Stephen Kinnock MP: speeches

Speeches

• 4 Mar 2026 · Healthcare in Rural Areas · Hansard source

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  It is a pleasure to serve under your chairship, Dr Huq. I congratulate the hon. Member for Mid Bedfordshire (Blake Stephenson) on securing this vital debate. I am also grateful to other hon. Members for making excellent contributions this afternoon. We know that the NHS faces pressures all over the country, with rural communities experiencing unique health and wellbeing challenges shaped by geography, demography, infrastructure and access to services. Our 10-year health plan is a commitment to rewire our NHS, with the three shifts to improve access to healthcare for everyone—no matter where you live or how much you earn. Those three shifts—from hospital to community, sickness to prevention and analogue to digital—will support neighbourhood and community health services in getting the investment they need, and will greatly expand and improve access to digital services, bringing healthcare closer to everyone’s home. The hon. Member focused quite a lot of his speech on our emerging neighbourhood health strategy. I will provide some further detail in response to some of his points. He highlighted the important differences between urban and rural. We recognise that neighbourhood services will need to look different across rural and urban areas to best meet the needs of each community. That is why their delivery will be locally led, with local systems determining how neighbourhood health is designed for their area. That work will start in the areas of greatest need, including rural towns and villages. The hon. Member and others also asked about the definition of neighbourhoods in rural areas. First, neighbourhoods are natural communities that are recognisable by local residents. Secondly, neighbourhoods will typically have a population of around 50,000 people, but coherent geography is more important for defining neighbourhoods than population size. Thirdly, the geography of the neighbourhood will be determined locally by integrated care boards in partnership with their strategic partners, particularly local authorities. The hon. Member also asked how rural areas will benefit from neighbourhood health. Neighbourhood health provides the unifying framework that will bring together what is already under way across primary care, community services, urgent care, prevention, digital, estates and population health more broadly. The neighbourhood health service will make it easier for people to access care closer to where they live, including in neighbourhood health centres. Delivery will be locally led, with systems determining how neighbourhood health is designed to meet local population need. That will factor in how services may need to look different across rural and urban areas. The neighbourhood health service will also move us towards a fully digitally enabled health service. We are striving for digital services to improve access, experiences and outcomes for the widest range of people based on their preferences, as any digital healthcare benefit will be limited if people remain digitally excluded. We are working closely with the Department for Science, Innovation and Technology on the issues raised around improving access to broadband. To deliver neighbourhood health services, the 10-year health plan introduces two new contracts, including one to create multi-neighbourhood providers covering populations of around 250,000 people. That will unlock the advantages and efficiencies possible from greater-scale working across all GP practices and small neighbourhood providers within the footprint. We will start in the areas of greatest need where healthy life expectancy is lowest, which includes rural towns. By targeting places where healthy life expectancy is lowest, we will deliver healthcare closer to home for those who need it most. Neighbourhood health plans will also be drawn up by local government, the NHS and its partners. The integrated care board will bring those together into a population health improvement plan for its footprint and will use that to inform commissioning decisions. The medium-term planning framework, covering 2026-27 to 2028-29, sets out proposals for the further use of advice and guidance, asking systems to ensure all referrals go through a single point of access. That delivers a robust approach to triage so that patients are cared for closer to home, and there are fewer out-patient appointments in secondary care. That framework will also require a significant reduction in the number of clinically unnecessary follow-ups. Turning to general practice, which came up a lot in the debate, we absolutely recognise the challenges facing rural communities in accessing GP services. We are expanding capacity across England, including to the areas that need it most. We are investing over £480 million extra into GP services this year, including investment in the primary care workforce, ensuring places like Mid Bedfordshire get the resources and GPs that they need. Since October 2024, we have invested £160 million into the additional roles reimbursement scheme, which has supported the recruitment of over 2,000 GPs—smashing our manifesto pledge of 1,000 additional GPs. Furthermore, the introduction of a practice-level GP reimbursement scheme, worth £292 million, will enable practices to hire additional GPs or fund extra sessions with existing GPs. We are also seeing the results of those broad efforts. I am absolutely delighted that patient satisfaction has risen by over 15% since July 2024, from 60% to 75%, and an additional 6.8 million GP appointments have been delivered compared with the same period last year. We know that patients are struggling to access NHS dentistry services, particularly in rural areas. To address that, we are reforming the dental contract to match resources to need and to improve access. As a first step, our 2026 reforms are focused on improving the dental contract to deliver the right care to the right people, including those in rural areas, while incentivising NHS dentists to provide more NHS care, with additional urgent appointments and new pathways for patients with complex needs. We are also continuing to recruit dentists under the golden hello scheme, which offers dentists £20,000 to work in underserved areas. Urgent and emergency care is also a challenge for rural areas. We are ensuring that the country gets the care it needs, when it needs it. We launched our urgent and emergency care plan for 2025-26, supported by a substantial £450 million of capital investment. That will enable the upgrade of hundreds of ambulances and the expansion of urgent and emergency care capacity, reducing A&E wait times and getting more ambulances back on the road, more quickly. Rural adult social care services are really important. Local authorities are responsible for shaping their care markets to meet the diverse needs of local people. However, the Government are also committed to ensuring adult social care funding reflects the costs that different communities face, which is why we have updated the formula used to distribute funding for adult social care to local authorities to include a remoteness adjustment. That means that the funding distribution better reflects the cost of providing care in different parts of the country. To give the local picture in the constituency of the hon. Member for Mid Bedfordshire, between 2025-26 and 2028-29, central Bedfordshire is set to see its notional allocation for adult social care services increase by £11.3 million, which is more than a 7% cash increase above budgeted adult social care spend. I want to say a quick word on finance. To support remote or sparsely populated areas, the ICB target allocations formula includes an emergency ambulance cost adjustment to reflect longer travel times in sparsely populated areas; a travel time adjustment to the community services formula to reflect the additional time it takes patients to travel between appointments in sparsely populated areas; and an adjustment to support hospitals with 24-hour A&E services that are remote from the wider hospital network and have unavoidably higher costs. Those adjustments help to support rural communities in accessing the health services that they need. I hope that I have managed to touch on some of the issues raised. It is a wide-ranging topic because rural healthcare, by definition, requires many different services. We absolutely recognise the challenges, and we recognise that we still have a mountain to climb before we can get our NHS back on its feet and fit for the future. We believe that through the three shifts—from hospital to community, treatment to prevention and analogue to digital—and the strategies that we are pushing through on workforce, digital, better support for general practice, and neighbourhood health, we can get our NHS back on its feet and fit for the future. Once again, I thank all hon. Members present and I congratulate the hon. Member for Mid Bedfordshire on securing this debate.

