Through the Getting It Right First Time (GIRFT) programme, NHS England supports local integrated care boards (ICBs) to help deliver high-quality, timely services, including for people with Crohn’s disease and ulcerative colitis. The GIRFT programme on gastroenterology aims to reduce variations in care, and to increase early diagnosis and proactive management of Crohn’s disease and ulcerative colitis.

The GIRFT gastroenterology report recommends measures such as rapid access to specialist review within four weeks, personalised care plans, and expanded endoscopy capacity. These changes aim to cut emergency admissions, improve quality of life, and ensure equitable access to specialist nurses and multidisciplinary support across the country.

To support awareness of inflammatory bowel disease among the public, the National Health Service website provides comprehensive, accessible information on Crohn’s disease and ulcerative colitis, helping to raise public awareness and understanding of these conditions, including in the Yeovil constituency.

The site explains what Crohn’s disease and ulcerative colitis are, outlines common symptoms, and gives clear guidance on when to seek medical advice. It also details how these conditions are diagnosed and managed, including available treatments and support services. More information about Crohn’s disease and ulcerative colitis is available at the following two links respectively:

https://www.nhs.uk/conditions/crohns-disease/

https://www.nhs.uk/conditions/ulcerative-colitis/

The Blue Badge scheme supports people with severe mobility issues, including those with non‑visible disabilities that cause very considerable difficulty walking or significant psychological distress during a journey.

The Government has already extended eligibility to people with non‑visible conditions, and local authorities assess applications on a case‑by‑case basis using medical evidence.

While symptoms of Crohn’s and Colitis can be serious, these conditions do not automatically confer entitlement; however, applicants whose mobility is substantially impaired because of their condition may still qualify following assessment by their local authority.

The Department is committed to improving awareness and understanding of Crohn’s disease and colitis across England, including in the Surrey Heath constituency.

The NHS.UK website provides comprehensive, clinically assured information on Crohn’s disease and ulcerative colitis, including symptoms, diagnosis, treatment options, and advice on when to seek help. It also signposts to specialist services and support organisations. The National Health Service website receives approximately 650 million visits annually and is maintained to ensure content reflects the latest clinical guidance and best practice.

The enhanced NHS App, as outlined in the 10-Year Health Plan, will improve awareness of Crohn’s disease and ulcerative colitis by providing easy access to clinically assured information from the NHS website, personalised care tools, and signposting to trusted support organisations. New features such as My Health and My Medicines will help patients track symptoms and manage treatment, while integrated resources and self-referral options will empower individuals to understand their condition and seek timely care. By combining reliable guidance with digital engagement, the app will raise public awareness and support better self-management for those living with these conditions.

Integrated care boards (ICBs) are responsible for ensuring that appropriate treatment and support is available for people diagnosed with inflammatory bowel disease (IBD), which includes Crohn’s disease and ulcerative colitis, in their areas. In Surrey Heath, this responsibility sits with either the NHS Frimley ICB or the NHS Surrey Heartlands ICB, with national improvement programmes such as Getting It Right First Time (GIRFT) and NHS RightCare driving change. Together, these programmes help deliver consistent, high-quality diagnostic processes and ongoing care and support across the National Health Service in England.

The GIRFT national report on gastroenterology recommends rapid access to specialist review within four weeks, personalised care plans, increased endoscopy capacity, the standardised use of diagnostic tests such as endoscopy and imaging, and early involvement of multidisciplinary teams, including IBD specialist nurses, gastroenterologists, surgeons, dietitians, and mental health professionals.

In November 2025, GIRFT published a new handbook, ‘Optimising care for patients with Inflammatory Bowel Disease’ in addition to an updated IBD pathway. This handbook provides practical advice, key actions, and examples of innovative practices to improve the care of NHS patients with Crohn's disease and ulcerative colitis.

