Asked by: Peter Bedford (Conservative - Mid Leicestershire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if his Department will review the covid-19 vaccination eligibility criteria for (a) frontline workers and (b) carers to ensure that (i) those who work in high-risk environments, (ii) those who provide unpaid care, (ii) carers aged 70 and over, (iv) those who have previously had contact with infectious diseases and (v) those in who cannot afford to access private vaccination services are not excluded from receiving the vaccine.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is committed to protecting those most vulnerable to COVID-19 through vaccination, as guided by the independent Joint Committee on Vaccination and Immunisation (JCVI). The primary aim of the national COVID-19 vaccination programme remains the prevention of serious illness, resulting in hospitalisations and deaths, arising from COVID-19. On 13 November 2024, the JCVI published advice on the COVID-19 vaccination programme for spring 2025, autumn 2025, and spring 2026. This advice is available at the following link:
The Government accepted the JCVI’s advice for autumn 2025 on 26 June 2025. The announcement is available at the following link:
https://www.gov.uk/government/news/advice-accepted-on-autumn-2025-covid-19-vaccination-programme
In its advice for autumn 2024, the JCVI advised that in the era of highly transmissible Omicron sub-variants, any protection offered by the COVID-19 vaccine against the transmission of infection from one person to another is expected to be extremely limited. Therefore, the indirect benefits of vaccination, for instance vaccinating an individual such as an unpaid carer or household member in order to reduce the risk of severe disease in other people, are less evident now compared with previous years. In 2025, the JCVI conducted an extensive review of the scientific evidence surrounding the impact of vaccination on the transmission of the virus from frontline health and social care workers (HSCWs) to patients, the protection of HSCWs against symptoms of the disease, and staff sickness absences. In line with the JCVI’s advice, frontline health and social care workers and unpaid carers are not eligible for COVID-19 vaccination under the national programme for autumn 2025. The focus of the programme is now on those who remain at greatest risk of serious disease and who are therefore most likely to benefit from vaccination.
As with all NHS-provided vaccination programmes, only those eligible are offered vaccination. Any of the groups mentioned above who are otherwise eligible, because of their age or due to immunosuppression, are encouraged to take up the offer of vaccination.
As with all vaccines offered as part of the national programme in England, there is no charge for COVID-19 vaccination for those who are eligible. There is therefore no cost to those individuals that might discourage uptake.
The Government has accepted the JCVI’s advice for autumn 2025 and has no plans to change the eligibility for autumn 2025. As for all vaccines, the JCVI keeps the evidence under regular review.
Asked by: Angus MacDonald (Liberal Democrat - Inverness, Skye and West Ross-shire)
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 gambling harm prevention campaigns reach rural and remote communities.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The introduction of the new statutory levy on gambling operators, which came into effect in April 2025, guarantees sustainable funding for the research, prevention, and treatment of gambling-related harms which is entirely independent of the influence of the gambling industry.
The Office for Health Improvement and Disparities (OHID), as the gambling harms prevention commissioner in England under the levy, acknowledges the role that public health and awareness-raising campaigns can play in preventing health harms, including harms associated with gambling.
OHID is working at pace to develop its gambling harms prevention programme, working closely with the gambling harms prevention commissioners in Scotland and Wales. OHID is considering the role of prevention campaigns in the future prevention programme at a national and Great Britain-wide level and will consider the reach of such activity across specific populations such as rural and remote communities. Further details will be confirmed before the end of this financial year.
Asked by: Helen Maguire (Liberal Democrat - Epsom and Ewell)
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 the National Cancer Plan for England provides age-appropriate information on the (a) signs and (b) symptoms of cancer for young people.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is committed to improving outcomes and patient experience for teenagers and young adults with cancer. The Department recognises that cancer in teenagers and young adults is different to cancer in adults and children, and that age-appropriate care is necessary regarding treatment, diagnosis, and wider support, as per the NHS England service specifications.
The Department is committed to getting the National Health Service diagnosing cancer earlier and treating it faster so that more teenagers and young adults survive. The Department and NHS England are taking a range of steps to improve waiting times for cancer diagnosis and treatment across all cancer patient groups. This includes the NHS delivering an extra 40,000 scans, appointments, and operations each week to ensure that patients are seen and treated as quickly as possible.
