Asked by: John McDonnell (Labour - Hayes and Harlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what are the findings of the department’s business case on new private finance in the NHS.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
As set out in the 10 Year Infrastructure Strategy (the Strategy) and the 10-Year Health Plan, in addition to significant capital investment, the Government would explore the feasibility of using new Public Private Partnership (PPP) models for taxpayer-funded projects in very limited circumstances, where they could represent value for money. This included the potential use of PPPs to deliver Neighbourhood Health Centres (NHCs).
A business case was developed by the Department and supported by National Infrastructure and Service Transformation Authority (NISTA). The business case was considered by ministers and has resulted in the announcement in the Budget published on 26 November 2025.
The Budget builds on the Strategy and the 10-Year Health Plan by confirming that the NHS Neighbourhood Rebuild Programme will deliver new NHCs through upgrading and repurposing existing buildings and building new facilities through a combination of public sector investment and a new model of PPPs.
This new PPP model is being developed by NISTA, and is supported by the Department, and will ensure private sector expertise is harnessed to deliver these assets on time and on budget.
The new model will build on lessons from the past and other models currently in use, and will draw on lessons learnt, including the National Audit Office’s 2025 report on private finance.
To ensure the NHC PPPs are managed transparently and are fiscally sustainable, these partnerships will be budgeted for as if they are on a balance sheet.
Delivering new NHCs through a combination of public investment and PPPs will also allow, for the first time, for evidence to be built and compared between different delivery models.
Asked by: Sonia Kumar (Labour - Dudley)
Question to the Department for Energy Security & Net Zero:
To ask the Secretary of State for Energy Security and Net Zero, whether his Department has made an assessment of the public health impacts of the Warm Homes Plan, especially regarding both indoor and outdoor air quality; and what metrics her Department plans to use to measure success in Dudley constituency.
Answered by Martin McCluskey - Parliamentary Under Secretary of State (Department for Energy Security and Net Zero)
The Warm Homes Plan will set out a strategy to improve health outcomes through the upgrade of British buildings. This includes measures that mitigate the health risks associated with living in a cold home (such as respiratory disease), exposure to poor air quality as a result of gas boiler emissions, and overheating in hotter months. DESNZ will work with the Department for Health and Social Care, the NHS and local government to promote the delivery of home upgrades that will support vulnerable health groups. Our ambition is to upgrade 5 million homes this parliament, and the success of our programmes will be monitored and evaluated through the collection of scheme data.
Asked by: Ian Lavery (Labour - Blyth and Ashington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will publish his Department’s business case on new private finance in the NHS.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department has no plans to publish the Neighbourhood Health Centre (NHC) Public Private Partnership (PPP) Feasibility Programme Business Case. Publication is not standard practice for business cases outside of the Government’s Major Projects Portfolio. This was a strategic outline business case, the purpose of which was to scope and identify the preferred way forward for a new potential PPP model in line with the HM Treasury five case model.
The Department and the National Infrastructure and Service Transformation Authority (NISTA) will continue to work with the market to further develop the new PPP model for NHCs, with further engagement next year. The final design and development of this new PPP model for NHCs will be led by NISTA and will be co-designed by the Department.
Asked by: Steve Witherden (Labour - Montgomeryshire and Glyndwr)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will publish details of his Department new private finance model for building neighbourhood health centres and the business case completed for it.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department and the National Infrastructure and Service Transformation Authority (NISTA) will continue to work with the market to further develop the new Public Private Partnership (PPP) model for neighbourhood health centres (NHCs) with further engagement next year. The final design and development of this new PPP model for NHCs will be led by NISTA and co-designed by the Department.
The Department has no plans to publish the NHC PPP Feasibility Programme Business Case. Publication is not standard practice for business cases outside of the Government Major Projects Portfolio.
Asked by: James McMurdock (Independent - South Basildon and East Thurrock)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, pursuant to Answer of 3 December 2025 to Question 94075 on Health Services: Foreign Nationals, when he last reviewed the operation of the NHS cost-recovery regime with NHS England: and what milestones have been set to measure improvements in the effectiveness of that regime.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department and NHS England publish data annually on the income identified, recovered, and written off from chargeable overseas visitors in England in the Department’s Annual Report and Accounts and in NHS England’s Consolidated NHS provider accounts. The information for the last three years is available at the following links:
National Health Service charges can be recovered up to six years from the date of invoice, and therefore the amount recovered in a year does not necessarily mean it was identified in the same financial year.
No formal review of the system of cost recovery has taken place. However, we continue to work with NHS England to ensure that the system works as effectively and fairly as possible.
Asked by: James McMurdock (Independent - South Basildon and East Thurrock)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how much income was (a) invoiced, (b) collected, and( c) written off under the NHS cost-recovery regime in each of the last three financial years.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department and NHS England publish data annually on the income identified, recovered, and written off from chargeable overseas visitors in England in the Department’s Annual Report and Accounts and in NHS England’s Consolidated NHS provider accounts. The information for the last three years is available at the following links:
National Health Service charges can be recovered up to six years from the date of invoice, and therefore the amount recovered in a year does not necessarily mean it was identified in the same financial year.
No formal review of the system of cost recovery has taken place. However, we continue to work with NHS England to ensure that the system works as effectively and fairly as possible.
Asked by: Dan Aldridge (Labour - Weston-super-Mare)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what targeted support his Department is providing people with asthma during the winter period.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
NHS England has provided £2.61 million of funding in 2025/26 to support people with respiratory conditions this winter, including improving access to diagnostic tests such as spirometry to support early and accurate diagnosis of asthma.
The funding builds on the work of NHS England to improve asthma outcomes, including the publication of commissioning standards for spirometry and the inclusion of Quality and Outcomes Framework indicators to support asthma diagnosis and management. These measures will support asthma patients to manage their condition throughout the year, including during the winter period.
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.