‘Hannah’s story’, published by NHS England as part of its RightCare scenario series, is a fictional case study designed to show the difference between a suboptimal and an optimal care pathway for someone living with Crohn’s disease. This scenario underlines the importance of integrated services, proactive treatment planning, and consistent adherence to IBD Standards to reduce variation and improve outcomes for patients across England.

Gastroenterology is a high-volume specialty identified as a top priority for reform in the Elective Reform Plan due to its waiting list challenges. Specific action in gastroenterology includes developing an integrated pathway across primary, community, and secondary care for common gastroenterology conditions. We will also drive rapid adoption of remote monitoring in appropriate gastroenterology pathways.

We are also introducing an ‘online hospital’ through NHS Online. This will give people on certain pathways the choice of getting the specialist care they need from their home, providing additional appointments to cut waiting times. IBD is amongst nine initial conditions for online referrals from 2027.

Integrated care boards (ICBs) are responsible for ensuring that appropriate treatment and support is available for people diagnosed with inflammatory bowel disease (IBD), which includes Crohn’s disease and ulcerative colitis, in their areas. In Surrey Heath, this responsibility sits with either the NHS Frimley ICB or the NHS Surrey Heartlands ICB, with national improvement programmes such as Getting It Right First Time (GIRFT) and NHS RightCare driving change. Together, these programmes help deliver consistent, high-quality diagnostic processes and ongoing care and support across the National Health Service in England.

The GIRFT national report on gastroenterology recommends rapid access to specialist review within four weeks, personalised care plans, increased endoscopy capacity, the standardised use of diagnostic tests such as endoscopy and imaging, and early involvement of multidisciplinary teams, including IBD specialist nurses, gastroenterologists, surgeons, dietitians, and mental health professionals.

In November 2025, GIRFT published a new handbook, ‘Optimising care for patients with Inflammatory Bowel Disease’ in addition to an updated IBD pathway. This handbook provides practical advice, key actions, and examples of innovative practices to improve the care of NHS patients with Crohn's disease and ulcerative colitis.

‘Hannah’s story’, published by NHS England as part of its RightCare scenario series, is a fictional case study designed to show the difference between a suboptimal and an optimal care pathway for someone living with Crohn’s disease. This scenario underlines the importance of integrated services, proactive treatment planning, and consistent adherence to IBD Standards to reduce variation and improve outcomes for patients across England.

Gastroenterology is a high-volume specialty identified as a top priority for reform in the Elective Reform Plan due to its waiting list challenges. Specific action in gastroenterology includes developing an integrated pathway across primary, community, and secondary care for common gastroenterology conditions. We will also drive rapid adoption of remote monitoring in appropriate gastroenterology pathways.

We are also introducing an ‘online hospital’ through NHS Online. This will give people on certain pathways the choice of getting the specialist care they need from their home, providing additional appointments to cut waiting times. IBD is amongst nine initial conditions for online referrals from 2027.

It is the responsibility of the NHS West Yorkshire Integrated Care Board (ICB) to meet the needs of patients diagnosed with inflammatory bowel disease (IBD), including Crohn’s disease and ulcerative colitis, in the Leeds Central and Headingly constituency, supported by national improvement programmes such as Getting It Right First Time (GIRFT) and NHS RightCare. These programmes provide evidence-based tools and guidance to reduce unwarranted variation and improve patient outcomes.

In November 2025, GIRFT published a new handbook, Optimising care for patients with Inflammatory Bowel Disease, in addition to an updated IBD pathway. This handbook provides practical advice, key actions, and examples of innovative practices to improve the care of National Health Service patients with Crohn's disease and ulcerative colitis.

Gastroenterology is a top priority for reform in the Elective Reform Plan. Specific action in gastroenterology includes developing an integrated pathway across primary, community, and secondary care for common gastroenterology conditions. We will also drive rapid adoption of remote monitoring in appropriate gastroenterology pathways.

We are also introducing an ‘online hospital’ through NHS Online. This will give people on certain pathways the choice of getting the specialist care they need from their home, providing additional appointments to cut waiting times. IBD is amongst nine initial conditions for online referrals from 2027.

