Asked by: Pippa Heylings (Liberal Democrat - South Cambridgeshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the effectiveness of the points-based immigration system in the recruitment and retention of UK-trained newly qualified doctors.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
No recent specific assessment has been made of the effectiveness of the points-based immigration system in the recruitment and retention of United Kingdom-trained newly qualified doctors.
However, the number of applications to foundation and speciality training has increased over recent years, both from people graduating from UK medical schools, UK medical graduates, and from graduates of international medical schools, international medical graduates.
For specialty training, the number of international medical graduates applying for places has significantly increased since 2020. Data from the General Medical Council (GMC) shows that the number of non-UK trained doctors applying for Core Training Year One and Specialty Training Year One places has increased from 5,326 in 2019 to 18,857 in 2024, a 254% increase. Over the same period, the number of UK trained applicants increased from 8,836 to 11,319, a 28% increase.
Internationally trained doctors may also be seeking employment outside of medical specialty training posts and GMC data shows that the proportion of doctors taking up or returning to a GMC licence to practice who were trained outside of the UK was 57% in 2019, which has increased to 66% in 2024.
Asked by: Pippa Heylings (Liberal Democrat - South Cambridgeshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, when the review of the Carr-Hill formula will conclude; and when he plans to publish its findings.
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.
Findings from the review will be published in due course by the NIHR. Members of Parliament will 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 of England, of the British Medical Association, in the context of the available funding and our commitment to substantively reform the General Medical Services Contract within this Parliament.
Asked by: Pippa Heylings (Liberal Democrat - South Cambridgeshire)
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 GP to patient ratios.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We are starting to see consistent growth in the general practice (GP) workforce. We have funded primary care networks with an additional £160 million to recruit recently qualified GPs through the Additional Roles Reimbursement Scheme. Over 2,500 individual GPs have now been recruited, preventing them graduating into unemployment. We are committed to expanding the GP workforce further, by training thousands more GPs over the course of this Parliament. We have taken the first steps towards this, with an additional 250 training places available this year, taking the total to 4,250 places with plans to expand this further.
Each GP is required to provide services to meet the reasonable needs of their patients. There is no NHS England recommendation for how many patients a GP should have assigned, or the ratio of GPs or other practice staff to patients. The demands each patient places on their GP are different and can be affected by many different factors, including rurality and patient demographics. It is necessary to consider the workforce for each practice as a whole, not only GPs but also the range of health professionals available who are able to respond to the needs of their patients.
Asked by: Pippa Heylings (Liberal Democrat - South Cambridgeshire)
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 racial inequalities in maternity care.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government recognises that there are stark inequalities for women and babies, and that they should receive the high-quality care they deserve, regardless of their background, location, or ethnicity.
In England, maternal mortality rates are higher among women from Black and Asian ethnic groups. The risk of maternal death from Black ethnic backgrounds increased between 2022 and 2024 to nearly three times higher compared to white women, while Asian women had a slightly increased risk compared to white women.
The Government is committed to setting an explicit target to close the maternal mortality gap. We are ensuring that we take an evidence-based approach to determining what targets are set, and that any targets set are women and baby-centred.
Actions that have been taken to reduce inequalities includes the Perinatal Equity and Anti-Discrimination Programme, Equity and Equality action plans in the most deprived areas, and inequalities dashboard to identify areas where specific populations face the greatest disparities.
To further target disparities in maternal care, Baroness Amos is chairing the National Independent Maternity and Neonatal Investigation. The investigation aims to identify the drivers and impact of inequalities faced by women, babies, and families from Black and Asian backgrounds, those from deprived groups, and those from other marginalised groups when receiving maternity and neonatal care.
