Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 27 January 2025 to Question 23852 on Surgery: Reform, which straight-to-test pathways are being considered for Community Diagnostic Centres.

The Elective Reform Plan, published in January 2025, announced that integrated care boards (ICBs) will make optimal use of the new diagnostic capacity by implementing the new standards for Community Diagnostic Centres (CDCs), in particular, increasing direct referrals and rolling out at least 10 straight-to-test pathways by March 2026.

To date, NHS England has agreed three national CDC diagnostic pathways which ICBs will be expected to implement by March 2026. These are: breathlessness; children and young people’s asthma; and unscheduled bleeding on hormone replacement therapy. NHS England is working with clinicians to best determine other priority pathways in CDCs, where clinically appropriate. Implementation of these pathways will be determined by population need, and where there is a clear opportunity for improving timescales and journeys to diagnosis. As well as these three priority CDC pathways, a number of other pathway developments are underway in CDCs across the country, including: lower gastrointestinal; liver; lung; head and neck; and adult hearing loss.

The Elective Reform Plan also set out clear expectations for significant elective care reform to be delivered in at least five specialties: ear nose and throat; gastroenterology; respiratory; and urology and cardiology. Clinical pathway optimisation work, including in CDCs, will centre around these.