Asked by: Roz Savage (Liberal Democrat - South Cotswolds)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment has been made of the potential impact of levels of funding for primary care on levels of demand for secondary and urgent care.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We are investing an additional £1.1 billion in general practice (GP) to reinforce the front door of the National Health Service, bringing total spend on the GP Contract to £13.4 billion in 2025/26, which is the biggest cash increase in over a decade. The 8.9% boost to the GP Contract in 2025/26 is greater than the 5.8% growth to the NHS budget as a whole. Over six million more GP appointments have been delivered in the 12-months to November 2025 compared to the same period last year, building capacity and improving access so that patients can be seen when they need to be in primary care.
As part of the GP Contract funding, since 1 October, GPs must allow patients to contact them via an online form at any time during core hours to request an appointment or raise a query, in addition to telephone and in-person requests. By expanding ease of contact via online access, we expect to reduce pressure on accident and emergency as we know that many patients seek medical care in accident and emergency if they fail to make contact with their GP.
We are also funding the expansion of Advice and Guidance (A&G) to improve two-way communication between GPs and hospital specialists and ensure care is delivered in the right setting. We expect this to increase the usage of A&G and help patients receive the care they need in primary and community settings where appropriate, reducing referrals to secondary care.
Asked by: Edward Morello (Liberal Democrat - West Dorset)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what measures are in place to prevent CHC funding reductions from compromising care for vulnerable patients in West Dorset constituency.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department and NHS England have made clear that any work to manage costs by integrated care boards (ICB) must be carried out with clear safeguards in place to protect frontline responsibilities.
ICBs remain legally responsible for the operational delivery of NHS Continuing Healthcare (CHC) and must have regard to the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care, which is available at the following link:
Funding for CHC is not ringfenced, but is calculated using the ICB allocation formula. Individual ICBs should decide how best to use their overall funding allocation to deliver their statutory functions, including CHC. Any ICB measures to manage costs should not impact on an individual’s eligibility for CHC, or their care. This means that eligible individuals must continue to receive appropriate care that meets their assessed needs.
NHS England has issued a good practice guide for CHC to support National Health Service staff by providing practical ways for ICBs to enhance system efficiency and deliver sustainable services.
Asked by: John Hayes (Conservative - South Holland and The Deepings)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will take steps to regularly monitor and report on dental access for cleft and other priority groups.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We recognise that certain groups of patients may be more vulnerable to oral health problems, including patients with clefts.
NHS England commissions services for children, young people and adults with a cleft lip and/or palate. The patient pathway can start from pre-birth and continues into adulthood. Cleft services provide care through multi-disciplinary teams, and the comprehensive care pathway will include elements such as paediatric dentistry, restorative dentistry and orthodontics. More information is available at the following link:
https://www.england.nhs.uk/wp-content/uploads/2013/06/d07-cleft-lip.pdf
The Office of the Chief Dental Officer England is in ongoing discussions with members of the Cleft Llip and Palate Association to assess what measures can be taken to better understand and improve access to care for patients born with a cleft.
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 across England.
Asked by: John Hayes (Conservative - South Holland and The Deepings)
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 people with cleft receive appropriate dental care.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We recognise that certain groups of patients may be more vulnerable to oral health problems, including patients with clefts.
NHS England commissions services for children, young people and adults with a cleft lip and/or palate. The patient pathway can start from pre-birth and continues into adulthood. Cleft services provide care through multi-disciplinary teams, and the comprehensive care pathway will include elements such as paediatric dentistry, restorative dentistry and orthodontics. More information is available at the following link:
https://www.england.nhs.uk/wp-content/uploads/2013/06/d07-cleft-lip.pdf
The Office of the Chief Dental Officer England is in ongoing discussions with members of the Cleft Llip and Palate Association to assess what measures can be taken to better understand and improve access to care for patients born with a cleft.
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 across England.
Asked by: Rupert Lowe (Independent - Great Yarmouth)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if his Department will provide emergency funding to areas with the most severe dental shortages, including Great Yarmouth.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We are aware of the challenges faced in accessing a dentist, particularly in more rural and coastal areas such as Great Yarmouth.
In 2024/25, the Government invested around £3.7 billion on primary care dentistry. We want to ensure that every penny we allocate for dentistry is spent on dentistry, and that the ringfenced dental budget is spent on the patients who need it most.
The responsibility for commissioning primary care services, including National Health Service dentistry, to meet the needs of the local population has been delegated to the integrated care boards (ICBs) across England. For the Great Yarmouth constituency, this is the NHS Norfolk and Waveney ICB.
We have asked ICBs to commission extra urgent dental appointments across the country, with appointments more heavily weighted towards those areas where they are needed the most.
ICBs are also recruiting dentists 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 delivering fundamental reform of the dental contract before the end of this Parliament. As a first step, we published the Government’s response to the public consultation on shorter term improvements to the NHS dental contract on 16 December 2025. The changes will be introduced from April 2026. These reforms will put patients with the greatest needs first while incentivising urgent care and complex treatments. Further information is available at the following link:
Asked by: Shaun Davies (Labour - Telford)
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 Welltower on ensuring that its acquisition of HC-One, Barchester and Care UK does not have adverse impacts on a) care staff and b) care home residents.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department has not had any discussions with Welltower about their recent investment in the acquisitions of care homes.
The Government has not made a specific assessment of the impact of Welltower’s acquisition of Barchester Healthcare on the market concentration in London and the South East. Merger investigations on competition grounds are a matter for the Competition and Markets Authority (CMA), which operates independently of Government. The CMA determines which transactions to review based on statutory thresholds and whether there is a realistic prospect of a substantial lessening of competition. The Government keeps the merger control regime under regular review to ensure it remains fit for purpose and works effectively within the current regulatory environment.
Under the Care Act 2014, local authorities have a duty to shape their care market to meet the diverse needs of all people, and to develop and build local market capacity. 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.
Whilst fee rates are set by providers of adult social care, all businesses are required to comply with the Consumer Rights Act 2015 by ensuring that they use fair and clear terms in their standard agreements with customers.
Private providers also hold much of the responsibility for recruitment and retention as adult social care employers. However, English local authorities do also have responsibility under the Care Act 2014 to meet social care needs and statutory guidance directs them to ensure there is sufficient workforce in adult social care.
Asked by: Shaun Davies (Labour - Telford)
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 potential impact of Welltower's acquisition of HC-One, Barchester and Care UK on the quality and affordability of care in the UK.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department has not had any discussions with Welltower about their recent investment in the acquisitions of care homes.
The Government has not made a specific assessment of the impact of Welltower’s acquisition of Barchester Healthcare on the market concentration in London and the South East. Merger investigations on competition grounds are a matter for the Competition and Markets Authority (CMA), which operates independently of Government. The CMA determines which transactions to review based on statutory thresholds and whether there is a realistic prospect of a substantial lessening of competition. The Government keeps the merger control regime under regular review to ensure it remains fit for purpose and works effectively within the current regulatory environment.
Under the Care Act 2014, local authorities have a duty to shape their care market to meet the diverse needs of all people, and to develop and build local market capacity. 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.
Whilst fee rates are set by providers of adult social care, all businesses are required to comply with the Consumer Rights Act 2015 by ensuring that they use fair and clear terms in their standard agreements with customers.
Private providers also hold much of the responsibility for recruitment and retention as adult social care employers. However, English local authorities do also have responsibility under the Care Act 2014 to meet social care needs and statutory guidance directs them to ensure there is sufficient workforce in adult social care.
Asked by: Natalie Fleet (Labour - Bolsover)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of joined up working between local authority social services and the NHS in dementia cases where a patient and their carer live in different local authority areas.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Carer support where a carer lives in a different local authority or National Health Service integrated care board area is not specifically detailed in the dementia guidance documents. However, all core dementia guidance, including The Dementia 100, The Dementia Care Pathway, and The Dementia RightCare scenario, signal the expectation to provide person-centred, integrated pathways across health and social care. This principle is intended to support carers irrespective of location.
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.
Those with dementia will also benefit from more joined-up care through co-created care plans, as by 2027, 95% of those with complex needs will have an agreed care plan.
The My Carer tool will give family, friends, and carers, including those looking after someone with dementia, access to the NHS App. This will ensure decisions are agreed and taken by those who best know the patient, who may not be able to make those decisions independently, whilst making it easier for unpaid carers to manage their care and access professionals whenever they need them.
Asked by: Roz Savage (Liberal Democrat - South Cotswolds)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what mechanisms will ensure accountability for primary care outcomes within merged ICBs, particularly where decision-making may be centralised elsewhere.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The NHS Oversight Framework will continue to provide the approach to assessing integrated care boards, including in relation to primary care.
Asked by: Roz Savage (Liberal Democrat - South Cotswolds)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what information his Department holds on the number of services that have been permanently cut from community hospitals following temporary trials in each year for which information is available.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Decisions about NHS services, including in Cirencester, are best taken at a local level, and the responsibility for the delivery, implementation and funding decisions for services ultimately rests with the appropriate NHS commissioner.
All service changes should be based on clear evidence that they will deliver better outcomes for patients. Substantial planned service change should be subject to a full public consultation and meet the Government and NHS England’s ‘tests’ to ensure good decision-making.
The Department does not hold information centrally on the number of services that have been permanently decommissioned from community hospitals following temporary trials.