Written questions by Evans.

With reference to the Local Government and Social Care Ombudsman’s Annual Review of Adult Social Care Complaints 2023-24, published in September 2024, what assessment he has made of the potential merits of increasing levels of awareness of the Local Government and Social Care Ombudsman in privately funded and arranged care settings.

We are aware of both the Annual Review and Triennial Review from the Local Government and Social Care Ombudsman (LGSCO) and support the work they do to ensure that those receiving care, whether self-funded or placed by their local authority, are aware of the options available to them if they wish to escalate their complaint. We are working across the Government on a response to the LGSCO’s recommendations, including on increasing awareness of the role of the LGSCO for those privately funding their care.

What assessment he has made of the potential implications for his Department’s policies of the Local Government and Social Care Ombudsman’s Annual Review of Adult Social Care Complaints 2023-24, published in September 2024.

We are aware of both the Annual Review and Triennial Review from the Local Government and Social Care Ombudsman (LGSCO) and support the work they do to ensure that those receiving care, whether self-funded or placed by their local authority, are aware of the options available to them if they wish to escalate their complaint. We are working across the Government on a response to the LGSCO’s recommendations, including on increasing awareness of the role of the LGSCO for those privately funding their care.

With reference to FOI 02629, if he will undertake a review into the difference in figures between GPs and General Dental Practitioners.

General practitioners (GPs) use Primary Care Support England to report earnings via a Type 1 GPs certificate, and are dependent on their tax return. Dentists use a system called Compass to report their earnings through the NHS Business Services Authority. Dentists’ pensionable earnings are not dependent on their tax return, and they also complete an annual reconciliation report via the Compass system.Since GPs and dentists report earnings in very different ways, a comparative review is not possible.

If he will make an estimate of the cost to the public purse of overprescribing.

The National Health Service and its partner organisations are responding to the challenge of overprescribing, as set out in the Government’s review of overprescribing, Good for you, good for us, good for everybody, in September 2021. There are currently no plans to undertake a further review. Progress has been made to implement the recommendations of that review, for example:- implementing the national medicines optimisation opportunities for integrated care boards (ICBs), or recommendations three and 13;- addressing problematic polypharmacy, when there is potential harm associated with taking multiple medicines, or recommendations eight and nine;- delivering structured medication reviews, or recommendation eight; and- publication of a repeat prescribing toolkit and oversupply dashboard to support general practices to identify oversupply and improve repeat prescribing processes, or recommendation seven. Offering treatments that are not medicines is also key to addressing overprescribing. Many other initiatives delivered across the NHS contribute towards this. These include delivery of personalised care and shared decision-making, NHS Talking Therapies for anxiety and depression, and social prescribing. We are continuing to address issues with the prescribing of medicines in line with the NHS’ 2025/26 priorities and operational planning guidance. It is not possible to quantify the overall cost of overprescribing.

With reference to FOI 02629, if he will undertake a review into the work of (a) Capita and (b) NHS Business Service Authority.

Capita operates the Primary Care Support England (PCSE) service under contract to NHS England. NHS England tracks PCSE’s performance on a monthly basis against contractual performance targets. NHS England works with PCSE, the NHS Business Services Authority (NHSBSA), and general practice (GP) representative bodies to rectify historical gaps in GP records. The Department, NHS England, and the NHSBSA are working together to facilitate GP updates to records at the earliest opportunity.The NHSBSA underwent an independent review in 2023 as part of the Cabinet Office-led Public Body Review programme and was assessed as ‘a high performing arm's length body’. The review is available at the following link:https://www.gov.uk/government/publications/nhs-business-services-authority-review-report/independent-review-of-the-nhs-business-services-authority-final-report-and-recommendations#:~:text=NHSBSA%20meets%20the%20Cabinet%20Office,brought%20into%20the%20departmentAs a Special Health Authority and arm’s-length body of the Department, the NHSBSA’s performance is also reviewed regularly by departmental policy teams who sponsor individual services, and a quarterly accountability meeting is held to assess the NHSBSA’s performance across all its services.

If he will take steps to increase the number of GPs with up-to-date pension records.

NHS England is working with NHS Pensions and Primary Care Support England (PCSE) to support general practitioners (GPs) to reduce the number of missing records. For the 2025/26 financial year, PCSE is maintaining a dedicated team to support GPs to resolve missing years. The Department and NHS England are also working with NHS Pensions and the British Medical Association to use their networks to encourage GPs to submit missing certificates.PCSE is reliant on GPs submitting the required forms to enable PCSE to update their pension record. NHS England will continue to work with PCSE to ensure they are undertaking their obligations upon receipt of the forms, and to support joint working with stakeholders to ensure pension record gaps are promptly resolved.PCSE is also working with those GPs who need to provide certificates to resolve missing years in their pension records, as GP’s pension records must be updated in sequential order, and if one year of data is missing all future years will also show as missing from the GPs annual pension statement issued by NHS Pensions. Any received information remains on the PCSE system until the missing year is received, at which point all information is then recorded on Pensions Online, which updates the NHS Pension record.PCSE has contacted GPs with missing certificates detailing the action they need to take to bring their pension record up to date. Webinars with supporting communications have been regularly organised by PCSE to ensure GPs are supported in how to access and resolve missing information and how to submit certificates at the end of each financial year.The NHS Pensions has also recently written directly to NHS Pension Scheme members affected by the public sector pensions remedy, McCloud, to highlight the need to ensure that PCSE records are up to date.

