Department of Health and Social Care

The changes that the Government is making, alongside the wider commitments set out in the 10 Year Health Plan, will positively impact on patient care and safety by driving quality of care, productivity and innovation in the National Health Service.

NHS England will continue to undertake its statutory functions while working with the new executive during the transition, until parliamentary time allows for changes to be made in primary legislation.

Patient safety will remain paramount over this transformation period. We will put plans in place to ensure continuity of care and that there are no risks to patient safety.

We have no plans to suspend facility time or check-off for National Health Service recognised trade unions whilst they are on strike.

It is for the local NHS employers and trade unions to agree on the approach to facility time during any period of industrial action. NHS trade union representatives would normally hold contracts with their individual NHS employer.

Neither the Department nor NHS England have specific trade union diversity networks.

Where legally required, healthcare professionals must be registered with the appropriate United Kingdom healthcare regulator to be able to practise. Professionals who qualified outside the UK must demonstrate they have the necessary knowledge of English as part of the regulator’s assessment of their healthcare qualifications, knowledge, and skills. The process and accepted evidence for demonstrating English language proficiency varies according to regulator, the healthcare role and the circumstances of applicants.

The healthcare regulators are independent of Government, and it is for regulators to determine the required processes and thresholds in relation to English language competence for registrants.

General practitioners, dentists and opticians delivering National Health Service primary care must also be on the relevant NHS performers list. Applicants’ ability to communicate effectively and safely with patients and colleagues is assessed as part of the performers list application process.

For the performers lists in England, it is NHS England policy that the required level of English language competence for admission to the list is the same as that required by the relevant healthcare regulator. If there are concerns about an applicant’s English language competence, they will be required to demonstrate competence by further assessment. This may be an oral exam with an assessor from NHS England or satisfactory completion of the International English Language Test System or the Occupational English Test.

We know that too many people, including survivors of domestic abuse and sexual violence, are not receiving the mental health care they need, and that waits for mental health services are too long. We are determined to change that, which is why we have chosen to prioritise funding to expand NHS Talking Therapies. This means that the number of people completing a course of treatment is expected to increase by 384,000 by 2028/29. Latest data from NHS England for June 2025 shows that 89.1% of people completing Talking Therapies treatment waited less than six weeks for their first appointment, against a target of 75%. 98.6% of people completing treatment waited less than 18 weeks, against a target of 95%.

Protecting and supporting child and adult victims and survivors of sexual abuse is a core priority for NHS England, delivered through a network of 48 specialist sexual assault referral centres (SARCs) across the country. NHS England commissions SARCs through a distinct national service specification including working with specialist support services, ensuring that children and young people aged up to 18 years old receive trauma-informed, developmentally appropriate care and safeguarding support, and that adults receive tailored care that reflects their needs and rights, with clear referral pathways to health, justice, and specialist support services. NHS England does not hold national information on current waiting times and access for people from disadvantaged socio-economic backgrounds to specialist counselling support for survivors of domestic abuse and sexual violence.

This is in addition to the support services commissioned by the Ministry of Justice and the Home Office.

NHS England, not my Rt. Hon. Friend, the Secretary of State for Health and Social Care, engage directly with Coventry and Warwickshire Integrated Care Board (ICB), on this matter.

It is the responsibility of ICBs in England to make appropriate provision to meet the health and care needs of their local populations, including attention deficit hyperactivity disorder (ADHD) treatment, in line with relevant National Institute for Health and Care Excellence guidelines.

The ICB advises that in March 2025, it introduced a new interim policy under which the ICB will only fund new ADHD referrals for people aged under 25 years old at the point of referral. The ICB advises that this is due to concerns about the effectiveness of the current system locally, particularly for children and young people, and this policy will free up clinical time and funding to be reinvested in children’s ADHD services. The ICB has committed to undertake a comprehensive review of the entire ADHD assessment pathway, working with children, young people, and adults with ADHD, to ensure it meets their needs.

Nationally, NHS England has 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.

NHS England, not my Rt. Hon. Friend, the Secretary of State for Health and Social Care, engage directly with Coventry and Warwickshire Integrated Care Board (ICB), on this matter.

It is the responsibility of ICBs in England to make appropriate provision to meet the health and care needs of their local populations, including attention deficit hyperactivity disorder (ADHD) treatment, in line with relevant National Institute for Health and Care Excellence guidelines.

