Written questions by Wrigley.

What steps he is taking to support patients with overlapping conditions such as Myalgic Encephalomyelitis (ME), Long Covid, Ehlers-Danlos Syndrome (EDS) and Hypermobility Spectrum Disorder, Postural Tachycardia Syndrome (PoTS), and Mast Cell Activation Syndrome (MCAS).

The Department recognises the complex needs of people living with overlapping conditions such as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), long COVID, Ehlers-Danlos syndrome, hypermobility spectrum disorders, postural tachycardia syndrome, and mast cell activation syndrome. Our approach focuses on improving care coordination and access to appropriate services.For ME/CFS, we have published a cross-government final delivery plan, which sets out actions to boost research, improve professional education, and enhance support for daily living, including community-based services and better benefit assessments. While the plan is specific to ME/CFS, it acknowledges overlaps with other complex, multi-system disorders and commits to exploring synergies during implementation.Additionally, the 10-Year Health Plan aims to transform services and outcomes for people living with complex conditions by prioritising integrated, personalised care. The plan focuses on earlier diagnosis and promotes multidisciplinary teams and community-based services to deliver coordinated support closer to home, reducing reliance on hospital care. Digital innovations, including remote monitoring and personalised care planning, will help manage long-term conditions more effectively. The Plan also commits to 95% of people with complex needs to have a personalised care plan by 2027. Personalised care plans will improve support for people with complex needs by ensuring that care is tailored to the individual and coordinated across services.In addition, research funded by the National Institute for Health and Care Research into post-viral syndromes and autonomic disorders will help improve understanding autonomic dysfunction and overlapping conditions, accelerate innovation and deliver evidence-based care for patients with complex, multi-system health needs.

What steps the NHS is taking to improve preventative measures for pulmonary fibrosis.

The causes of pulmonary fibrosis can be uncertain. However, measures exist to prevent the industrial exposure related causes of pulmonary fibrosis such as The Control of Substances Hazardous to Health Regulations 2002 and The Management of Health and Safety at Work Regulations 1999. Smoking can also cause pulmonary fibrosis. To support current smokers to quit, an additional £70 million will be provided in 2025/26 to support local authority-led Stop Smoking Services in England.

What steps he is taking to support patients with pulmonary fibrosis in Devon.

Royal Devon University Hospital provides a regional interstitial lung disease service covering Devon. The team provides clinical care, support, and access to services such as pulmonary rehabilitation. Patients with pulmonary fibrosis may attend pulmonary rehabilitation services in Exeter, North Devon, Torbay, and Plymouth.

If he will take steps to increase research funding for pulmonary fibrosis.

The Department funds research through the National Institute for Health and Care Research (NIHR). The NIHR funds clinical, public health, and social care research and works in partnership with the National Health Service, universities, local government, other research funders, patients, and the public. The NIHR welcomes applications for research on any aspect of human health and care, including pulmonary fibrosis. Applications are subject to peer review and judged in open competition, with awards being made based on the importance of the topic to patients and health and care services, value for money, and scientific quality. Since April 2020, the NIHR has spent £4.8 million on research projects and programmes relating to pulmonary fibrosis.

What steps he is taking to move funding away from being centered in the London and the Home Counties and towards research projects in (a) Devon and (b) other areas of the UK.

The Department funds health and care research through the National Institute for Health and Care Research (NIHR). NIHR research infrastructure spans England in order to build research capacity, including in Devon.The NIHR Research Delivery Network (RDN) is the main vehicle for clinical research delivery and will introduce a new national funding model in 2026/27 to ensure fair, transparent, and consistent funding across all regions, reducing variation, and supporting underserved areas.Devon hosts four NIHR-funded infrastructure: the Regional Research Delivery Network South West Peninsula; the Exeter Biomedical Research Centre and Clinical Research Facility; the HealthTech Research Centre for Sustainable Innovation; and the Applied Research Collaboration for the South West Peninsula, which supports the whole of Devon. In line with prior commitments, the Department has increased funding for infrastructure developing and delivering research outside the greater South East.The NIHR welcomes funding applications for research into any aspect of human health and care from across England and the United Kingdom. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money, and scientific quality.Additionally, by investing in career development initiatives through the NIHR Academy, NIHR Infrastructure, and the RDN, the NIHR continues to fund high quality applied health and care research and training across England.

What steps he is taking to increase funding for research for pulmonary fibrosis.

