Asked by: Vikki Slade (Liberal Democrat - Mid Dorset and North Poole)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to improve the transition for NHS patients between paediatric and adult care in the NHS.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is committed to raising the healthiest generation of children ever. This includes ensuring that children receive the appropriate care and support whenever they need it.
The 10-Year Health Plan sets out how the Government aims to support children and young people as they navigate the National Health Service, ensuring they feel comfortable and confident in managing their own health and care from 16 years old where appropriate. This includes supporting young people as they move from child to adolescent and adult services, making sure that care is developmentally appropriate throughout.
NHS England has developed guidance for integrated care boards and healthcare providers to aid the design of transition pathways that improve health outcomes for all young people. This guidance will be published in due course.
Asked by: Vikki Slade (Liberal Democrat - Mid Dorset and North Poole)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to improve treatment for patients with Pectus Excavatum.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
There are a number of non-surgical management options to support people diagnosed with a pectus deformity, including posture and exercise programmes, bracing, and psychological support.
For surgical treatments, NHS England reviewed the evidence to treat pectus excavatum in patients and issued an interim clinical commissioning urgent policy statement published in April 2023. NHS England concluded that there is enough evidence to make surgical treatment available as a routine commissioning treatment option for patients of all ages with pectus excavatum resulting in very severe physiological symptoms. The criteria for surgery can be found at the following link:
Asked by: Vikki Slade (Liberal Democrat - Mid Dorset and North Poole)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many and what proportion of adults with a learning disability in England have a regular annual health check by a GP.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department does not hold data relating to what proportion of adults with a learning disability in England have a regular annual health check with a general practitioner.
NHS England is required to offer to all primary medical services contractors the opportunity to enter into arrangements under the Network Contract Directed Enhanced Services (DES) Scheme. Integrated care boards (ICBs), as commissioners of primary care services, are responsible for ensuring that there is sufficient provision of these services to meet the needs of their patient population.
As part of the Network Contract DES Learning Disabilities Health Check Scheme, primary services contractors are required to identify registered patients aged 14 years old or over who have learning disabilities and to record this on a learning disabilities register. Contractors are required to offer annual health checks to these patients.
Asked by: Vikki Slade (Liberal Democrat - Mid Dorset and North Poole)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment his Department has made of the potential impact of junk food advertising on childhood obesity.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
As set out in our 10-Year Health Plan for England, we are taking decisive action on the obesity crisis, easing the strain on our National Health Service and creating the healthiest generation of children ever. We have implemented United Kingdom-wide restrictions on advertising of less healthy food and drink on television and online which we estimate will remove up to 7.2 billion calories from UK children’s diets each year and deliver health benefits of approximately £2 billion. We have also committed to updating the standards that underpin the advertising and promotions restrictions on ‘less healthy’ food and drink to reflect the latest dietary advice and strengthen the restrictions by more effectively targeting the products of most concern to childhood obesity.
An impact assessment on the advertising restrictions of less healthy food and drink on television and online is published on the GOV.UK website.
Asked by: Vikki Slade (Liberal Democrat - Mid Dorset and North Poole)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to reduce the consumption of junk food by children.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
As set out in the 10-Year Health Plan for England, we are taking decisive action on the obesity crisis, easing the strain on our National Health Service and creating the healthiest generation of children ever. As part of this, the Government has announced an ambitious programme aimed at improving the healthiness of the food environment. In December 2024, the Government published the revised National Planning Policy Framework for local government. As part of this, local authorities were given the stronger, clearer powers they have told us they need to block new fast-food outlets near schools.
On 1 October 2025, we implemented restrictions on volume price promotions for less healthy food and drinks, such as three for two offers, in stores and their online equivalents and United Kingdom-wide restrictions on the advertising of less healthy food and drink on television and online came into force on 5 January 2026.
We have also consulted on banning the sale of high-caffeine energy drinks to children under 16 years old and announced changes to the Soft Drinks Industry Levy in the Autumn Budget to deliver greater health benefits to children.
