Written questions by Duncan-Jordan.

Whether he plans to deliver a new National Carers Strategy in the next 12 months.

We have launched an independent commission into adult social care as part of our critical first steps towards delivering a National Care Service. The commission will start a national conversation about what care and support working age adults, older people, and their families expect from adult social care, including exploring the needs of unpaid carers who provide vital care and support.I also chair a regular cross-Government meeting made up of ministers from the Department of Health and Social Care, the Department for Work and Pensions, the Department for Business and Trade, and the Department for Education to consider how we can provide unpaid carers with the recognition and support they deserve.

Whether NHS England has made an assessment of the potential merits of commissioning selective internal radiation therapy for patients with neuroendocrine tumours.

Radiotherapy treatment for cancer is highly individualised and decisions about cancer treatment are typically made by clinicians and multidisciplinary teams of healthcare professionals. They consider all aspects of a patient's health and circumstances when recommending treatment options. While certain treatments may not be advised for some patients, these decisions are based on medical assessments and what is best for the individual's overall health and well-being. For this reason, NHS England has not made an assessment on the potential impact of selective internal radiation therapy (SIRT) on survival outcome and quality of life for neuroendocrine tumour patients. However, the Department recognises the need to offer patients who need it the most suitable treatment, including SIRT.NHS England commissions SIRT for chemotherapy refractory/intolerant metastatic colorectal cancer in adults in accordance with the criteria outlined at the following link:https://www.england.nhs.uk/wp-content/uploads/2018/12/Selective-internal-radiation-therapy-for-chemotherapy-refractory-intolerant-metastatic-colorectal-cancer.pdf

Whether NHS England plans to commission selective internal radiation therapy for patients with neuroendocrine tumours.

Radiotherapy treatment for cancer is highly individualised and decisions about cancer treatment are typically made by clinicians and multidisciplinary teams of healthcare professionals. They consider all aspects of a patient's health and circumstances when recommending treatment options. While certain treatments may not be advised for some patients, these decisions are based on medical assessments and what is best for the individual's overall health and well-being. For this reason, NHS England has not made an assessment on the potential impact of selective internal radiation therapy (SIRT) on survival outcome and quality of life for neuroendocrine tumour patients. However, the Department recognises the need to offer patients who need it the most suitable treatment, including SIRT.NHS England commissions SIRT for chemotherapy refractory/intolerant metastatic colorectal cancer in adults in accordance with the criteria outlined at the following link:https://www.england.nhs.uk/wp-content/uploads/2018/12/Selective-internal-radiation-therapy-for-chemotherapy-refractory-intolerant-metastatic-colorectal-cancer.pdf

How many overseas social care workers have been successful in finding a new sponsor through the redeployment pool since 9 April 2025.

According to the latest available data, between 1 April and 30 April 2025, 165 overseas care workers were successfully supported into new employment by the regional partnerships funded by the Department. This data is self-reported by the regional partnerships and has not been independently verified by the Department or UK Visas and Immigration. Overseas workers are also not obliged to report their employment outcomes. Data for May 2025 and beyond is not yet available.Between July 2024 and April 2025, a total of 940 overseas care workers have been successfully supported into new employment. In addition, thousands more are being supported through the regional partnerships with CV writing, interview techniques, employability skills support, support to better understand workplace culture in the United Kingdom, and signposting.

What the reasons are for the higher level of NICE Health Technology Assessments of new blood cancer treatments that have been terminated compared to Health Technology Assessments for other forms of cancer treatment.

In the last 10 years, where the National Institute for Health and Care Excellence (NICE) has been able to make a recommendation, 92% of blood cancer treatment recommendations were positive. This is significantly higher than the overall rate for cancer treatments (80%).NICE has made 97 positive recommendations for blood cancer treatments over the last decade, five times more than in the previous ten years. NICE can only recommend treatments when the evidence shows that they provide benefits for patients and value for money to the taxpayer.NICE cannot evaluate treatments without information from the companies. If a company withdraws from the evaluation process, the assessment is terminated. For blood cancers, the majority of terminated appraisals were because the company did not provide an evidence submission or the technology was unlikely to be a cost-effective use of National Health Service resources.

If he will publish monthly reports from each of the 15 local partnerships on re-matching social care workers to new employers.

There are no plans to publish monthly reports on the international recruitment regional fund.

What recent discussions he has had with the Secretary of State for the Home Department on the potential impact of the White Paper entitled Restoring control over the immigration system, published on 12 May 2025, on the employment of overseas workers in the social care sector.

