Asked by: Chris Coghlan (Liberal Democrat - Dorking and Horley)
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 20 January 2025 to Question 24011 on Coronavirus: Disease Control, when he plans to update the National Infection Prevention and Control Manual and Health Technical Memoranda guidelines to ensure (a) recognition of the role of airborne transmission of SARS-Cov-2 and (b) appropriate guidance on (i) the use of FFP3 masks, (ii) improved standards of ventilation and air filter devices in (A) clinical and (B) non-clinical healthcare settings and (iii) other measures to limit airborne transmission of (1) Covid-19 and (2) other respiratory viruses; and if he will take steps to ensure the distribution of those guidelines to all employers and providers of healthcare workers.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The NHS England National Infection Prevention and Control Manual (NIPCM) provides adaptable guidance to support local decision-making. Healthcare organisations are responsible for conducting dynamic risk assessments to determine when enhanced infection control measures, such as the use of FFP3 masks, are necessary. These assessments take into account factors such as ventilation quality, local infection prevalence and specific care environments.
Should new evidence emerge that warrants updates, the guidance will be reviewed and revised accordingly by NHS England and UKHSA to ensure the highest standards of infection prevention and control are maintained across healthcare settings. Any updates will be disseminated appropriately to healthcare employers and providers to support consistent implementation
Asked by: Chris Coghlan (Liberal Democrat - Dorking and Horley)
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 28 November 2024 to Question 13066 on Prostate Cancer: Screening, what assessment he has made of the potential impact of laboratories not testing samples within 16 hours on prostate specific antigen testing accuracy.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department has not made a specific assessment on the potential impact of laboratories not testing samples within 16 hours on prostate specific antigen (PSA) testing accuracy.
All pathology services in England are expected to implement the recommendation issued by the National Institute for Health and Care Excellence, that PSA testing specimens must reach the laboratory within 16 hours for the serum to be separated.
This guidance is in place to ensure that PSA test results are of the highest possible accuracy and validity in supporting the early detection of prostate cancer, particularly in ensuring cases do not go undetected.
All pathology services in England are also expected to maintain international standards for laboratory quality, certified through the UK Accreditation Service.
Asked by: Chris Coghlan (Liberal Democrat - Dorking and Horley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will review the eligibility criteria for people over 65 who did not receive the shingles vaccine to allow for retrospective vaccination.
Answered by Andrew Gwynne
The shingles vaccination was originally routinely offered as part of the national immunisation programme to those aged 70 years old, using the Zostavax vaccine. In 2019, the Joint Committee on Vaccination and Immunisation (JCVI) recommended that the programme should be changed to offer the Shingrix vaccine routinely at 60 years of age, that those aged between 60 to 70 years old should also be offered the vaccine, and that individuals would require two doses of Shingrix to complete the course.
Based on JCVI’s advice, the Department, the UK Health Security Agency, and NHS England decided that the programme would be implemented in phases. Phase 1 would be between 1 September 2023 and 31 August 2028, for those who reach 65 or 70 years old, who would be called in on or after their 65th or 70th birthday. Phase 2 would be from the 1 September 2028 to 31 August 2033, for those who reach age 60 or 65 years, who would be called in on or after their 60th or 65th birthday. From 1 September 2033 onwards, vaccination will be routinely offered to those turning 60 years old, on or after their 60th birthday.
This programme change was implemented in September 2023 and is in line with the expert advice that the Government received.
Asked by: Chris Coghlan (Liberal Democrat - Dorking and Horley)
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 help tackle inequalities in NHS (a) care and (b) funding for patients living near county borders.
Answered by Andrew Gwynne
Since June 2022, 42 integrated care boards (ICBs) across England have been responsible for arranging National Health Service healthcare services to meet the needs of their respective populations, reflecting the diversity of the needs within these populations. The local ICB is therefore responsible for ensuring that NHS services are accessible in their area.
NHS England is responsible for funding allocations to ICBs. This process is independent of the Government, and NHS England takes advice on the underlying formula from the independent Advisory Committee on Resource Allocation (ACRA).
The ACRA endorsed the introduction of a new community services formula, that they believe will better recognise needs for much older populations with higher needs for certain community services, which on average tend to be in some rural, coastal, and remote areas.
Work is also underway across the Department and with NHS England and the regional Directors of Public Health to develop approaches to address regional health inequalities. In line with the Government’s Health Mission, the Department’s goal is to create a more equitable healthcare system that leaves no person or community behind.
Asked by: Chris Coghlan (Liberal Democrat - Dorking and Horley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he is taking steps to attract health workers to (a) train for and (b) work in community pharmacies.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
As private employers, community pharmacies are responsible for the recruitment and retention of staff. The Department and NHS England also provides support and funding for initial education and training, apprenticeships, and upskilling staff to develop knowledge and skills and deliver better and safer care to patients and the public.
NHS England and the General Pharmaceutical Council have been working with education providers to increase pharmacy training places. Recent announcements include the establishment of new schools of pharmacy at Plymouth University, Teesside University, the University of Leicester, and Bangor University, which will improve training opportunities and build resilience in these areas.
