Asked by: Wendy Morton (Conservative - Aldridge-Brownhills)
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 public health risks arising from the withdrawal of waste collection services in Birmingham following the decision by agency refuse workers to take industrial action from 1 December 2025.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Director of Public Health for Birmingham continues to monitor the situation locally, including any public health risks from uncollected waste. The UK Health Security Agency, working closely with relevant partner organisations, would contribute to any risk assessment and provide health protection advice and support as requested.
Asked by: Wendy Morton (Conservative - Aldridge-Brownhills)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the Written Statement entitled Mental Health Conditions, Autism and ADHD Prevalence and Support, published on 4 December 2025, HCWS1132, what criteria will be used to appoint members to the Advisory Working Group, how individuals with lived experience will be involved in the development and scrutiny of the Review’s findings, and what steps he plans to take to ensure that any recommendations accepted by the Government are implemented uniformly across Integrated Care Boards and local authorities, with transparent reporting and measurable outcomes.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Chair and vice-chairs of the independent review into the prevalence of and support for mental health conditions, attention deficit hyperactivity disorder (ADHD), and autism will appoint an Advisory Working Group which involves a multidisciplinary group of leading academics, clinicians, epidemiological experts, charities, and people with lived experience to directly shape the recommendations and scrutinise the evidence. As the review is independent it is for the chairs to determine the process for engaging.
The Government has begun to address fundamental problems in National Health Service mental health services and will progress towards a new approach for mental health in 2026. As part of this we are radically enhancing transparency of mental health providers with consequences for poor performance. New league tables are driving improvement in the quality and safety of care, rewarding improvement and success. We are tackling unacceptable failures in care quality through stronger accountability and enhanced support.
Asked by: Wendy Morton (Conservative - Aldridge-Brownhills)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the Written Statement entitled Mental Health Conditions, Autism and ADHD Prevalence and Support, published on 4 December 2025, HCWS1132, what assessment he has made of regional variation in diagnostic practice, referral thresholds and waiting times for autism and ADHD assessments; whether the Independent Review will examine the extent to which inconsistent clinical pathways drive disparities in outcomes; and what steps he plans to take to ensure that adults, young people and children in every Integrated Care Board area receive timely, consistent and clinically robust diagnostic assessment and ongoing support.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department has not made an assessment. We have commissioned an independent review into prevalence and support for mental health conditions, attention deficit hyperactivity disorder (ADHD), and autism. The review will look to understand the similarities and difference between mental health conditions, ADHD, and autism. It will look at prevalence, early intervention and treatment, and the current challenges facing clinical services. This will include exploring the factors that have contributed to the increase in prevalence and inequalities in access and outcomes. It will also examine the extent to which diagnosis, medicalisation, and treatment improve outcomes for individuals. This will include exploring the evidence around clinical practice and the risks and benefits of medicalisation.
The review will appoint an Advisory Working Group which involves a multidisciplinary group of leading academics, clinicians, epidemiological experts, charities, and people with lived experience to directly shape the recommendations and scrutinise the evidence.
The chairs will provide a short report within six months setting out conclusions and recommendations for responding to the rising need, both within the Government and across the health system and wider public services.
As this is an independent review, it is therefore for the Chair and vice-chairs to explore and consider topics and themes relevant to the terms of reference. It would not be appropriate for the Department to comment or influence further on specific topics, findings, and recommendations. The Government will consider any recommendations and respond accordingly.
Asked by: Wendy Morton (Conservative - Aldridge-Brownhills)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the Written Statement entitled Mental Health Conditions, Autism and ADHD Prevalence and Support, published on 4 December 2025, HCWS1132, what assessment his Department has made of the factors contributing to the reported increase in the prevalence of mental health conditions, autism and ADHD over the past decade; what analysis he has undertaken to differentiate between changes in underlying incidence, improved public awareness, altered diagnostic practice and broader social determinants; and whether he will publish a cross-government strategy setting out how Departments intend to respond to rising prevalence and associated demand on public services.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department has not made an assessment. We have commissioned an independent review into prevalence and support for mental health conditions, attention deficit hyperactivity disorder (ADHD), and autism. The review will look to understand the similarities and difference between mental health conditions, ADHD, and autism. It will look at prevalence, early intervention and treatment, and the current challenges facing clinical services. This will include exploring the factors that have contributed to the increase in prevalence and inequalities in access and outcomes. It will also examine the extent to which diagnosis, medicalisation, and treatment improve outcomes for individuals. This will include exploring the evidence around clinical practice and the risks and benefits of medicalisation.
