Written questions by Blackman.

Whether the forthcoming Cardiovascular Disease Modern Service Framework will set expectations for Integrated Care Boards to commission specialist lipid services.

To tackle unwarranted variation and support consistent, high-quality care across the cardiovascular disease pathway, and to support the Government’s ambition to reduce premature deaths from heart disease and stroke by 25% within a decade, the Government will publish a new cardiovascular disease Modern Service Framework (CVD MSF) this spring.In developing the CVD MSF, we are reviewing evidence and engaging stakeholders on a range of pathway areas, including lipid management. The framework will support integrated care boards by identifying the best-evidenced interventions and setting clear implementation standards. This approach will help ensure greater consistency in the detection, treatment, and management of cardiovascular disease.

What assessment his Department has made of the potential impact of migraine on the level of demand for NHS services, including repeat GP appointments, referrals and hospital admissions.

We recognise the substantial economic and National Health Service burden of migraine, alongside the personal impacts. We know that there are an estimated 16,500 emergency admissions per year for migraine that could be avoided, costing the NHS £11.5 million.At the national level, there are a number of initiatives supporting service improvement and better care for patients with migraine such as the Getting It Right First Time (GIRFT) Programme for Neurology, the RightCare Headache and Migraine Toolkit, and the Neurology Transformation Programme.The Neurology Transformation Programme is strengthening integrated headache pathways, supporting integrated care boards to deliver consistent, timely migraine care closer to home. The RightCare Headache and Migraine Toolkit also gives systems a clear blueprint for earlier diagnosis, better long‑term management, and reducing unwarranted variation.The GIRFT Programme is also working to standardise care, promote better use of preventive treatments, and reduce reliance on accident and emergency for migraine crises by empowering general practices to manage headache disorders effectively.

What assessment he has made of whether migraine is a serious neurological long-term condition.

The Government recognises that migraine is a serious and often debilitating neurological condition, with a wide range of symptoms that go far beyond a headache. Migraine attacks can be a whole-body experience that can make it difficult to function normally.The Royal College of General Practitioners has developed two e-learning modules on migraine and cluster headaches, which aim to raise awareness amongst primary care clinicians about the different types of migraine and their associated symptoms, and how to differentiate.The Getting It Right First Time programme for Neurology published a National Speciality Report, which makes several recommendations in relation to improving recognition and diagnosis of migraine by general practitioners. Additionally, the RightCare Headache and Migraine Toolkit sets out key priorities for improving care for patients with migraine, which includes correct identification and diagnosis of headache disorders.The National Institute for Health and Care Excellence guideline, Headaches in over 12s: diagnosis and management, sets out best practice for healthcare professionals in the care, treatment, and support of people who suffer from headaches, including migraine. It aims to improve the recognition and management of headaches and migraine.

What plans he has to introduce additional accountability measures for Integrated Care Boards on delivery of NHS Health Checks and cardiovascular prevention outcomes.

The NHS Health Check, a core component of England’s cardiovascular disease (CVD) prevention programme, has been commissioned by local authorities in England since 2013, and engaged over 1.4 million people last year. Local authorities are responsible for commissioning the NHS Health Check, including setting accountability measures for integrated care boards regarding delivery of the programme.To accelerate progress on the Government’s ambition to reduce premature mortality from heart disease and stroke by 25% in the next ten years, we will publish a new Cardiovascular Disease Modern Service Framework (CVD MSF) this spring.The CVD MSF will support consistent, high quality, and equitable activity across the CVD pathway by identifying and setting standards for the best evidenced interventions. As part of this, Department officials are working closely with NHS England and stakeholders and are assessing accountability measures.

What plans he has to ensure the 4.9 million smokers in Great Britain have equitable access to smoking cessation advice, support and tools to start their quit journey.

