6 Jan 2026·Department of Health and Social Care·Answered
AskedWhether his Department has had discussions with the Information Commissioner’s Office on potential investigations into electronic record-sharing in the NHS in West Dorset constituency.
ReplyThe Department has not had any discussions with the Office of the Information Commissioner about electronic record sharing in the National Health Service in West Dorset.
15 Dec 2025·Department of Health and Social Care·Answered
AskedHow his Department is supporting schools in West Dorset constituency to provide mental health support for children on the child and adolescent mental health services waiting list.
ReplyFor children and young people in distress or struggling with their mental health, fast access to early, high-quality support is critical, including in West Dorset. That is why the 10-Year Health Plan sets out how we will work with schools and colleges to better identify and meet children's mental health needs by continuing to roll out mental health support teams in schools and colleges, to reach full national coverage by 2029. The 10-Year Health Plan will build on the work that has already begun to bring down waiting lists. This includes providing mental health support for almost one million more young people in school this year and an extra £688 million in Government funding this year to transform mental health services, specifically to hire more staff, deliver more early interventions, and get waiting lists down.
15 Dec 2025·Department of Health and Social Care·Answered
AskedWhat guidance his Department has provided to NHS trusts in West Dorset constituency on managing staff concerns over Annual Allowance charges.
ReplyThe annual allowance limits the amount that an individual can save in their pension pot before they have to pay tax. It aims to ensure that the incentives for pension saving, which are costly to the taxpayer, are appropriately targeted across society. Tax policy, including the level of the annual allowance, is a matter for my Rt. Hon. Friend, the Chancellor of the Exchequer.From 6 April 2023, the previous administration introduced reforms to the annual allowance, increasing both the standard and tapered annual allowances, allowing National Health Service staff to save more into their pensions each year before facing a tax charge.Where NHS staff have pension savings that exceed the annual allowance, for example due to unexpected circumstances such as taking on extra hours or additional responsibilities within the NHS, they can carry forward any unused annual allowance from the previous three tax years. This will increase their current year’s allowance, reducing or potentially avoiding any annual allowance tax charge that is due.Additionally, the NHS Pension Scheme offers a Scheme Pays facility which allows impacted members to pay charges using the value of their pension. This spreads the cost of paying a tax charge over the lifetime of the pension rather than requiring an immediate outlay. For most members, the growth in their pension benefits at retirement, even net of a charge, would still represent an excellent return on their pension contributions.Information for trusts is available on NHS Employers website, which is available at the following link:https://www.nhsemployers.org/publications/annual-allowance.Information for members is available on the NHS Pensions website, which is available at the following link:https://www.nhsbsa.nhs.uk/member-hub/annual-allowance.
15 Dec 2025·Department of Health and Social Care·Answered
AskedWhat steps his Department is taking to integrate child and adolescent mental health service provision into schools nationally.
ReplyFor children and young people in distress or struggling with their mental health, fast access to early, high-quality support is critical, including in West Dorset. That is why the 10-Year Health Plan sets out how we will work with schools and colleges to better identify and meet children's mental health needs by continuing to roll out mental health support teams in schools and colleges, to reach full national coverage by 2029. The 10-Year Health Plan will build on the work that has already begun to bring down waiting lists. This includes providing mental health support for almost one million more young people in school this year and an extra £688 million in Government funding this year to transform mental health services, specifically to hire more staff, deliver more early interventions, and get waiting lists down.
15 Dec 2025·Department of Health and Social Care·Answered
AskedWhat steps are being taken to ensure that NHS staff are not penalised financially for taking on extra responsibilities to maintain patient care.
