Written questions by Snowden.

Whether he has made an assessment of the potential impact of the proposed increase in employer National Insurance contributions on social care providers in Fylde 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 Lancashire in 2025/26 means that they will see an increase to their core spending power of up to 7.3% in cash terms.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 steps he is taking to improve the safety of NHS maternity services in Fylde constituency.

The Blackpool Teaching Hospitals NHS Foundation Trust entered the national Maternity Safety Support Programme (MSSP) in September 2022, following a Care Quality Commission inspection earlier that month which rated Blackpool Victoria Hospital’s maternity services in the Fylde constituency as ‘requires improvement’ overall. The programme provides intensive support to the trust to assist in the improvement of their maternity services, including a dedicated Maternity Improvement Advisor and support to implement a tailored improvement plan. A full diagnostic assessment has identified key areas of focus with an associated improvement plan and agreed exit criteria.The Local Maternity and Neonatal System arm of the Lancashire and South Cumbria Integrated Care Board receives reports from the MSSP, so it can support the service with focused improvement work.A MSSP assurance visit on 27 January 2025 concluded that significant improvements had been made across a number of areas, with evidence of data demonstrating sustained improvement. The next review meeting for the service is to take place on 28 May 2025.

What assessment he has made of the potential impact of the proposed increase to employers National Insurance contributions on hospices in Lancashire.

We have taken necessary decisions to fix the foundations in the public finances at the Autumn Budget, enabling the Spending Review settlement of a £22.6 billion increase in resource spending for the Department from 2023/24 outturn to 2025/26.The employer National Insurance contribution rise will be implemented in April 2025, and planning guidance published on 30 January 2025 sets out the funding available to integrated care boards and the overall approach to funding providers in the next financial year. It considers a variety of pay and non-pay factors and pressures on providers of secondary healthcare, including charitable hospices. Further information on the planning guidance is available at the following link: https://www.england.nhs.uk/publication/2025-26-priorities-and-operational-planning-guidance/We are supporting the hospice sector with a £100 million capital funding boost for adult and children’s hospices in England, to ensure they have the best physical environment for care. We are pleased to confirm that the Government has released the first £25 million tranche of that funding, with Hospice UK kindly allocating and distributing the money to hospices throughout England. An additional £75 million will be available from April 2025.We are also providing £26 million of revenue funding to support children and young people’s hospices for 2025/26. This is a continuation of the funding which until recently was known as the children and young people’s hospice grant.

What assessment he has made of the potential impact of the proposed increase to employers National Insurance contributions on general practices in Fylde constituency.

We have made the necessary decisions to fix the foundations of the public finances in the Autumn Budget. Resource spending for the Department will be £22.6 billion more in 2025/26 than in 2023/24, as part of the Spending Review settlement. The employers’ National Insurance rise will be implemented in April 2025.General practices (GPs) are valued independent contractors who provide over £13 billion worth of National Health Services. Every year we consult with the profession about what services GPs provide, and the money providers are entitled to in return under their contract, taking account of the cost of delivering services.We are investing an additional £889 million in through the GP Contract to reinforce the front door of the NHS, bringing total spend on the GP Contract to £13.2 billion in 2025/26. This is the biggest increase in over a decade, and we are pleased that the General Practitioners Committee England is supportive of the contract changes.

Which areas of gastroenterology he plans to prioritise in the Elective Care Reform Programme.

We have prioritised cutting waiting lists and getting back to the standard that at least 92% of people should wait no longer than 18 weeks from referral to treatment. We have delivered an extra 2.5 million operations, scans, and appointments between July and December 2024 compared to the same period in 2023; this means that last month we hit our committment seven months early.We recently published the Elective Reform Plan which sets out the reform and productivity efforts needed to return to the 18-week standard. One of the major commitments in the plan is to enhance clinically led pathways to shift care from hospital to community, including gastroenterology pathways.Specifically, the plan commits to pathway reform starting in five areas, with gastroenterology being one. The commitment is to develop an integrated pathway across primary, community and secondary care for common gastroenterology conditions. We will also drive the rapid adoption of remote monitoring in appropriate gastroenterology pathways, which reduces consultant-led outpatient appointments by over 50%. Work is underway, including with the Royal Colleges, and further information will be forthcoming as plans are developed.The plan also reinforces the Government’s commitment to work with patients, carers and their representatives to publish the standards patients should expect to experience while they wait for care, including for those waiting for gastroenterology services. We will continue to work with patients and carers to build on this work and establish a gold standard for experience.

