Written questions by Dillon.

What plans his Department has to improve the standard of care for people with Hidradenitis Suppurativa in Newbury constituency.

Dermatology services are being transformed to make sure that patients are seen on time. NHS England’s Getting It Right First Time (GIRFT) programme for dermatology is working with National Health Service trusts to deliver rapid clinical transformation. The work brings together clinicians and operational teams to work collectively to transform patient pathways, reduce unnecessary appointments, and improve access and waiting times for patients, including for patients with hidradenitis suppurativa. A clinical transformation group for dermatology was established in summer 2023, focusing on sharing and learning from best practice. Topics for collaboration have included innovative clinic models, for instance super clinics, best practice in the use of technology for telemedicine, best practice in reducing did not attends, reducing unnecessary follow ups through patient initiated follow-up, the role of artificial intelligence, how to develop nurses into advanced roles, and factors to help motivate and retain staff. GIRFT is also planning a programme to support primary care colleagues, offering training for new staff to recognise harmless skin lesions such as moles and warts, with the aim of reducing unnecessary referrals to hospital and freeing up capacity for other patients on the waiting list. The National Institute for Health and Care Excellence has published technology appraisal guidance recommending two biologics, adalimumab and secukinumab, for the treatment of moderate to severe hidradenitis suppurativa, opening the way for patients with this condition to access these medications on the NHS.

What steps his Department plans to take to provide funding to increase the availability of medical equipment in local communities.

At the 2024 Autumn Budget, the Government announced a £22.6 billion increase in day-to-day health spending and a £3.1 billion increase in the capital budget over the financial years 2024/2025 and 2025/2026. Departmental budgets beyond 2025/26 will be set through phase two of the Spending Review, which will conclude and be published in June 2025.Local authorities and National Health Service procuring authorities are responsible for discussing and agreeing contracts with community equipment suppliers, which will take into account the resources available to them. Economic growth is the Government’s number one mission and the Government supports businesses to invest, grow, and export, creating jobs and opportunities across the country. To support the growth mission, the Government is driving forward work to implement a modern Industrial Strategy, reset trade relations, support small business, and deliver a new deal for working people.

What plans his Department has to increase treatment options for individuals with chronic UTIs.

NHS England’s urinary tract infection (UTI) reduction workstream was established as part of delivery of the UK 5-year action plan for antimicrobial resistance 2019 to 2024, which is available at the following link:https://www.gov.uk/government/publications/uk-5-year-action-plan-for-antimicrobial-resistance-2024-to-2029The workstream aims to enhance prevention, support early and accurate diagnosis and improve the treatment of UTIs through identifying and adopting best practice and interventions for different populations.The effective treatment of chronic UTIs is dependent on accurate testing. The importance of accurate testing to guide effective antibiotic use is highlighted in the action plan, and NHS England is supporting research into newer point-of-care tests for UTIs, such as via the Toucan study, with more information available at the following link:https://www.phctrials.ox.ac.uk/recruiting-trials/toucan-platform-for-uti-diagnostic-evaluationNHS England has been working with other public bodies, including UK Health Security Agency to strengthen the guidance about the appropriate use of diagnostics including dipsticks. General practitioners can request testing for chronic UTIs via several pathways, including at point-of-care, via community diagnostic centres, or via laboratories. Laboratories across England adhere to stringent quality standards, including the UK Accreditation Standard ISO 15189, and implement robust internal and external quality assurance schemes, ensuring accuracy of tests used.

What steps his Department is taking to reduce mental health treatment waiting lists in line with those for physical health treatments.

Too many people with mental health issues are not getting the support or care they need, which is why we are committed to ensuring we give mental health the same attention and focus as physical health so that people can be confident of accessing high quality mental health support when they need it.This includes recruiting 8,500 more mental health workers, introducing access to specialist mental health professionals in every school, rolling out Young Futures hubs and modernising the Mental Health Act.Despite the challenging fiscal environment, the Government has chosen to prioritise the funding to deliver expansions of NHS Talking Therapies and Individual Placement & Support schemes, demonstrating our commitment to addressing the root cause of mental health issues and providing support for people with severe mental illness to contribute to the economy by remaining in or returning to work.We have also committed £26 million in capital investment to open new mental health crisis centres, reducing pressure on busy emergency mental health and accident and emergency services and ensuring people have the support they need when they need it.

What steps his Department plans to take with community care providers to help reduce hospital discharge waiting times.

