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Written Question
Crohn's Disease and Ulcerative Colitis: Diagnosis
Wednesday 10th December 2025

Asked by: Lee Anderson (Reform UK - Ashfield)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps they are taking to help reduce wait times for diagnosis of (a) Crohn's and (b) Colitis.

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

The Government is committed to improving care for people living with Crohn’s disease and ulcerative colitis, including those in the Ashfield constituency. NHS England supports local integrated care boards to deliver high-quality, timely services through initiatives such as the Getting It Right First Time (GIRFT) programme. GIRFT promotes earlier diagnosis, proactive management of flare-ups, and consistent adoption of best practice. Its gastroenterology report and updated inflammatory bowel disease (IBD) pathway recommend measures such as rapid access to specialist review within four weeks, personalised care plans, and expanded endoscopy capacity. These changes aim to cut emergency admissions, improve quality of life, and ensure equitable access to specialist nurses and multidisciplinary support across the country. The GIRFT programme has recently published a new handbook pulling together examples of innovative practice, proven solutions, and practical actions to help optimise the care of National Health Service patients with IBD. The GIRFT IBD pathway and associated handbook include specific guidance for paediatric care and the transition to adult services, recognising the unique needs of children and young people with Crohn’s disease and ulcerative colitis. The handbook is available at the following link:

https://gettingitrightfirsttime.co.uk/practical-advice-and-key-actions-in-new-girft-handbook-for-optimising-the-care-of-patients-with-ibd/

The 10-Year Health Plan will further improve care and support for people with IBD by expanding community diagnostic centres, reducing waiting times for endoscopy and imaging, and integrating digital tools to streamline referrals and follow-up care. It prioritises early diagnosis, personalised treatment plans, and better coordination between primary and specialist services. Investment in multidisciplinary teams will ensure patients receive timely, high-quality care. In addition, initiatives such as Diagnosis Connect will, from 2026, provide newly diagnosed patients with tailored information and support, empowering them to manage their condition confidently.

The NHS website provides comprehensive, accessible information on Crohn’s disease and ulcerative colitis, helping to raise public awareness and understanding of these conditions. The site explains what Crohn’s and colitis are, outlines common symptoms, and gives clear guidance on when to seek medical advice. It also details how these conditions are diagnosed and managed, including available treatments and support services.

To raise awareness of IBD among general practitioners and other primary care staff, the Royal College of General Practitioners has produced an Inflammatory Bowel Disease Toolkit. The toolkit outlines when to suspect IBD, the appropriate investigative tests and diagnostic tools for IBD, how to manage a flare-up of symptoms, and how to support patients with IBD.


Written Question
Crohn's Disease and Ulcerative Colitis: Health Education
Wednesday 10th December 2025

Asked by: Lee Anderson (Reform UK - Ashfield)

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 increase awareness of the symptoms of (a) Crohn's and (b) Colitis.

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

The Government is committed to improving care for people living with Crohn’s disease and ulcerative colitis, including those in the Ashfield constituency. NHS England supports local integrated care boards to deliver high-quality, timely services through initiatives such as the Getting It Right First Time (GIRFT) programme. GIRFT promotes earlier diagnosis, proactive management of flare-ups, and consistent adoption of best practice. Its gastroenterology report and updated inflammatory bowel disease (IBD) pathway recommend measures such as rapid access to specialist review within four weeks, personalised care plans, and expanded endoscopy capacity. These changes aim to cut emergency admissions, improve quality of life, and ensure equitable access to specialist nurses and multidisciplinary support across the country. The GIRFT programme has recently published a new handbook pulling together examples of innovative practice, proven solutions, and practical actions to help optimise the care of National Health Service patients with IBD. The GIRFT IBD pathway and associated handbook include specific guidance for paediatric care and the transition to adult services, recognising the unique needs of children and young people with Crohn’s disease and ulcerative colitis. The handbook is available at the following link:

https://gettingitrightfirsttime.co.uk/practical-advice-and-key-actions-in-new-girft-handbook-for-optimising-the-care-of-patients-with-ibd/

The 10-Year Health Plan will further improve care and support for people with IBD by expanding community diagnostic centres, reducing waiting times for endoscopy and imaging, and integrating digital tools to streamline referrals and follow-up care. It prioritises early diagnosis, personalised treatment plans, and better coordination between primary and specialist services. Investment in multidisciplinary teams will ensure patients receive timely, high-quality care. In addition, initiatives such as Diagnosis Connect will, from 2026, provide newly diagnosed patients with tailored information and support, empowering them to manage their condition confidently.

The NHS website provides comprehensive, accessible information on Crohn’s disease and ulcerative colitis, helping to raise public awareness and understanding of these conditions. The site explains what Crohn’s and colitis are, outlines common symptoms, and gives clear guidance on when to seek medical advice. It also details how these conditions are diagnosed and managed, including available treatments and support services.

To raise awareness of IBD among general practitioners and other primary care staff, the Royal College of General Practitioners has produced an Inflammatory Bowel Disease Toolkit. The toolkit outlines when to suspect IBD, the appropriate investigative tests and diagnostic tools for IBD, how to manage a flare-up of symptoms, and how to support patients with IBD.


