Written questions by Sewards.

What assessment his Department have made on the impact of participation in (a) gyms, (b) swimming pools, and (c) leisure centres on men’s (i) mental and (ii) physical health.

The Government knows that addressing physical inactivity and getting people moving more is important for improving health outcomes, well-being, reducing demand on the National Health Service, and supporting economic growth.Our 10-Year Health Plan sets out our ambition to break down barriers and take a cross-sector approach to building movement back into everyday lives. This requires a collective effort and there is an important role for the leisure and fitness sector through providing facilities and opportunities to get people active and reap the associated health benefits.On 19 November, to coincide with International Men’s Day, we published England’s first ever Men’s Health Strategy. The strategy includes actions to improve access to healthcare, provide the right support to enable men to make healthier choices, develop healthy living and working conditions, foster strong social, community, and family networks, address societal norms, and tackle the biggest health problems affecting men. The strategy recognises the importance of meeting men where they are and includes investment in community-based health and suicide prevention programmes and a new partnership with the Premier League to ensure men know where to go for mental health support.

What assessment his Department has made of the adequacy of waiting times for children and young people accessing Child and Adolescent Mental Health Services.

We know too many children and young people are waiting too long for mental health support, and through our Plan for Change, we’re determined to give children and young people the best start in life. The Government is expanding access to mental health support teams in all schools and colleges to reach all pupils by 2029, ensuring that every pupil has access to early support services. This expansion will ensure that up to 900,000 more children and young people will have access to support from trained education mental health practitioners in 2025/26. More widely, we are, rolling out young futures hubs. The Government’s first 50 young futures hubs will bring together services at a local level to support children and young people, helping to ensure that young people can access early advice and wellbeing intervention. We will work to ensure there is no wrong door for young people who need support with their mental health. We have also committed to hiring 8,500 more mental health staff to reduce waiting times. Thus far, we have hired almost 7,000 extra mental health workers since July 2024.

What steps his Department is taking to ensure that people in full-time employment who have caring responsibilities can access GP appointments.

The Department is expanding capacity in general practice which will help deliver more appointments to patients, ensuring everyone, including those in full-time employment and with caring responsibilities, can access care.General practitioner (GP) core hours are between 8am and 6:30pm Monday to Friday, extending beyond the usual working day and usual school day to allow easier access for those in employment, or with caring responsibilities.In October 2024, we invested £82 million into the Additional Roles Reimbursement Scheme to support the recruitment of over 2,000 additional GPs into primary care networks (PCNs) across England, helping to increase appointment availability. In addition, practices are now required to provide access to online services throughout core operating hours, reducing the 8am scramble and increasing flexibility for patients.PCNs must also offer appointments outside of core hours, including on weekends, which can be more convenient for people in full-time employment, or with caring responsibilities.

What steps his Department is taking to improve access to NHS dental services for (a) carers and (b) frontline care workers.

We are aware of the challenges faced in accessing a National Health Service dentist including for carers and front-line workers. We have asked integrated care boards (ICBs) to commission extra urgent dental appointments from 1 April 2025.ICBs are also recruiting dentists through the Golden Hello scheme. This recruitment incentive will see dentists receiving payments of £20,000 to work in those areas that need them most for three years.We are committed to reforming the dental contract, with a focus on matching resources to need, improving access, promoting prevention and rewarding dentists fairly, while enabling the whole dental team to work to the top of their capability. The Government is committed to achieving fundamental contract reform before the end of this Parliament.We recently held a full public consultation on a package of changes to improve access to, and the quality of NHS dentistry, which will deliver better care for the diverse oral health needs of people across England. The consultation closed on 19 August 2025. The Government is considering the outcomes of the consultation and will publish a response in due course.

What steps his Department is taking to expand access to smear tests.

NHS England launched its first ever cervical cancer elimination creative campaign and communications toolkit for Cervical Screening Awareness Week, from 16 June 2025 to 24 June 2025. The campaign included digital resources that create a strong sense of shared responsibility and aim to increase awareness of the elimination goal, educate the public, and build confidence in cervical screening. In March 2025, NHS England published its Cervical cancer elimination plan by 2040 – plan for England, setting out how the National Health Service will improve equitable uptake and coverage across cervical screening to meet the goal to eliminate cervical cancer by 2040. Further information on the Cervical cancer elimination plan by 2040 – plan for England is available at the following link: https://www.england.nhs.uk/publication/cervical-cancer-elimination-by-2040-plan-for-england/ NHS England will build on what is already working well to drive vaccination and screening uptake and coverage, focussing on five cross-cutting themes: increasing access; raising awareness; reducing inequalities; improving digital capabilities; and strengthening workforce capacity. From January 2026, screening providers in the NHS Cervical Screening Programme in England will be able to offer human papillomavirus self-sampling kits to women if they have not attended their appointment for six months or more, following routine invitation.

