Written questions by Dillon.

What steps he is taking to help ensure that mental health providers in Newbury have the resources they need to support people diagnosed with a serious life-threatening illness.

The Buckinghamshire, Oxfordshire and Berkshire West NHS Integrated Care Board is responsible for commissioning services to meet the mental health needs of people in Newbury.Nationally, the Government is investing an extra £688 million in 2025/26 to transform mental health services by hiring more staff and delivering more talking therapies. Almost 7,000 extra mental health workers have been recruited since July 2024, against our target of 8,500 by the end of this Parliament. We are expanding NHS Talking Therapies so that 915,000 people complete a course of treatment by March 2029, with improved effectiveness and quality of services.We recognise that some people with a serious life-threatening illness may need emotional and psychological support. The team responsible for a patient’s health care should discuss and review their emotional and psychological status regularly and support them with access to information and services for their mental health if needed.

Whether his Department plans to update guidance to GPs on beginning conversations with men at risk of prostate cancer.

My Rt Hon. Friend, the Secretary of State for Health and Social Care will consider the final recommendation of the UK National Screening Committee on screening for prostate cancer when it is received. At that point, he will make a decision on implementation, including any resources that may be required for general practitioners and other healthcare professionals to support his decision.It is anticipated that the final recommendation will be provided in early 2026 after the conclusion of a 12 week consultation which opened on 28 November 2025. This seeks views on an evidence review and a draft recommendation to:offer a targeted national prostate cancer screening programme to men with confirmed BRCA1/2 gene variants every two years, from the age 45 years old to age 61 years old;not recommend population screening;not recommend targeted screening of black men;not recommend targeted screening of men with family history; andcollaborate with the Transform trial team to answer outstanding questions on screening effectiveness for black men and men with a family history, as soon as trial data becomes available, and await the results of the study to develop and trial a more accurate test than the prostate specific antigen test alone, to improve the balance of the benefits and harms of screening.

Whether the Newbury constituency will receive one of the 100 neighbourhood health centres due to be set up by 2030.

At the Autumn Budget, we announced our commitment to deliver 250 Neighbourhood Health Centres (NHCs) through the NHS Neighbourhood Rebuild Programme. This will deliver NHCs through a mixture of refurbishments to expand and improve sites over the next three years and new-build sites opening in the medium term. The first 120 NHCs are due to be operational by 2030 and will be delivered through public private partnerships and public capital.Nationwide coverage will take time, but we will start in the areas of greatest need where healthy life expectancy is lowest, including rural towns and communities with higher deprivation levels, targeting places where healthy life expectancy is lowest and delivering healthcare closer to home for those that need it the most.Integrated care boards and local health systems will be responsible for determining the most appropriate locations for NHCs.

What steps his Department is taking to tackle health inequalities affecting women.

The Government is committed to building a fairer Britain, to ensure people can live well for longer. Our reimagined National Health Service will tackle inequalities in both access and outcomes, as well as give everyone, no matter who they are or where they come from, the means to engage with the NHS on their own terms. This financial year the Department has invested approximately £53 million in direct research awards on research to support the health of women. This includes conditions that are unique to women, such as endometriosis, and health topics that are relevant to women, such as violence and abuse.Significant progress has been made towards delivering the ambitions in the 2022 Women’s Health Strategy, for example improving women and girls’ awareness and access to services and driving research to benefit women’s health, but we know there is more to do.That is why we are renewing the Women’s Health Strategy, to assess the progress that has been made so far, and to continue progressing delivery.The renewed strategy will update on the delivery of the 2022 Women’s Health Strategy and set out how the Government is taking further steps to improve women’s health as we deliver the 10-Year Health Plan. It will also address gaps from the 2022 strategy and drive further change on enduring challenges, such as creating a system that listens to women and tackling health inequalities.

What steps he is taking to reduce gynaecology waiting lists.