We will tackle delayed discharges by developing local partnerships between the National Health Service and social care, and making sure people get the right support to return home.Every acute hospital trust has access to a care transfer hub. These hubs bring together professionals across health, social care and other partners, including community providers, to manage discharges for people with more complex needs.We have published Neighbourhood Health Guidelines to help local health and care systems progress neighbourhood health in 2025/26. Integrated intermediate care supports hospital discharge and is a core component that we are asking systems to focus on this year. Close partnership working between adult social care, the NHS and other community partners is vital to the successful delivery of intermediate care.

Whether he has made an assessment of the potential merits of conducting a public consultation on the proposed changes to ADHD assessment procedures.

The proposed 2025/26 NHS Payment Scheme makes no changes to attention deficit hyperactivity disorder assessment procedures.

What steps his Department is taking to support social care providers in Newbury with changes to employer National Insurance contributions.

The Government took the cost pressures facing adult social care into account as part of the wider consideration of local government spending within the Spending Review process.To enable local authorities to deliver key services such as adult social care, the Government is making up to £3.7 billion of additional funding available for social care authorities in 2025/26, which includes an £880 million increase in the Social Care Grant.The additional funding available to West Berkshire in 2025/26 means that they will see an increase to their core spending power of up to 5.7% in cash terms.Local authorities are best placed to understand and plan for the needs of their population, which is why, under the Care Act 2014, they are tasked with the duty to shape their care market to meet the diverse needs of all local people.

What steps his Department is taking to improve (a) support services, (b) treatment access and (c) care pathways for people diagnosed with ADHD.

It is the responsibility of the integrated care boards in England to make appropriate provision to meet the health and care needs of their local population, including assessments for attention deficit hyperactivity disorder (ADHD), in line with relevant National Institute for Health and Care Excellence guidelines.We are supportive of a taskforce that NHS England has established to look at ADHD service provision and its impact on patient experience. The taskforce is bringing together expertise from across a broad range of sectors, including the National Health Service, education, and justice, to better understand the challenges affecting people with ADHD, including timely access to services and support.In conjunction with the taskforce, NHS England has carried out detailed work to develop an ADHD data improvement plan to inform future service planning.

Whether his Department is taking steps to increase funding for social care providers; and what assessment he has made of the adequacy of social care funding levels.

The Government took the cost pressures facing adult social care into account as part of the wider consideration of local government spending within the Spending Review process.To enable local authorities to deliver key services such as adult social care, the Government is making up to £3.7 billion of additional funding available for social care authorities in 2025/26, which includes an £880 million increase in the Social Care Grant.The additional funding available to West Berkshire in 2025/26 means that they will see an increase to their core spending power of up to 5.7% in cash terms.Local authorities are best placed to understand and plan for the needs of their population, which is why, under the Care Act 2014, they are tasked with the duty to shape their care market to meet the diverse needs of all local people.

What assessment he has made of the potential impact of the proposed three-year implementation period for social care reforms on social care providers.

We are launching an independent commission into social care, chaired by Baroness Louise Casey. It will be undertaken in two phases, beginning in April 2025. Phase one, reporting in 2026, will identify the biggest challenges in adult social care and recommend practical changes to improve people’s lives over the next decade, and will help build the foundation for a National Care Service. Phase two, reporting by 2028, will make longer-term recommendations for the transformation of adult social care.Addressing the complex, deep-rooted challenges facing adult social care will take time. The commission will work with people who draw on care, their families, staff, politicians, providers, and the public, private, and third sector, to make clear recommendations for how to reform the adult social care system to meet the current and future needs of the population.In parallel, the Government is also committed to short-term progress, as we recognise that the issues facing adult social care are pressing. We are making up to £3.7 billion of additional funding available for social care authorities in 2025/26, which includes an £880 million increase in the Social Care Grant. This represents an increase to core local government spending power in 2025/26 of 6.8% in cash terms.

Whether he has plans to increase access to NHS dental services in Newbury constituency.

The Government plans to tackle the challenges for patients trying to access National Health Service dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to the areas that need them most. To rebuild dentistry in the long term, we will reform the dental contract with the sector, with a shift to focus on prevention and the retention of NHS dentists.The responsibility for commissioning primary care services, including NHS dentistry, to meet the needs of the local population has been delegated to the integrated care boards (ICBs) across England. For the Newbury constituency, this is the Buckinghamshire, Oxfordshire and West Berkshire ICB.

What steps his Department is taking to tackle childhood obesity; and whether he has made an assessment of the potential merits introducing measures to improve access to affordable, nutritious food options.

