Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what has his department identified as the drivers of the recent trend in specialised commissioning high cost devices as noted in the NHS England Financial performance update of 22 September 2025.

The most significant driver of the growth in the expenditure noted in the financial update is an increased volume in clinical activity and the use of implantable devices to treat patients. This has been driven by the overall growth in elective activity as part of the elective care recovery programme.