Asked by: Mark Hendrick (Labour (Co-op) - Preston)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many medical appointments were missed by (a) deaf and (b) hearing impaired people due to a lack of information support (i) at Lancashire Teaching Hospitals, (ii) in the North West and (c) in England over the last three years.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department does not hold data on medical appointments missed in the format requested. Our Elective Reform Plan sets out the focussed action we are taking to reduce missed appointments, as part of delivering the Government’s commitment to return to the constitutional standard of 92% of patients having their first treatment within 18-weeks of referral. This includes enhancing communication between hospitals and patients, using the results of artificial intelligence to predict missed appointments, and targeting support to vulnerable patient groups, saving up to one million missed appointments.
The Elective Reform Plan and the 10-Year Health Plan commit to modernising care equitably and inclusively, including ensuring consistency in the availability of information, so that patients, including those that are deaf or have hearing impairments, are supported to attend appointments and have the best possible experience of care.
As part of this, NHS England published a refreshed Accessible Information Standard (AIS) in July 2025. This sets out a specific, consistent approach to meeting the information and communication support needs of service users with a disability, impairment, or sensory loss, and requires that relevant staff are adequately trained. NHS England is supporting implementation of AIS, so that staff and organisations are aware of the importance of meeting the needs of disabled people using services.
Asked by: Alex Brewer (Liberal Democrat - North East Hampshire)
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 reduce ambulance wait times for Category 2 calls to the national target of 18 minutes.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government recognises that in recent years ambulance performance has not met the high standards patients should expect.
In October, NHS England published the Medium Term Planning Framework which sets out ambitious targets to improve core urgent and emergency care performance to constitutional standards, including by shortening average Category 2 response times to 18 minutes. This is being supported by practical actions, including reducing avoidable ambulance dispatches and conveyances and ambulance handover delays.
The measures being taken are already improving ambulance response times, including in North East Hampshire. The latest National Health Service performance figures for the South Central Ambulance Service NHS Foundation Trust, which serves North East Hampshire, show that in October, Category 2 incidents were responded to in 31 minutes 54 seconds on average, over six minutes faster than the same period last year.
Asked by: Alex Brewer (Liberal Democrat - North East Hampshire)
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 reduce ambulance response times in North East Hampshire constituency.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government recognises that in recent years ambulance performance has not met the high standards patients should expect.
In October, NHS England published the Medium Term Planning Framework which sets out ambitious targets to improve core urgent and emergency care performance to constitutional standards, including by shortening average Category 2 response times to 18 minutes. This is being supported by practical actions, including reducing avoidable ambulance dispatches and conveyances and ambulance handover delays.
The measures being taken are already improving ambulance response times, including in North East Hampshire. The latest National Health Service performance figures for the South Central Ambulance Service NHS Foundation Trust, which serves North East Hampshire, show that in October, Category 2 incidents were responded to in 31 minutes 54 seconds on average, over six minutes faster than the same period last year.
Asked by: Rosena Allin-Khan (Labour - Tooting)
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 adequacy of myalgic encephalomyelitis treatment in South West London.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
We published the myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), final delivery plan on 22 July 2025. The plan focusses on boosting research, improving attitudes and education, and bettering the lives of people with this debilitating disease, including those in South West London.
The ME/CFS final delivery plan includes an action for the Department and NHS England to explore whether a specialised service should be prescribed by my Rt Hon. Friend, the Secretary of State for Health and Social Care, for people with very severe ME/CFS across England. Officials from the Department have commenced discussions with NHS England on how best to take forward this action.
NHS England has also started its work on co-designing resources for systems to improve services for mild and moderate ME/CFS, including for patients in South West London. It will meet a group of key stakeholders to progress this in the coming weeks.
To support healthcare professionals in the diagnosis and management of ME/CFS, as set out in the final delivery plan, the Department has worked with NHS England to develop an e-learning programme on ME/CFS for healthcare professionals, with the aim of supporting staff to be able to provide better care and improve patient outcomes. All three sessions of the e-learning programme, with sessions one and two having universal access, whilst the third session is only available to healthcare professionals, are now available at the following link:
https://learninghub.nhs.uk/catalogue/mecfselearning?nodeId=7288
Asked by: Jenny Riddell-Carpenter (Labour - Suffolk Coastal)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many job vacancies there were for (a) Foundation Year 1 doctors, (b) Foundation Year 2 doctors and (c) specialty training posts in (i) England and (ii) Suffolk NHS region at the most recent date for which data is available.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department does not hold information on the number of vacancies for Foundation Year 1, Foundation Year 2, and specialty training posts in England or in the Suffolk National Health Service region.
NHS England collects and publishes data relating to the fill rates for training places in medical specialties. These are for the entry point of the initial recruitment processes for the specific training programme, rather than a measure of total vacancies at a given point in time. Further information is available at the following link:
https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/fill-rates
Asked by: Rosena Allin-Khan (Labour - Tooting)
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 support people with myalgic encephalomyelitis in South West London.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
We published the myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), final delivery plan on 22 July 2025. The plan focusses on boosting research, improving attitudes and education, and bettering the lives of people with this debilitating disease, including those in South West London.
The ME/CFS final delivery plan includes an action for the Department and NHS England to explore whether a specialised service should be prescribed by my Rt Hon. Friend, the Secretary of State for Health and Social Care, for people with very severe ME/CFS across England. Officials from the Department have commenced discussions with NHS England on how best to take forward this action.
NHS England has also started its work on co-designing resources for systems to improve services for mild and moderate ME/CFS, including for patients in South West London. It will meet a group of key stakeholders to progress this in the coming weeks.