Reducing waiting lists is a key part of the Government’s Health Mission, and we are committed to cutting waiting times across all specialities, including gynaecology. We have committed to return to the National Health Service constitutional standard, that 92% of patients wait no longer than 18 weeks from referral to treatment, by March 2029.We are making good progress, with waiting lists cut by over 230,000 since the Government came into office, including nearly 14,000 fewer waits for gynaecology treatment.We also delivered 5.2 million additional appointments between July 2024 and June 2025, exceeding our pledge of two million. However, we know there is more to do, and have confirmed over £6 billion of additional capital investment to expand capacity across diagnostics, electives, and urgent care. This includes expanding the number of surgical hubs, which provide valuable and protected capacity across elective specialities, including gynaecology. As of November 2025, over half of the 123 operational elective surgical hubs in England provide gynaecology services.The Elective Reform Plan, published in January 2025, also committed to:increasing the relative funding available to support gynaecology procedures with the largest waiting lists;ensuring that independent sector providers play a greater role in providing support for the most challenged specialities, such as gynaecology; andreforming and optimising clinical pathways across a number of specialities. In gynaecology, this includes supporting the delivery of innovative models offering patients care closer to home and piloting gynaecology pathways in community diagnostic centres for patients with post-menopausal bleeding.

Whether he has plans to increase GP dispensing fees to bring them in line with community pharmacies.

General practices (GPs) are valued independent contractors who provide over £13 billion worth of National Health Services. Every year we consult with the sector both about what services they provide, and the money providers are entitled to in return under their contract, taking into account the cost of delivering services. The Department and NHS England will begin consultation with stakeholders on the 2026/27 GP Contract shortly. Further information will be announced in due course.

When the Government will publish its guidance to local authorities on Neighbourhood Health Plans.

Neighbourhood health will move care out of hospitals and into communities, with more personalised, proactive, and integrated services starting from where and how people live their lives. This will involve building stronger links to wider local government services such as housing, family hubs, and programmes such as Pride in Place, as well as links with wider civil society including the voluntary, community, and social enterprise sector.The Planning Framework for the NHS in England, published on 8 September, reiterates the commitment in the 10-Year Health Plan, that place partners develop a local neighbourhood plan, which integrated care boards will bring together into a population health improvement plan. These local plans will be drawn up by local government, the National Health Service, and its partners at single or upper tier local authority level under the leadership of the Health and Wellbeing Boards (HWBs).We will be publishing further guidance to support local areas to develop neighbourhood health plans in due course. This will set out how the NHS, local authorities, and partners should work together under the leadership of HWBs to develop and implement plans.

What assessment he has made of access to ear wax removal services for patients in Newbury constituency.

The Department has made no specific assessment of services in Newbury because it is for integrated care boards to commission cost-effective healthcare to meet the needs of their local populations. Guidance for patients on ear wax build-up, including when to seek advice from a pharmacist or general practitioner, is available at the following link:https://www.nhs.uk/conditions/earwax-build-up/

What assessment he has made of the potential impact of risk-stratified screening on improving early detection of prostate cancer.

The UK National Screening Committee (UK NSC), which advises ministers on all screening matters, commissioned an evidence review modelling the clinical effectiveness and cost of several approaches to prostate cancer screening. This included different potential ways of screening the whole population and targeted screening aimed at groups of people identified as being at higher-than-average risk, such as black men or men with a family history of cancer.The modelling and evidence review reports are now complete, and the UK NSC plans to open a three-month public consultation towards the end of the year. After this, the UK NSC will make a recommendation on screening for prostate cancer. Ministers will then be asked to consider whether to accept the recommendation.

What assessment he has made of the adequacy of late-night pharmacy provision in Newbury constituency.

Local authority health and wellbeing boards have a statutory responsibility to assess if local provision, including pharmacies’ opening hours, is adequate to meet local needs for pharmaceutical services and to publish their assessments every three years.

If he will make it his policy to amend the NHS dental contract to prevent NHS patients from being required to pay the full cost of treatment at the time of booking an appointment.

