Oral Answers to Questions

Stephen Kinnock Excerpts

Tuesday 9th June 2026 Commons Chamber

[Dr Kieran Mullan (Bexhill and Battle) (Con)]

2. What steps he is taking to maintain non-digital access to primary care.

[The Minister for Care (Stephen Kinnock)]

We know that some patients prefer not to use online services. Online tools complement rather than replace existing routes, such as telephone or walk-in access. The GP contract requires online access to be available during core hours, which eases pressure on phone lines and reception staff as non-digital routes to access care. Under this Government, patient satisfaction with GP access has risen from 61% to 75%.

[Dr Mullan]

I understand why making use of the NHS app and online appointments is sensible and works well for many patients, but I cannot be the only MP to have heard from constituents—you may even have heard from your constituents, Mr Speaker—who struggle with that. They may not have a smartphone. I have met many elderly patients who simply cannot make use of online forms and too often GP practices do not make it easy for them to make appointments by telephone or by walking in. It is important that the Government make it crystal clear to all our GP providers, who I know are doing their best, that no matter how far we go with digital innovation, our patients must always be able to access primary care through traditional routes, such as making an appointment by telephone or by walking in.

[Stephen Kinnock]

I am in violent agreement with the hon. Gentleman, which is quite unusual. We are clear that patients should not be digitally excluded. The contract is clear that patients should always have the option of telephoning or visiting their practice in person. All online tools must always be provided in addition to, rather than as a replacement for, other channels for accessing a GP. In the past year, since April 2025, some 11.5 million more GP appointments have been delivered.

[Chris Vince (Harlow) (Lab/Co-op)]

I thank the staff at Princess Alexandra hospital in Harlow, particularly in the older persons assessment and liaison ward, where elderly patients are transferred from A&E and supported to either return home or transfer to different wards, another example of where Harlow is leading the way. How can we work together to support patients, like those on the OPAL ward, to access primary care if they are not confident in using some of the online tools that have been mentioned?

[Stephen Kinnock]

Once again, my hon. Friend has done a great job promoting Harlow, as we are all familiar with him doing in the House. We are improving GP access across the board. We have over 2,000 more GPs since July 2024 and we are launching a £102 million fund to build more clinical space in over 1,000 GP practices across England. A lot has been achieved, but a lot more needs to be done.

[Perran Moon (Camborne and Redruth) (Lab)]

3. What steps his Department is taking to help tackle health inequalities.

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[Lloyd Hatton (South Dorset) (Lab)]

5. What steps he is taking to improve mental health facilities in Dorset.

[The Minister for Care (Stephen Kinnock)]

For 2026-27, NHS mental health spending is forecast to reach a record £16.1 billion, representing a real-terms increase compared with the previous year. That is supported by £473 million in capital funding over the next four years, including investment in new mental health emergency departments and community-based mental health centres. Dorset is one of the places across England to benefit from an expanded urgent and emergency mental health offer, with new mental health emergency departments planned.

[Lloyd Hatton]

This summer, two new state-of-the-art mental health facilities are opening in Dorset: Chaddesley House in Poole and Seastone in Bournemouth. That is thanks to continued investment from this Labour Government. However, the Forston clinic in the west of the county requires fresh investment to upgrade worn-out hospital buildings. Will the Minister meet local NHS bosses, the hon. Member for West Dorset (Edward Morello) and me to discuss securing the investment needed to finally upgrade the Forston clinic?

[Stephen Kinnock]

My hon. Friend is right that his constituents will be able to access care at the new facilities in Poole and Bournemouth thanks to the Government’s investment in the new hospitals programme, but there is more to do. We are committed to addressing poor-quality NHS infrastructure and ensuring that facilities such as Forston clinic are safe, comfortable and capable of high-quality care. That is why we are investing £30 billion over five years for the maintenance and repair of the NHS estate. We would be delighted to meet the hon. Members and local NHS leaders to discuss the issue further.

[Vikki Slade (Mid Dorset and North Poole) (LD)]

I thank the Minister for his comments about Forston, which some of my residents use. Evidence suggests that half of mental health conditions are established by age 14, and three quarters by age 24. In Dorset, our rates of hospitalisation for self-harm are almost twice the national average for 15 to 19-year-olds. I recently met Anya, a student at Lytchett school and deputy Member of Youth Parliament for Dorset. She has launched her “Health in Mind” campaign to ease young people back into school following periods of mental or physical health issues. It is so inspiring to see the work that she is doing, but will the Minister meet me and Anya to hear more about her campaign and to see how we can reintegrate children more successfully back into school after ill health, particularly mental ill health?

[Stephen Kinnock]

I pay tribute to Anya for the outstanding work she is doing. We are providing early intervention for children’s mental health and wellbeing by rolling out mental health support teams to every school by 2029. We are also investing £13 million to pilot enhanced training for staff so that they can offer more support to young people with complex needs such as trauma, neurodivergence and disordered eating. If the hon. Lady writes to me with further details of Anya’s work, I am sure that we can continue that conversation.

[Robbie Moore (Keighley and Ilkley) (Con)]

6. What steps he is taking to increase access to care in the community.

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[Lisa Smart (Hazel Grove) (LD)]

13. What assessment he has made of the adequacy of the dental recruitment incentive scheme.

[The Minister for Care (Stephen Kinnock)]

This Government are rebuilding England’s broken NHS dentistry system. The dental recruitment incentive scheme encourages dentists to work in underserved areas. Data on the scheme’s effectiveness will be published later this year. We are taking steps to increase the supply of dentists. For example, last week I was very proud to announce the first sustained expansion of dental school places since 2007, backed by £11 million a year. A total of 50 dental school places a year have been allocated.

[Lisa Smart]

My constituent John, who is from Bredbury, has been in touch because like so many others his local dentist is going private and for many families in my constituency, private dentistry simply is not an affordable option. Research by the British Dental Association found that 96% of practices are not accepting new NHS patients and the golden hello, worth £20,000 over three years, is not adequately compensating for a contract that loses them money every day. The scheme just is not working. It has recruited two dentists—two!—in the whole of Greater Manchester, neither of whom is in my constituency. What more can the Minister do to ensure that my constituents get the dentists they need, where they need them?

[Stephen Kinnock]

I thank the hon. Lady for that question, and she is absolutely right to raise the issue of the contract. The fundamental problem is that the units of dental activity system is a contractual system that does not work for NHS dentistry. That is why we had the absurd situation when we came into office in July 2024 of a £392 million underspend on NHS dentistry, because dentists were not incentivised. We are changing that. I have got the underspend down to £36 million. There is still a very long way to go and we need to reform the long-term contract to incentivise dentists to do NHS dentistry.

[Anna Gelderd (South East Cornwall) (Lab)]

Access to NHS dentistry remains too difficult in rural and coastal communities such as South East Cornwall, where residents face long travel times and limited provision. Will the Minister meet me to discuss what next steps we can take to improve local access?

[Stephen Kinnock]

My hon. Friend is absolutely right that, as we know, there are areas in the country that are known as dental deserts. We have to fix that. It comes back to the fundamental issue of how we incentivise dentists to do NHS dentistry regardless of where they are in the country. There are particularly acute pressures in constituencies such as the one she so brilliantly represents, and I would be happy to meet her to discuss them further.

[Mrs Elsie Blundell (Heywood and Middleton North) (Lab)]

14. What steps he is taking to improve men’s mental health care provision in the north-west.

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[Nadia Whittome (Nottingham East) (Lab)]

T4. We all know that social care is in crisis, with huge staff shortages, unmet needs and councils’ finances being pushed to the brink, so it is disappointing that the King’s Speech did not contain anything on social care. Given that the full Casey review is not expected until 2028 and that implementation is estimated to take up to 2036, what steps is the Minister taking now to alleviate pressures in the system? Will the Government expedite social care reforms so that we can meet our manifesto commitment on a national care service?

[The Minister for Care (Stephen Kinnock)]

I pay tribute to my hon. Friend for the work she did formerly as a care worker. The Government inherited a social care system in desperate need of reform. We are taking action, including by providing over £4.6 billion of extra funding for adult social care by 2028-29 and developing the first ever fair pay agreement for care workers. Baroness Casey will submit her first report this year with recommendations on the further action we should take to move towards a national care service.

[Claire Young (Thornbury and Yate) (LD)]

T5. Despite numbers accessing NHS dentists rising nationally, in South Gloucestershire they are falling, where less than a third of adults and half the number of children have been seen by an NHS dentist in the past two years. With no NHS dentists taking on patients and more going private, how will the Government reverse that decline?

[Stephen Kinnock]

As I said earlier to the hon. Member for Hazel Grove (Lisa Smart), the fundamental long-term reform of the dental contract is vital to incentivising dentists to do NHS dentistry. I am pleased by how we have really put downward pressure on the underspend. As a result of that, we are on track to deliver more than 2.5 million extra dental treatments than in the same period before the general election.

