Asked by: Max Wilkinson (Liberal Democrat - Cheltenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment has his Department made of the potential impact of ICB mergers on continuity and access in rural and semi-rural areas.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Across larger integrated care board (ICB) footprints there will be a renewed focus on the local level as part of our commitment to delivering care closer to home, and this includes rural and semi rural areas. As outlined in our 10-Year Health Plan, neighbourhood health plans will be created and will be brought together as part of the ICBs’ plans to improve population health locally.
Asked by: Edward Morello (Liberal Democrat - West Dorset)
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 improve integration between social care and NHS services in rural areas.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department is committed to improving integration between health and social care services nationally and locally, including in rural areas. Our vision for neighbourhood health will see integrated teams and services designed in a way that reflects the specific needs of local populations while ensuring strong partnership working between health and social care. While the focus on personalised, coordinated care will be consistent, that will mean the service will look different in rural communities, coastal towns, or deprived inner cities.
Through the Better Care Fund, approximately £9 billion is being invested in 2025/26 to enable National Health Service bodies and local authorities to pool budgets and deliver joined-up care. This money is spent across the country, including rural areas.
As outlined in the 10-Year Health Plan and starting in the financial year 2026/27, we will reform the Better Care Fund. This reform will provide a sharper focus on ensuring consistent joint NHS and local authority funding for those services that are essential for integrated health and social care, such as hospital discharge, intermediate care, rehabilitation, and reablement.
Asked by: Paul Davies (Labour - Colne Valley)
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 improve access to mental health services, particularly for young people and those in rural areas.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
We know that too many children and young people are not receiving the mental health care they need, including young people living in rural communities. For 2025/26, mental health spending is forecast to amount to £15.6 billion. This represents a significant uplift of £688 million in real terms spending on mental health compared to the previous financial year.
As part of our mission to build a National Health Service that is fit for the future and that is there when people need it, the Government is recruiting an additional 8,500 mental health workers by the end of this Parliament.
Additionally, approximately six in ten pupils will have access to a mental health support team by March 2026, which equates to approximately six million pupils and further education learners. Rollout will be prioritised based on NHS identification of local need and reaching the most vulnerable children first. We are accelerating the rollout of mental health support teams to achieve full national coverage by 2029.
Asked by: Jim McMahon (Labour (Co-op) - Oldham West, Chadderton and Royton)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether Oldham, Chadderton and Royton are being considered for additional funding for proposed new Neighbourhood Health Centres.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
At the Autumn Budget, we announced our commitment to deliver 250 neighbourhood health centres (NHCs) through the NHS Neighbourhood Rebuild Programme. This will deliver NHCs through a mixture of refurbishments to expand and improve sites over the next three years and new-build sites opening in the medium term. The first 120 NHCs are due to be operational by 2030, delivered through public private partnerships and 50 refurbishments through public capital.
Nationwide coverage will take time, but we will start in the areas of greatest need where healthy life expectancy is lowest, including rural towns and communities with higher deprivation levels targeting places where healthy life expectancy is lowest and delivering healthcare closer to home for those that need it the most.
Integrated care boards (ICBs) are responsible for commissioning, which includes planning, securing, and monitoring, general practice services within their health systems through delegated responsibility from NHS England. Both ICBs and local health systems will be responsible for determining the most appropriate locations for NHCs.
We expect neighbourhood teams and services to be designed in a way that reflects the specific needs of local populations. While the focus on personalised, coordinated care will be consistent, that will mean the service will look different in rural communities, coastal towns or deprived inner cities.
Asked by: Edward Morello (Liberal Democrat - West Dorset)
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 of the adequacy of dementia care provision in (a) rural constituencies and (b) West Dorset constituency.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The provision of dementia health care services is the responsibility of local integrated care boards (ICBs). We would expect ICBs to commission services based on local population needs, taking into account National Institute for Health and Care Excellence guidelines.
This Government is committed to improving dementia care and is empowering local leaders with the autonomy that they need to provide the best services to their local community, including those with dementia. That is why we have published the D100: Assessment Tool Pathway programme, which brings together multiple resources into a single, consolidated tool. This will help places and systems identify where improvements need to be targeted.
Under the 10-Year Health Plan, those living with dementia will benefit from improved care planning and better services. We will deliver the first ever Modern Service Framework for Frailty and Dementia to deliver rapid and significant improvements in quality of care and productivity.
Asked by: Lee Dillon (Liberal Democrat - Newbury)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether the Newbury constituency will receive one of the 100 neighbourhood health centres due to be set up by 2030.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
At the Autumn Budget, we announced our commitment to deliver 250 Neighbourhood Health Centres (NHCs) through the NHS Neighbourhood Rebuild Programme. This will deliver NHCs through a mixture of refurbishments to expand and improve sites over the next three years and new-build sites opening in the medium term. The first 120 NHCs are due to be operational by 2030 and will be delivered through public private partnerships and public capital.
Nationwide coverage will take time, but we will start in the areas of greatest need where healthy life expectancy is lowest, including rural towns and communities with higher deprivation levels, targeting places where healthy life expectancy is lowest and delivering healthcare closer to home for those that need it the most.
Integrated care boards and local health systems will be responsible for determining the most appropriate locations for NHCs.
