Asked by: Louie French (Conservative - Old Bexley and Sidcup)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of Local Authorities commissioning gambling harms prevention; and of their capacity to do so.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
In April 2025, the statutory gambling levy came into effect to fund the research, prevention, and treatment of gambling-related harm across Great Britain. In its first year, the levy has raised nearly £120 million, with 30% allocated to gambling harms prevention activity.
The Department for Culture, Media and Sport, which is responsible for the implementation and oversight of the gambling levy, remains confident that levy commissioners are best placed to make decisions on the future of their work programmes regarding the research, prevention, and treatment of gambling-related harms.
As prevention commissioners, the Office for Health Improvement and Disparities (OHID) in England and the Scottish and Welsh administrations continue to work collaboratively on the development of their respective work programmes, drawing on expertise from across the system. OHID will employ a ‘test and learn’ approach as they transition to the new levy system, to better-understand what interventions are most effective in preventing gambling harms at a local, regional, and national level.
Local authorities are well placed to play a central role in preventing gambling‑related harms across local communities. An OHID-led stocktake of local authority activity in this space indicated that whilst some activity is already underway, there is appetite within local authorities to do more.
OHID are developing a fund for all upper-tier local authorities across England, which will aim to strengthen local capacity to tackle gambling‑related harm by facilitating improved understanding of local need and supporting the development of effective local and regional networks. This will be delivered alongside the Gambling Harms Prevention: Voluntary, Community and Social Enterprise grant fund which launched in January to fund voluntary, community, and social enterprise organisations to deliver prevention activity across England until March 2028. Further information on the Gambling Harms Prevention: Voluntary, Community and Social Enterprise grant fund is avaiable at the following link:
Asked by: Louie French (Conservative - Old Bexley and Sidcup)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential merits of expanding domestic training places compared instead of continuing current levels of international recruitment.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
On 8 December 2025, the Government put an offer in writing to the British Medical Association Resident Doctors Committee which would put in place emergency legislation in the new year which would prioritise United Kingdom and Republic of Ireland medical graduates for foundation training, and prioritise UK and Republic of Ireland medical graduates and doctors who have worked in the National Health Service for a significant period of time for specialty training. This would apply to current applicants for training posts starting in 2026, and every year after that.
Other measures in the offer include creating 4,000 more specialty training places, with 1,000 of these brought forward to this year, cost related measures, such as reimbursement for exam fees, to address the unique costs that resident doctors face, and increasing the less than full time allowance by 50% to £1,500.
This is in addition to steps already taken by NHS England in September to tackle competition for speciality training places this year by changing General Medical Council registration requirements and limiting the number of applications that can be submitted by individuals.
We have also made significant progress over the past year to improve the working lives of resident doctors. This includes agreeing an improved exception reporting system which will ensure doctors are compensated fairly for additional work, reviewing how resident doctors rotate through their training, and reforming and rationalising statutory and mandatory training to reduce unnecessary burden and repetition.
In August 2025, NHS England published The NHS’s 10 Point Plan which set out actions for NHS England and trusts to improve resident doctors working conditions by fixing unacceptable working practices and getting the basics right for resident doctors. It aims to tackle basic issues like payroll errors, poor rota management, lack of access to rest facilities and hot food, and unnecessarily repeating training.
Asked by: Louie French (Conservative - Old Bexley and Sidcup)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to prevent the loss of UK-trained medical graduates to (a) alternative careers and (b) emigration.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
On 8 December 2025, the Government put an offer in writing to the British Medical Association Resident Doctors Committee which would put in place emergency legislation in the new year which would prioritise United Kingdom and Republic of Ireland medical graduates for foundation training, and prioritise UK and Republic of Ireland medical graduates and doctors who have worked in the National Health Service for a significant period of time for specialty training. This would apply to current applicants for training posts starting in 2026, and every year after that.
Other measures in the offer include creating 4,000 more specialty training places, with 1,000 of these brought forward to this year, cost related measures, such as reimbursement for exam fees, to address the unique costs that resident doctors face, and increasing the less than full time allowance by 50% to £1,500.
This is in addition to steps already taken by NHS England in September to tackle competition for speciality training places this year by changing General Medical Council registration requirements and limiting the number of applications that can be submitted by individuals.
We have also made significant progress over the past year to improve the working lives of resident doctors. This includes agreeing an improved exception reporting system which will ensure doctors are compensated fairly for additional work, reviewing how resident doctors rotate through their training, and reforming and rationalising statutory and mandatory training to reduce unnecessary burden and repetition.
