First elected: 4th July 2024
Speeches made during Parliamentary debates are recorded in Hansard. For ease of browsing we have grouped debates into individual, departmental and legislative categories.
e-Petitions are administered by Parliament and allow members of the public to express support for a particular issue.
If an e-petition reaches 10,000 signatures the Government will issue a written response.
If an e-petition reaches 100,000 signatures the petition becomes eligible for a Parliamentary debate (usually Monday 4.30pm in Westminster Hall).
Stop financial and other support for asylum seekers
Gov Responded - 23 Jun 2025 Debated on - 20 Oct 2025 View Danny Beales's petition debate contributionsThis petition is to advocate a cessation of financial and other support provided to asylum seekers by the Government. This support currently includes shelter, food, medical care (including optical and dental), and cash support.
Shut the migrant hotels down now and deport illegal migrants housed there
Gov Responded - 23 Apr 2025 Debated on - 20 Oct 2025 View Danny Beales's petition debate contributionsThe Labour Party pledged to end asylum hotels if it won power. Labour is now in power.
Keep 5-year ILR terms to Hong Kong British National (Overseas) visas
Gov Responded - 11 Jul 2025 Debated on - 8 Sep 2025 View Danny Beales's petition debate contributionsWe urge the Government to exempt BN(O) visa for Hongkongers from the proposed immigration reforms. We think the current ILR terms must remain unchanged:
1. Five years of UK residency
2. B1 level English proficiency
3. Passing the Life in the UK Test
Keep the 5-Year ILR pathway for existing Skilled Worker visa holders
Gov Responded - 17 Jun 2025 Debated on - 8 Sep 2025 View Danny Beales's petition debate contributionsDo not apply the proposed 10-year ILR rule to existing Skilled Worker visa holders. Keep the 5-year ILR route for those already in the UK on this visa. Apply any changes only to new applicants from the date of implementation.
These initiatives were driven by Danny Beales, and are more likely to reflect personal policy preferences.
MPs who are act as Ministers or Shadow Ministers are generally restricted from performing Commons initiatives other than Urgent Questions.
Danny Beales has not been granted any Urgent Questions
A Bill to establish an independent regulator of managing agents; to make provision about the powers and duties of the independent regulator; to require managing agents to comply with a code of practice and to make provision about that code of practice; to make provision for a licensing scheme for managing agents; to make further provision about the regulation of managing agents; and for connected purposes.
Vacant Commercial Properties (Temporary Use) Bill 2024-26
Sponsor - Luke Akehurst (Lab)
Special Educational Needs and Disabilities (Training in Schools) Bill 2024-26
Sponsor - Nesil Caliskan (Lab)
The Government is continuing to engage with businesses, consumer groups and charities, including those supporting animals and vulnerable people, to gather evidence on the issues with and impacts of fireworks to inform any future action and review into the current fireworks legislation.
The Government launched a public campaign on fireworks safety for this year’s fireworks season. The campaign also featured new guidance for those running community fireworks events which recommends the use of low-noise fireworks to reduce the impact on communities, as well as social media materials that emphasise the risks from the misuse of fireworks.
The Government is continuing to engage with businesses, consumer groups and charities, including those supporting animals and vulnerable people, to gather evidence on the issues with and impacts of fireworks to inform any future action and review into the current fireworks legislation.
The Government launched a public campaign on fireworks safety for this year’s fireworks season. The campaign also featured new guidance for those running community fireworks events which recommends the use of low-noise fireworks to reduce the impact on communities, as well as social media materials that emphasise the risks from the misuse of fireworks.
The impact of the Employment Rights Bill on those individuals will depend largely on their employment status. Individuals in the platform economy can be any status: employee, limb (b) worker, or self-employed, depending on the reality of the relationship between them and their employer.
The Employment Rights Bill, once implemented, will represent the biggest upgrade of workers’ rights in a generation. It will raise the minimum floor of employment rights, raise living standards across the country and level the playing field for those businesses who are engaged in good practices.
