Written questions by Naish.

When the 10-Year Workforce Plan will be published; what discussions he has had with external stakeholders since has taken place since the consultation closed on 7 November 2025.

The Government will publish the 10 Year Workforce Plan in spring 2026.  This plan will set out action to create a National Health Service workforce that is able to deliver the transformed service set out in the 10-Year Health Plan. It is important we do this in a robust and joined up way. We are therefore engaging extensively with partners to ensure this plan delivers for staff and patients.That engagement began well before the call for evidence was closed. In early November, ministers hosted an event with nearly one hundred representatives of partner organisations to hear views from across the health system.Engagement is now continuing while we analyse the submissions to our call for evidence, including a roundtable with medical royal colleges on 14 January that I chaired.

What steps his Department is taking to align the number of nursing graduates with the availability of entry-level jobs.

On 11 August 2025, the Government announced the Graduate Guarantee for nurses and midwives. The guarantee will ensure that there are enough positions for every newly qualified nurse in England. The package of measures will unlock thousands of jobs and will ensure thousands of new posts are easier to access by removing barriers for National Health Service trusts, creating opportunities for graduates and ensuring a seamless transition from training to employment.

What steps he is taking to prevent universities from withdrawing nursing courses due to employment challenges faced by graduates.

To address graduate employment issues, in August 2025 the Government introduced the Graduate Guarantee.While the Government is committed to ensuring sustainable training pathways for healthcare professions, higher education institutions are independent providers and are responsible for making their own decisions about course delivery and viability based on learner demand and provider capacity.

Whether an Equality Impact Assessment was conducted on the differential treatment of NHS staff who have taken partial retirement under the NHS partial retirement scheme.

There is no National Health Service partial retirement scheme. Partial retirement has existed as an option for some members of the NHS Pension Schemes since 2008. It was extended to members of the 1995 Section of the legacy NHS Pension Scheme in 2023.

What assessment his Department has made of the differences between NHS and Civil Service redundancy provisions for staff who have taken partial retirement; and whether his Department has considered aligning NHS provisions with the Civil Service Compensation Scheme where partial retirement does not affect redundancy entitlements.

This specific assessment has not been made. Contractual redundancy provisions for staff covered by the NHS Terms and Conditions of Service handbook, also referred to as Agenda for Change, in England were agreed and ratified in partnership by the NHS Staff Council, the collective bargaining structure made up of trade union and employer representatives. Any future changes to the handbook, including this section, would require the Department to issue a mandate to allow negotiations to be undertaken by the NHS Staff Council.

When Section 16 of the NHS Staff Terms and Conditions (Agenda for Change) handbook was last reviewed in relation to the partial retirement scheme introduced in October 2023; and whether his Department has any plans to update this section to ensure fairness for staff who took partial retirement.

Section 16 of the NHS Terms and Conditions of Service handbook, also referred to as Agenda for Change, was last updated in 2015. This section sets out the contractual redundancy provisions for staff covered by these terms and conditions and took effect in England from 1 April 2015.We have no current plans to update this section. These provisions were agreed and ratified in partnership by the NHS Staff Council, the collective bargaining structure made up of trade union and employer representatives. Any future changes to the handbook, including this section, would require the Department to issue a mandate to allow negotiations to be undertaken by the NHS Staff Council.

If he will estimate the number of newly-qualified nurses who lose their professional status because they have been unable to secure employment within two years of graduation.

The Nursing Midwifery Council (NMC) is the independent regulator of nurses and midwives in the United Kingdom, and nursing associates in England. It sets the standards that registrants must meet to demonstrate that they are capable of practising safely and effectively.There is no requirement for nurses to be in employment in order to maintain their registration with the NMC. Registrants must pay an annual registration fee and revalidate every three years by submitting a range of evidence demonstrating their skills and adherence to the NMC Code of professional standards and behaviours. They must also demonstrate that they have practised for a minimum of 450 hours over the three year revalidation period.The NMC publishes an annual leavers survey to understand why people leave its permanent register, alongside annual and mid-year registration data reports. The annual and mid-year registration data tables includes a breakdown of leavers by the years since initial registration, which is available at the following link: https://www.nmc.org.uk/about-us/reports-and-accounts/registration-statistics/

What assessment he has made of the potential impact of changes to safe staffing levels in mental health services on patient safety; whether the Department has revised its definition of safe staffing levels in response to workforce shortages; and what steps he is taking to ensure that staffing standards are maintained at levels that protect both patient safety and staff wellbeing.

