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The Committee is holding an inquiry into what is needed from the NHS estate to deliver the Government’s vision of …
Oral Answers to Questions is a regularly scheduled appearance where the Secretary of State and junior minister will answer at the Dispatch Box questions from backbench MPs
Other Commons Chamber appearances can be:Westminster Hall debates are performed in response to backbench MPs or e-petitions asking for a Minister to address a detailed issue
Written Statements are made when a current event is not sufficiently significant to require an Oral Statement, but the House is required to be informed.
Department of Health and Social Care does not have Bills currently before Parliament
A Bill to Make provision about the prioritisation of graduates from medical schools in the United Kingdom and certain other persons for places on medical training programmes.
This Bill received Royal Assent on 5th March 2026 and was enacted into law.
A Bill to make provision to amend the Mental Health Act 1983 in relation to mentally disordered persons; and for connected purposes.
This Bill received Royal Assent on 18th December 2025 and was enacted into law.
e-Petitions are administered by Parliament and allow members of the public to express support for a particular issue.
If an e-petition reaches 10,000 signatures the Government will issue a written response.
If an e-petition reaches 100,000 signatures the petition becomes eligible for a Parliamentary debate (usually Monday 4.30pm in Westminster Hall).
Increase funding for people with Parkinson’s and implement the "Parky Charter"
Gov Responded - 29 Apr 2025We want the government to take the decisive five steps set out in the Movers and Shakers' "Parky Charter" and to fulfil the Health Secretary’s promises.
Commons Select Committees are a formally established cross-party group of backbench MPs tasked with holding a Government department to account.
At any time there will be number of ongoing investigations into the work of the Department, or issues which fall within the oversight of the Department. Witnesses can be summoned from within the Government and outside to assist in these inquiries.
Select Committee findings are reported to the Commons, printed, and published on the Parliament website. The government then usually has 60 days to reply to the committee's recommendations.
The Elective Reform Plan set out the reform and productivity efforts needed to reach the 92% referral to treatment standard by March 2029. As part of that, we will ensure that patients are seen on time and have the best possible experience during their care. Improving perioperative care can increase productivity by reducing cancellations, reducing length of stay, and minimising postoperative complications.
Prehabilitation services will be offered to patients on admitted pathways who have been screened for modifiable risk factors which could be improved by prehabilitation services. In particular, NHS England will work through Cancer Alliances to support improvements in prehabilitation for people about to undergo cancer treatment. The level of prehabilitation offered will be dependent on both patient risk factors and surgical complexity, and is guided by the clinical evidence base on these factors on the application of appropriate universal or targeted interventions
There are no current plans to assess the potential merits of extending these services to all patients referred for surgery.
There are currently approximately 9,500 specialty training places. We set out in the 10-Year Health Plan for England that over the next three years we will create 1,000 new specialty training posts, with a focus on specialties where there is greatest need. We will set out next steps in due course.
The Government is committed to training the staff we need, including doctors, to ensure patients are cared for by the right professional, when and where they need it. We will publish a 10 Year Workforce Plan to set out action to create a workforce ready to deliver the transformed services set out in the 10-Year Health Plan.
In developing the Modern Service Framework for Frailty and Dementia, we are engaging with a wide group of partners to understand what should be included to ensure the best outcomes for people living with frailty and dementia.
As part of this exercise, we will consider what interventions should be supported to improve diagnosis waiting times, which we know are too long in many areas. We are considering all options to help reduce variation, including reviewing metrics and targets.
We are working to develop the content of the framework as soon as possible and we will keep partners updated on progress and timings as this work unfolds.
In developing the Modern Service Framework for Frailty and Dementia, we are engaging with a wide group of partners to understand what should be included to ensure the best outcomes for people living with dementia and frailty.
We are working to develop the content of the framework as soon as possible and we will keep partners updated on progress and timings as this work unfolds. We will also consider how best to evaluate the implementation of the modern service framework.
No such assessment has been made. The commissioning and delivery of orthotic services are devolved matters. In England, responsibility rests with local integrated care boards and National Health Service trusts in line with the non-specialised commissioning status of orthotic services. In 2015, NHS England introduced national guidance to support more consistent and higher-quality orthotics provision.