The review will appoint an Advisory Working Group which involves a multidisciplinary group of leading academics, clinicians, epidemiological experts, charities, and people with lived experience to directly shape the recommendations and scrutinise the evidence.
The chairs will provide a short report within six months setting out conclusions and recommendations for responding to the rising need, both within the Government and across the health system and wider public services.
As this is an independent review, it is therefore for the Chair and vice-chairs to explore and consider topics and themes relevant to the terms of reference. It would not be appropriate for the Department to comment or influence further on specific topics, findings, and recommendations. The Government will consider any recommendations and respond accordingly.
Asked by: Wendy Morton (Conservative - Aldridge-Brownhills)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the Written Statement entitled Mental Health Conditions, Autism and ADHD Prevalence and Support, published on 4 December 2025, HCWS1132, what assessment his Department has made of the wider financial and operational impact on local authorities, schools, criminal justice agencies and employers arising from the increased prevalence of mental health conditions, autism and ADHD; and whether the Independent Review will produce recommendations for cross-government funding mechanisms or reforms to ensure that pressure on non-NHS services does not undermine the sustainability of local support and early-intervention provision.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department has not made an assessment. We have commissioned an independent review into prevalence and support for mental health conditions, attention deficit hyperactivity disorder (ADHD), and autism. The review will look to understand the similarities and difference between mental health conditions, ADHD, and autism. It will look at prevalence, early intervention and treatment, and the current challenges facing clinical services. This will include exploring the factors that have contributed to the increase in prevalence and inequalities in access and outcomes. It will also examine the extent to which diagnosis, medicalisation, and treatment improve outcomes for individuals. This will include exploring the evidence around clinical practice and the risks and benefits of medicalisation.
The review will appoint an Advisory Working Group which involves a multidisciplinary group of leading academics, clinicians, epidemiological experts, charities, and people with lived experience to directly shape the recommendations and scrutinise the evidence.
The chairs will provide a short report within six months setting out conclusions and recommendations for responding to the rising need, both within the Government and across the health system and wider public services.
As this is an independent review, it is therefore for the Chair and vice-chairs to explore and consider topics and themes relevant to the terms of reference. It would not be appropriate for the Department to comment or influence further on specific topics, findings, and recommendations. The Government will consider any recommendations and respond accordingly.
Asked by: Wendy Morton (Conservative - Aldridge-Brownhills)
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 increase access to care in the community.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The 10-Year Health Plan sets out our vision for a Neighbourhood Health Service.
The Neighbourhood Health Service will embody our new preventative principle that care should happen as locally as it can, digitally by default, in a person’s home if possible, in a neighbourhood health centre when needed, and only in a hospital if necessary.
The Neighbourhood Health Service will mean people are treated and cared for closer to their home by new teams of health professionals. It will rebalance our health system so that it fits around peoples’ lives, not the other way round. We expect neighbourhood teams and services to be designed in a way that reflects the specific needs of local populations.
This is why we have launched wave 1 of the National Neighbourhood Health Implementation Programme (NNHIP) across 43 places in England. The NNHIP will support systems across the country by driving innovation and integration at a local level, to accelerate improvements in outcomes, satisfaction, and experiences for people by ensuring that care is more joined-up, accessible, and responsive to community needs.
Asked by: Wendy Morton (Conservative - Aldridge-Brownhills)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent progress he has made on social care reform.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Government is progressing towards a National Care Service with a vision that everyone, regardless of their needs, background, or where they live, should have the opportunity to lead healthy, independent, and fulfilling lives.
