Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether he will review the mileage allowance for health and social care staff.

Mileage rates for Agenda for Change staff and resident doctors in England are set out in the NHS Terms and Conditions of Service (TCS) Handbook, also known as the Agenda for Change handbook. The TCS is maintained by the NHS Staff Council. Mileage reimbursement rates in England are reviewed twice a year in April and November.

The outcome of the last review in November 2025 resulted in reimbursement rates reducing due to sustained decreases in fuel prices for the 12-month period ending in October 2025. Reimbursement rates dropped to 56 pence per mile for the first 3,500 miles claimed before dropping to 21 pence per mile thereafter. The revised rates apply to mileage incurred from 1 January 2026 onwards.