Asked by: Andrew Snowden (Conservative - Fylde)
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 number of medical graduates who have been unable to secure training scheme posts in the last three years.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Upon entering the National Health Service after graduation, medical students enter a two-year period of foundation programme placements. The United Kingdom Foundation Programme Office has successfully allocated foundation programme places to all eligible applicants in each of the past three years. These total 10,634 applicants for the 2025 programme, 9,702 for the 2024 programme, and 8,655 in 2023.
Upon successful completion of the foundation programme most doctors choose to apply for speciality training programmes. Competition for speciality training posts has grown in recent years, in part due to the introduction of health and care visas in 2020, as well as the decision to remove the Resident Labour Market Test for doctors in 2020 which has meant that more international medical graduates are applying for speciality training places, increasing the number of candidates for roles.
The table below presents the number of specialist training program applicants and the number of available posts in England by round. The difference between these two numbers is not exactly the number of candidates unable to secure a position as some applicants may not meet the thresholds set for recruitment to specialty training and some may be offered a specialty training post but for a range of reasons do not take up that position.
Round One | Round Two | |||
Entry year | Unique Applicants | Available Posts | Unique Applicants | Available Posts |
2023 | 20,297 | 9,265 | 6,081 | 3,415 |
2024 | 26,203 | 9,331 | 7,179 | 3,412 |
2025 | 33,870 | 9,479 | 8,481 | 3,354 |
Source: NHS England Medical Specialty Programme Applications Data.
Round one of the medical specialty application process includes applications to first year specialty training and core training programmes, often referred to as ST1 and CT1 respectively, and some ‘higher’ medical specialty training programmes, usually at year three, often referred to as ST3. Round two is for entry to most ‘higher’ medical specialty training programmes, ST3 or ST4. There will be a limited number of doctors who apply in a year to both rounds one and two.
The 10-Year Health Plan set out that 1,000 more specialty training places would be created over the next three years.
On 8 December, the Government put an offer in writing to the British Medical Association Resident Doctors Committee which would have put in place emergency legislation in the new year which would prioritise UK 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 NHS for a significant period of time for specialty training. This would have applied for current applicants for training posts starting in 2026, and every year after that.
The British Medical Association has rejected the Government's offer and the Government will consider its next steps.
Asked by: Andrew Snowden (Conservative - Fylde)
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 impact of Resident Doctor strikes on the delivery of healthcare services in Lancashire.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department has not made a formal assessment of the potential impact of resident doctor strikes on the delivery of healthcare services in Lancashire specifically.
The National Health Service makes every effort through rigorous contingency planning to minimise disruption as a result of industrial action and to mitigate its impact on patients and the public. During the industrial action by resident doctors from 14 to 19 November 2025, data published by NHS England showed that the NHS met its ambitious goal to maintain 95% of planned care, surpassing the 93% protected during action in July, while still maintaining critical services, including maternity services and urgent cancer care. All hospitals are asked to do a pre-assessment ahead of strike action.
To minimise the potential impact of the next round of resident doctor strike action, planned for 17 to 22 December, NHS England wrote to all trusts on 15 December asking them to prepare for planned industrial action. This includes conducting risk assessments and collecting data to estimate the impact on elective care. This letter is available at the following link:
Asked by: Andrew Snowden (Conservative - Fylde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to reduce transmission of influenza in Lancashire.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Our flu vaccination campaign started in September, and is helping to keep people out of hospital.
The UK Health Security Agency is also working closely with colleagues in NHS North West and local integrated care boards (ICBs). There continues to be sustained multi-agency communications and marketing across the localised area and work is ongoing to promote and amplify prevention measures. Work continues to encourage prevention through targeted communications using local data to both the public and stakeholders whilst work is ongoing, as in every winter season, to show trends locally to allow the local health family to act accordingly via shared data and intelligence.
The ICB has stepped up public messaging around getting the flu vaccine for eligible groups and the importance of choosing the right service. This has included promoting a bespoke winter campaign in the local area as well as press releases, social media, and broadcast interviews at a local and regional level.
