Written questions by Braverman.

Whether his Department plans to issue updated national guidance to NHS trusts on the provision of single‑sex changing rooms for staff.

It has not proved possible to respond to the hon. Member in the time available before Prorogation.

Whether he plans to review the Transitioning in the Workplace policies used by NHS Trusts to ensure they include risk assessments for all staff affected by changes to single‑sex facilities.

It has not proved possible to respond to the hon. Member in the time available before Prorogation.

Whether his Department has plans to require Integrated Care Boards to provide regular public updates on the status of paused Right to Choose pathways.

Integrated care boards (ICBs) are responsible for planning and commissioning services to meet the needs of their local populations, including making decisions about how best to manage demand and capacity within available resources. Where an ICB has taken a decision to pause or manage activity within a Right to Choose pathway, it is for that ICB to determine and apply any local prioritisation criteria, taking account of clinical need and patient safety. It is the responsibility of the local system to decide whether to publish criteria, and to ensure that patients, families, and the public are communicated with clearly and provided with appropriate information.NHS England provides guidance and oversight to ICBs to support them in meeting their statutory duties, including in relation to patient choice. The Government is committed to patients having the right to choose their provider when referred to consultant-led treatment, or to a mental health professional, for their first appointment as an outpatient. Patients’ right to choose is set out in legislation and no changes are being made to this legal right. Further information on the choices available for patients can be found on the NHS Choice framework, which is available at the following link:https://www.gov.uk/government/publications/the-nhs-choice-framework

If he will require Integrated Care Boards to establish a single point of contact for families affected by the pause of Right to Choose pathways.

Integrated care boards (ICBs) are responsible for commissioning services to meet the health and care needs of their local population, including supporting children and young people waiting for assessment or treatment. While there are no plans to require ICBs to establish a single point of contact, they must ensure appropriate routes are in place for families to access accurate and timely information and support.

How many children and adults in Hampshire and the Isle of Wight have been impacted by the pause of Right to Choose pathways for ADHD and autism assessments.

The Government has recognised that, nationally, demand for assessments for autism and attention deficit hyperactivity disorder (ADHD) has grown significantly in recent years and that people are experiencing severe delays for accessing such assessments. The Government’s 10-Year Health Plan will make the National Health Service fit for the future, and reforms to the Special Educational Needs and Disabilities focus will improve early intervention and support.It is the responsibility of integrated care boards (ICBs) in England to make appropriate provision to meet the health and care needs of their local population, including providing access to autism assessments and ADHD services, in line with relevant National Institute for Health and Care Excellence guidelines.The Medium-Term Planning Framework, published 24 October, sets out expectations for local areas to improve access to autism and ADHD services, and was explicit that ICBs and providers are expected to optimise existing resources to reduce long waits for autism and ADHD assessments and improve the quality of assessments by implementing existing and new guidance, as published. NHS England introduced Activity Management Plans to help manage variably funded activity when providers risk exceeding their Indicative Activity Plans. There is a statutory requirement for ICBs to remain within annual funding allocations and to deliver on agreed financial plans. Providers are not asked to close referrals or prevent access to the pathway but, where required, once planned activity levels have been met, they are asked to manage new referrals on a waiting list until they have capacity within their contracted activity envelope. There is guidance for the use and implementation of Indicative Activity Plans and Activity Management Plans, detailed in the NHS Standard Contract Technical Guidance. We are absolutely clear that use of these must not restrict patients' choice of provider. The Hampshire and the Isle of Wight Integrated Care Board (ICB) understands that waiting for an autism or ADHD assessment can be difficult for individuals and families, and is committed to improving access to meaningful support while people wait. NHS Hampshire and Isle of Wight redesigned a clinically-optimum diagnostic model on 31 March 2026. As part of their wider transformation programme, the Hampshire and the Isle of Wight ICB is introducing new services designed to offer earlier help, even when a formal diagnosis has not yet been made. From 1 April 2026, every area in Hampshire and the Isle of Wight will have a place based Children’s Neurodiversity Team. These teams will:- bring together professionals across education and healthcare;- offer practical advice, support, and guidance for families; and- support children based on their needs, without requiring a diagnosis; While patients are waiting for a Right to Choose ADHD or Autism assessment there are a range of services to access for support, which are available at the following link:https://www.hantsiow.icb.nhs.uk/application/files/4917/7495/4596/HSIOW_ICB_-_Right_to_choose_Supporting_you_while_you_wait_for_your_assessment_.pdfMore broadly, in December 2025, my Rt Hon. Friend, the Secretary of State for Health and Social Care, launched the independent review into the Prevalence and Support for mental health conditions, ADHD and autism. The review is chaired by Professor Peter Fonagy, with vice chairs Professor Sir Simon Wessely and Professor Gillian Baird.The final report, due in the summer, will make recommendations on how the Government, the health system, and the wider public services can respond to increasing demand for support more fairly and effectively so that people receive the right support, at the right time, in the right place.

