Asked by: Joe Robertson (Conservative - Isle of Wight East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential merits of implementing the recommendations in the APPG on Pharmacy’s report entitled The Future of Community Pharmacy in England, published in November 2025.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
I am grateful to the All-Party Parliamentary Group on Pharmacy for its report. I agree that pharmacies play a vital role in our healthcare system and recognise the challenges the sector faces. The Department will consider the recommendations set out by the report, some of which overlap with commitments already set out in the 10-Year Health Plan, such as introducing an independent prescribing service in community pharmacy.
For 2025/26, funding for the core community pharmacy contractual framework was increased to £3.1 billion. This represented the largest uplift in funding of any part of the National Health Service at the time, over 19% across 2024/25 and 2025/26. As is custom and practice, the Department will consult Community Pharmacy England on any proposed or future changes to reimbursement and remuneration of pharmacy contractors.
Asked by: Joe Robertson (Conservative - Isle of Wight East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he plans to increase funding for community pharmacies; and whether there are plans for a long-term, inflation-linked funding settlement for the sector.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
I am grateful to the All-Party Parliamentary Group on Pharmacy for its report. I agree that pharmacies play a vital role in our healthcare system and recognise the challenges the sector faces. The Department will consider the recommendations set out by the report, some of which overlap with commitments already set out in the 10-Year Health Plan, such as introducing an independent prescribing service in community pharmacy.
For 2025/26, funding for the core community pharmacy contractual framework was increased to £3.1 billion. This represented the largest uplift in funding of any part of the National Health Service at the time, over 19% across 2024/25 and 2025/26. As is custom and practice, the Department will consult Community Pharmacy England on any proposed or future changes to reimbursement and remuneration of pharmacy contractors.
Asked by: Joe Robertson (Conservative - Isle of Wight East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how much additional funding has been allocated in the current financial year to expand secondary care capacity, including staffing and bed numbers.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Spending Review 2025 has prioritised health, with an increase by £29 billion in real terms by 2028/29 compared to 2023/24, including investment in urgent and emergency care and electives services to deliver the 10-Year Health Plan. The plan includes the shift from hospital to community to bring care closer to home, launching a new neighbourhood health service with easier and more convenient access to a full range of healthcare services on people’s doorsteps, open 12 hours a day, six days a week.
Integrated care board (ICB) revenue allocations for 2025/26 include a total of circa £5.3 billion elective recovery funding to allow the National Health Service to continue to deliver the high levels of elective activity performance seen last year, and to deliver our Plan for Change commitments including care closer to the community. This figure includes funding for cancer services.
Over £6 billion in additional capital will be invested in diagnostic, elective, and urgent and emergency capacity in the NHS over five years, including £1.65 billion in 2025/26 to deliver new surgical hubs, diagnostic scanners and beds to increase capacity for elective and emergency care.
Decisions on staffing and bed numbers are for individual NHS organisations to decide when developing their operational plans in response to the Medium Term Planning Framework 2026/27 to 2028/29.
Asked by: Joe Robertson (Conservative - Isle of Wight East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many NICE appraisals were terminated in the five-year period from 2019 to 2024, and how this compares with the preceding five-year period.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The following table shows the number of National Institute for Health and Care Excellence (NICE) appraisals that were terminated between 2019 and 2024, and between 2014 and 2019:
Period | Number of terminated appraisals | Terminated appraisals as a percentage of total appraisals |
2019 to 2024 | 82 | 19% |
2014 to 2019 | 26 | 7% |
Source: NICE.
NICE data shows that terminated appraisals increased in 2019/20 and stabilised with no increasing trend thereafter. This followed NICE’s 2019 commitment to review all new active substances and significant indications. This required industry to submit topics which might otherwise not have been in NICE's work programme. NICE’s data shows that the proportion of terminations has been stable over the last five years, and that terminations reflect that not all products/indications will likely be clinically and cost effective. NICE will continue to monitor terminations with a view to best continuing to support access to clinically and cost-effective medicines for patients in England.
