Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what discussions his Department has had with Surrey County Council on future arrangements for gathering local patient views on (a) health and (b) social care services in Surrey Heath constituency.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Local patient views will continue to be gathered through a variety of means, including local Healthwatch organisations, patient participation groups, and through national and local surveys.
As set out in the 10-Year Health Plan for England: fit for the future, we are proposing to abolish local Healthwatch arrangements to place responsibility for obtaining feedback from local communities with integrated care boards for health, and local authorities for social care.
Implementing the abolition of local Healthwatch arrangements will require amendments to primary legislation. The timing of this is subject to the will of Parliament and will happen when parliamentary time allows.
As part of her review of patient safety, Dr Dash heard from more than 100 individuals or organisations with an interest in patient safety. The Department has also conducted several engagement events with local Healthwatch organisations and their representatives. This engagement is vital to communicate plans and to answer questions. This engagement will continue as the policy is further developed.
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 access to child and adolescent mental health services in schools in West Dorset constituency.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
For children and young people in distress or struggling with their mental health, fast access to early, high-quality support is critical, including in West Dorset.
That is why the 10-Year Health Plan sets out how we will work with schools and colleges to better identify and meet children's mental health needs by continuing to roll out mental health support teams in schools and colleges, to reach full national coverage by 2029.
The 10-Year Health Plan will build on the work that has already begun to bring down waiting lists. This includes providing mental health support for almost one million more young people in school this year and an extra £688 million in Government funding this year to transform mental health services, specifically to hire more staff, deliver more early interventions, and get waiting lists down.
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 integrate child and adolescent mental health service provision into schools nationally.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
For children and young people in distress or struggling with their mental health, fast access to early, high-quality support is critical, including in West Dorset.
That is why the 10-Year Health Plan sets out how we will work with schools and colleges to better identify and meet children's mental health needs by continuing to roll out mental health support teams in schools and colleges, to reach full national coverage by 2029.
The 10-Year Health Plan will build on the work that has already begun to bring down waiting lists. This includes providing mental health support for almost one million more young people in school this year and an extra £688 million in Government funding this year to transform mental health services, specifically to hire more staff, deliver more early interventions, and get waiting lists down.
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 assessment his Department has made of making patient records owned by the patient.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Health records are not owned by patients, as the providers of care who create and maintain the records are the data controllers, although all patients have the right to access their records under the Data Protection Act 2018. Patients also have the legal right to ask for factual inaccuracies to be amended.
The general practice (GP) record can be viewed online on the NHS App, or by logging onto the National Health Service website. Individuals can alternatively contact their practice to view their record. To view a hospital record, individuals can ask the trust where they are a patient.
As part of the 10-Year Health Plan, we are developing a single patient record which will give patients greater control over their records, and act as a patient passport to seamless care. It will provide a single, secure, and authoritative account of their data by bringing together all of a patient’s medical information from different records in one place, for example GP and hospital data, and patients will be able to view the record securely on the NHS App and add their own data, for example from a wearable device.
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 improve the discharge process for patients in Surrey who are medically fit to leave hospital.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Urgent and Emergency Care plan for 2025/26 identifies reducing delays in hospital discharge as a key priority. Further information on the Urgent and Emergency Care plan for 2025/26 is available at the following link:
https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/
Hospitals are expected to eliminate discharge delays of more than 48 hours caused by in-hospital issues, to work with local authorities to tackle the longest delays, starting with those over 21 days, and to profile discharges by pathway to support local planning. In addition to this, we published a new policy framework on 30 January 2025 for the £9 billion Better Care Fund policy framework 2025 to 2026, which requires the National Health Service and local authorities to jointly agree local goals for reducing discharge delays. Further information on the Better Care Fund policy framework 2025 to 2026 is available at the following link:
https://www.gov.uk/government/publications/better-care-fund-policy-framework-2025-to-2026
We are working with trusts, integrated care systems, and local authorities to share and embed best practice and to help them to use performance data more effectively to address their discharge delays. The Local Government Association has published a range of guidance documents and high impact change models to support improvements to hospital flow and discharge processes, which can be found at the following link:
Officials held a call on 18 July 2025 with the Epsom and St. Helier Trust regarding the trust’s discharge challenges and proposed actions to improve the situation.
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, how his Department is supporting schools in West Dorset constituency to provide mental health support for children on the child and adolescent mental health services waiting list.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
For children and young people in distress or struggling with their mental health, fast access to early, high-quality support is critical, including in West Dorset.
That is why the 10-Year Health Plan sets out how we will work with schools and colleges to better identify and meet children's mental health needs by continuing to roll out mental health support teams in schools and colleges, to reach full national coverage by 2029.
The 10-Year Health Plan will build on the work that has already begun to bring down waiting lists. This includes providing mental health support for almost one million more young people in school this year and an extra £688 million in Government funding this year to transform mental health services, specifically to hire more staff, deliver more early interventions, and get waiting lists down.