Furthermore, the Department set out expectations for renewed focus on cancer targets in the Elective Reform plan, published on 6 January 2025. The Department has asked systems and providers to identify local opportunities in both community diagnostic centres and hospital based diagnostic services to improve performance against the Faster Diagnosis Standard, to reduce the number of patients, including teenagers and young adults, waiting too long for a confirmed diagnosis of cancer.
NHS England and other NHS organisations, nationally and locally, publish information on the signs and symptoms of many different types of cancer, including those that are most common in teenagers and young adults. Further information on cancer signs and symptoms is available on the NHS.UK website.
The national service specifications relating to the provision of Teenage and Young Adult (TYA) Cancer Services describes the service and clinical standards, as well as the relationships that need to be in place with other services that patients might need to access. Alongside the publication of the TYA Cancer Service Specifications, NHS England provided investment to establish and run networks, whose purpose is to drive improvements to pathways and the co-ordination of care. As of 1 April 2025, the responsibility for commissioning TYA Cancer Services was delegated to integrated care boards (ICBs). This means that ICBs are responsible for ensuring continued compliance with national service specifications.
TYA Cancer Services provide a level of psycho-social support for patients dealing with cancer diagnosis and treatment through cancer nursing and clinical support. Teenagers and young adults with cancer may also access support for their mental health needs in mental health services commissioned by ICBs, for example Child and Adolescent Mental Health Services.
The National Cancer Plan, due to be published in the new year, will have a commitment to children and young people, aged between zero and 24 years old with cancer, as a priority group. The plan will cover the entire pathway and aims to reduce the number of lives lost to cancer.
On 4 February 2025, the Department relaunched the Children and Young People Cancer Taskforce to identify tangible ways to improve outcomes and experiences for young cancer patients. The taskforce will explore opportunities for improvement, including detection and diagnosis, genomic testing and treatment, research and innovation, and patient experience. The taskforce will also ensure that the unique needs of teenagers and young adults with cancer are carefully considered as part of the National Cancer Plan.
Asked by: Helen Maguire (Liberal Democrat - Epsom and Ewell)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether the National Cancer Plan will support the faster diagnosis of teenagers and young adults with cancer.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is committed to improving outcomes and patient experience for teenagers and young adults with cancer. The Department recognises that cancer in teenagers and young adults is different to cancer in adults and children, and that age-appropriate care is necessary regarding treatment, diagnosis, and wider support, as per the NHS England service specifications.
The Department is committed to getting the National Health Service diagnosing cancer earlier and treating it faster so that more teenagers and young adults survive. The Department and NHS England are taking a range of steps to improve waiting times for cancer diagnosis and treatment across all cancer patient groups. This includes the NHS delivering an extra 40,000 scans, appointments, and operations each week to ensure that patients are seen and treated as quickly as possible.
Furthermore, the Department set out expectations for renewed focus on cancer targets in the Elective Reform plan, published on 6 January 2025. The Department has asked systems and providers to identify local opportunities in both community diagnostic centres and hospital based diagnostic services to improve performance against the Faster Diagnosis Standard, to reduce the number of patients, including teenagers and young adults, waiting too long for a confirmed diagnosis of cancer.
NHS England and other NHS organisations, nationally and locally, publish information on the signs and symptoms of many different types of cancer, including those that are most common in teenagers and young adults. Further information on cancer signs and symptoms is available on the NHS.UK website.
The national service specifications relating to the provision of Teenage and Young Adult (TYA) Cancer Services describes the service and clinical standards, as well as the relationships that need to be in place with other services that patients might need to access. Alongside the publication of the TYA Cancer Service Specifications, NHS England provided investment to establish and run networks, whose purpose is to drive improvements to pathways and the co-ordination of care. As of 1 April 2025, the responsibility for commissioning TYA Cancer Services was delegated to integrated care boards (ICBs). This means that ICBs are responsible for ensuring continued compliance with national service specifications.
TYA Cancer Services provide a level of psycho-social support for patients dealing with cancer diagnosis and treatment through cancer nursing and clinical support. Teenagers and young adults with cancer may also access support for their mental health needs in mental health services commissioned by ICBs, for example Child and Adolescent Mental Health Services.
The National Cancer Plan, due to be published in the new year, will have a commitment to children and young people, aged between zero and 24 years old with cancer, as a priority group. The plan will cover the entire pathway and aims to reduce the number of lives lost to cancer.
