Asked by: Ellie Chowns (Green Party - North Herefordshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps are being taken to improve time to diagnosis for children and young people with suspected Juvenile Idiopathic Arthritis.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Services for children with suspected juvenile idiopathic arthritis are commissioned in line with the national service specification for paediatric rheumatology services.
The national service specification helps to reduce waiting times for diagnosis by mandating clear referral pathways and rapid access to specialist paediatric rheumatology teams. It sets national standards requiring timely triage of suspected cases, prioritisation of urgent referrals, and availability of multidisciplinary expertise for early assessment. The specification ensures consistency across regions, minimises delays caused by local variation, and supports faster initiation of diagnostic tests and treatment planning.
Additionally, the 10-Year Health Plan’s commitments to expand community diagnostic centres for quicker access to tests, introduce digital tools to support early symptom monitoring and triage, and improve the integration between primary care and specialist services will further streamline referral pathways and ensure children receive timely assessment and treatment.
Asked by: Peter Prinsley (Labour - Bury St Edmunds and Stowmarket)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the potential impact of plans to reform the immigration settlement system on the number of anaesthetists working in the health service.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
No assessment has been made of the potential impact of plans to reform the immigration settlement system on the number of anaesthetists working in the health service.
The Government has launched a consultation on proposals to reform the current settlement rules in favour of an “earned settlement” model, that considers factors such as contribution, integration, and conduct. The consultation, which runs until February 2026, seeks views on how these reforms should apply to different groups, including health and care workers.
Asked by: Suella Braverman (Reform UK - Fareham and Waterlooville)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if his Department will make an assessment of the potential merits of reviewing the clarity of escalation pathways for parents of children with complex medical needs.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Integrated care boards (ICBs) in England are responsible for commissioning services to meet the health needs of their local population. ICBs are expected to follow guidance from the National Institute for Health and Care Excellence (NICE). In 2022, NICE published guidance on Disabled children and young people up to 25 with severe complex needs. This is available at the following link:
NHS England is rolling out Martha’s Rule in acute provider sites, which gives in-patients and their families or carers who are concerned about physiological deterioration the ability to initiate a rapid review of their case from someone outside of their immediate care team. When requested, this rapid review will inform whether any new or additional action needs to be taken to ensure patients receive the most appropriate care and treatment, which may include escalation.
Asked by: Lee Anderson (Reform UK - Ashfield)
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 improve access to disability medical equipment for (a) adults and (b) children.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for commissioning services to meet the health needs of their local population, and responsibility for providing equipment to disabled people typically falls to the National Health Service and local authorities.
We expect ICBs to follow guidance from the National Institute for Health and Care Excellence (NICE). In 2022, NICE published relevant guidance in relation to children, called Disabled children and young people up to 25 with severe complex needs: integrated service delivery and organisation across health, social care and education, which is available at the following link:
The Medium-Term Planning Framework, published in 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.
Local authorities in England have a statutory duty, including under the Care Act 2014, to make arrangements for the provision of disability aids and community equipment to meet the assessed eligible needs of individuals who are resident in their area. Responsibility for managing the market for these services, including commissioning and oversight of delivery, rests with local authorities.
Asked by: Lee Anderson (Reform UK - Ashfield)
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 reduce the time taken for the delivery of disability medical equipment to (a) adults and (b) children.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for commissioning services to meet the health needs of their local population, and responsibility for providing equipment to disabled people typically falls to the National Health Service and local authorities.
We expect ICBs to follow guidance from the National Institute for Health and Care Excellence (NICE). In 2022, NICE published relevant guidance in relation to children, called Disabled children and young people up to 25 with severe complex needs: integrated service delivery and organisation across health, social care and education, which is available at the following link:
The Medium-Term Planning Framework, published in 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.
Local authorities in England have a statutory duty, including under the Care Act 2014, to make arrangements for the provision of disability aids and community equipment to meet the assessed eligible needs of individuals who are resident in their area. Responsibility for managing the market for these services, including commissioning and oversight of delivery, rests with local authorities.
Asked by: Mark Hendrick (Labour (Co-op) - Preston)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what plans are in place to ensure that the medical records of deaf and hearing-impaired patients are appropriately marked prior to the introduction of the Single Patient Record in 2028.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Reasonable Adjustment flag is part of the NHS Spine, and professionals and their administrative staff can work with an individual to create the flag using the National Care Records Service, to ensure that an individual’s needs for reasonable adjustments are recorded and shared, to ensure appropriate support by health and care services. Work is continuing to allow direct integration of the flag with clinical systems, using the Patient Flags Application Programming Interface.