The ICB advises that in March 2025, it introduced a new interim policy under which the ICB will only fund new ADHD referrals for people aged under 25 years old at the point of referral. The ICB advises that this is due to concerns about the effectiveness of the current system locally, particularly for children and young people, and this policy will free up clinical time and funding to be reinvested in children’s ADHD services. The ICB has committed to undertake a comprehensive review of the entire ADHD assessment pathway, working with children, young people, and adults with ADHD, to ensure it meets their needs.

Nationally, NHS England has 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.

The National Institute for Health and Care Excellence (NICE) has no current plans to develop standalone guidelines on dysmenorrhoea, adenomyosis, and chronic pelvic pain.

There are existing NICE guidelines on heavy menstrual bleeding, chronic pain, and endometriosis. There is also a Clinical Knowledge Summary on dysmenorrhoea that summarises the current evidence base and provides practical advice for primary care professionals.

Topics for new or updated guidance are considered through the NICE prioritisation process. Decisions as to whether NICE will create new, or update existing, guidance are overseen by an integrated, cross-organisational prioritisation board, chaired by NICE’s chief medical officer.

The Government recognises 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.

On 15 July, the Department for Education published the revised Relationships Education, Relationships and Sex Education and Health Education (RSHE) statutory guidance, which stipulates that secondary school RSHE lessons should cover menstrual and gynaecological health, covering aspects such as what is an average period, conditions including endometriosis and polycystic ovary syndrome, and when to seek help from healthcare professionals. This revised guidance emphasises the importance of ensuring that pupils have a comprehensive understanding of women’s health topics.

The General Medical Council 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 map for this assessment includes several topics relating to women’s health, including menstrual problems, endometriosis, menopause, and urinary incontinence. This will encourage a better understanding of common women’s health problems among all doctors as they start their careers in the UK.

Endometriosis is also included in the core curriculum for trainee general practitioners, and for obstetricians and gynaecologists. In November 2024, the National Institute for Health and Care Excellence updated their guideline on endometriosis which makes firmer recommendations for healthcare professionals on referral and investigations for women with a suspected diagnosis, which is available at the following link:

https://www.nice.org.uk/guidance/NG73)www.nice.org.uk/guidance/NG73

The Government recognises that women suffering with gynaecological conditions, including polycystic ovary syndrome (PCOS), have been failed for far too long, and we acknowledge the impact it has on women’s lives, relationships and participation in education and the workforce. We know that more needs to be done to support women with gynaecological conditions.

Patients who are concerned they have symptoms which may be caused by PCOS should seek help from their general practitioner (GP) who can arrange the necessary investigations, make a diagnosis, and discuss initial treatments. Patients with more complex symptoms of PCOS can be referred to gynaecology or endocrinology services provided by Shrewsbury and Telford Hospitals Trust, and those who need support related to fertility can be referred to Shropshire and Mid Wales Fertility Clinic in Shrewsbury which offers fertility evaluations and treatments.

NICE is currently developing a guideline on the assessment and management of PCOS and published the scope of the guideline in July 2025, which includes “information resources, models of care, cultural and linguistic considerations” and “management of psychological features”.

Decisions on site selection for clinical trials rest with the study sponsor, shaped by the design and requirements of the trial.

No discussions about the MND-SMART trial have been held with the Department. However, while we are not directly involved in these decisions, the Department works through the National Institute for Health and Care Research (NIHR) to ensure a fair and transparent process for site identification.

The NIHR’s United Kingdom-wide site identification service enables National Health Service organisations, including the James Cook University Hospital in Middlesbrough, to express interest and suitability to host research. This provides an inclusive and transparent process that ensures opportunities are shared equitably across the country, with decisions guided by the real-time capacity and capability of sites.

The Department is committed to ensuring that all patients, including those with motor neurone disease, have access to cutting-edge clinical trials and innovative, lifesaving treatments.

Until recently, the newest obesity medicines liraglutide, under various brand names, semaglutide, under the brand name Wegovy, and tirzepatide, under the brand name Mounjaro, have only been available via the National Health Service through specialist weight management services which are mainly hospital-based.

From 23 June, tirzepatide has started to become available in primary care, meaning it can be prescribed by general practitioners, or other competent prescribers. NHS England’s phased rollout within primary care will prioritise those with the greatest clinical need. Approximately 220,000 people are expected to benefit in the first three years of implementation. As part of the rollout plans, the NHS will look at different service models, including digital and community options. New approaches might enable access to be expanded more quickly. Progress will be reviewed in three years, and the roll out will be sped up if possible.

In addition, the 10-Year Health Plan sets out our ambition to build on these plans by testing innovative models of delivering weight loss services and treatments to patients.