Asked by: Joe Robertson (Conservative - Isle of Wight East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate he has made of the backlog maintenance costs for GP surgeries and other primary care premises in England.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
There is no separate assessment of general practice (GP) premises as part of the Care Quality Commission’s (CQC) assessments of practices. The CQC’s Premises Regulations, primarily Regulation 15, mandate that care locations must be clean, suitable, secure, and properly maintained, ensuring safety for users. As of 15 January 2026, in England there are 5,520 GP surgeries rated as Good, 256 rated as Requires Improvement, and 20 rated as Inadequate. five locations have yet to be rated.
The Government recognises the importance of strategic, value for money investments in capital projects, such as new facilities, significant upgrades, or other targeted capital investments.
In May, we announced schemes which will benefit from the £102 million Primary Care Utilisation and Modernisation Fund to deliver upgrades to more than a thousand GP surgeries across England this financial year. These schemes will create additional clinical space within existing building footprints to enable practices to see more patients, boost productivity, and improve patient care.
NHS England is responsible for funding allocations to integrated care boards (ICBs). This process is independent of the Government, and NHS England takes advice on the underlying formula from the independent Advisory Committee on Resource Allocation (ACRA). The most recent allocations take into account an ACRA-recommended change specifically focused on rurality.
ICBs are responsible for commissioning, which includes planning, securing, and monitoring, GP services within their health systems through delegated responsibility from NHS England. The NHS has a statutory duty to ensure there are sufficient medical services, including general practices, in each local area. It should take account of population growth and demographic changes.
Asked by: Joe Robertson (Conservative - Isle of Wight East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate he has made of the additional costs of maintaining and developing primary care estates in island, rural, and coastal communities.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
There is no separate assessment of general practice (GP) premises as part of the Care Quality Commission’s (CQC) assessments of practices. The CQC’s Premises Regulations, primarily Regulation 15, mandate that care locations must be clean, suitable, secure, and properly maintained, ensuring safety for users. As of 15 January 2026, in England there are 5,520 GP surgeries rated as Good, 256 rated as Requires Improvement, and 20 rated as Inadequate. five locations have yet to be rated.
The Government recognises the importance of strategic, value for money investments in capital projects, such as new facilities, significant upgrades, or other targeted capital investments.
In May, we announced schemes which will benefit from the £102 million Primary Care Utilisation and Modernisation Fund to deliver upgrades to more than a thousand GP surgeries across England this financial year. These schemes will create additional clinical space within existing building footprints to enable practices to see more patients, boost productivity, and improve patient care.
NHS England is responsible for funding allocations to integrated care boards (ICBs). This process is independent of the Government, and NHS England takes advice on the underlying formula from the independent Advisory Committee on Resource Allocation (ACRA). The most recent allocations take into account an ACRA-recommended change specifically focused on rurality.
ICBs are responsible for commissioning, which includes planning, securing, and monitoring, GP services within their health systems through delegated responsibility from NHS England. The NHS has a statutory duty to ensure there are sufficient medical services, including general practices, in each local area. It should take account of population growth and demographic changes.
Asked by: Joe Robertson (Conservative - Isle of Wight East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent discussions he has had with local authorities about the funding of hospice services, including those providing end-of-life care for dementia patients.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department has not had any recent discussions with local authorities about the funding of hospice services.
Palliative care services are included in the list of services an integrated care board (ICB) must commission. 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.
Local authorities don't have direct responsibility for end of life care. However, statutory guidance encourages local authorities to prioritise integration activity in areas where there is evidence that effective integration of services materially improves people’s wellbeing, for example, end of life care.
As the majority of hospices are independent charitable organisations, neither the Government nor NHS England collect data on their financial accounts. As such, we do not hold data on the proportion of the total income that hospices receive that is provided by central Government.
In December 2024, we announced a £100 million capital funding boost for adult and children’s hospices in England. We are pleased to say that this capital funding has just been increased by a further £25 million.
The Government will consider contracting and commissioning as part of developing the forthcoming Palliative Care and End of Life Care Modern Service Framework for England. We recognise that there is currently a mix of contracting models in the hospice sector. By supporting ICBs to commission 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.
