Written questions by Heylings.

What his Department's planned timetable is for publishing guidance on the financial implications for GP partnerships of the NHS 10 Year Plan.

We remain committed to the GP partnership model and have committed to working with the GP Committee of the British Medical Association (GPC England) to secure a new substantive GP contract within this Parliament.The 10-Year Health Plan represents a significant opportunity for general practice. It signals our intention to build a neighbourhood health service, shifting resources from hospital to community, with general practice playing a central role. The excellent GP leaders we currently have across the system, and those we will nurture and develop for future generations, will be integral in shaping and delivering neighbourhood health.We will engage with GPC England and other key stakeholders on changes to the GP contract, longer-term General Medical Services contract reform and neighbourhood health arrangements over the coming weeks and months.

Pursuant to the Answer of 2 April 2025 to Question 39995 on Long Covid: Clinics, if he will make an assessment of the adequacy of the delivery of long covid care by integrated care boards.

Integrated care boards (ICBs) are responsible for commissioning services for people with long COVID. ICBs are allocated funding by NHS England to meet local need and priorities, and to improve outcomes.To support clinical leadership in this area, NHS England has worked in partnership with the British Society of Physical and Rehabilitation Medicine to establish the Clinical Post-COVID Society to facilitate the ongoing sharing of best practice, to support people affected by long COVID. Further information about the society can be found at the following link:https://www.clinicalpcs.org.uk/Earlier this year, NHS England completed a long COVID stocktake, aiming to provide a nationwide overview of service delivery in commissioning and contracting, assessing access, activity, and outcomes. The findings confirmed the widely recognised challenges of significant variation in care delivery across England and a lack of comprehensive activity data.Executive NHS England board members were updated on the current provision of long COVID services, noting those challenges. Discussions considered service prioritisation and potential COVID Inquiry recommendations.

How many overheating incidents have been logged in NHS hospitals in the East of England in each of the last five years.

There were 665 overheating incidents logged in National Health Service hospitals in the East of England over the past five years. The following table shows the number of overheating incidents logged in NHS hospitals in the East of England in each of the last five years:YearOverheating incidents in East of England2023/24772022/231052021/222182020/212652019/20Not collectedSource: Estates Returns Information Collection data, available at the following link: https://digital.nhs.uk/data-and-information/publications/statistical/estates-returns-information-collection

Whether his Department has made an assessment of the potential merits of establishing a Commissioner for Older People and Ageing.

The Department has not made an assessment. We believe the duties of such a role are covered by work elsewhere in the system. For instance, the Chief Nurse champions and raises the profile of nursing in social care and works alongside the Chief Social Worker for Adults, to increase the recognition and appreciation of all social workers in the care sector.Baroness Casey, as part of the independent commission, has been tasked to start a national conversation about what care and support working age adults, older people, and their families should expect from adult social care.The commission is tasked with producing tangible, pragmatic recommendations that can be implemented in a phased way over a decade. It will aim to make adult social care more productive, preventative, and to give people who draw on care, and their families and carers, more power in the system. Baroness Casey will report on medium-term recommendations in 2026, and longer-term recommendations by 2028.The 10-Year Health Plan will also set the vision for what good joined-up care looks like for people with a combination of health and care needs, including for older people. It will set out how to support and enable health and social care services, and wider services, to work together better to provide that joined-up care.

What steps his Department is taking to ensure that all Integrated Care Boards offer (a) three full cycles of IVF to women under 40 who have not conceived after two years of regular unprotected intercourse or 12 cycles of artificial insemination and (b) one full cycle of IVF to women aged 40 to 42 who meet the same criteria.

In the light of broader pressures on the National Health Service and on-going changes within NHS England, we have been looking again at achievable ambitions to improve access to fertility services and fairness for all affected couples.The National Institute for Health and Care Excellence is currently reviewing their guidelines, Fertility problems: assessment and treatment, which will be the clinical standards for the future NHS offer.The Department is also considering how best to support integrated care boards to improve their local offer.

