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 ensure General Practitioners are sufficiently trained on Functional Neurological Disorder.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department recognises the need to improve awareness and understanding of functional neurological disorder (FND) across the health system.
The Royal College of General Practitioners provides a learning course that includes a dedicated module on recognising and explaining FND, helping general practitioners (GPs) to improve early identification and understanding of the condition. Further support is provided through guidance published by the National Institute for Care Excellence (NICE) on suspected neurological conditions: recognition and referral, reference code NG127, which includes detailed recommendations on recognising symptoms commonly present in FND and appropriate referral pathways.
NICE also provides a Clinical Knowledge Summary (CKS) on FND, offering practical, evidence‑based advice on diagnosis and management, supporting clinicians in distinguishing FND from structural or degenerative neurological disease.
FND is also included in a NICE guideline on rehabilitation for chronic neurological disorders and acquired brain injury, reference code NG252, published in October 2025. This further strengthens the evidence base and ensure clinicians have clear, up‑to‑date guidance on assessment and management within a broader neurological context.
Together, these resources ensure that health professionals, across primary, secondary, and specialist services, have access to robust, evidence‑based tools to support accurate differentiation between FND and other neurological conditions.
GPs are required to undertake continuing professional development to maintain and update their clinical knowledge, and they can access a range of training resources through professional bodies, royal colleges, and National Health Service‑funded education platforms. Decisions about mandatory training requirements are made only where there is a clear and evidence‑based need, and the current approach remains to ensure that GPs have the flexibility to tailor their learning to the needs of their patient populations.
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, if he will make training on Functional Neurological Disorder mandatory for General Practitioners.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department recognises the need to improve awareness and understanding of functional neurological disorder (FND) across the health system.
The Royal College of General Practitioners provides a learning course that includes a dedicated module on recognising and explaining FND, helping general practitioners (GPs) to improve early identification and understanding of the condition. Further support is provided through guidance published by the National Institute for Care Excellence (NICE) on suspected neurological conditions: recognition and referral, reference code NG127, which includes detailed recommendations on recognising symptoms commonly present in FND and appropriate referral pathways.
NICE also provides a Clinical Knowledge Summary (CKS) on FND, offering practical, evidence‑based advice on diagnosis and management, supporting clinicians in distinguishing FND from structural or degenerative neurological disease.
FND is also included in a NICE guideline on rehabilitation for chronic neurological disorders and acquired brain injury, reference code NG252, published in October 2025. This further strengthens the evidence base and ensure clinicians have clear, up‑to‑date guidance on assessment and management within a broader neurological context.
Together, these resources ensure that health professionals, across primary, secondary, and specialist services, have access to robust, evidence‑based tools to support accurate differentiation between FND and other neurological conditions.
GPs are required to undertake continuing professional development to maintain and update their clinical knowledge, and they can access a range of training resources through professional bodies, royal colleges, and National Health Service‑funded education platforms. Decisions about mandatory training requirements are made only where there is a clear and evidence‑based need, and the current approach remains to ensure that GPs have the flexibility to tailor their learning to the needs of their patient populations.
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 ensure health professionals are adequately trained on the differences between Functional Neurological Disorder and other neurological conditions.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department recognises the need to improve awareness and understanding of functional neurological disorder (FND) across the health system.
The Royal College of General Practitioners provides a learning course that includes a dedicated module on recognising and explaining FND, helping general practitioners (GPs) to improve early identification and understanding of the condition. Further support is provided through guidance published by the National Institute for Care Excellence (NICE) on suspected neurological conditions: recognition and referral, reference code NG127, which includes detailed recommendations on recognising symptoms commonly present in FND and appropriate referral pathways.
NICE also provides a Clinical Knowledge Summary (CKS) on FND, offering practical, evidence‑based advice on diagnosis and management, supporting clinicians in distinguishing FND from structural or degenerative neurological disease.
FND is also included in a NICE guideline on rehabilitation for chronic neurological disorders and acquired brain injury, reference code NG252, published in October 2025. This further strengthens the evidence base and ensure clinicians have clear, up‑to‑date guidance on assessment and management within a broader neurological context.
