Written questions by Vickers.

Whether appointments cancelled by hospitals or other NHS authorities appear in statistics as completed appointments.

Appointments cancelled by hospitals or other National Health Service authorities do not appear in statistics as completed appointments. For admitted patients, the Department does not hold data on the cause of cancellations or where patients did not attend their operation.Data on the number of last-minute cancelled operations is published by NHS England. Last minute means on the day the patient was due to arrive, after the patient has arrived in hospital or on the day of the operation or surgery. It does not include cancelled operations before the day of the operation. Data is available by year and quarter and includes the number of cancellations and the percentage these represent of total elective admissions. This is available at the following link, within the ‘Time Series’ report:https://www.england.nhs.uk/statistics/statistical-work-areas/cancelled-elective-operations/cancelled-ops-data/For outpatient appointments, data on cancellations and patients that did not attend their appointment is published by NHS England. Data is available by year and includes the number of cancellations, whether these were hospital or patient cancellations, and the percentage these represent of total elective admissions. This is available on the following link, within "Hospital Outpatient Activity, 2024-25: Report Tables":https://digital.nhs.uk/data-and-information/publications/statistical/hospital-outpatient-activity/2024-25

How many planned inpatient admissions expressed as a total number and as a percentage of all inpatient admissions were a) cancelled by hospitals and NHS authorities, b) cancelled by patients and c) cancelled because patients did not attend in each of the last three years.

Appointments cancelled by hospitals or other National Health Service authorities do not appear in statistics as completed appointments. For admitted patients, the Department does not hold data on the cause of cancellations or where patients did not attend their operation.Data on the number of last-minute cancelled operations is published by NHS England. Last minute means on the day the patient was due to arrive, after the patient has arrived in hospital or on the day of the operation or surgery. It does not include cancelled operations before the day of the operation. Data is available by year and quarter and includes the number of cancellations and the percentage these represent of total elective admissions. This is available at the following link, within the ‘Time Series’ report:https://www.england.nhs.uk/statistics/statistical-work-areas/cancelled-elective-operations/cancelled-ops-data/For outpatient appointments, data on cancellations and patients that did not attend their appointment is published by NHS England. Data is available by year and includes the number of cancellations, whether these were hospital or patient cancellations, and the percentage these represent of total elective admissions. This is available on the following link, within "Hospital Outpatient Activity, 2024-25: Report Tables":https://digital.nhs.uk/data-and-information/publications/statistical/hospital-outpatient-activity/2024-25

How many planned outpatient admissions expressed as a total number and as a percentage of all outpatient admissions were a) cancelled by hospitals and NHS authorities, b) cancelled by patients and c) cancelled because patients did not attend in each of the last three years.

Appointments cancelled by hospitals or other National Health Service authorities do not appear in statistics as completed appointments. For admitted patients, the Department does not hold data on the cause of cancellations or where patients did not attend their operation.Data on the number of last-minute cancelled operations is published by NHS England. Last minute means on the day the patient was due to arrive, after the patient has arrived in hospital or on the day of the operation or surgery. It does not include cancelled operations before the day of the operation. Data is available by year and quarter and includes the number of cancellations and the percentage these represent of total elective admissions. This is available at the following link, within the ‘Time Series’ report:https://www.england.nhs.uk/statistics/statistical-work-areas/cancelled-elective-operations/cancelled-ops-data/For outpatient appointments, data on cancellations and patients that did not attend their appointment is published by NHS England. Data is available by year and includes the number of cancellations, whether these were hospital or patient cancellations, and the percentage these represent of total elective admissions. This is available on the following link, within "Hospital Outpatient Activity, 2024-25: Report Tables":https://digital.nhs.uk/data-and-information/publications/statistical/hospital-outpatient-activity/2024-25

What steps he is taking to improve early detection of kidney disease in primary care, particularly for patients with known risk factors such as autoimmune conditions, diabetes and hypertension.

