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Written Question
Kidneys: Transplant Surgery
Thursday 20th November 2025

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, how many people have had a kidney transplant on the NHS in the last 12 months.

Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)

NHS Blood and Transplant is the organisation responsible for organ donation in the United Kingdom, and they manage the NHS Organ Donor Register and National Transplant Register.

Between 1 October 2024 and 30 September 2025, 3,381 individual patients received a kidney transplant from 3,385 donors. 2,373 were from deceased donors and 1,012 were from living donors. Of the 3,381 patients that received a kidney transplant, four received two transplants within this period.

This is a United Kingdom four nation service and I am proud of its achievements.


Written Question
Doctors: Job Security and Pay
Thursday 20th November 2025

Asked by: Andrew Rosindell (Conservative - Romford)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he has taken to provide doctors with a plan to improve (a) pay for NHS doctors and (b) job security for NHS doctors.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The Government accepted the headline pay recommendations for National Health Service doctors made by the Review Body on Doctors’ and Dentists’ Renumeration (DDRB) for 2025/26. Consultant and Specialist and Specialty doctors received pay uplifts above forecast inflation of 4% and resident doctors received 4% plus £750. Resident doctors have received the highest pay uplift in the public sector over the past two years, with pay uplifts amounting to 28.9% over three years. While the Government has been clear that it cannot go further on pay this year, my Rt Hon. Friend, the Secretary of State for Health and Social Care has met with the British Medical Association (BMA) to discuss their priorities and is committed to improving the working lives of all NHS staff.

The Government has taken steps to accelerate the pay setting process for this year to ensure that uplifts are made in a timely manner. To achieve this, we remitted the DDRB on 22 July and submitted written evidence to them on 30 October. Written evidence was submitted a month earlier than last year, which means we are still on track for pay uplifts to go into pay packets earlier than in previous years.

In acknowledgement of doctors’ concerns about jobs and access to training places, the Government made an offer to BMA’s Resident Doctors Committee to double the previously announced increase in specialty training places in the 10-Year Health Plan to 2,000, bringing 1,000 of these forward to next year, to create an alternative training pathway and take steps to prioritise United Kingdom medical graduates and doctors with significant NHS experience for specialty posts. On top of this commitment, NHS England has already made changes to the specialty training application process this year to reduce competition and support UK graduates.


Written Question
NHS: Workplace Pensions
Thursday 20th November 2025

Asked by: Caroline Dinenage (Conservative - Gosport)

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 impact of NHS Pensions' ability to meet the revised deadlines for issuing Remediable Service Statements set by the Government on 31 March 2025 on NHS members' i) financial resilience ii) ability to make informed choices regarding pension benefits.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The Department recognises the importance of providing NHS Pension Scheme members certainty about when they will receive their McCloud Remediable Service Statements.

An independent review of the NHS Business Service Authority’s (NHSBSA) revised plans for the delivery of the McCloud remedy for NHS Pension Scheme members is underway. This will provide an additional level of scrutiny and assurance of the NHSBSA’s delivery plan and the timetable for the remaining statements.

I expect to be able to update the House on the review’s progress and the remedy delivery timetable before Christmas recess.

In the meantime, the NHSBSA continues to provide Remediable Service Statements to affected members, prioritising those who may be experiencing immediate financial hardship due to the discrimination highlighted by the McCloud judgment. Additionally, members who meet specific criteria can request to receive a prioritised Remediable Service Statement. Further information is available at the following link:

https://faq.nhsbsa.nhs.uk/knowledgebase/article/KA-29429/en-us.

The Government is committed to ensuring that affected members are not subject to financial disadvantage due to these delays. Pension arrears arising from the McCloud remedy are paid with 8% interest, and a compensation scheme is available for members who have experienced other direct financial losses.


Written Question
NHS: Workplace Pensions
Thursday 20th November 2025

Asked by: Caroline Dinenage (Conservative - Gosport)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, when he will complete the review into NHS Pensions' ability to meet the revised deadlines for issuing Remediable Service Statements set by the government on 31 March 2025.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The Department recognises the importance of providing NHS Pension Scheme members certainty about when they will receive their McCloud Remediable Service Statements.

