Gareth Thomas

Monthly referral to treatment waiting times data has been published by NHS England since March 2007. The requested data for June 2004 is therefore unavailable. As of the end of June 2025, there were 38,284 pathways over 18 weeks at London North West University Healthcare NHS Trust. This data is available at the following link:

https://www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/rtt-data-2025-26/#Jun25

The standard that 92% of patients should wait no longer than 18-weeks from referral to treatment came into effect in April 2012. Prior to this, national standards related to admitted or non-admitted completed pathways only. From 2015, trusts have solely been assessed on performance against the standard that 92% of patients wait no longer than 18-weeks from referral to treatment. Any data comparisons across these periods should therefore be treated with caution.

In Fit for the Future: 10 Year Health Plan for England, the Government has committed to tackling harmful levels of alcohol consumption by exploring options to encourage consumers to reduce their alcohol intake by substituting standard strength drinks with no- and low-alcohol (NoLo) alternatives.

One of the first steps to support further growth of the NoLo sector, and potentially increase the range of NoLo products, will be to explore raising the upper alcohol limit for drinks labelled as alcohol-free to 0.5% alcohol by volume (ABV) from 0.05% ABV, whilst providing clarity to consumers and producers. At the same time, we will explore measures to regulate access to NoLo products in line with other alcoholic beverages, including prohibiting sales to individuals under the age of 18 years old.

Alongside the plan, a large, multi-year National Institute for Health and Care Research study is underway to examine the public health impacts of NoLo products, and we look forward to the findings of that study being available in the coming year.

As outlined in the 10-Year Health Plan, our ambition is that by 2035 all provider trusts will be foundation trusts, using their freedoms to work with others and improve population health.

Integrated care boards have a duty to provide health services to meet the needs of their population and already work closely with the voluntary, community, and social enterprise (VCSE) sector, which includes the commissioning and delivery of services and, in some cases, by appointing representatives from the VCSE sector to their boards.

Charities, co-operatives, social enterprises and mutuals have always been part of the National Health Service and social care. Today, social enterprises provide services for approximately two thirds of the United Kingdom population, delivering more than £2.5 billion of NHS care each year. This includes services such as community care, primary and urgent care, out-of-hours services, mental health support, drug and alcohol rehabilitation centres, end of life care, physiotherapy, audiology.

Social enterprises are often able to take a more agile approach and will continue to be critical to the success of the NHS and in delivery of the 10 Year Health Plan and supporting the three shifts.

London North West University Healthcare NHS Trust provides cancer services at Northwick Park, Central Middlesex, Ealing, and St Mark's Hospitals, with speciality cancer teams at each site. Performance data on cancer pathways is reported at trust level.

The trust demonstrated strong performance up to mid-2023, particularly for the Faster Diagnosis Standard, with 84.7% performance in July 2023 being 14.7 percentage points above the 75% standard, and the 31-day treatment standard, with 100% performance in July 2023 being four percentage points above the 96% standard.

From mid-202,3 data quality issues and a temporary reduction in activity following the implementation of Cerner, an electronic patient record system, plus capacity constraints, saw a decline in performance. Backlogs increased with the number of patients waiting over 104 days for treatment peaking significantly.

A recovery programme was implemented to reduce the backlog, using real-time data to drive action and accountability. Actions included increasing the trust’s capacity and workforce, with specialist nurses, radiographers, and consultants, plus extended hours and weekend clinics. Rapid triage and assessment pathways led to faster diagnosis, along with expanded one-stop clinics, especially for breast cancer and gynaecology, with more patients also being sent straight to test for lower gastrointestinal cancers.

By early 2025, the number of patients wating more than 104 days was close to zero, with a steady improvement seen in two-week waits and the Faster Diagnosis Standard. As the trust has started to stabilise its backlog, there has been significant improvement in the 62 day performance target with the trust continuing to be above the London target of 70%.

Latest waiting time performance from July 2025 has been promising, with the trust achieving 81.5% Faster Diagnosis Standard performance and 100% 31-day treatment performance. 62-day referral to first treatment performance was 83%, one of the best in the country.

