Written questions by Brewer.

What assessment his Department has made of the potential impact of retail sold magnets on the safety of cerebrospinal fluid shunts programmable externally by magnets.

The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for ensuring that medicines, medical devices, and blood components for transfusions on the market in the United Kingdom are safe, effective, and manufactured to the highest standards of quality. The Medical Devices Regulations 2002 (MDR 2002) establish the statutory framework that medical devices must meet in order to comply with these standards. All medical devices, including cerebrospinal fluid shunts programmable externally by magnets, must comply with the MDR 2002, which include bearing the UKCA or CE marking on the packaging or labelling of the device. Manufacturers or their UK representatives must monitor use of these devices when used in the UK. The manufacturer holds the legal responsibility for obtaining the necessary certification and registering their medical devices with the MHRA, the UK Competent Authority. Higher risk medical devices are assessed and approved by Approved Bodies in the UK or Notified Bodies in the European Union. As part of meeting the requirements of the regulations, manufacturers have to provide instructions which would include any special operating instructions, any warnings and/or precautions to take, and precautions to be taken as regards exposure, in reasonably foreseeable environmental conditions, to magnetic fields. In addition, some manufacturers provide further standalone information on this topic, an example of which is available at the following link:https://www.medtronic.com/en-us/l/patients/treatments-therapies/hydrocephalus-shunt/magnetic-field-influences.html

What guidance his Department provides on the minimum training and professional standards required for healthcare professionals undertaking child protection medicals for safeguarding assessments.

Standards of proficiency, conduct, and performance of registered professionals are the statutory responsibility of healthcare regulators, such as the General Medical Council for doctors and the Nursing and Midwifery Council for nurses and midwives, which are independent of the Government. Approved Education Institutions and practice partners develop the specific content and design of training programmes to meet these standards. Training programmes are then approved and monitored by the relevant regulator. Practice partners provide practice placements for healthcare students and can include National Health Service trusts, social care, voluntary organisations, and general practices.

What information his Department holds on the average length of time for a GP's surgery to negotiate a lease for (a) new and (b) extended premises in the last 12 months.

The lease for a general practice (GP) surgery is negotiated between the GP and the landlord, with the agreement of the local integrated care board.The Department does not hold information regarding the average length of time taken for GP surgeries in both new and extended premises to negotiate a lease.

Pursuant to the Answer of 22 December 2025 to Question 99953 on Hospitals: Construction, with what regularity are the multi-criteria decision analysis inputs updated to inform New Hospital Programme decision making.

Our published New Hospital Programme (NHP) Plan for Implementation sets out a credible plan for delivery, and we continue to make progress against this. The multi criteria decision analysis (MCDA) tool represented only one input to support scheme prioritisation and the development of funding options, which also included funding constraints and consultation and review with colleagues across the Department, NHP, and NHS England.As set out in our Plan for Implementation, the programme reserves the right to adjust the delivery plan as schemes develop in the future. The tool remains available to support any decision-making as the programme progresses, with consideration of the inputs reflecting the decision context at the time.

What steps the Department is taking to improve the care system for cardiology patients in the UK; and whether she will make an assessment of the potential merits of adopting elements of the structured clinical programme established in Poland in the 1980s by Professor Religa.

The Government is committed to achieving a 25% reduction in premature mortality due to cardiovascular disease (CVD) and stroke across England. To accelerate progress and tackle variation across the country, a new CVD Modern Service Framework will be published in 2026. This framework will support improvement, reduce inequalities, and foster innovation where it is needed most.No assessment has been made of adopting elements of the structured clinical programme established in Poland in the 1980s for heart transplant surgery. The National Health Service’s heart transplant programme provides life-saving heart transplants for adults, those 16 years old or older, with end-stage heart failure, involving assessment, surgery, and lifelong care.NHS England has been undertaking a review of heart and lung transplantation services, building on a report commissioned by the Department, named Honouring the gift of organ donation, published in 2023 and available at the following link:https://www.gov.uk/government/publications/honouring-the-gift-of-donation-utilising-organs-for-transplantThe goals of the review are to increase the number of transplants, improve patient outcomes, reduce inequalities in access to transplants, and improve patient experience.

What steps his Department is taking to improve the internal NHS complaints procedures.