What steps his Department is taking to ensure (a) that Integrated Care Boards are (i) required and (ii) resourced to deliver fertility services in accordance with NICE guidelines entitled Fertility problems: assessment and treatment, published on 20 February 2013 and (b) equality of access to fertility treatments across England.

In the light of broader pressures on the National Health Service and on-going changes within NHS England, we have been looking again at achievable ambitions to improve access to fertility services and fairness for all affected couples.The National Institute for Health and Care Excellence is currently reviewing their guidelines, Fertility problems: assessment and treatment, which will be the clinical standards for the future NHS offer.The Department is also considering how best to support integrated care boards to improve their local offer.

Whether his Department has made an estimate of the real-terms value of the National Institute for Health and Care Excellence’s £30,000 Quality-Adjusted Life Year threshold since its introduction in 1999.

The National Institute for Health and Care Excellence (NICE) considers the overall resources available to the National Health Service when determining whether an intervention represents value for money. Therefore, decisions about a new technology must consider the implications for healthcare programmes for other patient groups that may be displaced by the adoption of the new technology, and the opportunity cost, including those programmes or technologies not evaluated by NICE. NICE’s threshold represents the opportunity cost to the NHS of recommending a new technology. Empirical evidence suggests that the actual opportunity cost is closer to £15,000 per Quality Adjusted Life Year gained. Considering the real terms value of the NICE’s threshold is therefore not directly relevant because it represents the opportunity cost to the NHS.

If he will take steps to ensure that a full blood count is (a) categorised as a core diagnostic service and (b) available at all community diagnostic centres.

Blood tests, particularly full blood count (FBC) tests, are among the most commonly requested diagnostic investigations across primary and secondary care, and are readily available across all 27 National Health Service pathology networks. FBC tests play a vital role in detecting and monitoring a wide range of conditions, and as such, FBCs are essential to timely diagnosis and treatment planning across multiple clinical pathways.Phlebotomy, the procedure to collect blood samples, is widely available across general practice, community health services, and secondary care phlebotomy clinics, supporting equitable access to essential blood testing.Phlebotomy is also a core service provided by all standard and large community diagnostic centres (CDCs). CDCs are designed to deliver a range of high-volume, low-complexity diagnostic tests, including common blood tests such as FBCs, closer to patients’ homes.

Whether his Department has received (a) evidence and (b) data from the life sciences industry on increasing the NHS medicines budget.

We regularly engage with the life sciences sector to understand what the latest data and evidence shows about the impact of Government policies on patient outcomes, innovation, and growth, including through the ongoing Voluntary Scheme for Branded Medicines Pricing, Access, and Growth mid scheme review. We take all evidence we receive seriously and, alongside our own analysis and patient engagement, use this to refine our policy thinking. Decisions on the size of the medicines budget are, therefore, taken in the round considering the overall needs of the health system as well as the impact on the sector.

What assessment his Department has made of trends in the level of prescription medication that is wasted.

NHS England has made data, tools, and resources available to integrated care boards (ICBs), primary care networks, and general practices following the 2021 overprescribing review. These include a National Medicines Optimisation Opportunity dashboard for ICBs, a Polypharmacy Comparators dashboard, an Oversupply Dashboard for general practice and primary care networks, and an Opioid Prescribing Comparators dashboard.The overprescribing review set out a series of practical and cultural changes to ensure patients are receiving the most appropriate treatment for their needs, while ensuring clinicians’ time is well spent and taxpayer money is spent wisely. The recommendations aim to support National Health Service systems to highlight variation, identify opportunities for medicines optimisation improvement, and support ongoing monitoring.

Whether he plans to announce further steps to help reduce waiting times for mental health treatment.

Nationally, we plan to recruit an additional 8,500 mental health workers across children and adult mental health services in England to reduce delays and provide faster treatment. We will also introduce access to a specialist mental health professional in every school and roll out Young Futures hubs in every community.Despite the challenging fiscal environment, the Government has chosen to prioritise the funding to deliver expansions of NHS Talking Therapies and Individual Placement & Support schemes, demonstrating our commitment to addressing the root cause of mental health issues and providing support for people with severe mental illness to contribute to the economy by remaining in or returning to work.In addition, people of all ages who are in crisis or who are concerned about a family or loved one can now call NHS111, select the mental health option, and speak to a trained mental health professional. National Health Service staff can guide callers with next steps such as organising face-to-face community support or facilitating access to alternative services, like crisis cafés or safe havens, which provide a place for people to stay as an alternative to accident and emergency or a hospital admission.

