Written questions by Dhesi.

What steps he is taking to reduce group B strep infections in newborn babies.

The United Kingdom uses the Royal College of Obstetricians and Gynaecologists’ risk-based approach whereby those women identified as being at increased risk of having a baby affected by Group B streptococcus (GBS) are managed according to agreed clinical guidelines on the prevention of early on-set neonatal GBS infection.To improve understanding, prevention, and treatment of GBS infection, the Department is supporting a trial, funded by the National Institute for Health and Care Research. It aims to determine whether routine testing for GBS for all women, either in late pregnancy or on admission for labour with point of care testing, reduces early-onset neonatal sepsis compared to the current approach of risk-based screening.The UK National Screening Committee (NSC) will review its recommendation considering the evidence from the trial, after the report is presented.The UK NSC previously reviewed the evidence to screen for GBS at 35 to 37 weeks of pregnancy in 2017 and concluded that there was insufficient evidence to demonstrate that the benefits of screening would outweigh the harms. This was because the test currently available cannot accurately distinguish between those mothers whose babies are at risk and those who are not. This means that many women would unnecessarily be offered antibiotics during labour, with the balance of harms and benefits from this approach being unknown.

What steps his Department is taking to ensure the consistent implementation of (a) Non-Specific Symptom pathways, (b) GP direct access and (c) NHS England Best Practice Timed Pathways to ensure (i) faster and (ii) earlier diagnosis of people with pancreatic cancer.

NHS England has completed the national roll-out of non-specific symptom (NSS) pathways to support faster diagnosis of cancer in patients who present with symptoms that do not align with a single cancer site.We are investing an additional £1.1 billion in general practices (GPs), bringing total GP Contract spend to £13.4 billion in 2025/26, the biggest increase in over a decade. NHS England has also expanded GP direct access to diagnostic tests, enabling faster investigation of concerning symptoms.The National Health Service has also launched a new £2 million programme which is funding 300 GPs to identify pancreatic cancer early by screening high-risk patients over 60 years old with new diabetes diagnoses and unexplained weight loss for urgent testing.NHS England continues to implement Best Practice Timed Pathways to ensure consistent and faster diagnosis in line with the Faster Diagnosis Standard. Alongside this, it is working with Pancreatic Cancer UK on a Family History Checker to help individuals assess inherited risk, and has launched the National Inherited Cancer Predisposition Register, which supports earlier identification and screening of high-risk individuals.

What assessment his Department has made of the potential merits of a national multi-cancer case finding programme to identify individuals at high risk of (a) pancreatic cancer and (b) all other cancers.

NHS England is developing case-finding approaches for less survivable cancers where the evidence supports this, including pancreatic cancer.This work includes the development of a public-facing Family History Checker in partnership with Pancreatic Cancer UK, which enables individuals and families affected by pancreatic cancer to assess inherited risk. Those identified as being at risk are referred directly to the European Registry of Hereditary Pancreatic Diseases research trial. Referrals can be made by any healthcare professional or by individuals via self-referral, contributing to a more consistent and centralised approach to case-finding.The National Disease Registration Service has launched the National Inherited Cancer Predisposition Register, which identifies individuals at increased inherited risk of a wide range of cancers, including pancreatic cancer. The register supports targeted screening and surveillance and will act as an electronic referral route into national screening programmes where these exist.

What steps his Department is taking to support the (a) development and (b) rollout of biomarker tests to support early detection of (i) pancreatic cancer and (ii) other less survivable cancers in primary care services.

million NHS programme. This is funding more than 300 general practices (GPs) to identify pancreatic cancer early by screening high-risk patients over 60 years old with new diabetes diagnoses and unexplained weight loss. More than 80 GPs across England have begun using the initiative. It will be extended to the other general practices participating in the trial by the end of the year.The National Disease Registration Service (NDRS) is developing a National Inherited Cancer Predisposition Register (NICPR), which launched on 30 June. The NICPR looks at a wide range of cancers for which there is an increased inherited risk, including for less survivable cancers. It aims to identify high-risk individuals who are eligible for targeted screening and surveillance, and will act as an electronic referral route into national screening programmes where these exist.

How much his Department has spent on (a) providing maternity care and (b) settling legal cases of medical negligence related to maternity care in each of the last four years.