Data on chronic kidney disease (CKD) prevalence nationally and locally is available at the following link:https://fingertips.phe.org.uk/search/chronic%20kidney%20disease#page/4/gid/1/pat/159/par/K02000001/ati/15/are/E92000001/iid/258/age/168/sex/4/cat/-1/ctp/-1/yrr/1/cid/4/tbm/1 NHS England’s Renal Clinical Network Specification states that the patient population in England with advanced kidney disease requiring renal replacement therapy is growing at a rate of 3% per annum. NHS England’s Renal Clinical Network Specification is available at the following link:https://www.england.nhs.uk/wp-content/uploads/2024/05/PRN231110-renal-clinical-network-specification-2023-.pdfTo tackle this, NHS England is delivering a comprehensive programme to improve the diagnosis, treatment, and outcomes of people with kidney disease. NHS England has published a renal services transformation toolkit to support earlier identification of CKD and to strengthen management across the whole patient pathway. Eight commissioned regional renal clinical networks are implementing this toolkit, in collaboration with providers, with a clear focus on improving early diagnosis, slowing disease progression, and reducing the number of patients reaching advanced stages of kidney disease. This work is supported nationally by the Renal Clinical Reference Group. NHS England is also supporting the Department and key kidney organisations to identify further opportunities to enhance prevention, diagnosis, treatment, and long‑term outcomes for people living with kidney disease.

What recent progress he has made in improving access to kidney transplantation, including reducing waiting times and increasing rates of living and deceased organ donation.

NHS Blood and Transplant (NHSBT) is the organisation responsible for organ donation services in the United Kingdom. Figures on the number of patients active on the kidney transplant waiting list and median waiting times are available at the following link:https://nhsbtdbe.blob.core.windows.net/umbraco-assets-corp/36811/section-5-kidney-activity.pdfThe Department, along with NHSBT, continues to take action to improve access to kidney transplantation. This includes high profile, year-round campaigns including Living Donation Week, Organ Donation Week, and World Kidney Day, and partnerships with charities and community groups to promote living donation, the UK Living Kidney Sharing Scheme (UKLKSS) and the importance of declaring wishes on the Organ Donation Register (ODR). In addition, the Living Donor Futures programme, launching this early this year, will look at how NHSBT can support the growth of living donor programmes locally and within the UKLKSS. Further information on the UKLKSS is available at the following link: https://www.odt.nhs.uk/living-donation/uk-living-kidney-sharing-scheme/;The Department-led Implementation Steering Group for Organ Utilisation is working to maximise the potential for organ transplantation, aiming to reduce waiting times and improve access. This includes the initiation of a national programme of Assessment and Recovery Centres (ARCs) by NHSBT, which will utilise innovation to enhance the assessment, evaluation, and utilisation of donor organs. Pilot ARCs are set to begin in early 2026. Further information on the Implementation Steering Group for Organ Utilisation is available at the following link: https://www.odt.nhs.uk/odt-structures-and-standards/clinical-leadership/implementation-steering-group-for-organ-utilisation/Additionally, the Organ Donation Joint Working Group recently published recommendations to improve organ donation consent rates, increase societal action for organ donation, and increase the pool of potential donors in their report this January. The recommendations are available at the following link:https://nhsbtdbe.blob.core.windows.net/umbraco-assets-corp/38066/odjwg-report.pdf

What assessment he has made of trends in the prevalence of chronic kidney disease in England over the last ten years; and what he expects the trends to be over the next decade.

Data on chronic kidney disease (CKD) prevalence nationally and locally is available at the following link:https://fingertips.phe.org.uk/search/chronic%20kidney%20disease#page/4/gid/1/pat/159/par/K02000001/ati/15/are/E92000001/iid/258/age/168/sex/4/cat/-1/ctp/-1/yrr/1/cid/4/tbm/1 NHS England’s Renal Clinical Network Specification states that the patient population in England with advanced kidney disease requiring renal replacement therapy is growing at a rate of 3% per annum. NHS England’s Renal Clinical Network Specification is available at the following link:https://www.england.nhs.uk/wp-content/uploads/2024/05/PRN231110-renal-clinical-network-specification-2023-.pdfTo tackle this, NHS England is delivering a comprehensive programme to improve the diagnosis, treatment, and outcomes of people with kidney disease. NHS England has published a renal services transformation toolkit to support earlier identification of CKD and to strengthen management across the whole patient pathway. Eight commissioned regional renal clinical networks are implementing this toolkit, in collaboration with providers, with a clear focus on improving early diagnosis, slowing disease progression, and reducing the number of patients reaching advanced stages of kidney disease. This work is supported nationally by the Renal Clinical Reference Group. NHS England is also supporting the Department and key kidney organisations to identify further opportunities to enhance prevention, diagnosis, treatment, and long‑term outcomes for people living with kidney disease.

