Asked by: Alison Bennett (Liberal Democrat - Mid Sussex)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department plans to publish an implementation plan alongside the policy paper entitled Reforming elective care for patients, published on 6 January 2025.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
There are currently no plans to publish an implementation plan alongside the Elective Reform Plan.
Our Elective Reform Plan sets out the productivity and reform efforts needed to return to the 18-week constitutional standard by the end of this Parliament, and outlines how these will be implemented by National Health Service systems, including a series of milestones for delivery. We have hit our pledge to deliver two million extra elective appointments early, and have now exceeded that pledge by delivering over three million more appointments.
In addition, the Planning Guidance for 2025/26 has since been published and confirmed the interim targets for 2025/26, including a target that 65% of patients wait for 18 weeks or less by March 2026, up from 58.9% in January 2025, with every trust expected to deliver a minimum 5% improvement on current performance over that period.
Asked by: Alison Bennett (Liberal Democrat - Mid Sussex)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many and what proportion of the new surgical hubs will be focused solely on orthopaedic procedures.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
There are no plans for any of the new hubs to focus solely on orthopaedic procedures, but five of the new surgical hubs will focus on orthopaedics procedures in addition to other specialties.
The Elective Reform Plan committed to providing quicker access for patients to common surgical procedures by opening 14 new and three expanded surgical hubs by June 2025, and ramping up the number of hubs over the next three years, so more operations can be carried out. They focus on driving improvements in six high volume specialties: ophthalmology; general surgery; trauma and orthopaedics, which includes spinal surgery; gynaecology; ear, nose and throat; and urology.
Asked by: Alison Bennett (Liberal Democrat - Mid Sussex)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent estimate his Department has made of the average time taken for patients with Parkinson’s disease who are experiencing new symptoms to see a neurologist.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Institute for Health and Care Excellence’s (NICE) guidance on Parkinson’s disease in adults sets out the best practice for healthcare professionals in the care, treatment, and support of people with Parkinson’s. It aims to improve the recognition and management of Parkinson’s symptoms. The NICE’s guidance on Parkinson’s disease in adults is available at the following link:
https://www.nice.org.uk/guidance/ng71
NHS RightCare has also produced a Progressive Neurology Conditions Toolkit. The toolkit sets out the key priorities for increasing knowledge of the signs and symptoms of Parkinson’s and makes suggestions regarding new service models which can be implemented in primary care to speed up referrals to specialists and ensure a timely diagnosis. Additionally, the Getting It Right First Time Programme for Neurology has published a National Speciality Report, which makes several recommendations in relation to reducing waiting for neurology services. NHS England has also established a Neurology Transformation Programme, a multi-year, clinically led programme which has developed a new model of integrated care for neurology services, to support integrated care boards to deliver the right service, at the right time for all neurology patients, including those with Parkinson’s.
Data on how regularly an average patient with Parkinson’s disease sees a neurologist is not held centrally. NICE guidance recommends that people with Parkinson's should be seen at regular intervals of six to 12 months. While NICE guidance is not mandatory, the Government expects the healthcare system and commissioners to take the guidelines fully into account when designing services for their local population, and to work towards their implementation over time.
Data on the average time taken for patients with Parkinson’s disease to see a neurologist is not held centrally. The latest data for referral to treatment waiting times in England, from February 2025, shows there were under 230,000 pathways waiting for a neurology appointment, 53.7% of which were waiting within 18 weeks.
The NHS Constitution sets out that patients should start consultant-led treatment within a maximum of 18 weeks from referral for non-urgent conditions. On 6 January 2025, NHS England published the new Elective Reform Plan, which sets out a whole system approach to hitting the 18-week referral to treatment target by the end of this Parliament. We have achieved our pledge to deliver two million extra elective appointments. These additional appointments have taken place across a number of specialities, including neurology. We have made the commitment that 92% of patients will wait no longer than 18 weeks from referral to consultant-led treatment, in line with the NHS constitutional standard, by March 2029.
Asked by: Alison Bennett (Liberal Democrat - Mid Sussex)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will make an estimate of the how regularly an average patient with Parkinson’s disease saw a neurologist in the latest period for which data was available.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Institute for Health and Care Excellence’s (NICE) guidance on Parkinson’s disease in adults sets out the best practice for healthcare professionals in the care, treatment, and support of people with Parkinson’s. It aims to improve the recognition and management of Parkinson’s symptoms. The NICE’s guidance on Parkinson’s disease in adults is available at the following link:
https://www.nice.org.uk/guidance/ng71
NHS RightCare has also produced a Progressive Neurology Conditions Toolkit. The toolkit sets out the key priorities for increasing knowledge of the signs and symptoms of Parkinson’s and makes suggestions regarding new service models which can be implemented in primary care to speed up referrals to specialists and ensure a timely diagnosis. Additionally, the Getting It Right First Time Programme for Neurology has published a National Speciality Report, which makes several recommendations in relation to reducing waiting for neurology services. NHS England has also established a Neurology Transformation Programme, a multi-year, clinically led programme which has developed a new model of integrated care for neurology services, to support integrated care boards to deliver the right service, at the right time for all neurology patients, including those with Parkinson’s.