The dental contract does not provide any legal basis for a dental practice to take payment for National Health Service dental work before a course of treatment has been delivered. An NHS dentist or dental professional should not charge a deposit before assessing a patient’s mouth and teeth or checking their symptoms. Further information is available at the following link:https://www.nhs.uk/nhs-services/dentists/what-happens-when-you-visit-the-dentist/Integrated care boards (ICBs) are responsible for commissioning primary care services, including NHS dentistry, and for determining the priorities for investment, in order to meet the needs of the local populations. If dental practices are operating outside of their contract, the ICB will be able to engage with the practice to resolve this issue.

Whether his Department plans to introduce a right for every adult patient to have a named advocate or support person with them throughout their hospital stay.

We recognise the vital role that families, loved ones, advocates and carers play in supporting people to manage their health. There are rights in place to protect those most vulnerable. The Mental Health Act and the Care Act both outline the rights of individuals to appoint an advocate to support them during their care.Both outpatients and day patients can invite someone to join them at their hospital appointment, such as a carer, family member or friend.At present, the Department has not made plans to introduce a right for every adult patient to have a named advocate or support person with them throughout the duration of their inpatient stay in hospital.

How many people in Newbury constituency are waiting for an ADHD assessment; what the average waiting time is for ADHD assessments in Newbury constituency.

There is, at present, no single, established dataset that can be used to monitor waiting times for assessment and diagnosis for attention deficit hyperactivity disorder (ADHD) for individual organisations or geographies in England. Although the data requested is not held centrally, it may be held locally by individual National Health Service trusts or commissioners.For the first time, NHS England published management information on ADHD waits at a national level on 29 May 2025 as part of its ADHD data improvement plan. NHSE England has also released technical guidance to integrated care boards (ICBs) to improve recording of ADHD data, with a view to improving the quality of ADHD waits data and publishing more localised data in future. NHS England has also captured examples from ICBs who are trialling innovative ways of delivering ADHD services and is using this information to support systems to tackle ADHD waiting lists and provide support to address people’s needs.NHS England established an ADHD taskforce which brought together those with lived experience with experts from the NHS, education, charity and justice sectors to get a better understanding of the challenges affecting those with ADHD, including in accessing services and support. An interim report was published on 20 June 2025, with the final report expected later this year, and we will carefully consider its recommendations.

What discussions he has had with the Secretary of State for Housing, Communities and Local Government on the risk of insolvency among key providers of community equipment services.

Ministers regularly engage with Cabinet colleagues on a range of issues. However, My rt Hon. friends, the Secretary of State for Health and Social Care and the Secretary of State for Housing, Communities and Local Government, have had no meetings regarding the risk of insolvency among key providers of community equipment services.Local authorities have a statutory duty under various pieces of legislation, including the Care Act 2014, to make arrangements for the provision of disability aids and community equipment, to meet the assessed eligible needs of individuals who are resident in their area. In terms of the management of the market for these services, the commissioning and oversight of their delivery rests with local authorities.

If he will support plans to relocate additional facilities to West Berkshire Community Hospital to help ease pressures at the Royal Berkshire Hospital.

National Health Service commissioners are responsible for delivery, implementation, and funding decisions for services, rather than the Department. Local health and care organisations are best placed to make decisions on commissioning services for their communities. Decisions about services should be clinically led, following appropriate engagement with the local authority, the local population, and stakeholders.All service changes should be based on clear evidence that they will deliver better outcomes for patients.Substantial planned service change is subject to a full public consultation and must meet the Government and NHS England’s ‘tests’ to ensure good decision making.

What steps he plans to take to help improve services at West Berkshire Community Hospital.

