Sarah Green

The department regularly engages with the Chancellor of the Exchequer about a range of issues. The government recognises the importance of continuing a positive relationship with representatives of the sector to better support outcomes across the whole education system.

The English National Concessionary Travel Scheme (ENCTS) provides free off-peak bus travel to those with eligible disabilities and those of state pension age, currently sixty-six.

Local authorities in England have the power to go beyond their statutory obligations under the ENCTS and offer additional discretionary concessions, such as providing a concessionary bus pass from the age of 60.

The Driver and Vehicle Standards Agency’s (DVSA) main priority is to reduce car practical driving test waiting times, whilst upholding road safety standards.

As of 9 September 2024, there were 556,774 car practical driving tests booked, and 91,059 driving tests available within the 24-week booking window.

Measures in place to reduce waiting times for customers at driving test centres, include the recruitment of driving examiners, conducting tests outside of regular hours, including at weekends and on public holidays, and buying back annual leave from driving examiners.

The DVSA also continues to deploy examiners from areas with lower waiting times into those centres with longer waiting times. This is in addition to the DVSA recruiting additional examiners across the country into areas where waiting times are highest.

Disabled people should be able to travel easily, confidently, and with dignity.

I know that in some areas it can be difficult for wheelchair users to obtain a suitable wheelchair accessible taxi or PHV when they need one. Best practice guidance, published in November 2023, recommends authorities assess the demand for wheelchair accessible vehicles (WAVs) and take steps to ensure that there are sufficient available, as part of a “mixed fleet” of vehicles suitable for a range of passenger needs.

The Department is not aware of whether there are any loan or grant schemes run by Local Authorities to encourage the purchase of WAVs.

The government’s Plug-In Taxi Grant continues to provide up to £6,000 towards the cost of an eligible vehicle, which must be wheelchair accessible. We keep grants under the Scheme under review to ensure best value for the taxpayer.

As of 1 April 2023, 67% of authorities, including Buckinghamshire Council required all or part of their taxi fleet to be wheelchair accessible. Whilst the most recent annual taxi and PHV statistics survey included a new question on the nature of authority policies on WAVs, the responses are yet to be analysed.

Disabled people should be able to travel easily, confidently, and with dignity.

I know that in some areas it can be difficult for wheelchair users to obtain a suitable wheelchair accessible taxi or PHV when they need one. Best practice guidance, published in November 2023, recommends authorities assess the demand for wheelchair accessible vehicles (WAVs) and take steps to ensure that there are sufficient available, as part of a “mixed fleet” of vehicles suitable for a range of passenger needs.

The Department is not aware of whether there are any loan or grant schemes run by Local Authorities to encourage the purchase of WAVs.

The government’s Plug-In Taxi Grant continues to provide up to £6,000 towards the cost of an eligible vehicle, which must be wheelchair accessible. We keep grants under the Scheme under review to ensure best value for the taxpayer.

As of 1 April 2023, 67% of authorities, including Buckinghamshire Council required all or part of their taxi fleet to be wheelchair accessible. Whilst the most recent annual taxi and PHV statistics survey included a new question on the nature of authority policies on WAVs, the responses are yet to be analysed.

Disabled people should be able to travel easily, confidently, and with dignity.

I know that in some areas it can be difficult for wheelchair users to obtain a suitable wheelchair accessible taxi or PHV when they need one. Best practice guidance, published in November 2023, recommends authorities assess the demand for wheelchair accessible vehicles (WAVs) and take steps to ensure that there are sufficient available, as part of a “mixed fleet” of vehicles suitable for a range of passenger needs.

The Department is not aware of whether there are any loan or grant schemes run by Local Authorities to encourage the purchase of WAVs.

The government’s Plug-In Taxi Grant continues to provide up to £6,000 towards the cost of an eligible vehicle, which must be wheelchair accessible. We keep grants under the Scheme under review to ensure best value for the taxpayer.

