Asked by: Zöe Franklin (Liberal Democrat - Guildford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to address period poverty and ensure affordable access to menstrual products.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government recognises the importance of women and girls being able to access the care they need for their reproductive health, including period products.
We know that poverty doesn’t recognise gender, and that women and girls may suffer given the cost of period products. However, we know that period poverty reflects wider cost-of-living pressures, which is why the Government is tackling the root causes of poverty, through measures to make work pay, boosting the living wage, and investing in public services, so no one has to go without the essentials.
There are a number of schemes across the Government which ensure that those who are most vulnerable can access the products they need. The Department for Education’s Period Products scheme launched in 2020 and provides free period products to girls and women in their place of study so that nobody misses out on education because of their period. Similarly, all women and girls being cared for by the National Health Service are entitled to be given, upon request, appropriate period products free of charge.
We are also taking steps to ensure that products are as affordable as possible, as the tax on period products has been zero-rated since 2021, and in 2023 this was extended to include reusable period underwear.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what data his Department holds on the number of healthcare professionals with specialist training in Parkinson’s disease; and whether he considers current data collection sufficient to support workforce planning for Parkinson’s services.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department does not collect centralised data on the number of clinicians with specific expertise in Parkinson’s disease. This is because decisions about the staffing, skill mix, and service models required to meet local population needs are made by individual National Health Service trusts and integrated care boards. These organisations are responsible for planning and commissioning services in their areas, and they determine the level of specialist expertise needed within their multidisciplinary teams. As a result, information on specialist Parkinson’s roles is held locally rather than recorded in national workforce datasets.
However, we do hold data for the wider specialties central to Parkinson’s care. As of October 2025, there were 2,004 full‑time equivalent doctors in neurology and 6,324 in geriatric medicine working in NHS trusts and other organisations in England. These specialties include clinicians who provide care to people with Parkinson’s.
We continue to work with NHS England through programmes such as the Neurology Transformation Programme and Getting It Right First Time to support improvements in access to specialist care. The Department has also established a United Kingdom‑wide Neuro Forum, which brings together the Government, the NHS, the devolved administrations, and neurological alliances across the four nations to share best practice and address system-wide challenges, including workforce needs for conditions such as Parkinson’s.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will extend Business Rates reimbursements to Community Pharmacies.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
In the 2025 Autumn Budget, the Government took the hard choices to protect the National Health Service in England and continue prioritising reducing waiting times. We have also stepped in to cap bills and help businesses, as part of a £4.3 billion support package.
This year, we have also increased funding to community pharmacies to almost £3.1 billion, the largest uplift in funding for any part of the NHS across 2024/25 and 2025/26.
The Department will consult Community Pharmacy England on any proposed changes to reimbursement and remuneration of pharmacy contractors for 2026/27 shortly.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to ensure that (a) NHS Surrey Heartlands Integrated Care Board and (b) other integrated care boards provide (i) adequate funding and (ii) clear guidance to general practitioners to support the implementation of shared care agreements for patients requiring ongoing medication.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Shared care arrangements between a general practitioner (GP) and a specialist are voluntary and are not part of the GP Contract. GPs do not receive additional funding for participating in shared care arrangements and may decline on clinical or capacity grounds.
Guidance issued by the General Medical Council supports GPs in deciding whether to accept shared care responsibilities, ensuring that any prescriptions or referrals are clinically appropriate. Where a GP does not enter into a shared care arrangement, responsibility for ongoing treatment, including prescribing, remains with the specialist clinician.
Integrated care boards (ICBs), including the NHS Surrey Heartlands ICB, are responsible for arranging health services in line with local population needs and relevant guidance. ICBs follow NHS England’s guidance on shared care protocols, including the Responsibility for Prescribing Between Primary and Secondary/Tertiary Care framework. Within the NHS Surrey Heartlands ICB this framework is overseen by the Surrey Heartlands Medicines Optimisation Group. Implementation may vary between GPs due to factors such as clinical capacity, digital infrastructure, and local agreements. Regarding funding, the ICB’s approach is consistent with national policy expectations that integrated care systems should ensure equitable access to medicines and safe, sustainable shared care arrangements.
Whilst a specific assessment has not been undertaken, to support consistency of access, the Department’s Fit for the Future: 10-Year Health Plan for England, published on 3 July 2025, sets out plans for a Single National Formulary (SNF) for medicines. The SNF will replace the current system of local formularies, with a national oversight board sequencing products based on clinical and cost-effectiveness, supported by the National Institute for Health and Care Excellence. This approach is intended to drive rapid and equitable adoption of the most clinically and cost-effective medicines across England.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
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 extent of regional variations in access to (a) shared care agreements and (b) prescribed treatments; and what steps he is taking to help ensure consistency of access to these in all integrated care boards.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Shared care arrangements between a general practitioner (GP) and a specialist are voluntary and are not part of the GP Contract. GPs do not receive additional funding for participating in shared care arrangements and may decline on clinical or capacity grounds.
Guidance issued by the General Medical Council supports GPs in deciding whether to accept shared care responsibilities, ensuring that any prescriptions or referrals are clinically appropriate. Where a GP does not enter into a shared care arrangement, responsibility for ongoing treatment, including prescribing, remains with the specialist clinician.