Asked by: Pippa Heylings (Liberal Democrat - South Cambridgeshire)
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 porcine insulin is available to users who are dependent on it.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is aware of the global discontinuation of insulin porcine vials, including Hypurin Porcine Isophane, Hypurin Porcine Neutral, and Hypurin Porcine 30/70 Mix vials, by Wockhardt. We have issued comprehensive management guidance to the National Health Service, including all general practitioners (GPs) and community pharmacists, on 23 July 2025. This management guidance contains information on alternative licensed medicines including Hypurin Porcine cartridges.
Hypurin Porcine Isophane and Hypurin Porcine Neutral cartridges remain available. Following a short-term supply issue from 1 January 2026, Hypurin Porcine 30/70 Mix cartridges will be available from the week closing on 19 January 2026.
Patients and/or patient representatives should speak to their GP on the most appropriate treatment option.
Asked by: Pippa Heylings (Liberal Democrat - South Cambridgeshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, when he plans to respond substantively to Question 90841 tabled by the hon. Member for South Cambridgeshire on 13 November 2025.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
I refer the hon. Member to the answer I gave on 5 January 2025 to Question 90841.
Asked by: Pippa Heylings (Liberal Democrat - South Cambridgeshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has had discussions with the Cambridgeshire and Peterborough Integrated Care Board on the (a) public petition and (b) campaign to safeguard Arthur Rank Hospice.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Ministers meet and engage regularly with integrated care boards (ICBs) to discuss local issues.
Representatives of NHS Cambridgeshire and Peterborough ICB meet Arthur Rank Hospice on a regular basis relating to the services it commissions from the organisation. The ICB and Arthur Rank Hospice work collaboratively to ensure that commissioned services meet contractual expectations and on continuous improvement of services for palliative care and end of life care patients.
The Government is developing a Palliative Care and End of Life Care Modern Service Framework (MSF) for England. I refer the hon. Member to the Written Ministerial Statement HCWS1087 I gave to the House on 24 November 2025.
Asked by: Pippa Heylings (Liberal Democrat - South Cambridgeshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, when he plans to launch the study to sequence the genomes of 150,000 adults.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The 10-Year Health Plan for England committed to launching a large-scale study, led by Genomics England, to sequence 150,000 adult genomes and assess how genomics can support routine preventive care. Work is now underway to design the study, develop scientific and clinical methodologies, and establish governance in line with major programme standards. Genomics England has commissioned a structured literature review and launched the Genomics, Healthcare and You engagement programme to understand diverse public and professional perspectives on pre-emptive, preventative population healthcare, while building trust and transparency. This engagement will run through 2025/26, with interim findings shaping study design and recruitment strategies which will be developed in 2026/27. Subject to ethics approval, the recruitment and sequencing of participants is expected to begin from 2027.
Asked by: Pippa Heylings (Liberal Democrat - South Cambridgeshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment he has made of progress against the commitment in the NHS 10 Year Plan for Health to launch a new large-scale study to sequence the genomes of 150,000 adults and assess how genomics can be used in routine preventive care.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The 10-Year Health Plan for England committed to launching a large-scale study, led by Genomics England, to sequence 150,000 adult genomes and assess how genomics can support routine preventive care. Work is now underway to design the study, develop scientific and clinical methodologies, and establish governance in line with major programme standards. Genomics England has commissioned a structured literature review and launched the Genomics, Healthcare and You engagement programme to understand the diverse public and professional perspectives on pre-emptive, preventative population healthcare, while building trust and transparency. This engagement will run through 2025/26, with interim findings shaping study design and recruitment strategies which will be developed in 2026/27. Subject to ethics approval, the recruitment and sequencing of participants is expected to begin from 2027.
Asked by: Pippa Heylings (Liberal Democrat - South Cambridgeshire)
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 early identification of palliative care needs.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Early identification of someone who has palliative and end of life care needs is vital. There are tools to aid clinicians in identifying those approaching the end of life, for example the Supportive and Palliative Care Indicators Tool and the EARLY toolkit. Further information on the Supportive and Palliative Care Indicators Tool and the EARLY toolkit is available, respectively, at the following two links:
https://www.spict.org.uk/the-spict/
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.