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 the total monetary value was of NHS costs submitted under the European Health Insurance Card scheme that were not recovered in each of the last three financial years.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Under our agreements with the European Union, European Free Trade Association countries and Switzerland, we make claims to European countries for National Health Service costs incurred by temporary visitors from those countries. Claims are made in arrears and take up to four years before they are fully settled.
The following table shows the position of European Health Insurance Card and Provisional Replacement Certificate claims for the last three financial years as of 31 March 2025:
Financial year | Total value of claims submitted by UK (£000s) | Claims withdrawn by UK (£000s) | Claims paid to the UK (£000s) | Outstanding claims (£000s) |
2022/23 | 10,200 | 402 | 9,174 | 624 |
2023/24 | 12,054 | 233 | 6,570 | 5,251 |
2024/25 | 12,041 | 19 | 863 | 11,159 |
Grand Total | 34,295 | 654 | 16,606 | 17,035 |
These figures come from extracts from the NHS Business Services Authority’s claims processing database used by the Department for accounting purposes. Claims listed as withdrawn or paid have been settled whereas those listed as outstanding are still being agreed. We expect most outstanding claims to be settled in the United Kingdom’s favour.
This data excludes countries where NHS costs for temporary visitors are reimbursed based on a formula agreement which calculates costs from the number of visitors from that country to the UK. Further information is available at the following link:
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 5 February 2026 to Question 108297, whether his Department holds any evidence on rates of neonatal and post-neonatal death, including accidental suffocation and overlaying, associated with parental cannabis use during pregnancy and the postnatal period.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK (MBRRACE-UK) programme is responsible for reviewing stillbirths and neonatal deaths across the United Kingdom to identify causes, improve clinical care, and reduce future preventable deaths. Analysis of MBRRACE-UK data found that between 2014 and 2024, there were 17 neonatal deaths attributed to accidental suffocation, with only one case explicitly linked to cannabis use. There was also one neonatal sudden infant death syndrome case involving maternal cannabis and alcohol history, and one neonatal death where maternal cannabis use was a secondary contributor. There were thus a total of three neonatal deaths linked to cannabis use between 2014 and 2024.
The National Child Mortality Database (NCMD) collects and analyses data on the deaths of all children under 18 years of age. The latest data published by the NCMD highlighted that of the deaths reviewed by Child Death Overview Panels between April 2024 and March 2025, substance misuse during pregnancy was identified as a contributing factor in 62 out of 4,035 infant deaths where data was available. The NCMD thematic report on Deaths of children and young people due to traumatic incidents also highlighted that between 1 April 2019 and March 2022, there were 42 deaths as a result of accidental strangulation or suffocation. 13, or 31%, children were aged under one years old, 17, or 40%, were aged one to four years old, and 12, or 29%, were aged five to 17 years old. In total, 18 children died where entrapment or overlay was found to be a significant contributing factor, but the analysis did not look at whether or not there was substance misuse by the parents.
Asked by: Ben Maguire (Liberal Democrat - North Cornwall)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the adequacy of the resilience of NHS services to disruptions within the commercial laundry sector.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The NHS England estates, commercial, and emergency preparedness, resilience, and response teams are undertaking an assessment of the provision of laundry services, in-house and out-sourced, in the National Health Service. This includes the NHS requirements for laundry services, available capacity, and the most efficient approach to their provision.
Asked by: Joe Robertson (Conservative - Isle of Wight East)
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 Activity Management Plans issued by NHS Integrated Care Boards on the commitment made in the NHS/Independent Sector Partnership Agreement signed in January 2025 to enable increased independent sector elective activity to reduce waiting times.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Integrated care boards (ICBs) have existing contractual powers to manage activity by providers, which were enhanced in 2025/26 with central support for setting and managing activity. The NHS Standard Contract includes the ability to set Indicative Activity Plans (IAPs) to help providers and commissioners plan demand, capacity, and expenditure. While not binding, if activity exceeds the agreed plan, and therefore the funding agreed, an Activity Management Plan (AMP) can be agreed to bring activity back in line.
The provision and use of IAPs and AMPs is designed to deliver the activity levels required to achieve the goal of at least 65% of patients waiting no longer than 18 weeks for treatment by March 2026 whilst also living within financial budgets set for 2025/26.
Any planning assumptions based on waiting times need to support commissioners’ overall duties to the populations they serve and our waiting time targets, including our commitment to return to the 18-week standard. AMPs allow commissioners and providers to work together to manage elective activity within agreed performance and financial targets, all whilst working towards improving patient waiting times overall.
Patients have a legal right to choose where they go for their first appointment when referred to consultant-led care as an outpatient. ICBs are responsible for ensuring that their processes comply with the legal right to choose.
Since the publication of the Partnership Agreement in January 2025, the independent sector has delivered approximately 200,000 additional treatments compared to the same period last year.
Asked by: Joe Robertson (Conservative - Isle of Wight East)
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 Activity Management Plans issued by NHS Integrated Care Boards and their impact on the NHS’ adherence with its constitutional access standards and patient choice rules.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Integrated care boards (ICBs) have existing contractual powers to manage activity by providers, which were enhanced in 2025/26 with central support for setting and managing activity. The NHS Standard Contract includes the ability to set Indicative Activity Plans (IAPs) to help providers and commissioners plan demand, capacity, and expenditure. While not binding, if activity exceeds the agreed plan, and therefore the funding agreed, an Activity Management Plan (AMP) can be agreed to bring activity back in line.
