Asked by: Tanmanjeet Singh Dhesi (Labour - Slough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent steps he has taken to reduce waiting times for treatment for musculoskeletal conditions in (a) Slough, (b) Berkshire and (c) England.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Over 17 million people in England live with a musculoskeletal (MSK) condition.
The Government is delivering the joint Department for Work and Pensions, Department of Health and Social Care, and NHS England Getting It Right First Time MSK Community Delivery Programme, which will work directly with integrated care boards in England to further reduce MSK community waiting times, improve data, and enable referral pathways to wider support services.
On 6 January 2025, NHS England published the new Elective Reform Plan, setting out funding to boost bone density scanning (DEXA) capacity, to support improvements in early diagnosis and bone health. This is expected to provide an estimated 29,000 extra scans per year once all are fully operational. DEXA scans are a vital component for the early diagnosis of osteoporosis.
The Buckinghamshire, Oxfordshire and Berkshire West Integrated Care System (ICS), along with the Frimley ICS, which together cover the Berkshire area, is also working with all providers of MSK management to reduce waiting times and improve positive outcomes and experiences for patients requiring MSK care.
Asked by: Tanmanjeet Singh Dhesi (Labour - Slough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to reduce treatment times for musculoskeletal conditions in Slough.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Over 17 million people in England live with a musculoskeletal (MSK) condition.
The Government is delivering the joint Department for Work and Pensions, Department of Health and Social Care, and NHS England Getting It Right First Time MSK Community Delivery Programme, which will work directly with integrated care boards in England to further reduce MSK community waiting times, improve data, and enable referral pathways to wider support services.
On 6 January 2025, NHS England published the new Elective Reform Plan, setting out funding to boost bone density scanning (DEXA) capacity, to support improvements in early diagnosis and bone health. This is expected to provide an estimated 29,000 extra scans per year once all are fully operational. DEXA scans are a vital component for the early diagnosis of osteoporosis.
The Buckinghamshire, Oxfordshire and Berkshire West Integrated Care System (ICS), along with the Frimley ICS, which together cover the Berkshire area, is also working with all providers of MSK management to reduce waiting times and improve positive outcomes and experiences for patients requiring MSK care.
Asked by: Ellie Chowns (Green Party - North Herefordshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what support his Department is providing to women that are more likely to live with a musculoskeletal condition.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government is committed to prioritising women’s health, and women’s equality will be at the heart of our missions. Women’s health hubs have a key role in shifting care out of hospitals and reducing gynaecology waiting lists. As of December 2024, 39 out of the 42 integrated care boards reported that they had a women’s health hub. Reporting from integrated care boards to NHS England shows that the pilot funding has been used to open or expand a total of 88 hubs.
The Government recognises that musculoskeletal (MSK) conditions disproportionately impact women, and we are working jointly with NHS England’s Getting It Right First Time team to deliver our MSK Community Delivery Programme to further reduce MSK community waiting times.
We also know that more than one in three women, compared to one in five men, will sustain one or more osteoporotic fractures in their lifetime. On 6 January 2025, NHS England published the new Elective Reform Plan. This set out funding to boost bone density scanning (DEXA) capacity, to support improvements in early diagnosis and bone health. This is expected to provide an estimated 29,000 extra scans per year once all are fully operational. DEXA scans are a vital component of the early diagnosis of osteoporosis.
Asked by: Daisy Cooper (Liberal Democrat - St Albans)
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 14 February 2025 to Question 25911 on Fractures: Health Services, if he will set targets for making fracture liaison services available for all NHS trusts.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Fracture Liaison Services (FLS) are a globally recognised care model and can reduce the risk of refracture for people at risk of osteoporosis by up to 40%. They can play a vital role in improving quality of life and increasing the number of years that can be lived in good health.
We remain committed to rolling out FLS across every part of the country by 2030. Officials continue to work closely with NHS England to explore a range of options to provide better quality and access to these important preventative services.
In the meantime, we are investing in 14 high-tech DEXA scanners, which are expected to provide an extra 29,000 scans to ensure that people with bone conditions get diagnosed earlier.
Asked by: Simon Opher (Labour - Stroud)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to deliver early diagnosis services for osteoporosis.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
On 6 January 2025, NHS England published a new Elective Reform Plan, which sets out a whole system approach to achieving the 18-week referral to treatment target by the end of this Parliament. The plan includes funding to boost bone density (DEXA) scanning capacity, support improvements in early diagnosis, and support improvements in bone health for conditions such as osteoporosis. We are investing in 14 high-tech DEXA scanners which are expected to provide 29,000 extra scans per year.
