Asked by: Manuela Perteghella (Liberal Democrat - Stratford-on-Avon)
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 ensure that continuous NHS service is recognised across (a) primary, (b) secondary and (c) community care settings for the purposes of (i) redundancy pay and (ii) employment protections.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department understands the significance of recognising continuous service across different parts of the health system. Sections 12 and 16 of the National Health Service terms and conditions of service (Agenda for Change) handbook establish redundancy entitlements and employment protections for staff directly employed on Agenda for Change contracts in England, as well as employees whose contracts refer to Section 16. These arrangements are collectively agreed with NHS trade unions.
Employers such as general practices within primary care operate as independent entities rather than NHS employers. Nevertheless, employers retain discretion to consider non-NHS service when calculating redundancy benefits, where this experience is relevant to NHS employment. NHS policy indicates that it may be reasonable, but is not obligatory, for employers to consider this previous service in the redundancy. These decisions should be mutually agreed upon by both the employer and employee at the point of joining or returning to the NHS.
Collectively, sections 12 and 16 ensure that staff retain redundancy protections when moving between NHS organisations, while affording employers the flexibility to acknowledge any relevant external experience, which supports fairness and consistency in redundancy outcomes across the NHS. NHS Employers provides guidance to support the consistent implementation of NHS redundancy provisions across all settings. Ultimately, NHS organisations are responsible for administering the nationally agreed redundancy terms.
Asked by: Manuela Perteghella (Liberal Democrat - Stratford-on-Avon)
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 impact of fragmented recognition of service across different NHS sectors on long-serving NHS staff during redundancy processes.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department has not made an assessment of how fragmented recognition of service across different National Health Service sectors might affect long-serving NHS staff who face redundancy.
Redundancy entitlements for NHS staff are determined by Section 16 of the NHS Terms and Conditions of Service (Agenda for Change) handbook, which covers employees directly employed on Agenda for Change contracts in England and those whose contracts refer to Section 16. These arrangements are collectively agreed with NHS trade unions and also specify how previous NHS employment is defined and counted when determining redundancy pay.
Local employers are responsible for confirming entitlement to a redundancy payment, and these terms will be stipulated in an employee’s contract of employment. The redundancy rules as described above apply to those employed by NHS employers in England as listed in Annex 1 of the Agenda for Change handbook. Employers must determine an individual’s redundancy entitlement in accordance with Section 16 as nationally agreed between employers and NHS trade unions. If someone has worked outside the NHS but in a role relevant to NHS employment, NHS policy recommends that it would be reasonable, but not a requirement, for employers to consider this service in any redundancy calculation. This consideration should be agreed between the employer and employee either upon joining or returning to the NHS.
Asked by: Shivani Raja (Conservative - Leicester East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate he has made of the savings generated by reductions in NHS England staffing; and how are those savings being redirected into frontline patient care.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
Creating a new joint organisation will streamline decision-making, reduce bureaucracy, and improve accountability. These changes are expected to generate significant efficiencies over time.
The Department’s initial modelling demonstrate that the up-front investment in organisational change will be offset by long-term reductions in staffing and running costs, ensuring the programme delivers value for money and sustainable savings for the taxpayer. Current estimates expect that these changes will save £1 billion a year by the end of this Parliament, which is equivalent to 116,000 hip and knee operations.
The Government is committed to transparency in how these figures are calculated. The methodology underpinning the £1 billion saving estimate will be set out through established mechanisms, including publication of supporting documentation where appropriate. This will ensure that both Parliament and the public are able to scrutinise the basis of the savings. Further detail will be brought forward over time, in line with our commitment to provide clear and timely information.
The Department is committed to transparent, responsible, evidence-based policy making. We will publish proportionate assessments to support reforms. Assessments will be published to enable scrutiny and will be proportionate to the scale of reform.
Asked by: Mohammad Yasin (Labour - Bedford)
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 expand access to drug checking services, naloxone, and other overdose prevention measures.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Every drug-related death is a tragedy, and the Government is taking a public health approach to prevent these deaths and reduce harms from drugs.
Expanding access to naloxone, a life-saving overdose medication, has never been more important. In addition to the changes made in 2024 to expand access, we recently launched a ten-week United Kingdom-wide public consultation on further legislative options to expand access to take-home and emergency use naloxone.
