Asked by: Darren Paffey (Labour - Southampton Itchen)
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 the eligibility criteria for the shingles vaccine, and what steps his Department is taking to ensure that the criteria are clearly communicated to (a) patients and (b) general practices.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
From September 2023, the routine shingles vaccination programme changed from the Zostavax vaccine to the two-dose Shingrix vaccine, to better protect individuals from the effects of shingles, provide better clinical outcomes, and reduce pressures on the health system. The programme was also expanded, and as a result, almost one million more people became eligible for the shingles vaccination.
The expansion is being rolled out in phases to maximise cost-effectiveness and population benefit, ensure consistent messaging to maximise coverage, and take account of National Health Service capacity, all while being consistent with the approach taken by all four nations in the United Kingdom. During the first phase, which commenced in September 2023, those who reach the ages of 65 or 70 years old will be called in for vaccination on or after their 65th or 70th birthday. During the second phase, from September 2028, individuals will be called in for vaccination on or after their 60th or 65th birthday. From 1 September 2033 onwards, vaccination will be routinely offered to those turning 60 years of age on or after their 60th birthday.
Separately, in November 2024, the Joint Committee on Vaccination and Immunisation provided advice on eligibility for the shingles vaccination programme for adults aged 80 years old and over. The Department is considering this advice as it sets the policy on who should be offered shingles vaccinations.
In addition, as of September 2025, all severely immunosuppressed individuals aged 18 years old and over are now eligible for the shingles vaccine in order to protect those who are most at risk of serious illness and complications from shingles.
The UK Health Security Agency (UKHSA) ensures commissioners, providers, and relevant healthcare professionals have access to the necessary resources to communicate accurate information on eligibility for all national vaccination programmes. For example, comprehensive guidance on shingles vaccination is provided for healthcare professionals on GOV.UK website, at the following link:
Additionally, to strengthen awareness of the programme amongst health professionals and the wider public, the UKHSA provides a comprehensive suite of public facing resources and assets. This includes information leaflets on shingles vaccination in multiple languages and accessible formats, for instance easy read, British Sign Language, and braille, with further information available at the following link:
This is a relatively newly expanded programme, and anyone unsure if they are eligible for the shingles vaccination should check online, on the NHS.UK website, or should speak to their general practice.
Asked by: Darren Paffey (Labour - Southampton Itchen)
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 9 January to Question 22115 on Prescriptions: Fees and Charges, how many people with a maternity exemption certificate that received a penalty charge notice in 2024 were (a) eligible for an exemption certificate but did not hold an exemption at the time they were issued with a penalty charge notice and (b) awarded an exemption certificate after receiving a penalty charge notice.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
In 2024, the NHS Business Services Authority (NHS BSA) issued 48,063 penalty charge notices (PCNs) to people that claimed a maternity exemption on their prescription form, but where no exemption was found/matched as part of the NHS BSA process. Of the 48,063 PCNs, 23,710 were eased. An easement is applied when someone has a condition/circumstance that would allow for free prescriptions but does not have an exemption in place. The process allows for the person to subsequently arrange their exemption, and for the penalty charges to be eased.
The NHS BSA is unable to identify the number of people who were eligible for the maternity exemption (matex) but who had not applied for it when claiming the exemption. It is not possible to state that all 23,710 PCNs were eased due a matex certificate being awarded, as easements could also be for exceptional circumstances, or for other exemptions being applicable.
Asked by: Darren Paffey (Labour - Southampton Itchen)
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 increase the number of specialists able to carry out (a) ADHD and (b) autism assessments.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is committed to publishing a 10 Year Workforce Plan 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 National Health Service has the right people in the right places, with the right skills to care for patients, when they need it.
Autism and attention deficit hyperactivity disorder (ADHD) assessments are carried out by multiple professional groups and often form only a part of their roles. NHS England has recently launched an England-wide survey of the learning disability and autism workforce, which will also capture staff undertaking ADHD assessments, and the data is expected to be reported in 2026.
In addition to this, NHS England provides autism training for psychiatrists to develop enhanced skills and confidence in diagnosis. It is also piloting a neurodevelopment credential for doctors to develop specialist neurodevelopmental skills.
