Every parliamentary written question tabled by Joshua Reynolds this session, with the full answer and department. Back to the MP page.
Showing 41–57 of 57 · Department of Health and Social Care
What his Department’s policy is on the use of cash for food vendor payments in NHS hospitals.
The Department does not have a policy on the use of cash for the payment of food vendors in National Health Service hospitals. These decisions are taken locally by NHS organisations.
What recent assessment his Department has made of the potential impact of midwifery recruitment freezes on maternal health outcomes in England; and what steps his Department is taking to reduce staffing shortages in maternity services in areas where (a) hospital access times are longer and (b) home birth provision has declined.
The Government is committed to tackling the retention and recruitment challenges that face the National Health Service.NHS England is leading a range of initiatives to boost the retention of existing staff. This includes building a compassionate and inclusive culture, supporting staff wellbeing, and promoting flexible working opportunities.On 11 August, we announced the Graduate Guarantee for nurses and midwives. The Graduate Guarantee will ensure that there are enough positions for every newly qualified midwife in England. The package of measures will unlock thousands of jobs and will ensure thousands of new posts are easier to access by removing barriers for NHS trusts, creating opportunities for graduates and ensuring a seamless transition from training to employment.Vacant maternity support worker posts will be temporarily converted to band 5 midwifery roles, backed by £8 million to create new opportunities specifically for newly qualified midwives and to further ease the recruitment strain.These new measures aim to tackle graduates’ concerns about job availability and ensure the NHS has the right staff to provide the best possible care to patients everywhere.Targeted retention work for midwives is being undertaken by NHS England, led by the Chief Nursing Officer for England. This work contains a range of measures, including creation of a midwifery and nursing retention self-assessment tool, mentoring schemes, strengthened advice and support on pensions, and embedding flexible retirement options. NHS England has also invested in unit-based retention leads which, alongside investment in workforce capacity, has seen a reduction in vacancy, leaver and turnover rates.There are four nationally run programmes to develop midwifery staff, at bands 6 and above, from ethnic minority groups to better support patients, in addition to local initiatives to better reflect the community of the women and babies they support.Responsibility for the delivery, implementation and funding decisions for services ultimately rests with the appropriate NHS commissioner. This includes waiting times and homebirth provisions.NHS commissioners are expected to develop clear plans for reverting temporary service changes or developing plans for the permanent reconfiguration of the service. All service changes should be based on clear evidence that they will deliver better outcomes for patients.
What his planned timeline is for publishing a Government response to the Hughes Report, published on 7 February 2024.
The Government is carefully considering the work by the Patient Safety Commissioner and her Report, which set out options for redress for those harmed by valproate and pelvic mesh. This is a complex issue involving input from different Government Departments. The Government will provide a further update to the Patient Safety Commissioner’s Report.
What steps his Department is taking to expand access to degree apprenticeships in midwifery for (a) mature students, (b) career changers and (c) other people who face (i) financial and (ii) practical barriers to undertaking traditional university training routes.
We will publish a new workforce plan to deliver the transformed health service we will build over the next decade, and will treat patients on time again. This will include how we ensure we train healthcare staff, through all training routes including apprenticeships, to support patients in all of our communities.
What steps his Department is taking to raise public awareness of the symptoms of chronic urinary tract infections.
The National Health Service provides information on the symptoms of urinary tract infections (UTIs), including chronic UTIs, at the following link:https://www.nhs.uk/conditions/urinary-tract-infections-utis/The Department currently has no plans to raise public awareness of the symptoms of chronic UTIs. However, the Department, through the National Institute for Health and Care Research (NIHR), is funding research to improve the diagnosis and treatment of UTIs, including chronic UTIs. This research includes the development of antimicrobial-impregnated catheters to reduce episodes of catheter-associated UTIs as well as the TOUCAN study, with further information available at the following link:https://www.phctrials.ox.ac.uk/recruiting-trials/toucan-platform-for-uti-diagnostic-evaluationThis study is evaluating rapid point of care UTI diagnostic tests in general practice surgeries that not only enable faster detection of UTIs but also provide real-time information on antibiotic resistance, ensuring patients receive the correct treatment.