The prevention of ill health is a clear priority for the Government, and a cornerstone of this is supporting children to live healthier lives. Under the Health Mission, the Government is committed to prevention and to tackling obesity, creating a fairer, healthier food environment. We have already laid secondary legislation to restrict advertisements of less healthy food and drink to children on television and online, we have announced changes to the planning framework for fast food near schools, and we are taking steps to ensure the Soft Drinks Industry Levy remains effective and fit-for-purpose. In addition, initiatives such as the Healthy Start scheme, free school meals, and the holiday activities and food programme provide access to affordable, nutritious food options. The Healthy Start scheme, introduced in 2006, encourages a healthy diet for pregnant women, babies, and young children under four years old from very low-income households. Pregnant women and families with children aged over one and under four years old each receive £4.25 every week, and families with children under one years old each receive £8.50 every week. Healthy Start can be used to buy, or be put towards the cost of, fresh, frozen, or tinned fruit and vegetables, fresh, dried, or tinned pulses, milk, and infant formula. Healthy Start beneficiaries also have access to free Healthy Start vitamins.Disadvantaged pupils in state-funded schools, as well as 16 to 18-year-old students in further education, are entitled to receive free meals on the basis of low income. In addition, all children in Reception, Year 1, and Year 2 in England's state-funded schools are entitled to universal infant free school meals. The holiday activities and food programme provides free childcare places, enriching activities, and healthy meals to children from low-income families, benefiting their health, wellbeing, and learning throughout the school holidays.We are also working collaboratively across the Government to deliver a resilient food system that promotes health and food security. The Food Strategy will work to provide healthier, more easily accessible food to help people live longer, healthier lives.

Pursuant to the Answer of 18 November 2024 to Question 12879 on Employer national insurance contributions on pharmacies, whether an impact assessment was conducted prior to the decision to increase employer National Insurance contributions.

A Tax Information and Impact Note (TIIN) was published alongside the introduction of the bill containing the changes to employer National Insurance contributions. The TIIN sets out the impact of the policy on the exchequer, the economic impacts of the policy, and the impacts on individuals, businesses, and civil society organisations, and an overview of the equality impacts.

Pursuant to the Answer of 19 November 2024 to Question 901298 on leases for GP premises, if he will review the decision to delegate the authority to hold GP leases to integrated care boards.

The GP (General Medical Services) Contract terms ordinarily require the contractor to hold the premises liability.NHS England also holds the right to hold operational estate and has delegated the power to hold leases to integrated care boards (ICBs). However, bringing ICBs into any formal leasing structure creates capital accounting liabilities, and these would need to be considered in the context of any request to directly hold operational estate.NHS England currently accepts ICBs holding leases only as a last resort or by exception due to the significant capital required. Whilst we know this not the most effective use of ICB resources, it is an important safeguard.Given where the liabilities lie within contracts and the power already held by ICBs to provide exceptional support, it is not deemed necessary to seek to amend any rules or guidance.We are committed to fixing the front door of the National Health Service by supporting GPs and ICBs through, for example, the £102 million of capital funding announced at the Budget for GP estate upgrades.

If he will take steps to support pharmacies in Newbury constituency with the increased cost of employers National Insurance contributions.

We have taken necessary decisions to fix the foundations in the public finances at Autumn Budget 2024, which enabled the Spending Review settlement of a £22.6 billion increase in resource spending for the Department from 2023/24 outturn to 2025/26. The em...

What steps his Department is taking to support research in the pharmaceutical sector in Newbury.

The Department funds research and research infrastructure, which supports patients and the public to participate in high-quality research across the United Kingdom, through the National Institute of Health and Care Research (NIHR).Development and delivery...

What steps he is taking to ensure the provision of adequate (a) palliative and (b) end-of-life care in Newbury.

Palliative care services are included in the list of services that integrated care boards (ICBs), including Buckinghamshire, Oxfordshire and Berkshire West ICB, which covers the Newbury constituency, must commission. This promotes a more consistent nation...

What steps his Department is taking to support the Pharmacy First campaign.

There is a targeted public communications campaign with associated media materials, running from 11 November 2024 until mid-December 2024 as well as coordinated communications across the healthcare system and sharing best practices where the service is al...

If he will conduct a review of the decision to delegate the power to hold leases for GP premises to integrated care boards.

NHS England currently accepts ICBs holding leases only as a last resort or by exception due to the significant capital required. While we know that is not the most effective use of ICB resources, it is an important safeguard. We are committed to fixing th...

What steps his Department is taking to ensure that the clean air policy addresses the risks of (a) carbon monoxide and (b) other indoor air pollutants.

The UK Health Security Agency (UKHSA) works in partnership with other organisations to develop advice and recommended actions which can improve detection of, and prevent accidental exposure to, carbon monoxide in homes. This includes participating in a cr...