Asked by: Luke Evans (Conservative - Hinckley and Bosworth)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will make an assessment for the reasons for the difference in the number of additional NHS appointments that were provided between (a) July 2024 and June 2025 and (b) the preceding 12 months.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Between July 2024 and June 2025, we delivered over 5.2 million additional appointments compared to the previous year, more than double our pledge of two million. Further information is available at the following link:
Consequently, between the start of July 2024 and the end of June 2025, the waiting list decreased by over 250,000 (252,128) despite over 21 million (21,004,977) new referrals. This comes against the backdrop of 2024/25 Planning Guidance which signalled a reduction in elective activity compared to the 2023/24 financial year.
Thanks to an additional £2.1 billion invested, the Government not only avoided a reduction, but delivered a significant increase in elective activity, as part of the first step commitment to ensuring patients can expect to be treated within 18 weeks. Further information is available at the following link:
| Jul-22 to Jun-23 | Jul-23 to Jun-24 | Jul-24 to Jun-25 |
Working Days | 251 | 252 | 253 |
Total Appointments | 63,175,223 | 69,945,972 | 75,435,185 |
Standardised baseline (253 Days)1 | 63,678,611 | 70,223,535 | 75,435,185 |
Additional Appointments (compared to previous 12 months) | - | 6,544,924 | 5,211,650 |
Asked by: Luke Evans (Conservative - Hinckley and Bosworth)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will make an assessment of the potential implications for his policies of the number of additional NHS appointments delivered between (a) July 2024 and June 2025 and (b) July 2023 and June 2024.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Between July 2024 and June 2025, we delivered over 5.2 million additional appointments compared to the previous year, more than double our pledge of two million. Further information is available at the following link:
Consequently, between the start of July 2024 and the end of June 2025, the waiting list decreased by over 250,000 (252,128) despite over 21 million (21,004,977) new referrals. This comes against the backdrop of 2024/25 Planning Guidance which signalled a reduction in elective activity compared to the 2023/24 financial year.
Thanks to an additional £2.1 billion invested, the Government not only avoided a reduction, but delivered a significant increase in elective activity, as part of the first step commitment to ensuring patients can expect to be treated within 18 weeks. Further information is available at the following link:
| Jul-22 to Jun-23 | Jul-23 to Jun-24 | Jul-24 to Jun-25 |
Working Days | 251 | 252 | 253 |
Total Appointments | 63,175,223 | 69,945,972 | 75,435,185 |
Standardised baseline (253 Days)1 | 63,678,611 | 70,223,535 | 75,435,185 |
Additional Appointments (compared to previous 12 months) | - | 6,544,924 | 5,211,650 |
Asked by: Luke Evans (Conservative - Hinckley and Bosworth)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate he has made of the (a) number of pharmacy contractors who are due outstanding payments from the NHSBSA for Pharmacy First Services and (b) total value of outstanding payments.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Pharmacy First is an essential approach to make greater use of pharmacy professionals and shift more care from hospital into the community. The service allows pharmacists to supply prescription-only medicines for seven common conditions, enabling patients to receive a complete episode of care in the pharmacy setting, reducing pressure on general practitioners and the wider healthcare system. This shift is significant and represents a new way of working for the National Health Service that will offer patients greater choice and improve access to the care they need.
As part of delivering the Pharmacy First service, pharmacy contractors receive a monthly fixed payment if they meet specific requirements, which include minimum activity levels. From June 2025, pharmacies delivering 20 to 29 consultations receive £500, while those with at least 30 consultations continued to receive £1,000 monthly. To make this change and facilitate more timely payments, the claim window for Pharmacy First was reduced from three to one month. The new tier of payment supports pharmacies with lower potential for delivery and has increased the number of pharmacies qualifying for Pharmacy First fixed payments. This adjustment was agreed with the sector representative body, Community Pharmacy England (CPE). Advanced notice of the change was provided to contractors by letter and in an article published by NHS Business Services Authority (NHSBSA).
