Written questions by Dillon.

What steps his department is taking to improve community-based glaucoma care services.

Integrated care boards are responsible for assessing the health needs of their local population and for commissioning primary and secondary eye care services to meet them. This can include the commissioning of enhanced eye care services from high street optical practices, such as glaucoma referral refinement services and glaucoma monitoring.The Getting It Right First Time programme is currently developing best practice guidance for glaucoma services to support the adoption of high standards across the pathway, from detection onwards.

What assessment he has made of the potential impact of trends in levels of waiting times for vision rehabilitation services on patients in Newbury constituency.

Under the Care Act 2014, local authorities in England have a legal duty to support people with sight loss to develop practical skills and strategies to maintain independence.Although the Care Quality Commission (CQC) is not currently required to assess vision rehabilitation services as regulated activities under the Health and Social Care Act 2008, sensory services, including vision rehabilitation, do form part of the CQC’s overall assessment of local authorities’ delivery of adult social care.The CQC assessments identify local authorities’ strengths and areas for development, in their delivery of their duties under part 1 of the Care Act. This facilitates the sharing of good practice and helps us to target support where it is most needed. It may be helpful to know that the CQC will report on sensory services when there is something important to highlight, for example, something being done well, innovative practice, or an area for improvement.West Berkshire Council was rated ‘Good’ by the CQC. Its assessment was published on 17 May 2024, and the report is available at the following link:https://www.cqc.org.uk/care-services/local-authority-assessment-reports/WBerkshire-0524

What steps his department is taking to help tackle potential gaps in specialist vision rehabilitation monitoring.

Under the Care Act 2014, local authorities in England have a legal duty to support people with sight loss to develop practical skills and strategies to maintain independence.Although the Care Quality Commission (CQC) is not currently required to assess vision rehabilitation services as regulated activities under the Health and Social Care Act 2008, sensory services, including vision rehabilitation, do form part of the CQC’s overall assessment of local authorities’ delivery of adult social care.The CQC assessments identify local authorities’ strengths and areas for development, in their delivery of their duties under part 1 of the Care Act. This facilitates the sharing of good practice and helps us to target support where it is most needed. It may be helpful to know that the CQC will report on sensory services when there is something important to highlight, for example, something being done well, innovative practice, or an area for improvement.West Berkshire Council was rated ‘Good’ by the CQC. Its assessment was published on 17 May 2024, and the report is available at the following link:https://www.cqc.org.uk/care-services/local-authority-assessment-reports/WBerkshire-0524

What support is available to the Buckinghamshire, Oxfordshire and Berkshire Integrated Care Board to increase community audiology services across West Berkshire.

Integrated care boards (ICBs) have a statutory responsibility to commission cost-effective healthcare to meet the needs of their local population. This includes the arrangement of community audiology services. The Medium Term Planning Framework – delivering change together 2026/27 to 2028/29 sets a clear target for systems to work to, in order to reduce long waits for community services. By 2028/29, at least 80% of community health services activity should take place within 18 weeks. In addition, to support the shift to neighbourhood health, systems have been asked to increase community health service capacity to meet the growth in demand and to work to standardise the provision of core services. Systems have also been asked to improve productivity across community health services, by identifying and acting on productivity opportunities, including ensuring teams have the digital tools and equipment they need to connect remotely to health systems and patients, and to expand point-of-care testing in the community.

What assessment he has made of the potential impact of South Central Ambulance Service’s decision on crew break arrangements on ambulance wait times in Newbury.

No specific assessment has been made. Operational arrangements such as scheduling and management of crew breaks is the responsibility of individual ambulance trusts which are required to comply with United Kingdom employment law and National Health Service contractual standards.The South Central Ambulance NHS Foundation Trust is currently piloting a new approach to ambulance crew breaks. The change is designed for the benefit of both staff and patients, supporting crews to take their meal breaks at allocated times alongside responding effectively to patient demand by maintaining coverage over the region during peak periods.

What steps his department is taking to help reduce public stigma surrounding age-related hearing loss.