Neither the Department nor NHS England hold data on the total number of people diagnosed with Crohn’s disease or colitis in South Holland and the Deepings or Lincolnshire in each of the last five years. However, the following table shows a count hospital admissions (FAEs) where there was a primary diagnosis Crohn's disease or colitis and where the patient was resident in Lincolnshire or South Holland and the Deepings, each year from 2020/21 to 2024/25:

Source: Hospital Episode Statistics, published by NHS England

Notes:

1. an FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes;
2. for the purposes of this data, the following ICD-10 codes have been used: K50 for Crohn’s Disease; A09.0 for other and unspecified gastroenteritis and colitis of infectious origin; A09.9 for gastroenteritis and colitis of unspecified origin; K51. For ulcerative colitis; K52. For other noninfective gastroenteritis and colitis; A06.2 for amoebic non-dysenteric colitis; and A04.7 for enterocolitis due to clostridium difficile;
3. the data presented here is a count of the number of admissions rather than the number of patients. It’s possible that the same person may have been admitted to hospital on more than one occasion within any given period; and
4. the majority of cases of Crohn’s disease and colitis are treated through routine access to primary and secondary care services, with only a smaller number of cases, typically the most serious, requiring hospital admission. The data presented here will, therefore, only represent a small proportion of the total number of cases that were treated.

Initially, the Diagnosis Connect Service will be piloted across a small number of long-term conditions which will be determined based on conditions diagnosed and referred from primary care, and readiness of the charities to proceed, as well as considerations around which diagnostic pathways might most benefit from this approach.

The aim will be to focus more support going to those with greatest need and areas with the worst health outcomes, therefore impacting on inequalities.

An open procurement process will enable us to secure a partnership with three or more specialist charities which have the infrastructure, capabilities, and networks to deliver a successful pilot for patients and the National Health Service, ahead of a full rollout across the wider health system.

NHS England supports local integrated care boards to deliver high-quality, timely services through initiatives such as the Getting It Right First Time (GIRFT) programme.

As part of its work within the gastroenterology specialty, GIRFT is sharing a template and best practice for the use of advice and guidance, and advice and referencing to promote earlier diagnosis, and is also encouraging the use of single point of access models, which can help patients get earlier access to specialist opinions, advice, and treatment.

GIRFT has also recently published a new inflammatory bowel disease (IBD) handbook pulling together examples of innovative practice, proven solutions, and practical actions to help optimise the care of National Health Service patients with IBD. The GIRFT IBD pathway and associated handbook include specific guidance for paediatric care and transition to adult services, recognising the unique needs of children and young people with Crohn’s disease and ulcerative colitis. The handbook is available at the following link:

https://gettingitrightfirsttime.co.uk/practical-advice-and-key-actions-in-new-girft-handbook-for-optimising-the-care-of-patients-with-ibd/

GIRFT is also working with providers on a Further Faster Follow-Up programme, which introduces key protocols for gastroenterology, with IBD and suspected IBD being included, and is also collaborating on national work to develop a digital IBD pathway. It is too early to assess the effectiveness of these initiatives.

The Government is committed to improving outcomes for people living with Crohn’s disease and ulcerative colitis, including those in Essex.

NHS England’s Getting It Right First Time (GIRFT) gastroenterology programme is supporting local integrated care boards to reduce unwarranted variation in inflammatory bowel disease (IBD) services and to promote earlier diagnosis, proactive disease management, and increased access to IBD specialist nurses. GIRFT recommends measures such as rapid access to specialist review within four weeks, personalised care plans, and expanded endoscopy capacity, which together help shorten diagnostic times and improve treatment pathways for patients.

To strengthen early and accurate diagnosis, the National Institute for Health and Care Excellence (NICE) provides evidence‑based guidance, including on the use of faecal calprotectin testing to differentiate IBD from functional bowel disorders and on ensuring timely referral for specialist assessment. The NICE quality standard for IBD sets out that people with suspected IBD should receive a specialist assessment within four weeks of referral, and local systems, including those in Essex, are expected to take this into account when planning and delivering services.

