Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of the impact of sickle cell emergency bypass units in England.

Working under the UK Rare Diseases Framework, the Government is committed to improving the lives of those living with rare diseases, such as sickle cell disease. In 2024, NHS England commenced the roll out of seven Emergency Department Bypass Accelerator sites across England to provide services to persons requiring emergency care for uncomplicated vaso-occlusion crises. An evaluation of the effectiveness of the bypass units is currently being carried out by the National Institute for Health and Care Research (NIHR). The purpose of the evaluation is to provide an evidence-based report on the impact of the bypass units.

Preliminary findings from the NIHR evaluation were shared with NHS England in September 2025. The findings, which were based on qualitative feedback from patients and staff, highlighted that overall patient care and experience have improved since the launch of the bypass units compared to other hospital settings, with patients particularly benefiting from 24/7 access to dedicated triage lines and valuing the privacy and comfort of dedicated units. The next phase of the evaluation will review quantitative data and metrics, including patient time to receiving analgesia, length of hospital stays, and rates of readmissions. The final report is expected in 2026.