National Health Service organisations must handle complaints in accordance with the standards and processes set out in the Local Authority Social Services and National Health Service Complaints (England) Regulations 2009. To support good complaint handling, the Parliamentary and Health Service Ombudsman’s NHS Complaint Standards set out how organisations providing NHS services in the NHS should approach complaint handling. The standards place a strong focus on several key aspects of complaint handling, including early resolution and giving fair and accountable responses. They set out practical advice and good practice to help NHS organisations improve. Through implementation of Fit for the Future: The 10-Year Health Plan for England, we will improve transparency, deliver high-quality care for all, and strengthen patient and staff voice. This includes reform of the NHS complaints process, setting clear standards for both the timeliness and the quality of responses to complaints, as well as ensuring the NHS listens carefully and compassionately, taking forward learning to ensure high quality care. We will also increase the use of artificial intelligence tools to ensure complaints data is collected, and responded to, far more quickly.

What steps is the Government taking to ensure that there are adequate Blue Badge parking spaces at NHS facilities in Hampshire and Surrey.

National Health Service organisations decide how they provide parking locally, including whether it is charged for, based on the needs of patients, visitors, and staff, as well as environmental factors. The NHS car parking guidance requires free parking to be provided for four groups: disabled people; frequent outpatient attenders; parents of sick children staying overnight; and staff working night shifts. Further information is available at the following link:https://www.gov.uk/government/publications/nhs-patient-visitor-and-staff-car-parking-principles/nhs-patient-visitor-and-staff-car-parking-principlesThese local decisions include the number of Blue Badge parking spaces.

What steps his Department is taking to help ensure that hospital parking is affordable and inclusive for staff and patients.

National Health Service organisations decide how they provide parking locally, including whether it is charged for, based on the needs of patients, visitors, and staff, as well as environmental factors. The NHS car parking guidance requires free parking to be provided for four groups: disabled people; frequent outpatient attenders; parents of sick children staying overnight; and staff working night shifts. Further information is available at the following link:https://www.gov.uk/government/publications/nhs-patient-visitor-and-staff-car-parking-principles/nhs-patient-visitor-and-staff-car-parking-principlesThese local decisions include the number of Blue Badge parking spaces.

If he will include information in the Green Book on the HPV vaccine that includes reference to its role in reducing the risk of oral cancer.

The Green Book is written for healthcare professionals. The chapter on human papillomavirus (HPV) does highlight the causal link between infection with this virus, cervical cancer, and some non-cervical cancer including those of the head and neck. The HPV chapter 18a from the Green Book is available at the following link:https://www.gov.uk/government/publications/human-papillomavirus-hpv-the-green-book-chapter-18aBroader UK Health Security Agency guidance on HPV also highlights the protection the vaccine provides against HPV infection and related conditions. This public‑facing information also explains that the vaccine helps protect against cancers of the mouth and is available at the following link: https://assets.publishing.service.gov.uk/media/64919b26103ca6000c03a212/HPV_Vaccination_For_All_-_English_Leaflet_from_September_2023.pdfIt also highlights that the greatest risk comes from infection with high-risk types of HPV. There is very good evidence that the vaccine in use in the United Kingdom offers excellent protection against these high-risk types.

If he will make it his policy to update the multi-criteria decision support analysis to ensure that hospital wave allocations within the New Hospital Programme reflect estate conditions and patient environment standards.

As set out in the New Hospital Programme’s Plan for Implementation, a multi-criteria decision analysis (MCDA) tool was used to help prioritise schemes to support the development of funding options. Criteria included deliverability, estate condition, clinical outcomes and patient assessment of care environment for each of the hospitals falling within the scope of the review. The input data and scoring mechanism within the MCDA was reviewed with NHS England and Departmental colleagues to validate its appropriateness. The Programme reserves the right to adjust the delivery plan as schemes develop in the future.The plan is available at the following link:https://www.gov.uk/government/publications/new-hospital-programme-review-outcome/new-hospital-programme-plan-for-implementation

Whether processes are in place to ensure (a) that hospitals within the New Hospital Programme are continually assessed and (B) that the prioritisation queue can be adjusted if circumstances change, such as structural safety concerns or urgent capacity needs.

On 20 January 2025, my Rt Hon. Friend, the Secretary of State for Health and Social Care announced a new, realistic plan to deliver the New Hospital Programme (NHP) and we continue to work to these timelines. As set out in the Plan for Implementation, delivery expectations may be subject to change depending on local and national factors and the programme reserves the right to adjust the delivery plan as schemes develop in the future.We are prioritising the seven hospitals built wholly or primarily from reinforced autoclaved aerated concrete (RAAC), as part of Wave 1, with ongoing mitigations in place to ensure patient and staff safety. Priority will be given to the most affected buildings and services.My Rt Hon. Friend, the Secretary of State for Health and Social Care has commissioned a comprehensive site-by-site report into these seven hospitals, which will help inform individual development plans, which continue to progress at pace.£1.6 billion will be provided to continue supporting NHS England’s national RAAC programme across the 2025 Spending Review period. The seven NHP RAAC replacement hospitals continue to receive funding and support from NHS England’s national RAAC programme ahead of the delivery of replacement hospitals.