Alongside our Tobacco and Vapes Bill, we remain committed to supporting current smokers to quit.The Government has invested an additional £70 million in both 2024/25 and 2025/26 to support local authority-led Stop Smoking Services in England to help people quit. We are already seeing the impact this has made, with the first year of additional funding for 2024/25 having resulted in a 23% increase in the number of people supported to quit compared to the previous year.From April 2026, we will ring-fence all funding for smoking cessation services within the Public Health Grant, meaning at least £153 million, increasing to £155 million in 2028/29, will be protected for these services. The additional funding will ensure there is a comprehensive offer across local authorities in England, with funding weighted toward local authorities with the highest smoking rates. The Better Health Website is also available and contains comprehensive cessation advice to support individuals to find the right approach for them.In addition, the 10-Year Health Plan for England restated our commitment to integrate opt-out smoking cessation interventions into routine care within all hospitals. As of quarter three of 2025/26, 99% of eligible maternity services and 92% of eligible in-patient services had an opt-out tobacco dependence treatment offer.As health is a devolved matter, local stop smoking support in Scotland and Wales is the responsibility of the devolved administrations.

What plans he has in place to help ensure smokers in Great Britain have equitable access to smoking cessation advice, support and tools.

Alongside our Tobacco and Vapes Bill, we remain committed to supporting current smokers to quit.The Government has invested an additional £70 million in both 2024/25 and 2025/26 to support local authority-led Stop Smoking Services in England to help people quit. We are already seeing the impact this has made, with the first year of additional funding in 2024/25 having resulted in a 23% increase in the number of people supported to quit compared to the previous year.From April 2026, we will ring-fence all funding for smoking cessation services within the Public Health Grant, meaning at least £153 million, increasing to £155 million in 2028/29, will be protected for these services. The additional funding will ensure there is a comprehensive offer across local authorities in England, with funding weighted toward local authorities with the highest smoking rates. The Better Health Website is also available and contains comprehensive cessation advice to support individuals to find the right approach for them.In addition, the 10-Year Health Plan for England restated our commitment to integrate opt-out smoking cessation interventions into routine care within all hospitals. As of Quarter 3 of 2025/26, 99% of eligible maternity services and 92% of eligible in-patient services had an opt-out tobacco dependence treatment offer.As health is a devolved matter, local stop smoking support in Scotland and Wales is the responsibility of the devolved administrations.

What consideration has been given to the provision of cessation support to adult vapers to quit when they are ready to do so.

In the short and medium term, vaping is less harmful than smoking and can be an effective quit aid for adult smokers, especially when combined with behavioural support. However, children, and adult non-smokers, should never vape, and the long-term health impacts are unknown.For those who feel ready to quit vaping and they are confident they can do so without returning to smoking, the Better Health website has a dedicated page on quitting vaping. Some local Stop Smoking Services also deliver vaping cessation support to help people quit vaping.We also commissioned the National Centre of Smoking Cessation and Training to develop guidance for practitioners to support clients to stop vaping.

What consideration his Department has given to data from the Office for National Statistics highlighting that for the first time there are more adult vapers in Great Britain than there are smokers.

The Department continues to monitor the latest data on smoking and vaping prevalence, including the figures published by the Office for National Statistics (ONS). The 2024 ONS Adult Smoking Habits in the UK data shows that 10% of adults in Great Britain, approximately 5.4 million people, are current vape users, compared with 4.9 million adult smokers, based on the Opinions and Lifestyle Survey.We are pleased to see a further reduction in the number of smokers and the continued general downward trend in smoking prevalence. The Government is investing an additional £260 million over three years in Stop Smoking Services within the Public Health Grant to support local Stop Smoking Services in England and continue our National Smokefree Pregnancy Incentives scheme to support pregnant smokers to quit.Our health advice on vaping is clear: vaping can play a role in helping adult smokers to quit, but if you don’t smoke, don’t vape – and children should never vape. Evidence suggests the majority of adult vapers are current or former smokers, demonstrating the role vapes can play in smoking cessation. For those who feel ready to quit vaping and who are confident they can do so without returning to smoking, the Better Health website has a dedicated page on quitting vaping.The Tobacco and Vapes Bill will ban vapes and nicotine products from being deliberately promoted and advertised to children to stop the next generation from becoming hooked on nicotine. The Bill, currently going through Parliament, includes a range of measures to tackle youth vaping and will give the government powers to restrict the display, packaging and product features.