The Government will make sure the National Health Service has the staff it needs to be there for all of us when we need it. We have launched a 10-Year Health Plan to reform the NHS. A central part of the 10-Year Health Plan will be our workforce and how we ensure we train and provide the staff, technology, and infrastructure the NHS needs to care for patients across our communities.
In summer 2025, we will publish a refreshed Long Term Workforce Plan to deliver the transformed health service we will build over the next decade and treat patients on time again.
Asked by: Chris Coghlan (Liberal Democrat - Dorking and Horley)
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 elderly people who will need (a) living assistance and (b) housing in (i) 2025 and (ii) the next ten years.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Older People’s Housing Taskforce report, published November 2024, estimated that the number of households aged 65 years old and over will increase by 37.3% by 2040. The taskforce also estimated that this would mean that an additional 30,000 to 50,000 new later living homes would need to be built per year.
The Government has committed to building 1.5 million new homes over the next five years and delivering the biggest increase in social and affordable housebuilding in a generation.
Asked by: Chris Coghlan (Liberal Democrat - Dorking and Horley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what plans he has for improving access to NHS dentistry in Dorking and Horley constituency.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Government plans to tackle the challenges for patients trying to access National Health Service dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to the areas that need them most.
To rebuild dentistry in the long term and increase access to NHS dental care, we will reform the dental contract, with a shift to focus on prevention and the retention of NHS dentists.
The responsibility for commissioning primary care services, including NHS dentistry, to meet the needs of the local population has been delegated to the integrated care boards (ICBs) across England. For the Dorking and Horley constituency, this is the NHS Surrey Heartlands ICB.
Asked by: Chris Coghlan (Liberal Democrat - Dorking and Horley)
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 implications for his policies of shortages of GP appointments; and what plans he has to reduce such shortages.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We are committed to improving capacity and access to general practice (GP) appointments. That is why, in October 2024, we provided an £82 million boost to the Additional Roles Reimbursement Scheme, enabling the recruitment of 1,000 newly qualified GPs across England. This will increase the number of GP appointments delivered and will benefit thousands of patients. It will also secure the future supply of GPs and take pressure off those currently working in the system.
Additionally, we have announced a proposed £889 million uplift to the GP Contract for 2025/26, the largest uplift in years, with a rising share of total National Health Service resources going to GPs. We are currently consulting the profession on key proposals to improve access, continuity of care, and GP recruitment.
Asked by: Chris Coghlan (Liberal Democrat - Dorking and Horley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will make an assessment of the potential merits of revising the Infection Prevention Controls guidance in the National Infection Prevention and Control Manual and Health Technical Memoranda guidelines prior to 1 March 2025 to ensure (a) recognition of the role of airborne transmission of SARS-Cov-2 and (b) appropriate guidance on (i) the use of FFP3 masks, (ii) improved standards of ventilation and air filter devices in (A) clinical and (B) non-clinical healthcare settings and (iii) other measures to limit airborne transmission of (1) Covid-19 and (2) other respiratory viruses; and if he will take steps to ensure the distribution of those guidelines to all employers and providers of healthcare workers.
Answered by Andrew Gwynne
The emerging evidence on airborne transmission of SARS-CoV-2 and other respiratory viruses is continually reviewed by the UK Health Security Agency, NHS England, and the Department. Assessment of research on aerosol behaviour, Aerosol Generating Procedures (AGPs), and personal protective equipment, including FFP3 masks, ensures that the guidance reflects the latest science and best practice.
The National Infection Prevention and Control Manual offers practical guidance on respiratory transmission, including airborne pathways, with non-pathogen-specific standards providing a robust framework for diverse infection, prevention, and control challenges.
The updated acute respiratory virus guidance, published in March 2024, advises adult social care providers on precautions for preventing respiratory infection transmission, addressing masks, ventilation, and other measures based on current evidence. The acute respiratory virus guidance is available at the following link:
Asked by: Chris Coghlan (Liberal Democrat - Dorking and Horley)
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 waiting until the publication of the final Module 3 Covid-19 Inquiry report to (a) recognise the role of airborne transmission of SARS-Cov-2 and (b) update (i) Infection Prevention Controls guidance in the National Infection Prevention and Control Manual and (ii) Health Technical Memoranda guidelines to limit airborne transmission of (A) Covid-19 and (B) other respiratory viruses on (1) health workers and (2) patients.
Answered by Andrew Gwynne
NHS England maintains efforts to evaluate potential revisions to the National Infection Prevention and Control Manual (NIPCM), which aim to maintain high infection, prevention, and control standards. Any updates will ensure consistent application across healthcare settings. Current guidance balances scientific evidence, operational feasibility, and sustainable infection, prevention, and control practices to protect healthcare workers and patients.
Delaying NIPCM updates until the final Module 3 COVID-19 inquiry report risks greater exposure to infection, slower practice improvements, and training gaps. Timely updates, based on emerging evidence, strengthen healthcare worker and patient safety through evidence-based, locally adapted measures.
The updated acute respiratory virus guidance, published in March 2024, advises adult social care providers on precautions for preventing respiratory infection transmission, addressing masks, ventilation, and other measures based on current evidence. The acute respiratory virus guidance is available at the following link: