Asked by: Liz Jarvis (Liberal Democrat - Eastleigh)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what his expected timetable is for the implementation of measures to expand access to talking therapies, assertive outreach, and digital access to mental health support through the NHS App under the 10-Year Health Plan.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
To deliver the shift from analogue to digital that is set out in the 10-Year Health Plan, we will create a digital front door for mental health care through the NHS App to boost access to early support and to empower people to take steps to manage their symptoms.
This has already started, with mental health appointment management now available in eight National Health Service trusts, with a further 18 trusts now funded to come online soon. Underserved groups will be able to find and access Talking Therapies through targeted messaging from next year as well.
We have also been making improvements to the self-referral pathways between NHS 111 online and NHS Talking Therapies, meaning that the 20,000 people with mental health queries who go to NHS 111 online are now better served. This is in addition to supporting people in crisis through the 111 online symptom checker that advises on what to do next.
We are also planning to move all direct-to-patient communication services to NHS Notify and use NHS App-based ‘push’ notifications as the preferred method of contact so that patients can access referral and appointment details, and share and update information with ease.
More widely, we support the adoption of digital technology across the NHS Talking Therapies pathway. NHS England and the National Institute for Health and Care Excellence (NICE) provide assurance around Digitally Enabled Therapies with a strong evidence base, and 7% of NHS Talking Therapies treatments are delivered via these tools. More recently, NICE has provided assurance around Digital Front Doors into NHS Talking Therapies services and we are seeing rapid adoption of these tools, which use artificial intelligence and can improve the quality and accuracy of the assessment.
The NHS 10-Year Health Plan committed to improving assertive outreach care and treatment to ensure 100% national coverage in the next decade. Following the 2025/26 Planning Guidance, systems have reviewed their provision and developed local action plans to strengthen care and treatment. This has been supported by national guidance on intensive and assertive community mental health treatment which helps local areas assess and enhance their services. Recognising all the hard work and improvements systems have already made, we will continue working with regions and integrated care boards to ensure this remains a local priority.
Asked by: Bradley Thomas (Conservative - Bromsgrove)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made potential impact of the number of ICU beds on trends in the level of cancellations of scheduled and vital surgeries; and what steps he is taking to help ensure that surgeries that have been rescheduled for this reason are not cancelled.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
No specific assessment has been made on the specific impact of intensive care unit (ICU) bed unavailability on levels of cancelled surgeries. However, tackling waiting lists is a top priority for the Government, and this includes ensuring that patients requiring inpatient treatment will have access to high quality post-operative care.
Between July and September 2025, 0.91% of elective admissions were cancelled last minute by the provider for non-clinical reasons, with 20,189 last minute cancellations, an improvement of 0.06% from the same period the previous year when 0.97% of elective admissions were cancelled last minute, with 21,249 last minute cancellations.
The Department does not hold data broken down by the reason for cancellation, but the rescheduling rate has also improved. If an NHS hospital cancels a patient's operation for non-clinical reasons on the day of admission or day of surgery, the NHS Constitution states it must be rescheduled within 28 days. Between July and September 2025, 21.2% of cancelled elective operations which were not treated within 28 days, so, whilst there is still work to do, this is an improvement from 22.7% in the previous year.
This winter, local systems have been asked to place a particular focus on reducing bed occupancy and improving patient flow. More broadly for 2025/26, we have asked NHS trusts to focus on eliminating discharge delays of more than 48 hours caused by issues within the hospital, and to work with local authorities to eliminate the longest delays, starting with those of over 21 days. This will mitigate against the risk of cancelled or rescheduled operations due to intensive care bed unavailability. Our Elective Reform Plan, published in January 2025, also set out actions to enhance perioperative care, which can shorten patients’ length of hospital stay and minimise postoperative complications, freeing up hospital beds for those who need them.
Wider elective care reforms will also help make the best use of clinical capacity, so that if a patient’s surgery is cancelled on the day due to ICU bed unavailability, they can be offered a new date for their procedure without delay. This includes new and expanded dedicated surgical hubs to deliver common procedures, thereby freeing up capacity for more complex patients, tackle missed appointments, introduce more straight-to-test pathways, and reduce unnecessary follow up appointments through widening remote monitoring and patient-initiated follow-ups.
Asked by: Wendy Morton (Conservative - Aldridge-Brownhills)
Question to the Department for Education:
To ask the Secretary of State for Education, what steps she is taking to support local authorities to reduce SEND assessment backlogs.
Answered by Georgia Gould - Minister of State (Education)
The department publishes annual SEN2 data on education, health and care (EHC) plan assessments, including timeliness of assessment. These data underpin our monitoring of local authority performance, support targeted intervention, and strengthen transparency across the system. SEN2 returns inform regular engagement and monitoring meetings with local areas and help us identify where additional support or challenge may be required.
