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 patients with suspected endometriosis can access clinicians with specialist expertise through the NHS online hospital.

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

NHS Online will be a new, optional online service allowing patients to digitally connect with clinicians across England. In January 2026, we announced the initial specialities and conditions that NHS Online will focus on. Menstrual problems that may be a sign of endometriosis will be one of the first conditions available for referral to NHS Online when it launches in 2027. This pathway being developed for NHS Online incorporates a process for investigation, management, and onward referral to specialist services within a timely manner if clinically indicated.

This means that when a patient goes to see their general practitioner, they will have the option of being referred, through their legal right to choice, to NHS Online for their care. Should a consultation be required, they will see the next available specialist, who may be anywhere in the country. Following an NHS Online assessment, if a patient requires or chooses a face-to-face consultation they will be referred to a local provider.

Patient safety will not be compromised. Clinical oversight will be robust, keeping patient safety at the heart of the process.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of the NHS online hospital on levels of regional variation in gynaecology waiting times.

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

Women’s health issues, including severe menopause symptoms and menstrual problems that may be a sign of endometriosis, fibroids, polycystic ovary syndrome, adenomyosis, or pelvic infection, will be among the conditions available for referral to NHS Online from 2027.

NHS Online will be unconstrained by geographical boundaries, able to better align clinical capacity with patient demand, and will help tackle deep rooted inequalities in the healthcare system by ending the postcode lottery of care and waiting times, including for women’s health issues. Once referred by their general practitioner, patients can be seen quickly by National Health Service specialists online. Remote consultations, follow-ups, and condition management can be delivered digitally. Streamlined pathways will shorten delays between referral and treatment and help patients start their care sooner.

NHS Online will help to reduce patient waiting times, delivering the equivalent of up to 8.5 million appointments and assessments in its first three years, four times more than an average trust, while enhancing patient choice and control over their care.

NHS Online is undertaking a detailed equality health impact assessment to assess the impacts of the service, and is working with patients and carers to ensure that these are addressed. Patient choice remains central to care. NHS Online will enhance patient choice with in-person care always available for those who prefer and for those whose care needs require it.

Before NHS Online goes live, the NHS will learn from existing research on patient experience of online care over the last five years and build it into the programme as it develops. The programme is being developed with a commitment to patient partnership in design and delivery. We will be working with marginalised groups, including through the Voluntary, Community, and Social Enterprise sector, which represents communities who share protected characteristics or that experience health inequalities, with further information avaiable at the following link:

https://www.england.nhs.uk/hwalliance/

Inclusion will be a core priority as the organisation evolves.

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 the NHS online hospital on women’s health inequalities.

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

Women’s health issues, including severe menopause symptoms and menstrual problems that may be a sign of endometriosis, fibroids, polycystic ovary syndrome, adenomyosis, or pelvic infection, will be among the conditions available for referral to NHS Online from 2027.

NHS Online will be unconstrained by geographical boundaries, able to better align clinical capacity with patient demand, and will help tackle deep rooted inequalities in the healthcare system by ending the postcode lottery of care and waiting times, including for women’s health issues. Once referred by their general practitioner, patients can be seen quickly by National Health Service specialists online. Remote consultations, follow-ups, and condition management can be delivered digitally. Streamlined pathways will shorten delays between referral and treatment and help patients start their care sooner.

NHS Online will help to reduce patient waiting times, delivering the equivalent of up to 8.5 million appointments and assessments in its first three years, four times more than an average trust, while enhancing patient choice and control over their care.

NHS Online is undertaking a detailed equality health impact assessment to assess the impacts of the service, and is working with patients and carers to ensure that these are addressed. Patient choice remains central to care. NHS Online will enhance patient choice with in-person care always available for those who prefer and for those whose care needs require it.

Before NHS Online goes live, the NHS will learn from existing research on patient experience of online care over the last five years and build it into the programme as it develops. The programme is being developed with a commitment to patient partnership in design and delivery. We will be working with marginalised groups, including through the Voluntary, Community, and Social Enterprise sector, which represents communities who share protected characteristics or that experience health inequalities, with further information avaiable at the following link:

https://www.england.nhs.uk/hwalliance/

Inclusion will be a core priority as the organisation evolves.

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 women accessing care for (a) menopause and (b) menstrual disorders via the NHS online hospital can be referred efficiently to in-person specialist services when needed.

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

NHS Online will be a new, optional online service allowing patients to digitally connect with clinicians across England. When a patient is referred to NHS Online, should a consultation be required, they will see the next available specialist, who may be anywhere in the country. For patients who are diagnosed with menopause or menstrual disorders conditions, where the NHS Online clinician determines that in-person specialist services are the appropriate treatment, they will be transferred to appropriate local services, including in-person specialist care.

Patients will always have the choice of face-to-face appointments, and those who need physical examinations or procedures will continue to receive them either at hospital or local hubs nearby. If a patient displays more complex symptoms after the original referral to NHS Online, then they can be referred back on to a more traditional pathway.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the workforce required to provide specialist women’s health services through the NHS online hospital.

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

Analysis shows that the anticipated workforce available to provide women’s health services through the NHS online hospital, provides enough capacity to meet the demand for the service in the first three years.

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