As of 1 April 2023, 67% of authorities, including Buckinghamshire Council required all or part of their taxi fleet to be wheelchair accessible. Whilst the most recent annual taxi and PHV statistics survey included a new question on the nature of authority policies on WAVs, the responses are yet to be analysed.

Between October 2024 to December 2024, 80.8%, or 350 out of 433, of urgent referrals to Children and Young People’s Eating Disorders services were seen within one week, and 81.9%, or 2,064 out of 2,521, of routine referrals were seen within four weeks. Data on access and waiting times is not published for adult eating disorders due to concerns about data quality.

NHS England is continuing to expand the capacity of community-based eating disorder services, including crisis care and intensive home treatment, to improve outcomes and recovery, reduce rates of relapse, and to prevent eating disorders continuing into adulthood.

NHS England has asked local health systems, through this year’s National Health Service operational planning guidance, to focus on improving performance against the waiting time standards for children’s eating disorder services, so that 95% of urgent cases are seen within one week and 95% of routine cases are seen within four weeks.

This information is not held centrally.

Seven of the nine recommendations have been previously accepted by the Government, in full, in part, or in principle, and four of these have been successfully implemented, including:

- issuing an unreserved apology on behalf of the healthcare system;

- appointing Dr Henrietta Hughes as the first ever Patient Safety Commissioner in England in respect of medicines and medical devices; and

- establishing nine specialist mesh centres, which are in operation across England.

Work is ongoing in respect of the remaining recommendations, including working across the Government to consider the recommendations in the Hughes Report, which looked into and provided advice on redress for those affected by sodium valproate and pelvic mesh.

General practitioners (GPs) are responsible for ensuring their own clinical knowledge, including of Parkinson’s disease, remains up-to-date, and for identifying learning needs as part of their continuing professional development. This activity should include taking account of new research and developments in guidance, such as that produced by the National Institute for Health and Care Excellence, to ensure that they can continue to provide high quality care to all patients. All doctors registered in the United Kingdom are expected to meet the professional standards set out in the General Medical Council’s (GMC’s) Good Medical Practice. In 2012, the GMC introduced revalidation, which supports doctors in regularly reflecting on how they can develop or improve their practice, giving patients confidence that doctors are up to date with their practice, and promoting improved quality of care by driving improvements in clinical governance.

The training curricula for postgraduate trainee doctors, set by the Royal College of General Practitioners, has to meet the standards set by the GMC. Whilst curricula do not necessarily highlight specific conditions for doctors to be aware of, they do emphasise the skills and approaches that a doctor must develop to ensure accurate and timely diagnoses and treatment plans for their patients.

The Government’s responsibility for delivering Parkinson’s disease research is shared between the Department of Health and Social Care, with research delivered by the National Institute for Health and Care Research (NIHR), and the Department of Science, Innovation and Technology, with research delivered via UK Research and Innovation. The Government spent a total of £79.06 million on research into Parkinson’s disease between the financial years 2019/20 and 2023/24.

As well as funding research itself, the NIHR invests significantly in research expertise and capacity, specialist facilities, support services, and collaborations to support and deliver research in England. Collectively, this forms the NIHR’s infrastructure. The NIHR’s infrastructure enables the country’s leading experts to develop and deliver high-quality translational, clinical, and applied research into Parkinson’s disease. For example, in the financial year 2022/23, the NIHR Clinical Research Network enabled 114 studies related to Parkinson’s disease.

Currently, there are no specific plans to make an assessment of the potential impact of shortages in the number of clinicians specialising in neurology on the adequacy of care for patients with Parkinson's disease or other neurological conditions.

As of July 2024, there were over 1,800 full-time equivalent (FTE) doctors working in the specialty of neurology in National Health Service trusts and other organisations in England. This includes over 900 FTE consultant neurologists. In 2023, the fill rate for recruitment into the specialty of neurology in England was 94%.