We have made recent progress on key reforms, laying the foundations to turn this vision into reality, underpinned with over £4 billion of additional funding made available for adult social care by 2028. This progress has been aligned with the Government’s three objectives for adult social care, to:
- improve the quality of care by valuing and supporting our vital care workforce by legislating for a Fair Pay Agreement backed by £500 million of funding and expanding career opportunities through the Care Workforce Pathway, and investing £12 million in learning, development, and new qualifications. We're also supporting the Care Quality Commission to recover and become a confident, credible force for improvement, supported by their local authority assessments that shine a light on local authority performance;
- strengthen the 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 underpinned 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. For example, we have been driving the adoption of Digital Social Care Records (DSCR), with up to 89% of people drawing on care now benefiting from a DSCR; and
- enable people to have more choice and control over their care, for instance by promoting greater use of direct payments. We are also expanding care options to boost independent living at home through an additional £172 million for the Disabled Facilities Grant over two years, enabling approximately 15,600 extra home adaptations, and introducing care technology standards to help people choose the right support.
Asked by: Wendy Morton (Conservative - Aldridge-Brownhills)
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 increase GP appointment availability in the West Midlands; and what assessment he has made of primary care staffing levels in Walsall.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
West Midlands sits within the Black Country Integrated Care Board (ICB) where appointment availability in general practice (GP) has increased by 13.8% in September 2025 compared to the same period last year. In October 2024, we invested £160 million into the Additional Roles Reimbursement Scheme to give additional flexibilities to recruit 2,500 new GPs into primary care networks across England. We have invested an additional £1.1 billion into GPs to reinforce the front door of the National Health Service. This is the biggest increase in over a decade. Additionally, the new £102 million Primary Care Utilisation and Modernisation Fund will create additional clinical space within over 1,000 GPs across England to deliver 8.3 million more appointments each year.
As of 30 September 2025, Walsall has seen an increase of 17.4 full-time equivalent GPs compared to September 2024. The responsibility for commissioning primary care services, including NHS dentistry, to meet the needs of the local population has been delegated to the ICBs across England. In 2024/25, there were 57 dentists per 100,000 population in the Black Country ICB, which includes the Walsall constituency. This is above average, compared to a national average of 50 dentists per 100,000 people in England.
Asked by: Wendy Morton (Conservative - Aldridge-Brownhills)
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 support the expansion of Pharmacy First services in areas with GP access pressures.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Government is committed to providing more services in the community, closer to people’s homes. The 10-Year Health Plan is clear that we need to do things differently with more integrated neighbourhood health services, shifting care from hospital to community and from treatment to prevention.
Community pharmacies will have a vital role in the Neighbourhood Health Service, as the 10-Year Health Plan brings healthcare to high streets as part of a shift in care to the community. This includes exploring ways to expand the role of pharmacies and to better utilising the skills of pharmacists and pharmacy technicians as we continue to embed the Pharmacy First service.
We continue to promote Pharmacy First to increase public awareness and engagement. This has included the recent national media campaign to promote the service, as well as coordinated communications across the healthcare system. Action is also being taken to increase referrals into Pharmacy First, with targeted engagement with integrated care boards, general practice stakeholders, and the community pharmacy sector to encourage and improve the referral pathways to support better access for patients.
For 2025/26, funding for the core community pharmacy contractual framework has been increased to £3.073 billion. This represents the largest uplift in funding of any part of the National Health Service, at over 19% across 2024/25 and 2025/26. There is also additional funding available for pharmacies delivering Pharmacy First consultations and flu and COVID-19 vaccinations.
Asked by: Wendy Morton (Conservative - Aldridge-Brownhills)
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 waiting times for children’s mental health services in the West Midlands; and what steps he is taking to reduce delays.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
We know that too many children and young people are waiting too long for mental health support, and through our Plan for Change, we’re determined to give children and young people the best start in life, including in the West Midlands.
The Government is expanding access to mental health support teams in all schools and colleges to reach all pupils by 2029, ensuring that every pupil has access to early support services. This expansion will ensure that up to 900,000 more children and young people will have access to support from trained education mental health practitioners in 2025/26.
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 that there is no wrong door for young people who need support with their mental health.
We have also committed to hiring 8,500 more mental health staff to reduce waiting times. Thus far, we have hired almost 7,000 extra mental health workers since July 2024.