Written questions by Brewer.

What assessment he has made of the potential impact of the digitalisation of NHS services on people who are digitally excluded.

We are working to improve access to digital services, outcomes, and experience for the widest range of people, based on their preferences. Digital health tools should be part of a wider offering that includes face-to-face support with appropriate help for people who struggle to access digital services. NHS England has successfully run a number of programmes to support patients, carers, and health service staff with their digital skills. These include: the Digital Health Champions programme, a proof of concept to support citizens who have no or low digital skills with understanding how to access health services online; the Widening Digital Participation programme, aimed to ensure more people have the digital skills, motivation and means to access health information and services online; and the NHS App ‘Spoken Word’ Pilot project, designed to test the efficacy of promoting National Health Service digital health products and services in languages other than English.NHS England has published a framework for NHS action offering support to vulnerable people and those digitally excluded in rural areas and is developing further resources and practical actions including one-to-one support to improve digital literacy and access to NHS tools. All programmes are actively considering how they can contribute to improvements in healthcare inequalities and digital inclusion.We know that some patients may struggle or prefer not to use digital options. That is why we have also committed to work with digital transformation teams in integrated care boards and with groups at risk of digital exclusion to ensure digital solutions are inclusive. We will also continue to provide high quality, non-digital options for those who want and need them.

What steps his Department is taking to support newly qualified midwives in securing employment following the completion of their training placements.

On 11 August 2025, the Government announced the Graduate Guarantee for nurses and midwives. The guarantee will ensure that there are enough positions for every newly qualified midwife in England. The package of measures will unlock thousands of jobs and will ensure thousands of new posts are easier to access by removing barriers for National Health Service trusts, creating opportunities for graduates and ensuring a seamless transition from training to employment.Vacant maternity support worker posts will be temporarily converted to Band 5 midwifery roles, backed by £8 million to create new opportunities specifically for newly qualified midwives, to further ease the recruitment strain.These new measures aim to tackle graduates’ concerns about job availability and ensure the NHS has the right staff to provide the best possible care to patients everywhere.

What steps his Department is taking to tackle shortages of medications used to treat Parkinson’s disease.

Medicine supply issues are global in their nature and, while we cannot always prevent them, we have a range of well-established processes and tools to manage them when they arise and to mitigate risks to patients. There is a team in the Department that deals with medicine supply problems by working closely with the Medicines and Healthcare products Regulatory Agency, the pharmaceutical industry, NHS England and others operating in the supply chain. We also work with partners to ensure alternative treatments are available to patients until their usual treatments are back in stock.The Department has been notified of a discontinuation of apomorphine (APO-go PFS) 50mg/10ml pre-filled syringes from September 2025 used in the management of Parkinson’s Disease. Alternative formulations of apomorphine remain available for patients and management guidance has been issued to the National Health Service.On 11 August, we published a policy paper titled Managing a robust and resilient supply of medicines. This marks the beginning of a new phase of work planned and aims to provide greater transparency of the further actions that the Department and NHS England are taking to protect patients from medicines shortages and strengthen medicines supply chain resilience. The paper is available at the following link:https://www.gov.uk/government/publications/managing-a-robust-and-resilient-supply-of-medicines/managing-a-robust-and-resilient-supply-of-medicines

What discussions his Department has had with NICE on the recommended frequency of infant head measurements.

Department officials have spoken to colleagues at the National Institute for Health and Care Excellence (NICE) about its guidance on infant measurements following a meeting between my Rt Hon. Friend, the Secretary of State for Health and Social Care and Harry’s Hydrocephalus Awareness Trust in 2024. NICE is responsible for deciding whether its clinical guidelines should be updated in light of new evidence.

What steps his Department is taking to ensure people who obtain weight loss injections through (a) private providers and (b) online services are able to safely dispose of used needles.

