Written questions by Morgan.

Whether the UK National Screening Committee’s modelling assumes that the introduction of a prostate cancer screening programme would be additional to, or would partially replace, existing opportunistic PSA testing in primary care.

Drawing on the available peer reviewed evidence, the Sheffield Centre for Health and Related Research (SCHARR) has undertaken economic analysis on behalf of the UK National Screening Committee.In their modelling, in line with best practice and the standard academic approach to assessing a new screening proposal, the SCHARR team has included the best available information on current care and compared this to a number of possible scenarios for a new prostate cancer screening programme. This includes the best estimate of current opportunistic prostate-specific antigen (PSA) testing.There is little published data available that can determine between PSAs sought by asymptomatic males at their general practices (GPs), opportunistic PSA testing, and other types of PSAs in use which can include testing for symptomatic males where this could support a diagnosis and for men who are on a range of treatment pathways for known prostate cancer.A prostate cancer screening programme would be most likely to add to the number of PSA tests because GPs have the right to offer a PSA test in line with their clinical judgement and this would continue outside of any screening programme. This is consistent with other screening programmes including, for example, access to the faecal immunochemical tests outside of the NHS Bowel Cancer Screening Programme.The risk of overdiagnosis identified in the SCHARR model is in line with other international evidence-based prostate screening models which have been developed by academics in line with standard academic approaches and are underpinned by high quality published evidence.New data on PSA uptake was published after the completion of the modelling report and will be incorporated into further model iterations before the completion of the consultation period.

What estimate his Department has made of the total outgoings by the health service on additional medicine spending over the Spending Review period.

In relation to the recently announced plans to increase the standard cost-effectiveness threshold used by the National Institute for Health and Care Excellence (NICE), costs will start smaller but will increase over time as NICE approves more life improving and life-saving medicines. Total costs over the Spending Review period are expected to be approximately £1 billion. The final costs will depend on which medicines NICE recommends and the actual uptake of these.We have no plans to publish an impact assessment or details of the modelling which led to this estimated figure. This deal is a vital investment that builds on the strength of our National Health Service and world leading life sciences without taking essential funding from our frontline NHS services.

Whether (a) Chief Executive of NICE and (b) any other NICE official has had recent discussions with the United States Ambassador.

The former National Institute for Health and Care Excellence (NICE) Chief Executive, Dr Sam Roberts, met with the United States’ ambassador in October 2025. NICE’s current Chief Executive is due to meet with the US ambassador soon. The Department was notified of these meetings.

Whether his Department has had discussions with (a) the Chief Executive of NICE and (b) other NICE officials on them meeting United States Ambassador to the UK.

The former National Institute for Health and Care Excellence (NICE) Chief Executive, Dr Sam Roberts, met with the United States’ ambassador in October 2025. NICE’s current Chief Executive is due to meet with the US ambassador soon. The Department was notified of these meetings.

What estimate his Department has made of total public outgoings on additional medicine spending over the Spending Review period.

In relation to the recently announced plans to increase the standard cost-effectiveness threshold used by the National Institute for Health and Care Excellence (NICE), costs will start smaller but will increase over time as NICE approves more life improving and life-saving medicines. Total costs over the Spending Review period are expected to be approximately £1 billion. The final costs will depend on which medicines NICE recommends and the actual uptake of these.We have no plans to publish an impact assessment or details of the modelling which led to this estimated figure. This deal is a vital investment that builds on the strength of our National Health Service and world leading life sciences without taking essential funding from our frontline NHS services.

What steps he is taking to reduce the time taken for patients with Parkinson’s disease to receive a diagnosis.

