Missed appointments, recorded as did not attends (DNAs), are collected through General Practice Appointment Data. Nationally, there were 1.27 million DNAs out of 31 million booked appointments, representing 4.1% of all appointments.

In Nottinghamshire, there were approximately 320,000 DNAs from 8.3 million booked appointments, the equivalent to 3.85% of appointments, which is below the national average. In Broxtowe, there were 21,450 DNAs out of 727,000 booked appointments, representing 3% of appointments, lower than both the Nottinghamshire and national rates.

NHS England currently advises that local National Health Service organisations and general practices make their own arrangements for preventing and dealing with missed appointments. Practices already proactively try to reduce rates of missed appointments by sending text message or email reminders, improving their processes for cancelling or rebooking via their online systems, and by providing flexibility in scheduling, for example by allowing last-minute changes from in-person appointments to remote sessions.

The provision of dementia health care services is the responsibility of local integrated care boards (ICBs) and may include creative therapies. We expect ICBs to commission services based on local population needs, taking account of National Institute for Health and Care Excellence guidelines.

We will deliver the first ever Frailty and Dementia Modern Service Framework to deliver rapid and significant improvements in quality of care and productivity. This will be informed by phase one of the independent commission into adult social care, which is expected this year.  The Frailty and Dementia Modern Service Framework will seek to reduce unwarranted variation and narrow inequality for those living with dementia and will set national standards for dementia care and redirect National Health Service priorities to provide the best possible care and support.

The Government is committed to improving dementia care. That is why we have published the D100: Assessment Tool Pathway programme, which brings together multiple resources into a single, consolidated tool to help simplify best practice.

We are working to improve access to National Health Service dentistry, which will also benefit members of the Armed Forces community, including our respected veterans who have spent their careers defending our country.

We are also supporting more than 1,500 children in British military families overseas through our supervised toothbrushing programme.

Free NHS dental care is available to people who meet the following criteria:

• aged under 18 years old, or aged under 19 years old and in full-time education;

• pregnant or have had a baby in the previous 12 months;

• being treated in an NHS hospital and the treatment is carried out by the hospital dentist (patients may have to pay for any dentures or bridges);

• receiving low-income benefits, or aged under 20 years old and a dependant of someone receiving low-income benefits; and

• receiving War Pension Scheme payments, or Armed Forces Compensation Scheme payments and the treatment is for your accepted disability.

From April 2026, we began introducing a package of reforms to address some of the most pressing issues that dentists and dental teams have been experiencing. These reforms will prioritise those with the greatest need, shifting care away from clinically unnecessary check-ups.

We are committed to fundamentally 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.

NHS England has advised that, within the Nottingham and Nottinghamshire, and Lincolnshire clustered Integrated Care Board (ICB) boundary, 65 out of 81 practices, or 81%, in Lincoln are general practice (GP) partnership model practices. 115 out of 126 of practices, or 91%, in Nottingham and Nottinghamshire are GP partnership model practices.

Within the NHS Leicester, Leicestershire and Rutland ICB boundary, 115 out of 126 practices, or 90%, are GP partnership model practices. Within the Northamptonshire ICB boundary, 64 out of 65 practices, or 98%, are GP partnership model practices.

Within the NHS Derby and Derbyshire ICB boundary, 99 out of 109 practices, or 89%, are traditional GP partnerships. The other 10, or 11%, are partner-run, but not in the traditional way. Of these:

- four are managed by Royal Primary Care, Chesterfield;

- four are managed by Derbyshire Community Health Services; and

- two are managed by Derbyshire Healthcare United.

In the Broxtowe constituency, 11 out of 11 practices are GP partnership model practices. The Department does not hold national-level data, however, we expect that a large majority of practices in England operate as traditional GP partnerships.

The data requested is not held centrally. Thanks to actions taken by the Government, we have the highest number of fully qualified general practitioners (GPs) since 2015, and steps are being taken to grow the GP workforce further.

