Asked by: Nadia Whittome (Labour - Nottingham East)
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 reduce waiting times for heart health pathways.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The latest data, from July 2025, shows that 61.6% of waits for cardiology services are within 18 weeks, which is a 1.7% improvement on the same month from the previous year. While this shows progress, we know there is more to do to reduce waiting times for heart health pathways. That is why, along with our commitment to returning to the 92% referral-to-treatment standard for elective care by March 2029, the Elective Reform Plan commits to significant elective reform in cardiology.
Cardiology is one of five priority specialties identified for significant elective reform in the Elective Reform Plan. Reforms will include increasing specialist cardiology input earlier in patient care pathways and developing standard and efficient care pathways for common cardiology symptoms. It also includes improving access to cardiac diagnostic tests through implementing more ‘straight-to-test’ pathways, where a general practitioner can refer a patient directly to secondary care for a test. This can reduce unnecessary outpatient appointments and improve waiting times even further for patients across England.
These improvements to common cardiology pathways help standardise patient care, reduce inequalities, and improve access to care, especially in the early stages of heart health pathways for patients across England.
Asked by: Nadia Whittome (Labour - Nottingham East)
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 ensure the safe disposal of needles in the context of the growing use of GLP-1 medicines; whether his Department has had discussions with pharmaceutical companies about meeting the costs of this disposal.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
It is important for sharps to be disposed of safely, to avoid risk of accidental needle-stick injuries to pharmacy or general practice staff, waste management operatives, and other members of the public. All sharps should be disposed in sharps bins, which can be obtained on prescription or purchased. Local authorities are obliged to collect clinical waste, including sharps bins, from householders upon request. Under section 45(3)(b) of the Environmental Protection Act 1990 they may make a reasonable charge for this service.
The Department has had no discussions with the pharmaceutical industry about meeting the cost of this disposal.
Asked by: Nadia Whittome (Labour - Nottingham East)
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 ensure adequate mental health support is provided to Physician Associates following the publication of the Leng Review.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The health and wellbeing of all National Health Service staff is hugely important. Following the publication of the Leng Review, NHS England has written to NHS trusts, integrated care boards, and primary care networks reiterating their responsibilities to their staff as employers, including treating them with compassion and providing pastoral support where required. Importantly, it has also written directly to the staff most affected by the recommendations, setting out where they can find support if required.
Employers across the NHS have their own arrangements in place in line with their duty of care for supporting their staff, including occupational health provision, employee support programmes, and board level scrutiny through health and wellbeing guardians.
Asked by: Nadia Whittome (Labour - Nottingham East)
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 (a) improve awareness and understanding of Progressive Supranuclear Palsy among healthcare professionals across all regions of England, and (b) ensure earlier and more accurate diagnosis of the condition.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Under the UK Rare Diseases Framework, the Government is committed to improving the lives of those living with rare diseases, such as progressive supranuclear palsy. This includes helping patients get a final diagnosis faster and increasing awareness of rare diseases among healthcare professionals.
With over 7,000 rare diseases, it is not possible for healthcare professionals to receive comprehensive training on every condition. It is therefore important that they are aware of rare diseases more broadly and are alert to considering them. The 2025 England Rare Diseases Action Plan updates on progress to increase awareness of rare diseases among healthcare professionals, including:
- Launching new resources on the innovative digital educational resource, GeNotes;
- Developing a communication skills resource to aid healthcare professionals in having sensitive conversations to ensure the patient feels supported in their diagnosis of a rare condition; and
- Developing a range of training and educational resources on rare diseases to include rare diseases in UK health professional education and training frameworks.
Another priority of the Framework is to help patients get a final diagnosis faster. Progress has been made over the last year, including research commissioned to better understand what causes delays in diagnosis, the Generation Study to pilot whole genome sequencing of newborns in the NHS being launched, and the work of the NHS Genomic Medicine Service.
Asked by: Nadia Whittome (Labour - Nottingham East)
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 providing free homecare.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Local authorities (LAs) have the power to charge for care, and it is for them to decide whether to do so. Two LAs in England currently offer free home care to their residents.
Where LAs do choose to charge for care, they must do so in accordance with the Care Act 2014 and the Care and Support (Charging and Assessment of Resources) Regulations 2014, and they must act under the Care and Support Statutory guidance.
We have launched an independent commission into adult social care as part of our critical first steps towards delivering a National Care Service.
The commission, which began work in April 2025, will be comprehensive and will build on the expert proposals of other reviews, including that of Sir Andrew Dilnot into care funding and support. It will be broader and wider than ever before, asking essential questions about the shape and future of the social care sector, including what long-term and sustainable funding solutions should look like.