The Government recognises the impact that age-related hearing loss can have on people’s lives, and that the challenges they face can be exacerbated by stigma surrounding the condition.It is important that people with age-related hearing loss are actively supported and empowered to lead the lives they want for themselves and their families, and NHS England is working with partners to support people in England to age well. In 2017, NHS England published a guide for commissioners and health and social care providers to support older people with hearing loss to maintain health, wellbeing, and independence. This guide is available at the following link:https://www.england.nhs.uk/wp-content/uploads/2017/09/hearing-loss-what-works-guide-healthy-ageing.pdfThe National Institute for Health and Care Excellence has also published guidelines, titled Hearing loss in adults: assessment and management, which aims to improve the lives of adults with hearing loss by advising healthcare staff on assessing and managing hearing loss in primary, community, and secondary care settings. This guide is also available at the following link:https://www.nice.org.uk/guidance/ng98/resources/hearing-loss-in-adults-assessment-and-management-pdf-1837761878725The Government recognises the pivotal role that local authorities, and adult social care specifically, play in nurturing local communities and helping people to live as independent and fulfilling lives as possible. We are progressing towards a National Care Service based on higher quality of care, greater choice and control, and better joined-up services, with over £4 billion of additional funding available for adult social care by 2028/29.

What steps his Department is taking with the South Central Ambulance Service to reduce ambulance wait times for people in Newbury constituency.

The Government recognises that in recent years ambulance response times have not met the high standards patients should expect.We are determined to turn things around and have taken serious steps to achieve this. Our Urgent and Emergency Care Plan for 2025/26, backed by almost £450 million of capital investment, commits to reducing ambulance response times for Category 2 incidents to 30 minutes on average this year. The South Central Ambulance Service NHS Foundation Trust (SCAS) has a dedicated Category 2 performance team driving improvements through targeted interventions.We have already seen improvements in ambulance response times in SCAS, which serves Newbury. The latest NHS performance figures for SCAS show that Category 2 incidents were responded to in 31 minutes 54 seconds on average, over six minutes faster the same month last year.

Whether his department has issued guidance on steps to help increase Child Vision Screening Programmes.

The UK National Screening Committee recommends vision screening for children aged four to five years old. Information on the UK National Screening Committee is available at the following linkhttps://www.gov.uk/government/organisations/uk-national-screening-committeeThe aim is to identify children with reduced vision in one or both eyes so that defects can be rectified early. Local authorities are responsible for this as part of the Healthy child programme, although it is not mandated. Further information on the Healthy child programme is available at the following link:https://www.gov.uk/government/collections/healthy-child-programmeThe Department has published a suite of resources to support the commissioning and delivery of high-quality, consistent child vision screening services, with further information available at the following link:https://www.gov.uk/government/collections/child-vision-screening

Whether his Department plans to update guidance to GPs on beginning conversations with men at risk of prostate cancer.

My Rt Hon. Friend, the Secretary of State for Health and Social Care will consider the final recommendation of the UK National Screening Committee on screening for prostate cancer when it is received. At that point, he will make a decision on implementation, including any resources that may be required for general practitioners and other healthcare professionals to support his decision.It is anticipated that the final recommendation will be provided in early 2026 after the conclusion of a 12 week consultation which opened on 28 November 2025. This seeks views on an evidence review and a draft recommendation to:offer a targeted national prostate cancer screening programme to men with confirmed BRCA1/2 gene variants every two years, from the age 45 years old to age 61 years old;not recommend population screening;not recommend targeted screening of black men;not recommend targeted screening of men with family history; andcollaborate with the Transform trial team to answer outstanding questions on screening effectiveness for black men and men with a family history, as soon as trial data becomes available, and await the results of the study to develop and trial a more accurate test than the prostate specific antigen test alone, to improve the balance of the benefits and harms of screening.

Whether the Newbury constituency will receive one of the 100 neighbourhood health centres due to be set up by 2030.

