theodi/ndl-core-corpus huggingface dataset:
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Mr Andrew Snowden:To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 3 April 2025 to Question 42350 on General Practitioners: Employers' Contributions, what assessment he has made of the merits of feedback received from the General Practitioners Committee England during the consultation on GP services; and what steps he has taken to incorporate this feedback into the new contract. \p Stephen Kinnock: Every year the Department and NHS England consult with the General Practitioners’ Committee (GPC), of the British Medical Association (BMA), to discuss the services general practitioners (GPs) will be expected to provide and the funding they will receive in return under the GP Contract. Feedback from the GPC is considered as part of this process and we are pleased that the GPC is supportive of the changes made to the 2025/26 GP Contract.
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Mr Andrew Snowden:To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 3 April 2025 to Question 42350 on General Practitioners: Employers' Contributions, how much and what proportion of the £889 million will be spent on (a) staffing, (b) technology, (c) patient access and (d) other services. \p Stephen Kinnock: We are investing an additional £889 million in general practices (GPs) to reinforce the front door of the National Health Service, bringing total spend on the GP Contract to £13.2 billion in 2025/26. This is the biggest increase in over a decade, and we are pleased that the General Practitioners Committee England is supportive of the contract changes. GPs are independent contractors, so the application of any non-ringfenced funding they receive via the contract is at their discretion, to best meet the demand of their patients.

Some elements of the £889 million investment have been specified or ringfenced. £228 million has been made available for pay uplifts. A further £176 million has been provided for Additional Roles Reimbursement Scheme staff, which now includes GPs and practice nurses, and is worth £1.7 billion in 2025/26. In addition, we estimate that £13.2 million will be used to uplift locum reimbursement rates, which were agreed as part of the contract. Additionally, we are accepting the Doctors’ and Dentists’ Pay Review Body’s recommendation of a 4% increase to the pay element of the GP Contract, backdated to 1 April 2025. This will mean an increase in the £889 million contract investment, which was based on a 2.8% pay assumption.

£17.8 million has been used to increase the item of service fee for routine childhood vaccinations, and in addition to the £889 million, a further £80 million has been provided to support patient services through the advice and guidance enhanced service.
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Freddie van Mierlo:To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of (a) funding and (b) the availability of trained staff for GP practices to perform blood tests for children. \p Stephen Kinnock: Overall, ensuring adequate general practice (GP) provision is the responsibility of the integrated care boards (ICBs).

GPs are independent businesses, providing primary care services, based on a National Health Service GP Contract, to their local populations. Most commonly, GPs are run by GP partners who, alongside other GPs and healthcare staff, are responsible for running their own practice. This allows them to have relative autonomy in deciding how to provide contracted services, and provides opportunities for innovation.

Local enhanced services, such as blood tests, are negotiated and agreed locally, and are commissioned by ICBs to fit the needs of the local population. GPs can choose whether or not they would like to participate in providing these services. These services can vary in scope and funding across the country.
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Jim Dickson:To ask the Secretary of State for Health and Social Care, whether his Department plans to widen the number of conditions for which pharmacies can assess and treat patients for without the need for a (a) GP appointment and (b) prescription. \p Stephen Kinnock: We are currently focused on optimising the implementation of the current clinical pathways that allow for the supply of prescription only medicines, and which cover seven common health conditions, including: sinusitis; sore throat; earache; impetigo; shingles; infected insect bites; and uncomplicated urinary tract infections in women aged 16 to 64 years old. NHS England is keeping the clinical scope of the service under review.
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Victoria Collins:To ask the Secretary of State for Health and Social Care, what steps his Department is taking to reduce waiting times for ADHD treatment. \p Stephen Kinnock: It is the responsibility of integrated care boards (ICBs) in England to make appropriate provision to meet the health and care needs of their local population, including providing access to attention deficit hyperactivity disorder (ADHD) assessment and treatment, in line with relevant National Institute for Health and Care Excellence guidelines.