No assessment has been made. NHS England is currently updating guidance on how trusts should set their staffing levels, via the Developing Workforce Safeguards and Safe Staffing in Mental Health Services 2018 framework, to reflect current evidence and operations. Staffing any service and any shift should be built around the needs of patients which should be the aim of all National Health Service providers.Guidance on safe staffing levels also specifies that every NHS organisation should have a strategic workforce plan which is discussed and agreed at the trust board level and should also have escalation processes to cover staffing shortages or changes.

What steps he is taking with Cabinet colleagues to tackle health disparities amongst people who lived in the most deprived areas of the UK.

The Government is committed to increasing the amount of time people spend in good health and to preventing premature deaths, with a vision of ensuring that all individuals, regardless of background or location, live longer, healthier lives. Our 10-Year Health Plan for the National Health Service in England sets out a reimagined service designed to tackle inequalities in both access and outcomes, as well as to give everyone, no matter who they are or where they come from, the means to engage with it on their own terms.For example, we know that the Carr-Hill formula is considered outdated, and evidence suggests that general practitioners (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.Additionally, much of what determines health and wellbeing is influenced by factors other than health services. As a result, we are taking bold action across Government on the social determinants of health to build a fairer Britain. Recent cross-Government action has included the introduction of Awaab’s Law and reform of the Decent Homes Standard for the social and private rented sector, the English Devolution Bill, and a new statutory health and heath inequalities duty for Strategic Authorities.

What consideration his Department has given to repealing S2(4) of the Law Reform (Personal Injuries) Act 1948.

The rising costs of clinical negligence claims against the National Health Service in England are of great concern to the Government. Costs have more than doubled in the last 10 years and are forecast to continue rising, putting further pressure on NHS finances.As announced in the 10-Year Health Plan for England, David Lock KC is providing expert policy advice on the rising legal costs of clinical negligence and how we can improve patients’ experience of claims. The review is ongoing, following initial advice to ministers and the recent National Audit Office report.We welcome the report by the National Audit Office. The results of David Lock’s work will inform future policy making in this area. No decisions on policy have been taken at this point, and the Government will provide an update on the work done and next steps in due course.

What steps his Department is taking to update healthcare professional regulation.

The Government is committed to modernising the regulatory frameworks for all healthcare professionals in the United Kingdom.As a first step, we aim to consult on secondary legislation to modernise the General Medical Council’s regulatory framework early this year and to lay this legislation before Parliament in the same year. We also plan to update the governing legislation of the Nursing and Midwifery Council and the Health and Care Professions Council within the current parliamentary period.

What steps his Department is taking to establish Staff Treatment Hubs.

Following the publication of the 10-Year Health Plan on 3 July 2025, work is underway to develop implementation and operational plans for the Staff Treatments Hubs. This will determine factors such as location, budgets, timeframes and capacity

What steps his Department is taking to address the rising legal costs of clinical negligence.

The rising costs of clinical negligence claims against the National Health Service in England are of great concern to the Government. Costs have more than doubled in the last 10 years and are forecast to continue rising, putting further pressure on NHS finances.As announced in the 10-Year Health Plan for England, David Lock KC is providing expert policy advice on the rising legal costs of clinical negligence and how we can improve patients’ experience of claims. The review is ongoing, following initial advice to ministers and the recent National Audit Office report.We welcome the report by the National Audit Office. The results of David Lock’s work will inform future policy making in this area. No decisions on policy have been taken at this point, and the Government will provide an update on the work done and next steps in due course.

