Asked by: Freddie van Mierlo (Liberal Democrat - Henley and Thame)
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 adequacy of the provision of 24/7 palliative care in Oxfordshire: and what steps he is taking to extend provision of this service.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We want a society where every person receives high-quality, compassionate care from diagnosis through to the end of life. The Government will shift the focus of healthcare out of the hospital and into the community, to ensure patients and their families receive personalised care in the most appropriate setting. Palliative care and end of life care services will have a big role to play in that shift.
Palliative care services are included in the list of services that integrated care boards (ICBs), including the NHS Buckinghamshire, Oxfordshire and West Berkshire ICB, must commission. This promotes a more consistent national approach and supports commissioners in prioritising palliative care and end of life care. To support ICBs in this duty, NHS England has published statutory guidance and service specifications, with further information on both available, respectively, at the following two links:
The statutory guidance makes specific reference to commissioners defining how their services will meet population needs 24/7 and includes a priority action for ensuring that staff, patients, and carers can access the care and advice they need, whatever time of day.
Earlier this year, I met with key palliative care and end of life care and hospice stakeholders, in a roundtable format, with a focus on long-term sector sustainability within the context of our forthcoming 10-Year Health Plan.
Asked by: Freddie van Mierlo (Liberal Democrat - Henley and Thame)
Question to the Department for Science, Innovation & Technology:
To ask the Secretary of State for Science, Innovation and Technology, when he plans to respond to the correspondence of 14 May 2025 from the hon. Member for Henley and Thame on Bullitt Group UK.
Answered by Chris Bryant - Minister of State (Department for Culture, Media and Sport)
The Secretary of State has responded to the Member’s earlier letter.
Asked by: Freddie van Mierlo (Liberal Democrat - Henley and Thame)
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 merits of reforming GP licensing; and whether he will make it his policy to protect GPs from unaffordable costs when a practice fails financially.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Most general practices (GPs) are run by general, unlimited liability partnerships. Limited liability partnerships are currently not permitted as business vehicles for General Medical Services or Personal Medical Services contractors. However, limited companies can be used to manage financial risks in a partnership. GP partnerships may also manage liabilities through indemnities and different forms of insurance. As independent contractors and small business owners, these are decisions for GP partners to make, with legal and accounting advice.
We have committed to substantive GP Contract reform within this Parliament following acceptance of the 2025/26 contract by the General Practitioners Committee England. As part of this, we expect to consider a breadth of topics, which may include updates to the partnership model.
We are investing an additional £889 million in GPs, to reinforce the front door of the National Health Service and to bring back the family doctor, bringing the total spend on the GP Contract to £13.2billion in 2025/26. This is the biggest increase in over a decade, and means we are reversing the recent trend by allocating a rising share of total NHS resources to GPs.
Asked by: Freddie van Mierlo (Liberal Democrat - Henley and Thame)
Question to the Department for Education:
To ask the Secretary of State for Education, what steps she is taking to ensure that children with (a) diabetes and (b) other medical needs are able to access wraparound care provided by (i) breakfast, (ii) after school and (iii) holiday clubs.
Answered by Stephen Morgan - Parliamentary Under-Secretary (Department for Education)
All children and families should be able to access the benefits of wraparound care around the school day and term time. This is why the department is investing in new free universal breakfast clubs and new and expanded before and after school places through the wraparound childcare programme, alongside the Holiday Activities and Food (HAF) programme.
Under the Equality Act 2010, schools and providers of wraparound and holiday care must make reasonable adjustments for children with disabilities and medical conditions. In addition, section 100 of the Children and Families Act 2014 places a duty on maintained schools, academies and pupil referral units to make arrangements for supporting pupils with medical conditions.
The department’s guidance on wraparound, breakfast clubs and HAF programmes is clear that schools and providers should be aware of any medical requirements of pupils and encourages providers to review the ‘Supporting pupils at school with medical conditions’ statutory guidance, which can be accessed here: https://assets.publishing.service.gov.uk/media/5ce6a72e40f0b620a103bd53/supporting-pupils-at-school-with-medical-conditions.pdf. Although the duty does not extend to out of school setting providers, this guidance contains information that may be useful in considering how to best support children with medical conditions.
Asked by: Freddie van Mierlo (Liberal Democrat - Henley and Thame)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what criteria his Department has used to determine the allocation of repair funds to the Royal Berkshire Hospital.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The £750 million Estates Safety Fund is part of the overall 2025/26 capital allocation announced by the Chancellor at the Autumn Budget 2024.
The £750 million was divided between integrated care systems (ICSs) through indicative funding allocations as part of the NHS Capital Guidance 2025/26. Each system’s indicative allocation represents a proportion of the £750 million based on need, taking into account levels of critical infrastructure risk, incidents and returns to the recent maternity estates survey.
