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 (a) public health services and (b) adult social care on demand for (i) primary and (ii) acute NHS services.

42 integrated care boards (ICBs) across England are responsible for meeting the healthcare needs and demands of their respective populations. There is evidence that public health and adult social care interventions of different kinds can be effective, and cost-effective, in preventing or delaying the onset of ill health, which in turn supports better use of health and care resources. A shift from treatment to prevention and from acute hospital services to community are part of the three strategic shifts underpinning our 10-Year Health Plan.

We also recognise the need to alleviate pressures through increasing supply and reducing demand. We will make sure the future of general practice is sustainable by training more general practitioners, guaranteeing a face-to-face appointment for all those who want one and delivering a modern booking system. For example, in the NHS Derby and Derbyshire ICB, 539,000 general practice appointments were delivered in December 2024, up from 510,000 in December 2023. Additionally, in early 2025, the Government will publish a plan setting out how urgent and emergency care services across England will be supported to deliver improvements.

Furthermore, for 2025/26, approximately £9 billion will be committed to the Better Care Fund (BCF), a framework for ICBs and local authorities to make joint plans and pool budgets for the purposes of delivering better joined-up care. This includes around £3.3 billion provided to local authorities and £5.6 billion to ICBs.

Its main objectives are to support:

- the shift from sickness to prevention;

- people living independently; and

- the shift from hospital to home.

These objectives should reduce demand on services, and the recently revised BCF framework, published on 30 January 2025, sets out the actions that local authorities and ICBs should take to achieve these objectives, including improving discharge, preventing avoidable admissions, reducing the pressure on social care, intermediate care, unpaid carers and housing.