Written questions by Maguire.

What steps his Department is taking to help increase the number of adults who have been seen by an NHS dentist in Surrey in line with the national average.

The responsibility for commissioning primary care services, including National Health Service dentistry, to meet the needs of the local population has been delegated to the integrated care boards (ICBs) across England. For the Epsom and Ewell constituency, this is the Surrey Heartlands ICB.We have asked ICBs to commission extra urgent dental appointments to make sure that patients with urgent dental needs can get the treatment they require. ICBs have been making extra appointments available from 1 April 2025. The Surrey Heartlands ICB is expected to deliver 6,585 additional urgent dental appointments as part of the scheme.We recently held a full public consultation on a package of changes to improve access to, and the quality of, NHS dentistry, which will deliver better care for the diverse oral health needs of people across England. The consultation closed on 19 August 2025. The Government is considering the outcomes of the consultation and will publish a response in due course.We are committed to reforming the dental contract, with a focus on matching resources to need, improving access, promoting prevention, and rewarding dentists fairly, while enabling the whole dental team to work to the top of their capability. The Government is committed to achieving fundamental contract reform before the end of this Parliament.

What assessment he has made of the potential merits of increasing the minimum unit of dental activity rates to help tackle recruitment issues for practices.

A minimum Unit of Dental Activity (UDA) value of £28 is in place to support practices with historically low UDA rates. There are differential UDA rates across England, and integrated care boards have the flexibility to set the UDA rate locally, which may help to support local interventions. The current differential UDA rates allow providers to use differing pay rates to reflect the local market rates.We recently held a public consultation on a package of changes to improve access to, and improve the quality of, National Health Service dentistry, which will deliver better care for the diverse oral health needs of people across England. The consultation closed on 19 August, and the Government is considering the outcomes of the consultation and will publish a response in due course, with the expectation of implementing the reforms from April 2026.We are committed to reforming the dental contract, with a focus on matching resources to need, improving access, promoting prevention, and rewarding dentists fairly, while enabling the whole dental team to work to the top of their capability. The Government is committed to achieving fundamental contract reform by the end of this Parliament.

What steps his Department is taking to help improve underperforming NHS dental contract holders in Surrey.

The Government wants to ensure that every penny we allocate for dentistry is spent on dentistry, and that the ringfenced dental budget is spent on the patients who need it most.Integrated care boards are responsible for commissioning primary care services, including National Health Service dentistry, to meet the needs of the local populations and to determine the priorities for investment.

What steps his Department is taking to help increase the number of children who have been seen by an NHS dentist in Surrey in line with the national average.

The responsibility for commissioning primary care services, including National Health Service dentistry, to meet the needs of the local population has been delegated to the integrated care boards (ICBs) across England. For the Epsom and Ewell constituency, this is the Surrey Heartlands ICB.We have asked ICBs to commission extra urgent dental appointments to make sure that patients with urgent dental needs can get the treatment they require. ICBs have been making extra appointments available from 1 April 2025. The Surrey Heartlands ICB is expected to deliver 6,585 additional urgent dental appointments as part of the scheme.We recently held a full public consultation on a package of changes to improve access to, and the quality of, NHS dentistry, which will deliver better care for the diverse oral health needs of people across England. The consultation closed on 19 August 2025. The Government is considering the outcomes of the consultation and will publish a response in due course.We are committed to reforming the dental contract, with a focus on matching resources to need, improving access, promoting prevention, and rewarding dentists fairly, while enabling the whole dental team to work to the top of their capability. The Government is committed to achieving fundamental contract reform before the end of this Parliament.

What assessment has he made of effectiveness of the Carr-Hill formula.

The Carr-Hill formula is outdated, as the formula is based on data that is 25 years old in some cases. It uses the expected workload of general practices (GPs) to determine the distribution of funding for GPs across England. Currently, GPs serving more deprived areas receive on average 10% less funding per patient when adjusted for need than those in less deprived communities, despite having greater health needs and significantly higher patient-to-GP ratios.We recognise the importance of ensuring that funding for core services is distributed equitably between practices across the country. My Rt Hon. Friend, the Secretary of State for Health and Social Care, announced on 25 June that, through the 10-Year Health Plan, the Government will review the Carr-Hill formula with the aim of ensuring that resources are targeted where they are most needed.The review, conducted by National Institute for Health and Care Research, has now commenced. It will draw on a range of evidence and advice from experts, with a focus on how health need is reflected in funding.

Whether his Department has made an assessment of the adequacy of research funding allocated to pancreatic cancer given its rates of (a) mortality, (b) survival and (c) late diagnosis; and whether he plans to increase that funding.