What discussions he has had with NHS England on the communication of the pause of Right to Choose pathways to families, including the timing and level of notice.

Integrated care boards (ICBs) are responsible for planning and commissioning services to meet the needs of their local populations, including making decisions about how best to manage demand and capacity within available resources. Where an ICB has taken a decision to pause or manage activity within a Right to Choose pathway, it is for that ICB to determine and apply any local prioritisation criteria, taking account of clinical need and patient safety. It is the responsibility of the local system to decide whether to publish criteria, and to ensure that patients, families, and the public are communicated with clearly and provided with appropriate information.NHS England provides guidance and oversight to ICBs to support them in meeting their statutory duties, including in relation to patient choice. The Government is committed to patients having the right to choose their provider when referred to consultant-led treatment, or to a mental health professional, for their first appointment as an outpatient. Patients’ right to choose is set out in legislation and no changes are being made to this legal right. Further information on the choices available for patients can be found on the NHS Choice framework, which is available at the following link:https://www.gov.uk/government/publications/the-nhs-choice-framework

What assessment he has made of the potential impact of the pause on school attendance, mental health and family stability among children awaiting ADHD and autism assessments.

The Government has recognised that, nationally, demand for assessments for autism and attention deficit hyperactivity disorder (ADHD) has grown significantly in recent years and that people are experiencing severe delays for accessing such assessments. The Government’s 10-Year Health Plan will make the National Health Service fit for the future, and reforms to the Special Educational Needs and Disabilities focus will improve early intervention and support.It is the responsibility of integrated care boards (ICBs) in England to make appropriate provision to meet the health and care needs of their local population, including providing access to autism assessments and ADHD services, in line with relevant National Institute for Health and Care Excellence guidelines.The Medium-Term Planning Framework, published 24 October, sets out expectations for local areas to improve access to autism and ADHD services, and was explicit that ICBs and providers are expected to optimise existing resources to reduce long waits for autism and ADHD assessments and improve the quality of assessments by implementing existing and new guidance, as published. NHS England introduced Activity Management Plans to help manage variably funded activity when providers risk exceeding their Indicative Activity Plans. There is a statutory requirement for ICBs to remain within annual funding allocations and to deliver on agreed financial plans. Providers are not asked to close referrals or prevent access to the pathway but, where required, once planned activity levels have been met, they are asked to manage new referrals on a waiting list until they have capacity within their contracted activity envelope. There is guidance for the use and implementation of Indicative Activity Plans and Activity Management Plans, detailed in the NHS Standard Contract Technical Guidance. We are absolutely clear that use of these must not restrict patients' choice of provider. The Hampshire and the Isle of Wight Integrated Care Board (ICB) understands that waiting for an autism or ADHD assessment can be difficult for individuals and families, and is committed to improving access to meaningful support while people wait. NHS Hampshire and Isle of Wight redesigned a clinically-optimum diagnostic model on 31 March 2026. As part of their wider transformation programme, the Hampshire and the Isle of Wight ICB is introducing new services designed to offer earlier help, even when a formal diagnosis has not yet been made. From 1 April 2026, every area in Hampshire and the Isle of Wight will have a place based Children’s Neurodiversity Team. These teams will:- bring together professionals across education and healthcare;- offer practical advice, support, and guidance for families; and- support children based on their needs, without requiring a diagnosis; While patients are waiting for a Right to Choose ADHD or Autism assessment there are a range of services to access for support, which are available at the following link:https://www.hantsiow.icb.nhs.uk/application/files/4917/7495/4596/HSIOW_ICB_-_Right_to_choose_Supporting_you_while_you_wait_for_your_assessment_.pdfMore broadly, in December 2025, my Rt Hon. Friend, the Secretary of State for Health and Social Care, launched the independent review into the Prevalence and Support for mental health conditions, ADHD and autism. The review is chaired by Professor Peter Fonagy, with vice chairs Professor Sir Simon Wessely and Professor Gillian Baird.The final report, due in the summer, will make recommendations on how the Government, the health system, and the wider public services can respond to increasing demand for support more fairly and effectively so that people receive the right support, at the right time, in the right place.