The Single Patient Record (SPR) programme is at an early stage of development. Inclusivity and ease of access is central to the vision for the design of the SPR, and the record of people’s reasonable adjustments, and their needs, will be part of the information made available to staff.
Asked by: John Hayes (Conservative - South Holland and The Deepings)
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 community based preventative services for elderly people in Lincolnshire.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The 10-Year Health Plan sets out our vision for a Neighbourhood Health Service. The Neighbourhood Health Service will embody our new preventative principle that care should happen as locally as it can, digitally by default, in a person’s home if possible, in a neighbourhood health centre when needed, and only in a hospital if necessary.
We have launched wave one of the National Neighbourhood Health Implementation Programme (NNHIP) in 43 areas across England, including North East Lincolnshire. The NNHIP is supporting systems across the country in driving innovation and integration at a local level, to improve the care they provide to their communities.
We expect neighbourhood teams and services to be designed in a way that reflects the specific needs of local populations, and which could include services for elderly people. While the focus on personalised, coordinated care will be consistent, that will mean the service will look different in rural communities such as Lincolnshire, coastal towns, or deprived inner cities.
Asked by: James McMurdock (Independent - South Basildon and East Thurrock)
Question to the Department for Transport:
To ask the Secretary of State for Transport, what assessment she has made of the impact of limited bus routes in rural areas of South Basildon and East Thurrock on social isolation among residents who do not drive.
Answered by Simon Lightwood - Parliamentary Under-Secretary (Department for Transport)
The Government knows that in rural areas, bus services can be a lifeline for many and can be the only means of accessing essential services, including healthcare and education, as well as other modes of public transportation such as rail links. The Government is taking action to help improve local bus services across the country and encourage greater integration between transport modes.
We have introduced the Bus Services Act 2025 to put the power over local bus services back into the hands of local leaders, including in rural areas. In addition, the Government has confirmed over £1 billion for the 2025 to 2026 financial year to support and improve bus services in England outside London. Essex County Council and Thurrock Council have been allocated £17.8 million and £2 million of this funding respectively, helping to improve bus services and connectivity across these areas.
The Government also intends to publish its integrated national transport strategy soon to set the long-term vision for domestic transport across England. It will focus on creating a transport network that works well for people, including those in rural areas.
Asked by: Yasmin Qureshi (Labour - Bolton South and Walkden)
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 merits of proposed neighbourhood health centres being able to (a) improve musculoskeletal health and (b) treat musculoskeletal health issues.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Improving health and work outcomes of people with musculoskeletal (MSK) conditions will help deliver the Government's mission to build a National Health Service that is fit for the future and kickstart economic growth.
The 10-Year Health Plan sets out our vision for a Neighbourhood Health Service. Neighbourhood teams will bring together professionals, including nurses, doctors, social care staff, pharmacists, and health visitors, to provide comprehensive care that fits around people’s lives. Neighbourhood health approaches can help ensure that people with MSK conditions receive more personalised and coordinated support, reducing unnecessary hospital visits and enabling earlier, community-based interventions. Our aim is to have one Neighbourhood Health Centre in each community that brings together NHS, local authority, and voluntary sector services in one place, offering integrated, holistic support for all health needs, which could include MSK care, rehabilitation, and prevention.
We have launched wave 1 of the National Neighbourhood Health Implementation Programme (NNHIP) across 43 places in England. The NNHIP will support systems across the country by driving innovation and integration at a local level, to accelerate improvements in outcomes, satisfaction, and experience for people by ensuring that care is more joined-up, accessible, and responsive to community needs.
Asked by: Wendy Morton (Conservative - Aldridge-Brownhills)
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 increase access to care in the community in the West Midlands.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The 10-Year Health Plan sets out our vision for a Neighbourhood Health Service. The Neighbourhood Health Service will embody our new preventative principle that care should happen as locally as it can, digitally by default, in a person’s home if possible, in a neighbourhood health centre when needed, and only in a hospital if necessary.
The Neighbourhood Health Service will mean people are treated and cared for closer to their home by new teams of health professionals. It will rebalance our health system so that it fits around peoples’ lives, not the other way round. We expect neighbourhood teams and services to be designed in a way that reflects the specific needs of local populations.
To support this agenda, we have launched wave 1 of the National Neighbourhood Health Implementation Programme (NNHIP) across 43 places in England, including parts of the West Midlands such as: Walsall; Coventry; Shropshire; East Birmingham; Solihull; and Herefordshire.
The NNHIP will support systems across the country by driving innovation and integration at a local level, to accelerate improvements in outcomes, satisfaction, and experiences for people by ensuring that care is more joined-up, accessible, and responsive to community needs.