Asked by: Mary Glindon (Labour - Newcastle upon Tyne East and Wallsend)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent progress his Department has made on negotiating the Community Pharmacy Contractual Framework for 2026/27.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
In 2025/26, funding for the core community pharmacy contractual framework was increased to £3.1 billion. This represented the largest uplift in funding of any part of the National Health Service at the time, over 19% across 2024/25 and 2025/26.
The Department’s consultation with Community Pharmacy England on any proposed changes to reimbursement and remuneration of pharmacy contractors for 2026/27 began on 25 February. We will provide an update once this consultation has concluded.
Asked by: Mary Glindon (Labour - Newcastle upon Tyne East and Wallsend)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent progress his Department has made on implementing a joint process between NICE and the MHRA for the licensing and appraisal of medicines; and whether the licensing and appraisal of the BREAKWATER treatment protocol for patients with BRAF-mutated bowel cancer will follow this pathway.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Health Service in England is legally required to fund medicines in line with National Institute for Health and Care Excellence’s (NICE) recommendations. Current treatment options for BRAF-mutated colorectal cancer depend on the stage of the disease and previous treatments. Several medicines for the treatment of colorectal cancer have been recommended by NICE. NICE has also recommended encorafenib in combination with cetuximab as an option for treating BRAF V600E mutation-positive metastatic colorectal cancer after previous systemic treatment.
The BREAKWATER study is investigating encorafenib, a BRAF inhibitor, in combination with cetuximab and fluorouracil-based chemotherapy for the potential treatment of colorectal cancer. This regimen does not currently have a United Kingdom marketing authorisation for use in the treatment of previously untreated BRAF V600E mutation positive metastatic colorectal cancer. NICE has prioritised an appraisal of encorafenib for this indication in anticipation of it being granted a UK marketing authorisation and will schedule the appraisal so that guidance can be published as close as possible to the expected licensing date. The joint licensing and health technology appraisal pathway was launched on 1 April. It is not possible at this stage to confirm whether the appraisal will follow the joint pathway. Further information on the appraisal’s status is publicly available on NICE’s website, at the following link:
https://www.nice.org.uk/guidance/awaiting-development/gid-ta11961
The clinical trial was assessed and approved in the UK and is currently active, with further information available at the following link:
https://clinicaltrials.gov/study/NCT04607421?term=BREAKWATER&viewType=Card&rank=1
Department officials regularly discuss a range of topics with colleagues in the Medicines and Healthcare products Regulatory Agency and NICE.
Asked by: Mary Glindon (Labour - Newcastle upon Tyne East and Wallsend)
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 access to treatment for patients with BRAF-mutated bowel cancer in (a) England and (b) Northern Ireland.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Health Service in England is legally required to fund medicines in line with National Institute for Health and Care Excellence’s (NICE) recommendations. Current treatment options for BRAF-mutated colorectal cancer depend on the stage of the disease and previous treatments. Several medicines for the treatment of colorectal cancer have been recommended by NICE. NICE has also recommended encorafenib in combination with cetuximab as an option for treating BRAF V600E mutation-positive metastatic colorectal cancer after previous systemic treatment.
The BREAKWATER study is investigating encorafenib, a BRAF inhibitor, in combination with cetuximab and fluorouracil-based chemotherapy for the potential treatment of colorectal cancer. This regimen does not currently have a United Kingdom marketing authorisation for use in the treatment of previously untreated BRAF V600E mutation positive metastatic colorectal cancer. NICE has prioritised an appraisal of encorafenib for this indication in anticipation of it being granted a UK marketing authorisation and will schedule the appraisal so that guidance can be published as close as possible to the expected licensing date. The joint licensing and health technology appraisal pathway was launched on 1 April. It is not possible at this stage to confirm whether the appraisal will follow the joint pathway. Further information on the appraisal’s status is publicly available on NICE’s website, at the following link:
https://www.nice.org.uk/guidance/awaiting-development/gid-ta11961
The clinical trial was assessed and approved in the UK and is currently active, with further information available at the following link:
https://clinicaltrials.gov/study/NCT04607421?term=BREAKWATER&viewType=Card&rank=1
Department officials regularly discuss a range of topics with colleagues in the Medicines and Healthcare products Regulatory Agency and NICE.
Asked by: Mary Glindon (Labour - Newcastle upon Tyne East and Wallsend)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what discussions his Department has had with (a) the MHRA and (B) NICE regarding the BREAKWATER treatment protocol for patients with BRAF‑mutated bowel cancer.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Health Service in England is legally required to fund medicines in line with National Institute for Health and Care Excellence’s (NICE) recommendations. Current treatment options for BRAF-mutated colorectal cancer depend on the stage of the disease and previous treatments. Several medicines for the treatment of colorectal cancer have been recommended by NICE. NICE has also recommended encorafenib in combination with cetuximab as an option for treating BRAF V600E mutation-positive metastatic colorectal cancer after previous systemic treatment.
