1. What steps he is taking to help improve the health of children and young people. (900993)

The Government are committed to making this generation of children the healthiest ever, as set out in our 10-year health plan. That is why we are investing £200 million to strengthen healthy baby services through Best Start family hubs, expanding mental health support to nearly 6 million young people in school or college, and using interventions, such as the Tobacco and Vapes Act 2026, which we passed, to create the first smoke-free generation.

Businesses in Amber Valley are doing brilliant work to improve health outcomes for children and young people. Ferrero in Alfreton is encouraging children to be more active through its “Joy of Moving” programme, while SC Johnson, headquartered in Denby, is launching a hand-hygiene pilot in schools to reduce absences. Will the Minister commit to meeting me to discuss these initiatives, so that we can learn from the excellent work being done in Amber Valley and develop it nationally?

I thank my hon. Friend for highlighting this important work in her constituency. Initiatives such as those by Ferrero and SC Johnson complement the action that this Government are taking on prevention to improve children’s health, including our £1 billion investment in PE and school sport. I commend those organisations on their work in these important areas, and I am always happy to learn more about them.

One of the best ways to improve the health of neurodiverse young people is high-quality attention deficit hyperactivity disorder and autism assessments. The Government are proposing to cut substantially the amount paid to providers. Will the Health Secretary speak to providers in this area, because this cut could have significant implications for the standard and quality of autism and ADHD assessments?

As the right hon. Gentleman will be aware, a White Paper on SEND is out for discussion. The Government will be looking at improving assessment, diagnosis and support for all children with special educational needs and disabilities, and that includes autism.

Yesterday I had the pleasure of welcoming the Barnsley-based charity LimbBo Foundation, along with the Limb Loss and Limb Difference UK alliance to Parliament to celebrate Disability Pride Month. The alliance launched its campaign to end the postcode lottery of services and support for people with limb loss and limb difference. While the NHS has a strong policy framework in place, including the 2025 prosthetic service specification, the key issue is not policy, but inconsistent delivery across the country. Will the Minister meet with me and the alliance to discuss how we can secure better access to mental health services, fair and consistent prosthetic provision and lifelong joined-up pathways for people with limb loss and limb difference?

It was an absolute pleasure to join my hon. Friend at the event yesterday to meet campaigners and to mark Disability Pride Month. We are committed to ensuring that no matter where someone is in the country, they have access to the healthcare and support that they need. Ministers would be happy to meet my hon. Friend to discuss this issue further.

Fewer than half of the children in my constituency have seen an NHS dentist in the last two years, exacerbating health inequalities. The supervised toothbrushing programme is being evaluated for its effectiveness, but I hear uptake is low. What other measures does the Minister plan to introduce to tackle oral health inequalities for children? Will she commit to reviewing NHS dental provision in my constituency?

As I am sure the hon. Lady is aware, the most common reason for children aged five to nine to be admitted to hospitals is tooth decay. That is why since 2025-26, £21.5 million has been allocated to support supervised toothbrushing in schools and nurseries in the most deprived areas in England, and that will include her constituency.

2. What steps he is taking to improve maternity services in the north-west. (900994)

We know of the devastating impact of failures in maternity care and the courage of women, families and many members of staff. We will reform maternity and neonatal services, translating the recent recommendations of Baroness Amos and Donna Ockenden into a national action plan by the end of the year. We will create a statutory maternity and neonatal commissioner, we are extending Martha’s rule so that the concerns of families are listened to, and we are investing £186 million to improve maternity and neonatal estates.

The publication of Baroness Amos’s report on the state of maternity care in England was a sobering moment for many across the country, especially those who still live with the trauma related to failings in maternity and neonatal care. There were so many instances in which women were not listened to, heard or believed. Given those appalling findings, what steps will the Government now take to ensure that the voices of women are heard—including the voices of those in the north-west who have been historically overlooked—and how will that look in practice?

I think we can all agree that the report’s findings were shocking, and our thoughts are with the women and families who have suffered life-changing loss or harm. Baroness Amos’s recommendations will shape a new national action plan by the end of the year, and those families will be at the heart of the taskforce that will help us to get this right. That will include defining the role of the maternity commissioner, who will help us to ensure that never again are women not listened to.

Blackpool Victoria hospital’s maternity services have been subject to two inspections by the Care Quality Commission in recent years—in 2022 and 2025—which resulted in findings of “Inadequate” and “Requires improvement”. The inspectors cited particular concerns about staffing and the care provided for mothers and babies. We all know how scary it is to go into maternity services, especially for those experiencing challenging pregnancies or health complications. Can the Minister give my constituents some reassurance about the improvements in that hospital’s maternity services that the Government are seeking?

Of course we want to improve services throughout the country. We are modernising the regulatory framework for UK healthcare professionals, ensuring that we can improve consistency of approach and secure less burdensome regulation. The Secretary of State has met representatives of the General Medical Council and invited them to account for their response to some of the failings of care in Nottingham and beyond. As I have said, it is important for us to ensure that consistency of care is provided, throughout Blackpool and throughout the country.

3. What steps his Department is taking to support social prescribing. (900995)

The social prescribing service is a vital part of the shift from hospital to community, and from sickness to prevention. We are funding social prescribing link workers in primary care to connect patients with preventive community support, and we are granting £3 million to the National Academy for Social Prescribing to support staff training and local infrastructure. Social prescribing will also be at the heart of our neighbourhood health service, so that community-led care can really transform lives.

I agree that social prescribers do a fantastic job. I recently met members of Veterans Outdoors near Totnes, and visited the Vounder Therapy Garden at the Eden Project through the parliamentary knowledge schemes. Those organisations are doing incredible work, turning lives around, particularly for those with mental health challenges, but their projects receive absolutely no funding, although the National Academy for Social Prescribing has identified a return of up to £8.56 for every £1 invested. How does the Department expect them to survive and broaden their reach without funding? Given their cost-effectiveness, will the Government commit themselves not just to funding the link worker and the social prescriber, but to encouraging integrated care boards to fund those amazing projects?