• 24 Feb 2026 · Access to NHS Dental Services · Hansard source

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  I am very sorry to hear about the plight of my hon. Friend’s constituent, and I would be more than happy to look into the specifics of her case. The sad reality is that after 14 years of Tory neglect and incompetence, we have ended up with a two-tier dentistry system. This Government are determined to ensure that high-quality NHS dentistry is available to everyone who needs it. The 2026 reforms that I announced on 16 December will help patients who have complex needs by creating a new care pathway, backed by tariffs for dentists of between £250 and £700, which could save patients up to £225 in fees. Our 2026 measures, combined with long-term contract reform, will indeed enable timely, high-quality treatment that is within financial reach.

• 24 Feb 2026 · Access to NHS Dental Services · Hansard source

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  Our manifesto commitment was about improving access to urgent dental care, and that is precisely what we have done by commissioning hundreds of thousands of additional urgent treatments. It became clear as we were working through that process that the clinical definition was too narrow and out of step with the common-sense interpretation, so we acted on the advice of the chief dental officer and broadened the definition. From this April, urgent care will be embedded in the contract, and of course we continue to work with the sector on long-term contract reform.

• 24 Feb 2026 · Access to NHS Dental Services · Hansard source

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  As I have just pointed out to the hon. Member for Waveney Valley (Adrian Ramsay), we have broadened the definition, because the clinical definition of “urgent” was simply not in line with the common-sense interpretation. People removing their own teeth in DIY dentistry were not fitting into the classification of “urgent”. We have changed that categorisation. As a result of that, I am pleased to confirm that we have delivered 1.8 million additional appointments and treatments this year compared with the same period last year—April to October 2025. We will continue to work on that basis of embedding urgent care into the contract, as I announced on 16 December, in the 2026 reforms that we are carrying out.

• 24 Feb 2026 · Access to NHS Dental Services · Hansard source

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  We know that dentistry was left in crisis by the Conservatives, but this Government are determined to ensure that everyone can access a dentist when they need one. We have recently broadened access to dental appointments, so that patients who need more serious and ongoing treatment no longer miss out. Between April and October 2025, we delivered 1.8 million more treatments than in the same period before the general election.

• 24 Feb 2026 · Access to NHS Dental Services · Hansard source

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  We come to this Chamber month in, month out for these oral questions but we never hear an apology from those on the Opposition Benches for the mess in which they left NHS dentistry. For the Conservatives, sorry really does seem to be the hardest word. With regard to the hon. Gentleman’s question, we have delivered 1.8 million additional appointments between April and October 2025, compared with the same period before the general election. I would be happy to furnish him with the precise numbers of how many more have been provided in his constituency and his ICB area. He can watch his post box for that information.