The Department funds research through the National Institute for Health and Care Research (NIHR). The NIHR funds clinical, public health, and social care research and works in partnership with the National Health Service, universities, local government, other research funders, patients, and the public. The NIHR welcomes applications for research on any aspect of human health and care, including pulmonary fibrosis. Applications are subject to peer review and judged in open competition, with awards being made based on the importance of the topic to patients and health and care services, value for money, and scientific quality. Since April 2020, the NIHR has spent £4.8 million on research projects and programmes relating to pulmonary fibrosis.

What steps he is taking to support NHS staff working in Newton Abbot constituency.

The health and wellbeing of all National Health Service staff is a top priority. Local employers across the NHS have in place arrangements for supporting staff including occupational health provision, employee support programmes, and a focus on healthy working environments. At a national level, NHS staff have access to the SHOUT helpline for crisis support alongside the Practitioner Health service for more complex mental health and wellbeing support, including trauma and addiction.As set out in the 10-Year Health Plan, we will roll out Staff Treatment hubs to ensure all staff have access to high quality occupational health support, including for mental health. To further support this ambition, we will work with the Social Partnership Forum to introduce a new set of staff standards for modern employment, covering issues such as access to healthy meals, support to work healthily and flexibly, and tackling violence, racism and sexual harassment in the workplace.

If she will make an assessment of the potential merits of increasing the availability of medicinal cannabis for epilepsy patients in Devon.

The licenced cannabis-based medicine Epidyolex is available on the National Health Service in England for the treatment of seizures associated with Lennox-Gastaut syndrome, Dravet syndrome, and tuberous sclerosis complex. This follows approval from the Medicines and Healthcare products Regulatory Agency and the National Institute for Health and Care Excellence (NICE).NICE has assessed the available evidence, and concluded that there is a clear need for more evidence to support routine prescribing and funding decisions of unlicensed cannabis-based products for medicinal use. NHS funding decisions follow established procedures that ensure equitable distribution of funding, prioritising those medicines that have proved their safety, quality, and clinical and cost effectiveness.

Whether he has made a recent assessment of the adequacy of the level of pay of NHS staff in Newton Abbot constituency.

Pay for most staff employed by National Health Service organisations is set at a national level. The Government has remitted the independent NHS Pay Review Body and the Review Body on Doctors’ and Dentists’ Remuneration to make recommendations on headline pay for NHS staff. Within their reports they make an assessment of the level of pay to recommend, with regard to various factors such as recruitment and retention. The process for the 2026/27 pay round is already underway, with the Department publishing its evidence to the Pay Review Bodies on 30 October.

What assessment he has made of the potential impact of the increase in employers' National Insurance contributions on trends in the level of NHS staff on (a) GP practices, (b) care providers and (c) the health sector in Devon.

We are investing an extra £1.1 billion in general practice, the biggest cash increase in a decade. That funding has allowed us to recruit an extra 2,500 general practitioners and improve access for patients.General practices are valued independent contractors who provide over £13 billion worth of NHS 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.This Government is committed to publishing a 10 Year Workforce Plan to set out action to create a workforce ready to deliver the transformed service set out in the 10-Year Health Plan. The 10 Year Workforce Plan will ensure that the National Health Service has the right people in the right places, with the right skills to care for patients, when they need it.We hugely value the critical role that health care providers play, we are determined to address the issues they face.

What steps his Department are taking to ensure retired NHS staff do not suffer financial hardship due to late pension payments.

The Department regularly meets with the NHS Business Services Authority (NHSBSA), which is responsible for administering the NHS Pension Scheme, to discuss performance levels. These discussions include the current increase in processing times for initial pension payments to retired National Health Service staff.The NHSBSA is working in partnership with the Department to ensure robust measures are in place to improve performance as a matter of urgency. The NHSBSA has reallocated internal resources, is actively recruiting and training new staff, and has enhanced communications with members and employers to help them plan accordingly. The Department is committed to supporting the NHSBSA in taking all necessary steps to ensure pension benefits return to being paid on-time.To minimise the risk of financial hardship, the NHSBSA is proactively contacting and prioritising cases involving vulnerable members and those experiencing ill health. A member whose first pension payment is delayed beyond 30 days will automatically receive interest on the overdue amount. Up-to-date information on processing times is made available to members via the NHSBSA website which is available at the following link:https://www.nhsbsa.nhs.uk/current-processing-times-nhs-pensions.The NHSBSA remains dedicated to providing the highest possible standard of service to retiring and retired NHS staff and will continue to keep members updated on progress.

If he will make an assessment of the potential merits of requiring vape liquid and vapes to be sold separately.

