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 7 March 2025 to Question 32628 on Parkinson's Disease: Medical Treatments, what steps he is taking to improve access to treatment for people with (a) advanced and (b) complex Parkinson's.

We have delivered an additional two million appointments in England, seven months ahead of schedule. This includes operations, consultations, diagnostic tests, and treatments. These additional appointments have taken place across a number of specialities, including neurology.

Once diagnosed, and with a management strategy in place, the majority of people with Parkinson’s disease 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 neurology centres across England. One of these neurological centres is based at the Salford Royal NHS Foundation Trust in Greater Manchester.

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.

The service specification for neurology, which is in the process of being updated and published later this year, sets out the requirements for specialised neurology services, as well as the expectations of non-specialised neurology services, to support a system-wide approach.

Service specifications must be included in all future provider contracts for specialised services. This is agreed in jointly signed delegation agreements between integrated care boards (ICBs) and NHS England regional teams. ICBs are responsible for monitoring provider compliance with service specifications and may periodically carry out more detailed compliance exercises with providers, as a means of ensuring and improving the quality of care.