Asked by: Lee Anderson (Reform UK - Ashfield)
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 health professionals are adequately trained on the differences between Functional Neurological Disorder and other neurological conditions.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department recognises the need to improve awareness and understanding of functional neurological disorder (FND) across the health system.
The Royal College of General Practitioners provides a learning course that includes a dedicated module on recognising and explaining FND, helping general practitioners (GPs) to improve early identification and understanding of the condition. Further support is provided through guidance published by the National Institute for Care Excellence (NICE) on suspected neurological conditions: recognition and referral, reference code NG127, which includes detailed recommendations on recognising symptoms commonly present in FND and appropriate referral pathways.
NICE also provides a Clinical Knowledge Summary (CKS) on FND, offering practical, evidence‑based advice on diagnosis and management, supporting clinicians in distinguishing FND from structural or degenerative neurological disease.
FND is also included in a NICE guideline on rehabilitation for chronic neurological disorders and acquired brain injury, reference code NG252, published in October 2025. This further strengthens the evidence base and ensure clinicians have clear, up‑to‑date guidance on assessment and management within a broader neurological context.
Together, these resources ensure that health professionals, across primary, secondary, and specialist services, have access to robust, evidence‑based tools to support accurate differentiation between FND and other neurological conditions.
GPs are required to undertake continuing professional development to maintain and update their clinical knowledge, and they can access a range of training resources through professional bodies, royal colleges, and National Health Service‑funded education platforms. Decisions about mandatory training requirements are made only where there is a clear and evidence‑based need, and the current approach remains to ensure that GPs have the flexibility to tailor their learning to the needs of their patient populations.
Asked by: Lee Anderson (Reform UK - Ashfield)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will make training on Functional Neurological Disorder mandatory for General Practitioners.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department recognises the need to improve awareness and understanding of functional neurological disorder (FND) across the health system.
The Royal College of General Practitioners provides a learning course that includes a dedicated module on recognising and explaining FND, helping general practitioners (GPs) to improve early identification and understanding of the condition. Further support is provided through guidance published by the National Institute for Care Excellence (NICE) on suspected neurological conditions: recognition and referral, reference code NG127, which includes detailed recommendations on recognising symptoms commonly present in FND and appropriate referral pathways.
NICE also provides a Clinical Knowledge Summary (CKS) on FND, offering practical, evidence‑based advice on diagnosis and management, supporting clinicians in distinguishing FND from structural or degenerative neurological disease.
FND is also included in a NICE guideline on rehabilitation for chronic neurological disorders and acquired brain injury, reference code NG252, published in October 2025. This further strengthens the evidence base and ensure clinicians have clear, up‑to‑date guidance on assessment and management within a broader neurological context.
Together, these resources ensure that health professionals, across primary, secondary, and specialist services, have access to robust, evidence‑based tools to support accurate differentiation between FND and other neurological conditions.
GPs are required to undertake continuing professional development to maintain and update their clinical knowledge, and they can access a range of training resources through professional bodies, royal colleges, and National Health Service‑funded education platforms. Decisions about mandatory training requirements are made only where there is a clear and evidence‑based need, and the current approach remains to ensure that GPs have the flexibility to tailor their learning to the needs of their patient populations.
Asked by: Lee Anderson (Reform UK - Ashfield)
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 General Practitioners are sufficiently trained on Functional Neurological Disorder.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department recognises the need to improve awareness and understanding of functional neurological disorder (FND) across the health system.
The Royal College of General Practitioners provides a learning course that includes a dedicated module on recognising and explaining FND, helping general practitioners (GPs) to improve early identification and understanding of the condition. Further support is provided through guidance published by the National Institute for Care Excellence (NICE) on suspected neurological conditions: recognition and referral, reference code NG127, which includes detailed recommendations on recognising symptoms commonly present in FND and appropriate referral pathways.
NICE also provides a Clinical Knowledge Summary (CKS) on FND, offering practical, evidence‑based advice on diagnosis and management, supporting clinicians in distinguishing FND from structural or degenerative neurological disease.
FND is also included in a NICE guideline on rehabilitation for chronic neurological disorders and acquired brain injury, reference code NG252, published in October 2025. This further strengthens the evidence base and ensure clinicians have clear, up‑to‑date guidance on assessment and management within a broader neurological context.
Together, these resources ensure that health professionals, across primary, secondary, and specialist services, have access to robust, evidence‑based tools to support accurate differentiation between FND and other neurological conditions.
