Asked by: James McMurdock (Independent - South Basildon and East Thurrock)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that all pregnant women are offered the whooping cough vaccine at the optimal time in pregnancy.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
All pregnant women are offered the whooping cough vaccination in every pregnancy, around the time of the mid-pregnancy scan, usually 20 weeks, and ideally before 32 weeks, via midwifery in the community or their general practice.
The Department is working with NHS England and the UK Health Security Agency to encourage high uptake of all immunisations, including in underserved communities and in groups with historically lower vaccination rates.
Significant efforts have been made to raise awareness of the importance of vaccination to protect babies against whooping cough, also known as pertussis. These include targeted campaigns using social media, digital screen graphics, and community outreach. The National Health Service actively promotes vaccination for pregnant women to protect their newborns, and efforts are underway to enhance the recording and monitoring of vaccinations, ensuring accurate data collection to assess the programme’s effectiveness.
Recent data shows maternal pertussis vaccination coverage from July to September 2025 was 71.9%, which was 7.5% higher than the equivalent period in 2025. However, there is more to do to stabilise and improve uptake, and that is why we have set out actions to improve uptake in our 10-Year Health Plan for England. Putting our plans into action, we have recently launched a campaign to promote awareness and confidence in vaccination, including for pregnant women, which will run throughout the year.
To improve accessibility, community pharmacies in areas of high deprivation and low uptake are now also commissioned to offer some vaccinations, making it more convenient for individuals to get vaccinated.
Asked by: Caroline Johnson (Conservative - Sleaford and North Hykeham)
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 estimate of the number of hospitals admissions which could be avoided per year among over 80 years olds through use of the RSV vaccine.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government takes advice on respiratory syncytial virus (RSV) immunisation programmes from the independent Joint Committee on Vaccination and Immunisation (JCVI). At its main committee meeting of 4 June 2025, the JCVI considered the potential extension of the older adults RSV catch-up programme to include those aged 80 years old and older.
Data on hospitalisations formed part of the evidence which informed the discussions at JCVI and the subsequent advice provided. The minutes of the meeting can be found on the GOV.UK website, at the following link:
https://www.gov.uk/government/groups/joint-committee-on-vaccination-and-immunisation
Asked by: Richard Holden (Conservative - Basildon and Billericay)
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 December 2025 to Question 94029, whether his Department has made an assessment of the potential impact of the Food Scanner app on people with eating disorders.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department has a series of digital tools to support adults and families to eat better and move more, including the food scanner app and the National Health Service weight loss plan app, email programmes, and websites. These tools are evidence-based and regularly reviewed to ensure alignment with current Scientific Advisory Committee on Nutrition guidance. Updates are ongoing to reflect the latest Government advice.
We are always looking to improve the app experience, including extending and personalising messaging. We welcome feedback from parents as well as organisations to aid us in this process.
Asked by: Scott Arthur (Labour - Edinburgh South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what consideration he has made of the need for a national bladder cancer audit.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
In regards to a National Bladder Cancer Audit consideration, I refer the Hon. Member to the answer given to the Hon. Member for Epsom and Ewell on 10 December 2025 to Question 96365.
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of diagnosis and ongoing care for people with Crohn’s disease and Colitis in Surrey Heath constituency.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for ensuring that appropriate treatment and support is available for people diagnosed with inflammatory bowel disease (IBD), which includes Crohn’s disease and ulcerative colitis, in their areas. In Surrey Heath, this responsibility sits with either the NHS Frimley ICB or the NHS Surrey Heartlands ICB, with national improvement programmes such as Getting It Right First Time (GIRFT) and NHS RightCare driving change. Together, these programmes help deliver consistent, high-quality diagnostic processes and ongoing care and support across the National Health Service in England.
The GIRFT national report on gastroenterology recommends rapid access to specialist review within four weeks, personalised care plans, increased endoscopy capacity, the standardised use of diagnostic tests such as endoscopy and imaging, and early involvement of multidisciplinary teams, including IBD specialist nurses, gastroenterologists, surgeons, dietitians, and mental health professionals.
In November 2025, GIRFT published a new handbook, ‘Optimising care for patients with Inflammatory Bowel Disease’ in addition to an updated IBD pathway. This handbook provides practical advice, key actions, and examples of innovative practices to improve the care of NHS patients with Crohn's disease and ulcerative colitis.
‘Hannah’s story’, published by NHS England as part of its RightCare scenario series, is a fictional case study designed to show the difference between a suboptimal and an optimal care pathway for someone living with Crohn’s disease. This scenario underlines the importance of integrated services, proactive treatment planning, and consistent adherence to IBD Standards to reduce variation and improve outcomes for patients across England.
Gastroenterology is a high-volume specialty identified as a top priority for reform in the Elective Reform Plan due to its waiting list challenges. Specific action in gastroenterology includes developing an integrated pathway across primary, community, and secondary care for common gastroenterology conditions. We will also drive rapid adoption of remote monitoring in appropriate gastroenterology pathways.
We are also introducing an ‘online hospital’ through NHS Online. This will give people on certain pathways the choice of getting the specialist care they need from their home, providing additional appointments to cut waiting times. IBD is amongst nine initial conditions for online referrals from 2027.
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of the support available to people living with Crohn’s disease and Colitis in Surrey Heath constituency.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for ensuring that appropriate treatment and support is available for people diagnosed with inflammatory bowel disease (IBD), which includes Crohn’s disease and ulcerative colitis, in their areas. In Surrey Heath, this responsibility sits with either the NHS Frimley ICB or the NHS Surrey Heartlands ICB, with national improvement programmes such as Getting It Right First Time (GIRFT) and NHS RightCare driving change. Together, these programmes help deliver consistent, high-quality diagnostic processes and ongoing care and support across the National Health Service in England.