NHS England has also developed an IBD RightCare scenario, which sets out what high‑quality, joined‑up IBD care should look like across the entire patient pathway, from suspicion of IBD through to diagnosis, treatment, and ongoing management. This tool will support local commissioners and clinicians, including those in Essex, to identify opportunities to streamline referrals, reduce waiting times, and deliver consistent, evidence‑based care.

Together, these initiatives are improving early diagnosis, supporting more personalised and coordinated treatment, and helping to ensure that people with Crohn’s disease and ulcerative colitis in Essex can access high‑quality, timely National Health Service care.

The Government is committed to improving care for people living with Crohn’s disease and ulcerative colitis, including those in the Ashfield constituency. NHS England supports local integrated care boards to deliver high-quality, timely services through initiatives such as the Getting It Right First Time (GIRFT) programme. GIRFT promotes earlier diagnosis, proactive management of flare-ups, and consistent adoption of best practice. Its gastroenterology report and updated inflammatory bowel disease (IBD) pathway recommend measures such as rapid access to specialist review within four weeks, personalised care plans, and expanded endoscopy capacity. These changes aim to cut emergency admissions, improve quality of life, and ensure equitable access to specialist nurses and multidisciplinary support across the country. The GIRFT programme has recently published a new handbook pulling together examples of innovative practice, proven solutions, and practical actions to help optimise the care of National Health Service patients with IBD. The GIRFT IBD pathway and associated handbook include specific guidance for paediatric care and the transition to adult services, recognising the unique needs of children and young people with Crohn’s disease and ulcerative colitis. The handbook is available at the following link:

https://gettingitrightfirsttime.co.uk/practical-advice-and-key-actions-in-new-girft-handbook-for-optimising-the-care-of-patients-with-ibd/

The 10-Year Health Plan will further improve care and support for people with IBD by expanding community diagnostic centres, reducing waiting times for endoscopy and imaging, and integrating digital tools to streamline referrals and follow-up care. It prioritises early diagnosis, personalised treatment plans, and better coordination between primary and specialist services. Investment in multidisciplinary teams will ensure patients receive timely, high-quality care. In addition, initiatives such as Diagnosis Connect will, from 2026, provide newly diagnosed patients with tailored information and support, empowering them to manage their condition confidently.

The NHS website provides comprehensive, accessible information on Crohn’s disease and ulcerative colitis, helping to raise public awareness and understanding of these conditions. The site explains what Crohn’s and colitis are, outlines common symptoms, and gives clear guidance on when to seek medical advice. It also details how these conditions are diagnosed and managed, including available treatments and support services.

To raise awareness of IBD among general practitioners and other primary care staff, the Royal College of General Practitioners has produced an Inflammatory Bowel Disease Toolkit. The toolkit outlines when to suspect IBD, the appropriate investigative tests and diagnostic tools for IBD, how to manage a flare-up of symptoms, and how to support patients with IBD.

The Government is committed to improving care for people living with Crohn’s disease and ulcerative colitis, including those in the Ashfield constituency. NHS England supports local integrated care boards to deliver high-quality, timely services through initiatives such as the Getting It Right First Time (GIRFT) programme. GIRFT promotes earlier diagnosis, proactive management of flare-ups, and consistent adoption of best practice. Its gastroenterology report and updated inflammatory bowel disease (IBD) pathway recommend measures such as rapid access to specialist review within four weeks, personalised care plans, and expanded endoscopy capacity. These changes aim to cut emergency admissions, improve quality of life, and ensure equitable access to specialist nurses and multidisciplinary support across the country. The GIRFT programme has recently published a new handbook pulling together examples of innovative practice, proven solutions, and practical actions to help optimise the care of National Health Service patients with IBD. The GIRFT IBD pathway and associated handbook include specific guidance for paediatric care and the transition to adult services, recognising the unique needs of children and young people with Crohn’s disease and ulcerative colitis. The handbook is available at the following link:

https://gettingitrightfirsttime.co.uk/practical-advice-and-key-actions-in-new-girft-handbook-for-optimising-the-care-of-patients-with-ibd/