GPs are required to undertake continuing professional development to maintain and update their clinical knowledge, and they can access a range of training resources through professional bodies, royal colleges, and National Health Service‑funded education platforms. Decisions about mandatory training requirements are made only where there is a clear and evidence‑based need, and the current approach remains to ensure that GPs have the flexibility to tailor their learning to the needs of their patient populations.
Asked by: Lee Anderson (Reform UK - Ashfield)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if his Department will take steps to increase the number of places for domestic students on medical courses in universities.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
In England, the Office for Students (OfS) sets the maximum fundable limit for medical school places on an annual basis. OfS will publish its intake target for the 2026/27 academic year in due course.
For the 2025/26 academic year, OfS has published its intake target at 8,126 for medical school places, with further information available at the following link:
On 28 January, the Medical Training (Prioritisation) Bill was introduced in the House of Lords. This bill implements the Government’s commitment in the 10-Year Health Plan to prioritise UK medical graduates for foundation training places, and to prioritise UK medical graduates and other doctors with significant NHS experience for specialty places.
Asked by: Lee Anderson (Reform UK - Ashfield)
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 increase the (a) accessibility and (b) availability of functional MRI scans.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Functional magnetic resonance imaging (MRI) scans can be taken on standard clinical MRI machines. However, whilst functional MRI requires specialised software to detect blood flow changes, the blood-oxygen-level-dependent signal, and sometimes extra equipment for stimuli, for instance goggles, it uses the same scanner hardware as structural MRI.
We are committed to transforming diagnostic services and will support the National Health Service to increase diagnostic capacity to meet the demand for diagnostic services, including MRI scanners.
The 2025 Spending Review confirmed over £6 billion of additional capital investment over five years across new diagnostic, elective, and urgent care capacity. This includes £600 million in capital funding for diagnostics in 2025/26 to support delivery of the NHS performance standards. This funding will deliver replacement of the oldest MRI scanners in community diagnostic centres and acute hospital settings, as well as delivering MRI acceleration software. Business cases for the locations of these are being considered for approval.
Capital investment will be targeted to locations where it will enable the additional activity required to deliver the return to referral to treatment and cancer constitutional standards promised, as well as considering local levels of deprivation so that investment supports efforts to reduce health inequalities.
Asked by: Lee Anderson (Reform UK - Ashfield)
Question to the Department for Environment, Food and Rural Affairs:
To ask the Secretary of State for Environment, Food and Rural Affairs, what recent assessment her Department has made of the (a) economic state and (b) financial viability of independent veterinary businesses.
Answered by Angela Eagle - Minister of State (Department for Environment, Food and Rural Affairs)
Defra has not done its own assessment of the economic state and financial viability of veterinary businesses., however, it welcomes the Competition and Markets Authority’s (CMA’s) market investigation into veterinary services for household pets. As part of their market investigation, the CMA carried out an economic assessment of the sector. The CMA released its provisional decision report on 15 October for the veterinary profession to respond. The CMA will review all responses before releasing its final report. Defra will formally respond to the CMA’s final report, and the items within it, when it is published in the Spring. Some of the CMA’s provisional recommendation will require reform of the Veterinary Surgeons Act 1966, on which Defra is currently consulting, and further assessments will be carried out as required.
Asked by: Lee Anderson (Reform UK - Ashfield)
Question to the Department for Education:
To ask the Secretary of State for Education, what recent assessment her Department has made about the effectiveness of the Early years foundation stage statutory framework in offering sufficient guidance on safe sleep for babies.
Answered by Olivia Bailey - Parliamentary Under-Secretary of State (Department for Education) (Equalities)
The Early Years Foundation Stage (EYFS) statutory framework, which all early years providers are required to follow, includes a requirement for babies to be placed down to sleep in line with the latest government safety guidance
The Early Years qualification requirements and standards document sets out the minimum qualification requirements that staff must meet to work within early years settings. Both the Level 2 and Level 3 qualification criteria include knowledge of rest and sleep provision. This document is accessible at: https://www.gov.uk/government/publications/early-years-qualification-requirements-and-standards.
In September 2024, the department worked in collaboration with The Lullaby Trust to produce guidance, which is available on the Foundation Years platform. This covers unsuitable sleeping products, suitable sleeping surfaces and the safe use of blankets. This guidance can be found at: https://www.foundationyears.org.uk/2024/09/safer-sleeping-practices-for-early-years-educators/.
To make the existing requirements clearer for all, we plan to add further detail to the EYFS frameworks. We have worked with safer sleep experts, including The Lullaby Trust, on proposed new wording and plan to introduce these changes as soon as possible.
