Asked by: Chris Coghlan (Liberal Democrat - Dorking and Horley)
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 implications for the 10-year health plan of the findings of the report by NHS Providers entitled Investing in the NHS: empowering the sector to drive productivity, renewal and growth, published on 15 October 2025 on local authority funding for NHS infrastructure.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department of Health and Social Care continues to work proactively with the Ministry of Housing, Communities and Local Government and local authorities to reform National Health Service infrastructure in England. The 2025 Autumn Budget confirmed that the Department of Health and Social Care’s capital budgets will rise to £15.2 billion by the end of the Spending Review period of 2029/30, delivering the largest ever health capital budget, as well as medium-term certainty to the sector to enable multi-year planning.
This settlement commits to a major transformation of care delivery, moving from analogue to digital systems, hospital to community-based care, and from treatment to prevention, and also confirmed £300 million additional capital investment in NHS technology which will support NHS productivity improvements. Additionally, this includes the establishment of 250 neighbourhood health centres across England, of which 120 will be operational by 2030. These will be delivered through upgrading and repurposing existing buildings, and building new facilities through a combination of public sector investment and a new model of public-private partnerships. This is being developed by the National Infrastructure and Service Transformation Authority, supported by the Department of Health and Social Care, and will build on lessons learnt from past and current models and harness private sector expertise to deliver the new neighbourhood health centres.
Additionally, in November 2025, NHS England published the Capital guidance 2026/27 to 2029/30, which introduced several national reforms to the capital regime which addresses several of the recommendations in the report. These include: multi-year operational capital envelopes allocated directly to providers for the first time, providing firm funding until 2029/30 and indicative assumptions for a further five years; a new balance between national control and regional autonomy, giving regions a lead role in strategic estates planning and delivery oversight; expanded capital freedoms and flexibilities, including greater delegated authority and the ability for high-performing providers and newly authorised foundation trusts to reinvest surpluses; streamlined approvals and higher delegated limits, enabling faster delivery of capital schemes; and integration with the 10-Year Health Plan shifts, namely hospital to community, analogue to digital, and sickness to prevention, ensuring that capital investment underpins the long-term transformation of NHS services.
Asked by: Melanie Onn (Labour - Great Grimsby and Cleethorpes)
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 impact of alterations to indefinite leave to remain rules on NHS staffing levels.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
There have been no recent alterations to indefinite leave to remain rules. However, the Government has launched a consultation on proposals to reform the current settlement rules in favour of an “earned settlement” model, that considers factors such as contribution, integration, and conduct. The consultation, which runs until February 2026, seeks views on how these reforms should apply to different groups, including health and care workers. The consultation is available at the following link:
https://www.gov.uk/government/consultations/earned-settlement
Asked by: Ben Obese-Jecty (Conservative - Huntingdon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment has he made of the impact of the findings by the study of 1,005 GPs entitled “General practitioners’ adoption of generative artificial intelligence in clinical practice in the UK: An updated online survey”, published in the Digital Health science journal on 25th November 2025 that stated that 35% of doctors used AI for writing documentation, 27% for differential diagnoses and 24% for treatment or referrals despite having no formal training or oversight.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is aware of the study published in Digital Health on 25 November 2025 regarding the adoption of generative artificial intelligence (AI) by general practitioners (GPs). AI has the potential to transform health and care services by improving health outcomes, enhancing patient safety, and reducing costs. However, it is crucial to rigorously and regularly evaluate AI technologies to ensure they work safely, ethically, and effectively in different clinical settings.
The Department is currently assessing the implications of these findings through engagement with NHS England, the General Medical Council, and other stakeholders. Guidance is also being developed to ensure safe and ethical use of AI in clinical settings, which includes requirements for training and accountability, and working with regulators such as the Medicines and Healthcare products Regulatory Agency and the National Institute for health and Care Excellence to develop evaluation pathways for AI tools. This is to ensure the AI tools meet standards equivalent to other regulated medical technologies, and whether additional safeguards or standards needed to mitigate risks to patient safety and data security are explored.
We will continue to monitor emerging evidence and ensure that any integration of AI into clinical practice is underpinned by appropriate oversight, transparency, and professional responsibility.
Asked by: Wendy Morton (Conservative - Aldridge-Brownhills)
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 increase access to care in the community.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The 10-Year Health Plan sets out our vision for a Neighbourhood Health Service.