Through our special educational needs and disabilities (SEND) improvement and intervention programmes, we focus on areas showing signs of decline to help strengthen services. When inspections, other local intelligence or monitoring highlight concerns, including failures to meet statutory duties on EHC plan timeliness, we provide a range of universal, targeted and intensive support. This includes peer‑to‑peer support from sector-led improvement partners.
Local authorities struggling to meet the 20‑week timeframe receive enhanced monitoring, and specialist SEND Advisers are deployed where further diagnostic support is needed.
Asked by: Mary Glindon (Labour - Newcastle upon Tyne East and Wallsend)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of the abolition of NHS England on the commissioning, oversight and consistency of access to weight management services across England.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Health Service and local government provide a range of weight management services. This includes behaviour change support such as the NHS Digital Weight Management Programme, intensive treatments like very low-calorie diets, pharmaceutical treatments, and bariatric surgery. NHS integrated care boards (ICBs) are responsible for arranging the provision of health services, such as specialist weight management services, within their area, in line with local population need, and taking account of relevant guidance.
NHS England will continue to carry out its existing responsibilities and statutory functions during the transition period following the Government’s decision to abolish the organisation. This includes commissioning the NHS Digital Weight Management Programme, oversight of NHS weight management services, and providing guidance, clinical leadership, and performance oversight of ICBs, while the Government brings forward legislation to amend the Department’s responsibilities.
Work is progressing at pace to develop the design and operating model for the new integrated organisation, and to plan for the smooth transfer of people, functions, and responsibilities. It is only right that with such significant reform, we commit to carefully assessing and understanding the potential impacts, as is due process. These ongoing assessments will inform our programme as appropriate.
Until the transfer of its functions, NHS England will continue to work with ICBs and providers to support the continuity of multidisciplinary provision and workforce capacity, and access to services across England.
Asked by: Mary Glindon (Labour - Newcastle upon Tyne East and Wallsend)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, where responsibility for national leadership and accountability for obesity and weight management services will sit following the abolition of NHS England; and what steps he is taking to prevent regional variation in access to those services.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Health Service and local government provide a range of weight management services. This includes behaviour change support such as the NHS Digital Weight Management Programme, intensive treatments like very low-calorie diets, pharmaceutical treatments, and bariatric surgery. NHS integrated care boards (ICBs) are responsible for arranging the provision of health services, such as specialist weight management services, within their area, in line with local population need, and taking account of relevant guidance.
NHS England will continue to carry out its existing responsibilities and statutory functions during the transition period following the Government’s decision to abolish the organisation. This includes commissioning the NHS Digital Weight Management Programme, oversight of NHS weight management services, and providing guidance, clinical leadership, and performance oversight of ICBs, while the Government brings forward legislation to amend the Department’s responsibilities.
Work is progressing at pace to develop the design and operating model for the new integrated organisation, and to plan for the smooth transfer of people, functions, and responsibilities. It is only right that with such significant reform, we commit to carefully assessing and understanding the potential impacts, as is due process. These ongoing assessments will inform our programme as appropriate.
Until the transfer of its functions, NHS England will continue to work with ICBs and providers to support the continuity of multidisciplinary provision and workforce capacity, and access to services across England.
Asked by: Mary Glindon (Labour - Newcastle upon Tyne East and Wallsend)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what plans his Department has to ensure continuity of specialist weight management services, including workforce capacity and multidisciplinary provision, during the transition following the abolition of NHS England.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Health Service and local government provide a range of weight management services. This includes behaviour change support such as the NHS Digital Weight Management Programme, intensive treatments like very low-calorie diets, pharmaceutical treatments, and bariatric surgery. NHS integrated care boards (ICBs) are responsible for arranging the provision of health services, such as specialist weight management services, within their area, in line with local population need, and taking account of relevant guidance.
NHS England will continue to carry out its existing responsibilities and statutory functions during the transition period following the Government’s decision to abolish the organisation. This includes commissioning the NHS Digital Weight Management Programme, oversight of NHS weight management services, and providing guidance, clinical leadership, and performance oversight of ICBs, while the Government brings forward legislation to amend the Department’s responsibilities.
Work is progressing at pace to develop the design and operating model for the new integrated organisation, and to plan for the smooth transfer of people, functions, and responsibilities. It is only right that with such significant reform, we commit to carefully assessing and understanding the potential impacts, as is due process. These ongoing assessments will inform our programme as appropriate.
Until the transfer of its functions, NHS England will continue to work with ICBs and providers to support the continuity of multidisciplinary provision and workforce capacity, and access to services across England.