Information is not held centrally as it is held at trust level. The Department and NHS England do not hold employment dispute data for all National Health Service employers. Employment disputes are typically raised against an individual employee’s employing organisation, and each trust are separate employers.
Decisions on the funding and provision of treatment for hallux valgus and hallux rigidus in Hampshire are made locally by the NHS Hampshire and Isle of Wight Integrated Care Board (ICB), which is responsible for assessing the health needs of its population and commissioning services accordingly. This includes determining local clinical pathways, access criteria, and the availability of both surgical and non‑surgical interventions, based on the best available clinical evidence and local priorities.
NHS England does not provide condition‑specific national funding for these procedures. Instead, the ICB receives a general allocation to meet the healthcare needs of its local population. Within this, the ICB is expected to ensure that patients with foot and ankle conditions can access appropriate assessment, conservative management, and referral for surgery where clinically necessary.
Everyone working in the National Health Service has a fundamental right to be safe at work. Individual employers are responsible for the health and safety of their staff, and they put in place measures, including security, training, and emotional support for staff affected by violence, abuse, or harassment. There are currently no plans to provide additional funding for safety measures for NHS staff.
At a national level there are several policy measures being implemented and developed to help keep staff safe and to prevent and reduce violence in the workplace. This includes measures to improve data and reporting, strengthen risk assessment, and improve training and support for victims. This will be bolstered by the introduction of a new set of staff standards, as detailed in the 10-Year Health Plan. The standards will be included in the NHS Oversight Framework and act as an early warning signal for the Care Quality Commission.
No assessment has been made by the Department of the potential policy implications of the pathways used by other Common Travel Area countries to enable qualified medical professionals from outside the European Economic Area to practise medicine in the United Kingdom.
The General Medical Council (GMC) is the independent regulator of medical practitioners, or doctors, in the UK. It is responsible for setting standards that must be met by both domestic and international applicants wishing to be added to their registers to ensure registrants are safe to practise.
As the independent regulator, it is for the GMC to determine routes to registration and the qualifications that it will accept for registration.
In 2023, the Department amended the GMC’s legislation to provide greater flexibility to streamline the process for registering overseas-qualified medical professionals. Following these changes, the GMC introduced new specialist registration routes, including the Recognised Specialist Qualification pathway, which was launched on 15 May 2024. This enables the GMC to formally recognise suitable specialist qualifications from overseas for the purposes of UK Specialist and General Practitioner registration.
No such assessment has been made.
NHS England publishes data on the number of patients admitted, transferred, or discharged within four hours in accident and emergency departments on a monthly basis. The information is available at the following link:
The following table shows the four-hour performance in each quarter since 2017 for the NHS Birmingham and Solihull Integrated Care Board (ICB):
Financial year | Percentage of total accident and emergency attendances admitted, transferred, or discharged within four hours | |
England | NHS Birmingham and Solihull ICB | |
2025/26 | 74.8% | 72.2% |
2024/25 | 73.9% | 73.2% |
2023/24 | 72.1% | 69.9% |
2022/23 | 70.8% | 69.2% |
2021/22 | 76.7% | 71.5% |
2020/21 | 86.8% | 84.4% |
2019/20 | 84.2% | 80.1% |
2018/19 | 88.0% | 86.2% |
Note: the provisional data for the financial year 2025/26 is not yet fully available and doesn’t include February and March data.
The 10-Year Health Plan committed to support the National Health Service’s Net Zero ambitions. This includes NHS England’s Net Zero travel and transport strategy, published in 2023, which set a target date of 2040 for full decarbonisation of the NHS fleet, including ambulances.