The Department recognises the importance of a timely diagnosis of Parkinson’s disease and the impact that early identification has on people’s long‑term outcomes. We remain committed to delivering the National Health Service constitutional standard for 92% of patients waiting no longer than 18 weeks from referral to treatment by March 2029. We are investing in additional capacity to deliver appointments to help bring lists and waiting times down. The Elective Reform Plan, published in January 2025, sets out the specific productivity and reform efforts needed to return to the constitutional standard.National programmes like NHS England’s Getting It Right First Time (GIRFT) supports faster diagnosis by using clinically‑led, data‑driven reviews to identify delays and unwarranted variation in neurology services. GIRFT provides evidence‑based recommendations to streamline referral and outpatient pathways, improve data quality, and share best practice between trusts. This helps increase specialist capacity, reduce waiting times for assessment, and ensure more timely access to diagnosis for people with suspected Parkinson’s disease.Additionally, by delivering the shifts outlined in the 10‑Year Health Plan, we can free up specialist capacity by increasing community‑based provision, reducing administrative burden through digital tools, and supporting earlier identification and management of neurological conditions like Parkinson’s. This will allow neurologists and geriatricians to focus on more complex cases and improve diagnostic timeliness.

What steps his Department is taking to support the provision of care for people with Parkinson’s disease outside specialist hospital settings, including measures to enable care to be delivered closer to patients’ homes.

We want people with Parkinson’s to receive high‑quality care as close to home as possible, and many aspects of Parkinson’s care, such as medication management, routine monitoring, rehabilitation therapies, and community nursing, can be delivered outside specialist settings, provided that strong local pathways and sufficient specialist workforce support are in place.It is the responsibility of integrated care boards (ICBs) in England to make appropriate provision to meet the health and care needs of their local population, including services for people with Parkinson’s disease.ICBs have access to a range of resources that support the delivery of Parkinson’s services closer to home. NHS England’s updated adult specialised neurology service specification sets clear, standardised expectations for integrated, community‑linked neurology pathways, helping ICBs design services that provide timely, coordinated care outside hospital settings.Guidance on Parkinson’s disease in adults, reference code NG71, published by the National Institute for Health and Care Excellence (NICE), offers evidence‑based recommendations on diagnosis, treatment, and medicine optimisation, ensuring that local services deliver consistent, high‑quality Parkinson’s care.In addition, NHS England’s RightCare Progressive Neurological Conditions Toolkit provides practical, data‑driven tools to help systems reduce variation, improve multidisciplinary working, and strengthen community‑based support. Together, these resources give ICBs a robust framework to develop accessible, well‑coordinated Parkinson’s services that better meet patient needs in community settings.

What data he holds on the number of (a) accessible and (b) Changing Places toilet facilities in hospitals.

Data is not held centrally on the number of accessible and Changing Places toilets in hospitals. The Changing Places Toilets website holds a register of all accredited ‘Changing Places’ toilets, including ones on National Health Service sites, which can be searched. Further information is avaiable at the following link:https://www.changing-places.org/findHospitals need to satisfy the requirements of Building Regulations, Part M to provide suitable sanitary accommodation. The provision of hoists in hospitals is a decision taken locally by NHS organisations consistent with their patient acuity and clinical case-mix.

Whether his Department has assessed the adequacy of the current model of care for people with Parkinson’s disease, including which services may be appropriately delivered outside specialist centres.

We want people with Parkinson’s to receive high‑quality care as close to home as possible, and many aspects of Parkinson’s care, such as medication management, routine monitoring, rehabilitation therapies, and community nursing, can be delivered outside specialist settings, provided that strong local pathways and sufficient specialist workforce support are in place.It is the responsibility of integrated care boards (ICBs) in England to make appropriate provision to meet the health and care needs of their local population, including services for people with Parkinson’s disease.ICBs have access to a range of resources that support the delivery of Parkinson’s services closer to home. NHS England’s updated adult specialised neurology service specification sets clear, standardised expectations for integrated, community‑linked neurology pathways, helping ICBs design services that provide timely, coordinated care outside hospital settings.Guidance on Parkinson’s disease in adults, reference code NG71, published by the National Institute for Health and Care Excellence (NICE), offers evidence‑based recommendations on diagnosis, treatment, and medicine optimisation, ensuring that local services deliver consistent, high‑quality Parkinson’s care.In addition, NHS England’s RightCare Progressive Neurological Conditions Toolkit provides practical, data‑driven tools to help systems reduce variation, improve multidisciplinary working, and strengthen community‑based support. Together, these resources give ICBs a robust framework to develop accessible, well‑coordinated Parkinson’s services that better meet patient needs in community settings.

