The Government requires that the care and support provided within all supported living settings meets the highest standards. The Supported Housing (Regulatory Oversight) Act 2023 was enacted to ensure that all providers deliver safe, good quality support in good quality accommodation. The 2023 act will introduce a licensing regime for all supported housing in England. Providers will need to apply for a licence for their supported living schemes in each local authority, pass a fit and proper person test, and meet several other conditions, including complying with the National Supported Housing Standards and standards on staff and safeguarding. The Government will consult on draft regulations later this year.

More broadly, the Care Quality Commission (CQC) is assessing how local authorities in England are meeting the full range of their duties under Part 1 of the Care Act 2014. This includes assessment on safeguarding under theme 3 of the local authority assessment framework, as well as market capacity and timeliness of service provision, including supported living services, under the Care provision, integration and continuity Quality Statement. Further information on theme 3 of the local authority assessment framework and the Care provision, integration and continuity Quality Statement is available, respectively, at the following two links:

https://www.cqc.org.uk/guidance-regulation/local-authorities/assessment-framework/theme3

https://www.cqc.org.uk/guidance-regulation/local-authorities/assessment-framework/theme2/care-provision

The GP Contract does not mandate the use of Advice and Guidance (A&G) in all circumstances. Instead, as per the Medium-Term Planning Framework published in October 2025, providers are expected to prioritise A&G prior to or in place of a planned care referral for at least ten specialties, selected locally for greatest overall benefit and to shape delivery of elective pathways. General practice should be involved in discussions to decide on which ten specialties are the most appropriate. This does not take away a GP’s right to refer, which remains a matter of clinical judgement. This reflects longstanding planned‑care referral practice and does not alter existing legal or professional accountability frameworks for GPs.

A&G is designed to support quicker, clearer clinical decision making, by enabling GPs and specialists to discuss and agree the most appropriate next steps for a patient, including those with or suspected to have endometriosis. Where the outcome of advice is for care management in the community, we expect patients to be seen more quickly, closer to home, benefiting from earlier specialist input. In these cases, the GP may still subsequently refer their patient at any point if they have concerns.

The Renewed Women’s Health Strategy commits to speeding up diagnosis and access to treatment for women with endometriosis. The strategy announces a new programme to improve education for girls about their menstrual health, investing an additional £1 million to support targeted work in schools and community settings to support girls’ knowledge about menstrual health and when to seek healthcare. This is an important factor to delays in diagnosis and treatment for endometriosis.

The contractual change made on 1 October 2025 required general practices to keep their existing online systems open during core hours, allowing patients to contact the practice online between 8am and 6.30pm. Telephone and in-person routes continue to operate as before. As non-digital routes remain available, a separate assessment of the impact on digitally excluded patients was not required.

It is not a standard practice to write to citizens where services remain unchanged.

National Health Service organisations must ensure all patients have equitable access to care, and that decisions or policies do not unfairly disadvantage people or lead to an increase in inequalities. All NHS organisations are legally obliged not to discriminate. Although digital first services are encouraged for those who choose to use them, a non‑digital solution must be available for patients who cannot or do not wish to engage digitally. The GP contract is clear that telephone and face to face access must remain in place, and online tools can only be provided in addition to not instead of other routes.

These requirements apply across all NHS services. We recognise that not all patients can or want to use online services. To ensure that patients are not digitally excluded, the GP Contract is clear that patients should always have the option of telephoning or visiting their practice in person, and all online tools must always be provided in addition to, rather than as a replacement for, other channels for accessing a GP. We have also committed to work with digital transformation teams in integrated care boards (ICBs) and with groups at risk of digital exclusion to ensure digital solutions are inclusive.

Based on the data currently available, the time between booking and attending a GP appointment has remained stable following the introduction of the 1 October 2025 contractual requirement for online consultation systems to operate throughout core hours.

Data for October to December 2024 and the corresponding period in 2025 show only marginal variation. 37.9% to 46% of appointments were booked on the same day in 2024 compared with 38.7% to 46% in 2025, and 74.9% to 82.7% were seen within two weeks in 2024 compared with 75% to 82.8% in 2025. This is consistent with the fact that many practices were already operating their systems in this way prior to the contractual change. Access to general practice has continued to improve. In December 2025, 88.8% of appointments not usually booked in advance were seen within 14 days, the highest proportion in 2025. Nationally, patient satisfaction with GP access has also improved, rising from 61% in July 2024 to 75.2% in December 2025.

