Written questions by Hayes.

What steps he is taking to digitise the Play Well checklist, as published in NHS England's Play Well toolkit in June 2025, to enable data-based quality improvement, monitoring, evaluation and mapping of provision.

The Department recognises the importance of supporting and maintaining children’s right to play in healthcare settings.In June 2025, a number of Operational Delivery Networks came together to digitise the play well checklist, which is available to colleagues across the National Health Service to utilise within their services. The availability of this digital version of the checklist has been included in the content of the webinar and subsequent meetings where the Play Well toolkit is shared. It is also available on the Starlight website.

What steps he is taking to deliver training in health play principles to multi-disciplinary teams as sought in NHS England's Play Well toolkit published in June 2025.

The Department recognises the importance of supporting and maintaining children’s right to play in healthcare settings.The NHS England and Starlight Play Well Toolkit, published in June 2025, includes the first national guidelines and standards for commissioning and delivering health play services in England. It aims to improve access to child-friendly care and specialised health play services across paediatric healthcare. NHS England is promoting the toolkit to managers of health play services across a wide range of settings, including community clinics, emergency departments, children’s hospices, and acute paediatric wards. The toolkit provides clear guidance on supporting practical training and mentorship in healthcare settings.The Play Well toolkit sets out what employers should consider when developing a standard operating procedure for a play team, and this includes training for staff who may encounter children in the course of their work. It is for services to determine what is required and to ensure their teams receive relevant training.

What steps he is taking to build capacity in the health play professional sector, including training, qualifications and registration, as sought in NHS England's Play Well toolkit published in June 2025.

The Department recognises the importance of supporting and maintaining children’s right to play in healthcare settings.The NHS England and Starlight Play Well Toolkit, published in June 2025, includes the first national guidelines and standards for commissioning and delivering health play services in England. It aims to improve access to child-friendly care and specialised health play services across paediatric healthcare. NHS England is promoting the toolkit to managers of health play services across a wide range of settings, including community clinics, emergency departments, children’s hospices, and acute paediatric wards. The toolkit provides clear guidance on supporting practical training and mentorship in healthcare settings.The Play Well toolkit aims to ensure that health play services have the right staff with the right qualifications to deliver a high-quality service. This includes ensuring that services are able to support the training and development of the health play specialists they employ.Health play specialists are trained through foundation degrees and prospective health play specialists can also be trained through the apprenticeship route.

If he will include health play professionals in the modelling for multi-disciplinary paediatric teams for the new neighbourhood health service.

We will deliver a Neighbourhood Health Service that serves everybody, everywhere across the country, including children and young people. An important feature of our new Neighbourhood Health Service will be the rollout of Neighbourhood Health Centres in every community, including multidisciplinary neighbourhood teams who will work together around the needs of children and families. The make-up of neighbourhood multi-disciplinary teams for children and young people is locally determined by integrated care boards. Local commissioners determine the role for each practitioner within neighbourhood multidisciplinary teams based upon the clinical interventions being undertaken.Play specialists could be involved as part of a neighbourhood multi-disciplinary teams for children and young people but this is likely only appropriate for multi-disciplinary teams who provide face to face patient care. For example, when a general practitioner and paediatrician hold a joint clinic in the practice or local setting.

What steps he is taking to support paediatric settings to adopt the recommended Play Well standards in NHS England's Play Well toolkit published in June 2025.

The Department recognises the importance of supporting and maintaining children’s right to play in healthcare settings.The NHS England and Starlight Play Well Toolkit, published in June 2025, includes the first national guidelines and standards for commissioning and delivering health play services in England. It aims to improve access to child-friendly care and specialised health play services across paediatric healthcare.To support adoption of Play Well standards, NHS England is promoting the toolkit to managers of health play services across a wide range of settings, including community clinics, emergency departments, children’s hospices, and acute paediatric wards. The toolkit provides clear guidance on supporting practical training and mentorship in healthcare settings.A range of communication channels have been used to raise awareness, including engagement with services via professional bodies, messaging via the Chief Nursing Officer, a blog posts and ongoing promotion of the toolkit across the National Health Service through operational delivery networks, directly to trusts and directly with professional groups.

If he will make children’s play a key component of the commitment to creating the healthiest generation of children ever, and as part of the shifts from treatment to prevention, and from hospital to community.