It is the responsibility of each National Health Service provider to have resilience plans and procedures in place. Guidance is provided to the NHS within the Health Technical Memorandum 06 series, namely Health Technical Memorandum 06-01: Electrical services supply and distribution, Health Technical Memorandum 06-02: Electrical safety guidance for low voltage systems, and Health Technical Memorandum 06-03: Electrical safety guidance for high voltage systems, which are all respectively available at the following three links:
https://www.england.nhs.uk/publication/electrical-services-supply-and-distribution-htm-06-01/
https://www.england.nhs.uk/publication/electrical-safety-guidance-for-low-voltage-systems-htm-06-02/
This guidance is for healthcare organisations, defined as organisations that provide or intends to provide healthcare services, and is therefore applicable to primary and secondary care providers.
This £4 million in capital funding will be provided via a budget transfer from the Department for Transport to the Department of Health and Social Care in the financial year 2026/27, and capital will only be available for projects in that year. Projects have not yet been selected, and NHS England is leading the selection process, working in collaboration with the Department of Health and Social Care and the Office for Zero Emission Vehicles.
NHS England does not centrally record all actions taken by acute trusts or integrated care boards that exceed the Operational Pressures Escalation Levels (OPEL) 4 threshold, the highest level of pressure, where demand and capacity issues are critically affecting the ability to deliver services. Patient safety could be compromised
Oversight and support are delivered through locally implemented surge and escalation policies, which must be aligned with the OPEL 2024 to 2026 framework. The framework contains a number of actions which should be taken by the organisations involved in the delivery of care.
The National Cancer Plan was published on 4 February 2026 and sets out how data will be collected and used to transform healthcare productivity, spot delays, and improve outcomes. This will build directly on the 10-Year Health Plan’s mission to make data the backbone of a modern, responsive National Health Service.
The plan commits to improve cancer waiting times by providing trusts and Cancer Alliances with more granular and actionable data including disaggregated data for specific cancer types, real‑time pathway analytics via the Federated Data Platform, and streamlined cancer metrics to expose unwarranted variation. Trust boards will receive regular performance reports, and clearer public reporting, including more transparent league‑table style data, which will strengthen accountability and drive faster improvement.
The Government will consider long-term conditions for future waves of modern service frameworks (MSFs), including respiratory conditions. The criteria for determining other conditions for future MSFs will be based on where there is potential for rapid and significant improvements in quality of care and productivity. After the initial wave of MSFs is complete, the National Quality Board will determine the conditions to prioritise for new MSFs as part of its work programme.
We set out in the 10-Year Health Plan for England that over the next three years we will create 1,000 new specialty training posts, with a focus on specialties where there is greatest need. We will set out next steps in due course.
This Government is committed to training the staff we need, including doctors, to ensure patients are cared for by the right professional, when and where they need it. We will publish a 10 Year Workforce Plan to set out action to create a workforce ready to deliver the transformed services set out in the 10-Year Health Plan.
Data is available for emergency Finished Admission Episodes (FAEs) where there was a primary diagnosis of 'respiratory conditions’. The following table shows the FAEs where there was a primary diagnosis of 'respiratory conditions’ for the Telford and The Wrekin constituencies, as well as for England, in English National Health Service hospitals and English NHS commissioned activity in the independent sector, for 2024/25 and provisionally for 2025/26:
Westminster Parliamentary Constituency of Residence | 2024/25 (August 2024 to March 2025) | 2025/26 (April 2025 to November 2025) |
The Wrekin | 1560 | 1290 |
Telford | 1825 | 1430 |
England | 608,449 | 423,588 |
Source: Hospital Episode Statistics, NHS England.
Available data on trends in respiratory conditions can be found on the Department’s fingertips dataset. Data is not available by parliamentary constituency. Data is available at regional, county, unitary authority, and integrated care board level. Information for Shropshire can be found at the following link:
The Government has been clear that the 2023 Long Term Workforce Plan was undeliverable and based on outdated models of care. We have committed to publishing a new 10 Year Workforce Plan to set out action to create a workforce ready to deliver the transformed service set out in the 10-Year Health Plan. The 10 Year Workforce Plan will ensure the National Health Service has the right people in the right places, with the right skills to care for patients, when they need it. We are working through how the plan will articulate the changes for different service areas.
Operational health private finance initiatives (PFI) contracts are held by individual trusts. The last PFI contract was signed in 2015.