NHS England has established an ADHD taskforce which is bringing together those with lived experience with experts from the National Health Service, education, charity and justice sectors to get a better understanding of the challenges affecting those with ADHD, including in accessing services and support, with the report expected in the summer.

For the first time, NHS England published management information on ADHD waits at a national level on 29 May 2025 as part of its ADHD data improvement plan; it will soon release technical guidance to ICBs to improve recording of ADHD data, with a view to improving the quality of ADHD waits data. NHS England has also captured examples from ICBs who are trialling innovative ways of delivering ADHD services and is using this information to support systems to tackle ADHD waiting lists and provide support to address people’s needs.
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Anna Gelderd:To ask the Secretary of State for Health and Social Care, what plans his Department has to harmonise referral (a) rules and (b) procedures for mental health crisis support across regional NHS trusts; and if he will make an assessment of the potential impact of differences between those rules and procedures on the time taken for people living in South East Cornwall constituency to access mental health support. \p Stephen Kinnock: We recognise the importance of ensuring equitable access to mental health crisis support across all regions, including in South East Cornwall. Substantial progress has been achieved in building more robust crisis care pathways across all ages and in all regions, towards ensuring that people in mental health crisis have access to timely and appropriate support.

For example, the Government has committed £26 million in capital investment to open new mental health crisis centres across England, which aim to provide accessible and responsive care for individuals in mental health crisis. In addition, we are piloting several neighbourhood mental health centres which provide support to individuals in crisis without needing to book an appointment. These centres operate 24 hours a day, seven days a week.

People of all ages in England experiencing a mental health crisis can speak to a trained National Health Service professional at any time of the day via the NHS 111 service. This service gives people the chance to be listened to by a trained member of staff who can help direct them to the right place.
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Manuela Perteghella:To ask the Secretary of State for Health and Social Care, what steps he is taking to help improve post diagnostic support for people diagnosed with young onset dementia. \p Stephen Kinnock: Everyone with dementia should have meaningful care following their diagnosis. This includes information on local services and access to relevant advice and support on what happens next.

The provision of dementia health care services is the responsibility of local integrated care boards (ICBs). NHS England would expect ICBs to commission services based on local population needs, taking account of the National Institute for Health and Care Excellence’s guidelines. It is the responsibility of ICBs to work within their geographical area to offer services that meet the needs of their population.

Local authorities are required to provide or arrange services that meet the social care needs of the local population under the Care Act 2014. The Government is committed to improving dementia care and empowering local leaders with the autonomy they need to provide the best services to their local community, including those with young onset dementia.

This is why we have published the D100: Assessment Tool Pathway programme, which brings together multiple resources into a single, consolidated tool. This will help simplify best practice for system leaders and help create communities and services where the best possible care and support is available to those with dementia, including those with young onset dementia. The D100: Pathway Assessment Tool is available at the following link:

https://www.rcpsych.ac.uk/improving-care/nccmh/service-design-and-development/dementia-100-pathway-assessment-tool
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Edward Morello:To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure community pharmacy provision in new housing developments in Dorset. \p Stephen Kinnock: Local authorities are required to undertake a pharmaceutical needs assessment (PNA) every three years to assess whether their population is adequately served by local pharmacies. Legislation requires PNAs to include considerations of the future need for pharmaceutical services in the area. The Department has published an information pack to support local authorities in preparation of PNAs, with the pack available at the following link:

https://assets.publishing.service.gov.uk/media/617bdc31d3bf7f5601cf3168/pharmaceutical-needs-assessment-information-pack.pdf

Chapter 6 of the information pack provides advice on how future needs, improvement or better access should be articulated in the PNA, including following any new housing developments. These assessments inform commissioning decisions by integrated care boards.
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Mr Andrew Snowden:To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 22 May 2025 to Question 51548 on Primary Care: Lancashire, if he will define the term most at need in relation to those targeted by the integrated dental access programme. \p Stephen Kinnock: The responsibility for commissioning primary care services, including National Health Service dentistry, to meet the needs of the local population has been delegated to integrated care boards (ICBs) across England.