What plans NHS England has to consult with patient organisations on gastroenterology reform in the Elective Care Reform Programme; and how he plans to include patients in decision-making.

We have prioritised cutting waiting lists and getting back to the standard that at least 92% of people should wait no longer than 18 weeks from referral to treatment. We have delivered an extra 2.5 million operations, scans, and appointments between July and December 2024 compared to the same period in 2023; this means that last month we hit our committment seven months early.We recently published the Elective Reform Plan which sets out the reform and productivity efforts needed to return to the 18-week standard. One of the major commitments in the plan is to enhance clinically led pathways to shift care from hospital to community, including gastroenterology pathways.Specifically, the plan commits to pathway reform starting in five areas, with gastroenterology being one. The commitment is to develop an integrated pathway across primary, community and secondary care for common gastroenterology conditions. We will also drive the rapid adoption of remote monitoring in appropriate gastroenterology pathways, which reduces consultant-led outpatient appointments by over 50%. Work is underway, including with the Royal Colleges, and further information will be forthcoming as plans are developed.The plan also reinforces the Government’s commitment to work with patients, carers and their representatives to publish the standards patients should expect to experience while they wait for care, including for those waiting for gastroenterology services. We will continue to work with patients and carers to build on this work and establish a gold standard for experience.

What his planned timeline is for implementing gastroenterology reforms through the Elective Care Reform Programme; and how he plans to monitor progress.

We have prioritised cutting waiting lists and getting back to the standard that at least 92% of people should wait no longer than 18 weeks from referral to treatment. We have delivered an extra 2.5 million operations, scans, and appointments between July and December 2024 compared to the same period in 2023; this means that last month we hit our committment seven months early.We recently published the Elective Reform Plan which sets out the reform and productivity efforts needed to return to the 18-week standard. One of the major commitments in the plan is to enhance clinically led pathways to shift care from hospital to community, including gastroenterology pathways.Specifically, the plan commits to pathway reform starting in five areas, with gastroenterology being one. The commitment is to develop an integrated pathway across primary, community and secondary care for common gastroenterology conditions. We will also drive the rapid adoption of remote monitoring in appropriate gastroenterology pathways, which reduces consultant-led outpatient appointments by over 50%. Work is underway, including with the Royal Colleges, and further information will be forthcoming as plans are developed.The plan also reinforces the Government’s commitment to work with patients, carers and their representatives to publish the standards patients should expect to experience while they wait for care, including for those waiting for gastroenterology services. We will continue to work with patients and carers to build on this work and establish a gold standard for experience.

What assessment he has made of the potential impact of obesity-related illnesses on health services in (a) Fylde and (b) Lancashire.

The prevention of ill health is a clear priority for the Government and the cornerstone of this is supporting children to live healthier lives. Officials in the Office for Health Improvement and Disparities (OHID) Northwest regional team prioritise tackling obesity and support children and young people to lead a healthier lifestyle. The Government has: laid secondary legislation to restrict advertisements of less healthy food and drink to children on TV and online from 1 October 2025; announced changes to the planning framework for fast food outlets near schools; and is committed to banning the sale of high-caffeine energy drinks to children under 16 years old.Examples of national schemes in Lancashire include: supporting weight management services to help families living with obesity, including the CHANGE weight management service in Fylde; Diabetes and Complications of Excessive Weight Service in NHS England’s Royal Preston Hospital, using a holistic approach to treating conditions related to obesity in children and young people; and 14 schools offering school breakfast clubs, as part of the Department for Education’s early adaptors programme, with the aim of providing healthy, varied and nutritious breakfasts.In March 2023, Lancashire County Council published a report on creating healthier weight environments in Lancashire and subsequently established Healthy Hearts as one of three priorities to narrow the gap in Healthy Life Expectancy between local areas by 2030. The report is available at the following link:https://foodactive.org.uk/wp-content/uploads/2023/08/Creating-Healthier-Weight-Environments-in-Lancashire-Mar23_Final.pdfA two-year programme of work is being established to strengthen existing activities underway across the county and contribute to improving the food environment.

What steps he is taking to help tackle childhood obesity in Fylde.