Written Question
Crohn's Disease and Ulcerative Colitis: Ashfield
Wednesday 10th December 2025

Asked by: Lee Anderson (Reform UK - Ashfield)

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 help support people living with (a) Crohn's and (b) Colitis in Ashfield.

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

The Government is committed to improving care for people living with Crohn’s disease and ulcerative colitis, including those in the Ashfield constituency. NHS England supports local integrated care boards to deliver high-quality, timely services through initiatives such as the Getting It Right First Time (GIRFT) programme. GIRFT promotes earlier diagnosis, proactive management of flare-ups, and consistent adoption of best practice. Its gastroenterology report and updated inflammatory bowel disease (IBD) pathway recommend measures such as rapid access to specialist review within four weeks, personalised care plans, and expanded endoscopy capacity. These changes aim to cut emergency admissions, improve quality of life, and ensure equitable access to specialist nurses and multidisciplinary support across the country. The GIRFT programme has recently published a new handbook pulling together examples of innovative practice, proven solutions, and practical actions to help optimise the care of National Health Service patients with IBD. The GIRFT IBD pathway and associated handbook include specific guidance for paediatric care and the transition to adult services, recognising the unique needs of children and young people with Crohn’s disease and ulcerative colitis. The handbook is available at the following link:

https://gettingitrightfirsttime.co.uk/practical-advice-and-key-actions-in-new-girft-handbook-for-optimising-the-care-of-patients-with-ibd/

The 10-Year Health Plan will further improve care and support for people with IBD by expanding community diagnostic centres, reducing waiting times for endoscopy and imaging, and integrating digital tools to streamline referrals and follow-up care. It prioritises early diagnosis, personalised treatment plans, and better coordination between primary and specialist services. Investment in multidisciplinary teams will ensure patients receive timely, high-quality care. In addition, initiatives such as Diagnosis Connect will, from 2026, provide newly diagnosed patients with tailored information and support, empowering them to manage their condition confidently.

The NHS website provides comprehensive, accessible information on Crohn’s disease and ulcerative colitis, helping to raise public awareness and understanding of these conditions. The site explains what Crohn’s and colitis are, outlines common symptoms, and gives clear guidance on when to seek medical advice. It also details how these conditions are diagnosed and managed, including available treatments and support services.

To raise awareness of IBD among general practitioners and other primary care staff, the Royal College of General Practitioners has produced an Inflammatory Bowel Disease Toolkit. The toolkit outlines when to suspect IBD, the appropriate investigative tests and diagnostic tools for IBD, how to manage a flare-up of symptoms, and how to support patients with IBD.


Written Question
Crohn's Disease and Ulcerative Colitis: Children
Wednesday 10th December 2025

Asked by: Lee Anderson (Reform UK - Ashfield)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps they are taking to support children living with (a) Crohn's and (b) Colitis.

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

The Government is committed to improving care for people living with Crohn’s disease and ulcerative colitis, including those in the Ashfield constituency. NHS England supports local integrated care boards to deliver high-quality, timely services through initiatives such as the Getting It Right First Time (GIRFT) programme. GIRFT promotes earlier diagnosis, proactive management of flare-ups, and consistent adoption of best practice. Its gastroenterology report and updated inflammatory bowel disease (IBD) pathway recommend measures such as rapid access to specialist review within four weeks, personalised care plans, and expanded endoscopy capacity. These changes aim to cut emergency admissions, improve quality of life, and ensure equitable access to specialist nurses and multidisciplinary support across the country. The GIRFT programme has recently published a new handbook pulling together examples of innovative practice, proven solutions, and practical actions to help optimise the care of National Health Service patients with IBD. The GIRFT IBD pathway and associated handbook include specific guidance for paediatric care and the transition to adult services, recognising the unique needs of children and young people with Crohn’s disease and ulcerative colitis. The handbook is available at the following link:

https://gettingitrightfirsttime.co.uk/practical-advice-and-key-actions-in-new-girft-handbook-for-optimising-the-care-of-patients-with-ibd/

The 10-Year Health Plan will further improve care and support for people with IBD by expanding community diagnostic centres, reducing waiting times for endoscopy and imaging, and integrating digital tools to streamline referrals and follow-up care. It prioritises early diagnosis, personalised treatment plans, and better coordination between primary and specialist services. Investment in multidisciplinary teams will ensure patients receive timely, high-quality care. In addition, initiatives such as Diagnosis Connect will, from 2026, provide newly diagnosed patients with tailored information and support, empowering them to manage their condition confidently.

The NHS website provides comprehensive, accessible information on Crohn’s disease and ulcerative colitis, helping to raise public awareness and understanding of these conditions. The site explains what Crohn’s and colitis are, outlines common symptoms, and gives clear guidance on when to seek medical advice. It also details how these conditions are diagnosed and managed, including available treatments and support services.

To raise awareness of IBD among general practitioners and other primary care staff, the Royal College of General Practitioners has produced an Inflammatory Bowel Disease Toolkit. The toolkit outlines when to suspect IBD, the appropriate investigative tests and diagnostic tools for IBD, how to manage a flare-up of symptoms, and how to support patients with IBD.


