Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps her Department is taking to improve NHS care for people with migraines; and if she will make an assessment of the potential merits of (a) increasing the availability of headache specialists in the NHS, (b) improving the provision of (i) training and resources for GPs and (ii) guidance for other health professionals on migraines and (c) increasing the role of pharmacies for providing primary care for people with migraines.

To ensure that there are sufficient staffing levels right across the National Health Service, NHS England published the NHS Long Term Workforce Plan (LTWP) in June 2023. The LTWP sets out the steps the NHS and its partners need to take to deliver an NHS workforce that meets the changing needs of the population over the next 15 years. It will put the workforce on a sustainable footing for the long term. The LTWP is a high-level plan to support the NHS workforce as a whole and is designed to identify the right supply of staff across all clinical pathways and specialisms rather than workforce plans for specific services.

General practitioners are responsible for ensuring that their own clinical knowledge remains up-to-date, and for identifying learning needs as part of their continuing professional development. This activity should include taking account of new research and developments in guidance, such as that produced by the National Institute for Health and Care Excellence, to ensure that they have the knowledge and skills relevant to their role as generalist community-based doctors. This includes understanding how to recognise migraine and headache disorders and instigate appropriate treatment.

Individual employers are responsible for investing in post-registration training, ensuring that staff are trained and competent to carry out their role and are adequately supported throughout their training. All training undertaken by post-registration qualified staff should be in line with national and local guidelines covering the training being undertaken.

In England, all community pharmacies delivering NHS services must provide support for self-care, for example giving people advice and support, and where appropriate, the sale of appropriate over the counter (OTC) medicines. Advice and OTC migraine treatments are part of a well-established pathway in this context, and pharmacy teams are able to advise patients of their options.

It is the responsibility of integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population. The RightCare Headache and Migraines Toolkit should be used by ICBs to ensure that people suffering from migraines are supported effectively. The toolkit sets out the key priorities for improvement, including correct identification and diagnosis of headache disorders, and long-term management of patients in primary or community care. The toolkit also provides an opportunity for commissioners to self-assess and benchmark current systems’ service delivery and to explore opportunities for improvement.

The toolkit is available at the following link:

https://www.england.nhs.uk/rightcare/products/pathways/headache-and-migraine-toolkit/