I am sure that the hon. Lady welcomes the £3 million that we are granting to the National Academy for Social Prescribing. Social prescribing needs to be commissioned locally by integrated care boards, and I am confident that as and when it delivers valuable services, those services will continue to be commissioned by ICBs.

To provide treatment for alcohol and drug dependency, charities such as Change Grow Live need to use the NHS electronic prescription service, which has been unavailable to them until recently. The Government have agreed to allow access, but have provided no timetable. Will the Minister provide one today?

We are absolutely committed to electronic prescribing. I think my hon. Friend is referring in particular to pharmacy services. We are launching new initiatives in respect of the shift from analogue to digital, and I should be happy to meet him to discuss the details of his question a little further.

4. What steps he is taking to reduce sickness absence in the NHS workforce. (900996)

This Government are committed to improving the health and wellbeing of our hard-working NHS staff, and we have set an ambition to reduce sickness absence to its lowest recorded level. As part of meeting that ambition, we have launched new staff standards to improve their working lives, and we will introduce staff treatment hubs to focus on the biggest causes of sickness absence.

As the Health Secretary is a numbers man, perhaps he will be interested in these figures. Research from Policy Exchange shows that sickness absence in the NHS costs £6 billion and removes 8 million clinician days from the frontline. What will the Secretary of State do to get staff back to work, to get patients treated, and to get this ridiculous level of staff absence down?

The 10-year health plan committed to our ambition to reduce sickness absence from 5.1%, which it was in July 2025, to the lowest recorded level in the NHS, at approximately 4.1%. As I set out in my earlier remarks, staff standards cover health and wellbeing, line management, flexible working, tackling violence and racism, and championing sexual safety. The staff treatment hubs that I mentioned, which will be rolled out in 2027, will focus on mental health and back conditions, which are the main reasons for absence.

We know that sickness absence and stress are often related to people’s workplaces. With £17 million now invested in Northampton general hospital for a new urgent treatment centre, and enhanced A&E opening this summer, does the Secretary of State agree that this is proof again that this Labour Government are investing in the infrastructure that our staff need to keep them safe and keep us safe too?

I absolutely agree with my hon. Friend. He is absolutely right to point to the record investment that this Labour Government are putting in, not just for the day-to-day running of the health service, but the critical capital investment, after the capital budget was starved for so many years under the Conservative party.

5. What steps he is taking to improve access to digital infrastructure for NHS trusts. (900997)

This Government will invest up to £10 billion in NHS technology and transformation by 2028-29. That includes ambient voice technology, which supports doctors to write up notes more quickly so that they can focus on patient care, and the single patient record, which will bring a patient’s health data into one secure system, limiting repetition across services. We will use technologies like these to free up staff time, so that they can spend more time on care and less on administration.

It is welcome that the Government are making progress on digital infrastructure and the single patient record, which is good news for patients and for the NHS, but patients in Peterborough risk missing out on some of the benefits because of the poor state of the local hospital and the North West Anglia NHS foundation trust’s IT. I thank the Secretary of State and those on the Front Bench for engaging with me on this issue previously, but what reassurance can he give that the Department will work with the NWAFT to ensure that we have the infrastructure we need in Peterborough, so that patients in my constituency benefit the most?

I put it on the record that my hon. Friend has been a most determined advocate for patients and staff at the North West Anglia NHS foundation trust, who clearly deserve better IT systems. We have agreed plans to replace the trust’s electronic patient record system and supporting infrastructure. We will go on to provide practical support and guidance, including help with costs, and we will pair the trust with other NHS organisations that have overcome similar issues in the past.

I spent a day last week with the palliative care team at William Harvey hospital in Ashford, which serves a large chunk of my constituency, and I was amazed by how much time they spent gathering and sharing information. They were clicking through on really old systems, all on pdf, which takes up a huge amount of time that they could instead be spending on clinical care, especially given how technology is evolving. When are we going to get past the situation in which every single time a doctor sees a patient, it is like the whole interaction with the NHS is happening for the very first time?

The hon. Lady makes a very compelling case for the investment that we are putting in to transform digital infrastructure in the NHS, because the single patient record—introduced through the Health Bill that is currently going through Parliament—will enable systems across the NHS to be linked up so that people will no longer have to repeat their stories time and again to different clinicians or people from whom they seek care. It also means that people will have their health records linked up when clinicians decide how to treat them. It is a win-win for patients and for clinicians when they are looking at the opportunities that the new technology provides.

6. What assessment he has made of the adequacy of the partnership model in general practice. (900998)

We remain absolutely committed to the GP partnership model, which supports continuity of care, efficiency and innovation. Where it is working well, it should of course continue, but what is important is that patients are getting the care they need, regardless of the model. The GP patient survey shows that 77% now rate their experience as good. Step by step, this Government are getting the front door of the NHS—general practice—back on its hinges.

I am grateful to the Minister for that answer, but GP partnerships across rural areas such as mine in Mid Buckinghamshire face considerable uncertainty as the Government review the model for practice funding. Can the Minister be really clear about when the next steps review of the Carr-Hill formula will be published, and that rural areas such as Buckinghamshire that are facing incredible housing pressure from other Departments under this Government will not be disadvantaged?

The Carr-Hill review is ongoing and will be published very soon. On access right across the country, we have invested an extra £1.6 billion in general practice, recruited over 2,000 more GPs and extended online services throughout core hours, helping deliver 12.7 million more appointments compared with last year. More than three quarters of people now say it is easy to contact their GP, up from a very disappointing—I am sure the hon. Member will agree—61% in July 2024. When we entered office, general practice was on its knees, but we are rebuilding it, and I am incredibly proud of what we have achieved over the last two years.