Due to the diverse needs of the National Health Service estate, a flexible approach has been taken to ensure national and regional priorities are addressed effectively. ICSs worked with their local systems to identify and prioritise which schemes would be funded at which sites from their provisional allocations to deliver maximum safety benefits. The value of these schemes determined the financial allocations to NHS trusts.
Asked by: Freddie van Mierlo (Liberal Democrat - Henley and Thame)
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 merits of reforming GP licensing; and if he will develop plans to protect GPs from costs when practices fail financially.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We have committed to substantive GP contract reform within Parliament following acceptance of the 2025/26 contract by the England general practitioners committee of the British Medical Association. As part of this, we expect to consider a breadth of topics, which may include updates to the partnership model.
Practices with a General Medical Services contract are eligible for rent reimbursements, with different terms depending on the ownership or occupation arrangements for the property, as set out in the Premises Costs Directions 2024. The commissioner has discretion to provide further financial assistance if other costs rise exponentially, such as service charges, all budget-dependent.
Asked by: Freddie van Mierlo (Liberal Democrat - Henley and Thame)
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 private providers of physiotherapy services to the NHS (a) provide value for money and (b) do not operate with excessive profit margins.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Throughout its history, the National Health Service has always worked with non-NHS healthcare providers to deliver essential services to patients, especially at times of operational pressures. The overall proportion of health spending on independent sector providers has not increased significantly over recent years. In 2013/14, 6.1% of total health spending, or £6.5 billion, was spent on purchase of healthcare from independent sector providers. In 2023/24, this was 6.8% or £12.4 billion.
The Provider Selection Regime is a set of rules for procuring health care services in England, giving decision-makers the flexibility they need to arrange services that best promote the interests of patients, the taxpayer, and the population. As part of the Provider Selection Regime, commissioners need to be transparent in their decision making to ensure that there is proper scrutiny and accountability of decisions made about NHS services.
Rates of payment for physiotherapy services are set at a local level. Pursuant to the Government’s public interest test, NHS bodies are not obliged to accept any bids submitted by external suppliers unless they clearly demonstrate value for money and deliver against the aims and objectives of a business cases. It is expected that any outsourced services are delivered in a way that improves quality, ensures greater stability and longer-term investment in the workforce, and delivers better value for money as part of broader commitments on procurement.
Asked by: Freddie van Mierlo (Liberal Democrat - Henley and Thame)
Question to the Department for Science, Innovation & Technology:
To ask the Secretary of State for Science, Innovation and Technology, what recent discussions he has had with Ofcom on the regulation of gaming companies under the Online Safety Act 2023.
Answered by Feryal Clark - Parliamentary Under Secretary of State (Department for Science, Innovation and Technology)
The Government engages regularly with Ofcom to discuss implementation of the Online Safety Act.
Game services are in scope of the Online Safety Act if they allow users to post content online or to interact with each other. The Act requires all user-to-user services, including in-scope gaming platforms, to have systems and processes in place to remove illegal content. In July, in-scope services will also need to take steps to protect children from harmful content.
Asked by: Freddie van Mierlo (Liberal Democrat - Henley and Thame)
Question to the Ministry of Housing, Communities and Local Government:
To ask the Secretary of State for Housing, Communities and Local Government, whether her Department plans to take steps to improve protections for (a) pubs and (b) other community assets against (i) long-term commercial vacancy and (ii) speculative planning applications.
Answered by Matthew Pennycook - Minister of State (Housing, Communities and Local Government)
Through the forthcoming English Devolution Bill, we will introduce a ‘right to buy’ for valued community assets, such as pubs and other spaces. This will give communities stronger powers to secure these assets if they go up for sale.
Long-term vacant pubs may also be eligible for a High Street Rental Auction.
Where planning permission is sought to change the use of community facilities, the National Planning Policy Framework is clear that local planning decisions should guard against the unnecessary loss of valued community facilities and services.
Asked by: Freddie van Mierlo (Liberal Democrat - Henley and Thame)
Question to the Ministry of Housing, Communities and Local Government:
To ask the Secretary of State for Housing, Communities and Local Government, whether her Department plans to (a) review and (b) strengthen the provisions of the Localism Act 2011 relating to the community right to bid; and if she will make an assessment of the potential impact of doing so on (i) long-term vacant commercial properties and (ii) support for communities seeking to preserve assets of community value.
Answered by Alex Norris - Parliamentary Under-Secretary (Housing, Communities and Local Government)
As part of the English Devolution Bill, the government has committed to legislate for a strong new ‘right to buy’ for valued community assets, replacing the current ‘right to bid’ that was introduced in the Localism Act 2011. This will give real power to local people to preserve a wide range of assets that are important to them and help to end the blight of empty properties on our high street. We are currently finalising the policy and will announce more details, including its impact, in due course.