Asked by: Julian Smith (Conservative - Skipton and Ripon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what mechanisms are in place for NHS mental health trusts to be held accountable when written recommendations for improving carer involvement and crisis support following formal apologies are not implemented within agreed timescales.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Anyone receiving treatment for their mental health deserves safe, high-quality care, and to be treated with dignity and respect.
Families, staff, and the public deserve answers when things go wrong in mental health settings and it is vitally important that, where care falls short, we learn from any mistakes made to improve care across the National Health Service and protect patients in the future.
All NHS providers are held to account under the NHS Oversight Framework 2025/26 when they fail to implement written recommendations, for instance on carer involvement or crisis support, in agreed timescales. This includes a capability assessment, where trusts are evaluated for leadership, governance, and ability to implement change, with failures heightening oversight. As part of the Provider Improvement Programme, low performing trusts enter a structured programme, gaining intensive, formal improvement interventions.
NHS England can formally step in using its enforcement guidance if performance or governance is below acceptable standards. NHS England regional teams convene regular meetings with trusts and integrated care boards to review progress on agreed recommendations and implementation plans.
It is the role of the Parliamentary and Health Service Ombudsman to carry out independent investigations into complaints about treatment or service provided through the NHS where organisation level complaints processes have already been followed.
Asked by: Julian Smith (Conservative - Skipton and Ripon)
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 potential merits of ensuring that NHS mental health trusts do not discharge patients with high PHQ-9 and GAD-7 scores without robust safety planning and follow-up support; and what guidance his Department has issued to help prevent such cases.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
In 2024, statutory guidance was issued on discharge from all mental health, and learning disability and autism inpatient settings, under the NHS Act 2006. The guidance also sets out that prior to discharge, robust planning and safety management should be developed for all patients, in collaboration with the person and their chosen carer or carers with input from relevant members of the multi-disciplinary team.
For individuals detained under the Mental Health Act, in the Mental Health Act 2025, passed this year, we have strengthened discharge decision making by requiring consultation with another professional before discharge, as well as introducing requirements around care and treatment planning. We will provide further guidance on this in the revised Code of Practice.
Asked by: Julian Smith (Conservative - Skipton and Ripon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the policy paper entitled Fit for the future: 10 Year Health Plan for England, published on 30 July 2025, whether the proposal to provide opt-out smoking cessation interventions in all routine care within hospitals includes people who (a) have been referred through urgent suspected referral for cancer, (b) are awaiting cancer treatment and (c) are undergoing cancer treatment.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The 10-Year Health Plan committed to ensuring that all hospitals integrate ‘opt-out’ smoking cessation interventions into routine care. Within their 2025/26 allocations, integrated care boards have access to funding to support the rollout of tobacco dependency treatment services in hospital settings, including acute and mental health inpatient settings and maternity services. Where inpatients are identified as a smoker, including those in cancer-related services or undergoing cancer treatment, the expectation would be for them to receive an opt-out referral to talk to a specialist and subsequently make an informed decision about accessing treatment tailored to their needs.
Future funding decisions, including any decision to expand tobacco dependency treatment services across routine care, are subject to the Spending Review process.
Asked by: Julian Smith (Conservative - Skipton and Ripon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 10 July 2025 to Question 64433 on Smoking: Health Services, if he will take steps to use (a) A&E, (b) lung screening and (c) other new NHS services to automatically enrol smokers into cessation services.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The 10-Year Health Plan committed to ensuring that all hospitals integrate ‘opt-out’ smoking cessation interventions into routine care. Within their 2025/26 allocations, integrated care boards have access to funding to support the rollout of tobacco dependency treatment services in hospital settings, including acute and mental health inpatient settings and maternity services. Where inpatients are identified as a smoker, including those in cancer-related services or undergoing cancer treatment, the expectation would be for them to receive an opt-out referral to talk to a specialist and subsequently make an informed decision about accessing treatment tailored to their needs.
Future funding decisions, including any decision to expand tobacco dependency treatment services across routine care, are subject to the Spending Review process.
Asked by: Julian Smith (Conservative - Skipton and Ripon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what plans he has to increase screening programmes to improve early diagnosis of cancers, in the context of the forthcoming National Cancer Plan.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Early diagnosis is a key focus of the National Cancer Plan, which will build on the three shifts in care set out in the 10-Year Health Plan to diagnose cancers earlier. Through the 10-Year Health Plan, we will make it easier for people to access cancer screening, diagnostic, and treatment services in patients’ local areas. We will increase participation in screening programmes through digital booking and by taking innovative approaches like self-sampling for cervical screening.
The National Cancer Plan, to be published later this year, will include further details on how we will speed up diagnosis, including how we will prioritise screening programmes and improve participation.
Asked by: Julian Smith (Conservative - Skipton and Ripon)
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 integrating smoking cessation services into (a) A&E, (b) mental health services and (c) lung screening.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
We are fully committed to our ambition for a smoke-free United Kingdom. Quitting smoking is one of the best things a person can do for their health, and our assessment of the evidence is that targeting people with smoking cessation support in in-patient, accident and emergency, and lung screening services can be successful.