The contractual change made on 1 October 2025 required general practices to keep their existing online systems open during core hours, allowing patients to contact the practice online between 8am and 6.30pm. Telephone and in-person routes continue to operate as before. As non-digital routes remain available, a separate assessment of the impact on digitally excluded patients was not required.

It is not a standard practice to write to citizens where services remain unchanged.

National Health Service organisations must ensure all patients have equitable access to care, and that decisions or policies do not unfairly disadvantage people or lead to an increase in inequalities. All NHS organisations are legally obliged not to discriminate. Although digital first services are encouraged for those who choose to use them, a non‑digital solution must be available for patients who cannot or do not wish to engage digitally. The GP contract is clear that telephone and face to face access must remain in place, and online tools can only be provided in addition to not instead of other routes.

These requirements apply across all NHS services. We recognise that not all patients can or want to use online services. To ensure that patients are not digitally excluded, the GP Contract is clear that patients should always have the option of telephoning or visiting their practice in person, and all online tools must always be provided in addition to, rather than as a replacement for, other channels for accessing a GP. We have also committed to work with digital transformation teams in integrated care boards (ICBs) and with groups at risk of digital exclusion to ensure digital solutions are inclusive.

Based on the data currently available, the time between booking and attending a GP appointment has remained stable following the introduction of the 1 October 2025 contractual requirement for online consultation systems to operate throughout core hours.

Data for October to December 2024 and the corresponding period in 2025 show only marginal variation. 37.9% to 46% of appointments were booked on the same day in 2024 compared with 38.7% to 46% in 2025, and 74.9% to 82.7% were seen within two weeks in 2024 compared with 75% to 82.8% in 2025. This is consistent with the fact that many practices were already operating their systems in this way prior to the contractual change. Access to general practice has continued to improve. In December 2025, 88.8% of appointments not usually booked in advance were seen within 14 days, the highest proportion in 2025. Nationally, patient satisfaction with GP access has also improved, rising from 61% in July 2024 to 75.2% in December 2025.

The contractual change made on 1 October 2025 required general practices to keep their existing online systems open during core hours, allowing patients to contact the practice online between 8am and 6.30pm. Telephone and in-person routes continue to operate as before. As non-digital routes remain available, a separate assessment of the impact on digitally excluded patients was not required.

It is not a standard practice to write to citizens where services remain unchanged.

National Health Service organisations must ensure all patients have equitable access to care, and that decisions or policies do not unfairly disadvantage people or lead to an increase in inequalities. All NHS organisations are legally obliged not to discriminate. Although digital first services are encouraged for those who choose to use them, a non‑digital solution must be available for patients who cannot or do not wish to engage digitally. The GP contract is clear that telephone and face to face access must remain in place, and online tools can only be provided in addition to not instead of other routes.

These requirements apply across all NHS services. We recognise that not all patients can or want to use online services. To ensure that patients are not digitally excluded, the GP Contract is clear that patients should always have the option of telephoning or visiting their practice in person, and all online tools must always be provided in addition to, rather than as a replacement for, other channels for accessing a GP. We have also committed to work with digital transformation teams in integrated care boards (ICBs) and with groups at risk of digital exclusion to ensure digital solutions are inclusive.

Based on the data currently available, the time between booking and attending a GP appointment has remained stable following the introduction of the 1 October 2025 contractual requirement for online consultation systems to operate throughout core hours.

Data for October to December 2024 and the corresponding period in 2025 show only marginal variation. 37.9% to 46% of appointments were booked on the same day in 2024 compared with 38.7% to 46% in 2025, and 74.9% to 82.7% were seen within two weeks in 2024 compared with 75% to 82.8% in 2025. This is consistent with the fact that many practices were already operating their systems in this way prior to the contractual change. Access to general practice has continued to improve. In December 2025, 88.8% of appointments not usually booked in advance were seen within 14 days, the highest proportion in 2025. Nationally, patient satisfaction with GP access has also improved, rising from 61% in July 2024 to 75.2% in December 2025.