Asked by: Gideon Amos (Liberal Democrat - Taunton and Wellington)
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 impact of economic factors and the consumption of ultra-processed foods on the prevalence of diet-related illnesses and mental health conditions, and what steps are being taken to address these upstream determinants of public health.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Scientific Advisory Committee on Nutrition (SACN) considered the evidence on the impact of processing on health, including mental health, in 2023 and 2025. The SACN concluded that the observed associations between higher consumption of processed and ultra processed foods and adverse health outcomes are concerning. The SACN noted that studies to date appear to inconsistently account for important factors such as socioeconomic status.
The SACN recommend that on balance, most people are likely to benefit from reducing their consumption of processed foods high in energy, saturated fat, salt, and free sugars, and which are low in fibre. These recommendations align with existing policies for supporting healthier diets and advice to consumers. The SACN will keep the topic of food processing and health under review.
The Department for Environment, Food and Rural Affairs’ 2024 report on Food Insecurity also considered inequalities in access to a healthy sustainable diet. Data from the latest National Diet and Nutrition Survey report shows that participants in higher income households, and households in less deprived areas, were closer to meeting some dietary recommendations. However, where diets failed to meet recommendations, this was consistent across the range of income and deprivation.
The Department of Health and Social Care is working closely with the Department for Environment, Food and Rural Affairs to develop their cross-Government Food Strategy, which aims to improve affordability and access to healthier food, to help both adults and children live longer, healthier lives.
Earlier this year, the Government committed to reviewing the School Food Standards to reflect the most recent Government dietary recommendations. Free school meals will also be extended to all children from households in receipt of Universal Credit from September 2026.
Healthy Start provides funding to pregnant women, babies, and young children under four years old from very low-income households to support a healthier diet. In April 2026, the value of weekly payments will increase by 10%.
The Department is working closely with the Child Poverty Taskforce to develop and deliver an ambitious strategy to reduce child poverty.
Asked by: John Hayes (Conservative - South Holland and The Deepings)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many of the neighbourhood health centres announced in the autumn budget 2025 will be based in Lincolnshire.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
At the Autumn Budget, we announced our commitment to deliver 250 Neighbourhood Health Centres (NHCs) through the NHS Neighbourhood Rebuild Programme. This will deliver NHCs through a mixture of refurbishments to expand and improve sites over the next three years and new-build sites opening in the medium term. The first 120 NHCs are due to be operational by 2030 and will be delivered through public private partnerships and public capital.
Nationwide coverage will take time, but we will start in the areas of greatest need where healthy life expectancy is lowest, including rural towns and communities with higher deprivation levels, targeting places where healthy life expectancy is lowest and delivering healthcare closer to home for those that need it the most.
Integrated care boards (ICBs) are responsible for commissioning, which includes planning, securing, and monitoring, general practice services within their health systems through delegated responsibility from NHS England. Both ICBs and local health systems will be responsible for determining the most appropriate locations for Neighbourhood Health Centres.
We have also launched wave 1 of the National Neighbourhood Health Implementation Programme (NNHIP) in 43 areas across England, including North East Lincolnshire. The NNHIP is supporting systems across the country in driving innovation and integration at a local level to improve the care they provide to their communities.
We expect neighbourhood teams and services to be designed in a way that reflects the specific needs of local populations. While the focus on personalised, coordinated care will be consistent, that will mean the service will look different in rural communities such as Lincolnshire.
Asked by: Edward Morello (Liberal Democrat - West Dorset)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment he has made of logistical challenges affecting rapid vaccine deployment in rural areas.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department, NHS England, and the UK Health Security Agency (UKHSA) work together to ensure a new vaccine is rolled out in a timely manner after a policy decision has been made, ensuring that all the components are in place to provide an accessible and safe programme. Supplies of centrally procured vaccines for the routine immunisation programme are available to order from UKHSA by all registered general practices, hospitals, maternity services, and other sites commissioned to deliver the programme. Sites have deliveries at least once a week, regardless of where in England they are located, and the coverage is across the country, including rural areas.
To improve public access to vaccinations, including in rural areas, we are expanding the use of community pharmacies giving vaccinations, including through delivering flu vaccines for two and three-year-olds this autumn. An evaluation will assess whether the use of community pharmacies improves coverage and helps tackle regional health inequalities, in line with the National Health Service vaccination strategy.
To ensure pharmacy access in rural areas, local authorities are required to undertake a pharmaceutical needs assessment every three years to assess whether their population is adequately served by local pharmacies and must keep these assessments under review.
We are also exploring ways of delivering our commitment to administer vaccinations as part of health visits. Local pathfinders for health visitor delivery will begin from January 2026, across a mix of urban and rural geographies.
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, whether he is taking steps to provide long-term funding arrangements for the Nursery Milk Scheme and the School Milk Subsidy Scheme to ensure continuity of provision for early years and primary education settings.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Nursery Milk Scheme is operated by the Department of Health and Social Care and provides reimbursement to early years childcare settings to cover the cost of providing one-third of a pint of milk per day to all children under the age of five years old who attend the setting for more than two hours per day. The School Milk Subsidy Scheme is the responsibility of the Department for Environment Food and Rural Affairs and partly finances the cost of similar milk provision to children in primary and secondary schools in England and Wales. There are no current plans to change these schemes.