Written questions by Darling.

What assessment his Department has made of the potential impact of Pharmacy First on (a) patient satisfaction, (b) GP access and (c) pharmacy outcomes.

Pharmacies deliver a wide range of National Health Services, including Pharmacy First, that relieve pressure on general practices (GPs) and other parts of the NHS and help patients access healthcare advice, treatment, and preventative interventions more easily.A National Institute for Health and Care Research funded evaluation of Pharmacy First will assess how the service has been implemented across England, including impacts on prescribing in the GP setting, use of hospitals, and how the service has impacted access to care and the cost for different patient groups.According to the latest available data, 29 January 2026, from the Health Insights Survey, 89.2% of respondents reported they were satisfied with the most recent NHS service they received at a pharmacy. To date, over 4.5 million Pharmacy First clinical pathway consultations have been delivered. NHS England will continue to keep the Pharmacy First service under review.

Whether his Department has undertaken sampling of patient experiences since changes to the Patient Access Charter in October 2025.

The Office for National Statistics’ Health Insight Survey has been collecting monthly data on patient experience since July 2024. Recent findings show that overall patient satisfaction has begun to improve after a decade of decline. The survey also reports that ease of access has improved since October 2025, rising from 73.7% in that month to 76.8% in January 2026.

What recent consideration he has made of the potential merits of a national workforce strategy for community pharmacies.

The Government is committed to publishing 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.The 10 Year Workforce Plan will ensure the National Health Service has the right people in the right places, with the right skills to care for patients, when they need it.To support community pharmacy employers in developing their staff and deliver quality NHS services, NHS England provides a number of funded national training opportunities for pharmacists and pharmacy technicians. This includes independent prescriber training, clinical examination skills, and training the next generation of education supervisors.

What assessment he has made of the potential impact of NICE condition severity ratings on the accessibility of drugs for those with secondary breast cancer.

he latest data for technology appraisals published up until the end of September 2025 shows that the National Institute for Health and Care Excellence (NICE) has recommended a greater proportion of medicines for advanced cancer since the severity modifier was introduced compared with NICE’s previous methods. The proportion of positive decisions for advanced cancer treatments since the severity modifier was introduced is 85% compared with 69% using NICE’s previous methods. Since the severity modifier was introduced, NICE has recommended all but one treatment for advanced breast cancer where the company has participated fully in the appraisal. The only treatment for advanced breast cancer that NICE has not been able to recommend in final guidance since the severity modifier was introduced is Enhertu.

What steps he is taking to help improve the prognosis of those with secondary breast cancer.

The National Cancer Plan, published 4 February 2026, has set out actions aimed at improving prognosis for people with secondary breast cancer. The plan highlights the Government’s ambition to ensure that every person with secondary breast cancer has faster diagnosis and treatment, access to the latest treatments and technology, and high-quality support throughout their journey, while driving up cancer survival rates.NHS England is piloting the use of self-referral breast cancer pathways to streamline diagnostic pathways and free up primary care capacity using the NHS App and NHS 111 online service. This is in addition to the Government’s commitment for NHS England to deliver 9.5 million additional tests by 2029 through a £2.3 billion investment in diagnostics and by ensuring that as many community diagnostic centres as possible are fully operational and open 12 hours a day, seven days a week.To improve diagnosis of breast cancer, the National Health Service will harness 'circulating tumour DNA' tests for breast cancer which can pick up relapse months earlier, accelerating clinical decisions and allowing patients to start the most effective treatment faster. The National Cancer Plan has identified four priority areas to accelerate access to new technologies, which include artificial intelligence-assisted interpretation of pathology images for suspected prostate and breast cancer diagnosis.To improve outcomes for breast cancer patients, NHS England funds the National Audit of Breast Cancer Treatment, covering both primary and metastatic disease. By analysing routine clinical data from NHS settings, these audits identify regional variations in care quality and establish best practices. This will benefit all breast cancer patients, including secondary breast cancer patients.At the same time, the NHS is focusing on improving the experience of those with a cancer diagnosis. Every patient diagnosed with cancer will be supported through a full neighbourhood-level personalised care package, covering mental and physical health as well as any practical or financial concerns. For people with secondary breast cancer, this will be a step forward in building care around them, their needs, their lives, and their families.

What assessment has he made of the adequacy of dental care given to (a) veterans and (b) those suffering with long-term illnesses.

