Asked by: Rosena Allin-Khan (Labour - Tooting)
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 improve autism (a) awareness and (b) understanding among the adult population.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Government is committed to creating a more inclusive society where autistic people are supported to thrive.
The Department is taking action to increase awareness and understanding of autism within health and adult social care services. From 1 July 2022, service providers registered with the Care Quality Commission are required to ensure their staff receive learning disability and autism training appropriate to their role, as set out in the Health and Care Act 2022. To support this, we are rolling out the Oliver McGowan Mandatory Training on Learning Disability and Autism. Over two million people have now completed the e-learning module, which is the first part of the training.
The Government has also committed to raising awareness of all forms of neurodiversity, including autism, in the workplace. An independent panel made of academics with expertise and experiences of neurodiversity, including autism, has been launched to advise the Government on fostering more inclusive workplaces. This will build on the recommendations outlined in the Buckland Review of Autism Employment, which related solely to autism.
The panel will advise employers and ministers on boosting neurodiversity awareness and inclusion at work, including for autistic people. The panel will consider mechanisms for change, making recommendations in the summer.
Asked by: Rosena Allin-Khan (Labour - Tooting)
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 health visitor check-ups for newborns within the first 12 months.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Data on new birth health visitor reviews is officially recorded and published annually. In 2023/24, the most recent annual data available, 97.8% of newborns received a health visitor review within 30 days following birth, a statistic stable from the previous year. The same data shows that 81.8% of newborns received a six to eight week health visitor review by week eight, which is 2.2% higher than 2022/23, but 3.3% lower than the comparable figure from 2019/20. Meanwhile, 86.5% of children received a 12-month health visitor review by month 15. This 12-month review figure represents an increase of 3.9% from 2022/23. It also represents a 2.9% increase from 2019/20.
The Government laid out its commitment to strengthen health visiting services in the Plan for Change.
Asked by: Rosena Allin-Khan (Labour - Tooting)
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 widen access to appropriate therapy treatments for adult survivors of childhood abuse.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
National Health Service mental health services can support adults who have experienced trauma as a result of childhood abuse.
The Government has chosen to prioritise funding to deliver expansions of NHS Talking Therapies. These offer well-governed, evidence-based, and effective psychological therapy services for common mental health problems, including depression, anxiety disorders, and post-traumatic stress reactions. These services are available in every integrated care system through self-referral.
NHS Talking Therapies consistently meet the existing waiting time standards, which state that 75% of referrals should be seen within six weeks, and 95% of referrals should be seen within 18 weeks. NHS Talking Therapies continue to expand to deliver additional courses of treatment and to increase the number of sessions available. It is expected that an additional 384,000 people will access treatment by 2028/29.
Guidance published by the National Institute for Health and Care Excellence recommends that individuals with post-traumatic stress disorder should receive high-intensity interventions from the outset. The recent expansion focuses on the high-intensity workforce within NHS Talking Therapies, who receive training on how to support individuals impacted by abuse. This workforce includes therapists trained in trauma focussed Cognitive Behavioural Therapy and Eye Movement Desensitization and Reprocessing for Post Traumatic Stress Disorder.
Asked by: Rosena Allin-Khan (Labour - Tooting)
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 adequacy of NHS therapy treatments for adult survivors of childhood abuse.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
National Health Service mental health services can support adults who have experienced trauma as a result of childhood abuse.
The Government has chosen to prioritise funding to deliver expansions of NHS Talking Therapies. These offer well-governed, evidence-based, and effective psychological therapy services for common mental health problems, including depression, anxiety disorders, and post-traumatic stress reactions. These services are available in every integrated care system through self-referral.
NHS Talking Therapies consistently meet the existing waiting time standards, which state that 75% of referrals should be seen within six weeks, and 95% of referrals should be seen within 18 weeks. NHS Talking Therapies continue to expand to deliver additional courses of treatment and to increase the number of sessions available. It is expected that an additional 384,000 people will access treatment by 2028/29.
Guidance published by the National Institute for Health and Care Excellence recommends that individuals with post-traumatic stress disorder should receive high-intensity interventions from the outset. The recent expansion focuses on the high-intensity workforce within NHS Talking Therapies, who receive training on how to support individuals impacted by abuse. This workforce includes therapists trained in trauma focussed Cognitive Behavioural Therapy and Eye Movement Desensitization and Reprocessing for Post Traumatic Stress Disorder.