The Government is committed to raising the healthiest generation of children ever. This ambition is at the heart of our 10-Year Health Plan, which sets out three radical shifts: from treatment to prevention; from hospital to community; and from analogue to digital care.The Department recognises the importance of supporting and maintaining children’s right to play in healthcare settings. The NHS England and Starlight Play Well Toolkit, published in June 2025, includes the first national guidelines and standards for commissioning and delivering health play services in England.NHS England is promoting the Play Well toolkit to managers of health play services across a wide range of settings, including community clinics, emergency departments, children’s hospices, and acute paediatric wards. A range of communication channels have been used to raise awareness of the toolkit, including through professional bodies, messages from the Chief Nursing Officer, and through delivery networks directly to trusts and professional groups.We remain committed to working with partners to ensure that the Play Well guidelines and standards are embedded and that all children receive appropriate care and support when they need it.

Whether he plans to include health play professionals in the NHS workforce plan.

The Government is committed to raising the healthiest generation of children ever. This ambition is at the heart of our 10-Year Health Plan, which sets out three radical shifts: from treatment to prevention; from hospital to community; and from analogue to digital care. Ensuring that there is a robust children’s health workforce will be essential to delivering on this ambition. We will publish a 10 Year Workforce Plan to create a workforce ready to deliver a transformed service as set out in the 10-Year Health Plan. The plan will ensure the NHS has the right people in the right places, with the right skills to care for patients when they need it. We are working through how the plan will articulate the changes for different professional groups.

If he will provide funding for a strategic programme to support the NHS in adopting and implementing the Play Well guidelines and standards.

The Government is committed to raising the healthiest generation of children ever. This ambition is at the heart of our 10-Year Health Plan, which sets out three radical shifts: from treatment to prevention; from hospital to community; and from analogue to digital care.The Department recognises the importance of supporting and maintaining children’s right to play in healthcare settings. The NHS England and Starlight Play Well Toolkit includes the first national guidelines and standards for commissioning and delivering health play services in England.To support implementation, NHS England is promoting the Play Well toolkit to managers of health play services across a wide range of settings, including community clinics, emergency departments, children’s hospices, and acute paediatric wards. A range of communication channels have been used to raise awareness of the toolkit, including through professional bodies, messages from the Chief Nursing Officer, and through delivery networks directly to trusts and professional groups.While funding decisions for health play services remain the responsibility of local commissioners, the Department supports NHS England’s work to champion the toolkit and the importance of child-centred care across healthcare settings. We remain committed to working with partners to ensure that the Play Well guidelines and standards are embedded and that all children receive appropriate care and support when they need it.

Whether he will consider making health play specialists a mandatory registered allied health profession.

The Government is committed to raising the healthiest generation of children ever. This ambition is at the heart of our 10-Year Health Plan, which sets out three radical shifts: from treatment to prevention; from hospital to community; and from analogue to digital care. This involves ensuring that children receive appropriate care and support, whenever they need it. In support of this commitment, the NHS England and Starlight Play Well Toolkit, published in June 2025, provides the first national guidelines and standards for commissioning and delivering health play services in England. The Government has no current plans to extend statutory regulation to health play specialists, or to change the list of professional titles which are protected in law.

How will his Department ensure Integrated Care Boards are held accountable for homelessness health outcomes, including hospital discharge into safe accommodation and access to primary care.

People experiencing homelessness are considered as an inclusion health group. Inclusion health groups are a key cohort within the locally identified priority ‘PLUS’ populations in NHS England’s Core20PLUS5 framework, in accordance with which, integrated care boards (ICBs) are responsible for reducing inequalities in health outcomes and improving equitable access to healthcare treatments and services. Further information on NHS England’s Core20PLUS5 framework is avaiable at the following link: https://www.england.nhs.uk/about/equality/equality-hub/national-healthcare-inequalities-improvement-programme/core20plus5/ NHS England also published A national framework for NHS – action on inclusion health, which supports ICBs to plan, develop, and improve health services to meet the needs of people in inclusion health groups. This framework is avaiable at the following link: https://www.england.nhs.uk/long-read/a-national-framework-for-nhs-action-on-inclusion-health/ Additionally, NICE guideline 214 on Integrated health and social care for people experiencing homelessness supports ICBs to improve homelessness health outcomes, and we continue to explore ways to encourage ICBs to adopt and embed this advice in their commissioning processes. Further information on this advice is available at the following link: https://www.nice.org.uk/guidance/ng214 In December 2025, the Government published the National Plan to End Homelessness and Rough Sleeping which commits to ensuring no one eligible for homelessness assistance is discharged to the street after a hospital stay, and which is avaiable at the following link:https://www.gov.uk/government/publications/a-national-plan-to-end-homelessness/a-national-plan-to-end-homelessnessThe Government will work with the National Health Service and local authorities to improve the implementation of the 2024 guidance Discharging people at risk of or experiencing homelessness, and the effective use of existing funding streams to support intermediate care services tailored to the needs of people experiencing homelessness. The guidance Discharging people at risk of or experiencing homelessness is avaiable at the following link:https://www.gov.uk/government/publications/discharging-people-at-risk-of-or-experiencing-homelessness/discharging-people-at-risk-of-or-experiencing-homelessness