The 10-Year Health Plan will further improve care and support for people with IBD by expanding community diagnostic centres, reducing waiting times for endoscopy and imaging, and integrating digital tools to streamline referrals and follow-up care. It prioritises early diagnosis, personalised treatment plans, and better coordination between primary and specialist services. Investment in multidisciplinary teams will ensure patients receive timely, high-quality care. In addition, initiatives such as Diagnosis Connect will, from 2026, provide newly diagnosed patients with tailored information and support, empowering them to manage their condition confidently.

The NHS website provides comprehensive, accessible information on Crohn’s disease and ulcerative colitis, helping to raise public awareness and understanding of these conditions. The site explains what Crohn’s and colitis are, outlines common symptoms, and gives clear guidance on when to seek medical advice. It also details how these conditions are diagnosed and managed, including available treatments and support services.

To raise awareness of IBD among general practitioners and other primary care staff, the Royal College of General Practitioners has produced an Inflammatory Bowel Disease Toolkit. The toolkit outlines when to suspect IBD, the appropriate investigative tests and diagnostic tools for IBD, how to manage a flare-up of symptoms, and how to support patients with IBD.

The Government is committed to improving care for people living with Crohn’s disease and ulcerative colitis, including those in the Ashfield constituency. NHS England supports local integrated care boards to deliver high-quality, timely services through initiatives such as the Getting It Right First Time (GIRFT) programme. GIRFT promotes earlier diagnosis, proactive management of flare-ups, and consistent adoption of best practice. Its gastroenterology report and updated inflammatory bowel disease (IBD) pathway recommend measures such as rapid access to specialist review within four weeks, personalised care plans, and expanded endoscopy capacity. These changes aim to cut emergency admissions, improve quality of life, and ensure equitable access to specialist nurses and multidisciplinary support across the country. The GIRFT programme has recently published a new handbook pulling together examples of innovative practice, proven solutions, and practical actions to help optimise the care of National Health Service patients with IBD. The GIRFT IBD pathway and associated handbook include specific guidance for paediatric care and the transition to adult services, recognising the unique needs of children and young people with Crohn’s disease and ulcerative colitis. The handbook is available at the following link:

https://gettingitrightfirsttime.co.uk/practical-advice-and-key-actions-in-new-girft-handbook-for-optimising-the-care-of-patients-with-ibd/

The 10-Year Health Plan will further improve care and support for people with IBD by expanding community diagnostic centres, reducing waiting times for endoscopy and imaging, and integrating digital tools to streamline referrals and follow-up care. It prioritises early diagnosis, personalised treatment plans, and better coordination between primary and specialist services. Investment in multidisciplinary teams will ensure patients receive timely, high-quality care. In addition, initiatives such as Diagnosis Connect will, from 2026, provide newly diagnosed patients with tailored information and support, empowering them to manage their condition confidently.

The NHS website provides comprehensive, accessible information on Crohn’s disease and ulcerative colitis, helping to raise public awareness and understanding of these conditions. The site explains what Crohn’s and colitis are, outlines common symptoms, and gives clear guidance on when to seek medical advice. It also details how these conditions are diagnosed and managed, including available treatments and support services.

To raise awareness of IBD among general practitioners and other primary care staff, the Royal College of General Practitioners has produced an Inflammatory Bowel Disease Toolkit. The toolkit outlines when to suspect IBD, the appropriate investigative tests and diagnostic tools for IBD, how to manage a flare-up of symptoms, and how to support patients with IBD.

