Asked by: Louie French (Conservative - Old Bexley and Sidcup)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department is taking steps to prioritise UK-trained medical graduates over overseas-trained applicants when allocating (a) Foundation Years and (b) speciality training posts; and if he will make it his policy to reintroduce a residency-based labour-market test for NHS training posts.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
On 8 December 2025, the Government put an offer in writing to the British Medical Association Resident Doctors Committee which would put in place emergency legislation in the new year which would prioritise United Kingdom and Republic of Ireland medical graduates for foundation training, and prioritise UK and Republic of Ireland medical graduates and doctors who have worked in the National Health Service for a significant period of time for specialty training. This would apply to current applicants for training posts starting in 2026, and every year after that.
Other measures in the offer include creating 4,000 more specialty training places, with 1,000 of these brought forward to this year, cost related measures, such as reimbursement for exam fees, to address the unique costs that resident doctors face, and increasing the less than full time allowance by 50% to £1,500.
This is in addition to steps already taken by NHS England in September to tackle competition for speciality training places this year by changing General Medical Council registration requirements and limiting the number of applications that can be submitted by individuals.
We have also made significant progress over the past year to improve the working lives of resident doctors. This includes agreeing an improved exception reporting system which will ensure doctors are compensated fairly for additional work, reviewing how resident doctors rotate through their training, and reforming and rationalising statutory and mandatory training to reduce unnecessary burden and repetition.
In August 2025, NHS England published The NHS’s 10 Point Plan which set out actions for NHS England and trusts to improve resident doctors working conditions by fixing unacceptable working practices and getting the basics right for resident doctors. It aims to tackle basic issues like payroll errors, poor rota management, lack of access to rest facilities and hot food, and unnecessarily repeating training.
Asked by: Louie French (Conservative - Old Bexley and Sidcup)
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 prevent the loss of UK-trained medical graduates to (a) alternative careers and (b) emigration.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
On 8 December 2025, the Government put an offer in writing to the British Medical Association Resident Doctors Committee which would put in place emergency legislation in the new year which would prioritise United Kingdom and Republic of Ireland medical graduates for foundation training, and prioritise UK and Republic of Ireland medical graduates and doctors who have worked in the National Health Service for a significant period of time for specialty training. This would apply to current applicants for training posts starting in 2026, and every year after that.
Other measures in the offer include creating 4,000 more specialty training places, with 1,000 of these brought forward to this year, cost related measures, such as reimbursement for exam fees, to address the unique costs that resident doctors face, and increasing the less than full time allowance by 50% to £1,500.
This is in addition to steps already taken by NHS England in September to tackle competition for speciality training places this year by changing General Medical Council registration requirements and limiting the number of applications that can be submitted by individuals.
We have also made significant progress over the past year to improve the working lives of resident doctors. This includes agreeing an improved exception reporting system which will ensure doctors are compensated fairly for additional work, reviewing how resident doctors rotate through their training, and reforming and rationalising statutory and mandatory training to reduce unnecessary burden and repetition.
In August 2025, NHS England published The NHS’s 10 Point Plan which set out actions for NHS England and trusts to improve resident doctors working conditions by fixing unacceptable working practices and getting the basics right for resident doctors. It aims to tackle basic issues like payroll errors, poor rota management, lack of access to rest facilities and hot food, and unnecessarily repeating training.
Asked by: Richard Holden (Conservative - Basildon and Billericay)
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 22 December 2025 to Question 99799, whether NHS England has adopted a net zero target date for the National Health Service that differs from the United Kingdom’s statutory target of net zero by 2050.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
I refer the Hon. Member to the answer provided to him on 27 November 2025 to Question 92091 which set out the National Health Service’s Net Zero ambitions. Additionally, the answer provided to Queston 99799 on 22 December 2025 is clear that NHS England’s intent was to set ambitious but achievable aims that align with different sectoral pathways and expectations. This aims to support the United Kingdom’s overall approach to the statutory Net Zero target of 2050, which applies to the whole UK economy.
As per the 10-Year Health Plan, the Department is committed to supporting these ambitions, and we will do so in a way that delivers better value for money for the taxpayer and better care for patients, and which remains aligned to the Government's approach to carbon budgets and the overall Net Zero statutory target.
Asked by: Louie French (Conservative - Old Bexley and Sidcup)
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 merits of expanding domestic training places compared instead of continuing current levels of international recruitment.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
On 8 December 2025, the Government put an offer in writing to the British Medical Association Resident Doctors Committee which would put in place emergency legislation in the new year which would prioritise United Kingdom and Republic of Ireland medical graduates for foundation training, and prioritise UK and Republic of Ireland medical graduates and doctors who have worked in the National Health Service for a significant period of time for specialty training. This would apply to current applicants for training posts starting in 2026, and every year after that.
Other measures in the offer include creating 4,000 more specialty training places, with 1,000 of these brought forward to this year, cost related measures, such as reimbursement for exam fees, to address the unique costs that resident doctors face, and increasing the less than full time allowance by 50% to £1,500.
This is in addition to steps already taken by NHS England in September to tackle competition for speciality training places this year by changing General Medical Council registration requirements and limiting the number of applications that can be submitted by individuals.
