Written questions by Jardine.

What assessment he has made of the potential impact of poverty on NHS spending.

Integrated care boards receive funding allocations from NHS England to pay for the services they commission. Most funding is allocated as a non-ringfenced budget, informed by a calculation of what would constitute a “fair share” of funding based on a formula that takes account of population, age, need, deprivation and health inequalities considerations.Poverty will clearly have a bearing on these factors included in the formula, and to the extent that is the case, areas with higher levels of poverty will receive higher funding per capita other things being equal.

What assessment he has made of the potential impact of the Supreme Court judgment in For Women Scotland Ltd (Appellant) v The Scottish Ministers (Respondent) [2025] UKSC 16 on transgender people accessing NHS services.

The National Health Service provides a comprehensive service, available to all patients including transgender patients. This principle is established as part of the NHS Constitution and the Supreme Court ruling does not impact this commitment.We are clear that all patients should feel comfortable and confident to access the services they need. Single-sex spaces are protected in law and will always be protected by the Government, and trusts should follow the clarity the recent Supreme Court ruling in the For Women Scotland case provides.The NHS is currently reviewing its ‘Delivering same-sex accommodation’ guidance. Ministers have been clear that this needs to be done as soon as possible and we will be working closely with the NHS to ensure we provide NHS organisations with the guidance they need.

What assessment he has made of the potential impact of the decision to disestablish NHS England on plans to establish six new regional gender identity hubs.

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. We will empower staff to focus on delivering better care for patients, driving productivity up and getting waiting times down.The Government and NHS England are committed to implementing the recommendations of the Cass Review in full. NHS England has developed a two-year action plan which sets out how it will improve the specialist NHS Children and Young People’s Gender Services, helping to tackle waiting lists, whilst ensuring safe and holistic care. This includes establishing new gender services in each region of England.

What steps he is taking with Cabinet colleagues to help reduce waiting times for gender identity services.

The Government and NHS England are committed to implementing the recommendations of the Cass Review in full. NHS England developed an ambitious two-year action plan which sets out how they will continue to transform and improve gender services, helping to tackle waiting lists, whilst ensuring safe and holistic care.NHS England has opened three children and young people’s gender services in the North-West, London, and Bristol. A fourth East of England service will open later this year. These services operate under a fundamentally different model and embed multi-disciplinary teams in specialist children’s hospitals. The Government is pleased to say that these services have begun seeing patients from the national waiting list.NHS England remains on schedule to deliver a gender clinic in each region of England by 2026, helping to improve the care offered to children and young people with gender dysphoria and/or incongruence.The Government is also working to bring down waiting lists and improve care offered in adult gender services. NHS England has increased the number of adult gender dysphoria clinics in England from seven to 12, with the rollout of five new adult gender pilot clinics since July 2020. Furthermore, NHS England is currently carrying out a review of adult gender services, with the aim of producing an updated service specification. The review, which is chaired by Dr David Levy, will examine the model of care and operating procedures of each service, and will carefully consider experiences, feedback, and outcomes from clinicians and patients.

If his Department will make an assessment of the potential merits of integrating chiropractic care into the National Musculoskeletal health strategy.

NHS England does not nationally commission chiropractic care as it is a complementary and alternative medicine. There are no plans to make an assessment of the potential merits of integrating chiropractic care into centrally commissioned National Health Service care.

What steps he is taking to ensure blind and partially sighted people have access to health information in an accessible format.

Under the Equality Act 2010, health and social care organisations must make reasonable adjustments to ensure that disabled people are not disadvantaged. Since 2016, all National Health Service organisations and publicly funded social care providers are expected to meet the Accessible Information Standard which details the approach to supporting the information and communication support needs of patients and carers with a disability, impairment or sensory loss, including blind and partially sighted people. NHS England has been undertaking a review of the Accessible Information Standard (AIS) to help ensure that the communication needs of people with a disability, impairment, or sensory loss are met in health and care provision. A revised AIS will be published in due course. In the meantime, the current AIS remains in force and therefore there should not be a gap in provision for people using services.