Asked by: John Milne (Liberal Democrat - Horsham)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, pursuant to question 98653, whether the Department will release the number of people with multiple sclerosis who are in the Work Related Activity Group.
Answered by Stephen Timms - Minister of State (Department for Work and Pensions)
There were fewer than five people with multiple sclerosis as their primary condition who were claiming contributory Employment and Support Allowance (ESA) in the Work Related Activity Group (WRAG) in May 2025. Statistical disclosure control has been applied by rounding to the nearest 10 to avoid the release of confidential data. People claiming income-related Employment and Support Allowance are currently moving across to Universal Credit.
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 discussions he has had with the Northern Ireland Department of Health on the application of learning from the NHS England Neurology Transformation Programme to improve access to specialised neurology care for people living with multiple sclerosis in Northern Ireland.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is committed to sharing learning and best practice across the United Kingdom health systems.
The Neurology Transformation Programme in England aims to improve access, coordination, and outcomes for people with neurological conditions, including multiple sclerosis, through service redesign and workforce development.
Officials continue to engage through the UK Neuro Forum to ensure that insights from this work are available to colleagues in Northern Ireland and other devolved administrations.
Asked by: John Milne (Liberal Democrat - Horsham)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, how many people with multiple sclerosis on contributory Employment and Support Allowance are in the (i) Support Group and (ii) Work-Related Activity Group.
Answered by Stephen Timms - Minister of State (Department for Work and Pensions)
The following table shows the volume of people with multiple sclerosis as their primary condition who were claiming contributory Employment and Support Allowance (ESA) by Work Related Activity Group (WRAG) and Support Group (SG) in May 2025.
| Volume |
WRAG | .. |
SG | 13,700 |
Notes:
- Figures have been rounded to the nearest 10.
- The data supplied is based on bespoke analysis of departmental datasets and has not been certified as National Statistics or Official Statistics.
Asked by: Peter Dowd (Labour - Bootle)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what data his department collects to monitor potential inequalities in multiple sclerosis care access; and how those findings are used to inform policy and service delivery improvements.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department does not collect patient-level clinical data directly but works with NHS England and other bodies to monitor inequalities in access to multiple sclerosis (MS) services through a range of national programmes and datasets.
The UK Multiple Sclerosis Register, which is managed by Swansea University and supported by the MS Society, provides a comprehensive evidence base on the experiences and outcomes of people living with MS across the United Kingdom. It combines patient-reported data with clinical information from National Health Services, enabling analysis of variations in access to treatments, specialist care, and support by geography, deprivation, ethnicity and other demographic factors.
Findings from the register are used to inform research policy development and service improvement initiatives. This evidence supports NHS England and integrated care boards in identifying variations in access to treatment and care, guiding commissioning decisions, and helping to reduce health inequalities for people living with MS.
Additionally, initiatives such as NHS England’s Getting It Right First Time (GIRFT) programme and its RightCare programme both aim to reduce unwarranted variation in services and improve equity of care for people with MS.
GIRFT undertakes clinically-led, data-driven reviews of neurology services across all neuroscience centres and trusts. Its national neurology report sets out recommendations to standardise care, improve access to specialist services closer to home, and share best practice between providers. By addressing these variations, GIRFT helps to ensure that people with MS receive more consistent, high-quality care regardless of where they live.
RightCare focuses on population health and on reducing inequalities by providing commissioners with toolkits and benchmarking resources. Its Progressive Neurological Conditions Toolkit supports systems to assess current provision for conditions such as MS, identify gaps, and prioritise improvements. It promotes integrated, person-centred care and encourages commissioners to benchmark services against national standards, helping to reduce disparities in access and outcomes.
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 plans his Department has to address multiple sclerosis in the updated Women’s Health Strategy; and whether there will be discussions on how this can inform development of the Northern Ireland Women’s Health Action Plan.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
We know that women can be impacted by a range of different health conditions at the same time, including those that only affect women, those that affect women differently or more severely to men, or those that affect everyone equally. This is why the renewed Women’s Health Strategy will set out how we are improving experiences and outcomes for all women as we deliver the 10-Year Health Plan.
At the national level, there are a number of initiatives supporting service improvement and better care for patients with multiple sclerosis (MS), including the RightCare Progressive Neurological Conditions Toolkit and the Getting It Right First Time Programme for Neurology.
We have set up a United Kingdom-wide Neuro Forum, facilitating formal, biannual meetings across the Department, NHS England, the devolved administrations and health services, and Neurological Alliances of all four nations. The new forum brings key stakeholders together, to share learnings across the system and discuss challenges, best practice examples and potential solutions for improving the care of people with neurological conditions, including MS.
Health policy and delivery are devolved to the administration of Scotland, Wales, and Northern Ireland. As a UK Government department, the Department of Health and Social Care engages constructively and works collaboratively with the devolved administrations on areas of shared interest, including information sharing, coordination, and issues that have UK wide or cross-border implications.
Asked by: Greg Smith (Conservative - Mid Buckinghamshire)
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 impact of the NHS England Neurology Transformation Programme on access to specialised neurology care, including care from specialist nurses, for people living with multiple sclerosis.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
At the national level, there are a number of initiatives supporting service improvement and better care for patients with multiple sclerosis (MS), including those in the Mid Buckinghamshire constituency, including the RightCare Progressive Neurological Conditions Toolkit and the Getting It Right First Time Programme for Neurology.
NHS England’s Neurology Transformation Programme has developed a new model of integrated care for neurology services, to support systems to deliver the right service, at the right time for all neurology patients, including those with MS. This focuses on providing access equitably across the country, care as close to home as possible, and early intervention to prevent illness and deterioration in patients with long-term neurological conditions.