ReplyThe annual allowance limits the amount that an individual can save in their pension pot before they have to pay tax. It aims to ensure that the incentives for pension saving, which are costly to the taxpayer, are appropriately targeted across society. Tax policy, including the level of the annual allowance, is a matter for my Rt. Hon. Friend, the Chancellor of the Exchequer.From 6 April 2023, the previous administration introduced reforms to the annual allowance, increasing both the standard and tapered annual allowances, allowing National Health Service staff to save more into their pensions each year before facing a tax charge.Where NHS staff have pension savings that exceed the annual allowance, for example due to unexpected circumstances such as taking on extra hours or additional responsibilities within the NHS, they can carry forward any unused annual allowance from the previous three tax years. This will increase their current year’s allowance, reducing or potentially avoiding any annual allowance tax charge that is due.Additionally, the NHS Pension Scheme offers a Scheme Pays facility which allows impacted members to pay charges using the value of their pension. This spreads the cost of paying a tax charge over the lifetime of the pension rather than requiring an immediate outlay. For most members, the growth in their pension benefits at retirement, even net of a charge, would still represent an excellent return on their pension contributions.Information for trusts is available on NHS Employers website, which is available at the following link:https://www.nhsemployers.org/publications/annual-allowance.Information for members is available on the NHS Pensions website, which is available at the following link:https://www.nhsbsa.nhs.uk/member-hub/annual-allowance.
15 Dec 2025·Department of Health and Social Care·Answered
AskedIf he will review the rules on NHS Pension Annual Allowance charges to reduce the risk of staff being financially penalised for working additional hours.
ReplyThe annual allowance limits the amount that an individual can save in their pension pot before they have to pay tax. It aims to ensure that the incentives for pension saving, which are costly to the taxpayer, are appropriately targeted across society. Tax policy, including the level of the annual allowance, is a matter for my Rt. Hon. Friend, the Chancellor of the Exchequer.From 6 April 2023, the previous administration introduced reforms to the annual allowance, increasing both the standard and tapered annual allowances, allowing National Health Service staff to save more into their pensions each year before facing a tax charge.Where NHS staff have pension savings that exceed the annual allowance, for example due to unexpected circumstances such as taking on extra hours or additional responsibilities within the NHS, they can carry forward any unused annual allowance from the previous three tax years. This will increase their current year’s allowance, reducing or potentially avoiding any annual allowance tax charge that is due.Additionally, the NHS Pension Scheme offers a Scheme Pays facility which allows impacted members to pay charges using the value of their pension. This spreads the cost of paying a tax charge over the lifetime of the pension rather than requiring an immediate outlay. For most members, the growth in their pension benefits at retirement, even net of a charge, would still represent an excellent return on their pension contributions.Information for trusts is available on NHS Employers website, which is available at the following link:https://www.nhsemployers.org/publications/annual-allowance.Information for members is available on the NHS Pensions website, which is available at the following link:https://www.nhsbsa.nhs.uk/member-hub/annual-allowance.
15 Dec 2025·Department of Health and Social Care·Answered
AskedWhat steps he is taking to review the NHS Pension Annual Allowance rules to prevent excessive charges for staff covering rota gaps.
ReplyThe annual allowance limits the amount that an individual can save in their pension pot before they have to pay tax. It aims to ensure that the incentives for pension saving, which are costly to the taxpayer, are appropriately targeted across society. Tax policy, including the level of the annual allowance, is a matter for my Rt. Hon. Friend, the Chancellor of the Exchequer.From 6 April 2023, the previous administration introduced reforms to the annual allowance, increasing both the standard and tapered annual allowances, allowing National Health Service staff to save more into their pensions each year before facing a tax charge.Where NHS staff have pension savings that exceed the annual allowance, for example due to unexpected circumstances such as taking on extra hours or additional responsibilities within the NHS, they can carry forward any unused annual allowance from the previous three tax years. This will increase their current year’s allowance, reducing or potentially avoiding any annual allowance tax charge that is due.Additionally, the NHS Pension Scheme offers a Scheme Pays facility which allows impacted members to pay charges using the value of their pension. This spreads the cost of paying a tax charge over the lifetime of the pension rather than requiring an immediate outlay. For most members, the growth in their pension benefits at retirement, even net of a charge, would still represent an excellent return on their pension contributions.Information for trusts is available on NHS Employers website, which is available at the following link:https://www.nhsemployers.org/publications/annual-allowance.Information for members is available on the NHS Pensions website, which is available at the following link:https://www.nhsbsa.nhs.uk/member-hub/annual-allowance.
15 Dec 2025·Department of Health and Social Care·Answered
AskedWhat steps his Department is taking to improve access to child and adolescent mental health services in schools in West Dorset constituency.
