Written questions by Morgan.

What steps he is taking to help reduce the potential impact of chronic respiratory conditions on the NHS this winter.

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 details of the actions being taken to reduce demand on acute services during winter are available at the following link:https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/

If he will outline the criteria used to decide which conditions should receive a modern service framework; and whether respiratory health meets these criteria.

I refer the hon. Member to the answer I gave to the hon. Member for Lewes on 27 October 2025 to Question 82544.

If his Department will make an assessment of the potential merits of commissioning neighbourhood level respiratory diagnostic hubs.

Respiratory diagnostic hubs have been piloted and developed in many parts of England and this learning will inform the development of more neighbourhood health services.Community diagnostic centres (CDCs) are also supporting the shift to neighbourhood health, with 170 CDCs now being operational across England. All standard model CDCs are required to offer a range of diagnostic tests that support diagnosis of respiratory conditions, including spirometry and lung function tests.CDCs offer local populations a wide range of diagnostic tests closer to home and greater choice on where and how they are undertaken, reducing the need for hospital visits and speeding up diagnosis, whilst also reducing pressure on hospitals.We are continuing to invest in expanding diagnostic capacity in the National Health Service, including through increasing CDC capacity. As set out in the Elective reform Plan, we plan to build up to five more CDCs, as part of £600 million capital funding for diagnostics in 2025/26. We are also increasing the operating hours of existing sites so that more offer services 12 hours a day, seven days a week.

If the 10 Year Workforce Plan will expand the number of medical specialty training places to meet population demand, beyond the 1,000 proposed in the 10 Year Health Plan.

On 8 December, the Government put an offer in writing to the British Medical Association Resident Doctors Committee (BMA RDC) which was rejected. The offer would have increased the number of specialty training posts over the next three years from the 1,000 announced in the 10-Year Health Plan to 4,000, bringing forward 1,000 of these specialty training posts to start in 2026. The BMA have rejected the Government's offer, so that is not going ahead. Our door remains open, and this Government is determined to put an end to these damaging cycles of disruption. On 8 January 2026, my Rt. Hon. Friend, the Secretary of State for Health and Social Care, met with the BMA RDC to kick off a series of talks to resolve the dispute.The 10 Year Workforce Plan will ensure that the National Health Service has the right people in the right places, with the right skills to care for patients, when they need it. It will include modelling of the potential size and shape of the future workforce and implications for major professions.We are engaging with partners throughout this process, including universities and higher education institutes. A number of organisations with expertise in higher education were invited to and attended a ministerially led partner event on 5 November. As we continue the open and wide-ranging conversations we’ve been having with staff, patients and organisations across the country, we will ensure that the engagement is robust and representative of different stakeholder groups.

If he will take steps to support educators, supervisors, mentors and trainers in the 10 Year Workforce Plan and work with employers to increase capacity for medical education and training.

On 8 December, the Government put an offer in writing to the British Medical Association Resident Doctors Committee (BMA RDC) which was rejected. The offer would have increased the number of specialty training posts over the next three years from the 1,000 announced in the 10-Year Health Plan to 4,000, bringing forward 1,000 of these specialty training posts to start in 2026. The BMA have rejected the Government's offer, so that is not going ahead. Our door remains open, and this Government is determined to put an end to these damaging cycles of disruption. On 8 January 2026, my Rt. Hon. Friend, the Secretary of State for Health and Social Care, met with the BMA RDC to kick off a series of talks to resolve the dispute.The 10 Year Workforce Plan will ensure that the National Health Service has the right people in the right places, with the right skills to care for patients, when they need it. It will include modelling of the potential size and shape of the future workforce and implications for major professions.We are engaging with partners throughout this process, including universities and higher education institutes. A number of organisations with expertise in higher education were invited to and attended a ministerially led partner event on 5 November. As we continue the open and wide-ranging conversations we’ve been having with staff, patients and organisations across the country, we will ensure that the engagement is robust and representative of different stakeholder groups.

What the timetable is for the publication of the new nutrient profiling model announced in the 10-year health plan for England.

As set out in our 10-Year Health Plan for England: fit for the future, we will take decisive action on the obesity crisis, easing the strain on our National Health Service and creating the healthiest generation of children ever.  The plan also stated that the Nutrient Profiling Model (NPM) 2004/05, which underpins the advertising restrictions on ‘less healthy’ food and drink products on television and online and promotion restrictions on ‘less healthy’ food and drink products in stores and their equivalent places online, is out of date. Updating the standards to reflect the latest dietary advice will strengthen the restrictions and more effectively target the products of most concern to childhood obesity.The Government intends to publish the new NPM in due course, ahead of consulting on its application to the advertising and promotions restrictions this year.

