Asked by: Martin Wrigley (Liberal Democrat - Newton Abbot)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether NHS England issues internal guidance to staff on the use of language in planning documents to avoid ambiguity about whether requirements are mandatory.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Medium-Term Planning Framework sets national delivery targets for integrated care boards (ICBs) and providers over multiple years. It sets performance expectations, based on nationally determined policies and budgets, and outlines enabling activities which will help ICBs and providers to deliver against said expectations.
Whilst the Medium-Term Planning Framework does not impose requirements as in legislation or the Government mandate, ‘must’ and ‘expected to’ language is used for priority targets and where a nationally consistent approach would be beneficial, for example to reduce unwarranted variation or to ensure that specific Government commitments are met. The word ‘should’ is used in cases where local flexibility is appropriate based on local determination, demographics, and/or prioritisation.
No internal guidance is issued to staff within NHS England specifically on the use of language within the Medium Term Planning Framework, but the text is checked to ensure consistency with the aforementioned principles. A suite of supporting materials, including technical guidance, webinars, and planning standards, are developed and shared across NHS England regions and the wider National Health Service system to support a clear understanding of the expectations and potential approaches to delivery set out in the Medium-Term Planning Framework.
The regionally led assurance process for planning returns allows NHS England to work with ICBs and providers to understand variance from the asks within the Medium-Term Planning Framework, where warranted.
Asked by: Martin Wrigley (Liberal Democrat - Newton Abbot)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether NHS organisations are expected to justify deviations from NHS England planning guidance where such guidance is non-mandatory.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Medium-Term Planning Framework sets national delivery targets for integrated care boards (ICBs) and providers over multiple years. It sets performance expectations, based on nationally determined policies and budgets, and outlines enabling activities which will help ICBs and providers to deliver against said expectations.
Whilst the Medium-Term Planning Framework does not impose requirements as in legislation or the Government mandate, ‘must’ and ‘expected to’ language is used for priority targets and where a nationally consistent approach would be beneficial, for example to reduce unwarranted variation or to ensure that specific Government commitments are met. The word ‘should’ is used in cases where local flexibility is appropriate based on local determination, demographics, and/or prioritisation.
No internal guidance is issued to staff within NHS England specifically on the use of language within the Medium Term Planning Framework, but the text is checked to ensure consistency with the aforementioned principles. A suite of supporting materials, including technical guidance, webinars, and planning standards, are developed and shared across NHS England regions and the wider National Health Service system to support a clear understanding of the expectations and potential approaches to delivery set out in the Medium-Term Planning Framework.
The regionally led assurance process for planning returns allows NHS England to work with ICBs and providers to understand variance from the asks within the Medium-Term Planning Framework, where warranted.
Asked by: Martin Wrigley (Liberal Democrat - Newton Abbot)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether NHS England distinguishes between the terms must, should, and are expected to in national planning guidance.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Medium-Term Planning Framework sets national delivery targets for integrated care boards (ICBs) and providers over multiple years. It sets performance expectations, based on nationally determined policies and budgets, and outlines enabling activities which will help ICBs and providers to deliver against said expectations.
Whilst the Medium-Term Planning Framework does not impose requirements as in legislation or the Government mandate, ‘must’ and ‘expected to’ language is used for priority targets and where a nationally consistent approach would be beneficial, for example to reduce unwarranted variation or to ensure that specific Government commitments are met. The word ‘should’ is used in cases where local flexibility is appropriate based on local determination, demographics, and/or prioritisation.
No internal guidance is issued to staff within NHS England specifically on the use of language within the Medium Term Planning Framework, but the text is checked to ensure consistency with the aforementioned principles. A suite of supporting materials, including technical guidance, webinars, and planning standards, are developed and shared across NHS England regions and the wider National Health Service system to support a clear understanding of the expectations and potential approaches to delivery set out in the Medium-Term Planning Framework.
The regionally led assurance process for planning returns allows NHS England to work with ICBs and providers to understand variance from the asks within the Medium-Term Planning Framework, where warranted.
Asked by: Martin Wrigley (Liberal Democrat - Newton Abbot)
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 establish Staff Treatment Hubs.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Following the publication of the 10-Year Health Plan on 3 July 2025, work is underway to develop implementation and operational plans for the staff treatments hubs. This will determine factors such as location, budgets, timeframes, and capacity.
The commitment to staff treatment hubs draws on various evidence sources including NHS England’s internal Staff Treatment Access Review. This demonstrated the clear productivity and economic argument for investing in the health of our National Health Service staff, particularly focusing on mental health and musculoskeletal treatment services as the main drivers of sickness absence in the NHS, as well as wider sectors.
Asked by: Martin Wrigley (Liberal Democrat - Newton Abbot)
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 improve workplace catering and break facilities for healthcare workers.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Good physical working environments are important for staff wellbeing and retention. Staff need to be given the time and space to rest and recover from their work, particularly when working on-call or overnight. This is recognised as a priority in the NHS People Promise which sets out the importance of employers prioritising spaces for staff to rest and recuperate, and ensuring access to hot food and drinks.