The Government plans to tackle the challenges for patients trying to access NHS dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to the areas that need them most. To rebuild dentistry in the long term, we will reform the dental contract with the sector, with a shift to focus on prevention and the retention of NHS dentists.
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Lee Anderson:To ask the Secretary of State for Health and Social Care, what interim support his Department is providing to integrated care boards in relation to NHS dentist shortages in Ashfield constituency. \p Stephen Kinnock: We are determined to rebuild National Health Service dentistry, but it will take time and there are no quick fixes. Strengthening the workforce is key to our ambitions.

Integrated care boards have started to advertise posts through the Golden Hello scheme. This recruitment incentive will see up to 240 dentists receiving payments of £20,000 to work in those areas that need them most for three years.

We have launched a 10-Year Health Plan to reform the NHS, a central part of which will be our workforce. We will publish a refreshed workforce plan to ensure the NHS has the right people, in the right places, with the right skills to deliver the care patients need when they need it.

To rebuild dentistry in the long term, we will reform the dental contract with the sector, with a shift to focus on prevention and the retention of NHS dentists.
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Dan Norris:To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure access to NHS dentistry for people living in North East Somerset & Hanham constituency. \p Stephen Kinnock: The Government plans to tackle the challenges for patients trying to access National Health Service dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to the areas that need them most. To rebuild dentistry in the long term, we will reform the dental contract with the sector, with a shift to focus on prevention and the retention of NHS dentists.

The responsibility for commissioning primary care services, including NHS dentistry, to meet the needs of the local population has been delegated to the integrated care boards (ICBs) across England. For the North East Somerset and Hanham constituency, this is the NHS Bath and North East Somerset, Swindon and Wiltshire ICB. ICBs have been asked to start making extra urgent dental appointments available from April 2025. The Bath and North East Somerset, Swindon and Wiltshire ICB is expected to deliver 13,990 additional urgent dental appointments as part of the scheme.

ICBs have started to advertise posts through the Golden Hello scheme. This recruitment incentive will see up to 240 dentists receiving payments of £20,000 to work in those areas that need them most for three years.
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Clive Jones:To ask the Secretary of State for Health and Social Care, when he plans to respond to Question 51210, tabled by the hon. Member for Wokingham on 9 May 2025. \p Stephen Kinnock: I refer the hon. Member to the answers I gave on 2 June 2025 to Questions 51207, 51208 and 51210.
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Sarah Bool:To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of GP appointment availability in South Northamptonshire. \p Stephen Kinnock: The Government is determined to work with the National Health Service to fix the front door of our health service and ensure everyone can access general practitioner (GP) appointments, including in South Northamptonshire. In October 2024, we invested £82 million into the Additional Roles Reimbursement Scheme to support the recruitment of 1,700 newly qualified GPs across England, helping to increase appointment availability and improve care for thousands of patients

We delivered an £889 million uplift in funding for 2025/26, with general practice now receiving a growing share of NHS resources. Additionally, the new £102 million Primary Care Utilisation and Modernisation Fund will upgrade more than a thousand GP surgeries across England, helping to improve productivity.
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Edward Morello:To ask the Secretary of State for Health and Social Care, what assessment he has made with Cabinet colleagues of the adequacy of access to NHS dentistry in new developments in West Dorset constituency. \p Stephen Kinnock: Dental Statistics - England 2023/24, published by the NHS Business Services Authority on 22 August 2024, is available from the following link:

https://www.nhsbsa.nhs.uk/statistical-collections/dental-england/dental-statistics-england-202324

The data for the NHS Dorset Integrated Care Board, which includes the West Dorset constituency, shows that 36% of adults were seen by a National Health Service dentist in the previous 24 months up to June 2024, compared to 40% in England, and that 52% of children were seen by an NHS dentist in the previous 12 months up to June 2024, compared to 56% in England.