Pursuant to the Answer of 20 March 2025 to Question 38182 on LGBT+ People: Fertility, whether his Department plans to remove the requirement for female same sex couples to self-find prior to accessing IVF services on the NHS.

The Government recognises that fertility treatment across the National Health Service in England is subject to variation in access. Work continues on joint advice from the Department and NHS England about the offer around NHS-funded fertility services, including the issues for female same sex couples.Funding decisions for health services in England are made by integrated care boards and are based on the clinical needs of their local population. We expect these organisations to commission fertility services in line with National Institute for Health and Care Excellence (NICE) guidelines, ensuring equal access to fertility treatment across England. The NICE is currently reviewing these guidelines.

What steps his Department is taking to help ensure that GPs are able to access their pension information.

NHS Pension Scheme members, including general practitioners (GPs), can access information about their pension via My NHS Pension, an online portal from the NHS Pension Service, which is available at the following link:https://www.nhsbsa.nhs.uk/member-hub/my-nhs-pensionTo provide accurate pension information for practitioners, the NHS Business Services Authority needs a fully up to date record in respect of their NHS Pension Scheme membership. This means practitioners must submit their Annual Certificate(s) of Pensionable Profits to Primary Care Support England (PCSE), so that PCSE can keep their record updated.PCSE launched the PCSE Online GP Pensions system in 2021 to provide GPs and practices with greater convenience, and more transparency and security when it comes to their pension contributions data. Supporting GPs to accurately submit current and historic Type 1 or Type 2 annual certificates remains a priority for NHS England and PCSE. Since the PCSE Online solution for submitting Type 1 and Type 2 certificates electronically went live in 2021, PCSE have developed user guides and held webinars to educate GPs on how to complete forms accurately.

If he will make an assessment of the potential merits of mandating changes to NHS systems to ensure that it is possible to update the gender marker associated with an NHS number.

Sex and gender identity are not always the same thing, and it is important for patients that we record both accurately. On 20 March 2025, my Rt Hon. Friend, the Secretary of State for Health and Social Care instructed the health service to immediately suspend applications for National Health Service number changes for under 18 year olds, to safeguard children. Taking such action does not prevent the NHS from recording, recognising, and respecting trans people’s gender identity. General practitioners are currently able to rename a patient and manually input preferred pronouns and expressed gender in free text without affecting the formal marker.

Whether he plans to increase the level of primary care core funding to help support GP practices to hire more staff.

General practices (GPs) are valued independent contractors who provide over £13 billion worth of National Health Services. Every year we consult with the profession about what services GPs provide, and the money providers are entitled to in return under their contract, taking account of the cost of delivering services.We are investing an additional £889 million in 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, and we are pleased that the General Practitioners Committee England is supportive of the contract changes.The Government also committed to recruiting over 1,000 recently qualified 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. Primary care networks (PCNs) can continue to recruit and employ recently qualified GPs through the ARRS in the coming year, as part of the 2025/26 contract.Under the contract changes for 2025/26, the ARRS will become more flexible, to allow PCNs to respond better to local workforce needs. This includes GPs and practice nurses included in the main ARRS funding pot, an uplift of the maximum reimbursable rate for GPs in the scheme, and no caps on the number of GPs that can be employed through the scheme.In a drive to recruit GPs via the ARRS and to bring back the family doctor, the salary element of the maximum reimbursement amount that PCNs can claim for GPs will be increased from £73,113 in 2024/25, the bottom of the salaried GP pay range, to £82,418, an uplift of £9,305, representing the lower quartile of the salaried GP pay range, as some GPs will be entering their second year in the scheme. Proportionate employer on-costs will also be included within the overall maximum reimbursement amount which PCNs will be able to claim.

