Asked by: Munira Wilson (Liberal Democrat - Twickenham)
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 help ensure that statutory duties for safeguarding (a) children with special educational needs and disabilities and (b) other children are met, in the context of the NHS England model framework for integrated care boards.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
NHS England has asked the integrated care boards (ICBs) to act primarily as strategic commissioners of health services and to reduce the duplication of responsibilities within their structure. NHS England provided additional guidance to ICBs, National Health Service trusts, and NHS foundation trusts in a letter on 1 April 2025, where ICBs were tasked with developing plans setting out how they will manage their resources to deliver across their priorities. This letter is available at the following link:
https://www.england.nhs.uk/long-read/working-together-in-2025-26-to-lay-the-foundations-for-reform/
NHS England is actively engaged with ICB executive leads for special educational needs and disability (SEND) across the system, to ensure that ICBs continue to ensure that statutory duties and accountabilities for children with SEND are met. We will be working with a range of partners and stakeholders to review the proposals to ensure that statutory duties, as laid out in legislation, continue to be met for children with SEND.
NHS England is actively engaging with safeguarding professionals across the system, including those in local government, ICBs, and provider organisations, to ensure that safeguarding responsibilities are not compromised.
This engagement is being supported by the NHS Safeguarding Accountability and Assurance Framework 2024 and the National Safeguarding Steering Group ICB Safeguarding Protocols, which outline the roles, accountabilities, responsibilities, and expectations for safeguarding across NHS-funded care. NHS England is also setting up a joint working group with the Local Government Association to carefully consider issues relating to safeguarding.
Ministers and the Department will work with the new transformation team at the top of NHS England to ensure ICBs continue to fulfil their functions effectively within the running costs cap and unlock the benefit of working at scale to deliver better care for their population.
Asked by: Munira Wilson (Liberal Democrat - Twickenham)
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 merits of including strokes as a Category 1 ambulance call.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
No such assessment has been made. NHS England’s guidance recommends ambulance services increase the clinical assessment of 999 calls, including increasing the proportion of Category 2 calls, which are those calls classified as an “emergency” and which include serious time-sensitive incidents such as strokes. Calls are clinically navigated, validated, and triaged in ambulance control centres to ensure the sickest patients are prioritised for ambulances.
NHS England's Emergency Call Prioritisation Advisory Group determines the appropriate ambulance response for various clinical situations and triage codes, and works in conjunction with the Clinical Coding Review Group, and the National Ambulance Service Medical Director's group, to ensure clinical guidance is up-to-date and effective.
Asked by: Munira Wilson (Liberal Democrat - Twickenham)
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 length of ambulance response times on outcomes for stroke patients.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
No such assessment has been made. NHS England’s guidance recommends ambulance services increase the clinical assessment of 999 calls, to ensure the sickest patients are prioritised for ambulances.
The National Stroke Service Model and the National Service Model for an Integrated Community Stroke Service set out an evidence based pathway for joined-up stroke care throughout the patient journey. The service models set out that high quality stroke care should include fast emergency response and better-informed ambulance service 999 calls, to reduce mortality and disability.
Asked by: Munira Wilson (Liberal Democrat - Twickenham)
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 merits of a national roll out of the category 2 segmentation pilots run by (a) London Ambulance Service and (b) West Midlands Ambulance Service to prioritise the most urgent calls.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
No such assessment has been made. NHS England guidance recommends ambulance services increase the clinical assessment of 999 calls, to ensure the sickest patients are prioritised for ambulances and patients that do not need a face-to-face response are transferred to services more appropriate to their needs.
The NHS England 2025/26 priorities and operational planning guidance identified reducing avoidable ambulance dispatches and conveyances and reducing hospital handover delays as key improvement areas, with the expectation that ambulance services increase the proportion of Category 2 calls that are clinically navigated, validated and triaged in ambulance control centres.
Asked by: Munira Wilson (Liberal Democrat - Twickenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will ensure that the National Cancer Plan includes vaccine treatments for brain tumours.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
My Rt Hon. Friend, the Secretary of State for Health and Social Care has announced that a National Cancer Plan for England will be published this year. The Prime Minister’s Health Mission sets the objective of building a National Health Service fit for the future, and an essential part of this is achieving our goal to reduce the number of lives lost to cancer.
The National Cancer Plan will have patients at its heart and will cover the entirety of the cancer pathway, from referral and diagnosis to treatment and ongoing care, and will apply to all cancer types, including brain tumours. It will seek to improve every aspect of cancer care, to improve the experiences and outcomes for people with cancer. Our goal is to reduce the number of lives lost to cancer over the next 10 years.
The Department, NHS England, and the National Institute for Health and Care Research (NIHR) are taking several steps to help improve outcomes for brain tumour patients. Research will be a key focus of the National Cancer Plan, which will continue to maximise the access to, and the impact of, clinical trials in diagnostics and treatments, building on the success of projects such as the NHS Cancer Vaccine Launch Pad.