Enforcement powers exist for local authorities to take action when fireworks are unsafe, sold illegally or misused. Local authorities and the police also have powers to tackle anti-social behaviour caused by the misuse of fireworks. It is for local areas to decide how best to deploy these powers, based on their specific circumstances.
To inform any future decisions I intend to engage with businesses, consumer groups and charities shortly after the fireworks season to gather evidence on the issues and impacts of fireworks.
GBE’s first investment, together with government, included £180 million for around 200 schools and 200 hospitals in England to install solar power and complementary technology, cutting energy costs.
Eleven school installations have already happened, enabling estimated annual bill savings of £175,000 total.
Net zero will bring significant opportunities to people across the UK such as greater energy security, economic opportunities and good jobs. The Government is committed to bringing people with it on the transition to net zero, empowering them to take action and demonstrating the benefits of the transition. We have also committed to the Warm Homes Plan which will transform homes, making them cheaper and cleaner to run, full details of this will be set out next Spring.
Net zero will bring significant opportunities to people across the UK such as greater energy security, economic opportunities and good jobs. The Government is committed to bringing people with it on the transition to net zero, empowering them to take action and demonstrating the benefits of the transition. We have also committed to the Warm Homes Plan which will transform homes, making them cheaper and cleaner to run, full details of this will be set out next Spring.
Government has committed to developing an ambitious Industrial Strategy in partnership with business, devolved governments, regions and other stakeholders. This includes universities, who play a key role in driving local and national economic growth – in 2023, UK university spinouts raised £1.66 billion in equity funding, 9.5% of all equity funding raised by UK companies.
The Government believes that the current list of events works well and that it strikes an appropriate balance between access to sporting events and allowing sports to maximise broadcasting revenue. Therefore, the Government has no plans to review the list at this time.
It is right that the Rugby Football Union (RFU) and Six Nations Rugby take a considered and balanced approach: recognising the need to achieve reach with existing and new fans, the importance that the Six Nations has for the cultural pride of each of the Home Nations, all the while maximising broadcast revenue.
The Government believes that the current list of events works well and that it strikes an appropriate balance between access to sporting events and allowing sports to maximise broadcasting revenue. Therefore, the Government has no plans to review the list at this time.
It is right that the Rugby Football Union (RFU) and Six Nations Rugby take a considered and balanced approach: recognising the need to achieve reach with existing and new fans, the importance that the Six Nations has for the cultural pride of each of the Home Nations, all the while maximising broadcast revenue.
The department is due to announce outstanding policy details related to the Lifelong Learning Entitlement later this year. These details will inform our demand projections for this specific programme, and we will share further information about this in due course.
This government recognises the importance and value of investing and creating a culture of lifelong learning in our country to support our industrial strategy and economic growth. This starts with activity already underway, such as the independent Curriculum and Assessment Review, establishing Skills England, utilising local skills improvement plans, further supporting skills bootcamps and apprenticeships and devolving the adult skills fund to support learning and development in all stages of life.
This government is committed to improving mental health support for all children and young people. This is critical to high and rising standards in schools and breaking down barriers to opportunity, helping pupils to achieve and thrive in education.
The government will deliver on this commitment through providing access to specialist mental health professionals in every school, so every young person has access to early support to address problems before they escalate.
As of April 2024, NHS-funded Mental Health Support Teams covered 44% of pupils in schools and learners in further education in England, and are expected to cover at least 50% by the end of March 2025.
The department will also be putting in place new Young Futures hubs, including access to mental health support workers, and will recruit an additional 8,500 new mental health staff to treat children and adults.
To support education staff, the department provides a range of guidance and practical resources on promoting and supporting pupils’ mental health and wellbeing, such as a resources hub for mental health leads and a toolkit to help schools choose evidence-based early support for pupils.
On top of this, schools are also able to arrange their own mental health interventions that are best suited to their pupils using the core revenue and pupil premium funding they receive from the department.
