Asked by: Mary Kelly Foy (Labour - City of Durham)
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 a respiratory modern Service Framework on winter pressures on the NHS.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Modern service frameworks will define an aspirational, long-term outcome goal for a major condition and will then identify the best evidenced interventions and the support for delivery. Early priorities will include cardiovascular disease, severe mental illness, and the first ever service framework for frailty and dementia.
The Government will consider other long-term conditions for future waves of modern service frameworks, including respiratory conditions. The criteria for determining other conditions for future modern service frameworks will be based on where there is potential for rapid and significant improvements in quality of care and productivity. There has not, therefore, been a specific assessment made in relation to winter pressures.
NHS England, working with the Department, the UK Health Security Agency, and other partners, took action to reduce the impact of respiratory conditions on the National Health Service during the winter of 2025/26. Further details of the actions taken to reduce demand on acute services during winter is available at the following link:
https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/
Asked by: Mary Kelly Foy (Labour - City of Durham)
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 disparities in the early diagnosis of breast cancer.
Answered by Sharon Hodgson - Parliamentary Under-Secretary (Department of Health and Social Care)
Reducing disparities in the early diagnosis of cancer, including breast cancer, is a specific priority within the National Health Service’s wider Core20Plus5 approach to reducing healthcare inequalities. Core20Plus25 targets the most deprived 20% of the population and other underserved groups, prioritising five clinical areas where faster improvement can most effectively reduce health inequalities. This is a key way that the National Health Service will work to end variation in early diagnosis of breast cancer and ensure that access to the best diagnosis is possible for everyone.
We are determined to close inequalities in screening and early diagnosis for ethnic minority communities and underserved communities through our new Neighbourhood Early Diagnosis Fund, which is part of £200 million for Cancer Alliances.
The NHS in England collects and analyses data to identify disparities, including in the early diagnosis of breast cancer. The National Disease Registration Service (NDRS) in NHS England is the cancer registry for England and collects data on the diagnosis and treatment of cancer patients. The data collected captures a patient’s complete journey from referral, diagnosis, treatment, outcomes, experience, and survival. NDRS’s strategic priorities focus on making data more timely and accessible, and better understanding health inequalities. To reduce unwarranted variation in outcomes for breast cancer patients, NHS England also funds National Clinical Audits, including for breast cancer. By analysing routine clinical data from NHS settings, these audits identify regional variations in care quality and establish best practices.
Asked by: Mary Kelly Foy (Labour - City of Durham)
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 (a) the prevalence of respiratory disease and (b) the number of emergency hospital admissions for respiratory conditions in City of Durham constituency compared with national averages; and what steps he is taking to ensure respiratory health is prioritised nationally, including through the introduction of a Modern Service Framework for respiratory care.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Data is available for emergency Finished Admission Episodes (FAEs) where there was a primary diagnosis of 'respiratory conditions’. The following table shows the number of FAEs where there was a primary diagnosis of 'respiratory conditions’ for City of Durham and England, for activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector, for 2024/25 and provisionally for 2025/26:
Westminster Parliamentary Constituency of Residence | 2024/25 (August 2024 to March 2025) | 2025/26 (April 2025 to December 2025) |
City of Durham | 760 | 735 |
England | 612,855 | 511,558 |
Source: Hospital Episode Statistics, NHS England.
Available data on trends in respiratory conditions can be found on the Department’s Fingertips dataset. Data is not available by parliamentary constituency. Data is available at regional, county, unitary authority, and integrated care board level. Information for County Durham can be found at the following link:
The Government will consider long-term conditions for future waves of modern service frameworks (MSFs), including respiratory conditions. The criteria for determining other conditions for future MSFs will be based on where there is potential for rapid and significant improvements in quality of care and productivity. After the initial wave of MSFs is complete, the National Quality Board will determine the conditions to prioritise for new MSFs as part of its work programme.
Asked by: Mary Kelly Foy (Labour - City of Durham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what his Department’s timeline is for deciding on the second wave of modern service frameworks; and whether respiratory conditions will be considered.
Answered by Sharon Hodgson - Parliamentary Under-Secretary (Department of Health and Social Care)
Modern service frameworks (MSFs) will define an aspirational, long-term outcome goal for a major condition and then identify the best evidenced interventions and the support for delivery. The first wave was agreed as:
The Government will consider other long-term conditions for future waves of MSFs. The criteria for determining other conditions for future MSFs will be based on where there is potential for rapid and significant improvements in the quality of care and productivity. After the initial wave of MSFs is complete, the National Quality Board will determine the conditions to prioritise for new MSFs as part of its work programme.
Asked by: Mary Kelly Foy (Labour - City of Durham)
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 the Secretary of State for Science and Technology on the potential impact of a respiratory modern service framework on the life sciences ecosystem.
Answered by Sharon Hodgson - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government will consider long-term conditions for future waves of modern service frameworks (MSFs), including respiratory conditions. The criteria for determining other conditions for future MSFs will be based on where there is potential for rapid and significant improvements in quality of care and productivity. After the initial wave of MSFs is complete, the National Quality Board will determine the conditions to prioritise for new MSFs as part of its work programme.
