Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential merits of reviewing the regional disparities of access to (a) therapy and (b) rehabilitation services for people living with (i) the long-term effects of polio and post-polio syndrome and (ii) the long-term effects of polio.

Although there is currently no cure for post-polio syndrome, a range of treatments and support is available to help manage the symptoms and improve quality of life. Treatment will depend on the severity of a patient’s condition, but care may involve pain-relieving medication, physiotherapy, dietary and exercise advice, and/or counselling or cognitive behavioural therapy. It is for commissioners, providers, and clinicians, supported by relevant clinical practice, to determine the best treatment for people with post-polio syndrome.

Ongoing rehabilitation for polio survivors is commissioned at a local level by integrated care boards (ICBs) as it is unlikely they would require the complex rehabilitation services commissioned by NHS England.

It is the responsibility of ICBs to make available appropriate provision to meet the health and care needs of their local population, including services for people with polio and post-polio syndrome, as they are best placed to make decisions according to local need.

The 10-Year Health Plan commits to a health system that is inclusive and equitable. While polio survivors are not named explicitly, the plan’s shift from hospital to community care is particularly relevant for polio survivors, many of whom require ongoing rehabilitation and support to live independently. The 10-Year Health Plan outlines the expansion of community-based services and neighbourhood health models, which will bring care closer to home and reduce reliance on hospital-based services, and investment in digital tools and assistive technologies, which can enhance independence and access to services for those with mobility challenges.

While the Department has not made a specific assessment of the potential merits of reviewing the regional disparities of access to therapy and rehabilitation services for people living with the long-term effects of polio and post-polio syndrome, addressing healthcare inequity is a core focus of the 10-Year Health Plan, to ensure the National Health Service is there for anyone who needs it whenever they need it, including people with polio and post-polio syndrome.