The Autumn Budget 2024 confirmed an additional £2.3 billion for the core schools budget for 2025/26 compared to 2024/25. This means that overall core schools funding will reach over £63.9 billion in 2025/26.
The government is taking several steps to make it easier for adults to access training. The Adult Skills Fund (ASF) fully or co-funds education and skills training for eligible adults aged 19 and above from pre-entry to level 3, to help them gain the skills they need for work, an apprenticeship or further learning.
Currently, approximately 60% of the ASF is devolved to nine Mayoral Combined Authorities and the Greater London Authority. These authorities are responsible for deciding what provision and support to offer their residents, allowing them the flexibility to respond to local needs.
The department is developing new foundation apprenticeships to give more people a foot in the door of work, whilst supporting the pipeline of new talent that employers will need to drive economic growth. Skills Bootcamps also continue to be funded and are available across England, giving adults the chance to build sector-specific skills, including in digital, construction and green industries, with an offer of a job interview on completion.
Lastly, in the 2026/2027 academic year, the department is also introducing the Lifelong Learning Entitlement (LLE). The LLE will transform the post-18 student finance system by allowing people to develop new skills and gain new qualifications at a time that is right for them. From September 2026, learners will be able to apply for LLE funding for the first time for courses and modules starting from January 2027 onwards. From its launch, the LLE loan will be available for full courses at level 4 to 6, such as a degrees, technical qualifications, designated distance-learning and online courses, and modules of high value technical courses at level 4 to 5.
Under the LLE, eligible learners will be able to access a tuition fee loan, with new learners able to access up to the full entitlement of £38,140, equal to four years of study based on the 2025/ 2026 academic year fee rates, and a maintenance loan to cover living costs, for courses with in-person attendance. Ultimately, this will enable individuals to learn, upskill, and retrain across their entire lives.
This is a devolved matter and the information provided therefore relates to England and Wales only.
This government was elected on a mandate to introduce the most ambitious plans in a generation to improve animal welfare and that is exactly what we will do. As part of this, we are committed to banning trail hunting. Work to determine the best approach for doing so is ongoing. Further details will be set out on due course.
The Hunting Act 2004 makes it an offence to hunt a wild mammal with dogs, except where it is carried out in accordance with the exemptions in the Act.
Enforcement of the Hunting Act is an operational matter for the police.
This Government was elected on a mandate to introduce the most ambitious plans to improve animal welfare in a generation. The Department has initiated a series of meetings with key animal welfare stakeholders as part of the development of an overarching approach to animal welfare. We will be outlining more detail of our plans in due course.
The Environment Agency works with the water industry on the Chemicals Investigation Programme (CIP). This is funded through the water industry price review and considers chemicals in sewage effluent, including some pharmaceuticals and Per- and polyfluoroalkyl substances (PFAS). The fourth CIP has just started.
Regulation does not currently cover microplastics from treated wastewater. 99% of microplastics are removed by sewage treatment processes. The EA and water industry are commencing six investigations under CIP considering generation of microplastics within wastewater treatment works through attrition of plastic equipment, emerging sewage treatment technologies and path of microplastics from biosolids applied to land to soils and groundwater.
The EA sits on the Pharmaceuticals in the Environment Group. Pharmaceuticals are not required to undergo an environmental impact assessment, but a few have ecotoxicological thresholds that inform an assessment of potential risk. The EA Is currently investigating potential ecological risks of mixtures of pharmaceuticals in the aquatic environment.
CIP4 is looking at PFAS from wastewater treatment works. CIP2 identified domestic sewage as a significant source of PFAS. On-going work includes identifying sources of or Perfluorooctanesulfonic Acid (PFOS), a type of PFAS, in catchments to inform approaches to permitting discharges, and to reduce/eliminate PFOS at source.