As announced at the Autumn Budget, the Department is supporting the National Infrastructure and Service Transformation Authority to develop the new Public Private Partnership (PPP) model for neighbourhood health centres (NHCs). The new NHC PPP model will build on lessons from the past, including the National Audit Office’s 2025 report on private finance and other models currently in use. We are not bringing back PFI.
The new PPP model is about delivering the infrastructure to support the delivery of neighbourhood services, and we are not using the private sector to deliver the National Health Service clinical services that will be delivered from these centres.
The need for NHCs will be locally driven and will recognise what already exists and where additional provision or a new combination of services is needed. Any new PPP model will need to demonstrate value for money and affordability.
A number of diagnostics are used to detect inherited cardiac conditions in young people at an early stage, including electrocardiograms (ECGs) and imaging. National Health Service artificial intelligence-supported ECG interpretation helps detect inherited cardiac conditions in young people by identifying subtle, subclinical patterns in heart electrical activity that are invisible to the human eye.
12-lead ECGs and ambulatory ECG monitoring are core cardiac science diagnostic tests for any community diagnostic centre (CDC). Currently, electrocardiography services are provided in 108 of the 170 CDCs across England, helping to expand community based diagnostic provision for all patients, including young people.
NHS England’s Physiological Sciences strategic framework clearly positions AI as a key enabler of community-based diagnostics, supporting faster and more standardised analysis of ECG tests. We are actively working to expand access to AI enabled ECG investigations.
The Department has no plans for a review of the data gathered in relation to physiotherapy job vacancies, job competition, and the longevity of National Health Service employment in the NHS.
The Government acknowledges the challenges faced by women with endometriosis and the impact it has on their lives, their relationships, and their participation in education and the workforce.
The Government also acknowledges the importance of ensuring healthcare professionals are adequately trained and educated on women’s health conditions, including endometriosis, and we have taken action to address this.
The General Medical Council (GMC) has introduced the Medical Licensing Assessment to encourage a better understanding of common women’s health problems among all doctors as they start their careers in the United Kingdom. The content for this assessment includes several topics relating to women’s health, including endometriosis.
Women's health is included the Royal College of General Practitioners (RCGP) curriculum for trainee general practitioners (GPs), including gynaecology, sexual health, and breast health. The curriculum also covers the healthcare needs of women across all diseases seen in primary care as it is important women are treated holistically. This ensures that all future GPs receive education on women’s health.
The RCGP has also published a Women’s Health Library which brings together educational resources and guidelines on women’s health from the RCGP, the Royal College of Obstetricians and Gynaecologists, and the College of Sexual and Reproductive Healthcare. This resource is continually updated to ensure GPs and other primary healthcare professionals have the most up-to-date advice to provide the best care for their patients.
The National Institute for Health and Care Excellence has developed a women’s and reproductive health topic suite, and updated guidelines on endometriosis in 2024 to make firmer recommendations for healthcare professionals on referral and investigations for women with suspected diagnosis. These clinical guidelines support healthcare professionals to provide care for women with endometriosis.
Generally, employers in the health system are responsible for ensuring that their staff are trained to the required standards to deliver appropriate treatment for patients.
Data held by the NHS Business Services Authority (NHSBSA) confirms that the number of staff who applied for partial retirement between 1 April 2024 and 31 January 2026 and are in receipt of payment is 32,271. This number includes NHS Pension scheme members across England and Wales who are employed by National Health Service organisations, including general practices.
The Department does not hold data on the number of people who were also at risk of redundancy between this period. This data would be held at a local level by individual providers.
Yes, a full equality impact assessment will be undertaken as part of the decision-making process on prostate cancer screening recommendations.
On 28 November, the UK National Screening Committee opened a 12-week public consultation on a draft recommendation on screening for prostate cancer. This consultation has now closed, and the committee is considering the responses.
We anticipate a final recommendation soon. Following this, my Rt. Hon. Friend, the Secretary of State for Health and Social Care, will make a decision on whether to accept the recommendation, and what next steps are needed. Any policy developed from the recommendation will be supported by an equality impact assessment to ensure that health inequality that could be caused by the policy will be mitigated against.
