Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent discussions he has had with representatives of (a) CCGs in the North West of England, (b) NHS England and (c) NHS Improvement on proposals for a local tertiary service for Tourette’s syndrome; and if he will provide an update on the status of those plans.

There have been no recent discussions. The majority of services for people with Tourette’s syndrome are commissioned locally by clinical commissioning groups (CCGs). The development of the proposed clinical model for a local tertiary service for Tourette’s syndrome in the North West of England is continuing between Alder Hey Hospital and the nine CCGs in Cheshire and Merseyside. Clinical leadership support from NHS England has also been secured. The new Cheshire and Merseyside Integrated Care Board, which will replace the nine CCGs from 1 July 2022, will determine whether this service is commissioned, depending on factors such as the availability of financials resources.