What assessment he has made of the adequacy of the capacity of renal services, including dialysis and transplantation services, to meet current and projected patient demand.

Data on chronic kidney disease (CKD) prevalence nationally and locally is available at the following link:https://fingertips.phe.org.uk/search/chronic%20kidney%20disease#page/4/gid/1/pat/159/par/K02000001/ati/15/are/E92000001/iid/258/age/168/sex/4/cat/-1/ctp/-1/yrr/1/cid/4/tbm/1 NHS England’s Renal Clinical Network Specification states that the patient population in England with advanced kidney disease requiring renal replacement therapy is growing at a rate of 3% per annum. NHS England’s Renal Clinical Network Specification is available at the following link:https://www.england.nhs.uk/wp-content/uploads/2024/05/PRN231110-renal-clinical-network-specification-2023-.pdfTo tackle this, NHS England is delivering a comprehensive programme to improve the diagnosis, treatment, and outcomes of people with kidney disease. NHS England has published a renal services transformation toolkit to support earlier identification of CKD and to strengthen management across the whole patient pathway. Eight commissioned regional renal clinical networks are implementing this toolkit, in collaboration with providers, with a clear focus on improving early diagnosis, slowing disease progression, and reducing the number of patients reaching advanced stages of kidney disease. This work is supported nationally by the Renal Clinical Reference Group. NHS England is also supporting the Department and key kidney organisations to identify further opportunities to enhance prevention, diagnosis, treatment, and long‑term outcomes for people living with kidney disease.

Whether his Department plans to develop a national service framework or equivalent long-term strategy for the prevention, diagnosis and treatment of kidney disease.

As announced in the 10-Year Health Plan, as well as an overall quality strategy, the National Quality Board is overseeing the development of a new series of service frameworks to accelerate progress in conditions where there is potential for rapid and significant improvements in quality of care and productivity.Early priorities include cardiovascular disease, severe mental illness, and the first ever service framework for frailty and dementia. The Government will consider other long-term conditions with significant health and economic impacts for future waves of modern service frameworks.

What steps his Department are taking to allow frontline workers such as Teachers, Teaching Assistants and all school workers access to the Free Flu Vaccine Programme.

Eligibility for a free National Health Service flu vaccine is guided, each year, by advice and recommendations from the independent Joint Committee on Vaccination and Immunisation (JCVI). The JCVI keeps all vaccination programmes under review.The aim of the flu vaccination programme is to protect those most at risk from serious illness and hospitalisation. Those eligible to receive a free flu vaccine on the NHS this autumn and winter are: pregnant women;all children aged two or three years old;children with certain long-term health conditions, aged six months to less than 18 years old;primary school aged children, from reception to Year 6;secondary school aged children, from Year 7 to Year 11;all children in clinical risk groups aged from six months to under 18 years old;everyone aged 65 years old and over;individuals aged 18 to under 65 years old with certain long-term health conditions;care home residents;carers in receipt of carer's allowance, or those who are the main carer of an elderly or disabled person; andthose living with people who are immunocompromised. Individuals, such as teachers, teaching assistants and school workers, who meet these criteria are eligible for a free NHS flu vaccine. Frontline health and social care workers can access the flu vaccine through their employer. Anyone who is unsure about their eligibility can consult their general practitioner, practice nurse, or pharmacist. Pregnant women can also consult their midwife. The NHS website contains further information on eligibility, and is avaiable at the following link: https://www.nhs.uk/vaccinations/flu-vaccine/

What steps are being taken to ensure that data on paediatric traumatic brain injury diagnoses is collected consistently across the NHS to support the development of the Acquired Brain Injury Action Plan.

Awaiting answer.

What assessment has been made of the economic impact of acquired brain injury on local authorities and health systems; and how that information is informing future funding models for neurorehabilitation.

The Department recognises the significant economic impact of acquired brain injury (ABI) on both the National Health Service and local authorities due to the costs of acute care, long-term rehabilitation, social care, and support for education and employment.This is informing the development of future funding models for locally commissioned neurorehabilitation by emphasising the value of early, intensive rehabilitation in reducing long-term costs and improving outcomes. The ABI Action Plan will set out proposals to strengthen commissioning frameworks, promote integrated funding approaches between health and social care, and ensure resources are targeted where they deliver the greatest benefit.

What progress has been made on developing the cross-departmental Acquired Brain Injury Action Plan; and what mechanisms are in place to ensure the plan addresses regional inequalities in neurorehabilitation services.