On 12 August we announced an £85 million competition to fund the design and delivery of new community and primary care weight management pathways to support access to interventions such as weight loss medications. We expect tens of thousands of patients to directly benefit from increased access to interventions, such as GLP-1s. This will generate new evidence to inform the future commissioning and rollout of tirzepatide.

Reimbursement of abiraterone across all indications is managed at a national level by NHS England who must ensure the affordability of introducing any new routine commissioning policies, alongside maintaining existing services for patients and meeting their legal requirement to fund all National Institute for Health and Care Excellence (NICE) recommended medicines.

Abiraterone has not been licensed for the treatment of high-risk, hormone sensitive, non-metastatic prostate cancer, and has not been assessed by NICE in this indication. NHS England therefore enabled a clinically-led review of the treatment in this indication determining it to be the highest priority for routine commissioning, and intends to commission the treatment for eligible patients as soon as recurrent funding is identified.

The Neighbourhood Health Service will embody our new preventative principle that care should happen as locally as it can: digitally by default, in a patient’s home, if possible, in a neighbourhood health centre when needed, and only in a hospital if necessary. Through this model, we will rebalance our health and care system so that it fits around people’s lives, not the other way round. This approach will mean patients are not sent from pillar to post, improving outcomes and making better use of resources.

In the meantime, we have launched the National Neighbourhood Health Implementation Programme (NNHIP) to support systems across the country by driving innovation and integration at a local level, to accelerate improvements in patient outcomes and patient satisfaction and ensure that care is more joined-up, accessible, and responsive to community needs. The initial focus for all the first places in the NNHIP will be adults with multiple long-term conditions and rising risk, before progressing to other places and populations. There will be a rigorous monitoring of outcomes and metrics for the NNHIP.

One of the three ‘shifts’ that the 10 Year Health Plan will deliver is around the Government’s determination to shift healthcare out of hospitals and into the community, to ensure patients and their families receive personalised care in the most appropriate setting. Palliative care and end of life care services will have a big role to play in that shift and were highlighted in the plan as being an integral part of neighbourhood teams.

I have tasked officials to look at how to improve the access, quality, and sustainability of all- age palliative and end of life care in line with the 10 Year Health Plan.

Officials will present further proposals to ministers over the coming months, outlining the drivers and incentives that are required in palliative care and end of life care to enable the shift from hospital to community, including as part of neighbourhood health teams.

To support integrated care boards (ICBs) in the commissioning of palliative care and end of life care services, NHS England has published statutory guidance and service specifications. The guidance makes specific reference to commissioners defining how their services will meet population needs 24/7 and includes a priority action for ensuring that staff, patients, and carers can access the care and advice they need, whatever time of day.

National Institute for Health and Care Excellence (NICE) guidance on the service delivery of end of life care for adults also includes recommendations about 24/7 access to care. Although NICE guidance is not mandatory, there is an expectation that commissioners and service providers take the guidelines into account when making decisions about how to best meet the needs of their local communities.

The Government and the National Health Service will closely monitor the shift towards the strategic commissioning of palliative care and end of life care services to help ensure that services remove variation in access and quality, although some variation may be appropriate to reflect both innovation and the needs of local populations.

One of the three ‘shifts’ that the 10 Year Health Plan will deliver is around the Government’s determination to shift healthcare out of hospitals and into the community, to ensure patients and their families receive personalised care in the most appropriate setting. Palliative care and end of life care services will have a big role to play in that shift and were highlighted in the plan as being an integral part of neighbourhood teams.

I have tasked officials to look at how to improve the access, quality, and sustainability of all- age palliative and end of life care in line with the 10 Year Health Plan.

Officials will present further proposals to ministers over the coming months, outlining the drivers and incentives that are required in palliative care and end of life care to enable the shift from hospital to community, including as part of neighbourhood health teams.

To support integrated care boards (ICBs) in the commissioning of palliative care and end of life care services, NHS England has published statutory guidance and service specifications. The guidance makes specific reference to commissioners defining how their services will meet population needs 24/7 and includes a priority action for ensuring that staff, patients, and carers can access the care and advice they need, whatever time of day.

National Institute for Health and Care Excellence (NICE) guidance on the service delivery of end of life care for adults also includes recommendations about 24/7 access to care. Although NICE guidance is not mandatory, there is an expectation that commissioners and service providers take the guidelines into account when making decisions about how to best meet the needs of their local communities.

