Written questions by Norris.

What steps his Department is taking to improve access to GP appointments in North East Somerset and Hanham constituency.

The Government is determined to work with the National Health Service to fix the front door of our health service and to ensure that everyone can access general practice (GP) appointments and services, including in North East Somerset and Hanham. Through our 10-Year Health Plan, it will be easier and faster to see a GP. The 8:00am scramble will end, we will train more doctors, and we will guarantee digital consultations within 24 hours.In October 2024, we invested £82 million into the Additional Roles Reimbursement Scheme to support the recruitment of 1,900 individual GPs into primary care networks across England, helping to increase appointment availability and improve care for thousands of patients. We have also delivered the biggest boost to GP funding in years, an £889 million uplift, with GPs now receiving a growing share of NHS resources. Additionally, the new £102 million Primary Care Utilisation and Modernisation Fund will create additional clinical space within over 1,000 GPs across England. This investment will deliver more appointments and improve patient care.

What steps he is taking to speed up diagnosis and treatment for people living with dementia in North East Somerset and Hanham constituency.

The Government wants a society where every person with dementia receives high-quality, compassionate care from diagnosis through to the end of life.A timely diagnosis is vital to ensuring that a person with dementia can access the advice, information, care, and support that can help them to live well and remain independent for as long as possible. To support recovery of the dementia diagnosis rates and implementation of the Dementia Care Pathway, we have developed a memory service dashboard for management information purposes. The aim is to support commissioners and providers with appropriate data and to enable targeted support where needed.We have published the D100: Assessment Tool Pathway programme, which brings together multiple resources into a single, consolidated tool to help simplify best practice for system leaders and help create communities and services where the best possible care and support is available to those with dementia. The D100: Pathway Assessment Tool launched in April, and is available at the following link:https://www.rcpsych.ac.uk/improving-care/nccmh/service-design-and-development/dementia-100-pathway-assessment-toolTo prepare for any potential new treatments, NHS England is working closely with regulators to ensure that arrangements are in place to support the adoption of any new licensed and National Institute for Health and Care Excellence recommended treatments as soon as possible.The Government’s 10-Year Health Plan will address the challenges diagnosed by Lord Darzi and will set the vision for what good joined-up care looks like for people with a combination of complex health and care needs. It will set out how we support and enable health and social care services to work together better to provide that joined-up care.

What steps he is tacking to support community pharmacies in North East Somerset and Hanham constituency.

The Government recognises that pharmacies play a vital role in our healthcare system and is grateful to pharmacy teams across the country, including in North-East Somerset and Hanham, for their hard work, professionalism, and dedication in supporting patients in their communities, and for delivering a wide range of National Health Services.For 2025/26, funding for the core community pharmacy contractual framework has been increased to £3.073 billion. This represents the largest uplift in funding of any part of the NHS, over 19% across 2024/25 and 2025/26.There is also additional funding available, for example for pharmacies delivering Pharmacy First consultations and flu and COVID-19 vaccinations. The Pharmacy Access Scheme provides additional funding to support pharmacies in areas where there are fewer.This year, we will take forward legislation to enable all pharmacies to benefit from the efficiencies of hub and spoke dispensing and enable greater use of the skill mix in pharmacy teams to free up pharmacists to spend more time with patients.

What recent assessment he has made on reducing waiting times for mental health treatment services in North East Somerset and Hanham constituency.

Waiting times for those referred to mental health services are too high all across England, including in the North East Somerset and Hanham constituency. Too many people with mental health issues are not getting the support or care they need, which is why we will fix the broken system to ensure we give mental health the same attention and focus as physical health, so that people can be confident in accessing high quality mental health support when they need it. We are committed to improving mental health care for people with a range of mental health conditions, and to shifting the focus from treatment to prevention as we make the National Health Service fit for the future. In the Spending Review announcement, we have confirmed that we will fulfil the Government’s commitment to recruit an additional 8,500 mental health staff, to reduce delays and provide faster treatment, by the end of the Parliament, and will expand mental health support teams in schools in England to cover 100% of pupils by 2029/30.We are also keen to learn from models like Open Mental Health in Somerset, that bring together different organisations to offer access to mental health support. Our reforms to the Mental Health Act will give patients a greater say in their care and will ensure that people get the appropriate and compassionate mental health support they need.

What steps his Department is taking to help improve survival rates for (a) pancreatic cancer and (b) other cancers in North East Somerset and Hanham constituency.