The NHS workforce has been overworked for years, leading to staff becoming burnt out and demoralised. We must be honest about the challenges we are facing. The NHS is broken but not beaten and together we will turn it around.

We have launched a 10-Year Health Plan to reform the NHS. The plan will set out a bold agenda to deliver on the three big shifts needed, to move healthcare from hospital to the community, from analogue to digital, and from treatment to prevention. A central and core part of the 10-Year Health Plan will be our workforce and how we ensure we train and provide the staff, technology, and infrastructure the NHS needs to care for patients across our communities.

There are a number of initiatives supporting service improvement and better care for patients with Parkinson’s disease in England, including the Getting It Right First Time (GIRFT) Programme for Neurology, the RightCare Progressive Neurological Conditions Toolkit, and the Neurology Transformation Programme (NTP).

The GIRFT National Specialty Report made recommendations designed to improve services nationally and to support the NHS to deliver care more equitably across the country. In addition, the NTP has developed a model of integrated care for neurology services to support integrated care boards to deliver the right service, at the right time for all neurology patients, including providing care closer to home.

We have launched a 10-Year Health Plan to reform the National Health Service. A central and core part of the plan will be our workforce and how we ensure we train and provide the staff, technology, and infrastructure the NHS needs to care for patients across our communities.

No such estimate has been made. We are committed to training the staff we need, including neurologists and consultants specialising in treating Parkinson’s Disease, to ensure that patients are cared for by the right professional, when and where they need it.

As of August 2024, there are 1,917 full-time equivalent (FTE) doctors working in the specialty of neurology in NHS trusts and integrated care boards in England, which is 146, or 8.2%, more than a year ago, and 473, or 32.7%, more than five years ago. Of these, there are 975 FTE consultants, which is 47, or 5%, more than a year ago, and 179, or 22.5%, more than five years ago. In 2024, there are 367 doctors in the NHS in England in postgraduate specialty training for neurology. This is 44, or 13.6%, more than five years ago.

We have launched a 10-Year Health Plan to reform the National Health Service. A central and core part of the plan will be our workforce and how we ensure we train and provide the staff, technology, and infrastructure the NHS needs to care for patients across our communities.

No such estimate has been made. We are committed to training the staff we need, including neurologists and consultants specialising in treating Parkinson’s Disease, to ensure that patients are cared for by the right professional, when and where they need it.

As of August 2024, there are 1,917 full-time equivalent (FTE) doctors working in the specialty of neurology in NHS trusts and integrated care boards in England, which is 146, or 8.2%, more than a year ago, and 473, or 32.7%, more than five years ago. Of these, there are 975 FTE consultants, which is 47, or 5%, more than a year ago, and 179, or 22.5%, more than five years ago. In 2024, there are 367 doctors in the NHS in England in postgraduate specialty training for neurology. This is 44, or 13.6%, more than five years ago.

The Department does not hold data specifically on the number of people waiting for treatment for Parkinson’s disease in England. The Department does hold data on waiting times for neurology, but not broken down by specific conditions. The latest data for referral to treatment waiting times in England, from September 2024, shows there were over 234,000 patients waiting for a neurology appointment, and that 54% of patients were seen by a neurologist within 18 weeks.

There are a number of initiatives supporting service improvement and better care for patients with Parkinson’s disease in England, including the Getting It Right First Time (GIRFT) Programme for Neurology, the RightCare Progressive Neurological Conditions Toolkit, and the Neurology Transformation Programme (NTP).

The GIRFT National Specialty Report made recommendations designed to improve services nationally, and to support the National Health Service to deliver care more equitably across the country. The report highlighted differences in how services are delivered, and provided the opportunity to share successful initiatives between trusts to improve patient services nationally. In addition, the NTP has developed a model of integrated care for neurology services to support integrated care boards to deliver the right service, at the right time for all neurology patients, including providing care closer to home.

