Asked by: Nadia Whittome (Labour - Nottingham East)
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 long working hours and workforce burnout on staff wellbeing, retention and safe staffing levels within the NHS.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
We know from engagement on the 10-Year Health Plan that many National Health Service staff feel disempowered and overwhelmed. Tackling this and providing proper support for staff is a top priority. NHS organisations have a responsibility to create supportive working environments for staff, ensuring they have the conditions they need to thrive, including access to high quality health and wellbeing support.
The Government is committed to publishing a 10 Year Workforce Plan which will have a focus on supporting and retaining our hardworking and dedicated healthcare professionals. This includes the development of a new set of staff standards for modern employment, which will reaffirm our commitment to improving retention and are likely to focus on flexible working, improving staff health and wellbeing and dealing with violence, racism, and sexual harassment in the NHS workplace. Additionally, we will roll out Staff Treatment Hubs that will ensure staff have access to high quality support for occupational health, including support for mental health and back conditions.
Asked by: Nadia Whittome (Labour - Nottingham East)
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) waiving and b) subsidising the cost of the first six to eight (i) preliminary and (ii) core examinations for junior doctors.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department of Health and Social Care has indicated that it will not be possible to answer this question within the usual time period. An answer is being prepared and will be provided as soon as it is available.
Asked by: Nadia Whittome (Labour - Nottingham East)
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 adequacy of redundancy arrangements for NHS staff who take partial retirement.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
This specific assessment has not been made. Where National Health Service staff have taken partial retirement, they retain continuous service. As a result, some staff may be entitled to receive a statutory redundancy payment that exceeds their contractual redundancy entitlement, in which case, the statutory payment will apply. Entitlement to redundancy payments ultimately depends on what is set out in an employee’s employment contract and whether their contract refers to Section 16 of the Agenda for Change terms. Different rules may apply to NHS staff who are not employed on Agenda for Change terms in England.
Contractual redundancy provisions for staff covered by the NHS Terms and Conditions of Service handbook, also referred to as Agenda for Change, were agreed and ratified in partnership by the NHS Staff Council, the collective bargaining structure made up of trade union and employer representatives. Any future changes to the handbook, including this section, would require the Department to issue a mandate to allow negotiations to be undertaken by the NHS Staff Council.
Asked by: Nadia Whittome (Labour - Nottingham 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 reduce diagnostic waiting times for gynaecological conditions in Nottingham; and if he will make additional funding available to support gynaecological services.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department of Health and Social Care has indicated that it will not be possible to answer this question within the usual time period. An answer is being prepared and will be provided as soon as it is available.
Asked by: Nadia Whittome (Labour - Nottingham 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 partial retirement for NHS staff on redundancy entitlements; and what discussions his Department has had with NHS representatives on ensuring staff were informed of the employment and redundancy implications of partial retirement.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Partial retirement does not mean that National Health Service staff are ineligible for redundancy payments. However, taking partial retirement may change the way in which contractual redundancy payments are calculated.
The rules concerning the calculation of redundancy payments for NHS staff who have previously taken pension benefits, are determined in accordance with their contracts of employment, and statutory redundancy entitlements.
Redundancy terms for NHS staff on the Agenda for Change contract are set out under section 16 of the NHS Staff Terms and Conditions of Service handbook. This also applies to NHS staff whose redundancy terms refer to section 16. This section states that service used for the purposes of calculating previous pension benefits will not count for the calculation of a contractual redundancy payment. Statutory redundancy entitlements are unaffected.
The Department commissions NHS Employers to provide guidance for employers on a range of topics, including NHS redundancy arrangements and retirement options for NHS staff.
Asked by: Nadia Whittome (Labour - Nottingham East)
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 encourage trainee doctors to take up rehabilitation as a specialism.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
We are committed to training the staff we need, including rehabilitation specialists, to ensure patients are cared for by the right professional, when and where they need it.
As of September 2025, there are 490 full-time equivalent (FTE) doctors working in the speciality of rehabilitation medicine in National Health Service trusts and other core organisations in England. This is 24, or 5%, more than last year, 116, or 31.2%, more than 2020, and 232, or 90.2%, more than in 2010. This includes over 164 FTE consultants. This is seven, or 4.3%, more than last year, 15, or 10%, more than in 2020, and 50, or 43.8%, more than in 2010.
