Every parliamentary written question tabled by Helen Morgan this session, with the full answer and department. See how every department answers, or back to the MP page.
Showing 101–120 of 520 · Department of Health and Social Care
How many days were taken by NHS England staff as sick leave in total in each month since January 2024; and what the average number was.
NHS England publishes monthly information on the sickness absence of staff employed by NHS bodies, including NHS England. This is available at the following link:https://digital.nhs.uk/data-and-information/publications/statistical/nhs-sickness-absence-rates
If he will make an assessment of the adequacy of the consistency of the mandatory Single Point of Access triage process with NHS England's Jess's Rule guidance; and what safeguards are in place to ensure that a mandatory Single Point of Access triage process does not return to primary care a patient whom a GP has referred in accordance with that guidance.
The Single Point of Access (SPoA) triage process is consistent with Jess’s Rule.Jess’s Rule is an NHS England patient safety initiative for primary care. It is designed for general practitioners (GPs) and supports them to reconsider a patient’s presentation and/or diagnosis where the patient has attended a GP three or more times and symptoms have escalated, or the diagnosis is uncertain.Jess’s Rule can be used to support a GP’s decision on an appropriate referral within the SPoA model. SPoA will provide a more efficient approach to triaging patients, with all appropriate requests and referrals, excluding urgent suspect cancer, flowing through a single ‘front door’. SPoA supports clinical triage to the most appropriate service or outcome, meaning timelier, more joined-up care for patients. Patients will still have a choice about where they receive care.Safeguards within the SPoA model include senior clinical oversight of triage decisions and the ability for primary care clinicians to re‑escalate concerns where symptoms persist, worsen, or remain unexplained. These arrangements aim to ensure patients who require specialist assessment are not inappropriately managed in the community, and that shared clinical judgement remains central to decision‑making.
How many days were taken by NHS England staff as sick leave in total in each of the last ten years; and what the average number was.
NHS England publishes monthly information on the sickness absence of staff employed by NHS bodies, including NHS England. This is available at the following link:https://digital.nhs.uk/data-and-information/publications/statistical/nhs-sickness-absence-ratesAnnual (financial year) summaries are included within the publication up to 2021/22. Subsequent years’ sickness absence days taken and the associated sickness absence rates can be constructed by aggregating the monthly published data.
(a) what the current level of the stockpile of MenB vaccine is and (b) whether her Department has assessed whether stockpiles are sufficient for the current meningitis B outbreak, including through modelling.
The risk of infection to the wider population remains low. A targeted vaccination programme has been extended to everyone who has been offered preventative antibiotic treatment as part of this outbreak. A single course of antibiotics is highly effective at reducing transmission. Immediately after the outbreak was identified, the UK Health Security Agency (UKHSA) deployed 50,000 doses of stockpiled antibiotics to the local area to ensure rapid access for those at highest risk.UKHSA stock levels for a meningitis B vaccine are the equivalent to eleven months of use in the continued national immunisation programme. 26,500 vaccine doses have been delivered specifically in response to the outbreak in Kent and a further 30,000 doses have been released from future deliveries into UKHSA back to GSK for supply through the standard wholesaler market.UKHSA continues to work with local resilience partners to ensure effective distribution. We currently have limited data, and our understanding of the dynamics is still developing at pace, as this is an unprecedented situation.
Whether his Department has previously undertaken emergency exercises for an outbreak of a meningococcal-type disease.
The Department undertakes a range of emergency preparedness and response exercises that test our capability to manage high‑consequence infectious disease outbreaks. These exercises routinely assess incident response structures, case management, contact tracing, vaccination strategies, and multi‑agency coordination. While exercises are not always designed around a specific pathogen, they ensure that systems and capabilities are in place to respond effectively to any severe infectious disease outbreak, including meningococcal‑type conditions.
What planning his Department has previously undertaken for a meningitis outbreak.