Data on how regularly an average patient with Parkinson’s disease sees a neurologist is not held centrally. NICE guidance recommends that people with Parkinson's should be seen at regular intervals of six to 12 months. While NICE guidance is not mandatory, the Government expects the healthcare system and commissioners to take the guidelines fully into account when designing services for their local population, and to work towards their implementation over time.
Data on the average time taken for patients with Parkinson’s disease to see a neurologist is not held centrally. The latest data for referral to treatment waiting times in England, from February 2025, shows there were under 230,000 pathways waiting for a neurology appointment, 53.7% of which were waiting within 18 weeks.
The NHS Constitution sets out that patients should start consultant-led treatment within a maximum of 18 weeks from referral for non-urgent conditions. On 6 January 2025, NHS England published the new Elective Reform Plan, which sets out a whole system approach to hitting the 18-week referral to treatment target by the end of this Parliament. We have achieved our pledge to deliver two million extra elective appointments. These additional appointments have taken place across a number of specialities, including neurology. We have made the commitment that 92% of patients will wait no longer than 18 weeks from referral to consultant-led treatment, in line with the NHS constitutional standard, by March 2029.
Asked by: Alison Bennett (Liberal Democrat - Mid Sussex)
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 the time taken for patients experiencing Parkinson's symptoms to receive a Parkinson’s disease diagnosis.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Institute for Health and Care Excellence’s (NICE) guidance on Parkinson’s disease in adults sets out the best practice for healthcare professionals in the care, treatment, and support of people with Parkinson’s. It aims to improve the recognition and management of Parkinson’s symptoms. The NICE’s guidance on Parkinson’s disease in adults is available at the following link:
https://www.nice.org.uk/guidance/ng71
NHS RightCare has also produced a Progressive Neurology Conditions Toolkit. The toolkit sets out the key priorities for increasing knowledge of the signs and symptoms of Parkinson’s and makes suggestions regarding new service models which can be implemented in primary care to speed up referrals to specialists and ensure a timely diagnosis. Additionally, the Getting It Right First Time Programme for Neurology has published a National Speciality Report, which makes several recommendations in relation to reducing waiting for neurology services. NHS England has also established a Neurology Transformation Programme, a multi-year, clinically led programme which has developed a new model of integrated care for neurology services, to support integrated care boards to deliver the right service, at the right time for all neurology patients, including those with Parkinson’s.
Data on how regularly an average patient with Parkinson’s disease sees a neurologist is not held centrally. NICE guidance recommends that people with Parkinson's should be seen at regular intervals of six to 12 months. While NICE guidance is not mandatory, the Government expects the healthcare system and commissioners to take the guidelines fully into account when designing services for their local population, and to work towards their implementation over time.
Data on the average time taken for patients with Parkinson’s disease to see a neurologist is not held centrally. The latest data for referral to treatment waiting times in England, from February 2025, shows there were under 230,000 pathways waiting for a neurology appointment, 53.7% of which were waiting within 18 weeks.
The NHS Constitution sets out that patients should start consultant-led treatment within a maximum of 18 weeks from referral for non-urgent conditions. On 6 January 2025, NHS England published the new Elective Reform Plan, which sets out a whole system approach to hitting the 18-week referral to treatment target by the end of this Parliament. We have achieved our pledge to deliver two million extra elective appointments. These additional appointments have taken place across a number of specialities, including neurology. We have made the commitment that 92% of patients will wait no longer than 18 weeks from referral to consultant-led treatment, in line with the NHS constitutional standard, by March 2029.
Asked by: Alison Bennett (Liberal Democrat - Mid Sussex)
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 that people who need joint replacement surgery are able to access treatment in all regions.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government is committed to putting patients first, including those waiting for joint replacement surgery.
We understand the impact long waits can have on patients’ mental health, and we are committed to ensuring that people can access high quality mental health support when they need it. As part of this, we will recruit 8,500 mental health workers to ease pressure on busy mental health services. Separately, in the Government’s Plan for Change we have committed to return to the 18-week Referral to Treatment standard, which has not been met for almost a decade.
We will ensure that patients are not only seen on time but also have the best possible experience of care. Our Elective Reform Plan, published on 6 January 2025, has committed us to working with patients and their carers to co-develop minimum standards for their experience of care.