Asked by: Neil O'Brien (Conservative - Harborough, Oadby and Wigston)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the annual budget was for the (a) Care Quality Commission, (b) UK Health Security Agency and (c) the Food Standards Agency in each year since 2005.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The table attached shows the annual budget and the number of full time equivalent (FTE) employees for the UK Health Security Agency, the Food Standards Agency, the Medicines and Healthcare products Regulatory Agency, the Care Quality Commission, and the National Institute for Health and Care Excellence, each year from 2005/06 to 2024/25. The number of people employed by each arm's-length body has been recorded as FTE (payroll). The annual budget comprises both the Resource Departmental Expenditure Limit and the Capital Departmental Expenditure Limit to give the total Departmental Expenditure Limit budget.
Asked by: Neil O'Brien (Conservative - Harborough, Oadby and Wigston)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many people have been employed by (a) the Care Quality Commission, (b) the UK Health Security Agency and (c) the Food Standards Agency in each year since 2005.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The table attached shows the annual budget and the number of full time equivalent (FTE) employees for the UK Health Security Agency, the Food Standards Agency, the Medicines and Healthcare products Regulatory Agency, the Care Quality Commission, and the National Institute for Health and Care Excellence, each year from 2005/06 to 2024/25. The number of people employed by each arm's-length body has been recorded as FTE (payroll). The annual budget comprises both the Resource Departmental Expenditure Limit and the Capital Departmental Expenditure Limit to give the total Departmental Expenditure Limit budget.
Asked by: Andrew Snowden (Conservative - Fylde)
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 number of medical graduates who have been unable to secure training scheme posts in the last three years.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Upon entering the National Health Service after graduation, medical students enter a two-year period of foundation programme placements. The United Kingdom Foundation Programme Office has successfully allocated foundation programme places to all eligible applicants in each of the past three years. These total 10,634 applicants for the 2025 programme, 9,702 for the 2024 programme, and 8,655 in 2023.
Upon successful completion of the foundation programme most doctors choose to apply for speciality training programmes. Competition for speciality training posts has grown in recent years, in part due to the introduction of health and care visas in 2020, as well as the decision to remove the Resident Labour Market Test for doctors in 2020 which has meant that more international medical graduates are applying for speciality training places, increasing the number of candidates for roles.
The table below presents the number of specialist training program applicants and the number of available posts in England by round. The difference between these two numbers is not exactly the number of candidates unable to secure a position as some applicants may not meet the thresholds set for recruitment to specialty training and some may be offered a specialty training post but for a range of reasons do not take up that position.
Round One | Round Two | |||
Entry year | Unique Applicants | Available Posts | Unique Applicants | Available Posts |
2023 | 20,297 | 9,265 | 6,081 | 3,415 |
2024 | 26,203 | 9,331 | 7,179 | 3,412 |
2025 | 33,870 | 9,479 | 8,481 | 3,354 |
Source: NHS England Medical Specialty Programme Applications Data.
Round one of the medical specialty application process includes applications to first year specialty training and core training programmes, often referred to as ST1 and CT1 respectively, and some ‘higher’ medical specialty training programmes, usually at year three, often referred to as ST3. Round two is for entry to most ‘higher’ medical specialty training programmes, ST3 or ST4. There will be a limited number of doctors who apply in a year to both rounds one and two.
The 10-Year Health Plan set out that 1,000 more specialty training places would be created over the next three years.
On 8 December, the Government put an offer in writing to the British Medical Association Resident Doctors Committee which would have put in place emergency legislation in the new year which would prioritise UK 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 NHS for a significant period of time for specialty training. This would have applied for current applicants for training posts starting in 2026, and every year after that.
The British Medical Association has rejected the Government's offer and the Government will consider its next steps.
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, how many individual applicants applied for specialty training places across all 65 medical specialties; and how many training places were available in 2025.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department holds data based on the application process for medical specialty training which allows the identification of unique applicants. This data is part of management information systems summarising information supplied in medical specialty training cycles. Applicants may have chosen to only apply to one specialty programme or may have made multiple applications within the year.
The following table shows the number of unique applicants in rounds one and two of medical specialty training for 2025 and the associated training places available across the United Kingdom:
Round one | Round two | |
Unique applicants | 33,870 | 8,481 |
Training posts | 9,479 | 3,354 |
Source: NHS England Medical Specialty Programme Applications Data.
Round one of the medical specialty application process includes applications to first year specialty training and core training programmes, often referred to as ST1 and CT1 respectively, and some ‘higher’ medical specialty training programmes, usually at year three, often referred to as ST3. Round two is for entry to most ‘higher’ medical specialty training programmes, ST3 or ST4. There will be a limited number of doctors who apply in a year to both rounds one and two.
Information on the number of applications and posts available for individual medical specialty training programmes is published annually by NHS England and can be found at the following link:
The 10-Year Health Plan set out that 1,000 more specialty training places would be created over the next three years.
On 8 December, the Government put an offer in writing to the British Medical Association Resident Doctors Committee which would have 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 have applied for current applicants for training posts starting in 2026, and every year after that.
The British Medical Association has rejected the Government's offer and the Government will consider its next steps.