ReplyFor children and young people in distress or struggling with their mental health, fast access to early, high-quality support is critical, including in West Dorset. That is why the 10-Year Health Plan sets out how we will work with schools and colleges to better identify and meet children's mental health needs by continuing to roll out mental health support teams in schools and colleges, to reach full national coverage by 2029. The 10-Year Health Plan will build on the work that has already begun to bring down waiting lists. This includes providing mental health support for almost one million more young people in school this year and an extra £688 million in Government funding this year to transform mental health services, specifically to hire more staff, deliver more early interventions, and get waiting lists down.
15 Dec 2025·Department of Health and Social Care·Answered
AskedWhat measures are being considered to prevent NHS staff nationally from being deterred from covering rota gaps due to Annual Allowance charges.
ReplyThe annual allowance limits the amount that an individual can save in their pension pot before they have to pay tax. It aims to ensure that the incentives for pension saving, which are costly to the taxpayer, are appropriately targeted across society. Tax policy, including the level of the annual allowance, is a matter for my Rt. Hon. Friend, the Chancellor of the Exchequer.From 6 April 2023, the previous administration introduced reforms to the annual allowance, increasing both the standard and tapered annual allowances, allowing National Health Service staff to save more into their pensions each year before facing a tax charge.Where NHS staff have pension savings that exceed the annual allowance, for example due to unexpected circumstances such as taking on extra hours or additional responsibilities within the NHS, they can carry forward any unused annual allowance from the previous three tax years. This will increase their current year’s allowance, reducing or potentially avoiding any annual allowance tax charge that is due.Additionally, the NHS Pension Scheme offers a Scheme Pays facility which allows impacted members to pay charges using the value of their pension. This spreads the cost of paying a tax charge over the lifetime of the pension rather than requiring an immediate outlay. For most members, the growth in their pension benefits at retirement, even net of a charge, would still represent an excellent return on their pension contributions.Information for trusts is available on NHS Employers website, which is available at the following link:https://www.nhsemployers.org/publications/annual-allowance.Information for members is available on the NHS Pensions website, which is available at the following link:https://www.nhsbsa.nhs.uk/member-hub/annual-allowance.
15 Dec 2025·Department of Health and Social Care·Answered
AskedHow his Department is supporting senior NHS staff in West Dorset constituency who face large Annual Allowance charges due to extra hours worked during staffing shortages.
ReplyThe annual allowance limits the amount that an individual can save in their pension pot before they have to pay tax. It aims to ensure that the incentives for pension saving, which are costly to the taxpayer, are appropriately targeted across society. Tax policy, including the level of the annual allowance, is a matter for my Rt. Hon. Friend, the Chancellor of the Exchequer.From 6 April 2023, the previous administration introduced reforms to the annual allowance, increasing both the standard and tapered annual allowances, allowing National Health Service staff to save more into their pensions each year before facing a tax charge.Where NHS staff have pension savings that exceed the annual allowance, for example due to unexpected circumstances such as taking on extra hours or additional responsibilities within the NHS, they can carry forward any unused annual allowance from the previous three tax years. This will increase their current year’s allowance, reducing or potentially avoiding any annual allowance tax charge that is due.Additionally, the NHS Pension Scheme offers a Scheme Pays facility which allows impacted members to pay charges using the value of their pension. This spreads the cost of paying a tax charge over the lifetime of the pension rather than requiring an immediate outlay. For most members, the growth in their pension benefits at retirement, even net of a charge, would still represent an excellent return on their pension contributions.Information for trusts is available on NHS Employers website, which is available at the following link:https://www.nhsemployers.org/publications/annual-allowance.Information for members is available on the NHS Pensions website, which is available at the following link:https://www.nhsbsa.nhs.uk/member-hub/annual-allowance.
15 Dec 2025·Department of Health and Social Care·Answered
AskedWhat steps is he taking alongside Cabinet colleagues to increase healthcare provision on new housing estates in West Dorset constituency.