General practices (GPs) have been required to offer and promote an online consultation tool to their registered patients since 2021.

The change introduced in October 2025 regarding online access will mean explicitly requiring that all modes of contacting the practice are available at least during core hours, from 08:00 to 18:30. This means parity for walk-in, phone, and online access. This requirement builds on policies that have been in place for several years to encourage the shift to modern GPs. Practices that consistently use online access have reported improvements in services for both patients and staff, support timely access to care, and enhance productivity for patients.

The National Health Service provided extensive support to practices in the lead up to the introduction of these requirements and continues to do so. This includes reaching out to any practices that are struggling to help them to prepare, including providing guidance, webinars, case studies, and bringing in GP practitioners and practice staff who are experts in service redesign and improvement in GPs.

NHS England has provided a total of £71 million in funding for practices to procure high-quality online consultation, messaging, and appointment booking tools. An additional £88 million over 2023/24 and 2024/25 was provided for transition cover and transformation support for practices to implement these new systems.

We are also investing an additional £1.1 billion in GPs to reinforce the front door of the NHS, bringing total spend on the GP Contract to £13.4 billion in 2025/26, this is the biggest cash increase in over a decade.

The percentage of patients who said that it was easy to contact their GP increased from 61% in August 2024, to 74% in October 2025 according to the Office for National Statistics Health Insight Survey.

The Department and NHS England published guidance in 2023 for assessing requests for Previously Unassessed Periods of Care (PUPoC). This guidance sets out how integrated care boards (ICBs) should approach and address PUPoC assessment requests. The guidance is available at the following link:

https://www.gov.uk/government/publications/continuing-healthcare-previously-unassessed-periods-of-care/dealing-with-requests-for-assessments-of-previously-unassessed-periods-of-care-from-1-april-2012

The guidance states that ICBs should set their own reasonable and proportionate timeframes for responding to requests. It provides best practice examples for how ICBs should complete PUPoC requests, based on the timeframe for the unassessed period of care and the completion of the required application and consent forms.

NHS England publishes quarterly statistics relating to the activity of NHS Continuing Healthcare and National Health Service-funded Nursing Care which includes PUPoC data, reporting on the number of cases agreed eligible, both total and per 50,000. This is available at the following link:

https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-chc-fnc/

People over the age of 18 years old come under the Mental Capacity Act (MCA) 2005, which has the statutory principle that an individual must be assumed to have capacity unless it is established otherwise. All practicable steps must be taken to help any individual above 18 years old to make a decision by themselves, and if unsuccessful, then all decisions made on their behalf must be in their best interests.

On 18 October 2025, my Rt Hon. Friend, the Secretary of State for Health and Social Care announced the intention to launch a public consultation on the Liberty Protection Safeguards (LPS) in the first half of 2026. The consultation will cover a revised Code of Practice and will incorporate changes in case law, legislation, and good practice in application of the MCA.

The LPS, as introduced by the Mental Capacity (Amendment) Act 2019, aims to deliver greater involvement of families and professionals in providing care to vulnerable people in circumstances that amount to a deprivation of liberty.

The responsibility for commissioning primary care services, including National Health Service dentistry, to meet the needs of the local population has been delegated to the integrated care boards (ICBs) across England. For the Chichester constituency, this is the NHS Sussex ICB.

We have asked ICBs to commission extra urgent dental appointments to make sure that patients with urgent dental needs can get the treatment they require. ICBs have been making extra appointments available from 1 April 2025. The NHS Sussex ICB is expected to deliver 26,546 additional urgent dental appointments as part of the scheme.

ICBs are recruiting posts through the Golden Hello scheme. This recruitment incentive will see dentists receiving payments of £20,000 to work in those areas that need them most for three years.

We are committed to reforming the dental contract, with a focus on matching resources to need, improving access, promoting prevention, and rewarding dentists fairly, while enabling the whole dental team to work to the top of their capability. The Government is committed to achieving fundamental contract reform before the end of this Parliament.

We recently held a full public consultation on a package of changes to improve access to, and the quality of, NHS dentistry, which will deliver better care for the diverse oral health needs of people across England. The consultation closed on 19 August. The Government is considering the outcomes of the consultation and will publish a response in due course.