An independent review of the NHS Business Service Authority’s (NHSBSA) revised plans for the delivery of the McCloud remedy for NHS Pension Scheme members is underway. This will provide an additional level of scrutiny and assurance of the NHSBSA’s delivery plan and the timetable for the remaining statements.

I expect to be able to update the House on the review’s progress and the remedy delivery timetable before Christmas recess.

In the meantime, the NHSBSA continues to provide Remediable Service Statements to affected members, prioritising those who may be experiencing immediate financial hardship due to the discrimination highlighted by the McCloud judgment. Additionally, members who meet specific criteria can request to receive a prioritised Remediable Service Statement. Further information is available at the following link:

https://faq.nhsbsa.nhs.uk/knowledgebase/article/KA-29429/en-us.

The Government is committed to ensuring that affected members are not subject to financial disadvantage due to these delays. Pension arrears arising from the McCloud remedy are paid with 8% interest, and a compensation scheme is available for members who have experienced other direct financial losses.


Written Question
NHS: Workplace Pensions
Thursday 20th November 2025

Asked by: Caroline Dinenage (Conservative - Gosport)

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 Members of NHS Pensions receive timely Remediable Service Statements.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The Department recognises the importance of providing NHS Pension Scheme members certainty about when they will receive their McCloud Remediable Service Statements.

An independent review of the NHS Business Service Authority’s (NHSBSA) revised plans for the delivery of the McCloud remedy for NHS Pension Scheme members is underway. This will provide an additional level of scrutiny and assurance of the NHSBSA’s delivery plan and the timetable for the remaining statements.

I expect to be able to update the House on the review’s progress and the remedy delivery timetable before Christmas recess.

In the meantime, the NHSBSA continues to provide Remediable Service Statements to affected members, prioritising those who may be experiencing immediate financial hardship due to the discrimination highlighted by the McCloud judgment. Additionally, members who meet specific criteria can request to receive a prioritised Remediable Service Statement. Further information is available at the following link:

https://faq.nhsbsa.nhs.uk/knowledgebase/article/KA-29429/en-us.

The Government is committed to ensuring that affected members are not subject to financial disadvantage due to these delays. Pension arrears arising from the McCloud remedy are paid with 8% interest, and a compensation scheme is available for members who have experienced other direct financial losses.


Written Question
Health Professions: Hazardous Substances
Thursday 20th November 2025

Asked by: Bell Ribeiro-Addy (Labour - Clapham and Brixton Hill)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of nurses and other healthcare professionals currently exposed to hazardous medicinal products.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

I refer the Hon. Member to the answer I gave to the Hon. Member for St Ives on 5 November 2025 to Question 84136.


Written Question
Surgery: Waiting Lists
Thursday 20th November 2025

Asked by: James McMurdock (Independent - South Basildon and East Thurrock)

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 ensure that the 18-week treatment target for elective care is in all NHS trusts.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The Department and NHS England regularly monitor regional and trust level variation in National Health Service waiting lists to address variation in performance, so patients can expect to receive high quality care in a timely way, wherever they live.

We are committed to returning by March 2029 to the NHS constitutional standard that 92% of patients wait no longer than 18 weeks from referral to consultant-led treatment. Our Reforming elective care for patients plan, published in January, sets out how the NHS will reform elective care services equitably across all trusts and regions.

As an interim goal, NHS England’s Operational Planning Guidance 2025/26 has set the national ambition for 65% of patients waiting no longer than 18 weeks for treatment, with every trust expected to deliver a minimum 5% improvement in performance.

To support this improvement across all trusts, there is a robust performance management process in place. The new NHS Oversight Framework 2025/26 ensures that there is public accountability for performance and NHS England’s national and regional teams work with systems and providers to support improvement.

There is a specific process in place to identify, intervene, and support the providers whose performance on elective waiting lists is most challenged, led by NHS England’s national and regional teams.