We announced in the 10-Year Health Plan that, in a world-first, we will introduce mandatory healthier food sales reporting for large food businesses and set new targets to increase the healthiness of sales. We will also strengthen the existing advertising and promotions restrictions by consulting on applying an updated definition of ‘less healthy food and drink’.
Asked by: Vikki Slade (Liberal Democrat - Mid Dorset and North Poole)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many and what proportion of adults with a learning disability are registered on the learning disability register in (a) England (b) each region of England.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Work is currently underway in NHS England to encourage children and young people to join the learning disability register at the age of 14 years old, and to support people who do not have a confirmed learning disability diagnosis to access the register and appropriate services.
NHS England has published guidance to support general practitioners (GPs) in identifying people with a learning disability. People with a learning disability are identified using specific codes within a patient record which are then grouped into a ‘code cluster’. Further information on the guidance is avaiable at the following link:
The learning disability register code cluster includes conditions and diagnoses that are highly likely to indicate that a person has a learning disability. Code cluster contents are dynamic and are updated regularly to account for new content. The latest cluster contents can be found in the Primary Care Domain Reference Set Portal, with further information available at the following link:
In addition, my Rt Hon. Friend, the Secretary of State for Health and Social Care, recently wrote to GPs, emphasising the importance of the learning disability register and providing high quality annual health checks.
As part of efforts to monitor uptake, NHS England data shows that, as of October 2025, there were 343,520 people aged 14 years old and over with a learning disability on the learning disability register in England. The following table shows the number of people on the learning disability register in each region of England:
Region | Register size age 14 years old and over |
London | 46,823 |
South West | 35,950 |
South East | 50,528 |
Midlands | 67,118 |
East of England | 38,983 |
North West | 43,676 |
North East and Yorkshire | 60,442 |
Source: NHS England published data on the Learning Disability Health Check Scheme for October 2025, a copy of which is attached.
Asked by: Vikki Slade (Liberal Democrat - Mid Dorset and North Poole)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he plans to help increase the uptake of registration on the learning disability register.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Work is currently underway in NHS England to encourage children and young people to join the learning disability register at the age of 14 years old, and to support people who do not have a confirmed learning disability diagnosis to access the register and appropriate services.
NHS England has published guidance to support general practitioners (GPs) in identifying people with a learning disability. People with a learning disability are identified using specific codes within a patient record which are then grouped into a ‘code cluster’. Further information on the guidance is avaiable at the following link:
The learning disability register code cluster includes conditions and diagnoses that are highly likely to indicate that a person has a learning disability. Code cluster contents are dynamic and are updated regularly to account for new content. The latest cluster contents can be found in the Primary Care Domain Reference Set Portal, with further information available at the following link:
In addition, my Rt Hon. Friend, the Secretary of State for Health and Social Care, recently wrote to GPs, emphasising the importance of the learning disability register and providing high quality annual health checks.
As part of efforts to monitor uptake, NHS England data shows that, as of October 2025, there were 343,520 people aged 14 years old and over with a learning disability on the learning disability register in England. The following table shows the number of people on the learning disability register in each region of England:
Region | Register size age 14 years old and over |
London | 46,823 |
South West | 35,950 |
South East | 50,528 |
Midlands | 67,118 |
East of England | 38,983 |
North West | 43,676 |
North East and Yorkshire | 60,442 |
Source: NHS England published data on the Learning Disability Health Check Scheme for October 2025, a copy of which is attached.
Asked by: Vikki Slade (Liberal Democrat - Mid Dorset and North Poole)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what plans he has for future NHS staff pay negotiations in terms of (a) groups who will be involved and (b) when such negotiations will take place.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government remitted the independent pay review bodies (PRBs) in respect of National Health Service staff on 22 July, which formally began the 2026/27 pay round. This was over two months earlier than last year.
