Written questions by Jarvis.

What assessment he has made of the adequacy of mental health support services for bereaved parents following baby loss.

The Government recognises that experiencing a baby loss can be an extremely difficult time and we are determined to make sure all women, babies, and their families receive safe, personalised, and compassionate care, particularly when things go wrong.As of June 2025, Maternal Mental Health Services are available in all 42 integrated care system areas of England.  These services provide care for women with moderate/severe or complex mental health difficulties arising from birth trauma or baby loss.A record 63,858 women accessed a specialist community perinatal mental health service or maternal mental health services in the 12 months to February 2025. This is a 109% increase from March 2020.We have developed the National Bereavement Care Pathway in collaboration with the United Kingdom’s leading pregnancy and baby loss charity, to reduce the variation in the quality of bereavement care provided by the National Health Service. The pathway covers a range of baby loss circumstances, including miscarriage, stillbirth, termination of pregnancy for medical reasons, neonatal death, and Sudden Infant Death Syndrome.While the Government has not carried out a formal assessment of mental health support services for bereaved parents following baby loss, we are committed to transforming and improving mental health care, as set out in our 10-Year Health Plan for England.

Whether his Department plans to take steps to update regulations on the (a) composition, (b) marketing and (c) labelling of commercial (i) infant and (ii) toddler foods.

Children’s early years provide an important foundation for their future health and strongly influences many aspects of wellbeing in later life.It is vital that we maintain the highest standards for foods consumed by babies and infants, which is why we have regulations in place that set nutritional, compositional, and labelling standards for commercial baby food. These ensure that the ingredients used in commercial baby food are suitable for the nutritional needs of infants and require businesses to ensure labelling in clear and not misleading. The regulations also set labelling standards to ensure consumers have clear and accurate information about the products they buy.We continue to keep these regulations under review to ensure they reflect the latest scientific and dietary guidelines.

With reference to the document entitled Reforming elective care for patients, published on 6 January 2025, whether his Department's plans to (a) expand non-surgical community-based ear, nose and throat services and (b) develop clinical models to support patients needing ear care will include the provision of ear wax removal services.

Ear, nose, and throat (ENT) services are one of five priority specialties identified in the Elective Reform Plan, published in January 2025, for significant transformation, due to the waiting times for ENT services. Given that a significant number of ENT referrals can be managed earlier and in a more convenient setting, we are exploring ways to expand community-based services so that patients receive quicker and more local care whilst reducing pressure on hospitals. The provision of earwax services will form part of this.

If he will conduct a review of the Vaccine Damage Payment Scheme.

The Government recognises that concerns have been raised regarding the Vaccine Damage Payment Scheme (VDPS). Ministers are currently considering a number of options for reforming the scheme. In parallel, the Department has been working with the NHS Business Services Authority, the administrators of the scheme, to take steps to improve the VDPS by modernising operations, and processing claims at a faster rate.

What steps his Department is taking to expand audiology testing capacity.

We are committed to transforming diagnostic services and will support the National Health Service to increase diagnostic capacity to meet the demand for diagnostic services, including for audiology.The Elective Reform Plan, published in January 2025, sets out the productivity and reform efforts needed to return to the 18-week constitutional standard by the end of this Parliament. The plan commits to transforming and expanding diagnostic services and to speeding up waiting times for tests, a crucial part of reducing overall waiting times and returning to the referral to treatment 18-week standard.NHS England is supporting provider organisations and integrated care boards, who are the commissioners of audiology services, to improve performance and reduce waiting lists. This includes capital investment to upgrade audiology facilities in NHS trusts, expanding audiology testing capacity via community diagnostic centres, and direct support through a national audiology improvement collaborative. The latest management information data shows that community diagnostic centres have delivered over 56,000 audiology assessments since July 2021.The 2025 Spending Review confirmed over £6 billion of additional capital investment over five years across new diagnostic, elective, and urgent care capacity. Further details and allocations will be set out in due course.

If his Department will make an assessment of the adequacy of the funding into Parkinson's Disease research.