The immigration White Paper, Restoring Control over the Immigration System, was collectively agreed across Government, and is available at the following link:https://assets.publishing.service.gov.uk/media/6821f334ced319d02c906103/restoring-control-over-the-immigration-system-web-optimised.pdf(opens in a new tab)In the technical annex, published alongside the White Paper, the Home Office has estimated an annual reduction of approximately 7,000 main applicants as a result of ending overseas recruitment for care workers and senior care workers. This is based on their internal management information for entry visas granted covering the period March 2024 to February 2025. This estimate reflects that there was a drop in visa grants of more than 90% compared with the 12 months ending in March 2024, when more than 83,000 entry visas were granted to care workers and senior care workers. The analysis in the technical annex will be refined and included within the relevant impact assessments accompanying the rule changes, as appropriate. The technical annex is available at the following link:https://assets.publishing.service.gov.uk/media/6821b49bdb6463b14cd8189c/restoring-control-over-the-immigration-system-technical-annex.pdf(opens in a new tab)As set out in the immigration White Paper, visa extensions and in-country switching for those already in the country and with working rights will be permitted for a transition period until 2028. This will be kept under review.DHSC are providing up to £12.5m to regional partnerships in 2025/26 to respond to unethical international recruitment practices in the adult social care sector. This includes supporting international recruits impacted by sponsor licence revocations to find alternative employment.Care workers are essential to those who draw on care and support, helping them to maintain their quality of life, independence, and connection to the things that matter to them. In England, as per the Care Act 2014, it is the responsibility of local government to develop a market that delivers a wide range of sustainable, high-quality care and support services, that will be available to their communities. English local authorities have responsibility under the Care Act 2014 to meet social care needs, and statutory guidance directs them to ensure there is sufficient workforce in adult social care.The Department continues to monitor adult social care workforce capacity, bringing together national data sets from Skills for Care’s monthly tracking data, the Capacity Tracker tool, and intelligence from key sector partners.

What the success rate was of each local partnership using the International Recruitment Fund in re-matching social care workers to new employers in the last 12 months.

In 2025/26, up to £12.5 million has been made available through the adult social care international recruitment fund for 15 regional and sub-regional partnerships to prevent and respond to exploitative practices of internationally recruited care staff. This builds on the £16 million made available in 2024/25. Between July 2024 and April 2025, approximately 16,700 people contacted the regional partnerships for support. To date, approximately 940 of these individuals have been supported into new employment, according to self-reported data provided by the regional partnerships. This data has not been independently verified by the Department or UK Visas and Immigration.We have commissioned the National Institute for Health and Care Research’s Policy Research Unit in Health and Social Care Workforce to undertake an independent evaluation of the 2024/25 international recruitment regional fund. We expect the final report of this evaluation to be published by King's College London in 2026.

What steps he is taking to help support people with axial spondyloarthritis to (a) remain in employment or (b) return to the workforce.

The Government and NHS England recognise the significant burden of disease associated with axial spondyloarthritis, particularly where diagnosis is delayed. We recognise the work of the National Axial Spondyloarthritis Society in promoting early diagnosis and good access to effective treatment. Time from referral to diagnosis is included in the National Early Inflammatory Arthritis Audit which covers National Health Service rheumatology services in England and Wales, and we have prioritised reducing waiting times for services through the Elective Recovery Programme and the Getting It Right First Time MSK Community Delivery Programme. We also have a range of specialist initiatives to support individuals to stay in work and get back into work. Measures include support from Work Coaches and Disability Employment Advisers in Jobcentres and Access to Work grants, joining up health and employment support around the individual through programmes like WorkWell, as well as the mobilisation of eight place-based trailblazers to reduce economic inactivity.

What steps he is planning to take to protect responsibilities for musculoskeletal conditions that currently sit within NHS England.

Over 17 million people in England live with a musculoskeletal (MSK) condition and improving their health and work outcomes will help deliver this government's missions to build a National Health Service fit for the future and kickstart economic growth. On 13 March 2025, it was announced that NHS England will be brought into the Department to form a new joint centre. We are assessing the full range of current functions across both organisations and options for future allocation. At this stage, it is too early to say what precise changes in personnel and organisational design will be. As we progress due process will be followed, including a comprehensive assessment of any impacts and risks associated with the reforms. We will ensure our decisions are guided by evidence, and above all, focused on improving care for all patients including those with a MSK condition.

What steps he is planning to take to improve the delivery of joined-up care for people affected by (a) axial spondyloarthritis and (b) other musculoskeletal health conditions following the abolition of NHS England.

