secretary (Department for Transport)

The Chancellor’s 29 July 2024 announcement confirmed that the Restoring Your Railway programme would be brought to a close, as one of the steps she was taking to address the pressures on the public finances created by unfunded policy announcements made by the previous government. No funding was "written off" as part of this process.

Question to the Department for Transport:

To ask the Secretary of State for Transport, what steps she is taking to (a) protect SME hauliers from pricing by major lorry manufacturers and (b) ensure access to third-party litigation funding for those hauliers.

Answered by Keir Mather - Parliamentary Under-Secretary (Department for Transport)

Ensuring that consumers and SMEs are only required to pay fair prices is of the utmost importance and is a key feature of truly competitive markets. The UK has a robust competition enforcement landscape to ensure that this is achieved, both through public enforcement by the Competition and Markets Authority and private enforcement routes through litigation.

Question to the Department for Transport:

To ask the Secretary of State for Transport, what estimate she has made of the cost to SME hauliers of prices set by major lorry manufacturers.

Answered by Keir Mather - Parliamentary Under-Secretary (Department for Transport)

Ensuring that consumers and SMEs are only required to pay fair prices is of the utmost importance and is a key feature of truly competitive markets. The UK has a robust competition enforcement landscape to ensure that this is achieved, both through public enforcement by the Competition and Markets Authority and private enforcement routes through litigation.

Question to the Department for Transport:

To ask the Secretary of State for Transport, pursuant to the answer of 16 October 2025, to Question 77642, on Driving under Influence: Scotland, whether research has been commissioned or produced on the effect of drink driving limits on the economic viability of pubs and other hospitality venues which serve alcohol.

Answered by Lilian Greenwood - Government Whip, Lord Commissioner of HM Treasury

The Government is committed to reducing the numbers of those killed and injured on our roads.

We are considering a range of policies under the new Road Safety Strategy; the first for 10 years. This includes the case for changing the motoring offences, such as drink driving.  We intend to publish this by the end of the year.

Research was conducted by the University of Bath in 2021, Dr Jonathan James and Professor Marco Francesconi, looking at the effect of the introduction of the lower drink drive limit in Scotland. The authors found that the “alcohol industry remained unscathed, with no changes in production, prices, or employment”:

www.sciencedirect.com/science/article/abs/pii/s0167629621000722#sec0014

On 5 December 2014 Scotland lowered the drink drive limit to that of the majority of European countries. In 2023 Transport Scotland published casualty estimates show that the “numbers of drink-drive collisions and casualties fell by 55% and 47% respectively between 2012 and 2022 (the latest year for which estimates are available)”:

www.transport.gov.scot/publication/reported-road-casualties-scotland-2023/.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what support his department is making available for trusts to help reduce bed occupancy to the RCEM recommended level of 85% occupancy.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

As part of our winter preparations, we are asking trusts to place a special focus on reducing bed occupancy ahead of Christmas, creating additional capacity and improving patient flow.

The Urgent and Emergency Care plan, published in July, focuses on those improvements that will see the biggest impact on urgent and emergency care (UEC) performance this winter and on making UEC better every day. The plan is backed by almost £450 million of capital investment for Same Day Emergency Care, Mental Health Crisis Assessment Centres, and new ambulances, avoiding unnecessary admissions to hospital and supporting the diagnosis, treatment, and discharge on the same day for patients. The plan supports a permanent shift in how we manage demand and patient flow.

Question to the Department for Transport:

To ask the Secretary of State for Transport, pursuant to the Answer of 5 November 2025 to Question 85905 on Roads: Repairs and Maintenance, whether she plans to introduce a Live Labs 3 programme.

Answered by Simon Lightwood - Parliamentary Under-Secretary (Department for Transport)

Live Labs 2 is a three-year, £30 million programme designed to support the local highways sector to adopt innovation and reduce its carbon impacts. The government will continue to support innovation in the highways sector following the conclusion of the Live Labs 2 programme and will confirm future plans in due course.

Question to the Department for Transport:

To ask the Secretary of State for Transport, what the policy rationale is for clause 31(7) of the Railways Bill, which provides that the obligation to provide or secure the provision of designated railway passenger services does not give rise to civil liability; and whether she has assessed how this limitation of liability aligns with (a) accountability within the new rail system and (b) the protection of passenger rights.