The Government facilitates Drug Checking Facilities provided that the possession and supply of controlled drugs are licensed by the Home Office, or exceptionally, relevant exemptions under the Misuse of Drugs Regulations 2001 may apply. Drug Checking Facilities must not condone drug use and should only be delivered where licensed and operated responsibly in line with Government policy to ensure that they discourage drug use and signpost potential users to treatment and support.
Asked by: Bell Ribeiro-Addy (Labour - Clapham and Brixton Hill)
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 impact of trends in the level of the utilisation of hospice beds on NHS capacity and costs; and if he will make it his policy to allocate £100 million funding for hospices in 2025-26 and a further £100 million in April 2026.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
As hospices are independent, charitable organisations, the Department and NHS England do not collect data on the level of utilisation of hospices. Whilst the majority of palliative and end of life care is provided by National Health Service staff and services, we recognise the vital part that hospices also play in providing support to people at the end of life and their loved ones, as well as alleviating pressure on NHS services.
In December 2024, we announced that we were providing £100 million of capital funding for eligible adult and children’s hospices in England. This was split across two financial years, with hospices receiving £25 million to spend in 2024/25 and £75 million to spend in 2025/26.
I am pleased to say that we can now confirm we are providing a further £25 million in capital funding for hospices to spend in 2025/26.
Furthermore, children and young people’s hospices have received £26 million of revenue funding for 2025/26 and we are also providing £80 million of revenue funding for children and young people’s hospices over the next three financial years, from 2026/27 to 2028/29, giving them stability to plan ahead and focus on what matters most, caring for their patients.
We are in a challenging fiscal position across the board. At this time, we are not in a position to offer any additional funding beyond that outlined above. However, we are trying to support the hospice sector in other ways.
The Government is developing a Palliative Care and End of Life Care Modern Service Framework (MSF) for England. As part of the MSF, we will consider contracting and commissioning arrangements. We recognise that there is currently a mix of contracting models in the hospice sector. By supporting integrated care boards to commission more strategically, we can move away from grant and block contract models. In the long term, this will aid sustainability and help hospices’ ability to plan ahead.
Asked by: Lee Anderson (Reform UK - Ashfield)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the readiness of the NHS to respond to co-ordinated cyber attacks.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
In the past year, we have invested £37.6 million across health and social care, building on the £338 million invested since 2017. Through our ambitious Cyber Improvement Programme, we are tackling the changing cyber risk head-on, expanding protection and services to better protect the health and care system.
NHS England’s Cyber Operations team provides 24/7 monitoring and expert support to National Health Service organisations who have been impacted by cyber-attacks. This includes specialist, on the ground, certified incident response services free of charge to NHS organisations who have been severely impacted by cyber incidents as well as technical and operational support to contain, investigate, and remediate incidents. Furthermore, we have developed guidance for leaders involved in cyber incidents to ensure there is a clear policy and process for how to respond across all elements of incidents.
We have a process in place to identify lessons and implement improvements following cyber incidents. Following the Synnovis cyber-attack in 2024, the Department and NHS England have made improvements to critical communications processes, additional measures to improve resilience in the supply chain, and setting out clearer roles and responsibilities in incident management.
In 2023, a Health and Care Cyber Security Strategy was launched. Pillar 5 of the strategy focuses on exemplary response and recovery, and as set out in the strategy, health and care organisations should run annual cyber exercises to ensure there is a well-practiced and rapid response when incidents do occur.
Asked by: Bobby Dean (Liberal Democrat - Carshalton and Wallington)
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 UKRI and the National Institute for Health and Care Research on supporting new and emerging treatments for low‑grade gliomas.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department invests over £1.6 billion per year in research through the National Institute for Health and Care Research (NIHR).
Government responsibility for delivering cancer research is shared between Department for Health and Social Care, with research delivered by the NIHR, and Department for Science, Innovation and Technology, with research delivered via UK Research and Innovation.
Department of Health and Social Care and Department of Science, Innovation and Technology officials meet regularly to discuss a range of research investments to drive the maximum collective research impact on policy, practice, and individual lives.