What assessment he has made of the potential impact of pausing the Right to Choose pathways on trends in the level of demand for private assessments among families unable to access NHS support.

The Government has recognised that, nationally, demand for assessments for autism and attention deficit hyperactivity disorder (ADHD) has grown significantly in recent years and that people are experiencing severe delays for accessing such assessments. The Government’s 10-Year Health Plan will make the National Health Service fit for the future, and reforms to the Special Educational Needs and Disabilities focus will improve early intervention and support.It is the responsibility of integrated care boards (ICBs) in England to make appropriate provision to meet the health and care needs of their local population, including providing access to autism assessments and ADHD services, in line with relevant National Institute for Health and Care Excellence guidelines.The Medium-Term Planning Framework, published 24 October, sets out expectations for local areas to improve access to autism and ADHD services, and was explicit that ICBs and providers are expected to optimise existing resources to reduce long waits for autism and ADHD assessments and improve the quality of assessments by implementing existing and new guidance, as published. NHS England introduced Activity Management Plans to help manage variably funded activity when providers risk exceeding their Indicative Activity Plans. There is a statutory requirement for ICBs to remain within annual funding allocations and to deliver on agreed financial plans. Providers are not asked to close referrals or prevent access to the pathway but, where required, once planned activity levels have been met, they are asked to manage new referrals on a waiting list until they have capacity within their contracted activity envelope. There is guidance for the use and implementation of Indicative Activity Plans and Activity Management Plans, detailed in the NHS Standard Contract Technical Guidance. We are absolutely clear that use of these must not restrict patients' choice of provider. The Hampshire and the Isle of Wight Integrated Care Board (ICB) understands that waiting for an autism or ADHD assessment can be difficult for individuals and families, and is committed to improving access to meaningful support while people wait. NHS Hampshire and Isle of Wight redesigned a clinically-optimum diagnostic model on 31 March 2026. As part of their wider transformation programme, the Hampshire and the Isle of Wight ICB is introducing new services designed to offer earlier help, even when a formal diagnosis has not yet been made. From 1 April 2026, every area in Hampshire and the Isle of Wight will have a place based Children’s Neurodiversity Team. These teams will:- bring together professionals across education and healthcare;- offer practical advice, support, and guidance for families; and- support children based on their needs, without requiring a diagnosis; While patients are waiting for a Right to Choose ADHD or Autism assessment there are a range of services to access for support, which are available at the following link:https://www.hantsiow.icb.nhs.uk/application/files/4917/7495/4596/HSIOW_ICB_-_Right_to_choose_Supporting_you_while_you_wait_for_your_assessment_.pdfMore broadly, in December 2025, my Rt Hon. Friend, the Secretary of State for Health and Social Care, launched the independent review into the Prevalence and Support for mental health conditions, ADHD and autism. The review is chaired by Professor Peter Fonagy, with vice chairs Professor Sir Simon Wessely and Professor Gillian Baird.The final report, due in the summer, will make recommendations on how the Government, the health system, and the wider public services can respond to increasing demand for support more fairly and effectively so that people receive the right support, at the right time, in the right place.

What estimate he has made of the number of complaints to the Local Government and Social Care Ombudsman on care home relocation decisions; and what assessment he has made of the adequacy of the outcomes of those complaints.

It has not proved possible to respond to the hon. Member in the time available before Prorogation.

