Written questions by Wilkinson.

What assessment his Department has made of the potential impact of the severity modifier criteria on access to drugs for cancer patients.

The National Institute for Health and Care Excellence (NICE) has been monitoring the impact of the severity modifier since it was implemented in 2022. Data up to March 2025 shows that the proportion of positive cancer recommendations is higher (85%) than with the end-of-life modifier it replaced (75%) and the proportion of positive recommendations for advanced cancer treatments is also higher (81% compared to 69%).Since January 2022, NICE has recommended all but one of the treatments for breast cancer that it has assessed, including treatments for advanced breast cancer (such as Truqap and Korserdu), which are now available to eligible National Health Service patients.The severity modifier is therefore working as intended and there are currently no plans to adjust or change it in the near future. However, NICE has commissioned research on people’s attitudes to how the severity modifier should be applied that will inform future reviews of NICE’s methods.

What steps his Department is taking to ensure the provision of specialist (a) wheelchairs, (b) beds and (c) armchairs for tall disabled people.

Integrated care boards (ICBs) are responsible for the provision and commissioning of local wheelchair services. National Health Service trusts work with the patient and wheelchair supplier to best meet the patient’s needs and requirements.A typical hospital bed is 200 centimetres long and can be extended by 20 centimetres with pressure relieving infills available. With regards to armchairs, the NHS Supply Chain works with customers and suppliers if any bespoke products are needed in the market.Equipment provision, where required for use in peoples’ own homes, is typically through a community equipment service; these are usually funded through a combination of the local authority and local NHS and provided via an outsourced provider or a locally-run service.

What assessment he has made of the adequacy of levels of pay for resident doctors.

The Government allows the independent Review Body on Doctors’ and Dentists’ Remuneration (DDRB) to make recommendations on headline pay for doctors, including resident doctors. Within their report they make an assessment on the level of pay with regard to various factors such as recruitment and retention.We received the latest DDRB report at the end of April and on 22 May 2025, the Government announced the 2025/26 pay awards for National Health Service staff in England. The Government accepted the headline pay recommendations of the DDRB, which meant that resident doctors were awarded an, on average, 5.4% uplift to pay.My Rt Hon. Friend, the Secretary of State for Health and Social Care has held several meetings with the British Medical Association’s Resident Doctors Committee chairs to discuss pay and wider working conditions since the report was received.Resident doctors received the highest pay award of the entire public sector this year, an average 28.9% pay rise compared to three years ago.The process for the 2026/27 pay round is already underway, with the Department setting out the remit to the DDRB in July. The DDRB report, which was submitted earlier this year, is available at the following link:https://www.gov.uk/government/publications/review-body-on-doctors-and-dentists-remuneration-fifty-third-report-2025

What recent steps his Department has taken to increase the recruitment of GPs.

We are starting to see consistent growth in the general practitioner (GP) workforce.  In July 2025, there were 658 more fully qualified full-time equivalent GPs working in practices than in July 2024.The Government committed to recruiting over 1,000 recently qualified GPs in primary care networks (PCNs) through an £82 million boost to the Additional Roles Reimbursement Scheme (ARRS) over 2024/25. This is part of our initiative to secure the future pipeline of GPs, with over 1,000 doctors otherwise likely to graduate into unemployment in 2024/25. Data on the number of recently qualified general practitioners for which PCNs are claiming reimbursement via the ARRS show that, since 1 October 2024, over 2,000 GPs were recruited through the scheme.Newly qualified GPs employed under the ARRS will continue to receive support under the scheme in the coming year as part of the 25/26 contract. Several changes have been confirmed to increase the flexibility of ARRS. These include: GPs and practice nurses included in the main ARRS funding pot; an uplift of the maximum reimbursable rate for GPs in the scheme; and no caps on the number of GPs that can be employed through the scheme.We are boosting practice finances by investing an additional £1,092 million in general practice to reinforce the front door of the NHS, bringing total spend on the GP contract to £13.4 billion in 2025/26. This is the biggest increase in over a decade. The 8.9% boost to the GP contract in 2025/26 is faster than the 5.8% growth to the NHS budget as a whole.

What his Department's planned timetable is for increasing the annual provision of specialty training places for resident doctors.

As set out in the 10-Year Health Plan published in July 2025, over the next three years we will create 1,000 new specialty training posts with a focus on specialties where there is greatest need. We will set out next steps in due course

What assessment his Department has made of the potential merits of conducting efficiency savings to fund more (a) clinical staff and (b) equipment in the NHS.