We are investing £485 million in GPs in 2026/27, bringing the total spend on the GP Contract to over £13.8 billion. This builds on the £1.1 billion boost in investment in 2025/26. As part of the 2026/27 GP Contract, we are increasing flexibility of the Additional Roles Reimbursement Scheme (ARRS) by removing the restriction that ARRS funding can only be used for recently qualified GPs, increasing the maximum reimbursement amount for GP roles to reflect experience, and enabling primary care networks to recruit a broader range of ARRS roles, where agreed with the commissioner.

Patient satisfaction is already rising after a decade of decline; in July 2024, only 61% of patients found it easy to access their GP. Currently, it is almost 77%.

Following feedback from the 2026/27 GP Contract consultation, we are introducing a practice-level GP reimbursement scheme which ring-fences and repurposes £292 million of funding from the current Capacity and Access Payment. This funding will be available to practices to hire additional GPs or fund additional sessions with existing GPs to improve access in GPs. This aims to strengthen capacity, access, and improve patient satisfaction, whilst also addressing GP unemployment and underemployment.

In May 2025, we announced schemes which were prioritised by integrated care boards (ICBs) to benefit from the £102 million Primary Care Utilisation and Modernisation Fund (PCUMF). This fund is to deliver upgrades to more than a thousand general practice (GP) surgeries across England this financial year. These schemes will create additional clinical space within existing building footprints to enable practices to see more patients, boost productivity, and improve patient care.

Building on this, the Government has committed £426 million of Utilisation and Modernisation funding over the next four years to continue upgrading the GP estate. This funding will also support refurbishing the existing estate to deliver neighbourhood health centres over this Parliament, as part of the 10-Year Health Plan commitment.

Through the PCUMF, the NHS Nottingham and Nottinghamshire ICB has committed £1.9 million to creating space for 250,000 new appointments for 2025/26. For the Broxtowe constituency this was an allocation of £335,000, which creates space for 52,500 appointments across two schemes in Beeston, and one each in Chilwell and Newthorpe. All clinical rooms are flexible in design so can be used for face-to-face clinical consultations with patients, used by GP Registrars, and/or to increase training capacity.

The Department does not hold East Midlands-level data. The Government has taken steps to grow the GP workforce. We currently have the highest number of fully qualified GPs since 2015, and we want to go further. Following feedback from the 2026/27 GP Contract consultation, we are introducing a practice-level GP reimbursement scheme using £292 million of repurposed funding from the current Capacity and Access Payment. This funding will be available to practices to hire additional GPs or fund additional sessions with existing GPs to improve access in GPs. We are also increasing the flexibility of the Additional Roles Reimbursement Scheme enabling primary care networks to recruit more experienced GPs.

We are also committed to training thousands more GPs. We have expanded GP training places by 250, taking the total number of available places to 4,250 for 2025/26, and we plan to expand this again for 2026/27. Current and future expansions to post-graduate training, including foundation training and GP specialty training, have been planned on the basis of relative need, balanced with ability of locations to support trainees.

There are currently no dental schools in Nottingham, Nottinghamshire, or the East Midlands. Consequently, no dental students have undertaken undergraduate training in Nottingham, Nottinghamshire, or the East Midlands. The following table shows the number of entrants to undergraduate dentistry courses in England from 2012 to 2025:

Source: Office for Students Medical and Dental Students Survey.

Note: data for 2025 is provisional as entrants are based on initial figures and may change.

The Government has an ongoing programme of work to ensure the care profession is recognised and rewarded and to improve domestic recruitment and retention. This includes supporting the professionalisation of the adult social care workforce through the recently expanded Care Workforce Pathway. The pathway provides a framework for progression and development opportunities so people can build their skills and careers in care.

In September 2024, we launched the Adult Social Care Learning and Development Support Scheme, providing funding for eligible care staff to complete courses and qualifications. This includes the new Level 2 Adult Social Care Certificate. The scheme is backed by up to £12 million this financial year.

