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 help support (a) innovation and (b) collaboration in improving public health outcomes in rural areas.

Upper and single tier local authorities have a statutory duty to take steps to improve the health of local people. Under this duty, local authorities commission a range of public health services and are responsible for determining the most effective approaches to the delivery of these services, taking account of different local needs, including the needs of rural areas. This can include testing new approaches to service delivery, implementing technology-based interventions or improving data analytics to better understand population health. In 2025/26, we provided funding of £3.884 billion to local authorities for their public health duty, through the Public Health Grant. This is an average 6.1% cash increase, or 3.4% real terms increase, compared to 2024/25.

NHS England is responsible for commissioning further specified public health services, including national immunisation and screening programmes. The 10-Year Health Plan signaled innovative approaches in these public health services, including a transformed NHS app that will be linked with screening programmes allowing individuals to receive reminders and book appointments online for breast, cervical and bowel cancer screening. Working with integrated care boards, commissioning of these services should also take account of local needs, including the different urban and rural characteristics of communities.

The 10-Year Health Plan also announced that, from 2026, we will set the expectation that every single or upper tier local authority participates in an external public health peer review exercise, on a five-year cycle, with the results directly informing local plans. These will support local government to improve public health services, including those in rural areas, through sharing innovations and adopting best practices.