Asked by: Markus Campbell-Savours (Labour - Penrith and Solway)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the average time taken to diagnose ankylosing spondylitis was in each of the last five years.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
We do not hold data in the format requested. To support health and care professionals in the early diagnosis of musculoskeletal (MSK) conditions, such as ankylosing spondylitis, the National Institute for Health and Care Excellence (NICE) has published expert guidance on the diagnosis and management of spondyloarthritis in over 16 year olds, which is available at the following link:
https://www.nice.org.uk/guidance/ng65
The NICE guidance aims to raise awareness of the features of spondyloarthritis and provide clear advice on what action to take when people with signs and symptoms first present in healthcare settings.
As announced in the Get Britain Working white paper, we are delivering the joint Department for Work and Pensions, Department of Health and Social Care, and NHS England Getting It Right First-Time (GIRFT) MSK Community Delivery Programme. With a £3.5 million funding boost, GIRFT teams will deploy their proven Further Faster model to work with integrated care board leaders to further reduce MSK community waiting times, including for those with ankylosing spondylitis, and improve data, metrics, and referral pathways to wider support services.
Asked by: Markus Campbell-Savours (Labour - Penrith and Solway)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the average time taken to diagnose multiple sclerosis was in each of the last five years.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
We do not hold data in the format requested. The latest data for referral to treatment waiting times in England, from January 2025, shows there were under 233,000 pathways waiting for a neurology appointment, 53.8% of which had been waiting less that 18 weeks.
On 6 January 2025, NHS England published the new Elective Reform Plan, which sets out a whole system approach to hitting the 18-week referral to treatment target by the end of this Parliament. We have delivered an additional two million appointments between July and November 2024, compared to the same period in 2023, seven months ahead of schedule, as a first step in our commitment to ensuring that patients can expect to be treated within 18 weeks. These additional appointments have taken place across a number of specialities, including neurology.
Asked by: Markus Campbell-Savours (Labour - Penrith and Solway)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department plans to take to ensure accurate recording of a presumed diagnosis of endometriosis in primary care.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
General practices are expected to follow National Institute for Health and Care Excellence (NICE) clinical guidance for the treatment and management of clinical conditions, as part of meeting the reasonable needs of patients. The NICE guidance on endometriosis is available at the following link:
https://www.nice.org.uk/guidance/ng73?UID=83951178202532511728
Asked by: Markus Campbell-Savours (Labour - Penrith and Solway)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department plans to repeat the Reproductive Health Survey for England 2023; and whether he plans to take steps to record (a) the experiences of those with endometriosis and (b) diagnosis time for those with endometriosis.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department recognises the importance of understanding the experiences of women living with endometriosis. In 2023, the Department commissioned the Women's Reproductive Health Survey to gather views on women’s experiences in all aspects of their reproductive health, including menstrual problems and endometriosis. A report on the initial findings has been published, and is available at the following link:
https://www.lshtm.ac.uk/research/centres-projects-groups/reproductive-health-survey-england#research
The Department will update plans to conduct the survey again in due course. The Department also commissions research through the National Institute for Health and Care Research (NIHR). The NIHR has recently funded a qualitative study into patient and healthcare professionals' experiences of the management, diagnosis, and treatment of endometriosis. Further information is available at the following link:
https://fundingawards.nihr.ac.uk/award/NIHR156216.
An ongoing Office for National Statistics study is investigating the impact of endometriosis on women's labour market outcomes. One component of this study is linking primary and secondary care data to better understand diagnosis times for endometriosis.
Asked by: Markus Campbell-Savours (Labour - Penrith and Solway)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what proportion of patients waiting for gynaecological surgery are waiting for surgery for thoracic endometriosis.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
This data is not held in the format requested. As set out in the Plan for Change, we will ensure that 92% of patients return to waiting no longer than 18 weeks from referral to treatment by March 2029, a standard which has not been met consistently since September 2015.
Asked by: Markus Campbell-Savours (Labour - Penrith and Solway)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the average time taken to diagnose endometriosis was in each of the last five years.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
This data is not held centrally. The Government is committed to prioritising women’s health and improving the care for gynaecological conditions, including endometriosis.
The National Institute for Health and Care Excellence (NICE) published an update to the guideline on endometriosis diagnosis and management in November 2024. This makes firmer recommendations for healthcare professionals on referrals and investigations for women with suspected endometriosis, which will help women receive a diagnosis and treatment more quickly.
For many women with symptoms of endometriosis, the initial pharmacological treatment takes place in primary care and can be in parallel with a referral for further investigations. As a result, looking at diagnosis times alone is unlikely to be the only measure of whether women are receiving care for endometriosis in a timely matter. NHS England is looking into metrics that best reflect the timely access to care and outcomes for women, including for endometriosis. This work will explore whether time to diagnosis is the optimum measure.
An ongoing Office for National Statistics investigation is looking into the impact of endometriosis on women's labour market outcomes. One component of this study is linking primary and secondary care data to better understand diagnosis times for endometriosis.