On 4 February 2025, the Department relaunched the Children and Young People Cancer Taskforce to identify tangible ways to improve outcomes and experiences for young cancer patients. The taskforce will explore opportunities for improvement, including detection and diagnosis, genomic testing and treatment, research and innovation, and patient experience. The taskforce will also ensure that the unique needs of teenagers and young adults with cancer are carefully considered as part of the National Cancer Plan.
Asked by: Lewis Cocking (Conservative - Broxbourne)
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 13 October 2025 to Question 77757 on Multiple Myeloma: Diagnosis, when the NHS will fully implement non-specific symptom pathways for the purpose of earlier diagnosis of blood cancers.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
We recognise that there is more to be done to ensure that every patient receives fast and early diagnosis, including patients with harder to stage cancers, such as myeloma.
The National Health Service has fully implemented non-specific symptom (NSS) pathways for patients who present with symptoms such as weight loss and fatigue, which do not clearly align to a tumour type. There are currently 115 NSS services operating in England with blood cancers being one of the most common cancer types diagnosed through these pathways.
Diagnosing cancer earlier is a key focus of the forthcoming National Cancer Plan, which will build on the shifts in care set out in the 10-Year Health Plan to diagnose cancers earlier.
Asked by: Rosena Allin-Khan (Labour - Tooting)
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 impact of the cost to the individual of a COVID-19 vaccination on (a) vaccination rates and (b) public health more widely.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is committed to protecting those most vulnerable to COVID-19 through vaccination, as guided by the independent Joint Committee on Vaccination and Immunisation (JCVI).
As with all vaccines offered as part of the national programme in England, there is no charge for COVID-19 vaccination for those who are eligible. There is therefore no cost to those individuals that might impact vaccination rates or public health.
As with other UK vaccination programmes, the JCVI advice on eligibility for COVID-19 vaccination carefully considers the evidence on the risk of illness, serious disease, or death as a consequence of infection, in specific groups, as well as cost-effectiveness analysis.
Asked by: Helen Maguire (Liberal Democrat - Epsom and Ewell)
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 the cancer service specifications for teenagers and young adults published in 2023 are (a) funded and (b) implemented as part of the National Cancer Plan.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is committed to improving outcomes and patient experience for teenagers and young adults with cancer. The Department recognises that cancer in teenagers and young adults is different to cancer in adults and children, and that age-appropriate care is necessary regarding treatment, diagnosis, and wider support, as per the NHS England service specifications.
The Department is committed to getting the National Health Service diagnosing cancer earlier and treating it faster so that more teenagers and young adults survive. The Department and NHS England are taking a range of steps to improve waiting times for cancer diagnosis and treatment across all cancer patient groups. This includes the NHS delivering an extra 40,000 scans, appointments, and operations each week to ensure that patients are seen and treated as quickly as possible.
Furthermore, the Department set out expectations for renewed focus on cancer targets in the Elective Reform plan, published on 6 January 2025. The Department has asked systems and providers to identify local opportunities in both community diagnostic centres and hospital based diagnostic services to improve performance against the Faster Diagnosis Standard, to reduce the number of patients, including teenagers and young adults, waiting too long for a confirmed diagnosis of cancer.
NHS England and other NHS organisations, nationally and locally, publish information on the signs and symptoms of many different types of cancer, including those that are most common in teenagers and young adults. Further information on cancer signs and symptoms is available on the NHS.UK website.
The national service specifications relating to the provision of Teenage and Young Adult (TYA) Cancer Services describes the service and clinical standards, as well as the relationships that need to be in place with other services that patients might need to access. Alongside the publication of the TYA Cancer Service Specifications, NHS England provided investment to establish and run networks, whose purpose is to drive improvements to pathways and the co-ordination of care. As of 1 April 2025, the responsibility for commissioning TYA Cancer Services was delegated to integrated care boards (ICBs). This means that ICBs are responsible for ensuring continued compliance with national service specifications.
TYA Cancer Services provide a level of psycho-social support for patients dealing with cancer diagnosis and treatment through cancer nursing and clinical support. Teenagers and young adults with cancer may also access support for their mental health needs in mental health services commissioned by ICBs, for example Child and Adolescent Mental Health Services.
The National Cancer Plan, due to be published in the new year, will have a commitment to children and young people, aged between zero and 24 years old with cancer, as a priority group. The plan will cover the entire pathway and aims to reduce the number of lives lost to cancer.