Whether he has made an assessment of the potential merits of increasing levels of access to hormone replacement therapy treatment on the NHS.

While menopause is a natural part of a woman’s life course, we recognise that menopause symptoms can be wide-ranging and debilitating, affecting a woman’s physical and mental health.Women should not have to suffer in silence and any woman concerned about menopause symptoms should seek advice from their general practitioner or other healthcare professional. It is important that women are provided with accurate information and are able to make informed choices about their care, including hormone replacement therapy (HRT).HRT is the main treatment for menopause symptoms, and the National Institute for Health and Care Excellence (NICE) recommends that for most women it is safe and effective. In November 2024, NICE published their updated guideline which recommends more treatment choices for menopause symptoms. NICE guidelines are not mandatory, but healthcare professionals are expected to take NICE guidance fully into account in their prescribing decisions.

If his Department will have discussions with the Nursing and Midwifery Council on the potential merits of reducing or removing the annual registration fee for nurses.

The Nursing and Midwifery Council (NMC) is the independent regulator of nurses and midwives in the United Kingdom, and nursing associates in England. The UK's model of healthcare professional regulation is founded on the principle of regulators operating independently from the Government. All registered health and social care professions in the UK pay an annual registration fee to their regulatory body. Being funded by registrant fees enables the NMC to maintain its independence, allowing it to take action if it identifies risks to patient safety or the public’s confidence in the profession.The Government expects the NMC to run its operations efficiently and keep registration fees as low as possible in order to limit the financial impact on registrants. The Government has no current plans to discuss with the NMC the potential merits of reducing or removing the annual registration fee for nurses.

What steps he is taking to support families with children suffering from Avoidant Restrictive Food Intake Disorder.

Commissioning pathways for avoidant restrictive food intake disorder (ARFID) are locally determined by integrated care boards. All eating disorder teams should work collaboratively with other children and young people’s community teams to address co-occurring conditions as needed. NHS England recognises the importance of patient-centre care, tailored to meet the needs of children and young people with varied presentations, including ARFID, and the children and young people’s eating disorder guidance is currently being updated to reflect this. The intention is for the updated guidance to increase the focus on early identification of and intervention in eating disorders including ARFID and to highlight the importance of a truly integrated approach which takes account of the needs of the patient, their family and/or carers.

What steps he is taking to help ensure that independent community pharmacies have adequate funding to sustain their (a) businesses and (b) services.

The Government recognises that pharmacies are an integral part of the fabric of our communities. They provide an easily accessible ‘front door’ to the National Health Service, staffed by highly trained and skilled healthcare professionals.We have now concluded the consultation on funding for 2024/25 and 2025/26, and have agreed with Community Pharmacy England (CPE) to increase the community pharmacy contractual framework to £3.073 billion. CPE represents all pharmacy contractors in England, including independent community pharmacies. This deal represents the largest uplift in funding of any part of the NHS, at over 19% across 2024/25 and 2025/26. This shows a first step in delivering stability for the future and a commitment to rebuilding the sector.

What steps his Department is taking to ensure that social care providers are receiving the £600 million pounds allocated for social care in the Autumn Budget 2024.

The Government is making available up to £3.7 billion of additional funding for social care authorities in 2025/26, which includes an £880 million increase in the Social Care Grant, £600 million of which was announced at the Autumn Budget 2024. Overall, core local government spending power will increase by 6.8% in cash terms in 2025/26. Local authorities are responsible for how they use the available funding to fulfil their duties under the Care Act 2014.

What steps his Department is taking to reduce waiting times for people with (a) Motor Neurone Disease and (b) other degenerative conditions.