With reference to FOI-02629, whether he has had recent discussions with (a) Capita and (b) the NHS Business Services Authority on GPs’ pensions records.

Every six weeks the Department meets with NHS England, the NHS Business Services Authority, Primary Care Support England, and the British Medical Association to review general practice (GP) pensions administration, discuss the current challenges and opportunities, track progress on key priorities, and ensure a co-ordinated approach to supporting GPs to submit records as required to ensure their pension records are up to date.

What estimate his Department has made of the adequate running cost of integrated care boards per head of population.

Sir Jim Mackey wrote to the National Health Service on 1 April 2025 setting out that in the future, integrated care boards (ICBs) should reduce their running costs by 50%.Analysis undertaken by NHS England shows the variation in the costs of commissioning in ICBs ranges from £51 to £26 per head of population. It is that variation that is being targeted, alongside the move to ICBs acting as strategic commissioners.A national target per head of weighted population of £18.76 has been set. There will be some flexibility to vary this for individual ICBs to reflect local circumstances, and NHS England will be providing further information on expectations of how the reduction should be delivered.

Whether his Department plans to produce an impact assessment of the planned 50% reduction in integrated care board running costs.

NHS England has asked the integrated care boards (ICBs) to act primarily as strategic commissioners of health and care services and to reduce the duplication of responsibilities within their structure to achieve a 50% cost reduction in their running cost allowance. NHS England provided additional guidance to ICBs, National Health Service trusts, and NHS foundation trusts on 1 April 2025, where ICBs were tasked with developing plans by the end of May setting out how they will manage their resources to deliver across their priorities.NHS England will be working closely with the ICBs to support the development of these plans, ensuring that their implementation reduces duplication and supports patient care. Further details are available at the following link:https://www.england.nhs.uk/long-read/working-together-in-2025-26-to-lay-the-foundations-for-reform/In his letter to ICBs, Sir Jim Mackey committed to greater transparency and moving back to a fair shares allocation policy over time. The Department has not conducted an impact assessment of NHS decision to reduce ICB running costs.

What steps he plans to take to support integrated care boards through the closure of NHS England.

The Prime Minister announced that NHS England will be brought back into the Department. Integrated care boards (ICBs) are to act primarily as strategic commissioners of health and care services. Detailed guidance has been provided to ICBs, National Health Service trusts, and NHS foundation trusts on 1 April 2025, where ICBs were tasked with developing plans by the end of May setting out how they will manage their resources to deliver across their priorities. Further information is available at the following link:https://www.england.nhs.uk/long-read/working-together-in-2025-26-to-lay-the-foundations-for-reform/

If he will undertake a review of overprescribing.

The National Health Service and its partner organisations are responding to the challenge of overprescribing, as set out in the Government’s review of overprescribing, Good for you, good for us, good for everybody, in September 2021. There are currently no plans to undertake a further review. Progress has been made to implement the recommendations of that review, for example:- implementing the national medicines optimisation opportunities for integrated care boards (ICBs), or recommendations three and 13;- addressing problematic polypharmacy, when there is potential harm associated with taking multiple medicines, or recommendations eight and nine;- delivering structured medication reviews, or recommendation eight; and- publication of a repeat prescribing toolkit and oversupply dashboard to support general practices to identify oversupply and improve repeat prescribing processes, or recommendation seven. Offering treatments that are not medicines is also key to addressing overprescribing. Many other initiatives delivered across the NHS contribute towards this. These include delivery of personalised care and shared decision-making, NHS Talking Therapies for anxiety and depression, and social prescribing. We are continuing to address issues with the prescribing of medicines in line with the NHS’ 2025/26 priorities and operational planning guidance. It is not possible to quantify the overall cost of overprescribing.

What steps he has taken to implement the recommendations of his Department's report entitled Good for you, good for us, good for everybody, published on 22 September 2021.

