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 adequacy of the support available to people living with Crohn’s disease and Colitis in Surrey Heath constituency.

Integrated care boards (ICBs) are responsible for ensuring that appropriate treatment and support is available for people diagnosed with inflammatory bowel disease (IBD), which includes Crohn’s disease and ulcerative colitis, in their areas. In Surrey Heath, this responsibility sits with either the NHS Frimley ICB or the NHS Surrey Heartlands ICB, with national improvement programmes such as Getting It Right First Time (GIRFT) and NHS RightCare driving change. Together, these programmes help deliver consistent, high-quality diagnostic processes and ongoing care and support across the National Health Service in England.

The GIRFT national report on gastroenterology recommends rapid access to specialist review within four weeks, personalised care plans, increased endoscopy capacity, the standardised use of diagnostic tests such as endoscopy and imaging, and early involvement of multidisciplinary teams, including IBD specialist nurses, gastroenterologists, surgeons, dietitians, and mental health professionals.

In November 2025, GIRFT published a new handbook, ‘Optimising care for patients with Inflammatory Bowel Disease’ in addition to an updated IBD pathway. This handbook provides practical advice, key actions, and examples of innovative practices to improve the care of NHS patients with Crohn's disease and ulcerative colitis.

‘Hannah’s story’, published by NHS England as part of its RightCare scenario series, is a fictional case study designed to show the difference between a suboptimal and an optimal care pathway for someone living with Crohn’s disease. This scenario underlines the importance of integrated services, proactive treatment planning, and consistent adherence to IBD Standards to reduce variation and improve outcomes for patients across England.

Gastroenterology is a high-volume specialty identified as a top priority for reform in the Elective Reform Plan due to its waiting list challenges. Specific action in gastroenterology includes developing an integrated pathway across primary, community, and secondary care for common gastroenterology conditions. We will also drive rapid adoption of remote monitoring in appropriate gastroenterology pathways.

We are also introducing an ‘online hospital’ through NHS Online. This will give people on certain pathways the choice of getting the specialist care they need from their home, providing additional appointments to cut waiting times. IBD is amongst nine initial conditions for online referrals from 2027.