Asked by: Gregory Stafford (Conservative - Farnham and Bordon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department plans to publish a winter preparedness analysis for 2025-26 defining eligibility for covid boosters.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Joint Committee on Vaccination and Immunisation (JCVI) is an independent expert committee which reviews the latest data on COVID-19 risks, vaccine safety, and effectiveness and advises the department on the approach to vaccination and immunisation programmes. The JCVI published advice for future COVID-19 vaccination campaigns in autumn 2025 and spring 2026 in November 2024, and published advice for autumn 2026 and spring 2027 in July 2025. The Government accepted JCVI advice for autumn 2025 in June 2025. The Government is considering the JCVI’s advice for 2026 and spring 2027 carefully and will respond in due course.
The primary aim of the national COVID-19 vaccination programme remains the prevention of serious disease, involving hospitalisations and deaths, arising from COVID-19. The JCVI assessment indicates that the oldest age cohorts and individuals who are immunosuppressed are the two groups who continue to be at higher risk of serious disease.
Therefore, in autumn 2025, a COVID-19 vaccination is being offered to:
- adults aged 75 years old and over;
- residents in a care home for older adults;
- individuals aged six months and over who are immunosuppressed, as defined in the ‘immunosuppression’ sections of tables 3 or 4 in the COVID-19 chapter of the UK Health Security Agency Green Book.
The National Health Service is preparing earlier and more robustly for winter this year, with rigorous stress testing of local plans, closer working with local partners, and a far earlier kick-off of winter preparations. Vaccinations have been ramped up across the board for flu, COVID-19 and respiratory syncytial virus so families can protect themselves and others. This includes the surge capacity and escalation plans in place across all NHS and urgent care services. As set out in the 2025/26 Urgent Emergency Care Plan, the NHS is focusing on improvements that will see the biggest impact on urgent and emergency care performance this winter. The 2025/26 Urgent Emergency Care Plan is available at the following link:
https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/
Asked by: Scott Arthur (Labour - Edinburgh South West)
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 potential merits of offering additional resources to neighbourhood teams to provide targeted interventions enabling equitable access to (a) HPV vaccination and (b) cervical screening.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
As part of our 10-Year Health Plan, we have recently launched the National Neighbourhood Health Implementation Programme, to support systems with the roll-out of neighbourhood health services which will bring together teams of professionals, including pharmacists, to work together to provide comprehensive care in the community.
The Department is working with NHS England and the UK Health Security Agency to encourage high uptake of all immunisation and screening programmes, including in areas where coverage has historically been low, by exploring new, accessible, and innovative delivery models.
The Department is also working with partners to develop options for human papillomavirus (HPV) catch-up vaccination through community pharmacies from 2026, with the ambition to increase the accessibility and uptake of HPV vaccinations among younger adults who have left school, supporting our aim to eliminate cervical cancer by 2040.
For cervical screening, primary care networks collaborate across their local neighbourhoods to offer additional appointments to improve access and convenience. Regional commissioners and providers also undertake targeted outreach campaigns. For example, the Living Well initiative in Cheshire and Merseyside offers mobile cervical screening to eligible individuals. The service can reach more individuals by being closer to where people live, work, and shop.
NHS England has also increased the provision of cervical screening sample taking services in integrated sexual health settings, which in turn has helped to improve access for people eligible for screening, especially individuals who would not access general practice or are not registered with a general practice.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
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 lowering the age at which women are offered their first smear test.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The cervical screening age in the United Kingdom was officially changed from 20 to 25 years old in 2003. This decision was made by the Advisory Committee on Cervical Cancer Screening which advised the NHS Cervical Screening Programme to raise the starting age due to evidence that screening younger women could do more harm than good. This is because: cervical abnormalities are common in women under 25 years old, but they usually resolve naturally; screening could lead to unnecessary treatments, which carry risks such as increased chances of pre-term delivery; and cervical cancer is extremely rare in women under 25 years old.
Since then, the human papillomavirus vaccination programme has been introduced, which means the vast majority of women under 29 years old have been offered the vaccine that protects against most forms of cervical cancer.
Asked by: Caroline Johnson (Conservative - Sleaford and North Hykeham)
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 with the Secretary of State for Education of the potential merits of using geofence technology to tackle the use of vaping devices by children in schools.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
It is concerning that youth vaping has more than doubled in the last five years and that one in four children aged between 11 and 15 years old tried vaping in 2023. That is why we are committed to bringing about definitive and positive change to stop future generations from becoming hooked on nicotine. To do this, we are acting to reduce the appeal, availability, and accessibility of these products to children whilst not impacting on their use as a quit aid for adult smokers.
The Government’s policy, as set out in the Tobacco and Vapes Bill, is that all products are age verified at the point of sale rather than the point of use.