As set out in the 10-Year Health Plan, we remain committed to ensuring all hospitals integrate smoking cessation interventions into routine care. We will also fully roll out lung cancer screening for those with a history of smoking, which we expect will detect 9,000 cancers earlier each year.
As of the end of 2024/25, 93% of National Health Service in-patient services and 97% of maternity services had a tobacco dependence treatment offer. Specifically in mental health services, there was a 41% quit rate amongst those setting a quit date in these settings.
Further to this, awards under our National Swap to Stop programme have been made to many NHS services, including mental health and accident and emergency. The programme offers smokers across England a free vape starter kit alongside behavioural support to help them quit smoking.
Asked by: Julian Smith (Conservative - Skipton and Ripon)
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 research funding models, in the context of the forthcoming national cancer plan; and whether he has made an assessment of the potential impact of research funding models on supporting (a) equitable, (b) clinical and (c) economic opportunities.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is committed to ensuring that all patients, including those with cancer, have access to cutting-edge clinical trials and innovative, lifesaving treatments.
The Department is committed to turbocharging clinical research and delivering better patient care, to make the United Kingdom a world-leading destination for clinical research. We are working to fast-track clinical trials to drive global investment into life sciences, improve health outcomes, and accelerate the development of the medicines and therapies of the future, including treatments for cancer.
The Department funded National Institute for Health and Care Research (NIHR) funds research and research infrastructure which supports patients and the public to participate in high-quality research, including research on cancer. The NIHR also provides an online service called Be Part of Research, which promotes participation in health and social care research by allowing users to search for relevant studies and register their interest. This makes it easier for people to find and take part in health and care research that is relevant to them, including cancer studies.
Research is crucial in tackling cancer, which is why the Department invests over £1.6 billion per year in health research through the NIHR. The NIHR spent £133 million on cancer research in 2023/24, reflecting its high priority. The National Cancer Plan, due to be published in the second half of this year, will have a focus on research and innovation. It will include details on how we will improve outcomes for cancer patients, as well as speeding up diagnosis and treatment, ensuring patients have access to the latest treatments and technology, and ultimately driving up this country’s cancer survival rates.
Asked by: Julian Smith (Conservative - Skipton and Ripon)
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 potential merits of increasing the use of the current mediation scheme for medical negligence disputes.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS Resolution manages clinical negligence and other claims against the National Health Service in England. NHS Resolution is committed to the use of dispute resolution, including the use of mediation and is working with claimant lawyers and its own lawyers on innovative approaches. This includes running pilots exploring which dispute resolution techniques work best in particular types of cases and introducing several into routine claim- handling. This approach is being developed further under NHS Resolution’s published 2025-28 strategy.
Increasingly higher numbers of NHS Resolution’s cases are now resolved pre-action using a wide range of dispute resolution techniques. These approaches can improve the experience for patients and healthcare staff through a less adversarial approach and can also reduce legal costs for both sides. In 2023/24, 81% of all clinical claims handled by NHS Resolution were resolved without court proceedings.
Asked by: Julian Smith (Conservative - Skipton and Ripon)
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 provide mobile health services to support rural agricultural communities where (a) committing and (b) travelling to appointments at set times can be a challenge.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for commissioning healthcare services that meet the needs of their local populations. When ICBs exercise their functions, they have a duty to reduce inequalities between persons with respect to their ability to access health services, and to reduce inequalities between patients with respect to the outcomes achieved for them by the provision of health services.
The Department recognises that providing services in rural areas comes with significant additional costs, for example, in travel and staff time. That is why the funding formula used by NHS England to allocate funds to ICBs includes an element to better reflect the needs in some rural, coastal, and remote areas.
The Department also wants ICBs to ensure that travel is not a prohibitive factor. There is a longstanding policy in the National Health Service that if you are eligible, you may be able to claim a refund for reasonable travel costs to receive services that are not primary medical, dental, or ophthalmic, following a referral by a healthcare professional. That scheme, the Healthcare Travel Costs Scheme, continues to apply.
Furthermore, NHS England strives for digital services to improve healthcare access. NHS England published the Inclusive digital healthcare: a framework for NHS action on digital inclusion in September 2023, which is available at the following link:
This framework highlights that certain groups, including people living in areas with inadequate broadband and mobile data coverage, especially rural and coastal areas, face higher risks of both digital exclusion and health inequalities. The framework is designed to ensure NHS services are accessible to people who are digitally excluded.
Asked by: Julian Smith (Conservative - Skipton and Ripon)
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 encourage GP practices to provide walk-in appointments for (a) farmers and (b) other occupations where attending at a set time can be a challenge.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
General practices are independent businesses contracted to provide National Health Services, and have autonomy to manage appointments in the way that best suits their patient population, including determining what services are available on a walk-in basis. To accommodate patients who may not be able to access general practices during core opening hours, integrated care boards in England are required to provide general practice out of hours services from 18:30 to 08:00 on weekdays, all weekends, and on bank holidays.
Walk-in patients can also access care in other settings. Under Pharmacy First, community pharmacists can provide advice for minor illnesses and supply some prescription-only medicines without a prescription from a general practitioner, either following a referral or a walk-in. Patients with urgent but not life-threatening medical needs can also visit urgent treatment centres without an appointment.