29 Aug 2025·Department of Health and Social Care·Answered
AskedIf he will make an assessment of the potential merits of bringing forward legislative proposals to protect the use of the title Child Psychotherapist.
ReplyTitles can only be protected for statutorily regulated professions. The title of ’child psychotherapist’ is not currently protected in law in the United Kingdom and the Government has no plans to regulate child psychotherapists. No discussions have taken place with charities on protecting the title of ‘child psychotherapist’.
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhether he has had discussions with charities on the potential merits of protecting the title Child Psychotherapist.
ReplyTitles can only be protected for statutorily regulated professions. The title of ’child psychotherapist’ is not currently protected in law in the United Kingdom and the Government has no plans to regulate child psychotherapists. No discussions have taken place with charities on protecting the title of ‘child psychotherapist’.
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhat assessment his Department has made of the scope of responsibilities for the revised physician associate role.
ReplyThe principle question of the Leng Review was to assess whether the roles of physician assistants and physician assistants in anaesthesia, still legally known as anaesthesia associates and physician associates, are safe and effective. The review’s findings were clear that, with changes in line with its recommendations, there remains a place for these roles to continue as supportive, complementary members of medical teams. The Government has accepted all 18 of the review’s recommendations.NHS England has published a letter and a Frequently Asked Questions document, setting out what the accepted recommendations mean for employees and employers, both in the immediate and longer term. The Frequently Asked Questions document is available at the following link:https://www.england.nhs.uk/wp-content/uploads/2025/07/leng-review-nhs-england-faqs-on-actions-for-nhs-organisations.pdfThe Leng Review’s recommendations are far reaching and require cross-system partnership working to be considered, planned, and delivered effectively. We will work with NHS England, royal colleges, unions, and other relevant stakeholders as we develop a clear implementation plan to address the review’s 18 recommendations. Further information on implementation will be set out in due course.
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhat assessment his Department has made of the potential impact of the potential loss of (a) the Global Surgery Network and (b) other National Institute for Health and Care Research funded global health research networks on the UK’s role in international health research.
ReplyThe Department of Health and Social Care funds high quality applied global health research through the National Institute for Health and Care Research (NIHR) and in collaboration with UK and international funders. This funding is supported by the UK’s Official Development Assistance (ODA) budget. In February 2025, the Prime Minister made the announcement to reduce ODA to the equivalent of 0.3% of Gross National Income (GNI) by 2027. Following this announcement, and the outcome of the 2025 Spending Review, the Department has taken the decision to focus new ODA research funding on global health security and particular diseases of poverty. The NIHR-funded Global Health Research Unit on Global Surgery was originally awarded over £6.9 million in Global Health Research’s inaugural Units call in 2017 and, following a second NIHR funding competition, received a further award of £7 million in 2021 to establish a sustainable network of surgical research. This latest award is due to conclude in June 2026, and we have been clear that we will honour all ongoing research commitments. No assessment has been made yet regarding the potential impact of the potential loss of the Global Surgery Network and other NIHR funded global health research networks on the UK’s role in international health research. The Department continues to recognise the critical importance of global health research to drive the health and well-being of the poorest and most vulnerable. Any updates on our funding opportunities will be reflected on the NIHR website.
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhat is his proposed timeline for implementing changes to the scope of practice for physician associates.
ReplyThe principle question of the Leng Review was to assess whether the roles of physician assistants and physician assistants in anaesthesia, still legally known as anaesthesia associates and physician associates, are safe and effective. The review’s findings were clear that, with changes in line with its recommendations, there remains a place for these roles to continue as supportive, complementary members of medical teams. The Government has accepted all 18 of the review’s recommendations.NHS England has published a letter and a Frequently Asked Questions document, setting out what the accepted recommendations mean for employees and employers, both in the immediate and longer term. The Frequently Asked Questions document is available at the following link:https://www.england.nhs.uk/wp-content/uploads/2025/07/leng-review-nhs-england-faqs-on-actions-for-nhs-organisations.pdfThe Leng Review’s recommendations are far reaching and require cross-system partnership working to be considered, planned, and delivered effectively. We will work with NHS England, royal colleges, unions, and other relevant stakeholders as we develop a clear implementation plan to address the review’s 18 recommendations. Further information on implementation will be set out in due course.