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

Every patient deserves access to the best possible treatment. 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. This is supported by confirmation that, thanks to strong UK support for innovation, the UK has secured mitigations under the United States of America’s ‘Most Favoured Nation’ drug pricing initiative.This deal will also benefit our life sciences sector, driving jobs, investment, and growth. We have secured a preferential tariff rate of 0% for all pharmaceuticals exports to the US for at least three years, and preferential terms for the UK’s medical technology exports, meaning no additional new tariffs on medical technology.The move has secured the confidence of the pharmaceutical industry that the UK is a top destination for investment and growth, with major firms like Moderna, Prologis, and BioNTech investing billions here, and renewed confidence in the UK.Costs will start smaller but will increase over time as 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.

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

Every patient deserves access to the best possible treatment. 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. This is supported by confirmation that, thanks to strong UK support for innovation, the UK has secured mitigations under the United States of America’s ‘Most Favoured Nation’ drug pricing initiative.This deal will also benefit our life sciences sector, driving jobs, investment, and growth. We have secured a preferential tariff rate of 0% for all pharmaceuticals exports to the US for at least three years, and preferential terms for the UK’s medical technology exports, meaning no additional new tariffs on medical technology.The move has secured the confidence of the pharmaceutical industry that the UK is a top destination for investment and growth, with major firms like Moderna, Prologis, and BioNTech investing billions here, and renewed confidence in the UK.Costs will start smaller but will increase over time as 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.

Whether he has made an assessment of the potential impact of NHS spending on pharmaceutical products on levels of NHS staffing, equipment and activity in the context of the UK-US trade deal.

Every patient deserves access to the best possible treatment. 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. This is supported by confirmation that, thanks to strong UK support for innovation, the UK has secured mitigations under the United States of America’s ‘Most Favoured Nation’ drug pricing initiative.This deal will also benefit our life sciences sector, driving jobs, investment, and growth. We have secured a preferential tariff rate of 0% for all pharmaceuticals exports to the US for at least three years, and preferential terms for the UK’s medical technology exports, meaning no additional new tariffs on medical technology.The move has secured the confidence of the pharmaceutical industry that the UK is a top destination for investment and growth, with major firms like Moderna, Prologis, and BioNTech investing billions here, and renewed confidence in the UK.Costs will start smaller but will increase over time as 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.

What steps his Department plans to take to implement the healthy food standard policy announced as part of the 10-year health plan for England within the current Parliament; and if he will publish a timeline for these legislative or regulatory changes.

As set out in the 10-Year Health Plan, we will take decisive action on the obesity crisis, easing the strain on our National Health Service and creating the healthiest generation of children ever. The plan committed to introducing mandatory healthy food sales reporting for all large companies in the food sector before the end of this Parliament and targets to increase the healthiness of sales in all communities.To fulfil this commitment, the Government is working towards a Spring 2026 public consultation on Healthier Food Targets and Reporting. Implementation dates will be determined following consultation. We are engaging with stakeholders on how this policy could reduce health inequalities and will also consider this through consultation.We are considering the most suitable way to enforce the policy, and any decisions are subject to consultation.

How he plans to enforce the targets set for businesses under the new healthy food standard policy announced as part of the 10-year health plan for England.

As set out in the 10-Year Health Plan, we will take decisive action on the obesity crisis, easing the strain on our National Health Service and creating the healthiest generation of children ever. The plan committed to introducing mandatory healthy food sales reporting for all large companies in the food sector before the end of this Parliament and targets to increase the healthiness of sales in all communities.To fulfil this commitment, the Government is working towards a Spring 2026 public consultation on Healthier Food Targets and Reporting. Implementation dates will be determined following consultation. We are engaging with stakeholders on how this policy could reduce health inequalities and will also consider this through consultation.We are considering the most suitable way to enforce the policy, and any decisions are subject to consultation.

What steps he is taking to ensure that the healthy food standard policy will reduce health inequalities and improve access to healthy food for deprived communities.

As set out in the 10-Year Health Plan, we will take decisive action on the obesity crisis, easing the strain on our National Health Service and creating the healthiest generation of children ever. The plan committed to introducing mandatory healthy food sales reporting for all large companies in the food sector before the end of this Parliament and targets to increase the healthiness of sales in all communities.To fulfil this commitment, the Government is working towards a Spring 2026 public consultation on Healthier Food Targets and Reporting. Implementation dates will be determined following consultation. We are engaging with stakeholders on how this policy could reduce health inequalities and will also consider this through consultation.We are considering the most suitable way to enforce the policy, and any decisions are subject to consultation.

What steps he is taking to improve (a) awareness and (b) treatment of postural tachycardia syndrome in North Shropshire constituency.

