Asked by: John Glen (Conservative - Salisbury)
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 availability of diagnostic and treatment pathways for Spinal Cord Injury across Integrated Care Boards.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
While no formal assessment has been made of the adequacy of the availability of diagnostic and treatment pathways for spinal cord injury across integrated care boards (ICBs), NHS England Specialised Commissioning has a Clinical Reference Group (CRG) for rehabilitation and complex disability and spinal cord injury services. Specialist services for spinal cord injuries are commissioned in line with the service specification published by the CRG.
In March 2025, NHS England published the Spinal Services Clinical Network Specification, which establishes expectations for spinal clinical networks to standardise pathways and reduce variation, with the aim of improving access to care for patients.
The Getting It Right First Time (GIRFT) Programme for spinal services is also driving service improvements and better care for patients with spinal cord injuries. GIRFT has worked with National Health Service trusts to showcase examples of best practice which other services can then learn from.
The National Institute for Health and Care Excellence (NICE) also has guidance on the assessment and early management of spinal cord injuries, which is available at the following link:
https://www.nice.org.uk/guidance/ng41
Additionally, last year, NICE published new guidance on rehabilitation for chronic neurological disorders, which includes rehabilitation for spinal cord injury. While NICE guidelines are not mandatory, the Government expects ICB commissioners to take them fully into account in designing services that meet the needs of their local population and to work towards their implementation over time.
Asked by: John Glen (Conservative - Salisbury)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has made progress on improving spinal cord injury services following the 2016 service review.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
While no formal assessment has been made of the potential merits of commissioning local spinal cord injury services, specialist services for spinal cord injury are currently commissioned by NHS England Specialised Commissioning, in line with the service specification published by the Clinical Reference Group.
Progress has been made on improving spinal cord injury services following the 2016 review, through, for example, the development of the Getting It Right First Time (GIRFT) Programme for spinal services, which is driving service improvements and better care for patients with spinal cord injuries. GIRFT has worked with National Health Service trusts to showcase examples of best practice which other services can then learn from.
Additionally, in March 2025, NHS England published the Spinal Services Clinical Network Specification, which establishes expectations for spinal clinical networks to standardise pathways and reduce variation, with the aim of improving access to care for patients.
More recently, in October 2025, the National Institute for Health and Care Excellence published new guidance on rehabilitation for chronic neurological disorders, which includes rehabilitation for spinal cord injury.
Our 10-Year Health Plan also sets out a vision for a health and care system that delivers more personalised, integrated, and proactive care for people with long-term and complex conditions, including spinal cord injury. More tests and scans are delivered in the community, better, joined-up working between services, and greater use of technology will all support people in the management of their spinal cord injuries.
Asked by: John Glen (Conservative - Salisbury)
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 commissioning specialist local spinal cord injury services.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
While no formal assessment has been made of the potential merits of commissioning local spinal cord injury services, specialist services for spinal cord injury are currently commissioned by NHS England Specialised Commissioning, in line with the service specification published by the Clinical Reference Group.
Progress has been made on improving spinal cord injury services following the 2016 review, through, for example, the development of the Getting It Right First Time (GIRFT) Programme for spinal services, which is driving service improvements and better care for patients with spinal cord injuries. GIRFT has worked with National Health Service trusts to showcase examples of best practice which other services can then learn from.
Additionally, in March 2025, NHS England published the Spinal Services Clinical Network Specification, which establishes expectations for spinal clinical networks to standardise pathways and reduce variation, with the aim of improving access to care for patients.
More recently, in October 2025, the National Institute for Health and Care Excellence published new guidance on rehabilitation for chronic neurological disorders, which includes rehabilitation for spinal cord injury.
Our 10-Year Health Plan also sets out a vision for a health and care system that delivers more personalised, integrated, and proactive care for people with long-term and complex conditions, including spinal cord injury. More tests and scans are delivered in the community, better, joined-up working between services, and greater use of technology will all support people in the management of their spinal cord injuries.