The Department invests over £1.6 billion each year on research through its research delivery arm, the National Institute for Health and Care Research (NIHR), and in 2024/25, spent £141,649,374 on cancer research, signalling its high priority. This includes studies that focus specifically on pancreatic cancer as well as studies that are relevant or include pancreatic cancer. For example, between financial years 2020/21 and 2024/25, the NIHR committed £1.5 million to specific pancreatic cancer studies. The NIHR has also invested £1.9 million in research to detect early stages of gastrointestinal cancers, which includes pancreatic cancer. This non-invasive breath test will aim to streamline the referral process for primary care.NIHR’s wider investments in research infrastructure, including facilities, services and the research workforce, supported the delivery of 160 pancreatic cancer research studies and enabled over 8,200 people to participate in potentially life-changing research during this time period. This includes support for the PemOla trial, which is the first to explore using precision immunotherapies to treat pancreatic cancer. More information about the trial is available at the following link:https://cambridgebrc.nihr.ac.uk/2025/07/18/pancreatic-cancer-precision-medicine-trial/

What estimate he has made of the cost to the taxpayer of raising NICE’s value for money threshold by 25 percent.

The pharmaceutical sector and the innovative medicines it produces are critical to our national interest, helping people access life changing treatments, reducing pressure on the health service over the longer-term, and ensuring we have a National Health Service that is fit for the future.That is why through our Life Sciences Sector Plan, we have committed to working with industry to accelerate growth in spending on innovative medicines, compared to the previous decade. Our 10-Year Health Plan sets out how we will reform the National Institute for Health and Care Excellence.

If his Department will make an assessment of the potential merits of stipulating that GP practices only receive the uplift to the Global Sum if that funding is passed onto employees.

General practices (GP) are independent businesses, contracted to provide National Health Services. Every year we consult the profession regarding what services GPs will provide and the funding they will receive in return for these services.We are investing an additional £1.1 billion in GPs to reinforce the front door of the NHS, bringing total spend on the GP Contract to £13.4 billion in 2025/26, the biggest cash increase in over a decade. The independent review body on Doctors’ and Dentists’ Remuneration (DDRB) recommended an uplift of 4% to the pay ranges for salaried GPs, and to GP contractor pay. As with last year, we have accepted the DDRB’s pay recommendation and have uplifted the pay elements of the GP Contract by 4% on a consolidated basis, an increase of 1.2% on top of the 2.8% interim uplift in April. Funding for these awards will be backdated to April 2025. We expect GP contractors to implement pay rises to other GP staff in line with the uplift in funding they are receiving. As self-employed contractors to the NHS, it is for GPs to determine uplifts in pay for their employees.

What steps his Department is taking to reduce the impact of chronic respiratory conditions on the NHS in winter 2025-26.

NHS England, working with the Department, the UK Health Security Agency, and other partners, is taking action to reduce the impact of respiratory conditions on the National Health Service this winter. This includes robust, consistent infection prevention and control measures, and a campaign to encourage eligible people to get their winter vaccinations. Further information on the actions being taken to reduce the demand on acute services during winter is available at the following link: https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/

How many GPs in Epsom and Ewell constituency are not employed on the General Medical Services British Medical Association model contract.

The Department does not centrally hold data on the employment contracts of individual salaried general practitioners (GPs), as GP practices are self-employed contractors to the National Health Service.

What assessment his Department has made of the potential merits of embedding specialist dementia Admiral Nurses within neighbourhood health teams.

Neighbourhood Health Services will bring together teams of professionals, including nurses, doctors, social care workers, pharmacists, health visitors, and more, closer to people’s homes, to work together to provide comprehensive care in the community.We expect neighbourhood teams and services to be designed in a way that reflects the specific needs of local populations. While the focus on personalised, coordinated care will be consistent, this will mean services will look different in rural communities, coastal towns, and deprived inner cities.The provision of dementia health care services is the responsibility of local integrated care boards (ICBs). We would expect ICBs to commission services, which may include dementia specialist nurses or admiral nurses, based on local population needs, taking account of the National Institute for Health and Care Excellence’s (NICE) guidelines. NICE recommends providing people living with dementia with a single named health or social care professional who is responsible for coordinating their care. We are intending to publish a National Framework for Neighbourhood Health Plans in the autumn. This will set-out how areas should design neighbourhood health services around local needs and different patient cohorts.

What assessment his Department has made of the potential challenges of working with private finance companies to help deliver neighbourhood health centres.

The Government announced in the 10 Year Infrastructure Strategy on 19 June 2025, and in the 10-Year Health plan published on 3 July 2025, that it will explore the feasibility of using new Public Private Partnerships (PPPs) to deliver certain types of primary and community health infrastructure, including Neighbourhood Health Centres.Any new model will be subject to market-testing, and will build on the lessons learned from past administrations’ experiences, the models currently in use elsewhere in the United Kingdom, and the March 2025 National Audit Office report titled Lessons Learned: private finance for infrastructure. The decision on whether to proceed with the use of PPPs for Neighbourhood Health Centres will be made by HM Treasury and the relevant ministers by the 2025 Autumn Budget.

What discussions he has had with the Chancellor of the Exchequer on zero-rating defibrillators for VAT.

My Rt Hon. Friend, the Secretary of State for Health and Social Care has not discussed zero-rating defibrillators for VAT with my Rt. Hon. Friend, the Chancellor of the Exchequer.The Government provides VAT reliefs to aid with the purchase of automated external defibrillators (AEDs) through VAT refunds on purchases made by local authorities, including parish councils, and VAT reliefs for purchases made through voluntary contributions where the AED is donated to eligible charities or the National Health Service.