We are examining the role of certain technology in vapes as part of our secondary legislation programme, and we are currently running a call for evidence on vapes which explores this area, and which we would encourage stakeholders to respond to. In addition, next year we will run a consultation on introducing smoke-free and vape-free places, restrictions on vape packaging, and on changing how and where vapes are displayed in shops.
Asked by: Caroline Johnson (Conservative - Sleaford and North Hykeham)
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 potential merits of using technology within vapes to verify the age of vape users.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
It is concerning that youth vaping has more than doubled in the last five years and that one in four children aged between 11 and 15 years old tried vaping in 2023. That is why we are committed to bringing about definitive and positive change to stop future generations from becoming hooked on nicotine. To do this, we are acting to reduce the appeal, availability, and accessibility of these products to children whilst not impacting on their use as a quit aid for adult smokers.
The Government’s policy, as set out in the Tobacco and Vapes Bill, is that all products are age verified at the point of sale rather than the point of use.
We are examining the role of certain technology in vapes as part of our secondary legislation programme, and we are currently running a call for evidence on vapes which explores this area, and which we would encourage stakeholders to respond to. In addition, next year we will run a consultation on introducing smoke-free and vape-free places, restrictions on vape packaging, and on changing how and where vapes are displayed in shops.
Asked by: Victoria Collins (Liberal Democrat - Harpenden and Berkhamsted)
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 hospice contracts reflect the (a) cost of the services they provide and (b) needs of the local population in Harpenden and Berkhamsted constituency.
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, including the NHS Hertfordshire and West Essex ICB, which covers the Harpenden and Berkhamsted constituency, 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. It is important to note that hospices, like the NHS, provide both specialist and generalist palliative care and end of life care. Not all patients will require specialist palliative 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 ICBs. This amounts to approximately £80 million over the next three years.
Asked by: Victoria Collins (Liberal Democrat - Harpenden and Berkhamsted)
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 ensure adequate financial support for the full range of specialist palliative care services provided by hospices.
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, including the NHS Hertfordshire and West Essex ICB, which covers the Harpenden and Berkhamsted constituency, 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. It is important to note that hospices, like the NHS, provide both specialist and generalist palliative care and end of life care. Not all patients will require specialist palliative 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 ICBs. This amounts to approximately £80 million over the next three years.
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
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 palliative care services are equally accessible to all ethnic groups in Surrey Heath constituency.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
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 service specifications. The statutory guidance states that ICBs, including the Hertfordshire and West Essex ICB, the Surrey Heartlands ICB, and the Frimley ICB, must work to ensure that there is sufficient provision of care services to meet the needs of their local populations.
NHS England has also developed a palliative care and end of life care dashboard. The dashboard helps commissioners understand the palliative care and end of life care needs of their local population, including the ability to filter the available information, such as by deprivation or ethnicity, 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 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.
Additionally, through the National Institute for Health and Care Research, the Department has invested £3 million in a Policy Research Unit in Palliative and End of Life Care. This unit is building the evidence base on palliative care and end of life care, with a specific focus on inequalities.
Asked by: Tom Morrison (Liberal Democrat - Cheadle)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to improve GP (a) awareness and (b) understanding of (i) dementia and (ii) other neurodegenerative conditions.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Employers in the health system are responsible for ensuring that their staff are trained to the required standards to deliver appropriate treatment for patients. The required training needs are set out in the Dementia training Standards Framework, which is available at the following link:
https://www.skillsforhealth.org.uk/info-hub/dementia-2015-updated-2018/
The Dementia Care Pathway: Full implementation guidance emphasises the need to ensure that general practitioners are supported in providing dementia diagnosis with education and training programmes.
There are also a variety of resources available on the NHS England E-learning for Health platform, including a programme on dementia care, designed to enhance the training and education of the health and social care workforce.
We will deliver the first ever Frailty and Dementia Modern Service Framework to deliver rapid and significant improvements in quality of care and productivity. This will be informed by phase one of the independent commission into adult social care, expected in 2026.
The framework will seek to reduce unwarranted variation and narrow inequality for those living with dementia and will set national standards for dementia care and redirect National Health Service priorities to provide the best possible care and support.
Asked by: Victoria Collins (Liberal Democrat - Harpenden and Berkhamsted)
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 people who need it have access to palliative care services in Harpenden and Berkhamsted constituency.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
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 service specifications. The statutory guidance states that ICBs, including the Hertfordshire and West Essex ICB, the Surrey Heartlands ICB, and the Frimley ICB, must work to ensure that there is sufficient provision of care services to meet the needs of their local populations.
NHS England has also developed a palliative care and end of life care dashboard. The dashboard helps commissioners understand the palliative care and end of life care needs of their local population, including the ability to filter the available information, such as by deprivation or ethnicity, 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 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.
Additionally, through the National Institute for Health and Care Research, the Department has invested £3 million in a Policy Research Unit in Palliative and End of Life Care. This unit is building the evidence base on palliative care and end of life care, with a specific focus on inequalities.