Asked by: Paulette Hamilton (Labour - Birmingham Erdington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will review financial relief for pharmacies on PFI estates, including rent-subsidy schemes and a statutory cap on PFI rents for NHS pharmacy contractors.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
For 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. As is custom and practice, the Department will consult Community Pharmacy England on any proposed changes to future reimbursement and remuneration of pharmacy contractors.
Community pharmacies are private businesses that provide NHS services. Pharmacies also receive private, non-NHS, income, which contributes to business expenses such as rent.
Health Private Finance Initiative (PFI) contracts are not held by the Department, they are held between the local NHS trust and their respective Private Finance Company. The operational Health PFI contracts included the design, build and maintenance of the building, including facilities management and lifecycle, over the life of the contract. Any arrangements in respect of letting specific areas of a PFI Hospital to third party occupants, including a pharmacy, will be agreed on a case-by-case basis at a local level.
Asked by: Paulette Hamilton (Labour - Birmingham Erdington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will consider NHS funding adjustments for pharmacies to offset increases in National Minimum Wage and employer National Insurance.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
For 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. As is custom and practice, the Department will consult Community Pharmacy England on any proposed changes to future reimbursement and remuneration of pharmacy contractors.
Community pharmacies are private businesses that provide NHS services. Pharmacies also receive private, non-NHS, income, which contributes to business expenses such as rent.
Health Private Finance Initiative (PFI) contracts are not held by the Department, they are held between the local NHS trust and their respective Private Finance Company. The operational Health PFI contracts included the design, build and maintenance of the building, including facilities management and lifecycle, over the life of the contract. Any arrangements in respect of letting specific areas of a PFI Hospital to third party occupants, including a pharmacy, will be agreed on a case-by-case basis at a local level.
Asked by: Paulette Hamilton (Labour - Birmingham Erdington)
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 support the sustainability of NHS pharmacies operating on PFI sites.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
For 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. As is custom and practice, the Department will consult Community Pharmacy England on any proposed changes to future reimbursement and remuneration of pharmacy contractors.
Community pharmacies are private businesses that provide NHS services. Pharmacies also receive private, non-NHS, income, which contributes to business expenses such as rent.
Health Private Finance Initiative (PFI) contracts are not held by the Department, they are held between the local NHS trust and their respective Private Finance Company. The operational Health PFI contracts included the design, build and maintenance of the building, including facilities management and lifecycle, over the life of the contract. Any arrangements in respect of letting specific areas of a PFI Hospital to third party occupants, including a pharmacy, will be agreed on a case-by-case basis at a local level.
Asked by: Paulette Hamilton (Labour - Birmingham Erdington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will conduct a review of local planning and healthcare infrastructure for villages and local hub–type plans, including PFI estates.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Planning regulation and approval is a matter for the Ministry of Housing, Communities and Local Government. The National Health Service operates in accordance with published planning guidance.
However, we recognise delivering high-quality NHS healthcare services requires the right infrastructure in the right places. Integrated care boards have developed infrastructure strategies to create a long-term plan for future healthcare estate requirements and investment for each local area and its needs.
These strategies help take the existing and future general practice and primary care estate into account when considering how best to deliver local services, including the development of a Neighbourhood Health Service.
Asked by: Paulette Hamilton (Labour - Birmingham Erdington)
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 levels of current funding on palliative care on an assisted dying service.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
I refer the Hon. Member to the Terminally Ill Adults (End of Life) Bill: impact assessment, which considers the resourcing implications of an assisted dying service on palliative and end of life care services.
Asked by: Paulette Hamilton (Labour - Birmingham Erdington)
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 sustainability of (a) funding and (b) support for dementia treatment facilities.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Presently, there are limited treatment options for people with dementia. Some drugs can modify symptoms in some cases but there are currently no disease-modifying treatments approved by the National Institute for Health and Care Excellence (NICE) for use in the National Health Service, and so care is predominantly provided through social care rather than the NHS.
The provision of dementia health care services is the responsibility of local integrated care boards (ICBs). We expect ICBs to commission services based on local population needs, taking account of the NICE’s guidelines.
Local authorities are required to provide or arrange services that meet the social care needs of the local population, including carers, under the Care Act 2014. The Government is making available up to £3.7 billion of additional funding for social care authorities in 2025/26, which includes an £880 million increase in the Social Care Grant.
