Asked by: Liz Jarvis (Liberal Democrat - Eastleigh)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department will publish a timetable for (a) replacing the Car Hill Formula, and (b) identifying a new allocation formula.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The review of the Carr-Hill formula has been commissioned through the National Institute for Health and Care Research (NIHR) and commenced in October 2025. The first phase of the review is expected to conclude in March 2026. Subject to ministerial decision, further work would be undertaken to technically develop and model any proposed changes to the formula.
In November, I wrote to MPs to inform them of the details of the review.
Findings from the review will be published in due course by NIHR. MPs will also be updated once the review findings are available.
Implementation of any new funding approach would be subject to ministerial decision and consultation with the General Practice Committee (England) of the British Medical Association, in the context of available funding and our commitment to substantively reform the General Medical Services Contract within this Parliament.
Asked by: Liz Jarvis (Liberal Democrat - Eastleigh)
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 UK-US Pharmaceutical deal on patient access to medicines.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The United Kingdom has secured mitigations under the United States’ ‘Most Favoured Nation’ drug pricing initiative so that we will continue to ensure access to the latest treatments. This will encourage pharmaceutical companies from around the world to prioritise the UK for early launches of their new medicines, getting new treatments to the National Health Service frontline faster and securing our access to and supply of medicines for patients all across the NHS.
The agreement will see the NHS invest approximately 25% more in innovative treatments, the first major increase in over two decades, meaning patients will now be able to access cutting-edge therapies that may have otherwise been deemed not cost-effective. This could include breakthrough cancer treatments, therapies for rare diseases, and innovative approaches to conditions that have long been difficult to treat.
Asked by: Liz Jarvis (Liberal Democrat - Eastleigh)
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 Medical Training (Prioritisation) Bill on the ability of UK-resident graduates of UK medical schools who studied at overseas campuses to work in the NHS.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Medical Training (Prioritisation) Bill was introduced to Parliament on 13 January 2026. The bill delivers the Government’s commitment in the 10-Year Health Plan for England, published in July 2025, to prioritise United Kingdom medical graduates for foundation training, and to prioritise UK medical graduates and other doctors who have worked in the National Health Service for a significant period for specialty training.
Subject to the parliamentary passage of the bill, British citizens who have graduated from medical schools outside of the UK will not be prioritised for foundation training places, and a graduate from a medical school in the UK or Ireland will not be prioritised if they spent the majority of their time studying outside the British Islands.
For specialty training places starting in 2026, NHS experience is being represented by immigration status as people with a settled immigration status are more likely to have worked in the NHS for longer. The effect of this is that British citizens and those with certain other immigration status will be prioritised. For specialty training posts starting from 2027 onwards, this provision will not apply automatically. Instead, it will be possible to make regulations to specify additional groups who will be prioritised, where they are likely to have significant experience working as a doctor either in the NHS in England, Scotland or Wales, or in health and social care in Northern Ireland, or by reference to their immigration status.
Asked by: Liz Jarvis (Liberal Democrat - Eastleigh)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the potential merits of publishing national dementia outcomes for neighbourhood health services and requiring integrated care boards to demonstrate timely access to specialist, community-based dementia support.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
NHS England already collect and publish data about people with dementia at each general practice in England, to enable National Health Service general practitioners (GPs) and commissioners to make informed choices about how to plan their dementia services around patients’ needs.
The Office for Health Improvement and Disparities Dementia Intelligence Network has also developed a tool for local systems, which includes an assessment of population characteristics such as rurality and socio-economic deprivation. This enables systems to investigate local variation in diagnosis and take informed action to enhance their diagnosis rates. The tool is available via the NHS Futures Collaboration platform.
This Government is empowering local leaders with the autonomy they need to provide the best services to their local community, including those with dementia. That is why we have published the D100: Assessment Tool Pathway programme, which brings together multiple resources into a single, consolidated tool. This will help simplify best practice for system leaders and help create communities and services where the best possible care and support is available to those with dementia. The D100: Pathway Assessment Tool is available at the following link:
We are making progress on building a National Care Service based on higher quality of care, greater choice and control, and joined-up neighbourhood services, with around £4.6 billion of additional funding available for adult social care by 2028/29 compared to 2025/26.
We are strengthening join-up between health and social care services, so that people experience more integrated and person-centred care, by developing neighbourhood health services and reforming the Better Care Fund. This will be fortified by improved national data and digital infrastructure to ensure health and care staff can access real-time information to improve the safety and quality of care.
Asked by: Liz Jarvis (Liberal Democrat - Eastleigh)
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 with the Secretary of State for Education, to provide mental health and wellbeing support to young carers in Eastleigh constituency.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The 10-Year Health Plan sets out ambitious plans to boost mental health support across the country, including children and young people’s mental health services.
As prioritised in our Medium-Term Planning Framework, we are taking action to reduce the longest waits for specialist mental health support, tackling regional disparities, and expanding access, thereby making services more productive so children and young people spend less time waiting for the treatment they need.
We are also accelerating the rollout of Mental Health Support Teams in schools and colleges to reach full national coverage by 2029. As part of this, we are investing an additional £13 million to pilot enhanced training for staff so that they can offer more effective support to young people with complex needs, such as trauma, neurodivergence, and disordered eating. An additional 900,000 children and young people will have access by this spring, and this means that 60% of all pupils will have access to this early support at school, up from 44% in Spring 2024.