In regard to maternity care spend, according to the Patient-Level Costing dataset from the National Cost Collection for the National Health Service, the annual spend for providing maternity care was as follows:£4,855,676,069.19 for 2021/22;£4,722,376,594.65 for 2022/23; and£5,174,161,637.32 for 2023/24.Data is not yet available for the 2024/25 financial year.NHS Resolution manages clinical negligence and other claims against the NHS in England. The table attached shows the spend on maternity clinical claims either closed or settled with a periodical payment order (PPO) between the 2021/22 and 2024/25 financial years, broken down by closure, or settlement PPO, year, for claims with obstetrics or neonatology as the primary specialty.The data includes the damages and legal costs paid up until 31 March 2025. It does not include future periodical payments on settled claims that are due after the end of the 2024/25 financial year.Please note that this is different to the value of claims “notified” in a year for obstetrics and neonatology. Data on “notified claims value” only includes an early estimate of the eventual settlement value if all the claims were to settle with damages.

What assessment he has made of the potential merits of introducing self-sampling for cervical screening as an alternative to clinic-based cervical screening.

Following the announcement to introduce human papilloma virus (HPV) self-sampling in the National Health Service cervical screening programme for the under-screened population, the NHS has begun planning an in-service evaluation (ISE) of HPV self-sampling in the wider population.The purpose of the ISE is to ensure the self-sampling test is as accurate at detecting HPV compared with a clinician-collected specimen, and to evaluate its impact on cervical screening uptake. The findings of the ISE will inform any future recommendation from the UK National Screening Committee to Ministers to offer self-sampling across the whole population.

What recent steps his Department is taking to reduce treatment waiting times for people with prostate cancer in the South East.

The Government understands that more needs to be done to improve outcomes for all patients with prostate cancer, including in the South East.NHS England has introduced a best-practice timed pathway for prostate cancer so that those suspected of prostate cancer receive a multi-parametric magnetic resonance imaging scan first, which ensures that only those men most at risk of having cancer undergo an invasive biopsy. The AI in Health and Care Award has also been established, which aims to accelerate the testing and development of artificial intelligence (AI) technologies. £113 million has already been allocated to support 86 AI technologies, and three of these projects specifically relate to prostate cancer, one of which is the Paige prostate cancer detection tool, developed by the University of Oxford.The Department will publish a National Cancer Plan which will include further details on how we will improve outcomes for cancer patients across England, including the South East, speed up diagnosis and treatment, and ensure that patients have access to the latest treatments and technology.

If he will make an assessment of the potential merits of introducing a national prostate cancer screening programme.

The UK National Screening Committee (UK NSC), which advises ministers on all screening matters, commissioned an evidence review modelling the clinical effectiveness and cost of several approaches to prostate cancer screening. This included different potential ways of screening the whole population and targeted screening aimed at groups of people identified as being at higher-than-average risk, such as black men or men with a family history of cancer.The modelling and evidence review are now complete, and the reports are being considered by the UK NSC and experts. Subject to no further revisions being required, the UK NSC plans to start a three-month public consultation towards the end of 2025. After this, the UK NSC will make a recommendation about screening for prostate cancer. Ministers will then be asked to consider whether to accept the recommendation.

What recent assessment his Department has made of the adequacy of the supply of epilepsy medications.

The Department is working hard with industry to help resolve intermittent supply issues with some epilepsy medications. As a result of ongoing activity and intensive work, including asking manufacturers to expedite deliveries, most issues have been resolved.We are currently aware of a supply issue affecting topiramate 25mg, 50mg, 100mg and 200mg tablets and phenobarbital 15mg tablets, used in the management of epilepsy, from certain manufacturers. Resupply from the affected manufacturers is yet to be confirmed but stock remains available from alternative manufacturers to meet patient demand, and we have issued management guidance to the National Health Service.

What recent steps he has taken to help reduce the average diagnosis time for endometriosis.

It is unacceptable that women can wait too long for an endometriosis diagnosis and this government is committed to improving the diagnosis, treatment and ongoing care for gynaecological conditions including endometriosis.Tackling waiting lists is a key part of our Health Mission. We have now exceeded our pledge to deliver an extra two million operations, scans, and appointments, having now delivered 4.9 million more appointments.In November 2024, the National Institute for Health and Care Excellence updated its guideline on the diagnosis and management of endometriosis to make firmer recommendations on referral and investigations, which will help women receive a diagnosis and effective treatment faster. This includes updated recommendations that for women with symptoms of endometriosis, initial pharmacological treatment should take place in primary care, and that this can take place in parallel with additional investigations and referral to secondary care if needed. The guideline is available at the following link:https://www.nice.org.uk/guidance/ng73

What recent assessment he has made of the potential impact of microplastics on health outcomes.

