Written questions by Hobhouse.

When NHS England will be able to provide robust breast screening data on all protected characteristics.

NHS England is currently building and rolling out new services for breast screening. The future breast screening service is expected to improve the consistency and completeness of demographic and equality data capture, which should support more robust reporting over time.

Whether future breast screening service specifications will include details and standards outlining the on-site support, equipment, and reasonable adjustments screening units must be able to provide to women with disabilities and support needs.

The NHS Breast Screening Programme takes equality of access and opportunity for breast screening seriously. There is guidance in place to support breast screening services to address specific needs that people may have in order to attend their breast screening. This guidance is available at the following link:https://www.gov.uk/government/publications/breast-screening-identifying-and-reducing-inequalitiesBreast screening services are already expected to meet these requirements as part of the current national specification.A project is underway to assess how the Reasonable Adjustments Digital Flag can be best implemented across screening programmes and how provider services can be best enabled to respond to these requirements. The national screening service specification will be appropriately updated to reflect changes.

Whether he is taking steps to help ensure that the merging of ICBs will not result in wider use of BMI as a pre-requisite for joint replacement surgery in England.

It is the responsibility of individual integrated care boards (ICBs) to determine clinical commissioning policies, such as eligibility for joint replacement surgery, for their local areas, including when an ICB is the result of a merger.As with all surgery, body mass index (BMI) should be considered as part of a holistic, personalised perioperative evaluation of the risks versus the clinical need for joint replacement surgery of an individual patient. As per National Institute for Health and Care Excellence guidance, BMI should not be considered in isolation as a barrier to surgery.As part of the National Health Service Elective Reform Plan, the Government has committed to expanding access to the NHS Digital Weight Management Programme for patients waiting for hip and knee replacements. This will help optimise patients for their surgery, potentially leading to a reduced length of hospital stay and minimising their risk of post-operative complications.

What steps his Department is taking to help increase the number of rheumatologists working in England.

We set out in the 10-Year Health Plan for England that over the next three years we will create 1,000 new specialty training posts, with a focus on specialties where there is greatest need. We will set out next steps in due course.This Government is committed to training the staff we need, including doctors, to ensure patients are cared for by the right professional, when and where they need it. We will publish a 10 Year Workforce Plan to set out action to create a workforce ready to deliver the transformed services set out in the 10-Year Health Plan.

How many integrated care boards have activity management plans in place; and which integrated care boards have activity management plans in place for planned care.

NHS England does not hold this information centrally. Integrated care boards have contractual powers to manage activity by providers, which were enhanced in 2025/26 with central support for setting and managing activity. The NHS Standard Contract includes the ability to set indicative activity plans to help providers and commissioners plan demand, capacity, and expenditure. While not binding, if activity exceeds the agreed plan, and therefore the funding agreed, an activity management plan can be agreed to bring activity back in line.

With reference to the Royal College of Psychiatrists' report entitled National Audit of Eating Disorders Service Mapping Report 2025, published in December 2025, what assessment he has made of the potential merits of introducing a national access and waiting time standard for adults with eating disorders.

While no such specific assessment has been made, we recognise the devastating impact an eating disorder can have on someone’s life, and that the earlier treatment is provided, the greater the chance of recovery. We are carefully considering the findings of the National Audit of Eating Disorders Service Mapping Report 2025.We are working with NHS England to improve community-based eating disorder services, including crisis care and intensive home treatment, to boost outcomes and recovery, reduce rates of relapse, prevent eating disorders continuing into adulthood and, if admission is required as a very last resort, reduce lengths of stay.

If he will take steps to help reduce geographic variation in waiting times for children and young people to start community eating disorder treatment.