Written Question
Crohn's Disease and Ulcerative Colitis: Research
Tuesday 9th December 2025

Asked by: Lee Anderson (Reform UK - Ashfield)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what funding his department has allocated towards research into (a) Chron's and (b) Colitis in the last year.

Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)

The Department invests £1.6 billion each year on research through its research delivery arm, the National Institute for Health and Care Research (NIHR).

In the financial year 2024/25, the NIHR committed £279,000 for new research projects and programmes into Crohn's and Colitis. The NIHR continues to welcome funding applications for research into any aspect of human health and care, including Crohn's and Colitis research.


Written Question
Hearing Impairment: Care Homes
Tuesday 9th December 2025

Asked by: Lee Anderson (Reform UK - Ashfield)

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 (a) staff training on support for and (b) support available to deaf residents in care homes.

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

The Government is taking steps to improve the quality of adult social care, which will include deaf people in care homes.

The Department is committed to enhancing the skills of staff working in adult social care. To this end, the Department launched the Adult Social Care Learning and Development Support Scheme in September 2024, providing funding for eligible care staff to complete training courses and qualifications. In April 2025, the Department also published the expanded and revised Care Workforce Pathway. The pathway guides workers in building their careers in adult social care by signposting training and development opportunities, highlighting routes for progression, and giving proper recognition to the highly skilled, complex care and support they provide.

The Care Quality Commission (CQC) is assessing how well local authorities in England are performing against their duties under the Care Act 2014, including their duties relating to the access and provision of care and support for deaf people. The CQC also monitors, inspects, and regulates adult social care services to make sure they meet fundamental standards of quality and safety. For deaf individuals, this includes providing care that is responsive to their communication needs.


Written Question
Endometriosis: Health Education
Friday 5th December 2025

Asked by: Lee Anderson (Reform UK - Ashfield)

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 increase awareness of endometriosis amongst medical professionals.

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

In November 2024 the National Institute for Health and Care Excellence updated their guideline on endometriosis to make firmer recommendations for healthcare professionals on referral and investigations for women with a suspected diagnosis. This will help women receive a diagnosis and effective treatment faster. This guideline is available at the following link:

https://www.nice.org.uk/guidance/NG73)www.nice.org.uk/guidance/NG73

Additionally, the General Medical Council has introduced the Medical Licensing Assessment to encourage a better understanding of common women’s health problems among all doctors as they start their careers in the United Kingdom. The content for this assessment includes several topics relating to women’s health, including endometriosis. This will encourage a better understanding of common women’s health problems among all doctors as they start their careers in the UK.

Endometriosis is also included in the core curriculum for trainee general practitioners, and for obstetricians and gynaecologists.


Written Question
Health Services: Foreign Nationals
Thursday 4th December 2025

Asked by: Lee Anderson (Reform UK - Ashfield)

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 24 November 2025 to question 88331 on Health Services: Foreign Nationals, what discussions his Department has had with NHS England on the cost of treatment for people who came to Britain only for (a) health and (b) medical treatment in each of the last three years.

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

The Department has had and continues to have regular discussions regarding overseas visitors with NHS England to ensure that the system works as effectively and fairly as possible.


Written Question
Disability Aids
Wednesday 3rd December 2025

Asked by: Lee Anderson (Reform UK - Ashfield)

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 improve access to disability medical equipment for (a) adults and (b) children.

Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)

Integrated care boards (ICBs) are responsible for commissioning services to meet the health needs of their local population, and responsibility for providing equipment to disabled people typically falls to the National Health Service and local authorities.

We expect ICBs to follow guidance from the National Institute for Health and Care Excellence (NICE). In 2022, NICE published relevant guidance in relation to children, called Disabled children and young people up to 25 with severe complex needs: integrated service delivery and organisation across health, social care and education, which is available at the following link:

https://www.nice.org.uk/guidance/ng213/chapter/Recommendations-on-service-organisation-integration-and-commissioning

The Medium-Term Planning Framework, published in October 2025, requires that from 2026/27 all ICBs and Community Health Services must actively manage and reduce the proportion of waits across all community health services over 18 weeks and develop a plan to eliminate all 52-week waits.

Local authorities in England have a statutory duty, including under the Care Act 2014, to make arrangements for the provision of disability aids and community equipment to meet the assessed eligible needs of individuals who are resident in their area. Responsibility for managing the market for these services, including commissioning and oversight of delivery, rests with local authorities.


Written Question
Disability: Diagnosis
Wednesday 3rd December 2025

Asked by: Lee Anderson (Reform UK - Ashfield)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his department are taking to ensure people have access to adequate counselling support for disability diagnoses.

Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)

We want disabled people’s access to, and experience of, healthcare services to be equitable, effective, and responsive to their needs.

More people, including those experiencing depression and anxiety associated with a disability, now have better access to counselling support provided through NHS Talking Therapies services. We have increased the number of therapy sessions so that more than 670,000 people completed a course of treatment last year, compared to 567,000 in 2016/17.

We plan to expand NHS Talking Therapies still further so that 915,000 people complete a course of treatment by March 2029, with improved effectiveness and quality of services.