Asked by: Shaun Davies (Labour - Telford)
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 potential merits of introducing a public interest assessment for large-scale acquisitions in the adult social care sector.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Care Quality Commission (CQC) oversees the Market Oversight Scheme (MOS), which was established under Section 53 of the Care Act 2014 as an independent scheme with the aim of ensuring continuity of care services. The MOS was launched in 2015 and monitors the financial sustainability of the largest and most difficult to replace providers of adult social care.
The scheme enables the CQC to give impacted local authorities advance notification in discharging their Care Act obligations to temporarily ensure continuity of care for all people receiving services. The CQC also notifies the Department, which will then activate its Operational Contingency Plan and convene national partners in order to monitor local efforts to ensure continuity of care.
There are no current plans to expand the public interest considerations under the Enterprise Act 2002 beyond matters relating to financial stability, media plurality, and public health emergencies. The Government is committed to ensuring our policy making is informed by the best available evidence.
Merger investigations on competition grounds are a matter for the Competition and Markets Authority (CMA), which operates independently of the Government. The CMA determines which transactions to review based on statutory thresholds and whether there is a realistic prospect of a substantial lessening of competition. The Government keeps the merger control regime under regular review to ensure it remains fit for purpose and works effectively within the current regulatory environment.
Asked by: Olivia Blake (Labour - Sheffield Hallam)
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 support local authorities with the cost of non-residential adult social care.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Government is making approximately £4.6 billion of additional funding available for adult social care in 2028/29 compared to 2025/26, to support the sector in making improvements.
This includes additional grant funding, growth in other sources of income available to support adult social care, and a £331 million increase to the National Health Service contribution to adult social care via the Better Care Fund, in line with the Department’s Spending Review settlement.
Local authorities are best placed to understand and plan for the needs of their population, which is why, under the Care Act 2014, they are tasked with the duty to shape their care market to meet the diverse needs of all local people.
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 guidance his Department provides to local authorities on decisions affecting individuals with dementia who are already living in suitable care homes, once their capital falls below the adult social care funding threshold; and how such guidance takes into account medical advice, including a doctor’s note, on the potential distress or risks associated with requiring a move to an alternative placement.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Under the Care Act 2014, local authorities must not charge more than is reasonably practicable and charging policies must be clear and transparent, in line with the Care and Support (Charging and Assessment of Resources) Regulations 2014 and the Care and Support Statutory (CASS) guidance.
Annex A of the CASS guidance makes clear that the choice of accommodation and additional payment rules apply equally to people entering care for the first time and to self‑funders whose resources have fallen below the upper capital limit. Where this happens, the local authority must conduct a financial assessment to determine what the individual can afford to contribute and must set a personal budget as part of the care and support plan. Annex A of the CASS guidance is available at the following link:
Where an individual’s needs require a particular type of accommodation, the local authority must offer them a genuine choice between suitable providers, including at least one affordable option within their personal budget. The placement must be suitable, available, and offered at the rate identified in the personal budget. Local authorities must also have regard to the wellbeing duty in section 1 of the Care Act when considering accommodation choice.
Asked by: Shaun Davies (Labour - Telford)
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 compatibility of offshore ownership of care assets in the United Kingdom on his Department's plans to introduce (a) a National Care Service and (b) neighbourhood-based care systems.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Private adult social care providers are individual businesses, and the Government does not seek to intervene in their business decisions on company structure. We have been clear that the expectation is for adult social care providers to behave responsibly, including with their financial arrangements, which should promote sustainability.
Under the Care Act 2014, local authorities have a duty to shape their care market to meet the diverse needs of all people, and to develop and build local market capacity. This includes commissioning a variety of different providers and specialist services from the voluntary, private, or public sector that provide genuine choice to meet the needs of local people and that offer quality and value for money.
More broadly, we are making progress towards a National Care Service based on higher quality of care, greater choice and control, and joined-up neighbourhood services, with approximately £4.6 billion of additional funding available for adult social care by 2028/29 compared to 2025/26.
Asked by: James Cleverly (Conservative - Braintree)
Question to the Ministry of Housing, Communities and Local Government:
To ask the Secretary of State for Housing, Communities and Local Government, what assessment he has made of the potential impact of changes in council tax on the cost of living from April 2026.
Answered by Alison McGovern - Minister of State (Housing, Communities and Local Government)
Council tax levels are decided by local authorities, and the Department has not made specific assessments on the impact of council tax levels on the cost of living for households. For the vast majority of councils, the government intends to maintain a core 3% referendum principle and a 2% adult social care precept. The government will set out final referendum principles as part of the local government finance settlement. Councils are required to put in place council tax support schemes to support those on low incomes.
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 assessment he has made of the potential merits of reducing the starting age for routine mammograms to 40.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Each year, over 15 million people are invited for screening by National Health Service screening programmes, with over 10 million taking up the invitation. Through our NHS screening programmes, we can reduce mortality and morbidity from cancer and other conditions in the population who appear healthy and have no symptoms, by detecting conditions at an earlier, more treatable stage.
We are guided by the independent scientific advice of the UK National Screening Committee (UK NSC) on all screening matters. It is only where there is robust evidence that an offer to screen provides more good than harm that a screening programme is recommended.
As screening programmes can also cause harms, each of the adult screening programmes has both an upper and lower age range, within which there is good scientific evidence that the benefits of screening outweigh the harms.
The NHS Breast Screening Programme does not currently offer screening to women younger than the age of 50 for breast cancer due to the lower risk of women under this age developing breast cancer, and the fact that women below 50 tend to have denser breasts tissue. The density of breast tissue reduces the ability of getting an accurate mammogram, the accepted screening test for breast cancer.