Everyone working in the National Health Service has a fundamental right to be safe at work, including ambulance workers. At a national level there are several policy interventions being implemented and developed to help prevent and reduce violence against NHS staff.
In April 2025, my Rt Hon. Friend, the Secretary of State for Health and Social Care, announced that the Social Partnership Forum’s recommendations on tackling and reducing violence, part of the 2023 Agenda for Change pay deal, had been accepted in full. This includes measures to improve data and reporting, strengthen risk assessment, and improve training and support for victims. This will be bolstered by the introduction of a new set of staff standards, as detailed in the 10-Year Health Plan. The standards will be included in the NHS Oversight Framework and act as an early warning signal for the Care Quality Commission.
The independent analysis commissioned by Prostate Cancer Research was submitted to the UK National Screening Committee’s public consultation on its draft recommendation on screening for prostate cancer. This consultation has now closed, and the committee is considering the responses.
We anticipate a final recommendation on screening for prostate cancer soon. Following this, my Rt Hon. Friend, the Secretary of State for Health and Social Care, will make a decision on whether to accept the recommendation, and what next steps are needed.
The Government recognises that urgent and emergency care performance has fallen short in recent years. We are committed to restoring accident and emergency waiting times to the NHS Constitutional standard and reducing accident and emergency demand.
Our Urgent and Emergency Care Plan for 2025/26 sets out clear actions to deliver improvements this winter and beyond. We are aiming for 78% of patients to be seen in four hours this year, meaning over 800,000 people will receive more timely care.
We are investing £250 million into expanding same day and urgent care services, helping avoid unnecessary admissions to hospital and supporting faster diagnosis, treatment, and discharge for patients.
In the longer-term, our 10-Year Health Plan will increase the urgent care capacity outside hospital through new neighbourhood health services, reducing demand pressures on accident and emergency.
It remains the Government’s ambition for integrated care boards (ICBs) to be coterminous with one or more strategic authorities wherever feasible, a commitment made in the English devolution white paper and reaffirmed in our 10-Year Health Plan.
This summer as local government reform progresses, the Department of Health and Social Care will work closely with NHS England and the Ministry of Housing, Communities and Local Government to decide any further ICB mergers and boundary changes.
NHS England’s regional teams are in constant dialogue with integrated care boards, National Health Service trusts, other bodies providing NHS services, and education and training providers to assess workforce challenges and support appropriate training across a range of services, including those involving physiotherapists.
The Government is committed to publishing a 10 Year Workforce Plan to set out action to create a workforce ready to deliver the transformed service set out in the 10-Year Health Plan. We have engaged with partners throughout the development of the 10 Year Workforce Plan, including through the call for evidence, which received over 900 responses, and a national partner event which included representatives from over 90 organisations shaping early thinking across key themes.
The Department is taking forward work to consider the findings of the Sullivan Review, which sets out a number of recommendations relating to the collection of data on sex and gender identity. We are assessing these recommendations in the context of ongoing work on data harmonisation standards. As all public bodies, and therefore all public data and statistics, were in scope for the review, it is important that we consider the findings collaboratively across government.
The Government Statistical Service Harmonisation Programme, a cross-government work programme looking to improve the comparability and coherence of data and statistics, is developing harmonised standards for sex and gender identity. More information is available at the following link:
https://blog.ons.gov.uk/2024/12/11/developing-harmonised-standards-for-sex-and-gender-identity/
NHS England is leading work to develop the United Information Standard for Protected Characteristics, which focusses on the Equality Act 2010’s nine protected characteristics, including both sex and gender reassignment.