Improving survival rates for all cancers, including pancreatic cancer, is a priority for the Government. As the first step to ensuring faster diagnosis and treatment, we have delivered an extra 40,000 operations, scans, and appointments each week.NHS England is providing a route into pancreatic cancer surveillance for those at high-risk to identify lesions before they develop into cancer. NHS England is additionally creating pathways to support faster referral routes for people with non-specific symptoms and is increasing direct access for general practitioners to diagnostic tests.The National Cancer Plan will include further details on how we will improve outcomes for all cancer patients across the country, including North East Somerset and Hanham, as well as speeding up diagnosis and treatment. It will aim to ensure that patients have access to the latest treatments and technology, and ultimately bring this country’s cancer survival rates, including for those with pancreatic cancer.

What assessment he has made of the potential impact of the Spending Review 2025 on NHS waiting lists in North East Somerset and Hanham constituency.

No formal assessment has been made of the potential impact of the 2025 Spending Review on National Health Service waiting lists in the North East Somerset and Hanham constituency.The 2025 Spending Review, announced by my Rt. Hon. Friend, the Chancellor of the Exchequer in June 2025, prioritises health with record investment in the health and social care system. Until 2028/29, the Government is providing £29 billion for more day-to-day funding in real terms compared to 2023/24, along with the largest ever health capital budget, with a £2.3 billion real terms increase in capital spending over the Spending Review period, until 2029/30.This funding will support delivery of our commitment that 92% of patients return to waiting no longer than 18 weeks from Referral to Treatment by March 2029, including in the North East Somerset and Hanham constituency.

What steps he is taking to monitor the potential impact of the award of the contract for adult and community services to HCRG Care Group on patient care.

The Department has received requests asking my Rt Hon. Friend, the Secretary of State for Health and Social Care to use the powers under Schedule 10A of the National Health Service Act 2006 to call-in the award of the contract for adult and community services to the Health Care Resourcing Group Care Group. Departmental officials have been asked to look into the issues raised and to provide advice on whether my Rt Hon. Friend, the Secretary of State for Health and Social Care should call-in the decision.The Department will assess the call-in request against the considerations published in the statutory guidance in January 2024 and the merits of the case.The responsibility for the delivery, implementation, and funding decisions for services ultimately rests with the appropriate NHS commissioner, who are accountable to NHS England. All service changes should be based on clear evidence that they will deliver better outcomes for patients.

What steps he is taking to ensure access to NHS dentistry for people living in North East Somerset & Hanham 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, 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 North East Somerset and Hanham constituency, this is the NHS Bath and North East Somerset, Swindon and Wiltshire ICB. ICBs have been asked to start making extra urgent dental appointments available from April 2025. The Bath and North East Somerset, Swindon and Wiltshire ICB is expected to deliver 13,990 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.

Whether estates managed by his Department are participating in the No Mow May initiative.

The Department has no estate with grass or lawned areas, and therefore is not participating in the No Mow May initiative.

What information his Department holds on the number of people there are in care homes without access to dental treatment in North East Somerset and Hanham constituency.

We recognise that certain groups of patients may be vulnerable to oral health problems and may find it difficult to access dental care. Specialised dental services are in place to provide dental treatment in several settings, including care homes.Integrated care boards are responsible for commissioning primary care dental services, including domiciliary care. Domiciliary care may be delivered by any dentist holding a contract to deliver general dental services, or it may be commissioned as an additional service.

How many (a) verbal warnings, (b) written warnings, (c) enforcement notices and (d) referrals to the Crown Prosecution Service for prosecution there have been for slaughterhouses in England not having CCTV in the last five years.

Regulations for mandatory closed-circuit television (CCTV) in slaughterhouses in England came into force on 5 May 2018, with a six-month transitionary period to 5 November 2018, from when enforcement action could be taken. 100% compliance of the regulations was achieved by March 2019. There were therefore no enforcements for not having a CCTV system in place in slaughterhouses in England in the last five years.

How many Food Standards Agency welfare checks carried out by official veterinarians took place (a) on the farm, (b) during transport to the slaughterhouse, (c) upon arrival at the slaughterhouse and (d) whilst on site up to the point of slaughter in 2024.

