Asked by: Zöe Franklin (Liberal Democrat - Guildford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to ensure that (a) NHS Surrey Heartlands Integrated Care Board and (b) other integrated care boards provide (i) adequate funding and (ii) clear guidance to general practitioners to support the implementation of shared care agreements for patients requiring ongoing medication.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Shared care arrangements between a general practitioner (GP) and a specialist are voluntary and are not part of the GP Contract. GPs do not receive additional funding for participating in shared care arrangements and may decline on clinical or capacity grounds.
Guidance issued by the General Medical Council supports GPs in deciding whether to accept shared care responsibilities, ensuring that any prescriptions or referrals are clinically appropriate. Where a GP does not enter into a shared care arrangement, responsibility for ongoing treatment, including prescribing, remains with the specialist clinician.
Integrated care boards (ICBs), including the NHS Surrey Heartlands ICB, are responsible for arranging health services in line with local population needs and relevant guidance. ICBs follow NHS England’s guidance on shared care protocols, including the Responsibility for Prescribing Between Primary and Secondary/Tertiary Care framework. Within the NHS Surrey Heartlands ICB this framework is overseen by the Surrey Heartlands Medicines Optimisation Group. Implementation may vary between GPs due to factors such as clinical capacity, digital infrastructure, and local agreements. Regarding funding, the ICB’s approach is consistent with national policy expectations that integrated care systems should ensure equitable access to medicines and safe, sustainable shared care arrangements.
Whilst a specific assessment has not been undertaken, to support consistency of access, the Department’s Fit for the Future: 10-Year Health Plan for England, published on 3 July 2025, sets out plans for a Single National Formulary (SNF) for medicines. The SNF will replace the current system of local formularies, with a national oversight board sequencing products based on clinical and cost-effectiveness, supported by the National Institute for Health and Care Excellence. This approach is intended to drive rapid and equitable adoption of the most clinically and cost-effective medicines across England.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the extent of regional variations in access to (a) shared care agreements and (b) prescribed treatments; and what steps he is taking to help ensure consistency of access to these in all integrated care boards.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Shared care arrangements between a general practitioner (GP) and a specialist are voluntary and are not part of the GP Contract. GPs do not receive additional funding for participating in shared care arrangements and may decline on clinical or capacity grounds.
Guidance issued by the General Medical Council supports GPs in deciding whether to accept shared care responsibilities, ensuring that any prescriptions or referrals are clinically appropriate. Where a GP does not enter into a shared care arrangement, responsibility for ongoing treatment, including prescribing, remains with the specialist clinician.
Integrated care boards (ICBs), including the NHS Surrey Heartlands ICB, are responsible for arranging health services in line with local population needs and relevant guidance. ICBs follow NHS England’s guidance on shared care protocols, including the Responsibility for Prescribing Between Primary and Secondary/Tertiary Care framework. Within the NHS Surrey Heartlands ICB this framework is overseen by the Surrey Heartlands Medicines Optimisation Group. Implementation may vary between GPs due to factors such as clinical capacity, digital infrastructure, and local agreements. Regarding funding, the ICB’s approach is consistent with national policy expectations that integrated care systems should ensure equitable access to medicines and safe, sustainable shared care arrangements.
Whilst a specific assessment has not been undertaken, to support consistency of access, the Department’s Fit for the Future: 10-Year Health Plan for England, published on 3 July 2025, sets out plans for a Single National Formulary (SNF) for medicines. The SNF will replace the current system of local formularies, with a national oversight board sequencing products based on clinical and cost-effectiveness, supported by the National Institute for Health and Care Excellence. This approach is intended to drive rapid and equitable adoption of the most clinically and cost-effective medicines across England.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what support is available to children in voluntary foster care who have (a) drug dependency and (b) mental health needs; and whether he has made an assessment of access to (i) therapy and (ii) treatment for such children.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department for Education’s National Minimum Standards for fostering makes it clear that local authorities should ensure that children in their care should have prompt access to doctors and other health professionals, including specialist services such as those supporting mental health and drug dependency, when they need these services. Further information on the National Minimum Standards for fostering is available at the following link:
https://www.gov.uk/government/publications/fostering-services-national-minimum-standards
Local authority commissioned community drug and alcohol treatment is free and accessible to all those who need it, including children and young people in voluntary foster care. Funding for alcohol and drug treatment and recovery services is provided through the Public Health Grant (PHG). In addition to the PHG, in 2025/26, the Department of Health and Social Care is providing a total of £310 million in additional targeted grants to improve drug and alcohol treatment services and recovery support to ensure that those in need can access high quality help and support. This includes children and young people with, or at risk of developing, drug and/or alcohol problems. As a result of recent increases in funding, as of August 2025, there were 4,374 more children and young people in drug and alcohol treatment. In 2024, 10% of under 18 year olds in drug and alcohol treatment were in care.
For children and young people in distress or struggling with their mental health, including those in voluntary foster care, fast access to early, high-quality support is critical. That is why the 10-Year Health Plan sets out how we will work with schools and colleges to better identify and meet children's mental health needs by expanding mental health support teams in schools and colleges in England, to reach full national coverage by 2029. This will build on the work that has already begun, including providing mental health support for almost one million more young people in schools this year and investing an extra £688 million in Government funding to transform mental health services, hire more staff, and deliver more early interventions.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he plans to include (a) national commissioning standards for adult social care, (b) assurance and (c) oversight of adult social care commissioning in the National Care Service.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We have launched an independent commission into adult social care, chaired by Baroness Louise Casey. The commission will build a national consensus to create a National Care Service that is productive, preventative, and that gives people who draw on care, and their families and carers, more power in the system.