More widely, we are, rolling out Young Futures Hubs. The Government’s first 50 Young Futures Hubs will bring together services at a local level to support children and young people, helping to ensure that young people can access early advice and wellbeing intervention. We will work to ensure there is no wrong door for young people who need support with their mental health.
Through measures in the 10-Year Health Plan, we are equipping and supporting carers by making them more visible, empowering their voices in care planning, joining up services, and streamlining their caring tasks by introducing a new ‘MyCarer’ section to the NHS App.
NHS England is supporting the identification of young carers and has recently published guidance for general practitioners. NHS England is also utilising data to help support greater join-up between health, education, and social care.
Asked by: Liz Jarvis (Liberal Democrat - Eastleigh)
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 ensure that patients with secondary breast cancer have a clinical nurse specialist allocated to them.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
In 2024/25, approximately 8,000 people received training to either enter the cancer and diagnostics workforce or to develop in their roles. As part of this, over 1,600 people were on apprenticeship courses, with over 270 additional medical specialty training places funded. Over 1,000 clinical nurse specialist grants were made available to new and aspiring clinical nurse specialists.
NHS England is also investing in structured career development and education support. The Aspirant Cancer Career and Education Development programme provides a nationally agreed framework for capability, career development, and education for nurses, allied health professionals, and the support workforce working in cancer care. This is also beneficial for the training and development of clinical nurse specialists working in breast cancer care.
Asked by: Liz Jarvis (Liberal Democrat - Eastleigh)
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 adequacy of access to face-to-face appointments for people with Parkinson’s in Hampshire.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Local integrated care boards (ICBs) are responsible for assessing the needs of their populations and for commissioning services that meet those needs, including decisions on the balance between in‑person and remote appointments across primary, community, and hospital care. This includes ensuring that people who need or prefer a face‑to‑face appointment are able to access one, while continuing to develop more flexible and efficient models of care for those who are happy to engage digitally or remotely.
For people with Parkinson’s, multidisciplinary care, including in‑person assessment and review, remains an important part of disease management, and local services in Hampshire are expected to organise appointments in line with national clinical standards and local capacity planning. ICBs are required to keep access under regular review to ensure people can be seen face‑to‑face when this is clinically required, including through specialist neurology clinics, Parkinson’s nurse services, and community‑based support.
NHS England continues to work with local systems, including in Hampshire, to improve outpatient access, reduce waiting times, and ensure equitable provision of face‑to‑face care for people with Parkinson’s across all regions.
Asked by: Liz Jarvis (Liberal Democrat - Eastleigh)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what progress his Department has made on achieving the Access and Waiting Time Standard for children and young people with an Eating Disorder.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The number of children and young people starting treatment for eating disorders has increased since the pandemic, rising from 8,034 in 2019/20 to 11,174 in 2024/25, an increase of almost 40%. This increase in demand has affected performance against the Access and Waiting Time standard, which states that 95% of routine referrals should begin treatment within four weeks and 95% of urgent referrals should begin treatment within one week.
In the rolling quarter from September to November 2025, the Mental Health Services Data Set shows improved performance against the standard. During this period, 78.4% of, or 384 out of 490, urgent referrals and 81.7% of, or 2,145 out of 2,625, routine referrals started treatment within one and four weeks respectively.
To support systems to meet the Access and Waiting Time Standard, NHS England has published updated guidance on children and young people's eating disorders. The new guidance focuses on whole pathway approaches to early intervention, whilst ensuring swift access to specialist support as soon as an eating disorder is suspected.
Asked by: Liz Jarvis (Liberal Democrat - Eastleigh)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether the proposed Modern Service Frameworks for palliative and end of life care will mandate Integrated Care Boards to commission hospice services in an equitable way.
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 (MSF) for England. The MSF will drive improvements in the services that patients and their families receive at the end of life and enable integrated care boards (ICBs) to address challenges in access, quality and sustainability through the delivery of high-quality, personalised care. This will be aligned with the ambitions set out in the recently published 10-Year Health Plan.
We will consider contracting and commissioning arrangements as part of our MSF. We recognise that there is currently a mix of contracting models in the hospice sector. Equity is at the heart of this government’s approach to strategic commissioning and, 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.
It would not be right to pre-empt exactly what will be in the final MSF at this time, as we develop it with our palliative care and end of life stakeholders.
I refer the Hon. Member to the Written Ministerial Statement HCWS1087 I gave to the House on 24 November 2025.
Asked by: Liz Jarvis (Liberal Democrat - Eastleigh)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the potential merits of updating NICE’s guideline on anxiety disorders; and what assessment he has made of the adequacy of the guideline in reflecting patient choice of therapies.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department has made no assessment of the potential merits of updating the National Institute for Health and Care Excellence (NICE) guideline on anxiety disorders or the adequacy of the guideline in reflecting patients’ choice of therapies.
NICE is an independent body and its guidelines are developed by experts on the basis of a thorough assessment of the evidence and through extensive engagement with interested parties. NICE is also responsible for making decisions on whether its published guidelines should be updated in light of new evidence or emerging issues not in the scope of the original guideline.