As of 1 December 2024, the Food Standards Agency (FSA) and their Service Delivery Partner between them employed 282 Official Veterinarians (OVs) and 596 Meat Hygiene Inspectors / Official Auxiliaries, as well as 12 Trainee Official Auxiliaries.The Department for Environment, Food & Rural Affairs and the Welsh Government have policy responsibility for animal welfare controls within approved slaughterhouses. Application of the controls is carried out by the FSA in England and Wales under a Service Level Agreement with the Department for Environment, Food & Rural Affairs and the Welsh Government.FSA OVs that are based in approved slaughterhouses during operating periods monitor animal welfare. Animal Welfare checks are incorporated into the OVs daily Official Controls duties and are conducted at unloading, at ante mortem i.e. pre-slaughter, and during the slaughter operations for all animals being processed.The FSA is responsible for enforcement of breaches of animal welfare legislation by the slaughterhouse operator or their operatives. In 2024, there were 190 slaughterhouse non-compliance cases in which FSA took enforcement action.The Department for Environment, Food & Rural Affairs and the Welsh Government have policy responsibility for animal welfare controls on farm or during transportation. The Animal and Plant Health Agency (APHA) and Local Authority (LA) animal welfare teams are responsible for enforcement. Where checks by the OV at the slaughterhouse identify farm and transport breaches, they are referred to APHA and the LA. In 2024, there were 4,210 farm and transport non-compliance cases that FSA OVs referred to APHA and LAs to investigate and enforce.Application of animal welfare controls at slaughterhouses are carried out by the FSA in England and Wales under a Service Level Agreement with the Department for Environment, Food & Rural Affairs and the Welsh Government.Monitoring and reporting requirements are built into the Service Level Agreement between the FSA, the Department for Environment, Food & Rural Affairs and the Welsh Government to provide assurance on the adequacy of animal welfare at abattoirs. This includes monthly reporting of all non-compliance cases, additional welfare assurance checks conducted by a specifically trained team of Meat Hygiene Inspectors, annual animal welfare themed audits undertaken by veterinary auditors, and biennial slaughter sector surveys. This reporting is supplemented by regular liaison over operational issues and formal quarterly review meetings.

Whether he plans to change meat inspection charges from April 2026.

The Food Standards Agency (FSA) charges operators to recover costs of meat inspection across its geographic remit of England, Wales and Northern Ireland. The FSA conducts an annual review of inspection charges ahead of each financial year. Charges applicable from April 2026 will be determined by means of the next annual review and will be published in early 2026.

What recent assessment he has made of the adequacy of prostate cancer services in (a) Bath and North East Somerset, (b) Swindon and (c) Wiltshire.

The Department is committed to improving the adequacy of all cancer services including for prostate cancer, including cancer services in Bath and North East Somerset, Swindon and Wiltshire. NHS England has funded 10 clinical audits, including a national prostate cancer audit. Using routine data, collected on patients diagnosed with cancer in a National Health Service setting, the audit is looking at what is being done well, where it’s being done well, and what needs to be done better. This will seek to reduce unwarranted variation in treatment and reduce inequalities across different groups. The Government recognises that a cancer-specific approach is needed to meet the challenges in cancer care, and to improve all cancer services and outcomes for people living with cancer including those with prostate cancer. Following publication of the 10-Year Health Plan, we will publish a new national cancer plan, which will include further details on how we will improve cancer services across England. We are now in discussions about what form that plan should take, and what its relationship to the 10-Year Health Plan and the Government’s wider Health Mission should be and will provide updates on this in due course.

How many (a) official veterinarians and (b) meat hygiene inspectors there were as of 1 December 2024.

As of 1 December 2024, the Food Standards Agency (FSA) and their Service Delivery Partner between them employed 282 Official Veterinarians (OVs) and 596 Meat Hygiene Inspectors / Official Auxiliaries, as well as 12 Trainee Official Auxiliaries.The Department for Environment, Food & Rural Affairs and the Welsh Government have policy responsibility for animal welfare controls within approved slaughterhouses. Application of the controls is carried out by the FSA in England and Wales under a Service Level Agreement with the Department for Environment, Food & Rural Affairs and the Welsh Government.FSA OVs that are based in approved slaughterhouses during operating periods monitor animal welfare. Animal Welfare checks are incorporated into the OVs daily Official Controls duties and are conducted at unloading, at ante mortem i.e. pre-slaughter, and during the slaughter operations for all animals being processed.The FSA is responsible for enforcement of breaches of animal welfare legislation by the slaughterhouse operator or their operatives. In 2024, there were 190 slaughterhouse non-compliance cases in which FSA took enforcement action.The Department for Environment, Food & Rural Affairs and the Welsh Government have policy responsibility for animal welfare controls on farm or during transportation. The Animal and Plant Health Agency (APHA) and Local Authority (LA) animal welfare teams are responsible for enforcement. Where checks by the OV at the slaughterhouse identify farm and transport breaches, they are referred to APHA and the LA. In 2024, there were 4,210 farm and transport non-compliance cases that FSA OVs referred to APHA and LAs to investigate and enforce.Application of animal welfare controls at slaughterhouses are carried out by the FSA in England and Wales under a Service Level Agreement with the Department for Environment, Food & Rural Affairs and the Welsh Government.Monitoring and reporting requirements are built into the Service Level Agreement between the FSA, the Department for Environment, Food & Rural Affairs and the Welsh Government to provide assurance on the adequacy of animal welfare at abattoirs. This includes monthly reporting of all non-compliance cases, additional welfare assurance checks conducted by a specifically trained team of Meat Hygiene Inspectors, annual animal welfare themed audits undertaken by veterinary auditors, and biennial slaughter sector surveys. This reporting is supplemented by regular liaison over operational issues and formal quarterly review meetings.