If he will answer questions 96886, 96959 and 96965 tabled on 3 December 2025 on the UK-US pharmaceutical deal.

I refer the hon. Member to the answer I gave on 27 January 2026 to Questions 96886, 96959 and 96965.

What steps he is taking to ensure the timely delivery of NHS mail to patients.

Whilst there is an increasing move towards digital National Health Service communications via the NHS App, texts, digital telephony, and emails, NHS letters remain crucial for many patients, particularly those who may be digitally excluded.All NHS organisations are now required to use NHS Notify to send out patient communications. This service makes sure that patients get messages from NHS organisations in the best channel for their needs and ensures the NHS effectively delivers its services. This is done by routing messages to the secure NHS App, falling back to SMS, email, and letters if they do not, based on a central source of contact details, additional needs, and NHS numbers. By doing this once from a single service, the NHS can make sure the most secure, rapid, reliable, accessible, and cost effective channel of communication is used.NHS England and Royal Mail have been working together to ensure NHS providers continue to have a choice of both price and speed when sending letters, and to improve how NHS letters are sent to patients across the United Kingdom. There is now a Royal Mail NHS barcode, which was announced in April 2025. The barcode is designed to mitigate the impact on NHS letters by helping to optimise their delivery at times of local and national disruption. Further information may be found on the Royal Mail website, at the following link:https://www.royalmailwholesale.com/news/nhs-mail-new-barcode-solutionThis describes the process by which the prioritisation of NHS communication happens.

What steps he is taking to help increase the availability of (a) hoists and (b) accessible toilets in hospitals.

Data is not held centrally on the number of accessible and Changing Places toilets in hospitals. The Changing Places Toilets website holds a register of all accredited ‘Changing Places’ toilets, including ones on National Health Service sites, which can be searched. Further information is available at the following link:https://www.changing-places.org/findHospitals need to satisfy the requirements of Building Regulations, Part M to provide suitable sanitary accommodation. The provision of hoists in hospitals is a decision taken locally by NHS organisations consistent with their patient acuity and clinical case-mix.

What steps he is taking to improve (a) diagnosis and (b) care of Placenta Accreta Spectrum.

The diagnosis of placenta accreta spectrum is primarily done in the antenatal period using ultrasound imaging. To ensure effective diagnosis and management of placenta accreta spectrum, national guidance is provided within the National Institute for Health and Care Excellence (NICE) guidance and the Royal College of Obstetricians and Gynaecologists’ Placenta Praevia and Placenta Accreta: Diagnosis and Management Guideline. The NICE guidance and the Royal College of Obstetricians and Gynaecologists’ guidelines are available, respectively, at the following two links:https://www.nice.org.uk/guidance/ng192/documents/draft-guideline-2https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/placenta-praevia-and-placenta-accreta-diagnosis-and-management-green-top-guideline-no-27a/In 2020, NHS England commissioned placenta accreta networks in the United Kingdom to support local and regional screening, shared protocols, and co-ordinated referral pathways to specialist pregnancy accreta centres. These centres consist of highly experienced multidisciplinary teams with the expertise to manage this condition and improve the safety outcomes for women and babies.

Whether he has made an assessment of the potential impact of NHS spending on pharmaceutical products on NHS service provision in the context of the UK-US trade deal.