The Neighbourhood Health Service will embody our new preventative principle that care should happen as locally as it can, digitally by default, in a person’s home if possible, in a neighbourhood health centre when needed, and only in a hospital if necessary.
The Neighbourhood Health Service will mean people are treated and cared for closer to their home by new teams of health professionals. It will rebalance our health system so that it fits around peoples’ lives, not the other way round. We expect neighbourhood teams and services to be designed in a way that reflects the specific needs of local populations.
This is why we have launched wave 1 of the National Neighbourhood Health Implementation Programme (NNHIP) across 43 places in England. The NNHIP will support systems across the country by driving innovation and integration at a local level, to accelerate improvements in outcomes, satisfaction, and experiences for people by ensuring that care is more joined-up, accessible, and responsive to community needs.
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 integration between social care and NHS services in rural areas.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department is committed to improving integration between health and social care services nationally and locally, including in rural areas. Our vision for neighbourhood health will see integrated teams and services designed in a way that reflects the specific needs of local populations while ensuring strong partnership working between health and social care. While the focus on personalised, coordinated care will be consistent, that will mean the service will look different in rural communities, coastal towns, or deprived inner cities.
Through the Better Care Fund, approximately £9 billion is being invested in 2025/26 to enable National Health Service bodies and local authorities to pool budgets and deliver joined-up care. This money is spent across the country, including rural areas.
As outlined in the 10-Year Health Plan and 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.
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 assessment he has made of the potential merits of integrating AI into audiology care and diagnoses.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department recognises the potential of artificial intelligence (AI) to improve patient care across a range of clinical areas, including audiology. While there is currently no dedicated programme focused solely on AI in audiology, the Government’s wider strategy for AI in health and care sets out how emerging technologies will be evaluated and adopted where they demonstrate clear benefits for patients and clinicians.
Under the AI in Health and Care Award, the Department and NHS England have invested over £100 million to support real-world testing of AI technologies in high-impact areas such as diagnostics and screening. Lessons from these programmes, such as the need for robust clinical validation, regulatory compliance, and integration into National Health Service workflows will inform future consideration of AI applications in audiology.
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 recent assessment he has made of the potential impact of closer NHS and social care integration on reducing the time taken for hospital discharges in West Dorset constituency.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
I refer the Hon. Member to the answer I gave on 9 December 2025 to Question 95574.
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 integration between NHS services and social care provision in West Dorset constituency.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
I refer the Hon. Member to the answer I gave on 9 December 2025 to Question 95574.
Asked by: Richard Holden (Conservative - Basildon and Billericay)
Question to the Department for Transport:
To ask the Secretary of State for Transport, what assessment her Department has made of the potential merits of additional dedicated cross-Pennine rail freight capacity to support ports (a) in the Humber Estuary and (b) on the east coast of England, including Immingham.
Answered by Keir Mather - Parliamentary Under-Secretary (Department for Transport)
Analysis undertaken to develop the TransPennine Route Upgrade suggests there could be strong potential for new rail freight capacity from both east and west coast ports to inland terminals. Work to develop options for investment, in conjunction with the rail freight sector, is on-going. Such freight flows could lead to environmental and social benefits, such as reducing carbon emissions and road congestion by removing the requirement for large numbers of lorries on cross-Pennine roads. Decisions will be taken in time to allow integration of any suitable projects into the existing TransPennine Route Upgrade programme.
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 he Department is taking to improve integration between NHS services and social care provision in West Dorset.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department is committed to improving integration between health and social care services nationally and locally. Our vision for Neighbourhood Health will see local government and the National Health Service working more closely together, with a revitalised role for Health and Wellbeing Boards and reform of the Better Care Fund (BCF).
Through the BCF, approximately £9 billion is being invested in 2025/26 to enable NHS bodies and local authorities to pool budgets and deliver joined-up care. This includes setting shared goals to reduce delayed discharges, avoid unnecessary hospital admissions, and support people to live independently at home. Dorset has also received additional support from expert advisors working on behalf of NHS England and the Department.
Whilst no specific assessment has been made of the impact of closer NHS-social care integration on reducing hospital discharge delays in West Dorset, local Health and Wellbeing Boards are required to agree plans under the BCF framework to provide timely and coordinated support for people with complex needs. These plans prioritise effective discharge from hospital and recovery in the community.