Government responsibility for delivering Parkinson’s disease research is shared between the Department of Health and Social Care, with research delivered via the National Institute for Health and Care Research (NIHR), and the Department for Science, Innovation and Technology, with research delivered via UK Research and Innovation.Between the financial years 2019/20 and 2023/24, the Government spent a total of £79.1 million on research into Parkinson’s disease. Research spend is calculated retrospectively, with a time lag due to annual reporting lapses, and so 2023/24 is the most recent financial year we have data for.As well as funding research itself, the NIHR invests significantly into research expertise and capacity, specialist facilities, support services, and collaborations to support and deliver research in England. Collectively this forms NIHR infrastructure. NIHR infrastructure enables the country’s leading experts to develop and deliver high-quality translational, clinical, and applied research into Parkinson’s disease. For example, in the financial year 2022/23, the NIHR Clinical Research Network enabled 114 studies related to Parkinson’s disease to be conducted in the National Health Service.The NIHR continues to welcome funding applications for research into any aspect of human health and care, including Parkinson’s disease. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money, and scientific quality.Welcoming applications on Parkinson's disease to all NIHR programmes enables maximum flexibility both in terms of the amount of research funding a particular area can be awarded, and the type of research which can be funded.

What steps he is taking to improve access to HIV support services for people affected by HIV.

The Government is committed to ending new transmissions of HIV in England by 2030 and is developing the new HIV Action Plan, which we aim to publish this year. The plan will address ways to optimise rapid access to treatment and retention in care, and will improve the quality of life for people living with HIV, including consideration of peer support services.A key component of the Government’s successful HIV emergency department opt-out testing programme includes a recommendation that 10% of the funding allocated to each site should be used to support community and peer services for individuals diagnosed with a blood borne virus.NHS England is responsible for delivering HIV care, including support services for those living with HIV. In April 2024, it published the updated national Service Specification for Adult HIV services, which sets out the standards of care that HIV providers are expected to meet, including the availability of community, psychological, and psychosocial support for patients.

What steps is his Department taking to reduce waiting lists for gynaecology services (a) nationally and (b) in Hampshire and the Isle of Wight.

At the end of April 2025, the gynaecology waiting list was down 15,955 since the end of June 2024. Waits for gynaecology services have also decreased by 1,052 in the Hampshire and Isle of Wight Integrated Care Board (ICB) over the same period.However, we know there is more to do across gynaecology services, which is why we’ve committed to returning to the National Health Service constitutional standard, that 92% of patients wait no longer than 18 weeks from Referral to Treatment, by March 2029.As our first step in achieving this, we have already exceeded our pledge to deliver an extra two million operations, scans, and appointments, having now delivered 3.6 million more.Gynaecology is one of the specialities serviced by surgical hubs, which are part of the Getting it Right First Time (GIRFT) High Volume Low Complexity programme, which aims to increase capacity and transform the ways that gynaecology and other services are provided. There are currently 116 elective surgical hubs nationally, three of which are in the Hampshire and the Isle of Wight ICB, and there is one additional hub planned.We are also taking action to support general practitioners and hospital doctors to work more effectively together to ensure patients are always seen in the right setting, through use of Advice and Guidance. The GIRFT programme has recently published a series of advice and guidance templates specifically for gynaecology.Women’s health hubs bring together healthcare professionals and existing services to provide integrated women’s health services in the community, centred on meeting women’s needs across their life course. Women’s health hubs have a key role to play in shifting care out of hospitals and in reducing gynaecology waiting lists.The Government is committed to encouraging ICBs to further expand the coverage of women’s health hubs and to supporting ICBs to use the learning from the women’s health hub pilots to improve local delivery of services to women, including in Hampshire and the Isle of Wight.

If his Department will take steps to prioritise primary care audiology.

NHS Audiology services are locally commissioned, and the responsibility for prioritising primary care audiology lies with local National Health Service commissioners.NHS England is supporting the integrated care boards to make informed decisions about the provision of audiology services so that they can provide consistent, high quality, and integrated care.

Whether he has conducted an impact assessment for the decision to extend cervical screening intervals.

The UK National Screening Committee’s recommendation to change the cervical screening intervals from three to five years for women aged 25 to 49 years old was made in 2019. The evidence and consultation responses supporting the recommendation can be found at the following link:https://view-health-screening-recommendations.service.gov.uk/cervical-cancer/The decision to make the changes was based on what is best for individuals. The more accurate human papillomavirus test requires less frequent screening, and changing the frequency eliminates the unnecessary over screening of the population.The IT system supporting the national cervical screening programme was updated in July 2024, and can now enable the changes that were recommended.A full impact assessment and equality impact assessment were considered before the changes were agreed by the Government. We will publish these shortly.

What steps he is taking to improve access to NHS dentistry in Eastleigh constituency.