The Department undertakes a range of emergency preparedness and response exercises that test our capability to manage high‑consequence infectious disease outbreaks. These exercises routinely assess incident response structures, case management, contact tracing, vaccination strategies, and multi‑agency coordination. While exercises are not always designed around a specific pathogen, they ensure that systems and capabilities are in place to respond effectively to any severe infectious disease outbreak, including meningococcal‑type conditions.
How his Department will ensure that low-volume, high-cost services such as spinal cord injury are not deprioritised by individual ICBs facing competing local financial pressures.
Plans to delegate suitable specialised services were first set out in the Roadmap for Integrating Specialised Services within Integrated Care Systems and have been developed in close collaboration with NHS England’s regional teams, integrated care boards (ICBs), specialised services provider clinicians, and patient groups. The Roadmap for Integrating Specialised Services within Integrated Care Systems is available at the following link:https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdfThey represent the outcome of a thorough assessment of ICB readiness, and a comprehensive analysis of services to determine their suitability and readiness for more integrated commissioning.The latest NHS England commissioning update, published on 2 March 2026, sets out the role that seven offices for pan-ICB commissioning (OPICs) will play in supporting ICBs across each National Health Service region to efficiently and effectively commission these services, including commissioning at scale, where appropriate, to improve patient outcomes. The NHS England commissioning update is available at the following link:https://www.england.nhs.uk/long-read/direct-commissioning-update/OPICs will ensure that all ICBs across a region have equal access to the critical mass of expert commissioning knowledge and the capability necessary for the effective and efficient commissioning of these important and complex areas of service provision like spinal cord injury. They will become centres of commissioning excellence, playing a vital role in facilitating multi-ICB collaboration and decision making, ensuring strong patient and public involvement in the design and delivery of services, and building strong relationships with wider health and care system partners.
Whether his Department has undertaken a risk assessment for changes to the GP contract regarding Advice and Guidance due to be implemented from 1 April 2026.
The Department has not undertaken a formal risk assessment for the changes made to the GP Contract regarding Advice and Guidance (A&G) due to be implemented from 1 April 2026. However, in developing this policy, the Department and NHS England have carefully considered the potential risks, benefits, and wider impact as part of the standard policy-development process.As part of the 2026/27 GP Contract, we are embedding the current A&G enhanced service funding within core practice funding. Practices will be required to use A&G prior to or in place of a planned care referral where clinically appropriate and to follow locally agreed referral pathways.Between April 2025 and December 2025, A&G has avoided 1.3 million patients being unnecessarily added to hospital waiting lists by providing them with expert advice in their community.
What discussions his Department has had with the Health Services Safety Investigations Body, Care Quality Commission, Healthwatch and Royal College of GPs on changes to the GP contract regarding Advice and Guidance.
In early 2026, we concluded the 2026/27 GP Contract consultation. This year, we expanded the consultation to engage with wider stakeholders, which were the General Practitioners Committee England, the Royal College of General Practitioners, National Voices, the Institute of General Practice Management, Healthwatch England, the NHS Confederation, and the National Association of Primary Care. The feedback we received from stakeholders across the system has been constructive and comprehensive, enabling us to refine proposals and address concerns while developing the final contract package. Embedding Advice and Guidance in the contract is about ensuring general practitioners and specialists can work together earlier and more consistently, so patients are directed to the most appropriate next step without unnecessary delay, whether that is a referral, diagnostics, or supported care in the community. Last year, we invested £80 million in Advice and Guidance. We are now embedding this money in core contract funding. As a result, since April 2025, we have avoided 1.3 million patients ending up on a waiting list. The Department has not discussed the changes to the GP Contract regarding Advice and Guidance with the Health Services Safety Investigations Body, and the Care Quality Commission.
Whether future NHS planning guidance will require ICBs to provide specialist rehabilitation and care for patients with spinal cord injury.
