Asked by: Pippa Heylings (Liberal Democrat - South Cambridgeshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will make an assessment of the provision of NHS treatment for Functional Neurological Disorder; and what steps he will take to resolve the disparities that currently exist between regions for the treatment of this condition.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England’s updated Specialised Neurology Service Specification, published in August 2025, includes specific reference to functional neurological disorder (FND). It states that all specialised neurology centres must include access to treatment services for FND. The updated Specialised Neurology Service Specification is available at the following link:
https://www.england.nhs.uk/publication/specialised-neurology-services-adults/
There are a number of other national-level initiatives supporting service improvement and better care for patients with neurological conditions, including FND, such as the Getting It Right First Time Programme for Neurology and the Neurology Transformation Programme, which aim to improve care for people by reducing variation and delivering care more equitably across England.
Additionally, we have set up a UK Neuro Forum facilitating formal, which are twice-yearly meetings across the Department, NHS England, the devolved administrations and health services, and the Neurological Alliances of all four nations. The new forum brings key stakeholders together, to share learning across the system and to discuss challenges, best practice examples, and potential solutions for improving the care of people with neurological conditions, including FND.
Asked by: Clive Jones (Liberal Democrat - Wokingham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to page 75 of the policy paper entitled A National Cancer Plan for England: delivering world class cancer care, whether it is his policy that patients with rare cancers should be offered targeted and personalised therapies where genomic testing identifies a suitable potential treatment.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Cancer Plan, published on 4 February 2026, sets out clear actions to expand diagnostic genomic testing and ensure that this is matched by access to targeted therapies. The plan confirms that every cancer patient who would benefit from genomic testing, including those with rare cancers, will receive it within a clinically relevant timeframe.
To support timely access to treatments identified through genomic testing, a new joint National Institute for Health and Care Excellence and Medicines and Healthcare products Regulatory Agency process from April 2026 will accelerate licensing and appraisal so that National Health Service funding recommendations can be made more quickly. The expansion of the NHS Genomic Medicine Service will also help identify suitable targeted therapies, connect patients to clinical trials faster, and integrate genomic data into the Single Patient Record by 2028.
With reference to page 75 of the National Cancer Plan, it is Government policy that patients with rare cancers should benefit from personalised and targeted therapies where genomic testing identifies a suitable option. The plan also strengthens specialist multidisciplinary teams for rare cancers so that patients can access expertise from specialist centres and the most up‑to‑date evidence‑based treatments.
Asked by: Helen Maguire (Liberal Democrat - Epsom and Ewell)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the National Cancer Plan, what steps his Department is taking to help ensure that there will be enough pathologists to support the Plan’s delivery.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Cancer Plan sets out how we will strengthen the cancer workforce, including for diagnostics, such as pathology. The plan sets out sustainable workforce growth, focused not on simply expanding numbers but on ensuring staff are properly trained, supported, and able to work at the top of their skills.
The plan sets out how we will support pathologists to work more efficiently through a £604 million investment in digital diagnostics, including digital pathology, and £96 million in the automation of histopathology, as well as further investment in digital technology and artificial intelligence. Expansion of advanced clinical practice for scientists will also improve the efficiency and effectiveness of the pathology workforce as a whole.
The 10 Year Workforce Plan will be published in spring, setting out further action to create a workforce able to deliver the transformed service set out in the 10-Year Health Plan.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what guidance his Department provides on when a mental capacity review should be carried out on a patient.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Mental Capacity Act 2005 (MCA) is designed to protect and empower people who lack the mental capacity to make a decision themselves. It says that every person must be presumed to have capacity to make the decision in question unless it is established otherwise, and sets out a two-stage test to establish if a person can make specific decisions regarding their care and treatment. Capacity assessments are done locally, and data is not collated or held centrally on how many assessments are carried out.
The Deprivation of Liberty Safeguards (DoLS) is a procedure prescribed in law under the MCA when a person who lacks mental capacity to consent to their care or treatment is being deprived of their liberty in a care home or hospital in order to keep them safe from harm. DoLS assessments data is collated and published, the most recent data available is for 2023/24.
In 2023/24 there were 323,870 DoLS applications completed, 145,945 fully assessed, 15,270 closed partially assessed, 162,655 closed without assessments, and 123,790 not completed at year end.
The MCA code of practice gives guidance to people who work with, or care for, people who can’t make decisions for themselves, including when a mental capacity assessment should be carried out, and by whom. Government is clear that professionals applying the MCA are expected to keep up to date with guidance and caselaw, and to correctly use the principles within the act.
In October 2025 we announced our intention to run a joint consultation with the Ministry of Justice to consult on Liberty Protection Safeguards and an updated draft of the Code of Practice in 2026.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many mental capacity assessments have been carried out on patients in each of the last five years.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Mental Capacity Act 2005 (MCA) is designed to protect and empower people who lack the mental capacity to make a decision themselves. It says that every person must be presumed to have capacity to make the decision in question unless it is established otherwise, and sets out a two-stage test to establish if a person can make specific decisions regarding their care and treatment. Capacity assessments are done locally, and data is not collated or held centrally on how many assessments are carried out.
The Deprivation of Liberty Safeguards (DoLS) is a procedure prescribed in law under the MCA when a person who lacks mental capacity to consent to their care or treatment is being deprived of their liberty in a care home or hospital in order to keep them safe from harm. DoLS assessments data is collated and published, the most recent data available is for 2023/24.
In 2023/24 there were 323,870 DoLS applications completed, 145,945 fully assessed, 15,270 closed partially assessed, 162,655 closed without assessments, and 123,790 not completed at year end.
The MCA code of practice gives guidance to people who work with, or care for, people who can’t make decisions for themselves, including when a mental capacity assessment should be carried out, and by whom. Government is clear that professionals applying the MCA are expected to keep up to date with guidance and caselaw, and to correctly use the principles within the act.