Asked by: Darren Paffey (Labour - Southampton Itchen)
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 Medicines and Healthcare products Regulatory Agency on the potential impact (a) emerging diagnostic technologies and (b) breath testing on (i) detection and (ii) survival rates for people for pancreatic cancer.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department has not had discussions with the Medicines and Healthcare products Regulatory Agency on this topic, however we remain committed to improving survival rates for people with all cancers including pancreatic cancer.
The National Cancer Plan for England will include further details on how we will improve outcomes for cancer patients, as well as speeding up diagnosis and treatment, ensuring patients have access to the latest treatments and technology, and ultimately driving up this country’s cancer survival rates.
Asked by: Darren Paffey (Labour - Southampton Itchen)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will take steps to ensure that increases in the National Living Wage are matched by sustainable funding for local authority social care budgets.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Spending Review 2025 allows for an increase of over £4 billion of funding available for adult social care in 2028/29 compared to 2025/26.
The Government took the cost pressures facing adult social care, including increases to the National Living Wage, into account as part of the wider consideration of local government spending within the 2024 Autumn Budget process.
Asked by: Darren Paffey (Labour - Southampton Itchen)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what data his Dpartment holds on the average waiting times for (a) ADHD and (b) autism diagnosis for (i) primary school age and (ii) secondary school age children.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The information is not held centrally in the format requested, but some data on waiting times for attention deficit hyperactivity disorder (ADHD) and autism assessments for children aged 0-17 is available on the NHS England website at the following link:
https://digital.nhs.uk/data-and-information/publications/statistical/mi-adhd/august-2025
Asked by: Darren Paffey (Labour - Southampton Itchen)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the potential (a) merits of introducing a preventative screening programme for (i) kidney and (ii) chest conditions and (b) impact of such a programme on (A) early detection, (B) patient outcomes and (C) long-term cost savings to the NHS.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The UK National Screening Committee (UK NSC) reviewed the evidence to screen for kidney disease (glomerulonephritis) in 2011 and recommended against screening because
However, the National Health Service Health Check assesses for high blood pressure and high blood sugar which are risk factors for the development of both chronic kidney disease (CKD) and cardiovascular disease (CVD). Where an individual’s NHS Health Check indicates high blood pressure or high blood sugar, it is for their general practitioner to consider the results, and then, if required, undertake further clinical investigation and treatment where appropriate.
The 10-Year Health Plan outlines our intention to publish a Modern Service Framework for CVD, which will identify the best evidenced interventions, set clear quality standards, drive innovation in CVD prevention and management, and reduce unwarranted variation.
The UK NSC’s recommendation to screen for lung cancer was accepted in 2023 and a national programme is in the process of being rolled out.
Asked by: Darren Paffey (Labour - Southampton Itchen)
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 Penalty Charge Notices issued for maternity exemption certificates that could not be validated but who were eligible for the exemption on pregnant women and new mothers.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The maternity exemption, known as matex, and penalty charge notices (PCNs) are administered by the NHS Business Services Authority (NHS BSA) on behalf of the Department. The NHS BSA has adopted a policy of waiving the penalty charge for the matex, if a patient’s midwife or other clinician is able to submit a completed application for an exemption certificate within 60 days of receipt of the PCN. The matex certificate issued during this 60-day grace period can only be backdated one month from the date of application which means that the patient is still liable for any prescription charges that should have been paid before a valid matex certificate was put in place.
Asked by: Darren Paffey (Labour - Southampton Itchen)
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 (a) the potential merits of adding fluoride to drinking water and (b) the potential impact of this on oral health for children.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Water fluoridation is an evidence based, effective public health intervention for improving the oral health of children and adults. The 2022 Health Monitoring Report showed that five-year-olds were less likely to experience dental caries, and less likely to experience caries of high severity, in areas with a fluoridation scheme. Further information is available at the following link:
The 10-Year Health Plan sets out our plans to expand water fluoridation in the north east of England by 2030, and that we will assess further rollout in areas where oral health outcomes are worst.
Asked by: Darren Paffey (Labour - Southampton Itchen)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department plans to take with the Department for Education to monitor the potential impact of the (a) expansion of free school meal eligibility and (b) changes to School Food Standards on children's health.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Free school meals offer a critical nutritional safety net to those children who require it most. Expanding the eligibility criteria to all families in receipt of universal credit will provide 500,000 more children with access to a nutritious lunchtime meal each school day from September 2026. The Government is now considering how best to monitor the impact of the expansion of free school meal eligibility and the update the School Food Standards on child health.