The Government is in close contact with counterparts in the United States on the incidents of influenza of avian origin in cattle in the USA. We know that the strain of virus (Highly Pathogenic Avian Influenza (HPAI) strain B3.13) involved has not been detected in the UK from our bulk milk testing and wider surveillance.
Defra is working closely with the Department of Health and Social Care (DHSC), the UK Health Security Agency (UKHSA), the Food Standards Agency (FSA), the Cabinet Office and with international partners to consider the potential routes of incursion, evidence of animal-to-animal spread and risks of animal-to-human spillover and to reviewed our well-tested surveillance and preparedness activities to detect and respond to any infection of cattle from influenza of avian origin in the future.
The Animal and Plant Health Agency (APHA) has assessed the risk to livestock in Great Britain from this outbreak of Influenza A (H5N1) of avian origin in livestock in the USA, as very low (event is very rare but cannot be excluded) (Avian influenza in cattle in USA (publishing.service.gov.uk). The FSA have assessed the risk to UK consumers from HPAI strain B3.13 in imported milk, dairy products, colostrum and colostrum-based products originating from US dairy cattle as very low with medium uncertainty (Rapid Risk Assessment: Risk to UK consumers from Highly Pathogenic Avian Influenza (HPAI) H5N1 B3.13 in US dairy products | Food Standards Agency). The Human Animal Infections and Risk Surveillance group (HAIRS) consider that the HPAI B3.13 strain presents at most a very low risk with regard to spread from animals-to-humans in the UK HAIRS risk statement: Avian influenza A(H5N1) in livestock - GOV.UK (www.gov.uk).
Defra has funded a research consortium at led by The Pirbright Institute and Imperial College to understand this unusual situation. In addition, we have published an Influenza A (H5N1) infection in mammals: suspect case definition and diagnostic testing criteria’ on gov.uk to support veterinary professionals and others in knowing when to report suspicion.
Aviation safety is a government priority.
The UK Civil Aviation Authority (CAA), in its capacity as a regulator, does not hold any financial or commercial interest in aviation organisations. The CAA remains independent in its actions, including during any period of insolvency or restructuring.
If an approved maintenance organisation enters insolvency or a period of financial difficulties, the UK CAA may decide to increase the frequency and level of oversight, including unannounced audits, to ensure that it remains compliant.
If the CAA are notified of a senior management change or change in the financial situation of an approved maintenance organisation, that organisation will need to demonstrate to the UK CAA that the Accountable Manager has the necessary funding allocation for the intended maintenance activities carried out under its approval. If an organisation cannot meet these requirements, approval is suspended immediately.
To address concerns raised on the potential impact of non-disclosure agreements in the aviation sector, the aviation workforce has multiple means of raising collective safety concerns. The UK CAA has established a range of reporting channels, including mandatory and voluntary incident reporting and dedicated whistleblowing routes.
Staff working for industries regulated by the CAA can also use the Confidential Human Factors Incident Reporting Programme (CHIRP) service at any time to raise concerns confidentially.
Aviation safety is a government priority.
The UK Civil Aviation Authority (CAA), in its capacity as a regulator, does not hold any financial or commercial interest in aviation organisations. The CAA remains independent in its actions, including during any period of insolvency or restructuring.
If an approved maintenance organisation enters insolvency or a period of financial difficulties, the UK CAA may decide to increase the frequency and level of oversight, including unannounced audits, to ensure that it remains compliant.
If the CAA are notified of a senior management change or change in the financial situation of an approved maintenance organisation, that organisation will need to demonstrate to the UK CAA that the Accountable Manager has the necessary funding allocation for the intended maintenance activities carried out under its approval. If an organisation cannot meet these requirements, approval is suspended immediately.
To address concerns raised on the potential impact of non-disclosure agreements in the aviation sector, the aviation workforce has multiple means of raising collective safety concerns. The UK CAA has established a range of reporting channels, including mandatory and voluntary incident reporting and dedicated whistleblowing routes.