It is important for needles to be disposed of safely, as inappropriate disposal methods create a risk of accidental needle-stick injuries to pharmacy or general practice staff, waste management operatives, and other members of the public, potentially leading to infection with blood-borne diseases. All needles should be disposed in sharps bins, which can be obtained on prescription or purchased. Local authorities are obliged to collect clinical waste, including needles bins, from householders upon request, but under section 45(3)(b) of the Environmental Protection Act 1990, they may make a reasonable charge for this service. Patients can find out how to request a clinical waste collection from their local authority on the GOV.UK website.

What steps his Department is taking to help tackle medicine shortages in (a) North East Hampshire constituency and (b) other rural areas for (i) Parkinson's, (ii) epilepsy and (iii) other chronic conditions.

The Department is working with industry to help resolve intermittent supply issues with some epilepsy and Parkinson’s Disease medications. As a result of ongoing activity and intensive work, including directing suppliers to expedite deliveries, most issues have been resolved.We are currently aware of an ongoing supply issue with all strengths of topiramate tablets, used to manage epilepsy, from one manufacturer. This supply issue is expected to resolve by the end of August 2025. Alternative suppliers have sufficient supply to support patients. We have issued management guidance to the National Health Service.We are also aware of a shortage of phenobarbital 15 milligram tablets and phenobarbital 15 milligram/5 millilitre elixir from two different manufacturers; these are also used to manage epilepsy. Resupply dates are yet to be confirmed for phenobarbital 15 milligram tablets, and the elixir issue is expected to resolve by late June 2025. Management guidance has been issued to the NHS for both formulations. In both cases, alternative suppliers are in stock with sufficient supply to support patients.The Department is aware of supply constraints with amantadine 100 milligram capsules used in the management of Parkinson’s Disease, however stocks remain available from alternative suppliers to cover demand. The Department have also been notified of a discontinuation of Apomorphine (APO-go PFS) 50 milligram/10 millilitre pre-filled syringes from April 2025. Alternative formulations of apomorphine remain available for patients and management guidance has been issued to the NHS. The Department monitors and manages medicine supply at a national level so that stocks remain available to meet regional and local demand. Information on stock levels within North East Hampshire and other rural areas is not held centrally.

What steps he is taking to ensure that (a) scans, (b) medical records and (c) treatment plans are transferred effectively between medical centres in (i) Hampshire and (ii) Surrey.

Ensuring that information on diagnoses and treatment can be shared between services is vital to the provision of safe and effective health care. Improving this will enable enhanced quality of care and safety for patients, and better informed clinical and care decision-making empowered by access to precise and comprehensive information.The Connecting Care Records programme joins up information based on the individual, rather than through a single organisation. Through targeted investment, local Connecting Care Record systems have been established in all integrated commissioning board areas. 97% of trusts and 92% of primary care networks are now connected. Across the Frimley Health and Care Integrated Care System there is extensive sharing to support care between acute providers and general practitioners through the patient record systems. Local transformation activities are underway that will support local ambulance providers in being able to access shared records in the coming weeks, and which will support more comprehensive sharing of care plans over the coming months.As you may also be aware, NHS England has been supporting National Health Service trusts and foundation trusts in acquiring and developing the effectiveness of their electronic patient records, and support is available to bring trusts to an optimum level of digital maturity, which will further reduce barriers to the sharing of information needed to treat patients. Further information is available at the following link:https://www.england.nhs.uk/long-read/data-and-clinical-record-sharing/My Rt Hon. Friend, the Secretary of State for Health and Social Care has announced the development of a single patient record to provide a comprehensive patient record and to end the need for patients repeating their medical history when interacting with the NHS.

What steps he is taking to support patients with motor neurone disease.