At the Autumn Budget, we announced our commitment to deliver 250 Neighbourhood Health Centres (NHCs) through the NHS Neighbourhood Rebuild Programme. This will deliver NHCs through a mixture of refurbishments to expand and improve sites over the next three years and new-build sites opening in the medium term. The first 120 NHCs are due to be operational by 2030 and will be delivered through public private partnerships and public capital.Nationwide coverage will take time, but we will start in the areas of greatest need where healthy life expectancy is lowest, including rural towns and communities with higher deprivation levels, targeting places where healthy life expectancy is lowest and delivering healthcare closer to home for those that need it the most.Integrated care boards and local health systems will be responsible for determining the most appropriate locations for NHCs.

What support he is providing to the Buckinghamshire, Oxfordshire and Berkshire Integrated Care Board to ensure that people are receiving timely treatment for brain cancer.

The Department recognises that there are currently limited treatment options available for people who have been diagnosed with brain tumours, and the significant impact that rarer forms of cancer can have on patients, carers, and their families. The Government is invested in driving new lifesaving and life-improving research, supporting those diagnosed and living with brain tumours.We have already invested £70 million in replacing outdated radiotherapy machines across the National Health Service with new cutting-edge technology that will speed up treatment for thousands of patients, and this includes a new machine to be situated in the Royal Berkshire NHS Foundation Trust.Additionally, the Government supports Scott Arthur’s Private Members Bill on rare cancers which will make it easier for clinical trials into rare cancers, such as brain cancers, to take place across England by ensuring the patient population can be easily contacted by researchers.  This will ensure that the NHS will remain at the forefront of medical innovation and is able to provide patients with the newest, most effective treatment options and ultimately boost survival rates.Early next year, the Government will publish a National Cancer Plan which will set out targeted actions to reduce lives lost to cancers and improve the experience of patients, including those with brain cancer.

What steps he is taking to help ensure that mental health providers in Newbury have the resources they need to support people diagnosed with a serious life-threatening illness.

The Buckinghamshire, Oxfordshire and Berkshire West NHS Integrated Care Board is responsible for commissioning services to meet the mental health needs of people in Newbury.Nationally, the Government is investing an extra £688 million in 2025/26 to transform mental health services by hiring more staff and delivering more talking therapies. Almost 7,000 extra mental health workers have been recruited since July 2024, against our target of 8,500 by the end of this Parliament. We are expanding NHS Talking Therapies so that 915,000 people complete a course of treatment by March 2029, with improved effectiveness and quality of services.We recognise that some people with a serious life-threatening illness may need emotional and psychological support. The team responsible for a patient’s health care should discuss and review their emotional and psychological status regularly and support them with access to information and services for their mental health if needed.

What steps his Department is taking to tackle health inequalities affecting women.

The Government is committed to building a fairer Britain, to ensure people can live well for longer. Our reimagined National Health Service will tackle inequalities in both access and outcomes, as well as give everyone, no matter who they are or where they come from, the means to engage with the NHS on their own terms. This financial year the Department has invested approximately £53 million in direct research awards on research to support the health of women. This includes conditions that are unique to women, such as endometriosis, and health topics that are relevant to women, such as violence and abuse.Significant progress has been made towards delivering the ambitions in the 2022 Women’s Health Strategy, for example improving women and girls’ awareness and access to services and driving research to benefit women’s health, but we know there is more to do.That is why we are renewing the Women’s Health Strategy, to assess the progress that has been made so far, and to continue progressing delivery.The renewed strategy will update on the delivery of the 2022 Women’s Health Strategy and set out how the Government is taking further steps to improve women’s health as we deliver the 10-Year Health Plan. It will also address gaps from the 2022 strategy and drive further change on enduring challenges, such as creating a system that listens to women and tackling health inequalities.

What steps he is taking to reduce gynaecology waiting lists.