The Government and the National Health Service will closely monitor the shift towards the strategic commissioning of palliative care and end of life care services to help ensure that services remove variation in access and quality, although some variation may be appropriate to reflect both innovation and the needs of local populations.

One of the three ‘shifts’ that the 10 Year Health Plan will deliver is around the Government’s determination to shift healthcare out of hospitals and into the community, to ensure patients and their families receive personalised care in the most appropriate setting. Palliative care and end of life care services will have a big role to play in that shift and were highlighted in the plan as being an integral part of neighbourhood teams.

I have tasked officials to look at how to improve the access, quality, and sustainability of all- age palliative and end of life care in line with the 10 Year Health Plan.

Officials will present further proposals to ministers over the coming months, outlining the drivers and incentives that are required in palliative care and end of life care to enable the shift from hospital to community, including as part of neighbourhood health teams.

To support integrated care boards (ICBs) in the commissioning of palliative care and end of life care services, NHS England has published statutory guidance and service specifications. The guidance makes specific reference to commissioners defining how their services will meet population needs 24/7 and includes a priority action for ensuring that staff, patients, and carers can access the care and advice they need, whatever time of day.

National Institute for Health and Care Excellence (NICE) guidance on the service delivery of end of life care for adults also includes recommendations about 24/7 access to care. Although NICE guidance is not mandatory, there is an expectation that commissioners and service providers take the guidelines into account when making decisions about how to best meet the needs of their local communities.

The Government and the National Health Service will closely monitor the shift towards the strategic commissioning of palliative care and end of life care services to help ensure that services remove variation in access and quality, although some variation may be appropriate to reflect both innovation and the needs of local populations.

One of the three ‘shifts’ that the 10 Year Health Plan will deliver is around the Government’s determination to shift healthcare out of hospitals and into the community, to ensure patients and their families receive personalised care in the most appropriate setting. Palliative care and end of life care services will have a big role to play in that shift and were highlighted in the plan as being an integral part of neighbourhood teams.

I have tasked officials to look at how to improve the access, quality, and sustainability of all- age palliative and end of life care in line with the 10 Year Health Plan.

Officials will present further proposals to ministers over the coming months, outlining the drivers and incentives that are required in palliative care and end of life care to enable the shift from hospital to community, including as part of neighbourhood health teams.

To support integrated care boards (ICBs) in the commissioning of palliative care and end of life care services, NHS England has published statutory guidance and service specifications. The guidance makes specific reference to commissioners defining how their services will meet population needs 24/7 and includes a priority action for ensuring that staff, patients, and carers can access the care and advice they need, whatever time of day.

National Institute for Health and Care Excellence (NICE) guidance on the service delivery of end of life care for adults also includes recommendations about 24/7 access to care. Although NICE guidance is not mandatory, there is an expectation that commissioners and service providers take the guidelines into account when making decisions about how to best meet the needs of their local communities.

The Government and the National Health Service will closely monitor the shift towards the strategic commissioning of palliative care and end of life care services to help ensure that services remove variation in access and quality, although some variation may be appropriate to reflect both innovation and the needs of local populations.

The review of the Carr-Hill formula will consider how health needs are reflected in the distribution of funding through the GP contract, drawing on a range of evidence and advice from experts.

Arrangements for the Carr-Hill review are being finalised. Further details will be confirmed in due course.

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. This includes considering the needs of elderly populations. The ICB for the Tewkesbury constituency is Gloucestershire ICB.

We know that as people age, they tend to move to rural and coastal areas where the challenges in accessing NHS dentistry are exacerbated. We have introduced the Golden Hellos scheme which will see dentists receiving payments of £20,000 to work in those areas that need them most for three years.

ICBs may commission specialised dental services including domiciliary care for elderly people living in care homes. The National Institute for Health and Care Excellence (NICE) guideline on oral health in care homes sets out several recommendations for care homes to help maintain and improve oral health and ensure timely access to dental treatment for their residents. The Government expects care homes to be following NICE guidance and recommendations in this area.

The Department of Health and Social Care has made up to £12.5 million available this financial year for 15 regional partnerships to continue to support displaced international care workers. The international recruitment regional fund aims to prevent and respond to exploitative employment practices of internationally recruited care staff. This includes support for individuals impacted by their sponsor’s license being revoked to find alternative, ethical employment.

As of July 2025, over 1,600 people have been directly supported into new sponsored employment by the regional partnerships. This data has not been independently verified by the Department or UK Visas and Immigration, and these figures do not provide a complete picture as workers are under no obligation to report their employment outcomes back to their regional partnership. Regional partnerships are also currently supporting thousands more displaced workers, including support with CV writing and interview techniques, introducing workers to ethical providers with appropriate vacancies, and offering pastoral support to workers who have experienced unethical or exploitative practices.