The National Health Service and its partner organisations are responding to the challenge of overprescribing, as set out in the Government’s review of overprescribing, Good for you, good for us, good for everybody, in September 2021. There are currently no plans to undertake a further review. Progress has been made to implement the recommendations of that review, for example:- implementing the national medicines optimisation opportunities for integrated care boards (ICBs), or recommendations three and 13;- addressing problematic polypharmacy, when there is potential harm associated with taking multiple medicines, or recommendations eight and nine;- delivering structured medication reviews, or recommendation eight; and- publication of a repeat prescribing toolkit and oversupply dashboard to support general practices to identify oversupply and improve repeat prescribing processes, or recommendation seven. Offering treatments that are not medicines is also key to addressing overprescribing. Many other initiatives delivered across the NHS contribute towards this. These include delivery of personalised care and shared decision-making, NHS Talking Therapies for anxiety and depression, and social prescribing. We are continuing to address issues with the prescribing of medicines in line with the NHS’ 2025/26 priorities and operational planning guidance. It is not possible to quantify the overall cost of overprescribing.

If he will take steps to reduce overprescribing.

The National Health Service and its partner organisations are responding to the challenge of overprescribing, as set out in the Government’s review of overprescribing, Good for you, good for us, good for everybody, in September 2021. There are currently no plans to undertake a further review. Progress has been made to implement the recommendations of that review, for example:- implementing the national medicines optimisation opportunities for integrated care boards (ICBs), or recommendations three and 13;- addressing problematic polypharmacy, when there is potential harm associated with taking multiple medicines, or recommendations eight and nine;- delivering structured medication reviews, or recommendation eight; and- publication of a repeat prescribing toolkit and oversupply dashboard to support general practices to identify oversupply and improve repeat prescribing processes, or recommendation seven. Offering treatments that are not medicines is also key to addressing overprescribing. Many other initiatives delivered across the NHS contribute towards this. These include delivery of personalised care and shared decision-making, NHS Talking Therapies for anxiety and depression, and social prescribing. We are continuing to address issues with the prescribing of medicines in line with the NHS’ 2025/26 priorities and operational planning guidance. It is not possible to quantify the overall cost of overprescribing.

What assessment he has made of the potential implications for his Department’s policies of the findings of FOI 02629 on the (a) number and (b) percentage of GPs with up to date pension records.

The Department, NHS England, and NHS Pensions (NHSP) are working together to improve the processing of general practitioners’ (GPs) pensions and to identify solutions to resolve gaps in records. A total of 21,601 missing years have been resolved in the past year, as a result of the targeted work with GPs. NHS England has also recently written directly to affected NHS Pension Scheme members to make them aware of this, and to inform GPs of what they need to do.

What assessment he has made of the potential implications for his Department’s policies of the Care Quality Commission’s Community mental health survey 2024, published on 3 April 2025.

We welcome the Care Quality Commission’s survey. The evidence from this survey will feed into our plans to improve community mental health services through the 10 year plan. Too many people with mental health issues are not getting the care they need, and we know that waits for mental health services are too long. As part of our mission to build a National Health Service that is fit for the future and that is there when people need it, the Government will recruit 8,500 mental health workers to help ease pressure on busy mental health services.

How many new mental health staff have been recruited to the NHS since 1 July 2024.

Mental Health workforce data is published quarterly by NHS England as part of their NHS Workforce statistics, and is available at the following link:https://digital.nhs.uk/data-and-information/publications/statistical/nhs-workforce-statistics#past-publications

What his planned timetable is for recruiting new mental health workers in (a) child and (b) adult mental health services.

Too many people are not receiving the mental health care they need and waits for mental health services are too long.As part of our mission to build a National Health Service that is fit for the future and that is there when people need it, the Government will recruit 8,500 mental health workers to help ease pressure on busy mental health services.We are working with NHS England to consider options to deliver this commitment alongside the refresh of the Long Term Workforce Plan.

Pursuant to the Answer of 31 March 2025 to Question 42805 on Private Education, if she will list the private schools she has visited since 5 July 2024.

I refer the hon. Member for Hinckley and Bosworth to the answer of 6 May 2025 to Question 46839.

If she will undertake a review of the potential impact of increases in National Insurance contributions on the availability of SEND home-to-school transport provision.

I refer the hon. Member for Hinckley and Bosworth to the answer of 29 January 2025 to Question 26397.

What recent discussions she had had with stakeholders on proposals to reform the business rates system in the 2026-2027 financial year.

HM Treasury releases a quarterly record of Ministers’ meetings with external individuals and organisations. This can be found online: https://www.gov.uk/government/collections/hmt-ministers-meetings-hospitality-gifts-and-overseas-travel At the Autumn Budget, the Government published the Transforming Business Rates Discussion Paper, which sets out priority areas for reform. This paper invited stakeholders to help co-design a fairer business rates system that supports investment and is fit for the 21st century. On 17 February the Government published a ‘forward look’ of the expected timeline for reforms announced at Autumn Budget 2024, and how stakeholders should engage the Government. This will be updated when further information is available. In the summer, the Government will publish an interim report that sets out a clear direction of travel for the business rates system, with further policy detail to follow at Autumn Budget 2025.