Staff working for industries regulated by the CAA can also use the Confidential Human Factors Incident Reporting Programme (CHIRP) service at any time to raise concerns confidentially.
Aviation safety is a government priority.
The UK Civil Aviation Authority (CAA), in its capacity as a regulator, does not hold any financial or commercial interest in aviation organisations. The CAA remains independent in its actions, including during any period of insolvency or restructuring.
If an approved maintenance organisation enters insolvency or a period of financial difficulties, the UK CAA may decide to increase the frequency and level of oversight, including unannounced audits, to ensure that it remains compliant.
If the CAA are notified of a senior management change or change in the financial situation of an approved maintenance organisation, that organisation will need to demonstrate to the UK CAA that the Accountable Manager has the necessary funding allocation for the intended maintenance activities carried out under its approval. If an organisation cannot meet these requirements, approval is suspended immediately.
To address concerns raised on the potential impact of non-disclosure agreements in the aviation sector, the aviation workforce has multiple means of raising collective safety concerns. The UK CAA has established a range of reporting channels, including mandatory and voluntary incident reporting and dedicated whistleblowing routes.
Staff working for industries regulated by the CAA can also use the Confidential Human Factors Incident Reporting Programme (CHIRP) service at any time to raise concerns confidentially.
The cross-Government Motor Insurance Taskforce met for the first time on 16 October 2024 and the Secretary of State is keen to reconvene again soon.
The Taskforce has a strategic remit to set the direction for UK Government policy, identifying short- and long-term actions for departments that may contribute to stabilising or reducing premiums, while maintaining appropriate levels of cover. It will look at the increased insurance costs on consumers and the insurance industry, including how this impacts different demographics, geographies, and communities.
We will provide updates on the Taskforce in due course.
The Government is urgently exploring options to crack down on the spiralling cost of motor insurance and continues to engage with representatives of the motor insurance industry to understand the causes of increased premiums and identify potential solutions. We will announce the next steps in due course.
My Department has actively engaged with stakeholders on the design of the Crisis and Resilience Fund through a structured co-design process involving a representative group of local authorities, third-party organisations and academics. We are considering all feedback received through this process, and we plan to publish guidance in due course.
My Department has actively engaged with stakeholders on the design of the Crisis and Resilience Fund through a structured co-design process involving a representative group of local authorities, third-party organisations and academics. We are considering all feedback received through this process, and we plan to publish guidance in January 2026.
As announced in the “Get Britain Working” White Paper, we are launching a new Youth Guarantee for all young people aged 18-21 in England to ensure that they can access quality training opportunities, an apprenticeship or help to find work. The Youth Guarantee will build upon and enhance existing entitlements and provisions with the aim of tackling the rising number of young people who are not participating in education, employment or training. This spring we will be launching trailblazers in eight Mayoral Strategic Authorities, one of which is the Greater London Authority, and will use the learning from the Trailblazers to inform the future design and development of the Youth Guarantee as it rolls-out across the rest of England.
The additional employment, and education and training in which young people will participate, as a result of the Youth Guarantee, will bring economic benefits to the young people themselves and to wider society through earnings, economic output and through increased skills which open the way to longer term sustained employment.
The Youth Guarantee Trailblazers will test a new, more localised delivery framework to help young people access education, training and employment support, providing important learnings to inform the future development of the Youth Guarantee in England.
The Department for Work and Pensions and the Department for Education are working closely with Mayoral Strategic Authorities to begin delivery of Youth Guarantee Traiblazers in the following areas: the West of England, Tees Valley, East Midlands, Cambridgeshire and Peterborough, Liverpool City Region, West Midlands and two areas within the Greater London Authority. This will include parts of West London.
The Get Britain Working White Paper published in November set out plans to deliver fundamental reform of our health, employment and skills system, that will help support economically inactive people in all areas in England get back into work.
We committed to:
The Greater London area will host several Trailblazers, covering both inactivity and youth. This will involve working closely with a range of local partners, including those based in West London. Additional funding will also be given to the Greater London Authority to support the development of their local Get Britain Working plan, to cover the four sub-regional London partnership areas delivering Connect to Work.
