Written questions by Anderson.

What steps his Department is taking to reduce medicine wastage in the NHS.

The Government recognises the importance of a coordinated approach to reduce medicine wastage, improve efficiencies, and lower costs for taxpayers. NHS England leads a medicine optimisation programme to enhance patient outcomes, ensure medication is taken as intended, avoid unnecessary medicines, and reduce wastage. For example, community pharmacies offer the New Medicines Service for newly prescribed patients and the Discharge Medicines Service for those recently discharged from hospital to support adherence. The 2021 national overprescribing review highlighted necessary practical and cultural changes to ensure appropriate patient treatment and value for money. General practices offer Structured Medicine Reviews, with pharmacists in multi-disciplinary teams optimising patient medication and preventing wastage. Additionally, electronic Repeat Dispensing allows prescribers to send repeat prescriptions as a batch to allow better management, ensuring patients only collect what they need. Waste reduction schemes are commissioned locally, and therefore the Department does not hold data centrally on the cost of medicines waste.

What data his Department holds on the cost to the NHS of wasted medicines.

The Government recognises the importance of a coordinated approach to reduce medicine wastage, improve efficiencies, and lower costs for taxpayers. NHS England leads a medicine optimisation programme to enhance patient outcomes, ensure medication is taken as intended, avoid unnecessary medicines, and reduce wastage. For example, community pharmacies offer the New Medicines Service for newly prescribed patients and the Discharge Medicines Service for those recently discharged from hospital to support adherence. The 2021 national overprescribing review highlighted necessary practical and cultural changes to ensure appropriate patient treatment and value for money. General practices offer Structured Medicine Reviews, with pharmacists in multi-disciplinary teams optimising patient medication and preventing wastage. Additionally, electronic Repeat Dispensing allows prescribers to send repeat prescriptions as a batch to allow better management, ensuring patients only collect what they need. Waste reduction schemes are commissioned locally, and therefore the Department does not hold data centrally on the cost of medicines waste.

What recent assessment he has made of the readiness of the NHS to respond to co-ordinated cyber attacks.

In the past year, we have invested £37.6 million across health and social care, building on the £338 million invested since 2017. Through our ambitious Cyber Improvement Programme, we are tackling the changing cyber risk head-on, expanding protection and services to better protect the health and care system.NHS England’s Cyber Operations team provides 24/7 monitoring and expert support to National Health Service organisations who have been impacted by cyber-attacks. This includes specialist, on the ground, certified incident response services free of charge to NHS organisations who have been severely impacted by cyber incidents as well as technical and operational support to contain, investigate, and remediate incidents. Furthermore, we have developed guidance for leaders involved in cyber incidents to ensure there is a clear policy and process for how to respond across all elements of incidents.We have a process in place to identify lessons and implement improvements following cyber incidents. Following the Synnovis cyber-attack in 2024, the Department and NHS England have made improvements to critical communications processes, additional measures to improve resilience in the supply chain, and setting out clearer roles and responsibilities in incident management.In 2023, a Health and Care Cyber Security Strategy was launched. Pillar 5 of the strategy focuses on exemplary response and recovery, and as set out in the strategy, health and care organisations should run annual cyber exercises to ensure there is a well-practiced and rapid response when incidents do occur.

If his Department will take steps to increase the number of places for domestic students on medical courses in universities.

In England, the Office for Students (OfS) sets the maximum fundable limit for medical school places on an annual basis. OfS will publish its intake target for the 2026/27 academic year in due course.For the 2025/26 academic year, OfS has published its intake target at 8,126 for medical school places, with further information available at the following link:https://www.officeforstudents.org.uk/for-providers/finance-and-funding/medicine-and-dentistry-funding/medical-and-dental-maximum-fundable-limits/On 28 January, the Medical Training (Prioritisation) Bill was introduced in the House of Lords. This bill implements the Government’s commitment in the 10-Year Health Plan to prioritise UK medical graduates for foundation training places, and to prioritise UK medical graduates and other doctors with significant NHS experience for specialty places.