Some local hospitals have made it mandatory for staff to wear a surgical mask in any areas with suspected or confirmed influenza patients, and those patients who are suspected as having influenza on triage may also be asked to wear a mask. Masks are also available to patients and relatives in waiting areas.
Asked by: Andrew Snowden (Conservative - Fylde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether the Department has assessed the potential benefits of enabling GPs to issue automatic repeat prescriptions for patients on stable, long-term medication.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Responsibility for prescribing, including the issue of repeat prescribing and the duration of prescriptions, rests with the prescriber who has clinical responsibility for that particular aspect of a patient’s care.
Electronic repeat dispensing is already implemented in the National Health Service and allows prescribers to authorise and issue a batch of repeat prescriptions for up to 12 months with just one digital signature. Since April 2019, the GP Contract has stated that electronic repeat dispensing should be used for all patients for whom it is clinically appropriate.
Prescriptions for longer periods of time may be more appropriate and more convenient for some patients with stable long-term conditions. However, for some patients, issuing shorter prescriptions may be appropriate to give the prescriber the opportunity to review the patient’s medicines, which is important for some treatment courses that require greater scrutiny or monitoring to be managed appropriately.
Asked by: Andrew Snowden (Conservative - Fylde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether (a) families and (b) attorneys holding Power of Attorney are notified immediately when a DNR notice is added to a vulnerable adult’s medical record.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department remains clear that it is unacceptable for Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions to be applied in a blanket fashion to any group of people and should be fully discussed with the individual and their family where possible and appropriate. NHS England clinical leaders have issued a number of statements and letters to health and care providers which emphasise personalised approaches to care and treatment and which reiterate that there has never been an instruction or directive issued by the National Health Service to put in place a DNACPR solely on the basis of disability, learning disability, or special needs.
Agreement to a DNACPR is an individual decision and should involve the person concerned or, where the person lacks capacity, their families, carers, guardians, or other legally recognised advocates. Guidance from clinical bodies such as the British Medical Association, the Resuscitation Council UK, and Royal College of Nursing reflects this. These decisions should take into account the patient’s wishes, or those of people close to the patient, informed by a sensitive explanation of the risks and burdens associated with giving cardiopulmonary resuscitation. The treating doctor should try to reach agreement with the patient or those close to the patient. If, after discussion, the doctor remains of the view that cardiopulmonary resuscitation would not be clinically appropriate, there is not an obligation to attempt it. However, the rationale for not doing so should be clearly articulated. NHS England has published public-facing guidance on DNACPR decisions on the NHS.UK website. This includes advice on asking for a second opinion or review if patients, or their families, disagree with a DNACPR decision.
The Department has not received any complaints regarding DNACPR decisions being applied without consent in the last five years.
Asked by: Andrew Snowden (Conservative - Fylde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether guidance has been issued to NHS Trusts to ensure that DNR decisions are never made solely on the basis of disability, learning disability and special needs.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department remains clear that it is unacceptable for Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions to be applied in a blanket fashion to any group of people and should be fully discussed with the individual and their family where possible and appropriate. NHS England clinical leaders have issued a number of statements and letters to health and care providers which emphasise personalised approaches to care and treatment and which reiterate that there has never been an instruction or directive issued by the National Health Service to put in place a DNACPR solely on the basis of disability, learning disability, or special needs.
Agreement to a DNACPR is an individual decision and should involve the person concerned or, where the person lacks capacity, their families, carers, guardians, or other legally recognised advocates. Guidance from clinical bodies such as the British Medical Association, the Resuscitation Council UK, and Royal College of Nursing reflects this. These decisions should take into account the patient’s wishes, or those of people close to the patient, informed by a sensitive explanation of the risks and burdens associated with giving cardiopulmonary resuscitation. The treating doctor should try to reach agreement with the patient or those close to the patient. If, after discussion, the doctor remains of the view that cardiopulmonary resuscitation would not be clinically appropriate, there is not an obligation to attempt it. However, the rationale for not doing so should be clearly articulated. NHS England has published public-facing guidance on DNACPR decisions on the NHS.UK website. This includes advice on asking for a second opinion or review if patients, or their families, disagree with a DNACPR decision.
