Written questions by Forster.

What steps his Department is taking to meet the World Health Organisation’s vaccination target for the human papillomavirus vaccine.

In March 2025, NHS England published the Cervical cancer elimination plan by 2040 –for England, which outlines how the National Health Service will improve uptake and coverage across human papillomavirus (HPV) vaccination and cervical screening. This is available at the following link:https://www.england.nhs.uk/publication/cervical-cancer-elimination-by-2040-plan-for-england/The UK Health Security Agency (UKHSA) monitors uptake of HPV vaccination nationally, regionally and by local authority and publishes annual reports at the following link:https://www.gov.uk/government/collections/vaccine-uptake#hpv-vaccine-uptakeWhile HPV vaccination uptake rates in England have been very high, vaccine coverage by cohort has been steadily declining since the COVID-19 pandemic. In the 2023 to 2024 academic year, this decline appeared to be stabilising.NHS-commissioned School Aged Immunisation Service providers have robust catch-up plans in place for the adolescent HPV vaccination programme based on population need, to offer vaccination to those young people who may have missed out at the point of initial offer. UKHSA works closely with charities and academics to develop resources that can be used to raise awareness of HPV and the importance of vaccination including for boys. NHS England has improved digital communications on vaccinations, including expanding the NHS app, and has improved access to the HPV vaccine outside of schools through community clinics at convenient times and locations.

What steps is his Department taking to reduce inequalities in uptake of the Respiratory Syncytial Virus maternal vaccination programme by (a) region, (b) ethnicity and (c) socioeconomic background.

The UK Health Security Agency’s (UKHSA) monitoring of programme uptake by ethnicity and region is a key tool in identifying disparities in uptake across diverse populations. UKHSA has prepared respiratory syncytial virus antenatal vaccine information leaflets in over 30 languages, and in other formats, to support programme accessibility and reduce inequalities. Further information is available at the following link:https://www.gov.uk/government/publications/respiratory-syncytial-virus-rsv-maternal-vaccinationAn update to UKHSA’s Immunisation Equity Strategy is forthcoming and will support action to ensure that everyone can access vaccination at the right time, irrespective of where they live, their ethnicity and their socioeconomic background. The current Immunisation Inequalities Strategy can be found on the GOV.UK website, at the following link:https://www.gov.uk/government/publications/phe-immunisation-inequalities-strategy

What steps his Department is taking to support people diagnosed with multiple sclerosis in Woking constituency.

Integrated care boards (ICBs) are responsible for commissioning services for their local population, including for multiple sclerosis (MS). The Government expects ICBs, including the Surrey Heartlands ICB, which covers the Woking constituency, to assess the demand for service provision in designing their local services. There are initiatives to support better care for patients with neurological conditions, such as MS, across England, including in the Woking constituency. These include the Getting It Right First Time Programme for Neurology, which aims to improve MS care by supporting the National Health Service to address variations in care and by promoting best practice. The Progressive Neurological Conditions Toolkit, published by NHS England’s RightCare Programme, supports healthcare systems in improving the care of individuals living with progressive neurological conditions, including MS. It aims to enhance local services and reduce hospital admissions by focusing on preventative care and optimising the delivery of services. NHS England’s Neurology Transformation Programme (NTP) is a multi-year programme to develop a new model of integrated care for neurology services. The NTP has collaborated with clinicians and patient groups to create specific pathways for MS, aiming to improve the quality and coordination of care. NHS England is also updating its Specialised Neurology service specification, which includes MS. Service specifications define the standards of care expected from organisations funded by NHS England to provide specialised care. Our 10-Year Health Plan will set out a bold agenda to deliver on the three big shifts needed, to move healthcare from the hospital to the community, from analogue to digital, and from treatment to prevention. We also plan to publish our refreshed Long Term Workforce Plan to deliver a transformed health service over the next decade and to treat patients wherever they live in England, including those with MS, on time again.

What plans he has for new specialist mental health crisis centres in Surrey.