• 24 Feb 2026 · Access to NHS Dental Services · Hansard source

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  My hon. Friend is absolutely right. The Conservatives failed our children’s health; tooth decay is the most common reason for hospital admissions for five to nine-year-olds. That is a truly shameful, Dickensian state of affairs. We have provided Derbyshire county council with £82,000 for this year’s supervised toothbrushing programme, with further funding agreed till 2028-29. I am delighted that, of the 42,000 increase in the number of treatments in the Derby and Derbyshire ICB area, 19,000 were for children, and by extending the soft drinks industry levy we will protect kids’ teeth from decay—a policy that is emblematic of the shift from treatment to prevention that is at the heart of our 10-year plan.

• 24 Feb 2026 · Topical Questions · Hansard source

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  I thank the hon. Gentleman for that question, and pay tribute to Vista for the outstanding work it is doing. Improving IT connectivity is a vital part of what we are doing, and the single point of access project is of relevance in that context. I would be more than happy if the hon. Gentleman wrote to me so that we can look at the issue he has raised.

• 24 Feb 2026 · Topical Questions · Hansard source

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  On the subject of GP access, I am delighted that 75% of patients now say it is easy to contact their GP, which is a sizeable increase of 14 percentage points since July 2024—that is a really positive development that I am sure the hon. Lady welcomes. Turning to planning, it is very important that the integrated care board, the council and the developers are joined up together, and we need to ensure that happens. There is also the primary care utilisation and modernisation fund, which the hon. Lady’s constituents may be interested in.

• 24 Feb 2026 · NHS Dental Services: Morecambe and Lunesdale · Hansard source

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  We inherited a broken NHS dental system in which many people were unable to access a dentist when they need one, including in my hon. Friend’s constituency, but we are making real progress, having increased the number of NHS treatments by 1.8 million between April and October 2025 compared with the same period before the general election. As a result of this nationwide increase, I am pleased to report that 89,000 more NHS dental treatments were delivered between April and October last year in the Lancashire and South Cumbria integrated care board area, which of course includes my hon. Friend’s constituency.

• 24 Feb 2026 · NHS Dental Services: Morecambe and Lunesdale · Hansard source

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  I am sorry to hear about the plight of my hon. Friend’s constituent. I will, of course, be more than happy to meet her and look into the specifics of the case. Specialised dental services have a vital role to play in providing dental treatment to vulnerable people in settings such as care homes. In many cases, this is about teamwork and integration, ensuring that primary dental care is working in lockstep with adult social care. There is clearly some room for improvement in some areas. I would be happy to work with her to ensure that this issue gets resolved.

• 24 Feb 2026 · Care in the Community · Hansard source

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  Through our 10-year health plan and the shift from hospital to community, our new neighbourhood health service will benefit millions. It is underpinned by 120 new neighbourhood health centres by 2030, alongside the supercharging of community diagnostic centres, which will deliver faster, more accessible care, with over 100 sites open 12 hours a day, seven days a week. This massive expansion will transform community access for millions of patients, regardless of postcode.

• 24 Feb 2026 · Care in the Community · Hansard source

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  This is a vital issue. Endometriosis is a serious challenge for so many women across our country, and I confirm that it is an integral part of the strategy. I am sure she will be pleased to see the outcome of that strategy as it moves forward.

• 24 Feb 2026 · Care in the Community · Hansard source

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  I am not familiar with the details of that case, but if the hon. Lady writes to me I would be more than happy to take the issue up. These matters are determined by the ICBs and trusts, and the Government are not in the business of micromanaging what is happening out there in the field. We believe that people who are closest to our citizens are the best people to take those decisions, but we do expect the right outcomes. I would be happy to work with the hon. Lady on that basis.

