Written questions by Thomas.

How many patients were seen within (a) one, (b) two and (c) four hours at accident and emergency in the London North West University Hospital in each quarter since 2022-23.

The data is not available in the format requested. NHS England does not publish data on patients seen within one or two hours. The only data available is for patients seen within four hours.The information requested for London North West University Hospital is only collected at trust level. There is currently no publicly available data at site level. The following table shows the four-hour performance in each quarter since 2022/23 for the London North West University Healthcare NHS Trust:QuartersPercentage of total accident and emergency attendances admitted, transferred, or discharged within four hoursPatient attendances over four hoursQuarter 1 of 2022/2373.4%64,288Quarter 2 of 2022/2369.0%46,653Quarter 3 of 2022/2365.7%59,585Quarter 4 of 2022/2373.4%56,395Quarter 1 of 2023/2476.5%60,390Quarter 2 of 2023/2471.9%55,810Quarter 3 of 2023/2470.9%57,973Quarter 4 of 2023/2476.1%64,384Quarter 1 of 2024/2575.3%64,571Quarter 2 of 2024/2577.4%62,920Quarter 3 of 2024/2571.8%62,321Quarter 4 of 2024/2575.2%63,637Quarter 1 of 2025/2676.9%67,024Quarter 2 of 2025/2676.5%66,344Source: Hospital Accident and Emergency Activity, available at the following link: https://digital.nhs.uk/data-and-information/publications/statistical/hospital-accident--emergency-activity

How many people in (a) Harrow, (b) Barnet, (c) Brent, (d) England and (e) London were diagnosed with (i) Stage One, (ii) Stage 2, (iii) Stage 3 and (iv) Stage 4 cancer in (A) 2022-23, (B) 2023-24 and (C) 2024-25.

The National Disease Registration Service is the cancer registry for England, and is available at the following link:https://digital.nhs.uk/ndrsData can be broken down by stage as well as by geographical location. However, data is not available by local authority. Currently, data is available up to 2022.

How many people referred to the London North West University Hospital were (a) diagnosed with cancer and (b) had cancer ruled out within (i) 28 days and (ii) 62 days in each quarter since the start of 2022-23.

NHS England publishes data for the three cancer waiting time standards monthly, and this data can be broken down to a provider level, with further information available at the following link:https://www.england.nhs.uk/statistics/statistical-work-areas/cancer-waiting-times/Since July 2025, NHS England has published Faster Diagnosis Standard data broken down by those who were diagnosed with cancer and those who had cancer ruled out. However, this data is not publicly available at a provider level.

How many extra GP appointments have been created in Harrow West since the end of June 2024; and at which GP surgery locations.

Harrow West sits within the NHS North West London Integrated Care Board (ICB). Across the ICB, there were 661,209 more appointments in the 14-months to August 2025 than the 14-months to August 2024 across 343 individual practices. There were 1,617 fewer appointments in the 14-months to August 2025 than the 14-months to August 2024 in the Harrow West constituency, across 16 practices.

Where does he expect a neighbourhood health centre to be established in the London Borough of Harrow; and when this will be.

The Government is committed to delivering a National Health Service that is fit for the future, and we recognise that delivering high quality NHS healthcare requires the right infrastructure in the right places.That is why, over the course of our 10-Year Health Plan, we aim to establish a Neighbourhood Health Centre in every community, transforming healthcare access by bringing historically hospital-based services into communities and addressing wider determinants of health through services like debt advice, employment support, and obesity management programmes.We recently announced the places that will form wave 1 of the National Neighbourhood Health Implementation Programme (NNHIP), after a rigorous assessment of applications against the core criteria. The first wave of the NNHIP covers 43 sites across England, from Cornwall and the Isles of Scilly in the south-west to Sunderland in the north-east, ensuring that communities nationwide benefit from this new model of care.Integrated care boards (ICBs) are responsible for commissioning, planning, securing, and monitoring general practice services within their health systems through delegated responsibility from NHS England. Both ICBs and local health systems will be responsible for determining the most appropriate locations for Neighbourhood Health Centres.Nationwide coverage will take time, but we are starting in the areas of greatest need where healthy life expectancy is lowest, including rural towns and communities with higher deprivation levels, using public capital to update and refurbish existing, under-used buildings.

How many patients were waiting for more than 18 weeks for treatment at the London North West University Healthcare NHS Trust at the end of (a) June 2004 and (b) June 2025.

