Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to improve clinical communications between primary and secondary care providers.

The 10 Year Health Plan is clear that the National Health Service needs to modernise and shift toward providing continuous, accessible and integrated care. This relies on clear communication across different services, including primary and secondary care. The Plan set out our commitment to delivering the recommendations of the ‘Red Tape Challenge’, which includes making improvements at the interface between primary and secondary care. This contains measures such as improving access to shared care records and greater standardisation of forms and processes across services.

The Elective Reform Plan, published in January 2025, set out the need for more integrated working between primary and secondary care. As part of the approach, the Government expanded the Advice and Guidance (A&G) scheme in 2025/26 with £80 million of funding allocated for General Practice to increase uptake. Between April 2025 and October 2025, there has been an increase of 22% in processed A&G requests compared to the same period last year. A&G facilitates communication between General Practice and specialists to ensure care is delivered in the most appropriate place.

The NHS Medium Term Planning Framework, published in October 2025, also set out an improved approach to triaging patients. From April 2026, the NHS will start moving toward a unified access model where all appropriate requests and referrals (excluding urgent suspect cancer) will flow through a Single Point of Access, acting as a single ‘front door’ to support clinical triage to the most appropriate service or outcome. This will enable primary care referrers to get a response from specialists at the start of a patient’s care journey in secondary care, as well as timelier and more joined up care for patients.