The Government recognises that there is unacceptable geographic variation in waiting times for children and young people accessing community eating disorder treatment.We are reforming eating disorder services to ensure that children and young people can access timely, effective support when they need it, rather than after their condition has escalated. This shift towards prevention and stronger community-based support underpins the new National Health Service guidance for children and young people’s eating disorder services, published last month. The guidance makes clear that children and young people should receive timely, joined-up care delivered as close to home as possible.In addition to the updated guidance, NHS England has commissioned the Royal College of Psychiatrists to deliver a National All-Age Audit of Eating Disorders. The audit seeks to drive improvement of the identification and appropriate management of eating disorders and the quality and consistency of services for children and young people, adults of working age, and older adults. The audit covers both community and inpatient settings. A key part of this work is to produce a report that will map out eating disorder services in England and the care offered by them. In understanding what variation exists, we can begin to address the variation in care provision.To support this, the Government is recruiting 8,500 additional mental health workers across the NHS to increase capacity and ensure that help is available when and where it is needed. NHS England continues to work with integrated care boards to improve performance, reduce unwarranted variation, and ensure services meet national access standards so that all children and young people can access high-quality eating disorder care regardless of where they live.

What assessment he has made of the potential merits of commissioning national training to support the workforce delivering eating disorder services for children and young people.

The Government recognises the importance of ensuring that the workforce delivering eating disorder services for children and young people has the right skills and training.NHS England already has extensive eating disorder training in place for staff across both mental and physical health services, covering awareness and specialist up-skilling. This includes e-learning and simulation training for doctors, general practitioners, and primary care clinicians, nurses across all four branches, acute hospital staff, dietitians, and pharmacy teams.Following the 2017 Ombudsman report Ignoring the Alarms, NHS England worked with Beat and the Royal College of Psychiatrists to strengthen training on the safe medical management of eating disorders. More recently, NHS England has commissioned further specialist training, including the Royal College of Psychiatrists’ Eating Disorders Credential, family-based therapies, cognitive behavioural therapy for eating disorders, and Avoidant Restrictive Food Intake Disorder training.We will continue to work with NHS England to ensure that the workforce is appropriately trained and supported to deliver high-quality, evidence-based care.

Whether his Department will take forward the recommendations of the report entitled Mental health clinically-led review of standards - Models of care and measurement: consultation response, published on 22 February 2022, including the development of an access standard for non-urgent community mental health care.

Following the clinically-led review, data is now available showing the number of referrals for urgent mental health crisis care (specifically Crisis Resolution and Home Treatment Teams), by level of urgency, and the number responded to within the appropriate timeframe for that level of urgency. These are for new urgent referrals within 24 hours; and new very urgent emergency referrals within 4 hours. This data is available at the following link on the National Health Service Mental Health Dashboard:https://www.england.nhs.uk/publication/nhs-mental-health-dashboard/As there are numerous different services and patient pathways provided within the mental health sector, there is no single waiting list standard and there are multiple ways of measuring how many people are waiting for the start of support, help or treatment.With regard to accessing non-urgent community mental health services, as part of the mental health clinically-led review of standards in 2022, NHS England has collaboratively developed additional mental health waiting times metrics across NHS-funded urgent and emergency care, and NHS-funded community mental health services. While no specific waiting times standard for community mental health services has been set, the review recommended four weeks.Some children and young people who have a mental health need as part of a referral pathway may also have other needs. NHS England has tried to separate out referrals in a way that shows more clearly where waits lie without enforcing a hard, exclusionary line that might lead to perverse incentives, longer waits and the risk that children and young people are left with no support. From December 2025, some limited breakdowns of children and young people’s waits have been published, with four broad groups: (a) autism; (b) other neurodevelopmental; (c) gender identity; and (d) all other waits. This last group is expected to be mostly mental health related waits. As a single patient referral spell may be included in multiple groups, NHS England also publishes an indicator of the overlap between this last group, and the other groups.

What assessment he has made of trends in the waiting times for children and young people to start community eating disorder treatment, based on the data published by NHS England.

The Government keeps waiting time data for children and young people’s community eating disorder services under close review, drawing on the statistics published regularly by NHS England.We recognise that demand for eating disorder services has increased in recent years and that performance varies across the country. That is why we are reforming eating disorder services so that children and young people can access timely, effective support when they need it, rather than after their condition has escalated.This shift towards prevention and stronger community-based support underpins the new National Health Service guidance for children and young people’s eating disorder services, published last month. The guidance makes clear that children and young people should receive timely, joined-up care delivered as close to home as possible.The Government is also recruiting 8,500 additional mental health workers across the NHS to increase capacity and ensure that help is available when and where it is needed. NHS England continues to work with integrated care boards to improve performance against national access standards and reduce unwarranted variation in waiting times.

What steps his Department are taking to help support the Eating Disorders Genetic Initiative UK, including to improve understanding of the genetic and environmental factors associated with such conditions and to develop more effective treatments.

The Department funds research on health and social care through the National Institute for Health and Care Research (NIHR). The NIHR welcomes funding applications for research into any aspect of human health and care including eating disorders.Through the NIHR, the Department directly supports the Eating Disorders Genetic Initiative UK (EDGI), which is a collaboration between King’s College London, NIHR BioResource, and the eating disorder charity Beat. EDGI is the largest study of eating disorders ever conducted in England, aiming to collect psychological, medical, and genetic information of 10,000 people with experience of an eating disorder.The NIHR recently partnered with other mental health research funders (the Medical Research Council, Economic and Social Research Council, Arts and Humanities Research Council, and Medical Research Foundation) in a funding initiative that supports new collaborations in eating disorders research, bringing together eating disorders experts and researchers not previously involved in this field. Funded work includes studies that examine biological and environmental risk factors for eating disorders, and work that collaborates with the EDGI project.

What steps his Department is taking to help (a) increase survival rates from out-of-hospital cardiac arrests and (b) increase the availability of defibrillators in Bath.

In order to increase survival rates from out-of-hospital cardiac arrest, NHS England has worked in partnership with St John’s Ambulance and others to increase access to cardiopulmonary resuscitation (CPR) training. Local ambulance trusts, charities including St John’s Ambulance, the British Heart Foundation, and private providers deliver CPR training and the use of defibrillators both in the community and in schools, under the Restart a Heart programme.The Government’s position is that local communities are best placed to make decisions about procuring, locating and maintaining automated external defibrillators (AEDs). Over 110,000 defibrillators are registered in the United Kingdom on The Circuit, the independent AED database. Over 30,000 of these have been added in the past two years, many as a result of local community led action.

Which Minister in his Department is responsible for eating disorder services.

The Parliamentary Under-Secretary of State for Women’s Health and Mental Health (Baroness Merron) has ministerial responsibility for eating disorder services.

What steps his Department plans to take to improve access to mental health services.

This Government is investing an extra £688 million this year to improve access to mental health services by hiring more staff, delivering more early interventions and getting waiting lists down.We will transform mental health services into 24/7 neighbourhood mental health centres. I had the pleasure of visiting the Barnsley Street Neighbourhood Mental Health Centre last week, a pilot site which showcased holistic person-centred care.

What assessment he has made of the potential implications for his policies of The University of Manchester’s research entitled Assessing risk of breast cancer in young women to facilitate early diagnosis and improve outcomes, published on 2 June 2025.

The Department welcomes the University of Manchester’s research on assessing risk of breast cancer in young women. It is a priority for the Government to support the National Health Service to diagnose cancer, including breast cancer, as early and as quickly as possible, and to treat it faster, to improve outcomes. As the first step to ensure faster diagnosis, the NHS is delivering an extra 40,000 operations, scans, and appointments each week. To support early detection and diagnosis, the NHS in England carries out approximately two million breast cancer screens each year in hospitals and mobile screening vans, usually in convenient community locations.NHS England does not currently screen women younger than 50 years old for breast cancer. This is because the risk of women under this age developing breast cancer is low, and because mammograms are less reliable in this age group. Women below 50 years old tend to have denser breast tissue, which reduces ability to get an accurate mammogram.This is in line with most European countries, most of whom screen women between the ages of 50 and 69 years old. Women with a very high risk of breast cancer, for example, due to family history, may be offered screening earlier and more frequently.The National Cancer Plan, planned for publication later in 2025, will have patients at its heart and will include further details on how we will improve outcomes for patients of all ages, including those with breast cancer.