[Lloyd Hatton (South Dorset) (Lab)]

T8. I recently held a health roundtable in Purbeck and heard volunteers from Parkinson’s UK make it clear that more needs to be done so that all those living with the illness receive the robust support they need. There was particular concern that a shift away from routine check-ups could mean that many will not regularly see an experienced practitioner. Will the Minister work with me to ensure that the voices of people living with Parkinson’s are listened to and their concerns acted upon when any changes are made to the care they receive?

[Mr Will Forster (Woking) (LD)]

T6. Byfleet, in my constituency, lost its doctor’s surgery in 2005, leaving residents having to struggle via the A245 to access basic health facilities, which are set to get busier due to a likely housing development. Will the Minister agree to meet me to ensure that we can bring health facilities back to Byfleet?

[Stephen Kinnock]

Importantly, we have the £102 million utilisation and modernisation fund to enable more GP primary care estate. We have also committed to delivering 120 more neighbourhood health centres by the end of this Parliament, so I hope that the hon. Gentleman’s integrated care board has put in an expression of interest for that scheme. I am, of course, prepared to discuss that with him further.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

T9. There is overwhelming evidence that marketised health systems, as the NHS has become, increase health inequalities. Will the Health Secretary consider amendments to the Health Bill that will tackle the rising inequalities in existing health policies, including allowing local NHS organisations to determine if they need additional private sector capacity?

[Alison Griffiths (Bognor Regis and Littlehampton) (Con)]

T7. Thousands of people in West Sussex are unable to access an NHS dentist and many constituents in Bognor Regis and Littlehampton tell me that they have been unable to secure an appointment for years. What specific steps is the Secretary of State taking to increase NHS dental capacity in coastal communities, and when does he expect patients to see a measurable improvement?

[Stephen Kinnock]

As I have said to hon. Members across the House today, there is a fundamental challenge around the dental contract. Units of dental activity do not work as a way of incentivising dentists to do NHS dentistry, so that, fundamentally, has to be fixed. I am proud that, thanks to the measures that we have put in place, 2.5 million additional courses of treatment have been delivered, compared with the same period before the general election.

[Gill Furniss (Sheffield Brightside and Hillsborough) (Lab)]

Last year I had the opportunity to witness a transcatheter aortic valve implantation procedure, which is a groundbreaking procedure for people who require valve changes. What I saw was quite incredible, and I recommend that all hon. Members go and see the procedure in St Thomas’ hospital. The patient, who was 82, had been bedbound for weeks, but after that 20-minute surgery they were fit enough to be discharged later that day and to look after themselves. That has a massive impact, not just on the patient’s life but for our NHS and the wider economy, as illustrated by Heart Valve Voice’s optimal pathway report. What steps is the Department taking to ensure that NHS systems identify patients and treat them?

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[Joe Robertson (Isle of Wight East) (Con)]

The crisis in social care is particularly bad in my constituency on the Isle of Wight, partly because of our unique geography but also because the Government have reduced funding to our local authority. Our council is now looking at discharging patients to the mainland, away from family and friends, which is completely unacceptable. Will the Government recognise our unique challenges as an English island and help provide a social care solution that recognises the challenges that we face?

[Stephen Kinnock]

The hon. Member and I have discussed this issue, and I absolutely recognise the need to ensure that social care is provided in the most convenient way possible to his constituents and as close as possible to home. Obviously we are fixing a broken system, but we have delivered £4.6 billion more in funding, we are delivering the fair pay agreement, and we are working hard to ensure that we get adult social care back on its feet and fit for the future.

[Justin Madders (Ellesmere Port and Bromborough) (Lab)]

My constituents were delighted to see the opening of the Great Sutton medical centre, but it has brought into sharp focus the need for an urgent upgrade of GP practices in Ellesmere Port town centre. I have submitted an expression of interest to the neighbourhood centre programme, and I wonder whether the Minister would agree to meet me to discuss that further.

[Stephen Kinnock]

I am delighted that my hon. Friend has submitted that expression of interest. We are now assessing proposals against criteria that include: a fit with our national neighbourhood health strategy; sound estate planning; deliverability; sustainability; and, critically, local need. We will be prioritising areas where there is low life expectancy and higher deprivation. I would be delighted to meet him to talk about his expression of interest and about our programme for revolutionising care in our country through the shift from hospital to community.

[Dr Ellie Chowns (North Herefordshire) (Green)]

Unpaid carers play a crucial role in supporting so many people who need to draw on social care, thereby supporting our health service and our formal social care system, but they tell me that they are under immense strain and need more support. They are, of course, more likely to be women and to be older. Does the Minister recognise the urgent need for more respite care for unpaid carers, and will he take action to provide it now, rather than waiting a few years for the Casey commission?

[Stephen Kinnock]

The hon. Lady is absolutely right that unpaid carers are the lifeblood of our care system, and we pay tribute to them for the compassion that they show. I was very pleased yesterday to accompany the Under-Secretary of State for Business and Trade, my hon. Friend the Member for Halifax (Kate Dearden), to the launch of the new paid carer’s leave consultation document. I am also pleased to chair the cross-ministerial group that will produce an action plan for unpaid carers, addressing exactly the issues that the hon. Lady mentioned about respite care.

[Jen Craft (Thurrock) (Lab)]

Last week the Supreme Court overturned the previous Cheshire West judgment on the Mental Capacity Act 2005, throwing the sector that cares for people with learning disabilities and/or autism into what it has called “chaos”. There is significant concern that, without further clarification as to whether someone who does not have mental capacity can consent to deprivation of liberty, vulnerable people will be put at significant risk. Will the Secretary of State listen to calls for—

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[Paul Holmes (Hamble Valley) (Con)]

Waiting times for cataract operations in my constituency are rising hugely because the local ICB and its AI system have stopped offering services through all the advertised providers, and the ICB has scrapped its contract with Specsavers, meaning that only GPs can diagnose the problem. Will the Minister have a look at the local problem and intervene so that we have the widest and best range of providers to reduce those waiting lists?

[Stephen Kinnock]

The hon. Gentleman is absolutely right that getting the link between high street optometrists and secondary care working more effectively is vital. That is why I was pleased to announce the £20 million e-referral investment earlier this week. We are also working on a single point of access, to get the digital interface working far more effectively. He is right that we should be focusing on that more; there is a lot more to do.

[Adam Thompson (Erewash) (Lab)]

Particularly for people with a very low body mass index or an eating disorder, the use of app-based fitness classes for hours of ultra-high-intensity exercise every day can lead to addiction. When I wrote to one brand to ask about implementing access limitation tools in its app, it was dismissive. Will the Secretary of State consider reviewing whether such tools could be mandated to support those with eating disorders?

Palliative and End-of-Life Care Modern Service Framework: Interim Update

Stephen Kinnock Excerpts

Thursday 4th June 2026 Written Statements

[The Minister for Care (Stephen Kinnock)]

In November 2025, I announced that the Government would develop a modern service framework for palliative care and end-of-life care in England. This MSF is one of the only six MSFs announced, which clearly demonstrates that palliative care and end-of-life care is a top priority for this Government. The MSF will help address rising demand; late identification of need; inequitable variation in access, experience and outcomes; and the wider pressures facing the health and care system. Today I am providing an update on progress ahead of publication in autumn 2026.

The MSF is a clinically led, evidence-based framework to support sustained improvement in outcomes for patients and carers, including by systematically identifying, measuring and reducing health inequalities, and reducing unwarranted variation in access, experience and outcomes. This Government’s goal, being developed with partners, is that every person who needs palliative care or care at the end of life will have equitable access to high-quality support, shaped by what matters to them, their families and carers. There will be a notable shift towards outcome measurement to understand improvement, including a specific focus on identifying and reducing inequalities in outcomes across different population groups. Systems are already beginning to implement these reforms, so that by March 2029 we will have delivered impact against the aim, set out in the neighbourhood health framework, of increasing by 10% the number of people identified as approaching end of life, and reducing non-elective admissions and hospital bed days for this cohort by 10%. Furthermore, as part of the 10-year health plan commitment to at least double the number of people offered a personal health budget by 2028-29, so that they can have more control over their care, we will start trialling PHBs for those with palliative care and end-of-life care needs by the end of 2026-27.

We are undertaking extensive engagement with more than 70 organisations across the health and care sector, including clinical experts, the voluntary sector, people with lived experience, and those representing babies, children and young people, adults and older people, and their carers.

A review of the evidence, and our engagement to gather real-world examples, has identified five working sub-goals for the system to drive change. With our stakeholders, we will build on these insights to develop areas for action for those commissioning and delivering services:

Support our staff and our population to better understand palliative care, death and dying.

Provide a person-centred approach and ensure equitable access to earlier and more effective identification of needs, in all settings of care.

Prevent distress through proactive and equitable assessment and management of need closer to home.

Ensure equitable access to personalised palliative care.

Deliver a palliative care response that is timely, effective and equitable, including access to out-of-hours telephone support, within this Parliament.



Performance and outcome metrics will support system accountability and will measure what matters most to people receiving care, and to their families and carers. There will be separate measures for adults, and for babies, children and young people, with a focus on unwarranted variation and health inequalities, and a commitment to developing person-centred outcome and experience measures.