Together, these resources ensure that health professionals, across primary, secondary, and specialist services, have access to robust, evidence‑based tools to support accurate differentiation between FND and other neurological conditions.
GPs are required to undertake continuing professional development to maintain and update their clinical knowledge, and they can access a range of training resources through professional bodies, royal colleges, and National Health Service‑funded education platforms. Decisions about mandatory training requirements are made only where there is a clear and evidence‑based need, and the current approach remains to ensure that GPs have the flexibility to tailor their learning to the needs of their patient populations.
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, What steps are being taken to ensure that data on paediatric traumatic brain injury diagnoses is collected consistently across the NHS to support the development of the Acquired Brain Injury Action Plan.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department recognises that consistent and comprehensive data on traumatic brain injury (TBI) is essential to improving care and informing policy. The forthcoming Acquired Brain Injury (ABI) Action Plan will include measures to strengthen data collection and access across the National Health Service and wider services. This will ensure that information on diagnosis and treatment of TBI is gathered systematically and shared effectively to support integrated care, commissioning decisions and evidence-based planning, and to underpin the action plan’s goal of improving prevention, diagnosis, rehabilitation, and long-term support for children and young people, as well as adults, affected by TBI.
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, what progress has been made on developing the cross-departmental Acquired Brain Injury Action Plan; and what mechanisms are in place to ensure the plan addresses regional inequalities in neurorehabilitation services.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is working closely with NHS England, other Government departments, and stakeholders to finalise the Acquired Brain Injury (ABI) Action Plan, which will set out clear priorities for improving prevention, diagnosis, rehabilitation, and long-term support. Work on the plan is well advanced, and we expect to publish the plan in the first half of 2026.
The Department has worked closely with leading ABI charities through stakeholder forums, the ABI All-Party Parliamentary Group, and a national call for evidence. These organisations have provided expert insight on rehabilitation pathways, community support, and service gaps. Their contributions are directly shaping the plan by informing priorities and practical actions to improve outcomes for individuals and families affected by ABI.
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, what recent work has been undertaken with voluntary sector organisations supporting families affected by acquired brain injury; and how their expertise is being incorporated into the Acquired Brain Injury Action Plan.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is working closely with NHS England, other Government departments, and stakeholders to finalise the Acquired Brain Injury (ABI) Action Plan, which will set out clear priorities for improving prevention, diagnosis, rehabilitation, and long-term support. Work on the plan is well advanced, and we expect to publish the plan in the first half of 2026.
The Department has worked closely with leading ABI charities through stakeholder forums, the ABI All-Party Parliamentary Group, and a national call for evidence. These organisations have provided expert insight on rehabilitation pathways, community support, and service gaps. Their contributions are directly shaping the plan by informing priorities and practical actions to improve outcomes for individuals and families affected by ABI.
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, what assessment has been made of the adequacy of community-based neurorehabilitation provision for children and young people following an acquired brain injury, particularly in regions with high incidence rates such as Teesside.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department recognises the importance of timely, high-quality rehabilitation for children and young people with an acquired brain injury (ABI). NHS England’s paediatric neurorehabilitation service specification supports community neurorehabilitation by ensuring that children and young people receive coordinated, specialist care beyond the hospital setting. It requires integrated care boards (ICBs), including the NHS North East and North Cumbria ICB, to work with tertiary centres and local providers to deliver structured rehabilitation programmes in the community, supported by multidisciplinary teams.
The Department expects all National Health Services to follow the guideline for the assessment and early management of head injury in babies, children, young people, and adults, reference code NG232, published by the National Institute for Health and Care Excellence (NICE). The guideline sets out clear standards for discharge advice, risk assessment, and timely referral for further evaluation where symptoms persist or escalate. NHS England ensures that ICBs follow NICE guidance through a combination of statutory oversight frameworks, annual performance assessments, and local clinical governance requirements. NICE provides ICBs with implementation tools, audit templates, training resources, and commissioning guidance to help embed the guideline into local pathways and ensure consistent, evidence-based practice.