Asked by: John Glen (Conservative - Salisbury)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he has taken to ensure that providers of spinal cord injury services are (a) guided by national care pathways, (b) subject to national care standards and (c) report on national outcome measures.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
While no formal assessment has been made of the adequacy of the availability of diagnostic and treatment pathways for spinal cord injury across integrated care boards (ICBs), NHS England Specialised Commissioning has a Clinical Reference Group (CRG) for rehabilitation and complex disability and spinal cord injury services. Specialist services for spinal cord injuries are commissioned in line with the service specification published by the CRG.
In March 2025, NHS England published the Spinal Services Clinical Network Specification, which establishes expectations for spinal clinical networks to standardise pathways and reduce variation, with the aim of improving access to care for patients.
The Getting It Right First Time (GIRFT) Programme for spinal services is also driving service improvements and better care for patients with spinal cord injuries. GIRFT has worked with National Health Service trusts to showcase examples of best practice which other services can then learn from.
The National Institute for Health and Care Excellence (NICE) also has guidance on the assessment and early management of spinal cord injuries, which is available at the following link:
https://www.nice.org.uk/guidance/ng41
Additionally, last year, NICE published new guidance on rehabilitation for chronic neurological disorders, which includes rehabilitation for spinal cord injury. While NICE guidelines are not mandatory, the Government expects ICB commissioners to take them fully into account in designing services that meet the needs of their local population and to work towards their implementation over time.
Asked by: John Glen (Conservative - Salisbury)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what guidance he has issued to ICBs on commissioning pathways on access to spinal cord injury services for patients with a spinal cord injury.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
While no formal assessment has been made of the adequacy of the availability of diagnostic and treatment pathways for spinal cord injury across integrated care boards (ICBs), NHS England Specialised Commissioning has a Clinical Reference Group (CRG) for rehabilitation and complex disability and spinal cord injury services. Specialist services for spinal cord injuries are commissioned in line with the service specification published by the CRG.
In March 2025, NHS England published the Spinal Services Clinical Network Specification, which establishes expectations for spinal clinical networks to standardise pathways and reduce variation, with the aim of improving access to care for patients.
The Getting It Right First Time (GIRFT) Programme for spinal services is also driving service improvements and better care for patients with spinal cord injuries. GIRFT has worked with National Health Service trusts to showcase examples of best practice which other services can then learn from.
The National Institute for Health and Care Excellence (NICE) also has guidance on the assessment and early management of spinal cord injuries, which is available at the following link:
https://www.nice.org.uk/guidance/ng41
Additionally, last year, NICE published new guidance on rehabilitation for chronic neurological disorders, which includes rehabilitation for spinal cord injury. While NICE guidelines are not mandatory, the Government expects ICB commissioners to take them fully into account in designing services that meet the needs of their local population and to work towards their implementation over time.
Asked by: John Glen (Conservative - Salisbury)
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 that expert commissioning knowledge is maintained within the Offices for Pan-ICB Commissioning; and what steps he has taken to prevent a loss of specialist expertise during the staff transfer process.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
NHS England is responsible for the design and operation of offices for pan-integrated care board commissioning and for managing associated workforce changes. In implementing these arrangements, NHS England has sought to retain experienced commissioning staff and specialist knowledge to support consistent, high‑quality commissioning across systems. Staff transfers have been managed in line with established employment and transfer arrangements, with a focus on continuity and skills retention. The Department continues to engage with NHS England on the implementation of commissioning reforms.
Asked by: John Glen (Conservative - Salisbury)
Question to the Department for Education:
To ask the Secretary of State for Education, what assessment her Department has made of whether the approval process for parenting interventions outside the Best Start Family Hubs approved menu enables local authorities to commission programmes delivered by voluntary, faith-based and community organisations; and what steps her Department is taking to support a wider range of parenting interventions reflecting local community needs.