We have commissioned the National Institute for Health and Care Research’s Policy Research Unit in Health and Social Care Workforce to undertake an independent evaluation of the 2024/25 international recruitment regional fund. We expect the final report of this evaluation to be published by King's College London in 2026.

Any form of abuse or neglect is unacceptable, and the Government is committed to ensuring that families have the support that they need.

Under the Care Act 2014, local authorities have a statutory duty to make enquiries about safeguarding concerns and support people caring for their family and friends. The Care Act 2014 also requires local authorities to deliver a wide range of sustainable, high-quality care and support services, including support for unpaid carers.

The Carer Contingency Campaign Pack: Supporting Carers and Strengthening Local Care Systems, developed by the Carers Trust with NHS England and the Health and Wellbeing Alliance, helps local carer organisations to implement Carer Contingency Plans, which are structured protocols ensuring care continuity when the carer is unexpectedly unavailable. Unpaid carers can be supported to create contingency plans to ensure the person they care for continues receiving support if they are suddenly unavailable. It includes practical tools, good practice examples, and guidance on emergency planning.

We have launched an independent commission into adult social care, chaired by Baroness Casey. The Commission will start a national conversation about what care and support working age adults, older people, and their families expect from adult social care, including exploring the needs of unpaid carers who provide vital care and support.

The Commission's Terms of Reference are sufficiently broad to enable Baroness Casey to define its remit to independently consider how to build a social care system fit for the future, including the safeguarding of those receiving care if the Commission sees fit.

Unpaid carers play a vital role and can access support from adult and children’s social care and the National Health Service, as well as through benefits, employers, schools, colleges, and universities. However, we know that too often systems are disjointed, difficult to navigate, and don’t appropriately identify and communicate with carers.

The Government is determined to work together to provide carers of all ages with the recognition and support they deserve.

Ministers from the Department of Health and Social Care, the Department for Work and Pensions, the Department for Business and Trade, and the Department for Education have convened twice this year to discuss support for unpaid carers and consider opportunities to provide further recognition and support. These are early meetings of a group exploring further ways in which carers can be supported, and as such it does not have a statutory remit.

Unpaid carers play a vital role and can access support from adult and children’s social care and the National Health Service, as well as through benefits, employers, schools, colleges, and universities. However, we know that too often systems are disjointed, difficult to navigate, and don’t appropriately identify and communicate with carers.

The Government is determined to work together to provide carers of all ages with the recognition and support they deserve.

Ministers from the Department of Health and Social Care, the Department for Work and Pensions, the Department for Business and Trade, and the Department for Education have convened twice this year to discuss support for unpaid carers and consider opportunities to provide further recognition and support. These are early meetings of a group exploring further ways in which carers can be supported, and as such it does not have a statutory remit.

Unpaid carers play a vital role and can access support from adult and children’s social care and the National Health Service, as well as through benefits, employers, schools, colleges, and universities. However, we know that too often systems are disjointed, difficult to navigate, and don’t appropriately identify and communicate with carers.

The Government is determined to work together to provide carers of all ages with the recognition and support they deserve.

Ministers from the Department of Health and Social Care, the Department for Work and Pensions, the Department for Business and Trade, and the Department for Education have convened twice this year to discuss support for unpaid carers and consider opportunities to provide further recognition and support. These are early meetings of a group exploring further ways in which carers can be supported, and as such it does not have a statutory remit.

Unpaid carers play a vital role and can access support from adult and children’s social care and the National Health Service, as well as through benefits, employers, schools, colleges, and universities. However, we know that too often systems are disjointed, difficult to navigate, and don’t appropriately identify and communicate with carers.

The Government is determined to work together to provide carers of all ages with the recognition and support they deserve.

Ministers from the Department of Health and Social Care, the Department for Work and Pensions, the Department for Business and Trade, and the Department for Education have convened twice this year to discuss support for unpaid carers and consider opportunities to provide further recognition and support. These are early meetings of a group exploring further ways in which carers can be supported, and as such it does not have a statutory remit.

We are supporting the hospice sector with a £100 million capital funding boost for eligible adult and children’s hospices in England to ensure they have the best physical environment for care. We are also providing £26 million of revenue funding to support children and young people’s hospices for 2025/26. This is a continuation of the funding which until recently was known as the children and young people’s hospice grant. In 2024/25 and 2025/26, this funding was administered via integrated care boards in line with National Health Service devolution.

