Written questions by Martin.

Pursuant to the Answer of 27 November 2024 to Question 15347 on Pectus Excavatum: Surgery, if he will make an assessment of the potential impact on the (a) mental and (b) physical health of children who fall below the Haller index threshold of not receiving that surgery.

In April 2023, the National Health Service published an urgent policy statement for the clinical treatment of pectus excavatum and the eligibility criteria for surgical intervention.Any physical or psychological assessment of children who fall below the eligibility threshold for surgery to treat pectus excavatum is the responsibility of their clinician. Pectus excavatum may also be treated by non-surgical interventions.As part of its five long-term missions, the Government has begun work on a 10-year plan for change and modernisation, to make the NHS fit for the future, ensuring a better health service for everyone, regardless of condition or service area.

How many private GP surgeries were set up in (a) England, (b) Kent and (c) Tunbridge Wells constituency in the last 12 months.

Data on the number of private general practice (GP) surgeries is not held centrally. The majority of GPs operate under the GP Contract, to provide National Health Service GP services. Private GP surgeries must be registered with the Care Quality Commission, and doctors must be registered with the General Medical Council.

How many private GP surgeries there are in (a) England, (b) Kent and (c) Tunbridge Wells constituency.

Data on the number of private general practice (GP) surgeries is not held centrally. The majority of GPs operate under the GP Contract, to provide National Health Service GP services. Private GP surgeries must be registered with the Care Quality Commission, and doctors must be registered with the General Medical Council.

What the name of the pharmacy most recently set up in Kent is; and when it was set up.

The most recent pharmacy set up in Kent is Delmergate Ltd, located at Unit 4, Castle Hill Local Centre, 69 Cherry Orchard, Ebbsfleet, Kent, DA10 1AD. It’s opening date was 19 July 2021.The most recent pharmacy set up in the Tunbridge Wells constituency is Carrs Pharmacy, located on 94 Caverley Road, Tunbridge Wells, Kent, TN21 2UN. It’s opening date was 1 February 2011.

What the name of the pharmacy most recently set up in the Tunbridge Wells constituency is; and when it was set up.

The most recent pharmacy set up in Kent is Delmergate Ltd, located at Unit 4, Castle Hill Local Centre, 69 Cherry Orchard, Ebbsfleet, Kent, DA10 1AD. It’s opening date was 19 July 2021.The most recent pharmacy set up in the Tunbridge Wells constituency is Carrs Pharmacy, located on 94 Caverley Road, Tunbridge Wells, Kent, TN21 2UN. It’s opening date was 1 February 2011.

What information his Department holds on the amount of funding received by the most recently-established independent NHS GP surgery in Kent.

Data regarding the amount of funding received by the most recently established independent National Health Service general practice (GP) surgery in Kent, the Tunbridge Wells constituency, and England, is as follows:the last GP surgery set up in Kent was the Bromleag Care Practice, which was created on 1 April 2019, and the total NHS payments to this practice, minus deductions, in 2022/23 was £5,317,351;the last GP surgery set up in the Tunbridge Wells constituency was the Lonsdale Medical Centre, which was created on 1 May 1991, and the total NHS payments to this practice, minus deductions, in 2022/23 was £898,629; andthe last GP surgery set up in England was the Solent NHS Trust T/A Medina Healthcare, which was created on 4 September 2024, and we have no data for this practice, as the 2022/23 data only covers practices up to 31 March 2023.It should be noted that the latest data we have available relating to these requests is published data for NHS Payment to GP Practices for 2022/23, which is available at the following link:https://digital.nhs.uk/data-and-information/publications/statistical/nhs-payments-to-general-practice/england-2022-23The data can be found in Table 2 of Annex 1 Tables and Charts on this page. The totals columns are available on the far right of Table 2.NHS Payments to General Practice, England 2022/23 provides information on NHS payments to individual providers of GP services in England. Figures are given for the main payment categories, which include Global Sum, the Balance of Primary Medical Services expenditure, the Quality Outcomes Framework, and Local Incentive Schemes.It is not a record of the amount of money available for direct patient care, nor the total invested in patient care through GPs. Instead, it constitutes the majority of actual monies paid to practices for all activities and costs during the 2022/23 financial year.

How much funding his Department allocated to the most recently established independent NHS GP surgery in (a) Tunbridge Wells constituency and (b) England.

Data regarding the amount of funding received by the most recently established independent National Health Service general practice (GP) surgery in Kent, the Tunbridge Wells constituency, and England, is as follows:the last GP surgery set up in Kent was the Bromleag Care Practice, which was created on 1 April 2019, and the total NHS payments to this practice, minus deductions, in 2022/23 was £5,317,351;the last GP surgery set up in the Tunbridge Wells constituency was the Lonsdale Medical Centre, which was created on 1 May 1991, and the total NHS payments to this practice, minus deductions, in 2022/23 was £898,629; andthe last GP surgery set up in England was the Solent NHS Trust T/A Medina Healthcare, which was created on 4 September 2024, and we have no data for this practice, as the 2022/23 data only covers practices up to 31 March 2023.It should be noted that the latest data we have available relating to these requests is published data for NHS Payment to GP Practices for 2022/23, which is available at the following link:https://digital.nhs.uk/data-and-information/publications/statistical/nhs-payments-to-general-practice/england-2022-23The data can be found in Table 2 of Annex 1 Tables and Charts on this page. The totals columns are available on the far right of Table 2.NHS Payments to General Practice, England 2022/23 provides information on NHS payments to individual providers of GP services in England. Figures are given for the main payment categories, which include Global Sum, the Balance of Primary Medical Services expenditure, the Quality Outcomes Framework, and Local Incentive Schemes.It is not a record of the amount of money available for direct patient care, nor the total invested in patient care through GPs. Instead, it constitutes the majority of actual monies paid to practices for all activities and costs during the 2022/23 financial year.

