Asked by: Bob Blackman (Conservative - Harrow East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what discussions his Department has had with the Department for Science and Technology on the potential merits of a respiratory Modern Service Framework to strengthen the UK’s life sciences ecosystem by scaling up the adoption of new medicines and innovations for lung conditions.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government will consider long-term conditions for future waves of modern service frameworks (MSFs), including respiratory conditions. The criteria for determining other conditions for future MSFs will be based on where there is potential for rapid and significant improvements in quality of care and productivity. After the initial wave of MSFs is complete, the National Quality Board will determine the conditions to prioritise for new MSFs as part of its work programme. There has not, therefore, been a specific assessment made in relation to winter pressures.
NHS England and the Department of Health and Social Care are working with the Department for Science, Innovation and Technology to explore innovation and policy prioritisation in respiratory health, including the cross‑Government alignment that may be required.
Data is available for emergency Finished Admission Episodes (FAEs) where there was a primary diagnosis of 'respiratory conditions’. The following table shows the number of emergency FAEs where there was a primary diagnosis of respiratory conditions, for activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector, for Mid Harrow and England, for 2024/25 and 2025/26:
Westminster Parliamentary Constituency of Residence | 2024/25 (August 2024 to March 2025) | 2025/26 (April 2025 to November 2025) |
Harrow | 1225 | 795 |
England | 608,449 | 423,588 |
Source: Hospital Episode Statistics, NHS England.
Available data on trends in respiratory conditions can be found on the Department’s Fingertips dataset. Data is not available by parliamentary constituency. Data is available at regional, county, unitary authority, and integrated care board level. Information for the London Borough of Harrow can be found at the following link:
https://fingertips.phe.org.uk/search/respiratory#page/1/gid/1/pat/15/ati/502/are/E09000015/iid/40701/age/163/sex/4/cat/-1/ctp/-1/yrr/1/cid/4/tbm/1
NHS England, working with the Department, the UK Health Security Agency, and other partners, is taking action to reduce the impact of respiratory conditions on the NHS this winter. Further details of the actions being taken to reduce demand on acute services during winter is available at the following link:
https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/
Asked by: Bob Blackman (Conservative - Harrow East)
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 a respiratory Modern Service Framework on reducing winter pressures on the NHS by simultaneously improving outcomes for long-term respiratory conditions and short-term respiratory illnesses such as flu.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government will consider long-term conditions for future waves of modern service frameworks (MSFs), including respiratory conditions. The criteria for determining other conditions for future MSFs will be based on where there is potential for rapid and significant improvements in quality of care and productivity. After the initial wave of MSFs is complete, the National Quality Board will determine the conditions to prioritise for new MSFs as part of its work programme. There has not, therefore, been a specific assessment made in relation to winter pressures.
NHS England and the Department of Health and Social Care are working with the Department for Science, Innovation and Technology to explore innovation and policy prioritisation in respiratory health, including the cross‑Government alignment that may be required.
Data is available for emergency Finished Admission Episodes (FAEs) where there was a primary diagnosis of 'respiratory conditions’. The following table shows the number of emergency FAEs where there was a primary diagnosis of respiratory conditions, for activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector, for Mid Harrow and England, for 2024/25 and 2025/26:
Westminster Parliamentary Constituency of Residence | 2024/25 (August 2024 to March 2025) | 2025/26 (April 2025 to November 2025) |
Harrow | 1225 | 795 |
England | 608,449 | 423,588 |
Source: Hospital Episode Statistics, NHS England.
Available data on trends in respiratory conditions can be found on the Department’s Fingertips dataset. Data is not available by parliamentary constituency. Data is available at regional, county, unitary authority, and integrated care board level. Information for the London Borough of Harrow can be found at the following link:
https://fingertips.phe.org.uk/search/respiratory#page/1/gid/1/pat/15/ati/502/are/E09000015/iid/40701/age/163/sex/4/cat/-1/ctp/-1/yrr/1/cid/4/tbm/1
NHS England, working with the Department, the UK Health Security Agency, and other partners, is taking action to reduce the impact of respiratory conditions on the NHS this winter. Further details of the actions being taken to reduce demand on acute services during winter is available at the following link:
https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/
Asked by: Bob Blackman (Conservative - Harrow East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what his department’s timeline is for deciding on the second wave of Modern Service Frameworks; and whether respiratory conditions will be considered.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government will consider long-term conditions for future waves of modern service frameworks (MSFs), including respiratory conditions. The criteria for determining other conditions for future MSFs will be based on where there is potential for rapid and significant improvements in quality of care and productivity. After the initial wave of MSFs is complete, the National Quality Board will determine the conditions to prioritise for new MSFs as part of its work programme. There has not, therefore, been a specific assessment made in relation to winter pressures.