Dedicated and protected surgical hubs are helping to reduce elective surgery wait times by focusing on high volume low complexity surgeries, such as joint replacement surgery. As of March 2025, there are 114 elective surgical hubs that are operational across England.
The Elective Reform Plan has committed to providing quicker access for patients to common surgical hub procedures by opening 17 new and expanded surgical hubs by June 2025 and ramping up the number of hubs over the next three years, so even more operations can be carried out near where patients live.
Asked by: Alison Bennett (Liberal Democrat - Mid Sussex)
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 provide mental health support for people waiting for joint replacement surgery.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government is committed to putting patients first, including those waiting for joint replacement surgery.
We understand the impact long waits can have on patients’ mental health, and we are committed to ensuring that people can access high quality mental health support when they need it. As part of this, we will recruit 8,500 mental health workers to ease pressure on busy mental health services. Separately, in the Government’s Plan for Change we have committed to return to the 18-week Referral to Treatment standard, which has not been met for almost a decade.
We will ensure that patients are not only seen on time but also have the best possible experience of care. Our Elective Reform Plan, published on 6 January 2025, has committed us to working with patients and their carers to co-develop minimum standards for their experience of care.
Dedicated and protected surgical hubs are helping to reduce elective surgery wait times by focusing on high volume low complexity surgeries, such as joint replacement surgery. As of March 2025, there are 114 elective surgical hubs that are operational across England.
The Elective Reform Plan has committed to providing quicker access for patients to common surgical hub procedures by opening 17 new and expanded surgical hubs by June 2025 and ramping up the number of hubs over the next three years, so even more operations can be carried out near where patients live.
Asked by: Alison Bennett (Liberal Democrat - Mid Sussex)
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 who need joint replacement surgery are able to access treatment where they live.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government is committed to putting patients first, including those waiting for joint replacement surgery. Too many people have been left in limbo, with their personal and professional lives on hold waiting for National Health Service treatment. We understand the impact that long waits can have on patients’ mental health, which is why we have committed, in the Government’s Plan for Change, to return to the 18-week Referral to Treatment standard, which has not been met for almost a decade.
We will ensure that patients are not only seen on time but also have the best possible experience of care. Our Elective Reform Plan, published on 6 January 2025, has committed us to working with patients and their carers to co-develop minimum standards for their experience of care.
Dedicated and protected surgical hubs are helping to reduce elective surgery wait times by focusing on high volume low complexity surgeries, such as joint replacement surgery. As of March 2025, there are 114 elective surgical hubs that are operational across England.
The Elective Reform Plan has committed to providing quicker access for patients to common surgical hub procedures by opening 17 new and expanded surgical hubs by June 2025, and by ramping up the number of hubs over the next three years, so even more operations can be carried out near where patients live.
Asked by: Alison Bennett (Liberal Democrat - Mid Sussex)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many of the new surgical hubs will be focused solely on orthopaedic procedures.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Elective Reform Plan has committed to providing quicker access for patients to common surgical hub procedures by opening 17 new and expanded surgical hubs by June 2025 and ramping up the number of hubs over the next three years, so more operations can be carried out.
In line with direction set by the Getting it Right First Time High Volume Low Complexity programme, surgical hubs focus on driving improvement in six high volume specialties: ophthalmology; general surgery; trauma and orthopaedics, which includes spinal surgery; gynaecology; ear, nose and throat; and urology. There are no plans for any of the new hubs to solely focus on orthopaedic procedures.
Asked by: Alison Bennett (Liberal Democrat - Mid Sussex)
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 provide mental health support for people waiting for joint replacement surgery.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government is committed to putting patients first, including those waiting for joint replacement surgery. Too many people have been left in limbo, with their personal and professional lives on hold waiting for National Health Service treatment. We understand the impact that long waits can have on patients’ mental health, which is why we have committed, in the Government’s Plan for Change, to return to the 18-week Referral to Treatment standard, which has not been met for almost a decade.
We will ensure that patients are not only seen on time but also have the best possible experience of care. Our Elective Reform Plan, published on 6 January 2025, has committed us to working with patients and their carers to co-develop minimum standards for their experience of care.
Dedicated and protected surgical hubs are helping to reduce elective surgery wait times by focusing on high volume low complexity surgeries, such as joint replacement surgery. As of March 2025, there are 114 elective surgical hubs that are operational across England.
The Elective Reform Plan has committed to providing quicker access for patients to common surgical hub procedures by opening 17 new and expanded surgical hubs by June 2025, and by ramping up the number of hubs over the next three years, so even more operations can be carried out near where patients live.