There is therefore a risk of unnecessary treatment and distress for women who do not have breast cancer, but who would be subjected to invasive and painful medical treatments and diagnostic tests.
We are in line with most European countries, most of whom screen women between the ages of 50 to 69 years old.
The UK NSC recognises that screening programmes are not static and that, over time, they may need to change to be more effective. Work is underway within the breast screening programme to investigate the possibility of routinely screening below the currently recommended age. The AgeX research trial has been looking at the effectiveness of offering some women one extra screen between the ages of 47 and 49 years old.
It is the biggest trial of its kind ever to be undertaken and will provide robust evidence about the effectiveness of screening in these age groups, including the benefit and harms. The UK NSC will review the publication of the age extension trial when it reports.
Asked by: Carla Denyer (Green Party - Bristol Central)
Question to the Home Office:
To ask the Secretary of State for the Home Department, what assessment her Department has made of the potential impact of the proposals in the Earned Settlement consultation on staffing levels in the adult social care sector; and whether social care roles will be included within the public service consideration which reduces the baseline qualifying period for earned settlement.
Answered by Mike Tapp - Parliamentary Under-Secretary (Home Office)
The earned settlement model, proposed in ‘A Fairer Pathway to Settlement’, announced changes to the mandatory requirements and qualifying period for indefinite leave to remain. It is currently subject to a public consultation, running until 12 February 2026.
As part of this consultation, we are seeking views on the potential impact of the proposed changes on different groups, including those working in sectors such as social care. Details of the earned settlement model will be finalised following that consultation.
The final proposals will also be subject to full economic and equality impact assessments, which we have committed to publish in due course.
Asked by: Liam Conlon (Labour - Beckenham and Penge)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the average national unit cost to the NHS is for an MRI scan used in prostate cancer detection using (a) multiparametric and (b) biparametric MRI.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The average cost to the National Health Service for magnetic resonance imaging (MRI) scans using biparametric and multiparametric MRIs is set out in the 2025/26 National Payment Scheme, which can be found at the following link:
https://www.england.nhs.uk/publication/2025-26-nhs-payment-scheme/.
Biparametric MRI scans are categorised under ‘non contrast’, whilst multiparametric MRI scans are categorised ‘with contrast’. The following table shows the price of different MRI scans:
Test type | Test name and description | Price |
MRI | MRI non contrast 1 area (Adult) | £129 |
MRI non contrast 1 area (Paediatric age 6 to18) | £217 | |
MRI non contrast 2 area | £155 | |
MRI non contrast more than 3 area | £222 | |
MRI with contrast 1 area (Adult) | £188 | |
MRI with contrast 1 area (Paediatric age 6 to 18) | £329 |
Asked by: Sojan Joseph (Labour - Ashford)
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 trends in the level of social care standards across England; and what steps he is taking to support greater consistency of care provision.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
National standards of care will be an integral part of the national care service we are building, so people can rely on consistent, high‑quality care wherever they live.
We are already progressing towards this through our three objectives for adult social care: giving people real choice and control, joining up health and social care around people’s lives, and ensuring consistent high‑quality care underpinned by national standards.
This year, the Government will set new national standards for care technologies and develop trusted guidance. This will mean that people and care providers can easily find out which technologies are fit for purpose, secure and meet compatibility requirements of health and social care systems in the future.
At the same time, in partnership with the Department for Education, we are developing a catalogue of data standards for Children’s and Adult’s Social Care Case Management Systems. This will enable greater data sharing with other agencies involved in organising a person’s care, in turn, improving the experience of care, local authority efficiency and the quality of central government data collection and reporting.
The Care Quality Commission (CQC) is the independent regulator for health and social care in England. CQC monitors, inspects and regulates adult social care services to make sure they meet fundamental standards of quality and safety. National measures of care quality have remained steady, with 85% of all social care settings regulated by the CQC rated Good or Outstanding on 2 January 2026. Where concerns on quality or safety are identified, the CQC uses its regulatory and enforcement powers available and will take action to ensure the safety of people drawing on care and support.
The independent commission into adult social care is underway as part of our critical first steps towards delivering a national care service. Phase 1 will report this year.
Asked by: Sojan Joseph (Labour - Ashford)
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 consider the development of national standards for adult social care in England.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
National standards of care will be an integral part of the national care service we are building, so people can rely on consistent, high‑quality care wherever they live.
We are already progressing towards this through our three objectives for adult social care: giving people real choice and control, joining up health and social care around people’s lives, and ensuring consistent high‑quality care underpinned by national standards.
This year, the Government will set new national standards for care technologies and develop trusted guidance. This will mean that people and care providers can easily find out which technologies are fit for purpose, secure and meet compatibility requirements of health and social care systems in the future.
At the same time, in partnership with the Department for Education, we are developing a catalogue of data standards for Children’s and Adult’s Social Care Case Management Systems. This will enable greater data sharing with other agencies involved in organising a person’s care, in turn, improving the experience of care, local authority efficiency and the quality of central government data collection and reporting.
The Care Quality Commission (CQC) is the independent regulator for health and social care in England. CQC monitors, inspects and regulates adult social care services to make sure they meet fundamental standards of quality and safety. National measures of care quality have remained steady, with 85% of all social care settings regulated by the CQC rated Good or Outstanding on 2 January 2026. Where concerns on quality or safety are identified, the CQC uses its regulatory and enforcement powers available and will take action to ensure the safety of people drawing on care and support.
The independent commission into adult social care is underway as part of our critical first steps towards delivering a national care service. Phase 1 will report this year.