The strategic commissioning framework sets out how integrated care boards, in partnership with local authorities, will focus on long-term population health strategy and planning, and care redesign. The MSF will support this by setting standards and the clinical evidence base, and by highlighting areas for innovation to inform integrated models of palliative care, guide population health improvement plans and align with neighbourhood health. This will support the shift to strategic commissioning, including the requirement—in line with ICBs’ statutory duties—for clear and transparent contractual arrangements for commissioned palliative care activity across all providers, including hospices, to meet population health needs, with explicit regard to reducing inequalities and improving outcomes for underserved and disadvantaged groups.

The national director for primary care and community services will be informing the systems, setting out two actions to ensure progress is made towards strategic commissioning of palliative care and end-of-life care services:

Action 1: Produce an integrated needs assessment and understand service provision and utilisation.

Action 2: Move to sustainable contracting of hospice services.

The Government are also committed to publishing a 10-year workforce plan to ensure the NHS has the right people, in the right places, with the right skills to deliver for patients, including those approaching the end of life.

We will continue to co-design the MSF with people with lived experience, their families and carers, and sector partners, to refine the themes and areas for action, and finalise the metrics and accountability framework. We remain on track to publish the final MSF in autumn 2026, supported by system delivery and commissioning approaches.

Attachments can be viewed online at: http://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2026-06-04/HCWS88/

[HCWS88]

Community Pharmacies

Stephen Kinnock Excerpts

Tuesday 2nd June 2026 Westminster Hall

[The Minister for Care (Stephen Kinnock)]

It is a pleasure to serve under your chairship, Ms Jardine, and I congratulate the hon. Member for Tiverton and Minehead (Rachel Gilmour) on raising this important issue. The number of hon. Members present shows how vital community pharmacy is right across our country.

Since coming into office, this Government have continued to reverse the decades of cuts to community pharmacy, and have frozen prescription charges for the second year in a row to help our constituents with the cost of living. Wherever they live in the country, women can now get emergency contraception from their local pharmacy free of charge on the NHS. That work has only been possible thanks to the tireless efforts and dedication of pharmacy teams in supporting patients in their communities, delivering a wide range of NHS services, not least in the west country. In fact, just last week, I was in Bristol visiting the fantastic Concord pharmacy, which is at the forefront of our efforts to shift care from hospital to community. I thank Saeed and his team for the warm welcome they gave me. I saw how they are delivering blood pressure checks, vaccinations and Pharmacy First services to the people of north Bristol.

For too long, community pharmacies such as Concord have been held back from realising their true potential. It is why the Government have given them a central role in our 10-year plan to shift the focus of the NHS from sickness to prevention, from hospital to community and from analogue to digital.

[Gordon McKee (Glasgow South) (Lab)]

An excellent example of community pharmacies in England embracing innovation is their interaction with the NHS app. My constituents in Scotland do not have access to a similar app because the Scottish Government have not got on with fixing it. Will the Minister join me in calling on the Scottish Government to produce a proper equivalent NHS app, so that constituents in Scotland can benefit in the same way?

[Stephen Kinnock]

My hon. Friend makes a vital point. It appears that the Scottish Government are stuck in the analogue age, and we need digital solutions. I join him in encouraging the Scottish Government to get with the programme, get with the NHS app and get moving on some of these important initiatives.

We all know that we simply cannot make the shift from hospital to community without our community pharmacies. I am not the only one to see that—I am sure that all of us have made use of community pharmacies in our constituencies, and that colleagues will know the importance of the accessibility of pharmacies in towns and villages across the country. There are over 10,000 pharmacies in England. They are busy dispensing medicines, offering advice, and delivering care and services to support our communities. Patients across the country can also choose to access over 400 distance-selling pharmacies, which deliver medicines to patients’ homes free of charge, playing a vital role in reaching the most isolated members of our society. However, I acknowledge that access is not the same in all areas of the country. Rural areas often have fewer community pharmacies, so people have to travel further to access a pharmacy as well as other services.

Colleagues have also been right to raise concerns about pharmacy closures in the past. Local authority health and wellbeing boards are responsible for assessing whether local needs are adequately met by the existing providers, and what improvements are needed to ensure that people can access services. Those assessments inform integrated care boards’ commissioning decisions. In areas where there are fewer pharmacies, our pharmacy access scheme provides additional financial support to eligible pharmacies. The scheme helps pharmacies that are critical for patient access to stay open and provide local communities with continued access to medicines and excellent healthcare advice. In certain rural areas where there are no pharmacies, dispensing doctors can supply medicines to patients directly without the need for a pharmacy.

The hon. Member for Tiverton and Minehead will be aware that there are currently 14 pharmacies in her constituency. I am aware of the closure of two pharmacies in her constituency since 2017, and that the local population instead get their medicines from the neighbouring dispensing GP or from one of the over 400 distance-selling pharmacies available nationally. I also note that the latest data shows that there are 199 pharmacies in Devon, with 914 across the south-west. The Government are committed to supporting the critical role that they play in serving their communities.

[Dr Luke Evans]

The Minister points to the important partnership between community pharmacies and dispensing GPs. There are concerns about the change in the EMIS module and the future for dispensing practices. If the Minister does not have the answers here, will he write to me about what is happening with EMIS and where he is looking to take dispensing practices in the future?

[Stephen Kinnock]

I absolutely commit to writing to the hon. Gentleman with more detail. He raises some important points, and I will get back to him.

The Government have always been clear that investment must come with modernisation, and our 10-year health plan and our three shifts set out a clear pathway to getting there. In her 2024 Budget, the Chancellor took important decisions that enabled us to give the sector a record 19% uplift across 2024-25 and 2025-26. It was the largest uplift of any sector across the NHS in that spending review period. I am proud that just a few days ago, we announced another significant uplift in funding for community pharmacies. That means a further £340 million uplift for the sector this financial year, to support the supply of medicines and delivery of vital services across our country. That will include supporting the introduction of pharmacist prescribing as part of NHS services in autumn 2026, to expand access to NHS care and strengthen support in communities across England, delivering upon the commitment made in our manifesto. That 10% uplift is almost three times the growth of the overall NHS budget, and it shows that when we talk about making the left shift, we are putting our money where our mouth is.

I will start with the shift from sickness to prevention, because community pharmacies will be vital in making sure that vaccine coverage reaches every part of our country. The NHS vaccination strategy in our 10-year health plan commits us to increasing vaccine uptake through primary care. One way that we are getting that done is through the national vaccinations programme. Alongside a core offer of vaccination in GP practices, we are making sure that vaccines are offered through sexual health services, maternity services, schools, health visitors and community pharmacies. Selected community pharmacies across the country have already been commissioned to provide MMR and RSV vaccines.

The expanded vaccination programmes make use of pharmacy teams’ expertise in delivering vaccines, releasing pressure on GPs and helping to protect the most vulnerable members of our society. We have also seen a significant increase in the provision of flu jabs within community pharmacies, with approximately 4.7 million people being vaccinated by pharmacists in the 2025-26 seasonal flu vaccination programme up to February 2026. That is up by around 600,000 vaccinations the previous year, showing the progress that has been made.

When we talk about prevention, we are not just talking about vaccines, because community pharmacies are also delivering the hypertension case-finding service, which spots people at risk and helps to prevent cardiovascular disease. Nearly 3.6 million free consultations were delivered in the 12 months to February this year. That is a great example of the sickness to prevention shift in action.

Turning to our shift from analogue to digital, so many pharmacists and pharmacy technicians are not working with technology that is equal to their skill, talent or ambition. I am afraid to say that it is a similar story across other parts of the NHS, where the outdated technology is holding staff back from realising their full potential. We are supporting pharmacies through digital transformation. Last year, a new Amazon-style prescription tracker went live on the NHS app across nearly 1,500 community pharmacies in England, enabling patients to check on their prescriptions through real-time updates.

This year, we want to make digital access even easier, with stronger links between pharmacies and general practice as we build stronger neighbourhood health teams across every community. That will make them match-ready for the introduction of pharmacy prescribing as part of NHS services from this autumn. Digital also has a huge role to play in our supply chains and improving the public’s access to the medication they need. That has included our secondary legislation to enable the expansion of hub-and-spoke dispensing between different pharmacies, to make it possible for more pharmacies to use automated dispensing, realise economies of scale and increase efficiency and productivity.

Additionally, GPs cannot currently see live national shortages when prescribing, but this year we will make it possible for GPs to be aware of these shortages in real time. That will mean that patients no longer have to go from pillar to post looking for medicines that are not available, because GPs will be able to prescribe an antibiotic unaffected by supply issues.

In the NHS that is fit for the future, pharmacies will play a key role in the shift from hospital to community. We have already begun making huge progress in rebuilding primary care and fixing the front door to the NHS by ending the 8 am scramble, whether through extra funding for general practice, hiring more GPs or the introduction of online services. We will go even further to ease the pressure on GPs by making sure that pharmacists are making the most of their clinical abilities.

