Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department will consider providing specialist pelvic physiotherapy provision within the NHS for patients with endometriosis.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Pelvic physiotherapy is an established and expanding component of National Health Service pelvic health services, delivered across maternity, gynaecology, community services, and specialist pathways. Across wider gynaecology and women’s health hubs, pelvic health physiotherapy is routinely offered for pelvic pain, pelvic floor dysfunction, urinary/faecal incontinence, prolapse, dyspareunia, and other presentations commonly associated with endometriosis. Multidisciplinary pelvic pain management, including pelvic physiotherapy, is an expected component within women’s health hubs.
The Government is encouraging integrated care boards to further expand the coverage of women’s health hubs and supporting them to use the learning from the women’s health hub pilots to improve local delivery of services to women and girls. This should enable improved access to pelvic physiotherapy and earlier intervention for conditions such as endometriosis.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department will consider providing additional funding and resources to support BSGE-accredited endometriosis services.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government acknowledges the challenges faced by women with endometriosis and the impact it has on their lives, their relationships, and their participation in education and the workforce. We are committed to improving the diagnosis, treatment, and ongoing care for gynaecological conditions including endometriosis.
The 10-Year Health Plan set out our ambition for high autonomy to be the norm across every part of the country. Integrated care boards (ICBs) are responsible for commissioning services that meet the healthcare needs of their local population and have the freedom to do so, and this includes women's health hubs and delivering the direction of the Women's Health Strategy. The Government is backing ICBs to do this through record funding. The 2025 Spending Review prioritised health, with record investment in the health and social care system.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
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 the potential impact of the implementation of guidance on trauma-informed practice on staff (a) culture and (b) practice.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
No assessment has been made. NHS England published their trauma-informed and harm aware in-patient care guidance in October 2025, and it is avaiable at the following link:
https://www.england.nhs.uk/long-read/trauma-informed-harm-aware-inpatient-care/
The guidance supports National Health Service staff working in mental health, learning disability, and autism inpatient settings to make services more trauma-informed and harm aware.
Also available to NHS staff is an e-learning module which focuses on trauma-informed care and supporting the workforce to be more trauma sensitive in the way care is delivered, with the aim of fostering a trauma sensitive culture. Further information on the e-learning module is avaiable at the following link:
https://www.e-lfh.org.uk/programmes/trauma-informed-care/
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if his Department will make an assessment of the potential merits of standardising the number of NHS-funded In Vitro Fertilisation cycles available to patients across England.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Funding decisions for health services in England are made by integrated care boards (ICBs), based on their population’s clinical needs. We are working with NHS England to understand and improve the offer around National Health Service-funded fertility services, including how best to support further research and data collection.
Revised NICE fertility guidelines are due for publication in Spring, setting clear expectations for commissioners. These guidelines will establish a national standard for consistent provision of fertility services across England.
We expect ICBs to commission fertility services consistent with these new guidelines, ensuring equal access to treatment across England.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
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 commissioning model for adult social care.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Under the Care Act 2014, local authorities are tasked with the duty to shape their care markets to meet the diverse needs of all local people. This includes commissioning a diverse range of care and support services that enable people to access quality care.
The Care Quality Commission is assessing how local authorities in England are meeting the full range of their duties under Part 1 of the Care Act 2014, including those related to commissioning. The assessments identify local authorities’ strengths and areas for improvement, facilitating the sharing of good practice and helping us to target support where it is most needed.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
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 co-designing adult social care to meet community needs.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Local authorities are responsible for commissioning social care. As part of this, local authorities should pursue the principle that market shaping and commissioning should be shared endeavours, with commissioners working alongside people with care and support needs, carers, family members, care providers, representatives of care workers, relevant voluntary, user and other support organisations, and the public to find shared and agreed solutions.
To support this aim, the Department funds Think Local Act Personal (TLAP) as part of its national improvement and support offer to the sector. Co-design of services is facilitated by local adoption of TLAP’s ‘Making it Real’ framework and principles, which ensure that people who draw on care and support are involved in shaping services. TLAP also helps with practical models of self-directed support and advice on the personalisation of services to areas that request it.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what progress has been made on increasing capacity for adult ADHD assessments in Leeds since 2024; and what assessment he has made of the potential impact of those measures on waiting times.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
It is the responsibility of integrated care boards (ICBs) in England to make appropriate provision to meet the health and care needs of their local population, including providing access to attention deficit hyperactivity disorder (ADHD) assessment and treatment, in line with relevant National Institute for Health and Care Excellence (NICE) guidelines. The NICE guideline 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.