What recent assessment his Department has made of the UK’s progress towards achieving a smoke-free society.

Smoking prevalence continues to fall across the United Kingdom. In 2024, approximately 5.3 million people aged 18 years old and over were current smokers, 10.6% of the adult population. This is the lowest proportion of current smokers since records began, but we are determined to continue this trend at pace and create a smoke-free UK.The Tobacco and Vapes Bill is in its final stages, and Royal Assent should take place as soon as possible in this parliamentary session. This will create a smoke-free generation and will ensure we are on track towards a smoke-free UK.In addition to the bill, the Government is committed to supporting existing smokers to quit. From this April, we will ringfence all funding for stop smoking services in the Public Health Grant, meaning at least £150 million per year will be protected for these services. This will provide greater certainty and flexibility for local areas to invest in these vital services.

What steps his Department has taken to increase access to weight loss jabs for long-term conditions.

I refer the Hon. Member to the answer I gave to the Hon. Member for Rushcliffe on 19 November 2025 to Question 89687.

How many ICBs have Activity Management Plans in place.

NHS England does not hold this information centrally. Integrated care boards have contractual powers to manage activity by providers, which were enhanced in 2025/26 with central support for setting and managing activity. The NHS Standard Contract includes the ability to set indicative action plans to help providers and commissioners plan demand, capacity, and expenditure. While not binding, if activity exceeds the agreed plan, and therefore the funding agreed, an Activity Management Plan can be agreed to bring activity back in line.

What estimate his Department has made of (a) the level of prevalence of respiratory disease and (b) the number of emergency hospital admissions for respiratory conditions in Harrow East constituency compared to national averages; and what steps he is taking to ensure that respiratory health is prioritised nationally, including through the introduction of a Modern Service Framework for respiratory care.

The Government will consider long-term conditions for future waves of modern service frameworks (MSFs), including respiratory conditions. The criteria for determining other conditions for future MSFs will be based on where there is potential for rapid and significant improvements in quality of care and productivity. After the initial wave of MSFs is complete, the National Quality Board will determine the conditions to prioritise for new MSFs as part of its work programme. There has not, therefore, been a specific assessment made in relation to winter pressures.NHS England and the Department of Health and Social Care are working with the Department for Science, Innovation and Technology to explore innovation and policy prioritisation in respiratory health, including the cross‑Government alignment that may be required.Data is available for emergency Finished Admission Episodes (FAEs) where there was a primary diagnosis of 'respiratory conditions’. The following table shows the number of emergency FAEs where there was a primary diagnosis of respiratory conditions, for activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector, for Mid Harrow and England, for 2024/25 and 2025/26:Westminster Parliamentary Constituency of Residence2024/25 (August 2024 to March 2025)2025/26 (April 2025 to November 2025)Harrow1225795England608,449423,588Source: Hospital Episode Statistics, NHS England.Available data on trends in respiratory conditions can be found on the Department’s Fingertips dataset. Data is not available by parliamentary constituency. Data is available at regional, county, unitary authority, and integrated care board level. Information for the London Borough of Harrow can be found at the following link: https://fingertips.phe.org.uk/search/respiratory#page/1/gid/1/pat/15/ati/502/are/E09000015/iid/40701/age/163/sex/4/cat/-1/ctp/-1/yrr/1/cid/4/tbm/1 NHS England, working with the Department, the UK Health Security Agency, and other partners, is taking action to reduce the impact of respiratory conditions on the NHS this winter. Further details of the actions being taken to reduce demand on acute services during winter is available at the following link:https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/

What assessment his Department has made of a respiratory Modern Service Framework on reducing winter pressures on the NHS by simultaneously improving outcomes for long-term respiratory conditions and short-term respiratory illnesses such as flu.