Individuals experiencing a mental health crisis in Surrey can access support 24/7 through the Mental Health Crisis Helpline, operated by the Surrey and Borders Partnership NHS Foundation Trust. The service is staffed by trained professionals who provide immediate advice, support, and signposting to a range of community services.There are five Safe Havens across Surrey that provide out-of-hours help and support to individuals who are experiencing a mental health crisis or emotional distress. Each Safe Haven is staffed by a mental health practitioner from the Surrey and Borders Partnership NHS Foundation Trust, and two trained Safe Haven workers. Peer support from people with lived experience of mental health issues is also increasingly available.At a national level, substantial progress has been achieved in building more robust crisis care pathways across all ages and in all regions, ensuring that people in a mental health crisis can receive the right care.As part of this, the Government has committed £26 million in capital investment to support people in a mental health crisis, including opening new mental health crisis centres across England, which aim to provide accessible and responsive care for individuals in a mental health crisis. In addition, we are piloting six 24/7 neighbourhood mental health centres which provide support to individuals with severe mental illness, without needing to book an appointment.People of all ages in England experiencing a mental health crisis can speak to a trained NHS professional at any time of the day via the NHS 111 service. This service gives people the chance to be listened to by a trained member of staff who can help direct them to the right place.

Whether he plans to review the use of block contracts for radiotherapy services, in the context of (a) recent trends in levels of patient numbers and (b) Lord Darzi's Independent Investigation of the National Health Service in England, published in September 2024.

NHS England and the integrated care boards are responsible for ensuring that the healthcare needs of local communities are met. These responsibilities include ensuring adequate healthcare provision, care, and wider support for local populations, including in remote and rural areas. This includes radiotherapy treatment. The Government will work to ensure that the best standard of healthcare is available no matter where people live.Since April 2022, the responsibility for investing in new radiotherapy machines has been with local systems. However, the Government is investing £70 million of central funding to replace outdated radiotherapy machines, to ensure the most advanced treatment is available to patients who need it. There are no current plans to review the use of block contracts for radiotherapy services.All future spending commitments beyond 2025/26, including this one, will be determined through the next phase of the Spending Review process, which will conclude in June.

Whether he has considered providing dedicated capital funding for new (a) MRI and (b) CT scanners for radiotherapy departments.

The Elective Reform Plan, published in January 2025, sets out the reforms needed to return to the 18-week Referral to Treatment (RTT) constitutional standard by March 2029, a standard which has not been met consistently since September 2015. This will include ensuring the diagnostic capacity, such as magnetic resonance imaging and computed tomography scanners, required to deliver on the standard.As announced at the Autumn Budget 2024, capital spending is set to increase to £13.6 billion in 2025/26, representing record levels of capital investment into healthcare.This settlement includes a £1.65 billion capital investment to fund new surgical hubs, diagnostic scanners, and beds, supporting National Health Service performance across secondary and emergency care in 2025/26. Of this, £70 million will fund new radiotherapy machines to improve cancer treatment.In addition, the Government is backing the NHS with over £4 billion in operational capital in 2025/26, enabling systems to allocate funding to local priorities such as replacement diagnostic and radiotherapy equipment.All future spending commitments beyond 2025/26 will be determined through the next phase of the Spending Review process.

What steps he is taking to increase the number of (a) clinical oncologists, (b) therapeutic radiographers, (c) medical physicists and (d) engineers as part of the NHS 10 year plan.

A central part of the 10-Year Health Plan will be our workforce and those who support our workforce, and how we ensure the National Health Service has the right people, in the right places, with the right skills to deliver the care patients need when they need it.Getting the NHS back to working for patients means ending the workforce crisis across the health service. We intend to take a fresh look at the Long Term Workforce Plan, to ensure it fully aligns with the level of ambition and reforms required following the 10-Year Health Plan. Decisions about recruitment are matters for individual NHS trusts.

If he will have discussions with the Secretary of State for Housing, Communities and Local Government on ensuring the provision of community pharmacies in new housing developments.

Local authorities are required to undertake a pharmaceutical needs assessment (PNA) every three years to assess whether their population is adequately served by local pharmacies. Legislation requires PNAs to include consideration of the future need for pharmaceutical services in the area. The Department has published an information pack to support local authorities in preparation of PNAs, which is available at the following link:https://assets.publishing.service.gov.uk/media/617bdc31d3bf7f5601cf3168/pharmaceutical-needs-assessment-information-pack.pdfChapter 6 of the information pack provides advice on how future needs, improvement, or better access should be articulated in the PNA, including following any new housing developments. These assessments inform commissioning decisions by integrated care boards.

What comparative assessment his Department has made of pharmacy provision in (a) England and (b) Scotland.

As is custom and practice when considering policy development for England, we regularly examine and consider the services that are commissioned from pharmacies in a range of other jurisdictions. This includes regular liaison with Wales, Scotland, and Northern Ireland about their experiences and planned developments.

