Asked by: Alex Baker (Labour - Aldershot)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the performance of the not-for-profit adult social care sector in (a) ratings achieved through CQC inspections and (b) workforce (i) pay and (ii) turnover reported by the Skills for Care adult social care workforce dataset.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We recognise the role and value that not-for-profit providers play in delivering adult social care (ASC). As of November 2025, 8.1% of Care Quality Commission (CQC) regulated social care organisation locations are providers with a charity number. Of these locations, 89.1% are rated “Good” or “Outstanding” compared with 83.8% of other providers, of which the vast majority are for-profit. Overall, 84.3% of ASC providers are rated “Good” or “Outstanding”.
Filled posts working for independent sector employers cannot be accurately split into “private” and “voluntary”, as this information is not reported by the CQC. Estimates from the ASC workforce dataset suggests that approximately 74%, or 1,000,000, of the filled posts working for independent sector employers were in private sector establishments, which is approximately 63% of all posts, and 26%, or 345,000, were filled posts in voluntary/charity sector establishments, which is approximately 22% of all posts.
The National Institute for Health and Care Research funded Adult Social Care Research Unit is researching the impact of provider ownership type, including not-for-profit status, on care outcomes and workforce outcomes, including pay and turnover. The project will conclude in June 2026.
Asked by: Chris Coghlan (Liberal Democrat - Dorking and Horley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what plans he has to reduce the potential impact of (a) Pharmacy First and (b) pricing of NHS drug tariffs on community pharmacies.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Government recognises that pharmacies are an integral part of the fabric of our communities, as an easily accessible ‘front door’ to the National Health Service, staffed by highly trained and skilled healthcare professionals.
In 2025/26, the funding for the Community Pharmacy Contractual Framework was increased to £3.1 billion. This represents the largest uplift in funding of any part of the NHS, at over 19% across 2024/25 and 2025/26. There is also additional funding available, for example, for pharmacies delivering Pharmacy First consultations and flu and COVID-19 vaccinations, supporting pharmacies to continue to deliver a full range of services and support for their community.
As is custom and practice, the Department will consult Community Pharmacy England on any proposed changes to future reimbursement and remuneration of pharmacy contractors shortly.
Asked by: Pippa Heylings (Liberal Democrat - South Cambridgeshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the adequacy of (a) NHS and (b) hospice funding allocations in (i) Greater Cambridge and (ii) other high-growth areas.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
NHS England is responsible for determining allocations of financial resources to integrated care boards (ICBs). This process is independent of the Government, and NHS England takes advice on the underlying formula from the independent Advisory Committee on Resource Allocation.
ICB allocations for 2025/26 were published on 30 January 2025, and allocations for 2026/27 to 2028/29 will be published in due course. Further information on allocations in 2025/26 is available at the following link:
https://www.england.nhs.uk/publication/allocation-of-resources-2025-26/
Palliative care services are included in the list of services an ICB must commission. To support ICBs in this duty, NHS England has published statutory guidance and service specifications. The statutory guidance states that ICBs must work to ensure that there is sufficient provision of palliative care and end of life care services to meet the needs of their local populations, which can include hospice services available within the ICB catchment.
The Department and NHS England are currently working at pace to develop plans on how best to improve the access, quality, and sustainability of all-age palliative care and end of life care, including that provided by hospices, in line with the 10-Year Health Plan.
We are supporting hospices in England with a £100 million capital funding boost for adult and children’s hospices to ensure they have the best physical environment for care. The Arthur Rank Hospice in Cambridge is receiving £941,496 from this funding.
Asked by: Perran Moon (Labour - Camborne and Redruth)
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 ensure that pay awards for NHS staff are reflected in general practice settings.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Government looks to the independent pay review bodies for a pay recommendation for NHS staff, including both contractor and salaried general practitioners (GPs). They consider a range of evidence from organisations, including the Government, the National Health Service and trade unions to reach their recommendations.
The independent review body on Doctors’ and Dentists’ Remuneration (DDRB) has recommended an uplift of 4% to the pay ranges for salaried GPs, and to GP contractor pay. As with last year, we accepted the DDRB’s pay recommendation. We have provided an increase to core funding for practices to allow this 4% pay uplift, on top of the provisional 2.8% uplift already provided, to be passed on to salaried and contractor GPs. The additional funding will also allow for pay uplifts for other salaried general practice staff. Information on the funding increase was communicated to practices on 31 July 2025. Further information is available at the following link:
https://www.england.nhs.uk/long-read/implementing-the-2025-26-gp-contract/
The Government has written to GP Committee England to set out its expectations regarding the extra funding being used to fund uplifts for all staff and a letter to ICBs was published on 31 July, available at the following link:
We expect GP contractors to implement pay rises to other practice staff in line with the uplift in funding they have received. As self-employed contractors to the NHS, it is up to general practices how they distribute pay and benefits to their staff.
Asked by: Damien Egan (Labour - Bristol North East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 1 September 2025 to Question 69695, what are the timescales for improving access to palliative care at home for children nearing the end of life; and what assessment he has made of the (a) provision and (b) commissioning of such services in Bristol.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department and NHS England are currently working at pace to develop plans on how best to improve the access, quality, and sustainability of all-age palliative care and end of life care in line with the 10-Year Health Plan. I will be able to say more about our timelines for that work in the near future.