At the national level, there are a number of initiatives supporting service improvement and better care for patients with motor neurone disease (MND), including the Getting It Right First Time Programme for Neurology and the RightCare Progressive Neurological Conditions Toolkit. NHS England has also established a Neurology Transformation Programme, a multi-year, clinically led programme, which has developed a new model of integrated care to support integrated care boards to deliver the right service, at the right time, for all neurology patients, including those with MND.We have set up a United Kingdom-wide Neuro Forum, facilitating formal, biannual meetings across the Department, NHS England, the devolved administrations and health services, and Neurological Alliances of all four nations. The new forum brings key stakeholders together, to share learnings across the system and discuss challenges, best practice examples, and potential solutions for improving the care of people with neurological conditions, including MND.NHS England commissions the specialised elements of MND care that patients may receive from 27 specialised neurology centres across England. Within specialised centres, neurological multidisciplinary teams ensure patients can access a range of health professionals and specialised treatment and support, according to their needs.Government responsibility for delivering MND research is shared between the Department of Health and Social Care, with research delivered via the National Institute for Health and Care Research (NIHR), and the Department for Science, Innovation, and Technology, with research delivered via UK Research and Innovation. Government funders are continuing to invest into MND research. For example, investing £12.5 million to support the best discovery science in MND at the UK Dementia Research Institute, £6 million of Government funding for the MND Translational Accelerator, which is seeking to speed up the development of treatments for MND, and an £8 million investment into EXPERTS-ALS, which screens for drugs that have the potential to be successful in clinical trials for people with MND.

What steps his Department is taking to improve (a) diagnoses, (b) treatment options and (c) support for people living with chronic urinary tract infections; and whether he plans to increase levels of funding for research into (i) alternative therapies, (ii) phage therapy and (iii) advanced drug delivery methods to combat antimicrobial resistance.

Support for those affected by chronic urinary tract infections (UTIs) is locally led and commissioned by integrated care boards (ICBs) to meet the needs of their local populations. NHS England is supporting research and working with industry to horizon scan for new innovations in point-of-care tests for diagnosing UTIs, to better guide treatment options. The importance of ensuring rapid, accurate diagnostic testing is available to guide effective antibiotic use is highlighted in the policy paper, Confronting antimicrobial resistance 2024 to 2029, which is available at the following link:https://www.gov.uk/government/publications/uk-5-year-action-plan-for-antimicrobial-resistance-2024-to-2029/confronting-antimicrobial-resistance-2024-to-2029The Department funds research through the National Institute for Health and Care Research (NIHR). Over the past five years, the NIHR has allocated a total of over £20 million to the development of new antibiotics and alternative therapies. The Department has a large anti-microbial resistance (AMR) research portfolio, with over £88 million invested over the last five years in NIHR research programme funding for AMR. Building on previous NIHR funding, a dedicated NIHR Health Protection Research Unit on healthcare associated infections and antimicrobial resistance recently launched with funding increased to £11 million over the next five years.The policy paper also acknowledges the potential of alternative therapies, including bacteriophage (phage) therapy, in combating AMR. The Government continues to engage with phage researchers and industry stakeholders, including the Innovate UK Knowledge Transfer Network Phage Innovation Network, chaired by the UK Health Security Agency. By fostering research, adapting regulations, and engaging key stakeholders, the United Kingdom is working to unlock the potential of phage therapy in the fight against AMR.

What steps he is taking to help improve the effectiveness of the internal NHS complaints system.

Patients have the right to complain about any aspect of National Health Service care, treatment, or service. The Local Authority Social Services and National Health Service Complaints (England) Regulations 2009 set out the minimum standards NHS organisations must adhere to in respect of their complaint handling arrangements.The Department has worked closely with the Parliamentary and Health Service Ombudsman on their work to develop the NHS Complaint Standards, which set out how organisations providing services in the NHS should approach complaint handling. The standards place a strong focus on several key aspects of complaint handling and set out practical advice and good practice to help NHS organisations improve.In addition to these arrangements, the Care Quality Commission has an important role in ensuring NHS providers have an effective and accessible system for handling complaints from service users.

What plans his Department has for ministerial visits to hospitals in Hampshire.