In October 2025 we announced our intention to run a joint consultation with the Ministry of Justice to consult on Liberty Protection Safeguards and an updated draft of the Code of Practice in 2026.
Asked by: Patrick Spencer (Independent - Central Suffolk and North Ipswich)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will set out the agreed definition of being housebound that is used by the NHS; and under what circumstances is a person's status from being classed as housebound.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
It is the responsibility of the commissioner to ensure patients registered with a general practice (GP) have access to urgent care when they are at home and unable to attend the practice they are registered with.
Under the GP Contract, GPs are required to provide services to a patient outside of practice premises, for instance via a home visit, in instances where the practice considers that a consultation is required, and it would be inappropriate for the patient to attend the practice.
Commonly, a patient is considered housebound if they cannot leave their home environment due to physical or psychological illness.
Asked by: Alec Shelbrooke (Conservative - Wetherby and Easingwold)
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 implement a sustainable funding model for independent adult hospices.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
We have provided a £125 million capital funding boost for eligible adult, and children and young people’s, hospices in England to ensure they have the best physical environment for care.
The Government is developing a Palliative Care and End-of-Life Care Modern Service Framework (MSF) for England. We will consider contracting and commissioning arrangements as part of our MSF. We recognise that there is currently a mix of contracting models in the hospice sector. By supporting integrated care boards (ICBs) to commission more strategically, we can move away from grant and block contract models. In the long term, this will aid sustainability and help hospices’ ability to plan ahead.
Officials are working closely with a number of stakeholders from the hospice sector in the development of the MSF.
Additionally, the recently published Medium-Term Planning Guidance and the Model ICB Blueprint set out that ICBs should act as strategic commissioners with core functions including: understanding current and projected total service utilisation and costs; identifying underserved communities; assessing quality, performance, and productivity of existing provision; and significantly reducing avoidable unplanned hospital admissions.
Asked by: Lisa Smart (Liberal Democrat - Hazel Grove)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what guidance her Department provides on the complaints and redress routes available to vulnerable patients who have concerns about the contractual terms of telecare services to which they are referred following hospital discharge.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
By law, all health and social care services must have a procedure for dealing efficiently with complaints, and anyone who has seen or experienced poor-quality care has the right to complain to the organisation that provided or paid for the care.
Telecare is not a mandatory service for local authorities, but many choose to provide a telecare service due to its benefits. Some local authorities will also fully or partially fund telecare for some individuals based on a financial assessment. Local authorities are responsible for the contractual terms of telecare services that they provide, therefore in the first instance an individual should consider making a complaint with the relevant local authority.
If an individual is not satisfied with the way a local authority has dealt with their complaint, they may escalate it to the Local Government and Social Care Ombudsman who can investigate individual concerns. The Local Government and Social Care Ombudsman is the independent complaints lead for adult social care and investigates complaints from those receiving social care.
Asked by: Helen Maguire (Liberal Democrat - Epsom and Ewell)
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 help improve digital infrastructure and IT connectivity for community care in primary care settings.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
In 2026/27, and as per the Medium Term Planning Framework – delivering change together 2026/27 to 2028/29, all integrated care boards and community health services providers must identify and act on productivity opportunities, including ensuring teams have the digital tools and equipment they need to connect remotely to health systems and patients, and expanding point-of-care testing in the community.
Through the Community Health Services Data Plan (2024/25-2026/27), work is underway to improve the quality, relevance, and timeliness of community health service data and, in turn, improve the patient experience in community health services.
In addition, our 10-Year Health Plan will help put services at the heart of the community and expand digital tools to manage health, including through the Single Patient Record. It will give patients real control over a single, secure, and authoritative account of their data and enable more coordinated, personalised, and predictive care. It will improve clinical outcomes, make decision-making more informed, and speed up the delivery of care.
Asked by: Andrew George (Liberal Democrat - St Ives)
Question to the Cabinet Office:
To ask the Minister for the Cabinet Office, what assessment he has made of the potential impact of the compensation proposals for the estates of infected individuals who died before the establishment of Infected Blood Support Schemes in 2017; and whether those estates will have equivalent routes to seek recognition of injuries, including psychological injury, to those available to estates whose claims were taken over by the schemes.
Answered by Nick Thomas-Symonds - Paymaster General and Minister for the Cabinet Office
Estates of deceased infected people are eligible to receive compensation under the Infected Blood Compensation Scheme, regardless of whether the infected person was registered with the Infected Blood Support Schemes (IBSS) at any time. Whether an infected person was registered with the IBSS at the time of their death has no bearing on the calculation of their compensation package and they are compensated under the same awards (Injury, Social Impact, Autonomy, Financial Loss and Care) as an infected person who was registered with the IBSS.
The majority of victims of the infected blood scandal have suffered psychological harm. The Infected Blood Compensation Scheme currently provides compensation for psychological harm through both the core and supplementary route, depending on the type and severity of harm. In the supplementary route, the Severe Health Condition award offers additional compensation where someone has been diagnosed with a severe psychiatric disorder that has caused suffering beyond what is recognised and compensated for as part of their core award. The estates of deceased infected people are eligible to receive both of these awards.
The Government has consulted on a proposal that severe mental health issues not covered in the core route are compensated for by the expansion of eligibility for a Severe Health Condition award because they meet the criteria for the Special Category Mechanism (SCM) or equivalent payments. The Government has not proposed that estates of deceased infected people who were not receiving SCM or equivalent payments at the time of death are eligible to receive this award, as the infected person is not able to be assessed by the Infected Blood Compensation Authority against the same criteria. The Government is carefully considering all consultation responses, and will publish its response within 12 weeks of the consultation’s closing date.