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Written Question
NHS: Redundancy
Friday 4th July 2025

Asked by: Warinder Juss (Labour - Wolverhampton West)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how the cost of redundancies during the NHS restructure will be met.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

Following the Prime Minister’s announcement of the abolition of NHS England, we are clear on the need for a smaller centre, as well as scaling back integrated care board running costs and National Health Service provider corporate costs reductions in order to reduce waste and bureaucracy. Good progress is being made with the Department and NHS England having announced voluntary exit or redundancy schemes.

Provision for redundancy costs will be considered alongside the multi-year planning round.


Written Question
Attention Deficit Hyperactivity Disorder: Diagnosis
Tuesday 10th June 2025

Asked by: Warinder Juss (Labour - Wolverhampton West)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will take steps to include the voices of patients in the ongoing NHS England consultation on ADHD assessments; and if he will ensure all patients have the Right to Choose.

Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)

Earlier in 2025, NHS England ran a consultation on the 2025/26 NHS Payment Scheme. This consultation was not specific to attention deficit hyperactivity disorder (ADHD) assessment services, but some concerns were raised about a perceived potential impact on ADHD services, particularly in respect of the impact on the right to choose. No changes to the legal right to choose were proposed as part of this. Following consultation, the original proposals have not been implemented.

NHS England has established an ADHD taskforce which is bringing together those with lived experience with experts from the National Health Service, education, charity, and justice sectors, to get a better understanding of the challenges affecting those with ADHD, including timely and equitable access to services and support, with the report expected in summer 2025.

The Government is also committed to patients’ legal right to choose their provider when referred to consultant-led treatment, or to a mental health professional, for their first appointment as an outpatient. This commitment is reflected in the NHS Constitution for England and the NHS Standing Rules, and is explained in the NHS Choice Framework. In addition to this, NHS England has regulatory oversight responsibilities to ensure patient choice operates effectively in the NHS.


Written Question
Health Services: Standards
Monday 9th June 2025

Asked by: Warinder Juss (Labour - Wolverhampton West)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential short term impact of (a) restructures of Integrated Care Systems and (b) abolition of NHS England on the ability of the NHS to deliver services.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

NHS England has asked integrated care boards (ICBs) to act primarily as strategic commissioners of health and care services and to reduce the duplication of responsibilities within their structure, with the expectation of achieving a reduction in their running cost allowance. NHS England provided additional guidance to ICBs, National Health Service trusts, and NHS foundation trusts in a letter on 1 April 2025. This letter is available at the following link:

https://www.england.nhs.uk/long-read/working-together-in-2025-26-to-lay-the-foundations-for-reform/

Along with the reform of NHS England’s responsibilities, these changes will form part of a package of measures, including the forthcoming 10-Year Health Plan, that positively impact on patient care and safety by driving quality of care, productivity, and innovation in the NHS. ICBs will continue to deliver their statutory responsibilities and NHS England’s transformation team will continue to work with ICBs to develop their plans and ensure the implementation of changes whilst maintaining a focus on delivering NHS statutory functions.