Written questions by Eccles.

What steps he is taking to improve dementia care.

The Government is committed to improving dementia care and is empowering local leaders with the autonomy they need to provide the best services to their local community, including for those with dementia. That is why we have recently published the Dementia 100 Pathway Assessment Tool, which brings together multiple resources into a single, consolidated tool. This will help simplify best practice for busy system leaders and help create communities and services where the best possible care and support is available to those with dementia. The Dementia 100 Pathway Assessment Tool has now been launched, and is available at the following link:https://www.rcpsych.ac.uk/improving-care/nccmh/service-design-and-development/dementia-100-pathway-assessment-toolTo improve care for patients with dementia, we have refreshed the RightCare Dementia Scenario. The scenario works through the dementia well pathway journey, from diagnosing well through to dying well, detailing optimal and sub optimal approaches, with associated costings for each. They have developed a dementia model pathway based on data for each component of the dementia well pathway, to provide a high-level view of what dementia care activity looks like for local areas and to aid targeted support where appropriate. To aid dementia diagnosis and the provision of support in care homes, we funded an evidence-based improvement project to fund two trusts in each region, 14 sites, to pilot the Diagnosing Advanced Dementia Mandate protocol. Learning is currently being shared and promoted with regional and local partners, following an impact assessment of the pilots.

What assessment he has made of the potential merits of fluoridisation of water for dental health.

Water fluoridation is an evidence based, effective public health intervention for improving the oral health of children and adults. The 2022 Health Monitoring Report showed that five-year-olds were less likely to experience dental caries, and less likely to experience caries of high severity, in areas with a fluoridation scheme. Further information is available at the following link:https://www.gov.uk/government/publications/water-fluoridation-health-monitoring-report-for-england-2022The UK Chief Medical Officer also concluded that water fluoridation is effective and should complement, not substitute, other effective methods of fluoride use. The UK Chief Medical Officer’s statement on water fluoridation is available at the following link:https://www.gov.uk/government/publications/water-fluoridation-statement-from-the-uk-chief-medical-officers/statement-on-water-fluoridation-from-the-uk-chief-medical-officers

What steps he is taking to help increase the provision of Givinostat free at the point of use for people with Duchene Muscular Dystrophy.

The Department understands the impact that Duchenne muscular dystrophy has on those living with it and their families, and the urgent need for new treatment options. The National Institute for Health and Care Excellence (NICE) makes recommendations for the National Health Service on whether new licensed medicines should be routinely funded by the NHS independently, based on an assessment of their costs and benefits. The NHS in England is legally required to fund medicines recommended by the NICE, normally within three months of the publication of final guidance. The NICE is currently evaluating givinostat for the treatment of Duchenne muscular dystrophy, and its independent Appraisal Committee will meet to consider the evidence in July 2025.

Whether he plans to continue funding for additional higher anaesthetic training places in 2025-26.

We are committed to training the staff we need, including anaesthetists, 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.We have launched the 10-Year Health Plan which will set out a bold agenda to reform and repair the NHS, and ensuring we have the right people, in the right places, with the right skills will be central to this vision. In summer 2025, we will publish a refreshed Long Term Workforce Plan to build the transformed health service we will deliver over the next decade.