The commission's Terms of Reference are sufficiently broad enough to enable Baroness Casey to define its remit to independently consider how to build a social care system fit for the future, including the approach to commissioning, assurance, and oversight.
In the interim, we are making tangible improvements to lay the foundations for a National Care Service that will enable more people to live independently and make social care more productive. This includes driving ‘home first’ as the default option for receiving care. We have introduced a new Better Care Fund framework, for example, setting out that the National Health Service and local authorities should work together to set and meet goals, and we are backing care technologies by making it easier for everyone to identify and buy trusted solutions that help people live independently.
The Care Quality Commission (CQC) has powers under the Health and Care Act 2022 to assess how well local authorities in England are performing against their duties under Part 1 of the Care Act 2014, including their duties relating to market shaping and commissioning. Formal assessments commenced in December 2023, and as of June 2025, the CQC has published over 40 local authority assessments. You can view their assessment of individual local authorities via published reports on the CQC’s website.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, when he plans to begin consulting with adult social care providers on proposals for a Fair Pay Agreement.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
In England, we are committed to consulting on the design of the Fair Pay Agreement process, and we aim to begin a public consultation after the Employment Rights Bill receives Royal Assent later this year. We expect the consultation to run for 12 weeks, and we will work with partners to reach as much of the sector as possible.
We have already begun engaging with sector representatives in England through the Department’s Fair Pay Agreement Working Group and policy specific task and finish groups, which will help to inform policy options for a public consultation on the design of the Fair Pay Agreement process.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the potential impact of changes to the employers' National Insurance Contributions on providers of adult social care.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department routinely conducts assessments of cost pressures for local authority funded adult social care, which include the costs associated with changes to employers’ National Insurance contributions.
To enable local authorities to deliver key services such as adult social care, the Government has made available up to £3.7 billion of additional funding for social care authorities in 2025/26. There is also an extra £502 million of support for local authorities in England to manage the impact of changes to employer National Insurance contributions, as announced at the Autumn Budget.
In addition, the Spending Review allows for an increase of over £4 billion of funding available for adult social care in 2028/29 compared to 2025/26.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that babies and young children are included in the 10-Year Health Plan.
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.
The 10-Year Health Plan to reform the National Health Service will make it fit for the future. This includes policies that will impact on babies, and young children. The plan will draw directly from the extensive engagement we have undertaken with the public, patients, and staff, including organisations who represent babies and young children as well as children themselves.
We are in the final stages of developing the plan and will publish it shortly.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure there is a clear referral pathway for (a) autism and (b) ADHD assessments for children around the age of five.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
It is the responsibility of integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including autism and attention deficit hyperactivity disorder (ADHD) assessment services and referral pathways, in line with relevant National Institute for Health and Care Excellence (NICE) guidelines.
On 5 April 2023, NHS England published a national framework and operational guidance to help ICBs and the National Health Service to deliver improved outcomes for children, young people, and adults referred to an autism assessment service. This includes guidance on identification and referral for autism assessments. Since publication, NHS England has been supporting systems and services to use this guidance to support the delivery of autism assessment pathways.
In respect of ADHD, NHS England has established an ADHD taskforce which is working to bring together those with lived experience with experts from the NHS, education, charity, and justice sectors. The taskforce is working to get a better understanding of the challenges affecting those with ADHD, including timely and equitable access to services and support, and to make recommendations for improvement. The interim report was published on 20 June 2025, with the final report expected in the summer.
If an individual suspects their child is autistic or has ADHD, they should speak to a general practitioner (GP) or a health visitor, for children under five years old, and after the appointment the GP may decide to refer them for an assessment. Further information can be found on the NHS website.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to increase the availability of specialist dental provision for patients with autism.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Community Dental Services (CDS) provide specialised dental services to people with additional needs, such as people with autism, and are available in a variety of places to ensure everyone can access National Health Service dental care. These include hospitals, centres providing specialist services and mobile clinics, as well as home visits or visits in nursing and care homes.
The Getting it Right First Time report published by NHS England in January 2025, sets out recommendations to improve CDS for children and adults. In response, we are improving data reporting to increase oversight of CDS activity, and integrated care boards will consider the recommendations as part of their responsibility for commissioning CDS for their local areas. The report is available from the following link:
Under the Health and Care Act 2022, providers registered with the Care Quality Commission must ensure their staff receive specific training on learning disability and autism appropriate to their role. This will help to ensure that staff have the right knowledge and skills to provide safe and informed care for these people.
Asked by: Zöe Franklin (Liberal Democrat - Guildford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what priority is being given to cases of suicide by sodium nitrate poisoning within the Government’s ongoing implementation of the suicide prevention strategy.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Every suicide is a tragedy that has a devastating and enduring impact on families, friends and communities. The suicide prevention strategy for England sets out priority areas and key actions to address the risk factors contributing to suicide. Tackling methods of suicides is one of these priority areas.
The Government continues to take steps to reduce access to, and awareness of, this substance. The Department of Health and Social Care leads a Concerning Methods Working Group which develops and delivers rapid targeted actions to collectively reduce public access to emerging methods of suicide, including this substance. The group involves representatives from the voluntary, community and social enterprise sector, police, academics and the National Health Service, as well as Government departments including Department of Science, Innovation and Technology and the Home Office. This substance has been a particular focus of the actions implemented since the group was established and continues to be a priority of the Government’s approach to preventing suicides.
The group has worked with retailers and manufacturers to prevent this substance being sold for the purpose of suicide and the Home Office works with retailers to raise awareness and to remind them of their obligation to report suspicious activity relating to this action.
We continue to work operationally with a range of organisations, and we are actively considering further opportunities alongside the NHS, Border Force, police, charities and a range of Government departments.