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Written Question
Epilepsy: Research
Tuesday 6th January 2026

Asked by: Anneliese Midgley (Labour - Knowsley)

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 adequacy of his Department's funding for epilepsy research.

Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)

The Department funds research into epilepsy via the National Institute for Health and Care Research (NIHR). Between 2020/21 and 2024/25, the NIHR invested £12.8 million in direct research funding on epilepsy. This investment in epilepsy research allows us to continue developing our understanding of the condition and make a real difference to people living with epilepsy, as demonstrated by the examples of impact outlined below.

In 2022, the NIHR-hosted James Lind Alliance (JLA) carried out a UK Epilepsy Priority Setting Partnership (PSP) with epilepsy patients, carers, and service providers to identify the most pressing research priorities for ongoing epilepsy research investment. Many NIHR-funded research projects align to and address the priorities set out by the JLA PSP, boosting epilepsy research. These include:

  • the Ultra Long-Term EEG to Guide Rapid Treatment Changes for People with Epilepsy (LEG-RTC) study, which that is studying how the first ever ultra-long term seizure recorder could help improve outcomes and reduce risk of harm for patients with epilepsy whose condition cannot be controlled by medication, with further information available at the following link: https://www.fundingawards.nihr.ac.uk/award/NIHR209057;
  • the Medicinal Cannabis in Refractory Epilepsies study, which aims to explore whether two different cannabis-based medicines are a useful treatment for refractory epilepsy in reducing seizures, and whether these medicines impact learning, sleep, behavior, quality of life, stress, and anxiety, with further information available at the following link: https://www.fundingawards.nihr.ac.uk/award/NIHR131309; and
  • the Developing a wireless intracranial neuromonitoring device for drug-resistant epilepsy study, to develop a wireless neuromonitoring device for drug-resistant epilepsy, aiming to create a minimally invasive, implantable device which allows for extended monitoring of seizures without the need for patients to remain in hospital leading to less patient distress, better localization data, reduced clinical costs, and better surgical outcomes. Further information is available at the following link: https://fundingawards.nihr.ac.uk/award/NIHR204209.

Other examples of NIHR-funded epilepsy research and impact include:

  • the Epilepsy: what are the chances of having a second seizure? study, where, in 2023, NIHR-funded researchers found that an individual’s risk of having a second seizure after an initial unprovoked seizure was highest in the first six months, although the risk remained elevated for two years and beyond, providing critical insights for doctors counselling their patients on repeat seizure risks. Many studies in this review had a follow-up period of less than two years. This review therefore highlights the need for further research which can estimate the risk of seizure recurrence beyond two years. Further information is available at the following link: https://evidence.nihr.ac.uk/alert/epilepsy-what-are-the-chances-of-having-a-second-seizure/; and
  • the How can we support the mental health of children with epilepsy? study, which evaluated the remotely delivered Mental Health Intervention for Children with Epilepsy (MICE), delivered by epilepsy clinicians with limited formal training in psychological interventions. Compared with usual care, when clinicians used the intervention, young people with epilepsy and their carers had improved mental health. The evidence from this research suggests that a variety of clinicians can effectively and safely treat children with epilepsy and mental health difficulties. The remote delivery of MICE was beneficial in terms of less travel time and less time out of school for children. Further information is available at the following link: https://evidence.nihr.ac.uk/alert/how-can-we-support-the-mental-health-of-children-with-epilepsy/.

The NIHR also works closely with other Government funders, including UK Research and Innovation, which is funded by the Department for Science, Innovation and Technology and includes the Medical Research Council, to fund research into epilepsy to improve treatments and prevent poor health outcomes for patients.

The NIHR welcomes funding applications for research into any aspect of human health and care, including epilepsy. 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. Welcoming applications on epilepsy to all NIHR programmes enables maximum flexibility both in terms of amount of research funding a particular area can be awarded, and the type of research which can be funded.


Written Question
Epilepsy: Research
Monday 5th January 2026

Asked by: Anneliese Midgley (Labour - Knowsley)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the cost of epilepsy to (a) the NHS and (b) the wider economy; and how this estimate informs decisions on funding for epilepsy research.

Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)

While the Government has not made a formal estimate of the cost of epilepsy to the National Health Service and the wider economy, we are aware of a report published by Economist Impact in February 2024, titled, The value of action: mitigating the impact of neurological disorders in the United Kingdom, which estimated that idiopathic epilepsy cost the economy £1.7 billion or 0.07% of gross domestic product in 2019. This report is available at the following link:

https://impact.economist.com/health/value-action-mitigating-impact-neurological-disorders-united-kingdom

The Department funds research into epilepsy via the National Institute for Health and Care Research (NIHR). Between 2020/21 and 2024/25, the NIHR invested £12.8 million in direct research funding on epilepsy.

The NIHR welcomes funding applications for research into any aspect of human health and care, including epilepsy. 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. Welcoming applications on epilepsy to all NIHR programmes enables maximum flexibility both in terms of the amount of research funding a particular area can be awarded, and the type of research which can be funded.


Written Question
Influenza: Weather
Thursday 18th December 2025

Asked by: Anneliese Midgley (Labour - Knowsley)

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 ensure the NHS is appropriately prepared for winter flu-related admissions in 2025 and early 2026.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

We have started earlier and done more than ever to prepare for winter this year. We continue to monitor the impact of winter pressures on the National Health Service over the winter months, providing additional support to services across the country as needed.

The Department is continuing to take key steps to ensure the health service is prepared throughout the colder months. This includes taking actions to try and reduce demand pressure on accident and emergency departments, increasing vaccination rates, and offering health checks to the most vulnerable, as well as stress-testing integrated care board and trust winter plans to ensure they are able to meet demand and ensure patient flow.

Flu is a recurring pressure that the NHS faces every winter. There is particular risk of severe illness for older people, the very young, pregnant people, and those with certain underlying health conditions. The flu vaccine remains the best form of defense against influenza, particularly for the most vulnerable, and continues to be highly effective at preventing severe disease and hospitalisation.  This year we have:

  • expanded the use of the National Booking Service for flu vaccination;
  • carried out a major campaign aimed at eligible people, encouraging them to take up their vaccinations; and
  • developed the “flu walk-in finder” so that, from October 2025, patients can easily look up when they can walk into a community pharmacy to get a vaccination.

Written Question
Influenza: Weather
Thursday 18th December 2025

Asked by: Anneliese Midgley (Labour - Knowsley)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what measures are in place to reduce pressure on the NHS from flu-related hospital admissions this winter.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

We have started earlier and done more than ever to prepare for winter this year. We continue to monitor the impact of winter pressures on the National Health Service over the winter months, providing additional support to services across the country as needed.

The Department is continuing to take key steps to ensure the health service is prepared throughout the colder months. This includes taking actions to try and reduce demand pressure on accident and emergency departments, increasing vaccination rates, and offering health checks to the most vulnerable, as well as stress-testing integrated care board and trust winter plans to ensure they are able to meet demand and ensure patient flow.

Flu is a recurring pressure that the NHS faces every winter. There is particular risk of severe illness for older people, the very young, pregnant people, and those with certain underlying health conditions. The flu vaccine remains the best form of defense against influenza, particularly for the most vulnerable, and continues to be highly effective at preventing severe disease and hospitalisation.  This year we have:

  • expanded the use of the National Booking Service for flu vaccination;
  • carried out a major campaign aimed at eligible people, encouraging them to take up their vaccinations; and
  • developed the “flu walk-in finder” so that, from October 2025, patients can easily look up when they can walk into a community pharmacy to get a vaccination.

Written Question
Influenza: Weather
Thursday 18th December 2025

Asked by: Anneliese Midgley (Labour - Knowsley)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what plans his Department has made to ensure sufficient NHS staffing and resources during the 2025–26 flu season.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

Decisions about recruitment and resourcing are a matter for individual National Health Service employers, who manage this at a local level to ensure they have the staff they need to deliver safe and effective care. We continue to monitor the impact of winter pressures on the NHS over the winter months, providing additional support as needed.

The Department is continuing to take key steps to ensure the health service is prepared throughout the colder months. This includes taking actions to try and reduce demand pressure on accident and emergency departments, increasing vaccination rates and offering health checks to the most vulnerable, as well as stress-testing integrated care board and trust winter plans to ensure they are able to meet demand and ensure patient flow.

The 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 the NHS has the right people in the right places, with the right skills to care for patients, when they need it.


Written Question
Palliative Care
Tuesday 16th December 2025

Asked by: Anneliese Midgley (Labour - Knowsley)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what plans his Department has to publish a national strategy for palliative and end of life care.

Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)

The Government is developing a Palliative Care and End of Life Care Modern Service Framework (MSF) for England.