Spinal cord injury services in England are commissioned against the national service specification, which is published by NHS England, and is available at the following link:https://www.england.nhs.uk/wp-content/uploads/2019/04/service-spec-spinal-cord-injury-services-all-ages.pdfThe specification sets out the mandated standards all commissioned providers are required to meet for patients. The specification provides detailed information on the pathway of care for spinal cord injury patients, including coordination with interdependent services.All providers are required to submit outcome data to the specialised services quality dashboard, with data available at the following link:https://view.officeapps.live.com/op/view.aspx?src=https%3A%2F%2Fwww.england.nhs.uk%2Fwp-content%2Fuploads%2F2023%2F06%2Fspecialised-services-quality-dashboards-metrics-metadata-2025-2026-v24.0.xlsx&wdOrigin=BROWSELINKThis data enables the monitoring of quality of care, including clinical outcomes, equitability of access and structure, and process measures. The data is linked to the national spinal cord injury registry, which provides audit data.The specific content of future National Health Service planning guidance will be determined and published in due course, but progress has been made on improving spinal cord injury services following the 2016 review through, for example, the development of the Getting It Right First Time (GIRFT) Programme for spinal services, which is driving service improvements and better care for patients with spinal cord injuries. GIRFT has worked with NHS trusts to showcase examples of best practice which other services can then learn from.More recently, in October 2025, the National Institute for Health and Care Excellence published new guidance on rehabilitation for chronic neurological disorders, which includes rehabilitation for spinal cord injury.
Whether his Department has made an estimate of the proportion of requests for specialist care which will be refused due to the requirement for GPs to use the Advice and Guidance system from 1 April 2026.
The purpose of Advice and Guidance (A&G) is not to refuse care but to ensure patients are seen in the right place, first time.Where the outcome of A&G is that care management in primary or community settings is in the patient’s best interests, it is expected that patients will receive timelier care, benefiting from earlier specialist input. In these cases, the general practitioner may still subsequently refer their patient again at any point if they have concerns.Management data shows between April 2025 and November 2025, there were 2,210,443 processed A&G requests where a specialist has returned the advice, and 1,095,172, or 45.7% of total requests, have been diverted, where the outcome of A&G is that a referral is not required.
When he plans to respond to Questions 113872, 113873, 113874 and 113875 of 13 February 2026.
I refer the hon. Member to the answer I gave on 29 April 2026 to Question 113872.
What assessment he has made of the potential clinical impact of (a) current waiting times and (b) levels of coordination in spinal cord injury care.
People with spinal cord injuries in North Shropshire receive specialist care through the Midland Centre for Spinal Injuries (MCSI) at the Robert Jones and Agnes Hunt Orthopaedic Hospital, one of 11 nationally designated spinal injury centres providing lifelong multidisciplinary support in the United Kingdom. MCSI provides multidisciplinary rehabilitation and lifelong follow up care for spinal cord injury patients.Nationally, spinal cord injury services form part of prescribed specialised services, with NHS England maintaining national service standards, specifications, and clinical policies. From 2025, elements of specialised commissioning were delegated to integrated care boards to support more integrated pathways, while overall accountability remains with NHS England.In March 2025, NHS England published the Spinal Services Clinical Network Specification, which establishes expectations for spinal clinical networks to standardise pathways and reduce variation, with the aim of improving access to care for patients.The Getting It Right First Time (GIRFT) Programme for spinal services is also driving service improvements and better care for patients with spinal cord injuries. GIRFT has worked with National Health Service trusts to showcase examples of best practice which other services can then learn from, thereby aiming to reduce regional variation in the quality of care patients with spinal cord injuries receive.
What assessment he has made of the adequacy of the level of support available to people with spinal cord injury in a) North Shropshire and b) England.
People with spinal cord injuries in North Shropshire receive specialist care through the Midland Centre for Spinal Injuries (MCSI) at the Robert Jones and Agnes Hunt Orthopaedic Hospital, one of 11 nationally designated spinal injury centres providing lifelong multidisciplinary support in the United Kingdom. MCSI provides multidisciplinary rehabilitation and lifelong follow up care for spinal cord injury patients.Nationally, spinal cord injury services form part of prescribed specialised services, with NHS England maintaining national service standards, specifications, and clinical policies. From 2025, elements of specialised commissioning were delegated to integrated care boards to support more integrated pathways, while overall accountability remains with NHS England.In March 2025, NHS England published the Spinal Services Clinical Network Specification, which establishes expectations for spinal clinical networks to standardise pathways and reduce variation, with the aim of improving access to care for patients.The Getting It Right First Time (GIRFT) Programme for spinal services is also driving service improvements and better care for patients with spinal cord injuries. GIRFT has worked with National Health Service trusts to showcase examples of best practice which other services can then learn from, thereby aiming to reduce regional variation in the quality of care patients with spinal cord injuries receive.