Delivering our manifesto commitment to tackle child poverty is an urgent priority for this Government, and the Ministerial Taskforce is working to publish the Child Poverty Strategy in Spring 2025.
The Taskforce’s publication of 23 October ‘Tackling Child Poverty: Developing our Strategy’ sets out how we are developing the Strategy, exploring all available levers across Government to deliver an enduring reduction in child poverty this parliament. This is part of a 10-year strategy for lasting change which will be published in the Spring.
The Strategy will look at levers across four key themes of increasing incomes, reducing essential costs, increasing financial resilience; and better local support especially in the early years. This will build on the reform plans underway across government and work underway in Devolved Governments.
The Taskforce will hear directly from experts on each of the Strategy’s themes including children and families living in poverty and work with leading organisations, charities, and campaigners. In December, the Taskforce met with external experts from the housing sector to discuss the critical role of housing in tackling child poverty. The Ministerial session was the first in a series of deep dives into specific policy areas; the focus of this session was on parental employment, childcare and housing.
Integrated care boards (ICBs) are responsible for commissioning primary and secondary eye care services to meet local need. We are not aware of any issues with the availability of sight testing services. The decision to commission enhanced eye care services will be determined by local ICBs following a local needs assessment.
No assessment has been made. Integrated care boards, as commissioners of primary and secondary eye care services, are required to work with local authorities to assess the current and future health, care, and wellbeing needs of their local populations. They will then set out, in joint local health and wellbeing strategies, how they will meet those needs, and this could include addressing any identified inequalities in accessing services.
Understanding patient demographics is an essential step in identifying and tackling health inequalities. The Elective Reform Plan included a commitment to publish waiting list information broken down by demographics to allow greater visibility of potential health inequalities. The Elective Reform Plan is available at the following link:
https://www.england.nhs.uk/publication/reforming-elective-care-for-patients/
This enables local health services to understand the demographics of patients on their waiting list to better tailor services to their needs. Data on demographics of the elective waiting list can be found at the following link for the week ending 26 October 2025:
https://www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/wlmds/
It shows referral to treatment waiting times from the Waiting List Minimum Data Set for Ophthalmology split by age, sex, deprivation, and ethnicity.
The Public Health Outcomes Framework Eye Health Indicator also continues to track the rate of sight loss for age-related macular degeneration, glaucoma, and diabetic retinopathy. This information is available to commissioners and can be used to drive improved local outcomes and interventions.
The Department recognises the importance of ensuring that people experiencing homelessness have access to appropriate health and social care services. National Institute for Health and Care Excellence guideline 214, titled Integrated health and social care for people experiencing homelessness, sets out clear expectations for services to be accessible and tailored to individual needs, and is available at the following link:
https://www.nice.org.uk/guidance/ng214/chapter/Recommendations#intermediate-care
We are exploring how best to encourage integrated care boards to adopt and embed this guidance within their commissioning processes.
People experiencing homelessness are considered as an inclusion health group. Inclusion health groups are a key cohort within the locally identified priority ‘PLUS’ populations in NHS England’s Core20PLUS5 framework to reduce healthcare inequalities. Further information on NHS England’s Core20PLUS5 framework is available at the following link:
Integrated care boards are responsible for implementing this approach, aiming to reduce inequalities in health outcomes and improve equitable access to healthcare treatments and services.
The Department is committed to improving health outcomes for people experiencing homelessness. We are working closely with the Ministry of Housing, Communities and Local Government to support those experiencing homelessness with multiple and complex needs.
The Government published an evaluation of the Housing First pilots, including their impact on health outcomes, a copy of which is attached. However, Housing First is not a Department of Health and Social Care policy, therefore the National Health Service has not undertaken analysis of its effectiveness and costs.