The MSF will drive improvements in the services that patients and their families receive at the end of life and will enable integrated care boards to address challenges in access, quality, and sustainability through the delivery of high-quality, personalised care. This will be aligned with the ambitions set out in the recently published 10-Year Health Plan.

Further information about the MSF is set out in the Written Ministerial Statement HCWS1087, which I gave on 24 November 2025.


Written Question
IVF: LGBT+ People
Monday 8th September 2025

Asked by: Anneliese Midgley (Labour - Knowsley)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will bring forward the removal of requirements for same-sex female couples to self-fund intrauterine insemination cycles before becoming eligible for NHS-funded IVF treatment.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The Government recognises that fertility treatment across the National Health Service in England is subject to variation in access. Work continues between the Department and NHS England to better understand the offer around NHS-funded fertility services including the issue for female same sex couples.

Funding decisions for health services in England are made by integrated care boards (ICBs) and are based on the clinical needs of their populations. We expect ICBs to commission fertility services in line with National Institute for Health and Care Excellence (NICE) guidelines, which are currently under review and will take into consideration whether the current recommendations for access to fertility guidelines are still appropriate.

In the light of broader pressures on the NHS and on ongoing changes within NHS England we have been looking at achievable ambitions to improve access to fertility services and fairness for all affected couples.

The Government is committed to prioritising women’s health as we build an NHS fit for the future. Through our 10 Year Health Plan, we are delivering our manifesto commitment that never again will women’s health be neglected.


Written Question
Fertility: Medical Treatments
Monday 8th September 2025

Asked by: Anneliese Midgley (Labour - Knowsley)

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 ensure that all Integrated Care Boards provide equal access to fertility treatments across England.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The Government recognises that fertility treatment across the National Health Service in England is subject to variation in access. Work continues between the Department and NHS England to better understand the offer around NHS-funded fertility services including the issue for female same sex couples.

Funding decisions for health services in England are made by integrated care boards (ICBs) and are based on the clinical needs of their populations. We expect ICBs to commission fertility services in line with National Institute for Health and Care Excellence (NICE) guidelines, which are currently under review and will take into consideration whether the current recommendations for access to fertility guidelines are still appropriate.

In the light of broader pressures on the NHS and on ongoing changes within NHS England we have been looking at achievable ambitions to improve access to fertility services and fairness for all affected couples.

The Government is committed to prioritising women’s health as we build an NHS fit for the future. Through our 10 Year Health Plan, we are delivering our manifesto commitment that never again will women’s health be neglected.


Written Question
Health Services: Women
Monday 8th September 2025

Asked by: Anneliese Midgley (Labour - Knowsley)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what his planned timetable is for (a) removing financial barriers for same-sex couples accessing fertility treatments on the NHS and (b) full implementation of the Women’s Health Strategy.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The Government recognises that fertility treatment across the National Health Service in England is subject to variation in access. Work continues between the Department and NHS England to better understand the offer around NHS-funded fertility services including the issue for female same sex couples.

Funding decisions for health services in England are made by integrated care boards (ICBs) and are based on the clinical needs of their populations. We expect ICBs to commission fertility services in line with National Institute for Health and Care Excellence (NICE) guidelines, which are currently under review and will take into consideration whether the current recommendations for access to fertility guidelines are still appropriate.

In the light of broader pressures on the NHS and on ongoing changes within NHS England we have been looking at achievable ambitions to improve access to fertility services and fairness for all affected couples.

The Government is committed to prioritising women’s health as we build an NHS fit for the future. Through our 10 Year Health Plan, we are delivering our manifesto commitment that never again will women’s health be neglected.


Written Question
Meningitis: Vaccination
Friday 5th September 2025

Asked by: Anneliese Midgley (Labour - Knowsley)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will consider extending NHS provision of the (a) Meningitis ACWY and (b) Bexsero vaccines to those who are currently ineligible under the national immunisation programme.

Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government relies on expert advice from the Joint Committee on Vaccination and Immunisation (JCVI) when making decisions about which vaccines are offered through the NHS.

The JCVI has advised that extending the Meningitis ACWY vaccine to infants or toddlers is unlikely to be cost-effective, as very few cases would be prevented thanks to the success of the current adolescent programme.

For the Bexsero (MenB) vaccine, the JCVI has found that while it has reduced disease in infants, it does not stop the spread of the bacteria among teenagers. As a result, offering it to adolescents is also unlikely to be cost-effective at this time.