The Department has no current plans to commission an expert clinical review into the use of the Zamar Protocol for patients with severe treatment-resistant bipolar spectrum disorders.

The National Institute for Health and Care Excellence (NICE) has not considered the Zamar Protocol and its existing guideline on the assessment and management of bipolar disorder does not include recommendations on this intervention. NICE keeps its guidance under review through its established prioritisation process, which considers emerging evidence and the needs of the health and care system.

The requested information on Motability is not part of our routine statistical releases.

As I made clear in my statement to the House, Hansard, 1 July, col 219, any changes to PIP eligibility will come after a comprehensive review of the benefit, which I am leading, and which will be co-produced with disabled people, the organisations that represent them, clinicians, experts, MPs and other stakeholders, so a wide range of views and voices are heard. This review aims to ensure that the PIP assessment is fair and fit for the future. The review is expected to conclude in autumn 2026.

In relation to Universal Credit changes, existing claimants at the point of change in April 2026 will continue to receive at least the same amount of benefit as under the current rules, if there are no changes in their circumstances. For future claimants we are not able to assess the impact of the changes at this level as the readily available data on health conditions is not sufficiently detailed.

Entitlement to Personal Independence Payment (PIP) is based on the needs arising from a long-term health condition or disability and not on a particular disability or diagnosis such as bipolar disorder. Health conditions may be physical, sensory, mental, intellectual or cognitive, or any combination of these, and the assessment takes a comprehensive approach to disability, reflecting the needs arising from the full range of conditions.

Health Professionals conducting PIP assessments are trained specialists in disability analysis. All HPs receive specific training on assessing the effects of mental health conditions and are supported by Mental Health Function Champions (MHFCs). MHFCs are experienced professionals with relevant expertise in mental health, cognitive, developmental, and learning disabilities. They are available to provide advice and support throughout the assessment process. Additionally, HPs have access to Condition Insight Reports and Continuing Professional Development guides. These resources offer detailed clinical and functional information on a range of conditions, including Bipolar, to support HPs in delivering informed assessments.

Adults with mild to severe mental health needs, including bipolar disorder, can receive open access and as you arrive support, signposting and treatment at Neighbourhood Mental Health Centres, which will be available 24 hours a day, seven days a week. These centres will be in the heart of the community and are firmly connected to both primary and specialist services.

Neighbourhood Mental Health Centres promote continuity of care with one team managing the mental health pathway and transitions between hospital and community. These centres will support the improvement of patient safety and clinical outcomes and reduce waiting times and hospitalisation.

NHS England has launched six pilot Neighbourhood Mental Health Centres in Tower Hamlets, Lewisham, Sheffield, York, Birmingham and Whitehaven with a further 16 associate sites planned. The six pilot sites will be independently evaluated with findings expected in summer 2026. Evaluation will inform future roll out of the centres.

It is unacceptable that too many people are not receiving the mental health care they need and we know that waits for mental health services are far too long, including for people with bipolar disorder. We are determined to change that.

As part of our mission to build a National Health Service that is fit for the future, we will provide access to a specialist mental health professional in every school in England, create a network of open access community Young Futures hubs, recruit an additional 8,500 mental health workers to cut wait times and provide faster treatment, and modernise the Mental Health Act.

NHS England is continuing to roll out the Community Mental Health Framework. The framework sets out a plan to deliver more flexible, personalised, and holistic care for more people with serious mental illness, including for people with a diagnosis of bipolar disorder.

We are also committed to new models of care for mental health, including reforming care for people experiencing a mental health crisis. We are testing neighbourhood mental health centres for people aged 18 years old and over with serious mental illness. These six pilot schemes are based in Tower Hamlets, Lewisham, Sheffield, York, Birmingham, and Whitehaven.