I am very grateful to the Government for all they have done to improve the NHS. On the different models of GPs, I have a local NHS trust chain of GPs called Your Health Partnership, some of which, particularly in Oakham, have struggled to provide the right care for communities. Luckily, the Oakham surgery and its staff have done a good job to improve services. Could the Government look carefully at the different types of models for GPs to ensure good care for all constituents across the country?

My hon. Friend is a tireless advocate for her constituents, and she is absolutely right that the outcome for patients is far more important than the model. GP practices are of course regulated by the Care Quality Commission, and we expect the local ICB to take action if services are not meeting the reasonable needs of patients. I am sure she will assiduously continue to ensure that those high standards are delivered.

I know the Minister appreciates that access to GPs in rural settings is incredibly important. There was great concern when my Yorkshire dales community faced the closure of the Reeth medical practice. After a concerted effort by many, thankfully a solution was found to maintain services at Reeth. Will he join me in thanking all of those involved, especially Lynn Irwin, the Central Dales practice and everyone at the Richmondshire primary care network? Will he also welcome the ambition to in fact expand services at Reeth as a result of the collaborative partnership that the new approach has put in place?

I thank the right hon. Gentleman. I am sorry to see him on those crutches, but I hope that he will make a speedy recovery and I am sure that, under this Government, he will be greatly helped to do so.

I also pay tribute to Lynn and the team that the right hon. Gentleman mentioned. It sounds like they are doing absolutely sterling work. That is the vital role that the front door of the NHS plays. Our general practice is such an important part of our community, and he is assiduously championing its cause.

The GP patient satisfaction survey results are out, and I am really proud that the Sunderland Central and Sunderland East PCNs show a satisfaction rating of 83%—notably higher than the national average. Will the Minister join me in thanking everyone who works in primary care in Sunderland? Equally, does he recognise that there is more to do, and what does he believe is the role of primary care at scale in that? We have the Sunderland GP Alliance working across Sunderland as a whole. What is his policy intent for primary care at scale in further improving access?

I certainly join my hon. Friend in congratulating the team, and it sounds as though they are providing an absolutely outstanding service. He is right to point to primary care at scale as a way in which we can genuinely deliver the shifts from hospital to community and from sickness to prevention. That is the level of ambition we have in our 10-year plan, and it is thanks to teams such as the one he so brilliantly champions that we are going to deliver on what we said we would deliver in that plan.

The previous Health Secretary told The Times before the election:

“I’m minded to phase out the whole system of GP partners altogether and to look at salaried GPs working in modern practices alongside a range of other professionals.”

He later clarified, saying he would “sort of” phase it out over time. He has now gone, but is that perspective shared by the new Health Secretary?

I refer the hon. Gentleman to my previous answer. We remain absolutely committed to the partnership model, but we are also absolutely committed to quality and standards for patient outcomes. It is about delivering the outcomes that patients need. The way in which we do that is of secondary importance to the actual delivery of quality outputs and outcomes for patients.

I call Steve Darling. [Interruption.] Oh, I am sorry—I do apologise—but there is a second question from Dr Luke Evans.

I am very grateful to you, Mr Speaker, for giving the time. I thank the Minister for his answer, but he did not quite clarify the position. I have asked him this question before, in a Westminster Hall debate. He said:

“I do not think it is right to say that there are any specific plans to change the partnership model, but we recognise that there are a number of other ways, and we will always keep the way in which the contract is delivered under review.”—[Official Report, 25 June 2025; Vol. 769, c. 293WH.]

Given the profession is looking at balloting for a plan B for general practice akin to NHS dentistry, will the Minister clarify whether this model is under consideration by the Government?

Well, thank you, Mr Speaker, for giving the hon. Gentleman the opportunity to ask that second question. I am absolutely delighted that you did that. [Laughter.]

Missing from both of the hon. Gentleman’s questions were any congratulations on the Government’s outstanding achievement. When we came into office, 61% were satisfied with access to their GPs. That now stands at a stunning 77%. I am still waiting for the words of congratulation from the hon. Gentleman. As I say, there is no attempt to change the model. There is a partnership model that works, but where it is not working, we of course look at other options. He seems to be obsessed with the inputs to the system, rather than the quality of the outcomes we deliver. That perhaps explains why there was so much neglect and incompetence over 14 years of Conservative government.

7. What plans his Department has to increase the level of resilience of NHS buildings to extreme heat. (900999)

19. What assessment he has made of the potential impact of recent heatwaves on hospitals. (901013)

Heatwaves place additional pressure on hospitals, and we commend NHS staff for their continued professionalism in recent weeks. Our 10-year capital plan committed to renew our focus on climate resilience, and we are investing £6.75 billion on the most serious safety risks, including risks to cooling and ventilation. We are also ensuring that heat resilience is a key part of future building design.

Torbay hospital is the third oldest estate that celebrates being part of the NHS. In heatwave conditions, the tower block is like an oven and that has a massive impact on patients, staff and even equipment. Does the Minister think it is time to acknowledge that buildings are time-expired, and that in the light of that we need to accelerate investment in Torbay hospital?

The new hospital programme’s standardised design is incorporating climate adaption plans. All new build neighbourhood health centres will be required to undertake a climate change risk assessment. The hon. Gentleman mentions Torbay hospital. He will be aware that it is in wave 2 of the new hospital programme, as set out in the plan for implementation. Construction is expected to commence between 2032 and 2034, but I hear what he says about bringing that forward. I cannot commit to that at this stage, but we have heard his point.

I appreciate the Government’s plans to upgrade the NHS estate, but the heatwaves are happening now, and staff and patients are enduring unbearable conditions: wards without air conditioning, temperatures of more than 30°, radiotherapy machines and MRI scanners failing, IT servers overheating, and so on. And that is all happening alongside many more hospital admissions. What are the Government currently doing to ensure that safe patient care can still be provided this summer and that staff are able to do their jobs properly, too?

