Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
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 raise awareness of Crohn’s disease and Colitis in Surrey Heath constituency.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is committed to improving awareness and understanding of Crohn’s disease and colitis across England, including in the Surrey Heath constituency.
The NHS.UK website provides comprehensive, clinically assured information on Crohn’s disease and ulcerative colitis, including symptoms, diagnosis, treatment options, and advice on when to seek help. It also signposts to specialist services and support organisations. The National Health Service website receives approximately 650 million visits annually and is maintained to ensure content reflects the latest clinical guidance and best practice.
The enhanced NHS App, as outlined in the 10-Year Health Plan, will improve awareness of Crohn’s disease and ulcerative colitis by providing easy access to clinically assured information from the NHS website, personalised care tools, and signposting to trusted support organisations. New features such as My Health and My Medicines will help patients track symptoms and manage treatment, while integrated resources and self-referral options will empower individuals to understand their condition and seek timely care. By combining reliable guidance with digital engagement, the app will raise public awareness and support better self-management for those living with these conditions.
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
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 reduce waiting times for (a) ADHD and (b) autism assessments for children and young people in Surrey Heath constituency.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government has recognised that, nationally, demand for assessments for autism and attention deficit hyperactivity disorder (ADHD) has grown significantly in recent years and that people are experiencing severe delays for accessing such assessments. The Government’s 10-Year Health Plan will make the National Health Service fit for the future and recognises the need for early intervention and support. It is the responsibility of integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including provision of autism and ADHD services, in line with relevant National Institute for Health and Care Excellence (NICE) guidelines.
The NICE guidance for the assessment of autism recommends that the length between referral and first appointment should be no more than 13 weeks. We know that this is not happening routinely across the country. In respect of ADHD, the NICE guideline on ADHD does not recommend a maximum waiting time for people to receive an assessment for ADHD or a diagnosis, however it sets out best practice on providing a diagnosis.
There is, at present, no single, established dataset that can be used to monitor waiting times for assessment and diagnosis for ADHD for individual organisations or geographies in England. Although the data requested is not held centrally, it may be held locally by individual NHS trusts or commissioners.
NHS England published management information on ADHD waits at a national level for the first time on 29 May 2025 as part of its ADHD data improvement plan, which is avaiable at the following link:
https://digital.nhs.uk/data-and-information/publications/statistical/mi-adhd/november-2025
In respect of autism, the most recent data, published on 13 November 2025, is available on the NHS England website at the following link:
Through the NHS Medium-term planning framework, published 24 October 2025, NHS England has set clear expectations for local ICBs and trusts to improve access, experience, and outcomes for autism and ADHD services over the next three years, focusing on improving quality and productivity.
My Rt Hon. Friend, the Secretary of State for Health and Social Care, announced on 4 December 2025 the launch of an Independent Review into Prevalence and Support for Mental Health Conditions, ADHD, and Autism. This independent review will inform our approach to enabling people with ADHD and autistic people to have the right support in place to enable them to live well in their communities.
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what guidance is issued to NHS Continuing Healthcare decision-makers on assessing complex and high-intensity care needs for people with (a) progressive and (b) degenerative conditions in Surrey.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department has provided detailed statutory guidance, the National Framework for NHS Continuing Healthcare, and National Health Service-funded Nursing Care (the National Framework), on the process for determining eligibility for NHS Continuing Healthcare (CHC) which all integrated care boards (ICBs), including the Surrey Heartlands ICB, must follow. It sets out that all arrangements should place the individual at the centre of the assessment and care-planning process.
The National Framework supports practitioners across health and social care to undertake assessments and deliver CHC appropriately. It should be read alongside the national assessment tools. This includes the decision support tool, which aids consistent decision making and supports a multidisciplinary team of professionals to assess an individual’s needs. The National Framework sets out that it is best practice for someone with specialist knowledge of the individual’s condition to be involved in the assessment process. To support practitioners to apply the National Framework, NHS England has developed and published a comprehensive set of online learning resources.
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
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 move (a) clinics and (b) routine appointments into community hospitals in Surrey.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
As announced at the Budget, we are committed to delivering 250 neighbourhood health centres by 2035 across every part of England, and there are now also 100 community diagnostic centres across the country offering out-of-hours services, 12 hours a day, seven days a week.
Community diagnostic centres are supporting one of the three 10-Year Health Plan shifts, from the hospital to the community, by offering local populations a wide range of diagnostic tests including imaging tests, endoscopies, and respiratory tests, closer to home, as well as greater choice on where and how they are undertaken, reducing pressure on acute hospital sites.
Over time our aim is also to have a Neighbourhood Health Centre in each community that brings together appropriate National Health Service, local authority, and voluntary sector services in one building to help create a holistic offer that meets the needs of local populations, and to help move care from hospitals into community settings.