We are aware of the challenges faced by many in accessing a National Health Service dentist, including people suffering with long-term illnesses, and valued members of the Armed Forces community, such as our respected veterans who have spent their careers defending our country.We have asked integrated care boards (ICBs) to commission extra urgent dental appointments to make sure that patients with urgent dental needs can get the treatment they require. ICBs have been making extra appointments available since April 2025.ICBs are also recruiting dentists through the Golden Hello scheme. This recruitment incentive will see dentists receiving payments of £20,000 to work in those areas that need them most for three years.We are committed to delivering fundamental reform of the dental contract before the end of this Parliament. As a first step, on 16 December we published the Government’s response to the public consultation on the quality and payment reforms to the NHS dental contract. The changes will be introduced from April 2026. These reforms will put patients with the greatest need first, incentivising urgent care and complex treatments. Further information is available at the following link: https://www.gov.uk/government/consultations/nhs-dentistry-contract-quality-and-payment-reforms/outcome/government-response-to-consultation-on-nhs-dentistry-contract-quality-and-payment-reformsFree NHS dental care is available to people who meet the following criteria:under 18 years old, or under 19 years old and in full-time education;pregnant or have had a baby in the previous 12 months;being treated in an NHS hospital and the treatment is carried out by the hospital dentist, although patients may have to pay for any dentures or bridges;receiving low-income benefits, or under 20 years old and a dependant of someone receiving low-income benefits; andreceiving War Pension Scheme payments, or Armed Forces Compensation Scheme payments and the treatment is for your accepted disability.

What assessment he has made of the adequacy of access to dentistry services for (a) veterans and (b) people suffering with long-term illnesses.

We are aware of the challenges faced by many in accessing a National Health Service dentist, including people suffering with long-term illnesses, and valued members of the Armed Forces community, such as our respected veterans who have spent their careers defending our country.We have asked integrated care boards (ICBs) to commission extra urgent dental appointments to make sure that patients with urgent dental needs can get the treatment they require. ICBs have been making extra appointments available since April 2025.ICBs are also recruiting dentists through the Golden Hello scheme. This recruitment incentive will see dentists receiving payments of £20,000 to work in those areas that need them most for three years.We are committed to delivering fundamental reform of the dental contract before the end of this Parliament. As a first step, on 16 December we published the Government’s response to the public consultation on the quality and payment reforms to the NHS dental contract. The changes will be introduced from April 2026. These reforms will put patients with the greatest need first, incentivising urgent care and complex treatments. Further information is available at the following link: https://www.gov.uk/government/consultations/nhs-dentistry-contract-quality-and-payment-reforms/outcome/government-response-to-consultation-on-nhs-dentistry-contract-quality-and-payment-reformsFree NHS dental care is available to people who meet the following criteria:under 18 years old, or under 19 years old and in full-time education;pregnant or have had a baby in the previous 12 months;being treated in an NHS hospital and the treatment is carried out by the hospital dentist, although patients may have to pay for any dentures or bridges;receiving low-income benefits, or under 20 years old and a dependant of someone receiving low-income benefits; andreceiving War Pension Scheme payments, or Armed Forces Compensation Scheme payments and the treatment is for your accepted disability.

What assessment he has made of the effectiveness of sexual misconduct policies implemented by NHS integrated care boards for protecting NHS staff from sexual misconduct by other staff members.

Sexual misconduct of any kind has no place in the National Health Service. NHS England is actively working to ensure that the NHS is a safe environment for employees, patients, and visitors.NHS England published the Sexual Safety Charter in 2023, setting out the principles we expect all NHS organisations to uphold. Every integrated care board (ICB) and NHS trust has now signed up to the charter and are in the process of assuring themselves that actions are being taken against all principles. Further information on the Sexual Safety Charter is available at the following link:https://www.england.nhs.uk/long-read/sexual-safety-in-healthcare-organisational-charter/In 2024, all ICBs and NHS trusts were asked to implement the Sexual Misconduct Policy Framework which proposes that NHS organisations adopt, among other things, anonymous reporting mechanisms for staff. In line with this policy, approximately three quarters of all trusts have adopted anonymous reporting of sexual misconduct allegations. Further information on the Sexual Misconduct Policy Framework is available at the following link:https://www.england.nhs.uk/publication/national-people-sexual-misconduct-policy-framework/From August 2025, all trusts and ICBs were required to audit their sexual misconduct policies, review and update relevant policies, such as information sharing and chaperoning, and keep Electronic Staff Records up to date with ongoing and completed staff investigations.In December 2025, all trusts and ICBs were required to redouble their efforts in relation to sexual misconduct. This includes participating in nationally commissioned training on investigating sexual misconduct cases, ensuring they have a pool of specially trained doctors and dentists, and implementing review groups for cases where there is a sexual dimension to allegations. A further requirement on ICBs and trusts to audit their sexual misconduct policies was issued at this timeThe Government will introduce a new set of standards for modern employment in April 2026. The new standards are likely to focus on areas such as improving staff health and wellbeing and dealing with violence, racism, and sexual harassment in the NHS workplace. They will provide a framework for leaders across the NHS to build a supportive culture.While important progress is being made on sexual misconduct policies, the Government is clear that we will continue to monitor and take all necessary action to address sexual misconduct in the NHS.

