Asked by: Caroline Dinenage (Conservative - Gosport)
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 introduce a universal transferrable record for people with learning disabilities under the Data (Use and Access) Act 2025.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Our 10-Year Health Plan will transform the National Health Service, shifting care from analogue to digital. We know that patients, including those with a learning disability, often have to tell their story at every appointment. The single patient record means that they will only need to tell it once. The record will improve secure access for patients and clinicians and ensure seamless treatment across the NHS. This will connect a patient’s health history in one secure place, accessible through the NHS App. Patients will get a legal right to access their single patient record by default and will be able to check their own information and alert clinicians where there are errors.
In addition, the Reasonable Adjustment Digital Flag was developed to enable health and care workers to record, share, and view details of reasonable adjustments, across the NHS and social care, wherever the person is seen or treated.
On 30 June 2025, a revised Accessible Information Standard was published. It describes how NHS and adult social care services should identify, record, flag, share, meet, and review people’s information and communication support needs. The revised Accessible Information Standard is available at the following link:
https://www.england.nhs.uk/accessible-information-standard/
In 2024, NHS England also published guidance on health and care passports, which are designed to be a quick and easy way to give health and social care professionals more information about people with a learning disability and other disabled people so that they can provide the right care and treatment. The guidance on health and care passports is available at the following link:
https://www.england.nhs.uk/publication/health-and-care-passports/
Asked by: Caroline Dinenage (Conservative - Gosport)
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 support people living with arthritis in Gosport constituency.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Services for those with musculoskeletal (MSK) conditions, including arthritis, are commissioned locally by integrated care boards (ICBs). The Department expects MSK services to be fully incorporated into integrated care system planning and decision-making.
As announced in the Get Britain Working white paper, we are delivering the joint Department for Work and Pensions, Department of Health and Social Care, and NHS England Getting It Right First-Time (GIRFT) MSK Community Delivery Programme. Launched in December 2024, with 17 ICBs selected in the first cohort, including the Hampshire and Isle of Wight ICB, GIRFT teams have deployed their proven Further Faster model to work with ICB leaders to reduce MSK community waiting times, including for those with arthritis, and improve data, metrics, and referral pathways to wider support services. The GIRFT programme is continuing to develop the approach to better enable integrated care systems to commission the delivery of high-quality MSK services in the community, which will benefit patients now and into the future, including those in Gosport constituency.
The 10-Year Health Plan will deliver the three big shifts our National Health Service needs to be fit for the future: from hospital to community; from analogue to digital; and from sickness to prevention. All of these will help deliver improvements to arthritis care in all parts of the country.
More tests and scans delivered in the community, better joint working between services, and greater use of apps and wearable technology will all support people to manage their long-term conditions, including arthritis, closer to home.
Additionally, to support health and care professionals in the early diagnosis and management of rheumatoid arthritis, the National Institute for Health and Care Excellence (NICE) has published expert guidance for rheumatoid arthritis, which is available at the following link:
https://www.nice.org.uk/guidance/ng100
Whilst guidelines published by NICE are not mandatory, their implementation by ICBs will improve the quality and efficiency of healthcare services.
Asked by: Caroline Dinenage (Conservative - Gosport)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he plans to bring forward legislative proposals to update regulations in the fertility industry.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Human Fertilisation and Embryology Authority (HFEA) published Modernising Fertility Law in November 2023, which made a number of recommendations for legislative change, including around its regulatory powers. Ministers have met with the HFEA Chair and discussed the emerging regulatory challenges.
The Government is considering the HFEA’s priorities for changing the law and will decide how to take this forward at the earliest opportunity.
Asked by: Caroline Dinenage (Conservative - Gosport)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will ensure that NHS England's guidance entitled Play well – resources for health play services for England, published on 2 June 2025, is policy across the NHS.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
We recognise the importance of supporting and maintaining children’s right to play, as games and active play in all settings build social skills and support children’s well-being.
To ensure that children’s right to play is maintained and supported in healthcare settings, NHS England has worked with Starlight, a national charity for children’s play in healthcare, to publish the Play Well toolkit. This includes the first national guidelines and standards for commissioning and delivering health play services in England.
To support implementation, NHS England encourages the use of these standards by managers of health play services across a wide range of healthcare environments accessed by children and young people, including community clinics, emergency departments, children’s hospices, and acute paediatric wards. This will support the auditing, monitoring, and evaluation of services.
Asked by: Caroline Dinenage (Conservative - Gosport)
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 children's right to play is (a) maintained and (b) supported in healthcare settings.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
We recognise the importance of supporting and maintaining children’s right to play, as games and active play in all settings build social skills and support children’s well-being.