The Department is working closely with NHS England, other Government departments, and stakeholders to finalise the Acquired Brain Injury (ABI) Action Plan, which will set out clear priorities for improving prevention, diagnosis, rehabilitation, and long-term support. Work on the plan is well advanced, and we expect to publish the plan in the first half of 2026.The Department has worked closely with leading ABI charities through stakeholder forums, the ABI All-Party Parliamentary Group, and a national call for evidence. These organisations have provided expert insight on rehabilitation pathways, community support, and service gaps. Their contributions are directly shaping the plan by informing priorities and practical actions to improve outcomes for individuals and families affected by ABI.

What recent assessment has been made of (a) the effectiveness of follow-up pathways for children discharged from A&E after a head injury and (b) whether current practice aligns with national clinical guidelines.

The Department recognises the importance of timely, high-quality rehabilitation for children and young people with an acquired brain injury (ABI). NHS England’s paediatric neurorehabilitation service specification supports community neurorehabilitation by ensuring that children and young people receive coordinated, specialist care beyond the hospital setting. It requires integrated care boards (ICBs), including the NHS North East and North Cumbria ICB, to work with tertiary centres and local providers to deliver structured rehabilitation programmes in the community, supported by multidisciplinary teams.The Department expects all National Health Services to follow the guideline for the assessment and early management of head injury in babies, children, young people, and adults, reference code NG232, published by the National Institute for Health and Care Excellence (NICE). The guideline sets out clear standards for discharge advice, risk assessment, and timely referral for further evaluation where symptoms persist or escalate. NHS England ensures that ICBs follow NICE guidance through a combination of statutory oversight frameworks, annual performance assessments, and local clinical governance requirements. NICE provides ICBs with implementation tools, audit templates, training resources, and commissioning guidance to help embed the guideline into local pathways and ensure consistent, evidence-based practice.The Government is committed to increasing specialist neurorehabilitation capacity in the North East of England as part of wider efforts to improve access and reduce regional variation. Our forthcoming ABI Action Plan will set out practical steps to strengthen commissioning and expand multidisciplinary rehabilitation services. This aligns with commitments in the 10-Year Health Plan to enhance community-based rehabilitation, invest in specialist teams, and ensure timely, high-quality care for people with ABI across England, including the North East.

What plans there are to expand specialist neurorehabilitation capacity in the North East.

The Department recognises the importance of timely, high-quality rehabilitation for children and young people with an acquired brain injury (ABI). NHS England’s paediatric neurorehabilitation service specification supports community neurorehabilitation by ensuring that children and young people receive coordinated, specialist care beyond the hospital setting. It requires integrated care boards (ICBs), including the NHS North East and North Cumbria ICB, to work with tertiary centres and local providers to deliver structured rehabilitation programmes in the community, supported by multidisciplinary teams.The Department expects all National Health Services to follow the guideline for the assessment and early management of head injury in babies, children, young people, and adults, reference code NG232, published by the National Institute for Health and Care Excellence (NICE). The guideline sets out clear standards for discharge advice, risk assessment, and timely referral for further evaluation where symptoms persist or escalate. NHS England ensures that ICBs follow NICE guidance through a combination of statutory oversight frameworks, annual performance assessments, and local clinical governance requirements. NICE provides ICBs with implementation tools, audit templates, training resources, and commissioning guidance to help embed the guideline into local pathways and ensure consistent, evidence-based practice.The Government is committed to increasing specialist neurorehabilitation capacity in the North East of England as part of wider efforts to improve access and reduce regional variation. Our forthcoming ABI Action Plan will set out practical steps to strengthen commissioning and expand multidisciplinary rehabilitation services. This aligns with commitments in the 10-Year Health Plan to enhance community-based rehabilitation, invest in specialist teams, and ensure timely, high-quality care for people with ABI across England, including the North East.

What steps are being taken to ensure that data on paediatric traumatic brain injury diagnoses is collected consistently across the NHS to support the development of the Acquired Brain Injury Action Plan.

The Department recognises that consistent and comprehensive data on traumatic brain injury (TBI) is essential to improving care and informing policy. The forthcoming Acquired Brain Injury (ABI) Action Plan will include measures to strengthen data collection and access across the National Health Service and wider services. This will ensure that information on diagnosis and treatment of TBI is gathered systematically and shared effectively to support integrated care, commissioning decisions and evidence-based planning, and to underpin the action plan’s goal of improving prevention, diagnosis, rehabilitation, and long-term support for children and young people, as well as adults, affected by TBI.

