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 his Department has made an assessment of the adequacy of care provided by care agencies to vulnerable people.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We have understood that the term care agencies refers to employment agencies. Care providers are required to be registered with the Care Quality Commission (CQC) where they carry out a regulated activity, as described in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. However, employment agencies do not usually carry out regulated activity and as such do not typically need to be registered.
Providers such as care homes and those providing domiciliary care do typically carry out regulated activity and therefore are registered with the CQC. The CQC requires all health and social care providers registered with them to deploy enough suitably qualified, competent, and experienced staff, including both registered and unregistered professionals. This requirement applies where that provider chooses to recruit staff via employment agencies.
It is therefore the responsibility of the regulated provider to ensure robust and safe recruitment practices are in place, and to make sure that all staff, including agency staff, are suitably experienced, competent, and able to carry out their role.
To support providers to do so, the Department provides reimbursement towards the cost of training and qualifications through the Adult Social Care Learning and Support Scheme, backed by up to £12 million in funding this financial year.
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 improve oversight of care agencies and to enhance enforcement powers against providers who fail to meet required care standards.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We have understood that the term care agencies refers to employment agencies. Care providers are required to be registered with the Care Quality Commission (CQC) where they carry out a regulated activity, as described in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. However, employment agencies do not usually carry out regulated activity and as such do not typically need to be registered.
Providers such as care homes and those providing domiciliary care do typically carry out regulated activity and therefore are registered with the CQC. The CQC requires all health and social care providers registered with them to deploy enough suitably qualified, competent, and experienced staff, including both registered and unregistered professionals. This requirement applies where that provider chooses to recruit staff via employment agencies.
It is therefore the responsibility of the regulated provider to ensure robust and safe recruitment practices are in place, and to make sure that all staff, including agency staff, are suitably experienced, competent, and able to carry out their role.
To support providers to do so, the Department provides reimbursement towards the cost of training and qualifications through the Adult Social Care Learning and Support Scheme, backed by up to £12 million in funding this financial year.
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 his Department will take steps to ensure that agency care workers receive appropriate and accredited training to meet the needs of vulnerable service users.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We have understood that the term care agencies refers to employment agencies. Care providers are required to be registered with the Care Quality Commission (CQC) where they carry out a regulated activity, as described in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. However, employment agencies do not usually carry out regulated activity and as such do not typically need to be registered.
Providers such as care homes and those providing domiciliary care do typically carry out regulated activity and therefore are registered with the CQC. The CQC requires all health and social care providers registered with them to deploy enough suitably qualified, competent, and experienced staff, including both registered and unregistered professionals. This requirement applies where that provider chooses to recruit staff via employment agencies.
It is therefore the responsibility of the regulated provider to ensure robust and safe recruitment practices are in place, and to make sure that all staff, including agency staff, are suitably experienced, competent, and able to carry out their role.
To support providers to do so, the Department provides reimbursement towards the cost of training and qualifications through the Adult Social Care Learning and Support Scheme, backed by up to £12 million in funding this financial year.
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 prevent care agencies from supplying staff who deliver unsupervised personal care without the required registration with the Care Quality Commission.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We have understood that the term care agencies refers to employment agencies. Care providers are required to be registered with the Care Quality Commission (CQC) where they carry out a regulated activity, as described in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. However, employment agencies do not usually carry out regulated activity and as such do not typically need to be registered.
Providers such as care homes and those providing domiciliary care do typically carry out regulated activity and therefore are registered with the CQC. The CQC requires all health and social care providers registered with them to deploy enough suitably qualified, competent, and experienced staff, including both registered and unregistered professionals. This requirement applies where that provider chooses to recruit staff via employment agencies.
It is therefore the responsibility of the regulated provider to ensure robust and safe recruitment practices are in place, and to make sure that all staff, including agency staff, are suitably experienced, competent, and able to carry out their role.
To support providers to do so, the Department provides reimbursement towards the cost of training and qualifications through the Adult Social Care Learning and Support Scheme, backed by up to £12 million in funding this financial year.
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.