The Government is currently exploring a range of topics related to vaping and nicotine products.On 8 October, we launched a call for evidence which examines the size and shape of vapes, vape-like devices and tanks, the components of vaping products, as well as the role of technology in these devices. Further information is available at the following link:https://www.gov.uk/government/calls-for-evidence/tobacco-and-vapes-evidence-to-support-legislation/tobacco-and-vapes-evidence-to-support-legislation.The Department for Environment, Food and Rural Affairs banned the sale and supply of single use vapes due to the harm that they cause to the environment on 1 June 2025. They will continue to monitor the impact of these changes to ensure that they have the desired positive environmental impact.

Pursuant to the Answer of 15 July to Question 65984 on NHS Databases, what assessment he has made of the challenges of hosting the NHS Federated Data Platform on cloud services.

The NHS Federated Data Platform (FDP) Programme Team in NHS England have conducted a comprehensive assessment of the technical, operational, regulatory, and public trust considerations associated with hosting the platform on cloud services. It is a contractual requirement that all processing and storage of patient information take place within the United Kingdom. Data within the FDP and NHS Privacy Enhancing Technology cannot be accessed by provider personnel or contractors based outside the UK. This is stipulated in the overarching FDP Data Protection Impact Assessment and enforced through technical controls. All data is protected through strong encryption, access controls, and audit trails, in compliance with the UK General Data Protection Regulation and the Data Protection Act 2018. These measures ensure that National Health Service data remains fully under UK jurisdiction. Robust security measures are in place, including firewalls, intrusion detection and prevention systems, regular penetration testing, and vulnerability scanning. Live service teams continuously monitor the platform to identify and address any issues promptly. The FDP has been designed to be modular and standards-based, enabling integration with multiple systems and avoiding over-reliance on any single cloud provider. Following national guidance from the National Cyber Security Centre, the NHS has adopted the 14 cloud security principles as its core means of aligning of cloud and internet security throughout the NHS and healthcare providers. All NHS data stored on cloud services in the UK is encrypted, at rest and in transit, using the highest encryption standards.

What assessment he has made of the potential merits of a framework model for functional neurological disorder (FND) care, including (a) FND care pathways, (b) the requirement for multidisciplinary teams trained in FND, (c) follow-up appointments for patients, and (d) mandatory training for (i) GPs, (ii) neurologists, and (ii) A&E staff.

The National Institute for Health and Care Excellence (NICE) included information on functional neurological disorder (FND) in its guideline Suspected neurological conditions: recognition and referral, code NG127, which covers symptoms and the appropriate referral pathways. The NICE Clinical Knowledge Summaries also feature a detailed topic on FND, offering information on diagnosis and management. The guideline and Clinical Knowledge Summary are available, respectively, at the following two links:https://www.nice.org.uk/guidance/ng127https://cks.nice.org.uk/topics/functional-neurological-disorder/We will publish a 10 Year Workforce Plan to ensure that the National Health Service has the right people in the right places, and with the right skills, to deliver the best care for patients, including those with FND, when they need it. We have recently published a call for evidence to gather views from stakeholders on the specific professions, roles, skills, and training needed to implement the reforms outlined in our 10-Year Health Plan for England.More widely, the Elective Reform Plan has committed to reforming outpatient care, which will improve outcomes for patients with FND, through:¾ clinical pathway reform, by transforming clinical pathways to build on the opportunity to deliver more activity in the community and increase the opportunities for patients to be referred straight to diagnostic tests;¾ reducing unnecessary follow up care by using remote monitoring and widening access to Patient Initiated Follow Up so that more patients can have choice and control over if and when they require follow up care, freeing up appointments for patients who need them most; and¾ focusing on the smaller aspects of service delivery than can make a big difference to productivity, by focusing on waiting list validation being properly funded as a form of activity, better use of outpatient clinical capacity, and making better use of clinic templates and job planning so clinicians have the right balance of activity to meet demand.

What steps he is taking to increase the number of NHS dentists in the Newton Abbot constituency.

The responsibility for commissioning primary care services, including National Health Service dentistry, to meet the needs of the local population has been delegated to the integrated care boards (ICBs) across England. For the Newton Abbot constituency, this is the Devon ICB.We have asked ICBs to commission extra urgent dental appointments. ICBs have been making extra appointments available from 1 April 2025.ICBs are recruiting dentists through the Golden Hello scheme. This recruitment incentive will see dentists receiving payments of £20,000 to work in those areas that need them most for three years.We are committed to reforming the dental contract, with a focus on matching resources to need, improving access, promoting prevention, and rewarding dentists fairly, while enabling the whole dental team to work to the top of their capability. The Government is committed to achieving fundamental contract reform before the end of this Parliament.We recently held a full public consultation on a package of changes to improve access to, and the quality of, NHS dentistry, which will deliver better care for the diverse oral health needs of people across England. The consultation closed on 19 August. The Government is considering the outcomes of the consultation and will publish a response in due course.

