Asked by: Ian Roome (Liberal Democrat - North Devon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many wave one schemes under the New Hospital Programme have begun construction.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Of the 16 schemes in Wave 1 of the New Hospital Programme (NHP), the Derriford Emergency Care Hospital commenced construction in October 2025. Poole Hospital and the remaining stages of Brighton 3Ts hospital (for the Sussex Cancer Centre) are in the pre-construction period and are expected to enter main construction later this year.
The remaining 13 schemes continue to progress to main construction commencing as set out in the plan for implementation, available at the following link:
Asked by: Bob Blackman (Conservative - Harrow East)
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 (a) the level of prevalence of respiratory disease and (b) the number of emergency hospital admissions for respiratory conditions in Harrow East constituency compared to national averages; and what steps he is taking to ensure that respiratory health is prioritised nationally, including through the introduction of a Modern Service Framework for respiratory care.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government will consider long-term conditions for future waves of modern service frameworks (MSFs), including respiratory conditions. The criteria for determining other conditions for future MSFs will be based on where there is potential for rapid and significant improvements in quality of care and productivity. After the initial wave of MSFs is complete, the National Quality Board will determine the conditions to prioritise for new MSFs as part of its work programme. There has not, therefore, been a specific assessment made in relation to winter pressures.
NHS England and the Department of Health and Social Care are working with the Department for Science, Innovation and Technology to explore innovation and policy prioritisation in respiratory health, including the cross‑Government alignment that may be required.
Data is available for emergency Finished Admission Episodes (FAEs) where there was a primary diagnosis of 'respiratory conditions’. The following table shows the number of emergency FAEs where there was a primary diagnosis of respiratory conditions, for activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector, for Mid Harrow and England, for 2024/25 and 2025/26:
Westminster Parliamentary Constituency of Residence | 2024/25 (August 2024 to March 2025) | 2025/26 (April 2025 to November 2025) |
Harrow | 1225 | 795 |
England | 608,449 | 423,588 |
Source: Hospital Episode Statistics, NHS England.
Available data on trends in respiratory conditions can be found on the Department’s Fingertips dataset. Data is not available by parliamentary constituency. Data is available at regional, county, unitary authority, and integrated care board level. Information for the London Borough of Harrow can be found at the following link:
https://fingertips.phe.org.uk/search/respiratory#page/1/gid/1/pat/15/ati/502/are/E09000015/iid/40701/age/163/sex/4/cat/-1/ctp/-1/yrr/1/cid/4/tbm/1
NHS England, working with the Department, the UK Health Security Agency, and other partners, is taking action to reduce the impact of respiratory conditions on the NHS this winter. Further details of the actions being taken to reduce demand on acute services during winter is available at the following link:
https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/
Asked by: Bob Blackman (Conservative - Harrow East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what discussions his Department has had with the Department for Science and Technology on the potential merits of a respiratory Modern Service Framework to strengthen the UK’s life sciences ecosystem by scaling up the adoption of new medicines and innovations for lung conditions.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government will consider long-term conditions for future waves of modern service frameworks (MSFs), including respiratory conditions. The criteria for determining other conditions for future MSFs will be based on where there is potential for rapid and significant improvements in quality of care and productivity. After the initial wave of MSFs is complete, the National Quality Board will determine the conditions to prioritise for new MSFs as part of its work programme. There has not, therefore, been a specific assessment made in relation to winter pressures.
NHS England and the Department of Health and Social Care are working with the Department for Science, Innovation and Technology to explore innovation and policy prioritisation in respiratory health, including the cross‑Government alignment that may be required.
Data is available for emergency Finished Admission Episodes (FAEs) where there was a primary diagnosis of 'respiratory conditions’. The following table shows the number of emergency FAEs where there was a primary diagnosis of respiratory conditions, for activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector, for Mid Harrow and England, for 2024/25 and 2025/26:
Westminster Parliamentary Constituency of Residence | 2024/25 (August 2024 to March 2025) | 2025/26 (April 2025 to November 2025) |
Harrow | 1225 | 795 |
England | 608,449 | 423,588 |
Source: Hospital Episode Statistics, NHS England.
Available data on trends in respiratory conditions can be found on the Department’s Fingertips dataset. Data is not available by parliamentary constituency. Data is available at regional, county, unitary authority, and integrated care board level. Information for the London Borough of Harrow can be found at the following link:
https://fingertips.phe.org.uk/search/respiratory#page/1/gid/1/pat/15/ati/502/are/E09000015/iid/40701/age/163/sex/4/cat/-1/ctp/-1/yrr/1/cid/4/tbm/1
NHS England, working with the Department, the UK Health Security Agency, and other partners, is taking action to reduce the impact of respiratory conditions on the NHS this winter. Further details of the actions being taken to reduce demand on acute services during winter is available at the following link:
https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/
Asked by: Bob Blackman (Conservative - Harrow East)
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 a respiratory Modern Service Framework on reducing winter pressures on the NHS by simultaneously improving outcomes for long-term respiratory conditions and short-term respiratory illnesses such as flu.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government will consider long-term conditions for future waves of modern service frameworks (MSFs), including respiratory conditions. The criteria for determining other conditions for future MSFs will be based on where there is potential for rapid and significant improvements in quality of care and productivity. After the initial wave of MSFs is complete, the National Quality Board will determine the conditions to prioritise for new MSFs as part of its work programme. There has not, therefore, been a specific assessment made in relation to winter pressures.
