Asked by: Lee Dillon (Liberal Democrat - Newbury)
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 (a) improve capacity within the social care system and (b) reduce delayed discharges.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department is working closely with NHS England and local authorities to improve social care capacity and reduce delayed discharges.
The Market Sustainability and Improvement Fund (MSIF) provided over £1 billion to local authorities for adult social care over 2025/26, based on their areas’ needs, to target increasing fee rates paid to adult social care providers, increasing adult social care workforce recruitment and retention, and reducing waiting times for care.
We are also supporting the digitisation of adult social care, which can strengthen capacity within the social care system through productivity improvements. 80% of registered care providers now have digitised care records, benefitting 89% of people who draw on care. Digital care records can save time spent on administrative tasks, releasing over 20 minutes per care worker, per shift.
The Urgent and Emergency Care Plan for 2025/26 identifies reducing delays in hospital discharge as a key priority. 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, the 2025/26 policy framework for the £9 billion Better Care Fund requires the National Health Service and local authorities to jointly agree local goals for reducing discharge delays.
Starting in the financial year 2026/27, we will reform the Better Care Fund. This reform will provide a sharper focus on ensuring consistent joint NHS and local authority funding for those services that are essential for integrated health and social care, such as hospital discharge, intermediate care, rehabilitation and reablement. We will set out further details in due course.
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: Carla Lockhart (Democratic Unionist Party - Upper Bann)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department plans to review the 24-week abortion gestational limit in light of recent scientific evidence on foetal pain and advances in neonatal care.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
There are no plans for the Government to review the gestational limits of abortion. It is for Parliament to decide whether to make any changes to the law on abortion, including gestational time limits.
When the time limit was last reduced in 1990, there was a clear consensus from the medical profession that the age of viability had reduced from 28 weeks to 24 weeks gestation. There is currently no clear medical consensus that the age of viability has reduced below 24 weeks.
The Government does not formulate policy on fetal sentience and fetal pain. The review and determination of fetal sentience and its implications for abortion and clinical practice is reached through professional medical consensus and clinical guidance.
The Royal College of Obstetricians and Gynaecologists has carried out a comprehensive review into fetal awareness evidence. Published in December 2022, the review concluded that the evidence to date indicates that the possibility of pain perception before 28 weeks of gestation is unlikely.
Asked by: Peter Dowd (Labour - Bootle)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what data his department collects to monitor potential inequalities in multiple sclerosis care access; and how those findings are used to inform policy and service delivery improvements.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department does not collect patient-level clinical data directly but works with NHS England and other bodies to monitor inequalities in access to multiple sclerosis (MS) services through a range of national programmes and datasets.
The UK Multiple Sclerosis Register, which is managed by Swansea University and supported by the MS Society, provides a comprehensive evidence base on the experiences and outcomes of people living with MS across the United Kingdom. It combines patient-reported data with clinical information from National Health Services, enabling analysis of variations in access to treatments, specialist care, and support by geography, deprivation, ethnicity and other demographic factors.
Findings from the register are used to inform research policy development and service improvement initiatives. This evidence supports NHS England and integrated care boards in identifying variations in access to treatment and care, guiding commissioning decisions, and helping to reduce health inequalities for people living with MS.
Additionally, initiatives such as NHS England’s Getting It Right First Time (GIRFT) programme and its RightCare programme both aim to reduce unwarranted variation in services and improve equity of care for people with MS.
GIRFT undertakes clinically-led, data-driven reviews of neurology services across all neuroscience centres and trusts. Its national neurology report sets out recommendations to standardise care, improve access to specialist services closer to home, and share best practice between providers. By addressing these variations, GIRFT helps to ensure that people with MS receive more consistent, high-quality care regardless of where they live.
RightCare focuses on population health and on reducing inequalities by providing commissioners with toolkits and benchmarking resources. Its Progressive Neurological Conditions Toolkit supports systems to assess current provision for conditions such as MS, identify gaps, and prioritise improvements. It promotes integrated, person-centred care and encourages commissioners to benchmark services against national standards, helping to reduce disparities in access and outcomes.
Asked by: Jim Dickson (Labour - Dartford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department plans to take to implement the healthy food standard policy announced as part of the 10-year health plan for England within the current Parliament; and if he will publish a timeline for these legislative or regulatory changes.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
As set out in the 10-Year Health Plan, we will take decisive action on the obesity crisis, easing the strain on our National Health Service and creating the healthiest generation of children ever. The plan committed to introducing mandatory healthy food sales reporting for all large companies in the food sector before the end of this Parliament and targets to increase the healthiness of sales in all communities.
To fulfil this commitment, the Government is working towards a Spring 2026 public consultation on Healthier Food Targets and Reporting. Decisions on policy proposals and implementation will be taken following consultation.