The BREAKWATER study is investigating encorafenib, a BRAF inhibitor, in combination with cetuximab and fluorouracil-based chemotherapy for the potential treatment of colorectal cancer. This regimen does not currently have a United Kingdom marketing authorisation for use in the treatment of previously untreated BRAF V600E mutation positive metastatic colorectal cancer. NICE has prioritised an appraisal of encorafenib for this indication in anticipation of it being granted a UK marketing authorisation and will schedule the appraisal so that guidance can be published as close as possible to the expected licensing date. The joint licensing and health technology appraisal pathway was launched on 1 April. It is not possible at this stage to confirm whether the appraisal will follow the joint pathway. Further information on the appraisal’s status is publicly available on NICE’s website, at the following link:
https://www.nice.org.uk/guidance/awaiting-development/gid-ta11961
The clinical trial was assessed and approved in the UK and is currently active, with further information available at the following link:
https://clinicaltrials.gov/study/NCT04607421?term=BREAKWATER&viewType=Card&rank=1
Department officials regularly discuss a range of topics with colleagues in the Medicines and Healthcare products Regulatory Agency and NICE.
Asked by: Mary Glindon (Labour - Newcastle upon Tyne East and Wallsend)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the potential merits of capping the strength of nicotine pouches to 20 milligrams of nicotine per pouch.
Answered by Sharon Hodgson - Parliamentary Under-Secretary (Department of Health and Social Care)
Nicotine pouches are highly addictive and we have a duty to protect children and young people from potential harms.
Unlike vapes, there are no legally established nicotine limits for pouches, with strengths ranging from two milligram to 50 milligram or more per pouch.
This is why the Tobacco and Vapes Bill includes powers to regulate the packaging, flavours, and product standards of all vapes and nicotine products, including nicotine pouches. The bill will also introduce age of sale restrictions to 18 years old for nicotine pouches and will ban their advertising and sponsorship.
We ran a call for evidence on nicotine limits, amongst other tobacco and vaping issues, at the end of last year. We plan to consult on future regulatory plans in due course.
Asked by: Mary Glindon (Labour - Newcastle upon Tyne East and Wallsend)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the difference is between the proposed Public-Private Partnership model for Neighbourhood Health Centres and the Private Finance Initiative.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Public Private Partnership (PPP) is the umbrella term for various public-private partnerships. Private Finance Initiative is a specific, strict form of PPP.
We are developing a new PPP model for neighbourhood health centres (NHCs) which is being led by the National Infrastructure and Service Transformation Authority (NISTA), and supported by the Department. NISTA and the Department will continue to work with the market to further develop the new PPP model for NHCs with further engagement later this year. The new model will build on lessons from the past, including the National Audit Office’s 2025 report on private finance and other models currently in use. To ensure they are managed transparently and are fiscally sustainable, any NHC PPP projects will be budgeted for as if they are on balance sheet.
We are not bringing back PFI for the new PPP model for NHCs.
Asked by: Mary Glindon (Labour - Newcastle upon Tyne East and Wallsend)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he plans to make interim payments to people affected by sodium valproate.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is carefully considering the valuable work done by the Patient Safety Commissioner and the resulting Hughes Report, which sets out options for redress for those harmed by sodium valproate and pelvic mesh. This is a complex issue, and the Government's priority is to ensure that any response is fair, balanced and sensitive to those affected. The Department is carefully considering the recommendations within the Hughes Report, including providing interim payments, in collaboration with relevant departments, and we aim to provide an update in due course.
Asked by: Mary Glindon (Labour - Newcastle upon Tyne East and Wallsend)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent discussions he has held with Cabinet Colleagues regarding funding for financial redress to people affected by sodium valproate.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is carefully considering the valuable work done by the Patient Safety Commissioner and the resulting Hughes Report, which sets out options for redress for those harmed by sodium valproate and pelvic mesh.
The Government recently responded to a statutory request by the Patient Safety Commissioner in which she requested information on Government advice, meetings, and progress regarding the Hughes Report and patient redress since October 2023. This response can be found on the Patient Safety Commissioner’s website. The Government’s response makes clear that work to consider the Hughes Report recommendations has been ongoing and includes cross-Government engagement.
Asked by: Mary Glindon (Labour - Newcastle upon Tyne East and Wallsend)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he plans to have discussions with families impacted by sodium valproate on the design of a compensation scheme.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is carefully considering the valuable work done by the Patient Safety Commissioner and the resulting Hughes Report. The report sets out options for redress for those harmed by sodium valproate and pelvic mesh and makes recommendations. Whilst no decision on providing a redress scheme has been made, the Government will make sure patient voices are a part of this work.
Asked by: Mary Glindon (Labour - Newcastle upon Tyne East and Wallsend)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of the abolition of NHS England on the commissioning, oversight and consistency of access to weight management services across England.
Answered by Ashley Dalton
The National Health Service and local government provide a range of weight management services. This includes behaviour change support such as the NHS Digital Weight Management Programme, intensive treatments like very low-calorie diets, pharmaceutical treatments, and bariatric surgery. NHS integrated care boards (ICBs) are responsible for arranging the provision of health services, such as specialist weight management services, within their area, in line with local population need, and taking account of relevant guidance.
NHS England will continue to carry out its existing responsibilities and statutory functions during the transition period following the Government’s decision to abolish the organisation. This includes commissioning the NHS Digital Weight Management Programme, oversight of NHS weight management services, and providing guidance, clinical leadership, and performance oversight of ICBs, while the Government brings forward legislation to amend the Department’s responsibilities.
Work is progressing at pace to develop the design and operating model for the new integrated organisation, and to plan for the smooth transfer of people, functions, and responsibilities. It is only right that with such significant reform, we commit to carefully assessing and understanding the potential impacts, as is due process. These ongoing assessments will inform our programme as appropriate.
Until the transfer of its functions, NHS England will continue to work with ICBs and providers to support the continuity of multidisciplinary provision and workforce capacity, and access to services across England.