The GIRFT national report on gastroenterology recommends rapid access to specialist review within four weeks, personalised care plans, increased endoscopy capacity, the standardised use of diagnostic tests such as endoscopy and imaging, and early involvement of multidisciplinary teams, including IBD specialist nurses, gastroenterologists, surgeons, dietitians, and mental health professionals.
In November 2025, GIRFT published a new handbook, ‘Optimising care for patients with Inflammatory Bowel Disease’ in addition to an updated IBD pathway. This handbook provides practical advice, key actions, and examples of innovative practices to improve the care of NHS patients with Crohn's disease and ulcerative colitis.
‘Hannah’s story’, published by NHS England as part of its RightCare scenario series, is a fictional case study designed to show the difference between a suboptimal and an optimal care pathway for someone living with Crohn’s disease. This scenario underlines the importance of integrated services, proactive treatment planning, and consistent adherence to IBD Standards to reduce variation and improve outcomes for patients across England.
Gastroenterology is a high-volume specialty identified as a top priority for reform in the Elective Reform Plan due to its waiting list challenges. Specific action in gastroenterology includes developing an integrated pathway across primary, community, and secondary care for common gastroenterology conditions. We will also drive rapid adoption of remote monitoring in appropriate gastroenterology pathways.
We are also introducing an ‘online hospital’ through NHS Online. This will give people on certain pathways the choice of getting the specialist care they need from their home, providing additional appointments to cut waiting times. IBD is amongst nine initial conditions for online referrals from 2027.
Asked by: Kevin Hollinrake (Conservative - Thirsk and Malton)
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 19 November 2025 to Question 84923 on Public Houses: Electronic Cigarettes, whether his Department has assessed the potential impact of a ban on vaping in pubs on their (a) financial viability and (b) profitability.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Tobacco and Vapes Bill gives the Government powers to make most public places and workplaces that are smoke-free also vape-free.
We plan to consult on making most indoor settings, that are subject to existing smoke-free legislation, vape-free. This would include inside pubs and other hospitality venues. A number of places have already done this voluntarily.
These measures will be subject to a full consultation, and we will be guided by public health advice. All future regulations will be accompanied by an impact assessment that will consider the economic effects of the proposed measures and will be published as part of the consultation process.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
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 improve quality of life for people being diagnosed, treated for or living with cancer under the National Cancer Plan.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Cancer Plan for England will have patients at its heart and will cover the entirety of the cancer pathway, from referral and diagnosis to treatment and ongoing care, as well as prevention, and research and innovation. It will seek to improve every aspect of cancer care in England to better the experience and outcomes for people with cancer.
The plan will aim to improve how, in England, the physical and psychosocial needs of people with cancer can be met, with a focus on personalised care to improve quality of life. It will address how the experience of care can be improved for those diagnosed, treated, and living with and beyond cancer in England.
Asked by: James McMurdock (Independent - South Basildon and East Thurrock)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to address regional disparities in whooping cough vaccination uptake among pregnant women.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The latest published data for September 2025 shows that prenatal pertussis vaccination coverage has improved in all seven NHS England regions when compared to September 2024.
The UK Health Security Agency (UKHSA) report shows monthly prenatal pertussis vaccination coverage followed an increasing trend since April 2024. The report is available at the following link:
To support continued improvements, NHS England has developed and implemented a vaccination in pregnancy improvement plan. Actions delivered to date include:
- system level oversight and leadership of programme commissioning and delivery, to strengthen the offer process and tackle factors contributing to low vaccine uptake;
- ensuring commissioned providers are aware of their responsibilities within the vaccination in pregnancy programmes and are working to strengthen the vaccination offer and ensure consistency in delivery approach;
- commissioning community pharmacy providers in areas of low uptake and high deprivation to deliver National Health Service pertussis vaccinations to pregnant women opportunistically or on request;
- revised governance arrangements for vaccination in pregnancy programmes, with regional and national colleagues meeting regularly to share learning and good practice from local systems; and
- improved vaccination recording and accurate data collection to monitor programme effectiveness, allowing regional teams and their partner integrated care boards to access timely NHS operational data. This informs targeted action to increase uptake and reduce inequalities.
Asked by: James McMurdock (Independent - South Basildon and East Thurrock)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate he has made of the proportion of pregnant women who are not offered the whooping cough vaccine by 20 weeks’ gestation; and what steps are being taken to improve timely access.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
All pregnant women in England should be offered the pertussis vaccination in every pregnancy, around the time of the mid-pregnancy scan, usually 20 weeks, and ideally before 32 weeks.
Recent data shows maternal pertussis vaccination coverage from July to September 2025 was 71.9%, which was 7.5% higher than the equivalent period in 2025. The data is available at the following link:
NHS England has implemented a range of measures to ensure timely access to the pertussis vaccination programme, including NHS England and the UK Health Security Agency having developed a joint maternal vaccines toolkit and campaign to promote timely uptake of respiratory syncytial virus (RSV), whooping cough, and flu vaccines during pregnancy, highlighting the protection provided to newborns.
NHS England has commissioned community pharmacies in the North West, Midlands, London, and the East of England to deliver pertussis and RSV vaccines, increasing convenience and capacity, particularly in areas of high deprivation and low uptake.
A maternal vaccination postcard has been translated into seven additional languages and distributed to 200 practices with lower uptake. Tailored communications are shared through community and faith-based channels, including radio, podcasts, and local publications.
NHS England regularly shares vaccination information with pregnancy and parenting organisations such as Tommy’s and the NCT, as well as community and faith groups, for use on their websites, newsletters, and social media.