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To ask the Secretary of State for Health and Social Care, if she will commission an independent review of NHS continuing healthcare.
To ask the Secretary of State for Health and Social Care, if she will commission an independent review of NHS continuing healthcare.
The Independent Commission on Adult Social Care will explore and consider all options for care and support for adults across the social care system to make recommendations on fixing the system for all those who need it. The commission is considering the interface between health and care as part of this work.
The commission will report its findings by Summer 2027. In the meantime, the Department will continue to work productively with its partners, including NHS England, integrated care boards and local authorities, to support the delivery of national National Health Service continuing healthcare policy.
Times in A&E are being speeded up. The hon. Lady speaks with experience because she is a clinician, and I am happy to go away and look at that issue and write to her if there is information we need to let her have. My understanding is that we are speeding things up in A&E, and getting people through and on to the ward as quickly as possible.
Times in A&E are being speeded up. The hon. Lady speaks with experience because she is a clinician, and I am happy to go away and look at that issue and write to her if there is information we need to let her have. My understanding is that we are speeding things up in A&E, and getting people through and on to the ward as quickly as possible.
Another issue that affects continuity of care is when patients remain in the emergency department for prolonged periods after a decision is made to admit them to a ward. That has gone up by over a third since the general election. Can the Government say why?
Continuity of care is desirable but not always possible, and in circumstances where it is not, a single patient record offers an opportunity to improve care, but it also brings the risk of unauthorised access to notes. We have seen recent high-profile cases where notes have been accessed that should not have been. That has led to people across the country worrying that this issue could affect them personally in less high-profile cases and about what will happen when the single patient record will be available nationally. How are the Government going to protect patient confidentiality?
Continuity of care is desirable but not always possible, and in circumstances where it is not, a single patient record offers an opportunity to improve care, but it also brings the risk of unauthorised access to notes. We have seen recent high-profile cases where notes have been accessed that should not have been. That has led to people across the country worrying that this issue could affect them personally in less high-profile cases and about what will happen when the single patient record will be available nationally. How are the Government going to protect patient confidentiality?
I will be mindful of your comment, Mr Speaker. What happened recently is totally unacceptable, and the Secretary of State has made that clear. My understanding is that those individuals who have accessed information about patients, and had no businesses to access it, have been suspended. Disciplinary action will follow, possibly with dismissals. Such actions are totally unacceptable.
I will be mindful of your comment, Mr Speaker. What happened recently is totally unacceptable, and the Secretary of State has made that clear. My understanding is that those individuals who have accessed information about patients, and had no businesses to access it, have been suspended. Disciplinary action will follow, possibly with dismissals. Such actions are totally unacceptable.
I will be mindful of your comment, Mr Speaker. What happened recently is totally unacceptable, and the Secretary of State has made that clear. My understanding is that those individuals who have accessed information about patients, and had no businesses to access it, have been suspended. Disciplinary action will follow, possibly with dismissals. Such actions are totally unacceptable.
Continuity of care is desirable but not always possible, and in circumstances where it is not, a single patient record offers an opportunity to improve care, but it also brings the risk of unauthorised access to notes. We have seen recent high-profile cases where notes have been accessed that should not have been. That has led to people across the country worrying that this issue could affect them personally in less high-profile cases and about what will happen when the single patient record will be available nationally. How are the Government going to protect patient confidentiality?
Another issue that affects continuity of care is when patients remain in the emergency department for prolonged periods after a decision is made to admit them to a ward. That has gone up by over a third since the general election. Can the Government say why?
Another issue that affects continuity of care is when patients remain in the emergency department for prolonged periods after a decision is made to admit them to a ward. That has gone up by over a third since the general election. Can the Government say why?
Times in A&E are being speeded up. The hon. Lady speaks with experience because she is a clinician, and I am happy to go away and look at that issue and write to her if there is information we need to let her have. My understanding is that we are speeding things up in A&E, and getting people through and on to the ward as quickly as possible.
What plans she has to improve continuity of care in the NHS.
What plans she has to improve continuity of care in the NHS.
One of the reasons the Government committed to bring back the family doctor was the importance of maintaining continuity of care for patients. I am pleased to say that the proportion of patients who say they are able to see their preferred clinician when they make a GP appointment has risen from 61% to 68% since the election, but we recognise that there is more to do, and this remains an important priority for the Government.