What steps he plans to take to support community pharmacies.

For 2025/26, funding for the core community pharmacy contractual framework has been increased to £3.073 billion. This represents the largest uplift in funding of any part of the National Health Service, at over 19% across 2024/25 and 2025/26.There is also additional funding available, for example for pharmacies delivering Pharmacy First consultations and flu and COVID-19 vaccinations. The Pharmacy Access Scheme provides additional funding to support pharmacies in areas where there are fewer.This year, legislation will also be laid to enable all pharmacies to benefit from the efficiencies of hub and spoke dispensing, and/or using pharmacy technicians to undertake more of the work in pharmacies, enabling pharmacists to spend more time with patients.

What assessment he has made of the potential merits of enabling urgent community response teams to administer urgent care at home.

Increasing access to urgent community response (UCR) services is a requirement within the 2025/26 NHS Operational Planning guidance, with integrated care board plans showing increases in capacity across the country. UCR also features as a key service within the ‘urgent neighbourhood services’ component of the published Neighbourhood Health guidance.

What steps his Department is taking to support and expand Urgent Community Response teams.

Increasing access to urgent community response (UCR) services is a requirement within the 2025/26 NHS Operational Planning guidance, with integrated care board plans showing increases in capacity across the country. UCR also features as a key service within the ‘urgent neighbourhood services’ component of the published Neighbourhood Health guidance.

What steps his Department is taking through the NHS 10-Year Plan to improve public access to first aid (a) training and (b) equipment.

The 10-Year Health Plan will deliver the three big shifts our National Health Service needs to be fit for the future: from hospital to community; from analogue to digital; and from sickness to prevention. The detail of the plan will be set out in due course, but all of these shifts are relevant to improving first aid in all parts of the county. Throughout the 10-Year Health Plan engagement process, we have sought the views of first aid charities and organisations, with representation from the British Red Cross at our Partners Council, where they have provided views on emerging policy themes.Whilst the 10-Year Health Plan is being developed, we are continuing to invest in first aid training and equipment. For example, the Community Automated External Defibrillators Fund is a £1 million fund that is increasing the number of automated external defibrillators (AEDs) within England. Further to this, NHS England has partnered with St John Ambulance to co-ordinate skills development to significantly increase the use of AEDs by individuals in community settings.

What steps his Department is taking to increase (a) survival rates from out-of-hospital cardiac arrests and (b) the availability of defibrillators in Woking.

In a bid to improve patients' survival rates following out-of-hospital cardiac arrests, the Government has committed to improving access to automated external defibrillators (AEDs) in public spaces and reducing inequalities in access to these life saving devices. Following the depletion of the existing AED Fund, launched in September 2023, the Government approved a further £500,000 in August 2024 to fulfil the existing applications to the fund.As part of the application process, the Department has set out requirements to ensure that resources are allocated to where there is the greatest need, for instance in remote communities with extended ambulance response times, places with high footfall and high population densities, hotspots for cardiac arrest, including sporting venues and venues with vulnerable people, and deprived areas. Three AEDs have been distributed through the AED Fund in Woking.

What steps his Department plans to take to work with volunteers to (a) add resilience to the NHS workforce, (b) reduce waiting lists and (c) move care out-of-hospital and into the community.

The National Health Service has always benefitted from the generous support of volunteers. Volunteers will continue to play an important and complementary role in the NHS and care system, supporting patients, families, and staff.NHS England invested £10 million last year to support programmes across 15 integrated care systems to improve volunteering infrastructure. NHS England is also continuing to invest in the NHS volunteer recruitment portal and deliver on recommendations from the NHS Volunteer Taskforce Report from 2023.A central part of the 10-Year Health Plan will be our workforce and those who support our workforce, so we can ensure the NHS has the right people, in the right places, with the right skills to deliver the right care to patients when they need it.

If he will take steps with NHS England to improve the provision of respite homes for mums and babies post traumatic birth.