What avenues of redress are available to residents and families wishing to challenge decisions to move care home residents; and what steps he is taking to improve awareness of those rights.

It has not proved possible to respond to the hon. Member in the time available before Prorogation.

What data his Department collects on the number of older people required to move from care home placements following a transition to local authority funding; and if he will publish that data.

It has not proved possible to respond to the hon. Member in the time available before Prorogation.

What steps his Department is taking to ensure that local authorities comply with their statutory duties under section 1 of the Care Act 2014 to promote individual wellbeing when making decisions about residential care placements.

The relevant guidance issued by the Department is the Care and Support Statutory Guidance, issued under the Care Act 2014. This makes clear that local authorities must take into account a person’s circumstances and preferences when arranging care, including when reviewing existing care home placements. They must promote the wellbeing of those drawing on care, beginning with an assumption that the individual drawing on care is best placed to judge what they require for their own wellbeing. This applies equally to those entering care for the first time and to those who have been self-funders but, because of diminishing resources, are on the verge of needing local authority support.Where an individual is assessed as requiring support in a residential care home and they are eligible for means tested support from their local authority, the local authority must ensure that the individual drawing on care is offered a genuine choice of accommodation. This must include at least one option which is affordable within the person’s personal budget, and should include more than one option. If suitable accommodation is not available at the amount identified in a personal budget, the local authority must arrange care in a more expensive setting and adjust the budget accordingly to ensure that needs are met.The Care Quality Commission (CQC) is assessing how local authorities in England are meeting the full range of their duties under Part 1 of the Care Act 2014. The assessments identify local authorities’ strengths and areas for improvement, facilitating the sharing of good practice and helping us to target support where it is most needed. The CQC is under a duty to inform my Rt Hon. Friend, the Secretary of State for Health and Social Care, if they consider an authority is failing to discharge its functions. My Rt Hon. Friend, the Secretary of State for Health and Social Care, has powers to intervene where he is satisfied that authorities have failed or are failing to discharge Care Act functions to an acceptable standard. Reports are made available on the CQC’s website at the following link:https://www.cqc.org.uk/

What assessment his Department has made of the potential impact of removing long‑term residents from care homes once they become local‑authority funded on provider financial sustainability and the stability of the residential care market.

Local authorities are best placed to understand and plan for the needs of their population, which is why, under the Care Act 2014, they are tasked with the duty to shape their care markets to meet the diverse needs of all local people. In doing so, they should use local population and market data to inform commissioning decisions, involve people and providers in the commissioning process, and encourage a wide range of service provision to ensure that people have a choice of appropriate and high-quality care services in their local area. Local authorities also have a duty to provide continuity of care to minimise disruption and to ensure that people continue to receive the care and support they need and do not suffer a gap in their care service when care arrangements change. The Care Quality Commission (CQC) is assessing how local authorities in England are meeting the full range of their duties under Part 1 of the Care Act 2014, including those related to commissioning. The CQC is under a duty to inform my Rt Hon. Friend, the Secretary of State for Health and Social Care, if they consider an authority is failing to discharge its functions. My Rt Hon. Friend, the Secretary of State for Health and Social Care, has powers to intervene where he is satisfied that authorities have failed or are failing to discharge Care Act functions to an acceptable standard. All reports are made available on CQC’s website and can be found at the following link: https://www.cqc.org.uk/care-services/local-authority-assessment-reports

Whether his Department has assessed the extent to which residents and families are presented with a genuine choice when a care home placement becomes local‑authority funded, as opposed to being offered relocation as the only viable option.

Local authorities are best placed to understand and plan for the needs of their population, which is why, under the Care Act 2014, they are tasked with the duty to shape their care markets to meet the diverse needs of all local people. In doing so, they should use local population and market data to inform commissioning decisions, involve people and providers in the commissioning process, and encourage a wide range of service provision to ensure that people have a choice of appropriate and high-quality care services in their local area. Local authorities also have a duty to provide continuity of care to minimise disruption and to ensure that people continue to receive the care and support they need and do not suffer a gap in their care service when care arrangements change. The Care Quality Commission (CQC) is assessing how local authorities in England are meeting the full range of their duties under Part 1 of the Care Act 2014, including those related to commissioning. The CQC is under a duty to inform my Rt Hon. Friend, the Secretary of State for Health and Social Care, if they consider an authority is failing to discharge its functions. My Rt Hon. Friend, the Secretary of State for Health and Social Care, has powers to intervene where he is satisfied that authorities have failed or are failing to discharge Care Act functions to an acceptable standard. All reports are made available on CQC’s website and can be found at the following link: https://www.cqc.org.uk/care-services/local-authority-assessment-reports

Whether his Department is considering reform of the residential care funding framework to prevent older people being displaced from long‑standing care home placements for purely financial reasons.