Through the Health and Care Statistics Leadership Forum, a group convening statistical leaders across health organisations at the national level to ensure statistical collaboration and coherence, work is underway to catalogue and improve descriptions of how sex and gender data is collected within our statistical publications, ensuring that labels accurately describe the data being collected. More information about the forum is available at the following link:
NHS England publishes monthly Hospital and Community Health Services workforce statistics for England which includes data on the self-reported nationality of National Health Service staff, which may not be the same as the country which they trained in but is a good proxy for the level of staff trained overseas. The published information is available at the following link within the file “NHS HCHS Workforce Statistics, Trusts and core organisations – data tables”:
https://digital.nhs.uk/data-and-information/publications/statistical/nhs-workforce-statistics
Additionally, the Nursing and Midwifery Council (NMC) publishes data on the percentage of nurses on Nursing and Midwifery Council register by country/region of training. These nurses may work in a range of other settings as well as the NHS. The most recent NMC data is available at the following link:
https://www.nmc.org.uk/about-us/reports-and-accounts/registration-statistics/
NHS England publishes monthly General Practice workforce statistics for England which includes data on General Practitioners’ country of primary medical qualification aggregated by country of qualification group UK, European Economic Area or elsewhere. This information is available at the following link within the file “Bulletin Tables”:
The Elective Reform plan set out that the Government is committed to returning to the National Health Service constitutional standard that 92% of patients wait no longer than 18 weeks from referral to consultant-led treatment, by March 2029. Additionally, NHS England’s Operational Planning Guidance for 2025/26 set a target that 65% of patients wait no longer than 18 weeks by the end of March 2026.
To achieve this, we expect the size of the total waiting list to reduce and have already made significant progress. As of December 2025, the waiting list had reduced by over 330,000 since the Government came into office. This is despite 31.7 million referrals onto the waiting list. Performance against the referral to treatment standard had improved by 2.7% over the same period, reaching 61.5%.
This has been supported by the delivery of 5.2 million additional appointments between July 2024 and June 2025 compared to the previous year, more than double the Government’s pledge of two million. This marked a vital first step towards delivering the constitutional standard.
The responsibility for determining and reviewing staffing levels remains with National Health Service clinical and other leaders at a local level, responding to local needs, supported by guidelines by national and professional bodies and overseen and regulated by the Care Quality Commission.
The Government is committed to publishing a 10 Year Workforce Plan which will have a focus on supporting our hardworking and dedicated healthcare professionals. This includes the development of a new set of staff standards for modern employment. We will also roll out Staff Treatment Hubs to ensure staff have access to high quality support for occupational health.
NHS organisations have a responsibility to create supportive working environments for staff, ensuring they have the conditions they need to thrive, including access to high quality health and wellbeing support.
On staff burnout, relevant questions have been incorporated into the annual NHS National Staff Survey. The Copenhagen Burnout index has been included in the annual survey since 2021, providing a national, regional, and organisational view of burnout over five years. Organisations can use this information to triangulate with other data sets, including on patient safety incidents.
High blood pressure is a significant risk factor for developing heart valve disease. Early detection of high blood pressure in patients supports prevention of heart valve disease. That is why pharmacies in England can provide the NHS Hypertension Case-Finding Service (HCFS), under which eligible patients can have their blood pressure checked for free in a community pharmacy. The HCFS aims to identify patients with high blood pressure so that they can be referred to their general practice for treatment.
As set out in the 10-Year Health Plan, to accelerate progress on the ambition to reduce premature deaths from heart disease and stroke by 25% within a decade, we will publish a new Cardiovascular Disease Modern Service Framework in spring.
The framework will prioritise ambitious, evidence-led, and clinically informed approaches to prevention, treatment, and care, and as part of its development we are engaging widely to identify and consider the role of community pharmacies across the cardiovascular disease pathway.
The UK National Recruitment Board, which oversees specialty training recruitment on behalf of the four United Kingdom health departments, has governance processes which determine whether the Multi-Specialty Recruitment Assessment (MSRA) is used by a specialty in their selection processes, and how. Any new specialties considering using the MSRA undergo modelling before a decision is made.
NHS England will take forward reform measures to consider the future shape and delivery model for selection assessments beyond 2027. These will provide a decision point for NHS England on replacing the current MSRA with an updated assessment fit for purpose to be adopted by a broader group of specialties.