What assessment he has made of the potential impact of closing Long Covid clinics on patients with Post-Covid syndrome.

Integrated care boards (ICBs) are responsible for commissioning services for people with long COVID. ICBs are allocated funding by NHS England to meet local need and priorities, and to improve outcomes.NHS England has recently completed a long COVID and myalgic encephalomyelitis, also known as chronic fatigue syndrome (ME/CFS), stocktake, aiming to provide a nationwide overview of service delivery in commissioning and contracting, assessing access, activity, and outcomes. The findings confirmed the widely recognised challenges of significant variation in care delivery across England and a lack of comprehensive activity data.Executive NHS England board members were updated on the current provision of long COVID and ME/CFS services, noting those challenges. Discussions considered service prioritisation and potential COVID Inquiry recommendations. It was agreed that long COVID and ME/CFS services are rightly commissioned by ICBs, which have responsibility for ensuring coverage for their population.

What information his Department holds on the number of UK-trained doctors that have emigrated because of high competition ratios in the last three years; and if he will make an assessment of the potential implications for his policies of trends in the number of those doctors that have emigrated because of high competition ratios.

The Department does not hold the specific data requested. Data from the General Medical Council in 2022 showed that approximately 7% of doctors in England did not hold a licence to practice five years after they completed the foundation programme in 2016. More information is available at the following link: https://www.gmc-uk.org/-/media/documents/workforce-report-2022---full-report_pdf-94540077.pdf Internationally educated staff remain an important part of the workforce, and our Code of Practice for International Recruitment ensures stringent ethical standards when recruiting health and social care staff from overseas. However, the Government is also committed to growing homegrown talent and giving opportunities to more people across the country to join the National Health Service.

What assessment he has made of the potential impact of the level of leukaemia cases diagnosed in an emergency setting on (a) patient outcomes and (b) NHS resources.

We recognise the importance of earlier diagnosis of cancer to survival, and we know that patients with cancer who are diagnosed via an emergency route are most likely to have poor survival. Whilst a specific assessment on leukaemia has not been made, we are determined to take all the necessary steps to improve early diagnosis for all cancers, including blood cancers such as leukaemia. To accomplish this, the National Health Service is implementing non-specific symptom pathways for patients who present with symptoms such as weight loss and fatigue, which do not clearly align to a tumour type. Blood cancers are one of the most common cancer types diagnosed through these pathways.

What steps his Department is taking to help improve equity of access to CAR-T therapy; and what assessment he has made of the potential merits of making it available as a first-line treatment for eligible leukaemia patients.

The National Institute for Health and Care Excellence (NICE) is the body responsible for developing independent, evidence-based guidance for the National Health Service on whether licensed medicines should be routinely funded by the NHS, based on an assessment of their costs and benefits. The NICE only makes recommendations on medicines within their licensed indications through its technology appraisals programme. There are currently no CAR-T therapies licensed as first-line treatments for leukaemia, and the NICE has therefore not made recommendations on their use at that stage in the treatment pathway.The NICE has evaluated and recommended several CAR-T therapies for blood cancers, including leukaemia, within their licensed indications. CAR-T therapy is available in line with the NICE’s recommendations.

What steps he is taking to help improve the level of participation in clinical trials for (a) leukaemia patients diagnosed with acute subtypes and (b) all leukaemia patients.

The Department is committed to maximising our potential to lead the world in clinical trials and ensuring that clinical trials are more accessible.The Department funded National Institute of Health and Care Research (NIHR) funds research and research infrastructure, which supports patients and the public to participate in high-quality research, including clinical research on leukaemia. NIHR research expenditure for all cancers was £133 million in 2023/24, reflecting its high priority. These investments are pivotal to informing efforts to improve cancer prevention, treatment, and outcomes, including leukaemia research.The NIHR provides an online service called Be Part of Research which promotes participation in health and social care research, including research into leukaemia and the acute subtypes of leukaemia, by allowing users to search for relevant studies and register their interest. This makes it easier for people to find and take part in health and care research that is relevant to them.