My hon. Friend is right that health infrastructure must be equipped to deal with these heatwaves, which are not just happening on the odd occasion—they definitely look like they are here to stay. We are investing record sums and setting clear design standards to ensure that the NHS estate can adapt to all forms of risk, including heat, and providers are supported by guidance from the UK Health Security Agency under the adverse weather and health plan.

Heatwaves, which are becoming more frequent and more severe due to the climate crisis, create a health crisis. We see that in excessive temperatures in our hospitals and other health buildings, and we see it in the huge, unprecedented demand on ambulance services. First, will the Minister support my colleague Hannah Spencer’s private Member’s Bill to set a maximum workplace temperature to help keep people healthy during heatwaves? Secondly, what conversations is the Department having with the Cabinet Office to ensure that we have a Government-wide adaptation and resilience plan to deal with the effects of climate breakdown?

Order. I remind Members not to use each other’s names, but to refer to others using their constituencies in future.

All employers have a legal duty to ensure a reasonable temperature for indoor workplaces. The Health and Safety Executive is planning to consult on proposed changes to the approved code of practice for the Workplace (Health, Safety and Welfare) Regulations 1992, including those relating to workplace temperatures. As I am sure everyone is aware, 1992 is a long while ago, and the heatwaves that we are seeing now are becoming more and more prevalent, so this work is very much needed. We are investing record capital to ensure that the estate is fit for the future and that NHS staff have the safe, modern workplaces that they deserve.

On a visit to Basildon hospital last week, I was told by staff how dealing with the unprecedented demand due to the heatwave was compounded by working in a building that is fundamentally unfit to cope with extreme heat, not least with A&E working above capacity, with absolutely no windows. Will the Minister work to make capital funding available for hospitals such as Basildon to allow them to adapt to the 21st century, particularly given that the east of England is the region most impacted by a changing climate?

All NHS trusts and adult social care providers are required to have robust business continuity plans in place to respond to adverse weather events. The Department of Health and Social Care works closely with NHS England, the UK Health Security Agency and the rest of the Government to plan for extreme heat. I cannot recall in my time ever having had as much discussion around this issue; going forward, this is obviously something we are going to have to look at in more detail.

I call the Liberal Democrat spokesperson.

The recent heatwave has also caused an increase in A&E corridor care, something that NHS emergency departments were not built to cope with—let alone the corridors. In May this year, 69,504 instances of corridor care were recorded, increasing to 72,955 in June. Corridor care is dangerous in its own right, but there have also been reports of temperatures up to 40° in British hospitals. One Surrey consultant was reported in The Guardian as saying:

“This heatwave has pushed patient care into concerning territory. In the heat, corridor care has become more serious and more unsafe.”

No one should be treated in an inhumane space, so will the Secretary of State consider Liberal Democrat plans to end corridor care for good and ensure that the hospital building programme is accelerated?

We are the first Government in history to commit to publishing data on corridor care. In order to know what needs to be done, we need to know the size of the problem. We have committed to ending corridor care by the end of this Parliament.

8. What assessment he has made of the potential merits of providing funding to organisations that support bereaved parents. (901000)

Losing a child is devastating, and no one deserves to experience such losses alone. I know that my hon. Friend is a keen supporter of the charity Love, Jasmine in her constituency, which provides vital support to families who have suffered child loss. We are making sure that local NHS services provide easily accessible bereavement support, and local integrated care boards should make sure that service provision is tailored directly to the needs of grieving families in their communities.

The death of a child seems to violate the natural order of things, leaving parents shocked, grieving and in unimaginable pain. The charity Love, Jasmine in my constituency was founded by Rob and Kathy Lapsley in 2016 after the death of their daughter Jasmine to support other bereaved parents on Merseyside through counselling, support groups, advocacy and practical advice.

Since then, it has helped over 900 families and received a constant stream of NHS referrals but without any commissioned NHS funding. It now faces a funding crisis after the loss of its National Lottery funding due to new criteria, which has left it operating a limited service and under threat of closure, while families face longer waiting times for support elsewhere that is less designed to their needs. Will the Government consider carefully the strong case for NHS commissioned funding for the kind of specialist support for bereaved parents that Love, Jasmine offers, so that this service—so trusted by the NHS across the north-west—is not lost?

I commend the work of Rob and Kathy Lapsley. Having been through a terrible loss themselves, they have provided support to parents across Merseyside who face such tragic circumstances. It is vital that bereavement support is available and offered with sensitivity, choice and respect for what each person needs. Integrated care boards must ensure that there is sufficient provision for bereavement, and that includes working with the voluntary community and social enterprise sector. We are investing £25 million to enhance bereavement facilities, and maternity and neonatal services. I thank my hon. Friend for championing the charity Love, Jasmine.

Dorothy House runs spaces called bereavement help points, where people who are grieving can meet others who are grieving. The service relies entirely on volunteers. The trauma of baby loss can last a lifetime, and a charity like Dorothy House cannot cover all the need. Does the Minister agree that this service should be not a “nice to have” but an essential part of trauma care?

I absolutely agree; all parents should have choice and respect in what is a very sensitive and difficult time. As of January this year, all integrated care boards in England have indicated that trusts in their areas offer a bereavement service seven days a week across maternity settings, so that support is available when families need it most. I would be happy to talk to the hon. Lady if she has any further concerns.

9. What steps he is taking to improve accountability in the NHS. (901002)

The Health Bill, which is going through Parliament now, will restore clear accountability to the NHS. By abolishing NHS England, we are ending the confusion created by having two separate centres. Responsibility for national decision making will be brought back to Government, while local leaders will be empowered to deliver for their local communities.

Accountability in the NHS must run down to the patient as well as to Parliament. Local Healthwatch organisations provide an independent voice when services fall short. What safeguards will the Secretary of State put in place to ensure that, as their functions are moved to the integrated care board and local authority, patients in Bolton South and Walkden will retain a genuine independent route to raise concerns? As the Local Government Association has warned, we cannot leave the NHS to mark its own homework.