• 10 Feb 2026 · Oak Park Community Clinic · Hansard source

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  I note that the policy lead for this area is the Minister for Secondary Care, my hon. Friend the Member for Bristol South (Karin Smyth). She is unable to be here today and sends her apologies, but I will report back to her and am sure that she will be more than happy to accept the request for a meeting to have further discussions. I congratulate the hon. Member for Havant (Alan Mak) on securing this debate on the provision of diagnostic services in Havant, specifically at Oak Park community clinic. This matter is very important to his constituents, and it resonates more broadly in communities right across our country. Diagnostic services are a critical part of our NHS. They are crucial for helping patients to get peace of mind about their symptoms or clarity on the next stage of their care. Reducing the waiting times for diagnostic tests is critical to achieving both our elective waiting time and cancer waiting time ambitions. Prior to this debate, the Department has received correspondence from GPs working in the hon. Member’s constituency on this very issue. I therefore completely understand his concerns and those of his constituents, and I hope that I can provide a helpful update on the situation and set out the steps being taken to resolve this issue. Until recently, a range of diagnostic services were provided at Oak Park community clinic. Services were delivered in partnership between the NHS Hampshire and Isle of Wight integrated care board and an independent healthcare provider, Practice Plus Group. As the hon. Member has said, Practice Plus Group took the decision, with limited notice, to move equipment for non-obstetric ultrasound, X-ray and echocardiography away from Oak Park community clinic to St Mary’s community hospital in Portsmouth. With regard to the request to meet to discuss the circumstances of the suspension of these services at Oak Park clinic, I will ensure that a request is passed on to my colleague, the Minister for Secondary Care. I can inform the hon. Member that the closure took place because Practice Plus Group took the view that the lease no longer represented value for money. I can fully appreciate the disruption that this is causing in the Havant area for patients who now face longer travel times and inconvenience to receive care. I am aware that the ICB has communicated with all the referring organisations affected and is working to mitigate disruption, including reviewing alternative provision to ensure continuity of diagnostic services for patients in the Havant area. In the meantime, patients can be referred to Practice Plus Group services at the St Mary’s community health campus in Portsmouth for those diagnostic tests. The Queen Alexandra hospital in Cosham is also providing diagnostic services and is of course accessible to many patients across Havant. For some, it is likely that this will be more convenient and should be offered as a location for diagnostic tests. The hon. Member will be aware that the Oak Park community diagnostic centre is also located at the Oak Park community clinic. The non-obstetric ultrasound service at the Oak Park community clinic was, until recently, provided as part of the community diagnostic centre. X-ray and echocardiography, while provided at the same site, are separate from the CDC operations. When the community diagnostic centre was first approved, Portsmouth hospitals university NHS trust commissioned Practice Plus Group to deliver non-obstetric ultrasound activity for the centre. This arrangement would utilise Practice Plus Group’s equipment and rooms, with sonographers employed by the trust delivering the tests. I can today confirm to the hon. Member and to the House that Portsmouth hospitals university NHS trust is preparing to recommence non-obstetric ultrasound at the Oak Park CDC this month. With financial support from NHS England’s national diagnostic programme, the trust has been able to purchase an additional scanner for this site. In the meantime, the Oak Park CDC continues to provide symptomatic mammography, ophthalmology assessment and peripheral neurophysiology assessments at the Oak Park community clinic site. The hon. Member asked about the possibility of temporary pop-up facilities to restore all services at Oak Park. I am informed that the ICB is working closely with Practice Plus Group to resolve this issue, and is looking for a solution to restore X-ray and echocardiography at the Oak Park community clinic for patients. Community provision of diagnostic services, such as those at the Oak Park clinic, are a central plank of our plan to make the NHS fit for the future. We are committed to bringing more diagnostic services into community settings and to making healthcare more accessible to patients who might face barriers to hospital access, including those with mobility issues, caring responsibilities or limited transport options. We have committed, as part of our elective reform plan, to build up to five more CDCs as part of our £600 million capital investment for diagnostics in 2025-26. We are also working to ensure that more CDCs are open 12 hours a day, seven days a week, to deliver more same-day tests and consultations, and an expanded range of tests. Since the Government came into office in July 2024, CDCs have delivered more than 10.9 million tests and scans. CDCs are a vital step in supporting our shift from hospital to community. They provide access to vital tests, scans and checks, closer to home, for patients with busy working lives. We are setting clear diagnostic performance expectations for NHS providers. Our medium-term planning guidance sets out the ambition for improvement in performance against the diagnostic six-week wait constitutional standard, so that, by March 2029, no more than 1% of patients wait more than six weeks from referral for a diagnostic test. We have set the interim milestone that, by March 2027, no more than 20% of patients wait over six weeks. We recognise that significant improvements will be required in the performance of NHS Hampshire and Isle of Wight ICB. Performance is currently at 29.5%, as of November 2025, so there is clearly a long way to go. In 2025-26, NHS Hampshire and Isle of Wight ICB was allocated £49.3 million of capital funding from the constitutional standards recovery fund announced by the Chancellor at the spending review, with the aim of supporting NHS performance across secondary and emergency care, including by supporting new capacity and productivity improvements in diagnostic services. It is part of over £6 billion of additional capital investment over five years across new diagnostic, elective and urgent care capacity, to deliver the improvements to the NHS that patients need and deserve, so that the NHS is there for them when they need it. I thank the hon. Member for securing this important debate. Question put and agreed to.