We will closely monitor the shift towards the strategic commissioning of palliative and end of life care services to ensure that services reduce variation in access and quality, although some variation may be appropriate to reflect both innovation and the needs of local populations.
Children’s palliative care services are included in the list of services an integrated care board (ICB) must commission. To support ICBs in this duty, NHS England has published statutory guidance and a service specification for children and young people. The statutory guidance states that ICBs, including the NHS Bristol, North Somerset and South Gloucestershire ICB, must work to ensure that there is sufficient provision of palliative care and end of life care services to meet the needs of their local populations.
We are providing £26 million of revenue funding for children and young people’s hospices for 2025/26. Jessie May Children’s Hospice in Bristol has received £182,000 from this funding. We are also committing £80 million for children’s and young people’s hospices over the next three financial years, giving them stability to plan ahead and focus on what matters most, caring for their patients.
Asked by: Stuart Anderson (Conservative - South Shropshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to help improve access to palliative care in rural areas.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We know that there are inequalities in access to palliative care and end of life care in rural areas and the Government is looking at how best to reduce these.
Palliative care services are included in the list of services an integrated care board (ICB) must commission. ICBs are responsible for the commissioning of palliative care and end of life care services, to meet the needs of their local populations. To support ICBs in this duty, NHS England has published statutory guidance and service specifications.
The statutory guidance outlines areas for consideration when commissioning services, which makes reference to improving equity of access and reducing inequity in outcomes and experience.
NHS England has also developed a palliative and end of life care dashboard, which brings together all relevant local data in one place. The dashboard helps commissioners understand the palliative care and end of life care needs of their local population, enabling ICBs to put plans in place to address and track the improvement of health inequalities, and ensure that funding is distributed fairly, based on prevalence.
The Department and NHS England are currently looking at how to improve the access, quality, and sustainability of all-age palliative care and end of life care in line with the 10-Year Health Plan.
Asked by: Luke Evans (Conservative - Hinckley and Bosworth)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many and what proportion of GPs qualifying in summer 2025 have secured employment in the UK.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Doctors complete general practice (GP) training on a rolling basis throughout the year. Over 1,600 doctors completed the GP Specialty Training programme between June and August 2025. As general practices are independent businesses, data on the proportion of these GPs who have secured employment in the National Health Service in England is not available.
To improve understanding of movement of doctors from GP training to the substantive workforce over time, NHS England publishes quarterly analysis of the last time doctors in their final year of GP specialty training can be identified in a general practice placement and the first time they can be identified in a substantive role recorded by a practice or Primary Care Networks in the National Workforce Reporting Service. This information is available at the following link:
https://digital.nhs.uk/supplementary-information/2025/gpwf_st3_tracking_202509
Asked by: Rachel Gilmour (Liberal Democrat - Tiverton and Minehead)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that NHS contracts with hospices reflect the (a) cost of the services provided and (b) the needs of local populations.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for the commissioning of palliative care and end of life care services, to meet the needs of their local populations. To support ICBs in this duty, NHS England has published statutory guidance and service specifications. NHS England has also developed a palliative care and end of life care dashboard, which brings together all relevant local data in one place.
Whilst the majority of palliative care and end of life care is provided by National Health Service staff and services, we recognise the vital part that voluntary sector organisations also play.
The amount of funding charitable hospices receive varies by ICB area, and will, in part, be dependent on the breadth of palliative care, including specialist palliative care, and end of life care provision within each ICB catchment area.
Asked by: Phil Brickell (Labour - Bolton West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if his Department will take steps to publish a national strategy for palliative and end of life care.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department and NHS England are currently looking at how to improve the access, quality, and sustainability of all-age palliative care and end of life care in line with the 10-Year Health Plan.
Additionally, we are supporting the hospice sector with a £100 million capital funding boost for eligible adult and children’s hospices in England to ensure they have the best physical environment for care.
We are also providing £26 million in revenue funding to support children and young people’s hospices for 2025/26. I am pleased to confirm the continuation of circa £26 million, adjusted for inflation, for the next three financial years, 2026/27 to 2028/29 inclusive, to be distributed again via integrated care boards. This amounts to approximately £80 million over the next three years.
Asked by: Richard Foord (Liberal Democrat - Honiton and Sidmouth)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will take steps to publish a national strategy for palliative and end of life care.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department and NHS England are currently looking at how to improve the access, quality, and sustainability of all-age palliative care and end of life care in line with the 10-Year Health Plan.
Additionally, we are supporting the hospice sector with a £100 million capital funding boost for eligible adult and children’s hospices in England to ensure they have the best physical environment for care.
We are also providing £26 million in revenue funding to support children and young people’s hospices for 2025/26. I am pleased to confirm the continuation of circa £26 million, adjusted for inflation, for the next three financial years, 2026/27 to 2028/29 inclusive, to be distributed again via integrated care boards. This amounts to approximately £80 million over the next three years.