NHS England’s 2025/26 priorities and operational planning guidance made it clear that the National Health Service must live within the budget it is allocated, reduce waste and increase productivity to deliver growth against demand. The Autumn Statement 2024 reaffirmed a 2% NHS productivity growth target for 2025/26, and the recent Spending Review set out the commitment to achieve 2% productivity growth across the Spending Review period, supported by up to £10 billion of technology and digital investment.As part of the 2025/26 planning process, all NHS systems set efficiency and savings targets necessary to achieve a balanced financial position, and planned delivery of the other national priorities set out in planning guidance including recovering elective activity. To help organisations identify savings and plan for 2025/26, NHS England shared core productivity and efficiency metrics with benchmarked opportunities. For a given budget, savings and productivity opportunities can enable the same level of clinical staff to do more activity, or can involve savings to non-clinical areas or reduction in input costs, for example, procurement and agency savings, to enable reinvestment in additional clinical staff or non-capitalised equipment.

What funding his Department has allocated to GP practices to hire more GPs.

We are starting to see consistent growth in the general practitioner (GP) workforce.  In July 2025, there were 658 more fully qualified full-time equivalent GPs working in practices than in July 2024.The Government committed to recruiting over 1,000 recently qualified GPs in primary care networks (PCNs) through an £82 million boost to the Additional Roles Reimbursement Scheme (ARRS) over 2024/25. This is part of our initiative to secure the future pipeline of GPs, with over 1,000 doctors otherwise likely to graduate into unemployment in 2024/25. Data on the number of recently qualified general practitioners for which PCNs are claiming reimbursement via the ARRS show that, since 1 October 2024, over 2,000 GPs were recruited through the scheme.Newly qualified GPs employed under the ARRS will continue to receive support under the scheme in the coming year as part of the 25/26 contract. Several changes have been confirmed to increase the flexibility of ARRS. These include: GPs and practice nurses included in the main ARRS funding pot; an uplift of the maximum reimbursable rate for GPs in the scheme; and no caps on the number of GPs that can be employed through the scheme.We are boosting practice finances by investing an additional £1,092 million in general practice to reinforce the front door of the NHS, bringing total spend on the GP contract to £13.4 billion in 2025/26. This is the biggest increase in over a decade. The 8.9% boost to the GP contract in 2025/26 is faster than the 5.8% growth to the NHS budget as a whole.

How many GPs have (a) been hired and (b) left practice since July 2024.

Between June 2024 and June 2025, the most recent period for which data is available, 2,611 full time equivalent (FTE), or 4,174 headcount, fully qualified general practitioners (GPs) joined general practice, while 1,760 FTE, or 2,756 headcount, fully qualified GPs left general practice.

What steps he is taking to review NHS outsourcing contracts.

All public authorities, including the National Health Service, follow the guidance and principles set out in the Sourcing Playbook when planning and making sourcing decisions to deliver public services in partnership with the private and third sectors. The playbook is available at the following link:https://www.gov.uk/government/publications/the-sourcing-and-consultancy-playbooksThe consultation, Public Procurement: Growing British industry, jobs and skills, is one considering further reforms to public procurement. More specifically, it is proposed that public bodies would be required to carry out a quick and proportionate public interest test, to understand whether that work could not be more effectively done in-house before any service is contracted out. The Cabinet Office will consider the results of the consultation, and the Department will comply with any changes to the law. Details of the consultation are available at the following link: https://www.gov.uk/government/consultations/public-procurement-growing-british-industry-jobs-and-skills-consultation-on-further-reforms-to-public-procurement/public-procurement-growing-british-industry-jobs-and-skills-html

What steps he is taking to deliver a pay restoration framework for resident doctors.

Each year the Government allows the independent Doctors’ and Dentists’ Review Body (DDRB) to make recommendations on headline pay for doctors, including resident doctors.In May 2025, the Government announced the 2025/26 pay awards for National Health Service staff in England, accepting the headline pay recommendations of the DDRB, for consultants, specialty and specialist doctors, and resident doctors for the 2025/26 period.Resident doctors received one of the highest pay awards of the entire public sector this year, meaning an average 28.9% pay rise compared to three years ago.The DDRB has been remitted and the process for 2026/27 pay is already under way.

With reference to his speech to the Royal College of Obstetricians and Gynaecologists World Congress, published on 23 June 2025, what his planned timetable is for the NHS Chief Executive and Chief Nursing Office to meet (i) Gloucestershire Hospitals NHS Foundation Trust and (ii) Gloucestershire Health and Care NHS Foundation Trust; and if he will publish the outcomes of those meetings.