ReplyIntegrated care boards are responsible for commissioning, which includes planning, securing, and monitoring, general practice services within their health systems through delegated responsibility from NHS England. The National Health Service has a statutory duty to ensure that there are sufficient medical services, including general practice, in each local area. It should take account of population growth and demographic changes.Local planning authorities are responsible for negotiating and agreeing developer contributions to support necessary associated infrastructure when new housing developments are built. The Department for Health and Social Care is working closely with the Ministry of Housing, Communities, and Local Government to determine how developer contributions from new housing developments can be better used towards local health services and infrastructure.As part of the 10-Year Health Plan, the Government has committed to deliver a Neighbourhood Health Centre (NHC) in every community across the country over the course of the plan. We announced our commitment at the Autumn Budget to deliver 250 NHCs through the NHS Neighbourhood Rebuild Programme. This will deliver NHCs through a mixture of refurbishments to expand and improve sites over the next three years, and new-build sites opening in the medium term.
15 Dec 2025·Department of Health and Social Care·Answered
AskedWhat measures are in place to prevent CHC funding reductions from compromising care for vulnerable patients in West Dorset constituency.
ReplyThe Department and NHS England have made clear that any work to manage costs by integrated care boards (ICB) must be carried out with clear safeguards in place to protect frontline responsibilities.ICBs remain legally responsible for the operational delivery of NHS Continuing Healthcare (CHC) and must have regard to the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care, which is available at the following link:https://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-careFunding for CHC is not ringfenced, but is calculated using the ICB allocation formula. Individual ICBs should decide how best to use their overall funding allocation to deliver their statutory functions, including CHC. Any ICB measures to manage costs should not impact on an individual’s eligibility for CHC, or their care. This means that eligible individuals must continue to receive appropriate care that meets their assessed needs.NHS England has issued a good practice guide for CHC to support National Health Service staff by providing practical ways for ICBs to enhance system efficiency and deliver sustainable services.
15 Dec 2025·Department of Health and Social Care·Answered
AskedWhat steps he is taking to ensure that CHC funding cuts do not reduce access to care in West Dorset constituency.
ReplyThe Department and NHS England have made clear that any work to manage costs by integrated care boards (ICB) must be carried out with clear safeguards in place to protect frontline responsibilities.ICBs remain legally responsible for the operational delivery of NHS Continuing Healthcare (CHC) and must have regard to the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care, which is available at the following link:https://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-careFunding for CHC is not ringfenced, but is calculated using the ICB allocation formula. Individual ICBs should decide how best to use their overall funding allocation to deliver their statutory functions, including CHC. Any ICB measures to manage costs should not impact on an individual’s eligibility for CHC, or their care. This means that eligible individuals must continue to receive appropriate care that meets their assessed needs.NHS England has issued a good practice guide for CHC to support National Health Service staff by providing practical ways for ICBs to enhance system efficiency and deliver sustainable services.
15 Dec 2025·Department of Health and Social Care·Answered
AskedWhat assessment he has made of the potential impact of cuts to Continuing Healthcare funding on patient care.
ReplyThe Department and NHS England have made clear that any work to manage costs by integrated care boards (ICB) must be carried out with clear safeguards in place to protect frontline responsibilities.ICBs remain legally responsible for the operational delivery of NHS Continuing Healthcare (CHC) and must have regard to the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care, which is available at the following link:https://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-careFunding for CHC is not ringfenced, but is calculated using the ICB allocation formula. Individual ICBs should decide how best to use their overall funding allocation to deliver their statutory functions, including CHC. Any ICB measures to manage costs should not impact on an individual’s eligibility for CHC, or their care. This means that eligible individuals must continue to receive appropriate care that meets their assessed needs.NHS England has issued a good practice guide for CHC to support National Health Service staff by providing practical ways for ICBs to enhance system efficiency and deliver sustainable services.
15 Dec 2025·Department of Health and Social Care·Answered
AskedHow his Department is supporting NHS staff who may be adversely affected by CHC funding reductions.
ReplyThe Department and NHS England have made clear that any work to manage costs by integrated care boards (ICB) must be carried out with clear safeguards in place to protect frontline responsibilities.ICBs remain legally responsible for the operational delivery of NHS Continuing Healthcare (CHC) and must have regard to the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care, which is available at the following link:https://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-careFunding for CHC is not ringfenced, but is calculated using the ICB allocation formula. Individual ICBs should decide how best to use their overall funding allocation to deliver their statutory functions, including CHC. Any ICB measures to manage costs should not impact on an individual’s eligibility for CHC, or their care. This means that eligible individuals must continue to receive appropriate care that meets their assessed needs.NHS England has issued a good practice guide for CHC to support National Health Service staff by providing practical ways for ICBs to enhance system efficiency and deliver sustainable services.