In August 2025, NHS England published The NHS’s 10 Point Plan which set out actions for NHS England and trusts to improve resident doctors working conditions by fixing unacceptable working practices and getting the basics right for resident doctors. It aims to tackle basic issues like payroll errors, poor rota management, lack of access to rest facilities and hot food, and unnecessarily repeating training.
Asked by: Louie French (Conservative - Old Bexley and Sidcup)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he will issue guidance to the NHS on recruitment the recruitment of domestic graduates and non-UK applicants.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
On 8 December 2025, the Government put an offer in writing to the British Medical Association Resident Doctors Committee which would put in place emergency legislation in the new year which would prioritise United Kingdom and Republic of Ireland medical graduates for foundation training, and prioritise UK and Republic of Ireland medical graduates and doctors who have worked in the National Health Service for a significant period of time for specialty training. This would apply to current applicants for training posts starting in 2026, and every year after that.
Other measures in the offer include creating 4,000 more specialty training places, with 1,000 of these brought forward to this year, cost related measures, such as reimbursement for exam fees, to address the unique costs that resident doctors face, and increasing the less than full time allowance by 50% to £1,500.
This is in addition to steps already taken by NHS England in September to tackle competition for speciality training places this year by changing General Medical Council registration requirements and limiting the number of applications that can be submitted by individuals.
We have also made significant progress over the past year to improve the working lives of resident doctors. This includes agreeing an improved exception reporting system which will ensure doctors are compensated fairly for additional work, reviewing how resident doctors rotate through their training, and reforming and rationalising statutory and mandatory training to reduce unnecessary burden and repetition.
In August 2025, NHS England published The NHS’s 10 Point Plan which set out actions for NHS England and trusts to improve resident doctors working conditions by fixing unacceptable working practices and getting the basics right for resident doctors. It aims to tackle basic issues like payroll errors, poor rota management, lack of access to rest facilities and hot food, and unnecessarily repeating training.
Asked by: Louie French (Conservative - Old Bexley and Sidcup)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department is taking steps to prioritise UK-trained medical graduates over overseas-trained applicants when allocating (a) Foundation Years and (b) speciality training posts; and if he will make it his policy to reintroduce a residency-based labour-market test for NHS training posts.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
On 8 December 2025, the Government put an offer in writing to the British Medical Association Resident Doctors Committee which would put in place emergency legislation in the new year which would prioritise United Kingdom and Republic of Ireland medical graduates for foundation training, and prioritise UK and Republic of Ireland medical graduates and doctors who have worked in the National Health Service for a significant period of time for specialty training. This would apply to current applicants for training posts starting in 2026, and every year after that.
Other measures in the offer include creating 4,000 more specialty training places, with 1,000 of these brought forward to this year, cost related measures, such as reimbursement for exam fees, to address the unique costs that resident doctors face, and increasing the less than full time allowance by 50% to £1,500.
This is in addition to steps already taken by NHS England in September to tackle competition for speciality training places this year by changing General Medical Council registration requirements and limiting the number of applications that can be submitted by individuals.
We have also made significant progress over the past year to improve the working lives of resident doctors. This includes agreeing an improved exception reporting system which will ensure doctors are compensated fairly for additional work, reviewing how resident doctors rotate through their training, and reforming and rationalising statutory and mandatory training to reduce unnecessary burden and repetition.
In August 2025, NHS England published The NHS’s 10 Point Plan which set out actions for NHS England and trusts to improve resident doctors working conditions by fixing unacceptable working practices and getting the basics right for resident doctors. It aims to tackle basic issues like payroll errors, poor rota management, lack of access to rest facilities and hot food, and unnecessarily repeating training.
Asked by: Louie French (Conservative - Old Bexley and Sidcup)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how much has been spent on training UK medical students in each of the last five years, and how many of those publicly-funded graduates did not secure Foundation or speciality training places in the NHS.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The following table sets out the total costs incurred by NHS England in providing medical education in England between 2021/22 and 2025/26, split by placement costs and bursaries:
Financial year | Placement costs (£) | Bursaries (£) | Total Education and Training costs (£) |
2025/26* | 897,330,129 | 146,069,562 | 1,043,399,691 |
2024/25 | 853,829,035 | 140,565,328 | 994,394,363 |
2023/24 | 789,778,565 | 134,498,120 | 924,276,685 |
2022/23 | 733,337,634 | 126,186,114 | 859,523,748 |
2021/22 | 708,292,911 | 113,419,097 | 821,712,008 |
Source: NHS England
Notes:
The United Kingdom Foundation Programme Office has sought to allocate Foundation Programme places to all eligible applicants in each of the past five years.
