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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.
To ask the Secretary of State for Health and Social Care, what steps NHS England is taking to fulfil its oversight responsibilities for NHS Continuing Healthcare as set out in paragraph 23 of the National Framework.
To ask the Secretary of State for Health and Social Care, what steps NHS England is taking to fulfil its oversight responsibilities for NHS Continuing Healthcare as set out in paragraph 23 of the National Framework.
NHS England operates an assurance regime to promote accurate assessment, equal access, standardisation, and consistency within NHS Continuing Healthcare (CHC). This involves regional assurance meetings every two months, with a focus on reducing unwarranted variation in CHC. It will continue working with local systems to ensure appropriate application of the National Framework for CHC.
The NHS Performance and Assessment Framework for 2026/27 includes a standard for integrated care boards to monitor the percentage of Standard CHC referrals completed within 28 days.
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 evaluated the cost-effectiveness of reduced continuity.
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 evaluated the cost-effectiveness of reduced continuity.
To ask the Secretary of State for Health and Social Care, what recent discussions he has had with NHS England on improving continuity of care between secondary care and primary care following A&E attendance.
To ask the Secretary of State for Health and Social Care, what recent discussions he has had with NHS England on improving continuity of care between secondary care and primary care following A&E attendance.
My Rt Hon. Friend, the Secretary of State for Health and Social Care, set out clear ambitions as part of the 10-Year Health Plan around moving the National Health Service from analogue to digital, harnessing technology to allow patients to better manage their own care. The Medium Term Planning Framework reiterates this focus, including achieving full compliance with the minimum standards set out in the Digital Capabilities Framework.
NHS England is supporting integrated care boards and providers to improve information sharing and coordination at discharge from urgent and emergency care, so primary care teams have timely access to relevant clinical information and can arrange appropriate follow‑up.
This includes continued rollout of the NHS Federated Data Platform, which supports integrated care systems to connect data across urgent, acute, and community services, helping to improve care transitions and follow‑up after accident and emergency attendance.
We are continuing to work across Government to cut red tape and improve ways of working, including work to improve the patient experience at the interface of primary and secondary care.
To ask the Secretary of State for Health and Social Care, what proportion of people diagnosed with Myalgic Encephalomyelitis who applied for NHS Continuing Healthcare funding were (a) assessed as eligible following a Decision Support Tool assessment and (b) refused following a Decision Support Tool assessment in each of the...
To ask the Secretary of State for Health and Social Care, what proportion of people diagnosed with Myalgic Encephalomyelitis who applied for NHS Continuing Healthcare funding were (a) assessed as eligible following a Decision Support Tool assessment and (b) refused following a Decision Support Tool assessment in each of the...
NHS England does not collect data on the proportion of people diagnosed with myalgic encephalomyelitis who are found eligible for NHS Continuing Healthcare (CHC), or any other condition. Eligibility for CHC is not determined by diagnosis or condition, but is assessed on a case-by-case basis taking into account the totality of an individual’s needs, and whether they constitute a ‘primary health need’.
Operational delivery of CHC is the responsibility of integrated care boards (ICBs), including conducting CHC assessments using the standardised Decision Support Tool. NHS England holds ICBs to account, including through robust assurance mechanisms, to ensure they are delivering their statutory functions.
Motion that this House has considered NHS continuing healthcare. Agreed to on question.
Motion that this House has considered NHS continuing healthcare. Agreed to on question.
I beg to move,
That this House has considered NHS continuing healthcare.
It is a privilege to serve under your chairship, Mrs Harris. The continuing healthcare—CHC—system should represent the very best of our national health service, offering 24-hour, round-the-clock care for approximately 50,000 of the country’s most vulnerable adults, but at the...
I beg to move,
That this House has considered NHS continuing healthcare.
It is a privilege to serve under your chairship, Mrs Harris. The continuing healthcare—CHC—system should represent the very best of our national health service, offering 24-hour, round-the-clock care for approximately 50,000 of the country’s most vulnerable adults, but at the...
I commend the hon. Gentleman for bringing this debate forward. I spoke to him beforehand, as I always try to be helpful in my contributions. He may only now be aware that in 2023, the High Court in Northern Ireland determined that the previous Northern Ireland continuing healthcare policy breached...
I commend the hon. Gentleman for bringing this debate forward. I spoke to him beforehand, as I always try to be helpful in my contributions. He may only now be aware that in 2023, the High Court in Northern Ireland determined that the previous Northern Ireland continuing healthcare policy breached...