• 5 Feb 2026 · NHS Dentists · Hansard source

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  I congratulate the hon. Member for North Down (Alex Easton) on securing this important debate. I thank him for his work to raise awareness of the challenges facing dental patients in his constituency and across the United Kingdom. It is vital that we work together, across the four nations of the United Kingdom, to tackle the long-standing problems that adults and children have been facing in accessing an NHS dentist when they need one. I also thank other hon. Members and hon. Friends for their powerful contributions to the debate. I know that access to dentistry is a matter of continuing concern for Members and their constituents. The concerns Members have raised support the many testimonies I have heard directly from patients, dentists, members of the wider dental team, and their representatives. In July 2024, we inherited a dental system in crisis. That is evident in the adult oral health survey of 2023, which provides the first picture of adult oral health in England for more than a decade, and shows poor oral health in adults. Among adults with their own teeth, over two fifths—41%—showed evidence of obvious decay, 93% had some form of gum disease, and 19% had one or more potentially urgent dental conditions. This Government are determined to fix that. Our 10-year health plan confirms our commitment to transforming NHS dentistry so that it is fit for future generations. We have established a platform for future success by reducing the NHS dentistry underspend from £392 million in 2023-24 to just £36 million. The decrease in underspend is leading to an increase in NHS dentistry, but I absolutely accept that there is still a long way to go. Over the past 18 months, the Government have made great strides in improving NHS dentistry, not just for patients but for the dental workforce delivering oral care to our nation. My immediate priority when taking up this ministerial post was to ensure that people who need an urgent dental appointment are prioritised and able to access the care that they need quickly. It is essential that we direct care towards those who need it most. We all have a duty to reduce health inequalities, which are sorely felt in NHS dentistry. That is why, since last April, we have been making extra urgent dental appointments available to ensure that patients with urgent dental needs can get the treatment they require. Those extra appointments are available across the country, and are more heavily weighted towards the areas in which they are needed most. We are also incentivising high street dentists to offer further appointments in order to maximise availability for those in need of urgent care. We recognise that access to NHS dental services remains a challenge in certain parts of the country. In addition to our urgent appointments, integrated care boards are recruiting dentists through the dental recruitment incentive scheme—known as the “golden hello” scheme. That initiative offers a financial incentive to encourage dentists to work in underserved areas for a minimum commitment of three years. This Government have heard dentists’ concerns that they do not think the current dental contract is fit for purpose. Talks are under way, including with the British Dental Association, to scope our plans for potential changes. We remain open-minded and keen to consider how different payment models could best improve the delivery of care to dental patients. In reforming the dental contract, we want to focus on matching resources to need, improving access, promoting prevention and rewarding dentists fairly. We also want to enable the whole dental team to work to the top of their capabilities. But reforming the dental contract is a significant challenge, and there are no quick fixes or easy answers. That is why in our 10-year health plan, we committed to fundamental reform of the dental contract by the end of this Parliament, with significant steps in 2026-27. Talks are under way with the British Dental Association, and we are making progress on these matters. In addition to delivering fundamental contract reform over the longer term, we have already made significant progress through our 2026 reforms. We held a public consultation last summer on changes to the current NHS dental contract to address the pressing issues that dentists and dental teams said they were experiencing. The Government’s response, published in December, took account of the views of the dental sector as well as people with lived experience. Our reforms will utilise the existing dental contract to deliver the right care to the right people, while incentivising dentists to provide more NHS care. By prioritising patients with the greatest needs and making more efficient use of dentists’ time, the changes will ensure that the NHS dentistry budget delivers value for money for the taxpayer. From 1 April, we will start to implement the reforms. For the first time, we are introducing provisions in the dental contract to embed urgent dental care appointments, making it easier for patients to access this care. We are increasing payments to dentists to deliver that care from £42 on average to £75 for that unit of dental activity. We are providing new treatment pathways for patients with complex treatment needs, paid at a set fee of around £250 or £700 depending on the pathway, while enabling and encouraging dentists to deliver more preventive care. These reforms will make full use of the existing dental contract, to ensure that patients receive the right care at the right time, while creating clear incentives for dentists to provide more NHS care. As I say, they will kick in from 1 April. England has more than 38,000 registered dentists, of whom 10,700 are full-time equivalent general dentists delivering NHS care. As we take forward our reform programme to rebuild NHS dentistry, we are clear that strengthening the workforce is key to achieving our ambitions. This Government are committed to publishing a 10-year workforce plan to set out actions to create a workforce that is ready to deliver the transformed service set out in our overall 10-year health plan. We are taking steps to increase the capacity of our dental workforce. As announced in our 10-year health plan, we will make it a requirement for newly qualified dentists to practise in the NHS for a minimum period. We intend that minimum period to be at least three years. That will mean more NHS dentists, more NHS appointments and better oral health.