The Government is committed to shifting the focus of the National Health Service out of hospitals and into the community, and this will be referenced in our forthcoming 10-Year Health Plan. We recognise that delivering high-quality NHS healthcare services requires the right infrastructure in the right places.The Buckinghamshire, Oxfordshire and West Berkshire Integrated Care Board (ICB) and providers have been provisionally allocated £39.3 million this financial year from our Constitutional Standards Recovery Fund to deliver new surgical hubs, diagnostic scanners, and beds to increase capacity for elective and emergency care. In addition, it has been provisionally allocated £2.8 million from our Primary Care Utilisation Fund to modernise and upgrade general practice surgeries, and £37.1 million from our Estates Safety Fund to address critical infrastructure and safety risks.We are encouraging local NHS trusts and ICBs to explore possible options that could address constitutional standards recovery alongside addressing infrastructure issues, maximising value for money and patient benefits.Alongside national programme allocations, the system has been provisionally allocated £123.1 million in operational capital funding, including primary care business-as-usual capital, for 2025/26, to be prioritised according to local needs, such as investing in acute and community hospital infrastructure.

What steps his Department plans to take to raise awareness in young children about the health benefits of wearing suncream.

The Department continues to advise patients to follow National Health Service guidance on sun protection. This advice is available publicly at the following link:https://www.nhs.uk/live-well/seasonal-health/sunscreen-and-sun-safety/It includes guidance on the extra care that should be taken for babies and children. As their skin is much more sensitive than adults, guidance advises children under six months old to be kept out of direct sunlight. Additionally, from March to October in the United Kingdom, children should wear suitable clothing, and wear at least SPF30 suncream.The UK Health Security Agency also provides guidance which includes information on suncream and is available at the following link:https://www.gov.uk/guidance/looking-after-children-and-those-in-early-years-settings-before-and-during-hot-weather-teachers-and-other-educational-professionalsThe toolkit is intended to provide health information and other resources that can be communicated during hot spells.

What steps his Department is taking to improve services for people with Parkinson's disease.

At the national level, there are a number of initiatives supporting service improvement and better care for patients with Parkinson’s disease in England, including the Getting It Right First Time Programme for Neurology and the RightCare Progressive Neurological Conditions Toolkit. NHS England has also established a Neurology Transformation Programme, a multi-year, clinically-led programme, which has developed a new model of integrated care to support integrated care boards to deliver the right service, at the right time, for all neurology patients, including those with Parkinson’s.NHS England commissions the specialised elements of Parkinson’s care that patients may receive from 27 specialised neurology centres across England. Within specialised centres, neurological multidisciplinary teams ensure patients can access a range of health professionals and specialised treatment and support, according to their needs. NHS England is updating the Neurosciences specialised neurology (adults) service specification, which will: set out clear deliverables for specialised centres; provide a clearer model of care, incorporating up-to-date guidance and best practice; and set out new quality outcomes focusing on improving patient outcomes and experience. We are expecting the revised specification and standards to be published later in 2025.We have also set up a United Kingdom-wide Neuro Forum, facilitating formal, biannual meetings across the Department, NHS England, the devolved administrations and health services, and the Neurological Alliances of all four nations. The new forum brings key stakeholders together, to share learnings across the system and discuss challenges, best practice examples, and potential solutions for improving the care of people with neurological conditions, including Parkinson’s.

What plans his Department has to improve support for family carers providing care at home for relatives with learning disabilities.

The Government is committed to ensuring that the families of people with learning disabilities have the support they need.On the 7 of April 2025, the Government increased the Carer's Allowance weekly earnings limit from £151 a week to £196, the equivalent of 16 hours at the National Living Wage. This represents the largest increase in the earnings limit since the Carer’s Allowance was introduced in 1976.Lord Darzi’s independent review of the National Health Service highlighted the need for a fresh approach to supporting and involving unpaid carers, to improve outcomes across the board, for carers, for those they care for, and for the NHS itself.These findings will be carefully considered as part of our 10-year plan to reform and modernise the NHS, and as we continue to shape our plans to reform adult social care, including through the National Care Service.We have also launched an independent commission into adult social care as part of our critical first steps towards delivering a National Care Service.The commission will start a national conversation about what care and support working age adults, older people, and their families can expect from adult social care, including exploring the needs of unpaid carers, who provide vital care and support.

Whether he has made an assessment of the potential merits of developing a national brain tumour strategy.

I refer the Hon. Member to the answer given to the Hon. Member for Inverness, Skye and West Ross-shire on 14 March 2025 to Question 36024.