Asked by: Rosena Allin-Khan (Labour - Tooting)
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 improve diagnostic pathways for those suffering from persistent unexplained symptoms.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
It's vital that the National Health Service is there when people need it, and that symptoms are investigated to provide a diagnosis promptly, to enable treatment.
That is why we are committed to fixing the front door of the NHS and improving access to general practices (GPs). We are bringing back the family doctor, and incentivising continuity of care so that patients can see the same doctor at each appointment, which can play an important role in identifying and managing health conditions. Additionally, we have announced a proposed £889 million uplift to the GP Contract in 2025/26, the largest uplift in years, with a rising share of total NHS resources going to GPs. We are also currently consulting on key proposals to improve GP access and recruitment.
Cutting waiting lists for diagnostic tests is a key priority for the Government. It is unacceptable that some patients are waiting over six weeks for a diagnostic test. Our Elective Reform Plan, published in January 2025, builds on the investments already made with an ambitious vision for the future of diagnostic testing. This will include more straight-to-test pathways, increasing and expanding community diagnostic centres, and better use of technology.
Asked by: Rosena Allin-Khan (Labour - Tooting)
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 reduce incidents of diagnostic bias within the NHS.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government is committed to putting patients first. It is crucial that patients receive the right diagnostic tests, at the right time, in the right place.
The Elective Reform Plan, published in January 2025, commits to transforming and expanding diagnostic services and speeding up waiting times for tests, a crucial part of reducing overall waiting times and returning to the referral-to-treatment standard.
We have wasted no time in getting to work cutting National Health Service waiting lists and ensuring that people have the best possible experience during their care. We promised change, and we’ve delivered early, with a reduction in the waitlists of 160,000 pathways and over two million extra appointments provided, which includes diagnostic tests.
As part of a return to meeting performance standards, the Elective Reform Plan commits to continuing the roll out of the iRefer clinical decision support tool, which supports clinicians to facilitate appropriate diagnostic imaging referrals by using on-demand, real-time evidence-based guidance to improve health and healthcare delivery. This will support the reduction of diagnostic bias by promoting the ordering of the most clinically appropriate tests, especially for clinicians working in emergency medicine, and will reduce the number of unnecessary tests.
The Elective Reform Plan also commits to continuing the support for the education and training of clinicians, to support their development in independent clinical practice.
Very importantly, we know that biases in diagnostic services and other clinical services can lead to harm and worse patient outcomes. The Elective Reform Plan commits to reducing health inequalities by strengthening the accountability and oversight of providers addressing health inequalities in elective care, and by improving the reporting and monitoring of health inequalities and their impacts. This will support the NHS to better identify and address health inequalities.
Asked by: Rosena Allin-Khan (Labour - Tooting)
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 reinstating the restriction on international medical graduates in the first round of selection for NHS speciality training programmes.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Working with NHS England we continue to keep the selection process for all applicants to medical speciality training under review.
We are committed to ensuring that the number of medical specialty training places meets the demands of the National Health Service in the future. NHS England will work with stakeholders to ensure that any growth is sustainable and focused in the service areas where the need is greatest.
Asked by: Rosena Allin-Khan (Labour - Tooting)
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 increase the proportion of UK medical graduates in NHS speciality training places.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Working with NHS England we continue to keep the selection process for all applicants to medical speciality training under review.
We are committed to ensuring that the number of medical specialty training places meets the demands of the National Health Service in the future. NHS England will work with stakeholders to ensure that any growth is sustainable and focused in the service areas where the need is greatest.
Asked by: Rosena Allin-Khan (Labour - Tooting)
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 adequacy of fracture liaison services in southwest London.
Answered by Andrew Gwynne
Fracture Liaison Services are commissioned by integrated care boards, which make decisions according to local need. This includes the NHS South West London Integrated Care Board.
Officials continue to work closely with NHS England to explore a range of options to provide better quality and access to these important preventative services. This includes how best to support systems, who are responsible for commissioning.
The Falls and Fragility Fracture Audit Programme, which includes a dedicated Fracture Liaison Service database, is a national clinical audit of fracture prevention care, delivered by the Royal College of Physicians. This includes reporting on individual Fracture Liaison Services, and supporting local and national service improvement.
Asked by: Rosena Allin-Khan (Labour - Tooting)
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) develop and (b) improve Fracture Liaison Services.
Answered by Andrew Gwynne
The Government and NHS England support the clinical case for services which help to prevent fragility fractures, and support the patients who sustain them. The Government is committed to ending the postcode lottery for access to Fracture Liaison Services.
Officials continue to work closely with NHS England to explore a range of options to provide better quality and access to these important preventative services.