• 5 Feb 2026 · NHS Dentists · Hansard source

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  I congratulate the University of East Anglia on its accreditation through the GDC as a dental school. That is a huge step in the right direction, and we strongly support it. The next step is that the Office for Students has to allocate places. The Government have not funded any new dental school places since 2007. I am fighting hard for those dental places to be made available. We are quite close, I hope, to being able to share some positive steps on that. The OfS makes the decisions about allocating the places, but it does take advice from Ministers. My counterpart in the Department for Education and I will be sending a letter to the OfS, with some advice on how it should make decisions about where dental places should be made available, and the fact that UEA has a new dental school is an important factor in those considerations. I welcome the General Dental Council’s recent announcement confirming the appointment of a new provider for the overseas registration exam—the ORE. The new arrangements are set to more than double the annual number of dentists able to join the register via that route, and it represents a significant step forward in addressing workforce shortages and NHS patient access. I met the General Dental Council at the end of last year to discuss its comprehensive plan to address the current ORE waiting list, and to urge it to get that waiting list sorted, because frankly the backlogs were not acceptable. We are looking at an increase in the supply of overseas qualified dentists joining the GDC register. I expect the measures to be taken by the GDC to deliver substantial improvements to the international registration processes, enabling increased numbers of overseas qualified dentists to join the register more swiftly and efficiently. We know that prevention is better than cure. Alongside urgently needed reforms to treat existing poor oral health, I am committed to improving oral health in this country, not just for children, but the wider population too. Water fluoridation is an effective public health intervention for reducing the prevalence of tooth decay and improving oral health inequalities. Under this Government, we will see much needed expansion of water fluoridation in the north-east of England, with further feasibility studies for other parts of the country. We are already investing in integrated care boards to support supervised toothbrushing for three-to-five-year-old children, and our innovative partnership with Colgate-Palmolive will support up to 600,000 children to develop good oral health habits for life. We are working with all sectors of the food industry to make further progress on reducing levels of sugar in the everyday food and drink that people buy. This is to ensure that it is easier for people to make healthier choices. Oral cancer and periodontal diseases are directly caused by tobacco. Dental teams and local stop-smoking services can work collaboratively in a variety of ways. We have already made important progress, but I accept that there is still a lot more to do and a long way to go. We are determined to ensure that everyone who needs an NHS dentist can secure one. Delivering that ambition will take time, and it is vital that we put in place solutions that work for both patients and the dental professionals who care for them. Question put and agreed to.