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhether his Department has issued guidance to local authorities on the treatment of Small Self-Invested Pensions in financial assessments.
ReplyWhere local authorities decide to charge for the provision of care and support, they must follow the Care Act 2014 and the Care and Support (Charging and Assessment of Resources) Regulations 2014, and they must act under the Care and Support Statutory (CASS) guidance.The responsibility for interpreting and applying the law and the CASS guidance rests with local authorities.The treatment of private pension income in financial assessments is set out in Annex C of the CASS guidance. Pension income is generally treated as part of a person’s income when conducting financial assessments for adult social care, unless the regulations specifically disregard it.
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhat plans his Department has to increase access to specialist breast cancer nurses for patients with secondary breast cancer in West Dorset.
ReplyThe Department of Health and Social Care will publish a refreshed Workforce Plan to deliver the transformed health service it will build over the next decade, and treat patients on time again. The Plan will ensure that the National Health Service has the right people, including breast cancer nurses in West Dorset, to ensure patients are cared for by the right professional, when and where they need it.NHS England is investing in structured career development and education support. The Aspirant Cancer Career and Education Development (ACCEND) programme provides a nationally agreed framework for capability, career development and education for nurses, allied health professionals and support workforce working in cancer care. This is also beneficial for the training and development of specialist nurses working in breast cancer care.
29 Aug 2025·Department of Health and Social Care·Answered
AskedIf his Department will consider reimbursing MSc training costs for physician associates who are no longer able to work in their profession.
ReplyThe principle question of the Leng Review was to assess whether the roles of physician assistants and physician assistants in anaesthesia, still legally known as anaesthesia associates and physician associates, are safe and effective. The review’s findings were clear that, with changes in line with its recommendations, there remains a place for these roles to continue as supportive, complementary members of medical teams.Whilst decisions about recruitment are a matter for individual National Health Service employers at a local level, physician assistants, and physician assistants in anaesthesia, will continue to play an important role in the NHS.Our forthcoming 10 Year Workforce Plan will look at how to get the right people, in the right places, with the right skills to deliver the best care, and we will consider the findings of the Leng Review when developing the plan.There are no plans to reimburse training costs or provide financial compensation to physician assistants.
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhether his Department plans to provide financial compensation to physician associates made redundant as a result of changes to clinical guidance.
ReplyThe principle question of the Leng Review was to assess whether the roles of physician assistants and physician assistants in anaesthesia, still legally known as anaesthesia associates and physician associates, are safe and effective. The review’s findings were clear that, with changes in line with its recommendations, there remains a place for these roles to continue as supportive, complementary members of medical teams.Whilst decisions about recruitment are a matter for individual National Health Service employers at a local level, physician assistants, and physician assistants in anaesthesia, will continue to play an important role in the NHS.Our forthcoming 10 Year Workforce Plan will look at how to get the right people, in the right places, with the right skills to deliver the best care, and we will consider the findings of the Leng Review when developing the plan.There are no plans to reimburse training costs or provide financial compensation to physician assistants.
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhat assessment he has made of the potential impact of recent Royal College of General Practitioners guidance on levels of redundancies among GP physician associates.
ReplyThe principle question of the Leng Review was to assess whether the roles of physician assistants and physician assistants in anaesthesia, still legally known as anaesthesia associates and physician associates, are safe and effective. The review’s findings were clear that, with changes in line with its recommendations, there remains a place for these roles to continue as supportive, complementary members of medical teams.Whilst decisions about recruitment are a matter for individual National Health Service employers at a local level, physician assistants, and physician assistants in anaesthesia, will continue to play an important role in the NHS.Our forthcoming 10 Year Workforce Plan will look at how to get the right people, in the right places, with the right skills to deliver the best care, and we will consider the findings of the Leng Review when developing the plan.There are no plans to reimburse training costs or provide financial compensation to physician assistants.
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhat discussions his Department has had with private providers on patient protection from rapid increases in the cost of weight loss drugs.