What steps his Department is taking to ensure adequate funding for Time for Young People in Torbay; and if he will make an assessment of the adequacy of early support provision.

We recognise the importance of high-quality, community-based early support for children and young people’s mental health, including innovative local services such as Time for Young People in Torbay. These services play a key role in offering early, accessible support to young people at a point when they may not meet clinical thresholds for statutory National Health Service mental health services. It is open to integrated care boards and local authorities to commission voluntary sector providers to ensure the mental health and wellbeing needs of their local population are met.Whilst Government does not directly fund Time for Young People in Torbay, as part of the Department’s wider commitment to early intervention and prevention, we are working with NHS England to expand funding for a range of early support initiatives and to strengthen the evidence base for such provision. For example, in 2024/25, the Department provided £8 million of funding to boost and evaluate the impact of 24 existing early support hubs, with a further £7 million in 2025/26. Findings from the evaluation will help inform the design and implementation of Young Futures Hubs, a national model for open-access support in communities.This is in addition to other ongoing initiatives that deliver early intervention, for example through further investment and expansion of mental health support teams in schools so that up to 900,000 additional children and young people in England will have access to an NHS-funded mental health support team in their school or college by Spring 2026, compared to Spring 2025. We intend to reach full coverage by 2029.

What assessment his Department has made of the potential implications for his policies of the October 2024 report entitled Key Interventions to Transform Eye Care & Eye Health; and what estimate his Department has made of the potential savings to the public purse of that report’s recommendations for a national-roll out of (a) Community Urgent Eye Service and Minor Eye Conditions Service, (b) the Integrated Glaucoma Pathway and (c) the Integrated Cataract Pathway for pre and post assessments.

Integrated care boards are responsible for assessing the health needs of their local population and commissioning primary and secondary eye care services to meet them. This can include the commissioning of enhanced eye care services from high street optical practices, including minor and urgent eye care services and glaucoma referral refinement services.NHS England’s accelerator pilots have demonstrated that improved IT connectivity and a single point of access can significantly speed up eye care referrals and support more patients to be managed in the community, in line with the ambitions in the 10-Year Health Plan.

What steps his Department is taking to create capacity in hospital eye services by expanding the use of optometry-led diagnostic and treatment pathways.

Integrated care boards are responsible for assessing the health needs of their local population and commissioning primary and secondary eye care services to meet them. This can include the commissioning of enhanced eye care services from high street optical practices, including minor and urgent eye care services and glaucoma referral refinement services.NHS England’s accelerator pilots have demonstrated that improved IT connectivity and a single point of access can significantly speed up eye care referrals and support more patients to be managed in the community, in line with the ambitions in the 10-Year Health Plan.

What assessment his Department has made of the efficacy of the (a) Minor Eye Conditions Service and (b) Community Urgent Eyecare Service.

Integrated care boards are responsible for assessing the health needs of their local population and commissioning primary and secondary eye care services to meet them. This can include the commissioning of enhanced eye care services from high street optical practices, including minor and urgent eye care services and glaucoma referral refinement services.NHS England’s accelerator pilots have demonstrated that improved IT connectivity and a single point of access can significantly speed up eye care referrals and support more patients to be managed in the community, in line with the ambitions in the 10-Year Health Plan.

What assessment his Department has made of the adequacy of the regional provision of Minor Eye Conditions Services.