That is why the Government have been promoting the Pharmacy First campaign, although I take on board some of the very interesting suggestions about the rebranding. I will have a think about that; I am not going to make any rash decisions today. The most recent data shows that the number of people polled who knew that their pharmacy would treat Pharmacy First conditions rose from 71% to 79%. Trust in the advice given by the pharmacy team increased from 61% to 70%, and intention to use the pharmacy if people had conditions covered by Pharmacy First went up from 32% to 37%.

[Jim Shannon]

I very much welcome what the Minister has said. There is lots of good stuff being rolled out across the United Kingdom, but I asked him to share some of the things that have been done with the Northern Ireland Assembly Minister, Mike Nesbitt. I know the Minister has regular contact with him, so perhaps he could say, “This is what we are doing here. Maybe you should do the same.”

[Stephen Kinnock]

We do indeed have an excellent relationship. If the hon. Gentleman does not mind, I will go back into some of the discussions that we have been having and write to him with an update on the latest thinking.

A second public advertising campaign ran from October 2025 to this January, and I look forward to updating the House when data about its impact becomes available. Another thing to watch is the independent prescribing pathfinder programme, through which 200 sites have delivered 34,000 consultations. About 60% resulted in a prescribing decision, and 90% of those prescriptions were completed without the need to refer to a GP. When it comes to relieving pressure on other parts of the system, the pathfinder programme shows immense promise.

As announced last week, the new community pharmacy contractual framework for 2026-27 will focus on implementing what we have learned from the pathfinder programme as we roll out NHS pharmacists prescribing nationally from autumn this year. That will deliver the 10-year plan’s ambition for pharmacies to go beyond dispensing and to offer more clinical services as part of an integrated neighbourhood health team.

We have also introduced legislation to enable pharmacy technicians to manage dispensing processes that would otherwise be undertaken by pharmacists, and to allow checked and bagged medicines to be handed out in the absence of the pharmacist. That saves time for patients, who will not have to queue for as long to get their medicine. It is good for busy pharmacists, who will have more time for clinical services, and for pharmacy technicians, who will be able to use their skillset as qualified professionals.

Pharmacies are a massive untapped resource. The NHS that we are building puts them front and centre of care in every community, whether on the local high street or as one of the more than 400 distance-selling pharmacies that can reach across the country, including rural areas. This year, I plan to spend a lot more time with our partners in the sector to seize every opportunity to go further, and I am always keen to work with colleagues across the House on this.

As the hon. Member for Hinckley and Bosworth (Dr Evans) said, there is a clear commitment to long-term reform. Some of the issues that are holding the sector back require fundamental thinking. We are in discussions, and I am looking forward to a meeting very soon with Community Pharmacy England. I want to put on the record my thanks to it and, in particular, to Janet Morrison, for the incredibly constructive way in which it has engaged with me and my team on the contract negotiations and the strategic thinking that needs to go into long-term reform. Our latest deal with the sector shows that this Government are in it for the long haul and are fully committed to putting pharmacies right at the heart of getting our NHS back on its feet and fit for the future.

Community Pharmacy Contractual Framework Consultation

Stephen Kinnock Excerpts

Monday 1st June 2026 Written Statements

[The Minister for Care (Stephen Kinnock)]

I am pleased to announce that we have now concluded our consultation on the community pharmacy contractual framework for 2026-27. We have agreed with Community Pharmacy England that in 2026-27 the CPCF will increase to £3,636 million, an increase of £340 million—or 10% —compared with 2025-26 budgets.

This investment will enable us to roll out independent prescribing—a Government manifesto commitment—which will allow us to improve access to primary care and better use the skills of pharmacy teams to keep people well in their communities.

This funding will include an increase in the retained medicine margin to further support the supply of medication. The medicine margin allowance will be £1.1 billion in 2026-27, an increase of £200 million from 2025-26. In addition, we have agreed to write off up to £239 million of historical net contract overspend—driven by over-delivery of medicines margin. This will bring more certainty of funding for contractors and support pharmacies in purchasing the medication prescribed for patients.

This agreement with CPE will provide much-needed investment, further building on last year’s uplift in stabilising the community pharmacy sector. We are also committing to work with the sector on reforms that improve sector sustainability, ensuring that community pharmacies are able to continue to deliver for patients.

I would like to thank CPE’s committee and am grateful to them for working constructively and at pace with officials to agree how best to use this significant new investment to support the sector, so that community pharmacies can continue to provide services to patients across the country.

This announcement follows record investment over the last two years and a range of measures to deliver more services to patients, including:

making emergency contraception available free of charge at pharmacies on the NHS;

offering patients suffering from depression convenient support at pharmacies when they are prescribed antidepressants, to boost mental health support in the community;

cutting red tape and bureaucracy to give patients easier access to consultations, with more of the pharmacy team able to deliver a wider number of services; and

boosting funding for medicine supply so that patients have better access to the medicines prescribed for them.

I am therefore very pleased to share this announcement and look forward to continued collaborative working with Community Pharmacy England and the wider sector as we build on what we have announced today and deliver what we all want for community pharmacy: a service fit for the future.

[HCWS73]

Dental Quality and Payment Reform

Stephen Kinnock Excerpts

Thursday 21st May 2026 Written Statements

[The Minister for Care (Stephen Kinnock)]

I wish to update the House on the implementation of the quality and payment reforms to the NHS dentistry contract. This follows the Government’s 2025 public consultation on proposals to address some of the pressing issues that dental teams face and support them to spend more time on patients with the greatest need. The first set of regulatory amendments to accompany these reforms came into force on the 1 April 2026. Today, we have laid the second set of regulatory amendments to the National Health Service (General Dental Services Contracts) Regulations 2005, the National Health Service (Personal Dental Services Agreements) Regulations 2005, and the National Health Service (Dental Charges) Regulations 2005, to support these reforms. These amendments will come into force on 23 June 2026 and will

create new long-term care pathways for patients with significant dental decay and/or significant gum disease, with improved payments to cover the costs and labour involved for dentists, and more effective, joined up care for patients, with a single patient charge;

introduce a new add-on payment for denture modifications, relining and repairs, to more fairly remunerate dentists delivering these treatments to patients;

remove existing regulatory barriers to enable an electronic prescription service in dentistry.

These reforms build on the April regulatory changes to improve access to urgent NHS dental care and support greater use of cost-effective, evidence-based prevention for children.

In addition to these regulatory changes, we have introduced a new funded quality improvement programme and are providing funding towards annual appraisals for associate dentists, dental therapists and dental hygienists delivering NHS care.

These reforms are an important step towards fundamental reform, but not the end point, and we will continue to go further before the end of this Parliament.

[HCWS63]

Health and Social Care

Stephen Kinnock Excerpts

Monday 27th April 2026 Written Corrections

[Dr Caroline Johnson]

The Minister talked about less-than-full-time training, which has obviously had an impact on the number of doctors we need. The Secretary of State said before the general election that if Labour was elected, it would double the number of medical school places. Is that still the Government’s intention?

[Stephen Kinnock]

Yes, that is the Government’s intention. Obviously, we have had some challenges in April around our hope that we could create 1,000 additional places. We have not been able to do that, unfortunately, because of the reckless decision of the BMA to go back out on strike. The absorption of huge capacity, as well as operational issues, has meant that we have not been able to do that.

[Official Report, 22 April 2026; Vol. 784, c. 133WH.]

Written correction submitted by the Minister for Care, the hon. Member for Aberafan Maesteg (Stephen Kinnock):

[Stephen Kinnock]

This Government have never committed to doubling medical school places. Obviously, we have had some challenges in April around our hope that we could create 1,000 additional places. We have not been able to do that, unfortunately, because of the reckless decision of the BMA to go back out on strike. The absorption of huge capacity, as well as operational issues, has meant that we have not been able to do that.

[Dr Johnson]

I thank the Minister for that answer, but I believe that it relates to postgraduate training places. I was asking whether it is still the intention to double the number of medical school places?

[Stephen Kinnock]

Sorry; I misunderstood the question. Yes, it is still our intention to double the number of medical school places.

[Official Report, 22 April 2026; Vol. 784, c. 134WH.]

Written correction submitted by the Minister for Care, the hon. Member for Aberafan Maesteg (Stephen Kinnock):

[Stephen Kinnock]

Sorry; I misunderstood the question. This Government have never committed to doubling medical school places.

Maternity Care

The following extract is from Health and Social Care questions on 14 April 2026.

[Mike Kane]

The nation should be grateful for this Secretary of State and for what he is doing for maternal services, yet at Wythenshawe hospital in my constituency, the most recent Care Quality Commission report rated maternity services inadequate for safety. What assurances can the Secretary of State give that the improvements that he has outlined will be felt by mums locally?

Junior Doctors’ Foundation Programme

Stephen Kinnock Excerpts

Wednesday 22nd April 2026 Westminster Hall

[The Minister for Care (Stephen Kinnock)]

It is a real pleasure to serve under your chairship, Mrs Barker. I congratulate and thank my hon. Friend the Member for Bury St Edmunds and Stowmarket (Peter Prinsley) for securing this vital debate, and all the hon. Members who have contributed. I pay tribute to my hon. Friend’s significant and distinguished career and experience in our NHS. I take the opportunity to thank resident doctors up and down the country for the vital contribution they make to our NHS and to treating the patients it serves.