Asked by: Markus Campbell-Savours (Labour - Penrith and Solway)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what data his Department uses to monitor endometriosis diagnosis waiting times.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
It is unacceptable that women can wait up to 10 years for an endometriosis diagnosis.Asked by: Markus Campbell-Savours (Labour - Penrith and Solway)
Question to the Ministry of Housing, Communities and Local Government:
To ask the Secretary of State for Housing, Communities and Local Government, which local authorities claimed emergency financial assistance money under the Bellwin scheme of emergency financial assistance to local authorities in each of the last 15 years; and how much money was received in each case.
Answered by Jim McMahon - Minister of State (Housing, Communities and Local Government)
The table below sets out the Bellwin payments made to local authorities by financial year in each of the last 15 financial years.
2010-11 | Authority | Grant Paid (£) |
| South Lakeland District Council | 30,348 |
| Allerdale Borough Council | 302,847 |
| Cumbria County Council | 408,297 |
| Cumbria Police Authority | 148,049 |
Total for year | 4 | 889,541 |
|
|
|
2011-12 | Authority | Grant Paid (£) |
Total for year | 0 | 0 |
|
|
|
2012-13 | Authority | Grant Paid (£) |
| City of Lincoln Council | 24,870 |
| Royal Berkshire Fire Authority | 404,640 |
| Calderdale Metropolitan Borough Council | 76,668 |
| Gateshead Council | 393,939 |
| Herefordshire Council | 218,499 |
Total for year | 5 | 1,118,616 |
2013-14 | Authority | Grant Paid £ |
| Devon County Council | 3,023,598 |
| Richmondshire District Council | 915 |
| Herefordshire Council | 2,048,963 |
| Teignbridge District Council | 38,234 |
| Newark & Sherwood District Council | 3,407 |
| Uttlesford District Council | 16,643 |
Total for year | 6 | 5,131,760 |
2014-15 | Authority | Grant Paid £ |
| Arun District Council | 44,134 |
| Basingstoke & Deane Borough Council | 563,383 |
| Boston Borough Council | 123,230 |
| Bournemouth Borough Council | 50,736 |
| Buckinghamshire & Milton Keynes Fire Authority | 36,964 |
| Christchurch Borough Council | 39,867 |
| Copeland Borough Council | 130,350 |
| Croydon Council | 2,006,683 |
| Dartford Borough Council | 22,054 |
| Devon and Somerset Fire & Rescue Service | 509,936 |
| Devon County Council | 789,567 |
| Dorset County Council | 413,400 |
| Dorset County Council | 332,315 |
| Dover District Council | 6,602 |
| Elmbridge Borough Council | 66,692 |
| Exeter City Council | 8,339 |
| Fareham Borough Council | 5,888 |
| Great Yarmouth Borough Council | 172,466 |
| Guildford Borough Council | 50,424 |
| Hampshire County Council | 3,612,261 |
| Havant Borough Council | 25,865 |
| Herefordshire Council | 3,090,340 |
| Isle of Wight | 58,167 |
| Isle of Wight Fire and Rescue Service | 12,492 |
| Kent County Council | 982,732 |
| Lewes District Council | 5,737 |
| Maidstone Borough Council | 130,373 |
| Malvern Hills District Council | 19,249 |
| New Forest District Council | 151,514 |
| Norfolk Fire and Rescue Service | 23,166 |
| Norfolk Police (OPCC) | 3,745 |
| North Devon Council | 24,987 |
| North Norfolk District Council | 47,262 |
| Oxford City Council | 210,142 |
| Oxfordshire Fire and Rescue Service | 9,017 |
| Royal Berkshire Fire Authority | 2,101,673 |
| Runnymede Borough Council | 216,144 |
| Scarborough Borough Council | 164,189 |
| Sedgemoor District Council | 87,326 |
| Somerset County Council | 778,411 |
| Somerset County Council | 615,006 |
| South Hams District Council | 100,510 |
| South Oxfordshire District Council | 60,029 |
| South Somerset District Council | 39,481 |
| Spelthorne Borough Council | 68,491 |
| Suffolk Fire & Rescue Service | 1,373 |
| Surrey County Council | 2,382,887 |
| Tandridge District Council | 82,294 |
| Taunton Deane Borough Council | 36,176 |
| Teignbridge District Council | 260,896 |
| Test Valley Borough Council | 194,824 |
| Tewkesbury Borough Council | 23,614 |
| Thanet Council | 36,162 |
| Tonbridge and Malling Borough Council | 99,177 |
| Torbay Borough Council | 102,912 |
| Tunbridge Wells Borough Council | 18,407 |
| Waveney District Council | 19,638 |
| Waveney District Council | 31,694 |
| Waverley Borough Council | 43,736 |
| Waverley Borough Council | 55,975 |
| West Berkshire Council | 652,396 |
| West Dorset District Council | 47,240 |
| West Oxfordshire District Council | 7,959 |
| West Somerset District Council | 5,175 |
| West Sussex County Council | 37,510 |
| Weymouth and Portland Borough Council | 23,412 |
| Wiltshire Council | 745,588 |
| Winchester City Council | 75,715 |
| Windsor & Maidenhead Royal Borough | 406,373 |
| Worcester City Council | 51,701 |
| Wycombe District Council | 27,634 |
| Wyre Borough Council | 31,784 |