The NIHR is continuing to invest in brain tumour research. In December 2025, the NIHR announced the pioneering Brain Tumour Research Consortium to accelerate research into new brain tumour treatments. NIHR is investing an initial £13.7 million in the consortium, with significant further funding due to be awarded early in 2026. The world-leading consortium aims to transform outcomes for adults and children and their families who are living with brain tumours, ultimately reducing lives lost to cancer.
The NIHR continues to welcome high quality funding applications for research into any aspect of human health and care, including low-grade glioma.
Asked by: Sarah Olney (Liberal Democrat - Richmond Park)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his department uses AI to automate decision making about access to public services.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department develops policy and strategy on the regulation and use of artificial intelligence (AI) technologies across health and care. The NHS England Information Governance (IG) Policy Engagement Team are updating their guidance for patients, health care professionals, and IG professionals on the use of AI and patient data in the National Health Service.
Decisions regarding the adoption and deployment of AI tools, including those used for automated decision making, are made at a local level by individual NHS trusts. At present, NHS trusts have autonomy to determine the use of such technologies, taking into account the needs and priorities of their respective organisation, and should evaluate and review the impact of AI deployment within their care settings.
While some trusts may utilise AI to support processes such as prioritisation, access to NHS services is, and will remain, governed by the NHS Constitution. In particular, principle 2 of the NHS Constitution ensures that access is based on clinical need, not on the technology used.
Asked by: Nigel Huddleston (Conservative - Droitwich and Evesham)
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 impact on jobs and employment on changes in regulation in the dairy sector, including through the proposed revisions to the Nutrient Profiling Model, the Soft Drinks Industry Levy proposed inclusion of dairy products, the increase to employer’s National Insurance contributions, and packaging taxes.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Soft Drinks Industry Levy (SDIL) and National Insurance contributions are the responsibility of HM Treasury and packaging taxes fall under the remit of the Department for Environment, Food, and Rural Affairs.
The Nutrient Profile Model (NPM) is under the remit of the Department of Health and Social Care. We are committed to updating the standards which underpin the advertising restrictions on television and online and the promotion restrictions in stores and their equivalent places online on ‘less healthy’ food and drink products. The NPM 2004/05 is plainly out of date and updating the standards will strengthen the restrictions by reflecting the latest dietary advice and more effectively target the products of most concern to childhood obesity. An impact assessment will be published alongside a consultation later this year.
It was announced at Budget 2025 that milk based and milk substitute drinks, for instance soya, almond, and/or oat, would be included in the scope of the SDIL from 1 January 2028. These reforms are not expected to have any significant macroeconomic impacts, including on employment, on the basis that the levy is limited to soft drinks, and an estimated 11% of United Kingdom soft drink sales will be affected. A full assessment of the impacts of these changes is included within the Strengthening the Soft Drinks Industry Levy – Summary of Responses document. This is available at the following link:
A Tax Information and Impact Note (TIIN) was published alongside the introduction of the bill, containing the changes to employer National Insurance contributions. The TIIN sets out the impact of the policy on the exchequer, the economic impacts of the policy, and the impacts on individuals, businesses, and civil society organisations, as well as an overview of the equality impacts. The Government protected the smallest hospitality businesses from recent changes to employer National Insurance by increasing the Employment Allowance to £10,500.
The Department for Environment, Food, and Rural Affairs published the updated impact assessment of the packaging Extended Producer Responsibility scheme in October 2024, which evaluated the overall effects on packaging producers, without disaggregating by sector.
Asked by: James Naish (Labour - Rushcliffe)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what consideration his Department has given to repealing S2(4) of the Law Reform (Personal Injuries) Act 1948.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The rising costs of clinical negligence claims against the National Health Service in England are of great concern to the Government. Costs have more than doubled in the last 10 years and are forecast to continue rising, putting further pressure on NHS finances.
As announced in the 10-Year Health Plan for England, David Lock KC is providing expert policy advice on the rising legal costs of clinical negligence and how we can improve patients’ experience of claims. The review is ongoing, following initial advice to ministers and the recent National Audit Office report.
We welcome the report by the National Audit Office. The results of David Lock’s work will inform future policy making in this area. No decisions on policy have been taken at this point, and the Government will provide an update on the work done and next steps in due course.