NHS England has published national commissioning guidance for adult audiology services, including the provision, maintenance, and ongoing support of hearing aids, to help commissioners deliver high quality and accessible hearing services in line with local population needs.
Responsibility for determining and commissioning any emergency or out of hours support for patients experiencing sudden hearing aid failure rests with integrated care boards, who are best placed to assess local demand and put appropriate arrangements in place.
The Department does not hold information on the number of trusts that provide out-of-hours support for hearing aid failure and has made no assessment on safety risks associated with variation in local provision.
In developing the Modern Service Framework for Frailty and Dementia, we are engaging with a wide group of partners to understand what should be included to ensure the best outcomes for people living with frailty and dementia.
As part of this exercise, we will consider what interventions and performance data should be supported to improve care for those living with dementia and frailty. We are considering all options to help reduce variation and to improve care, including reviewing metrics, data, and targets.
We are working to develop the content of the framework as soon as possible and we will keep partners updated on progress and timings as this work unfolds.
The Department does not hold data on the number of neurologists or geriatricians with specialist training in Parkinson’s disease working in the National Health Service in England. National workforce datasets do not record condition‑specific sub‑specialisms, and responsibility for determining local specialist workforce configurations rests with individual employers and integrated care boards (ICBs).
As of December 2025, there were 2,002 full‑time equivalent doctors in neurology and 6,318 in geriatric medicine working in NHS trusts and other organisations in England. These specialties include clinicians who provide care to people with Parkinson’s.
The Department does not hold a central count of the number of specialist Parkinson’s nurses employed across the NHS in England. Workforce planning, including decisions about the number and type of specialist nurses needed locally, is the responsibility of individual employers and their ICBs, which are best placed to assess the needs of their populations.
We continue to work with NHS England through programmes like Getting It Right First Time to support improvements in access to specialist care. The Department has also established a United Kingdom‑wide Neuro Forum, which brings together governments, the NHS, the devolved administrations, and neurological alliances across the four nations to share best practice and address system-wide challenges, including workforce needs for conditions such as Parkinson’s.
The Department does not hold information on the length of residence in the United Kingdom of internationally educated nurses registered with the Nursing and Midwifery Council (NMC).
The NMC publishes statistics as part of its biannual registration data reports on the number of nurses who obtained their nursing qualification outside of the United Kingdom, by the length of time since their first registration with the NMC. Nurses though may have been resident in the UK prior to their first registration, so this is not the same as length of residence.
Also, length of time since first registration does not necessarily mean unbroken or continuous registration. Registrants may leave the register for a variety of reasons, for one or more period during their careers.
This information can be found in the ‘UK permanent Register data tables’ in the worksheet ‘Time’, at the following link:
https://www.nmc.org.uk/about-us/reports-and-accounts/registration-statistics/
The trust accounts consolidation data publications for National Health Service trusts and NHS foundation trusts include total operating income and expenditure, and are available for the last five financial years. Data for 2024/25 is currently being finalised for publication. This information is publicly available at the following link:
https://www.england.nhs.uk/financial-accounting-and-reporting/nhs-providers-tac-data-publications/
NHS England does not set annual budgets for individual trusts. Trusts earn income from their NHS commissioners for the clinical services they provide, as well as local authorities, private patient work, research, and other sources such as car parking. Trusts submit financial plans to NHS England for agreement that will reflect their planned income and expenditure, and performance against the plan is then monitored through the course of the financial year.
NHS England publishes data on general and acute bed occupancy and capacity. The data can be found at the following link:
https://www.england.nhs.uk/statistics/statistical-work-areas/bed-availability-and-occupancy/
The Government is committed to prioritising women’s health as we reform the National Health Service, and we acknowledge the impact that women suffering from symptoms of menopause has on their lives, relationships, and participation in the workplace.
As announced in October, we will be asking local authorities to include menopause in the NHS Health Check later this year. This will support eligible women across England to access high quality information on the menopause, including advice on managing symptoms, where to seek support, and a diagnosis.
Menopause and menstrual health conditions will be among the priorities for the NHS’s revolutionary new online hospital when it launches next year, providing faster access to specialist care.