Integrated care boards (ICBs) are responsible for assessing the health needs of their local population and for commissioning primary and secondary eye care services to meet them. This can include the commissioning of enhanced eye care services from high street optical practices.
NHS England accelerator pilots have demonstrated that improved IT connectivity and a single point of access can significantly speed up eye care referrals and support more patients to be managed in the community, in line with the ambitions in the 10-Year Health Plan.
Integrated care boards (ICBs) are responsible for assessing the health needs of their local population and for commissioning primary and secondary eye care services to meet them. This can include the commissioning of enhanced eye care services from high street optical practices.
NHS England accelerator pilots have demonstrated that improved IT connectivity and a single point of access can significantly speed up eye care referrals and support more patients to be managed in the community, in line with the ambitions in the 10-Year Health Plan.
Integrated care boards (ICBs) are responsible for assessing the health needs of their local population and for commissioning primary and secondary eye care services to meet them. This can include the commissioning of enhanced eye care services from high street optical practices.
NHS England accelerator pilots have demonstrated that improved IT connectivity and a single point of access can significantly speed up eye care referrals and support more patients to be managed in the community, in line with the ambitions in the 10-Year Health Plan.
In Fit for the Future: 10-Year Health Plan for England, the Government committed to strengthening and expanding existing voluntary guidelines for alcohol labelling by introducing a mandatory requirement for alcoholic drinks to display consistent nutritional information and health warning messages.
Clear and consistent labelling is expected to increase awareness of the health risks and to empower consumers to make more informed choices, complementing local public health strategies and community-level interventions.
The Government also committed to supporting community level innovations where they have shown promise in reducing alcohol harm. Officials are working at pace to take forward these commitments.
In Fit for the Future: 10-Year Health Plan for England, the Government committed to strengthening and expanding existing voluntary guidelines for alcohol labelling by introducing a mandatory requirement for alcoholic drinks to display consistent nutritional information and health warning messages.
Department officials are currently working at pace to develop the policy. We are reviewing all available evidence and engaging with stakeholders to assess the potential content of the mandatory labels.
The Government currently provides drinking moderation tools like the new NHS Healthy Choices Quiz which is designed to help people to improve their health and wellbeing. It asks a range of lifestyle questions, including those about alcohol consumption, provides an overall score out of ten, and directs people to relevant National Health Service support services such as the Drink Free Days app.
Modern service frameworks will define an aspirational, long-term outcome goal for a major condition and then identify the best evidenced interventions and the support for delivery. Early priorities will include cardiovascular disease, severe mental illness, and the first ever service framework for frailty and dementia.
The Government will consider other long-term conditions for future waves of modern service frameworks, including respiratory conditions. The criteria for determining other conditions for future modern service frameworks will be based on where there is potential for rapid and significant improvements in quality of care and productivity.
The policy for the respiratory syncytial virus (RSV) programme is based on the advice of the Joint Committee on Vaccination and Immunisation (JCVI), an independent expert advisory committee. The JCVI considered RSV modelling that included different levels of uptake for maternal or infant immunisation. The JCVI advised that either antenatal maternal vaccination or infant monoclonal antibody immunisation strategies could be suitable for a universal United Kingdom programme and did not have a preference. Maternal vaccination became the UK programme from September 2024 following a competitive tender.
The JCVI had noted that protection of preterm infants would need to be looked at if the UK adopted a maternal vaccination programme. At the October 2024 meeting the JCVI advised that a programme to extend a potential offer of nirsevimab, a monoclonal antibody, to very and extremely premature infants could be cost effective.
Based on JCVI’s advice, the RSV selective immunisation programme for high-risk infants switched in September 2025 from using palivizumab to using nirsevimab, and was extended to include premature babies born at less than 32 weeks gestation.