What steps his Department is taking to improve workplace catering and break facilities for healthcare workers.

Good physical working environments are important for staff wellbeing and retention. Staff need to be given the time and space to rest and recover from their work, particularly when working on-call or overnight. This is recognised as a priority in the NHS People Promise which sets out the importance of employers prioritising spaces for staff to rest and recuperate, and ensuring access to hot food and drinks.In May 2024, NHS England and NHS Charities Together launched a £10 million Workforce Wellbeing Programme to support National Health Service staff in England. It will provide tailored health and wellbeing support to NHS staff, including grants to improve facilities. A three-year programme of work named Great Food, Good Health, led by NHS England, aims to improve the experience and quality of nutritious food that patients, staff, and visitors receive in hospital. As part of this, the NHS made clear that NHS organisations must be able to demonstrate they have suitable 24/7 food service provision.

What steps he is taking to end the blanket use of body mass index thresholds to determine eligibility for joint replacement surgery.

I refer the Hon. Member to the answer I gave on 20 November 2025 to Question 89688.

What recent progress he has made in meeting the 18-week referral-to-treatment standard.

The Government is committed to returning, by March 2029, to the National Health Service constitutional standard that 92% of patients wait no longer than 18 weeks from referral to consultant-led treatment (RTT). NHS England’s Operational Planning Guidance for 2025/26 set a target that 65% of patients wait no longer than 18 weeks by March 2026, with every trust expected to deliver a minimum 5% improvement on current performance over that period. To achieve this interim March 2026 target, we expect the size of the total waiting list to reduce. We have already made significant progress on this. As of October 2025, the waiting list had reduced by over 225,000 since the Government came into office, and performance against the RTT standard has improved by 2.9%, reaching 61.8%. This has been supported by the delivery of 5.2 million additional appointments between July 2024 and June 2025 compared to the previous year, more than double the Government’s pledge of two million. This marks a vital First Step towards delivering the constitutional standard.

What steps his Department is taking to reduce elective care waiting times, including for joint replacement surgery.

I refer the Hon. Member to the answer I gave on 19 November 2025 to Question 89685.

What steps his Department is taking to increase help access to weight loss injections for people with long-term health conditions.

I refer the hon. Member to the answer I gave on 19 November 2025 to Question 89687.

When he plans to announce the next phase of the Modern Service Frameworks.

Early priorities for Modern Service Frameworks will include cardiovascular disease, sepsis, severe mental illness and the first ever service framework for frailty and dementia. As advised by the National Quality Board, the Government will consider other conditions for future phases of MSFs and has recently announced an MSF on palliative and end-of-life care.

What steps he is taking to help reduce elective care waiting times (a) in general and (b) for joint replacement surgery.

The Government is committed to putting patients first and tackling waiting lists as part of our Health Mission. We exceeded our pledge to deliver an extra two million appointments, tests, and operations in our first year of Government, delivering 5.2 million additional appointments between July 2024 and June 2025. This marks a vital first step to delivering on our commitment to return to the National Health Service constitutional standard that 92% of patients wait no longer than 18 weeks from referral to consultant-led treatment by March 2029.The Department is taking a range of steps to reduce waiting times for surgery, including joint replacement surgery. There are currently 123 surgical hubs operational across England, and we are committed to expanding the number of hubs over the next three years to increase surgical capacity and deliver faster access to common procedures. Surgical hubs have been shown to deliver approximately 20% increased productivity in the hubs compared to trusts without a dedicated elective hub on site.The Getting it Right First time (GIRFT) programme published detailed guidance for hip and knee replacements in July 2023 and has been supporting trusts through a multidisciplinary team made up of anaesthetic, surgical, and allied health professional colleagues. Additionally, GIRFT is leading a community musculoskeletal programme, supporting improvements in the early stages of the pathway, to ensure that only those patients who require surgery are referred into secondary care, and that their condition is optimised for surgery as far as possible at the point of referral. Further information on the GIRFT programme is available at the following link:https://gettingitrightfirsttime.co.uk/