We have also launched an independent commission into adult social care as part of our critical first steps towards delivering a National Care Service. The commission forms a key part of the Government’s Plan for Change, recognising the importance of adult social care in its own right, as well as its role in supporting the NHS. As part of this work, we will consider how best to meet the needs of people, including those with dementia.
The NHS is a world leader in rolling out innovative treatments, including personalised cancer and life-saving gene therapies, and has established a dedicated programme team to prepare the NHS for the potential arrival of new Alzheimer’s treatments that are approved by the Medicines and Healthcare products Regulatory Agency and determined to be clinically and cost-effective by the NICE.
Asked by: Paulette Hamilton (Labour - Birmingham Erdington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to support NHS patients on the waiting list with Cardiovascular Disease.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
We have prioritised cutting waiting lists and getting back to the standard that at least 92% of people should wait no longer than 18 weeks from referral to treatment, including those with cardiovascular disease. We recently published the Elective Reform Plan that sets out how we will do this, including optimising clinically led pathways, and shifting care from hospital to community. This will start with five initial specialities, including cardiology.
The Plan also outlines how there will be a reduction in the number of unnecessary cardiology diagnostics, freeing up capacity for those patients who need faster treatment. This will be done by increasing specialist input earlier in care pathways, developing standard pathways for common outpatient presentations, such as palpitation, and increasing timely access to cardiac diagnostic tests, including through straight to test.
Whilst we have already made progress, by delivering on our First Step commitment to provide two million extra appointments, we know there is more to do. We are also prioritising the experience of patients while they wait, as well as throughout their care journey. The Plan sets out how we will support patients with greater choice and control over their care, including options of whether they want to be seen in person or remotely, and whether they want routine follow up appointments, and a commitment to co-develop minimum standards of experience with patients, from which we can build and improve everyone’s experience of care.
Asked by: Paulette Hamilton (Labour - Birmingham Erdington)
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 raise public awareness of cancer symptoms in teenagers and young adults to improve early detection rates.
Answered by Andrew Gwynne
We will get the National Health Service diagnosing cancer earlier, and treating it faster, so that more patients survive. This includes teenagers and young adults. We are committed to improving outcomes for all children and young people with cancer, and are considering the next steps to take forward work in this area through the relaunch of Children and Young People Cancer Taskforce in 2025.
To raise awareness of cancer symptoms in teenagers and young adults, NHS England and other NHS organisations, both nationally and locally, publish information on the signs and symptoms of many different types of cancer, including those that are most common in children. Further information on cancer signs and symptoms is available on the NHS.UK website.
To support early diagnosis, the Department is taking steps to improve waiting times for cancer diagnosis across all cancer patient groups in England. This includes offering an additional 40,000 appointments each week so that patients can be seen as quickly as possible. To support the use of rapid diagnostic centres, non-specific symptom (NSS) pathways have been rolled out across England for patients who present with vague symptoms which could indicate multiple different types of cancer, for example unexplained weight-loss and fatigue. NHS England’s guidance on NSS services does not set a national age range for NSS pathways, and pathways aimed at children or young adults can be developed if considered locally appropriate.
The Department is also dedicated to ensuring teenagers and young adults with cancer have access to psychological support to help them through their diagnosis and treatment. In accordance with NHS England’s service specifications, all providers of young people's cancer services must ensure that every patient has access to specialist care and must reduce the physical, emotional, and psychological morbidity arising from treatment. Each Principal Treatment Centre, where care is managed, will also have a multi-disciplinary team which meets at least weekly, and includes a specific focus on the psychosocial needs of patients. Further information on NHS England’s service specification is available at the following link:
https://www.england.nhs.uk/commissioning/spec-services/npc-crg/group-b/b05/
On 21 October 2024, the Department launched a national engagement exercise to inform the 10-Year Health Plan. Following publication of the 10-Year Health Plan, there will be a national cancer plan. We are now in discussions about what form it should take, including how we will account for children and young people, and will provide updates in due course.
Asked by: Paulette Hamilton (Labour - Birmingham Erdington)
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 that the unique (a) medical, (b) psychological and (c) social needs of (i) teenagers and (ii) young adults with cancer are included within the NHS Long-Term Plan.