NHS England and the Department of Health and Social Care are working with the Department for Science, Innovation and Technology to explore innovation and policy opportunities in respiratory health.
Asked by: Mary Kelly Foy (Labour - City of Durham)
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 ensure NHS England meets its target of 80 per cent breast screening uptake across all regions and eligible groups.
Answered by Sharon Hodgson - Parliamentary Under-Secretary (Department of Health and Social Care)
The NHS Breast Screening Programme is seeing improvement in uptake nationally with annual data from NHS England for 2024/25 showing 70.6% of women attending their appointment. However, there is much more to do.
NHS England recently published a review of national actions to improve uptake and next steps. This review details actions taken at a national level so far, such as working towards introducing digital options for sending out invitations and managing appointments, raising awareness of the importance of screening through the media, and facilitating learning and gathering evidence to inform programme policy, pathway changes, and guidance.
The review supports breast screening service providers with national solutions, as well as setting out the focus to drive uptake even further. The programme of work will continue to evolve, reflecting and learning from ongoing improvements to the programme, including from data intelligence and digital innovation. The review is available at the following link:
Asked by: Mary Kelly Foy (Labour - City of Durham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what progress his department has made on improving support for patients with bulimia.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
We recognise the devastating impact an eating disorder such as bulimia can have on someone’s life, and the earlier treatment is provided, the greater the chance of recovery. NHS England continues to work with clinical experts, provider collaboratives, and patient groups to strengthen pathways for eating disorder care, including ensuring that specialised services remain accessible to those with the most severe presentations across the full spectrum of eating disorders.
On 20 January 2026, NHS England published its refreshed Eating Disorder Services for Children and Young People national guidance for integrated care boards and providers, setting out how to design collaborative, integrated services that support all children, young people, and their families and carers. Whilst the guidance focuses on improving community pathways for children and young people, the national specialised adult service model continues to provide access to highly specialist inpatient treatment for adults with complex eating disorders, including bulimia, through the Specialised Adult Eating Disorder Units network. These units deliver multidisciplinary care that typically includes psychiatric assessment and treatment, psychological therapies, medical monitoring, dietetic support and structured rehabilitation, and can provide inpatient care for adults with severe and enduring eating disorders, including bulimia, where required.
We have also commissioned an evaluation of the care pathway for children and young people with bulimia, binge eating disorder, and anorexia, in England, including a subsequent economic evaluation. The overall aim is to map out what eating disorder care pathways look like for children and young people and to develop an economic model of resource use, to quantify the relative value for money of each of the pathway elements.
Asked by: Mary Kelly Foy (Labour - City of Durham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the adequacy of patient parking at hospitals across County Durham.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
No assessment has been made by my Rt Hon. Friend, the Secretary of State for Health and Social Care, of the adequacy of patient parking at hospitals across County Durham.
National Health Service organisations decide locally on the amount of car parking they provide to patients, visitors, and staff, depending on the clinical services they provide and their local environment.
Asked by: Mary Kelly Foy (Labour - City of Durham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment has been made of the potential merits of providing training to mental health teams on adapting their support to children with lifelong speech and language difficulties.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department of Health and Social Care is working closely with the Department for Education and NHS England to improve access to community health services, including speech and language therapy, for children and young people with special educational needs and disabilities.
In addition to the undergraduate degree route, speech and language therapists can now also train via a degree apprenticeship. This route is going into its fourth year of delivery and offers an alternative pathway to the traditional degree route into a successful career as a speech and language therapist.
In partnership with NHS England, the Department for Education has extended the Early Language and Support for Every Child programme, trialling new ways of working to better identify and support children with Speech, Language and Communication Needs in early years settings and primary schools.
At the Spending Review, we confirmed that we will deliver on our commitment to recruit an additional 8,500 mental health workers by the end of this Parliament, roll out mental health support teams to cover all schools in England by 2029/30 and expand NHS Talking Therapies and Individual Placement and Support schemes.
We have also already started piloting Neighbourhood Mental Health Centres. These pilots aim to provide open access care for anyone with a severe mental illness 24 hours a day, seven days a week. Our aim is to have one Neighbourhood Health Centre in each community that brings together National Health Service, local authority and voluntary sector services in one building to help create a holistic offer that meets the needs of local populations including children with lifelong speech and language difficulties.
Asked by: Mary Kelly Foy (Labour - City of Durham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has considered requesting the National Institute for Clinical Excellence to set national clinical guidelines for developmental language disorders.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Topics for new or updated National Institute for Health and Care Excellence (NICE) guidance are considered through an established prioritisation process. Decisions as to whether NICE will create new, or update existing, guidance are overseen by a prioritisation board, chaired by NICE’s Chief Medical Officer.
The NICE Prioritisation Board considered developmental language disorder: diagnosis and management as a topic for guidance development at its meeting on 20 November 2025. They recognised that developmental language disorder is a significant condition that affects a large population. However, they agreed that there is unlikely to be sufficient evidence available at this time to be able to develop a useful and usable guideline. Therefore, the topic was not selected for guidance development at this time.