NHS England and the Department of Health and Social Care are working with the Department for Science, Innovation and Technology to explore innovation and policy prioritisation in respiratory health, including the cross‑Government alignment that may be required.
Data is available for emergency Finished Admission Episodes (FAEs) where there was a primary diagnosis of 'respiratory conditions’. The following table shows the number of emergency FAEs where there was a primary diagnosis of respiratory conditions, for activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector, for Mid Harrow and England, for 2024/25 and 2025/26:
Westminster Parliamentary Constituency of Residence | 2024/25 (August 2024 to March 2025) | 2025/26 (April 2025 to November 2025) |
Harrow | 1225 | 795 |
England | 608,449 | 423,588 |
Source: Hospital Episode Statistics, NHS England.
Available data on trends in respiratory conditions can be found on the Department’s Fingertips dataset. Data is not available by parliamentary constituency. Data is available at regional, county, unitary authority, and integrated care board level. Information for the London Borough of Harrow can be found at the following link:
https://fingertips.phe.org.uk/search/respiratory#page/1/gid/1/pat/15/ati/502/are/E09000015/iid/40701/age/163/sex/4/cat/-1/ctp/-1/yrr/1/cid/4/tbm/1
NHS England, working with the Department, the UK Health Security Agency, and other partners, is taking action to reduce the impact of respiratory conditions on the NHS this winter. Further details of the actions being taken to reduce demand on acute services during winter is available at the following link:
https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/
Asked by: Bob Blackman (Conservative - Harrow East)
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 (a) the level of prevalence of respiratory disease and (b) the number of emergency hospital admissions for respiratory conditions in Harrow East constituency compared to national averages; and what steps he is taking to ensure that respiratory health is prioritised nationally, including through the introduction of a Modern Service Framework for respiratory care.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government will consider long-term conditions for future waves of modern service frameworks (MSFs), including respiratory conditions. The criteria for determining other conditions for future MSFs will be based on where there is potential for rapid and significant improvements in quality of care and productivity. After the initial wave of MSFs is complete, the National Quality Board will determine the conditions to prioritise for new MSFs as part of its work programme. There has not, therefore, been a specific assessment made in relation to winter pressures.
NHS England and the Department of Health and Social Care are working with the Department for Science, Innovation and Technology to explore innovation and policy prioritisation in respiratory health, including the cross‑Government alignment that may be required.
Data is available for emergency Finished Admission Episodes (FAEs) where there was a primary diagnosis of 'respiratory conditions’. The following table shows the number of emergency FAEs where there was a primary diagnosis of respiratory conditions, for activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector, for Mid Harrow and England, for 2024/25 and 2025/26:
Westminster Parliamentary Constituency of Residence | 2024/25 (August 2024 to March 2025) | 2025/26 (April 2025 to November 2025) |
Harrow | 1225 | 795 |
England | 608,449 | 423,588 |
Source: Hospital Episode Statistics, NHS England.
Available data on trends in respiratory conditions can be found on the Department’s Fingertips dataset. Data is not available by parliamentary constituency. Data is available at regional, county, unitary authority, and integrated care board level. Information for the London Borough of Harrow can be found at the following link:
https://fingertips.phe.org.uk/search/respiratory#page/1/gid/1/pat/15/ati/502/are/E09000015/iid/40701/age/163/sex/4/cat/-1/ctp/-1/yrr/1/cid/4/tbm/1
NHS England, working with the Department, the UK Health Security Agency, and other partners, is taking action to reduce the impact of respiratory conditions on the NHS this winter. Further details of the actions being taken to reduce demand on acute services during winter is available at the following link:
https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/
Asked by: Bob Blackman (Conservative - Harrow East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what progress his Department has made to meet the 18-week treatment target next month as set out in the Elective Reform Plan.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
NHS England’s Operational Planning Guidance for 2025/26 set a target that, by the end of March 2026, 65% of patients wait no longer than 18 weeks.
