Asked by: Catherine West (Labour - Hornsey and Friern Barnet)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how the National Cancer Plan will support people with secondary breast cancer.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Cancer Plan, published 4 February 2026, will transform outcomes for people with secondary breast cancer.
The National Health Service is piloting the use of self-referral breast cancer pathways to streamline diagnostic pathways using the NHS App and NHS 111 online service. This is in addition to the Government’s commitment for the NHS to deliver 9.5 million additional tests by 2029 through a £2.3 billion investment in diagnostics. We are also ensuring as many community diagnostic centres as possible are fully operational and open 12 hours a day, seven days a week.
To improve the diagnosis of breast cancer, the NHS will harness 'circulating tumour DNA' tests for breast cancer, which can pick up relapse months earlier. This will accelerate clinical decisions and allow patients to start the most effective treatment faster.
The NHS will monitor the emerging evidence from the BRAID trial, which aims to determine whether additional imaging with one of several types of scans, is helpful in diagnosing breast cancer in women with dense breast tissue. This will target screening programmes at women who are at greater risk of cancer.
The NHS is also improving the experience of those with a cancer diagnosis. Every patient diagnosed with cancer will be supported through a full neighbourhood-level personalised care package, covering mental and physical health as well as any practical or financial concerns. For people with secondary breast cancer, this will be a step forward in building care around them, their needs, their lives, and their families.
We will harness data, as we begin counting metastatic disease, starting with breast cancer, so that people living with incurable cancer are properly recognised and better supported.
Through these National Cancer Plan actions, we will ensure that people with secondary breast cancer have faster diagnoses and treatment, access to the latest treatments and technology, and high-quality support throughout their journey, while we work to drive up this country’s cancer survival rates.
Asked by: Tim Farron (Liberal Democrat - Westmorland and Lonsdale)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will set out the types of health impacts of poor (a) ambient and (b) indoor air quality by (i) geography and (ii) socioeconomic groups.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Ambient and indoor air pollution are harmful to health in the United Kingdom. Long-term exposure to air pollution, over years or lifetimes, reduces life expectancy, mainly due to cardiovascular and respiratory diseases, dementia and lung cancer. Short-term exposure, over hours or days, to elevated levels of air pollution can also cause a range of health impacts, including effects on lung function, exacerbation of asthma, increases in respiratory and cardiovascular hospital admissions, and mortality. Some groups may be more affected by air pollution exposure due to their location or socioeconomic background, but the types of health impacts from exposure to poor air quality in indoor and ambient settings remains similar. A combination of high ambient air pollution levels and substandard housing in income-deprived areas, pre-existing health issues, and lifestyle factors contribute to a disproportionate burden of air-pollution-related ill health among more deprived groups.
Asked by: Andrew Snowden (Conservative - Fylde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the current average waiting times are for patients to begin radiotherapy treatment following referral, broken down by region and cancer type.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The published data on cancer waiting times in England does not include average waiting times for patients to begin treatment, and the Department does not publish radiotherapy data broken down by tumour type, as we present tumour type and treatment modality breakdowns separately.
However, the Department does publish the 31-day standard performance data for radiotherapy. Whilst the publication does not directly present this data at a regional level, the published commissioner-level data can be aggregated using publicly available mapping tables.
The following table shows 31-day standard performance data for radiotherapy at the regional and national levels, for the latest month of data available at the time of production, November 2025:
Region name | Total activity | Within standard activity | Breaches | Performance |
East of England | 1,266 | 1,027 | 239 | 81.1% |
London | 1,204 | 1,129 | 75 | 93.8% |
Midlands | 2,121 | 1,918 | 203 | 90.4% |
North East and Yorkshire | 1,867 | 1,562 | 305 | 83.7% |
North West | 1,486 | 1,460 | 26 | 98.3% |
South East | 1,801 | 1,577 | 224 | 87.6% |
South West | 1,318 | 1,235 | 83 | 93.7% |
Unknown or national commissioning hub | 109 | 109 | - | 100.0% |
National | 11,172 | 10,017 | 1,155 | 89.7% |
Asked by: Maya Ellis (Labour - Ribble Valley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, (i) whether Vaccine Damage Payment Scheme (VDPS) claims are matched to assessors with condition-specific expertise, (ii) whether the Department for Health and Social Care holds audits or quality assurance exercises on the accuracy and consistency of medical determinations under the VDPS since 2021, and (iii) what steps are being taken to ensure the transparency and accountability of the VDPS medical assessment process.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Each claim to the Vaccine Damage Payment Scheme (VDPS) is assessed on a case-by-case basis by a medical assessor. All medical assessors are General Medical Council registered doctors, who have undertaken specialised training in vaccine damage and disability assessment.
