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, pursuant to the Answer of 22 October 2025 to Question 77546 on NHS: Strikes, whether (a) paid and (b) unpaid trade union facility time can be used for NHS staff who are trade union representatives to take part in campaigning on (i) ballots and (ii) industrial action.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
It is for each National Health Service employer and representatives of locally recognised trades unions to agree in partnership to local arrangements and procedures on time off and facilities that are appropriate in local circumstances and whether that time off is paid or unpaid. Local arrangements should also specify the circumstances when time off may be refused for either representatives or members and are expected to be consistent with the principles set out in Section 25 of the NHS Terms and Conditions of Service Handbook and the Advisory, Conciliation and Arbitration Service Code of Practice on time off for trade union duties and activities. Section 25 specifies that trade union representatives should make a request to their employer in advance when seeking time off for unpaid trade union activities. The request should include details such as the purpose of the absence, the timing, and the expected duration so the employer can give fair and due consideration of the request. The employer should not unreasonably refuse such requests, but the granting of time off should always be balanced against the needs of the service and what would be considered reasonable in the circumstances.
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, pursuant to the Answer of 22 October 2025 to Question 77546 on NHS: Strikes, whether NHS staff who are on strike may be paid by another NHS trust for undertaking (a) agency and (b) locum during the strike.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Regulation 7 of the Conduct of Employment Agencies and Employment Businesses Regulations 2003 stipulates that striking National Health Service staff can work for another NHS trust on days of industrial action as long as they do not do so via an employment business to cover the work of striking workers. Some employment contracts may require employees to either declare to or seek permission from their primary employer before working with another employer, and further guidance for employers can be found on the NHS Employers website. In addition, doctors should refer to the Good Medical Practice Guide issued by the General Medical Council (GMC) when making decisions about working during periods of strike action. The GMC advises that doctors who are due to work but are not attending because of strike action should remain prepared and available during their scheduled hours in case circumstances change.
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 support his department is making available for trusts to help reduce bed occupancy to the RCEM recommended level of 85% occupancy.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
As part of our winter preparations, we are asking trusts to place a special focus on reducing bed occupancy ahead of Christmas, creating additional capacity and improving patient flow.
The Urgent and Emergency Care plan, published in July, focuses on those improvements that will see the biggest impact on urgent and emergency care (UEC) performance this winter and on making UEC better every day. The plan is backed by almost £450 million of capital investment for Same Day Emergency Care, Mental Health Crisis Assessment Centres, and new ambulances, avoiding unnecessary admissions to hospital and supporting the diagnosis, treatment, and discharge on the same day for patients. The plan supports a permanent shift in how we manage demand and patient flow.
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 steps he is taking to help tackle increases in legal costs for clinical negligence.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The rising costs of clinical negligence claims against the National Health Service in England are of great concern to the Government. Costs have more than doubled in the last 10 years and are forecast to continue rising, putting further pressure on NHS finances.
As announced in the recently published 10-Year Health Plan for England, David Lock KC will be providing expert policy advice on the rising legal costs of clinical negligence and how we can improve patients’ experience of claims, ahead of a review by the Department in the autumn.
The results of David Lock’s work will inform future policy making in this area. No decisions on policy have been taken at this point, and the Government will provide an update on the work done and next steps in due course.
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 steps he is taking to support the (a) health and (b) wellbeing of the NHS workforce (i) on the Isle of Wight and (ii) in Hampshire.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The health and wellbeing of all National Health Service staff is a top priority. Local employers across the NHS have in place existing arrangements for supporting staff, including occupational health provision, employee support programmes, and a focus on healthy working environments. At a national level NHS staff have access to the SHOUT helpline for crisis support alongside the Practitioner Health service for more complex mental health and wellbeing support, including trauma and addiction.
As set out in the 10-Year Health Plan, at a national level, we will roll out Staff Treatment hubs to ensure all staff have access to enhanced occupational health support, with a focus on mental health and musculoskeletal services.
To further support this ambition, we are working with the Social Partnership Forum to introduce a new set of staff standards for modern employment, covering issues such as access to healthy meals, support to work healthily and flexibly, and tackling violence, racism, and sexual harassment in the workplace.
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, if he will take steps to issue guidance to NHS Trusts to discourage them from supporting City of Sanctuary.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
There are no plans to issue guidance on this matter. National Health Service organisations are required to use their resources in the interests of patients and to secure value for money for taxpayers.
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, Pursuant to the answer of 10 October, to Question 75034, on Trade Union: Equality, which civil service diversity networks in (a) his department and (b) NHS England are eligible for network time; and whether individual staff can claim both network time and trade union facility time.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Within the Department, paid facility time is provided for accredited trade union representatives to carry out duties in line with legislation and the trade union partnership framework, but not for participation in staff networks.
Chairs and committee members of the Department’s internal diversity networks are permitted to use up to 10% of their work time for network activity.
Whilst NHS England will be abolished and its functions integrated into the Department in the coming years, they are not a Civil Service employer. Therefore, NHS England has no Civil Service diversity networks.
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 impact of the early flu season on corridor care, hospital capacity, and patient outcomes.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department is continuing to take key steps to ensure the health service is prepared for the colder months. This includes taking actions to try and reduce demand pressure on accident and emergency, increasing vaccination rates, and offering health checks to the most vulnerable, as well as stress-testing integrated care boards and trust winter plans to ensure they are able to meet demand and ensure patient flow. Ministers meet every week on winter and consider flu levels as part of this.
Flu is a recurring pressure that the NHS faces every winter. There is particular risk of severe illness for older people, the very young, pregnant, and those with certain underlying health conditions. The flu vaccine remains the best form of defense against influenza, particularly for the most vulnerable, and continues to be highly effective at preventing severe disease and hospitalisation.
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 his Department has made of the total funding required for Start for Life services over the next Spending Review period; and of how much funding will be required to support (a) geographical and (b) age-range expansion.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The 10-Year Health Plan sets out an ambitious agenda to improve the nation’s health. As part of this, we will expand Start for Life services and integrate zero- to five-year-olds’ health and children’s services in communities, with a strong focus on the critical first 1,001 days.
The integration of health services in Best Start Family Hubs is fundamental to improving outcomes for babies, children and their families and delivering on Neighbourhood Health. This is why the Government will prioritise funding the continuation of existing Start for Life services including for infant feeding, perinatal mental health and parent-infant relationships.
Provisional funding allocations have been shared with local authorities. The Government remains committed to supporting all local areas to strengthen and join up health services for babies, children and their families.