As my hon. Friend said in his opening speech, the UK foundation programme is a central part of the pathway to becoming a doctor, bridging the gap between medical school and specialty or general practice training in the NHS. It supports newly qualified doctors to develop the clinical and professional skills needed to deliver safe and effective care, preparing them for progression into core, specialty or general practice training. Resident doctors who currently work in the NHS have made it clear that they have concerns and frustrations with their training experience. We are committed to listening to and addressing that and to improving the training pathway for the medical workforce, for the benefit of NHS services and patients.

Through phase 1 of the medical training review we conducted extensive engagement to ensure that doctors, patients and NHS leaders had the opportunity to describe what works well in medical education and training and what needs to improve to meet the needs of both resident doctors and patients. The phase 1 diagnostic report was published last year and made 11 recommendations centred on four key priorities: more flexible training; removing the divide between service and training; ending the damaging recruitment bottlenecks and rewarding teams where doctors feel valued.

The implementation team, led by Dame Jane Dacre, who has been appointed as the independent chair for this work, will now work with doctors, the General Medical Council, the Medical Schools Council, royal colleges and other bodies to drive this much-needed change.

[Dr Johnson]

Could the Minister highlight the timing of that in relation to the workforce plan, and when that will be published?

[Stephen Kinnock]

The workforce plan will be published this spring, so there is not too long to wait. It has taken a little longer than we initially hoped, but we think it is really important to ensure that it is anchored in very solid engagement with our partners and stakeholders.

Earlier this year, the Government delivered fast-track legislation to put UK medical graduates at the front of the queue for foundation and specialty training places, reducing uncertainty and ensuring that they can progress to full registration as doctors. We have confirmed that all eligible UK medical graduates will be offered a place on the foundation programme this year. Of course, our fast-track legislation seeks to rectify the unforgivably reckless and damaging decision made by the previous Government to remove the resident labour market test after Brexit, which in many ways is the root cause of the mess created by the neglect and incompetence of the previous Government over 14 years.

I turn now to the process for allocating places to applicants for the UK foundation programme and the steps the Government are taking to improve it. We recognise that the location a foundation doctor is assigned for training has both professional and personal impacts. The four UK Health Departments determine the number of places available each year based on workforce planning across the continuum of postgraduate medical education and training. Applicants are allocated across the UK using a nationally applied preference informed allocation system, which has been extensively commented on in the debate.

The PIA system was introduced in 2024, following extensive engagement with the four UK statutory education bodies, medical students and key stakeholders. The move to the new system aimed to address concerns that the previous system was unfair and stressful for applicants and that there was a lack of standardisation within and across schools. It is worth mentioning that the consultation on the PIA system received over 14,500 responses, 66% of which favoured a move to the PIA option against the status quo. There were 106 organisations among those 14,500 responses. It was an extensive consultation with fairly conclusive feedback on the change that was required.

[Ayoub Khan]

In relation to the consultation on the PIA system, does the Minister agree that, if there is no appeal process in the system, it cannot be fair, because there will be extenuating circumstances that ought to be considered? That is something I suspect the Government could implement relatively easily.

[Stephen Kinnock]

It is worth highlighting that around 82% of applicants get their first preference. That is a significant improvement—it was 71% in 2023. We are taking steps in the right direction, but we would love to get to 100%. It is difficult to get to 100% of anything in a large and complex system, but that is our aspiration. Of course, those who do not get their first place are welcome to re-engage with the system, and efforts are made to ensure they get their preference, although we do not always succeed in that process. I will take the hon. Member’s question away and discuss it with my colleague the Minister of State for Health—she leads on this portfolio, although she was not available for this debate—and we will write to him with further clarifications on the important point he makes.

The introduction of the PIA was broadly supported by stakeholders, and I am pleased that we have seen an improvement under this system in the number of students allocated their first preference programme. As I said, 82% of applicants to this year’s foundation programme were allocated their first preference, up from 71% in 2023. However, we are committed to ensuring that the system remains fit for purpose. NHS England will conduct a review to ensure that it is still working for applicants. The timelines of that review will be confirmed in due course.

Furthermore, although some individuals may want to move away from their university area for foundation training, some need greater certainty, for a range of reasons, about their foundation placements. In the last two years, we have supported a portion of students in three UK medical schools by allocating them to foundation programmes in their local area. Last Friday we went further, announcing that we will work with medical schools and foundation schools to extend that support to trainees across the country from disadvantaged backgrounds. Providing a post close to where they live will mean more stability for trainees and will support employers in developing a local workforce.

I would like to say a final word on the PIA. I think we all accept that it is not perfect—it is very difficult to have a perfect system—but I take issue with the characterisation by some Members in the debate that it is a random system. We do not agree with that characterisation. We are clear that the system in place is enabling people to clearly articulate their first preference, and in the overwhelming majority of cases they are getting their first preference. That does not feel like a random system to us, but we absolutely accept that it is not perfect, and there is always room for improvement.

Let me turn to rotations. We recognise the importance of stability for doctors in training and the impact that frequent relocations can have on wellbeing, retention and workforce planning. Following the 2024 resident doctors agreement, the Department of Health and Social Care conducted a review of rotational training and found that rotations can provide valuable breadth of experience. However, we know that in some cases they can disrupt learning, wellbeing, team integration and patient care. To tackle that, NHS England is developing pilots under the medical education and training review to test longer placements and more flexible arrangements for less-than-full-time trainees. The evaluation of those pilots will inform future policy decisions on placement length and continuity benefits.

I turn now to the wider working conditions for resident doctors. It is essential that we create a supportive environment for doctors throughout their training that looks after their health and wellbeing. NHS England’s resident doctors’ working lives programme continues to implement several measures aimed at supporting resident doctors, encouraging them to stay in training and the NHS and reducing overall attrition. That includes measures such as the less-than-full-time training options to allow trainees to continue to work in the service and progress with their training on a reduced working pattern where that is beneficial for their personal circumstances.

We have made significant progress over the past year to improve the working lives of resident doctors, including agreeing an improved exception reporting system, which will ensure that doctors are compensated fairly for additional work, and rationalising statutory and mandatory training to reduce unnecessary burden and repetition.

[Dr Johnson]

The Minister talked about less-than-full-time training, which has obviously had an impact on the number of doctors we need. The Secretary of State said before the general election that if Labour was elected, it would double the number of medical school places. Is that still the Government’s intention?

[Stephen Kinnock]

Yes, that is the Government’s intention. Obviously, we have had some challenges in April around our hope that we could create 1,000 additional places. We have not been able to do that, unfortunately, because of the reckless decision of the BMA to go back out on strike. The absorption of huge capacity, as well as operational issues, has meant that we have not been able to do that.

[Dr Johnson]

I thank the Minister for that answer, but I believe that it relates to postgraduate training places. I was asking whether it is still the intention to double the number of medical school places?

[Stephen Kinnock]

Sorry; I misunderstood the question. Yes, it is still our intention to double the number of medical school places.

The Government remain committed to publishing a 10-year workforce plan this spring to set out how we will create a workforce ready to deliver the transformed service that we set out in the 10-year health plan. The 10-year workforce plan will ensure that the NHS has the right people, in the right places, with the right skills to care for patients when they need it.

NHS staff told us through the 10-year health plan engagement that they are crying out for change. The workforce plan will set out how we deliver that change by making sure staff are better treated and have better training, more fulfilling roles and hope for the future.

I thank all hon. Members for taking part in this important debate.

[Ayoub Khan]

I hesitate to interrupt the Minister’s final remarks, but will he shed some light on the strike by young junior doctors? Queen Elizabeth hospital in my constituency serves many local residents. The young doctors I have spoken to talk about the cost of living and the inability to support themselves, at the point when they are entering an exciting career. What more support will the Government provide them with?

[Stephen Kinnock]

That gives me an opportunity to highlight the fact that this Government have delivered a 29% pay increase for resident doctors. Although I absolutely accept that, prior to July 2024, over 14 years of dealing with an incompetent Government, they suffered from being underpaid and neglected, and we had to seek to fix that—we have done that in good faith and with good will—there have to be limits to what we can offer. The sky is not the limit; the limit is the deeply damaged and parlous state of the public finances that were left to us when we took over in July 2024, and the significant pressures across every aspect of Government.

We implore the resident doctors and the BMA to come back to the table. The Secretary of State believed that he had a deal with the officers of the BMA, and those officers then took that deal to the broader committee. There is no doubt that that committee has ideological motivations, and it refused to accept the deal. We are now in a very challenging position. The Secretary of State has asked several times for a face-to-face meeting with the entire committee, and that request has been refused. We have to make progress, but I simply remind its members that most of our constituents would see a 29% pay increase as a pretty positive deal.

[Jim Shannon]

I thank the Minister for that comprehensive response to the hon. Member for Birmingham Perry Barr (Ayoub Khan). So near and yet so far—that is the way I see it. I have always supported the Secretary of State in his endeavours to secure a deal, and it is incredibly frustrating to get so close to one and for it then to fall down. I am probably reiterating what the Minister said, but although the deal fell and we did not secure what we all hoped for, does the Department intend to continue engaging with the BMA and the junior doctors to secure a deal? We have got so close that we must be able to get this over the line.