Reducing waiting lists is a key part of the Government’s Health Mission, and we are committed to cutting waiting times across all specialities, including gynaecology. We have committed to return to the National Health Service constitutional standard, that 92% of patients wait no longer than 18 weeks from referral to treatment, by March 2029.We are making good progress, with waiting lists cut by over 230,000 since the Government came into office, including nearly 14,000 fewer waits for gynaecology treatment.We also delivered 5.2 million additional appointments between July 2024 and June 2025, exceeding our pledge of two million. However, we know there is more to do, and have confirmed over £6 billion of additional capital investment to expand capacity across diagnostics, electives, and urgent care. This includes expanding the number of surgical hubs, which provide valuable and protected capacity across elective specialities, including gynaecology. As of November 2025, over half of the 123 operational elective surgical hubs in England provide gynaecology services.The Elective Reform Plan, published in January 2025, also committed to:increasing the relative funding available to support gynaecology procedures with the largest waiting lists;ensuring that independent sector providers play a greater role in providing support for the most challenged specialities, such as gynaecology; andreforming and optimising clinical pathways across a number of specialities. In gynaecology, this includes supporting the delivery of innovative models offering patients care closer to home and piloting gynaecology pathways in community diagnostic centres for patients with post-menopausal bleeding.

Whether he has plans to increase GP dispensing fees to bring them in line with community pharmacies.

General practices (GPs) are valued independent contractors who provide over £13 billion worth of National Health Services. Every year we consult with the sector both about what services they provide, and the money providers are entitled to in return under their contract, taking into account the cost of delivering services. The Department and NHS England will begin consultation with stakeholders on the 2026/27 GP Contract shortly. Further information will be announced in due course.

When the Government will publish its guidance to local authorities on Neighbourhood Health Plans.

Neighbourhood health will move care out of hospitals and into communities, with more personalised, proactive, and integrated services starting from where and how people live their lives. This will involve building stronger links to wider local government services such as housing, family hubs, and programmes such as Pride in Place, as well as links with wider civil society including the voluntary, community, and social enterprise sector.The Planning Framework for the NHS in England, published on 8 September, reiterates the commitment in the 10-Year Health Plan, that place partners develop a local neighbourhood plan, which integrated care boards will bring together into a population health improvement plan. These local plans will be drawn up by local government, the National Health Service, and its partners at single or upper tier local authority level under the leadership of the Health and Wellbeing Boards (HWBs).We will be publishing further guidance to support local areas to develop neighbourhood health plans in due course. This will set out how the NHS, local authorities, and partners should work together under the leadership of HWBs to develop and implement plans.

What assessment he has made of access to ear wax removal services for patients in Newbury constituency.

The Department has made no specific assessment of services in Newbury because it is for integrated care boards to commission cost-effective healthcare to meet the needs of their local populations. Guidance for patients on ear wax build-up, including when to seek advice from a pharmacist or general practitioner, is available at the following link:https://www.nhs.uk/conditions/earwax-build-up/

What assessment he has made of the potential impact of risk-stratified screening on improving early detection of prostate cancer.

The UK National Screening Committee (UK NSC), which advises ministers on all screening matters, commissioned an evidence review modelling the clinical effectiveness and cost of several approaches to prostate cancer screening. This included different potential ways of screening the whole population and targeted screening aimed at groups of people identified as being at higher-than-average risk, such as black men or men with a family history of cancer.The modelling and evidence review reports are now complete, and the UK NSC plans to open a three-month public consultation towards the end of the year. After this, the UK NSC will make a recommendation on screening for prostate cancer. Ministers will then be asked to consider whether to accept the recommendation.

What assessment he has made of the adequacy of late-night pharmacy provision in Newbury constituency.

Local authority health and wellbeing boards have a statutory responsibility to assess if local provision, including pharmacies’ opening hours, is adequate to meet local needs for pharmaceutical services and to publish their assessments every three years.

If he will make it his policy to amend the NHS dental contract to prevent NHS patients from being required to pay the full cost of treatment at the time of booking an appointment.

The dental contract does not provide any legal basis for a dental practice to take payment for National Health Service dental work before a course of treatment has been delivered. An NHS dentist or dental professional should not charge a deposit before assessing a patient’s mouth and teeth or checking their symptoms. Further information is available at the following link:https://www.nhs.uk/nhs-services/dentists/what-happens-when-you-visit-the-dentist/Integrated care boards (ICBs) are responsible for commissioning primary care services, including NHS dentistry, and for determining the priorities for investment, in order to meet the needs of the local populations. If dental practices are operating outside of their contract, the ICB will be able to engage with the practice to resolve this issue.