Asked by: Nadia Whittome (Labour - Nottingham East)
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 in implementing the NHS Accessible Information Standard.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Since 2016, all National Health Service organisations and publicly funded social care providers are expected to meet the Accessible Information Standard (AIS), which details the recommended approach to supporting the information and communication support needs of patients and carers with a disability, impairment, or sensory loss, including deaf people.
NHS England has been undertaking a review of the AIS to help ensure that the communication needs of people with a disability, impairment, or sensory loss are met in health and care provision. A self-assessment framework has been developed to support providers of NHS and social care services to measure their performance against the AIS, and to develop improvement action plans to address gaps in implementation.
A revised AIS will be published in due course. In the meantime, the current AIS remains in force, and therefore there should be no gap in provision for people using services. NHS England is working to support implementation of the AIS with awareness raising, communication, and engagement, and with a review of the current e-learning modules on the AIS. The intention is to ensure that staff and organisations in the NHS are aware of the AIS and the importance of meeting the information and communication needs of disabled people using services.
Asked by: Nadia Whittome (Labour - Nottingham East)
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 merits of continuing opt-out testing of Hepatitis (a) B and (b) C in Nottingham University Hospitals’ Emergency Department.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The emergency department opt-out testing programme will continue to test individuals for bloodborne viruses, including HIV and viral hepatitis, in line with committed funding plans. The Government is committed to reducing the incidence of viral hepatitis, including by reducing the number of people living with the condition without a diagnosis. NHS England is currently reviewing its budgetary position, with a view to determining whether funding can be made available to extend the provision of opt out testing for viral hepatitis, particularly for those sites whose committed funding will end during 2025. This includes the Nottingham University Hospitals NHS Trust, and therefore NHS England is engaged in discussions with the trust on this important programme.
Asked by: Nadia Whittome (Labour - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the Written Statement of 5 December 2024 on Plan for Change: Milestones for mission-led government, HCWS285 and the Chapter on An NHs Fit for the Future, if he will publish plans to reduce waiting times for mental health services.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Our 10-Year Health Plan will inform the future vision and delivery plan for mental health services in England. Earlier intervention remains a key focus of the plan, with the aim of reducing pressure on mental health services.
The Government is delivering new and innovative models of care in the community. We have launched six neighbourhood adult mental health centres that are open 24 hours a day, seven days a week, to bring together community, crisis, and inpatient care.
NHS England’s Planning Guidance for 2025/26 makes clear that for this year, to support reform and improvements, we expect all providers to reduce the variation in children and young people accessing services and improve productivity.
We are also improving data quality so we can support providers in understanding demand across their areas. Since July 2023, NHS England has included waiting time metrics for referrals to urgent and community-based mental health services in its monthly mental health statistics publication, to help services target the longest waits.
Asked by: Nadia Whittome (Labour - Nottingham East)
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 ensure that people living in Nottingham East constituency have access to NHS dentistry when they need it.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Government plans to tackle the challenges for patients trying to access National Health Service 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.
The responsibility for commissioning primary care services, including NHS dentistry, to meet the needs of the local population has been delegated to the integrated care boards (ICBs) across England. For the Nottingham East constituency, this is the NHS Nottingham and Nottinghamshire ICB. ICBs have been asked to start making extra urgent dental appointments available from April 2025. The Nottingham and Nottinghamshire ICB is expected to deliver 24,360 additional urgent dental appointments as part of the scheme.
ICBs have started to advertise posts through the Golden Hello scheme. This recruitment incentive will see up to 240 dentists receiving payments of £20,000 to work in those areas that need them most for three years. As of 10 April 2025, in England, there are 53 dentists in post with a further 44 dentists who have been recruited but are yet to start in post. Another 256 posts are currently advertised.
Asked by: Nadia Whittome (Labour - Nottingham East)
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 ensure that patients referred for a potential diagnosis of Parkinson’s disease are seen by a neurologist within 18 weeks.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government is committed to delivering the National Health Service constitutional standard for 92% of patients to wait no longer than 18 weeks from Referral to Treatment by March 2029, a standard which has not been met consistently since September 2015. This includes patients waiting for elective treatment on neurological pathways.
We have taken our first step towards delivering this commitment goal by exceeding our pledge to deliver an extra two million operations, scans, and appointments in our first year in office, having now delivered over three million more appointments.
The Elective Reform Plan, published in January 2025, sets out the specific productivity and reform efforts needed to return to the constitutional standard.
The Getting It Right First Time programme, which provides tailored regional and national support to providers, also has a neurology specific Further Faster workstream. This is a clinically led initiative supporting peer to peer learning and improvement. A neurology 'handbook' and checklist with benchmarked data and case studies has been published and there are regular neurology online sessions for clinical and operational leads.