As announced in the Get Britain Working White Paper, the Department of Health and Social Care is delivering a joint programme with NHS England and the Department for Work and Pensions called the Getting It Right First Time (GIRFT) Musculoskeletal Community Delivery Programme. With a £3.5 million funding boost, the GIRFT will deploy a Further Faster model with integrated care boards (ICBs) to reduce musculoskeletal community waiting times, including for those with osteoporosis.
ICBs are responsible for commissioning services that meet the needs of their population, including for osteoporosis. The Government expects ICBs to take account of National Institute for Health and Care Excellence guidelines and other best practice in designing their local services.
Asked by: Mark Pritchard (Conservative - The Wrekin)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to increase the number of Integrated Care Boards in England which have a Fracture Liaison Service.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Fracture Liaison Services (FLS) are a globally recognised care model and can reduce the risk of refracture for people at risk of osteoporosis by up to 40%.
Data for integrated care systems (ICS) is available from the FLS Database, a national audit of secondary fracture prevention services in England and Wales, for which services must have an existing FLS to be eligible to participate. This dashboard suggests that at least 32 ICSs had at least one trust that offered FLS in 2024.
We remain committed to rolling out FLS across every part of the country by 2030. In the meantime, we are investing in 14 high-tech DEXA scanners, which are expected to provide an extra 29,000 scans to ensure that people with bone conditions get diagnosed earlier.
Asked by: Mark Pritchard (Conservative - The Wrekin)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what proportion of Integrated Care Boards in England have a Fracture Liaison Service.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Fracture Liaison Services (FLS) are a globally recognised care model and can reduce the risk of refracture for people at risk of osteoporosis by up to 40%.
Data for integrated care systems (ICS) is available from the FLS Database, a national audit of secondary fracture prevention services in England and Wales, for which services must have an existing FLS to be eligible to participate. This dashboard suggests that at least 32 ICSs had at least one trust that offered FLS in 2024.
We remain committed to rolling out FLS across every part of the country by 2030. In the meantime, we are investing in 14 high-tech DEXA scanners, which are expected to provide an extra 29,000 scans to ensure that people with bone conditions get diagnosed earlier.
Asked by: Adam Dance (Liberal Democrat - Yeovil)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the timeline is for the opening of new Fracture Liaison Services in (a) Somerset and (b) the South West.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Fracture Liaison Services (FLS) are a globally recognised care model and can reduce the risk of refracture for people at risk of osteoporosis by up to 40%.
FLS are commissioned by integrated care boards (ICBs), which make decisions according to local need. This is the case for all ICBs in the South West, including the NHS Bath and North East Somerset, Swindon and Wiltshire ICB and the NHS Bristol, North Somerset and South Gloucestershire ICB. We remain committed to rolling out FLS across every part of the country by 2030.
In the meantime, we are investing in 14 high-tech DEXA scanners, which are expected to provide an extra 29,000 scans to ensure that people with bone conditions get diagnosed earlier.
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 steps his Department is taking to increase the accessibility of Fracture Liaison Services for people with osteoporosis.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Fracture Liaison Services (FLS) are a globally recognised care model and can reduce the risk of refracture for people at risk of osteoporosis by up to 40%. We remain committed to rolling out FLS across every part of the country by 2030. That is what the Secretary of State promised before the election, and what he is delivering. In the meantime, we are investing in 14 high-tech DEXA scanners, which are expected to provide an extra 29,000 scans to ensure people with bone conditions get diagnosed earlier.
Asked by: Baroness Altmann (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what is their latest cost-benefit analysis of rolling out fracture liaison services across the country, including (1) how many people are likely to avoid fractures and how many fractures could be avoided per year as a result of early detection, (2) how much NHS resource could be saved, and (3) how many days of work absence or years of early retirement could be avoided.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
We remain committed to rolling out Fracture Liaison Services (FLS) across every part of the country by 2030. That is what my Rt Hon. Friend, the Secretary of State for Health and Social Care promised before the election, and what he is delivering.
In the meantime, we are investing in 14 high-tech bone density DEXA scanners, which are expected to provide an extra 29,000 scans, to ensure that people with bone conditions get diagnosed earlier
FLS are a globally recognised care model and can reduce the risk of refracture for people at risk of osteoporosis by up to 40%. They can play a vital role in improving quality of life and increasing the number of years that can be lived in good health.
The Government and NHS England support the clinical case for services which help to prevent fragility fractures and support the patients who sustain them. Officials continue to work closely with NHS England to explore a range of options to provide better quality and access to these important preventative services. Impacts will be assessed, as these options are considered, taking into consideration the evidence gathered from the 60 services already in operation in England.