Asked by: Luke Evans (Conservative - Hinckley and Bosworth)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to his Department's publication entitled Changes to the GP contract in 2026/27, updated on 4 March 2025, whether he has made an assessment of the impact of removing the cap on online requests that can be submitted during core hours on (a) patient safety and (b) GP workload.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department has not made a specific assessment of the impact of removing the caps on online requests on patient safety and general practice (GP) workload. Data on online consultation submissions is collected, monitored, and published.
This is because there is no change to clinical responsibility, triage processes, or same‑day requirements for clinically urgent care as a result of this clarification. Practices retain flexibility over how requests are prioritised and responded to, including the use of triage models and appropriate response times for non‑urgent requests. Evidence from practices shows that spreading demand more evenly across the day can support smoother workflows and reduce pressure on telephone access, rather than increasing overall workload.
The clarification on online access is being implemented alongside wider GP Contract changes for 2026/27, including £485 million in additional core funding and reforms intended to support practice capacity.
Asked by: Iqbal Mohamed (Independent - Dewsbury and Batley)
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 ensure that individuals found responsible for abusive conduct towards vulnerable adults cannot work in publicly funded social care services.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The intention of Care Quality Commission (CQC) Regulation 19 Fit and proper persons employed of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 is to make sure providers only employ 'fit and proper' staff who are able to provide care and treatment appropriate to their role and to enable them to provide the regulated activity.
To meet this regulation, providers must operate robust recruitment procedures, including undertaking any relevant checks. They must have a procedure for ongoing monitoring of staff to make sure they remain able to meet the requirements, and they must have appropriate arrangements in place to deal with staff who are no longer fit to carry out the duties required of them.
In addition, an Enhanced Disclosure and Barring Service check must be undertaken prior to the recruitment of all care workers. If an individual has been barred, then they will be added to the Adults’ Barred List. If they knowingly engage, or seek to engage, in regulated activity with a vulnerable group from which they are barred then they would be committing a criminal offence, punishable by imprisonment and/or a fine. The same is true for employers who knowingly employ somebody who is on the barred list.
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 assessment he has made of the impact of out-of-area residential and nursing care placements on individuals’ access to family support networks.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Decisions about care placements are made locally, based on individual assessments of need and personal circumstances. Under the Care Act 2014, local authorities are tasked with the duty to shape their care markets and commission services to meet the diverse needs of all local people. This includes commissioning a variety of different providers and specialist services that provide genuine choice to meet the needs of local people and that offer quality and value for money.
There is no single national assessment of the impact of out‑of‑area placements on access to family support networks. However, local authorities should engage with people who draw on care and support, and their families and carers, to inform commissioning decisions and to consider the outcomes which matter to them.
Under the Health and Care Act 2022, the Care Quality Commission has a statutory duty to assess how well local authorities are delivering their adult social care duties. However, we recognise that out-of-area placements can sometimes occur due to a lack of available provision in the area.
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 reduce the need for out-of-area placements in residential and nursing care.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Decisions about care placements are made locally, based on individual assessments of need and personal circumstances. Under the Care Act 2014, local authorities are tasked with the duty to shape their care markets and commission services to meet the diverse needs of all local people. This includes commissioning a variety of different providers and specialist services that provide genuine choice to meet the needs of local people and that offer quality and value for money.
There is no single national assessment of the impact of out‑of‑area placements on access to family support networks. However, local authorities should engage with people who draw on care and support, and their families and carers, to inform commissioning decisions and to consider the outcomes which matter to them.
Under the Health and Care Act 2022, the Care Quality Commission has a statutory duty to assess how well local authorities are delivering their adult social care duties. However, we recognise that out-of-area placements can sometimes occur due to a lack of available provision in the area.
Asked by: Iqbal Mohamed (Independent - Dewsbury and Batley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what vetting procedures apply to individuals employed in adult social care roles involving contact with vulnerable adults.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The intention of Care Quality Commission (CQC) Regulation 19 Fit and proper persons employed of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 is to make sure providers only employ 'fit and proper' staff who are able to provide care and treatment appropriate to their role and to enable them to provide the regulated activity.