Fill rates for ST3 level rehabilitation medicine have been increasing. 94% of training posts were filled in 2025 compared to 54% in 2023 and 60% in 2024.
Asked by: Nadia Whittome (Labour - Nottingham East)
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 access to specialist wheelchairs for children in Nottingham East constituency.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for the provision and commissioning of local wheelchair services, and responsibility for providing disabled children’s equipment would typically fall to the National Health Service and local authorities.
NHS England supports ICBs to commission effective, efficient, and personalised wheelchair services. Since July 2015, NHS England has collected quarterly data from clinical commissioning groups, now ICBs, on wheelchair provision, including waiting times, with the aim of supporting improvements where required. Further information can be found at the following link:
www.england.nhs.uk/statistics/statistical-work-areas/national-wheelchair
NHS England is taking steps to reduce regional variation in the quality and provision of NHS wheelchairs, and to support ICBs to reduce delays in people receiving intervention and equipment. This includes publishing a Wheelchair Quality Framework on 9 April 2025 which sets out quality standards and statutory requirements for ICBs, such as offering personal wheelchair budgets. The framework is available at the following link:
https://www.england.nhs.uk/long-read/wheelchair-quality-framework/
The Nottingham and Nottinghamshire ICB is actively working to ensure equitable access to specialist wheelchair services across the region, including Nottingham City and South Nottinghamshire. This is being pursued through:
Asked by: Nadia Whittome (Labour - Nottingham East)
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 reduce waiting times for heart health pathways.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The latest data, from July 2025, shows that 61.6% of waits for cardiology services are within 18 weeks, which is a 1.7% improvement on the same month from the previous year. While this shows progress, we know there is more to do to reduce waiting times for heart health pathways. That is why, along with our commitment to returning to the 92% referral-to-treatment standard for elective care by March 2029, the Elective Reform Plan commits to significant elective reform in cardiology.
Cardiology is one of five priority specialties identified for significant elective reform in the Elective Reform Plan. Reforms will include increasing specialist cardiology input earlier in patient care pathways and developing standard and efficient care pathways for common cardiology symptoms. It also includes improving access to cardiac diagnostic tests through implementing more ‘straight-to-test’ pathways, where a general practitioner can refer a patient directly to secondary care for a test. This can reduce unnecessary outpatient appointments and improve waiting times even further for patients across England.
These improvements to common cardiology pathways help standardise patient care, reduce inequalities, and improve access to care, especially in the early stages of heart health pathways for patients across England.
Asked by: Nadia Whittome (Labour - Nottingham 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 ensure the safe disposal of needles in the context of the growing use of GLP-1 medicines; whether his Department has had discussions with pharmaceutical companies about meeting the costs of this disposal.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
It is important for sharps to be disposed of safely, to avoid risk of accidental needle-stick injuries to pharmacy or general practice staff, waste management operatives, and other members of the public. All sharps should be disposed in sharps bins, which can be obtained on prescription or purchased. Local authorities are obliged to collect clinical waste, including sharps bins, from householders upon request. Under section 45(3)(b) of the Environmental Protection Act 1990 they may make a reasonable charge for this service.
The Department has had no discussions with the pharmaceutical industry about meeting the cost of this disposal.
Asked by: Nadia Whittome (Labour - Nottingham East)
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 ensure adequate mental health support is provided to Physician Associates following the publication of the Leng Review.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The health and wellbeing of all National Health Service staff is hugely important. Following the publication of the Leng Review, NHS England has written to NHS trusts, integrated care boards, and primary care networks reiterating their responsibilities to their staff as employers, including treating them with compassion and providing pastoral support where required. Importantly, it has also written directly to the staff most affected by the recommendations, setting out where they can find support if required.
Employers across the NHS have their own arrangements in place in line with their duty of care for supporting their staff, including occupational health provision, employee support programmes, and board level scrutiny through health and wellbeing guardians.