What steps his Department is taking to reduce waiting times for adolescent mental health services in Berkshire.
We know children and young people are not receiving the mental health care they need and that waits for mental health services are too long across England, including Berkshire. We are determined to change that as part of our shift to prevention and earlier intervention and in line with our Plan for Change.The Department’s Spending Review settlement means that annual National Health Service day-to-day spending will increase by £29 billion in real terms, representing a £53 billion cash uplift, by 2028/29 compared to 2023/24.In the Spending Review announcement, we have confirmed that we will fulfil the Government’s commitments to recruit an additional 8,500 additional mental health staff by the end of the Parliament and expand mental health support teams in schools in England to cover 100% of pupils by 2029/30.
Whether his Department has made an assessment of the potential merits of establishing a seven-day Community Diagnostic Centre at St Mark's Hospital in Maidenhead.
Slough Community Diagnostic Centre (CDC) is currently delivering temporary activity at St Mark’s Hospital in Maidenhead, and has done so since January 2024, in addition to activity at the permanent site at Upton Community Hospital, whilst the new facility is being completed. Once the new facility at Upton Community Hospital is completed later in 2025, all diagnostic activity will move to Upton Community Hospital, where it is expected that Slough CDC will be open 12 hours a day, seven days a week.The Elective Reform Plan, published on 6 January 2025, sets out that we will increase the number of CDCs offering services 12 hours a day, seven days a week, as well as delivering additional CDC capacity in 2025/26 by expanding a number of existing CDCs and building up to five new ones.NHS England is working with local National Health Service systems to identify the most appropriate locations for investments, including new CDCs. A key factor they will consider is that new CDCs are positioned in a location which addresses local need and will address health inequalities. Details will be set out in due course.
What his Department's planned timetable is for publishing its plans to reduce the time taken for patients to receive mental health treatment.
Long waits for mental health services are being driven by increasing demand to a system in desperate need of change. The Government is already responding by delivering new and innovative models of care in the community. We are piloting innovative models of care in the community, including six neighbourhood adult mental health centres that are open 24 hours a day, seven days a week and bring together community, crisis, and inpatient care.NHS England Planning Guidance for 2025/26 makes clear that for this year, to support reform and improvements, we expect all providers to reduce the variation in children and young people accessing services and improve productivity. We are also improving data quality so we can support providers to understand demand across their areas. Since July 2023, NHS England has included waiting times metrics for referrals to urgent and community-based mental health services in its monthly mental health statistics publication to help services to target the longest waits.It is important that mental health services within the National Health Service work closely with the voluntary sector to deliver new models of care. The 10-Year Health Plan will be published shortly, and this will set out how the overall health system will run.
What steps his Department is taking to accelerate the uptake of non-animal New Approach Methodologies in (a) regulatory testing and (b) scientific research.
National Institute for Health and Care Research (NIHR) funding is focused on translational, clinical, and applied health and care research. We therefore do not fund basic research or work involving animals, animal tissue, or both. However, the NIHR does work in close partnership with the Medical Research Council, which funds animal research in carefully defined circumstances and recognises the need for the robust application of the 3Rs, the replacement, reduction, and refinement of animal use in research.The Government will publish a strategy to support the development, validation, and uptake of alternative methods in basic, applied, translational, and regulatory research and testing later this year.
What steps his Department is taking to improve access to NHS dental services in Maidenhead.