The plan will also consider the ways that we can accelerate the uptake of innovative, life-saving treatments so all NHS patients can benefit. We will work closely with partners, including the National Institute for Health and Care Research, on this.
Asked by: Munira Wilson (Liberal Democrat - Twickenham)
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 people impacted by long covid in Twickenham constituency.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Commissioning, service provision and staffing of long COVID services is the responsibility of local integrated care boards.
General practitioners (GPs) continue to act as the primary point of contact to ensure patients receive the appropriate advice and care. Patients experiencing symptoms of long COVID are advised to seek support from their GP in the usual way.
A directory of public health, community, and voluntary sector resources has been developed and is available to local GPs and primary care partners. This directory enables healthcare professionals to signpost patients to a wide range of local support services that address the various impacts of long COVID. Further information on the support services available in the Twickenham constituency is available at the following link:
https://www.kingstonandrichmond.nhs.uk/patients-and-families/patient-leaflets/long-covid-information
At a national level, NHS England has also published commissioning guidance for post-COVID services, which sets out the principles of care for people with long COVID.
Between 2019/20 and 2023/24, through the National Institute for Health and Care Research and Medical Research Council, we have invested over £57 million on research into long COVID, with almost £40 million of this through two specific research calls on long COVID. The funded projects aim to improve our understanding of the diagnosis and underlying mechanisms of the disease and the effectiveness of both pharmacological and non-pharmacological therapies and interventions, as well as to evaluate the effectiveness of clinical care.
Asked by: Munira Wilson (Liberal Democrat - Twickenham)
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 support research into the causes of epilepsy.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department funds research into epilepsy via the National Institute for Health and Care Research (NIHR). The NIHR committed £31.5 million of funding to 28 epilepsy research projects in the five years from April 2019 to March 2024. Additionally, over this period, more than 5,000 people were enabled to participate in epilepsy research by the NIHR Clinical Research Network, now the NIHR Research Delivery Network.
The NIHR welcomes funding applications for research into any aspect of human health and care, including epilepsy. Applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money, and scientific quality. Welcoming applications on epilepsy to all NIHR programmes enables maximum flexibility both in terms of the amount of research funding a particular area can be awarded, and the type of research which can be funded.
The NIHR also works closely with other Government funders, including UK Research and Innovation, which is funded by the Department for Science, Innovation and Technology and includes the Medical Research Council, to fund research into epilepsy to improve treatments and prevent poor health outcomes for patients.
The Medical Research Council spends approximately £3 million each year on epilepsy research, spanning discovery science and fundamental understanding of the disease through to new approaches for diagnosis and intervention
Asked by: Munira Wilson (Liberal Democrat - Twickenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many dental practices stopped accepting NHS patients in (a) Twickenham and (b) London in each year since 2019.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We do not hold data on the number of practices that have stopped accepting National Health Service patients. NHS dentists are required to keep their NHS.UK website profiles up to date so that patients can find a dentist more easily. This includes information on whether they are accepting new patients. This information is available at the following link:
https://www.nhs.uk/service-search/find-a-dentist
The Government plans to tackle the challenges for patients trying to access NHS dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to the areas that need them most. To rebuild dentistry in the long term, we will reform the dental contract with the sector, with a shift to focus on prevention and the retention of NHS dentists.
Asked by: Munira Wilson (Liberal Democrat - Twickenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how much funding has been allocated to each integrated care board in England to provide for child and adolescent mental services for the next financial year.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
It is for individual local commissioners to allocate funding to children and young people’s mental health services to meet the needs of their local populations and this information is not collected centrally. Integrated care boards are expected to continue to meet the Mental Health Investment Standard in 2025/26 by increasing their investment in mental health services in line with their overall increase in funding for the year.
Asked by: Munira Wilson (Liberal Democrat - Twickenham)
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 results of the Brief Educational Workshops in Secondary Schools Trial, published in June 2024, by the National Institute for Health Research and King College London.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Brief Educational Workshops in Secondary Schools Trial, funded by the National Institute for Health and Care Research, was a large school-based study of a cognitive behavioural therapy-based intervention led by the South London and Maudsley NHS Foundation Trust, using the DISCOVER intervention.
The study found that the DISCOVER intervention was modestly clinically effective for reducing depressive and anxiety symptoms among 16 to 18 year olds. The study’s findings highlight that, given the importance of addressing mental health needs early in this adolescent population, additional research is warranted to explore this intervention.
There are currently no national plans to scale up and roll out the DISCOVER workshop programme.
We recognise the importance of early intervention. Nearly 500 National Health Service funded mental health support teams were operational in approximately 8,500, or 34% of, schools and colleges across England by the end of March 2024, covering 4.2 million, or 44% of, pupils or learners. These teams work with young people and parents to manage mild to moderate mental health conditions like anxiety and depression, while also assisting schools to develop a whole-school approach to positive mental health and wellbeing.
Building on this, we will provide access to a specialist mental health professional in every school so that mental health conditions, such as anxiety and depression, can be identified early on and prevented from developing into more serious conditions in later life. We will also roll out Young Futures hubs in every community.