The Government plans to tackle the challenges for patients trying to access NHS dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to the areas that need them most. To rebuild dentistry in the long term, we will reform the dental contract with the sector, with a shift to focus on prevention and the retention of NHS dentists.
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Edward Morello:To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of increases in employer National Insurance contributions on primary care providers in West Dorset constituency. \p Stephen Kinnock: We have made the necessary decisions to fix the foundations of the public finances at the Autumn Budget. Resource spending for the Department will be £22.6billion more in 2025/26 than in 2023/24, as part of the Spending Review settlement. The employers’ National Insurance rise was implemented in April 2025.

Primary care providers are valued independent contractors. Every year we consult with each sector both about what services they provide, and the money providers are entitled to in return under their contract. Operating costs for these providers are taken into account as a part of this process.
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Lee Anderson:To ask the Secretary of State for Health and Social Care, what steps his Department is taking to increase the number of available NHS dental appointments in Ashfield constituency. \p Stephen Kinnock: The Government plans to tackle the challenges for patients trying to access National Health Service dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to the areas that need them most. To rebuild dentistry in the long term, we will reform the dental contract with the sector, with a shift to focus on prevention and the retention of NHS dentists.

The responsibility for commissioning primary care services, including NHS dentistry, to meet the needs of the local population has been delegated to the integrated care boards (ICBs) across England. For the Ashfield constituency, this is the NHS Nottingham and Nottinghamshire ICB. ICBs have been asked to start making extra urgent dental appointments available from April 2025. The Nottingham and Nottinghamshire ICB is expected to deliver 24,360 additional urgent dental appointments as part of the scheme.
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Sarah Bool:To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of NHS dental contract reforms on rural patient access. \p Stephen Kinnock: We are aware of the challenges faced in accessing a dentist, particularly in more rural and coastal areas. This is why we have launched the Golden Hello scheme which will see up to 240 dentists receiving payments of £20,000 to work in those areas that need them most for three years.

To rebuild dentistry in the long term, we will reform the dental contract with the sector, with a shift to focus on prevention and the retention of National Health Service dentists. There are no perfect payment systems and careful consideration needs to be given to any potential changes to the complex dental system so that we deliver a system better for patients and the profession.

We are continuing to meet the British Dental Association and other representatives of the dental sector to discuss how we can best deliver our shared ambition to improve access for NHS dental patients.
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Adam Jogee:To ask the Secretary of State for Health and Social Care, what recent steps he has taken to increase the level of access to NHS dentists by people in a) Newcastle-under-Lyme and (b) Staffordshire. \p Stephen Kinnock: The Government plans to tackle the challenges for patients trying to access National Health Service dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to the areas that need them most. To rebuild dentistry in the long term, we will reform the dental contract with the sector, with a shift to focus on prevention and the retention of NHS dentists.

The responsibility for commissioning primary care services, including NHS dentistry, to meet the needs of the local population has been delegated to the integrated care boards (ICBs) across England. For the Newcastle-under-Lyme constituency and Staffordshire, this is the Staffordshire and Stoke-on-Trent ICB. ICBs have been asked to start making extra urgent dental appointments available from April 2025. The Staffordshire and Stoke-on-Trent ICB is expected to deliver 16,190 additional urgent dental appointments as part of the scheme.
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Lee Anderson:To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of levels of access to NHS dental care in Ashfield constituency. \p Stephen Kinnock: The Dental Statistics - England 2023/24, published by the NHS Business Services Authority on 22 August 2024, is available at the following link:

https://www.nhsbsa.nhs.uk/statistical-collections/dental-england/dental-statistics-england-202324

In the NHS Nottingham and Nottinghamshire Integrated Care Board, which includes the Ashfield constituency, 42% of adults were seen by a National Health Service dentist in the previous 24 months to June 2024, compared to 40% in England, and 60% of children were seen by an NHS dentist in the previous 12 months to June 2024, compared to 56% in England.