The Department and NHS England are currently looking at how to improve the access, quality and sustainability of all-age palliative and end of life care in line with the 10-Year Health Plan.

Officials will present further proposals to Ministers over the coming months, outlining the drivers and incentives that are required in palliative care and end of life care to enable the shift from hospital to community, including as part of neighbourhood health teams.

Under the Care Act 2014, local authorities are tasked with the duty to shape their care markets to meet the diverse needs of all local people. This includes working closely with local providers to achieve a balance of quality, effectiveness and value for money that ensures that people who draw on care have a choice of appropriate and high-quality care services in their local area.

To ensure high standards of care, local authorities are assessed by the Care Quality Commission in how well they are delivering their duties under Part 1 of the Care Act 2014.

The Government committed to recruiting over 1,000 recently qualified general practitioners (GPs) in primary care networks (PCNs) through an £82 million boost to the Additional Roles Reimbursement Scheme (ARRS) over 2024/25, as part of an initiative to secure the future pipeline of GPs. This funding has been continued into 2025/26.

Data on the number of recently qualified GPs for which PCNs are claiming reimbursement via the ARRS show that since 1 October 2024, over 2,000 GPs were recruited through the scheme. Several changes have been made to increase the flexibility of the ARRS in 2025/26. This includes GPs and practice nurses included in the main ARRS funding pot, an uplift of the maximum reimbursable rate for GPs in the scheme, and no caps on the number of GPs that can be employed through the scheme.

Thanks to new flexibilities under the ARRS, South East London general practices have grown the number of GPs across South East London by approximately 40 working time equivalent between July 2024 and July 2025, utilising the funding offered through this scheme to bring South East London in line with the London average of GPs per 10,000 registered population.

NHS South East London has work programmes in place to improve recruitment and retention and has commissioned a package of recruitment and retention support from the South East London Workforce Development Hub, a training hub for general practice.

We are investing an additional £1,092 million in general practice to reinforce the front door of the National Health Service, bringing total spend on the GP Contract to £13.4 billion in 2025/26. This is the biggest increase in over a decade. The 8.9% boost to the GP contract in 2025/26 is faster than the 5.8% growth to the NHS budget overall.

We are aware of the challenges faced in accessing a dentist, particularly in more rural areas.

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.

ICBs are recruiting posts through the Golden Hello scheme. This recruitment incentive will see dentists receiving payments of £20,000 to work in those areas that need them most for three years.

We are committed to reforming the dental contract, with a shift to focus on prevention and the retention of NHS dentists. The Government’s ambition is to deliver fundamental contract reform before the end of this Parliament.

Our health system has struggled to support those with complex needs, including those with dementia. Under the 10 Year Health Plan, those living with dementia will benefit from improved care planning and better services.

We will deliver the first ever Modern Service Framework for Frailty and Dementia to deliver rapid and significant improvements in quality of care and productivity. This will be informed by phase one of the independent commission into adult social care, expected in 2026.

The Modern Service Framework for Frailty and Dementia will seek to reduce unwarranted variation and narrow inequality for those living with dementia; it will set national standards for dementia care and redirect National Health Service priorities to provide the best possible care and support.

We want all health and care staff to have received appropriate training to provide high quality care to people with dementia. Employers in the health system are responsible for ensuring that their staff are trained to the required standards to deliver appropriate treatment for patients. The required training needs are set out in the Dementia Training Standards Framework, which is available through Skills for Health.

In January, we announced that the Care Workforce Pathway will expand to further support opportunities for career progression and development.

The Care Workforce pathway is designed to be a foundation which will enable individuals to develop a ‘portable portfolio’ of skills attained both through learning programmes and practical experience within a range of care services, such as learning disabilities, autism or dementia.

The Government recognises the vital role of families and unpaid carers and is committed to improving dementia care and ensuring carers have the support they need.

Under the 10 Year Health Plan, those living with dementia will benefit from improved care planning and better services. We will deliver the first ever Modern Service Framework for Frailty and Dementia to deliver rapid and significant improvements in quality of care and productivity.

To support carers, we are equipping and supporting carers by making them more visible, empowering their voices in care planning, joining up services, and streamlining their caring tasks by introducing a new ‘MyCarer’ section to the NHS App. The Government is also reviewing the implementation of carer’s leave and the potential benefits of introducing paid leave.

From 7 April, the Carer's Allowance weekly earnings limit increased from £151 to £196, the largest rise since its introduction. Local authorities, under the Care Act 2014, have a duty to provide high-quality, sustainable support services for carers.