I totally agree about the need for parity of service across the United Kingdom. That must be not only the right thing, but the only thing to do.
A recent report from the Nuffield Trust describes CHC as an “all or nothing” affair for applicants that creates a cliff edge between...
I totally agree about the need for parity of service across the United Kingdom. That must be not only the right thing, but the only thing to do.
A recent report from the Nuffield Trust describes CHC as an “all or nothing” affair for applicants that creates a cliff edge between...
The hon. Member is making a powerful speech. Does he agree that, during these very difficult times, families want to give their loved ones who are not well all their attention, but these situations are usually so adversarial, involving lengthy legal processes that cost local authorities hundreds of thousands of...
The hon. Member is making a powerful speech. Does he agree that, during these very difficult times, families want to give their loved ones who are not well all their attention, but these situations are usually so adversarial, involving lengthy legal processes that cost local authorities hundreds of thousands of...
I absolutely agree. There is an unnecessary burden on families to start off with, and when the appeal process can take months and it is difficult for families to secure representation—they may end up representing themselves—that causes them further anxiety. I agree that there needs to be a review of...
I absolutely agree. There is an unnecessary burden on families to start off with, and when the appeal process can take months and it is difficult for families to secure representation—they may end up representing themselves—that causes them further anxiety. I agree that there needs to be a review of...
I congratulate my hon. Friend on securing this important debate. I wholeheartedly agree with him, in particular about his constituents who had the support that their child needed for many years, had an annual review that reconfirmed that that support was necessary, and then suddenly, out of the blue, faced...
I congratulate my hon. Friend on securing this important debate. I wholeheartedly agree with him, in particular about his constituents who had the support that their child needed for many years, had an annual review that reconfirmed that that support was necessary, and then suddenly, out of the blue, faced...
I wholeheartedly agree. One of the difficulties in Daniel’s case was that an assessment found that there was no material change in the level of support that he required, but a reassessment was conducted subsequently, and the funding was then withdrawn. I met Daniel, and I felt so sorry for...
I wholeheartedly agree. One of the difficulties in Daniel’s case was that an assessment found that there was no material change in the level of support that he required, but a reassessment was conducted subsequently, and the funding was then withdrawn. I met Daniel, and I felt so sorry for...
It is truly a pleasure to serve under your chairship, Mrs Harris—for now, anyway.
I thank the hon. Member for Birmingham Perry Barr (Ayoub Khan) for securing this important debate, and I express my gratitude to other Members who have contributed to it. By working together, we can improve the lives...
It is truly a pleasure to serve under your chairship, Mrs Harris—for now, anyway.
I thank the hon. Member for Birmingham Perry Barr (Ayoub Khan) for securing this important debate, and I express my gratitude to other Members who have contributed to it. By working together, we can improve the lives...
It is the responsibility of ICBs to administer and provide this support, but does the Minister share my concern and that of my hon. Friend the Member for Birmingham Perry Barr (Ayoub Khan) that the involvement of private contractors in eligibility reviews may not be appropriate? The ICB may feel...
It is the responsibility of ICBs to administer and provide this support, but does the Minister share my concern and that of my hon. Friend the Member for Birmingham Perry Barr (Ayoub Khan) that the involvement of private contractors in eligibility reviews may not be appropriate? The ICB may feel...
Of course, we want to see consistency and quality right across the board, regardless of who is actually delivering the work. If there are specific issues around private contractors that the hon. Gentleman can flag to me, perhaps he could write to me; we would be very happy to look...
Of course, we want to see consistency and quality right across the board, regardless of who is actually delivering the work. If there are specific issues around private contractors that the hon. Gentleman can flag to me, perhaps he could write to me; we would be very happy to look...
To ask His Majesty's Government what proportion of (1) maternity patients receive continuity of care in England, and (2) NHS trusts in England offer continuity of care to maternity patients.
To ask His Majesty's Government what proportion of (1) maternity patients receive continuity of care in England, and (2) NHS trusts in England offer continuity of care to maternity patients.
The latest published Maternity Services Monthly Statistics show that, in December 2025, 18.9% of women in England were placed on a continuity of carer pathway by 28 weeks of pregnancy. This national figure is calculated using data from trusts that meet minimum data quality standards, and for December 2025, this included 96 out of 119 submitting trusts.