The Department recognises the significant physical and psychological consequences of birth trauma and the devastating impact this can have on some women. We are fully committed to improving the quality and consistency of care for women throughout pregnancy, birth, and the critical months that follow, and to ensuring that when a woman experiences a traumatic birth, there is a broad range of support availableIn relation to the psychological impact, bespoke mental health pathways support women who experience mental health difficulties as a result of labour. These services are provided through specialist perinatal mental health services, maternal mental health services, and mother and baby units. Mother and baby units are specialist, in-patient units for some women with mental health problems, designed to keep mothers and their babies together. Specialist staff nurture and support the mother infant relationship on the ward, while at the same time the mother receives treatment and care. 165 mother and baby unit beds have now been commissioned, and maternal mental health services have been set up in 41 out of the 42 local areas across England to provide care for women with moderate to severe or complex mental health difficulties, arising from birth trauma or loss in the maternity/neonatal context.With regards to physical health, NHS England’s national service specification for perinatal pelvic health services sets out the expected standards of care to improve the prevention and identification of pelvic health issues, and to increase access to physiotherapy for pelvic health issues during pregnancy and for at least one year after birth. These services work with maternity services across England to implement the Royal College of Obstetricians and Gynaecologists’ Obstetric Anal Sphincter Injuries care bundle, to reduce rates of anal sphincter, or perineal, injuries resulting from labour and vaginal birth.All women are now offered a general practitioner (GP) check six to eight weeks after birth that should focus on the mothers physical and mental health needs. This is an opportunity for GPs to listen to women in a discrete, supportive environment, in order to provide personalised postnatal care for their physical and mental health, and includes an explicit reference to birth trauma for the first time.

What steps he is taking to ensure community pharmacies receive support to stay open.

The Government recognises that pharmacies are an integral part of the fabric of our communities, as an easily accessible ‘front door’ to the National Health Service, staffed by highly trained and skilled healthcare professionals.The Government is committed to expanding the role of pharmacies and to better utilising the skills of pharmacists and pharmacy technicians.We are now working at pace with Community Pharmacy England to ensure that the funding we have available is used to support community pharmacy in the best way possible. We will announce the outcome of the consultation in the usual manner, by letter to contractors, when the consultation has concluded.

What steps NHS England is taking to support people with (a) ME and (b) long Covid; what funding has been allocated to Surrey for treatment of such conditions; and what the waiting times are for (i) diagnosis and (ii) care in Surrey.

Integrated care boards (ICBs) are responsible for determining the level of long COVID and myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), services locally, and are responsible for ensuring that the services they commission meet the needs of their local populations.I have been advised by NHS England that NHS Surrey Heartlands has taken the decision to no longer operate dedicated long COVID services following the publication of updated guidance by NHS England, in April 2024, on the provision of long COVID services.As of 8 July 2024, patients presenting with symptoms that may be linked to long COVID will be referred to other available services depending on their symptoms, including chronic fatigue services, physiotherapy and rehabilitation services, and mental health services such as psychotherapy.Every effort will be made to ensure that the patients who are currently accessing these services complete their therapy and, if appropriate, are transferred to other services specific to their needs.NHS Surrey Heartlands recognises that this decision may cause concern for people receiving care within current long COVID services, however, patients will continue to receive support and advice. We are working with the current providers of long COVID services, First Community Health and Care and Surrey Downs Health and Care, to ensure that patients are transferred into alternative pathways safely.NHS England has recently completed a long COVID stocktake, aiming to provide a national overview of the service delivery of commissioning and contracting, assessing access, activity, and outcomes. Executive NHS England board members were updated on the current provision of long COVID services, noting the challenges and significant variation. NHS England will continue to support the ICBs to enhance service quality and ensure equitable access to care and consistency across the system.

If he will review the earnings and capital thresholds for disabled adults in receipt of social care support to ensure they are not disadvantaged when saving for (a) a house deposit and (b) other major life expenses.

The current capital thresholds, namely the lower limit of £14,250 and the upper limit of £23,250, ensure that individuals have a minimum amount of capital protected.Where an individual is receiving care in their own home, charging should not reduce an individual’s income below the Minimum Income Guarantee. For those receiving care in a residential setting, residents must retain an allowance for personal expenses. Additionally, people must retain enough of their disability related benefits for any disability-related expenditure they incur.The capital limits and the social care allowance rates are communicated annually, and the rates for the financial year 2025/26 will be published in the Local Authority Circular in February 2025.We have announced an independent commission into adult social care to build consensus on what adult social care should achieve, address systemic challenges comprehensively, and chart a clear path toward practical and impactful reform.

What steps his Department is taking to help improve NHS provision of (a) dental care for pregnant women, (b) radiography services for cancer patients, (c) GP access in areas with significant housin

Pregnant women and new mothers are entitled to free National Health Service dental care. The responsibility for commissioning primary care services, including NHS dentistry, to meet the needs of the local population has been delegated to the integrated ca...