If his Department will review the Mental Health Act 1983 to ensure people with co-occurring mental health and substance misuse needs are not excluded from treatment.

The Mental Health Act 2025 will give patients greater choice, enhanced rights and support, and ensure everyone is treated with dignity and respect throughout treatment. We know that people with co-occurring substance use and mental health needs do not always receive the integrated, person-centred care they require and deserve. We are committed to promoting more cohesion between mental health services and substance use services, to ensure people, included those subject to the Mental Health Act, no longer fall through the gaps of treatment. The Department and NHS England have published the Co-occurring Mental Health and Substance Use Delivery framework, which provides national commitments and calls to the sector on how the health system can improve delivery of integrated, person-centred care across drug and alcohol treatment and mental health services. In developing this plan, we have worked with subject matter experts, including people with lived experience, academics, clinicians, and service providers, to set out a path to improving service provision for those with co-occurring substance use and mental health needs. This standard provides guidance for drug and alcohol treatment commissioners on improving services for people with co-occurring mental health and alcohol or drug conditions and how local services need to work together so that people can access the help they need.

Will his Department bring forward a dedicated homelessness health strategy.

The Government’s commitments to improving health outcomes and access to healthcare services for people experiencing homelessness are set out in the cross-Government strategy, A National Plan to End Homelessness, published in December 2025, available at the following link:https://www.gov.uk/government/publications/a-national-plan-to-end-homelessness/a-national-plan-to-end-homelessnessWe are committed to its ambition that no one should leave a public institution into homelessness. In health, this means ensuring that no one eligible for homelessness assistance is discharged to the street after a hospital stay by embedding best practice across National Health Service and local systems and working jointly with the Ministry of Housing, Communities and Local Government on a delivery plan. We are also committing to wider measures in the strategy to tackle health inequalities, including improving access to mental health and substance misuse services, and updating statutory guidance to strengthen safeguarding responsibilities for people experiencing homelessness.For this reason, we currently do not have plans to introduce a dedicated homelessness health strategy.

What steps is the Department taking to remove barriers preventing community homelessness health services, such as mobile clinics, from accessing NHS SystemOne records.

It is important that community health teams can access the information they need to provide quality care, including for people who are experiencing homelessness. NHS England and the Phoenix Partnership (TPP), the company that provides SystemOne, already offer several routes for some clinicians to view records outside of GP settings.These include national services such as GP Connect and the National Care Records Service (NCRS), which allow clinicians to see key information from GP records. NCRS can also be used on mobile devices such as iPads. Integrated care systems are rolling out Shared Care Records, which give clinicians wider access to both GP and secondary care records, where appropriate.More broadly, the Government’s commitments to improve health outcomes for people experiencing homelessness are set out in the cross-government strategy, A National Plan to End Homelessness. Through this strategy, we are working with NHS England, local authorities, and third sector partners to strengthen integrated care pathways. This includes improving collaboration between primary care, outreach teams, and community services. More information about the strategy is available at the following link:https://www.gov.uk/government/publications/a-national-plan-to-end-homelessness/a-national-plan-to-end-homelessnessThe Single Patient Record will enable improvements as it will provide a comprehensive view of health and care information across care settings. It will give both patients and professionals secure access to a single, accurate and up-to-date record – wherever and whenever it's needed.

Whether grassroots football organisations are eligible for public health funding.