How much their Department has spent on (a) advertising and (b) marketing in each of the last three years.

Significant payments to companies, £25,000 and over, are published by month as part of the Department’s transparency data. This provides the most up to date data, including the companies used to deliver advertising and marketing. They are available at the following link:https://www.gov.uk/government/collections/spending-over-25-000--2

With reference to the Prime Minister's oral contribution during Prime Minister's Questions on 10 December 2025, Official Report, col 306, how many of the 5 million additional NHS appointments have taken place.

We exceeded our pledge to provide an extra two million tests, operations, and other appointments during the first year of Government, as an additional 5.2 million appointments were provided between July 2024 and June 2025.The 5.2 million figure refers to secondary care appointments undertaken within elective care and, importantly, it only includes those that have taken place. It does not include appointments that were cancelled by the patient or provider.Data published on the 5.2 million additional appointments delivered can be found at the following link:https://www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/recovery-of-elective_activity-mi/

How much money is allocated to providing illegal migrants with (a) dental and (b) health care.

The Department and NHS England do not hold the information requested. The overall management of asylum seekers including provision of health and dental health care is a matter for the Home Office.All asylum seeker accommodation providers have a duty and requirement to assist people who need it to access healthcare.

What steps his Department is taking to improve access to (a) emotional support and (b) mental health services for people living with a visual impairment.

We recognise that people with mental health issues, including those people living with a visual impairment, are not getting the support or care they need, which is why we are working to ensure the National Health Service provides the right support to the right people at the right time. At the Spending Review, we confirmed that we will deliver on our commitment to recruit an additional 8,500 mental health workers by the end of this Parliament, roll out mental health support teams to cover all schools in England by 2029/30, and expand NHS Talking Therapies and Individual Placement and Support schemes. We have also already started piloting Neighbourhood Mental Health Centres. These pilots aim to provide open access care for anyone with a severe mental illness 24 hours a day, seven days a week. Our aim is to have one Neighbourhood Health Centre in each community that brings together NHS, local authority, and voluntary sector services into one building to help create a holistic offer that meets the needs of local populations, including those living with a visual impairment.

What assessment he has made of the adequacy of vision rehabilitation in (a) Ashfield constituency and (b) the UK.

Under the Care Act 2014, local authorities have the duty to shape their care market and to commission a range of high-quality, sustainable, and person-centred care and support services to meet the diverse needs of all local people. This includes encouraging a wide range of service provision to ensure that people, including those with sight loss, have a choice of appropriate services and equipment that maximise independence.Although the Care Quality Commission (CQC) is not currently required to assess vision rehabilitation services, as regulated activities under the Health and Social Care Act 2008, sensory services, including vision rehabilitation, do form part of the CQC’s overall assessment of local authorities’ delivery of adult social care.CQC assessments identify local authorities’ strengths and areas for development, in their delivery of their duties under part 1 of the Care Act. This facilitates the sharing of good practice and helps us to target support where it is most needed. It may be helpful to know that the CQC will report on sensory services when there is something important to highlight, for example, something being done well, innovative practice, or an area for improvement. Reports are published on the CQC’s website, available at the following link:https://www.cqc.org.uk/care-services/local-authority-assessment-reportsIn England, we continue to fund the Disabled Facilities Grant (DFG) which is administered by local authorities. This grant helps eligible older and disabled people, including those with a vision impairment, to adapt their homes to make them safe and suitable for their needs. Practical changes include installing stairlifts, level-access showers, and ramps.We have provided an additional £172 million over two years to uplift the DFG, which could provide approximately 15,000 extra home adaptations to give people more independence in their homes. This brings total funding for the DFG to £711 million in both 2024/25 and 2025/26.

What steps his Department is taking to help support visually impaired people to live independently.