| Wyre Forest District Council | 62,001 |
Total for year | 73 | 23,575,593 |
2015-16 |
| Grant Paid (£) |
Total for year | 0 | 0 |
| ||
2016-17 | Authority | Grant Paid £ |
| Allerdale Borough Council | 218,274 |
| Bury Council | 111,490 |
| Calderdale Council | 1,029,731 |
| Carlisle City Council | 377,912 |
| Chorley Council | 74,238 |
| City of York Council | 170,700 |
| Cumbria County Council | 2,185,838 |
| Eden District Council | 23,077 |
| Lancashire Fire & Rescue Service | 63,123 |
| North Yorkshire County Council | 176,449 |
| North Yorkshire Fire and Rescue Authority | 302,982 |
| Northumberland County Council | 1,082,555 |
| Ribble Valley Borough Council | 50,903 |
| Rochdale Borough Council | 139,674 |
| Salford City Council | 80,485 |
| Selby District Council | 13,740 |
| South Lakeland District Council | 177,581 |
| Wyre Council | 15,701 |
Total for year | 18 | 6,294,453 |
2017-18 | Authority | Grant Paid (£) |
| Kensington and Chelsea RB | 7,045,389 |
Total for year | 1 | 7,045,389 |
2018-19 | Authority | Grant Paid (£) |
| North Norfolk District Council | 8,825 |
| Scarborough Borough Council | 171,471 |
| Waveney District Council | 88,280 |
Total for year | 3 | 268,576 |
2019-20 | Authority | Grant Paid (£) |
| Leicestershire Combined Fire and Rescue | 243,832 |
| East Lindsey District Council | 149,905 |
| Lincolnshire Fire and Rescue Service | 418,293 |
| Richmondshire District Council | 180,762 |
| Derbyshire Fire and Rescue Service | 376,177 |
| High Peak Borough Council | 30,370 |
| Mansfield District Council | 197,639 |
Total for year | 7 | 1,596,978 |
| ||
2020-21 | Authority | Grant Paid (£) |
| South Yorkshire Fire and Rescue Authority | 497,260 |
| Doncaster Metropolitan Borough Council | 535,997 |
| Calderdale Council | 265,762 |
| Rossendale Borough Council | 9,217 |
| Herefordshire Council | 1,112,310 |
| Hereford & Worcester Fire and Rescue Service | 33,086 |
| Malvern Hills District Council | 24,827 |
| Newark and Sherwood District Council | 17,718 |
| Shropshire Council | 58,567 |
| Telford & Wrekin Council | 53,324 |
| Worcester City Council | 6,279 |
| Worcestershire County Council | 63,060 |
| Wyre Forest District Council | 10,156 |
Total for year | 13 | 2,687,564 |
2021-22 |
| Grant Paid (£) |
Total for year | 0 | 0 |
2022-23 |
| Grant Paid (£) |
Total for year | 0 | 0 |
2023-24 |
| Grant Paid (£) |
| Canterbury City Council | 133,485 |
Total for year | 1 | 133,485 |
2024-25 |
| Grant Paid (£) |
| Merton Council | 653,124 |
| Northumberland County Council | 166,007 |
Total for year | 2 | 819,131 |
Link to the Bellwin guidance:
Asked by: Markus Campbell-Savours (Labour - Penrith and Solway)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he plans to end single-word ratings for Care Quality Commission assessments.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Care Quality Commission (CQC) is currently focussing on making the improvements recommended in the reviews carried out by Dr Penny Dash, Sir Professor Mike Richards, and Professor Vic Raynor. This includes work to develop new ratings characteristics, make changes to how the CQC uses scoring in assessments, and develop a new handbook for providers, which will explain clearly how assessments are carried out.
A specific review of one-or two- word ratings for health and social care providers is therefore not a priority currently, but will be kept under review.
Asked by: Markus Campbell-Savours (Labour - Penrith and Solway)
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 reduce waiting lists for attention deficit hyperactivity disorder assessments in Penrith and Solway constituency.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
It is the responsibility of the integrated care boards in England to make available the appropriate provision to meet the health and care needs of their local population, including for attention deficit hyperactivity disorder (ADHD) assessments, in line with relevant National Institute for Health and Care Excellence guidelines.
We are supporting a taskforce that NHS England has established to look at ADHD service provision and support across sectors, and their impact on patient experience. The taskforce is bringing together expertise from across a broad range of sectors, including the National Health Service, education, and justice, to better understand the challenges affecting people with ADHD, including timely access to services and support.
Alongside the work of the taskforce, NHS England will continue to develop a national ADHD data improvement plan, carry out more detailed work to understand the provider and commissioning landscape, and capture examples from local health systems which are trialling innovative ways of delivering ADHD services to ensure best practice is captured and shared across the system.