On 4 February 2025, the Department relaunched the Children and Young People Cancer Taskforce to identify tangible ways to improve outcomes and experiences for young cancer patients. The taskforce will explore opportunities for improvement, including detection and diagnosis, genomic testing and treatment, research and innovation, and patient experience. The taskforce will also ensure that the unique needs of teenagers and young adults with cancer are carefully considered as part of the National Cancer Plan.
Asked by: Helen Maguire (Liberal Democrat - Epsom and Ewell)
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 adequacy of psycho-oncology provision for teenagers and young adults with cancer.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is committed to improving outcomes and patient experience for teenagers and young adults with cancer. The Department recognises that cancer in teenagers and young adults is different to cancer in adults and children, and that age-appropriate care is necessary regarding treatment, diagnosis, and wider support, as per the NHS England service specifications.
The Department is committed to getting the National Health Service diagnosing cancer earlier and treating it faster so that more teenagers and young adults survive. The Department and NHS England are taking a range of steps to improve waiting times for cancer diagnosis and treatment across all cancer patient groups. This includes the NHS delivering an extra 40,000 scans, appointments, and operations each week to ensure that patients are seen and treated as quickly as possible.
Furthermore, the Department set out expectations for renewed focus on cancer targets in the Elective Reform plan, published on 6 January 2025. The Department has asked systems and providers to identify local opportunities in both community diagnostic centres and hospital based diagnostic services to improve performance against the Faster Diagnosis Standard, to reduce the number of patients, including teenagers and young adults, waiting too long for a confirmed diagnosis of cancer.
NHS England and other NHS organisations, nationally and locally, publish information on the signs and symptoms of many different types of cancer, including those that are most common in teenagers and young adults. Further information on cancer signs and symptoms is available on the NHS.UK website.
The national service specifications relating to the provision of Teenage and Young Adult (TYA) Cancer Services describes the service and clinical standards, as well as the relationships that need to be in place with other services that patients might need to access. Alongside the publication of the TYA Cancer Service Specifications, NHS England provided investment to establish and run networks, whose purpose is to drive improvements to pathways and the co-ordination of care. As of 1 April 2025, the responsibility for commissioning TYA Cancer Services was delegated to integrated care boards (ICBs). This means that ICBs are responsible for ensuring continued compliance with national service specifications.
TYA Cancer Services provide a level of psycho-social support for patients dealing with cancer diagnosis and treatment through cancer nursing and clinical support. Teenagers and young adults with cancer may also access support for their mental health needs in mental health services commissioned by ICBs, for example Child and Adolescent Mental Health Services.
The National Cancer Plan, due to be published in the new year, will have a commitment to children and young people, aged between zero and 24 years old with cancer, as a priority group. The plan will cover the entire pathway and aims to reduce the number of lives lost to cancer.
On 4 February 2025, the Department relaunched the Children and Young People Cancer Taskforce to identify tangible ways to improve outcomes and experiences for young cancer patients. The taskforce will explore opportunities for improvement, including detection and diagnosis, genomic testing and treatment, research and innovation, and patient experience. The taskforce will also ensure that the unique needs of teenagers and young adults with cancer are carefully considered as part of the National Cancer Plan.
Asked by: Fabian Hamilton (Labour - Leeds North East)
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 people initially coded with (a) pre‑diabetes and (b) type 2 diabetes who were later found to have early or established type 1 diabetes in the most recent period for which data is available; and what steps his Department is taking with NHS England to help improve diagnostic accuracy in England.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Data is not collected centrally on the numbers or proportions of people initially coded with pre-diabetes or type 2 diabetes who were later found to have type 1 diabetes. The change of patient diagnosis would be reflected by a change of diagnosis code in clinical systems. However, the way that data extraction works for national audits means that it is not possible to track these types of changes.
Published data on diabetes registrations by GP practice can be found in the quarterly National Diabetes Audit (NDA) data release. This also contains data on care process and treatment target attainment as well as the number of new diagnoses by calendar year.
The latest quarterly report is available at the following link:
The NDA supports improvements in diagnosis by assessing whether people with diabetes are receiving the recommended diagnostic checks and to identify variations and shortfalls in care delivery against National Institute for Health and Care Excellence guidelines.
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 his Department is taking to help support (a) innovation and (b) collaboration in improving public health outcomes in rural areas.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
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.