Written Question
NHS: Waiting Lists
Thursday 20th November 2025

Asked by: James McMurdock (Independent - South Basildon and East Thurrock)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what discussions he has had with NHS England on ensuring that improvements in waiting times are consistent across all regions.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The Department and NHS England regularly monitor regional and trust level variation in National Health Service waiting lists to address variation in performance, so patients can expect to receive high quality care in a timely way, wherever they live.

We are committed to returning by March 2029 to the NHS constitutional standard that 92% of patients wait no longer than 18 weeks from referral to consultant-led treatment. Our Reforming elective care for patients plan, published in January, sets out how the NHS will reform elective care services equitably across all trusts and regions.

As an interim goal, NHS England’s Operational Planning Guidance 2025/26 has set the national ambition for 65% of patients waiting no longer than 18 weeks for treatment, with every trust expected to deliver a minimum 5% improvement in performance.

To support this improvement across all trusts, there is a robust performance management process in place. The new NHS Oversight Framework 2025/26 ensures that there is public accountability for performance and NHS England’s national and regional teams work with systems and providers to support improvement.

There is a specific process in place to identify, intervene, and support the providers whose performance on elective waiting lists is most challenged, led by NHS England’s national and regional teams.


Written Question
NHS: Staff
Thursday 20th November 2025

Asked by: Rupert Lowe (Independent - Great Yarmouth)

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 NHS staff were non-patient facing in each of the last ten years.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The following table shows the number and percentage of the full time equivalent (FTE) workforce employed by National Health Service trusts and other core NHS organisations in England that are in NHS infrastructure support roles, which represents a proxy for non-patient facing roles, as of each July from 2015 to 2025:

Total staff

NHS infrastructure support staff

Percentage of staff who are in infrastructure support

July 2015

1,005,767

156,839

15.6%

July 2016

1,027,898

160,978

15.7%

July 2017

1,046,828

165,252

15.8%

July 2018

1,065,395

169,348

15.9%

July 2019

1,099,144

177,903

16.2%

July 2020

1,166,566

184,149

15.8%

July 2021

1,195,405

193,643

16.2%

July 2022

1,225,470

202,376

16.5%

July 2023

1,292,820

214,192

16.6%

July 2024

1,346,030

219,306

16.3%

July 2025

1,372,429

218,962

16.0%

Source: the data can be found in the file titled “Preliminary - NHS HCHS Workforce Statistics, Trusts and core organisations - data tables” from worksheet one of the NHS Hospital and Community Health Service Monthly Workforce Statistics, published by NHS England, and available at the following link:
https://digital.nhs.uk/data-and-information/publications/statistical/nhs-workforce-statistics

Notes:

  1. the NHS infrastructure support staffing group includes staff defined as managers, senior managers, non-patient facing clerical/administrative staff, and maintenance/works staff;
  2. FTE refers to the proportion of full time contracted hours that the post holder is contracted to work. One would indicate they work a full set of hours, while 0.5 would indicate that they worked half time; and
  3. these data relate to the Hospital and Community Health Service workforce directly employed in NHS trusts and other core organisations, for instance integrated care boards for the latest data point, who are paid.

Written Question
NHS: Waiting Lists
Thursday 20th November 2025

Asked by: James McMurdock (Independent - South Basildon and East Thurrock)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will make an assessment of the adequacy of the progress made by his Department on (a) reducing the NHS care waiting list and (b) meeting the 18 week referral to treatment standard.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

As set out in the Plan for Change, the Government is committed to returning to the National Health Service constitutional standard that 92% of patients wait no longer than 18 weeks from referral to consultant-led treatment by March 2029.

NHS England’s Operational Planning Guidance for 2025/26 sets a target that 65% of patients wait no longer than 18 weeks by March 2026, with every trust expected to deliver a minimum 5% improvement on current performance over that period.

To achieve this interim March 2026 target, we expect the size of the total waiting list to reduce. We have already made significant progress on this. As of August 2025, the waiting list had reduced by over 206,000 compared to the start of July 2024 and the proportion of waits under 18 weeks has improved by 2.2%, to 61% as of August 2025.

This has been supported by the delivery of 5.2 million additional appointments between July 2024 and June 2025 compared to the previous year, more than double the Government’s pledge of two million. This marks a vital first step in delivering the constitutional standard.