Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 25 November 2025 to Question 90706, how the Neighbourhood Health Service will improve access to care in rural areas and communities with poor digital connectivity or low digital confidence in the West Midlands; what safeguards are in place to ensure that neighbourhood health centres do not lead to the downgrading or closure of existing GP surgeries or community hospitals; what evaluation he has made of previous neighbourhood care pilots in the region; and what timetable he has set for expanding the programme beyond wave 1, including the inclusion of additional West Midlands areas.

The Neighbourhood Health Service will make it easier for people to access care closer to where they live, including in neighbourhood health centres. Delivery will be locally led, with systems determining how neighbourhood health is designed to meet local population need. This will factor in how services may need to look different across rural and urban areas.

The Neighbourhood Health Service will also move us towards a fully digitally enabled health service. We are striving for digital services to improve access, experiences, and outcomes for the widest range of people, based on their preferences, as any digital healthcare benefits will be limited if people remain digitally excluded.

Neighbourhood health provides the unifying framework that brings together what is already underway across primary care, community services, urgent care, prevention, digital, estates, and population health, and will build on existing assets and services rather than replacing them. We are intending to publish further guidance that will set-out how areas should work together to design neighbourhood health services around local needs and different population cohorts.

In September 2025, we launched the National Neighbourhood Health Implementation Programme (NNHIP) in 43 places across England, including in East Birmingham. Collection of metrics is currently being piloted across all NNHIP sites. Systems are also encouraged to participate in the monthly Community of Practice, that aims to share learning and strengthen collective delivery.

Work is underway to consider the future direction of the NNHIP, and we will share an update on this as soon as we can.