We know that some patients may struggle or prefer not to use digital options. We are committed to ensuring that patients who are digitally excluded can retain telephone and in-person routes to book general practice (GP) appointments, by mandating that GPs must maintain these traditional access methods, alongside digital options. The move to digital-first access is designed to free up phone lines for those who want and need them, not replace them.

I have asked my officials to work with partners including NHS England to review how National Health Service Continuing Healthcare (CHC) is being implemented and explore how this could be improved.

The Department continues to work with our partners to deliver CHC policy effectively and to ensure that people who are eligible receive it in a timely manner. Integrated care boards, who are responsible for the implementation of CHC with oversight from NHS England, must continue to have regard to our statutory guidance, the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care. This is available at the following link:

https://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-care

In July 2024, the Chancellor of the Exchequer announced that the planned adult social care charging reforms, which were inherited from the previous government, would not be taken forward in October 2025.

The means test thresholds for support with adult social care costs are reviewed annually. The rates for the next financial year will be published via a Local Authority Circular in due course.

The Government is committed to reforming the adult social care sector. We have launched an independent commission into adult social care as part of our critical first steps towards delivering a National Care Service. The Terms of Reference are sufficiently broad to enable Baroness Casey to independently consider how to build a social care system fit for the future, including considering the affordability of care costs if she sees fit.

The Government has recognised that, nationally, the demand for assessments for autism has grown significantly in recent years and that people are experiencing severe delays for accessing such assessments. The Government’s 10-Year Health Plan will make the National Health Service fit for the future, and it recognises the need for early intervention and support, without the need for diagnosis.

It is the responsibility of integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including provision of autism services, in line with relevant National Institute for Health and Care Excellence guidelines.

On 5 April 2023, NHS England published a national framework and operational guidance to help ICBs and the NHS to deliver improved outcomes for children, young people, and adults referred to an autism assessment service. The guidance also sets out what support should be available before an assessment and what support should follow a recent diagnosis of autism, based on the available evidence. Since publication, NHS England has been supporting systems and services to identify where there are challenges for implementation and how they might overcome these.

The Department understands that the general practice (GP) partners at Emsworth Medical Practice have arrived at the decision to propose the closure of the Westbourne Branch Surgery and that the proposed date of closure is 27 June 2025.

There are no plans to review the decision by NHS Hampshire and Isle of Wight Integrated Care Board to close Westbourne Surgery. There is a high bar set out in guidance for intervention by my Rt. Hon. friend, the Secretary of State for Health and Social Care, in contested reconfiguration cases, who would expect all avenues of local resolution to be exhausted before a call-in request is made.

Responsibility for the delivery, implementation, and funding decisions for services ultimately rests with the appropriate National Health Service commissioner, in this case, NHS Hampshire and Isle of Wight Integrated Care Board (ICB), rather than the Department. The closure of a GP surgery is an issue that is considered and decided upon by local commissioners following an application from a GP provider.

Local health and care organisations are best placed to make decisions on commissioning services for their communities, working with local authorities, stakeholders, and local populations to meet people’s needs.

When a practice does close, patients will be informed of the closure and advised to register at another local practice of their choice within their area. Commissioners must put in place appropriate measures to ensure that the affected patients have access to GP services.

The curricula for postgraduate medical specialty training are set by individual royal colleges and faculties. The General Medical Council approves curricula and assessment systems for each training programme. Curricula emphasise the skills and approaches that a doctor must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients. The Royal College of General Practitioners (RCGP) sets the curriculum that all general practitioners (GPs) must cover before they are able to pass the examination to become a member of the RCGP and to work independently as a GP.

Obstetrics and gynaecology are not mandatory specialties in a GP programme, and there are no mandatory jobs in GP specialty training. GP training is a balanced programme which allows the trainee to meet the outcomes of the curriculum. Women's health, including sexual and reproductive health, is a significant element of the General Practice and Community Placement elements of GP specialty training and of the curriculum.

To date, no Help Us Help You national advertising campaign activity has promoted the use of online consultation request forms in general practice.

To date, no Help Us Help You national advertising campaign activity has promoted the use of online consultation request forms in general practice.

To date, no Help Us Help You national advertising campaign activity has promoted the use of online consultation request forms in general practice.

To date, no Help Us Help You national advertising activity has promoted the use of online consultation request forms in general practice.