Integrated care boards are responsible for assessing the health needs of their local population and commissioning primary and secondary eye care services to meet them. This can include the commissioning of enhanced eye care services from high street optical practices, including minor and urgent eye care services and glaucoma referral refinement services.NHS England’s accelerator pilots have demonstrated that improved IT connectivity and a single point of access can significantly speed up eye care referrals and support more patients to be managed in the community, in line with the ambitions in the 10-Year Health Plan.

What steps his Department is taking to expand the use of community optometry services.

Integrated care boards are responsible for assessing the health needs of their local population and commissioning primary and secondary eye care services to meet them. This can include the commissioning of enhanced eye care services from high street optical practices, including minor and urgent eye care services and glaucoma referral refinement services.NHS England’s accelerator pilots have demonstrated that improved IT connectivity and a single point of access can significantly speed up eye care referrals and support more patients to be managed in the community, in line with the ambitions in the 10-Year Health Plan.

What assessment his Department has made of the adequacy of (a) eye care services provision and (b) steps taken by Integrated Care Boards to ensure equality of access to eye care services in each region.

Integrated care boards (ICBs) are responsible for commissioning primary and secondary eye care services to meet local need. NHS sight tests are widely available across the country. The decision to commission enhanced eye care services will be determined by local ICBs following a local needs assessment.ICBs are required to work with local authorities to assess the current and future health, care and wellbeing needs of their local populations. They will then set out in joint local health and wellbeing strategies how they will meet those needs, which could include addressing any identified inequalities in accessing services. ICBs will also want to take account of published waiting list information which is broken down by demographics to allow greater visibility of potential health inequalities.

What assessment he has made of the potential impact of the Wait 45 policy for ambulance wait times, including on corridor care and patients being looked after in sub-optimal areas.

NHS England continues to regularly monitor trust performance.We are tackling unacceptable ambulance handover delays by introducing a maximum 45-minute standard, supporting the quicker release of ambulances, helping them get back on the road to treat patients. These delays should be recognised as a system wide responsibility and effective collaboration between ambulance services, acute trusts, integrated care boards, and other providers is required.Nationally, we have seen average handover delays fall to 31 minutes 19 seconds in October compared to 40 minutes 20 seconds in October 2024. This reflects the improvements in Category 2 response times to 32 minutes 37 seconds from 42 minutes 15 seconds over the same time period.We are also committed to ending corridor care. When Release to Rescue is implemented, ambulance trusts must put in place robust patient protection measures. Patients should only be cared for in temporary escalation spaces when all other options are exhausted, and this must not become standard practice.Our Urgent and Emergency Care Plan set out steps we are taking to improve accident and emergency waiting times, including the commitment to publish data on the prevalence of corridor care. The data quality is currently being reviewed, and the information will be published shortly.

What the selection criteria was for the location of the 43 new neighbourhood hubs.

We have launched wave 1 of the National Neighbourhood Health Implementation Programme (NNHIP) in 43 places across England, including Cornwall and the Isle of Scilly.This is a large-scale change programme for all partners involved in delivering neighbourhood health, including the National Health Service, local government, social care providers, other statutory and non-statutory organisations and the voluntary sector. There is a strong focus on co-production and working with the people and communities they serve, and taking a ‘test, learn and grow’ approach in line with the wider public sector reform agenda.We had an overwhelming response to the NNHIP, receiving 141 applications, which is approximately 83% of the number of places in England. Given the large volume of high-quality applications, selecting sites for wave 1 was not an easy task.Selection was carried out in line with usual NHS England processes, with all applicants assessed against consistent criteria. This includes demonstrating strong integrated working, clear readiness to participate, robust governance and data sharing arrangements, and a focus on areas with the greatest need.Work is underway to consider the future direction of the NNHIP, and we will share an update on this as soon as we can.

What estimate he has made of the (a) number of patients in Torbay NHS Foundation Trust who had no criteria to reside but who were not discharged by the end of the day and (b) what proportion of acute day beds this entails in each of the last seven days.