The NHS Business Services Authority (NHSBSA), as the administrator of the VDPS, is responsible for managing quality assurance with the medical assessment supplier. Medical assessors write a comprehensive medical assessment report for each claim, explaining how they reached their decision and what evidence they considered. NHSBSA shares this report with the claimant.
If a claim is rejected, the claimant can challenge the medical assessor’s decision by submitting a mandatory reversal request. The original decision will then be reviewed.
Asked by: Tim Farron (Liberal Democrat - Westmorland and Lonsdale)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what discussions he has had with Cabinet colleagues on delivering national targets for ambient air including by sharing data.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Department of Health and Social Care ministers engage regularly with ministerial colleagues on air quality. The 10-Year Health Plan for England details action the Government will take to reduce the health harms of air pollution. This includes the Department for Environment, Food and Rural Affairs’ refreshed Environmental Improvement Plan which sets out action to further improve air quality in England including through revised interim targets.
Asked by: Will Forster (Liberal Democrat - Woking)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to help ensure that patients with long covid receive condition specific care.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Long COVID, or post-COVID, services are commissioned by integrated care boards. These services should comprise of an integrated pathway of assessment, medical treatment, and multifaceted rehabilitation, with direct access to required diagnostics. Referral should be via a single point of access which is managed by clinician-led triage. At all stages in the care pathway, patients should be offered a range of support, treatment, and rehabilitation services, depending on the specific needs of the individual.
NHS England has set up specialist post-COVID services nationwide for adults, and children and young people, and is investing in ensuring general practice teams are equipped to support people affected by the condition. The Living with Covid Recovery mobile phone app also supports people recovering from long COVID at home. The app has enabled the National Health Service to monitor and support the recovery of those suffering from long COVID more effectively.
While there is no single treatment for long COVID, there are treatments available to help manage some of the symptoms. Specifically, the Government has funded clinical trials to test and compare different treatments such as antihistamines, anticoagulants, and anti-inflammatory medicines, as well as trials such as REGAIN.
The Neighbourhood Health Service, delivered by new multidisciplinary teams of professionals, will embody our new preventative principle that care should happen as locally as it can, to support more services being delivered in the community, including for people with long COVID.
Asked by: Sojan Joseph (Labour - Ashford)
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 consider the development of national standards for adult social care in England.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
National standards of care will be an integral part of the national care service we are building, so people can rely on consistent, high‑quality care wherever they live.
We are already progressing towards this through our three objectives for adult social care: giving people real choice and control, joining up health and social care around people’s lives, and ensuring consistent high‑quality care underpinned by national standards.
This year, the Government will set new national standards for care technologies and develop trusted guidance. This will mean that people and care providers can easily find out which technologies are fit for purpose, secure and meet compatibility requirements of health and social care systems in the future.
At the same time, in partnership with the Department for Education, we are developing a catalogue of data standards for Children’s and Adult’s Social Care Case Management Systems. This will enable greater data sharing with other agencies involved in organising a person’s care, in turn, improving the experience of care, local authority efficiency and the quality of central government data collection and reporting.
The Care Quality Commission (CQC) is the independent regulator for health and social care in England. CQC monitors, inspects and regulates adult social care services to make sure they meet fundamental standards of quality and safety. National measures of care quality have remained steady, with 85% of all social care settings regulated by the CQC rated Good or Outstanding on 2 January 2026. Where concerns on quality or safety are identified, the CQC uses its regulatory and enforcement powers available and will take action to ensure the safety of people drawing on care and support.
