Asked by: Lisa Smart (Liberal Democrat - Hazel Grove)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department plans to a) make the Psychotherapeutic Counselling Core pilot training pathway permanent and b) increase the number of places available through the pathway.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Psychotherapeutic Counselling Core training pathway is no longer a pilot and is a part of NHS England’s regular commissioning cycle for the education and training programmes. There are no plans to increase the number of training places on the Psychotherapeutic Counselling Core training pathway.
Asked by: Lisa Smart (Liberal Democrat - Hazel Grove)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department plans to review the amount of hours of training that newly qualified counsellors and psychotherapists have to complete before being eligible to work in the NHS.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
It is the responsibility of individual employers to set any specific requirements for their roles and to ensure staff meet patient safety, clinical quality, and professional competence.
Asked by: Lisa Smart (Liberal Democrat - Hazel Grove)
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 a recent assessment of the potential impact of the repairs backlog at Stepping Hill Hospital on patient care and waiting times; and if he will make an estimate of the potential cost to the public purse of meeting those repair costs in the next three years.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
We have inherited a broken National Health Service, with many hospitals in a state of disrepair, and patients unable to access the care they need. We recognise that hospitals across the country, including Stepping Hill, have challenging and poor-quality infrastructure. Repairing and rebuilding our healthcare estate is a vital part of our ambition to create an NHS that is fit for the future through our 10-Year Health Plan.
We are working to rebuild the health service. We are backing the NHS with over £4 billion in operational capital in 2025/26, with a further £16.9 billion to be allocated to integrated care boards (ICBs) and providers over the following years. Providers have also been given further five-year operational capital planning assumptions, covering 2030/31 to 2034-35, allowing them to plan longer term with confidence and accelerate investment decisions aligned to local priorities, including repairs and maintenance.
In addition, we will provide £30 billion across five years, namely 2025/26 to 2029/30, in day-to-day maintenance and repair of the NHS estate, with a further five years of funding certainty for estates maintenance as set out in the 10 Year Infrastructure Plan. Within this, the Estates Safety Fund, established in 2025/26, will continue, providing £6.75 billion investment over the next nine years to target the most critical building repairs. The £2.5 million allocated to Stepping Hill hospital from the Estates Safety Fund in 2025/26 is the first step in addressing the repairs backlog at Stepping Hill Hospital.
Asked by: Lisa Smart (Liberal Democrat - Hazel Grove)
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 reimburse or provide financial support to families of dementia patients who are required to pay for care while local authorities consider their applications for support.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Local authorities are responsible for assessing individuals’ care and support needs and, where eligible, for meeting those needs, as set out in the Care Act 2014.
The Care and Support Statutory Guidance states that “an assessment should be carried out over an appropriate and reasonable timescale taking into account the urgency of needs and a consideration of any fluctuation in those needs”. In addition, under Section 19 of the Care Act 2014, local authorities have powers to meet urgent needs for care and support without first carrying out a needs assessment or financial assessment.
There is no legal entitlement to reimbursement for care costs incurred prior to a local authority decision.
Individuals who are concerned about delays or decisions may raise these through local authority complaints processes or with the Local Government and Social Care Ombudsman.
Asked by: Lisa Smart (Liberal Democrat - Hazel Grove)
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 continuity of care for children and young people discharged from inpatient eating disorder units into community settings; and what steps he is taking to prevent deterioration in patients’ conditions following discharge.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England will shortly publish refreshed guidance on children and young people’s eating disorders. This guidance strengthens the focus on early identification and intervention across the whole care pathway, including in settings such as schools and primary care, to support prevention and timely access to help. It places particular emphasis on high-quality community provision, while ensuring that children and young people can access specialist support swiftly as soon as an eating disorder is suspected.
Since 2016, investment in children and young people’s community eating disorder services has increased every year. This includes an additional £54 million per year from 2023/24, which continues to enhance the capacity and capability of community eating disorder teams to deliver early intervention, evidence-based treatment, and ongoing support for all children and young people, including boys and young men.
Integrated care boards (ICBs) are responsible for commissioning eating disorder pathways for their local populations. In doing so, ICBs are expected to assess and respond to the needs of their local communities and to ensure services are provided equitably, including that diagnosis, treatment pathways, and clinical support are appropriate and accessible for all patients. This includes maintaining effective transitions from inpatient care into community services, with robust follow-up and ongoing support to reduce the risk of deterioration following discharge.
Asked by: Lisa Smart (Liberal Democrat - Hazel Grove)
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 whether eating disorder services adequately meet the needs of boys and young men; and what steps he is taking to ensure that diagnosis, treatment pathways and clinical support are appropriate and accessible for male patients.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England will shortly publish refreshed guidance on children and young people’s eating disorders. This guidance strengthens the focus on early identification and intervention across the whole care pathway, including in settings such as schools and primary care, to support prevention and timely access to help. It places particular emphasis on high-quality community provision, while ensuring that children and young people can access specialist support swiftly as soon as an eating disorder is suspected.
Since 2016, investment in children and young people’s community eating disorder services has increased every year. This includes an additional £54 million per year from 2023/24, which continues to enhance the capacity and capability of community eating disorder teams to deliver early intervention, evidence-based treatment, and ongoing support for all children and young people, including boys and young men.