Asked by: Lee Anderson (Reform UK - Ashfield)
Question to the Department for Education:
To ask the Secretary of State for Education, what steps her department is taking to ensure all nursery staff receive sufficient training regarding safe sleep for babies.
Answered by Olivia Bailey - Parliamentary Under-Secretary of State (Department for Education) (Equalities)
The Early Years Foundation Stage (EYFS) statutory framework, which all early years providers are required to follow, includes a requirement for babies to be placed down to sleep in line with the latest government safety guidance
The Early Years qualification requirements and standards document sets out the minimum qualification requirements that staff must meet to work within early years settings. Both the Level 2 and Level 3 qualification criteria include knowledge of rest and sleep provision. This document is accessible at: https://www.gov.uk/government/publications/early-years-qualification-requirements-and-standards.
In September 2024, the department worked in collaboration with The Lullaby Trust to produce guidance, which is available on the Foundation Years platform. This covers unsuitable sleeping products, suitable sleeping surfaces and the safe use of blankets. This guidance can be found at: https://www.foundationyears.org.uk/2024/09/safer-sleeping-practices-for-early-years-educators/.
To make the existing requirements clearer for all, we plan to add further detail to the EYFS frameworks. We have worked with safer sleep experts, including The Lullaby Trust, on proposed new wording and plan to introduce these changes as soon as possible.
Asked by: Lee Anderson (Reform UK - Ashfield)
Question to the Department for Education:
To ask the Secretary of State for Education, whether the Government has plans to increase levels of safe sleep regulations for babies in the Early years foundation stage statutory framework.
Answered by Olivia Bailey - Parliamentary Under-Secretary of State (Department for Education) (Equalities)
The Early Years Foundation Stage (EYFS) statutory framework, which all early years providers are required to follow, includes a requirement for babies to be placed down to sleep in line with the latest government safety guidance
The Early Years qualification requirements and standards document sets out the minimum qualification requirements that staff must meet to work within early years settings. Both the Level 2 and Level 3 qualification criteria include knowledge of rest and sleep provision. This document is accessible at: https://www.gov.uk/government/publications/early-years-qualification-requirements-and-standards.
In September 2024, the department worked in collaboration with The Lullaby Trust to produce guidance, which is available on the Foundation Years platform. This covers unsuitable sleeping products, suitable sleeping surfaces and the safe use of blankets. This guidance can be found at: https://www.foundationyears.org.uk/2024/09/safer-sleeping-practices-for-early-years-educators/.
To make the existing requirements clearer for all, we plan to add further detail to the EYFS frameworks. We have worked with safer sleep experts, including The Lullaby Trust, on proposed new wording and plan to introduce these changes as soon as possible.
Asked by: Lee Anderson (Reform UK - Ashfield)
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 improve (a) diagnosis time and (b) medical care for people with non-alcoholic fatty liver disease.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Non-alcoholic fatty liver disease is now commonly referred to as metabolic dysfunction-associated steatotic liver disease (MASLD), although the terms are still often used interchangeably.
While the Department has not had any recent discussions with medical professionals about care for people with MASLD, NHS England has recently commenced a programme for the transformation of liver services. This programme is being led by the NHS England Hepatobiliary and Pancreas Clinical Reference Group (HPB CRG). HPB CRG is working with partners to co-produce resources to raise public knowledge and awareness of all forms of liver disease. In time, this may include incorporating liver health checks into the NHS Making Every Contact Count and NHS Health Checks initiatives.
The HPB CRG is also aiming to improve early diagnosis and intervention through developing evidence-based best-practice pathways for both primary care and referral to secondary care services. The HPB CRG is looking at access and equity of access to diagnostic tests across England and exploring the applicability of automated Fib4 tests and Intelligent Liver Function Testing, potentially utilising community diagnostic centres.
The British Society for Gastroenterology is currently updating its pathways and guidance for MASLD for both primary and secondary care, diagnostics, and treatment, which we anticipate will be published soon. There are also a number of ongoing National Institute for Health and Care Excellence assessments looking at new treatments for MASLD, including Resmetirom and Semaglutide. Outputs and recommendations are expected to be published in mid-2026.
Clinical teams also have access to NHS England’s Getting it Right First Time Advice and Guidance toolkit and templates for gastroenterology, which feature advice on managing abnormal liver function tests and MASLD. These templates enable general practitioners to seek timely advice from secondary care specialists, helping to reduce unnecessary delays.