These models will offer 24/7 open access care closer to home, with an integrated service including healthcare providers, local authorities, and the voluntary sector. These pilots build on international evidence that shows that similar models have led to a reduction in hospitalisation and waiting times, and supports our efforts to move more care into the community

In addition, people of all ages who are in crisis or who are concerned about a family or loved one can now call 111, select the mental health option, and speak to a trained mental health professional. NHS staff can guide callers with next steps such as organising face-to-face community support or facilitating access to alternative services, like crisis cafés or safe havens, which provide a place for people to stay as an alternative to accident and emergency or a hospital admission.

It is unacceptable that too many people are not receiving the mental health care they need, and we know that waits for mental health services are far too long, including for people with bipolar disorder. We are determined to change that.

As part of our mission to build a National Health Service that is fit for the future, we will provide access to a specialist mental health professional in every school in England, create a network of open access community Young Futures hubs, recruit an additional 8,500 mental health workers to cut wait times and provide faster treatment, and modernise the Mental Health Act.

We are also committed to new models of care for mental health, including reforming care for people experiencing a mental health crisis. We are testing neighbourhood mental health centres for people aged 18 years old and over with serious mental illness. These six pilot schemes are based in Tower Hamlets, Lewisham, Sheffield, York, Birmingham, and Whitehaven.

These models will offer 24/7 open access care closer to home, with an integrated service including healthcare providers, local authorities, and the voluntary sector. These pilots build on international evidence which shows that similar models have led to a reduction in hospitalisation and waiting times, and support our efforts to move more care into the community.

It is unacceptable that too many people are not receiving the mental health care they need, and we know that waits for mental health services are far too long, including for people with bipolar disorder. We are determined to change that.

As part of our mission to build a National Health Service that is fit for the future, we will provide access to a specialist mental health professional in every school in England, create a network of open access community Young Futures hubs, recruit an additional 8,500 mental health workers to cut wait times and provide faster treatment, and modernise the Mental Health Act.

We are also committed to new models of care for mental health, including reforming care for people experiencing a mental health crisis. We are testing neighbourhood mental health centres for people aged 18 years old and over with serious mental illness. These six pilot schemes are based in Tower Hamlets, Lewisham, Sheffield, York, Birmingham, and Whitehaven.

These pilots will offer 24/7 open access care closer to home, with an integrated service that includes healthcare providers, local authorities, and the voluntary sector. They build on international evidence that shows that similar models have led to a reduction in hospitalisation and waiting times, and support our efforts to move more care into the community.

We recognise how important it is for individuals with bipolar to get the right care and support they need. NHS England commissions training for staff working in early intervention in psychosis services to deliver cognitive behavioural therapy for both psychosis and bipolar disorder.

Mental health professionals are required to complete core training as part of their roles, which includes information on awareness of bipolar disorder and how it presents. The comprehensive assessment of at-risk mental states is an assessment tool used by mental health professionals and researchers to identify individuals who are at high risk of developing psychosis.

We recognise that there can often be a long time taken to diagnose bipolar disorder because of under-reporting, the episodic nature of the condition, and the prevalence of comorbid conditions in individuals.

We are committed to increasing access to community mental health services for people with severe mental illness, including those with bipolar disorder. The community mental health framework, developed by NHS England, sets out the National Health Service’s vision for transforming community mental health services. This includes ensuring that services are needs led and that individuals do not require a specific diagnosis or care pathway to access care.

We recognise that there can often be a long time taken to diagnose bipolar disorder because of under-reporting, the episodic nature of the condition, and the prevalence of comorbid conditions in individuals.

We are committed to increasing access to community mental health services for people with severe mental illness, including those with bipolar disorder. The community mental health framework, developed by NHS England, sets out the National Health Service’s vision for transforming community mental health services. This includes ensuring that services are needs led and that individuals do not require a specific diagnosis or care pathway to access care.

Early Intervention in Psychosis services provide evidence-based, specialist interventions, and treatment for individuals presenting with psychosis. These services recognise that bipolar disorder diagnoses can be uncertain and are therefore available to individuals irrespective of their diagnosis, including individuals experiencing bipolar 1 and bipolar 2.

