Written questions by Stephenson.

What steps he is taking to increase the number of available dental appointments in (a) Mid Bedfordshire and (b) the UK.

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, we will reform the dental contract with the sector, 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 Mid Bedfordshire constituency, this is the Bedfordshire Luton and Milton Keynes ICB. ICBs have been asked to start making extra urgent dental appointments available from April 2025. The Bedfordshire Luton and Milton Keynes ICB is expected to deliver 6,041 additional urgent dental appointments as part of the scheme. ICBs have started to advertise posts through the Golden Hello scheme. This recruitment incentive will see up to 240 dentists receiving payments of £20,000 to work in those areas that need them most for three years. As of 10 April 2025, in England, there are 53 dentists in post with a further 44 dentists who have been recruited but are yet to start in post. Another 256 posts are currently advertised.

When he plans to publish a national cancer plan.

The National Cancer Plan for England will be published in the second half of this year, following the publication of the 10-Year Health Plan.

How much and what proportion of the capital funding allocated for hospital maintenance at the Autumn Budget 2024 has been allocated to (a) Bedford and (b) Luton and Dunstable Hospitals.

The Government is backing the National Health Service with over £4 billion in operational capital in 2025/26 to fund day-to-day operational investments, including hospital maintenance. The Bedfordshire, Luton, and Milton Keynes Integrated Care System (ICS) has been provisionally allocated over £60 million of operational capital.In addition, a £750 million estates safety fund was put in place to begin addressing some of the poorest quality infrastructure across the NHS estate in 2025/26. Estates safety funding has been provisionally allocated to ICSs based on need, critical infrastructure risk, estates incidents, and responses to the recent maternity estates survey. The Bedfordshire, Luton and Milton Keynes ICS has been provisionally allocated £15.5 million in estate safety funding for 2025/26, which can be allocated according to local priorities.

With reference to his Department's press release entitled Over 1,500 extra GPs recruited to fix front door of the NHS, published on 8 April 2025, how many of those GPs will be deployed in (a) Mid Bedfordshire, (b) Bedfordshire and (c) rural areas.

As at 31 March 2025, 26 GPs had been recruited through the Additional Roles Reimbursement Scheme in NHS Bedfordshire, Luton and Milton Keynes ICB. The number of full time equivalent ARRS GPs working in the ICB was 13.5 as at 28 February 2025.Data on the number of roles recruited to rural areas is not held.

Pursuant to the Answer of 9 April 2025 to Written Question 43758 on NHS England, how any short-term upfront costs incurred will be funded.

Detailed plans are being formulated by a joint Department and NHS England programme team. The remit of work includes formulation of the relevant costs and securing the required funding. Funding conversations between the Department of Health and Social Care, NHS England, and HM Treasury are ongoing. Further detail on the costs and funding mechanisms will be provided as this work develops.

Pursuant to the Answer of 18 March 2025 to Question 36504 on Mental Health Services: Children, how many of the 8,500 additional mental health workers will be based in Bedfordshire.

We are working with NHS England to consider options to deliver this commitment alongside the refresh of the Long Term Workforce Plan.

What steps he is taking to help support women with endometriosis in Mid Bedfordshire constituency.

The Government is committed to prioritising women’s health and improving the care received by those suffering from gynaecological conditions, including endometriosis.We encourage any woman or girl with symptoms of endometriosis to contact their general practice (GP). In Central Bedfordshire, GPs have been participating in education sessions over the last year focused on periods and endometriosis, to help improve care and treatment. This includes reviewing the updated National Institute for Health and Care Excellence guidance which recommends giving a likely diagnosis of endometriosis, after careful assessment, and initiating treatment with options including hormonal contraceptive methods if needed. This can take place in parallel with a referral to the specialist service.The Bedfordshire, Luton and Milton Keynes Integrated Care Board also commissions a specialist endometriosis service which is provided by a multidisciplinary team of gynaecologists, a nurse specialist, laparoscopic bowel surgeons, urologists, radiologist, and the pain team. For Central Bedfordshire residents, this is provided by the Bedfordshire Hospitals NHS Foundation Trust, and a referral by a GP or sexual health doctor is required. The service was recently accredited for 2025 as a British Society of Gynaecology Endoscopy Endometriosis Centre.

What steps he is taking to help reduce times for the diagnosis of endometriosis.

The Government is committed to prioritising women’s health, and we are making progress in ensuring that women with endometriosis receive timely and effective treatment.Clinical guidelines support healthcare professionals to diagnose and treat conditions. In November 2024 the National Institute for Health and Care Excellence updated its guideline on the diagnosis and management of endometriosis. This includes updated recommendations that, for women with symptoms of endometriosis, initial pharmacological treatment should take place in primary care, and that this can take place in parallel with additional investigations and referral to secondary care if needed. This will help women receive more timely treatment. The guideline is available at the following link:https://www.nice.org.uk/guidance/ng73We have taken urgent action to tackle gynaecology waiting lists through the Elective Reform Plan. In gynaecology, the plan supports innovative models offering patients care closer to home, as well as the piloting of gynaecology pathways in community diagnostic centres. Alongside the plan, we published a new partnership agreement between the NHS and the independent sector, which will help cut gynaecology waiting lists faster.Additionally, to provide quicker access for patients to common surgical hub procedures such as a laparoscopy, which can be used to diagnose and treat endometriosis, we have committed to opening 17 new and expanded surgical hubs by June 2025, and ramping up the number of hubs over the next three years.