Asked by: Joe Robertson (Conservative - Isle of Wight East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what proportion of hospice funding for dementia end-of-life care is provided by central government and local authorities; and whether he plans to increase statutory funding for hospices.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department has not had any recent discussions with local authorities about the funding of hospice services.
Palliative care services are included in the list of services an integrated care board (ICB) must commission. 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.
Local authorities don't have direct responsibility for end of life care. However, statutory guidance encourages local authorities to prioritise integration activity in areas where there is evidence that effective integration of services materially improves people’s wellbeing, for example, end of life care.
As the majority of hospices are independent charitable organisations, neither the Government nor NHS England collect data on their financial accounts. As such, we do not hold data on the proportion of the total income that hospices receive that is provided by central Government.
In December 2024, we announced a £100 million capital funding boost for adult and children’s hospices in England. We are pleased to say that this capital funding has just been increased by a further £25 million.
The Government will consider contracting and commissioning as part of developing the forthcoming Palliative Care and End of Life Care Modern Service Framework for England. We recognise that there is currently a mix of contracting models in the hospice sector. By supporting ICBs to commission 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.
Asked by: Joe Robertson (Conservative - Isle of Wight East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the condition of the primary care estate in England; and what proportion of GP premises are currently rated as (a) good, (b) requiring improvement, and (c) unfit for purpose.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
There is no separate assessment of general practice (GP) premises as part of the Care Quality Commission’s (CQC) assessments of practices. The CQC’s Premises Regulations, primarily Regulation 15, mandate that care locations must be clean, suitable, secure, and properly maintained, ensuring safety for users. As of 15 January 2026, in England there are 5,520 GP surgeries rated as Good, 256 rated as Requires Improvement, and 20 rated as Inadequate. five locations have yet to be rated.
The Government recognises the importance of strategic, value for money investments in capital projects, such as new facilities, significant upgrades, or other targeted capital investments.
In May, we announced schemes which will benefit from the £102 million Primary Care Utilisation and Modernisation Fund to deliver upgrades to more than a thousand GP surgeries across England this financial year. These schemes will create additional clinical space within existing building footprints to enable practices to see more patients, boost productivity, and improve patient care.
NHS England is responsible for funding allocations to integrated care boards (ICBs). This process is independent of the Government, and NHS England takes advice on the underlying formula from the independent Advisory Committee on Resource Allocation (ACRA). The most recent allocations take into account an ACRA-recommended change specifically focused on rurality.
ICBs are responsible for commissioning, which includes planning, securing, and monitoring, GP services within their health systems through delegated responsibility from NHS England. The NHS has a statutory duty to ensure there are sufficient medical services, including general practices, in each local area. It should take account of population growth and demographic changes.
Asked by: Joe Robertson (Conservative - Isle of Wight East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what funding has been allocated for the improvement and expansion of the primary care estate in each of the last five financial years.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
There is no separate assessment of general practice (GP) premises as part of the Care Quality Commission’s (CQC) assessments of practices. The CQC’s Premises Regulations, primarily Regulation 15, mandate that care locations must be clean, suitable, secure, and properly maintained, ensuring safety for users. As of 15 January 2026, in England there are 5,520 GP surgeries rated as Good, 256 rated as Requires Improvement, and 20 rated as Inadequate. five locations have yet to be rated.
The Government recognises the importance of strategic, value for money investments in capital projects, such as new facilities, significant upgrades, or other targeted capital investments.
In May, we announced schemes which will benefit from the £102 million Primary Care Utilisation and Modernisation Fund to deliver upgrades to more than a thousand GP surgeries across England this financial year. These schemes will create additional clinical space within existing building footprints to enable practices to see more patients, boost productivity, and improve patient care.
NHS England is responsible for funding allocations to integrated care boards (ICBs). This process is independent of the Government, and NHS England takes advice on the underlying formula from the independent Advisory Committee on Resource Allocation (ACRA). The most recent allocations take into account an ACRA-recommended change specifically focused on rurality.
ICBs are responsible for commissioning, which includes planning, securing, and monitoring, GP services within their health systems through delegated responsibility from NHS England. The NHS has a statutory duty to ensure there are sufficient medical services, including general practices, in each local area. It should take account of population growth and demographic changes.