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 local NHS commissioning decisions use spare capacity in the independent sector to reduce NHS waiting lists.

Reducing waiting lists is a key part of the Government’s Health Mission, and we are committed to putting patients first by ensuring that they are seen on time and that they have the best possible experience of care. Since the Government came into office, the waiting list for routine appointments, operations, and procedures in England has now been cut by 312,369. This is despite 30.1 million referrals onto the waiting list.

Fit for the Future: The 10-Year Health Plan for England and the Partnership Agreement between NHS England and the Independent Healthcare Providers Network reaffirmed our continued commitment to using independent sector capacity to improve access, reduce backlogs, and build a sustainable healthcare system.

Between April 2025 and November 2025, the latest month for which data is available, over 1.1 million pathways have been taken off the waiting list by independent sector providers, with independent sector providers delivering 9.9% of all elective ordinary and day case procedures for the National Health Service.

Commissioning decisions are for integrated care boards to make, who have a duty to arrange health services for the patients they are responsible for while living within their financial allocations. We expect decisions by local systems to support efforts achieving the goal of at least 65% of patients waiting no longer than 18 weeks for treatment by March 2026 whilst living within financial budgets set for 2025/26. NHS England has clearly set out that any decision to set activity management plans must not in any way restrict patient choice of provider.