[Stephen Kinnock]

The short answer is yes, absolutely—our door is always open. We have to find a constructive way through this. I accept that it is not always just about pay; it is also about broader terms and conditions—exactly the things we have been debating today. That is why I was so excited by the fast-track legislation we brought forward specifically to address the bottlenecks and the impact of the disgraceful decision under the previous Government to remove the resident labour market test. We are seeking to fix all those problems, and we need a constructive partner on the other side of the table to do that. We are starting to see in opinion polls that public support for the action taken by the BMA and resident doctors is eroding quite seriously, and I hope they take that into account before they make their next decisions.

[Dr Caroline Johnson]

As a doctor, I feel uncomfortable with the morality of going on strike and leaving patients to suffer in order to get more money for oneself. I think the morality of the strikes is outrageous. However, does the Minister regret the repealing of the minimum service levels legislation, which could have enabled the Government to put in firmer boundaries around the strikes to prevent harm to patients? Will the Government consider banning doctors from striking altogether, as a Conservative Government would, in the same way that people in the Army and the police are banned from striking?

[Stephen Kinnock]

The hon. Lady’s point about morality is important and interesting, but people also have to be able to put bread on the table, pay the mortgage or rent, and feed and clothe their kids. Morality is fine, but it does not put bread on the table. The two things are very important.

On the retrograde steps the Conservative party is proposing around industrial relations, that is just not what the Labour party is about. The Labour party is about constructive, positive industrial relations and respect. It is about treating the workforce and unions with the respect they deserve and finding a constructive solution. We do not want to move to some kind of police state, where we restrict the rights of trade unions. We see the right to organise and go on strike as a fundamental right of citizens in our country, and it would be a retrograde step to remove it. It is pretty extraordinary to hear that suggested by the Conservative party when we live in a liberal democracy. So the answer to the hon. Lady’s question is no. I believe we will find a way through this dispute. It will be hard going—it will be two steps forward and one step back, I am sure—but in the end I believe we will get there.

[Dr Johnson]

I thank the Minister for being extremely generous with his time. He says the Government will not consider removing the right of doctors to strike, but he seems to be going further and suggesting that doing so would be wrong in principle. Do the Government therefore intend to allow the right to strike for those who are currently not allowed to, such as the police and armed forces?

[Stephen Kinnock]

We have those restrictions on the right to strike in the police and the armed forces for obvious reasons of national security. I think that is a very different issue; our critical national infrastructure must be protected, and there cannot be any dispute about that.

We are dealing with a workforce whose pay and conditions had clearly been neglected. The previous Government used the moral argument the hon. Lady was trying to make as leverage to keep pay and conditions down, which I would say is a deeply immoral position to take. The right to be a member of a trade union and to go on strike is relevant to certain sectors of our labour market, and that right, where it exists, should be protected; where it does not exist, that is a completely different debate.

I thank all Members for taking part in this important debate. The Government are taking important steps, and we remain committed to improving the working lives and prospects of resident doctors, and to ensuring an effective foundation programme.

Oral Answers to Questions

Stephen Kinnock Excerpts

Tuesday 14th April 2026 Commons Chamber

[Sarah Dyke (Glastonbury and Somerton) (LD)]

11. How many urgent dental appointments have been provided since 1 April 2025.

[The Minister for Care (Stephen Kinnock)]

Since July 2024, we have been rebuilding a broken NHS dentistry system. We have delivered 1.8 million more treatments and reduced the underspend from £392 million to just £36 million, maximising the treatment provided for taxpayers’ money. Last year, we asked integrated care boards to commission additional urgent appointments, and the data will be published in August. Following advice from the chief dental officer, we broadened the scope of those appointments so that more patients could benefit.

[Anna Dixon]

I recently asked Shipley residents about their access to NHS dental services over the past two years. Over 1,100 respondents said that they could not see an NHS dentist when they needed to. I have heard from constituents who have had to go private, travel for hours to access NHS dentistry or resort to DIY dentistry. What progress is the Minister making to fix the rotten dentistry that we inherited from the previous Government?

[Stephen Kinnock]

My hon. Friend is a strong campaigner for her constituents. The situation that she sets out is unacceptable, but change is under way. I am encouraged by the latest data for her ICB area, which shows a 79% success rate for those who tried to get an NHS dentist appointment in the past two years, and that 10% more treatments were delivered between April and October 2025, compared with the same period before the election. Our reforms from this April will go further, focusing on those with the most urgent and complex needs, to ensure that people can access care when they need it most.

[Tom Gordon]

I have been contacted by dentists from across my constituency who want to expand access but are constrained by the current funding model. One NHS practice tells me that it has the physical space ready for a dentist to start working, but it cannot get them in because of the current funding model, forcing a reliance on short-term foundation dentists on rotations. Will the Minister outline what steps he is taking to reform NHS dental funding, and will he meet me to discuss the issues in my constituency?

[Stephen Kinnock]

I am encouraged by the fact that, in the hon. Gentleman’s Humber and North Yorkshire ICB area, 52,795 more NHS dental treatments were delivered between April and October 2025 compared with the same period before the election, so some progress is being made, but more must be achieved. Long-term contract reform will enable the resolution of some of the funding issues that he mentions—that is ongoing work—and we will come forward in the summer with a public consultation on delivering fundamental reform to the dentistry contract.

[Sarah Dyke]

A constituent from Ilchester contacted me recently about their 14-year-old daughter, who is suffering from a painful dental abscess. Despite trying over several months to get treatment, she has been unable to access the treatment that she so desperately needs. Given that the Government have provided only 100,000 of the 700,000 extra urgent appointments that were promised, will the Minister provide a detailed breakdown of how many of the additional 1.8 million NHS dental appointments have been urgent appointments, as opposed to routine check-ups?

[Stephen Kinnock]

We will publish those data and statistics in August, in the usual way, but I can tell the hon. Lady that we have created a safety net for urgent dental care. Following the reforms that kicked in on 1 April this year, there is now a requirement for all NHS dentists to deliver 8.2% of their contract in urgent care. We absolutely recognise that more needs to be done in cases such as that of her constituent, and that is what we are focused on with fundamental dentistry contract reform.

[Peter Prinsley (Bury St Edmunds and Stowmarket) (Lab)]

May I congratulate the ministerial team, the University of East Anglia and the Office for Students on finally getting the new dental school at the university over the line? It will admit 25 students from September next year and will go some way to dealing with the dental deserts that we inherited in Norfolk and Suffolk. In the meantime, what progress has been made with the General Dental Council to increase exam capacity for dentists coming from overseas to help with the present crisis?

[Stephen Kinnock]

I am equally pleased about what is happening with the University of East Anglia. When we came into office in July 2024, I was shocked to discover that there had been no sustained increase in the number of dental places in our country since 2007, and I am very proud of the fact that this Government have turned that around.

With regard to the overseas registration examination, I had the General Dental Council in my office shortly after the general election to ask why the contract has been failing, and it is mainly due to the neglect and incompetence of the Conservative party. We have sorted that out. There is a new contractor in place, and we will be delivering thousands more out of the backlog of international dentists starting from 1 April this year.

[Peter Swallow (Bracknell) (Lab)]

7. What steps his Department is taking to improve levels of access to GPs in Bracknell Forest.

[The Minister for Care (Stephen Kinnock)]

We promised to improve GP access, and we are delivering. There are 2,000 more GPs than in July 2024—double our manifesto commitment of 1,000. The previous Government planned to increase GP numbers. Between 2019 and 2024, the number of fully qualified full-time equivalent GPs actually fell by 900. We have delivered 8 million more appointments, and we have seen satisfaction go up from 61%, where it was languishing in July 2024, to 74% today.

[Peter Swallow]

I declare an interest: my brother is a GP. Many residents in Bracknell Forest find the best way to contact their GP is online or by phone, but others have told me that they want to be able to visit their local surgery and book an appointment in person. Can my hon. Friend confirm that the new GP contract guarantees that patients have the right to choose to contact their GP in the way that works best for them, whether by phone, online or in person?

[Stephen Kinnock]

My hon. Friend is a doughty champion for his constituents. I can absolutely give him that assurance. The GP contract is clear that patients must have the option of telephoning or visiting their practice in person, and online tools must be an addition to, rather than a replacement for, other contact methods. However, we have found that by expanding online access, we have significantly reduced pressure on phone lines, and we are ending the 8 am scramble.

[Mr Speaker]

As the Question refers to a named area, I call the MP who represents the nearest constituency: Joshua Reynolds.

[Stephen Kinnock]

I am very pleased that we have our £102 million primary care utilisation and modernisation fund, the precise purpose of which is to develop more estate capacity in general practice, and of course we have our substantial commitment to neighbourhood health centres, with 120 to be delivered by the end of this Parliament and 250 by 2035. The hon. Member should certainly be talking to his ICB about its estate strategy. Now is the right time to intervene and ensure that the issue he raised is being addressed.