I think it is fair to say that while Healthwatch has in some areas played an important role, it has fundamentally separated those listening to patients from those who have the power to make changes. Our reforms in the Health Bill will put patient voice at the heart of shaping services. Those responsible for commissioning services will hear directly from patients, service users and local people.

ICBs will be required to publish an annual statement of how they have gathered feedback and what actions they have taken, while the new patient experience directorate in the Department of Health and Social Care will ensure that patient insight directly shapes national policymaking.

The Secretary of State knows of my concern about the lack of accountability to bereaved parents, because trust lawyers advise trusts to ignore their duty of candour when there is the prospect of legal action. I was hoping to get this addressed through an amendment to the Public Office (Accountability) Bill, but it looks like that amendment will not be voted on. Will the Secretary of State address this issue in the Health Bill so that parents know that they can be sure that trusts will always tell the truth after a tragedy?

I thank the right hon. Gentleman for raising that important point. While I understand that the amendments he tabled will not be voted on today, they raise an important issue that I will continue to look further into. With the Hillsborough law now due to have its Commons stages completed today and then go over to the Lords, I very much hope that it will be in law as soon as possible, which means that we can apply the duty of candour to future maternity services reviews such as those in Leeds and Sussex. The situation that we had in Nottingham, where senior leadership refused to take part in the inquiry under way, was totally unacceptable and must never happen again.

10. What steps he is taking to improve access to NHS dental services. (901003)

We are improving access to NHS dentistry with reforms to prioritise those in greatest need and by creating an urgent care safety net throughout the country. I am proud to say that we are on track to deliver 2.5 million additional treatments and that survey data released last week shows that 81% of patients in the last two years were able to get an appointment, but we will go further with fundamental reform in this Parliament.

I thank the Minister for that answer. In the area that I represent, we have a problem. NHS dental practices in Shildon and in Bishop Auckland closed in the year before the general election, and recently another practice in West Auckland has been writing to patients to say that it cannot provide NHS care. While I respect and really appreciate the work the Government have done on emergency dental treatments, for primary care dentistry it is still simply not good enough. I know that the Minister knows that as we have talked about it. Will he commit to continuing reform of the contract at pace and recognise that we need to better fund NHS dentistry? Will he or his officials meet me to discuss what we can do to help the affected patients in my constituency?

My hon. Friend is a tireless advocate for his constituents. Integrated care boards are responsible for commissioning NHS dental services to meet the needs of their local population. Where a dental practice decides to close, NHS England and the relevant ICB work together to ensure that its patients have access to dental care. However, I absolutely accept his point that we still have a long way to go to get NHS dentistry back on its feet. I would be more than happy to meet him to discuss that further.

The hon. Member for Bishop Auckland (Sam Rushworth) is right about dentistry. We have had no clarity from the Minister as to the vision for the future. What should people expect? Is it the plan that most people should go private and not be able to access NHS dentistry? When I chaired a Holderness Health meeting on Friday, the ICB told me that just 39% of people were able to access NHS dentistry within two years. That is the reality for people in rural Beverley and Holderness today. What we would like to hear from the Minister is the vision for the future. What can we expect by 2029-30? Right now, all we get is words and no real clarity.

I have a lot of respect for the right hon. Gentleman, but I have to say it is a bit rich to be given lectures from the Conservative party, which had 14 years to fix NHS dentistry and did absolutely nothing about it. Our ambition remains to deliver fundamental reform before the end of this Parliament. It is a complex issue—there are various contract models involving capitation, blended capitation and care packages—and we need time to get it right for both dentists and patients, but I assure the right hon. Gentleman that we are working on it and the public consultation will be launched soon.

11. What steps his Department is taking to help tackle health inequalities in Staffordshire. (901004)

The health inequalities that exist in our country, including in Staffordshire, are an intolerable injustice. The Government are taking action to tackle them. From the Tobacco and Vapes Act 2026 to the new heart disease and strokes plan through the 10-year health plan, we are tackling the root causes driving ill health.

Audley health centre in Newcastle-under-Lyme is the fifth worst practice for asthma prevalence in our ICB and the rural practice with the highest number of people living with chronic obstructive pulmonary disease. Local GP Dr Richard Page puts that down to the prevailing wind blowing pollution from the M6 on the west side of the practice area, and notes that if green-belt land is released for the AB2 development, pollution will only get worse.

It is excellent to see my hon. Friend the Minister at the Dispatch Box. Will she set out what the Government are doing to ensure that the people of Audley—and anyone else living in areas with high levels of pollution—are not disproportionately affected by respiratory diseases? Will she meet me to discuss that?

I thank my hon. Friend for his question and his good wishes. Improving air quality is a core part of the Government’s shift from treatment to prevention in our 10-year health plan. I know that my hon. Friend is very committed to cleaner air in his Newcastle-under-Lyme constituency, and I commend him for all his hard work in campaigning on Walleys Quarry—I know that his constituents will be grateful. With the Ministry of Housing, Communities and Local Government, we have introduced a new duty on strategic and combined authorities to have regard to improving population health and reducing health inequalities, and it specifically references air quality as a factor for their consideration. If time allows and I am still in post, I will be happy to meet my hon. Friend.

I call the shadow Minister.

One measure that can be helpful in tackling inequalities across the country is independent feedback. Currently, Healthwatch collects independent feedback right across the country. Does the Minister agree with this Government’s plans to abolish Healthwatch, or does she share the concerns of the right hon. Member for Makerfield (Andy Burnham) that it will reduce the independent voice?

In Staffordshire.

As the hon. Lady knows, we are putting the patient voice right at the heart of the health service, so although she may say that we are scrapping something, we are actually going to make it better.

I am not sure that it is just Opposition Members who are saying this. In Staffordshire and right across the country, more doctors can help to reduce inequalities, and many Labour Members, from the Cabinet to Back Benchers, promised that this Government would double the number of medical school places. The former Secretary of State and the current Minister for Care repeated that promise at the Dispatch Box. We were then told in a ministerial correction that the Government had never committed to doubling the number of medical school places. How can this be accurate? Is it Government policy to double the number of medical school places, or is this a promise that they intend to break?

