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Written Question
NHS: Pay
Friday 13th March 2026

Asked by: Alex Brewer (Liberal Democrat - North East Hampshire)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether he is taking steps to introduce pay progression for Change Band 2 roles.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

As part of the 2023 Agenda for Change (AfC) pay deal between the Government, employers, and trade unions in England, it was agreed to uplift the value of the bottom pay point of Band 2 to the same value as the top pay point of that band. This position was ratified by the NHS Staff Council, a partnership body made up of trade unions and employers that has overall responsibility for the AfC pay system and terms and conditions of service.

The Government accepted the NHS Pay Review Body recommendations for 2024/25 and 2025/26 in full, which included a recommendation to provide the NHS Staff Council with a funded mandate to make improvements to the AfC pay structure. Any changes to the AfC pay structure, including for Band 2 staff, will be for the NHS Staff Council to agree.

The Department will work closely with the NHS Staff Council to agree changes to the pay structure which will be backdated to 1 April 2026.


Speech in Commons Chamber - Thu 12 Mar 2026
International Women’s Day

"This year’s theme, as we have heard, is “Give to Gain”. That prompted me to think about feminism on a global scale, and how interconnected we truly all are. Our globalised world is far from being made up of isolated countries, bounded by iron borders; we exist in the physical …..."
Alex Brewer - View Speech

View all Alex Brewer (LD - North East Hampshire) contributions to the debate on: International Women’s Day

Written Question
GP Surgeries: Disability
Thursday 12th March 2026

Asked by: Alex Brewer (Liberal Democrat - North East Hampshire)

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 levels of provision of hoists and other accessibility equipment in GP surgeries to enable disabled and wheelchair‑using patients to undergo routine screening, including cervical smear tests; and what steps his Department is taking to ensure that such equipment is available locally so that patients are not required to travel long distances to access routine NHS services.

Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)

We want disabled people’s access to, and experience of, healthcare services to be equitable, effective, and responsive to their needs.

Under the Equality Act (2010), health and social care organisations must make reasonable adjustments to ensure that disabled people are not disadvantaged.

Commissioners are responsible for ensuring any necessary equipment or environmental adaptations are delivered within general practices.

NHS England is rolling out a Reasonable Adjustment Digital Flag which enables the recording of key information about a disabled patient or client and the reasonable adjustments to care and treatment that they need, to ensure support can be tailored appropriately and equitably.

Guidance and free training on the Flag is available for health and social care staff.


Division Vote (Commons)
11 Mar 2026 - Finance (No. 2) Bill - View Vote Context
Alex Brewer (LD) voted Aye - in line with the party majority and against the House
One of 51 Liberal Democrat Aye votes vs 0 Liberal Democrat No votes
Vote Tally: Ayes - 172 Noes - 283
Division Vote (Commons)
11 Mar 2026 - Finance (No. 2) Bill - View Vote Context
Alex Brewer (LD) voted No - in line with the party majority and against the House
One of 52 Liberal Democrat No votes vs 0 Liberal Democrat Aye votes
Vote Tally: Ayes - 292 Noes - 161
Division Vote (Commons)
11 Mar 2026 - Finance (No. 2) Bill - View Vote Context
Alex Brewer (LD) voted Aye - in line with the party majority and against the House
One of 50 Liberal Democrat Aye votes vs 0 Liberal Democrat No votes
Vote Tally: Ayes - 174 Noes - 292
Division Vote (Commons)
11 Mar 2026 - Finance (No. 2) Bill - View Vote Context
Alex Brewer (LD) voted Aye - in line with the party majority and against the House
One of 52 Liberal Democrat Aye votes vs 0 Liberal Democrat No votes
Vote Tally: Ayes - 175 Noes - 292
Division Vote (Commons)
10 Mar 2026 - Courts and Tribunals Bill - View Vote Context
Alex Brewer (LD) voted Aye - in line with the party majority and against the House
One of 62 Liberal Democrat Aye votes vs 0 Liberal Democrat No votes
Vote Tally: Ayes - 203 Noes - 311
Division Vote (Commons)
10 Mar 2026 - Courts and Tribunals Bill - View Vote Context
Alex Brewer (LD) voted No - in line with the party majority and against the House
One of 62 Liberal Democrat No votes vs 0 Liberal Democrat Aye votes
Vote Tally: Ayes - 304 Noes - 203
Division Vote (Commons)
9 Mar 2026 - Children’s Wellbeing and Schools Bill - View Vote Context
Alex Brewer (LD) voted No - in line with the party majority and against the House
One of 60 Liberal Democrat No votes vs 0 Liberal Democrat Aye votes
Vote Tally: Ayes - 304 Noes - 177