Asked by: Adam Dance (Liberal Democrat - Yeovil)
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 reducing the starting age for routine mammograms to 40.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Each year, over 15 million people are invited for screening by National Health Service screening programmes, with over 10 million taking up the invitation. Through our NHS screening programmes, we can reduce mortality and morbidity from cancer and other conditions in the population who appear healthy and have no symptoms, by detecting conditions at an earlier, more treatable stage.
We are guided by the independent scientific advice of the UK National Screening Committee (UK NSC) on all screening matters. It is only where there is robust evidence that an offer to screen provides more good than harm that a screening programme is recommended.
As screening programmes can also cause harms, each of the adult screening programmes has both an upper and lower age range, within which there is good scientific evidence that the benefits of screening outweigh the harms.
The NHS Breast Screening Programme does not currently offer screening to women younger than the age of 50 for breast cancer due to the lower risk of women under this age developing breast cancer, and the fact that women below 50 tend to have denser breasts tissue. The density of breast tissue reduces the ability of getting an accurate mammogram, the accepted screening test for breast cancer.
There is therefore a risk of unnecessary treatment and distress for women who do not have breast cancer, but who would be subjected to invasive and painful medical treatments and diagnostic tests.
We are in line with most European countries, most of whom screen women between the ages of 50 to 69 years old.
The UK NSC recognises that screening programmes are not static and that, over time, they may need to change to be more effective. Work is underway within the breast screening programme to investigate the possibility of routinely screening below the currently recommended age. The AgeX research trial has been looking at the effectiveness of offering some women one extra screen between the ages of 47 and 49 years old.
It is the biggest trial of its kind ever to be undertaken and will provide robust evidence about the effectiveness of screening in these age groups, including the benefit and harms. The UK NSC will review the publication of the age extension trial when it reports.
Asked by: Carla Denyer (Green Party - Bristol Central)
Question to the Home Office:
To ask the Secretary of State for the Home Department, what assessment her Department has made of the potential impact of the proposals in the Earned Settlement consultation on staffing levels in the adult social care sector; and whether social care roles will be included within the public service consideration which reduces the baseline qualifying period for earned settlement.
Answered by Mike Tapp - Parliamentary Under-Secretary (Home Office)
The earned settlement model, proposed in ‘A Fairer Pathway to Settlement’, announced changes to the mandatory requirements and qualifying period for indefinite leave to remain. It is currently subject to a public consultation, running until 12 February 2026.
As part of this consultation, we are seeking views on the potential impact of the proposed changes on different groups, including those working in sectors such as social care. Details of the earned settlement model will be finalised following that consultation.
The final proposals will also be subject to full economic and equality impact assessments, which we have committed to publish in due course.
Asked by: Liam Conlon (Labour - Beckenham and Penge)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the average national unit cost to the NHS is for an MRI scan used in prostate cancer detection using (a) multiparametric and (b) biparametric MRI.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The average cost to the National Health Service for magnetic resonance imaging (MRI) scans using biparametric and multiparametric MRIs is set out in the 2025/26 National Payment Scheme, which can be found at the following link:
https://www.england.nhs.uk/publication/2025-26-nhs-payment-scheme/.
Biparametric MRI scans are categorised under ‘non contrast’, whilst multiparametric MRI scans are categorised ‘with contrast’. The following table shows the price of different MRI scans:
Test type | Test name and description | Price |
MRI | MRI non contrast 1 area (Adult) | £129 |
MRI non contrast 1 area (Paediatric age 6 to18) | £217 | |
MRI non contrast 2 area | £155 | |
MRI non contrast more than 3 area | £222 | |
MRI with contrast 1 area (Adult) | £188 | |
MRI with contrast 1 area (Paediatric age 6 to 18) | £329 |
Asked by: Sojan Joseph (Labour - Ashford)
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 trends in the level of social care standards across England; and what steps he is taking to support greater consistency of care provision.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
National standards of care will be an integral part of the national care service we are building, so people can rely on consistent, high‑quality care wherever they live.