Answered by Keir Mather - Parliamentary Under-Secretary (Department for Transport)

Clause 31(7) of the Bill makes it clear that the Secretary of State, Scottish Ministers or Welsh Ministers cannot be found liable for breach of statutory duty (which allows a person to claim damages in tort) when they provide or secure designated railway passenger services. This mirrors section 50 of the Railways Act 1993 so that the same approach to civil liability is carried over to the new passenger services provisions. There are other examples of this in legislation, such as section 44 of the Railways Act 2005. If Ministers act unlawfully then judicial review is available.

Responsibility for providing designated passenger services will rest largely with Great British Railways (GBR), or, in Scotland or Wales, with another public sector company. GBR will be governed by a cohesive accountability framework. Passenger rights will be protected in that framework with the GBR licence setting minimum consumer standards. The Passenger Watchdog, established to champion passenger interests, will set and monitor these standards, with the Office for Rail and Road able to take enforcement action should these standards not be met.

Question to the Department for Transport:

To ask the Secretary of State for Transport, with reference to her Department's document entitled Transport for City Regions funding allocations, published on 4 June 2025, what estimate she has made of the cost to the public purse of the (a) decarbonising transport, (b) enabling healthy living and (c) promoting the modal shift from cars to public transport, walking and cycling objectives during 2027-28 to 2031-32.

Answered by Lilian Greenwood - Government Whip, Lord Commissioner of HM Treasury

The devolved (TCR) programme will enable Mayors in recipient areas to deliver schemes that align with the aforementioned objectives at a local level. The cost is reflected in the capital and resource funding allocated through these settlements and will contribute towards achievement of the overarching programme objectives. Funding allocations can be found here at Transport for City Regions funding allocations - GOV.UK

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 22 October 2025 to Question 77546 on NHS: Strikes, whether (a) paid and (b) unpaid trade union facility time can be used for NHS staff who are trade union representatives to take part in campaigning on (i) ballots and (ii) industrial action.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

It is for each National Health Service employer and representatives of locally recognised trades unions to agree in partnership to local arrangements and procedures on time off and facilities that are appropriate in local circumstances and whether that time off is paid or unpaid. Local arrangements should also specify the circumstances when time off may be refused for either representatives or members and are expected to be consistent with the principles set out in Section 25 of the NHS Terms and Conditions of Service Handbook and the Advisory, Conciliation and Arbitration Service Code of Practice on time off for trade union duties and activities. Section 25 specifies that trade union representatives should make a request to their employer in advance when seeking time off for unpaid trade union activities. The request should include details such as the purpose of the absence, the timing, and the expected duration so the employer can give fair and due consideration of the request. The employer should not unreasonably refuse such requests, but the granting of time off should always be balanced against the needs of the service and what would be considered reasonable in the circumstances.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 22 October 2025 to Question 77546 on NHS: Strikes, whether NHS staff who are on strike may be paid by another NHS trust for undertaking (a) agency and (b) locum during the strike.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

Regulation 7 of the Conduct of Employment Agencies and Employment Businesses Regulations 2003 stipulates that striking National Health Service staff can work for another NHS trust on days of industrial action as long as they do not do so via an employment business to cover the work of striking workers. Some employment contracts may require employees to either declare to or seek permission from their primary employer before working with another employer, and further guidance for employers can be found on the NHS Employers website. In addition, doctors should refer to the Good Medical Practice Guide issued by the General Medical Council (GMC) when making decisions about working during periods of strike action. The GMC advises that doctors who are due to work but are not attending because of strike action should remain prepared and available during their scheduled hours in case circumstances change.

Found: ; St Ives) Paulette Hamilton (Labour; Birmingham Erdington) Alex McIntyre (Labour; Gloucester) Joe Robertson

Question to the Department for Environment, Food and Rural Affairs:

To ask the Secretary of State for Environment, Food and Rural Affairs, what information her Department holds on which local authorities have introduced (a) three-weekly and (b) monthly residual household rubbish collections.

Answered by Mary Creagh - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)

I refer the Rt Hon. Member to the reply given to the hon. Member for Isle of Wight East, Joe Robertson, on 20 December 2024, PQ UIN 19914.

Submit Evidence (by 13 Feb 2026)

The Committee is holding an inquiry into what is needed from the NHS estate to deliver the Government’s vision of a ‘Neighbourhood Health Service’ — shifting care from hospitals to integrated, preventative services in local communities.