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 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 Eastleigh constituency, this is the Hampshire and Isle of Wight ICB.ICBs have been asked to start making extra urgent dental appointments available from April 2025. The Hampshire and Isle of Wright ICB is expected to deliver 30,032 additional urgent dental appointments as part of the scheme.ICBs have started to recruit posts through the Golden Hello scheme. This recruitment incentive will see up to 240 dentists receiving payments of £20,000 to work in those areas that need them most for three years.

What steps he is taking to improve child vaccination uptakes rates.

We are committed to improving vaccination uptake rates to fully protect children and the public from preventable diseases. It is vitally important that everyone has their recommended vaccinations, as they are the best way to help protect yourself and your family from these viruses that can cause serious harm.The NHS Vaccination Strategy outlines the steps that we will take to improve uptake of our childhood vaccination programmes through investing in the digital infrastructure and data systems for vaccination programmes, delegating commissioning of services to integrated care boards (ICBs), and exploring new ways of using workforce and delivery networks to administer vaccinations that meet the needs of local communities. The strategy is available at the following link:https://www.england.nhs.uk/long-read/nhs-vaccination-strategy/In line with the strategy and with the Government’s commitment, children will receive vital vaccines more easily thanks to a new trial using health visitors to administer childhood immunisations. The initiative, outlined in our urgent and emergency improvement plan, will test having health visiting teams deliver flu vaccinations and other jabs to eligible children, making protection more accessible for underserved families across selected areas.We are also updating the vaccination schedule from 1 January 2026 to offer the second dose of measles, mumps and rubella (MMR) vaccine at eighteen months old to give young children the best protection against measles, mumps and rubella. Any children who have missed this second dose of MMR can have it at their pre-school vaccinations, at the same time as their 4 in 1 booster. This change is expected to improve MMR vaccine uptake, as has been demonstrated in a number of London boroughs where this change has already been made, and better uptake will reduce the likelihood of measles outbreaks. This is in addition to schedule changes from 1 July 2025 to move the second dose of meningococcal B vaccination to 12 weeks of age to provide earlier protection.To raise awareness of potential vaccination benefits and increase awareness of the programmes, the UK Health Security Agency (UKHSA) provides a comprehensive suite of resources, including information leaflets in multiple languages and accessible formats. UKHSA also provides comprehensive clinical guidance, including e-learning programmes and training, for healthcare professionals. These are available in print form and for download at the following link:https://www.healthpublications.gov.uk/ArticleSearch.htmlUKHSA also undertakes regular surveys of parents and adolescents to understand how their knowledge, beliefs and attitudes towards immunisation, vaccine safety, and disease severity influence their vaccine uptake decision-making. This information enables the resources to be revised and updated to meet the needs of those accessing vaccination services. Data on vaccination uptake is available at the following link:https://www.gov.uk/government/collections/vaccine-uptake

What assessment he has made of trends in the level of patients previously without access to NHS dental care being able to register with an NHS dentist since July 2024.

Patients in England are not registered with a National Health Service dental practice, although many NHS dental practices do tend to see patients regularly. There is no geographical restriction on which practice a patient may attend. Some dental practices may operate local waiting list arrangements.We are aware of the challenges in accessing an NHS dentist and we are committed to tackling dental access for patients. The Government plans to tackle the challenges for patients trying to access NHS dental care with a rescue plan to provide 700,000 more urgent dental appointments 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.

What assessment he has made of trends in the level of dental surgery closures in Hampshire since July 2024.

The National Health Service contracts with independent dental providers, to deliver NHS dental treatment in primary care settings. This means that providers can terminate their contracts within the required terms of the contract, including a notice period. NHS England and the integrated care boards across England work together to ensure that patients who are affected by closures of NHS dental practices will continue to have access to the dental care they need.The Government plans to tackle the challenges for patients trying to access NHS dental care with a rescue plan to provide 700,000 more urgent dental appointments 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.Patients in England are not registered with an NHS dental practice, although many NHS dental practices do tend to see patients regularly. There is no geographical restriction on which practice a patient may attend. Some dental practices may operate local waiting list arrangements.

What steps he is taking to help improve the (a) recruitment and (b) retention of staff in the NHS cancer workforce.

