The Government is empowering local leaders with the autonomy they need to provide the best services to their local community, including for those with dementia.

The provision of dementia health care services is the responsibility of local integrated care boards (ICBs) and may include dementia support services provided by charitable organisations. We expect ICBs to commission services based on local population needs, taking account of National Institute for Health and Care Excellence guidelines.

In addition, the 10-Year Health Plan sets out how we will work towards a Neighbourhood Health Service, with more care delivered locally to create healthier communities, spot problems earlier, and integrate health into the social fabric of places.

Neighbourhood health gives us a significant opportunity to radically change how resources are deployed across health, social care, and wider services in local communities. There needs to be a stronger focus on prevention and early intervention, both to improve outcomes for people and to reduce pressure on both the National Health Service and local government services.

The National Cancer Plan will build on the shift from hospital to community set out by the 10-Year Health Plan and will seek to foster improved collaboration with the voluntary and community sector to deliver this.

Governance mechanisms for monitoring implementation and ensuring accountability for delivery will be established as part of the development of the National Cancer Plan, which will be published in the new year.

The Department has not made an assessment of the potential impact of charities providing dog therapy within National Health Services on patients in the Surrey Heath constituency.

The Department does not have current plans to partner with charities that provide therapy dog services or entertainment activities for children within NHS services in Surrey Heath constituency.

Responsibility for onward commissioning of mental health services sits with integrated care boards (ICB). It is the role of local ICB decision-makers to consider the implications of mental health services, specific to each geography and including the perspectives of healthcare professionals, patient advocacy groups, and local authorities.

The Department has not made an assessment of the potential impact of charities providing dog therapy within National Health Services on patients in the Surrey Heath constituency.

The Department does not have current plans to partner with charities that provide therapy dog services or entertainment activities for children within NHS services in Surrey Heath constituency.

Responsibility for onward commissioning of mental health services sits with integrated care boards (ICB). It is the role of local ICB decision-makers to consider the implications of mental health services, specific to each geography and including the perspectives of healthcare professionals, patient advocacy groups, and local authorities.

The provision of dementia health care services is the responsibility of local integrated care boards (ICBs), and may include services provided by voluntary or charitable organisations. We expect ICBs to commission services based on local population needs, taking account of National Institute for Health and Care Excellence guidelines.

We will deliver the first ever modern service framework for frailty and dementia to deliver rapid and significant improvements in quality of care and productivity. This will be informed by phase one of the independent commission into adult social care, expected in 2026.

The Frailty and Dementia Modern Service Framework will seek to reduce unwarranted variation and narrow inequality for those living with dementia and will set national standards for dementia care and redirect National Health Service priorities to provide the best possible care and support.

Patient voice is an underpinning theme of the UK Rare Diseases Framework, and we are committed to ensuring that the patient voice is a key driver of the action plans published under this framework. The UK Rare Diseases Framework was published following the National Conversation on Rare Diseases, which received nearly 6,300 responses. This helped identify the four priorities of the framework in tackling rare diseases: helping patients get a final diagnosis faster; increasing awareness of rare diseases among healthcare professionals; better coordination of care; and improving access to specialist care, treatment, and drugs.

The Government remains committed to improving the lives of those living with rare conditions, and will be publishing the next England Rare Diseases Action Plan for rare disease day in 2026, as in previous years. We recognise that despite the progress that has been made, there remains considerable unmet need for people living with rare conditions. Ministers from all four nations have agreed to extend the UK Rare Diseases Framework by one year, recognising the continued relevance of its four priorities. We will continue to engage with the rare diseases community to help shape the next steps.

National Voices, Friends, Families and Travellers, Homeless Link, and the Race Equality Foundation, carried out these engagement sessions. The total sum of funding provided was £81,311.00. The following table shows the total funding and the amount of funding each charity received:

All members of the Health and Wellbeing Alliance were approached to support the 10-Year Health Plan engagement process to help ensure we reached seldom-heard groups and communities. Charities were selected based on their ability to deliver engagement sessions with communities and groups that were under-represented in the national conversation.

The Government has protected the smallest businesses and charities from the impact of the increase to employer National Insurance by increasing the Employment Allowance from £5,000 to £10,500. That means more than half of businesses with NICs liabilities either gain or see no change this year.

The Government also provides support for charities via our tax regime, which is among the most generous of anywhere in the world, with tax reliefs for charities and their donors worth just over £6 billion for the tax year to April 2024.

I absolutely agree with what the shadow Secretary of State has said. All three shifts—from hospital to community, from analogue to digital, and from sickness to prevention—ought to benefit people with Alzheimer’s, dementias and other neurological conditions, as will the pioneering science that we need in this country, which I know he is so passionate about.

Dementia is one of the greatest health challenges that we as a society face today and in the future, but too many people with dementia end up in hospital, rather than being treated in more appropriate community settings. The 10-year NHS plan offers a real opportunity to shift care into the community and away from acute settings, including for dementia. Will the Secretary of State commit to working with Dementia UK, the Alzheimer’s Society and other fantastic charities as he develops the implementation of his 10-year NHS plan to ensure that it truly delivers for people with dementia and those who care for them?

As part of the development of the new HIV Action Plan, the Department, through its HIV Prevention England Programme (HPE), recently hosted engagement sessions with approximately 60 voluntary and community Sector (VCS) and external partners. Professor Kevin Fenton, the Government’s Chief Advisor on HIV, has also hosted a series of engagement workshops with approximately 250 system partners, including the VCS and people with lived experience. These discussions highlighted the impact of trends in the level of funding provided to HIV charities, and are being considered as we develop the new HIV Action Plan, which we aim to publish this year.

In 2025/26, the Department is investing £1.5 million to fund HPE, which is being delivered by the Terrence Higgins Trust. Furthermore, a key component of the Government’s successful HIV emergency department opt-out testing programme includes a recommendation that 10% of the funding allocated to each site should be used to support community and peer support services for individuals diagnosed with a blood borne virus. The Department does not hold detailed financial information on locally commissioned HIV services.

Funding for future work will be determined by the Spending Review. Although we have reached an overall settlement for the Department, the details of the budget allocations are still being determined. The Department is working to provide the detail and certainty needed on future funding and spending plans as soon as possible.