The Government plans to tackle the challenges for patients trying to access NHS dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to areas that need them most.
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Mr Andrew Snowden:To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 3 April 2025 to Question 42350 on General Practitioners: Employers' Contributions, what steps he is taking to improve patient access to GPs in (a) Fylde, (b) Lancashire and (c) England. \p Stephen Kinnock: The Government is determined to work with the National Health Service to fix the front door of our health service and to ensure that everyone can access general practice (GP) appointments nationally, including in Lancashire and Fylde.   That’s why in October 2024, we invested £82 million into the Additional Roles Reimbursement Scheme to support the recruitment of 1,700 newly qualified GPs across England, helping to increase appointment availability and improve care for thousands of patients

We delivered the biggest boost to GP funding in years, an £889 million uplift, with GPs now receiving a growing share of NHS resources. Additionally, the new £102 million Primary Care Utilisation and Modernisation Fund will upgrade more than a thousand GP surgeries across England, helping to improve productivity.
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Cat Eccles:To ask the Secretary of State for Health and Social Care, what steps he is taking to improve the waiting times for diagnoses of endometriosis. \p Karin Smyth: The Government is committed to prioritising women’s health, and we are taking action to ensure that individuals with endometriosis receive a timely diagnosis and effective treatment. That is why, alongside committing to return to the National Health Service constitutional standard that 92% of patients wait no longer than 18 weeks from Referral to Treatment (RTT) by March 2029, our Elective Reform Plan, published January 2025, sets out a range of efforts to reduce the time patients wait for gynaecological care. This includes rolling out innovative models of care that offer care closer to home and in the community. We also provided additional investment in the Autumn Budget that has enabled us to exceed our pledge to deliver an extra two million operations, scans, and appointments, having now delivered over three million more appointments across elective services, as a first step to achieving the 18-week RTT standard.

The National Institute for Health and Care Excellence has also updated its guidelines on the diagnosis and management of endometriosis, which will help women receive more timely care. This updated version in November 2024 includes updated recommendations that for women with symptoms of endometriosis, initial pharmacological treatment should take place in primary care, and that this can take place in parallel with additional investigations and referral to secondary care if needed. The guideline is available at the following link:

https://www.nice.org.uk/guidance/ng73
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Liz Jarvis:To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of waiting times for cardiology services. \p Karin Smyth: The latest data from March 2025 show that 60.9% of waits for cardiology services are within 18 weeks, which is a 1.6% improvement on the same month in the previous year. While this shows progress, we know there is more to do.

That is why, as well as our commitment to returning to the 92% referral-to-treatment standard for elective care by March 2029, the Elective Reform Plan commits to significant elective reform in cardiology. This includes a key milestone for 2025/26, as set out in National Health Service operational planning guidance, that by the end of March 2026, 65% of waits will be within 18 weeks, with the expectation of a 5% improvement from each provider.

Cardiology is one of five priority specialties identified for significant elective reform in the Elective Reform Plan, due to it being a large volume specialty with waiting list challenges and a high proportion of non-surgical care. Reforms will include increasing specialist cardiology input earlier in patient care pathways, and developing standard and efficient care pathways for common cardiology symptoms. It also includes improving access to cardiac diagnostic tests, including through implementing more straight-to-test pathways, where a general practitioner can refer a patient directly to secondary care for a test, which can reduce unnecessary outpatient appointments and improve waiting times even further for patients across England. These improvements to common cardiology pathways help standardise patient care, reduce inequalities, and improve access to care, especially in the early stages of the pathways, for patients across England.
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Dame Caroline Dinenage:To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that high-intensity focused ultrasound is available to patients in Hampshire. \p Karin Smyth: The Government is committed to putting patients first, including in Hampshire. This means making sure that patients, including those waiting to receive high-intensity focused ultrasound, are seen on time and ensuring that people have the best possible experience during their care.

We will transform diagnostic services and will support the National Health Service to increase diagnostic capacity to meet the demand for diagnostic services through investment in new capacity, including ultrasound scanners.

We have made progress in cutting NHS waiting lists and ensuring people have the best possible experience during their care. As of March 2025, the waiting list has reduced by over 219,000 pathways and since July 2024 we have delivered over three million more appointments, exceeding our pledge of two million.