I know that the hon. Lady has asked me about the 10-year workforce plan on many occasions, and it will be out shortly. In that plan, she will see that we are prioritising British graduates entering the workforce.

I call Mike Kane.

Question No. 12 please.

You need to stand up to say that. Exercise those knees. He’s getting old.

It’s the football, Mr Speaker—it’s Tuesday. Sorry.

12. What progress his Department has made on ensuring that incidental findings from the lung cancer screening programme are followed up. (901005)

The lung cancer screening programme is already making a difference by helping to find lung cancers earlier, when they are easier to treat. By focusing first on areas with the greatest need, it is also helping to narrow the gap in lung cancer outcomes. The programme can also identify other serious health conditions. Clear NHS protocols are now in place so that these findings are followed up and patients can get the right care as quickly as possible.

Mr Speaker, if there is a five-a-side doctor in the House, I would be most grateful.

Following the question from my hon. Friend the Member for Newcastle-under-Lyme (Adam Jogee), chronic obstructive pulmonary disease is one of the big killers in my constituency of Wythenshawe and Sale East. Chiesi, a company based in my constituency, is leading the fight in early diagnosis. What assessment has the Minister made of the Frontier Hull programme in tackling this, and will she commit to exploring scaling this up nationally to improve patient outcomes and save our NHS money?

I thank my hon. Friend for highlighting the excellent work of Hull University teaching hospital and Chiesi. The NHS has delivered spirometry tests in community settings, including community diagnostic centres, to diagnose COPD missed in the pandemic, and the lung cancer screening programme also refers patients to primary care, including for COPD.

Two Members had been standing before, so obviously there has been a bit of intimidation on the Benches. I call Jim Shannon.

Never intimidation, Mr Speaker; I am not strong enough for that. My colleague and friend, the hon. Member for Runcorn and Helsby (Sarah Pochin), has kindly let me ask this question.

As chair of the all-party parliamentary group on respiratory health, I want to ask this question. The lung cancer screening programme has been an enormous success, and the Minister knows that the low-dose CT scan regularly identifies clinically significant incidental findings, so what progress has her Department made in ensuring that incidental funding is followed up? When will the national guidance be issued on this, preferably as part of a modern service framework for respiratory health?

The NHS lung cancer screening programme has clear national protocols and quality assurance arrangements to ensure that clinically significant incidental findings are reported, followed up and acted on appropriately to help ensure that patients receive timely assessment and treatment through established NHS pathways.

T1. If he will make a statement on his departmental responsibilities. (901020)

As you know, Mr Speaker, the Minister for Secondary Care, my hon. Friend the Member for Bristol South (Karin Smyth), is not here this morning as she is attending the graduation of her son Will. I am sure that the whole House will join me in congratulating Will on his achievement.

Since I last updated the House, we have opened a new meningitis B vaccination programme for 1 million young people, committed to extending Martha’s rule across all maternity services and resolved a long-running dispute with resident doctors. We have not wasted a second in strengthening and improving our health and social care system for people across the country, and in building an NHS that is fit for the future.

Now that the capital spending plan has been published, can the Minister confirm whether Warrington and Halton will receive funding for a desperately needed new hospital? The existing hospital estate has not been substantially upgraded since the 1960s and no longer has the capacity needed to serve the growing local population. Will he commit to delivering a modern hospital for the next generation, including the residents of Runcorn and Helsby?

We want to improve the NHS estate across the country, and that is why we are increasing capital investment to £15 billion a year by 2028-29. I am happy to write to the hon. Lady with further details on the specific investment in her constituency.

T2. The Houghton health hub, which I recently visited, is very well located in the town centre next to a library. It is owned by the council and leased by NHS Property Services, which in turn is paid by the integrated care board for the modern clinical rooms, which are on the right as people go in. So far, so good. The problem is that those clinical rooms are empty. Public money is going around in circles but is not creating any health provision or helping patients. Will the Minister meet me to see whether this sorry saga can be sorted out? (901021)

I thank my hon. Friend for raising the situation. Clearly, we should ensure that NHS rooms are being used for the benefit of patients. On that specific case, I understand that Central East ICB is developing a plan to reoccupy the Houghton Regis health centre this month, but I am happy to discuss the detail with her.

I call the shadow Secretary of State.

Is the number of patients waiting for admission for an operation or procedure today higher or lower than when this Government took office?

I am proud of the fact that the waiting list for NHS services is more than 340,000 less than when we took office two years ago. People are being treated faster than ever before, satisfaction with GP services is increasing and we are making progress for people across this country. There is a lot more work to do, but we have laid the right foundations and are moving in the right direction.

Well, that was clearly no answer to my question, so let me give it: the Government’s own figures show that the number is higher. Additionally, in response to concerns that I have raised, the Office for Statistics Regulation confirmed that the published figures do not clearly distinguish between patients who are treated and those who are removed from waiting lists without treatment. With consultants now taking strike action and the situation potentially getting worse, how can the Secretary of State prove that patients are actually being seen faster, rather than that statistics are being massaged?

The vast majority of people who come off the waiting list do so because they are receiving the care they need. I am confused: is the right hon. Gentleman advocating that people should stay on the waiting lists when they no longer need NHS care? Are the Opposition advocating that we should spend NHS resources chasing people who no longer need care, or should we keep the waiting lists up to date, as previous Governments have done, and ensure that everyone who needs care gets it?

T4. The waiting time to see a cardiologist in the Manchester University NHS foundation trust is an unacceptable 66 weeks. What will the ministerial team do to reduce that waiting time? (901023)

We are determined to reduce waiting times across the country. Where there are cases of individual hospitals or trusts like the case my hon. Friend mentioned, we will send in teams from the national health service to help improve the service provided in local areas. It is also important that where trusts or hospitals have done well and have solved problems, their expertise goes to help other trusts and hospitals who need their support, because we want to ensure that the improvement in the NHS happens right across the country.