One of the reasons the Government committed to bring back the family doctor was the importance of maintaining continuity of care for patients. I am pleased to say that the proportion of patients who say they are able to see their preferred clinician when they make a GP appointment has risen from 61% to 68% since the election, but we recognise that there is more to do, and this remains an important priority for the Government.
One of the reasons the Government committed to bring back the family doctor was the importance of maintaining continuity of care for patients. I am pleased to say that the proportion of patients who say they are able to see their preferred clinician when they make a GP appointment has risen from 61% to 68% since the election, but we recognise that there is more to do, and this remains an important priority for the Government.
What plans she has to improve continuity of care in the NHS.
Has the Minister read the Norwegian population study published in the British Journal of General Practice, which says that people who see the same doctor over many years are 30% less likely to need out-of-hours care, 28% less likely to need emergency care and 25% less likely to die? It has been two years since the Government made the pledge to bring back the family doctor, but the basic structure of general practice has not changed. Can we see some changes in the next GP contract negotiations to bring back the system we used to have, in which everyone has their own doctor?
Has the Minister read the Norwegian population study published in the British Journal of General Practice, which says that people who see the same doctor over many years are 30% less likely to need out-of-hours care, 28% less likely to need emergency care and 25% less likely to die? It has been two years since the Government made the pledge to bring back the family doctor, but the basic structure of general practice has not changed. Can we see some changes in the next GP contract negotiations to bring back the system we used to have, in which everyone has their own doctor?
I recognise the enormous experience and knowledge of the former Secretary of State for Health and his work on this issue and patient safety more generally. The Department has started to look at expert advice, with a clinical working group, on how best to support continuity of care in modern general practice. I have not read the report that he referred to, but I am happy to go and have a look it. I am also happy to have a discussion with him, because it would be helpful to understand his thinking on what I know he considers to be a very important issue.
I recognise the enormous experience and knowledge of the former Secretary of State for Health and his work on this issue and patient safety more generally. The Department has started to look at expert advice, with a clinical working group, on how best to support continuity of care in modern general practice. I have not read the report that he referred to, but I am happy to go and have a look it. I am also happy to have a discussion with him, because it would be helpful to understand his thinking on what I know he considers to be a very important issue.
I recognise the enormous experience and knowledge of the former Secretary of State for Health and his work on this issue and patient safety more generally. The Department has started to look at expert advice, with a clinical working group, on how best to support continuity of care in modern general practice. I have not read the report that he referred to, but I am happy to go and have a look it. I am also happy to have a discussion with him, because it would be helpful to understand his thinking on what I know he considers to be a very important issue.
Has the Minister read the Norwegian population study published in the British Journal of General Practice, which says that people who see the same doctor over many years are 30% less likely to need out-of-hours care, 28% less likely to need emergency care and 25% less likely to die? It has been two years since the Government made the pledge to bring back the family doctor, but the basic structure of general practice has not changed. Can we see some changes in the next GP contract negotiations to bring back the system we used to have, in which everyone has their own doctor?
Continuity of care in maternity services is based on women building relationships with maternity practitioners who meet them where they are. I would like to echo the comments of the hon. Member for North Shropshire (Helen Morgan): many obstetricians and midwives have been truly disappointed at comments from an NHS leader yesterday, who argued that more maternity units should be shut and that only consolidation of services can make births safer. Women in this country will not accept the industrialisation of our bodies. This Labour Government have promised neighbourhood and preventive healthcare, which has to include allowing new mums to feel rooted in the communities where they will go through their biggest physical and psychological change. Can the Minister assure me that our bodies will not be treated like a manufacturing supply chain to be optimised as she develops the asks for maternity services in this country?
Continuity of care in maternity services is based on women building relationships with maternity practitioners who meet them where they are. I would like to echo the comments of the hon. Member for North Shropshire (Helen Morgan): many obstetricians and midwives have been truly disappointed at comments from an NHS leader yesterday, who argued that more maternity units should be shut and that only consolidation of services can make births safer. Women in this country will not accept the industrialisation of our bodies. This Labour Government have promised neighbourhood and preventive healthcare, which has to include allowing new mums to feel rooted in the communities where they will go through their biggest physical and psychological change. Can the Minister assure me that our bodies will not be treated like a manufacturing supply chain to be optimised as she develops the asks for maternity services in this country?