Under the Care Act 2014, local authorities have the duty to shape their care market and to commission a range of high-quality, sustainable, and person-centred care and support services to meet the diverse needs of all local people. This includes encouraging a wide range of service provision to ensure that people, including those with sight loss, have a choice of appropriate services and equipment that maximise independence.Although the Care Quality Commission (CQC) is not currently required to assess vision rehabilitation services, as regulated activities under the Health and Social Care Act 2008, sensory services, including vision rehabilitation, do form part of the CQC’s overall assessment of local authorities’ delivery of adult social care.CQC assessments identify local authorities’ strengths and areas for development, in their delivery of their duties under part 1 of the Care Act. This facilitates the sharing of good practice and helps us to target support where it is most needed. It may be helpful to know that the CQC will report on sensory services when there is something important to highlight, for example, something being done well, innovative practice, or an area for improvement. Reports are published on the CQC’s website, available at the following link:https://www.cqc.org.uk/care-services/local-authority-assessment-reportsIn England, we continue to fund the Disabled Facilities Grant (DFG) which is administered by local authorities. This grant helps eligible older and disabled people, including those with a vision impairment, to adapt their homes to make them safe and suitable for their needs. Practical changes include installing stairlifts, level-access showers, and ramps.We have provided an additional £172 million over two years to uplift the DFG, which could provide approximately 15,000 extra home adaptations to give people more independence in their homes. This brings total funding for the DFG to £711 million in both 2024/25 and 2025/26.

What steps his Department is taking to help increase awareness of good eye care procedure.

Integrated care boards (ICBs) are responsible for commissioning primary and secondary eye care services to meet local need. We are not aware of any issues with the availability of sight testing services. The decision to commission enhanced eye care services will be determined by local ICBs following a local needs assessment.The NHS.UK website sets out the importance of regular sight tests whilst also providing information about entitlement to free National Health Service sight tests. The Department also looks for opportunities to promote the importance of NHS sight tests, such as through National Eye Health Week.

What recent assessment he has made of the adequacy of the availability of optician services.

Integrated care boards (ICBs) are responsible for commissioning primary and secondary eye care services to meet local need. We are not aware of any issues with the availability of sight testing services. The decision to commission enhanced eye care services will be determined by local ICBs following a local needs assessment.The NHS.UK website sets out the importance of regular sight tests whilst also providing information about entitlement to free National Health Service sight tests. The Department also looks for opportunities to promote the importance of NHS sight tests, such as through National Eye Health Week.

What recent assessment he has made of the financial impact of brain tumours on people with brain tumours.

The Government recognises the importance of sufficient support for cancer patients, including those with brain tumours. NHS England has committed to ensuring that every person diagnosed with cancer has access to personalised care. This includes needs assessments, a care plan, and health and wellbeing information and support. Through the provision of information, personalised care empowers people to manage their care and the impact of their cancer. This approach ensures that each person’s care is planned holistically, covering mental and physical health, as well as any practical or financial concerns.The National Health Service in England runs schemes to provide financial assistance for travel to a hospital, or other NHS premises, for specialist NHS treatment or diagnostics tests, when referred by a doctor or other primary healthcare professional. This includes the NHS Healthcare Travel Costs Scheme (HTCS), which provides financial assistance to patients who do not have a medical need for transport, but who require assistance with the costs of travelling to receive certain NHS services. Patients who do not qualify for the HTCS and who are on a low income may be able to claim the costs from the Department for Work and Pensions through Universal Credit or Personal Independence Payment. NHS England and the integrated care boards are responsible for commissioning and ensuring the healthcare needs of local communities in England are met, including to those on low incomes to access cancer treatments and appropriate care.The National Cancer Plan will be published in the new year. It will have patients at its heart and will cover the entirety of the cancer pathway, from referral and diagnosis to treatment and aftercare. It will seek to improve every aspect of cancer care to improve the experience and outcomes for people with cancer, including those with brain tumours.

What steps he is taking to support people with brain tumours.