What assessment he has made of the potential impact of the provisions outlined in his Department's press release entitled Crack teams get patients off waiting lists at twice the speed, published on 16 March 2025, on people in Bedfordshire.

The Government is committed to putting patients first, and we have wasted no time in getting to work cutting National Health Service waiting lists and ensuring people have the best possible experience during their care.Further Faster 20 (FF20) is a scheme to tackle waiting lists through targeted support to improve and streamline pathways for patients at 20 trusts in areas with high levels of economic inactivity. The latest data from October 2024 to January 2025 shows that waiting lists in areas with an FF20 trust have, on average, been reduced at more than double the rate of the rest of the country, falling 130% faster in areas where the Government’s scheme is in action, compared to the national average. A total of 37,000 cases have been removed from waiting lists in those 20 areas, averaging almost 2,000 patients per local trust. Following the success of the programme, the Government has confirmed that this initiative will be rolled out to additional providers this year, to boost NHS productivity and cut waiting times.The Bedfordshire Hospital NHS Foundation Trust was not one of the 20 trusts targeted through the FF20 scheme, though the trust may access the resources of the wider Further Faster programme, which was rolled out to all trusts in March 2024.

If he will make an assessment of the potential impact of closing NHS England on integrated care boards.

Ministers and senior Department officials will work with the new executive team at the top of NHS England, led by Sir Jim Mackey, to jointly lead this transformation. As we work to bring the two organisations together, we will ensure that we continue to evaluate impacts of all kinds.As part of the necessary changes to support the National Health Service to recover, NHS England has also indicated that integrated care boards (ICBs) should reduce in size. We will work with the NHS to get it back on its feet and make it fit for the future.In a letter from Sir Jim Mackey on 1 April 2025, NHS England published further detail on the future of ICBs in a letter issued to all ICBs and NHS trusts and foundation trusts. This letter is available at the following link:https://www.england.nhs.uk/long-read/working-together-in-2025-26-to-lay-the-foundations-for-reform/

If he will publish his Department’s impact assessment on closing NHS England.

The abolition of NHS England will strip out the unnecessary bureaucracy and cut the duplication that comes from having two organisations doing the same job. By the end of the process, we estimate that these changes will save hundreds of millions of pounds a year, which will be reinvested in frontline services.It is only right that with such significant reform, we commit to carefully assessing and understanding the potential impacts, as is due process. Evidence from these ongoing assessments will inform our programme as appropriate.The Government is committed to transparency and will consider how best to ensure that the public and parliamentarians are informed of the outcomes.

What steps he is taking to support people who suffer with chronic urinary tract infections in Mid Bedfordshire constituency.

There are nine pharmacists in the Mid Bedfordshire constituency area, and all offer the Pharmacy First service. This service builds on the NHS Community Pharmacist Consultation Service which has run since October 2019. The consultation service enables patients to be referred into community pharmacy for a minor illness or an urgent repeat medicine supply.The Pharmacy First service, launched 31 January 2024, adds to the existing consultation service and enables community pharmacies to complete episodes of care for seven common conditions following defined clinical pathways, including urinary tract infections.It is common for recurrent urinary tract infections to be treated with a longer-term course of antibiotics, following antimicrobial guidelines for primary care. Should symptoms continue then a referral may be made to a specialist urologist.

For what reason Bedfordshire Hospitals NHS Foundation Trust was not included in the Great British Energy Solar project.

NHS England received an extremely positive response to this scheme, with over 300 bids (covering 140 trusts) that could potentially have been taken forward.The Department worked closely with NHS England and our partners at Great British Energy to apply a rigorous evaluation process to this longlist. This included a thorough deliverability screening, value for money assessment, and final assurance process to ensure that all projects were focused on core estate (to ensure the expected lifetime of the building matched or exceeded that of the new assets), alongside careful verification of the funding, value for money, and delivery data provided by trusts.Regrettably, this meant that many projects missed out despite offering significant value.

If he will estimate the cost to the public purse of (a) redundancies and (b) all other costs arising from the proposed abolition of NHS England.

We recognise that there may be some short-term upfront costs as we undertake the integration of NHS England and the Department, but these costs and more will be recouped in future years because of a smaller and leaner centre. By the end of the process, we estimate that these changes will save hundreds of millions of pounds a year, which will be reinvested in frontline services.As we work to return many of NHS England’s current functions to the Department, we will ensure that we continue to evaluate impacts of all kinds.