What steps he is taking to increase cancer survivability rates in Devon.

Early cancer diagnosis is a key priority for the Government, as the chances of survival are higher if cancer is diagnosed at an early stage.The Department recognises that cancer patients, including those with in Devon, are often waiting too long for referral and treatment. As the first step to ensuring early diagnosis and treatment, NHS England has delivered an extra 100,000 operations, scans, and appointments each week since the start of this administration. This is supported by an increase in capacity to meet the demand for diagnostic services through investment in new MRI and CT scanners. The government is investing an extra £26 billion in the NHS and opening up community diagnostic centres (CDCs) at evening and weekends, including three CDCs located within NHS Devon Integrated Care Board, to help diagnose cancer earlier.Reducing the number of lives lost to cancer is a key aim of the National Cancer Plan for England. The plan will include further details on how the Government will improve outcomes for cancer patients, including brain cancer patients, as well as speeding up diagnosis and treatment, ensuring patients have access to the latest treatments and technology and ultimately driving up this country’s cancer survival rates.

With reference to the NHS England Medium Term Planning Framework – delivering change together 2026/27 to 2028/29, published on 24 October 2025, what plans he has to consult the Royal College of General Practitioners on the same day appointments for all clinically urgent patients (face to face, phone or online) success measure.

As part of our recently published Medium-Term Planning Framework, we have introduced a new and ambitious target to ensure all urgent appointments are provided on the same day, so that patients requiring urgent care are prioritised, irrespective of how they are delivered, whether it be face-to-face, via telephone, or online. At present, 44.4% of appointments are already delivered on the same day they are booked We have always valued input from a range of stakeholders on the future of general practice and continue to engage with general practitioners broadly to ensure the targets are achievable, reflect the needs of the populations they serve, and to understand any barriers to delivery.

With reference to the NHS England Medium Term Planning Framework – delivering change together 2026/27 to 2028/29, published 24 October 2025, what steps his Department is taking to measure the same day appointments for all clinically urgent patients (face to face, phone or online) success measure.

As part of our recently published Medium-Term Planning Framework, we have introduced a new and ambitious target to ensure all urgent appointments are provided on the same day, so that patients requiring urgent care are prioritised, irrespective of how they are delivered, whether it be face-to-face, via telephone, or online. At present, 44.4% of appointments are already delivered on the same day they are booked We have always valued input from a range of stakeholders on the future of general practice and continue to engage with general practitioners broadly to ensure the targets are achievable, reflect the needs of the populations they serve, and to understand any barriers to delivery.

What steps he is taking to improve breast cancer screening rates in Devon.

The Government is taking a range of actions to improve participation in breast screening in Devon, through the NHS Breast Screening Programme. These actions include:creating videos for different audiences, such as people with a learning disability or dementia;collaborating with local schools to provide information and promote breast screening awareness;contacting patients who do not attend their booked appointment to understand the reasons for non-attendance, and addressing barriers on an individual level to support attendance;sending text messages to remind patients of appointments;offering a chaperone service to individuals who are nervous about attending their appointment; andcollaborating with a local menopause nurse to raise awareness of breast screening.

What information his Department holds on the number of (a) dentists currently accepting NHS patients, (b) NHS dental appointments offered each month and (c) patients seeking NHS dentistry in Newton Abbot constituency.

Data is not held on the number of National Health Service dental appointments offered each month.As of 3 November 2025, there were nine NHS dentist practices in the Newton Abbot constituency, with two showing as ‘accepting new child patients when availability allows’ and two showing as ‘accepting new adult patients when availability allows’.This data is sourced from the Find a Dentist website and is matched to constituencies based on the postcode data shown on the website, which is available at the following link:https://www.nhs.uk/service-search/find-a-dentistThe data for the Devon Integrated Care Board (ICB), which includes the Newton Abbot constituency, shows that 29% of adults were seen by an NHS dentist in the previous 24 months up to June 2025, compared to 40% in England.The responsibility for commissioning primary care services, including NHS dentistry, to meet the needs of the local population has been delegated to the ICBs across England.