I call the Liberal Democrat spokesperson.

The NHS Resolution annual report for the year to March 2026 shows that maternity made up almost £35 billion of the £60 billion set aside for future negligence payments, and £1.3 billion—or 40%—of the total clinical negligence payments last year. The Secretary of State has promised to put in place an action plan by the end of the year, but the recommendations of Baroness Amos and Donna Ockenden have already been published. Will he accelerate implementing those national recommendations and putting in place a maternity commissioner, because mothers cannot afford to wait and neither can the taxpayer?

As the hon. Lady will know, I have committed to introducing a maternity and neonatal commissioner. I will meet the national taskforce, which I chair, later this afternoon to discuss the scope of the role to ensure that the taskforce has discussed it and is content with it. We will then ensure that we get that on a statutory footing as quickly as possible—I hope through the Health Bill, though that will be subject to discussions with the Commons and Lords authorities. But I want to ensure that the role is statutory and in place and can help us drive change through maternity services across the country.

T5. The average wait for an endometriosis diagnosis is more than nine years, often because women and girls are not listened to when they experience really painful periods. My constituent Insha waited for over a decade, only to be told that she could face a three-year wait for specialist surgery. What plans do the Government have to reduce diagnosis times, provide better training for GPs and improve access to specialist endometriosis care for all women and girls in North Warwickshire and Bedworth? (901024)

Women have been dismissed for far too long, and that must change. The renewed women’s health strategy commits to redesigning clinical pathways for heavy periods and pelvic pain in order to reduce repeat appointments, unnecessary referrals and long waits. Menstrual problems, including endometriosis, will be prioritised through NHS Online in 2027, which will give people across the country the choice of getting the specialist care they need from home.

T3. Studies show that iodine deficiencies in pregnant women can result in complications for their children, including impaired foetal growth and psychomotor development. Recent studies have shown that iodine levels among women of reproductive age in the UK are only 82 micrograms per litre, with 30% of women recording levels below 50, but World Health Organisation guidance says that pregnant women are iodine deficient if they have less than 150 micrograms. The last governmental review into iodine deficiency was in 2014. Will the Secretary of State ensure that a new review is urgently commissioned? (901022)

I thank the hon. Lady for raising that important point and drawing attention to the impacts that iodine deficiency can have. I am happy to look into the matter further and respond to her in writing.

T7. Our NHS is heavily reliant on penicillin-based antibiotics for many of its core functions, but close to 90% of global manufacturing capacity of an essential component of those antibiotics is now concentrated in China. The risks to our NHS are obvious. What steps are Ministers taking across Government to reduce our NHS’s dependence on these highly concentrated supply chains? (901026)

Medicine supply chains are global in nature, but we are taking steps to strengthen resilience by exploring opportunities to diversify supply chains, reduce reliance on single sources and undertake targeted monitoring of vulnerable supply chains. We also hold stockpiles for pandemic and serious infectious disease scenarios, including of antibiotics.

T6. I listened to the Minister’s answers earlier on the dentistry contract, and he said that the Government need time to get it right and that a consultation will be launched soon. My local dentists are desperate to take on NHS patients. This has been a known issue for a number of years. Is it not wholly unacceptable that the Government do not yet have a proposed solution, let alone are implementing one? (901025)

The fundamental problem is that dentists have not been incentivised to do NHS work. When we came into office in July 2024, we had a crazy situation where there was a £392 million underspend. We have sorted that now; the underspend is right down at about £30 million. As a result, we have delivered 2.5 million additional courses of treatment in NHS dentistry.

South Norfolk is one of the fastest growing constituencies in the United Kingdom, but that population growth is putting increased pressure on local GP services like the Humbleyard Practice. Given the Government’s ambition to expand neighbourhood health provision, will the Department consider funding a neighbourhood health centre or community diagnostic centre in Long Stratton and Hethersett?

My hon. Friend is a doughty champion for his constituents. We are working with local NHS systems to identify the most appropriate places for new community diagnostic centres based on local need and health inequality. We are rapidly working to deliver our commitment of 120 NHCs by 2030 and 250 by 2035. ICBs submitted their centre proposals in May, and we have now completed the initial review.

Quality and consistency of care are vital in improving cancer outcomes. How will the cancer manuals support earlier diagnosis, and will they include specific guidance to improve outcomes for children and young people?

The national cancer plan has a dedicated chapter on children and young people, as the hon. Member is aware, recognising the unique challenges they face. Cancer manuals will set out clear quality standards to reduce variation in care, and we are developing criteria for specific tumour types within those manuals.

The public must have confidence that where there is clear misconduct, action will be taken by medical regulators. However, freedom of information requests that I submitted to the General Medical Council found that only 6% of doctors accused of rape were suspended or erased from the register. My FOI request to the Nursing and Midwifery Council found that about a quarter of those accused of rape or sexual misconduct were suspended or erased from the register. Does the Minister agree that the priority for regulators must be patient safety and not protecting their registrants?

I commend my hon. Friend for his campaigning in this area. He is absolutely right: where serious misconduct takes place, action must be taken. That is why our programme of regulatory reform will enable regulators, starting with the GMC, to act more swiftly. We are consulting on proposals that will give the GMC a duty to remove registrants convicted of murder, rape and many other sexual offences without going through a fitness-to-practise process.

Air ambulance charities like Devon Air Ambulance are vital to easing pressure on ambulance trusts and A&E, yet they receive no direct Government funding and rely almost entirely on public donations. Their operational costs are rising—fuel duty alone adds over £200,000 a year to what they will now need to find. Does the Minister agree that services delivering NHS-level care should not depend on public generosity to survive, and will he commit to assessing how to support their continued sustainability?

