ReplyThe information requested on spend on translation and interpretation services by National Health Service trusts is not held centrally, as data is held at integrated care board level.Across 2024, the Telephone Appointments Line team used third party translation services for 425 calls, or 0.04% of all answered calls. We are unable to provide a specific cost for this as it is delivered as part of the overall service specification for the provider. 101,431 letters, or 9.03% of all letters, were sent in a language other than English. There was no net cost for this as the translation had been paid for in previous years and the patients would have been sent a letter in English in the absence of a translated letter. The following table shows the total number of calls in a language other than English, what that language was, and the percentage it represents of all calls: TotalPercentage of total calls using language support in specified languageAlbanian30.71%Amharic10.24%Arabic6916.24%Bengali348.00%Bulgarian92.12%Cantonese51.18%Czech20.47%Dari30.71%Farsi204.71%French30.71%Gujarati20.47%Greek20.47%Hungarian61.41%Hindi81.88%Italian40.94%Kurmanji10.24%Lithuanian20.47%Mandarin51.18%Pashto102.35%Polish204.71%Portuguese153.53%Punjabi214.94%Portuguese Br.10.24%Romanian6014.12%Russian51.18%Somali51.18%Sorani266.12%Slovak51.18%Spanish112.59%Sylheti92.12%Tigrigna20.47%Turkish214.94%Ukrainian71.65%Urdu286.59%Total425 Total calls105,49420.04% of total calls used language support In addition, the following table shows the total number of letters in a language other than English, what that language was, and the percentage it represents of all letters: TotalPercentage of total letters sent in specified languageAlbanian1,7001.68%Arabian7,1897.09%Bengali9,0698.94%Chinese6520.64%French1,9171.89%Greek9350.92%Gujarati3,2073.16%Hindi1,9431.92%Hungarian9790.97%Italian1,9611.93%Kurdish2,2182.19%Lithuanian1,3471.33%Persian2,3802.35%Polish8,4138.29%Portuguese3,5383.49%Punjabi5,7605.68%Romanian5,4275.35%Russian1,7791.75%Slovak1,6801.66%Somali2,7872.75%Spanish3,4813.43%Tamil2,5432.51%Turkish3,9443.89%Urdu14,87614.67%Wolof260.03%Other languages11,68011.52%Total translated101,431 Total letters1,123,8299.03% of total letters sent were translatedSource: NHS England