Data on the daily number of patients who no longer meet the criteria to reside is published monthly by NHS England, and is available at the following link:https://www.england.nhs.uk/statistics/statistical-work-areas/discharge-delays/acute-discharge-situation-report/In addition, monthly average figures for the number of general and acute beds are published by NHS England, and are available at the following link:https://www.england.nhs.uk/statistics/statistical-work-areas/bed-availability-and-occupancy/critical-care-and-general-acute-beds-urgent-and-emergency-care-daily-situation-reports/For the Torbay and South Devon NHS Foundation Trust, there were on average 34 adult patients each day in October 2025 who had no criteria to reside but who were not discharged by the end of the day.The following table shows the proportion of acute beds occupied by patients with no criteria to reside but who had not been discharged for the last seven days of October 2025, during which time there were an average of 385 adult general and acute beds available, for the Torbay and South Devon NHS Foundation Trust:DateNumber of patients remaining in hospital who no longer meet criteria to resideProportion of adult general and acute beds occupied by patients with no criteria to reside25/10/2025298%26/10/2025277%27/10/20253710%28/10/2025318%29/10/2025349%30/10/20253910%31/10/2025339%

What steps his Department is taking to monitor (a) cases of (i) parasitic infections and (ii) chemical sensitisation and (b) infection rates associated with poor hygiene practices in nail and beauty salons.

Nail and beauty salons are already required to comply with various legislation depending on the services they offer. This includes the Health and Safety at Work etc. Act 1974 and other legislation such as the Management of Health and Safety at Work Regulations 1999 and the Control of Substances Hazardous to Health Regulations 2002. This legislation requires that operators ensure, so far as is reasonably practicable, the health, safety, and welfare of their employees and that their clients are not exposed to risks to their health and safety.The Government is committed to addressing longstanding concerns around the safety of the cosmetics sector. On 7 August we announced our plans to introduce further regulation in this space. As part of this work the Government has committed to legislating to introduce a licensing scheme for non-surgical cosmetic procedures through powers granted through the Health and Care Act 2022. Under this scheme, which will be operated by local authorities, practitioners will be required to obtain a licence to perform specified cosmetic procedures, and the premises from which they operate will also need to be licensed.The consultation response sets out that, in the first instance, the Government will prioritise the introduction of legal restrictions to ensure that cosmetic procedures that are deemed to pose the highest level of risk to the public, such as the liquid Brazilian butt lift, are classed as Care Quality Commission (CQC) regulated activities. This will mean that these procedures will only be performed by suitably qualified regulated healthcare professionals, working for providers who are registered with the CQC.We will subsequently take forward work to determine which procedures will be included within the scheme and what requirements will have to be met in order to be granted a licence. This includes requirements relating to training and qualification standards and infection prevention and control measures. We are working with a range of stakeholders to better understand the risks posed by unsafe practice and to ensure the design of the licensing scheme addresses these safety concerns. To help inform this work, we will consider what relevant systems and standards are already in place, both in the United Kingdom and overseas.

Whether his Department has considered adopting (a) mandatory sterilisation equipment, (b) spot checks, (c) minimum qualification standards and (d) other international best practices for nail and beauty salons.

Nail and beauty salons are already required to comply with various legislation depending on the services they offer. This includes the Health and Safety at Work etc. Act 1974 and other legislation such as the Management of Health and Safety at Work Regulations 1999 and the Control of Substances Hazardous to Health Regulations 2002. This legislation requires that operators ensure, so far as is reasonably practicable, the health, safety, and welfare of their employees and that their clients are not exposed to risks to their health and safety.The Government is committed to addressing longstanding concerns around the safety of the cosmetics sector. On 7 August we announced our plans to introduce further regulation in this space. As part of this work the Government has committed to legislating to introduce a licensing scheme for non-surgical cosmetic procedures through powers granted through the Health and Care Act 2022. Under this scheme, which will be operated by local authorities, practitioners will be required to obtain a licence to perform specified cosmetic procedures, and the premises from which they operate will also need to be licensed.The consultation response sets out that, in the first instance, the Government will prioritise the introduction of legal restrictions to ensure that cosmetic procedures that are deemed to pose the highest level of risk to the public, such as the liquid Brazilian butt lift, are classed as Care Quality Commission (CQC) regulated activities. This will mean that these procedures will only be performed by suitably qualified regulated healthcare professionals, working for providers who are registered with the CQC.We will subsequently take forward work to determine which procedures will be included within the scheme and what requirements will have to be met in order to be granted a licence. This includes requirements relating to training and qualification standards and infection prevention and control measures. We are working with a range of stakeholders to better understand the risks posed by unsafe practice and to ensure the design of the licensing scheme addresses these safety concerns. To help inform this work, we will consider what relevant systems and standards are already in place, both in the United Kingdom and overseas.