[Mr Speaker]

I call the shadow Minister.

[Dr Luke Evans (Hinckley and Bosworth) (Con)]

Under the Labour Government’s new GP contract, Bracknell GPs and all GPs will have to refer through a single point of access. Can the Minister confirm that every referral deemed clinically necessary by a GP will be reviewed explicitly by a specialist consultant before being rejected or redirected?

[Stephen Kinnock]

I am astonished that the Conservatives seem to be teaming up with the British Medical Association in opposition to our reforms. They ought to listen to their voters and their members, who are crying out for change. We are getting the NHS to do things differently because that is the only way we are going to turn it around. Advice and Guidance is seeing more investment in GPs and getting patients cared for in the right place at the right time.

[Dr Evans]

The House will have heard that there was not an answer—that was a no. It is plain for all to see that this means patients will be blocked from seeing a specialist. They could potentially be assessed by a non-doctor, under Government pressure, with a target of one in four referrals being bounced. The Government’s own answers show that patients never appear on a waiting list. This is not about improving healthcare; it is about massaging the waiting lists, isn’t it, Minister?

[Stephen Kinnock]

I have honestly never heard so much nonsense in my entire life. We invested £80 million in Advice and Guidance. Some 1.1 million Advice and Guidance requests were diverted from the waiting list, so that care is being delivered in the right place. We have embedded A&G into the core contract, recognising it as routine practice, removing annual sign-ups and providing more predictable funding. The shadow Minister seems to be saying that patients who do not need to be treated in hospital should be treated in hospital. That runs completely counter to the entire strategy, which is about moving care from hospital into the community. The Conservative party needs to get with the programme.

[Afzal Khan (Manchester Rusholme) (Lab)]

8. What discussions he has had with regulators on tackling anti-Muslim hostility in the NHS.

--- Later in debate ---

[Joe Powell (Kensington and Bayswater) (Lab)]

T2. The much-loved Pembridge hospice in north Kensington has been closed to in-patients for several years, meaning that an area with acute health inequality has very limited palliative care options, despite a promise from the new West London integrated care board to provide enhanced care beds in all its boroughs. Will the Minister join me in urging the ICB to set up a meaningful engagement process with residents to secure these urgent care beds as soon as possible, potentially at Pembridge, and to bring proper palliative and end-of-life options back to our community?

[The Minister for Care (Stephen Kinnock)]

I thank my hon. Friend for his question; he is a strong voice for palliative care and for Pembridge hospice in his constituency. Palliative care is vital in our communities, and I completely agree that ICBs, like West London, should engage with their local communities to ensure that they can meet their palliative care needs.

[Mr Speaker]

I call the Liberal Democrat spokesperson.

[Helen Morgan (North Shropshire) (LD)]

Wherever I go in North Shropshire, constituents tell me that access to a GP only gets worse when new homes are built, and they are right. Across the country, there are billions of pounds in unspent community infrastructure levies for new surgeries, and the average number of families that a GP serves has gone up by 917 since 2015. Will the Minister support Liberal Democrat calls for CIL to be used to support the early running costs of new GP practices, or to expand existing ones, as soon as people move into new housing, so that GP access really does come first when housing developments happen?

[Stephen Kinnock]

There is absolutely an issue with developers not delivering what they say they are going to deliver either through section 106 or through CIL. We are working closely with the Ministry of Housing, Communities and Local Government to address this issue. I would be more than happy to hear more about the hon. Lady’s specific proposal. We want to work pragmatically and constructively to resolve this issue.

[Kirith Entwistle (Bolton North East) (Lab)]

T3. Short waiting lists for cataract surgery are a success story, thanks in part to the partnership between the NHS and providers such as SpaMedica, headquartered in my constituency. However, ICB indicative activity plans could see waiting lists increase from weeks to over four months. How will cataract patients be protected while we maintain those all-important short waiting lists?

--- Later in debate ---

[Helen Maguire (Epsom and Ewell) (LD)]

T5. In Epsom and Ewell, many residents face a daily battle to get a GP appointment. There are numerous potential housing developments on the horizon, and the rising population is set to put even more pressure on already stretched GP services. The Liberal Democrats would require developers to build new GP surgeries, ready for when residents move in. Can the Government explain what they are doing to support GPs in my constituency, so that they can manage the surge in patient demand from day one of a development being completed, rather than leaving communities to pay the price later?

[Stephen Kinnock]

As I said to the hon. Member for North Shropshire (Helen Morgan), we are looking at the way that section 106 and CIL are used. I certainly look forward to working with councils across the country, but as my right hon. Friend the Secretary of State has said, when people go to the ballot box on 7 May, they should think very carefully about how much more effective it is when councils work in partnership with this Labour Government.

[Several hon. Members rose—]

--- Later in debate ---

[Adrian Ramsay (Waveney Valley) (Green)]

T6. The British Dental Association has highlighted that current budgets allow just 39% of adults to access NHS treatment within a two-year period. Is that really the height of the Government’s ambition, and if not, what access percentage are the Government aiming for?

[Stephen Kinnock]

We are working closely with the BDA on long-term contract reform. It has to be about getting the balance right, so that dentists are incentivised to do NHS dentistry and we maximise access. A public consultation on fundamental contract reform is coming before the summer, and I am sure the hon. Member will want to take part in it.

--- Later in debate ---

[Stephen Kinnock]

I know that the local town and county council have been working in partnership with Dorset ICB over many years to support GP partnerships in the Chickerell area in developing a business case for NHS capital or revenue funding. I would be delighted to meet my hon. Friend, and to continue to make plans for applying pressure to ensure that this is delivered.

[Wendy Chamberlain (North East Fife) (LD)]

Twenty-two people a day are diagnosed with lobular breast cancer, including my colleague Councillor Fiona Corps in North East Fife, but many more are living with it, because researchers and clinicians know so little about it. In advance of vigils next week, can we ensure funding for the Moon Shot Project, to give these women hope?

NHS Continuing Healthcare

Stephen Kinnock Excerpts

Wednesday 25th March 2026 Westminster Hall

[The Minister for Care (Stephen Kinnock)]

It is truly a pleasure to serve under your chairship, Mrs Harris—for now, anyway.

I thank the hon. Member for Birmingham Perry Barr (Ayoub Khan) for securing this important debate, and I express my gratitude to other Members who have contributed to it. By working together, we can improve the lives of people living with some of the highest needs. I also want to acknowledge and thank families, loved ones and other unpaid carers, and of course the health and social care staff who provide committed and compassionate care every day.

Every one of us has constituents living with highly complex needs that arise from a wide variety of illnesses, disabilities or accidents. It is of course great news that significant medical advances have led to increases in the average life expectancy in the UK both for the general population and for those with significant health challenges, but we need to recognise that that has placed additional pressure on our health and care system, and there is no doubt that it can create challenges in accessing the right care and support in the right place at the right time. We value the opportunity to hear about personal experiences from everyone who is here today, so that we can continue to improve services for the people who need them most.

A key ambition of the Government’s 10-year health plan is to support people to live independent and dignified lives in their communities. NHS continuing healthcare provides critical support to some individuals with the highest needs, offering a fully funded package of health and social care to meet their needs. This supports our 10-year health plan ambition by helping individuals to live more independently outside hospital and to be closer to home and to loved ones.

The last Labour Government introduced NHS continuing healthcare, which, despite the challenges set out today, is supporting thousands of people across the country with their care needs. We also set out our statutory guidance, the first national framework to ensure a consistent approach. In the year ending March 2025, over 164,000 people across England were found to be eligible for NHS continuing healthcare—an increase from the 160,000 eligible individuals in 2017. Every one of those individuals should receive an appropriate package of care that meets their assessed health and care needs. Our statutory guidance is designed to support integrated care boards to provide the most appropriate care for every eligible individual, ensuring that they are placed at the centre of the assessment and care planning process.

NHS England oversees integrated care boards in delivering their functions and undertakes regular and ongoing assurance work, including commissioning work, to promote effective implementation of NHS continuing healthcare. I know that integrated care boards across the country are working hard to streamline administrative processes and find efficiencies so that more people can access the care they need sooner.

[Iqbal Mohamed]

It is the responsibility of ICBs to administer and provide this support, but does the Minister share my concern and that of my hon. Friend the Member for Birmingham Perry Barr (Ayoub Khan) that the involvement of private contractors in eligibility reviews may not be appropriate? The ICB may feel that responsibility lies with the private contractor to guide it, rather than owning its decisions.

[Stephen Kinnock]

Of course, we want to see consistency and quality right across the board, regardless of who is actually delivering the work. If there are specific issues around private contractors that the hon. Gentleman can flag to me, perhaps he could write to me; we would be very happy to look into them.

We have committed to reduce the running costs of integrated care boards and to redirect that funding to frontline services. To deliver that, our 10-year health plan sets out that integrated care boards must focus on their role as strategic commissioners, ensuring the best possible value in securing local services that improve population health and reduce inequalities. However, NHS England has been clear that, although transformation is required, it must be carried out with clear safeguards in place to protect frontline responsibilities. Legal duties in relation to NHS continuing healthcare must continue to be met. This means that running-cost reductions should aim to make administrative and corporate functions more efficient. They are not there to change funding for direct care or statutory duties.