We recognise the clear benefits that continuity of midwifery care can bring, including improved experiences and reduced inequalities for women and babies. However, the delivery of continuity of care requires maternity services to have sufficient midwifery staffing and the right skill mix in place to maintain safe services across all settings.
In September 2022, NHS England wrote to all trusts setting out that implementation of continuity of care models should be paused where staffing shortfalls made them unsafe to deliver. Since then, NHS England has supported services to strengthen their workforce position and asked them to prioritise the rollout of enhanced continuity of care teams that focus on women with the greatest clinical or social vulnerability, where evidence shows continuity of care can have the greatest impact. From 2025/26, £10 million per year in recurrent funding is being provided to support these enhanced teams, which incorporate additional staffing to offer more holistic care and help reduce health inequalities in the most deprived area.
To ask His Majesty's Government what assessment they have made of the impact of midwifery staffing levels on the delivery of continuity of care in England.
To ask His Majesty's Government what assessment they have made of the impact of midwifery staffing levels on the delivery of continuity of care in England.
The latest published Maternity Services Monthly Statistics show that, in December 2025, 18.9% of women in England were placed on a continuity of carer pathway by 28 weeks of pregnancy. This national figure is calculated using data from trusts that meet minimum data quality standards, and for December 2025, this included 96 out of 119 submitting trusts.
We recognise the clear benefits that continuity of midwifery care can bring, including improved experiences and reduced inequalities for women and babies. However, the delivery of continuity of care requires maternity services to have sufficient midwifery staffing and the right skill mix in place to maintain safe services across all settings.
In September 2022, NHS England wrote to all trusts setting out that implementation of continuity of care models should be paused where staffing shortfalls made them unsafe to deliver. Since then, NHS England has supported services to strengthen their workforce position and asked them to prioritise the rollout of enhanced continuity of care teams that focus on women with the greatest clinical or social vulnerability, where evidence shows continuity of care can have the greatest impact. From 2025/26, £10 million per year in recurrent funding is being provided to support these enhanced teams, which incorporate additional staffing to offer more holistic care and help reduce health inequalities in the most deprived area.
To ask the Secretary of State for Health and Social Care, what assessment he has made of the trends in the level of the proportion of standard continuing healthcare applications assessed as eligible in comparison to fast-track applications.
To ask the Secretary of State for Health and Social Care, what assessment he has made of the trends in the level of the proportion of standard continuing healthcare applications assessed as eligible in comparison to fast-track applications.
Integrated care boards (ICBs), with oversight from NHS England, are responsible for operational delivery of NHS Continuing Healthcare (CHC).
Fast Track CHC supports individuals with a rapidly deteriorating condition who may be entering a terminal phase by putting a care package in place quickly. Eligibility is established through completing a Fast Track Pathway Tool (FTPT), with clear reasons why the individual fulfils the criteria evidenced. ICBs must accept a properly completed FTPT as sufficient to establish eligibility for CHC.
Standard CHC supports those with high ongoing needs and is assessed through a two-stage assessment process beginning with screening via a Checklist. The Checklist criteria is set deliberately low to ensure that anyone who may be eligible for Standard CHC is fully assessed for eligibility through the completion of a Decision Support Tool.
Due to the different eligibility criteria used in the assessment processes, it is not appropriate to directly compare the proportion of individuals assessed as eligible for Fast Track and Standard CHC. The latest published data on CHC eligibility is available at the following link:
https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-chc-fnc/
To ask the Secretary of State for Health and Social Care, whether he has made an assessment of trends in the levels of NHS Continuing Healthcare application success rates.
To ask the Secretary of State for Health and Social Care, whether he has made an assessment of trends in the levels of NHS Continuing Healthcare application success rates.
Operational delivery of National Health Service Continuing Healthcare (CHC) is the responsibility of Integrated Care Boards (ICBs) with oversight from NHS England. Decisions on eligibility for CHC are taken by the relevant ICB, on a case-by-case basis based on an individual’s assessed needs. Eligibility is not determined by age, clinical condition or financial means. Eligibility can vary across ICBs due to different factors including the age profile of the local population and health need variation between geographical regions.
We have understood “applications” to mean CHC referrals. NHS England measure CHC referrals quarterly at ICB, region, and national level. Latest published CHC and NHS-funded Nursing Care (FNC) data are available at the following link:
https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-chc-fnc/
NHS England’s assurance regime promotes accurate assessment, equal access, and consistency within CHC delivery.