The Department has no current plans to reform the residential care funding framework. The responsibility for meeting eligible needs rests with local authorities under the Care Act 2014. The Government is making over £4.6 billion of additional funding available for adult social care in 2028/29 compared to 2025/26. In terms of an assessment of the impact of involuntary care home moves on older people with dementia, the Care Act places a duty on local authorities to promote wellbeing when arranging social care for an individual, and this provides individuals and their carers with more control over the way in which care and support is provided. The Care Quality Commission (CQC) is assessing how local authorities in England are meeting the full range of their duties under Part 1 of the Care Act 2014. If the CQC identifies that a local authority has failed or is failing to discharge its duties under the Care Act to an acceptable standard, my Rt Hon. Friend, the Secretary of State for Health and Social Care, has powers to intervene. The Independent Commission into adult social care, chaired by Baroness Louise Casey, is looking at the medium and long-term reforms needed in adult social care to deliver a fair and affordable system that is fit for the future, including looking at what long-term and sustainable funding solutions should look like.

What guidance his Department provides to local authorities on balancing financial considerations against residents’ emotional, psychological and relational wellbeing when reviewing existing care home placements.

The relevant guidance issued by the Department is the Care and Support Statutory Guidance, issued under the Care Act 2014. This makes clear that local authorities must take into account a person’s circumstances and preferences when arranging care, including when reviewing existing care home placements. They must promote the wellbeing of those drawing on care, beginning with an assumption that the individual drawing on care is best placed to judge what they require for their own wellbeing. This applies equally to those entering care for the first time and to those who have been self-funders but, because of diminishing resources, are on the verge of needing local authority support.Where an individual is assessed as requiring support in a residential care home and they are eligible for means tested support from their local authority, the local authority must ensure that the individual drawing on care is offered a genuine choice of accommodation. This must include at least one option which is affordable within the person’s personal budget, and should include more than one option. If suitable accommodation is not available at the amount identified in a personal budget, the local authority must arrange care in a more expensive setting and adjust the budget accordingly to ensure that needs are met.The Care Quality Commission (CQC) is assessing how local authorities in England are meeting the full range of their duties under Part 1 of the Care Act 2014. The assessments identify local authorities’ strengths and areas for improvement, facilitating the sharing of good practice and helping us to target support where it is most needed. The CQC is under a duty to inform my Rt Hon. Friend, the Secretary of State for Health and Social Care, if they consider an authority is failing to discharge its functions. My Rt Hon. Friend, the Secretary of State for Health and Social Care, has powers to intervene where he is satisfied that authorities have failed or are failing to discharge Care Act functions to an acceptable standard. Reports are made available on the CQC’s website at the following link:https://www.cqc.org.uk/

What steps his Department is taking to ensure that children awaiting ADHD or autism assessments in Hampshire and the Isle of Wight receive timely support before assessments resume in 2027.

The Government has recognised that, nationally, demand for assessments for autism and attention deficit hyperactivity disorder (ADHD) has grown significantly in recent years and that people are experiencing severe delays for accessing such assessments. The Government’s 10-Year Health Plan will make the National Health Service fit for the future, and reforms to the Special Educational Needs and Disabilities focus will improve early intervention and support.The Hampshire and the Isle of Wight Integrated Care Board (ICB) understands that waiting for an assessment can be difficult for individuals and families, and is committed to improving access to meaningful support while people wait.NHS Hampshire and Isle of Wight launched a redesigned clinically optimal diagnostic model on 31 March 2026. As part of their wider transformation programme, Hampshire and the Isle of Wight ICB is introducing new services designed to offer earlier help, even when a formal diagnosis has not yet been made.From 1 April 2026, every area in Hampshire and the Isle of Wight will have a place-based Children’s Neurodiversity Team. These teams will:bring together professionals across education and healthcare;offer practical advice, support, and guidance for families; andsupport children based on their needs, without requiring a diagnosis. While patients are waiting for a Right to Choose ADHD or Autism assessment there are a range of services to access for support, which are available at the following link:https://www.hantsiow.icb.nhs.uk/application/files/4917/7495/4596/HSIOW_ICB_-_Right_to_choose_Supporting_you_while_you_wait_for_your_assessment_.pdf