The UK Health Security Agency (UKHSA) has conducted research to understand if there are potential health risks from exposure to micro and nano plastics through inhalational and oral routes. This was part of the National Institute of Health and Care Research (NIHR) funded Health Protection Research Unit in Environmental Exposures and Health. The potential impact of microplastic materials on human health has been assessed by the UK Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment. The most recent statement was published in 2024 and is available at the following link: https://cot.food.gov.uk/M-statementsandpositionpapers#microplastics In 2022, the Department for Environment, Food and Rural Affairs initiated a research project to investigate the risks of intentionally added microplastics. This project reviewed the emissions from microplastics, and the risks they pose both to human health and the environment. Earlier this year, the Department for Environment, Food and Rural Affairs published the Option Appraisal for Intentionally Added Microplastics, which provides a welcome addition to our knowledge on the options to protect human health and the United Kingdom’s environment from the risks of microplastics. The Department for Environment, Food and Rural Affairs is considering the results of this study, which is available at the following link: https://sciencesearch.defra.gov.uk/ProjectDetails?ProjectId=21802

What recent steps he has taken to ensure adequate availability of mental health support services for (a) children and (b) young adults.

We are investing an extra £688 million this year to transform mental health services by hiring more staff, delivering more early interventions, and getting waiting lists down.We have confirmed that we will fulfil our commitment to recruit an additional 8,500 staff across child and young people and adult mental health services by the end of the Parliament, and 6,700 of these extra workers have been recruited since July 2024.We also want to intervene much earlier to support better outcomes for children and young people. That is why the 10-Year Health Plan sets out how we will work with schools and colleges to better identify and meet children's and young people’s mental health needs by expanding mental health support teams in schools and colleges to cover 100% of pupils by 2029/30 and by embedding mental health support in the new Young Futures hubs, to ensure there is no 'wrong front door' for young people seeking help.Additionally, we are continuing to provide top-up funding of £7 million to 24 existing early support hubs, to expand their services and to take part in an ongoing evaluation of these services in 2025/26. This funding will enable the supported hubs to deliver at least 10,000 additional mental health and wellbeing interventions, so that more children and young people are supported.

What recent steps his Department has taken to help reduce childhood obesity rates in Slough.

The prevention of ill health is a clear priority for the Government, and a cornerstone of this is supporting children, including those in Slough, to live healthier lives.The 10 Year Health Plan, published on 3 July, sets out decisive action on the obesity crisis. In a world first, we will introduce mandatory healthy food sales reporting for large food businesses and using that reporting, we will set new targets to increase the healthiness of sales.We will also fulfil our commitments to restrict junk food advertising and ban the sale of high-caffeine energy drinks to under 16-year-olds. We have given local councils stronger powers to limit school children’s access to fast-food.Officials in the Office for Health Improvement and Disparities’ South East team work closely with local partners, including local authorities and the National Health Service, to support them with local initiatives to promote a healthy lifestyle and tackle obesity.

What recent steps has he taken to help reduce waiting times for mental health treatment in the South East.

Waiting times for those referred to mental health services are too high all across England, including in the South East.Too many people with mental health issues are not getting the support or care they need, which is why we will fix the broken system to ensure we give mental health the same attention and focus as physical health, so that people can be confident in accessing high quality mental health support when they need it.We are committed to improving mental health care for people with a range of mental health conditions, and to shifting the focus from treatment to prevention, as we make the National Health Service fit for the future.In the Spending Review announcement, we have confirmed that we will fulfil the Government’s commitments to recruit an additional 8,500 mental health staff, to reduce delays and provide faster treatment, by the end of the Parliament, and we will expand mental health support teams in schools in England to cover 100% of pupils by 2029/30.Our reforms to the Mental Health Act will give patients a greater say in their care and will ensure that people get the appropriate and compassionate mental health support they need.

Whether he plans to increase funding for hospice care.