Recruitment to National Health Service roles is managed locally by trusts and systems. However, NHS England is taking a range of actions to support the recruitment and retention of staff in the NHS cancer workforce.To grow the workforce, NHS England has been expanding specialty training places in key cancer professions, including histopathology, clinical radiology, and gastroenterology. Targeted national campaigns and outreach activities, for example in clinical oncology, also promote cancer career pathways, with a focus on increasing applications.To improve retention, NHS England is investing in structured career development and education support. The Aspirant Cancer Career and Education Development programme provides a nationally agreed framework for capability, career development, and education for nurses, allied health professionals, and the support workforce working in cancer care.

What steps he is taking to help increase public awareness of (a) frailty of and (b) fall prevention among people aged 65 and over.

The National Health Service website has public information and advice on fall prevention. The Chartered Society of Physiotherapy’s (CSP) Get up and go – a guide to staying steady is a 32-page guide for the public and patients on how to prevent falls, and was produced by Saga in partnership with the CSP and the Office for Health Improvement and Disparities.To help healthcare systems support people living with frailty, NHS England has developed a RightCare frailty toolkit. The RightCare toolkit aims to support systems to understand the priorities in frailty care and the key actions to take. It provides a way to assess and benchmark current systems, in order to find opportunities for improvement.NHS England’s Falls and Fragility Fractures RightCare Pathway defines the core components of an optimal service for people who have suffered from a fall or who are at risk of falls and fragility fractures. It recommends that the commissioners responsible for falls and fragility fractures for their population should work across the system to ensure that schemes to deliver the higher value interventions are in place.The National Institute for Health and Care Excellence has also recently published guidance in April 2025 on the assessment and prevention of falls in older people and in people aged 50 years old and over who are at higher risk. The guidance aims to reduce the risk and incidence of falls, and the associated distress, pain, injury, loss of confidence, loss of independence, and mortality.

What plans he has to include (a) community equipment services and (b) the timely provision of community care equipment in the NHS 10-Year Plan.

The Government will deliver a National Health Service fit for the future, creating a truly modern health service designed to meet the changing needs of our changing population. Moving care from hospitals into the community and putting the building blocks in place to enable this to happen will be at the heart of the 10-Year Health Plan.

What steps his Department is taking to reduce waiting lists for audiology assessments.

NHS England is supporting provider organisations and integrated care boards, who are the commissioners of audiology services, to improve performance and reduce waiting lists. This includes capital investment to upgrade audiology facilities in National Health Service trusts, expanding audiology testing capacity via community diagnostic centres, and direct support through a national audiology improvement collaborative.

What assessment he has made of the potential impact of increases in employer National Insurance contributions on (a) levels of staff costs for homecare providers and (b) the delivery of social care services.

The Government assessed the impact of the cost pressures facing adult social care as part of the wider consideration of local government spending within the Spending Review process. This assessment took account of a range of factors that could affect the delivery of social care services, including changes to employer National Insurance Contributions.To enable local authorities to deliver key services such as adult social care, the Government has made available up to £3.7 billion of additional funding for social care authorities in 2025/26. There is also an extra £502 million of support for local authorities in England to manage the impact of changes to employer National Insurance Contributions announced at the Autumn Budget 2024.In addition, the Spending Review allows for an increase of over £4 billion of funding available for adult social care in 2028/29 compared to 2025/26.

What assessment he has made of the adequacy of waiting times for cardiology services.

The latest data from March 2025 show that 60.9% of waits for cardiology services are within 18 weeks, which is a 1.6% improvement on the same month in the previous year. While this shows progress, we know there is more to do.That is why, as well as our commitment to returning to the 92% referral-to-treatment standard for elective care by March 2029, the Elective Reform Plan commits to significant elective reform in cardiology. This includes a key milestone for 2025/26, as set out in National Health Service operational planning guidance, that by the end of March 2026, 65% of waits will be within 18 weeks, with the expectation of a 5% improvement from each provider.Cardiology is one of five priority specialties identified for significant elective reform in the Elective Reform Plan, due to it being a large volume specialty with waiting list challenges and a high proportion of non-surgical care. Reforms will include increasing specialist cardiology input earlier in patient care pathways, and developing standard and efficient care pathways for common cardiology symptoms. It also includes improving access to cardiac diagnostic tests, including through implementing more straight-to-test pathways, where a general practitioner can refer a patient directly to secondary care for a test, which can reduce unnecessary outpatient appointments and improve waiting times even further for patients across England. These improvements to common cardiology pathways help standardise patient care, reduce inequalities, and improve access to care, especially in the early stages of the pathways, for patients across England.