The Government is committed to improving care for people living with Crohn’s disease and ulcerative colitis, including those in the Ashfield constituency. NHS England supports local integrated care boards to deliver high-quality, timely services through initiatives such as the Getting It Right First Time (GIRFT) programme. GIRFT promotes earlier diagnosis, proactive management of flare-ups, and consistent adoption of best practice. Its gastroenterology report and updated inflammatory bowel disease (IBD) pathway recommend measures such as rapid access to specialist review within four weeks, personalised care plans, and expanded endoscopy capacity. These changes aim to cut emergency admissions, improve quality of life, and ensure equitable access to specialist nurses and multidisciplinary support across the country. The GIRFT programme has recently published a new handbook pulling together examples of innovative practice, proven solutions, and practical actions to help optimise the care of National Health Service patients with IBD. The GIRFT IBD pathway and associated handbook include specific guidance for paediatric care and the transition to adult services, recognising the unique needs of children and young people with Crohn’s disease and ulcerative colitis. The handbook is available at the following link:

https://gettingitrightfirsttime.co.uk/practical-advice-and-key-actions-in-new-girft-handbook-for-optimising-the-care-of-patients-with-ibd/

The 10-Year Health Plan will further improve care and support for people with IBD by expanding community diagnostic centres, reducing waiting times for endoscopy and imaging, and integrating digital tools to streamline referrals and follow-up care. It prioritises early diagnosis, personalised treatment plans, and better coordination between primary and specialist services. Investment in multidisciplinary teams will ensure patients receive timely, high-quality care. In addition, initiatives such as Diagnosis Connect will, from 2026, provide newly diagnosed patients with tailored information and support, empowering them to manage their condition confidently.

The NHS website provides comprehensive, accessible information on Crohn’s disease and ulcerative colitis, helping to raise public awareness and understanding of these conditions. The site explains what Crohn’s and colitis are, outlines common symptoms, and gives clear guidance on when to seek medical advice. It also details how these conditions are diagnosed and managed, including available treatments and support services.

To raise awareness of IBD among general practitioners and other primary care staff, the Royal College of General Practitioners has produced an Inflammatory Bowel Disease Toolkit. The toolkit outlines when to suspect IBD, the appropriate investigative tests and diagnostic tools for IBD, how to manage a flare-up of symptoms, and how to support patients with IBD.

The Department invests £1.6 billion each year on research through its research delivery arm, the National Institute for Health and Care Research (NIHR).

In the financial year 2024/25, the NIHR committed £279,000 for new research projects and programmes into Crohn's and Colitis. The NIHR continues to welcome funding applications for research into any aspect of human health and care, including Crohn's and Colitis research.

This government is committed to ensuring that all students are well supported during their time at university.

Higher education providers have responsibilities under the Equality Act 2010 to make reasonable adjustments for all their disabled students, which includes those with a physical or mental impairment that has a substantial and long-term negative effect on their ability to do normal daily activities.

Wherever possible, disabled students should expect to have their needs met through inclusive learning practices and individual reasonable adjustments made by their provider. In addition to reasonable adjustments, Disabled Students’ Allowance (DSA) is available for the provision of more specialist support.

My noble Friend, the Minister for Skills, has recently appointed Sir Steve West as Higher Education Student Support Champion to lead the Higher Education Mental Health Implementation Taskforce. The Taskforce is instrumental in assessing and driving improvements in mental health support across the sector, including taking forward recommendations from the recent national review of higher education student suicides.

While the Department has made no assessment, approximately 89% of prescription items are dispensed free of charge in the community in England, and there is a wide range of exemptions from prescription charges already in place for which those with ulcerative colitis and Crohn’s disease may be eligible. Eligibility depends on the patient’s age, whether they are in qualifying full-time education, whether they are pregnant or have recently given birth, whether they have a qualifying medical condition, or whether they are in receipt of certain benefits or a war pension.

People on low incomes can apply for help with their health costs through the NHS Low Income Scheme. Prescription prepayment certificates (PPCs) are also available. PPCs allow people to claim as many prescriptions as they need for a set cost, with three-month and 12-month certificates available. The 12-month PPC can be paid for in instalments.