Answered by Olivia Bailey - Parliamentary Under-Secretary of State (Department for Education) (Equalities)
The department is clear that local authorities should commission parenting programmes with a strong and credible evidence base, ensuring families receive support that improves outcomes and increases the proportion of children achieving a good level of development nationally. To support this, the Best Start in Life programme provides an approved menu of evidence‑based parenting interventions, giving local areas confidence that commissioned programmes are effective and represent value for money.
The department has also ensured appropriate flexibility, so that where a local authority can demonstrate that a programme outside the approved menu has a robust evidence base and meets local need, it has been considered.
Evidence‑based parenting programmes are one part of a wider offer of high-quality support to families. Also included are stay‑and‑play opportunities, low‑intensity parenting, peer‑support activities, and strong outreach. The department encourages local authorities to work with voluntary, community and faith organisations, while ensuring that any programmes they deliver, meet clear evidence standards.
Asked by: John Glen (Conservative - Salisbury)
Question to the Department for Education:
To ask the Secretary of State for Education, what assessment her Department has made of whether evidentiary requirements attached to parenting interventions in the Best Start Family Hubs programme affect the ability of local authorities to commission parenting programmes that are not included in the approved menu of interventions.
Answered by Olivia Bailey - Parliamentary Under-Secretary of State (Department for Education) (Equalities)
The department is clear that local authorities should commission parenting programmes with a strong and credible evidence base, ensuring families receive support that improves outcomes and increases the proportion of children achieving a good level of development nationally. To support this, the Best Start in Life programme provides an approved menu of evidence‑based parenting interventions, giving local areas confidence that commissioned programmes are effective and represent value for money.
The department has also ensured appropriate flexibility, so that where a local authority can demonstrate that a programme outside the approved menu has a robust evidence base and meets local need, it has been considered.
Evidence‑based parenting programmes are one part of a wider offer of high-quality support to families. Also included are stay‑and‑play opportunities, low‑intensity parenting, peer‑support activities, and strong outreach. The department encourages local authorities to work with voluntary, community and faith organisations, while ensuring that any programmes they deliver, meet clear evidence standards.
Asked by: John Glen (Conservative - Salisbury)
Question to the Foreign, Commonwealth & Development Office:
To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, pursuant to the Answer of 3 October 2025 to Question 75586, whether safeguards, oversight mechanisms and conditions apply to UK assistance to Bangladesh to help ensure that such funding does not contribute to discrimination or persecution of Hindu minority communities.
Answered by Seema Malhotra - Parliamentary Under-Secretary (Foreign, Commonwealth and Development Office)
All UK official development assistance (ODA) funded programmes operate under the Foreign, Commonwealth, and Development Office's Programme Operating Framework, which requires robust controls, mandatory oversight, and compliance with cross‑government project delivery standards, alongside strengthened safeguarding due‑diligence measures and transparency obligations to ensure accountable, safe, and effective use of public funds.
Asked by: John Glen (Conservative - Salisbury)
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 help improve coordination between health, education, and social care services for families affected by sodium valproate.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Everyone who has been harmed from sodium valproate has our deepest sympathies.
The Independent Medicines and Medical Devices Safety Review, First Do No Harm, identified significant shortcomings in National Health Service care pathways for people harmed by sodium valproate. NHS England has acknowledged variation in the availability and adequacy of care pathways, the impact of delayed diagnosis and misdiagnosis on long-term outcomes, and the need for improved care coordination for those requiring lifelong support, including co-ordination with non-health care services.
In response, NHS England has commissioned a Fetal Exposure to Medicines Services Pilot, being delivered by the NHS in Newcastle and Manchester. The pilot provides multidisciplinary diagnostic assessment and is informing the development of improved care pathways, better coordination of care, and reduced reliance on emergency care. Findings from the pilot will inform future decisions on the commissioning of services, subject to funding.
In addition, we work closely with the Department for Education and across the Government to ensure co-ordination between health, education, and social care services for children and their families. The Health and Opportunity Missions of the Government highlight the importance of joined up working and integrated delivery.