The aim is for individuals who experience psychosis as part of a manic episode to be seen by an early intervention in psychosis service within two weeks of referral. If an individual experiences mood disturbance over time, bipolar disorder may be identified and treated.

Early Intervention in Psychosis services are not affective disorder services. It would therefore not be appropriate to extend services to individuals who are not experiencing psychosis. Individuals with bipolar 2 who do not experience mania or psychosis will receive support and treatment from primary care and community mental health teams as appropriate.

It is unacceptable that too many people are not receiving the mental health care they need, and we know that waits for mental health services are far too long, including for people with bipolar disorder. We are determined to change that.

As part of our mission to build a National Health Service that is fit for the future, we will provide access to a specialist mental health professional in every school in England, create a network of open access community Young Futures hubs, recruit an additional 8,500 mental health workers to cut wait times and provide faster treatment, and modernise the Mental Health Act.

We are also committed to new models of care for mental health, including reforming care for people experiencing a mental health crisis. We are testing neighbourhood mental health centres for people aged 18 years old and over with serious mental illness. These six pilot schemes are based in Tower Hamlets, Lewisham, Sheffield, York, Birmingham, and Whitehaven.

These models will offer 24/7 open access care closer to home, with an integrated service which includes healthcare providers, local authorities, and the voluntary sector. These pilots build on international evidence that shows that similar models have led to a reduction in hospitalisation and waiting times, and support our efforts to move more care into the community.

Since 2021, all areas of the country have been transforming and increasing access to community mental health services for all people with severe mental illness, including people with bipolar disorder. The vision for the transformation programme was set out in the Community Mental Health Framework, which included ensuring that services were needs led, rather than requiring people to have a specific diagnosis to access care.

The Department has made no such assessment. We are aware of supply issues affecting several brands and tablet strengths of quetiapine modified release tablets. Following the Department working with suppliers, there have been improvements in supply through February and early March 2025, with improvements in supply expected to continue through to May 2025, and full resolution expected in October 2025. The Department continues to work with the suppliers of quetiapine modified -release tablets to bring forward these future deliveries. Working with National Health Service specialists we have provided comprehensive management advice for this supply issue, advising healthcare professionals on how to manage patients during this time. Any patient who is worried about their condition, or access to these medications, should speak to their clinician in the first instance.

Backed by £240m investment, the Get Britain Working White Paper launched on 26 November will drive forward approaches to tackling economic inactivity and work toward the long-term ambition of an 80% employment rate.

Employers play a key role in increasing employment opportunities and supporting disabled people and people with health conditions, to thrive as part of the workforce. Our support to employers includes increasing access to Occupational Health, a digital information service for employers and the Disability Confident scheme.

Appropriate work is generally good for health and wellbeing, so we want everyone to get work and get on in work, whoever they are and wherever they live.

Disabled people and people with health conditions, including people with bipolar disorder, are a diverse group so access to the right work and health support, in the right place, at the right time, is key. We therefore have a range of specialist initiatives to support individuals to stay in work and get back into work, including those that join up employment and health systems.

Measures include support from Work Coaches and Disability Employment Advisers in Jobcentres and Access to Work grants, as well as joining up health and employment support around the individual through Employment Advisors in NHS Talking Therapies and Individual Placement and Support in Primary Care.

Ministers hold discussions with other ministerial colleagues regularly, on a range of issues.

The Get Britain Working White Paper confirms the Government’s commitment to continuing to expand the number of places on Individual Placement Support schemes to help thousands more people with severe mental illness, including bipolar disorder, to find and stay in employment.

The White Paper also confirms our commitment to expand NHS Talking Therapies. Over 90% of NHS Talking Therapies services in England provide access to Employment Advisers with an aspiration that, by March 2025, 99% will offer employment support as part of their service.

The standard of training for general practitioners and other health care practitioners is the responsibility of the independent statutory regulatory bodies. They set the outcome standards expected at undergraduate level and approve courses, and higher education institutions, which write and teach the curricula that enables their students to meet the regulators’ outcome standards.