An initial meeting between the Chief Executive of the Gloucestershire Hospitals NHS Foundation Trust, the NHS Chief Executive, and the Chief Nursing Officer for England to discuss maternity and neonatal services took place on 25 June 2025. Further in-depth meetings will take place in due course, and following these meetings the trust board should report on their progress to their public board.

What steps his Department is taking to increase accessibility to healthier foods.

Under the Health Mission, the Government is committed to prevention and to tackling obesity, creating a fairer, healthier food environment. We are taking action to restrict the advertisements of less healthy food and drink products to children on television and online, we are limiting school children’s access to fast food, and are taking steps to ensure the Soft Drinks Industry Levy remains effective and fit-for-purpose. We are also committed to banning the sale of high-caffeine energy drinks to under 16 year olds.Through the Healthy Start scheme we encourage a healthy diet for pregnant women, babies, and young children under four years old from very low-income households, supporting the Government’s aim to create the healthiest generation of children in our history.We are also working closely with the Department for Environment Food and Rural Affairs to develop their cross-Government Food Strategy which will set the food system up for long-term success and will provide wide ranging improvements. The Food Strategy will work to provide healthier, more easily accessible food to help people live longer, healthier lives.

What assessment has his Department has made of the potential impact of childhood obesity on risk of cancer.

A specific assessment of a direct link between childhood obesity and the risk of cancer has not been made. However, there is evidence that children and adolescents living with obesity are more likely to remain living with obesity as adults. There is also evidence that adults living with obesity have a higher risk of developing several types of cancer, with further information available at the following link:https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/obesity-weight-and-cancer/how-does-obesity-cause-cancerData suggests that 6% of cancer cases in the United Kingdom are attributable to obesity and overweight, including:- 34% of uterine cancer cases, or 3,000 out of 9,000;- 24% of kidney cancer cases, or 2,900 out of 12,400;- 17% of upper gastrointestinal cancer cases, or 5,600 out of 32,400;- 11% of colorectal cancer cases​, or 4,800 out of 41,800; and- 8% of breast cancer cases, or 4,600 out of 55,100.Further information on this data is available at the following link:https://www.nature.com/articles/s41416-018-0029-6The National Child Measurement Programme collects data on children aged four to five years old, who would be in reception, and 10 to 11 years old, who would be in year 6. In the 2023/24 school year, data on childhood obesity in England indicates that 22.1% of children in reception and 35.8% in year 6 were overweight or living with obesity. Further information on childhood obesity in England is available at the following link:https://digital.nhs.uk/data-and-information/publications/statistical/national-child-measurement-programme/2022-23-school-yearThe Department has commissioned research through the National Institute for Health and Care Research to quantify the health and social impacts of obesity during childhood and is awaiting results, with further information available at the following link:https://www.ucl.ac.uk/health/case-studies/2024/jul/quantifying-health-and-social-impacts-obesity-during-childhood

What steps his Department is taking to reduce youth obesity rates.

We face a childhood obesity crisis, and the Government will take action to tackle the root causes of obesity head on, easing the strain on our National Health Service and creating the healthiest generation of children ever.We are delivering an ambitious programme of work to create a healthier food environment. We are taking action to restrict advertisements of less healthy food and drink to children on television and online, we are limiting school children’s access to fast food, we are taking steps to ensure the Soft Drinks Industry Levy remains effective and fit-for-purpose, and we are committed to banning the sale of high-caffeine energy drinks to under 16 year olds.The Government has announced the extension of free school meals to all children from households in receipt of Universal Credit from September 2026, and that work is in progress with experts from across the sector to revise the School Food Standards, so that every school is supported with the latest nutrition guidance.We are also working collaboratively across the Government on the Food Strategy and the Child Poverty Strategy to provide healthier, more easily accessible food to tackle obesity and give every child the best start in life.

What steps his Department is taking to reduce the risk of children and young people developing cancer.

The Department is committed to getting the National Health Service diagnosing cancer earlier and treating it faster, so that more patients survive this horrible set of diseases, including children and young people. The Government has now exceeded its pledge to deliver two million extra operations, scans, and appointments, having delivered 3.6 million additional appointments as a first step to delivering on the commitment that 92% of patients will wait no longer than 18 weeks from referral to consultant-led treatment, in line with the NHS constitutional standard, by March 2029. On 4 February 2025, the Department relaunched the Children and Young People Cancer Taskforce to identify tangible ways to improve outcomes and experiences for children and young people with cancer. The taskforce is exploring opportunities for improvement across genomic testing and treatment, research and innovation, patient experience, and early detection and diagnosis. The forthcoming National Cancer Plan will include further details on improving outcomes for cancer patients, including for children and young people with cancer, and will highlight how the Department will support the NHS to reduce the risk of children and young people developing cancer in all parts of England.