The Department sets out the terms for remuneration for pharmacy and appliance contractors in England in the Drug Tariff, which the NHSBSA is required to follow. The Drug Tariff outlines that contractors must submit claims for payment for Pharmacy First consultations within the permitted grace period. We would expect contractors to have standard operating procedures in place to ensure claims are submitted promptly. The Department does not hold data on the number of Pharmacy First claims which were not submitted in accordance with the Drug Tariff. The Department recognises the importance of ensuring pharmacy contractors are paid promptly and we are committed to making improvements where possible. That is why we have recently moved more service payments to the early advance payment to assist with contractors cashflow.
The Department will continue to work with the NHSBSA and CPE recognising where improvement can be made to get the best outcomes for patients, pharmacies and the NHS.
Asked by: Luke Evans (Conservative - Hinckley and Bosworth)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate he has made of the NHS's refusal rate in paying pharmacies for carrying out Pharmacy First Services.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Pharmacy First is an essential approach to make greater use of pharmacy professionals and shift more care from hospital into the community. The service allows pharmacists to supply prescription-only medicines for seven common conditions, enabling patients to receive a complete episode of care in the pharmacy setting, reducing pressure on general practitioners and the wider healthcare system. This shift is significant and represents a new way of working for the National Health Service that will offer patients greater choice and improve access to the care they need.
As part of delivering the Pharmacy First service, pharmacy contractors receive a monthly fixed payment if they meet specific requirements, which include minimum activity levels. From June 2025, pharmacies delivering 20 to 29 consultations receive £500, while those with at least 30 consultations continued to receive £1,000 monthly. To make this change and facilitate more timely payments, the claim window for Pharmacy First was reduced from three to one month. The new tier of payment supports pharmacies with lower potential for delivery and has increased the number of pharmacies qualifying for Pharmacy First fixed payments. This adjustment was agreed with the sector representative body, Community Pharmacy England (CPE). Advanced notice of the change was provided to contractors by letter and in an article published by NHS Business Services Authority (NHSBSA).
The Department sets out the terms for remuneration for pharmacy and appliance contractors in England in the Drug Tariff, which the NHSBSA is required to follow. The Drug Tariff outlines that contractors must submit claims for payment for Pharmacy First consultations within the permitted grace period. We would expect contractors to have standard operating procedures in place to ensure claims are submitted promptly. The Department does not hold data on the number of Pharmacy First claims which were not submitted in accordance with the Drug Tariff. The Department recognises the importance of ensuring pharmacy contractors are paid promptly and we are committed to making improvements where possible. That is why we have recently moved more service payments to the early advance payment to assist with contractors cashflow.
The Department will continue to work with the NHSBSA and CPE recognising where improvement can be made to get the best outcomes for patients, pharmacies and the NHS.
Asked by: Luke Evans (Conservative - Hinckley and Bosworth)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of pharmacies who have not been paid for carrying out Pharmacy First Consultations due to a shortening in the claim window in June 2025.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Pharmacy First is an essential approach to make greater use of pharmacy professionals and shift more care from hospital into the community. The service allows pharmacists to supply prescription-only medicines for seven common conditions, enabling patients to receive a complete episode of care in the pharmacy setting, reducing pressure on general practitioners and the wider healthcare system. This shift is significant and represents a new way of working for the National Health Service that will offer patients greater choice and improve access to the care they need.
As part of delivering the Pharmacy First service, pharmacy contractors receive a monthly fixed payment if they meet specific requirements, which include minimum activity levels. From June 2025, pharmacies delivering 20 to 29 consultations receive £500, while those with at least 30 consultations continued to receive £1,000 monthly. To make this change and facilitate more timely payments, the claim window for Pharmacy First was reduced from three to one month. The new tier of payment supports pharmacies with lower potential for delivery and has increased the number of pharmacies qualifying for Pharmacy First fixed payments. This adjustment was agreed with the sector representative body, Community Pharmacy England (CPE). Advanced notice of the change was provided to contractors by letter and in an article published by NHS Business Services Authority (NHSBSA).