The Government plans to tackle the challenges for patients trying to access National Health Service dental care with a rescue plan to provide 700,000 more urgent dental appointments from April 2025 and recruit new dentists to the areas that need them most. To rebuild dentistry in the long term, we will reform the dental contract with the sector, with a shift to focus on prevention and the retention of NHS dentists.The responsibility for commissioning primary care services, including NHS dentistry, to meet the needs of the local population has been delegated to the integrated care boards (ICBs) across England. For the Maidenhead constituency, this is the NHS Frimley ICB.
Whether his Department plans to increase core funding for GP practices.
We are investing an additional £889 million into core funding for general practice (GP) to reinforce the front door of the National Health Service, bringing total spend on the GP Contract to £13.2 billion in 2025/26. This is the biggest increase in over a decade, and we are pleased that the General Practitioners Committee England is supportive of the contract changes.
What steps he is taking to support GP practices to (a) recruit and (b) retain skilled practitioners.
We are investing an additional £889 million through the GP Contract to reinforce the front door of the National Health Service, bringing total spend on the GP Contract to £13.2 billion in 2025/26. This is the biggest increase in over a decade.Under recently announced changes to the GP Contract in 2025/26, the Additional Roles Reimbursement Scheme (ARRS) will become more flexible to allow primary care networks (PCNs) to respond better to local workforce needs. The two ARRS pots will be combined to create a single pot for reimbursement of patient facing staff costs. There will be no restrictions on the number or type of staff covered, including GPs and practice nurses.In a drive to recruit GPs via the ARRS and to bring back the family doctor, the salary element of the maximum reimbursement amount that PCNs can claim for GPs will be increased from £73,113 in 2024/25, the bottom of the salaried GP pay range, to £82,418, an uplift of £9,305, representing the lower quartile of the salaried GP pay range, as some GPs will be entering their second year in the scheme. Proportionate employer on-costs will also be included within the overall maximum reimbursement amount which PCNs will be able to claim.Our commitment to growing the GP workforce includes addressing the reasons why doctors leave the profession, and encouraging them to return to practice. We know that high workloads can be a key driver for GPs reducing their contracted hours or leaving the profession altogether. That’s why we are tackling morale through drivers such as growing the workforce and reducing bureaucracy through our Red Tape Challenge, to improve job satisfaction and reduce the risk of burnout.
What steps he is taking to improve the Additional Roles Reimbursement Scheme.
We are investing an additional £889 million through the GP Contract to reinforce the front door of the National Health Service, bringing total spend on the GP Contract to £13.2 billion in 2025/26. This is the biggest increase in over a decade.Under recently announced changes to the GP Contract in 2025/26, the Additional Roles Reimbursement Scheme (ARRS) will become more flexible to allow primary care networks (PCNs) to respond better to local workforce needs. The two ARRS pots will be combined to create a single pot for reimbursement of patient facing staff costs. There will be no restrictions on the number or type of staff covered, including GPs and practice nurses.In a drive to recruit GPs via the ARRS and to bring back the family doctor, the salary element of the maximum reimbursement amount that PCNs can claim for GPs will be increased from £73,113 in 2024/25, the bottom of the salaried GP pay range, to £82,418, an uplift of £9,305, representing the lower quartile of the salaried GP pay range, as some GPs will be entering their second year in the scheme. Proportionate employer on-costs will also be included within the overall maximum reimbursement amount which PCNs will be able to claim.Our commitment to growing the GP workforce includes addressing the reasons why doctors leave the profession, and encouraging them to return to practice. We know that high workloads can be a key driver for GPs reducing their contracted hours or leaving the profession altogether. That’s why we are tackling morale through drivers such as growing the workforce and reducing bureaucracy through our Red Tape Challenge, to improve job satisfaction and reduce the risk of burnout.
What steps he is taking to reduce levels of GP unemployment.