In Surrey Heath, primary care teams across the practices are also conscious of the impact of the menopause in the local population and have seen a rise in consultations with regard to this. The multi-disciplinary teams in Surrey Heath, including general practitioners, nurses, clinical pharmacists, and others, are able to manage enquiries, consultations, and follow ups, and to offer relevant treatment across the spectrum of what is available, including hormone intrauterine devices and testosterone replacement.
It is unacceptable that women can wait so long for an endometriosis diagnosis, and we are committed to improving the diagnosis, treatment, and ongoing care for endometriosis.
As announced in September 2025, we will establish an “online hospital”, NHS Online, which will give people across the country on certain pathways the choice of getting the specialist care they need from their home.
Menstrual problems which may be a sign of endometriosis will be among the first conditions available for referral to NHS Online from 2027. We’ve chosen some of the conditions with the longest waits and where online consultation works best.
NHS Online will help to reduce patient waiting times, delivering the equivalent of up to 8.5 million appointments and assessments in its first three years, four times more than an average trust, while enhancing patient choice and control over their care. This will allow women with menstrual problems which may be a sign of endometriosis across the country to reach a diagnosis sooner.
The General Medical Council (GMC) has introduced the Medical Licensing Assessment to encourage a better understanding of common women’s health problems among all doctors as they start their careers in the United Kingdom. The content for this assessment includes several topics relating to women’s health, including endometriosis.
In November 2024, the National Institute for Health and Care Excellence (NICE) updated their guideline on endometriosis, which makes firmer recommendations for healthcare professionals on referral and investigations for women with suspected diagnosis, and will help the estimated one in 10 women with endometriosis receive a diagnosis faster. NICE is working with the National Health Service to ensure adoption of this best practice endometriosis care.
The Government is committed to ensuring equitable access to a range of contraceptive methods including long-acting reversible contraception.
The renewed women’s health strategy will set out how the Government will take the next steps to improve women's healthcare as part of the 10-Year Health Plan and create a system that listens to women, including consideration of barriers to access. Steps to improve access to contraception are being considered as part of the renewal.
The Government is committed to ensuring equitable access to a range of contraceptive methods including long-acting reversible contraception.
The renewed women’s health strategy will set out how the Government will take the next steps to improve women's healthcare as part of the 10-Year Health Plan and create a system that listens to women, including consideration of barriers to access. Steps to improve access to contraception are being considered as part of the renewal.
The Government is committed to continuing to improve NHS 111 to ensure patients can access the right care first time, in a timely manner, thereby only visiting accident and emergency when necessary.
The data is not published in the requested format. However, in the East of England in 2022/23, 10.9% of 111 calls were referred to the ambulance service. In 2023/24, 11.9% of 111 calls were referred to the ambulance service. Finally, in 2024/25, 12.7% of 111 calls were referred to the ambulance service.
The National Cancer Plan for England, released on 4 February 2026, sets out a commitment to diagnose cancers earlier and ensure people receive timely, effective treatment. The government is committed to helping the National Health Service to detect cancers, including blood cancers, earlier and provide faster treatment to improve outcomes.
While there has been no separate assessment of the benefits of including blood cancer pathways in future policy documents, the National Cancer Plan for England outlines actions to improve outcomes for all cancer patients, including those diagnosed with blood cancer. These include expanding faster access to diagnostic tests, improving treatment turnaround times, and ensuring patients benefit from the latest innovations and technologies.
The NHS in England now uses non‑specific symptom pathways for people presenting with symptoms such as unexplained weight loss, fatigue or general illness that do not point to a particular cancer type. These pathways are especially important for detecting blood cancers, which often present with vague or non‑specific symptoms.
In addition, ongoing investment in diagnostic capacity, including new magnetic resonance imaging and computed tomography scanners, will support the NHS in England to diagnose all cancers, including blood cancers, earlier and ensure patients can begin treatment as quickly as possible.
Information on the number of admissions to hospitals in England with a primary diagnosis of a stroke, disaggregated by region and by age in each year from 2020/21 to 2024/25, is shown in the attached table.