Ministers regularly consider visits across the country to see the impact of their policy areas. Any plans to visit specific locations will be notified to the relevant Members of Parliament in advance.

What steps he is taking to ensure that levels of adult social care funding are adequate to (a) meet care requirements, (b) support people at risk of being placed into residential homes and (c) ensure quality of life.

To enable local authorities to deliver key services such as adult social care, the Government is making available up to £3.7 billion of additional funding for social care authorities in 2025/26, which includes an £880 million increase in the Social Care Grant.This is alongside an £86 million uplift to the Disabled Facilities Grant to support an approximate additional 7,800 adaptations to homes for those with social care needs, to reduce hospitalisations and prolong independence.Local authorities are best placed to understand and plan for the needs of their population, which is why, under the Care Act 2014, they are tasked with the duty to shape their care market to meet the diverse needs of all local people.

What assessment he has made of the estimated cost to the public purse of maintenance on Basingstoke Hospital before its rebuild in 2037.

National Health Service trusts are responsible for maintaining their estates using their annual capital allocations, including surveying facilities and estimating future maintenance costs.The Government is backing the NHS with over £4 billion in operational capital and £750 million for estates safety in 2025/26, enabling systems to allocate funding according to local priorities, including maintenance at New Hospital Programme sites. In 2025/26, the Hampshire and the Isle of Wight Integrated Care System (ICS) had been provisionally allocated £118.2 million in operational capital, including primary care business as usual capital, and £21.3 million for estates safety. The Hampshire Hospitals NHS Foundation Trust is encouraged to engage with the ICS to explore options to allocate the 2025/26 operational capital and national capital programme allocations towards maintenance needs at Basingstoke Hospital. The current Spending Review concluding in June 2025 will determine capital funding levels for future years, and will consider the needs of the NHS estate.

What steps he is taking to ensure that there are adequate numbers of specialty training places for junior doctors who have completed foundation years one and two; and what steps he is taking to ensure that the number of specialty medical training places available is adequate to provide for future increases in numbers of university medical school places.

We are committed to training the staff we need to ensure patients are cared for by the right professional, when and where they need it.We will ensure that the number of medical specialty training places meets the demands of the National Health Service in the future. NHS England will work with stakeholders to ensure that any growth is sustainable and focused in the service areas where need is greatest.To reform the NHS and make it fit for the future, we have launched a 10-Year Health Plan as part of the Government’s five long-term missions. Ensuring we have the right people, in the right places, with the right skills will be central to this vision. We will publish a refreshed Long Term Workforce Plan to deliver the transformed health service we will build over the next decade, and treat patients on time again.

What steps his Department is taking to increase the capacity of spaces in the Overseas Registration Exam for dentists residing in the UK.

The Overseas Registration Exam (ORE) exam is operated by the General Dental Council (GDC). The GDC is independent of Government.It is the role of the GDC to approve eligibility criteria for the ORE. There are no restrictions on accessing the exam based on the residency status of the candidate.The GDC is working to put new ORE provider contracts in place in 2025 which will increase the flexibility and availability of the exam, further expanding capacity. Officials will continue to discuss the new arrangements with the GDC and monitor their progress. I am due to meet with the GDC after Easter recess.

What steps his Department is taking to reduce mental health waiting times; and whether he plans to set specific targets to ensure that people in full time work receive timely access to therapy and specialist support.

It is unacceptable that too many people are not receiving the mental health care they need, and we know that waits for mental health services are far too long. We are determined to change that by improving mental health care across the spectrum of need.As part of our mission to build a National Health Service that is fit for the future, we will recruit an additional 8,500 mental health workers to cut wait times and provide faster treatment.We are meeting the constitutional waiting time standards we have in place for the two mental health pathways: NHS Talking Therapies for common mental health conditions, and Early Intervention in Psychosis. We also have targets for eating disorder services for children and young people. Despite the challenging fiscal environment, the Government has chosen to prioritise funding to deliver expansions of NHS Talking Therapies and Individual Placement & Support schemes, demonstrating our commitment to addressing the root cause of mental health issues and providing support for people with severe mental illness to contribute to the economy by remaining in or returning to work.Since 2023, NHS England began to publish data for the first time on the number of people waiting for mental health services, in line with the Clinical Review of Standards for mental health.