The Government recognises challenges facing adult social care and is taking action to improve the system and enable more people to live independently for longer. While local authorities are best placed to plan and deliver care and support that meet the current and future needs of their populations, we are supporting them to deliver high quality and person-centred care.

In 2025/26, to enable local authorities to deliver key services such as adult social care, we made available up to £3.7 billion of additional funding for social care authorities, which included an £880 million increase in the Social Care Grant. We are providing £172 million across this and the last financial year, for around 15,000 home adaptations.

We will support commissioners and care providers to adopt preventative care technologies by introducing new national standards and trusted guidance. To support efficiency and the delivery of care, we are also developing a new national data infrastructure for adult social care to lay the foundations for near real-time visibility of information across health and care services.

We have also launched the Independent Commission on Adult Social Care, chaired by Baroness Casey, to lead a national conversation and consider how to best create a fair and affordable adult social care system.

Long wait times are a feature of a system in desperate need of change. On mental health, we are already responding by delivering new, innovative models of care in the community, including piloting six neighbourhood adult mental health centres, operating 24 hours a day, seven days a week, to bring together community, crisis and inpatient care.

We are also recruiting an additional 8,500 mental health workers to ensure people can access treatment and support earlier with 6,700 of these having been recruited since July 2024. We are prioritising expansions of Talking Therapies and Individual Placement and Support schemes, supporting those with mild to moderate mental illness through earlier intervention.

Additionally, the National Institute for Health and Care Research, the research delivery arm of the Department, funds a range of research to support women’s health conditions, including endometriosis. Funding has been awarded to studies seeking to improve outcomes for women with endometriosis by better understanding the condition, enabling earlier diagnosis, and evaluating current and emerging treatment options. This includes research on mental health and pain management support for people with endometriosis.

The merger of NHS England into the Department will not prevent us continuing to deliver the digital services on which the National Health Service relies, maintaining the highest standards of cyber security and ensuring patient data continues to be appropriately and safely stored. Legislation will make provision as necessary, with Parliament’s approval, to transfer the statutory responsibilities of NHS England to the Department.

The review will consider how health needs are reflected in the distribution of funding through the GP contract, drawing on a range of evidence and advice from experts.

Arrangements for the Carr-Hill review are being finalised. Further details will be confirmed in due course.

Palliative care services, including for children, are included in the list of services that integrated care boards (ICBs) must commission. To support ICBs in this duty, NHS England has published statutory guidance and service specifications.

Whilst the majority of palliative and end of life care is provided by National Health Service staff and services, we recognise the vital part that voluntary sector organisations, including children’s hospices, also play in providing support to children who require palliative care and end of life care, and their loved ones.

Most hospices are charitable, independent organisations which receive some statutory funding for providing NHS services. The amount of funding each charitable hospice receives varies both within and between ICB areas. This will vary depending on demand in that ICB area but will also be dependent on the totality and type of palliative care and end of life care provision from both NHS and non-NHS services, including charitable hospices, within each ICB area. It is for ICBs to determine whether they publish their funding data.

We are supporting the hospice sector with a £100 million capital funding boost for eligible adult and children’s hospices in England to ensure they have the best physical environment for care. The allocations for 2024/25 are available at the following link:

https://www.gov.uk/government/news/hospices-receive-multi-million-pound-boost-to-improve-facilities

The allocations for 2025/26 are available at the following link:

https://www.gov.uk/government/news/75-million-boost-for-hospices-to-transform-end-of-life-care

We are also providing £26 million of revenue funding to support children and young people’s hospices for 2025/26. This is a continuation of the funding which until recently was known as the Children and Young People’s Hospice Grant.

In 2024/25 and 2025/26, this funding was administered via ICBs in line with NHS devolution.

The Government has been clear that community pharmacies will have a vital role in the Neighbourhood Health Service, bringing healthcare to the heart of the high street, as set out in our 10-Year Health Plan.

There are over 10,400 pharmacies in England. Despite a reduction in the number of pharmacies, access to pharmacies remains good. Over 80% of the population live within one mile of a pharmacy and there are twice as many pharmacies in the most deprived areas. In some rural areas where there is no pharmacy, general practitioners are permitted to dispense medicines to their patients. Patients can also choose to access medicines and pharmacy services through any of the over 400 National Health Service online pharmacies that are contractually required to deliver medicines they dispense free of charge to patients.