ReplyAs we shift the focus from treatment to prevention through our 10 Year Health Plan, we are determined to bring revolutionary modern treatments to everyone who needs them, not just those who can afford to pay.NHS England has worked with Eli Lilly to ensure that the list price increase will not affect National Health Service commissioning of tirzepatide in England as a treatment for eligible patients, and we remain committed to the rollout of this medicine as a weight loss treatment based on clinical priority. This will enable 220,000 eligible people to access the medication over the first three years. Not everyone who wants tirzepatide will be able to access it at first, and the initial eligibility criteria will be for people with a body mass index of 40 or more in addition to four or more qualifying comorbidities.Scotland, Wales, and Northern Ireland have also entered equivalent agreements to maintain their current commissioning approaches.Pricing in the private market is a matter for Eli Lilly and for private providers. Private patients who are impacted by price increases should discuss any concerns with their private provider. This includes their options regarding payment plans, alternative treatments, and/or stopping or tapering off their current medication. Eli Lilly is working with private providers to support continued patient access.
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhat steps his Department is taking to regulate sudden price increases in privately purchased weight loss drugs.
ReplyAs we shift the focus from treatment to prevention through our 10 Year Health Plan, we are determined to bring revolutionary modern treatments to everyone who needs them, not just those who can afford to pay.NHS England has worked with Eli Lilly to ensure that the list price increase will not affect National Health Service commissioning of tirzepatide in England as a treatment for eligible patients, and we remain committed to the rollout of this medicine as a weight loss treatment based on clinical priority. This will enable 220,000 eligible people to access the medication over the first three years. Not everyone who wants tirzepatide will be able to access it at first, and the initial eligibility criteria will be for people with a body mass index of 40 or more in addition to four or more qualifying comorbidities.Scotland, Wales, and Northern Ireland have also entered equivalent agreements to maintain their current commissioning approaches.Pricing in the private market is a matter for Eli Lilly and for private providers. Private patients who are impacted by price increases should discuss any concerns with their private provider. This includes their options regarding payment plans, alternative treatments, and/or stopping or tapering off their current medication. Eli Lilly is working with private providers to support continued patient access.
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhat discussions his Department has had with NHS Dorset Integrated Care Board on improving (a) dementia diagnosis and (b) care pathways in West Dorset constituency.
ReplyThe Department of Health and Social Care engages regularly with integrated care boards (ICBs) on a number of matters, including dementia.Through such engagement, we are aware that GPs and frailty teams are being supported by the ICB and Memory Assessment Services (MAS) to start using the Diagnosing Advanced Dementia Mandate (DiADeM) diagnostic tool within the care home population. Patients and their carers are referred to the support offered by partner charity Help and Care’s wider community services on acceptance to the MAS, so they can be matched with appropriate support and information while they wait for an assessment and possible diagnosis.The post-diagnosis Dementia Coordinator service is then made directly available when the person receives a dementia diagnosis for more long-term coordinated support response and information around living well with the condition. This is and will be a pan-Dorset service, providing equity across the county.Under the Government’s 10-Year Health Plan, those living with dementia will benefit from improved care planning and better services. We will deliver the first ever Modern Service Framework for Frailty and Dementia to deliver rapid and significant improvements in quality of care and productivity.
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhat assessment his Department has made of the potential impact of private providers increasing the cost of weight loss drugs by 170% with two weeks’ notice on patients.
ReplyAs we shift the focus from treatment to prevention through our 10 Year Health Plan, we are determined to bring revolutionary modern treatments to everyone who needs them, not just those who can afford to pay.NHS England has worked with Eli Lilly to ensure that the list price increase will not affect National Health Service commissioning of tirzepatide in England as a treatment for eligible patients, and we remain committed to the rollout of this medicine as a weight loss treatment based on clinical priority. This will enable 220,000 eligible people to access the medication over the first three years. Not everyone who wants tirzepatide will be able to access it at first, and the initial eligibility criteria will be for people with a body mass index of 40 or more in addition to four or more qualifying comorbidities.Scotland, Wales, and Northern Ireland have also entered equivalent agreements to maintain their current commissioning approaches.Pricing in the private market is a matter for Eli Lilly and for private providers. Private patients who are impacted by price increases should discuss any concerns with their private provider. This includes their options regarding payment plans, alternative treatments, and/or stopping or tapering off their current medication. Eli Lilly is working with private providers to support continued patient access.
