Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
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 cost of the services they provide and the 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. I refer the Hon. Member to the Written Ministerial Statement HCWS1087, which I gave to the House on 24 November 2025.
Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has considered plans to fully fund the specialist palliative care, advice and 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. I refer the Hon. Member to the Written Ministerial Statement HCWS1087, which I gave to the House on 24 November 2025.
Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
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 national accountability for equitable provision of palliative care across England.
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, which I gave to the House on 24 November 2025.
This is further clarified in the recently published Strategic Commissioning Framework and the Medium Term Planning Guidance, which makes clear the expectation that integrated care boards should understand current and projected service utilisation and costs, creating an overall plan to more effectively meet these needs through neighbourhood health.
Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
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 reduce deaths from cardiovascular disease.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is committed to reducing premature mortality from heart disease and stroke by 25% in the next 10 years. To accelerate progress towards this ambition, we will publish a Modern Service Framework for Cardiovascular Disease (CVD) in 2026, which will identify the best evidenced interventions, and drive innovation in prevention, treatment, and care. The Department and NHS England are working closely to deliver the CVD modern service framework and will engage widely throughout its development.
Alongside this, the NHS Health Check, a core component of England’s CVD prevention programme which aims to detect those at risk of heart disease and stroke aged between 40 and 74 years old, engages over 1.4 million people and through behavioural and clinical interventions, prevents approximately 500 heart attacks and strokes a year. To improve access with the programme, we are piloting an NHS Health Check online service so that people can undertake a check at a time and place that is convenient to them.
We have invested in hypertension case-finding for those over 40 years old in community pharmacies, and nearly 4.2 million people have received a free blood pressure check through the service since October 2021.
Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
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 improve survival rates of out of hospital cardiac arrests in the North West.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
We recognise that there is more to do to improve cardiac arrest survival, including in the North West. The 10-Year Health Plan sets out the reforms and radical shifts needed to improve National Health Services and deliver better patient outcomes and includes a focus on improving cardiovascular disease detection and prevention. Key initiatives include improving the early detection and treatment of high-risk conditions like atrial fibrillation, high blood pressure, and high cholesterol, known as 'the ABCs', to prevent heart attacks and strokes, which can lead to cardiac arrest.
Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether any ministerial redundancy payments have been repaid to her Department since 2019.
Answered by Andrew Stephenson
It has not proved possible to respond to the hon. Member in the time available before Prorogation.
Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to reduce diagnostic waiting times for people with suspected young onset dementia.
Answered by Helen Whately - Shadow Secretary of State for Work and Pensions
As part of the spending review settlement in 2021/22, £17 million was allocated to the National Health Service to address dementia waiting lists, and to increase the number of diagnoses, which had been adversely impacted by the pandemic. NHS England will share learning on the impact of this funding and examples of good practice with dementia clinical networks, by the end of Summer 2024.
However, the dementia diagnosis rate is not calculated for patients aged under 65 years old. This is because the numbers of patients known to have dementia in the sample population age groups comprising the zero to 64 years old age range, is not large enough for reliable estimates to be made.
The Primary Care Dementia Data publication does include a monthly count of the number of patients aged 65 years old and under who do have a dementia diagnosis on their patient record, which is expressed as a raw count, and as a percentage of registered patients aged zero to 64 years old.
Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to help increase the rate of diagnosis for people who develop symptoms of dementia before the age of 65.
Answered by Helen Whately - Shadow Secretary of State for Work and Pensions
As part of the spending review settlement in 2021/22, £17 million was allocated to the National Health Service to address dementia waiting lists, and to increase the number of diagnoses, which had been adversely impacted by the pandemic. NHS England will share learning on the impact of this funding and examples of good practice with dementia clinical networks, by the end of Summer 2024.
However, the dementia diagnosis rate is not calculated for patients aged under 65 years old. This is because the numbers of patients known to have dementia in the sample population age groups comprising the zero to 64 years old age range, is not large enough for reliable estimates to be made.
The Primary Care Dementia Data publication does include a monthly count of the number of patients aged 65 years old and under who do have a dementia diagnosis on their patient record, which is expressed as a raw count, and as a percentage of registered patients aged zero to 64 years old.
Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an assessment of the adequacy of levels of age-appropriate support offered by Integrated Care Boards for people with young onset dementia.
Answered by Helen Whately - Shadow Secretary of State for Work and Pensions
NHS England is committed to delivering high quality care and support for every person with dementia at every age, and central to this is the provision of personalised care.
The Dementia Well Pathway includes diagnosing well, living well, supporting well, and dying well, and highlights that services need to be integrated, commissioned, monitored, and aligned with the National Institute for Health and Care Excellence’s standards for each component of the pathway. It makes it clear that the needs, wishes, and preferences of each individual, including those with young onset dementia, should be taken into account when planning and providing their care.
Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether her Department plans to provide (a) guidance and (b) resources to support Integrated Care Systems in developing a designated care pathway for people with young onset dementia.
Answered by Helen Whately - Shadow Secretary of State for Work and Pensions
NHS England is committed to delivering high quality care and support for every person with dementia at every age, and central to this is the provision of personalised care. The provision of dementia health care services is the responsibility of local integrated care boards (ICBs). NHS England would expect ICBs to commission services based on local population needs, taking account of the National Institute for Health and Care Excellence’s (NICE) guidelines.
The Dementia Well Pathway includes diagnosing well, living well, supporting well, and dying well, and highlights that services need to be integrated, commissioned, monitored, and aligned with the NICE’s standards for each component of the pathway. It makes it clear that the needs, wishes, and preferences of each individual should be taken into account in planning and providing their care.
Guidance on dementia care in hospital is referenced in The Dementia Care Pathway, and signals that commissioners should continue to actively engage in local system leadership. An improvement agenda should be developed jointly with key partners, including healthcare providers, social care, local government, and the voluntary and independent sectors. Additionally, on 24 January 2024, the Government announced that it will publish a Major Conditions Strategy covering six conditions, including dementia.