Whether he plans to provide additional funding or resources to Hampshire and Isle of Wight Integrated Care Board to enable the resumption of ADHD and autism assessments before April 2027.

The Government has recognised that, nationally, demand for assessments for autism and attention deficit hyperactivity disorder (ADHD) has grown significantly in recent years and that people are experiencing severe delays for accessing such assessments. The Government’s 10-Year Health Plan will make the National Health Service fit for the future, and reforms to the Special Educational Needs and Disabilities focus will improve early intervention and support.The Hampshire and the Isle of Wight Integrated Care Board (ICB) understands that waiting for an assessment can be difficult for individuals and families, and is committed to improving access to meaningful support while people wait.NHS Hampshire and Isle of Wight launched a redesigned clinically optimal diagnostic model on 31 March 2026. As part of their wider transformation programme, Hampshire and the Isle of Wight ICB is introducing new services designed to offer earlier help, even when a formal diagnosis has not yet been made.From 1 April 2026, every area in Hampshire and the Isle of Wight will have a place-based Children’s Neurodiversity Team. These teams will:bring together professionals across education and healthcare;offer practical advice, support, and guidance for families; andsupport children based on their needs, without requiring a diagnosis. While patients are waiting for a Right to Choose ADHD or Autism assessment there are a range of services to access for support, which are available at the following link:https://www.hantsiow.icb.nhs.uk/application/files/4917/7495/4596/HSIOW_ICB_-_Right_to_choose_Supporting_you_while_you_wait_for_your_assessment_.pdf

How his Department monitors whether local authorities are meeting their duty to respect a person’s preferred accommodation where it meets assessed needs, as set out in the statutory guidance under the Care Act 2014.

The relevant guidance issued by the Department is the Care and Support Statutory Guidance, issued under the Care Act 2014. This makes clear that local authorities must take into account a person’s circumstances and preferences when arranging care, including when reviewing existing care home placements. They must promote the wellbeing of those drawing on care, beginning with an assumption that the individual drawing on care is best placed to judge what they require for their own wellbeing. This applies equally to those entering care for the first time and to those who have been self-funders but, because of diminishing resources, are on the verge of needing local authority support.Where an individual is assessed as requiring support in a residential care home and they are eligible for means tested support from their local authority, the local authority must ensure that the individual drawing on care is offered a genuine choice of accommodation. This must include at least one option which is affordable within the person’s personal budget, and should include more than one option. If suitable accommodation is not available at the amount identified in a personal budget, the local authority must arrange care in a more expensive setting and adjust the budget accordingly to ensure that needs are met.The Care Quality Commission (CQC) is assessing how local authorities in England are meeting the full range of their duties under Part 1 of the Care Act 2014. The assessments identify local authorities’ strengths and areas for improvement, facilitating the sharing of good practice and helping us to target support where it is most needed. The CQC is under a duty to inform my Rt Hon. Friend, the Secretary of State for Health and Social Care, if they consider an authority is failing to discharge its functions. My Rt Hon. Friend, the Secretary of State for Health and Social Care, has powers to intervene where he is satisfied that authorities have failed or are failing to discharge Care Act functions to an acceptable standard. Reports are made available on the CQC’s website at the following link:https://www.cqc.org.uk/

What discussions he has had with Hampshire and Isle of Wight Integrated Care Board on the potential impact of pausing ADHD and autism assessments on children in Key Stage 1 and Key Stage 2.

It has not proved possible to respond to the hon. Member in the time available before Prorogation.