The provision and use of IAPs and AMPs is designed to deliver the activity levels required to achieve the goal of at least 65% of patients waiting no longer than 18 weeks for treatment by March 2026 whilst also living within financial budgets set for 2025/26.
Any planning assumptions based on waiting times need to support commissioners’ overall duties to the populations they serve and our waiting time targets, including our commitment to return to the 18-week standard. AMPs allow commissioners and providers to work together to manage elective activity within agreed performance and financial targets, all whilst working towards improving patient waiting times overall.
Patients have a legal right to choose where they go for their first appointment when referred to consultant-led care as an outpatient. ICBs are responsible for ensuring that their processes comply with the legal right to choose.
Since the publication of the Partnership Agreement in January 2025, the independent sector has delivered approximately 200,000 additional treatments compared to the same period last year.
Asked by: Matt Vickers (Conservative - Stockton West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he has taken to help support the training and operation of Parkinson's specialist health workforce.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The standard of training for doctors is the responsibility of the General Medical Council (GMC). The curricula for postgraduate specialty training are set by the Academy of Medical Royal Colleges for foundation training, and by individual royal colleges and faculties for specialty training. The GMC approves curricula and assessment systems for each training programme.
The Government will publish a 10 Year Workforce Plan to set out action to create a workforce ready to deliver the transformed service set out in the 10-Year Health Plan, including specialists across the full scope of National Health Service care. It will ensure that the NHS has the right people in the right places, with the right skills to care for patients, including those with Parkinson’s disease, when they need it. The 10 Year Workforce Plan will set out how we will deliver that change by making sure that staff are better treated, have better training, more fulfilling roles, and hope for the future.
We have set up a United Kingdom-wide Neuro Forum, facilitating formal, twice-yearly meetings across the Department, NHS England, the devolved administrations and health services, and the Neurological Alliances of all four nations. The new forum brings key stakeholders together to share learnings across the system and discuss challenges, best practice examples, and potential solutions for improving the care of people with neurological conditions, including Parkinson’s. The forum has identified areas for initial focus, including workforce, which featured as a key item on the agenda at the second meeting of the forum in September 2025.
Asked by: Matt Vickers (Conservative - Stockton West)
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 retain healthcare professionals specialising in Parkinson’s disease.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The standard of training for doctors is the responsibility of the General Medical Council (GMC). The curricula for postgraduate specialty training are set by the Academy of Medical Royal Colleges for foundation training, and by individual royal colleges and faculties for specialty training. The GMC approves curricula and assessment systems for each training programme.
The Government will publish a 10 Year Workforce Plan to set out action to create a workforce ready to deliver the transformed service set out in the 10-Year Health Plan, including specialists across the full scope of National Health Service care. It will ensure that the NHS has the right people in the right places, with the right skills to care for patients, including those with Parkinson’s disease, when they need it. The 10 Year Workforce Plan will set out how we will deliver that change by making sure that staff are better treated, have better training, more fulfilling roles, and hope for the future.
We have set up a United Kingdom-wide Neuro Forum, facilitating formal, twice-yearly meetings across the Department, NHS England, the devolved administrations and health services, and the Neurological Alliances of all four nations. The new forum brings key stakeholders together to share learnings across the system and discuss challenges, best practice examples, and potential solutions for improving the care of people with neurological conditions, including Parkinson’s. The forum has identified areas for initial focus, including workforce, which featured as a key item on the agenda at the second meeting of the forum in September 2025.
Asked by: Gareth Thomas (Labour (Co-op) - Harrow West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether they will require their department and agencies to offer payroll deductions to all employees to enable them to join a credit union.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department’s financial wellbeing offer for its workforce includes access to a variety of advances including rental deposits and season ticket loans, as well as debt/budgeting advice and support through its Employee Assistance Programme.
The Department does not offer credit union membership via payroll deductions and has no current plans to introduce such arrangements. Of our executive agencies, only the UK Health Security Agency (UKHSA) has a general payroll deduction facility which could be used for such a purpose and the UKHSA includes details on its Financial Wellbeing page as to where employees can find further information on credit unions.
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 recent steps he has taken to provide a 24/7 thrombectomy service.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
NHS England is working to increase the size of the workforce trained to deliver thrombectomy so that 24/7 access is available across England by April 2026.
To achieve this NHS England is working with the General Medical Council in approving a credential to support neuroradiologists to conduct thrombectomy and increase the number of thrombectomies that can be delivered.
In addition, NHS England’s National Medical Director and National Clinical Director for Stroke has supported comprehensive stroke centers in England to improve quality and reduce variation in thrombectomy delivery.
Asked by: Jess Brown-Fuller (Liberal Democrat - Chichester)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will undertake a review of publicly funded fellowship programmes for training overseas doctors.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
There are currently no plans to review publicly funded fellowship programmes for training overseas doctors. A range of international postgraduate medical training schemes operate across the National Health Service. These are governed by individual NHS trusts, medical royal colleges, the Academy of Medical Royal Colleges, and indirectly, NHS England, and the General Medical Council. These programmes are expected to be properly governed, provide value for money, and ensure fair treatment for all participants. We expect all NHS organisations to operate in line with these principles.