To ensure that children’s right to play is maintained and supported in healthcare settings, NHS England has worked with Starlight, a national charity for children’s play in healthcare, to publish the Play Well toolkit. This includes the first national guidelines and standards for commissioning and delivering health play services in England.
To support implementation, NHS England encourages the use of these standards by managers of health play services across a wide range of healthcare environments accessed by children and young people, including community clinics, emergency departments, children’s hospices, and acute paediatric wards. This will support the auditing, monitoring, and evaluation of services.
Asked by: Caroline Dinenage (Conservative - Gosport)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he plans to make it his policy to ensure that integrated care boards recommend high-intensity focused ultrasound to people with localised prostate cancer outside London.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Institute for Health and Care Excellence (NICE) has developed interventional procedures guidance on high-intensity focused ultrasound (HIFU) treatment for prostate cancer and focal therapy using HIFU for localised prostate cancer. This type of guidance considers if interventional procedures are safe and work well enough for wider use in the National Health Service, and both pieces of guidance acknowledge that there is a lack of evidence on quality-of-life benefits and long-term survival.
The NICE’s guidelines recommend that HIFU should not be offered to people with localised or locally advanced prostate cancer, other than in the context of controlled clinical trials comparing their use with established interventions.
Asked by: Caroline Dinenage (Conservative - Gosport)
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 that high-intensity focused ultrasound is available to patients in Hampshire.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government is committed to putting patients first, including in Hampshire. This means making sure that patients, including those waiting to receive high-intensity focused ultrasound, are seen on time and ensuring that people have the best possible experience during their care.
We will transform diagnostic services and will support the National Health Service to increase diagnostic capacity to meet the demand for diagnostic services through investment in new capacity, including ultrasound scanners.
We have made progress in cutting NHS waiting lists and ensuring people have the best possible experience during their care. As of March 2025, the waiting list has reduced by over 219,000 pathways and since July 2024 we have delivered over three million more appointments, exceeding our pledge of two million.
As set out in the Plan for Change, we will ensure 92% of patients return to waiting no longer than 18 weeks from referral to treatment by March 2029, a standard which has not been met consistently since September 2015.
Asked by: Caroline Dinenage (Conservative - Gosport)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he plans to review the length of time GPs take to process medical records for the armed forces.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We are working across Government to increase efficiency in general practices (GPs) and the patient experience by removing red tape and streamlining, or removing, requests to GPs for medical evidence where possible, aiming to free up more GP time to care for patients. This includes improving and helping speed up processes through digital solutions for the sharing of medical records for recruitment to the armed forces, whilst work continues towards the introduction of a new Armed Forces Recruitment Service by 2027.
Asked by: Caroline Dinenage (Conservative - Gosport)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the potential merits of consulting with suppliers of community care equipment and services to make an assessment of (a) levels of provision gaps and (b) their potential impact on community care patients.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
On 30 January 2025, NHS England published the guidance Standardising community health services, specifically codifying core services, which is available the following link:
https://www.england.nhs.uk/long-read/standardising-community-health-services/
Community health services cover a diverse range of healthcare delivery, and the guidance supports improved commissioning and delivery of community healthcare services. Codifying community health services will help to better assess demand and capacity and will help commissioners make investment choices as they design neighbourhood health provision that shifts care to community based settings.
This publication is available for designing, commissioning, and delivering community health services, including neighbourhood health. Integrated care boards and their partners should consider the core components to support demand and capacity assessment and planning with providers, and should ensure the best use of funding to meet local needs and priorities.
Equipment such as wheelchair services, orthotics, and prosthetics for both adults and children and young people are core components of community health services and are refenced in the guidance.
Local National Health Service organisations have access to a wide range of procurement routes, but the Government has put in place a range of initiatives to help NHS bodies make informed choices about the products and the route through which they are bought. These include the NHS Supply Chain, a national body which is responsible for procuring and delivering the majority of consumables, equipment, and other supplies into the NHS. The NHS Supply Chain was set up to leverage the collective buying power of the NHS, to drive savings and provide a standardised range of clinically assured quality products at the best value.
Asked by: Caroline Dinenage (Conservative - Gosport)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what discussions he has had with the Chancellor of the Exchequer on changes to employer National Insurance Contributions and the potential impact on (a) community care services and (b) wider healthcare services.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department has discussed the impact of employer National Insurance contributions with HM Treasury, and has been informed of the Department’s allocation.
The Government’s intent is to publish the allocations alongside departmental budgets for 2025/26 at the Mains estimates. This will be published as a supplementary table, with a brief description of the methodology used accompanying it, and the table will not list a breakdown of the specific compensation to individual services.