Written questions by Coghlan.

What assessment he has made of the implications for his policies of shortages of GP appointments; and what plans he has to reduce such shortages.

We are committed to improving capacity and access to general practice (GP) appointments. That is why, in October 2024, we provided an £82 million boost to the Additional Roles Reimbursement Scheme, enabling the recruitment of 1,000 newly qualified GPs across England. This will increase the number of GP appointments delivered and will benefit thousands of patients. It will also secure the future supply of GPs and take pressure off those currently working in the system.Additionally, we have announced a proposed £889 million uplift to the GP Contract for 2025/26, the largest uplift in years, with a rising share of total National Health Service resources going to GPs. We are currently consulting the profession on key proposals to improve access, continuity of care, and GP recruitment.

What plans he has for improving access to NHS dentistry in Dorking and Horley constituency.

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 Dorking and Horley constituency, this is the NHS Surrey Heartlands ICB.

Whether he is taking steps to attract health workers to (a) train for and (b) work in community pharmacies.

As private employers, community pharmacies are responsible for the recruitment and retention of staff. The Department and NHS England also provides support and funding for initial education and training, apprenticeships, and upskilling staff to develop knowledge and skills and deliver better and safer care to patients and the public.NHS England and the General Pharmaceutical Council have been working with education providers to increase pharmacy training places. Recent announcements include the establishment of new schools of pharmacy at Plymouth University, Teesside University, the University of Leicester, and Bangor University, which will improve training opportunities and build resilience in these areas.The Government will make sure the National Health Service has the staff it needs to be there for all of us when we need it. We have launched a 10-Year Health Plan to reform the NHS. A central part of the 10-Year Health Plan will be our workforce and how we ensure we train and provide the staff, technology, and infrastructure the NHS needs to care for patients across our communities.In summer 2025, we will publish a refreshed Long Term Workforce Plan to deliver the transformed health service we will build over the next decade and treat patients on time again.

What steps he is taking to improve access to cardiac screening for young people who take part in sports and exercise.

The UK National Screening Committee (UK NSC) last reviewed screening for sudden cardiac death (SCD) in people under the age of 39 years old in 2019, and concluded that screening should not be offered. Further information is available at the following link:https://view-health-screening-recommendations.service.gov.uk/sudden-cardiac-death/Research showed that current tests are not accurate enough to use in young people without symptoms, and that treatments and interventions were not based on good scientific evidence to prevent SCD.To stop SCDs in young people, the current consensus is to focus on rapid identification and care of people who are likely to be at risk of SCD due to a family link or because they have had symptoms, and to train people to carry out cardiopulmonary resuscitation and to use defibrillators.NHS England has published guidance for inherited cardiac conditions which requires services to investigate patients with previously undiagnosed cardiac disease, suggestive symptoms, or patients from families with sudden unexplained deaths. Where a genetic variation is identified, cascade testing is offered to relatives based on risk.We are aware that the UK NSC has received a submission via its annual call process to consider SCD screening in young people aged 14 to 35 years old engaging in sport. The UK NSC is currently reviewing all annual call proposals. Further information on the annual call process is available at the following link:https://www.gov.uk/government/publications/uk-nsc-annual-call-submitting-a-screening-proposal/uk-nsc-annual-call-how-to-submit-a-proposal

If he will (a) review (i) diagnostic and (ii) treatment practices for people with chronic urinary tract infections and (b) take steps to improve conditions for people with such infections.

NHS England published Excellence in Continence Care on 23 July 2018, bringing together evidence-based resources and research for guidance for commissioners, providers, and health and social care staff. This guidance covers both urinary and bowel, also known as faecal, incontinence, and is available at the following link:https://www.england.nhs.uk/publication/excellence-in-continence-care/NHS England will consider the next steps for Excellence in Continence Care.

What assessment he has made of the potential impact of waiting until the publication of the final Module 3 Covid-19 Inquiry report to (a) recognise the role of airborne transmission of SARS-Cov-2 and (b) update (i) Infection Prevention Controls guidance in the National Infection Prevention and Control Manual and (ii) Health Technical Memoranda guidelines to limit airborne transmission of (A) Covid-19 and (B) other respiratory viruses on (1) health workers and (2) patients.

NHS England maintains efforts to evaluate potential revisions to the National Infection Prevention and Control Manual (NIPCM), which aim to maintain high infection, prevention, and control standards. Any updates will ensure consistent application across healthcare settings. Current guidance balances scientific evidence, operational feasibility, and sustainable infection, prevention, and control practices to protect healthcare workers and patients.Delaying NIPCM updates until the final Module 3 COVID-19 inquiry report risks greater exposure to infection, slower practice improvements, and training gaps. Timely updates, based on emerging evidence, strengthen healthcare worker and patient safety through evidence-based, locally adapted measures.The updated acute respiratory virus guidance, published in March 2024, advises adult social care providers on precautions for preventing respiratory infection transmission, addressing masks, ventilation, and other measures based on current evidence. The acute respiratory virus guidance is available at the following link:https://www.gov.uk/government/publications/infection-prevention-and-control-in-adult-social-care-acute-respiratory-infection/infection-prevention-and-control-ipc-in-adult-social-care-acute-respiratory-infection-ari

If he will make an assessment of the potential merits of revising the Infection Prevention Controls guidance in the National Infection Prevention and Control Manual and Health Technical Memoranda guidelines prior to 1 March 2025 to ensure (a) recognition of the role of airborne transmission of SARS-Cov-2 and (b) appropriate guidance on (i) the use of FFP3 masks, (ii) improved standards of ventilation and air filter devices in (A) clinical and (B) non-clinical healthcare settings and (iii) other measures to limit airborne transmission of (1) Covid-19 and (2) other respiratory viruses; and if he will take steps to ensure the distribution of those guidelines to all employers and providers of healthcare workers.

The emerging evidence on airborne transmission of SARS-CoV-2 and other respiratory viruses is continually reviewed by the UK Health Security Agency, NHS England, and the Department. Assessment of research on aerosol behaviour, Aerosol Generating Procedures (AGPs), and personal protective equipment, including FFP3 masks, ensures that the guidance reflects the latest science and best practice.The National Infection Prevention and Control Manual offers practical guidance on respiratory transmission, including airborne pathways, with non-pathogen-specific standards providing a robust framework for diverse infection, prevention, and control challenges.The updated acute respiratory virus guidance, published in March 2024, advises adult social care providers on precautions for preventing respiratory infection transmission, addressing masks, ventilation, and other measures based on current evidence. The acute respiratory virus guidance is available at the following link:https://www.gov.uk/government/publications/infection-prevention-and-control-in-adult-social-care-acute-respiratory-infection/infection-prevention-and-control-ipc-in-adult-social-care-acute-respiratory-infection-ari

How many and what proportion of blood specimens taken for prostate specific antigen tests are separated within 16 hours.

Prostate specific antigen (PSA) testing volumes and the time taken for blood specimens to reach the laboratory for separation, including those within 16 hours, is not currently monitored by NHS England.The National Institute for Health and Care Excellence...

What steps his Department has taken to ensure blood specimens taken for prostate specific antigen tests are separated within 16 hours.

Prostate specific antigen (PSA) testing volumes and the time taken for blood specimens to reach the laboratory for separation, including those within 16 hours, is not currently monitored by NHS England.The National Institute for Health and Care Excellence...