Asked by: Mohammad Yasin (Labour - Bedford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department recognises problem debt as a public health issue; and what support the NHS and social care services provide to people with problem debt.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Research shows that there is a link between health and financial health with a large amount of people who experience mental health problems also struggling with their finances.
NHS Talking Therapies has recently collaborated with the Money and Pensions Service to promote the Money Guiders programme that helps equip mental health practitioners to have money conversations with their patients. In addition, each NHS Talking Therapies service has embedded employment advisors who provide a non-clinical support service to help patients using Talking Therapies to address work-related issues, offering practical support and solutions for any work barriers which can include unemployment and returning to work.
The Individual Placement and Support is a well‑evidenced, National Institute for Health and Care Excellence‑approved employment programme, funded by NHS England, that offers intensive, individually tailored support to get people into work, with ongoing support for the employer and employee to help ensure the person keeps their job.
Individuals may also be able to access the Breathing Space Scheme, which was set up to encourage more people in problem debt to access professional debt advice. A standard breathing space provides a 60-day period of protection by pausing creditor enforcement action and most interest, fees, and charges. Given the link between problem debt and mental health difficulties, the Mental Health Crisis Breathing Space was also established for individuals who are receiving mental health crisis treatment.
Where debt is the result of gambling addiction, individuals can access their local National Health Service gambling service via self- or professional referral.
Asked by: James McMurdock (Independent - South Basildon and East Thurrock)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent steps his Department have taken to ensure that renal treatment service providers (a) train, support and supervise all staff to identify patients’ psychosocial needs, (b) work in psychologically‑informed ways, and (c) provide low‑level support with rapid onward referral where more intensive intervention is required.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government has already taken significant steps to stabilise and improve mental health services within the National Health Service but there is much more to do. NHS Talking Therapies - Long Term Conditions services have been established across the country to support integrated pathways between Talking Therapies services and physical health pathways for people with long term conditions, including kidney disease.
As part of the 10-Year Health Plan, we are expanding NHS Talking Therapies so that 915,000 people complete a course of treatment by March 2029, with improved effectiveness and quality of services.
Mental health and psychosocial support for people living with kidney disease is a key priority within NHS England’s programme to improve renal care. The Renal Service Transformation Programme (RSTP), published in 2023, provides a national framework for raising standards across the renal pathway, including a strengthened focus on supporting the emotional and psychological needs of patients. Renal clinical networks are working with a stakeholders, i.e. professional societies and renal charities, to support implementation of the RSTP.
NHS England is revising the specialised renal service specification to ensure alignment with the RSTP and to support commissioning across the full renal pathway. Published renal service specifications already set expectations for providers to address the psychosocial needs of people with kidney disease. The revised specification reinforces this requirement and strengthens the overall direction for services to deliver holistic, person-centred care that recognises the importance of psychosocial support throughout the renal journey.
Asked by: Sarah Pochin (Reform UK - Runcorn and Helsby)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether NHS England plans to issue guidance to hospital trusts on providing reasonable parking adjustments for patient groups receiving frequent or intensive treatments, including those undergoing dialysis.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Decisions on the provision of car parking are made locally by National Health Service organisations and should be consistent with the national guidance. This includes the provision of parking adjustments for patient groups receiving frequent treatments, including those undergoing dialysis. Further information on the guidance is available at the following link:
This guidance requires the provision of free hospital parking to groups classified as most ‘in-need’. This includes disabled people, frequent outpatient attenders, parents of sick children staying overnight, and NHS staff working overnight. These groups will include dialysis patients where applicable.
Asked by: Tony Vaughan (Labour - Folkestone and Hythe)
Question to the Department for Education:
To ask the Secretary of State for Education, what steps she is taking to improve early interventions in cases of childhood neglect.
Answered by Josh MacAlister - Parliamentary Under-Secretary (Department for Education)
The department is driving major children’s social care reforms to strengthen and improve early intervention, including in cases of childhood neglect. These reforms are backed by £2.4 billion investment, robust statutory guidance ‘Working together to safeguard children’, and support for teachers, social workers and all safeguarding professionals to spot the signs of abuse and neglect more quickly.
Through the Children’s Wellbeing and Schools Bill, we will require local authorities and safeguarding partners to establish multi-agency child protection teams, enhance schools’ role in safeguarding partnership arrangements and introduce provisions that empower my right hon. Friend, the Secretary of State for Education to introduce a consistent identifier for children.
In addition, our Best Start Family Hubs will provide welcoming spaces that connect families to health, education, housing and parenting support, helping identify those who need more intensive help from family support and multi-agency child protection.
Our plans to establish a Child Protection Authority in England will also bring further focus to children who are experiencing or likely to experience significant harm, including neglect.