The prevention of ill health is a clear priority for the Government and the cornerstone of this is supporting children to live healthier lives. Officials in the Office for Health Improvement and Disparities (OHID) Northwest regional team prioritise tackling obesity and support children and young people to lead a healthier lifestyle. The Government has: laid secondary legislation to restrict advertisements of less healthy food and drink to children on TV and online from 1 October 2025; announced changes to the planning framework for fast food outlets near schools; and is committed to banning the sale of high-caffeine energy drinks to children under 16 years old.Examples of national schemes in Lancashire include: supporting weight management services to help families living with obesity, including the CHANGE weight management service in Fylde; Diabetes and Complications of Excessive Weight Service in NHS England’s Royal Preston Hospital, using a holistic approach to treating conditions related to obesity in children and young people; and 14 schools offering school breakfast clubs, as part of the Department for Education’s early adaptors programme, with the aim of providing healthy, varied and nutritious breakfasts.In March 2023, Lancashire County Council published a report on creating healthier weight environments in Lancashire and subsequently established Healthy Hearts as one of three priorities to narrow the gap in Healthy Life Expectancy between local areas by 2030. The report is available at the following link:https://foodactive.org.uk/wp-content/uploads/2023/08/Creating-Healthier-Weight-Environments-in-Lancashire-Mar23_Final.pdfA two-year programme of work is being established to strengthen existing activities underway across the county and contribute to improving the food environment.

What steps he is taking with the Secretary of State for Education to educate young people on the benefits of active lifestyles.

The Government recognises the physical and mental health benefits that leading an active lifestyle can bring for all children and young people.The Department for Education has recently launched an independent curriculum and assessment review that will advocate for a rich, broad, and inclusive curriculum that includes physical education, which the Department of Health and Social Care is also feeding into.

What steps he is taking to ensure women presenting symptoms of endometriosis receive sufficient care during early stages of diagnosis.

The Government is committed to prioritising women’s health and improving the diagnosis, treatment, and ongoing care for gynaecological conditions, including endometriosis. Several measures are in place to raise awareness of endometriosis among clinicians and support diagnosis and care.National Institute for Health and Care Excellence (NICE) guidelines support healthcare professionals to diagnose and treat conditions. In November 2024, NICE published updated recommendations on the diagnosis, management, and treatment of endometriosis. These are available at the following link:https://www.nice.org.uk/guidance/ng73Endometriosis is included in the core curriculum for general practitioners, and for obstetricians and gynaecologists. The General Medical Council is introducing the Medical Licensing Assessment for most incoming doctors, including all medical students graduating from academic year 2024/25 and onwards. Within this assessment are several topics relating to women’s health, including endometriosis. This will encourage a better understanding of endometriosis among doctors as they start their careers in the United Kingdom.Never again will women’s health be neglected. We will prioritise women’s health as we reform the NHS and women’s equality will be at the heart of our missions.

What steps he is taking to improve access to NHS dentistry in (a) Fylde constituency and (b) Lancashire.

The Government plans to tackle the challenges for patients trying to access National Health Service dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to the areas that need them most. To rebuild dentistry in the long term and increase access to NHS dental care, we will reform the dental contract, with a shift to focus on prevention and the retention of NHS dentists.The responsibility for commissioning primary care services, including NHS dentistry, to meet the needs of the local population has been delegated to the integrated care boards (ICBs) across England. For the Fylde constituency, this is the NHS Lancashire and South Cumbria ICB.

Whether nursing positions for the provision of care in corridors will be advertised in Lancashire.

The Department does not hold the information requested.

What plans he has to roll out further Clinical Diagnostic Centres.

Approximately £1.5 billion of additional capital funding has been allocated in the budget for 2025/26, to support National Health Service performance across secondary and emergency care, and to begin to deliver against the Government's three strategic shifts, which include moving care from the hospital to the community.This investment will deliver new surgical hubs and diagnostic scanners. This creates new capacity for over 30,000 additional procedures, and over 1.25 million diagnostic tests, as they come online. The investments made at the October Budget also add new beds across the NHS estate.Collectively, these investments will create more treatment space in emergency departments, reduce waiting times, and help shift more care into the community via the expansion of community based diagnostic capacity. More details will follow at the earliest opportunity.The NHS is prioritising the roll-out of additional diagnostic capacity, and is currently delivering the final year of the three-year investment plan for establishing Community Diagnostic Centres (CDCs), with capacity prioritised for cancer diagnostics. In August 2024, NHS England published an updated list of 168 CDC sites currently delivering activity. A total of 170 CDCs have been approved and will be delivering activity by March 2025.