The General Medical Council (GMC) publishes data on the proportion of doctors completing foundation year two who have subsequently entered the specialty training pipeline in each subsequent year. The data does not differentiate between the place of undergraduate study of doctors but given over 90% of doctors completing foundation year two are United Kingdom graduates, the data provides a good proxy for progression on to specialty training. This data is available as part of the GMC’s National Training Survey at the following link:
https://edt.gmc-uk.org/progression-reports/recruitment-from-f2
Asked by: Louie French (Conservative - Old Bexley and Sidcup)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 30 October 2025 to Question 83371 on Abiraterone: Finance, what steps he is taking to secure recurrent budget allocation for abiraterone for use in cases of high-risk non-metastatic prostate cancer.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Abiraterone is not licensed for use in the treatment of high-risk, non-metastatic hormone-sensitive prostate cancer, and as such, cannot be evaluated by the National Institute for Health and Care Excellence (NICE) for routine use on the National Health Service. NICE makes recommendations for the NHS in England on the vast majority of new and significant licence indications but does not evaluate medicines that are used outside their marketing authorisations or “off-label”.
These funding decisions are the responsibility of NHS commissioners who are required to make decisions on the basis of the available evidence. For cancer medicines, NHS England is the responsible commissioner and has an established mechanism to do so through its clinical prioritisation process. NHS England considered abiraterone as an off-label treatment for the treatment of hormone sensitive, non-metastatic prostate cancer through its clinical policy development process in 2024/25. Through this process, NHS England confirmed that there was sufficient supporting evidence to support the routine commissioning of abiraterone in this indication and it was ranked as the top priority for routine commissioning. However, it has not been possible to identify the necessary recurrent funding to support the commissioning of abiraterone, or any other treatments within the prioritisation round.
This position takes into account the need to ensure the affordability of introducing any new routine commissioning policies, alongside maintaining existing services for patients, and meeting the NHS’ legal requirement to fund all NICE approved drugs. Abiraterone for the treatment of high-risk, hormone sensitive, non-metastatic prostate cancer remains the top priority for routine commissioning, and its position is being kept under active review.
Asked by: Louie French (Conservative - Old Bexley and Sidcup)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, when the Clinical Priorities Advisory Group next plans to consider funding for Abiraterone in a prioritsation round.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England considered abiraterone as an off-label treatment for hormone sensitive, non-metastatic prostate cancer through its clinical policy development process in 2024/25. Through this process, NHS England confirmed that there was sufficient supporting evidence to support the routine commissioning of abiraterone in this indication and it was ranked as the top priority for routine commissioning. This position is being kept under review, although currently there is no requirement for another meeting of the Clinical Priorities Advisory Group to reprioritise this policy, and the policy will be progressed as soon as recurrent funding is identified.
Asked by: Louie French (Conservative - Old Bexley and Sidcup)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will take steps to help ensure the continuity of the (a) National Gambling Helpline and (b) other national gambling harms charities.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The introduction of the new statutory levy on gambling operators, which came into effect in April 2025, guarantees independent, sustainable funding for the research, prevention, and treatment of gambling-related harms.
The Government recognises the important role national gambling harm charities play in providing help and support for those experiencing gambling-related harms. To ensure the continuity of these services during the transition to the levy system, GambleAware will continue to commission existing treatment and support services until 31 March 2026.
From 1 April 2026, NHS England will assume responsibility for commissioning the full gambling harms treatment pathway in England. Organisations, including those who operate the National Gambling Helpline, will be permitted to apply for ringfenced levy funding, provided they comply with the stated eligibility requirements. NHS England is actively working to confirm future commissioning arrangements and is committed to keeping stakeholders informed, with a further update expected in November.
The Office for Improvement and Disparities, as the prevention commissioner for England under the levy, intends to launch a competitive grant process for 2026/27 to provide funding for the voluntary sector to deliver effective prevention activity. Further details will be confirmed in November 2025.
Asked by: Louie French (Conservative - Old Bexley and Sidcup)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the 10 Year Health Plan for England, what assessment he has made of the potential merits of using (a) chiropractors and (b) other wider healthcare professionals to support the NHS in delivering neighbourhood health centres.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Neighbourhood health centres will provide easier, more convenient access to a full range of healthcare services on people’s doorsteps, and patients will be treated and cared for closer to their home by new teams of healthcare professionals.
We have launched the National Neighbourhood Health Implementation Programme (NNHIP). The NNHIP will support systems across the country to test new ways of working, share learning, and scale what works. This programme will inform future strategy and policy development, and outcome metrics will be rigorously monitored.