In May 2024, NHS England and NHS Charities Together launched a £10 million Workforce Wellbeing Programme to support National Health Service staff in England. It will provide tailored health and wellbeing support to NHS staff, including grants to improve facilities. A three-year programme of work named Great Food, Good Health, led by NHS England, aims to improve the experience and quality of nutritious food that patients, staff, and visitors receive in hospital. As part of this, NHS England has made clear that NHS organisations must be able to demonstrate they have suitable 24/7 food service provision.
Asked by: Martin Wrigley (Liberal Democrat - Newton Abbot)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether NHS England has sought legal advice on whether the effective mandating of the Federated Data Platform requires a new competitive procurement or a contract modification notice.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The NHS Federated Data Platform (NHS FDP) has not been formally mandated. Its role is, however, reinforced in the Medium Term Planning Framework 2026/27 to 2028/29, which can be found at the following link:
This framework sets the expectation that all providers and integrated care boards (ICBs) will onboard to the NHS FDP and begin using its core products, data capabilities, and population health management tools by 2028/29.
The guidance highlights the importance of ensuring that providers across acute, community, and mental health sectors use the NHS FDP to support elective recovery, cancer, and urgent and emergency care.
The NHS FDP was procured on the basis that every National Health Service trust and ICB would have a tenant within the platform. The existing contract supports use by community and mental health organisations as well as by acute providers. As such, a new competitive procurement or a contract modification notice is not required.
Asked by: Martin Wrigley (Liberal Democrat - Newton Abbot)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will take steps to ensure that the Levy review does not reduce access to (a) hormonal therapy and (b) surgery for trans and non-binary 18-25 year olds.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
NHS England is currently carrying out a review of adult gender services. The review, chaired by Dr David Levy, has examined the model of care and operating procedures of each service, and has carefully considered experiences, feedback and outcomes from clinicians and patients. The review has been conducted in line with the publicly available terms of reference and key lines of enquiry. The Government will carefully consider the findings of the review.
Asked by: Martin Wrigley (Liberal Democrat - Newton Abbot)
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 support patients with overlapping conditions such as Myalgic Encephalomyelitis (ME), Long Covid, Ehlers-Danlos Syndrome (EDS) and Hypermobility Spectrum Disorder, Postural Tachycardia Syndrome (PoTS), and Mast Cell Activation Syndrome (MCAS).
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department recognises the complex needs of people living with overlapping conditions such as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), long COVID, Ehlers-Danlos syndrome, hypermobility spectrum disorders, postural tachycardia syndrome, and mast cell activation syndrome. Our approach focuses on improving care coordination and access to appropriate services.
For ME/CFS, we have published a cross-government final delivery plan, which sets out actions to boost research, improve professional education, and enhance support for daily living, including community-based services and better benefit assessments. While the plan is specific to ME/CFS, it acknowledges overlaps with other complex, multi-system disorders and commits to exploring synergies during implementation.
Additionally, the 10-Year Health Plan aims to transform services and outcomes for people living with complex conditions by prioritising integrated, personalised care. The plan focuses on earlier diagnosis and promotes multidisciplinary teams and community-based services to deliver coordinated support closer to home, reducing reliance on hospital care. Digital innovations, including remote monitoring and personalised care planning, will help manage long-term conditions more effectively. The Plan also commits to 95% of people with complex needs to have a personalised care plan by 2027. Personalised care plans will improve support for people with complex needs by ensuring that care is tailored to the individual and coordinated across services.
In addition, research funded by the National Institute for Health and Care Research into post-viral syndromes and autonomic disorders will help improve understanding autonomic dysfunction and overlapping conditions, accelerate innovation and deliver evidence-based care for patients with complex, multi-system health needs.
Asked by: Martin Wrigley (Liberal Democrat - Newton Abbot)
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 the increase in employers' National Insurance contributions on trends in the level of NHS staff on (a) GP practices, (b) care providers and (c) the health sector in Devon.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We are investing an extra £1.1 billion in general practice, the biggest cash increase in a decade. That funding has allowed us to recruit an extra 2,500 general practitioners and improve access for patients.
General practices are valued independent contractors who provide over £13 billion worth of NHS services. Every year we consult with the sector both about what services they provide, and the money providers are entitled to in return under their contract, taking into account the cost of delivering services.
This Government is committed to publishing a 10 Year Workforce Plan to set out action to create a workforce ready to deliver the transformed service set out in the 10-Year Health Plan. The 10 Year Workforce Plan will ensure that the National Health Service has the right people in the right places, with the right skills to care for patients, when they need it.
We hugely value the critical role that health care providers play, we are determined to address the issues they face.
Asked by: Martin Wrigley (Liberal Democrat - Newton Abbot)
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 support patients with pulmonary fibrosis in Devon.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Royal Devon University Hospital provides a regional interstitial lung disease service covering Devon. The team provides clinical care, support, and access to services such as pulmonary rehabilitation. Patients with pulmonary fibrosis may attend pulmonary rehabilitation services in Exeter, North Devon, Torbay, and Plymouth.