NHS West Yorkshire ICB continues to prioritise improvements for adults with suspected ADHD, focusing on three key areas: expanding diagnostic capacity, strengthening early support within primary care, and improving pathway safety and responsiveness. These changes and improved clinical resilience are beginning to have a positive impact on waiting times for adults in Leeds.
More specifically, individuals transferred to accredited providers are being seen faster than if they had remained on the National Health Service trust waiting list. Additionally, Leeds NHS ADHD service waiting list growth, which had previously been rising rapidly, has now stabilised due to improved referral management and clearer access criteria. Urgent and complex patients are now prioritised more consistently by the NHS trust provider, improving safety and reducing risks associated with delayed assessment or medication oversight. Lastly, the ADHD referral hub is reducing unnecessary diagnostic demand through needs-led support; more than one quarter of adults supported through the hub have not required an onward referral for ADHD assessment.
For the first time, NHS England published management information on ADHD waits at a national level on 29 May 2025 as part of its ADHD data improvement plan; and has released technical guidance to ICBs to improve the recording of ADHD data, with a view to improving data quality and publishing more localised data. NHS England intends to publish data at an ICB level in 2026/27. NHS England has also captured examples from ICBs who are trialling innovative ways of delivering ADHD services and is using this information to support systems to tackle ADHD waiting lists and provide support to address people’s needs. More details on the improvement plan are available at the following link:
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 mental health conditions, ADHD and autistic people to have the right support in place to enable them to live well in their communities.
Asked by: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
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 improve (a) medical support for and (b) access to medical support for people with Crohn's disease in Leeds Central and Headingley constituency.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
It is the responsibility of the NHS West Yorkshire Integrated Care Board (ICB) to meet the needs of patients diagnosed with inflammatory bowel disease (IBD), including Crohn’s disease and ulcerative colitis, in the Leeds Central and Headingly constituency, supported by national improvement programmes such as Getting It Right First Time (GIRFT) and NHS RightCare. These programmes provide evidence-based tools and guidance to reduce unwarranted variation and improve patient outcomes.
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 National Health Service patients with Crohn's disease and ulcerative colitis.
Gastroenterology is a top priority for reform in the Elective Reform Plan. 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: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
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 improve (a) medical support for and (b) access to medical support for people with colitis in Leeds Central and Headingley constituency.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
It is the responsibility of the NHS West Yorkshire Integrated Care Board (ICB) to meet the needs of patients diagnosed with inflammatory bowel disease (IBD), including Crohn’s disease and ulcerative colitis, in the Leeds Central and Headingly constituency, supported by national improvement programmes such as Getting It Right First Time (GIRFT) and NHS RightCare. These programmes provide evidence-based tools and guidance to reduce unwarranted variation and improve patient outcomes.
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 National Health Service patients with Crohn's disease and ulcerative colitis.
Gastroenterology is a top priority for reform in the Elective Reform Plan. 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: Alex Sobel (Labour (Co-op) - Leeds Central and Headingley)
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 improve outcomes for patients with (a) strokes and (b) transient ischaemic attacks in Leeds Central and Headingley constituency.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Stroke care for the Leeds Central and Headingley constituencies is provided by the Leeds Teaching Hospital Trust (LTHT).
To improve outcomes for patients with strokes and transient ischaemic attacks, LTHT provides 24/7 stroke specialist nurse cover for emergency admissions. LTHT has increased the mechanical thrombectomy service to seven days a week between 8:00am and 3:00pm as of 1 November 2025. By this time next year, the trust expects to have this service running 24/7.
LTHT is also working with the Leeds Community Healthcare NHS Trust to implement an early supported discharge team within stroke services. From January to March 2026, both trusts will be appointing a joint workforce of therapists and community colleagues to ensure patients receive timely access to care.