Once diagnosed, and with a management strategy in place, the majority of people with Parkinson’s can be cared for through routine access to primary and secondary care. NHS England commissions the specialised elements of Parkinson’s care that patients may receive from 27 neurology centres across England. Within specialised centres, neurological multidisciplinary teams ensure patients can access a range of health professionals, including Parkinson’s disease nurses, psychologists, and allied health professionals such as dieticians and speech and language therapists, and that they can receive specialised treatment and support according to their needs.

No specific assessment has been made of the number of specialist Parkinson’s nurses required to meet the current need of patients in England. While the Department does not hold data specifically on the number of Parkinson’s specialist staff in England, we do hold data on the numbers working in the wider speciality of neurology. As of July 2024, there were over 1,800 full-time equivalent (FTE) doctors working in the specialty of neurology in NHS trusts and other organisations in England. This includes over 900 FTE consultant neurologists. In 2023, the fill rate for recruitment into the specialty of neurology in England was 94%.

The NHS workforce has been overworked for years, leading to staff becoming burnt out and demoralised. We must be honest about the challenges we are facing. The NHS is broken but not beaten and together we will turn it around.

We have launched a 10-Year Health Plan to reform the NHS. The plan will set out a bold agenda to deliver on the three big shifts needed to move healthcare from hospital to the community, from analogue to digital, and from treatment to prevention.

A central and core part of the 10-Year Health Plan will be our workforce and how we ensure we train and provide the staff, technology, and infrastructure the NHS needs to care for patients across our communities.

The Department does not hold data specifically on the number of people waiting for treatment for Parkinson’s disease in England. The Department does hold data on waiting times for neurology, but not broken down by specific conditions. The latest data for referral to treatment waiting times in England, from September 2024, shows there were over 234,000 patients waiting for a neurology appointment, and that 54% of patients were seen by a neurologist within 18 weeks.

There are a number of initiatives supporting service improvement and better care for patients with Parkinson’s disease in England, including the Getting It Right First Time (GIRFT) Programme for Neurology, the RightCare Progressive Neurological Conditions Toolkit, and the Neurology Transformation Programme (NTP).

The GIRFT National Specialty Report made recommendations designed to improve services nationally, and to support the National Health Service to deliver care more equitably across the country. The report highlighted differences in how services are delivered, and provided the opportunity to share successful initiatives between trusts to improve patient services nationally. In addition, the NTP has developed a model of integrated care for neurology services to support integrated care boards to deliver the right service, at the right time for all neurology patients, including providing care closer to home.

Once diagnosed, and with a management strategy in place, the majority of people with Parkinson’s can be cared for through routine access to primary and secondary care. NHS England commissions the specialised elements of Parkinson’s care that patients may receive from 27 neurology centres across England. Within specialised centres, neurological multidisciplinary teams ensure patients can access a range of health professionals, including Parkinson’s disease nurses, psychologists, and allied health professionals such as dieticians and speech and language therapists, and that they can receive specialised treatment and support according to their needs.

No specific assessment has been made of the number of specialist Parkinson’s nurses required to meet the current need of patients in England. While the Department does not hold data specifically on the number of Parkinson’s specialist staff in England, we do hold data on the numbers working in the wider speciality of neurology. As of July 2024, there were over 1,800 full-time equivalent (FTE) doctors working in the specialty of neurology in NHS trusts and other organisations in England. This includes over 900 FTE consultant neurologists. In 2023, the fill rate for recruitment into the specialty of neurology in England was 94%.

The NHS workforce has been overworked for years, leading to staff becoming burnt out and demoralised. We must be honest about the challenges we are facing. The NHS is broken but not beaten and together we will turn it around.

We have launched a 10-Year Health Plan to reform the NHS. The plan will set out a bold agenda to deliver on the three big shifts needed to move healthcare from hospital to the community, from analogue to digital, and from treatment to prevention.

A central and core part of the 10-Year Health Plan will be our workforce and how we ensure we train and provide the staff, technology, and infrastructure the NHS needs to care for patients across our communities.