When he plans to respond to Questions 113248, 113249 and 113250, tabled on 12 February 2026.
I refer the hon. Member to the answer I gave on 23 March 2026 to Question 113248.
What steps his Department has taken to address regional disparities in accessing spinal cord injury services.
People with spinal cord injuries in North Shropshire receive specialist care through the Midland Centre for Spinal Injuries (MCSI) at the Robert Jones and Agnes Hunt Orthopaedic Hospital, one of 11 nationally designated spinal injury centres providing lifelong multidisciplinary support in the United Kingdom. MCSI provides multidisciplinary rehabilitation and lifelong follow up care for spinal cord injury patients.Nationally, spinal cord injury services form part of prescribed specialised services, with NHS England maintaining national service standards, specifications, and clinical policies. From 2025, elements of specialised commissioning were delegated to integrated care boards to support more integrated pathways, while overall accountability remains with NHS England.In March 2025, NHS England published the Spinal Services Clinical Network Specification, which establishes expectations for spinal clinical networks to standardise pathways and reduce variation, with the aim of improving access to care for patients.The Getting It Right First Time (GIRFT) Programme for spinal services is also driving service improvements and better care for patients with spinal cord injuries. GIRFT has worked with National Health Service trusts to showcase examples of best practice which other services can then learn from, thereby aiming to reduce regional variation in the quality of care patients with spinal cord injuries receive.
What assessment he has made of the adequacy of satellite navigation systems used in ambulances in England.
Ambulance vehicles have satellite navigation systems that assist crews to identify the location of the emergency. These are updated regularly to ensure the information within them remains current, and in response to feedback from operational crews and managers who are trained on these systems and have excellent understanding of the areas they serve.
How much his Department has spent on external consultants for the ongoing reorganisation of the NHS since 2024.
It has not proved possible to respond to the hon. Member in the time available before Prorogation.
What steps his Department is taking to ensure that NICE Guidance to prevent irreversible sight loss is being met for patients with wet age-related macular degeneration.
The National Institute for Health and Care Excellence (NICE) has issued technology appraisal guidance recommending several medicines for use in the treatment of wet age-related macular generation. The National Health Service in England is legally required to fund medicines in line with NICE’s recommendations, normally within three months of the publication of final guidance.NICE has also published a clinical guideline that provides comprehensive guidance on best practice in the management of patients with this condition, which is available at the following link:https://www.nice.org.uk/guidance/ng82NICE clinical guidelines are not mandatory, but NHS commissioners are expected to take them fully into account in ensuring that local services meet the needs of their populations.
What steps he is taking to ensure complex ophthalmology care is provided in a timely fashion.
We have committed to ensuring that 92% of all patients wait no longer than 18 weeks from Referral to Treatment (RTT) by March 2029. Since the Government came into office, the waiting list for routine appointments, operations, and procedures in England has now been cut by 374,083, and RTT performance has improved by 2.6%. This is despite 33.3 million referrals onto the waiting list.In ophthalmology, the national waiting list stands at 602,163 pathways, with 69.8% of those having waited 18 weeks or less. This marks a 3.7% improvement in RTT performance since the Government came into office.We are committed to expanding the number of surgical hubs, which provide dedicated and protected elective capacity to drive improvement in six specialities, including ophthalmology. We are reducing missed appointments through enhanced two-way communication between hospitals and patients, supported by artificial intelligence prediction tools. We are also expanding the use of remote monitoring and patient-initiated follow up, where appropriate, to offer patients more flexibility over their care.Improved IT connectivity between primary and secondary eye care services and the development of single points of access has also shown its ability to improve the referral and triage of patients and support more care being delivered in the community.