Asked by: Jessica Toale (Labour - Bournemouth 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 made an assessment of the potential merits of extending routine NHS vaccination against Meningitis B to teenagers and first-year university students.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Policy regarding vaccination programmes is based on advice from the Joint Committee on Vaccination and Immunisation (JCVI). The JCVI keeps all vaccination programmes under review, and the meningococcal sub-committee have met a number of times over the past year to discuss the meningococcal vaccination programme. The minutes of all JCVI meetings are available at the following link:
In 2013, the JCVI advised that the cost-effectiveness of an adolescent Meningitis B (MenB) vaccination programme would be dependent on the impact of the vaccine on protection against meningococcal carriage, which was uncertain at the time. Recent evidence considered by the meningococcal sub-committee indicates that MenB vaccines do not protect against carriage of meningococcus serogroup B in adolescents.
The sub-committee noted that when available, they would like to review a model evaluating the impact of the MenB vaccine when given in a teenage programme in a two-dose schedule, including the impact on meningococcal disease and gonorrhoea.
Adolescents remain eligible for the MenACWY vaccine until their 25th birthday.
Asked by: Jessica Toale (Labour - Bournemouth West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment his Department has made of trends in the level of Meningitis B cases among teenagers and university students; and what steps he is taking to help reduce that level.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The UK Health Security Agency continually monitors the incidence and profile of invasive meningococcal disease (IMD) in England across all age groups to provide information to the Joint Committee on Vaccination and Immunisation to help inform policy decisions.
The United Kingdom has a world-leading meningococcal vaccine programme, and we were the first country to introduce a national Meningitis C (MenC) vaccine programme in 1999 and an infant programme targeting Meningitis B (MenB) disease in 2015, the year in which the teenage MenACWY vaccination was also introduced.
Cases of IMD in England have fallen from over 2,500 in 1998/99, before the first routine meningococcal vaccination against MenC, was introduced, to 378 cases in 2024/225. The MenACWY vaccine also stops carriage and transmission. With this high population-level control of MenACWY disease, MenB disease accounted for 313 of the 378, or 83% of, cases in 2024/25.
MenB remains rare but is now the leading cause of meningococcal disease in all age groups in England, including teenagers and young adults. Further information for the 2024 to 2025 epidemiological year, running from July 2024 to June 2025, is available at the following link:
Asked by: Shockat Adam (Independent - Leicester South)
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 update NHS England’s Guidance - Commissioning Excellent Nutrition and Hydration 2015-2018, including consultation that has taken place with stakeholders working in the field of nutrition and malnutrition.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England has undertaken a comprehensive review and refresh of the Commissioning Excellent Nutrition and Hydration 2015–2018 guidance to ensure that it reflects current evidence base, national food standards, National Institute for Health and Care Excellence guidance, regulatory requirements, evidence based best practice, current research, and system structures.
This work was overseen by a National Nutrition and Hydration Advisory Board representative of key stakeholders and relevant experts.
This work included an in-depth engagement phase with patient groups, patient representatives, National Health Service and social care organisations, professional networks, voluntary and community sector organisations, other key organisations, and researchers to share work on the policy development to date and to seek their views. Feedback received from the engagement phase was analysed, themes and key findings shared with the National Hydration and Nutrition Advisory Board members, and where relevant and appropriate, incorporated into the final version of the policy.
The National Hydration and Nutrition Advisory Board reviewed and endorsed the updated policy at their November 2025 meeting. It will be published in due course.
Asked by: Shockat Adam (Independent - Leicester South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, when his Department expects to publish new national hydration and nutrition guidance, further to the review conducted by NHS England’s Nursing Directorate; and if he will publish the findings of that review.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England has undertaken a comprehensive review and refresh of the Commissioning Excellent Nutrition and Hydration 2015–2018 guidance to ensure that it reflects current evidence base, national food standards, National Institute for Health and Care Excellence guidance, regulatory requirements, evidence based best practice, current research, and system structures.
This work was overseen by a National Nutrition and Hydration Advisory Board representative of key stakeholders and relevant experts.
This work included an in-depth engagement phase with patient groups, patient representatives, National Health Service and social care organisations, professional networks, voluntary and community sector organisations, other key organisations, and researchers to share work on the policy development to date and to seek their views. Feedback received from the engagement phase was analysed, themes and key findings shared with the National Hydration and Nutrition Advisory Board members, and where relevant and appropriate, incorporated into the final version of the policy.
The National Hydration and Nutrition Advisory Board reviewed and endorsed the updated policy at their November 2025 meeting. It will be published in due course.
Asked by: Saqib Bhatti (Conservative - Meriden and Solihull East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, when his Department will publish the Acquired Brain Injury Action plan.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
We expect to publish the Acquired Brain Injury (ABI) Action Plan in the first half of 2026. This will allow time to ensure the plan is in line with our 10-Year Health Plan and is robust, action-oriented, and reflects emerging priorities across health, social care, and other relevant sectors.
The plan is designed to take a cross-Government approach and will cover several key areas to improve outcomes for people living with ABI. We are working with Government departments with responsibility for education, justice, housing and homelessness, work and benefits, transport, sport, and defence on the plan.
The plan will ensure more consistent and comprehensive data gathering, alongside better mechanisms for sharing and accessing information. These improvements will support integrated care, inform commissioning decisions, and strengthen evidence-based policy development.