The Department has not received any complaints regarding DNACPR decisions being applied without consent in the last five years.
Asked by: Andrew Snowden (Conservative - Fylde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what mechanisms exist for healthcare professionals to report poverty in people with terminal illnesses to the Department for Work and Pensions.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department of Health and Social Care has indicated that it will not be possible to answer this question within the usual time period. An answer is being prepared and will be provided as soon as it is available.
Asked by: Andrew Snowden (Conservative - Fylde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many complaints his Department has received in each of the last five years regarding DNR notices being applied without consent.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department remains clear that it is unacceptable for Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions to be applied in a blanket fashion to any group of people and should be fully discussed with the individual and their family where possible and appropriate. NHS England clinical leaders have issued a number of statements and letters to health and care providers which emphasise personalised approaches to care and treatment and which reiterate that there has never been an instruction or directive issued by the National Health Service to put in place a DNACPR solely on the basis of disability, learning disability, or special needs.
Agreement to a DNACPR is an individual decision and should involve the person concerned or, where the person lacks capacity, their families, carers, guardians, or other legally recognised advocates. Guidance from clinical bodies such as the British Medical Association, the Resuscitation Council UK, and Royal College of Nursing reflects this. These decisions should take into account the patient’s wishes, or those of people close to the patient, informed by a sensitive explanation of the risks and burdens associated with giving cardiopulmonary resuscitation. The treating doctor should try to reach agreement with the patient or those close to the patient. If, after discussion, the doctor remains of the view that cardiopulmonary resuscitation would not be clinically appropriate, there is not an obligation to attempt it. However, the rationale for not doing so should be clearly articulated. NHS England has published public-facing guidance on DNACPR decisions on the NHS.UK website. This includes advice on asking for a second opinion or review if patients, or their families, disagree with a DNACPR decision.
The Department has not received any complaints regarding DNACPR decisions being applied without consent in the last five years.
Asked by: Andrew Snowden (Conservative - Fylde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of hospital admissions due to acute influenza across Lancashire; and how this compares to the same period last year.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Data on hospital admissions due to flu at a county level is not published. Between 25 November and 7 December 2025, there was a daily average of 346 adult general and acute beds occupied by flu patients in acute trusts in the North West. This was higher than over the same period last year when there was a daily average of 142 adult general and acute beds occupied by flu patients.
NHS England began publication of Winter Situation Reports, which includes flu-specific bed occupancy at a regional level, from 24 November 2025 and from 25 November in 2024. These figures are published in the NHS England Winter Situation Reports, which are available at the following link:
Asked by: Andrew Snowden (Conservative - Fylde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps the Government is taking with the NHS to end the practice of discharging mothers with newborn babies into B&Bs or other unsuitable accommodation.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government is working closely with the National Health Service to end the practice of mothers with newborns being discharged to bed and breakfasts or other forms of unsuitable shared housing.
Our new Child Poverty Strategy was published 5 December 2025 and will end the unlawful placement of families in bed and breakfasts beyond the six-week limit. To support this, the Government is investing £8 million in Emergency Accommodation Reduction Pilots in 20 local authorities that have the highest use of bed and breakfasts for homeless families and is continuing the programme for the next three years.
We will work with local authorities, supported by robust NHS pathways, to make sure safe and appropriate alternatives are available and used. This includes identifying issues as early as possible to help ensure that the housing a new mother and their newborn will be discharged to meets their needs.
We are also working across the Government to support children in temporary accommodation. This includes introducing a clinical code for children in temporary accommodation, ensuring these families are proactively contacted by health services and ending the practice of discharging newborn babies into a bed and breakfast or other unsuitable shared accommodation.