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 delayed access to specialist heart valve treatment on (a) avoidable unscheduled hospitalisations, (b) deaths on the waiting lists, and (c) other patient outcomes.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The Department has not made any specific assessment of the impact of delayed heart valve treatment on avoidable unscheduled hospitalisations, deaths on the waiting lists, and other patient outcomes.

It is unacceptable that so many patients have been let down for too long whilst they wait for the care they need. We have wasted no time in getting to work cutting National Health Service waiting lists and ensuring people have the best possible experience during their care. We promised change, and we’ve delivered early with a reduction in the list of over 206,000 since the Government came into office. Specifically, the waiting list for cardiology services has reduced by over 25,000 in that time.

Between July 2024 and June 2025, we delivered 5.2 million additional appointments compared to the previous year, more than double our pledge of two million. This marks a vital first step to delivering on the commitment that 92% of patients will wait no longer than 18 weeks from referral to consultant-led treatment by March 2029.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure councils implement the requirements of the Care Act 2014 on Individual Service Funds.

Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)

Under the Care Act 2014, everyone whose needs are met by the local authority (LA) must receive a personal budget as part of the care and support plan. The budget sets out how much of the cost of care will be met by the LA and how much will be met by the adult.

Individual Service Funds (ISFs) are one of the ways in which the personal budget can be deployed. It allows for a third-party provider to hold and manage the budget on behalf of the individual.

Guidance on ISFs is set out in the Care and Support Statutory (CASS) Guidance, issued under the Care Act 2014. The CASS guidance sets out that LAs should offer ISFs where possible and provide clear information on how they work. Where an ISF arrangement is not available locally, the LA should explore arrangements to develop this offer and should be receptive to requests to create arrangements with specified providers.

In addition, and supported by the Department, Think Local Act Personal has produced guidance for LAs on ISFs, which can be found on their website, at the following link:

https://thinklocalactpersonal.org.uk/resources/individual-service-funds-isfs-and-contracting-for-flexible-support/

The Care Quality Commission is assessing how well LAs in England are delivering adult social care by looking at how they are performing against their duties under Part 1 of the Care Act 2014. The assessments identify LAs strengths and areas for improvement, facilitating the sharing of good practice and helping us to target support where it is most needed.

The Department has not had discussions with LAs specifically on the effectiveness of the implementation of ISFs under the Care Act 2014.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure earlier (a) detection and (b) treatment of heart valve disease is prioritised within NHS long-term planning.

Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)

In line with the goals of the 10-Year Health Plan, NHS England has already undertaken measures to improve the early detection of heart valve disease (HVD). These include:

• commissioning the Primary Care Cardiovascular Society to develop a new referral form to support the investigation of HVD; and
• establishing an Expert Advisory Group on HVD with the aim of ensuring excellence in care whilst exploring ways to improve HVD management nationwide.

In 2025, NHS England’s Getting It Right First Time programme published new and revised cardiology pathways to support evidence-based, efficient, and consistent care across primary and secondary settings, including for aortic stenosis for patients with severe symptomatic heart valve disease.

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, what her planned timetable is for the primary school library rollout.

Answered by Stephanie Peacock - Parliamentary Under Secretary of State (Department for Culture, Media and Sport)

The Department for Culture, Media and Sport has responsibility for the Dormant Assets Scheme, which is providing funding to support the primary school library commitment, previously announced by the Chancellor.

Through the Scheme, £132.5 million has been allocated to increasing disadvantaged young people’s access to enrichment opportunities in the arts, culture, sports and wider youth services, aimed at improving wellbeing and employability over the long term. This includes a commitment to ensuring that every primary school in England has a library space by the end of this Parliament.

The Government is working with The National Lottery Community Fund to co-design the programme and develop more of the specifics around its delivery. Further details will be announced in due course, including expected timelines.

Question to the Department for Education:

To ask the Secretary of State for Education, what (a) training and (b) support will be provided to (i) teachers and (ii) other education staff as part of the new curriculum to support the delivery of increased levels of literacy in schools.

Answered by Josh MacAlister - Parliamentary Under-Secretary (Department for Education)

High and rising standards are at the heart of the government’s mission to break down barriers to opportunity and give every child the best life chances.

Following the recommendations of the Curriculum and Assessment Review published on 5 November 2025, we will revise the English curriculum to ensure that there is more emphasis on speaking, listening and drama, alongside creating a new primary oracy framework and a new combined secondary oracy, reading and writing framework to support its implementation.

The government has also committed £27.7 million this financial year to support and drive high and rising standards in reading. This includes supporting the teaching of phonics, early language and reading for pleasure via the English Hubs programme.

We will also build secondary schools' capacity to support students with reading needs by providing new reading training from January 2026.

Additionally, on 7 July 2025, my right hon. Friend, the Secretary of State for Education announced that 2026 will be the National Year of Reading. The National Year of Reading is a UK-wide campaign to address the steep decline in reading enjoyment amongst children, young people and adults. More information is available at www.goallin.org.uk.

Question to the Department for Education:

To ask the Secretary of State for Education, what steps she is taking as part of the new curriculum to develop a culture of reading for pleasure in schools.

Answered by Josh MacAlister - Parliamentary Under-Secretary (Department for Education)

The department knows that reading for pleasure is hugely important and brings a range of benefits.

That is why we are launching the National Year of Reading 2026, in collaboration with the National Literacy Trust. It aims to address long-term declines in reading enjoyment through engaging new audiences, reshaping public attitudes and building the systems needed to embed lasting, meaningful change.

The government has also committed £27.7 million this financial year to support and drive high and rising standards in reading. This includes supporting the teaching of phonics, early language and reading for pleasure via the English Hubs programme.

Following the recommendations of the Curriculum and Assessment Review, published on 5 November 2025, we will revise the English curriculum to ensure that we give every child rock solid foundations in oracy, reading and writing, and an improved key stage 3 that re-engages pupils and prevents their learning from stagnating.

On the 4 September 2025 the House agreed the following Resolution:

Written Parliamentary Questions (WPQs) are an important tool for Members of Parliament to obtain detailed and targeted information to aid in the scrutiny of Government policy and operations. The long-established purpose of WPQs is to uphold transparency and accountability by ensuring that the Government provides clear and timely information to Parliament, and to the public via their publication.