Air ambulance charities are a lifeline to communities across the country, and I want to celebrate the extraordinary volunteers who keep these services flying. The Royal Devon and Exeter hospital near the hon. Member’s constituency has a state-of-the-art helipad funded by a £1 million donation from the HELP Appeal. The facility is fully equipped with advanced lighting to allow landings 24/7 and can accommodate the latest generation of larger air ambulance helicopters.

Mr Speaker, as you are fully aware, we have had over a decade-long campaign to see the full reinstatement of the A&E at Chorley and South Ribble hospital. The public support it, the staff support it, the local NHS trust supports it, and the neighbouring hospitals at Preston, Wigan and Blackburn support it, but NHS England is blocking full reinstatement and will not say why. Will Ministers please meet with local MPs and all key stakeholders to get the A&E at Chorley and South Ribble hospital fully reinstated?

Well, Secretary of State, what are you going to say?

I thank my hon. Friend for raising this long-standing campaign, which I know is of great interest to many people in the Chamber. I welcome the fact that the trust, as I understand it, has now completed a feasibility study, which concluded that there is an evidence-based case to explore extending to a 24-hour emergency department. This work is now being developed with the ICB, and I look forward very much to seeing those proposals progress.

And a meeting with me, of course.

The Basingstoke and North Hampshire hospital rebuild has been delayed by up to two decades. The buildings are in a dire state and becoming increasingly expensive to maintain. Land for the new hospital is secured, so what possible justification can there be for further delay in building this new hospital?

We want to ensure that hospitals in our new hospitals programme across the country are built as quickly as possible. We inherited a programme where there was no funding to deliver that, or funding that was completely unreasonable and with unrealistic delivery timescales. We have changed that to ensure that we have a clear programme with waves of delivery over the coming years.

I am happy to look into the particular situation raised by the hon. Lady, but I emphasise that the lack of capital funding that our health service has had for so long began with funding being cut back under a Government of whom her party was a part.

Research shows that specialist palliative care can deliver palliative care in the community, saving the NHS 1.5 million bed days, as well as £817 million. It is important that funding accompanies the modern service framework, so that we have an invest-to-save model moving forward. Will the Minister meet me and Baroness Finlay, to consider the work we have been doing in this area, and see what more the Government can do to enable that?

I thank my hon. Friend for that question and all the campaigning she does on this issue. Our modern service framework will transform palliative care by basing it on strategic commissioning. That will enable us to tackle rising demand, identify patients much earlier, and ensure that quality of care no longer depends on someone’s postcode. I would of course be happy to meet her and Baroness Finlay to discuss that further.

When will the Government implement changes to the vaccine damage payment scheme recommended by Baroness Hallett in her report in April?

Officials at the Department of Health and Social Care are looking closely at that matter, and will publish the Government response in due course.

We have had 23 reviews into social care since 1997, but no agreement on how care should be funded. Does the Minister agree that the way we fund cancer care should also be the way that we fund care of those with dementia?

Dementia is a vital issue, and we are of course committed to creating a national care service. Baroness Casey’s independent commission will set out recommendations to deliver that. She recently made recommendations in her speech at the Nuffield Trust, and we are already implementing those, including the creation of a dementia tzar to push forward all those issues, in terms of both psychosocial care and clinical research.

Following recent evidence of a long-term increase in colorectal cancers in the under-50s, the Scottish Government are calling on the National Screening Committee to extend eligibility for bio-screening kits to improve outcomes. I understand that Australia has reduced its screening age to 45. Will the Secretary of State join the Scottish Government in urging the NSC to review the recommended age for starting screening, so that more lives may be saved?

The National Screening Committee plays a vital role in providing clinical and evidence-based advice on how to target screening programmes. In my time as Secretary of State over the past few months, the committee has made a number of recommendations, but the benefits of greater screening must be balanced with the risks of doing so, and I know that the National Screening Committee takes that responsibility seriously. I have clearly made the point that the committee must continue to keep its advice up to date and, as new diagnostic and treatment methods become available, it must ensure that its advice keeps pace with those.

The Health and Social Care Committee is publishing its report tomorrow on fixing the food environment, and it will be making several recommendations to support everyone to eat more healthily. Will the Minister commit to engaging positively with the details of our report, and will she set out the steps that the Government are already taking in that area?

I thank my hon. Friend for her question, which gives me an opportunity to say how much I enjoyed appearing before her Committee to discuss these matters. The Government are very much looking forward to receiving the report from the Health and Social Care Committee, and I will ensure that I respond to it in due course with full details.

Young people with cancer often face severe isolation during treatment, separated from their friends and everything that is normal to them at that critical age. In Leicester South, at Leicester Royal Infirmary it has been left to charities like the Teenage Cancer Trust to provide vital care and support, funded through donations and philanthropic grants. What steps is the Secretary of State taking to ensure that those charities are sustainably funded so we can support them as much as they are supporting our young people with cancer?

The hon. Gentleman raises an important point about the loneliness often faced by people who are being treated for cancer—particularly for young people, whose loneliness can be acute when they are separated from their friendship groups and peers as they undergo treatment. I pay tribute to the work of the Teenage Cancer Trust. The Government want to ensure that we are working with that charity to provide a comprehensive service, not just on diagnosis and treatment but on the important emotional support that people across the board, particularly young people, need.

I call David Baines to ask the final question.

Due to a long-running dispute with the building’s landlord, Billinge medical practice in my constituency has been given a deadline of September to vacate the premises. I have previously spoken to the Minister about this and I am grateful for the help he has given me so far, but the integrated care board has now decided to move the practice out of the village entirely, to Garswood. I am worried about the impact of that on patients for many reasons, not least the fact that the new location is not easily accessible by public transport. Does the Minister agree with me that places like Billinge deserve their own medical practice? Will he or his officials agree to meet me to discuss the way forward?

I have discussed this issue with my hon. Friend and I know he feels very strongly about it. I would be delighted to meet him to follow up. It sounds as if some progress is being made, but we need to ensure we get this sorted.