The Neurology Transformation Programme has developed guidance on improving access to disease-modifying treatments for MS with the aim of enabling people to receive care closer to home. The guidance includes successful delivery models and good practice case studies, and has been made available to National Health Service colleagues. The Neurology Transformation Programme is working with a number of systems across England to implement change, which will be implemented within individual systems, and which would also assess the impact on access to specialised neurology care, including care from specialist nurses, for people living with MS.
On 13 August 2025, NHS England updated its service specification for specialised adult neurology services, following extensive consultation. A copy of this service specification is attached. The service specification includes guidance on both the specialised and core neurology services that should be available for patients with MS with a clear model for networked care to improve access to specialist services in underserved areas. The service specification outlines that specialised neurology centres must include access to treatment services for MS and have clear pathways for access to disease-modifying therapies.
Asked by: Greg Smith (Conservative - Mid Buckinghamshire)
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 support people living with multiple sclerosis to access timely, high-quality care and treatment in Mid Buckinghamshire constituency.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
At the national level, there are a number of initiatives supporting service improvement and better care for patients with multiple sclerosis (MS), including those in the Mid Buckinghamshire constituency, including the RightCare Progressive Neurological Conditions Toolkit and the Getting It Right First Time Programme for Neurology.
NHS England’s Neurology Transformation Programme has developed a new model of integrated care for neurology services, to support systems to deliver the right service, at the right time for all neurology patients, including those with MS. This focuses on providing access equitably across the country, care as close to home as possible, and early intervention to prevent illness and deterioration in patients with long-term neurological conditions.
The Neurology Transformation Programme has developed guidance on improving access to disease-modifying treatments for MS with the aim of enabling people to receive care closer to home. The guidance includes successful delivery models and good practice case studies, and has been made available to National Health Service colleagues. The Neurology Transformation Programme is working with a number of systems across England to implement change, which will be implemented within individual systems, and which would also assess the impact on access to specialised neurology care, including care from specialist nurses, for people living with MS.
On 13 August 2025, NHS England updated its service specification for specialised adult neurology services, following extensive consultation. A copy of this service specification is attached. The service specification includes guidance on both the specialised and core neurology services that should be available for patients with MS with a clear model for networked care to improve access to specialist services in underserved areas. The service specification outlines that specialised neurology centres must include access to treatment services for MS and have clear pathways for access to disease-modifying therapies.
Asked by: Neil Duncan-Jordan (Labour - Poole)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, what steps he is taking to ensure that disabled people, including those living with multiple sclerosis, who rely on Motability vehicles do not lose their ability to live independently following changes to the Motability scheme announced in the Autumn Budget.
Answered by Stephen Timms - Minister of State (Department for Work and Pensions)
The Motability Scheme support many disabled people and families including those living with multiple sclerosis, by enabling them to lease a car, wheelchair accessible vehicle, scooter or powered wheelchair in exchange for an eligible disability benefit allowance.
The Motability Scheme will continue to offer a choice of vehicles, to meet a range of accessibility needs. The changes announced at the budget will not apply to current leases or wheelchair adapted vehicles, and the Scheme will continue to offer vehicles which require no advance payment, meaning that people will be able to access a suitable vehicle using only their qualifying disability benefit.
Motability Foundation, the independent charity with responsibility for overseeing the Scheme, will continue to offer means-tested grants to support eligible people who would otherwise struggle to afford specialist adaptations for a vehicle leased through the Scheme.
Asked by: Neil Duncan-Jordan (Labour - Poole)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, whether he has made an assessment of the potential impact of changing the vehicles eligible for Motability on people with Multiple Sclerosis.
Answered by Stephen Timms - Minister of State (Department for Work and Pensions)
The Motability Scheme is a lifeline for disabled people in the UK, leasing cars, wheelchair accessible vehicles, scooters and powered wheelchairs in exchange for part or all of their qualifying mobility allowance. The Scheme will continue to offer a choice of vehicles to meet a range of accessibility needs and the Motability Foundation will continue to offer means-tested grants to support eligible people who would otherwise struggle to afford the advance payment or adaptations for a vehicle, or a wheelchair accessible vehicle (WAV) through the Scheme. The changes announced at Budget about VAT relief do not apply to wheelchair adapted vehicles.
Motability Operations, an independent commercial company which delivers the Scheme, will continue to prioritise customer needs, ensuring vehicles remain affordable and that support for wheelchair accessible vehicles (WAVs) and specialist adaptations remain at the heart of the Scheme.
Eligibility for enhanced mobility Personal Independence Payment (PIP), which provides the main gateway to the Scheme, assesses the mobility needs arising from a health condition or disability rather than the disability or health condition itself.
Asked by: Neil Coyle (Labour - Bermondsey and Old Southwark)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, what assessment his Department has made of the adequacy and accessibility of advice and support available for employers of people with multiple sclerosis (MS).
Answered by Diana Johnson - Minister of State (Department for Work and Pensions)
No assessment has been made.
All employers have a duty under the Equality Act 2010 not to unlawfully discriminate against disabled people and people with long term health conditions, including people with multiple sclerosis. This includes making reasonable adjustments where employees would otherwise be put at a substantial disadvantage. The Equality and Human Rights Commission is responsible for enforcing the Equality Act and provides guidance to businesses and individuals, including the statutory Code of Practice on Employment.
The Government also offers guidance to employers on supporting disabled people and people with health conditions in the workplace, through its Support with Employee Health and Disability service. The service was developed with input from smaller businesses and disability organisations and provides a step by step guide to supporting employees in workplace scenarios involving health and disability. This includes guidance on having conversations about health and disability, supporting employers to understand and respond to an employee’s individual needs, circumstances and capacities. This service is fully compliant with the Web Content Accessibility Guidelines version 2.2 AA standard.