We have also made significant progress over the past year to improve the working lives of resident doctors. This includes agreeing an improved exception reporting system which will ensure doctors are compensated fairly for additional work, reviewing how resident doctors rotate through their training, and reforming and rationalising statutory and mandatory training to reduce unnecessary burden and repetition.
In August 2025, NHS England published The NHS’s 10 Point Plan which set out actions for NHS England and trusts to improve resident doctors working conditions by fixing unacceptable working practices and getting the basics right for resident doctors. It aims to tackle basic issues like payroll errors, poor rota management, lack of access to rest facilities and hot food, and unnecessarily repeating training.
Asked by: Caroline Johnson (Conservative - Sleaford and North Hykeham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many additional surgical hubs are due to (a) open and (b) be built in the next 12 months.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Dedicated and protected surgical hubs transform the way the National Health Service provides elective care by focusing on providing high volume, low complexity surgery, as recommended by the Royal College of Surgeons of England.
There are currently 123 elective surgical hubs that are operational across England.
We are working on delivering six additional hubs, five of which are currently expected to open in the next 12 months.
The Department is committed to ramping up the number of hubs over the next three years, so more operations can be carried out.
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 has issued guidance to clinicians on appropriate language to use when recording, reporting and discussing cases of female genital mutilation.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Home Office, the Department for Education, and the Department of Health and Social Care issued multi-agency statutory guidance on female genital mutilation (FGM), which as updated in July 2020. The guidance ensures that health and other staff understand their role in responding to FGM, and that there are policies and procedures in place to protect women and girls who have undergone or are at risk of FGM.
NHS England is currently updating the e-learning training for the Healthcare FGM Module for publication in 2026. This training has a section on communication and includes the importance of sensitive language, including asking healthcare staff to check which terminology the woman or girl prefers. The training will provide healthcare staff with the skills to consider, recognise, and discuss FGM with the women and girls they support, and provide sensitive and trauma-informed response.
Asked by: Caroline Johnson (Conservative - Sleaford and North Hykeham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, when he plans to respond to Question 84380 from the hon. Member for Sleaford and North Hykeham.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
I refer the hon. Member to the answer I gave on 8 January 2026 to Question 84380.
Asked by: Julian Smith (Conservative - Skipton and Ripon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the potential merits of ensuring that NHS mental health trusts do not discharge patients with high PHQ-9 and GAD-7 scores without robust safety planning and follow-up support; and what guidance his Department has issued to help prevent such cases.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
In 2024, statutory guidance was issued on discharge from all mental health, and learning disability and autism inpatient settings, under the NHS Act 2006. The guidance also sets out that prior to discharge, robust planning and safety management should be developed for all patients, in collaboration with the person and their chosen carer or carers with input from relevant members of the multi-disciplinary team.
For individuals detained under the Mental Health Act, in the Mental Health Act 2025, passed this year, we have strengthened discharge decision making by requiring consultation with another professional before discharge, as well as introducing requirements around care and treatment planning. We will provide further guidance on this in the revised Code of Practice.
Asked by: Scott Arthur (Labour - Edinburgh South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his department has considered the impact of NICE’s severity modifier, introduced in 2020, on NHS England’s access to innovative cancer medicines which were previously eligible under the end-of-life weighting.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Institute for Health and Care Excellence (NICE) is responsible for the methods and processes that it uses in the development of its recommendations. The severity modifier was introduced in January 2022 as part of a number of changes intended to make NICE’s methods fairer, faster and more consistent.
NICE carried out a review of the implementation of the severity modifier in September 2024 and found that it is operating as intended with a greater proportion of medicines recommended than under NICE’s previous methods. Since then, NICE has continued to monitor how the severity modifier is being applied. The latest figures include data from technology appraisals published up until the end of September 2025 and show that the proportion of positive decisions has increased since the severity modifier was implemented and since data was published in September 2024. 87.0% of decisions taken since the severity modifier was implemented, compared with 82.5% when the end-of-life modifier was being used. NICE is also recommending a greater proportion of new cancer treatments overall, 86.3% compared to 75.0%, and advanced cancer treatments specifically, 84.8% compared to 69.1%.
NICE has commissioned research to gather further evidence on societal preferences that will inform future methods reviews.
Asked by: Scott Arthur (Labour - Edinburgh South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department made an impact assessment of the effect of NICE’s severity modifier, introduced in 2020, on the ability of cancer medicines to meet the new ‘high severity’ threshold for approval.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Institute for Health and Care Excellence (NICE) is responsible for the methods and processes that it uses in the development of its recommendations. The severity modifier was introduced in January 2022 as part of a number of changes intended to make NICE’s methods fairer, faster and more consistent.
NICE carried out a review of the implementation of the severity modifier in September 2024 and found that it is operating as intended with a greater proportion of medicines recommended than under NICE’s previous methods. Since then, NICE has continued to monitor how the severity modifier is being applied. The latest figures include data from technology appraisals published up until the end of September 2025 and show that the proportion of positive decisions has increased since the severity modifier was implemented and since data was published in September 2024. 87.0% of decisions taken since the severity modifier was implemented, compared with 82.5% when the end-of-life modifier was being used. NICE is also recommending a greater proportion of new cancer treatments overall, 86.3% compared to 75.0%, and advanced cancer treatments specifically, 84.8% compared to 69.1%.
NICE has commissioned research to gather further evidence on societal preferences that will inform future methods reviews.