We are investing an additional £889 million through the GP Contract to reinforce the front door of the National Health Service, bringing total spend on the GP Contract to £13.2 billion in 2025/26. This is the biggest increase in over a decade.Under recently announced changes to the GP Contract in 2025/26, the Additional Roles Reimbursement Scheme (ARRS) will become more flexible to allow primary care networks (PCNs) to respond better to local workforce needs. The two ARRS pots will be combined to create a single pot for reimbursement of patient facing staff costs. There will be no restrictions on the number or type of staff covered, including GPs and practice nurses.In a drive to recruit GPs via the ARRS and to bring back the family doctor, the salary element of the maximum reimbursement amount that PCNs can claim for GPs will be increased from £73,113 in 2024/25, the bottom of the salaried GP pay range, to £82,418, an uplift of £9,305, representing the lower quartile of the salaried GP pay range, as some GPs will be entering their second year in the scheme. Proportionate employer on-costs will also be included within the overall maximum reimbursement amount which PCNs will be able to claim.Our commitment to growing the GP workforce includes addressing the reasons why doctors leave the profession, and encouraging them to return to practice. We know that high workloads can be a key driver for GPs reducing their contracted hours or leaving the profession altogether. That’s why we are tackling morale through drivers such as growing the workforce and reducing bureaucracy through our Red Tape Challenge, to improve job satisfaction and reduce the risk of burnout.
If he will make it his policy to open one of the new seven day Community Diagnostic Centres at St Mark's Hospital in Maidenhead.
St Marks Hospital is currently hosting temporary activity for Slough Community Diagnostic Centre (CDC) in Maidenhead whilst the permanent site at Upton Community Hospital in Slough is being completed. All diagnostic activity will move to Upton Hospital later in 2025 once the new CDC is constructed, where it is expected that Slough CDC will be open 12 hours per day, 7 days a week. The Elective Reform Plan, published on 6 January 2025, sets out that we will extend the minimum standards for all community diagnostic centres, to open 12 hours per day, 7 days a week as well as delivering additional CDC capacity in 2025/26 by expanding a number of existing CDCs and building up to five new ones. CDCs intend to provide a broad range of elective diagnostics in the community and closer to home, reducing pressure on hospitals and giving patients quicker and more convenient access to tests. Therefore, where feasible, the National Health Service has and will endeavour to locate CDCs in the community rather than in acute settings. This supports one of the Government’s key strategic shifts, namely moving care from the hospital to the community. Capital investment agreed at Spending Review 2025 and announced in the Autumn Statement will be allocated to local systems by NHS England, and details on this will be released as part of upcoming capital planning guidance. The investment will support a range of initiatives, including supporting systems to deliver against the Government's ambition to return to the 18-week constitutional standard. NHS England will work with local systems to identify the most appropriate locations for investments, including new CDCs, and expansions of existing CDCs. A key factor they will consider is that new CDCs are positioned in a location which addresses local need and will address health inequalities.
What assessment his Department has made of the potential impact of proposed changes to employer National Insurance contributions on the number of available GP appointments.
Primary care providers, including general practices (GPs), are valued independent contractors who provide nearly £20 billion worth of National Health Services. Every year we consult with each sector both about what services they provide, and the money providers are entitled to in return under their contract. As in previous years, the issue of National Insurance contribution changes will be dealt with as part of that process. We will shortly begin discussions on the annual GP Contract.
What steps his Department is taking to reduce waiting lists for heart care treatments, in the context of recent statistics published by the British Heart Foundation on trends in the number of premature deaths from heart and circulatory diseases.
Tackling waiting lists is a key part of our Health Mission. The waiting list at the end of July stood at 7.62 million patient pathways, with 417,864 incomplete pathways waiting for treatment for cardiology.We will deliver an extra 40,000 operations, scans, and appointments per week, including in cardiology services, as a First Step in our commitment to ensuring patients can expect to be treated within 18 weeks.We will be supporting NHS Trusts to deliver these through innovation, sharing best practice to increase productivity and efficiency, and ensuring the best value is delivered.This government is committed to putting patients first. This means making sure that patients across all specialities, including cardiology, are seen on time and ensuring that people have the best possible experience during their care.