The Department sets out the terms for remuneration for pharmacy and appliance contractors in England in the Drug Tariff, which the NHSBSA is required to follow. The Drug Tariff outlines that contractors must submit claims for payment for Pharmacy First consultations within the permitted grace period. We would expect contractors to have standard operating procedures in place to ensure claims are submitted promptly. The Department does not hold data on the number of Pharmacy First claims which were not submitted in accordance with the Drug Tariff. The Department recognises the importance of ensuring pharmacy contractors are paid promptly and we are committed to making improvements where possible. That is why we have recently moved more service payments to the early advance payment to assist with contractors cashflow.
The Department will continue to work with the NHSBSA and CPE recognising where improvement can be made to get the best outcomes for patients, pharmacies and the NHS.
Asked by: Luke Evans (Conservative - Hinckley and Bosworth)
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 shortening the Pharmacy First Service claim window in June 2025 on pharmacies carrying out that service.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Pharmacy First is an essential approach to make greater use of pharmacy professionals and shift more care from hospital into the community. The service allows pharmacists to supply prescription-only medicines for seven common conditions, enabling patients to receive a complete episode of care in the pharmacy setting, reducing pressure on general practitioners and the wider healthcare system. This shift is significant and represents a new way of working for the National Health Service that will offer patients greater choice and improve access to the care they need.
As part of delivering the Pharmacy First service, pharmacy contractors receive a monthly fixed payment if they meet specific requirements, which include minimum activity levels. From June 2025, pharmacies delivering 20 to 29 consultations receive £500, while those with at least 30 consultations continued to receive £1,000 monthly. To make this change and facilitate more timely payments, the claim window for Pharmacy First was reduced from three to one month. The new tier of payment supports pharmacies with lower potential for delivery and has increased the number of pharmacies qualifying for Pharmacy First fixed payments. This adjustment was agreed with the sector representative body, Community Pharmacy England (CPE). Advanced notice of the change was provided to contractors by letter and in an article published by NHS Business Services Authority (NHSBSA).
The Department sets out the terms for remuneration for pharmacy and appliance contractors in England in the Drug Tariff, which the NHSBSA is required to follow. The Drug Tariff outlines that contractors must submit claims for payment for Pharmacy First consultations within the permitted grace period. We would expect contractors to have standard operating procedures in place to ensure claims are submitted promptly. The Department does not hold data on the number of Pharmacy First claims which were not submitted in accordance with the Drug Tariff. The Department recognises the importance of ensuring pharmacy contractors are paid promptly and we are committed to making improvements where possible. That is why we have recently moved more service payments to the early advance payment to assist with contractors cashflow.
The Department will continue to work with the NHSBSA and CPE recognising where improvement can be made to get the best outcomes for patients, pharmacies and the NHS.
Asked by: Luke Evans (Conservative - Hinckley and Bosworth)
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 the NHSBSA provide timely payments to pharmacists carrying out Pharmacy First consultations.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Pharmacy First is an essential approach to make greater use of pharmacy professionals and shift more care from hospital into the community. The service allows pharmacists to supply prescription-only medicines for seven common conditions, enabling patients to receive a complete episode of care in the pharmacy setting, reducing pressure on general practitioners and the wider healthcare system. This shift is significant and represents a new way of working for the National Health Service that will offer patients greater choice and improve access to the care they need.
As part of delivering the Pharmacy First service, pharmacy contractors receive a monthly fixed payment if they meet specific requirements, which include minimum activity levels. From June 2025, pharmacies delivering 20 to 29 consultations receive £500, while those with at least 30 consultations continued to receive £1,000 monthly. To make this change and facilitate more timely payments, the claim window for Pharmacy First was reduced from three to one month. The new tier of payment supports pharmacies with lower potential for delivery and has increased the number of pharmacies qualifying for Pharmacy First fixed payments. This adjustment was agreed with the sector representative body, Community Pharmacy England (CPE). Advanced notice of the change was provided to contractors by letter and in an article published by NHS Business Services Authority (NHSBSA).