If he will make an assessment of the current average diagnosis time for endometriosis.

The Government is committed to prioritising women’s health and improving the care for gynaecological conditions, including endometriosis.The National Institute for Health and Care Excellence published an update to the guideline on endometriosis diagnosis and management in November 2024. This makes firmer recommendations for healthcare professionals on referral and investigations for women with suspected endometriosis, which will help women receive a diagnosis and treatment more quickly.For many women with symptoms of endometriosis, initial pharmacological treatment takes place in primary care and can be in parallel with a referral for further investigations. As a result, looking at diagnosis times alone is unlikely to be the only measure of whether women are receiving care for endometriosis in a timely matter. NHS England is looking into metrics that best reflect timely access to care and outcomes for women, including for endometriosis. This work will explore whether time to diagnosis is the optimum measure.An ongoing study by the Office for National Statistics is investigating the impact of endometriosis on women's labour market outcomes. One component of this study is linking primary and secondary care data to better understand diagnosis times for endometriosis.

With reference to the press notice entitled New deal for GPs will fix the front door of the NHS, published on 28 February 2025, whether the funding announced in that notice is in addition to funding allocated to his Department at the Autumn Budget 2024.

We have made 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.As a part of this allocation, we are investing £889 million in core general practice (GP) funding, and up to £80 million for the use of Advice and Guidance between GPs and consultants. This brings the total spend on the GP Contract to £13.2 billion in 2025/26, the biggest increase in over a decade. We are pleased that the General Practitioners Committee England is supportive of the contract changes.

If he will make an assessment of the potential merits of increasing the level of geographic detail available on the number of (a) A&E and (b) Urgent Care Centre admissions.

NHS England publishes accident and emergency admission data for a range of different geographical footprints. This includes at an integrated care board, regional, and provider level. We will continue to keep the range of data available to support the improvement of National Health Services under review. Further information is available at the following link:https://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/

Pursuant to the Answer of 19 February 2025 to Question 29563 on General Practitioners: Finance, what projects he has discussed with the NHS Bedfordshire, Luton and Milton Keynes Integrated Care Board.

The Primary Care Utilisation and Modernisation Fund was announced during the 2024 Spending Review, and provides new capital funding of £102 million for the 2025/26 financial year to support improvements in the primary care estate.The Department and NHS England have worked with the Bedfordshire, Luton and Milton Keynes Integrated Care Board to prioritise high-impact projects where investment can unlock significant productivity gains and additional usable space from existing buildings. We are unable to publish the details while the assessment of those schemes is still ongoing, to ensure each project is judged on its own merit.

If he will make an assessment of the adequacy of ADHD assessments in identifying that condition in girls.

It is the responsibility of the integrated care boards (ICBs) in England to make available appropriate provision to meet the health and care needs of their local population, including attention deficit hyperactivity disorder (ADHD) services, in line with relevant National Institute for Health and Care Excellence (NICE) guidelines.NICE guidelines on ADHD, published and updated in September 2019, aim to improve the diagnosis of ADHD, recognising that ADHD may be under-diagnosed in women and girls, and to improve the quality of care and support that people of all ages who are diagnosed with ADHD receive.NHS England has established an ADHD taskforce which is working to bring together those with lived experience with experts from the National Health Service, education, charity, and justice sectors. The taskforce is working to get a better understanding of the challenges affecting those with ADHD, including timely and equitable access to services and support, with the final report expected in the summer.In conjunction with the taskforce, NHS England has carried out detailed work to develop an ADHD data improvement plan to inform future service planning. NHS England has also captured examples from ICBs who are trialling innovative ways of delivering ADHD services and is using this information to support systems to tackle ADHD waiting lists and provide support to address people’s needs.

What recent discussions his Department has had with the NHS Bedfordshire, Luton and Milton Keynes Integrated Care Board on the proposed Wixams GP surgery.

Integrated care boards (ICBs) are responsible for commissioning, which includes planning, securing, and monitoring, general practice (GP) services within their health systems through delegated responsibility from NHS England. The Bedfordshire, Luton and Milton Keynes ICB has advised that they updated the Central Bedfordshire Health and Social Care Overview and Scrutiny Committee about the ICB’s intention to deliver a permanent healthcare facility in Wixams, with a further update to follow in the spring. The ICB has committed to undertaking further analysis with the new developers of Wixams town centre, to understand the dependencies, such as roads and power connections, and to assess the facility's delivery timeline against the likely costs and affordability. Further information about the Central Bedfordshire Health and Social Care Overview and Scrutiny Committee is available at the following link:https://www.centralbedfordshire.gov.uk/info/31/meetings/231/social_care_health_and_housing_overview_and_scrutiny_committee_-_meetings_and_agendasWe know that there is pressure on primary care estates and service provision in areas of high population growth. At a national level, we continue to work closely with the Ministry of Housing, Communities and Local Government to ensure that all new and existing developments have an adequate level of healthcare infrastructure for the community.