Nationwide coverage will take time, but we will start in the areas of greatest need where healthy life expectancy is lowest, including rural towns and communities with higher deprivation levels, targeting places where healthy life expectancy is lowest and delivering healthcare closer to home for those that need it the most.
Integrated care boards (ICBs) are responsible for commissioning, including planning, securing, and monitoring, general practice services within their health systems through delegated responsibility from NHS England. Both ICBs and local health systems will be responsible for determining the most appropriate locations for neighbourhood health centres.
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
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 (a) consistency and (b) fairness in NHS Continuing Healthcare eligibility decisions across Integrated Care Boards for people with progressive neurological conditions.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Operational delivery of NHS Continuing Healthcare (CHC) is the responsibility of integrated care boards (ICBs) with oversight from NHS England. The Department’s statutory guidance on CHC supports practitioners to assess and deliver CHC appropriately, which all ICBs must follow. Eligibility for CHC is not determined by age, diagnosis, condition, or financial means, but is assessed on an individual basis. Eligibility may vary across ICBs due to factors such as the age profile of the local population and differing health needs between regions.
NHS England’s assurance regime promotes accurate assessment, equal access, and consistency within CHC delivery. Their assurance model focusses on reducing variation in the delivery of CHC services across England.
The NHS All Age Continuing Care Data Set, which was launched in April 2025, provides NHS England with regional, ICB, and sub-ICB-level data on CHC eligibility, referrals, and assessment outcomes to help monitor and improve CHC delivery.
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
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 the accessibility of regular NHS dental check-up appointments in Surrey Heath constituency.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We are aware of the challenges faced in accessing a National Health Service dentist, particularly in areas such as Surrey, and are taking steps to address this.
The responsibility for commissioning primary care services, including NHS dentistry, to meet the needs of the local population has been delegated to integrated care boards (ICBs) across England. For the Surrey Heath constituency, this is the Surrey Heartlands ICB.
We have asked ICBs to commission extra urgent dental appointments to make sure that patients with urgent dental needs can get the treatment they require. These extra appointments have been made available from April 2025.
We are committed to delivering fundamental reform of the dental contract before the end of this Parliament. As a first step, on 16 December we published the Government’s response to the public consultation on quality and payment reforms to the NHS dental contract. The changes will be introduced from April 2026. These reforms will put patients with the greatest need first, incentivising urgent care and complex treatments. The National Institute for Health and Care Excellence guidance on recall intervals state that a healthy adult with good oral health needs to see a dentist once every two years, and a child once every year. Further information is available at the following link:
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
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 diagnosis and ongoing care for people with Crohn’s disease and Colitis in Surrey Heath constituency.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for ensuring that appropriate treatment and support is available for people diagnosed with inflammatory bowel disease (IBD), which includes Crohn’s disease and ulcerative colitis, in their areas. In Surrey Heath, this responsibility sits with either the NHS Frimley ICB or the NHS Surrey Heartlands ICB, with national improvement programmes such as Getting It Right First Time (GIRFT) and NHS RightCare driving change. Together, these programmes help deliver consistent, high-quality diagnostic processes and ongoing care and support across the National Health Service in England.
The GIRFT national report on gastroenterology recommends rapid access to specialist review within four weeks, personalised care plans, increased endoscopy capacity, the standardised use of diagnostic tests such as endoscopy and imaging, and early involvement of multidisciplinary teams, including IBD specialist nurses, gastroenterologists, surgeons, dietitians, and mental health professionals.
In November 2025, GIRFT published a new handbook, ‘Optimising care for patients with Inflammatory Bowel Disease’ in addition to an updated IBD pathway. This handbook provides practical advice, key actions, and examples of innovative practices to improve the care of NHS patients with Crohn's disease and ulcerative colitis.
‘Hannah’s story’, published by NHS England as part of its RightCare scenario series, is a fictional case study designed to show the difference between a suboptimal and an optimal care pathway for someone living with Crohn’s disease. This scenario underlines the importance of integrated services, proactive treatment planning, and consistent adherence to IBD Standards to reduce variation and improve outcomes for patients across England.
Gastroenterology is a high-volume specialty identified as a top priority for reform in the Elective Reform Plan due to its waiting list challenges. Specific action in gastroenterology includes developing an integrated pathway across primary, community, and secondary care for common gastroenterology conditions. We will also drive rapid adoption of remote monitoring in appropriate gastroenterology pathways.
We are also introducing an ‘online hospital’ through NHS Online. This will give people on certain pathways the choice of getting the specialist care they need from their home, providing additional appointments to cut waiting times. IBD is amongst nine initial conditions for online referrals from 2027.