Grassroots football organisations can be eligible for local public health funding at the discretion of local authorities, and where the main and primary purpose of spend is on public health.Core funding for local authorities’ public health responsibilities is funded through the Public Health Grant. This funds a range of health improvement services, such as physical activity and weight management services, and where appropriate, could include funding community organisations that provide grassroots football. Local authorities are responsible for deciding how best to allocate their funding, including their Public Health Grant, to improve the health of their population and fulfil their public health responsibilities.The 10-Year Health Plan sets out how to build movement back into everyday life and includes £400 million of Government investment into new and upgraded grassroots sports facilities that promote health, wellbeing, and community cohesion.

What assessment he has made of the effectiveness of NHS cost recovery.

No formal assessment has been made. However, we continue to work with NHS England to ensure that the system works as effectively and fairly as possible.

Whether he has considered the potential merits of ensuring a job in the NHS for midwifery graduates.

On 11 August 2025, the Government announced the Graduate Guarantee for nurses and midwives. The guarantee will ensure that there are enough positions for every newly qualified midwife in England. The package of measures will unlock thousands of jobs, ensuring thousands of new posts are easier to access by removing barriers for National Health Service trusts, creating opportunities for graduates and enabling a seamless transition from training to employment.Vacant maternity support worker posts will be temporarily converted to Band 5 midwifery roles, backed by £8 million to create new opportunities specifically for newly qualified midwives and to further ease the recruitment strain.These new measures aim to tackle graduates’ concerns about job availability and ensure the NHS has the right staff to provide the best possible care to patients everywhere.

What steps he is taking to help increase opportunities for midwifery graduates to gain employment in the NHS.

On 11 August 2025, the Government announced the Graduate Guarantee for nurses and midwives. The guarantee will ensure that there are enough positions for every newly qualified midwife in England. The package of measures will unlock thousands of jobs, ensuring thousands of new posts are easier to access by removing barriers for National Health Service trusts, creating opportunities for graduates and enabling a seamless transition from training to employment.Vacant maternity support worker posts will be temporarily converted to Band 5 midwifery roles, backed by £8 million to create new opportunities specifically for newly qualified midwives and to further ease the recruitment strain.These new measures aim to tackle graduates’ concerns about job availability and ensure the NHS has the right staff to provide the best possible care to patients everywhere.

What assessment he has made of the potential impact of the international labour supply of midwives on the (a) training and (b) employment of British midwives.

The Government is committed to developing homegrown talent and giving opportunities to more people across the country to join our NHS. Later this year, we will publish a 10 Year Workforce Plan which will outline strategies for improving retention, productivity, training, and reducing attrition—enhancing conditions for all staff, while gradually reducing reliance on international recruitment, without diminishing the value of their contributions.

How many and what proportion of employed midwives required a work visa in each of the last ten years.

The Department of Health and Social Care does not hold the information requested.However, data published by the Home Office on grants of Health and Social Care Worker visas to midwives shows 606 grants in total during 2023 but a significant reduction in recent quarters. Only 18 grants were issued in the latest data for the three months to June 2025. Data up to March 2024 can be found in the spreadsheet ‘Sponsored work entry clearance visas by occupation and industry (SOC 2010), year ending March 2024’, available at the following link: https://www.gov.uk/government/statistical-data-sets/immigration-system-statistics-data-tables. Data for the last three quarters can be found in the following spreadsheet ‘Sponsored work entry clearance visas by occupation and industry (SOC 2020), year ending June 2025’, available at the following link: https://www.gov.uk/government/statistical-data-sets/immigration-system-statistics-data-tables. Not all of those with Health and Social Care visas will be sponsored by NHS providers in England.

What assessment he has made of the adequacy of the retention rate amongst NHS midwives.

As set out in the 10-Year Health Plan, the Government is committed to making the National Health Service the best place to work, by supporting and retaining our hardworking and dedicated healthcare professionals, including midwives.To support this ambition, the Government plans to introduce a new set of standards for modern employment in April 2026. The new standards will reaffirm our commitment to improving retention by tackling the issues that matter to staff, including promoting flexible working, 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 that embeds retention.NHS England is already leading work nationally through its retention programme to drive a consistent, system-wide approach to staff retention across NHS trusts. This ensures trusts have access to proven retention strategies, data-driven monitoring, and can foster a more stable, engaged, productive, and supported workforce.