The Government will consider long-term conditions for future waves of modern service frameworks (MSFs), including respiratory conditions. The criteria for determining other conditions for future MSFs will be based on where there is potential for rapid and significant improvements in quality of care and productivity. After the initial wave of MSFs is complete, the National Quality Board will determine the conditions to prioritise for new MSFs as part of its work programme. There has not, therefore, been a specific assessment made in relation to winter pressures.NHS England and the Department of Health and Social Care are working with the Department for Science, Innovation and Technology to explore innovation and policy prioritisation in respiratory health, including the cross‑Government alignment that may be required.Data is available for emergency Finished Admission Episodes (FAEs) where there was a primary diagnosis of 'respiratory conditions’. The following table shows the number of emergency FAEs where there was a primary diagnosis of respiratory conditions, for activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector, for Mid Harrow and England, for 2024/25 and 2025/26:Westminster Parliamentary Constituency of Residence2024/25 (August 2024 to March 2025)2025/26 (April 2025 to November 2025)Harrow1225795England608,449423,588Source: Hospital Episode Statistics, NHS England.Available data on trends in respiratory conditions can be found on the Department’s Fingertips dataset. Data is not available by parliamentary constituency. Data is available at regional, county, unitary authority, and integrated care board level. Information for the London Borough of Harrow can be found at the following link: https://fingertips.phe.org.uk/search/respiratory#page/1/gid/1/pat/15/ati/502/are/E09000015/iid/40701/age/163/sex/4/cat/-1/ctp/-1/yrr/1/cid/4/tbm/1 NHS England, working with the Department, the UK Health Security Agency, and other partners, is taking action to reduce the impact of respiratory conditions on the NHS this winter. Further details of the actions being taken to reduce demand on acute services during winter is available at the following link:https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/

What progress his Department has made to meet the 18-week treatment target next month as set out in the Elective Reform Plan.

NHS England’s Operational Planning Guidance for 2025/26 set a target that, by the end of March 2026, 65% of patients wait no longer than 18 weeks. To achieve this, we expect the size of the total waiting list to reduce and have already made significant progress. As of November 2025, the waiting list had reduced by over 312,000 since the Government came into office. This is despite 30.1 million referrals onto the waiting list. Performance against the referral to treatment standard had improved by 2.9% over the same period, reaching 61.8%. This has been supported by the delivery of 5.2 million additional appointments between July 2024 and June 2025 compared to the previous year, more than double the Government’s pledge of two million. This marks a vital first step towards delivering the constitutional standard.

What discussions his Department has had with the Department for Science and Technology on the potential merits of a respiratory Modern Service Framework to strengthen the UK’s life sciences ecosystem by scaling up the adoption of new medicines and innovations for lung conditions.

The Government will consider long-term conditions for future waves of modern service frameworks (MSFs), including respiratory conditions. The criteria for determining other conditions for future MSFs will be based on where there is potential for rapid and significant improvements in quality of care and productivity. After the initial wave of MSFs is complete, the National Quality Board will determine the conditions to prioritise for new MSFs as part of its work programme. There has not, therefore, been a specific assessment made in relation to winter pressures.NHS England and the Department of Health and Social Care are working with the Department for Science, Innovation and Technology to explore innovation and policy prioritisation in respiratory health, including the cross‑Government alignment that may be required.Data is available for emergency Finished Admission Episodes (FAEs) where there was a primary diagnosis of 'respiratory conditions’. The following table shows the number of emergency FAEs where there was a primary diagnosis of respiratory conditions, for activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector, for Mid Harrow and England, for 2024/25 and 2025/26:Westminster Parliamentary Constituency of Residence2024/25 (August 2024 to March 2025)2025/26 (April 2025 to November 2025)Harrow1225795England608,449423,588Source: Hospital Episode Statistics, NHS England.Available data on trends in respiratory conditions can be found on the Department’s Fingertips dataset. Data is not available by parliamentary constituency. Data is available at regional, county, unitary authority, and integrated care board level. Information for the London Borough of Harrow can be found at the following link: https://fingertips.phe.org.uk/search/respiratory#page/1/gid/1/pat/15/ati/502/are/E09000015/iid/40701/age/163/sex/4/cat/-1/ctp/-1/yrr/1/cid/4/tbm/1 NHS England, working with the Department, the UK Health Security Agency, and other partners, is taking action to reduce the impact of respiratory conditions on the NHS this winter. Further details of the actions being taken to reduce demand on acute services during winter is available at the following link:https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/

What his department’s timeline is for deciding on the second wave of Modern Service Frameworks; and whether respiratory conditions will be considered.