• 21 Jan 2026 · Dementia Support: Hampshire · Hansard source

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  I really appreciate serving under your chairship, Ms Lewell—I think it is one of the first times I have done so. I thank the hon. Member for Eastleigh (Liz Jarvis) for securing this debate; I know that dementia support in Hampshire is a cause that is close to her heart. It is also very close to my heart—sadly, I lost my mother to Alzheimer’s in December 2023—and I know exactly what the hon. Lady means when she talks about what a tough time it is for everybody concerned. I also thank her for her huge efforts to raise awareness of the condition, and for her active participation in the all-party parliamentary group on dementia. Although the hon. Lady has brought to the table the subject of dementia support in Hampshire, I hope she will appreciate that I will cast the net somewhat wider in my response, because it is important to see services in Hampshire in the broader context. Almost 1 million people across the UK are living with dementia. Every one of those people, as well as their friends, families and carers, have their own unique and important story of living with dementia. Even those united by geography will have vastly different experiences. Our goal is to make sure that those experiences differ because we are all fundamentally different people with different thoughts, feelings and backgrounds, and not because of unequal access to diagnoses, health services or support. As I am sure everyone present will agree, it is vital that every person with dementia receives high-quality, compassionate care from diagnosis through to the end of life. The first step in delivering great care and support for those living with dementia is ensuring that they are able to get a diagnosis. The Alzheimer’s Society’s recent survey on lived experience told us that 96% of people affected by dementia reported a benefit to getting a diagnosis. It is, therefore, our duty to ensure that as many people as possible can access that benefit. We know that a diagnosis is the gateway to better care, support and potential treatments, and the least we can do is help those living with dementia, and their friends, families and carers, to step through that gateway. That is why we are committed to increasing diagnosis rates to the national ambition of two-thirds of those with dementia receiving a diagnosis. During the pandemic, we sadly dropped to lows of 61%. At the end of November 2025, the overall estimated dementia diagnosis rate for patients aged 65 and over was 66.5%, while the estimated dementia diagnosis rate for Hampshire was 64%. That is, of course, an overall increase from March 2020, due to sustained recovery efforts. But even when they are armed with a diagnosis, many people have found that there is varying and unequal access to support. We know that our health system has struggled to support those with complex needs, including those living with dementia. People have braved incredibly difficult circumstances and faced hard, emotionally overwhelming conversations to get their diagnoses, and we cannot abandon them afterwards. That is why, under the 10-year plan, we will make sure that those living with dementia will benefit from improved care planning and better services. By 2027, 95% of those with complex needs will have an agreed care plan. We have also committed to delivering the first ever modern service framework for frailty and dementia. This will help to deliver rapid and significant improvements in the quality of care and in productivity, and will be informed by phase 1 of the independent commission on adult social care led by Baroness Louise Casey, which is expected this year. The framework will seek to reduce unwarranted variation and to narrow inequality for those living with dementia. It will set national standards for dementia care and redirect NHS priorities to provide the best possible care and support. We are committed to a well-supported adult social care workforce who are recognised as the professionals they are. The Department is supporting the professionalisation of the adult social care workforce through our recently expanded care workforce pathway, which provides a framework for progression and development opportunities so that people can build their skills and careers in care. We launched a public consultation on the design of the fair pay agreement process—a major step towards implementing it in 2028. The consultation looked at how the process should operate, including who will be part of the negotiations and how the agreement will be implemented. The consultation closed on 16 January 2026. The regulations to establish the negotiating body and to bring together employer and employee representatives are expected to be laid this year. We expect negotiations on pay, terms and conditions and other matters such as training and career progression to be held in 2027. Once the body has reached an agreement on how the funding should be spent, the fair pay agreement will be implemented in 2028. The Government are backing that with a £500 million investment. The 10-year health plan sets out how we will work towards a neighbourhood health service, with more care delivered locally to create healthier communities, spot problems sooner and integrate health into the social fabric of places. This is crucial for those living with dementia. Adult social care is part of our vision for a neighbourhood health service that shifts care from hospitals to communities, with more personalised, proactive and joined-up health and care services that help people to stay independent for as long as possible. Social care professionals will be a vital part of neighbourhood teams, working alongside the NHS to help people to stay independent for longer and playing an enhanced role in rehabilitation and recovery. Over time, the neighbourhood health service and the national care service will work hand in hand to help people to stay well and live independently. I know it is disappointing that the National Institute for Health and Care Excellence has been unable to recommend the two new disease-modifying treatments for Alzheimer’s—lecanemab and donanemab—in the final draft guidance, but it is right that such decisions are evidence based and taken independently. NICE is a world-renowned health technology assessment body, and I remain confident in its methods and processes for ensuring that any new medicines recommended for use on the NHS provide the most health benefit at a cost-effective price to the taxpayer. As announced in the life sciences sector plan, we are taking a number of measures to reduce friction and to optimise access to and uptake of new medicines. The measures will boost the speed of decisions and cut administrative burdens for the system and for industry. NICE and NHS England are doing the work to plan for the adoption of any new licensed and NICE-recommended treatments. Research is crucial to support people living with dementia and their carers. The Government are investing in dementia research across all areas, from causes, diagnosis and prevention to treatment, care and support. The National Institute for Health and Care Research, which is funded by the Department of Health and Social Care, funds and supports impactful research. For example, NIHR infrastructure investment has supported the groundbreaking DROP-AD trial, which has shown that Alzheimer’s disease biomarkers can be detected using finger-prick blood samples. That is a really exciting development that brings us closer to accurate and timely diagnoses of dementia. Research cannot take place without the incredible people who volunteer to be part of it. Through the NIHR, my Department works closely with charity partners in the delivery of joint dementia research. People with and without a diagnosis of dementia can use an online platform to sign up to take part in vital dementia research. I encourage everybody and anybody who might be watching this debate to register with the service, to help to shape the future for people living with dementia. We will continue to invest in dementia research in Hampshire and across the UK. We recognise the vital role of unpaid carers and are fully committing to ensuring that they have the support they need. I chair a cross-Government ministerial group with the Department for Business and Trade, the Department for Education and the Department for Work and Pensions, all at the ministerial level. Through the measures in the 10-year health plan, we are equipping and supporting carers by making them more visible, empowering their voices in care planning, joining up services and streamlining their caring tasks by introducing a new “My Carer” section in the NHS app. To support unpaid carers, on 7 April 2025 the Government increased the carer’s allowance weekly earnings limit from £151 to £196 a week—the equivalent of 16 hours at the national living wage. This was the largest cash increase since the carer’s allowance was introduced in 1976. As a result, more than 60,000 additional people will be able to receive carer’s allowance between 2025-26 and 2029-30. We are reviewing the implementation of carer’s leave and considering the benefits of introducing paid leave for carers. On 19 November 2025, we published the terms of reference for the review of employment rights for unpaid carers, and in 2026 we will run a public consultation on employment support for unpaid carers. To help local authorities to fulfil their duties, including to unpaid carers, we are making around £4.6 billion of additional funding available for adult social care in 2028-29, compared with 2025-26. I again thank the hon. Member for Eastleigh for bring forward such an important topic for discussion. Whether on research, the workforce or unpaid carers, we recognise that there is a tremendous amount to do. We have two work streams, one of which is the Casey commission, which will look at how we fundamentally rewire how we do care in our country, and the other is what the Government are doing immediately. We are not sitting on our hands and waiting for the Casey review; we are taking forward the measures that I have, I hope, outlined with sufficient clarity. I absolutely recognise that there is a huge way to go. We have a mountain to climb on this. We are not going to fix our national health service unless we fix our care service; it is a deeply integrated ecosystem and we have to get both sides of it right. The 10-year plan and our plans for a neighbourhood health service are all about moving from fragmentation to integration, and that is the way we have to go if we are to get our health and care systems back on their feet and fit for the future. It has been a real pleasure to respond to the hon. Member for Eastleigh. I hope I have reassured her that dementia is a priority for this Government, and that we are going to do all that we can to ensure that those living with dementia, and their loved ones and carers, are supported and cared for. Question put and agreed to.