What funding his Department is allocating to reduce the maintenance backlog at sites owned by Gloucestershire NHS Foundation Hospitals Trust.

The Gloucestershire Hospitals NHS Foundation Trust is set to receive £9.7 million in funding through the Estates Safety Fund 2025/26. This funding will help deliver vital safety improvements at the Gloucestershire Royal Hospital and the Cheltenham General Hospital, enhancing patient and staff environments, and reducing the levels of critical maintenance backlog.In addition, the Gloucestershire Integrated Care Board has also been provisionally allocated £53.1 million in operational capital funding, including primary care business as usual capital, for 2025/26 to allocate to local priorities, including maintenance backlogs.

How much funding he plans to allocate to midwife (a) training and (b) recruitment in the next 12 months.

The NHS Education and Training tariff funds clinical midwife placements at approximately £5,000 per full time equivalent post. The rate is adjusted by the Market Forces Factor and varies by region. In addition, eligible midwifery students can apply for the NHS Learning Support Fund (LSF). The LSF provides a non-repayable grant of at least £5,000 per student per academic year. We review the funding arrangements for both schemes annually.Funding for midwife training is demand led and is not capped by the Government. The total amount of funding depends on the number of students in the system.National Health Service trusts manage their recruitment at a local level. This includes allocating funding to ensure they have the right number of staff in place with the right skills mix, to deliver safe and effective care.To reform the NHS and make it fit for the future, we will publish a 10-Year Health Plan as part of the Government’s five long-term missions. Ensuring we have the right people, in the right places, with the right skills will be central to this vision. We will publish a new workforce plan to deliver the transformed health service we will build over the next decade and treat patients on time again.

If he will review levels of access to cognitive behavioural therapy for insomnia.

It is for local integrated care boards to decide whether cognitive behaviour therapy (CBT) should be offered to their populations as a treatment for insomnia.NHS Talking Therapies for anxiety and depression offers low-intensity therapy which may include interventions around sleep hygiene. Individuals who are experiencing symptoms of anxiety and/or depression can be referred by their general practitioner, or can self-refer to NHS Talking Therapies via the following link:https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/talking-therapies-and-counselling/nhs-talking-therapies/Individuals can also access helpful resources on sleep problems on the Every Mind Matters website, which is available at the following link:https://www.nhs.uk/every-mind-matters/mental-health-issues/sleep/In addition, the National Institute for Health and Care Excellence’s Prioritisation Board has agreed to prioritise digital technologies that deliver CBT interventions for insomnia and insomnia symptoms as a topic for the development of HealthTech guidance.

What assessment he has made of the potential merits of increasing the number of digital cognitive behavioural therapy treatments available for insomnia on the NHS.

It is for local integrated care boards to decide whether cognitive behaviour therapy (CBT) should be offered to their populations as a treatment for insomnia.NHS Talking Therapies for anxiety and depression offers low-intensity therapy which may include interventions around sleep hygiene. Individuals who are experiencing symptoms of anxiety and/or depression can be referred by their general practitioner, or can self-refer to NHS Talking Therapies via the following link:https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/talking-therapies-and-counselling/nhs-talking-therapies/Individuals can also access helpful resources on sleep problems on the Every Mind Matters website, which is available at the following link:https://www.nhs.uk/every-mind-matters/mental-health-issues/sleep/In addition, the National Institute for Health and Care Excellence’s Prioritisation Board has agreed to prioritise digital technologies that deliver CBT interventions for insomnia and insomnia symptoms as a topic for the development of HealthTech guidance.

What plans he has to ensure healthcare practitioners prescribe exercise when weight loss injections are prescribed for anti-obesity treatment.

Weight loss drugs, including semaglutide, tirzepatide and liraglutide, are recommended by the National Institute for Health and Care Excellence (NICE) as clinically and cost-effective treatment options on the National Health Service for obesity. The guidance from NICE states that these drugs should be prescribed alongside a reduced-calorie diet and increased physical activity, and that healthcare professionals should arrange information, support, and counselling on additional diet, physical activity, and behavioural strategies when these drugs are prescribed. As such, healthcare professionals in the NHS should not be prescribing weight loss drugs without arranging information and support on physical activity and exercise. The Government has therefore not made an assessment of the potential impact of the prescription of weight loss drugs on the NHS without ‘associated prescriptions’ of exercise and physical activity on muscle mass.