We are already progressing towards this through our three objectives for adult social care: giving people real choice and control, joining up health and social care around people’s lives, and ensuring consistent high‑quality care underpinned by national standards.
This year, the Government will set new national standards for care technologies and develop trusted guidance. This will mean that people and care providers can easily find out which technologies are fit for purpose, secure and meet compatibility requirements of health and social care systems in the future.
At the same time, in partnership with the Department for Education, we are developing a catalogue of data standards for Children’s and Adult’s Social Care Case Management Systems. This will enable greater data sharing with other agencies involved in organising a person’s care, in turn, improving the experience of care, local authority efficiency and the quality of central government data collection and reporting.
The Care Quality Commission (CQC) is the independent regulator for health and social care in England. CQC monitors, inspects and regulates adult social care services to make sure they meet fundamental standards of quality and safety. National measures of care quality have remained steady, with 85% of all social care settings regulated by the CQC rated Good or Outstanding on 2 January 2026. Where concerns on quality or safety are identified, the CQC uses its regulatory and enforcement powers available and will take action to ensure the safety of people drawing on care and support.
The independent commission into adult social care is underway as part of our critical first steps towards delivering a national care service. Phase 1 will report this year.
Asked by: Sojan Joseph (Labour - Ashford)
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 consider the development of national standards for adult social care in England.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
National standards of care will be an integral part of the national care service we are building, so people can rely on consistent, high‑quality care wherever they live.
We are already progressing towards this through our three objectives for adult social care: giving people real choice and control, joining up health and social care around people’s lives, and ensuring consistent high‑quality care underpinned by national standards.
This year, the Government will set new national standards for care technologies and develop trusted guidance. This will mean that people and care providers can easily find out which technologies are fit for purpose, secure and meet compatibility requirements of health and social care systems in the future.
At the same time, in partnership with the Department for Education, we are developing a catalogue of data standards for Children’s and Adult’s Social Care Case Management Systems. This will enable greater data sharing with other agencies involved in organising a person’s care, in turn, improving the experience of care, local authority efficiency and the quality of central government data collection and reporting.
The Care Quality Commission (CQC) is the independent regulator for health and social care in England. CQC monitors, inspects and regulates adult social care services to make sure they meet fundamental standards of quality and safety. National measures of care quality have remained steady, with 85% of all social care settings regulated by the CQC rated Good or Outstanding on 2 January 2026. Where concerns on quality or safety are identified, the CQC uses its regulatory and enforcement powers available and will take action to ensure the safety of people drawing on care and support.
The independent commission into adult social care is underway as part of our critical first steps towards delivering a national care service. Phase 1 will report this year.
Asked by: Andrew Mitchell (Conservative - Sutton Coldfield)
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 work with NHS Birmingham and Solihull ICB to reduce the number of patients that are waiting an extended period for a wheelchair.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for the provision and commissioning of local wheelchair services, based on the needs of their local population.
NHS England supports ICBs to reduce variation in the quality and provision of National Health Service wheelchairs, and to reduce delays in people receiving timely intervention and wheelchair equipment. Since July 2015, NHS England has collected quarterly data from ICBs on wheelchair provision, including waiting times, to enable targeted action if improvement is required. The latest figures from the Quarter 2 2025/26 National Wheelchair Data Collection showed that 84% of adults and 78% of children received their equipment within 18 weeks. Further information is available at the following link:
The Community Health Services Situation Report, which will be used to monitor ICB performance against waiting time targets in 2026/27, currently monitors waiting times for both children and young people and adult waiting times under the ‘Wheelchair, Orthotics, Prosthetics and Equipment’ line. The Community Health Services Situation Report is available at the following link:
The NHS Medium-Term Planning Framework, published October 2025, requires that, from 2026/27, all ICBs and Community Health Services must actively manage and reduce the proportion of waits across all community health services over 18 weeks and develop a plan to eliminate all 52-week waits.