As we bring together the Department of Health and Social Care and NHS England to form a new joint centre, we will empower staff to focus on delivering better care for patients, including for people with axial spondyloarthritis and other musculoskeletal (MSK) conditions, driving productivity up, and getting waiting times down. By the end of the process, we estimate that these changes will save hundreds of millions of pounds a year, which will be reinvested in frontline services.We continue to take forward the Government’s ambitious reform agenda as set out in the health mission, with more details to come when the 10-Year Health Plan is published. The 10-Year Health Plan will deliver the three big shifts the National Health Service needs to be fit for the future: from hospital to community; from analogue to digital; and from sickness to prevention. All of these are relevant to improving MSK care for people in all parts of the country. More tests and scans delivered in the community, better joint working between services, and greater use of apps and wearable technology will all support people to manage their long-term conditions, including MSK conditions, closer to home.

Whether he plans to publish an impact assessment on proposals to restrict care worker visas.

The Government has published a technical annex alongside the Immigration White Paper, and it estimates an annual reduction of approximately 7,000 main applicants as a result of ending overseas recruitment for care workers and senior care workers. Further information about the technical annex and the Immigration White Paper is available, respectively, at the following two links:https://assets.publishing.service.gov.uk/media/6821b49bdb6463b14cd8189c/restoring-control-over-the-immigration-system-technical-annex.pdfhttps://assets.publishing.service.gov.uk/media/6821f334ced319d02c906103/restoring-control-over-the-immigration-system-web-optimised.pdfThis is based on internal management information for entry visas granted covering the period March 2024 to February 2025. This estimate reflects that there was a drop in visa grants of more than 90% compared with the 12 months ending in March 2024, when more than 83,000 entry visas were granted to care workers and senior care workers. The analysis in the technical annex will be refined and included within the relevant impact assessments accompanying the immigration rule changes, as appropriate.

Whether he plans to update the statutory guidance on the Autism Act.

The House of Lords has established an Autism Act 2009 Committee, which is holding an inquiry to look at the Autism Act, the autism strategy, and the autism statutory guidance, and which will make recommendations to the Government by 30 November 2025. This will inform the Government’s future approach.

Whether he plans to update the existing regulations on (a) composition, (b) marketing and (c) labelling of commercial infant and toddler foods.

Children’s early years provide an important foundation for their future health and strongly influences many aspects of well-being 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 and compositional standards for commercial baby food. 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.

Whether his Department plans to expand the statutory obligation for local authorities to include welfare advice.

Under the Care Act 2014, local authorities in England have a duty to establish and maintain information and advice services relating to care and support for all people in their area.Local authorities must ensure that information and advice services established cover more than just basic information about care and support; and that they cover a wide range of care and support related areas. The Care and Support Statutory Guidance states that local authorities must ensure that the subject matters covered by their information and advice available to people in their areas go much further than a narrow definition of care and support, including:availability of intermediate care entitlements such as aids and adaptations;eligibility and applying for disability benefits and other types of benefits;availability of employment support for disabled adults; andavailability of carers’ services and benefits.Therefore, there are currently no plans to review the Care Act 2014 or the supporting Care and Support Statutory Guidance.

If he will make an assessment of the potential implications for his policies of the report by Young Lives vs Cancer entitled Young Cancer Patient Travel Fund, published in February 2024.

The Children and Young People Cancer Taskforce will explore a range of issues, including patient experience alongside clinical care, to identify improvements for children and young people with cancer and their families. Young Lives vs Cancer is a valued stakeholder with a unique perspective on the issue of travel support for children and young people with cancer. We will continue to engage with Young Lives vs Cancer, as well as other children and young people cancer charity stakeholders as we progress this important work.

What steps his Department is taking to increase the utilisation of (a) unemployed and (b) underemployed healthcare professionals in the NHS.

Decisions about recruitment are matters for individual National Health Service trusts. NHS trusts manage their recruitment at a local level, ensuring they have the right number of staff in place, with the right skill mix, to deliver safe and effective care. That said, the Government finds it unacceptable that trained professionals are struggling to find jobs when the health system has been overworked for years. Working with NHS England, we are committed to recruiting the staff we need to get patients seen on time.The NHS and universities can work to become anchor institutions across all our local areas, not just to drive employment opportunities through training for a career in the NHS and social care, but where we collectively work to drive growth in our economy.Data on the number of unemployed and underemployed healthcare professionals is not held centrally. The Government has committed to recruiting over 1,000 recently qualified general practitioners (GPs) through an £82 million boost to the Additional Roles Reimbursement Scheme (ARRS) over 2024/25, as part of an initiative to address GP unemployment and secure the future pipeline of GPs.We are investing an additional £889 million through the GP Contract to reinforce the front door of the NHS, bringing total spend on the GP Contract to £13.2 billion in 2025/26. This is the biggest increase in over a decade.Under recently announced changes to the GP Contract, in 2025/26 the ARRS will become more flexible, to allow primary care networks to respond better to local workforce needs. The two ARRS pots will be combined to create a single pot for the reimbursement of patient facing staff costs. There will be no restrictions on the number or type of staff covered, including GPs and practice nurses.

