Asked by: Anna Dixon (Labour - Shipley)
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 General Practice nursing and administrative staff are offered a pay increase as a result of the funding increase for GP contracts for 2025/26.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Government looks to the independent pay review bodies for a pay recommendation for National Health Service staff, including both contractor and salaried general practitioners (GPs). They consider a range of evidence from organisations including the Government, the NHS, and trade unions to reach their recommendations.
The independent review body on Doctors’ and Dentists’ Remuneration (DDRB) have recommended an uplift of 4% to the pay ranges for salaried GPs, and to GP contractor pay. As with last year, we accepted the DDRB’s pay recommendation. We have provided an increase to core funding for practices to allow this 4% pay uplift, on top of the provisional 2.8% uplift already provided, to be passed on to salaried and contractor GPs. The additional funding will also allow for pay uplifts for other salaried GP staff, including nursing and administrative staff. Information on the funding increase was communicated to practices on 31 July 2025. Further information can be found at the following link:
https://www.england.nhs.uk/long-read/implementing-the-2025-26-gp-contract/
The Government has written to the British Medical Association’s General Practitioners Committee England to set out its expectations regarding the extra funding being used to fund uplifts for all staff and a letter to ICBs was published on 31 July, and is available at the following link:
We expect GP contractors to implement pay rises to other practice staff in line with the uplift in funding they have received. As self-employed contractors to the NHS, it is up to GPs how they distribute pay and benefits to their staff.
Asked by: Anna Dixon (Labour - Shipley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the potential merits of funding the full cost of specialist palliative care delivered by hospices.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for commissioning core and specialist palliative care services to meet the reasonable needs of their population, which can include hospice services available within the ICB catchment. To support ICBs in this duty, NHS England has published statutory guidance and a service specification.
The Government is developing a Palliative Care and End-of-Life Care Modern Service Framework (MSF) for England. The MSF will drive improvements in the services that patients and their families receive at the end of life and will enable ICBs to address challenges in access, quality, and sustainability through the delivery of high-quality, personalised care.
Through our MSF, we will closely monitor the shift towards the strategic commissioning of palliative care and end-of-life care services to ensure that services reduce variation in access and quality. We will consider contracting and commissioning arrangements as part of our MSF. We recognise that there is currently a mix of contracting models in the hospice sector. By supporting ICBs to commission core and specialist care more strategically, we can move away from grant and block contract models. In the long term, this will aid sustainability and help hospices’ ability to plan ahead.
The recently published Strategic Commissioning Framework and Medium-Term Planning Guidance also make clear the expectations that ICBs should understand current and projected total service utilisation and costs for those at the end of life, creating an overall plan to more effectively meet these needs through neighbourhood health.
Hospices provide both core and specialist palliative care. Whilst acknowledging that not everyone will need specialist palliative care, we must ensure is that there is equitable and timely access to these services, whether they are provided by hospices or the National Health Service.
Asked by: Anna Dixon (Labour - Shipley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what funding he plans to make available to Integrated Care Boards to meet demand for ADHD and Autism assessments.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England is responsible for determining allocations of financial resources to integrated care boards (ICBs). Funding for attention deficit hyperactivity disorder (ADHD) and autism assessments are included within NHS England’s financial allocations to ICBs. The process of setting allocations is informed by the Advisory Committee on Resource Allocation, an independent committee that provides advice to NHS England on setting the target formula which impacts how allocations are distributed over time.
ICB allocations for 2026/27 to 2028/29 were published on 17 November 2025, and are avaiable at the following link:
https://www.england.nhs.uk/publication/allocation-of-resources-2026-27-to-2027-28/
Through the Medium-Term Planning Framework, published 24 October, NHS England has set clear expectations for local ICBs and trusts to improve access, experiences, and outcomes for autism and ADHD services over the next three years, focusing on improving quality and productivity.
Asked by: Anna Dixon (Labour - Shipley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, for what reason the shingles vaccine is offered by the NHS to people who turned 65 on or after 1 September 2023 but not those who were born between 1955 and 1958 unless they have a severely weakened immune system.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
From September 2023, the routine shingles vaccination programme changed from the one-dose Zostavax vaccine to the two-dose Shingrix vaccine, to better protect individuals from the effects of shingles, provide better clinical outcomes, and reduce pressures on the health system. The programme was also expanded, and as a result, almost one million more people became eligible for the shingles vaccination.
The expansion to individuals aged 60 years old is being rolled out in phases to maximise cost-effectiveness and population benefit, ensure consistent messaging to maximise coverage, and take account of National Health Service capacity, all while being consistent with the approach taken by all four nations in the United Kingdom. During the first phase, which commenced in September 2023, those who reach the ages of 65 or 70 years old will be called in for vaccination on or after their 65th or 70th birthday. During the second phase, from September 2028, individuals will be called in for vaccination on or after their 60th or 65th birthday. From 1 September 2033 onwards, vaccination will be routinely offered to those turning 60 years of age on or after their 60th birthday.
At this point in the year, the majority of individuals born in 1955 will have turned 70 years old and therefore will now be eligible for their vaccination. Those who have not yet turned 70 years old but were already 65 years old or over before 1 September 2023 will become eligible when they turn 70 years old.
As of September 2025, all severely immunosuppressed individuals aged 18 years old and over became eligible for shingles vaccination. This is because individuals who are severely immunosuppressed are most at risk of serious illness and complications from shingles, and so it is particularly important that they are protected against this disease.
This is a relatively newly expanded programme, and anyone unsure if they are eligible for the shingles vaccination should check online, on the NHS.UK website, or should speak to their general practitioner.
Asked by: Anna Dixon (Labour - Shipley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what plans he has to strengthen statutory guidance related to the legal duty to commission palliative care services included in the Health and Care Act 2022.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Palliative care services are included in the list of services an integrated care board (ICB) must commission. This promotes a more consistent national approach and supports commissioners in prioritising palliative care and end of life care. To support ICBs in this duty, NHS England has published statutory guidance and service specifications.
The statutory guidance states that ICBs must work to ensure that there is sufficient provision of care services to meet the needs of their local populations, which can include hospice services, available within the ICB catchment. There are no current plans to update the statutory guidance.
The ICBs are expected to follow the statutory guidance in exercising their functions and must pay due regard to it in the planning, commissioning, and delivery of palliative care and end of life care services.
Additionally, NHS England has a legal duty to annually assess the performance of each ICB in respect of each financial year and to publish a summary of its findings. This assessment must assess how well the ICB has discharged its functions.