If he will take steps to help negotiate an agreement between (a) AstraZeneca, (b) Daiichi Sankyo and (c) the National Institute for Health and Care Excellence to ensure Enhertu can be prescribed on the NHS to women with breast cancer.

Decisions on whether new medicines should be routinely funded by the National Health Service in England are made on the basis of recommendations from the National Institute for Health and Care Excellence (NICE), following an evaluation of a treatment’s costs and benefits. These are very difficult decisions to make, and it is important that they are made independently and on the basis of the available evidence.The NICE published guidance in July 2024 on the use of Enhertu for the treatment of HER-2 low metastatic and unresectable breast cancer, and was unfortunately unable to recommend it for routine NHS funding. I understand that the NICE and NHS England have sought to apply as much flexibility as they can in their considerations of Enhertu for HER2-low breast cancer, and have made it clear to the companies that their pricing of the drug remains the only obstacle to access. Ministers recently met with the manufacturers of Enhertu, AstraZeneca, and Daiichi Sankyo, to encourage them to re-engage in commercial discussions with NHS England. Despite the NICE and NHS England offering unprecedented flexibilities, the companies were unable to offer Enhertu at a cost-effective price. The NICE’s guidance, published in July, will therefore remain unchanged. Although the deadline for a rapid review has now passed, the NICE has reassured me that the door remains open for the companies to enter into a new NICE appraisal, if they are willing to offer Enhertu at a cost-effective price.

When the last time a GP surgery was set up from scratch in Kent was.

Information regarding the name and date of establishment for the latest GP surgery set up in England, Tunbridge Wells constituency, and Kent is as follows:The last GP surgery set up in England was Solent NHS Trust T/A Medina Healthcare, which was created on 4th September 2024.The last GP surgery set up in Tunbridge Wells constituency was Lonsdale Medical Centre, which was created on 1st May 1991.The last GP surgery set up in Kent was Bromleag Care Practice, which was created on 1st April 2019. To note:The data included has been taken from GP and GP practice related data - NHS England Digital (file epraccur.csv), and is labelled ‘GP Practices’, however this is not entirely accurate as it comes from NHS Prescribing Services and identifies cost centre codes for prescribing activity. This data wasn't created to list GP Practices; instead, it's meant to track prescribing activity and pay dispensing contractors. It has since been used as a reference for IT systems operations.

When the last time a GP surgery was set up from scratch in England was.

Information regarding the name and date of establishment for the latest GP surgery set up in England, Tunbridge Wells constituency, and Kent is as follows:The last GP surgery set up in England was Solent NHS Trust T/A Medina Healthcare, which was created on 4th September 2024.The last GP surgery set up in Tunbridge Wells constituency was Lonsdale Medical Centre, which was created on 1st May 1991.The last GP surgery set up in Kent was Bromleag Care Practice, which was created on 1st April 2019. To note:The data included has been taken from GP and GP practice related data - NHS England Digital (file epraccur.csv), and is labelled ‘GP Practices’, however this is not entirely accurate as it comes from NHS Prescribing Services and identifies cost centre codes for prescribing activity. This data wasn't created to list GP Practices; instead, it's meant to track prescribing activity and pay dispensing contractors. It has since been used as a reference for IT systems operations.

What was the name of the last GP surgery set up in Tunbridge Wells constituency; and when that surgery was set up.

Information regarding the name and date of establishment for the latest GP surgery set up in England, Tunbridge Wells constituency, and Kent is as follows:The last GP surgery set up in England was Solent NHS Trust T/A Medina Healthcare, which was created on 4th September 2024.The last GP surgery set up in Tunbridge Wells constituency was Lonsdale Medical Centre, which was created on 1st May 1991.The last GP surgery set up in Kent was Bromleag Care Practice, which was created on 1st April 2019. To note:The data included has been taken from GP and GP practice related data - NHS England Digital (file epraccur.csv), and is labelled ‘GP Practices’, however this is not entirely accurate as it comes from NHS Prescribing Services and identifies cost centre codes for prescribing activity. This data wasn't created to list GP Practices; instead, it's meant to track prescribing activity and pay dispensing contractors. It has since been used as a reference for IT systems operations.

What assessment he has made of the adequacy of the Haller index threshold for pectus excavatum surgery provided on the NHS.

In April 2023, NHS England published an interim clinical commissioning urgent policy statement on pectus excavatum surgery. The statement concluded that the Haller Index, a mathematical calculation used to measure the severity of the deformity, is adequate and serves as a key component of the eligibility criteria for surgery, alongside measures of severe physiological impact.The policy statement is available at the following link:https://www.england.nhs.uk/publication/interim-clinical-commissioning-urgent-policy-statement-pectus-surgery/