What recent assessment he has made of the potential impact of delayed discharges from hospitals due to inadequate adult social care provision on overall NHS capacity.

The Government recognises that delays to hospital discharge impact National Health Service capacity. There are multiple factors contributing to delayed discharges, including processes within hospitals and the availability of appropriate care packages.The Government has committed approximately £9 billion through the Better Care Fund (BCF) in 2025/26, to support integrated services including intermediate care, which are vital for timely discharge and preventing readmissions. The Urgent and Emergency Care Plan for 2025/26 made it a priority for hospitals to tackle discharge delays, starting with those waiting over 21 days after becoming medically fit for discharge.From 2026/27, the BCF will be reformed to ensure consistent joint NHS and local authority funding for services essential to integrated care, including hospital discharge.

Whether he plans to bring forward the timeline for social care reform.

The Government is already delivering reform to adult social care and progressing towards a future National Care Service. This progress is built on higher standards, greater choice and control, and better join-up between services — with over £4 billion of additional funding available for adult social care by 2028/29.We are:Raising the quality of care, including by legislating for a Fair Pay Agreement backed by £500 million, expanding career pathways, and investing £12 million in workforce development.Improving join-up between health and social care through neighbourhood health services, reform of the Better Care Fund, and enhanced digital and data infrastructure to support safer, more personalised care.Expanding choice and control, including through encouraging the greater use of direct payments, £172 million for home adaptations, and new care technology standards to help people choose the right support.To help shape medium and longer-term reforms, the Independent Commission into Adult Social Care, chaired by Baroness Casey, will report in two phases — first in 2026, and again by 2028. Implementation will follow each phase. We have been clear that addressing the complex, deep-rooted challenges facing the sector will take time. This timeline allows Baroness Casey to carry out the national conversation needed to reach broad public and cross-party consensus on reforms to build a social care system fit for the future.

Whether his Department has conducted detailed (a) costings and (b) delivery timetables for the commitments outlined in the NHS Long Term Workforce Plan.

The Government has been clear that the previous administration’s 2023 Long Term Workforce Plan was unsustainable and based on outdated models of care. We have committed instead to publishing a 10 Year Workforce Plan which will replace the 2023 plan and create a workforce ready to deliver the transformed service set out in the 10-Year Health Plan. The 10 Year Workforce Plan will ensure the National Health Service has the right people in the right places, with the right skills to care for patients, when they need it.

What steps his Department is taking to increase women’s engagement with healthcare providers for fertility concerns.

There are no particular measures in place to increase women’s engagement with healthcare providers for fertility concerns.More broadly, achieving our vision for a Neighbourhood Health Service will rely critically on a strong partnership working between health and social care, also working closely with wider local government services and the voluntary, community, faith and social enterprise sector to better understand and meet the needs of individuals and local populations in a holistic way.

What steps he is taking to support (a) schools, (b) sports clubs and (c) community groups with the cost of purchasing defibrillators.

The Department of Health and Social Care’s Community AED Fund delivered 3,080 new automated external defibrillators (AEDs) to local communities between September 2023 and February 2025.The Department for Education has published specific guidance on the provision of AEDs in schools. This guidance is available at the following link:https://assets.publishing.service.gov.uk/media/67936b102de28ea2d392f35b/Automated_External_Defibrillators__AEDs__guidance_for_schools.pdf

What steps his Department is taking to increase funding for sexual health services in Surrey.

Upper tier local authorities in England, including Surrey, are responsible for commissioning comprehensive, open access to most sexual health services (SHSs) funded through the public health grant (PHG). In 2025/26, we increased funding through the PHG to £3.884 billion, providing local authorities with an average 6.1% cash increase and a 3.4% real terms increase, the biggest real-terms increase after nearly a decade of reduced spending.From 2026/27, we will bring together over £4 billion of public health funding for local government by consolidating service-specific grants into the PHG. Individual local authorities are well-placed to make funding and commissioning decisions about the SHSs that best meet the needs of their local populations.The Government is committed to ending new HIV transmissions in England by 2030 and is developing a new HIV Action Plan in collaboration with the UK Health Security Agency, NHS England, and a broad range of system partners, which we aim to publish this year. The Action Plan will have a key objective to support the system to work better together in the delivery of SRH services.

What steps his Department is taking to promote regular exercise.

The Government and the National Health Service recognise that reducing physical inactivity in people of all ages is important in helping people live longer, healthier lives. Building movement back into people’s everyday lives is a key part of the Health Mission and requires action across the Government and the NHS to deliver, as part of the shift from treatment to prevention.As committed to in the 10-Year Health Plan, we will develop a national movement campaign led by Brendan Foster and will explore ways to recognise what places and communities are doing to help people build movement back into everyday lives. Wider cross-Government action is underway to invest in grassroots sport, develop a new physical education and school sports partnership network, to support children in reaping the benefits of movement, and to support cycling and walking infrastructure and promote active travel.The NHS Better Health Campaign promotes ways for people of all ages to move more, and signposts to digital support like the NHS Couch to 5k and the NHS Active 10 walking app providing free and accessible ways of building movement into everyday life.