Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking to (a) increase the capacity of interstitial lung disease services and (b) reduce the time between diagnosis and access to treatment for that disease.

The Government is committed to improving the detection and diagnosis of all respiratory conditions. Community diagnostic centres (CDCs) are the primary intervention being pursued to increase diagnostic capacity quickly in the National Health Service. As of January 2024, 153 CDC sites are operational, and the programme has delivered over 5 million tests since July 2021.

Furthermore, the NHS Long Term Workforce Plan sets out the steps the NHS and its partners need to take to deliver an NHS workforce that meets the changing needs of the population over the next 15 years. It will put the workforce on a sustainable footing for the long term. As of September 2023, there are currently over 3,400 full-time equivalent (FTE) doctors working in the specialty of respiratory medicine in NHS trusts and other core organisations in England. This is over 690, or 25.5%, more than in 2019 and over 1,600, or 95.7%, more than in 2010. This includes almost 1,400 FTE consultants, which is over 260, or 23.2%, more than in 2019 and over 730, or 111.7%, more than in 2010.

On the delegation of specialised commissioning, NHS England approved plans in December to fully delegate the commissioning of 59 specialised services to integrated care boards (ICBs) in the East, Midlands and the North West regions of England from April 2024. NHS England has also approved plans to continue to jointly commission appropriate specialised services with ICBs in the South West, South East, London and the North East, and Yorkshire regions of England for a further year. This approach will help support a smooth transition of commissioning responsibility by April 2025. Moving to ICB-led commissioning will support a new focus on integration and population health management across whole pathways of care. This presents the opportunity to improve the quality of services, tackle health inequalities and deliver best value. Overall, the delivery of the Government’s plans on diagnostic centres, workforce, and the delegation of commissioning will help improve patient outcomes for respiratory diseases.