Whilst not all curricula may necessarily highlight a specific condition, they all nevertheless emphasize the skills and approaches a health care practitioner must develop in order to ensure accurate and timely diagnoses and appropriate treatment plans for their patients, including those with bipolar disorder.

Once qualified, health care practitioners are responsible for ensuring their own clinical knowledge remains up to date, and for identifying learning needs as part of their continuing professional development. This should include taking account of new research and guidance, such as that produced by the National Institute for Health and Care Excellence, to ensure that they can continue to provide high-quality care to all patients.

The community mental health framework sets out a vision for transforming community mental health services. The vision is a whole person, whole population approach to community health services, with new integrated models between primary and secondary care that can deliver more flexible, personalised, and holistic care, including diagnosis, for more people with severe mental illnesses such as bi-polar disorder, rather than developing specialist pathways for specific conditions.

Since April 2021, all areas have received significant additional, ring-fenced funding to develop these new integrated primary and community mental health services, built around primary care networks, in line with the community mental health framework. Local health systems have made significant progress in rolling out these integrated models of care, including for people with a diagnosis of bi-polar disorder.

The standard of training for general practitioners and other health care practitioners is the responsibility of the independent statutory regulatory bodies. They set the outcome standards expected at undergraduate level and approve courses, and higher education institutions, which write and teach the curricula that enables their students to meet the regulators’ outcome standards.

Whilst not all curricula may necessarily highlight a specific condition, they all nevertheless emphasize the skills and approaches a health care practitioner must develop in order to ensure accurate and timely diagnoses and appropriate treatment plans for their patients, including those with bipolar disorder.

Once qualified, health care practitioners are responsible for ensuring their own clinical knowledge remains up to date, and for identifying learning needs as part of their continuing professional development. This should include taking account of new research and guidance, such as that produced by the National Institute for Health and Care Excellence, to ensure that they can continue to provide high-quality care to all patients.

The community mental health framework sets out a vision for transforming community mental health services. The vision is a whole person, whole population approach to community health services, with new integrated models between primary and secondary care that can deliver more flexible, personalised, and holistic care, including diagnosis, for more people with severe mental illnesses such as bi-polar disorder, rather than developing specialist pathways for specific conditions.

Since April 2021, all areas have received significant additional, ring-fenced funding to develop these new integrated primary and community mental health services, built around primary care networks, in line with the community mental health framework. Local health systems have made significant progress in rolling out these integrated models of care, including for people with a diagnosis of bi-polar disorder.

The standard of training for general practitioners and other health care practitioners is the responsibility of the independent statutory regulatory bodies. They set the outcome standards expected at undergraduate level and approve courses, and higher education institutions, which write and teach the curricula that enables their students to meet the regulators’ outcome standards.

Whilst not all curricula may necessarily highlight a specific condition, they all nevertheless emphasize the skills and approaches a health care practitioner must develop in order to ensure accurate and timely diagnoses and appropriate treatment plans for their patients, including those with bipolar disorder.

Once qualified, health care practitioners are responsible for ensuring their own clinical knowledge remains up to date, and for identifying learning needs as part of their continuing professional development. This should include taking account of new research and guidance, such as that produced by the National Institute for Health and Care Excellence, to ensure that they can continue to provide high-quality care to all patients.

The community mental health framework sets out a vision for transforming community mental health services. The vision is a whole person, whole population approach to community health services, with new integrated models between primary and secondary care that can deliver more flexible, personalised, and holistic care, including diagnosis, for more people with severe mental illnesses such as bi-polar disorder, rather than developing specialist pathways for specific conditions.

Since April 2021, all areas have received significant additional, ring-fenced funding to develop these new integrated primary and community mental health services, built around primary care networks, in line with the community mental health framework. Local health systems have made significant progress in rolling out these integrated models of care, including for people with a diagnosis of bi-polar disorder.