Patients, including those with motor neurone disease (MND), have been let down for too long whilst they wait for the care they need. The Government is committed to putting patients first. This means making sure that patients are seen on time and ensuring that people have the best possible experience during their care. We have made a commitment that 92% of patients should wait no longer than 18 weeks from Referral to Treatment within our first term. This includes those waiting for treatment for MND. As a first step to achieving this, following the Budget, we will deliver an additional 2 million operations, scans, and appointments across all specialities during our first year in Government, which is equivalent to 40,000 per week. At the national level, there are a number of initiatives supporting service improvement and better care for patients with MND, including the Getting It Right First Time (GIRFT) Programme for Neurology and the RightCare Progressive Neurological Conditions Toolkit. NHS England has also established a Neurology Transformation Programme (NTP), a multi-year, clinically led programme to develop a new model of integrated care for neurology services, including MND. The GIRFT National Specialty Report made recommendations designed to improve services nationally and to support the National Health Service to deliver care more equitably across the country. The report highlighted differences in how services are delivered, and provided the opportunity to share successful initiatives between trusts to improve patient services nationally. In addition, the NTP has developed a model of integrated care for neurology services to support integrated care boards (ICBs) to deliver the right service, at the right time, for all neurology patients, including providing care closer to home. A toolkit is being developed to support ICBs to understand and implement this new model. The NTP has also developed an online, interactive adult neurology dashboard to support systems to understand their local neurology landscape and benchmark against other ICBs in England. It sets out key metrics and visualisations for neurology services locally, providing information about the scope and quality of local neurology services using existing whole population, whole pathway data. The NTP is also working with the National Clinical Director for Neurology and the Neurology Clinical Reference Group to develop a revised service specification for neurology, 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.

If he will hold discussions with Healthwatch Leeds on the potential merits of implementing their policy on communication, coordination and compassion in other parts of the country.

While there are no current plans for my Rt Hon. Friend, the Secretary of State for Health and Social Care, to meet with Healthwatch Leeds, he does meet with stakeholders regularly about a range of issues.NHS England has carefully considered the points raised in Healthwatch Leeds’ paper, in particular its recommendations for how providers and commissioners should communicate change to people and their communities. In 2022, NHS England published statutory guidance on working with people and communities, which is available at the following link:https://www.england.nhs.uk/publication/working-in-partnership-with-people-and-communities-statutory-guidance/This guidance supports integrated care boards (ICBs) and providers to meet their legal duties to involve the public in changes to services, and highlights the importance of communicating effectively with communities. NHS England carries out an annual assessment of ICBs, which includes how they meet their public involvement legal duty.

Whether he has made a recent assessment of the potential merits of implementing the recommendations of the briefing paper by Healthwatch Leeds entitled Communicating change, published in September 2024.

While there are no current plans for my Rt Hon. Friend, the Secretary of State for Health and Social Care, to meet with Healthwatch Leeds, he does meet with stakeholders regularly about a range of issues.NHS England has carefully considered the points raised in Healthwatch Leeds’ paper, in particular its recommendations for how providers and commissioners should communicate change to people and their communities. In 2022, NHS England published statutory guidance on working with people and communities, which is available at the following link:https://www.england.nhs.uk/publication/working-in-partnership-with-people-and-communities-statutory-guidance/This guidance supports integrated care boards (ICBs) and providers to meet their legal duties to involve the public in changes to services, and highlights the importance of communicating effectively with communities. NHS England carries out an annual assessment of ICBs, which includes how they meet their public involvement legal duty.

What steps his Department is taking to help ensure that people with additional communication needs are able to access (a) online appointment bookings and (b) other digital healthcare services.

All National Health Service organisations and publicly funded social care providers in England are required to meet the Accessible Information Standard to meet the communication needs of patients and carers with a disability, impairment, or sensory loss. Patients are able to request general practice appointments and manage secondary care appointments through local online tools and the NHS App, which can also be accessed through a web browser. The NHS App is designed to meet international accessibility standards and the services are routinely tested with a range of people with accessibility issues. User reviews and research show the NHS App and website to be highly usable and simple to use. Local online tools must also meet minimum accessibility standards. Digital healthcare services are part of a multi-channel offering, and patients unable to use digital channels can continue to access services via telephone and through traditional face to face services. Digital services must be designed to alleviate healthcare inequalities rather than exacerbate them. Our goal is to ensure that reducing healthcare inequalities and improving digital inclusion have due focus in wider inclusive user design and delivery for all digital health products and services, including through implementation of the NHS England Digital Inclusion Framework.

What steps his Department is taking to support people diagnosed with Ehlers-Danlos syndrome.