Gosh, my hon. Friend made a very passionate statement there, and I absolutely agree with what she said. This work will be undertaken with the national maternity and neonatal taskforce, and we will look at all these issues. I hope my hon. Friend will feel able to contribute to that work if she wishes to.
Gosh, my hon. Friend made a very passionate statement there, and I absolutely agree with what she said. This work will be undertaken with the national maternity and neonatal taskforce, and we will look at all these issues. I hope my hon. Friend will feel able to contribute to that work if she wishes to.
Gosh, my hon. Friend made a very passionate statement there, and I absolutely agree with what she said. This work will be undertaken with the national maternity and neonatal taskforce, and we will look at all these issues. I hope my hon. Friend will feel able to contribute to that work if she wishes to.
Continuity of care in maternity services is based on women building relationships with maternity practitioners who meet them where they are. I would like to echo the comments of the hon. Member for North Shropshire (Helen Morgan): many obstetricians and midwives have been truly disappointed at comments from an NHS leader yesterday, who argued that more maternity units should be shut and that only consolidation of services can make births safer. Women in this country will not accept the industrialisation of our bodies. This Labour Government have promised neighbourhood and preventive healthcare, which has to include allowing new mums to feel rooted in the communities where they will go through their biggest physical and psychological change. Can the Minister assure me that our bodies will not be treated like a manufacturing supply chain to be optimised as she develops the asks for maternity services in this country?
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to ensure consistency in NHS Continuing Healthcare funding decisions across integrated care boards.
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to ensure consistency in NHS Continuing Healthcare funding decisions across integrated care boards.
Further to the answer provided on 14 September in response to Question 25150, NHS England has an ongoing assurance programme to promote accurate assessment, equal access, and consistency within National Health Service continuing healthcare delivery. As part of this programme, integrated care boards must ensure that, in more than 80% of cases, they make eligibility decisions within 28 days of receiving a positive NHS continuing healthcare checklist. Individuals should not be left without appropriate support while they await the outcome of the assessment and eligibility decision-making process.
To ask the Secretary of State for Health and Social Care, what steps she is taking to reduce waiting times for receiving continuous healthcare funding.
To ask the Secretary of State for Health and Social Care, what steps she is taking to reduce waiting times for receiving continuous healthcare funding.
Further to the answer provided on 14 September in response to Question 25150, NHS England has an ongoing assurance programme to promote accurate assessment, equal access, and consistency within National Health Service continuing healthcare delivery. As part of this programme, integrated care boards must ensure that, in more than 80% of cases, they make eligibility decisions within 28 days of receiving a positive NHS continuing healthcare checklist. Individuals should not be left without appropriate support while they await the outcome of the assessment and eligibility decision-making process.
To ask the Secretary of State for Health and Social Care, what role patients with lived experience of NHS Continuing Healthcare will take in Baroness Casey's review of adult social care.
To ask the Secretary of State for Health and Social Care, what role patients with lived experience of NHS Continuing Healthcare will take in Baroness Casey's review of adult social care.
Baroness Casey has made clear that one of the core purposes of the Big Conversation on Care that she is leading is to hear from people, families, and carers with direct, real-life experience of the current social care system, so she can reflect those experiences in her recommendations for reform.
To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential merits of (a) making it easier for people with degenerative diseases to obtain NHS Continuing Healthcare (CHC) funding and (b) removing the requirement for people with degenerative diseases to be assessed...
To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential merits of (a) making it easier for people with degenerative diseases to obtain NHS Continuing Healthcare (CHC) funding and (b) removing the requirement for people with degenerative diseases to be assessed...
The Department works with partners, including NHS England, external organisations and people with lived experience, to seek feedback on NHS Continuing Healthcare policy and implementation. This includes seeking feedback on how people with degenerative diseases can access NHS Continuing Healthcare funding as quickly as possible where they are assessed as eligible.
The Department has published national guidance which states that when undertaking a full Standard NHS Continuing Healthcare assessment, the multidisciplinary team should ideally include someone with specialist knowledge of the individual’s condition. The guidance also sets out that individuals with a rapidly deteriorating condition, who may be entering a terminal phase, may be eligible for Fast Track Continuing Healthcare. NHS England has also commissioned an Information and Advice Service for NHS Continuing Healthcare which provides independent, free advice for individuals and families navigating the process.