What recent assessment he has made of the adequacy of animal welfare at abattoirs.

As of 1 December 2024, the Food Standards Agency (FSA) and their Service Delivery Partner between them employed 282 Official Veterinarians (OVs) and 596 Meat Hygiene Inspectors / Official Auxiliaries, as well as 12 Trainee Official Auxiliaries.The Department for Environment, Food & Rural Affairs and the Welsh Government have policy responsibility for animal welfare controls within approved slaughterhouses. Application of the controls is carried out by the FSA in England and Wales under a Service Level Agreement with the Department for Environment, Food & Rural Affairs and the Welsh Government.FSA OVs that are based in approved slaughterhouses during operating periods monitor animal welfare. Animal Welfare checks are incorporated into the OVs daily Official Controls duties and are conducted at unloading, at ante mortem i.e. pre-slaughter, and during the slaughter operations for all animals being processed.The FSA is responsible for enforcement of breaches of animal welfare legislation by the slaughterhouse operator or their operatives. In 2024, there were 190 slaughterhouse non-compliance cases in which FSA took enforcement action.The Department for Environment, Food & Rural Affairs and the Welsh Government have policy responsibility for animal welfare controls on farm or during transportation. The Animal and Plant Health Agency (APHA) and Local Authority (LA) animal welfare teams are responsible for enforcement. Where checks by the OV at the slaughterhouse identify farm and transport breaches, they are referred to APHA and the LA. In 2024, there were 4,210 farm and transport non-compliance cases that FSA OVs referred to APHA and LAs to investigate and enforce.Application of animal welfare controls at slaughterhouses are carried out by the FSA in England and Wales under a Service Level Agreement with the Department for Environment, Food & Rural Affairs and the Welsh Government.Monitoring and reporting requirements are built into the Service Level Agreement between the FSA, the Department for Environment, Food & Rural Affairs and the Welsh Government to provide assurance on the adequacy of animal welfare at abattoirs. This includes monthly reporting of all non-compliance cases, additional welfare assurance checks conducted by a specifically trained team of Meat Hygiene Inspectors, annual animal welfare themed audits undertaken by veterinary auditors, and biennial slaughter sector surveys. This reporting is supplemented by regular liaison over operational issues and formal quarterly review meetings.

What steps he is taking to help reduce the waiting list for people seeking treatment to relieve the symptoms of Parkinson's disease.

We recognise that patients have been let down whilst they wait for the care they need, including within neurology services. The NHS Constitution sets out that 92% of patients should wait no longer than 18 weeks from referral to treatment. We will deliver an extra 40,000 operations, scans, and appointments per week, as a first step in our commitment to ensuring patients can expect to be treated within 18 weeks.At the national level, there are a number of initiatives supporting service improvement and better care for patients with Parkinson’s disease, including the Getting It Right First Time Programme for Neurology and the RightCare Progressive Neurological Conditions Toolkit. These initiatives aim to reduce variation and deliver care more equitably across the country.The National Institute for Health and Care Excellence (NICE) guidance, Parkinson’s disease: Diagnosis and management in primary and secondary care, updated in 2017, sets out best practice for clinicians in the identification and treatment of Parkinson’s, in line with the latest available evidence. The guidance states that if Parkinson's is suspected, people should be referred quickly to a specialist with expertise in the differential diagnosis of this condition.We expect integrated care boards (ICBs) and National Health Service trusts to have due regard to relevant NICE guidelines. It is the responsibility of ICBs to make available appropriate provision to meet the health and care needs of their local population, in line with these NICE guidelines.Once diagnosed, and with a management strategy in place, most people with Parkinson’s can be cared for through routine access to primary and secondary care. NHS England commissions the specialised elements of Parkinson’s care that patients may receive from 27 specialised neurological treatment centres across England. Within specialised centres, neurological multidisciplinary teams ensure patients can access a range of health professionals, including Parkinson’s disease nurses, psychologists, and allied health professionals such as dieticians and speech and language therapists, and that they can receive specialised treatment and support, according to their needs.

What steps he is taking to recruit more dentists in North East Somerset and Hanham constituency.

We are determined to rebuild National Health Service dentistry, but it will take time and there are no quick fixes. Strengthening the workforce is key to our ambitions.Integrated care boards 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.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.