The Government is committed to increasing specialist neurorehabilitation capacity in the North East of England as part of wider efforts to improve access and reduce regional variation. Our forthcoming ABI Action Plan will set out practical steps to strengthen commissioning and expand multidisciplinary rehabilitation services. This aligns with commitments in the 10-Year Health Plan to enhance community-based rehabilitation, invest in specialist teams, and ensure timely, high-quality care for people with ABI across England, including the North East.
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, what recent assessment has been made of (a) the effectiveness of follow-up pathways for children discharged from A&E after a head injury and (b) whether current practice aligns with national clinical guidelines.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department recognises the importance of timely, high-quality rehabilitation for children and young people with an acquired brain injury (ABI). NHS England’s paediatric neurorehabilitation service specification supports community neurorehabilitation by ensuring that children and young people receive coordinated, specialist care beyond the hospital setting. It requires integrated care boards (ICBs), including the NHS North East and North Cumbria ICB, to work with tertiary centres and local providers to deliver structured rehabilitation programmes in the community, supported by multidisciplinary teams.
The Department expects all National Health Services to follow the guideline for the assessment and early management of head injury in babies, children, young people, and adults, reference code NG232, published by the National Institute for Health and Care Excellence (NICE). The guideline sets out clear standards for discharge advice, risk assessment, and timely referral for further evaluation where symptoms persist or escalate. NHS England ensures that ICBs follow NICE guidance through a combination of statutory oversight frameworks, annual performance assessments, and local clinical governance requirements. NICE provides ICBs with implementation tools, audit templates, training resources, and commissioning guidance to help embed the guideline into local pathways and ensure consistent, evidence-based practice.
The Government is committed to increasing specialist neurorehabilitation capacity in the North East of England as part of wider efforts to improve access and reduce regional variation. Our forthcoming ABI Action Plan will set out practical steps to strengthen commissioning and expand multidisciplinary rehabilitation services. This aligns with commitments in the 10-Year Health Plan to enhance community-based rehabilitation, invest in specialist teams, and ensure timely, high-quality care for people with ABI across England, including the North East.
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, what plans there are to expand specialist neurorehabilitation capacity in the North East.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department recognises the importance of timely, high-quality rehabilitation for children and young people with an acquired brain injury (ABI). NHS England’s paediatric neurorehabilitation service specification supports community neurorehabilitation by ensuring that children and young people receive coordinated, specialist care beyond the hospital setting. It requires integrated care boards (ICBs), including the NHS North East and North Cumbria ICB, to work with tertiary centres and local providers to deliver structured rehabilitation programmes in the community, supported by multidisciplinary teams.
The Department expects all National Health Services to follow the guideline for the assessment and early management of head injury in babies, children, young people, and adults, reference code NG232, published by the National Institute for Health and Care Excellence (NICE). The guideline sets out clear standards for discharge advice, risk assessment, and timely referral for further evaluation where symptoms persist or escalate. NHS England ensures that ICBs follow NICE guidance through a combination of statutory oversight frameworks, annual performance assessments, and local clinical governance requirements. NICE provides ICBs with implementation tools, audit templates, training resources, and commissioning guidance to help embed the guideline into local pathways and ensure consistent, evidence-based practice.
The Government is committed to increasing specialist neurorehabilitation capacity in the North East of England as part of wider efforts to improve access and reduce regional variation. Our forthcoming ABI Action Plan will set out practical steps to strengthen commissioning and expand multidisciplinary rehabilitation services. This aligns with commitments in the 10-Year Health Plan to enhance community-based rehabilitation, invest in specialist teams, and ensure timely, high-quality care for people with ABI across England, including the North East.
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, what assessment has been made of the economic impact of acquired brain injury on local authorities and health systems; and how that information is informing future funding models for neurorehabilitation.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department recognises the significant economic impact of acquired brain injury (ABI) on both the National Health Service and local authorities due to the costs of acute care, long-term rehabilitation, social care, and support for education and employment.
This is informing the development of future funding models for locally commissioned neurorehabilitation by emphasising the value of early, intensive rehabilitation in reducing long-term costs and improving outcomes. The ABI Action Plan will set out proposals to strengthen commissioning frameworks, promote integrated funding approaches between health and social care, and ensure resources are targeted where they deliver the greatest benefit.