The Government is committed to improving the lives of those living with rare diseases, such as Ehlers-Danlos Syndrome (EDS). The UK Rare Diseases Framework sets out four priorities collaboratively developed with the rare disease community. These include better coordination of care and improving access to specialist care, treatments, and drugs. We remain committed to delivering under the framework, and will publish an annual England action plan in 2025 which will report on progress.NHS England commissions some specialist services for patients with EDS, currently delivered by two centres in England, the London North West University Healthcare Trust and the Sheffield Children’s NHS Foundation Trust. The Complex EDS service provides diagnosis and advice to referrers on the treatment and management of complex cases.

If he will make an assessment with Cabinet colleagues of the potential merits of making tuition free for dental students; and what steps he is taking to ensure that dentists receive adequate funding to treat NHS patients.

The Government is determined to rebuild National Health Service dentistry, but it will take time and there are no quick fixes. Strengthening the workforce is key to our ambitions.The Government will make sure the NHS has the staff it needs to be there for all of us when we need it. We have no plans to make tuition free for dental students. From year five of an undergraduate course, and from year two of a graduate-entry course, dental students can access the NHS Bursary. This is non-repayable and comprises payment for tuition fees and, where eligible, further grants and allowances.The Government will tackle the immediate crisis 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 contact, with a shift to focus on prevention and the retention of NHS dentists.

If he will allow individuals with a history of anaphylaxis to receive Novavax Covid-19 booster vaccinations.

Novavax was not purchased for the Autumn 2024 COVID-19 vaccination programme, as sufficient pre-procured COVID-19 doses of the Moderna mRNA (Spikevax) and Pfizer-BioNTech mRNA (Comirnaty) vaccines were available.The COVID-19 chapter of the publication Immunisation against infectious diseases, also known as the Green Book, details that there are very few individuals who cannot receive the COVID-19 vaccines approved in the United Kingdom. The Green Book Chapter 14a is available at the following link:https://www.gov.uk/government/publications/covid-19-the-green-book-chapter-14aPublished advice recommends that anyone with a prior allergic reaction to COVID-19 vaccines should be seen by an expert allergist and, after a review of the individual’s risks and benefits of vaccination, where vaccination is indicated, they could then be vaccinated in hospital under clinical supervision. NHS England will continue to follow this clinical guidance and offer mRNA vaccination under expert supervision in a hospital setting. This advice is available at the following link:https://www.nhs.uk/vaccinations/COVID-19-vaccine/

What steps his Department is taking to increase the availability of (a) GP appointments and (b) other primary care services.

We know that patients are finding it harder than ever to see a general practitioner (GP) and access other primary care services, and we are committed to fixing the crisis in GPs.Our plan to increase the number of GP appointments delivered will require both investment and reform. We have already invested £82 million to recruit over 1,000 newly qualified GPs through the Additional Roles Reimbursement Scheme. This will increase the number of appointments delivered in general practice and take pressure off those currently working in the system. We will also train thousands more GPs, securing the future of the workforce, and end the 8:00am scramble for GP appointments by introducing a modern booking system.We will provide 700,000 more urgent dental appointments and recruit new dentists to areas that need them most. Additionally, to rebuild dentistry in the long term and increase access to National Health Service dental care, we will reform the dental contract, with a shift to focus on prevention and the retention of NHS dentists.We are also committed to expanding the role of pharmacies and better utilising the skills of pharmacists and pharmacy technicians, including by cutting red tape. That includes making prescribing part of the services delivered by community pharmacists as we shift care from the hospital to the community.

What steps he is taking to help ensure NHS dental practices have the capacity to treat more patients.

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 to recruit new dentists to the areas that need them most. To rebuild dentistry in the long term and increase access to NHS dental care, we will reform the dental contract, with a shift to focus on prevention and the retention of NHS dentists.The responsibility for commissioning primary care, including dentistry, to meet the needs of the local population has been delegated to all integrated care boards (ICBs) across England. For the Leeds South West and Morley constituency, this is the NHS West Yorkshire ICB. NHS dentists are required to update their NHS website profiles at least every 90 days to ensure patients have up-to-date information on where they can access care.

What steps his Department is taking recruit more full-time healthcare support workers.

The National Health Service has been facing chronic workforce shortages for years and we have to be honest that bringing in the staff the NHS needs will take time. The Government will make sure the NHS has the staff it needs to be there for all of us when we need it.We are committed to training the staff we need to ensure patients are cared for by the right professional, when and where they need it. We will launch a 10-Year Health Plan to reform the NHS and make it fit for the future.