Full cancer performance figures are published in the trust’s annual report, which is available at the following link:

https://www.lnwh.nhs.uk/annual-report-and-accounts

The UK regularly raises our concerns about Palestinian children in detention with the Israeli authorities. We are clear that children must always be protected, and their rights upheld in accordance with international law. We are horrified by reports of mistreatment or abuse of Palestinian children in detention and call on the Israeli authorities to investigate these urgently and to ensure any perpetrators are held to account. Children must only be detained in line with internationally agreed juvenile justice standards or other applicable international law, and we call for an end to the military detention of Palestinian children where this is incompatible with those principles. We continue to call on Israel to immediately facilitate urgent, unhindered access to all child detainees from the West Bank and Gaza to persons providing legal assistance, the International Committee of the Red Cross (ICRC) and appropriate experts for the purposes of monitoring and reporting.

The UK and Nepal share a deep historic relationship. We were appalled at the violence that transpired in Kathmandu and across Nepal following protests that were triggered by the Government of Nepal banning a number of social media platforms, as well as public frustrations about levels of corruption and nepotism. The UK supports fundamental freedoms and respect for human rights in Nepal and elsewhere, including the right to protest and peaceful assembly. The Foreign, Commonwealth & Development Office (FCDO) made public statements condemning the violence and calling for accountability and peaceful dialogue.

On 12 September, our Embassy in Nepal welcomed the appointment of Rt Hon Sushila Karki's as interim Prime Minister. As Nepal's oldest friend, we recognise the challenges ahead and affirm our commitment to support Nepali aspirations for accountability and inclusive governance.

The UK is appalled by the extremely high number of fatalities, arrests and detentions of media workers in the State of Palestine. We have called on all parties to fully uphold International Humanitarian Law and ensure protection of civilians including journalists. In a recent joint statement with 28 other members of the Media Freedom Coalition, we called on the Israeli authorities and all other parties to make every effort to ensure that media workers in Gaza, Israel, the West Bank and East Jerusalem can conduct their work freely and safely. The statement also called for all attacks against media workers to be investigated and for those responsible to be prosecuted in compliance with national and international law. Earlier this year the UK provided funds to United Nations Educational, Scientific and Cultural Organization's (UNESCO) Special Fund for Gaza, supporting locally based journalists and providing vital equipment.

The UK has repeatedly made both public and private representations to Israel to ensure that humanitarian workers are protected and medical and aid workers can do their jobs safely.

At the UN, the UK has worked to enhance the safety of aid workers by co-sponsoring United Nations Security Council Resolution (UNSCR) 2730 on the Protection of Humanitarian Personnel in 2024. Working with our Australian counterparts, we developed the political Declaration for the Protection of Humanitarian Personnel which launched at the United Nations General Assembly (UNGA) on September 21 and secured endorsement from 105 states. We will continue our engagement to drive forward implementation.

On 23 September 2025 Which? made a supercomplaint to the Financial Conduct Authority (FCA) that makes recommendations on relevant matters, including that the FCA and Government should review consumer protection legislation in insurance. The FCA and the Government are considering the issues raised. The FCA will respond to the supercomplaint in due course.

The Help to Save scheme supports financial resilience for working people on low incomes by encouraging consistent, long-term saving and helping them build a financial buffer to plan and prepare for the future.

In April 2025, the government widened the eligibility criteria for the Help to Save scheme to all Universal Credit claimants in work, rather than only those earning above a specified threshold. This expansion means around 550,000 additional people can benefit from the scheme, increasing the eligible population to approximately 3 million.

The government recognises that further groups may also benefit from Help to Save. Any future changes would need to be carefully assessed to ensure the scheme continues to be well targeted and deliverable.

The government has recently consulted on reforms to the delivery of Help to Save after 2027 and we continue to engage with a range of third-party financial institutions, including credit unions, as part of this process.

The Help to Save scheme supports financial resilience for working people on low incomes by encouraging consistent, long-term saving and helping them build a financial buffer to plan and prepare for the future.