We are supporting the hospice sector with a £100 million capital funding boost for adult and children’s hospices in England to ensure they have the best physical environment for care. The funding will help hospices to provide the best end of life care to patients and their families in a supportive and dignified physical environment.We are also providing £26 million of revenue funding to support children and young people’s hospices for 2025/26. This is a continuation of the funding which until recently was known as the children and young people’s hospice grant.Most hospices are charitable, independent organisations which receive some statutory funding from integrated care boards (ICBs) for providing National Health Services. The amount of funding each charitable hospice receives varies both within and between ICB areas. This will vary depending on demand in that ICB area, but will also be dependent on the totality and type of palliative care and end of life care provision from both NHS and non-NHS services, including charitable hospices, within each ICB area.We are also working to make sure the palliative and end of life care sector is sustainable in the long term and are determined to shift more healthcare out of hospitals and into the community through our 10-Year Health Plan.

What recent assessment he has made of the affordability of NHS dental treatment for pensioners not in receipt of Pension Credit.

There are a range of exemptions to National Health Service dental patient charges for those who need the most financial support. 48.6% of courses of dental treatment were delivered to adults and children who were exempt from charges in 2023/24. Eligibility for free NHS dental care includes people who are being treated in an NHS hospital by the hospital dentist, although patients may have to pay for any dentures or bridges. Treatment is also free for people receiving certain benefits, including Income Support and Pension Credit. Support is available through the NHS Low Income Scheme for those patients who are not eligible for an exemption or a full remission of dental patient charges. Further information about support with NHS dental patient charges is available from the following link: www.nhs.uk/nhs-services/dentists/dental-costs/get-help-with-dental-costs

What recent steps he has taken to improve access to dental appointments in (a) Slough constituency and (b) Berkshire.

The Government plans to tackle the challenges for patients trying to access National Health Service dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to areas that need them most. To rebuild dentistry in the long term, we will reform the dental contract with the sector, with a shift to focus on prevention and the retention of NHS dentists.The responsibility for commissioning primary care services, including NHS dentistry, to meet the needs of the local population has been delegated to the integrated care boards (ICBs) across England. For the Slough constituency and Berkshire, this is the NHS Buckinghamshire, Oxfordshire and Berkshire West ICB.ICBs have been asked to start making extra urgent dental appointments available from April 2025. The NHS Buckinghamshire, Oxfordshire and Berkshire West ICB is expected to deliver 15,454 additional urgent dental appointments as part of the scheme.ICBs have started to recruit posts through the Golden Hello scheme. This recruitment incentive will see up to 240 dentists receiving payments of £20,000 to work in those areas that need them most for three years.

What recent assessment he has made of the adequacy of financial support available to pensioners for dental treatment.

There are a range of exemptions to National Health Service dental patient charges for those who need the most financial support. 48.6% of courses of dental treatment were delivered to adults and children who were exempt from charges in 2023/24. Eligibility for free NHS dental care includes people who are being treated in an NHS hospital by the hospital dentist, although patients may have to pay for any dentures or bridges. Treatment is also free for people receiving certain benefits, including Income Support and Pension Credit. Support is available through the NHS Low Income Scheme for those patients who are not eligible for an exemption or a full remission of dental patient charges. Further information about support with NHS dental patient charges is available from the following link: www.nhs.uk/nhs-services/dentists/dental-costs/get-help-with-dental-costs

What recent discussions he has had with ICBs on removing the need for self-funded artificial insemination before accessing NHS-funded IVF.

We expect integrated care boards to commission fertility services in line with National Institute for Health and Care Excellence (NICE) guidelines. NICE is currently reviewing the fertility guidelines and will consider whether the current recommendations for access to National Health Service funded treatment are still appropriate.In the light of broader pressures on the NHS 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.

What assessment his Department has made of the adequacy of adult social care provision in Slough.

Local authorities are best placed to understand and plan for the needs of their population, which is why, under the Care Act 2014, local authorities are tasked with the duty to shape their care market to meet the diverse needs of all local people. In performing that duty, a local authority must have regard to the need to ensure that it is aware of current and likely future demand for such services and to consider how providers might meet that demand.The Government is supporting local authorities by making available up to £3.7 billion of additional funding for social care authorities in 2025/26, which includes an £880 million increase in the Social Care Grant.