Integrated care boards (ICBs) are responsible for commissioning eating disorder pathways for their local populations. In doing so, ICBs are expected to assess and respond to the needs of their local communities and to ensure services are provided equitably, including that diagnosis, treatment pathways, and clinical support are appropriate and accessible for all patients. This includes maintaining effective transitions from inpatient care into community services, with robust follow-up and ongoing support to reduce the risk of deterioration following discharge.
Asked by: Lisa Smart (Liberal Democrat - Hazel Grove)
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 effectiveness of current NHS strategies to prevent eating disorders, particularly among children and young people; and what steps he is taking to strengthen early intervention and prevention services.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England will shortly publish refreshed guidance on children and young people’s eating disorders. This guidance strengthens the focus on early identification and intervention across the whole care pathway, including in settings such as schools and primary care, to support prevention and timely access to help. It places particular emphasis on high-quality community provision, while ensuring that children and young people can access specialist support swiftly as soon as an eating disorder is suspected.
Since 2016, investment in children and young people’s community eating disorder services has increased every year. This includes an additional £54 million per year from 2023/24, which continues to enhance the capacity and capability of community eating disorder teams to deliver early intervention, evidence-based treatment, and ongoing support for all children and young people, including boys and young men.
Integrated care boards (ICBs) are responsible for commissioning eating disorder pathways for their local populations. In doing so, ICBs are expected to assess and respond to the needs of their local communities and to ensure services are provided equitably, including that diagnosis, treatment pathways, and clinical support are appropriate and accessible for all patients. This includes maintaining effective transitions from inpatient care into community services, with robust follow-up and ongoing support to reduce the risk of deterioration following discharge.
Asked by: Lisa Smart (Liberal Democrat - Hazel Grove)
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 impact of neurology waiting times on patients; and what steps his Department is taking to support NHS trusts in reducing routine neurology backlogs.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department recognises that long waits for neurology appointments can have a significant impact on patients, including delayed diagnosis, prolonged uncertainty, and potential deterioration in health and quality of life. Neurological conditions are often complex and require timely specialist input to prevent complications and support effective management. To address these challenges, the Government and NHS England are taking a range of steps to reduce waiting times and improve access to care.
Our Elective Reform Plan sets a clear target to return to the National Health Service constitutional standard that 92% of patients start consultant-led treatment within 18 weeks of referral by March 2029. We are investing in additional capacity to deliver appointments to help bring lists and waiting times down. The plan sets out the specific productivity and reform efforts needed to return to the constitutional standard.
Initiatives such as Getting It Right First Time and RightCare are supporting systems to redesign neurology pathways, reduce unwarranted variation, and improve outpatient flow. These programmes provide evidence-based recommendations for integrated care models and better workforce planning.
NHS England’s Standardising Community Health Services guidance asks integrated care boards to include community neurorehabilitation as a core component of local services, helping to shift care closer to home and reduce pressure on hospital-based neurology clinics.
The 10-Year Health Plan sets out a transformed vision for elective care by 2035, where the majority of interactions no longer take place in a hospital building, instead happening virtually or via neighbourhood services. Planned care will be more efficient, timely, and effective, and will put control in the hands of patients.
We are also committed to transforming and expanding diagnostic services and speeding up waiting times for tests. This includes investment in new and expanded community diagnostic centres, which are supporting a key Government priority to shift care from the hospital to the community, which offer the tests needed to support diagnosis of suspected neurological conditions.
The Government’s forthcoming 10 Year Workforce Plan will set out action to create a workforce ready to deliver the transformed service set out in the 10-Year Health Plan. The 10 Year Workforce Plan will ensure the NHS has the right people in the right places, with the right skills to care for patients, when they need it.
These actions form part of a wider strategy to improve access, reduce backlogs, and deliver high-quality neurological care across England.
Asked by: Lisa Smart (Liberal Democrat - Hazel Grove)
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 a joined-up continence care pathway between the NHS, local authorities and care home providers to ensure residents receive appropriate and personalised continence support.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The 10-Year Health Plan will shift care from hospital to community, and will thereby help to drive more joint working in neighborhoods between primary care, pharmacies, community health care, and social care to help people to manage continence at home, helping them to have access to the right self-care, the right professional support so they aren’t passed from service to service, and reducing their need for emergency admissions to hospital.
National Institute for Health and Care Excellence guidance on continence care recommends commissioners and providers deliver high quality management of continence care provision delivered in an integrated way.
Asked by: Lisa Smart (Liberal Democrat - Hazel Grove)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps are being taken to support GP practices in providing specialist in-house coil clinics, in the content of levels of staffing, clinic space, equipment and stock availability; and what steps he is taking to reduce waiting times for coil fittings.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government remains committed to ensuring equitable access to a range of contraceptive methods, including the coil.
Under the GP Contract, contraceptive services are part of the essential services that practices must provide, either directly or by making arrangements for their patients to access them. Integrated care boards (ICBs) may commission GPs to offer long acting reversible contraception, such as the contraceptive coil, as an enhanced service to their local population, in addition to the service provided through the GP Contract. It is for ICBs to decide on commissioning arrangements for their area based on an assessment of local need. Information on levels of staffing, clinic space, equipment and stock availability, and waiting times for coil fittings are not held centrally.