In April 2025, the government widened the eligibility criteria for the Help to Save scheme to all Universal Credit claimants in work, rather than only those earning above a specified threshold. This expansion means around 550,000 additional people can benefit from the scheme, increasing the eligible population to approximately 3 million.

The government recognises that further groups may also benefit from Help to Save. Any future changes would need to be carefully assessed to ensure the scheme continues to be well targeted and deliverable.

The government has recently consulted on reforms to the delivery of Help to Save after 2027 and we continue to engage with a range of third-party financial institutions, including credit unions, as part of this process.

According to Section 11 of the Credit Unions Act 1979, credit unions are able to lend to other credit unions.

Credit unions are regulated by the Prudential Regulation Authority (PRA) and the Financial Conduct Authority (FCA) in a way that ensures the stability and soundness of the sector. The PRA and FCA are independent regulators and take decisions on the regulation of credit unions in line with their statutory objectives.

The government expects that insurers deliver good outcomes to consumers and firms are required to do so under Financial Conduct Authority (FCA) rules. These rules require firms to ensure their products offer fair value. This means the price paid by consumers must be reasonable compared to the benefits they receive. The FCA monitors firms and has robust powers to act against firms that breach its rules.

The government’s Financial Inclusion Strategy, published on 5 November 2025, recognises that insurance has an important part to play in financial resilience and wellbeing, and sets out a range of interventions to improve access. This includes a total signposting initiative which will help underserved consumers find insurance policies which meet their needs.

The government also plans to publish the final report of the cross-government Motor Insurance Taskforce in the autumn. As part of the taskforce’s work to understand how the cost of motor insurance impacts on particular groups of customers, the FCA is conducting statistical analysis to evaluate the impacts on different age groups and consumers living in areas with a higher proportion of minority ethnic residents. The FCA will publish its findings later this year.

The government expects that insurers deliver good outcomes to consumers and firms are required to do so under Financial Conduct Authority (FCA) rules. These rules require firms to ensure their products offer fair value. This means the price paid by consumers must be reasonable compared to the benefits they receive. The FCA monitors firms and has robust powers to act against firms that breach its rules.

The government’s Financial Inclusion Strategy, published on 5 November 2025, recognises that insurance has an important part to play in financial resilience and wellbeing, and sets out a range of interventions to improve access. This includes a total signposting initiative which will help underserved consumers find insurance policies which meet their needs.

The government also plans to publish the final report of the cross-government Motor Insurance Taskforce in the autumn. As part of the taskforce’s work to understand how the cost of motor insurance impacts on particular groups of customers, the FCA is conducting statistical analysis to evaluate the impacts on different age groups and consumers living in areas with a higher proportion of minority ethnic residents. The FCA will publish its findings later this year.

The Government has no plans to require banks to publish lending data by postcode or to identify neighbourhoods with the least and most lending. However, as I outlined in my answers to PQs 86597 (5 November) and 77972 (16 October), and as set out in the recently published Financial Inclusion Strategy, the Government is committed to ensuring that access to finance is available for individuals and businesses across the UK and to tackle barriers where these exist. The Strategy presents an ambitious programme of measures to improve access to credit, among them new funding for the credit union sector in England and a small sum lending pilot.

The Government recognises that credit, when provided responsibly, supports business growth, and can be crucial for people facing unexpected expenses or managing their cash flow.

The UK has a diverse landscape for credit provision to individuals and businesses, comprising traditional banks, challenger and specialist banks, and non-bank finance providers such as Community Development Finance Institutions (CDFIs). In 2024, CDFIs and social banks lent £96.7 million to 364 social enterprises, with 67% of this lending directed to the UK’s most disadvantaged areas.

The Government recently published its Financial Inclusion Strategy which sets out an ambitious programme of measures to improve financial inclusion and resilience for people across the UK. In recognition of the important role responsible credit can play for consumers, the strategy includes a focus on access to credit, among other priority issues, with the launch of new funding to support the credit union sector in England and a small sum lending pilot.

I refer the Honourable Member to the answer I gave on 28 October to PQ 84135.