As set out in the Plan for Change, we will ensure 92% of patients return to waiting no longer than 18 weeks from referral to treatment by March 2029, a standard which has not been met consistently since September 2015.
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Sarah Bool:To ask the Secretary of State for Health and Social Care, what steps his Department is taking to reduce ambulance response times in South Northamptonshire. \p Karin Smyth: The Government recognises the pressures on the National Health Service and the impact this is having on ambulance response times, including in South Northamptonshire.

We are determined to turn things around, our 10-Year Health Plan will be published in summer 2025, setting out major NHS reforms to move healthcare from hospital to the community, analogue to digital and sickness to prevention.

The NHS Urgent and emergency care plan 2025/26, published on 6 June 2025, requires health systems to focus on those areas likely to have the biggest impact on urgent and emergency care services this year. The plan includes actions that will reduce category 2 ambulance response times to 30 minutes and reduce ambulance handovers to 45 minutes, helping to get 550,000 more ambulances back on the road.
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Sir Andrew Mitchell:To ask the Secretary of State for Health and Social Care, what steps his Department is taking to help reduce waiting times for ambulances in the West Midlands. \p Karin Smyth: The Government recognises the pressures on the National Health Service and the impact this is having on ambulance response times, including in the West Midlands.

We are determined to turn things around, our 10-Year Health Plan will be published in summer 2025, setting out major NHS reforms to move healthcare from hospital to the community, analogue to digital and sickness to prevention.

The NHS Urgent and emergency care plan 2025/26, published on 6 June 2025, requires health systems to focus on those areas likely to have the biggest impact on urgent and emergency care services this year. The plan includes actions that will reduce category 2 ambulance response times to 30 minutes and reduce ambulance handovers to 45 minutes, helping to get 550,000 more ambulances back on the road.
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David Smith:To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure the availability of stroke-related medicines in Northumberland; and what steps he is taking to ensure the equal provision of medicines across England. \p Karin Smyth: We are aware of a supply issue affecting aspirin 300 milligram suppositories until late June 2025, which are used outside of their license of pain and inflammation, for their antiplatelet effect after a stroke. We have issued shortage management guidance to the National Health Service advising on the alternative, aspirin 150 milligram suppositories, which remain available for affected patients.

The Department monitors and manages medicine supply at a national level so that stocks remain available to meet regional and local demand. Information on stock levels within Northumberland is not held centrally.

Medicine supply chains are complex, global, and highly regulated, and there are a number of reasons why supply can be disrupted, many of which are not specific to the United Kingdom and outside of Government control, including manufacturing difficulties, access to raw materials, sudden demand spikes or distribution issues, and regulatory issues. We have drawn on up-to-date intelligence and data on the root causes of medicine supply issues, with manufacturing problems being the most dominant root cause. The Department works closely with industry, the NHS, manufacturers, and other partners across the supply chain to make sure patients across the UK can access the medicines they need.

The resilience of UK supply chains is a key priority, and we are continually learning and seeking to improve the way we work to both manage and help prevent supply issues and avoid shortages. The Department, working closely with NHS England, is taking forward a range of actions to improve our ability to mitigate and manage shortages and to strengthen our resilience. As part of that work, we continue to engage with industry, the Medicines and Healthcare products Regulatory Agency, and other colleagues across the supply chain as we progress work to co-design and deliver solutions. We have plans underway to increase the awareness of our work.
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Daisy Cooper:To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 18 February 2025 to Question 29926 on Health Professions: Regulation, what recent progress he has made on setting a timetable for announcing his priorities in relation to the applicability of the five year rule by professional regulators on fitness to practise in cases which involve allegations of historic sexual abuse. \p Karin Smyth: The Government has set out its intention to reform the legislative frameworks of all healthcare professional regulators, starting with the General Medical Council (GMC).