The Government will consider long-term conditions for future waves of modern service frameworks (MSFs), including respiratory conditions. The criteria for determining other conditions for future MSFs will be based on where there is potential for rapid and significant improvements in quality of care and productivity. After the initial wave of MSFs is complete, the National Quality Board will determine the conditions to prioritise for new MSFs as part of its work programme. There has not, therefore, been a specific assessment made in relation to winter pressures.NHS England and the Department of Health and Social Care are working with the Department for Science, Innovation and Technology to explore innovation and policy prioritisation in respiratory health, including the cross‑Government alignment that may be required.Data is available for emergency Finished Admission Episodes (FAEs) where there was a primary diagnosis of 'respiratory conditions’. The following table shows the number of emergency FAEs where there was a primary diagnosis of respiratory conditions, for activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector, for Mid Harrow and England, for 2024/25 and 2025/26:Westminster Parliamentary Constituency of Residence2024/25 (August 2024 to March 2025)2025/26 (April 2025 to November 2025)Harrow1225795England608,449423,588Source: Hospital Episode Statistics, NHS England.Available data on trends in respiratory conditions can be found on the Department’s Fingertips dataset. Data is not available by parliamentary constituency. Data is available at regional, county, unitary authority, and integrated care board level. Information for the London Borough of Harrow can be found at the following link: https://fingertips.phe.org.uk/search/respiratory#page/1/gid/1/pat/15/ati/502/are/E09000015/iid/40701/age/163/sex/4/cat/-1/ctp/-1/yrr/1/cid/4/tbm/1 NHS England, working with the Department, the UK Health Security Agency, and other partners, is taking action to reduce the impact of respiratory conditions on the NHS this winter. Further details of the actions being taken to reduce demand on acute services during winter is available at the following link:https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/

Whether his Department is taking steps to investigate the use of body mass index thresholds as a means of determining eligibility for joint replacement surgery.

I refer the Hon. Member to the answer I gave to the Hon. Member for Rushcliffe on 20 November 2025 to Question 89688.

When he plans to announce the next phase of modern service frameworks.

I refer the Hon. Member to the answer I gave to the Hon. Member for Strangford on 26 January 2026 to Question 102753.

With reference to the UK and Eire Glaucoma Society 2025 consensus on Minimally Invasive Glaucoma Surgery, what estimate he has made of the number of glaucoma patients who weren't offered a combined procedure to treat the condition at the time of cataract surgery in the last year.

Data on the number of glaucoma patients who weren't offered a combined procedure to treat glaucoma at the time of cataract surgery is not held.The best treatment options will be decided by the treating clinician, in discussion with the patient, considering an individuals’ clinical circumstances and relevant professional clinical guidance and best available evidence.The Getting It Right First Time programme is also developing best practice guidance for glaucoma services, to support the consistent adoption of high standards of care from detection onwards.

With reference to the UK and Eire Glaucoma Society 2025 consensus on Minimally Invasive Glaucoma Surgery, whether he has made an assessment of the potential impact on secondary care services when patients are not offered a glaucoma intervention at the time of cataract surgery.

Data on the number of glaucoma patients who weren't offered a combined procedure to treat glaucoma at the time of cataract surgery is not held.The best treatment options will be decided by the treating clinician, in discussion with the patient, considering an individuals’ clinical circumstances and relevant professional clinical guidance and best available evidence.The Getting It Right First Time programme is also developing best practice guidance for glaucoma services, to support the consistent adoption of high standards of care from detection onwards.