Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of Agenda for Change mileage reimbursement rates, including the change to the rate for travelling over 3,500 miles annually, on the (a) recruitment and (b) retention of community-based NHS staff.

This specific assessment has not been made. As set out in the NHS Terms and Conditions of Service Handbook, which is maintained by the NHS Staff Council, mileage reimbursement rates are reviewed twice a year in April and November.

The outcome of the November 2025 review resulted in reimbursement rates reducing due to sustained decreases in fuel prices for the 12-month period ending in October 2025. Reimbursement rates dropped to 56 pence per mile for the first 3,500 miles claimed before dropping to 21 pence per mile thereafter. The revised rates apply to mileage incurred from 1 January 2026 onwards.

These changes apply to all staff directly employed in England under Agenda for Change terms and conditions and Resident Doctors. There are no specific rates for community staff.