The Government recognises the importance of sufficient support for cancer patients, including those with brain tumours. NHS England has committed to ensuring that every person diagnosed with cancer has access to personalised care. This includes needs assessments, a care plan, and health and wellbeing information and support. Through the provision of information, personalised care empowers people to manage their care and the impact of their cancer. This approach ensures that each person’s care is planned holistically, covering mental and physical health, as well as any practical or financial concerns.The National Health Service in England runs schemes to provide financial assistance for travel to a hospital, or other NHS premises, for specialist NHS treatment or diagnostics tests, when referred by a doctor or other primary healthcare professional. This includes the NHS Healthcare Travel Costs Scheme (HTCS), which provides financial assistance to patients who do not have a medical need for transport, but who require assistance with the costs of travelling to receive certain NHS services. Patients who do not qualify for the HTCS and who are on a low income may be able to claim the costs from the Department for Work and Pensions through Universal Credit or Personal Independence Payment. NHS England and the integrated care boards are responsible for commissioning and ensuring the healthcare needs of local communities in England are met, including to those on low incomes to access cancer treatments and appropriate care.The National Cancer Plan will be published in the new year. It will have patients at its heart and will cover the entirety of the cancer pathway, from referral and diagnosis to treatment and aftercare. It will seek to improve every aspect of cancer care to improve the experience and outcomes for people with cancer, including those with brain tumours.

What funding his department has allocated towards research into (a) Chron's and (b) Colitis in the last year.

The Department invests £1.6 billion each year on research through its research delivery arm, the National Institute for Health and Care Research (NIHR).In the financial year 2024/25, the NIHR committed £279,000 for new research projects and programmes into Crohn's and Colitis. The NIHR continues to welcome funding applications for research into any aspect of human health and care, including Crohn's and Colitis research.

What steps he is taking to help support people living with (a) Crohn's and (b) Colitis in Ashfield.

The Government is committed to improving care for people living with Crohn’s disease and ulcerative colitis, including those in the Ashfield constituency. NHS England supports local integrated care boards to deliver high-quality, timely services through initiatives such as the Getting It Right First Time (GIRFT) programme. GIRFT promotes earlier diagnosis, proactive management of flare-ups, and consistent adoption of best practice. Its gastroenterology report and updated inflammatory bowel disease (IBD) pathway recommend measures such as rapid access to specialist review within four weeks, personalised care plans, and expanded endoscopy capacity. These changes aim to cut emergency admissions, improve quality of life, and ensure equitable access to specialist nurses and multidisciplinary support across the country. The GIRFT programme has recently published a new handbook pulling together examples of innovative practice, proven solutions, and practical actions to help optimise the care of National Health Service patients with IBD. The GIRFT IBD pathway and associated handbook include specific guidance for paediatric care and the transition to adult services, recognising the unique needs of children and young people with Crohn’s disease and ulcerative colitis. The handbook is available at the following link:https://gettingitrightfirsttime.co.uk/practical-advice-and-key-actions-in-new-girft-handbook-for-optimising-the-care-of-patients-with-ibd/The 10-Year Health Plan will further improve care and support for people with IBD by expanding community diagnostic centres, reducing waiting times for endoscopy and imaging, and integrating digital tools to streamline referrals and follow-up care. It prioritises early diagnosis, personalised treatment plans, and better coordination between primary and specialist services. Investment in multidisciplinary teams will ensure patients receive timely, high-quality care. In addition, initiatives such as Diagnosis Connect will, from 2026, provide newly diagnosed patients with tailored information and support, empowering them to manage their condition confidently.The NHS website provides comprehensive, accessible information on Crohn’s disease and ulcerative colitis, helping to raise public awareness and understanding of these conditions. The site explains what Crohn’s and colitis are, outlines common symptoms, and gives clear guidance on when to seek medical advice. It also details how these conditions are diagnosed and managed, including available treatments and support services.To raise awareness of IBD among general practitioners and other primary care staff, the Royal College of General Practitioners has produced an Inflammatory Bowel Disease Toolkit. The toolkit outlines when to suspect IBD, the appropriate investigative tests and diagnostic tools for IBD, how to manage a flare-up of symptoms, and how to support patients with IBD.