If he will make an assessment of the potential causes of (a) unemployment and (b) underemployment among qualified healthcare professionals.

Decisions about recruitment are matters for individual National Health Service trusts. NHS trusts manage their recruitment at a local level, ensuring they have the right number of staff in place, with the right skill mix, to deliver safe and effective care. That said, the Government finds it unacceptable that trained professionals are struggling to find jobs when the health system has been overworked for years. Working with NHS England, we are committed to recruiting the staff we need to get patients seen on time.The NHS and universities can work to become anchor institutions across all our local areas, not just to drive employment opportunities through training for a career in the NHS and social care, but where we collectively work to drive growth in our economy.Data on the number of unemployed and underemployed healthcare professionals is not held centrally. The Government has committed to recruiting over 1,000 recently qualified general practitioners (GPs) through an £82 million boost to the Additional Roles Reimbursement Scheme (ARRS) over 2024/25, as part of an initiative to address GP unemployment and secure the future pipeline of GPs.We are investing an additional £889 million through the GP Contract to reinforce the front door of the NHS, bringing total spend on the GP Contract to £13.2 billion in 2025/26. This is the biggest increase in over a decade.Under recently announced changes to the GP Contract, in 2025/26 the ARRS will become more flexible, to allow primary care networks to respond better to local workforce needs. The two ARRS pots will be combined to create a single pot for the reimbursement of patient facing staff costs. There will be no restrictions on the number or type of staff covered, including GPs and practice nurses.

If he will make an assessment of the potential implications for his policies of trends in the level of (a) unemployment and (b) underemployment among healthcare professionals.

Decisions about recruitment are matters for individual National Health Service trusts. NHS trusts manage their recruitment at a local level, ensuring they have the right number of staff in place, with the right skill mix, to deliver safe and effective care. That said, the Government finds it unacceptable that trained professionals are struggling to find jobs when the health system has been overworked for years. Working with NHS England, we are committed to recruiting the staff we need to get patients seen on time.The NHS and universities can work to become anchor institutions across all our local areas, not just to drive employment opportunities through training for a career in the NHS and social care, but where we collectively work to drive growth in our economy.Data on the number of unemployed and underemployed healthcare professionals is not held centrally. The Government has committed to recruiting over 1,000 recently qualified general practitioners (GPs) through an £82 million boost to the Additional Roles Reimbursement Scheme (ARRS) over 2024/25, as part of an initiative to address GP unemployment and secure the future pipeline of GPs.We are investing an additional £889 million through the GP Contract to reinforce the front door of the NHS, bringing total spend on the GP Contract to £13.2 billion in 2025/26. This is the biggest increase in over a decade.Under recently announced changes to the GP Contract, in 2025/26 the ARRS will become more flexible, to allow primary care networks to respond better to local workforce needs. The two ARRS pots will be combined to create a single pot for the reimbursement of patient facing staff costs. There will be no restrictions on the number or type of staff covered, including GPs and practice nurses.

What steps he has taken with Cabinet colleagues to assess (a) the social determinants of ill health and (b) the measures necessary to address any causes.

The Government’s Health Mission commits to building a National Health Service fit for the future, including through a shift from treatment to prevention. To support the mission, we are taking a range of action which will address the underlying causes of ill health. Relevant cross-Government activity includes work to develop a new fuel poverty strategy, beginning with a consultation which runs until 4 April, publication in December 2024 of a revised National Planning Policy Framework, giving local authorities stronger, clearer powers to block new fast-food outlets near schools and where young people congregate, the establishment of a cross-Government child poverty taskforce, and commitment we made in the English Devolution White Paper, published in December 2024, to introduce a new statutory health and health inequalities duty for strategic authorities. The Department for Work and Pensions and Department of Health and Social Care operate a Joint Work and Health Directorate, in recognition of the significant link between work and health, and to improve employment opportunities for disabled people and people with health conditions.