The Pay Review Bodies (PRBs) are independent advisory bodies made up of industry experts who carefully consider evidence submitted to them from a range of stakeholders, including Government and trade unions to make recommendations on headline pay for their remit groups. It is for individual trade unions to decide whether to engage with the PRB process, but we encourage them to do so in order for the PRBs to have the full breadth of evidence available when forming their recommendations.
The PRBs base their recommendations to the Government on a range of factors including the economic context, cost of living, recruitment and retention, morale, and motivation of NHS staff.
The Government carefully considers the independent PRBs’ recommendations once received. Ministers are not obligated to accept these, although the Government did accept the recommendations on headline pay in full for 2024/25 and 2025/26.
As my Rt Hon. Friend, the Secretary of State for Health and Social Care, stated on 15 December, the Government is open to discussing multi-year pay deals with trade unions if we can bridge the gap between affordability and expectation.
Asked by: Vikki Slade (Liberal Democrat - Mid Dorset and North Poole)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to help close the gap in average life expectancy between those with a learning disability and those living without a learning disability.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
We recognise the unacceptable health inequalities faced by people with a learning disability. We do not have comprehensive data on the life expectancy of people with a learning disability, broken down by gender and age, although we do have crucial insights into life and health outcomes which support service improvements.
in July 2025 NHS Digital published data on the mortality and life expectancy of people with a learning disability and autism which showed that people with a learning disability have a life expectancy at birth of 59.5 years old, compared to the general population life expectancy at birth of 81.4 years old, a difference of 21.9 years. These figures are based on data from April 2022 to March 2023, with further information avaiable at the following link:
Significant action is underway to improve access to and the quality of care for people with a learning disability, and to achieve the critical prevention shift set out in our 10-Year Health Plan. This includes mandatory training for health and social care staff, improving identification on the general practice learning disability register and uptake of annual health checks, and rolling out a Reasonable Adjustment Digital Flag to ensure that care is tailored appropriately. The national Core20Plus5 approach also guides action to tackle health inequalities at a system level, and NHS England expects learning disability to be identified as a priority cohort at a local level.
Furthermore, each integrated care board (ICB) must have an executive lead for learning disability and autism who will support the board in addressing health inequalities, support access to care across all health services, and improve overall health outcomes. Each ICB must also consider and demonstrate how they will reduce inequalities for people with a learning disability within their five‑year strategic plans under the Medium-Term Planning Framework. The Medium-Term Planning Framework is available at the following link:
Asked by: Vikki Slade (Liberal Democrat - Mid Dorset and North Poole)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the life expectancy is of (a) women and (b) men of working age with a learning disability; and how does this compare with the life expectancy of people without a learning disability.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
We recognise the unacceptable health inequalities faced by people with a learning disability. We do not have comprehensive data on the life expectancy of people with a learning disability, broken down by gender and age, although we do have crucial insights into life and health outcomes which support service improvements.
in July 2025 NHS Digital published data on the mortality and life expectancy of people with a learning disability and autism which showed that people with a learning disability have a life expectancy at birth of 59.5 years old, compared to the general population life expectancy at birth of 81.4 years old, a difference of 21.9 years. These figures are based on data from April 2022 to March 2023, with further information avaiable at the following link:
Significant action is underway to improve access to and the quality of care for people with a learning disability, and to achieve the critical prevention shift set out in our 10-Year Health Plan. This includes mandatory training for health and social care staff, improving identification on the general practice learning disability register and uptake of annual health checks, and rolling out a Reasonable Adjustment Digital Flag to ensure that care is tailored appropriately. The national Core20Plus5 approach also guides action to tackle health inequalities at a system level, and NHS England expects learning disability to be identified as a priority cohort at a local level.
Furthermore, each integrated care board (ICB) must have an executive lead for learning disability and autism who will support the board in addressing health inequalities, support access to care across all health services, and improve overall health outcomes. Each ICB must also consider and demonstrate how they will reduce inequalities for people with a learning disability within their five‑year strategic plans under the Medium-Term Planning Framework. The Medium-Term Planning Framework is available at the following link: