Asked by: John McDonnell (Labour - Hayes and Harlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what are the findings of the department’s business case on new private finance in the NHS.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
As set out in the 10 Year Infrastructure Strategy (the Strategy) and the 10-Year Health Plan, in addition to significant capital investment, the Government would explore the feasibility of using new Public Private Partnership (PPP) models for taxpayer-funded projects in very limited circumstances, where they could represent value for money. This included the potential use of PPPs to deliver Neighbourhood Health Centres (NHCs).
A business case was developed by the Department and supported by National Infrastructure and Service Transformation Authority (NISTA). The business case was considered by ministers and has resulted in the announcement in the Budget published on 26 November 2025.
The Budget builds on the Strategy and the 10-Year Health Plan by confirming that the NHS Neighbourhood Rebuild Programme will deliver new NHCs through upgrading and repurposing existing buildings and building new facilities through a combination of public sector investment and a new model of PPPs.
This new PPP model is being developed by NISTA, and is supported by the Department, and will ensure private sector expertise is harnessed to deliver these assets on time and on budget.
The new model will build on lessons from the past and other models currently in use, and will draw on lessons learnt, including the National Audit Office’s 2025 report on private finance.
To ensure the NHC PPPs are managed transparently and are fiscally sustainable, these partnerships will be budgeted for as if they are on a balance sheet.
Delivering new NHCs through a combination of public investment and PPPs will also allow, for the first time, for evidence to be built and compared between different delivery models.
Asked by: Ian Lavery (Labour - Blyth and Ashington)
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 merits of funding neighbourhood health centres through alternative, non-private finance means.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
At the Autumn Budget, we announced our commitment to deliver 250 Neighbourhood Health Centres (NHCs) through the NHS Neighbourhood Rebuild Programme. This will deliver NHCs through a mixture of refurbishments, to expand and improve sites over the next three years, and new-build sites opening in the medium term.
The first 120 NHCs are due to be operational by 2030, delivered through public private partnerships (PPPs) and public capital. 50 NHCs will be completed through the repurposing of the existing estate with public sector funding, and 70 through new builds by 2030. 80% of the new builds will be PPPs, with a further 20% coming from public sector investment.
The Spending Review has seen the Government provide £426 million over four years through the Utilisation and Modernisation Fund, upgrading general practice estates and supporting delivery of 40 to 50 neighbourhood health centres this Parliament through the refurbishment of existing buildings.
Asked by: Steve Witherden (Labour - Montgomeryshire and Glyndwr)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will publish details of his Department new private finance model for building neighbourhood health centres and the business case completed for it.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department and the National Infrastructure and Service Transformation Authority (NISTA) will continue to work with the market to further develop the new Public Private Partnership (PPP) model for neighbourhood health centres (NHCs) with further engagement next year. The final design and development of this new PPP model for NHCs will be led by NISTA and co-designed by the Department.
The Department has no plans to publish the NHC PPP Feasibility Programme Business Case. Publication is not standard practice for business cases outside of the Government Major Projects Portfolio.
Asked by: Ian Lavery (Labour - Blyth and Ashington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will publish his Department’s business case on new private finance in the NHS.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department has no plans to publish the Neighbourhood Health Centre (NHC) Public Private Partnership (PPP) Feasibility Programme Business Case. Publication is not standard practice for business cases outside of the Government’s Major Projects Portfolio. This was a strategic outline business case, the purpose of which was to scope and identify the preferred way forward for a new potential PPP model in line with the HM Treasury five case model.
The Department and the National Infrastructure and Service Transformation Authority (NISTA) will continue to work with the market to further develop the new PPP model for NHCs, with further engagement next year. The final design and development of this new PPP model for NHCs will be led by NISTA and will be co-designed by the Department.
Asked by: Samantha Niblett (Labour - South Derbyshire)
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 11 December 2025 to Question 97018, what proportion of his Department expenditure on Microsoft Software licenses and services was allocated to (a) new service implementations and (b) renewal or maintenance of existing system; and how this compares to the previous year’s expenditure in each category.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The following table shows the information requested:
Year | New Service Implementations | Renewal and Maintenance of existing Systems |
4 December 2024 – 5 December 2025 | 15.2% | 84.8% |
4 December 2023 – 5 December 2024 | 0% | 100% |
Source: Department of Health and Social Care
Asked by: Stuart Andrew (Conservative - Daventry)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the average ambulance response time for Category 2 calls was in rural parts of the East Midlands in each of the last 12 months; and how this compares with response times in urban areas in the region.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
We acknowledge that ambulance performance has not consistently met expectations in recent years, and we are taking serious steps to improve performance across the country, including rural and semi-urban areas. That is why we published our Urgent and Emergency Care Plan for 2025/26, backed by almost £450 million of capital investment, which commits to reducing ambulance response times for Category 2 incidents to 30 minutes on average this year.
The NHS Constitutional standards for ambulance response time metrics are measured with an average figure as well as a 90th centile standard which means that trusts are held to account for the response times they provide to all patients, improving the performance management of the ‘long tail’ of delayed ambulance responses that we know can particularly affect rural and semi-urban areas. In the East Midlands, the latest NHS England figures show a 22-minute improvement in the Category 2 90th centile response time compared with last year.
We have already seen improvements in ambulance response times for the East Midlands Ambulance Service NHS Foundation Trust (EMAS). The latest National Health Service performance figures for EMAS show that Category 2 incidents were responded to in 46 minutes and 55 seconds on average, over 11 minutes faster than the same period last year.
Asked by: Stuart Andrew (Conservative - Daventry)
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 address regional and rural-urban disparities in ambulance response times, with reference to the performance of East Midlands Ambulance Service.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
We acknowledge that ambulance performance has not consistently met expectations in recent years, and we are taking serious steps to improve performance across the country, including rural and semi-urban areas. That is why we published our Urgent and Emergency Care Plan for 2025/26, backed by almost £450 million of capital investment, which commits to reducing ambulance response times for Category 2 incidents to 30 minutes on average this year.
The NHS Constitutional standards for ambulance response time metrics are measured with an average figure as well as a 90th centile standard which means that trusts are held to account for the response times they provide to all patients, improving the performance management of the ‘long tail’ of delayed ambulance responses that we know can particularly affect rural and semi-urban areas. In the East Midlands, the latest NHS England figures show a 22-minute improvement in the Category 2 90th centile response time compared with last year.
We have already seen improvements in ambulance response times for the East Midlands Ambulance Service NHS Foundation Trust (EMAS). The latest National Health Service performance figures for EMAS show that Category 2 incidents were responded to in 46 minutes and 55 seconds on average, over 11 minutes faster than the same period last year.
Asked by: Stuart Andrew (Conservative - Daventry)
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 ambulance response times in rural areas of the East Midlands; and what steps are being taken to improve response times in those communities.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
We acknowledge that ambulance performance has not consistently met expectations in recent years, and we are taking serious steps to improve performance across the country, including rural and semi-urban areas. That is why we published our Urgent and Emergency Care Plan for 2025/26, backed by almost £450 million of capital investment, which commits to reducing ambulance response times for Category 2 incidents to 30 minutes on average this year.
The NHS Constitutional standards for ambulance response time metrics are measured with an average figure as well as a 90th centile standard which means that trusts are held to account for the response times they provide to all patients, improving the performance management of the ‘long tail’ of delayed ambulance responses that we know can particularly affect rural and semi-urban areas. In the East Midlands, the latest NHS England figures show a 22-minute improvement in the Category 2 90th centile response time compared with last year.
We have already seen improvements in ambulance response times for the East Midlands Ambulance Service NHS Foundation Trust (EMAS). The latest National Health Service performance figures for EMAS show that Category 2 incidents were responded to in 46 minutes and 55 seconds on average, over 11 minutes faster than the same period last year.
Asked by: Jen Craft (Labour - Thurrock)
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 greater deaf awareness among frontline NHS staff.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Since 2016, all National Health Service organisations and publicly funded social care providers have been expected to meet the Accessible Information Standard (AIS), which details the approach to supporting the information and communication support needs of people with a disability, impairment, or sensory loss. This includes support for deaf people and ensuring that British Sign Language (BSL) interpreters are provided when needed.
On 30 June 2025, NHS England published a revised AIS to help ensure that the communication needs of people with a disability, impairment, or sensory loss are met in health and care provision.
NHS England revised the AIS e-learning for health module to match the latest version of the standard to support effective implementation. This training module includes specific reference to the needs of deaf people and BSL interpreting.
NHS England is working to support implementation of the AIS with awareness raising, communication and engagement. The intention is to ensure that staff and organisations in the NHS are aware of the AIS and the importance of meeting the information and communication needs of disabled people using services.
Asked by: Neil O'Brien (Conservative - Harborough, Oadby and Wigston)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many staff left his Department in each of the last five years by grade.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Information on the number of civil servants leaving each Government department and organisation for the years 2021 to 2025 is published annually through the ‘Civil Service data browser’ as part of Civil Service Statistics 2025, an accredited official statistics publication. This information is available through the Civil Service data browser for 2021 through 2025 at the following link:
https://civil-service-statistics.jdac.service.cabinetoffice.gov.uk/