To support healthcare professionals in the diagnosis and management of ME/CFS, as set out in the final delivery plan, the Department has worked with NHS England to develop an e-learning programme on ME/CFS for healthcare professionals, with the aim of supporting staff to be able to provide better care and improve patient outcomes. All three sessions of the e-learning programme, with sessions one and two having universal access, whilst the third session is only available to healthcare professionals, are now available at the following link:
https://learninghub.nhs.uk/catalogue/mecfselearning?nodeId=7288
Asked by: Nick Timothy (Conservative - West Suffolk)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what plans his Department has to recruit more specialist nurses and reduce waiting times for diagnosis of Parkinson's disease.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
We recognise the importance of a timely diagnosis of Parkinson’s disease and remain committed to delivering the National Health Service constitutional standard for 92% of patients to wait no longer than 18 weeks from referral to treatment by March 2029. We are investing in additional capacity to deliver appointments to help bring lists and waiting times down. The Elective Reform Plan, published in January 2025, sets out the specific productivity and reform efforts needed to return to the constitutional standard.
By expanding community-based services for routine monitoring and follow up, employing artificial intelligence for productivity, and investing in digital tools and data, as outlined in the 10-Year Health Plan, we can ensure that consultants’ time is reserved for complex cases, including specialist diagnostic assessments, which are critical for people with suspected Parkinson’s.
Integrated care boards (ICBs) are responsible for commissioning services that meet the needs of their population, including for Parkinson’s. In doing so, the Government expects ICBs to take account of the relevant guidelines and best practice in designing their local services. The NICE guideline on Parkinson’s disease, reference code NG71, states that people with Parkinson’s should have an accessible point of contact with specialist services, which can be provided by a Parkinson’s nurse specialist, and that all individuals should be offered access to the services provided by these specialist nurses to support ongoing care and advice. The guideline is available at the following link:
https://www.nice.org.uk/guidance/ng71
We acknowledge the significant neurology workforce challenges across the country, including the need for more specialist nurses. The forthcoming long-term workforce plan will set out how we will train and provide the staff, technology, and infrastructure the NHS needs to make it more accessible, proactive, and tailored for all patients, including those with Parkinson’s.
Asked by: Richard Foord (Liberal Democrat - Honiton and Sidmouth)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the UK Resilience Academy's Exercising Best Practice Guidance, whether external expert observers and evaluators have been involved in Exercise Pegasus; and what steps he is taking to incorporate independent assessments by expert observers and evaluators into the UK's pandemic preparedness plans.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Trained observers and evaluators participated throughout Exercise PEGASUS, the largest simulation of a pandemic in United Kingdom history. These observers and evaluators provided an external view on the decisions and actions taken by participants, supported by other evaluation methods, including focus groups to ‘red team’ or challenge participant decisions, surveys, and structured ‘debriefs’ with participants themselves.
The Department aims to have flexible, adaptable, and scalable capabilities that can respond to any infectious disease or other threat, along all routes of transmission rather than relying on plans for specific threats.
Our health and care sector plans and our overall pandemic preparedness approach will continue to evolve in response to new scientific and clinical advice, as well as lessons learned, including learning from the UK COVID-19 Inquiry and Exercise PEGASUS. Exercise PEGASUS used a variety of mechanisms to provide challenges to current arrangements for pandemic response. Exercise PEGASUS has provided valuable experience which is being used to inform the pandemic preparedness strategy and response plans.
Asked by: Kevin Hollinrake (Conservative - Thirsk and Malton)
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 28 July 2025, to Question 66478, on Innovation: Beer and Public Houses, whether the Government intends to involve amend the Licensing Act 2003 to prohibit the sale of alcohol-free drinks to under 18s in pubs.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
A non-alcoholic product differs from a soft drink as it is a beverage intentionally crafted to mimic traditional alcoholic drinks like beer, wine, or spirits. This is a newly emerging area, but there is some evidence to suggest that exposure to alcohol like products, even if low or zero alcohol, can normalize drinking, and become a gateway to alcohol consumption. Earlier alcohol use initiation is linked to a higher risk of harmful drinking patterns later in life.
The Department continues to monitor the emerging evidence on the impact of no and low alcohol (NoLo) products on children and young people. A large multi-year National Institute for Health and Care Research study is underway to examine the public health impacts of NoLo products, and we look forward to the findings of that being available in the coming year.
The Government is still considering options to restrict access to NoLo products, including banning sales to under 18 year-olds. as committed to in the In Fit for the Future: 10-Year Health Plan for England. We will share an update with stakeholders in due course.
Asked by: Kevin Hollinrake (Conservative - Thirsk and Malton)
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 28 July 2025, to Question 66478, on Innovation: Beer and Public Houses, on what evidential basis no- and low-alcohol drinks can cause harm to 16 and 17 year olds.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
A non-alcoholic product differs from a soft drink as it is a beverage intentionally crafted to mimic traditional alcoholic drinks like beer, wine, or spirits. This is a newly emerging area, but there is some evidence to suggest that exposure to alcohol like products, even if low or zero alcohol, can normalize drinking, and become a gateway to alcohol consumption. Earlier alcohol use initiation is linked to a higher risk of harmful drinking patterns later in life.
The Department continues to monitor the emerging evidence on the impact of no and low alcohol (NoLo) products on children and young people. A large multi-year National Institute for Health and Care Research study is underway to examine the public health impacts of NoLo products, and we look forward to the findings of that being available in the coming year.
The Government is still considering options to restrict access to NoLo products, including banning sales to under 18 year-olds. as committed to in the In Fit for the Future: 10-Year Health Plan for England. We will share an update with stakeholders in due course.