What steps he is taking to ensure that NHS Integrated Care Boards provide community-based ear wax removal services.

Integrated care boards (ICBs) have a statutory responsibility to commission cost-effective healthcare to meet the needs of their local population. This includes the arrangement of ear wax removal services.Manual ear syringing is no longer advised by the National Institute for Health and Care Excellence (NICE) due to the risks associated with it, such as trauma to their ear drum or infection, so general practitioners (GPs) will often recommend home treatment remedies to alleviate ear wax build-up.However, in line with the NICE’s guidance, a person may require ear wax removal treatment if the build-up of earwax is linked with hearing loss. A GP could then consider referring the patient into audiology services, which ICBs are responsible for commissioning.

What steps he is taking to (a) increase social care funding and (b) support local authorities with increases in demand for care services in North East Hampshire constituency.

To enable local authorities to deliver key services such as adult social care, the Government is making available up to £3.7 billion of additional funding for social care authorities in 2025/26, which includes an £880 million increase in the Social Care Grant.The additional funding available to Hampshire in 2025/26 means that they will see an increase to their core spending power of up to 6.7% in cash terms.

What plans the Government have to ensure specialist parent-infant relationship and infant mental health support is available across England.

The 1,001 days from conception to two years old is a time of rapid development in which babies are shaped by their experiences, particularly the relationships with their caregivers.The Government is committed to raising the healthiest generation of children ever. Through the Plan for Change we have committed to ensuring every child is set up for the best start in life through delivering accessible, integrated maternity, baby and family support services through the 1,001 days from conception to two years old. As a first step, in January 2025, we announced £126 million for the continuation of the Family Hubs and Start for Life programme in 2025/26. This includes £36.5 million for bespoke perinatal mental health and parent-infant relationship support in 75 local authority areas with high levels of deprivation.Specialist Perinatal Mental Health Services are also available to all women throughout England with or at risk of mental health conditions, who are planning a pregnancy, pregnant or have a baby up to two years old. This care includes increased access to evidence-based psychological therapies that support parent-infant relationships.We have not made an assessment on the proportion of babies and families who require specialist parent-infant relationship support. We will continue to evaluate the Family Hubs and Start for Life programme and assess evidence to support wider rollout, including bespoke parent-infant relationship support services, in future financial years.

What assessment he has made of (a) the proportion of babies and families who require specialist parent-infant relationship and infant mental health support and (b) the availability of services to meet that need.

The 1,001 days from conception to two years old is a time of rapid development in which babies are shaped by their experiences, particularly the relationships with their caregivers.The Government is committed to raising the healthiest generation of children ever. Through the Plan for Change we have committed to ensuring every child is set up for the best start in life through delivering accessible, integrated maternity, baby and family support services through the 1,001 days from conception to two years old. As a first step, in January 2025, we announced £126 million for the continuation of the Family Hubs and Start for Life programme in 2025/26. This includes £36.5 million for bespoke perinatal mental health and parent-infant relationship support in 75 local authority areas with high levels of deprivation.Specialist Perinatal Mental Health Services are also available to all women throughout England with or at risk of mental health conditions, who are planning a pregnancy, pregnant or have a baby up to two years old. This care includes increased access to evidence-based psychological therapies that support parent-infant relationships.We have not made an assessment on the proportion of babies and families who require specialist parent-infant relationship support. We will continue to evaluate the Family Hubs and Start for Life programme and assess evidence to support wider rollout, including bespoke parent-infant relationship support services, in future financial years.