NHS England and the Department of Health and Social Care are working with the Department for Science, Innovation and Technology to explore innovation and policy prioritisation in respiratory health, including the cross‑Government alignment that may be required.
Data is available for emergency Finished Admission Episodes (FAEs) where there was a primary diagnosis of 'respiratory conditions’. The following table shows the number of emergency FAEs where there was a primary diagnosis of respiratory conditions, for activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector, for Mid Harrow and England, for 2024/25 and 2025/26:
Westminster Parliamentary Constituency of Residence | 2024/25 (August 2024 to March 2025) | 2025/26 (April 2025 to November 2025) |
Harrow | 1225 | 795 |
England | 608,449 | 423,588 |
Source: Hospital Episode Statistics, NHS England.
Available data on trends in respiratory conditions can be found on the Department’s Fingertips dataset. Data is not available by parliamentary constituency. Data is available at regional, county, unitary authority, and integrated care board level. Information for the London Borough of Harrow can be found at the following link:
https://fingertips.phe.org.uk/search/respiratory#page/1/gid/1/pat/15/ati/502/are/E09000015/iid/40701/age/163/sex/4/cat/-1/ctp/-1/yrr/1/cid/4/tbm/1
NHS England, working with the Department, the UK Health Security Agency, and other partners, is taking action to reduce the impact of respiratory conditions on the NHS this winter. Further details of the actions being taken to reduce demand on acute services during winter is available at the following link:
https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/
Asked by: Bob Blackman (Conservative - Harrow East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what his department’s timeline is for deciding on the second wave of Modern Service Frameworks; and whether respiratory conditions will be considered.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government will consider long-term conditions for future waves of modern service frameworks (MSFs), including respiratory conditions. The criteria for determining other conditions for future MSFs will be based on where there is potential for rapid and significant improvements in quality of care and productivity. After the initial wave of MSFs is complete, the National Quality Board will determine the conditions to prioritise for new MSFs as part of its work programme. There has not, therefore, been a specific assessment made in relation to winter pressures.
NHS England and the Department of Health and Social Care are working with the Department for Science, Innovation and Technology to explore innovation and policy prioritisation in respiratory health, including the cross‑Government alignment that may be required.
Data is available for emergency Finished Admission Episodes (FAEs) where there was a primary diagnosis of 'respiratory conditions’. The following table shows the number of emergency FAEs where there was a primary diagnosis of respiratory conditions, for activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector, for Mid Harrow and England, for 2024/25 and 2025/26:
Westminster Parliamentary Constituency of Residence | 2024/25 (August 2024 to March 2025) | 2025/26 (April 2025 to November 2025) |
Harrow | 1225 | 795 |
England | 608,449 | 423,588 |
Source: Hospital Episode Statistics, NHS England.
Available data on trends in respiratory conditions can be found on the Department’s Fingertips dataset. Data is not available by parliamentary constituency. Data is available at regional, county, unitary authority, and integrated care board level. Information for the London Borough of Harrow can be found at the following link:
https://fingertips.phe.org.uk/search/respiratory#page/1/gid/1/pat/15/ati/502/are/E09000015/iid/40701/age/163/sex/4/cat/-1/ctp/-1/yrr/1/cid/4/tbm/1
NHS England, working with the Department, the UK Health Security Agency, and other partners, is taking action to reduce the impact of respiratory conditions on the NHS this winter. Further details of the actions being taken to reduce demand on acute services during winter is available at the following link:
https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/
Asked by: Lisa Smart (Liberal Democrat - Hazel Grove)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment she has made of the adequacy of violence prevention measures in accident and emergency departments; and what steps she is taking to help improve the safety of NHS staff working in A&E settings.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Everyone working in the National Health Service has a fundamental right to be safe at work, including those working in accident and emergency settings providing rapid and critical care.
Individual employers are responsible for the health and safety of their staff, and they put in place measures, including, security, training, and emotional support for staff affected by violence.