For 2025/26, funding for the core community pharmacy contractual framework has been increased to £3.073 billion. This represents the largest uplift in funding of any part of the NHS, over 19% across 2024/25 and 2025/26. There is also additional funding available, for example for pharmacies delivering Pharmacy First consultations and flu and COVID-19 vaccinations.

The Government has been clear that community pharmacies will have a vital role in the Neighbourhood Health Service, bringing healthcare to the heart of the high street, as set out in our 10-Year Health Plan.

There are over 10,400 pharmacies in England. Despite a reduction in the number of pharmacies, access to pharmacies remains good. Over 80% of the population live within one mile of a pharmacy and there are twice as many pharmacies in the most deprived areas. In some rural areas where there is no pharmacy, general practitioners are permitted to dispense medicines to their patients. Patients can also choose to access medicines and pharmacy services through any of the over 400 National Health Service online pharmacies that are contractually required to deliver medicines they dispense free of charge to patients.

For 2025/26, funding for the core community pharmacy contractual framework has been increased to £3.073 billion. This represents the largest uplift in funding of any part of the NHS, over 19% across 2024/25 and 2025/26. There is also additional funding available, for example for pharmacies delivering Pharmacy First consultations and flu and COVID-19 vaccinations.

The Government has been clear that community pharmacies will have a vital role in the Neighbourhood Health Service, bringing healthcare to the heart of the high street, as set out in our 10-Year Health Plan.

There are over 10,400 pharmacies in England. Despite a reduction in the number of pharmacies, access to pharmacies remains good. Over 80% of the population live within one mile of a pharmacy and there are twice as many pharmacies in the most deprived areas. In some rural areas where there is no pharmacy, general practitioners are permitted to dispense medicines to their patients. Patients can also choose to access medicines and pharmacy services through any of the over 400 National Health Service online pharmacies that are contractually required to deliver medicines they dispense free of charge to patients.

For 2025/26, funding for the core community pharmacy contractual framework has been increased to £3.073 billion. This represents the largest uplift in funding of any part of the NHS, over 19% across 2024/25 and 2025/26. There is also additional funding available, for example for pharmacies delivering Pharmacy First consultations and flu and COVID-19 vaccinations.

There is no centrally stipulated limit on the distance a patient should be from a general practice surgery or a neighbourhood health centre (NHC). Integrated care boards are required to commission services that meet the reasonable needs of the population they serve.

The Government has committed to deliver a NHC in every community across the country over the course of the 10-Year Health Plan. The Department is currently determining how best to trial NHCs, including identifying potential site locations.

Our 10-Year Health Plan will ensure that people with complex needs are supported to be active participants in their own care. As part of this, 95% of people with complex needs or long-term conditions will have an agreed personalised care plan by 2027.

We recognise that care plans should be developed collaboratively between patients and care teams. Reaching agreement is essential, as a lack of consensus can lead to delays in care and reduced patient engagement.

Patients have the right to autonomy over decisions about their own care, and both clinical and personal aspects should be approached as shared decisions. Where disagreements arise, particularly those relating to funding, can be escalated to the integrated care board for resolution.

Work is currently underway to determine how care plans will be delivered, including escalation routes if agreement can’t be made.

Integrated care boards (ICBs) were instructed to invite all general practices to participate in the enhanced service specification for General Practice Requests for Advice and Guidance (A&G) 2025/26, which sees practices entitled to claim a £20 fee per request for pre-referral advice and guidance, no later than 13 May 2025. The Government has made £80 million available to fund up to four million A&G requests so general practitioners (GPs) can access advice ahead of making a referral, recognising the importance of their role in ensuring patient care takes place in the most appropriate setting.

NHS England has developed supporting resources to aid continued use of A&G, including a toolkit with guidance for GPs as well as for commissioners and secondary care clinical teams, and an operational delivery framework which sets a roadmap for ICBs to expand and improve their use of A&G across seven themes and with a set of minimum standards for best practice.

National Health Service pharmaceutical services, the staff who provide them, and the community pharmacies from which they are delivered are regulated. The entire system is laid out in legislation and is subject to assurance and inspection by both integrated care boards (ICBs) and the General Pharmaceutical Council.

ICBs are responsible for monitoring that contractors are adhering to their NHS terms of service, investigating and acting in cases of non-compliance. ICBs are also responsible for determining applications for new pharmacies including changes of ownership. The legislative framework is under constant review and is updated as required.

The Department does not make assessments of the suitability of individual pharmacy contractors. The Department also does not engage directly with individual pharmacy contractors to discuss matters like unpaid staff or suppliers.