To achieve this, we expect the size of the total waiting list to reduce and have already made significant progress. As of November 2025, the waiting list had reduced by over 312,000 since the Government came into office. This is despite 30.1 million referrals onto the waiting list. Performance against the referral to treatment standard had improved by 2.9% over the same period, reaching 61.8%.
This has been supported by the delivery of 5.2 million additional appointments between July 2024 and June 2025 compared to the previous year, more than double the Government’s pledge of two million. This marks a vital first step towards delivering the constitutional standard.
Asked by: Bob Blackman (Conservative - Harrow East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many ICBs have Activity Management Plans in place.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
NHS England does not hold this information centrally. Integrated care boards have contractual powers to manage activity by providers, which were enhanced in 2025/26 with central support for setting and managing activity. The NHS Standard Contract includes the ability to set indicative action plans to help providers and commissioners plan demand, capacity, and expenditure. While not binding, if activity exceeds the agreed plan, and therefore the funding agreed, an Activity Management Plan can be agreed to bring activity back in line.
Asked by: Bob Blackman (Conservative - Harrow East)
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 investigate the use of body mass index thresholds as a means of determining eligibility for joint replacement surgery.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
I refer the Hon. Member to the answer I gave to the Hon. Member for Rushcliffe on 20 November 2025 to Question 89688.
Asked by: Bob Blackman (Conservative - Harrow East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the UK and Eire Glaucoma Society 2025 consensus on Minimally Invasive Glaucoma Surgery, whether he has made an assessment of the potential impact on secondary care services when patients are not offered a glaucoma intervention at the time of cataract surgery.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Data on the number of glaucoma patients who weren't offered a combined procedure to treat glaucoma at the time of cataract surgery is not held.
The best treatment options will be decided by the treating clinician, in discussion with the patient, considering an individuals’ clinical circumstances and relevant professional clinical guidance and best available evidence.
The Getting It Right First Time programme is also developing best practice guidance for glaucoma services, to support the consistent adoption of high standards of care from detection onwards.
Asked by: Bob Blackman (Conservative - Harrow East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the UK and Eire Glaucoma Society 2025 consensus on Minimally Invasive Glaucoma Surgery, what estimate he has made of the number of glaucoma patients who weren't offered a combined procedure to treat the condition at the time of cataract surgery in the last year.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Data on the number of glaucoma patients who weren't offered a combined procedure to treat glaucoma at the time of cataract surgery is not held.
The best treatment options will be decided by the treating clinician, in discussion with the patient, considering an individuals’ clinical circumstances and relevant professional clinical guidance and best available evidence.
The Getting It Right First Time programme is also developing best practice guidance for glaucoma services, to support the consistent adoption of high standards of care from detection onwards.
Asked by: Bob Blackman (Conservative - Harrow East)
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 impact of the expansion of the UK National Screening Committee’s remit to include consideration of targeted screening programmes on the evaluation of a wider range of screening options for conditions associated with lifestyle related risk factors.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Each year, over 15 million people are invited for screening by National Health Service screening programmes, with over 10 million taking up the invitation. Through our NHS screening programmes, we can reduce mortality and morbidity from cancer and other conditions in the population who appear healthy and have no symptoms, by detecting conditions at an earlier, more treatable stage.
The Government is advised on all screening matters by the UK National Screening Committee (UK NSC), an independent scientific advisory committee which is made up of leading medical and screening experts. It is only where there is robust evidence that an offer to screen provides more good than harm that a screening programme is recommended.
Following its expanded remit, in 2022, the UK NSC recommended lung cancer screening to people between the ages of 55 and 74 years old who smoke or have previously smoked, a lifestyle related risk factor. The NHS Lung Cancer Screening Programme is being rolled out across England.
During its three-month open call for topics, the UK NSC welcomes proposals that cover population screening or targeted screening topics. Any individual or organisation can submit a topic to the UK NSC to consider. The UK NSC will consider whether the proposal is within the UK NSC remit and, if so, how the topic should be explored further.