The NHS Continuing Healthcare assessment process is required to determine whether an individual’s needs mean they are eligible for NHS Continuing Healthcare. Where eligible, the integrated care board is responsible for commissioning a package which meets all the individual’s assessed health and associated care and support needs.
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to provide clarity to Continuing Healthcare applicants regarding what constitutes a health need rather than a social care need in determining eligibility for this funding.
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to provide clarity to Continuing Healthcare applicants regarding what constitutes a health need rather than a social care need in determining eligibility for this funding.
The National framework for NHS continuing healthcare and NHS-funded nursing care is available at the following link:
It sets out the basis for National Health Service continuing healthcare eligibility. It also sets out the detailed eligibility assessment process which integrated care boards must have regard of. NHS England’s assurance regime promotes accurate assessment, equal access, and consistency within NHS continuing healthcare delivery.
The Department recognises the importance of providing information to individuals and their families. Our Public Information Leaflet is available at the following link:
This leaflet explains the criteria used to determine eligibility for NHS continuing healthcare, and the assessment process which facilitates the decision. NHS England has also commissioned a free Information and Advice Service for NHS continuing healthcare, supplied by Beacon.
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to increase the clarity and efficiency of the Continuing Healthcare assessment process.
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to increase the clarity and efficiency of the Continuing Healthcare assessment process.
The National framework for NHS continuing healthcare and NHS-funded nursing care is available at the following link:
It sets out the basis for National Health Service continuing healthcare eligibility. It also sets out the detailed eligibility assessment process which integrated care boards must have regard of. NHS England’s assurance regime promotes accurate assessment, equal access, and consistency within NHS continuing healthcare delivery.
The Department recognises the importance of providing information to individuals and their families. Our Public Information Leaflet is available at the following link:
This leaflet explains the criteria used to determine eligibility for NHS continuing healthcare, and the assessment process which facilitates the decision. NHS England has also commissioned a free Information and Advice Service for NHS continuing healthcare, supplied by Beacon.
To ask the Secretary of State for Health and Social Care, how many NHS Continuing Healthcare Checklist assessments were completed, broken down by the number that resulted (a) in a full assessment, (b) in eligibility for NHS Continuing Healthcare in each of the last five years; and what what estimate...
To ask the Secretary of State for Health and Social Care, how many NHS Continuing Healthcare Checklist assessments were completed, broken down by the number that resulted (a) in a full assessment, (b) in eligibility for NHS Continuing Healthcare in each of the last five years; and what what estimate...
NHS England publishes data on NHS Continuing Healthcare on a quarterly basis. This includes the number of 'Checklists', the screening stage prior to a full assessment, resulting in both a full assessment and eligibility for Standard NHS Continuing Healthcare. This information can be found at the following link:
https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-chc-fnc/
We do not hold information on the cost of undertaking full assessments that do not result in NHS Continuing Healthcare eligibility. The assessment process is designed so everyone who may require NHS Continuing Healthcare funding is fully assessed for eligibility. Where an assessment does not result in eligibility for NHS Continuing Healthcare, it may provide access to other support, like National Health Service funded nursing care or a jointly funded package of care with the local authority.
What is NHS Continuing Healthcare, who is eligible for it, how are patients assessed for it, and how can decisions be reviewed?
What is NHS Continuing Healthcare, who is eligible for it, how are patients assessed for it, and how can decisions be reviewed?
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of the 2026/27 GP contract on continuity of care; and whether he has made an assessment of the cost-effectiveness of reduced continuity, as a result of mandating urgent appointments, in...
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of the 2026/27 GP contract on continuity of care; and whether he has made an assessment of the cost-effectiveness of reduced continuity, as a result of mandating urgent appointments, in...
Where a patient presents with a clinically urgent need, it is for the general practitioner to determine the appropriate course of action, and the patient should receive a clinically appropriate response on the same day. Where a request is ‘dealt with’, this does not always mean a same‑day appointment, but that the patient has received an appropriate clinical response. This could include advice, an appointment, including one that delivers continuity of care, or signposting to another suitable service, depending on the patient’s needs.
The Government recognises that continuity of care plays an important role in patient experience and outcomes, particularly for those with ongoing health challenges. As part of the 2026/27 contract, we have made it a core requirement for primary care networks to identify and prioritise cohorts for continuity of care using risk stratification tools as part of their core activities. This will make continuity a core expectation within primary care and support future work to embed more meaningful continuity models in subsequent contract reform.