What assessment has been made of the adequacy of community-based neurorehabilitation provision for children and young people following an acquired brain injury, particularly in regions with high incidence rates such as Teesside.

The Department recognises the importance of timely, high-quality rehabilitation for children and young people with an acquired brain injury (ABI). NHS England’s paediatric neurorehabilitation service specification supports community neurorehabilitation by ensuring that children and young people receive coordinated, specialist care beyond the hospital setting. It requires integrated care boards (ICBs), including the NHS North East and North Cumbria ICB, to work with tertiary centres and local providers to deliver structured rehabilitation programmes in the community, supported by multidisciplinary teams.The Department expects all National Health Services to follow the guideline for the assessment and early management of head injury in babies, children, young people, and adults, reference code NG232, published by the National Institute for Health and Care Excellence (NICE). The guideline sets out clear standards for discharge advice, risk assessment, and timely referral for further evaluation where symptoms persist or escalate. NHS England ensures that ICBs follow NICE guidance through a combination of statutory oversight frameworks, annual performance assessments, and local clinical governance requirements. NICE provides ICBs with implementation tools, audit templates, training resources, and commissioning guidance to help embed the guideline into local pathways and ensure consistent, evidence-based practice.The Government is committed to increasing specialist neurorehabilitation capacity in the North East of England as part of wider efforts to improve access and reduce regional variation. Our forthcoming ABI Action Plan will set out practical steps to strengthen commissioning and expand multidisciplinary rehabilitation services. This aligns with commitments in the 10-Year Health Plan to enhance community-based rehabilitation, invest in specialist teams, and ensure timely, high-quality care for people with ABI across England, including the North East.

What recent work has been undertaken with voluntary sector organisations supporting families affected by acquired brain injury; and how their expertise is being incorporated into the Acquired Brain Injury Action Plan.

The Department is working closely with NHS England, other Government departments, and stakeholders to finalise the Acquired Brain Injury (ABI) Action Plan, which will set out clear priorities for improving prevention, diagnosis, rehabilitation, and long-term support. Work on the plan is well advanced, and we expect to publish the plan in the first half of 2026.The Department has worked closely with leading ABI charities through stakeholder forums, the ABI All-Party Parliamentary Group, and a national call for evidence. These organisations have provided expert insight on rehabilitation pathways, community support, and service gaps. Their contributions are directly shaping the plan by informing priorities and practical actions to improve outcomes for individuals and families affected by ABI.

How many neurologists have specialist training in Parkinson’s disease; and if he will estimate the espected number of neurologists with specialist training in Parkinson’s over the next five years.

The Department does not hold data on the number of neurologists or geriatricians with specialist training in Parkinson’s disease, nor does NHS England publish workforce projections at this level of granularity. Neurologists typically manage a wide range of conditions, including Parkinson’s, and geriatricians are trained to manage a broad range of complex health needs in older people. Workforce data is collected for the specialty as a whole rather than by sub-specialty.As of August 2025, there were 2,010 full-time equivalent (FTE) doctors working in the specialty of neurology and 6,284 in geriatric medicine in National Health Service trusts and other organisations in England. This includes 1,025 FTE consultant neurologists and 1,687 FTE consultant geriatricians.The Department does not hold specific data on the number of specialist Parkinson’s nurses currently working in the NHS in England. These roles are commissioned and managed locally by NHS trusts and integrated care boards (ICBs) as part of neurology and movement disorder services.NHS England uses workforce modelling to establish potential future scenarios for both the supply of, and demand for, NHS workers across all specialties. In doing so, they analyse a range of factors, including population health trends, service utilisation patterns, and projected retirement and training rates. This modelling helps determine the number of training places required and informs long-term workforce planning, ensuring that specialties such as neurology and geriatric medicine have sufficient capacity to meet anticipated needs.The Government will publish a 10 Year Workforce Plan to set out action to create a workforce ready to deliver the transformed service set out in the 10-Year Health Plan. It will ensure that the NHS has the right people in the right places, with the right skills to care for patients, including those with Parkinson’s disease, when they need it. We are working through how the plan will articulate the changes for different professional groups.The Department recognises the importance of maintaining high-quality services for people living with Parkinson’s disease. NHS England sets clear expectations of ICBs through national service specifications as well as guidance provided through initiatives like the Getting it Right First Time and RightCare Programmes to ensure equitable access to care for people with neurological conditions, including Parkinson’s. NHS England monitors ICB performance through planning guidance and assurance processes to ensure compliance with national standards and to prevent inappropriate service reductions.