Answered by Andrew Gwynne
We will get the National Health Service diagnosing cancer earlier, and treating it faster, so that more patients survive. This includes teenagers and young adults. We are committed to improving outcomes for all children and young people with cancer, and are considering the next steps to take forward work in this area through the relaunch of Children and Young People Cancer Taskforce in 2025.
To raise awareness of cancer symptoms in teenagers and young adults, NHS England and other NHS organisations, both nationally and locally, publish information on the signs and symptoms of many different types of cancer, including those that are most common in children. Further information on cancer signs and symptoms is available on the NHS.UK website.
To support early diagnosis, the Department is taking steps to improve waiting times for cancer diagnosis across all cancer patient groups in England. This includes offering an additional 40,000 appointments each week so that patients can be seen as quickly as possible. To support the use of rapid diagnostic centres, non-specific symptom (NSS) pathways have been rolled out across England for patients who present with vague symptoms which could indicate multiple different types of cancer, for example unexplained weight-loss and fatigue. NHS England’s guidance on NSS services does not set a national age range for NSS pathways, and pathways aimed at children or young adults can be developed if considered locally appropriate.
The Department is also dedicated to ensuring teenagers and young adults with cancer have access to psychological support to help them through their diagnosis and treatment. In accordance with NHS England’s service specifications, all providers of young people's cancer services must ensure that every patient has access to specialist care and must reduce the physical, emotional, and psychological morbidity arising from treatment. Each Principal Treatment Centre, where care is managed, will also have a multi-disciplinary team which meets at least weekly, and includes a specific focus on the psychosocial needs of patients. Further information on NHS England’s service specification is available at the following link:
https://www.england.nhs.uk/commissioning/spec-services/npc-crg/group-b/b05/
On 21 October 2024, the Department launched a national engagement exercise to inform the 10-Year Health Plan. Following publication of the 10-Year Health Plan, there will be a national cancer plan. We are now in discussions about what form it should take, including how we will account for children and young people, and will provide updates in due course.
Asked by: Paulette Hamilton (Labour - Birmingham Erdington)
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 (a) increase the use of rapid diagnostic centres and (b) otherwise help improve early diagnosis rates for (i) teenagers and (ii) young adults with cancer.
Answered by Andrew Gwynne
We will get the National Health Service diagnosing cancer earlier, and treating it faster, so that more patients survive. This includes teenagers and young adults. We are committed to improving outcomes for all children and young people with cancer, and are considering the next steps to take forward work in this area through the relaunch of Children and Young People Cancer Taskforce in 2025.
To raise awareness of cancer symptoms in teenagers and young adults, NHS England and other NHS organisations, both nationally and locally, publish information on the signs and symptoms of many different types of cancer, including those that are most common in children. Further information on cancer signs and symptoms is available on the NHS.UK website.
To support early diagnosis, the Department is taking steps to improve waiting times for cancer diagnosis across all cancer patient groups in England. This includes offering an additional 40,000 appointments each week so that patients can be seen as quickly as possible. To support the use of rapid diagnostic centres, non-specific symptom (NSS) pathways have been rolled out across England for patients who present with vague symptoms which could indicate multiple different types of cancer, for example unexplained weight-loss and fatigue. NHS England’s guidance on NSS services does not set a national age range for NSS pathways, and pathways aimed at children or young adults can be developed if considered locally appropriate.
The Department is also dedicated to ensuring teenagers and young adults with cancer have access to psychological support to help them through their diagnosis and treatment. In accordance with NHS England’s service specifications, all providers of young people's cancer services must ensure that every patient has access to specialist care and must reduce the physical, emotional, and psychological morbidity arising from treatment. Each Principal Treatment Centre, where care is managed, will also have a multi-disciplinary team which meets at least weekly, and includes a specific focus on the psychosocial needs of patients. Further information on NHS England’s service specification is available at the following link:
https://www.england.nhs.uk/commissioning/spec-services/npc-crg/group-b/b05/
On 21 October 2024, the Department launched a national engagement exercise to inform the 10-Year Health Plan. Following publication of the 10-Year Health Plan, there will be a national cancer plan. We are now in discussions about what form it should take, including how we will account for children and young people, and will provide updates in due course.