What steps he is taking to increase awareness of the symptoms of (a) Crohn's and (b) Colitis.

The Government is committed to improving care for people living with Crohn’s disease and ulcerative colitis, including those in the Ashfield constituency. NHS England supports local integrated care boards to deliver high-quality, timely services through initiatives such as the Getting It Right First Time (GIRFT) programme. GIRFT promotes earlier diagnosis, proactive management of flare-ups, and consistent adoption of best practice. Its gastroenterology report and updated inflammatory bowel disease (IBD) pathway recommend measures such as rapid access to specialist review within four weeks, personalised care plans, and expanded endoscopy capacity. These changes aim to cut emergency admissions, improve quality of life, and ensure equitable access to specialist nurses and multidisciplinary support across the country. The GIRFT programme has recently published a new handbook pulling together examples of innovative practice, proven solutions, and practical actions to help optimise the care of National Health Service patients with IBD. The GIRFT IBD pathway and associated handbook include specific guidance for paediatric care and the transition to adult services, recognising the unique needs of children and young people with Crohn’s disease and ulcerative colitis. The handbook is available at the following link:https://gettingitrightfirsttime.co.uk/practical-advice-and-key-actions-in-new-girft-handbook-for-optimising-the-care-of-patients-with-ibd/The 10-Year Health Plan will further improve care and support for people with IBD by expanding community diagnostic centres, reducing waiting times for endoscopy and imaging, and integrating digital tools to streamline referrals and follow-up care. It prioritises early diagnosis, personalised treatment plans, and better coordination between primary and specialist services. Investment in multidisciplinary teams will ensure patients receive timely, high-quality care. In addition, initiatives such as Diagnosis Connect will, from 2026, provide newly diagnosed patients with tailored information and support, empowering them to manage their condition confidently.The NHS website provides comprehensive, accessible information on Crohn’s disease and ulcerative colitis, helping to raise public awareness and understanding of these conditions. The site explains what Crohn’s and colitis are, outlines common symptoms, and gives clear guidance on when to seek medical advice. It also details how these conditions are diagnosed and managed, including available treatments and support services.To raise awareness of IBD among general practitioners and other primary care staff, the Royal College of General Practitioners has produced an Inflammatory Bowel Disease Toolkit. The toolkit outlines when to suspect IBD, the appropriate investigative tests and diagnostic tools for IBD, how to manage a flare-up of symptoms, and how to support patients with IBD.

What steps they are taking to help reduce wait times for diagnosis of (a) Crohn's and (b) Colitis.