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhether his Department has had discussions with the University of Birmingham on the future of the Global Surgery Network beyond June 2026.
ReplyDepartmental colleagues met with representatives of the University on 12 August 2025 to discuss the future of the Global Surgery Network. These discussions took place following the announcement from the Prime Minister in February 2025 to reduce Official Development Assistance (ODA) to the equivalent of 0.3% of gross national income by 2027. After this announcement, and the outcome of the 2025 Spending Review, the Department has taken the decision to focus new ODA research funding on global health security and particular diseases of poverty.The National Institute for Health and Care Research (NIHR)-funded Global Health Research Unit on Global Surgery was originally awarded over £6.9 million in Global Health Research’s inaugural Units call in 2017 and, following a second NIHR funding competition, received a further award of £7 million in 2021 to establish a sustainable network of surgical research. This latest award is due to conclude in June 2026. The Department will honour all on-going research commitments.We continue to recognise the critical importance of global health research to drive the health and well-being of the poorest and most vulnerable. Any updates on our funding opportunities will be reflected on the NIHR website.
29 Aug 2025·Department of Health and Social Care·Answered
AskedIf his Department will take steps to allocate funding for a dental school in West Dorset to increase the local dental workforce.
ReplyTackling the geographical disparities in access to National Health Service dentistry is vital, and the Government welcomes efforts to help deliver this ambition.Government approval or funding is not required to establish a new dental school in West Dorset. We encourage prospective dental schools to approach the General Dental Council (GDC), who need to approve any new programmes.Provided a prospective dental school meets the requirements of the GDC and the Office for Students, it would be considered for any future Government-funded training places.The GDC published guidance for prospective dental schools in January 2025, which is available at the following link:https://www.gdc-uk.org/docs/default-source/education-and-cpd/das-guidance-for-providers-gdc-january-2025.pdf?sfvrsn=75d82e2a_3/DAS-guidance-for-providers-GDC-January-2025.pdf
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhat steps his Department has taken to assess the long-term health and social care requirements of people impacted by in utero exposure to Debendox.
ReplyDebendox was originally available as a triple combination of doxylamine succinate, an antihistamine, pyridoxine hydrochloride, a form of vitamin B6, and dicyclomine hydrochloride, an antispasmodic. The product was later reformulated to remove dicyclomine hydrochloride following a review which concluded that dicyclomine did not contribute to the effectiveness of the other two ingredients. In the early 1980s, the medicine was available as a dual combination product, as doxylamine succinate and pyridoxine hydrochloride.Since July 2018, the dual combination of doxylamine succinate 10 milligram and pyridoxine hydrochloride 10 milligram has been authorised as Xonvea, a safe and effective treatment for nausea and vomiting due to pregnancy in women who do not respond to conservative management, like changes in diet or other non-medicine treatments. As described in the product information for Xonvea, a large amount of data on pregnant women, including two meta-analyses with over 168,000 patients and 18,000 exposures to the doxylamine/pyridoxine combination during first trimester, indicates no malformative nor feto/neonatal toxicity due to doxylamine succinate and pyridoxine hydrochloride.As with all medicines, the Medicines and Healthcare products Regulatory Agency will keep this issue under review and will carefully evaluate any new evidence which becomes available linking use of Debendox or Xonvea with adverse outcomes in pregnancy.The Department has not made any recent assessments of the number of people exposed to Debendox and is not considering support or compensation.
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhether the Government has considered introducing a (a) support and (b) compensation scheme for people with lifelong disabilities as a result of exposure to Debendox during pregnancy.