I acknowledge that integrated care boards have worked intensively to strengthen their plans for 2025-26, focusing on areas where efficiencies and savings can be made. I thank NHS England for working with integrated care boards to monitor spend against these plans. The Department is working closely with NHS England on how responsibilities will be delivered from April 2027 onwards, when—subject to the will of Parliament—NHS England will be abolished. Until those changes are made, the Department and NHS England will continue to carry out their respective statutory functions. In the interim, teams are increasingly working together closely under an interim joint leadership team, including on NHS continuing healthcare.

Fundamentally, addressing some of the issues that hon. Members have discussed today will require wider reform of the social care system. That is why Baroness Casey is chairing an independent commission into adult social care. The commission has a clear mandate to undertake the most comprehensive review of adult social care in a generation. With Baroness Casey as its chair, it will cut through the political stalemate, identify what the country needs and wants from adult social care, and support the Government in establishing a system that works.

Baroness Casey has made it clear that she will not wait until the end of the commission to recommend action where she sees fit to do so. Hon. Members may have seen her speech at the Nuffield Trust summit on 5 March. I thank her for setting out recommendations for immediate action on adult social care, which focused on three key areas: safeguarding, dementia and motor neurone disease. We will not waste time in taking those recommendations forward. We look forward to reviewing Baroness Casey’s phase 1 report, which is due later this year and will set out further recommendations to address immediate priorities for adult social care in this Parliament, laying the groundwork for long-term reform and setting us on the path to delivering a national care service.

In her recent speech, Baroness Casey rightly raised challenges with NHS continuing healthcare. We are carefully considering her reflections. I acknowledge existing tensions between integrated care boards and local authorities regarding NHS continuing healthcare eligibility decisions. Those decisions hinge on whether the support required by an individual is above the limits of what the local authority can provide. Integrated care boards must consult with the relevant local authority before making any decision about an individual’s eligibility for NHS continuing healthcare, putting individuals at the heart of the decision-making process.

However, I acknowledge that, in practice, it is not always straightforward to determine clearly who is responsible for meeting an individual’s needs, so we are working with NHS England to better join up support between the NHS and local authorities, exploring areas where good joint working is helping to improve outcomes for people accessing NHS continuing healthcare. Through the development of our neighbourhood health services, local authorities and integrated care boards are encouraged to consider how services can be reconfigured to focus more on prevention and early intervention, embedding new ways of working to set the direction of travel for future years.

I want all individuals who are eligible for NHS continuing healthcare to receive support in a timely manner, and I want the assessment process to be as smooth, clear and transparent as it possibly can be. We know that eligibility rates can vary from year to year, and across regions and integrated care boards. That variation often exists for good reasons, including differences or changes in the health needs of local populations or individuals over time. To check that the variation is warranted and justified, NHS England continues to monitor eligibility rates by undertaking detailed work to compare eligibility and referral rates between integrated care boards. When it identifies unwarranted variation between integrated care boards with similar demographics, it follows up and seeks to ensure coherence and consistency.

My Department is also engaging with local areas to explore current work on eligibility disputes, and how they address those challenges. There are no quick fixes, but we remain committed to supporting the sector to improve outcomes for individuals. I want to stress that while disputes between organisations are being resolved, individuals must never be left without the appropriate care and support.

There is a robust dispute resolution process in place for when a full assessment for NHS continuing healthcare has been undertaken and the person or people concerned disagree with the outcome. First, an individual or their representative can ask for a local review from the relevant integrated care board. All integrated care boards should have developed a local resolution process that is fair, transparent and includes timescales. Where it has not been possible to resolve the matter locally, an individual may apply to NHS England for an independent review panel to review the decision. Finally, if the original decision is upheld and there is still a challenge, the individual can make a complaint to the Parliamentary and Health Service Ombudsman.

I was very sorry to hear from the hon. Member for Birmingham Perry Barr of the difficulties that his constituents are experiencing, and I thank him for sharing the details of Daniel’s case. I would of course be happy to receive further representations from the hon. Member. Perhaps he could start by setting out in a letter what the issues are, and then we can make sure that appropriate action is taken.

I also know that concerns have been raised about the relatively low number of individuals who are ultimately found eligible for NHS continuing healthcare after they have been referred for full assessment. The threshold for initial referral by GPs, social workers and others is deliberately set low to ensure that anyone who may be eligible is fully assessed. For that reason, many individuals will not go on to receive NHS continuing healthcare. However, an assessment is also a gateway to other forms of NHS-funded support, such as NHS-funded nursing care and joint packages of care between local authorities and integrated care boards. My Department and NHS England continue to work with partners, including the CHC Alliance, Dementia UK, the Nuffield Trust and other sector bodies. We want to support integrated care boards in delivering national policy and guidance, including on how we can achieve better join-up between the NHS and local authorities.

I congratulate the hon. Member for Birmingham Perry Barr again on securing this important debate—and I thank all those who intervened in it—so that we can continue to focus on improving services for the people who need them most. I know that this is a very challenging and emotive topic for many families who are going through extremely difficult times, and I absolutely accept that sometimes controversial decisions are made. We need to ensure that in every one of those controversial cases there is transparency, clarity and coherence. I look forward to working with the hon. Gentleman and with Members across the House to ensure that, collectively, we achieve that goal.

Question put and agreed to.

Neighbourhood Health Framework

Stephen Kinnock Excerpts

Tuesday 17th March 2026 Written Statements

[The Minister for Care (Stephen Kinnock)]

Today I would like to inform the House about the publication of the neighbourhood health framework, which outlines the next steps that we are asking the NHS and local government to take—working with civil society—to deliver neighbourhood health.

Neighbourhood health is at the heart of the 10-year health plan and our mission to build an NHS fit for the future. It is underpinned by three shifts—hospital to community; treatment to prevention; analogue to digital—and neighbourhood health is pivotal to all three.

The shift to a neighbourhood health service will ensure that services are easier for people to access and professionals to deliver, with multidisciplinary teams that work together to reach people earlier, to support them to stay well and live independently, and to prevent needs escalating. This joined-up approach will deliver more preventive, personalised and digitally enabled care.

The framework builds on our previous publications, such as the NHS medium-term planning framework for 2026-27 to 2028-29, the strategic commissioning framework for integrated care boards, and the better care fund framework for 2026-27. We know that there are already strong examples of neighbourhood working across the country. The neighbourhood health framework aims to provide clarity and consistency for local leaders to develop and scale their neighbourhood health services and plans.

The neighbourhood health framework outlines a minimum set of interventions that all ICBs should deliver over the next three years. While reforms will be led locally, we have heard from systems that there are many common-sense actions that work well everywhere—these actions are the building blocks of successful, joined-up neighbourhood health services. Importantly, this set of interventions is not the ceiling of neighbourhood health, but the foundation on which local priorities will be built. The framework is designed to create the conditions for local leaders to succeed, giving them the flexibility to design services that best meet the needs of their local communities.

The framework outlines 10 core steps that we are asking local government and ICBs to take in 2026-27, including agreeing neighbourhood footprints and confirming intentions to use pooled funding under the better care fund. Progress made in 2026-27 will form the basis for action in 2027-28, when, working through health and wellbeing boards, ICBs and local government are expected to develop local neighbourhood health plans.

Central to our plans are neighbourhood health centres, which will bring care closer to where people live. Our ambition is for there to be a neighbourhood health centre in every community. To kickstart delivery, in the 2025 autumn Budget we announced our commitment to deliver 120 neighbourhood health centres by 2030, and 250 by 2035, funded through a mix of public-private partnership and public capital, and starting in the areas of greatest need.

At the heart of our work to deliver neighbourhood health are people, particularly those working hard across health and care, wider local government, and with our civil society partners. Through their efforts, we will see increased and improved join-up between public services, as multidisciplinary, cross-sector teams work in a system that focuses on keeping people well, using the workforce, funding and local assets to their best effect. We recognise that the current system is too siloed, and we are committed to supporting the culture change that is a prerequisite for building the seamless, integrated, person-centred care that patients and the workforce are crying out for.

The 10-year workforce plan will set out aggregate assumptions and scenarios to inform local NHS workforce plans when published later this year.

We will support local systems to deliver through the national neighbourhood health implementation programme, which will build capability and identify success criteria for the scaling of new neighbourhood health models. So far we have launched the national neighbourhood health implementation programme across 43 places in England.

We will also support ICBs to commission new outcomes-based neighbourhood health services through the development of contractual levers, including single neighbourhood provider and multi-neighbourhood provider contracts. We will also support the goals of neighbourhood health in national reform agendas, such as Best Start family hubs, Pride in Place initiatives, local Get Britain Working plans, and workwell.

I am proud to be the Minister driving neighbourhood health. I have seen that every day across health, care and wider local government, people work tirelessly to improve our services and make them better for communities. Neighbourhood health is the beginning of an exciting new chapter in how we build an NHS, and wider health and care system, fit for the future.

[HCWS1411]