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 capacity of secondary care to support primary care with essential respiratory diagnostics.

Following a significant drop in the volume of spirometry during the pandemic, NHS England has already worked with a range of partners, including Asthma and Lung UK, the British Thoracic Society, the Association of Respiratory Technology and Physiology, and clinical leads to develop a package for systems containing the information and support required to help increase the number of people receiving early and accurate diagnosis for respiratory disease.

NHS England’s priorities and operational planning guidance for 2024/25 also highlights the importance of timely access to diagnostics, including spirometry, asking systems to utilise new diagnostic capacity in the community to commission these tests. Additional funding has been made available to systems in 2021/22, 2022/23, and 2023/24 for the training and accreditation of staff in the provision and interpretation of quality assured spirometry, a key component of an early and accurate diagnosis. In 2023/24 and 2024/25, the national team is financially supporting systems to take innovative approaches to expanding access to their diagnostic services, focusing particularly on addressing health inequalities.