Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether his Department has assessed the adequacy of the current model of care for people with Parkinson’s disease, including which services may be appropriately delivered outside specialist centres.

We want people with Parkinson’s to receive high‑quality care as close to home as possible, and many aspects of Parkinson’s care, such as medication management, routine monitoring, rehabilitation therapies, and community nursing, can be delivered outside specialist settings, provided that strong local pathways and sufficient specialist workforce support are in place.

It is the responsibility of integrated care boards (ICBs) in England to make appropriate provision to meet the health and care needs of their local population, including services for people with Parkinson’s disease.

ICBs have access to a range of resources that support the delivery of Parkinson’s services closer to home. NHS England’s updated adult specialised neurology service specification sets clear, standardised expectations for integrated, community‑linked neurology pathways, helping ICBs design services that provide timely, coordinated care outside hospital settings.

Guidance on Parkinson’s disease in adults, reference code NG71, published by the National Institute for Health and Care Excellence (NICE), offers evidence‑based recommendations on diagnosis, treatment, and medicine optimisation, ensuring that local services deliver consistent, high‑quality Parkinson’s care.

In addition, NHS England’s RightCare Progressive Neurological Conditions Toolkit provides practical, data‑driven tools to help systems reduce variation, improve multidisciplinary working, and strengthen community‑based support. Together, these resources give ICBs a robust framework to develop accessible, well‑coordinated Parkinson’s services that better meet patient needs in community settings.