In North Shropshire, the planning and commissioning of services for postural tachycardia syndrome (PoTS) is led by the Shropshire, Telford and Wrekin Integrated Care Board (ICB). It is this local ICB’s responsibility to work with clinicians, service users, and patient groups to develop services and care pathways that meet the needs of patients with PoTS.Many patients with PoTS can be diagnosed and managed effectively within primary care. In complex cases, or where patients do not respond to initial treatment, patients may be referred to specialised cardiology or neurology services. Management of PoTS typically involves lifestyle changes and medications to help control symptoms, and can involve support from a multidisciplinary team.To improve awareness among healthcare professionals, the Royal College of General Practitioners includes training on PoTS as part of its Syncope Toolkit, an online resource for general practitioners. This provides education, practical guidance, and case studies to help primary care doctors recognise PoTS and manage initial investigations.Additionally, the National Institute for Health and Care Excellence provides a Clinical Knowledge Summary on blackouts and syncope, last updated November 2023, which advises clinicians on best practice in assessing and diagnosing PoTS.The 10-Year Health Plan aims to transform services and outcomes for people living with complex conditions like PoTS by prioritising integrated, personalised care. The plan focuses on earlier diagnosis and promotes multidisciplinary teams and community-based services to deliver coordinated support closer to home, reducing reliance on hospital care. Digital innovations, including remote monitoring and an enhanced NHS App, will help manage long-term conditions like PoTS more effectively. The plan also commits to 95% of people with complex needs having a personalised care plan by 2027. Personalised care plans will improve support for people with complex needs by ensuring that care is tailored to the individual and coordinated across services.These measures will help to ensure that patients in North Shropshire, as in the rest of England, will receive timely diagnosis, coordinated specialist care delivered though locally based multidisciplinary teams, and personalised support that addresses their needs.

What assessment his Department has made of the impact of not extending Start for Life funding to new Best Start for Life Family Hub areas on the delivery of integrated early-years services by local authorities.

Delivering integrated, joined-up health, education, and family support is at the heart of our ambition to raise the healthiest generation of children ever.Healthy Babies, formerly Start for Life, funding is helping families during the critical 1,001 days, and parents have said that they are more confident in feeding their babies and have better perinatal mental health because of this support. Further information is available at the following link:https://www.gov.uk/government/publications/start-for-life-services-thematic-review/start-for-life-services-thematic-reviewWe continue to assess how we can best support early years service integration across the country and remain committed to working with delivery partners locally to achieve this.Healthy Babies is one element of our broader commitment to supporting babies, children, and families. From April 2026, Best Start Family Hubs will expand to every single local authority, backed by over £500 million, to reach up to half a million more children and families. This funding will help all local authorities to integrate a range of statutory and non-statutory child health and family services.Best Start Family Hubs will form part of the architecture of the Neighbourhood Health Service. Through the shifts from hospital to community and from treatment to prevention, we will further strengthen the integration of services, helping to ensure that babies and their families can get the support they need, when and where they need it.

When he plans to respond to Question 90413 on Maternity Services: Inquiries and Question 95963 on Prostate Cancer: Screening.

I refer the hon. Member to the answer I gave on 11 December 2025 to Question 90413, as well as to the answer my hon. Friend, the Minister for Public Health and Prevention, gave on 10 December 2025 to Question 95963.

How many NHS providers are making use of the Royal Mail barcode for NHS mail.

Data on how many National Health Service providers are making use of Royal Mail barcodes for NHS mail is not held centrally by the Department.

How many ward clerks are employed (a) in England and (b) in A&E departments.

Department does not hold information on the number of ward clerks or bed clerks employed in the National Health Service in England, or the number in accident and emergency departments.

How many and what proportion of NHS hospitals have 24 hours pharmacy dispensing for patients being discharged.

The Department and NHS England do not hold this information.  NHS England’s guidance and toolkits embed medicines planning within discharge processes and emphasise arranging discharge prescriptions and take-home medicines in advance, so they can be supplied within standard pharmacy operating hours and do not delay discharge. Implementation of this guidance is the responsibility of local National Health Service organisations.

How many bed clerks are employed in (a) England and (b) A&E departments.

Department does not hold information on the number of ward clerks or bed clerks employed in the National Health Service in England, or the number in accident and emergency departments.

What guidance his Department has provided to Neighbourhood Health Centre sites on integrating specialist neurology services with neighbourhood-based care teams.

In August 2025, NHS England updated its service specification for specialised adult neurology services. It outlines how specialised neurology services should support integrated and responsive care for individuals with long-term neurological conditions through collaboration between hospital and community providers. Service specifications define the standards of care expected from organisations funded by NHS England to provide specialised care.At the national level, there are a number of initiatives supporting service improvement and better care for patients with neurological conditions, including the Getting It Right First Time Programme for Neurology and the Neurology Transformation Programme.We have announced our commitment to deliver 250 Neighbourhood Health Centres (NHCs) through the NHS Neighbourhood Rebuild Programme, with 120 delivered by 2030, and with rollout starting in areas with the greatest need where healthy life expectancy is lowestWe 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, that will mean the service will look different in different places across the country. We will be publishing further guidance to support local areas to develop neighbourhood health plans in due course. This will set out how the National Health Service, local authorities, and partners should work together under the leadership of Health and Wellbeing Boards to develop and implement plans.