As part of this work, any legislative restrictions on regulators from being able to consider fitness to practise concerns that are more than five years old will be removed from legislation. Regulators such as the GMC will have the discretion to determine whether a concern should be investigated based on the specific details of a fitness to practise case, which may include reflections on the length of time that has elapsed since the concern was raised or occurred.

The Government is aiming to consult on a draft legislative framework for the GMC by the end of this year, and lay the legislation during this Parliament.
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David Smith:To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the adequacy of the provision of emergency healthcare in (a) rural and (b) urban areas in the North East. \p Karin Smyth: Integrated care board are responsible for commissioning services to meet the needs of their local communities, including in the North East, as they are best placed to take those decisions.

However, more broadly, the Government recognises that urgent and emergency care performance is not at the high standard that patients should expect. We are committed to returning to the safe operational waiting time standards set out in the NHS Constitution.

We have set out plans on the action to be taken to improve services this year and will shortly publish a 10-Year Health Plan, which will set out the radical reforms needed to make the National Health Service fit for the future.
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Liz Jarvis:To ask the Secretary of State for Health and Social Care, what steps his Department is taking to reduce waiting lists for audiology assessments. \p Karin Smyth: NHS England is supporting provider organisations and integrated care boards, who are the commissioners of audiology services, to improve performance and reduce waiting lists. This includes capital investment to upgrade audiology facilities in National Health Service trusts, expanding audiology testing capacity via community diagnostic centres, and direct support through a national audiology improvement collaborative.
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Source: hansard.parliament.uk (2025-06-09)

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Warinder Juss:To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential short term impact of (a) restructures of Integrated Care Systems and (b) abolition of NHS England on the ability of the NHS to deliver services. \p Karin Smyth: NHS England has asked integrated care boards (ICBs) to act primarily as strategic commissioners of health and care services and to reduce the duplication of responsibilities within their structure, with the expectation of achieving a reduction in their running cost allowance. NHS England provided additional guidance to ICBs, National Health Service trusts, and NHS foundation trusts in a letter on 1 April 2025. This letter is available at the following link:

https://www.england.nhs.uk/long-read/working-together-in-2025-26-to-lay-the-foundations-for-reform/

Along with the reform of NHS England’s responsibilities, these changes will form part of a package of measures, including the forthcoming 10-Year Health Plan, that positively impact on patient care and safety by driving quality of care, productivity, and innovation in the NHS. ICBs will continue to deliver their statutory responsibilities and NHS England’s transformation team will continue to work with ICBs to develop their plans and ensure the implementation of changes whilst maintaining a focus on delivering NHS statutory functions.
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Source: hansard.parliament.uk (2025-06-09)

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Navendu Mishra:To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 27 May 2025 to Question 53645 on Parkinson's Disease: Greater Manchester, whether his Department plans to (a) collect and (b) publish regional data on the average waiting time for Parkinson’s patients to see a neurologist. \p Karin Smyth: There are no current plans to collect and publish regional data on the average waiting time for patients with Parkinson’s disease to undergo their first neurology appointment following referral.
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Helen Maguire:To ask the Secretary of State for Health and Social Care, what the average delay is between patient (a) referral and (b) diagnostic testing in Epsom and St Helier University Hospitals NHS Trust; and what steps he is taking to reduce diagnostic waiting times. \p Karin Smyth: There is no complete measure for the average wait time for a patient between a referral and receiving a diagnostic test for all diagnostic tests.

The Diagnostic Waiting Times and Activity monthly collection, known as DM01, measures the current waiting times of patients still waiting for 15 key diagnostic tests or procedures at the end of each month. As of the end of March 2025, of those that were on the waiting list for a key diagnostic test at the Epsom and St Helier University Hospitals NHS Trust, the median average length of time patients had been waiting was 2.5 weeks, compared to 2.7 weeks nationally. Details on this collection are available at the following link:

https://www.england.nhs.uk/statistics/statistical-work-areas/diagnostics-waiting-times-and-activity/monthly-diagnostics-waiting-times-and-activity/