Monthly referral to treatment waiting times data has been published by NHS England since March 2007. The requested data for June 2004 is therefore unavailable. As of the end of June 2025, there were 38,284 pathways over 18 weeks at London North West University Healthcare NHS Trust. This data is available at the following link:https://www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/rtt-data-2025-26/#Jun25The standard that 92% of patients should wait no longer than 18-weeks from referral to treatment came into effect in April 2012. Prior to this, national standards related to admitted or non-admitted completed pathways only. From 2015, trusts have solely been assessed on performance against the standard that 92% of patients wait no longer than 18-weeks from referral to treatment. Any data comparisons across these periods should therefore be treated with caution.

What steps he plans to take to support growth in the no and low alcohol market.

In Fit for the Future: 10 Year Health Plan for England, the Government has committed to tackling harmful levels of alcohol consumption by exploring options to encourage consumers to reduce their alcohol intake by substituting standard strength drinks with no- and low-alcohol (NoLo) alternatives. One of the first steps to support further growth of the NoLo sector, and potentially increase the range of NoLo products, will be to explore raising the upper alcohol limit for drinks labelled as alcohol-free to 0.5% alcohol by volume (ABV) from 0.05% ABV, whilst providing clarity to consumers and producers. At the same time, we will explore measures to regulate access to NoLo products in line with other alcoholic beverages, including prohibiting sales to individuals under the age of 18 years old. Alongside the plan, a large, multi-year National Institute for Health and Care Research study is underway to examine the public health impacts of NoLo products, and we look forward to the findings of that study being available in the coming year.

If he will allow London North West University Healthcare Trust to become an NHS Foundation Trust.

As outlined in the 10-Year Health Plan, our ambition is that by 2035 all provider trusts will be foundation trusts, using their freedoms to work with others and improve population health.

What assessment he has made of the adequacy of the performance of Northwick Park Hospital on cancer in the last five years.

London North West University Healthcare NHS Trust provides cancer services at Northwick Park, Central Middlesex, Ealing, and St Mark's Hospitals, with speciality cancer teams at each site. Performance data on cancer pathways is reported at trust level.The trust demonstrated strong performance up to mid-2023, particularly for the Faster Diagnosis Standard, with 84.7% performance in July 2023 being 14.7 percentage points above the 75% standard, and the 31-day treatment standard, with 100% performance in July 2023 being four percentage points above the 96% standard.From mid-202,3 data quality issues and a temporary reduction in activity following the implementation of Cerner, an electronic patient record system, plus capacity constraints, saw a decline in performance. Backlogs increased with the number of patients waiting over 104 days for treatment peaking significantly.A recovery programme was implemented to reduce the backlog, using real-time data to drive action and accountability. Actions included increasing the trust’s capacity and workforce, with specialist nurses, radiographers, and consultants, plus extended hours and weekend clinics. Rapid triage and assessment pathways led to faster diagnosis, along with expanded one-stop clinics, especially for breast cancer and gynaecology, with more patients also being sent straight to test for lower gastrointestinal cancers.By early 2025, the number of patients wating more than 104 days was close to zero, with a steady improvement seen in two-week waits and the Faster Diagnosis Standard. As the trust has started to stabilise its backlog, there has been significant improvement in the 62 day performance target with the trust continuing to be above the London target of 70%.Latest waiting time performance from July 2025 has been promising, with the trust achieving 81.5% Faster Diagnosis Standard performance and 100% 31-day treatment performance. 62-day referral to first treatment performance was 83%, one of the best in the country.Full cancer performance figures are published in the trust’s annual report, which is available at the following link:https://www.lnwh.nhs.uk/annual-report-and-accounts

What assessment he has made of the potential merits of (a) social enterprises and (b) cooperatives providing (i) NHS and (ii) social care services.

Integrated care boards have a duty to provide health services to meet the needs of their population and already work closely with the voluntary, community, and social enterprise (VCSE) sector, which includes the commissioning and delivery of services and, in some cases, by appointing representatives from the VCSE sector to their boards.Charities, co-operatives, social enterprises and mutuals have always been part of the National Health Service and social care. Today, social enterprises provide services for approximately two thirds of the United Kingdom population, delivering more than £2.5 billion of NHS care each year. This includes services such as community care, primary and urgent care, out-of-hours services, mental health support, drug and alcohol rehabilitation centres, end of life care, physiotherapy, audiology.Social enterprises are often able to take a more agile approach and will continue to be critical to the success of the NHS and in delivery of the 10 Year Health Plan and supporting the three shifts.