Asked by: James Naish (Labour - Rushcliffe)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent progress he has made in meeting the 18-week referral-to-treatment standard.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government is committed to returning, by March 2029, to the National Health Service constitutional standard that 92% of patients wait no longer than 18 weeks from referral to consultant-led treatment (RTT).
NHS England’s Operational Planning Guidance for 2025/26 set a target that 65% of patients wait no longer than 18 weeks by March 2026, with every trust expected to deliver a minimum 5% improvement on current performance over that period.
To achieve this interim March 2026 target, we expect the size of the total waiting list to reduce. We have already made significant progress on this. As of October 2025, the waiting list had reduced by over 225,000 since the Government came into office, and performance against the RTT standard has improved by 2.9%, reaching 61.8%.
This has been supported by the delivery of 5.2 million additional appointments between July 2024 and June 2025 compared to the previous year, more than double the Government’s pledge of two million. This marks a vital First Step towards delivering the constitutional standard.
Asked by: James Naish (Labour - Rushcliffe)
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 end the blanket use of body mass index thresholds to determine eligibility for joint replacement surgery.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
I refer the Hon. Member to the answer I gave on 20 November 2025 to Question 89688.
Asked by: James Naish (Labour - Rushcliffe)
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 publishing a national strategy for (a) palliative and (b) end of life care.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Government is developing a Palliative Care and End of Life Care Modern Service Framework for England. I refer the hon. member to the Written Ministerial Statement HCWS1087 I gave to the House on 24 November 2025.
The MSF will drive improvements in the services that patients and their families receive at the end of life and will enable integrated care boards to address challenges in access, quality, and sustainability through the delivery of high-quality, personalised care. This will be aligned with the ambitions set out in the recently published 10-Year Health Plan.
Asked by: James Naish (Labour - Rushcliffe)
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 potential merits of increasing funding for the specialist (a) care, (b) advice and (c) assessment provided by hospices.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for commissioning 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 for England, due to be published in Spring 2026. I refer the hon. Member to the Written Ministerial Statement HCWS1087 I gave to the House on 24 November 2025.
Additionally, we are supporting the hospice sector with a £100 million capital funding boost for eligible adult and children’s hospices in England to ensure they have the best physical environment for care. St Michael’s Hospice in Hereford is receiving £667,020 from this funding. We are also committing £80 million for children’s and young people’s hospices over the next three financial years, giving them stability to plan ahead and focus on what matters most, caring for their patients.
Asked by: James Naish (Labour - Rushcliffe)
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 hospice contracts reflect the (a) cost of the services they provide and (b) needs of their local populations.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for commissioning 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 for England, due to be published in Spring 2026. I refer the hon. Member to the Written Ministerial Statement HCWS1087 I gave to the House on 24 November 2025.
Additionally, we are supporting the hospice sector with a £100 million capital funding boost for eligible adult and children’s hospices in England to ensure they have the best physical environment for care. St Michael’s Hospice in Hereford is receiving £667,020 from this funding. We are also committing £80 million for children’s and young people’s hospices over the next three financial years, giving them stability to plan ahead and focus on what matters most, caring for their patients.
Asked by: James Naish (Labour - Rushcliffe)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what progress he has made on meeting the 18-week treatment targets in the Elective Reform Plan.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Tackling waiting lists is a key part of our Health Mission. We have exceeded our pledge to deliver an extra two million operations, scans, and appointments, having delivered 5.2 million additional appointments between July 2024 and June 2025. This marks a vital first step to delivering on the commitment that 92% of patients will wait no longer than 18 weeks from referral to consultant-led treatment, in line with the National Health Service constitutional standard, by March 2029.
The Elective Reform Plan, published in January 2025, sets out the productivity and reform efforts needed to return to the constitutional standard. Planning Guidance for 2025/26 sets a target that 65% of patients wait no longer than 18 weeks by March 2026, with every trust expected to deliver a minimum 5% improvement on current performance over that period.
Since April, when the Elective Reform Plan came in to effect, the percentage of patient pathways that involved waits of less than 18 weeks for treatment has improved by 2%, rising from 59.8% to 61.8% as of the end of September. This is the best performance since June 2022. The referral-to-treatment waiting list decreased to 7.39 million in September 2025, a reduction of 231,854 since the start of July 2024. But we know there is still much more to do, and we will continue to support NHS trusts to deliver our targets through innovation, sharing best practice to increase productivity and efficiency, and ensuring the best value is delivered.
Asked by: James Naish (Labour - Rushcliffe)
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 removing the use of body mass index thresholds to determine eligibility for joint replacement surgery.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department has made no specific assessment of the potential merits of removing the use of body mass index (BMI) thresholds to determine eligibility for joint replacement surgery. It is the responsibility of individual integrated care boards to determine policies for their local area.
As with all surgery, BMI would be considered as part of a holistic, personalised perioperative evaluation of the risks versus clinical need for joint replacement surgery of an individual patient. However, BMI should not be considered in isolation and in and of itself should not act as a barrier to surgery.
As part of the NHS Elective Reform Plan there is a commitment to expand access to the NHS Digital Weight Management Programme for patients waiting for hip and knee surgery.