Cutting waiting lists, including for diagnostic tests, is a key priority for the Government. Our Elective Reform Plan, published in January 2025, builds on the investments already made with an ambitious vision for the future of diagnostic testing. This will include more straight-to-test pathways, increasing and expanding community diagnostic centres, and better use of technology.
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Clive Jones:To ask the Secretary of State for Health and Social Care, with reference the New Hospital Programme: plan for implementation, published 20 January 2025, how much funding his Department plans to allocate for the construction of the Royal Berkshire Hospital; and what proportion of that funding will be from (a) public dividend capital, (b) land sales and (c) charitable donations. \p Karin Smyth: We have put the New Hospital Programme (NHP) on a sustainable footing, with a timeline that can be met, and a budget that is consistent with the fiscal rules under which the Government is operating. We are backing this plan with investment which will increase to up to £15 billion over each consecutive five-year wave, averaging approximately £3 billion a year from 2030. The exact profile of funding will be confirmed in rolling five-year waves at regular Spending Reviews, as with all government capital budgets in future.

As set out in the NHP Plan for Implementation, the cost estimate of the Royal Berkshire Hospital is expected to be £2 billion or more; however, the final individual amount for the scheme will only be confirmed once its Full Business Case has been approved, as set out in the HM Treasury Green book and is standard for large infrastructure projects. The proportion of funding, including those from additional sources such as land sales and charitable donations, will be confirmed through this business case process.
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Mr Gregory Campbell:To ask the Secretary of State for Health and Social Care, what recent progress his Department has made on reducing the rate of prostate cancer among younger men. \p Ashley Dalton: I refer the Hon. Member to the answer I gave on 19 May 2025 to Question 52196.
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Graham Leadbitter:To ask the Secretary of State for Health and Social Care, what funding his Department plans to allocate to support people with long covid. \p Ashley Dalton: NHS England has invested £314 million since the start of the pandemic to provide care and support for people with long COVID. This includes establishing specialist clinics throughout England to assess children and young people who are experiencing long-term effects of COVID-19 infection. A further £86.7 million of funding was included in integrated care board (ICB) core allocations for 2024/25, and specific regional funding was also allocated for assurance and system support.

As of 1 April 2024, there were over 90 adult post-COVID services across England, along with an additional 10 children and young people’s hubs. Since April 2024, commissioning of long COVID services has been the responsibility of local ICBs following the closure of the national programme.

The Government has also invested over £57 million into long COVID research. The projects aim to improve our understanding of the diagnosis and underlying mechanisms of the disease and the effectiveness of both pharmacological and non-pharmacological therapies and interventions, and to evaluate clinical care.
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Kevin Bonavia:To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential benefits of allowing paramedics to prescribe oxycodone. \p Karin Smyth: The Department remains committed to exploring the extension of medicine responsibilities for non-medical professionals. This will support the aim that patients are cared for and treated by the most appropriate healthcare professional to meet their needs, where it is safe and appropriate to do so. Many regulated healthcare professionals have already received extended medicine responsibilities, and the Department is committed to assessing the impact that these changes have had on patient care.

Regarding the extension of paramedics’ medicine responsibilities, there is a process in place for making changes to ensure proposals are safe and beneficial for patients. Officials are carefully considering proposals relating to a range of healthcare professionals, including paramedics, as a part of wider work building on work delivered by the Chief Professions Officers’ medicines mechanisms programme.
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Freddie van Mierlo:To ask the Secretary of State for Health and Social Care, if he will make it his policy to review the adequacy of the earnings criteria for free prescriptions. \p Karin Smyth: No discussions have been held between my Rt Hon. Friend, the Secretary of State for Health and Social Care and my Rt Hon. Friend, the Secretary of State for Work and Pensions on expanding eligibility to all claimants in receipt of Universal Credit. The Department keeps the earnings thresholds for free prescriptions under review on an annual basis.

Approximately 89% of prescription items dispensed in community pharmacy in England are free of charge, and for the first time in three years prescription charges have been frozen, meaning around 40% of the population will save money on their prescriptions.