Birmingham and Solihull ICB providers are working towards reducing waiting times in line with the NHS 10-Year Health Plan. In Birmingham in December 2025, equipment handovers were completed within the 18-week target for 42.9% of children and 71.9% of adults.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
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 adequacy of care provided by care agencies to vulnerable people.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We have understood that the term care agencies refers to employment agencies. Care providers are required to be registered with the Care Quality Commission (CQC) where they carry out a regulated activity, as described in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. However, employment agencies do not usually carry out regulated activity and as such do not typically need to be registered.
Providers such as care homes and those providing domiciliary care do typically carry out regulated activity and therefore are registered with the CQC. The CQC requires all health and social care providers registered with them to deploy enough suitably qualified, competent, and experienced staff, including both registered and unregistered professionals. This requirement applies where that provider chooses to recruit staff via employment agencies.
It is therefore the responsibility of the regulated provider to ensure robust and safe recruitment practices are in place, and to make sure that all staff, including agency staff, are suitably experienced, competent, and able to carry out their role.
To support providers to do so, the Department provides reimbursement towards the cost of training and qualifications through the Adult Social Care Learning and Support Scheme, backed by up to £12 million in funding this financial year.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
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 improve oversight of care agencies and to enhance enforcement powers against providers who fail to meet required care standards.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We have understood that the term care agencies refers to employment agencies. Care providers are required to be registered with the Care Quality Commission (CQC) where they carry out a regulated activity, as described in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. However, employment agencies do not usually carry out regulated activity and as such do not typically need to be registered.
Providers such as care homes and those providing domiciliary care do typically carry out regulated activity and therefore are registered with the CQC. The CQC requires all health and social care providers registered with them to deploy enough suitably qualified, competent, and experienced staff, including both registered and unregistered professionals. This requirement applies where that provider chooses to recruit staff via employment agencies.
It is therefore the responsibility of the regulated provider to ensure robust and safe recruitment practices are in place, and to make sure that all staff, including agency staff, are suitably experienced, competent, and able to carry out their role.
To support providers to do so, the Department provides reimbursement towards the cost of training and qualifications through the Adult Social Care Learning and Support Scheme, backed by up to £12 million in funding this financial year.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if his Department will take steps to ensure that agency care workers receive appropriate and accredited training to meet the needs of vulnerable service users.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We have understood that the term care agencies refers to employment agencies. Care providers are required to be registered with the Care Quality Commission (CQC) where they carry out a regulated activity, as described in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. However, employment agencies do not usually carry out regulated activity and as such do not typically need to be registered.
Providers such as care homes and those providing domiciliary care do typically carry out regulated activity and therefore are registered with the CQC. The CQC requires all health and social care providers registered with them to deploy enough suitably qualified, competent, and experienced staff, including both registered and unregistered professionals. This requirement applies where that provider chooses to recruit staff via employment agencies.
It is therefore the responsibility of the regulated provider to ensure robust and safe recruitment practices are in place, and to make sure that all staff, including agency staff, are suitably experienced, competent, and able to carry out their role.
To support providers to do so, the Department provides reimbursement towards the cost of training and qualifications through the Adult Social Care Learning and Support Scheme, backed by up to £12 million in funding this financial year.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
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 prevent care agencies from supplying staff who deliver unsupervised personal care without the required registration with the Care Quality Commission.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We have understood that the term care agencies refers to employment agencies. Care providers are required to be registered with the Care Quality Commission (CQC) where they carry out a regulated activity, as described in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. However, employment agencies do not usually carry out regulated activity and as such do not typically need to be registered.
Providers such as care homes and those providing domiciliary care do typically carry out regulated activity and therefore are registered with the CQC. The CQC requires all health and social care providers registered with them to deploy enough suitably qualified, competent, and experienced staff, including both registered and unregistered professionals. This requirement applies where that provider chooses to recruit staff via employment agencies.
It is therefore the responsibility of the regulated provider to ensure robust and safe recruitment practices are in place, and to make sure that all staff, including agency staff, are suitably experienced, competent, and able to carry out their role.
To support providers to do so, the Department provides reimbursement towards the cost of training and qualifications through the Adult Social Care Learning and Support Scheme, backed by up to £12 million in funding this financial year.