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: 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: 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: 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: 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 comparative assessment his Department has made of trends in the level of (a) respiratory disease and (b) the number of emergency hospital admissions for respiratory conditions in (i) Epsom and Ewell constituency and (ii) nationally; 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.
Provisional 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 with a primary diagnosis of respiratory conditions for Epsom and Ewell and for England, for activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector, 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) |
Epsom and Ewell | 670 | 530 |
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 Surrey can be found at the following link:
The Government has committed to delivering 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: Tim Farron (Liberal Democrat - Westmorland and Lonsdale)
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 (a) direct and (b) indirect impact of current levels of (i) ambient and (ii) indoor air pollution on the (A) current and (B) future health of children and young people.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Ambient and indoor air pollution have long- and short-term health impacts on children and young people, for example respiratory effects including reduced lung function and exacerbation of asthma. The Committee on the Medical Effects of Air Pollutants has published advice on the susceptibility to air pollution, including for children.
The UK Health Security Agency (UKHSA) found that one third of schools in England in 2017 were in areas with fine particulate matter levels exceeding previous World Health Organization guidelines, particularly in income-deprived areas, exacerbating health inequalities.
A recent UKHSA review also found that 315,000 days of school absences in 2019 were attributed to illnesses related to fine particulate matter exposure.
The UKHSA is a key partner in a newly funded project focused on improving indoor air quality and its health implications, including among children in educational settings.
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 steps he is taking to help reduce regional inequalities in health outcomes.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
It is a priority for the Government to increase the amount of time people spend in good health and prevent premature deaths, with an ambitious commitment to halve the healthy life expectancy gap between the richest and poorest regions.
We know that everyday life poses greater health risks to the most disadvantaged in society, and that the current model of care works least well for those who already experience disadvantage and are far more likely to have complex needs. To help tackle this, we will distribute National Health Service funding more equally locally, so it is better aligned with health need.
Further to this, much of what determines health and wellbeing is influenced by factors other than health services. As a result, we are taking bold action across the Government on the social determinants of health to build a fairer Britain, where everyone lives well for longer.
Cross-Government activity includes the introduction of Awaab’s Law, ensuring landlords will have to fix significant damp and mould hazards, and legislating for a new statutory health and health inequalities duty for strategic authorities.
We support the NHS’s CORE20PLUS5 approach which targets action to reduce health inequalities in the most deprived 20% of the population and improve outcomes for groups that experience the worst access, experience, and outcomes within the NHS. The approach focuses on improving the five clinical areas at most need of accelerated improvement, namely cardiovascular disease, cancer, respiratory, maternity, and mental health outcomes, in the poorest 20% of the population, along with other disadvantaged population groups identified at a local level.
In addition, we know that the Carr-Hill formula, the United Kingdom’s formula for allocating core funding to general practices (GPs), is considered outdated, and evidence suggests that GPs serving in deprived parts of England receive on average 9.8% less funding per needs adjusted patient than those in less deprived communities, despite having greater health needs and significantly higher patient-to-GP ratios. This is why we are currently reviewing the formula to ensure that resources are targeted where they are most needed.
Asked by: Tim Farron (Liberal Democrat - Westmorland and Lonsdale)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will set out the types of health impacts of poor (a) ambient and (b) indoor air quality by (i) geography and (ii) socioeconomic groups.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Ambient and indoor air pollution are harmful to health in the United Kingdom. Long-term exposure to air pollution, over years or lifetimes, reduces life expectancy, mainly due to cardiovascular and respiratory diseases, dementia and lung cancer. Short-term exposure, over hours or days, to elevated levels of air pollution can also cause a range of health impacts, including effects on lung function, exacerbation of asthma, increases in respiratory and cardiovascular hospital admissions, and mortality. Some groups may be more affected by air pollution exposure due to their location or socioeconomic background, but the types of health impacts from exposure to poor air quality in indoor and ambient settings remains similar. A combination of high ambient air pollution levels and substandard housing in income-deprived areas, pre-existing health issues, and lifestyle factors contribute to a disproportionate burden of air-pollution-related ill health among more deprived groups.
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 help support community-based preventative services for older people in Sutton Coldfield constituency.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
As part of a broader strategy to improve quality of care and prevent unnecessary hospital admissions, the National Health Service is implementing various preventative services to support older people in maintaining their health and independence. For example, support for frailty through the NHS Toolkit, that helps general practitioners (GPs) identify and manage frailty in patients aged 65 years old and over, and preventative primary care interventions are being evaluated to improve functional ability and self-rated health for older people. The NHS 10 Year Plan aims to move care from hospitals into communities, bringing together health and care professionals to provide proactive care and prevention.
The Community Care Collaborative in Birmingham and Solihull Integrated Care System (ICS) has rolled out six new neighbourhood health hubs to date. These will bring together multi-disciplinary health and care professionals in each locality across Birmingham to provide easily accessible community-based care for individuals with frailty and long-term conditions.
The neighbourhood health hubs will host 11 new integrated neighbourhood teams (INTs) in Birmingham and Solihull ICS, with an aim to have teams across all 35 of its neighbourhoods by the end of 2026. The INTs provide a holistic response to an individual's care.
A recent evaluation of the first INT pilot teams to go live across the ICS shows a 31% reduction in GP appointments and fewer inpatient stays at acute hospitals.
The NHS offers several vaccinations for older adults to protect them from disease. This includes vaccination for flu, COVID-19, respiratory syncytial virus (RSV), shingles and pneumonia. These are delivered in the community primarily through general practice, with flu and COVID-19 vaccinations also available at community pharmacies across England, and RSV vaccinations available at select community pharmacies in some areas including Sutton Coldfield and the wider Birmingham and Solihull region.
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment his Department has made of the potential impact of domestic wood burning in residential areas on public health.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Chief Medical Officer’s 2022 Annual Report highlighted that domestic wood burning is a significant source of harmful fine particulate matter, particularly in residential areas.
The UK Health Security Agency’s (UKHSA’s) systematic reviews of the association between outdoor and indoor exposure to solid fuel burning and respiratory diseases have shown that burning solid fuels can contribute to the risk of chronic obstructive pulmonary disease and lung cancer in adults. The UKHSA’s reviews are available at the following two links:
https://pubmed.ncbi.nlm.nih.gov/35149281/
https://pubmed.ncbi.nlm.nih.gov/33017761/
Our 10-Year Health Plan for England sets out how the Government will improve the public's health, including action to reduce the health harms of air pollution, and in particular on domestic burning.