The independent commission into adult social care is underway as part of our critical first steps towards delivering a national care service. Phase 1 will report this year.
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 recent estimate has been made of the number of patients waiting for extended periods in corridors in accident and emergency departments in Surrey Heath constituency.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
On data on corridor care, NHS England has been working with trusts since 2024 to put in place new reporting arrangements to drive improvement and transparency. We are now reviewing the data internally and will begin publishing it shortly.
On services in Surrey Heath, residents there primarily access urgent and emergency care services at Frimley Park Hospital, which is run by the Frimley Health NHS Foundation Trust within the NHS Frimley Integrated Care Board footprint.
NHS Frimley has implemented winter urgent and emergency care plans to manage increased demand, including maintaining patient flow, expanding same-day emergency care, strengthening community and primary care alternatives, and working with local authorities and community providers to support timely discharge.
We keep performance in all local systems under regular review through established daily operational oversight and escalation arrangements, with patient safety remaining the overriding priority.
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 he is taking to help improve triaging by Accident and Emergency departments at Basildon Hospital.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
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 National Health Service constitutional standard.
Our Urgent and Emergency Care Plan for 2025/26 sets out clear actions to deliver improvements and make services better. The plan commits to reducing the number of patients waiting over 12 hours for admission or discharge to less than 10% of the time. This is supported by almost £450 million of capital investment for Same Day Emergency Care, Mental Health Crisis Assessment Centres, and new ambulances, avoiding unnecessary admissions to hospital and supporting the faster diagnosis, treatment, and discharge for patients.
The NHS Medium-Term Planning Framework sets out a further trajectory to improve urgent and emergency care performance year-on-year toward the constitutional standard, reducing long waits and improving patient experience. The plan focuses on practical steps such as expanding urgent treatment centres, improving patient flow, and reducing 12-hour waits, to make emergency departments safer and more efficient.
NHS England provides regional oversight to support local delivery of services and improvement. The Mid and South Essex NHS Foundation Trust’s One Team Improvement Plan has a focus on improving urgent and emergency care outcomes. The programme group looking at quality and patient safety has been focusing on reviewing processes and the fundamentals of care in wards and in the trust’s emergency departments. The trust has also introduced additional consultant cover during the weekends to increase the number of people discharged at the weekend. This helps to keep the emergency department safe as it allows for the movement of people who need to be admitted into the right beds.
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 recent discussions he has had with the NHS in South Basildon and East Thurrock constituency on patient safety for people experiencing long waits in Accident and Emergency.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
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 National Health Service constitutional standard.
Our Urgent and Emergency Care Plan for 2025/26 sets out clear actions to deliver improvements and make services better. The plan commits to reducing the number of patients waiting over 12 hours for admission or discharge to less than 10% of the time. This is supported by almost £450 million of capital investment for Same Day Emergency Care, Mental Health Crisis Assessment Centres, and new ambulances, avoiding unnecessary admissions to hospital and supporting the faster diagnosis, treatment, and discharge for patients.
The NHS Medium-Term Planning Framework sets out a further trajectory to improve urgent and emergency care performance year-on-year toward the constitutional standard, reducing long waits and improving patient experience. The plan focuses on practical steps such as expanding urgent treatment centres, improving patient flow, and reducing 12-hour waits, to make emergency departments safer and more efficient.
NHS England provides regional oversight to support local delivery of services and improvement. The Mid and South Essex NHS Foundation Trust’s One Team Improvement Plan has a focus on improving urgent and emergency care outcomes. The programme group looking at quality and patient safety has been focusing on reviewing processes and the fundamentals of care in wards and in the trust’s emergency departments. The trust has also introduced additional consultant cover during the weekends to increase the number of people discharged at the weekend. This helps to keep the emergency department safe as it allows for the movement of people who need to be admitted into the right beds.