What steps his Department is taking to increase access to breast cancer risk assessment for women under 50.

National Health Service breast cancer risk assessments are undertaken to identify the risk of having an inherited tendency of developing breast cancer. Breast screening is offered to women under the age of 50 years old according to nationally recommended guidelines, based on assessed risk. These can be found on the National Institute for Health and Care Excellence’s website, at the following link:https://cks.nice.org.uk/topics/breast-screening/Some women have an increased chance of developing breast cancer because of their genes. Five to 10 out of 100, or 5% to 10% of, all breast cancers happen because of an inherited tendency, also called a genetic predisposition.The Government does not currently plan to increase access to breast cancer risk assessments for women under 50 years old who are not at higher risk of developing breast cancer due to inherited tendency.

What steps his Department is taking to ensure the accurate recording of deaths related to eating disorders; and what steps he is taking with the (a) National Medical Examiner, (b) Office for National Statistics and (c) Coroners' Society of England and Wales to increase understanding of how eating disorders contribute to deaths.

It is important that all deaths are recorded accurately, and it is right that the extent to which eating disorders and other factors have caused or contributed to deaths should be explored further, in collaboration with stakeholders including the National Medical Examiner, the Office for National Statistics, and the Coroners' Society of England and Wales.The National Medical Examiner’s Good Practice Series No. 7 on mental health and eating disorders, published in June 2022, makes it clear to medical examiners how mental health conditions, including eating disorders, should be recorded on the medical certificate of cause of death. The Good Practice Series No. 7 is available at the following link:https://www.rcpath.org/resourceLibrary/good-practice-series---mental-health-and-eating-disorders.html

Whether consideration has been given to the importance of (a) gardening and (b) nature-based therapies in improving (i) physical, (ii) social and (iii) mental health in the development of a neighbourhood health service.

We are committed to moving towards a Neighbourhood Heath Service, with more care delivered in local communities to spot problems earlier, supporting people to stay healthier and maintain their independence for longer. There will be a focus on shifting the way services are delivered to put the needs of people and places at the heart of the health and care system.We recognise the value of social prescribing for addressing the wider determinants of health that can impact on an individual’s wellbeing. Green social prescribing is the practice of supporting people to engage in nature-based interventions and activities, and can include gardening and nature-based therapies. We know that it can help people from a range of backgrounds to connect with nature to improve their physical, social, and mental health. We remain committed to the development of social prescribing through our ambition to focus on a preventative approach to health inequalities and to deliver support closer to home, in our communities.The full vision for the health care system will be set out in 10-Year Health Plan. However, Neighbourhood Health Guidelines were published alongside the 2025/26 NHS Operational Planning Guidance and the 2025/26 Better Care Fund policy framework, to help integrated care boards, local authorities, and health and care providers to continue to progress neighbourhood health in 2025/26.

Which Department or agency leads on the Cross Government Working Level Group on Indoor Air Quality; how often it has met since Public Health England closed in September 2021; and which Ministers are involved in its meetings.

The Department co-ordinated the Cross Government Working Level Group on Indoor Air Quality following the closure of Public Health England in September 2021. Since that date the group has met five times, most recently in July 2023. Ministers have not attended this official-level group. Government departments involved in the group have included the Department for Business and Trade, the Department for Education, the Department for Energy Security and Net Zero, the Department for Environment Food and Rural Affairs, the Ministry of Justice, the Department of Health and Social Care, the Ministry of Housing, Communities and Local Government, and the Department for Transport, as well as the Scottish Government, the UK Health Security Agency, and the Health and Safety Executive.

With reference to NHS England's news entitled Early cancer diagnosis in England reaches highest ever level, published on 2 January 2025, whether data on the number of cancers diagnosed at (a) Stage 1 and (b) Stage 2 is collected by cancer type.

Data on the number of all stageable cancers diagnosed at both stage 1 and stage 2 are collected by cancer type. This data is compiled by the National Disease Registration Service and published by NHS England, with more information available at the following link:https://digital.nhs.uk/data-and-information/publications/statistical/cancer-registration-statistics