By increasing the standard National Institute for Health and Care Excellence (NICE) cost-effectiveness threshold, we are increasing the value that we place on innovations that deliver improvements to patient health. Alongside the changes that we announced in the Life Sciences Sector Plan, this will increase both the speed and breadth of patient access to innovative medicines and encourage growth in United Kingdom-based clinical trials.Costs will start smaller but will increase over time as the NICE approves more life improving and lifesaving medicines. Total costs over the Spending Review period are expected to be approximately £1 billion. But the final costs will depend on which medicines NICE decides to approve and the actual uptake of these.This deal is a vital investment that builds on the strength of our National Health Service and world leading life sciences sector to increase access to life-changing medicines without taking essential funding from our frontline NHS services. We will always prioritise the needs of NHS patients and at the Spending Review we delivered a record real terms increase for day-to-day spending for the NHS in England up to April 2029.This deal will be funded by allocations made at the Spending Review, where front line services will remain protected through the record funding secured. Future year funding will be settled at the next Spending Review.

When he expects fax machines to be phased out of use in Shrewsbury and Telford Hospital NHS Trust.

My Rt Hon. Friend, the Secretary of State for Health and Social Care, has instructed National Health Service trusts to stop using fax machines for anything other than business continuity. The trust has informed NHS England that they currently only use fax machines for administrative tasks.NHS England will be meeting with the Shrewsbury and Telford Hospital NHS Trust to work with them on their decommissioning plans. As such, there is currently no date set for when fax machines will be phased out.

What recent assessment he has made of the use of fax machines by Shrewsbury and Telford Hospital NHS Trust.

My Rt Hon. Friend, the Secretary of State for Health and Social Care, has instructed National Health Service trusts to stop using fax machines for anything other than business continuity. The trust has informed NHS England that they currently only use fax machines for administrative tasks.NHS England will be meeting with the Shrewsbury and Telford Hospital NHS Trust to work with them on their decommissioning plans. As such, there is currently no date set for when fax machines will be phased out.

What assessment his Department has made of the National Audit Office recommendations in its analysis of the 2023 Long Term Workforce Plan (a) in general and (b) specifically the recommendation that assumptions should be generated in transparent and systematic consultation with external stakeholders.

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.To address the National Audit Office’s recommendations regarding the 2023 Long Term Workforce Plan, updated workforce modelling and its underlying assumptions will be set out in and alongside the new plan when published in spring 2026. It will be supported by external independent scrutiny.We are committed to engagement with external stakeholders. On the 26 September 2025 we launched a formal call for evidence, which provided stakeholders the opportunity to contribute directly to the plan’s development. This closed on 7 November 2025. The submissions to our call for evidence are being analysed to inform the development of the plan.

What steps he is taking to incorporate the National Audit Office recommendations regarding the 2023 Long Term Workforce Plan into the development of the 10 Year Workforce 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.To address the National Audit Office’s recommendations regarding the 2023 Long Term Workforce Plan, updated workforce modelling and its underlying assumptions will be set out in and alongside the new plan when published in spring 2026. It will be supported by external independent scrutiny.We are committed to engagement with external stakeholders. On the 26 September 2025 we launched a formal call for evidence, which provided stakeholders the opportunity to contribute directly to the plan’s development. This closed on 7 November 2025. The submissions to our call for evidence are being analysed to inform the development of the plan.

If his Department will take steps to help ensure that health boards and trusts collect and publish data on the provision of respiratory diagnostics.

I refer the Hon. Member to the answer I gave to the Hon. Member for Chelmsford on 27 October 2025 to Question 83430.

What steps he is taking to help (a) increase capacity for and (b) reduce inequalities in access to respiratory diagnosis.

Community diagnostic centres (CDCs) are increasing capacity and access to respiratory diagnostic tests such as spirometry and fractional exhaled nitric oxide, and will continue to do so as more sites come online. For example, the first five months of 2025/26 saw an increase in CDC spirometry testing of approximately 2,000 tests per month more than in the previous year.In addition, 101 CDCs across the country now offer out-of-hours services 12 hours a day, seven days a week, meaning patients across the country can access vital diagnostic tests around busy working lives.