What steps his Department is taking to support NHS trusts in managing and removing reinforced autoclaved aerated concrete (RAAC) from hospital buildings; and how this work is prioritised within the New Hospital Programme.

On 20 January 2025, my Rt Hon. Friend, the Secretary of State for Health and Social Care announced a new, realistic plan to deliver the New Hospital Programme (NHP) and we continue to work to these timelines. As set out in the Plan for Implementation, delivery expectations may be subject to change depending on local and national factors and the programme reserves the right to adjust the delivery plan as schemes develop in the future.We are prioritising the seven hospitals built wholly or primarily from reinforced autoclaved aerated concrete (RAAC), as part of Wave 1, with ongoing mitigations in place to ensure patient and staff safety. Priority will be given to the most affected buildings and services.My Rt Hon. Friend, the Secretary of State for Health and Social Care has commissioned a comprehensive site-by-site report into these seven hospitals, which will help inform individual development plans, which continue to progress at pace.£1.6 billion will be provided to continue supporting NHS England’s national RAAC programme across the 2025 Spending Review period. The seven NHP RAAC replacement hospitals continue to receive funding and support from NHS England’s national RAAC programme ahead of the delivery of replacement hospitals.

What steps NHS trusts can take to accelerate their eligibility for prioritisation within the New Hospital Programme queue.

On 20 January 2025, my Rt Hon. Friend, the Secretary of State for Health and Social Care announced a new, realistic plan to deliver the New Hospital Programme (NHP) and we continue to work to these timelines. As set out in the Plan for Implementation, delivery expectations may be subject to change depending on local and national factors and the programme reserves the right to adjust the delivery plan as schemes develop in the future.We are prioritising the seven hospitals built wholly or primarily from reinforced autoclaved aerated concrete (RAAC), as part of Wave 1, with ongoing mitigations in place to ensure patient and staff safety. Priority will be given to the most affected buildings and services.My Rt Hon. Friend, the Secretary of State for Health and Social Care has commissioned a comprehensive site-by-site report into these seven hospitals, which will help inform individual development plans, which continue to progress at pace.£1.6 billion will be provided to continue supporting NHS England’s national RAAC programme across the 2025 Spending Review period. The seven NHP RAAC replacement hospitals continue to receive funding and support from NHS England’s national RAAC programme ahead of the delivery of replacement hospitals.

What steps his Department taking to help improve the diagnosis of overlapping illnesses such as PoTs and EDS.

We recognise the growing prevalence and complexity of overlapping and co-existing chronic illnesses and long-term conditions, and the importance of improving diagnosis, management, and support for these patients.Through the 10-Year Health Plan, we are expanding community diagnostic services, introducing Neighbourhood Health Centres, and deploying multidisciplinary teams to provide holistic support. Patients will benefit from enhanced NHS App functionality, including My Medicines and My Health, and will be able to self-refer to specialist services where appropriate.Additionally, the 10-Year Health Plan’s commitments on artificial intelligence will give clinicians advanced tools for faster diagnosis, predictive analytics, and personalised care planning. For people with long-term conditions, this means earlier interventions, better monitoring of complex needs, and more time for clinicians to focus on patient-centred care rather than administrative tasks. The plan also commits to 95% of people with complex needs having a personalised care plan by 2027.The appointment by NHS England of a National Specialty Adviser on multi-morbidity provides expert leadership to improve care for people with multiple long-term conditions, ensuring services are better coordinated, evidence-based, and focused on holistic patient needs.We also recognise that doctors can find it challenging to diagnose Ehlers-Danlos syndrome (EDS) and postural tachycardia syndrome (PoTS) because these conditions share symptoms with many other disorders.Resources such as the Royal College of General Practitioners’ Syncope Toolkit for PoTS and the EDS Toolkit, now maintained by Ehlers-Danlos Support UK, are improving clinician awareness of both conditions. The National Institute for Care Excellence provides a clinical knowledge summary on blackouts and syncope to support consistent assessment and diagnosis of PoTS. NHS England commissions a National Diagnostic Service for rare EDS subtypes.

What assessments his Department has made of how to best support patients suffering with overlapping illnesses.