The Department sets out the terms for remuneration for pharmacy and appliance contractors in England in the Drug Tariff, which the NHSBSA is required to follow. The Drug Tariff outlines that contractors must submit claims for payment for Pharmacy First consultations within the permitted grace period. We would expect contractors to have standard operating procedures in place to ensure claims are submitted promptly. The Department does not hold data on the number of Pharmacy First claims which were not submitted in accordance with the Drug Tariff. The Department recognises the importance of ensuring pharmacy contractors are paid promptly and we are committed to making improvements where possible. That is why we have recently moved more service payments to the early advance payment to assist with contractors cashflow.
The Department will continue to work with the NHSBSA and CPE recognising where improvement can be made to get the best outcomes for patients, pharmacies and the NHS.
Asked by: Luke Evans (Conservative - Hinckley and Bosworth)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many doctors have had to file an estimate for their tax returns as a result of not receiving the appropriate Pension Savings Statements before 31 January 2026.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department, the NHS Business Services Authority, and HM Revenue and Customs do not hold this information.
Asked by: Luke Evans (Conservative - Hinckley and Bosworth)
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 current provision for young adults with cerebral palsy but with no diagnosed learning disability.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department recognises the importance of ensuring that young adults with cerebral palsy, including those without a diagnosed learning disability, can access appropriate, high‑quality services that meet their individual needs.
Integrated care boards (ICBs) are responsible for assessing the health needs of their local populations and for commissioning the necessary services, including specialist neurodisability, therapy, community rehabilitation, and wider support for people with cerebral palsy.
The National Institute for Health and Care Excellence (NICE) has published a guideline for adults with cerebral palsy, reference code NG119. The guideline recommends regular reviews of clinical and functional needs, clear care pathways, and access to multi-disciplinary teams and specialist neurology services. The guideline is available at the following link:
https://www.nice.org.uk/guidance/ng119
ICBs are expected to take full account of NICE guidance when designing and commissioning services for their local populations. NICE guidelines provide authoritative, evidence‑based recommendations on best practice, including clinical and cost‑effectiveness considerations. NHS England ensures that ICBs follow NICE guidance through a combination of statutory oversight frameworks, annual performance assessments, and local clinical governance requirements.
The 10-Year Health Plan 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 those with cerebral palsy but no diagnosed learning disability. By 2027, 95% of people with complex needs should have an agreed personal care plan. These will promote shared decision-making and access to personal health budgets, giving individuals more choice and control over therapies, equipment, and support tailored to their needs. Additionally, integrated neighbourhood health teams will bring together professionals across disciplines to deliver joined-up care for people with cerebral palsy.
Asked by: Luke Evans (Conservative - Hinckley and Bosworth)
Question to the Department for Education:
To ask the Secretary of State for Education, what steps she is taking to capture the needs of adoptive and kinship families as part of the SEND White Paper.
Answered by Georgia Gould - Minister of State (Education)
The department is committed to ensuring parents and carers play a central role in helping shape the future special educational needs and disabilities (SEND) system through our National Conversation including in-person and online events, as well as inviting views online.
Our SEND regional engagement events bring together diverse stakeholder groups for meaningful dialogue. In addition, we have organised online sessions with Ministers and expert panels to discuss the department’s five principles of reform. Full details, including ways to share views and resources for engaging children, young people, teachers, and others, are available at: https://consult.education.gov.uk/send-reform-national-conversation/.
This is not a formal consultation but an expansion of ongoing engagement to ensure parents’ voices are heard. The Schools White Paper, due early next year, will outline our proposed SEND reforms and will be followed by a formal consultation and further engagement.