5 Dec 2025·Department of Health and Social Care·Answered
AskedWhat recent assessment he has made of the potential impact of closer NHS and social care integration on reducing the time taken for hospital discharges in West Dorset constituency.
ReplyI refer the Hon. Member to the answer I gave on 9 December 2025 to Question 95574.
5 Dec 2025·Department of Health and Social Care·Answered
AskedWhat steps his Department is taking to improve integration between NHS services and social care provision in West Dorset constituency.
ReplyI refer the Hon. Member to the answer I gave on 9 December 2025 to Question 95574.
5 Dec 2025·Department of Health and Social Care·Answered
AskedWhat steps his Department is taking to improve integration between social care and NHS services in rural areas.
ReplyThe Department is committed to improving integration between health and social care services nationally and locally, including in rural areas. Our vision for neighbourhood health will see integrated teams and services designed in a way that reflects the specific needs of local populations while ensuring strong partnership working between health and social care. While the focus on personalised, coordinated care will be consistent, that will mean the service will look different in rural communities, coastal towns, or deprived inner cities.Through the Better Care Fund, approximately £9 billion is being invested in 2025/26 to enable National Health Service bodies and local authorities to pool budgets and deliver joined-up care. This money is spent across the country, including rural areas.As outlined in the 10-Year Health Plan and starting in the financial year 2026/27, we will reform the Better Care Fund. This reform will provide a sharper focus on ensuring consistent joint NHS and local authority funding for those services that are essential for integrated health and social care, such as hospital discharge, intermediate care, rehabilitation, and reablement.
5 Dec 2025·Department of Health and Social Care·Answered
AskedWhat assessment he has made of the potential impact of protocols for exchanging medical records electronically between NHS organisations on patients in West Dorset constituency.
ReplyEnsuring information can be shared between services is essential for safe and effective care. Improving this will enable better informed clinical and care decision-making that is empowered by access to precise and comprehensive information, enhancing the quality and safety of care for patients. NHS England has been supporting National Health Service trusts and foundation trusts in acquiring and developing the effectiveness of their electronic patient records and support is available to bring trusts to an optimum level of digital maturity which will further reduce barriers to the sharing of information needed to treat patients. Further information on electronic patient records for trusts and foundation trusts is available at the following link: https://www.england.nhs.uk/long-read/data-and-clinical-record-sharing/ To ensure continuity of care and to reduce delays in treatment, NHS England is working with NHS Wales on improving the interoperability of services, sharing care records, technical collaboration on Fast Healthcare Interoperability Resources based messaging standards, and longer-term ambitions for a single patient record.The Government's 10-Year Health Plan includes the objective of delivering a single patient record. We will be engaging with the devolved administrations on the single patient record, to support appropriate cross-border referrals, and appropriate information sharing to inform good decision-making, support healthcare, and minimise risk to patients.
5 Dec 2025·Department of Health and Social Care·Answered
AskedWhat assessment his Department has made of the potential merits of ensuring electronic medical record systems in NHS England and NHS Wales can exchange patient information more easily.
ReplyEnsuring information can be shared between services is essential for safe and effective care. Improving this will enable better informed clinical and care decision-making that is empowered by access to precise and comprehensive information, enhancing the quality and safety of care for patients. NHS England has been supporting National Health Service trusts and foundation trusts in acquiring and developing the effectiveness of their electronic patient records and support is available to bring trusts to an optimum level of digital maturity which will further reduce barriers to the sharing of information needed to treat patients. Further information on electronic patient records for trusts and foundation trusts is available at the following link: https://www.england.nhs.uk/long-read/data-and-clinical-record-sharing/ To ensure continuity of care and to reduce delays in treatment, NHS England is working with NHS Wales on improving the interoperability of services, sharing care records, technical collaboration on Fast Healthcare Interoperability Resources based messaging standards, and longer-term ambitions for a single patient record.The Government's 10-Year Health Plan includes the objective of delivering a single patient record. We will be engaging with the devolved administrations on the single patient record, to support appropriate cross-border referrals, and appropriate information sharing to inform good decision-making, support healthcare, and minimise risk to patients.