NHS England is responsible for the operational delivery of vaccination and immunisation programmes, although this does not include the procurement of vaccines. The following table shows the proportion of NHS England’s total budget allocated to the operational delivery of vaccination and immunisation programmes for the last five years, where accounts have already been published:
Financial year | Vaccination and immunisation costs (£m) | NHS England total budget (£m) | Proportion of NHE England total budget spend on vaccination and immunisation |
2019/20 | 309 | 121,334 | 0.25% |
2020/21 | 955 | 147,132 | 0.65% |
2021/22 | 1,499 | 147,973 | 1.01% |
2022/23 | 989 | 155,228 | 0.64% |
2023/24 | 852 | 165,926 | 0.51% |
Modern service frameworks will define an aspirational, long-term outcome goal for a major condition and then identify the best evidenced interventions and the support for delivery. Early priorities will include cardiovascular disease, severe mental illness, and the first ever service framework for frailty and dementia.
The Government will consider other long-term conditions for future waves of modern service frameworks, including respiratory conditions. The criteria for determining other conditions for future modern service frameworks will be based on where there is potential for rapid and significant improvements in quality of care and productivity.
The National Institute for Health and Care Excellence’s (NICE) published guidance on abiraterone for treating newly diagnosed high-risk hormone-sensitive metastatic prostate cancer, which has the reference code TA721, was developed before the patent for abiraterone expired and was therefore based on the cost of the branded medicine.
NICE is now re-evaluating abiraterone, both the originator and the generics, for the treatment of newly diagnosed high-risk hormone-sensitive metastatic prostate cancer and currently expects to publish the final guidance on 19 November 2025. The progress of this guidance can be followed at the following link:
NHS England estimates that the number of eligible patients in England is between 7,500 and 9,500 per year. This is based on the same eligibility criteria as are used in Scotland and Wales.
NHS England has not completed any specific work to estimate the potential impact of prescribing abiraterone in England using the eligibility criteria used in Scotland and Wales on the number of premature deaths from high-risk, non-metastatic prostate cancer. However, the policy was ranked as the top priority for routine commissioning at the Clinical Priorities Advisory Group Prioritisation Meeting in 2024/25, based upon the clinical benefit, which included evidence that demonstrated statistically significantly fewer deaths with abiraterone and androgen deprivation therapy versus androgen deprivation therapy alone.
NHS England estimates that the number of eligible patients in England is between 7,500 and 9,500 per year. This is based on the same eligibility criteria as are used in Scotland and Wales.
NHS England has not completed any specific work to estimate the potential impact of prescribing abiraterone in England using the eligibility criteria used in Scotland and Wales on the number of premature deaths from high-risk, non-metastatic prostate cancer. However, the policy was ranked as the top priority for routine commissioning at the Clinical Priorities Advisory Group Prioritisation Meeting in 2024/25, based upon the clinical benefit, which included evidence that demonstrated statistically significantly fewer deaths with abiraterone and androgen deprivation therapy versus androgen deprivation therapy alone.
NHS England is unable to provide information related to the cost per patient as disclosure of this information could be used to identify the discounted price that we have agreed and would prejudice the commercial interests of both NHS England and the supplier.
The number of patients eligible for abiraterone for the treatment of high-risk, non-metastatic prostate cancer is between 7,500 and 9,500 per year.
The total net cost of the policy, including the drug cost, to NHS England is estimated to be approximately £49.36 million over five years.
NHS England has not calculated the incremental quality-adjusted life years gained or the incremental cost-effectiveness ratio because NHS England uses a relative prioritisation process for policy propositions that require funding in line with the published NHS England Specialised Commissioning Service Development Policy, which is available at the following link:
NHS England has not calculated the incremental cost-effectiveness ratio for any policy proposition because NHS England uses a relative prioritisation process for policy propositions that require funding in line with the published NHS England Specialised Commissioning Service Development Policy, a copy of which is attached.
NHS England has not calculated the incremental cost-effectiveness ratio for any policy proposition because NHS England uses a relative prioritisation process for policy propositions that require funding in line with the published NHS England Specialised Commissioning Service Development Policy, a copy of which is attached.