ReplyDebendox was originally available as a triple combination of doxylamine succinate, an antihistamine, pyridoxine hydrochloride, a form of vitamin B6, and dicyclomine hydrochloride, an antispasmodic. The product was later reformulated to remove dicyclomine hydrochloride following a review which concluded that dicyclomine did not contribute to the effectiveness of the other two ingredients. In the early 1980s, the medicine was available as a dual combination product, as doxylamine succinate and pyridoxine hydrochloride.Since July 2018, the dual combination of doxylamine succinate 10 milligram and pyridoxine hydrochloride 10 milligram has been authorised as Xonvea, a safe and effective treatment for nausea and vomiting due to pregnancy in women who do not respond to conservative management, like changes in diet or other non-medicine treatments. As described in the product information for Xonvea, a large amount of data on pregnant women, including two meta-analyses with over 168,000 patients and 18,000 exposures to the doxylamine/pyridoxine combination during first trimester, indicates no malformative nor feto/neonatal toxicity due to doxylamine succinate and pyridoxine hydrochloride.As with all medicines, the Medicines and Healthcare products Regulatory Agency will keep this issue under review and will carefully evaluate any new evidence which becomes available linking use of Debendox or Xonvea with adverse outcomes in pregnancy.The Department has not made any recent assessments of the number of people exposed to Debendox and is not considering support or compensation.
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhat discussions he has had with representatives of people affected by Debendox on redress or compensation schemes.
ReplyDebendox was originally available as a triple combination of doxylamine succinate, an antihistamine, pyridoxine hydrochloride, a form of vitamin B6, and dicyclomine hydrochloride, an antispasmodic. The product was later reformulated to remove dicyclomine hydrochloride following a review which concluded that dicyclomine did not contribute to the effectiveness of the other two ingredients. In the early 1980s, the medicine was available as a dual combination product, as doxylamine succinate and pyridoxine hydrochloride.Since July 2018, the dual combination of doxylamine succinate 10 milligram and pyridoxine hydrochloride 10 milligram has been authorised as Xonvea, a safe and effective treatment for nausea and vomiting due to pregnancy in women who do not respond to conservative management, like changes in diet or other non-medicine treatments. As described in the product information for Xonvea, a large amount of data on pregnant women, including two meta-analyses with over 168,000 patients and 18,000 exposures to the doxylamine/pyridoxine combination during first trimester, indicates no malformative nor feto/neonatal toxicity due to doxylamine succinate and pyridoxine hydrochloride.As with all medicines, the Medicines and Healthcare products Regulatory Agency will keep this issue under review and will carefully evaluate any new evidence which becomes available linking use of Debendox or Xonvea with adverse outcomes in pregnancy.The Department has not made any recent assessments of the number of people exposed to Debendox and is not considering support or compensation.
29 Aug 2025·Department of Health and Social Care·Answered
AskedWhether his Department has made an estimate of the number of people impacted in utero by their mother's use of Debendox during pregnancy.
ReplyDebendox was originally available as a triple combination of doxylamine succinate, an antihistamine, pyridoxine hydrochloride, a form of vitamin B6, and dicyclomine hydrochloride, an antispasmodic. The product was later reformulated to remove dicyclomine hydrochloride following a review which concluded that dicyclomine did not contribute to the effectiveness of the other two ingredients. In the early 1980s, the medicine was available as a dual combination product, as doxylamine succinate and pyridoxine hydrochloride.Since July 2018, the dual combination of doxylamine succinate 10 milligram and pyridoxine hydrochloride 10 milligram has been authorised as Xonvea, a safe and effective treatment for nausea and vomiting due to pregnancy in women who do not respond to conservative management, like changes in diet or other non-medicine treatments. As described in the product information for Xonvea, a large amount of data on pregnant women, including two meta-analyses with over 168,000 patients and 18,000 exposures to the doxylamine/pyridoxine combination during first trimester, indicates no malformative nor feto/neonatal toxicity due to doxylamine succinate and pyridoxine hydrochloride.As with all medicines, the Medicines and Healthcare products Regulatory Agency will keep this issue under review and will carefully evaluate any new evidence which becomes available linking use of Debendox or Xonvea with adverse outcomes in pregnancy.The Department has not made any recent assessments of the number of people exposed to Debendox and is not considering support or compensation.