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
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 the support available to people living with Crohn’s disease and Colitis in Surrey Heath constituency.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for ensuring that appropriate treatment and support is available for people diagnosed with inflammatory bowel disease (IBD), which includes Crohn’s disease and ulcerative colitis, in their areas. In Surrey Heath, this responsibility sits with either the NHS Frimley ICB or the NHS Surrey Heartlands ICB, with national improvement programmes such as Getting It Right First Time (GIRFT) and NHS RightCare driving change. Together, these programmes help deliver consistent, high-quality diagnostic processes and ongoing care and support across the National Health Service in England.
The GIRFT national report on gastroenterology recommends rapid access to specialist review within four weeks, personalised care plans, increased endoscopy capacity, the standardised use of diagnostic tests such as endoscopy and imaging, and early involvement of multidisciplinary teams, including IBD specialist nurses, gastroenterologists, surgeons, dietitians, and mental health professionals.
In November 2025, GIRFT published a new handbook, ‘Optimising care for patients with Inflammatory Bowel Disease’ in addition to an updated IBD pathway. This handbook provides practical advice, key actions, and examples of innovative practices to improve the care of NHS patients with Crohn's disease and ulcerative colitis.
‘Hannah’s story’, published by NHS England as part of its RightCare scenario series, is a fictional case study designed to show the difference between a suboptimal and an optimal care pathway for someone living with Crohn’s disease. This scenario underlines the importance of integrated services, proactive treatment planning, and consistent adherence to IBD Standards to reduce variation and improve outcomes for patients across England.
Gastroenterology is a high-volume specialty identified as a top priority for reform in the Elective Reform Plan due to its waiting list challenges. Specific action in gastroenterology includes developing an integrated pathway across primary, community, and secondary care for common gastroenterology conditions. We will also drive rapid adoption of remote monitoring in appropriate gastroenterology pathways.
We are also introducing an ‘online hospital’ through NHS Online. This will give people on certain pathways the choice of getting the specialist care they need from their home, providing additional appointments to cut waiting times. IBD is amongst nine initial conditions for online referrals from 2027.
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
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 rough sleeping in (a) Surrey and (b) Surrey Heath constituency during winter 2025-26 on the health of rough sleepers.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government recognises that homelessness and rough sleeping numbers continue to remain high. That is why the Government is providing £255.5 million for the Rough Sleeping Prevention and Recovery Grant so that local authorities can support people sleeping rough in their areas, including funding health‑led interventions, alongside a £69.9 million top‑up announced in October 2025 to tackle additional pressures.
Surrey County Council has undertaken a Joint Strategic Needs Assessment, focused on housing and related support, funded by the Department through the Public Health Grant and carried out by health and wellbeing boards. More information is available at the following link:
https://www.surreyi.gov.uk/jsna/jsna-housing-and-related-support/#homelessness
The assessment requires a thorough analysis of the health and social care needs of local populations, and highlights how determinants such as housing conditions, including insecure housing and homelessness, impact health and wellbeing. This informs planning across health, social care, and housing to improve outcomes and address inequalities.
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
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 effectiveness of (a) early intervention and (b) prevention services aimed at supporting children affected by parental alcohol misuse in Surrey Heath constituency.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Children affected by parental alcohol problems can experience adverse health, social, and economic outcomes, which can continue for generations without effective public health early interventions to break the cycle. The Government’s mission-based approach will ensure that every child has the best start in life and that we create the healthiest generation of children ever. This includes supporting the children of parents with alcohol problems and preventing intergenerational transmission.
The Government is funding Best Start Family Hubs in every local authority, which will be rolled out from April 2026. The hubs have been developed from the best of the Sure Start and Family Hubs and Start for Life approaches and will build on the £126 million funding boost for the Family Hubs and Start for Life Programme in 2025/26. Best Start Family Hubs will be open to all and based in disadvantaged communities. Services will prioritise supporting the whole family and intervening at the earliest opportunity to prevent challenges escalating, such as intergenerational transmission of problem alcohol use.
From this year, all drug and alcohol treatment and recovery funding will be channeled through the Public Health Grant, with over £13.45 billion allocated across three years, including £3.4 billion ringfenced for drug and alcohol treatment and recovery. Local authorities are responsible for commissioning drug and alcohol treatment and recovery services according to local need and can use this funding to ensure that parents/carers with alcohol problems, and their children, can access high quality help and support.
For 2026/27, Surrey County Council will receive £12,356,996 in protected drug and alcohol prevention, treatment and recovery funding. Furthermore, to inform local authorities’ assessment of need and support the children of parents with alcohol problems, the Department is producing a suite of resources, including local prevalence and treatment data on parents/carers with alcohol problems, and child safeguarding guidance for alcohol and drug treatment commissioners.
Finally, the Department, with the support of partners from the devolved administrations, has developed and published the first ever United Kingdom clinical guidelines on alcohol treatment, which is available at the following link:
https://www.gov.uk/guidance/clinical-guidelines-for-alcohol-treatment
The guidelines promote and support good practice and improve quality of service provision. It includes a section on the specific support needs of parents with alcohol problems and makes recommendations on how to address them.