How many geriatricians have specialist training in Parkinson’s disease; and what plans he has to increase their numbers.

The Department does not hold data on the number of neurologists or geriatricians with specialist training in Parkinson’s disease, nor does NHS England publish workforce projections at this level of granularity. Neurologists typically manage a wide range of conditions, including Parkinson’s, and geriatricians are trained to manage a broad range of complex health needs in older people. Workforce data is collected for the specialty as a whole rather than by sub-specialty.As of August 2025, there were 2,010 full-time equivalent (FTE) doctors working in the specialty of neurology and 6,284 in geriatric medicine in National Health Service trusts and other organisations in England. This includes 1,025 FTE consultant neurologists and 1,687 FTE consultant geriatricians.The Department does not hold specific data on the number of specialist Parkinson’s nurses currently working in the NHS in England. These roles are commissioned and managed locally by NHS trusts and integrated care boards (ICBs) as part of neurology and movement disorder services.NHS England uses workforce modelling to establish potential future scenarios for both the supply of, and demand for, NHS workers across all specialties. In doing so, they analyse a range of factors, including population health trends, service utilisation patterns, and projected retirement and training rates. This modelling helps determine the number of training places required and informs long-term workforce planning, ensuring that specialties such as neurology and geriatric medicine have sufficient capacity to meet anticipated needs.The Government will publish a 10 Year Workforce Plan to set out action to create a workforce ready to deliver the transformed service set out in the 10-Year Health Plan. It will ensure that the NHS has the right people in the right places, with the right skills to care for patients, including those with Parkinson’s disease, when they need it. We are working through how the plan will articulate the changes for different professional groups.The Department recognises the importance of maintaining high-quality services for people living with Parkinson’s disease. NHS England sets clear expectations of ICBs through national service specifications as well as guidance provided through initiatives like the Getting it Right First Time and RightCare Programmes to ensure equitable access to care for people with neurological conditions, including Parkinson’s. NHS England monitors ICB performance through planning guidance and assurance processes to ensure compliance with national standards and to prevent inappropriate service reductions.

What assessment he has made of the capacity of the specialist Parkinson’s workforce to meet increasing demand for care and diagnosis.

The Department does not hold data on the number of neurologists or geriatricians with specialist training in Parkinson’s disease, nor does NHS England publish workforce projections at this level of granularity. Neurologists typically manage a wide range of conditions, including Parkinson’s, and geriatricians are trained to manage a broad range of complex health needs in older people. Workforce data is collected for the specialty as a whole rather than by sub-specialty.As of August 2025, there were 2,010 full-time equivalent (FTE) doctors working in the specialty of neurology and 6,284 in geriatric medicine in National Health Service trusts and other organisations in England. This includes 1,025 FTE consultant neurologists and 1,687 FTE consultant geriatricians.The Department does not hold specific data on the number of specialist Parkinson’s nurses currently working in the NHS in England. These roles are commissioned and managed locally by NHS trusts and integrated care boards (ICBs) as part of neurology and movement disorder services.NHS England uses workforce modelling to establish potential future scenarios for both the supply of, and demand for, NHS workers across all specialties. In doing so, they analyse a range of factors, including population health trends, service utilisation patterns, and projected retirement and training rates. This modelling helps determine the number of training places required and informs long-term workforce planning, ensuring that specialties such as neurology and geriatric medicine have sufficient capacity to meet anticipated needs.The Government will publish a 10 Year Workforce Plan to set out action to create a workforce ready to deliver the transformed service set out in the 10-Year Health Plan. It will ensure that the NHS has the right people in the right places, with the right skills to care for patients, including those with Parkinson’s disease, when they need it. We are working through how the plan will articulate the changes for different professional groups.The Department recognises the importance of maintaining high-quality services for people living with Parkinson’s disease. NHS England sets clear expectations of ICBs through national service specifications as well as guidance provided through initiatives like the Getting it Right First Time and RightCare Programmes to ensure equitable access to care for people with neurological conditions, including Parkinson’s. NHS England monitors ICB performance through planning guidance and assurance processes to ensure compliance with national standards and to prevent inappropriate service reductions.