The Government is committed to improving care for people living with Crohn’s disease and ulcerative colitis, including those in the Ashfield constituency. NHS England supports local integrated care boards to deliver high-quality, timely services through initiatives such as the Getting It Right First Time (GIRFT) programme. GIRFT promotes earlier diagnosis, proactive management of flare-ups, and consistent adoption of best practice. Its gastroenterology report and updated inflammatory bowel disease (IBD) pathway recommend measures such as rapid access to specialist review within four weeks, personalised care plans, and expanded endoscopy capacity. These changes aim to cut emergency admissions, improve quality of life, and ensure equitable access to specialist nurses and multidisciplinary support across the country. The GIRFT programme has recently published a new handbook pulling together examples of innovative practice, proven solutions, and practical actions to help optimise the care of National Health Service patients with IBD. The GIRFT IBD pathway and associated handbook include specific guidance for paediatric care and the transition to adult services, recognising the unique needs of children and young people with Crohn’s disease and ulcerative colitis. The handbook is available at the following link:https://gettingitrightfirsttime.co.uk/practical-advice-and-key-actions-in-new-girft-handbook-for-optimising-the-care-of-patients-with-ibd/The 10-Year Health Plan will further improve care and support for people with IBD by expanding community diagnostic centres, reducing waiting times for endoscopy and imaging, and integrating digital tools to streamline referrals and follow-up care. It prioritises early diagnosis, personalised treatment plans, and better coordination between primary and specialist services. Investment in multidisciplinary teams will ensure patients receive timely, high-quality care. In addition, initiatives such as Diagnosis Connect will, from 2026, provide newly diagnosed patients with tailored information and support, empowering them to manage their condition confidently.The NHS website provides comprehensive, accessible information on Crohn’s disease and ulcerative colitis, helping to raise public awareness and understanding of these conditions. The site explains what Crohn’s and colitis are, outlines common symptoms, and gives clear guidance on when to seek medical advice. It also details how these conditions are diagnosed and managed, including available treatments and support services.To raise awareness of IBD among general practitioners and other primary care staff, the Royal College of General Practitioners has produced an Inflammatory Bowel Disease Toolkit. The toolkit outlines when to suspect IBD, the appropriate investigative tests and diagnostic tools for IBD, how to manage a flare-up of symptoms, and how to support patients with IBD.

What steps they are taking to support children living with (a) Crohn's and (b) Colitis.

The Government is committed to improving care for people living with Crohn’s disease and ulcerative colitis, including those in the Ashfield constituency. NHS England supports local integrated care boards to deliver high-quality, timely services through initiatives such as the Getting It Right First Time (GIRFT) programme. GIRFT promotes earlier diagnosis, proactive management of flare-ups, and consistent adoption of best practice. Its gastroenterology report and updated inflammatory bowel disease (IBD) pathway recommend measures such as rapid access to specialist review within four weeks, personalised care plans, and expanded endoscopy capacity. These changes aim to cut emergency admissions, improve quality of life, and ensure equitable access to specialist nurses and multidisciplinary support across the country. The GIRFT programme has recently published a new handbook pulling together examples of innovative practice, proven solutions, and practical actions to help optimise the care of National Health Service patients with IBD. The GIRFT IBD pathway and associated handbook include specific guidance for paediatric care and the transition to adult services, recognising the unique needs of children and young people with Crohn’s disease and ulcerative colitis. The handbook is available at the following link:https://gettingitrightfirsttime.co.uk/practical-advice-and-key-actions-in-new-girft-handbook-for-optimising-the-care-of-patients-with-ibd/The 10-Year Health Plan will further improve care and support for people with IBD by expanding community diagnostic centres, reducing waiting times for endoscopy and imaging, and integrating digital tools to streamline referrals and follow-up care. It prioritises early diagnosis, personalised treatment plans, and better coordination between primary and specialist services. Investment in multidisciplinary teams will ensure patients receive timely, high-quality care. In addition, initiatives such as Diagnosis Connect will, from 2026, provide newly diagnosed patients with tailored information and support, empowering them to manage their condition confidently.The NHS website provides comprehensive, accessible information on Crohn’s disease and ulcerative colitis, helping to raise public awareness and understanding of these conditions. The site explains what Crohn’s and colitis are, outlines common symptoms, and gives clear guidance on when to seek medical advice. It also details how these conditions are diagnosed and managed, including available treatments and support services.To raise awareness of IBD among general practitioners and other primary care staff, the Royal College of General Practitioners has produced an Inflammatory Bowel Disease Toolkit. The toolkit outlines when to suspect IBD, the appropriate investigative tests and diagnostic tools for IBD, how to manage a flare-up of symptoms, and how to support patients with IBD.

Pursuant to the answer of 24 November 2025 to question 88331 on Health Services: Foreign Nationals, what discussions his Department has had with NHS England on the cost of treatment for people who came to Britain only for (a) health and (b) medical treatment in each of the last three years.

The Department has had and continues to have regular discussions regarding overseas visitors with NHS England to ensure that the system works as effectively and fairly as possible.