Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to help reduce the waiting list for people seeking treatment to relieve the symptoms of Parkinson's disease.

We recognise that patients have been let down whilst they wait for the care they need, including within neurology services. The NHS Constitution sets out that 92% of patients should wait no longer than 18 weeks from referral to treatment. We will deliver an extra 40,000 operations, scans, and appointments per week, as a first step in our commitment to ensuring patients can expect to be treated within 18 weeks.

At the national level, there are a number of initiatives supporting service improvement and better care for patients with Parkinson’s disease, including the Getting It Right First Time Programme for Neurology and the RightCare Progressive Neurological Conditions Toolkit. These initiatives aim to reduce variation and deliver care more equitably across the country.

The National Institute for Health and Care Excellence (NICE) guidance, Parkinson’s disease: Diagnosis and management in primary and secondary care, updated in 2017, sets out best practice for clinicians in the identification and treatment of Parkinson’s, in line with the latest available evidence. The guidance states that if Parkinson's is suspected, people should be referred quickly to a specialist with expertise in the differential diagnosis of this condition.

We expect integrated care boards (ICBs) and National Health Service trusts to have due regard to relevant NICE guidelines. It is the responsibility of ICBs to make available appropriate provision to meet the health and care needs of their local population, in line with these NICE guidelines.

Once diagnosed, and with a management strategy in place, most people with Parkinson’s can be cared for through routine access to primary and secondary care. NHS England commissions the specialised elements of Parkinson’s care that patients may receive from 27 specialised neurological treatment centres across England. Within specialised centres, neurological multidisciplinary teams ensure patients can access a range of health professionals, including Parkinson’s disease nurses, psychologists, and allied health professionals such as dieticians and speech and language therapists, and that they can receive specialised treatment and support, according to their needs.