To meet this regulation, providers must operate robust recruitment procedures, including undertaking any relevant checks. They must have a procedure for ongoing monitoring of staff to make sure they remain able to meet the requirements, and they must have appropriate arrangements in place to deal with staff who are no longer fit to carry out the duties required of them.
The CQC can assess compliance with these regulations through assessment and monitoring activity. Where a breach of regulation or non-compliance is identified, The CQC can take regulatory action.
An Enhanced Disclosure and Barring Service (DBS) check must be undertaken prior to the recruitment of all care workers. In line with the CQC guidance for DBS checks, staff working with vulnerable adults can only start work before a DBS certificate is received if they have had a DBS Adult First Check, are appropriately supervised, and do not escort people away from the premises unless accompanied by someone with a DBS check.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department plans to issue guidance to Integrated Care Boards on commissioning speech and language therapy services for people with primary progressive aphasia.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Government is committed to improving care for everyone with dementia, which is why we have funded the work of Dementia 100: Assessment Tool Pathway programme. This brings together multiple resources into a single, consolidated tool and will help simplify best practice. A number of experts, including those with expertise in speech and language therapy and dementia care, provided independent, desktop analysis of the tool and this invaluable feedback was integrated into the tool. The D100: Pathway Assessment Tool can be found at the following link:
We will also 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, which is expected this year. The Frailty and Dementia Modern Service Framework will seek to reduce unwarranted variation and narrow inequality for those living with dementia and will set national standards for dementia care and redirect National Health Service priorities to provide the best possible care and support.
We are committed to publishing an interim product in September this year to feed into NHS and local government planning cycles, and will aim to publish the full modern service framework by the end of this calendar year as recommended by Baroness Casey.
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 improve public awareness of alternative urgent care services, such as a) community pharmacies, b) urgent treatment centres and c) NHS 111.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department and NHS England have launched national campaigns to raise awareness of urgent National Health Services. The Pharmacy First campaign, from October 2025 to January 2026, encouraged people to seek treatment for seven common conditions at pharmacies, helping to relieve pressure on general practice over winter. It used various media channels, including television, radio, outdoor adverts, social media, and online platforms. The NHS 111 campaign, from November 2025 to March 2026, promoted the use of the 111 service for urgent medical needs, directing people to suitable care options, including urgent treatment centres and mental health support, through similar advertising channels. Government and NHS online resources also signpost people to the most appropriate urgent care services.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
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 access to speech and language therapy for people with primary progressive aphasia.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The provision of dementia health care services is the responsibility of local integrated care boards (ICBs) and may include speech and language therapy. We expect ICBs to commission services based on local population needs, taking account of National Institute for Health and Care Excellence guidelines.
Patients can be referred to a speech and language therapist at any time after a diagnosis. The therapist will assess speech, language, and communication difficulties and how they are affecting the patient or making everyday life difficult. They can also help with eating, drinking, and swallowing difficulties.
Asked by: Alex Mayer (Labour - Dunstable and Leighton Buzzard)
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 expand the role of optometrists in delivering community-based eye care, including shared care schemes.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Integrated care boards can already commission community-based eye care services. Improvements in IT connectivity and the development of single points of access between primary care optometry and secondary care will also support more care being delivered in the community, including under shared care arrangements.
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 assessment he has made of the effectiveness of the Pharmacy First scheme in reducing avoidable attendances to accident and emergency departments.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department does not hold data on the number of avoidable attendances to accident and emergency departments have been prevented by Pharmacy First. Pharmacy First is a complex service that links to multiple parts of the healthcare system. The service aims to offer eligible patients a complete episode of care in the pharmacy setting and to receive treatment for seven common health conditions releasing pressure on general practice appointments and the wider National Health Service. Since the service launched, there have been over 4.8 million consultations, with over 3.6 million consultations resulting in supply medicines.