We recognise the growing prevalence and complexity of overlapping and co-existing chronic illnesses and long-term conditions, and the importance of improving diagnosis, management, and support for these patients.Through the 10-Year Health Plan, we are expanding community diagnostic services, introducing Neighbourhood Health Centres, and deploying multidisciplinary teams to provide holistic support. Patients will benefit from enhanced NHS App functionality, including My Medicines and My Health, and will be able to self-refer to specialist services where appropriate.Additionally, the 10-Year Health Plan’s commitments on artificial intelligence will give clinicians advanced tools for faster diagnosis, predictive analytics, and personalised care planning. For people with long-term conditions, this means earlier interventions, better monitoring of complex needs, and more time for clinicians to focus on patient-centred care rather than administrative tasks. The plan also commits to 95% of people with complex needs having a personalised care plan by 2027.The appointment by NHS England of a National Specialty Adviser on multi-morbidity provides expert leadership to improve care for people with multiple long-term conditions, ensuring services are better coordinated, evidence-based, and focused on holistic patient needs.We also recognise that doctors can find it challenging to diagnose Ehlers-Danlos syndrome (EDS) and postural tachycardia syndrome (PoTS) because these conditions share symptoms with many other disorders.Resources such as the Royal College of General Practitioners’ Syncope Toolkit for PoTS and the EDS Toolkit, now maintained by Ehlers-Danlos Support UK, are improving clinician awareness of both conditions. The National Institute for Care Excellence provides a clinical knowledge summary on blackouts and syncope to support consistent assessment and diagnosis of PoTS. NHS England commissions a National Diagnostic Service for rare EDS subtypes.

What steps his Department is taking to reduce ambulance response times in North East Hampshire constituency.

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.

What steps his Department is taking to reduce ambulance wait times for Category 2 calls to the national target of 18 minutes.

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.

Pursuant to the Answer of 17 October 2025 to Question 80524 on Nurses: Training, whether training courses in learning disability nursing will be available in North East Hampshire constituency.

Undergraduate training places for learning disability nursing are not centrally commissioned by the Government. Instead, they are determined by university education providers, who decide the number of learners they admit based on learner demand and provider capacity. The Government is committed to publishing a 10 Year Workforce Plan to set out action to create a workforce ready to deliver the transformed service set out in the 10-Year Health Plan. The 10 Year Workforce Plan will ensure the National Health Service has the right people in the right places, with the right skills to care for patients, when they need it.

Whether he has made an assessment of the potential impact of GP fees for (a) letters requested to support applications relating to (i) mental health, (ii) housing, (iii) education and (iv) welfare and (b) other non-NHS letters on patients; and whether he plans to issue guidance to GP practices on fee structures for such documentation in cases involving (A) financial hardship and (B) vulnerable people.

There are some medical evidence letters, certificates, and/or reports that general practices (GPs) may charge for, and others that they must not charge patients for. The legislation that sets this out is the General Medical Services and Personal Medical Services Regulations, which form the basis of the GP Contract with the National Health Service. There is no statutory limit to the level of such fees as this is outside of core NHS work.The Professional Fees Committee of the British Medical Association suggests guideline fees for such services to help doctors set their own professional fees.We recognise that there are concerns about some fees GPs charge for letters and the consistency of those charges, as well as the additional burden these requests can place on GPs. Where GPs charge for that evidence, these charges should be clear, fair, and consistent. Where possible and appropriate we would encourage people to use alternative evidence.We are continuing to work across the Government to cut red tape and improve ways of working, including work to improve the patient experience, such as removing the need to request unnecessary medical evidence where possible.

What steps he is taking to reduce waiting times to those seeking psychological therapy to support their employment efforts.

It is unacceptable that some people are not receiving the mental health care they need. We are determined to change that. We have already taken significant steps to improve National Health Service mental health services, including hiring almost 7,000 extra mental health workers since July 2024, and thanks to an increase in NHS Talking Therapies, more adults with anxiety and depression are getting back into work.We are continuing to roll out employment advisors in our talking therapies services to support people with common mental health conditions to seek and retain employment. These advisors help people who are in work but are struggling or facing difficulties in the workplace, for instance being off work sick or looking for work, so we can provide the right support at the right time.We continue to meet the waiting time standard in place for NHS Talking Therapies services. The latest data from June 2025 shows 89.1% of people completing treatment waited less than six weeks for their first appointment against a target of 75%. And 98.6% of people completing treatment waited less than 18 weeks, against a target of 95%.