In April 2025, my Rt Hon. Friend, the Secretary of State for Health and Social Care, announced that the Social Partnership Forum’s recommendations on tackling and reducing violence, part of the 2023 Agenda for Change pay deal, had been accepted in full. This includes measures to improve data and reporting, strengthen risk assessment, and improve training and support for victims. This will be bolstered by the introduction of a new set of staff standards, as detailed in the 10-Year Health 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 his Department’s timeline is for deciding on the second wave of Modern Service Frameworks; and whether respiratory conditions will be considered.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Modern service frameworks will define an aspirational, long-term outcome goal for a major condition and then identify the best evidenced interventions and the support for delivery. Early priorities will include cardiovascular disease, severe mental illness, and the first ever service framework for frailty and dementia.
The Government will consider other long-term conditions for future waves of modern service frameworks, including respiratory conditions. The criteria for determining other conditions for future modern service frameworks will be based on where there is potential for rapid and significant improvements in quality of care and productivity. After the initial wave of MSFs is complete, the National Quality Board will determine the conditions to prioritise for new MSFs as part of its work programme.
Asked by: Jo Platt (Labour (Co-op) - Leigh and Atherton)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if the Department can outline the length and mechanism for delivery of the new mandatory safeguarding learning programme for the NHS workforce.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Mandatory safeguarding training in NHS England is a strict, contractual obligation for all staff. The current Statutory and Mandatory Training e-learning programme has been developed to align with the UK Core Skills Training Framework which sets out 11 statutory and mandatory training topics for all staff working in health and social care settings.
NHS England is collaborating with national and local subject matter experts to create a new approach and some revised content to the mandatory and statutory learning for all National Health Service staff, which includes all statutory safeguarding duties and programs for NHS Providers. We expect this to be rolled out to the NHS later this year.
Asked by: Neil Duncan-Jordan (Labour - Poole)
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 (a) the prevalence of respiratory disease and (b) the number of emergency hospital admissions for respiratory conditions in Poole constituency compared with national averages; and what steps he is taking to ensure respiratory health is prioritised nationally, including through the introduction of a Modern Service Framework for respiratory care.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government will consider long-term conditions for future waves of modern service frameworks (MSFs), including respiratory conditions. The criteria for determining other conditions for future MSFs will be based on where there is potential for rapid and significant improvements in the quality of care and productivity. After the initial wave of MSFs is complete, the National Quality Board will determine the conditions to prioritise for new MSFs as part of its work programme.
The Department holds data on emergency Finished Admission Episodes (FAEs) where there was a primary diagnosis of respiratory condition for Poole and England, for activity from August 2024 to November 2025, although the data is provisional. The following table shows the number of emergency FAEs with a primary diagnosis of respiratory condition, for Poole and England, for activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector, from August 2024 to November 2025:
Westminster Parliamentary Constituency of Residence | 2024/25 (August 2024 to March 2025) | 2025/26 (April 2025 to November 2025) |
Poole | 1370 | 985 |
England | 608,449 | 423,588 |
Source: Hospital Episode Statistics, NHS England.
Available data on trends in respiratory conditions can be found on the Department’s Fingertips dataset. Data is not available by parliamentary constituency. Data is available at a regional, county, unitary authority, and integrated care board level. Information for Dorset is available at the following link:
https://fingertips.phe.org.uk/search/respiratory#page/1/gid/1/pat/15/ati/502/are/E06000059/iid/40701/age/163/sex/4/cat/-1/ctp/-1/yrr/1/cid/4/tbm/1
The Government has committed to delivering the three big shifts that our NHS needs to be fit for the future: from hospital to community; from analogue to digital; and from sickness to prevention. All of these are relevant to improving respiratory health in all parts of the country.
Through our community diagnostic centres, we are building capacity for respiratory testing and enabling people to get diagnosed closer to home. 101 community diagnostic centres across the country now offer out of hours services, 12 hours a day, seven days a week, meaning patients can access vital diagnostic tests around busy working lives. This is alongside action being taken to expand capacity and improve the quality of pulmonary rehabilitation services to support patients living with respiratory conditions.
Asked by: Matt Vickers (Conservative - Stockton West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether patients removed from NHS waiting lists are informed by trusts of their removal and the reason for it.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Validation is a clinically supported process and forms a long-standing part of trusts’ routine management of their waiting lists. Effective communication between patients and their healthcare teams is a key part of the process, and patients should always be kept well-informed about their care management.
As part of the administrative process for validation, trusts should contact patients after 12 weeks of waiting, providing them with the opportunity to update on their current status. This will allow patients to confirm if they have been treated elsewhere, their symptoms have resolved or they otherwise no longer require an appointment, all of which would result in them being removed from the list. If a clinical decision has been taken to discharge a patient, the patient and referrer are expected to be notified by the trust, including the reason.
There is published national guidance from NHS England to support National Health Service trusts to deliver effective validation and to make best use of clinical time. NHS England also has a published national standard for outpatient clinic letters, including discharge letters, which allows clinical information to be recorded, exchanged, and accessed consistently across care settings.