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 reduce waiting times for endometriosis treatment in the West Midlands.

As of the end of May 2025, the latest available data, the Gynaecology Service waiting list, which includes those waiting for endometriosis treatment, for the West Midlands stood at 64,594, with 52.1% of patient pathways within 18 weeks.

As set out in the Plan for Change, we have committed to return to the National Health Service constitutional standard that 92% of patients, including those waiting for endometriosis treatment, wait no longer than 18 weeks from referral to treatment by March 2029, including in the West Midlands. We have supported this with additional investment in the Autumn Budget, which has allowed us to exceed our pledge to deliver an extra two million operations, scans, and appointments, having now delivered 4.6 million additional appointments up to the end of April 2025.

There are a range of efforts underway, nationally and in the West Midlands, to reduce the time patients are waiting for gynaecological care. The Elective Reform Plan, published in January 2025, sets out the productivity and reform efforts we will undertake to return to the 18-week standard, and to ensure patients have the best possible experience while they wait. This includes increasing the relative funding available to support gynaecology procedures, including for certain endometriosis pathways with the largest waiting lists, and reviewing support options from the independent sector.

In November 2024, the National Institute for Health and Care Excellence updated its guidelines on the diagnosis and management of endometriosis, which will help women receive more timely care. This includes updated recommendations that for women with symptoms of endometriosis, initial pharmacological treatment should take place in primary care, and that this can take place in parallel with additional investigations and referral to secondary care if needed.