Integrated care boards (ICBs), including the NHS Surrey Heartlands ICB, are responsible for arranging health services in line with local population needs and relevant guidance. ICBs follow NHS England’s guidance on shared care protocols, including the Responsibility for Prescribing Between Primary and Secondary/Tertiary Care framework. Within the NHS Surrey Heartlands ICB this framework is overseen by the Surrey Heartlands Medicines Optimisation Group. Implementation may vary between GPs due to factors such as clinical capacity, digital infrastructure, and local agreements. Regarding funding, the ICB’s approach is consistent with national policy expectations that integrated care systems should ensure equitable access to medicines and safe, sustainable shared care arrangements.
Whilst a specific assessment has not been undertaken, to support consistency of access, the Department’s Fit for the Future: 10-Year Health Plan for England, published on 3 July 2025, sets out plans for a Single National Formulary (SNF) for medicines. The SNF will replace the current system of local formularies, with a national oversight board sequencing products based on clinical and cost-effectiveness, supported by the National Institute for Health and Care Excellence. This approach is intended to drive rapid and equitable adoption of the most clinically and cost-effective medicines across England.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what support is available to children in voluntary foster care who have (a) drug dependency and (b) mental health needs; and whether he has made an assessment of access to (i) therapy and (ii) treatment for such children.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department for Education’s National Minimum Standards for fostering makes it clear that local authorities should ensure that children in their care should have prompt access to doctors and other health professionals, including specialist services such as those supporting mental health and drug dependency, when they need these services. Further information on the National Minimum Standards for fostering is available at the following link:
https://www.gov.uk/government/publications/fostering-services-national-minimum-standards
Local authority commissioned community drug and alcohol treatment is free and accessible to all those who need it, including children and young people in voluntary foster care. Funding for alcohol and drug treatment and recovery services is provided through the Public Health Grant (PHG). In addition to the PHG, in 2025/26, the Department of Health and Social Care is providing a total of £310 million in additional targeted grants to improve drug and alcohol treatment services and recovery support to ensure that those in need can access high quality help and support. This includes children and young people with, or at risk of developing, drug and/or alcohol problems. As a result of recent increases in funding, as of August 2025, there were 4,374 more children and young people in drug and alcohol treatment. In 2024, 10% of under 18 year olds in drug and alcohol treatment were in care.
For children and young people in distress or struggling with their mental health, including those in voluntary foster care, fast access to early, high-quality support is critical. That is why the 10-Year Health Plan sets out how we will work with schools and colleges to better identify and meet children's mental health needs by expanding mental health support teams in schools and colleges in England, to reach full national coverage by 2029. This will build on the work that has already begun, including providing mental health support for almost one million more young people in schools this year and investing an extra £688 million in Government funding to transform mental health services, hire more staff, and deliver more early interventions.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he plans to include (a) national commissioning standards for adult social care, (b) assurance and (c) oversight of adult social care commissioning in the National Care Service.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We have launched an independent commission into adult social care, chaired by Baroness Louise Casey. The commission will build a national consensus to create a National Care Service that is productive, preventative, and that gives people who draw on care, and their families and carers, more power in the system.
The commission's Terms of Reference are sufficiently broad enough to enable Baroness Casey to define its remit to independently consider how to build a social care system fit for the future, including the approach to commissioning, assurance, and oversight.
In the interim, we are making tangible improvements to lay the foundations for a National Care Service that will enable more people to live independently and make social care more productive. This includes driving ‘home first’ as the default option for receiving care. We have introduced a new Better Care Fund framework, for example, setting out that the National Health Service and local authorities should work together to set and meet goals, and we are backing care technologies by making it easier for everyone to identify and buy trusted solutions that help people live independently.
The Care Quality Commission (CQC) has powers under the Health and Care Act 2022 to assess how well local authorities in England are performing against their duties under Part 1 of the Care Act 2014, including their duties relating to market shaping and commissioning. Formal assessments commenced in December 2023, and as of June 2025, the CQC has published over 40 local authority assessments. You can view their assessment of individual local authorities via published reports on the CQC’s website.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, when he plans to begin consulting with adult social care providers on proposals for a Fair Pay Agreement.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
In England, we are committed to consulting on the design of the Fair Pay Agreement process, and we aim to begin a public consultation after the Employment Rights Bill receives Royal Assent later this year. We expect the consultation to run for 12 weeks, and we will work with partners to reach as much of the sector as possible.
We have already begun engaging with sector representatives in England through the Department’s Fair Pay Agreement Working Group and policy specific task and finish groups, which will help to inform policy options for a public consultation on the design of the Fair Pay Agreement process.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
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 potential impact of changes to the employers' National Insurance Contributions on providers of adult social care.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department routinely conducts assessments of cost pressures for local authority funded adult social care, which include the costs associated with changes to employers’ National Insurance contributions.
To enable local authorities to deliver key services such as adult social care, the Government has made available up to £3.7 billion of additional funding for social care authorities in 2025/26. There is also an extra £502 million of support for local authorities in England to manage the impact of changes to employer National Insurance contributions, as announced at the Autumn Budget.
In addition, the Spending Review allows for an increase of over £4 billion of funding available for adult social care in 2028/29 compared to 2025/26.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
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 that babies and young children are included in the 10-Year Health Plan.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is committed to raising the healthiest generation of children ever.
The 10-Year Health Plan to reform the National Health Service will make it fit for the future. This includes policies that will impact on babies, and young children. The plan will draw directly from the extensive engagement we have undertaken with the public, patients, and staff, including organisations who represent babies and young children as well as children themselves.
We are in the final stages of developing the plan and will publish it shortly.