• 13 Jan 2026 · Topical Questions · Hansard source

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  We have the £102 million primary care estate fund, which can help with refurbishments and improving the functionality of primary care, particularly GP surgeries. If the hon. Member writes to me about the specifics of that case, I am sure that the relevant officials can give her the answer she needs.

• 13 Jan 2026 · Topical Questions · Hansard source

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  I have a huge amount of respect for the hon. Gentleman, but I have to say that I am a little taken aback to be told about the lack of progress when the Conservatives had 14 years to sort out NHS dentistry. Nevertheless, we are engaging intensively with the BDA. The interim reforms, which kick in from April, will make a big difference, as I have said, but we are looking to put the long-term reforms in place from 2027 onwards. We want this situation to be rectified by the end of this Parliament, not to have a new contract by the end of this Parliament.

• 13 Jan 2026 · Topical Questions · Hansard source

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  My hon. Friend and I have discussed this matter. I hope that her issues in accessing the commission, which I know has made contact with her, have been resolved. The commission is, of course, an independent body, but I am in no doubt at all that parliamentarians will hold it to account through the mechanisms at their disposal—the Select Committee, for example. The Government are not sitting on our hands; we are delivering the fair pay agreement, we have delivered the biggest uplift to unpaid carers since 1976, and we are pursuing a range of other measures to get our adult social care system fixed and fit for purpose.

• 13 Jan 2026 · Topical Questions · Hansard source

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  I thank the hon. Lady for that question. I am not familiar with the details, of course, so might she write to me with the clear details? I am sure that officials will then take the matter up as a matter of urgency.

• 13 Jan 2026 · Topical Questions · Hansard source

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  I am a little bit surprised; I think that that technology does exist. I have visited a couple of GP practices where the online booking system gives the patient the option to specify the doctor that she or he would like to see. I would be happy to connect my hon. Friend with relevant officials in the Department, so that they can connect with the GP surgery to resolve that issue.

• 13 Jan 2026 · Topical Questions · Hansard source

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  We are recruiting 8,500 more mental health workers by the end of this Parliament. The Mental Health Act 2025 reforms will ensure that people with a learning disability, autistic people and people with the most severe mental health conditions have greater choice and control over their treatment and receive the dignity and respect they deserve.

• 13 Jan 2026 · Topical Questions · Hansard source

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  We are committed to delivering 250 centres by 2035, with a progressive roll-out over this Parliament. Early sites are focused on areas of greatest need, with consideration of factors including deprivation and access. Integrated care systems are in the process of planning the best holistic local configuration of a neighbourhood service. I would be very happy to meet my hon. Friend to discuss the potential for a neighbourhood health centre for Long Stratton.