We are also introducing the first ever Fair Pay Agreement to the adult social care sector so that care professionals are rewarded for the important work that they do. As we work towards a Fair Pay Agreement, the Government will engage all those who draw upon care, as well as those that work to provide care and support. We will also consult local authorities. unions, and others from across the sector.

Under the Care Act 2014, local authorities are tasked with the duty to shape their care markets to meet the diverse needs of all local people. This includes commissioning a diverse range of care and support services that enable people to access quality care.

To ensure high standards of care, local authorities are assessed by the Care Quality Commission (CQC) in how well they are delivering their duties under Part 1 of the Care Act 2014. The CQC has not yet published the assessment report for Broxtowe and Nottinghamshire County Council.

The CQC also helps ensure high-quality social care by inspecting services, setting standards, taking enforcement action, listening to feedback, and providing transparent information of assessments on their website to protect and empower service users.

To enable local authorities to deliver key services, the Government has made available up to £3.7 billion of additional funding for social care authorities in 2025/26.

As of December 2024, the number of full time equivalent doctors in general practice (GP) per 10,000 registered patients was:

- 6.9 in the Broxtowe constituency;

- 6.5 in Nottinghamshire;

- 5.9 in the East Midlands; and

- 5.6 in England.

Data from before September 2015 is not comparable. Each GP is required to provide services to meet the reasonable needs of their patients. There is no NHS England recommendation for how many patients a GP should have assigned, or the ratio of GPs or other practice staff to patients. The demands each patient places on their GP are different and can be affected by many different factors, including rurality and patient demographics. It is necessary to consider the workforce for each practice as a whole, not only GPs but also the range of health professionals available who are able to respond to the needs of their patients.

The following table shows how many National Health Service dentists were employed in 2011/12 and 2023/24 in the Nottingham and Nottinghamshire Integrated Care Board (ICB), which includes the Broxtowe constituency, as well as regional figures for the Midlands:

Notes:

1. we do not hold data on how many NHS dentists are employed at constituency level as well as the East Midlands region; and
2. we have given 2011/12 data as we do not hold data for 2010/11.

The table attached shows the number of general practices which have opened and closed between January 2014 and May 2024 in the Broxtowe constituency, Nottinghamshire, the East Midlands, and England. This is as far back as the data goes, up to the most recently published data.

This analysis only considers head practices and ignores branch practices. If a practice ceases to be a main practice and becomes a branch practice of another, this will count as a “closure” in this data, while in reality general practice provision at the site may well have continued under the new head practice.

Practices close for a variety of reasons, including mergers or retirement, and so this data does not necessarily indicate a reduction in the quality of care. When a practice does close, patients are informed of the closure and advised to register at another local practice of their choice within their area.

There is, at present, no single, established dataset that can be used to monitor waiting times for assessment and diagnosis for attention deficit hyperactivity disorder (ADHD) nationally or for individual organisations or geographies in England.  Although the data requested is not held centrally, relevant information may be held locally by individual National Health Service trusts or commissioners.

We are supportive of a taskforce that NHS England has established to look at ADHD service provision and its impact on patient experience. The taskforce is bringing together expertise from across a broad range of sectors, including the NHS, education and justice, to better understand the challenges affecting people with ADHD including timely access to services and support.

In conjunction with the taskforce, NHS England has carried out detailed work to develop a data improvement plan, understand the provider and commissioning landscape and capture examples from integrated care boards who are trialling innovative ways of delivering ADHD services.

Data on waiting times for dyslexia assessments is not held centrally.

Assessments for dyslexia in children are currently provided by an educational psychologist or an appropriately qualified specialist dyslexia teacher. If a parent thinks their child may be dyslexic, as a first step they should speak to their child’s teacher or their school's special educational needs co-ordinator about their concerns. They may be able to offer additional support to help the child if necessary.

Adults who wish to be assessed for dyslexia are advised to contact a local or national dyslexia association for advice. Further information on dyslexia assessments is available at the following link:

https://www.nhs.uk/conditions/dyslexia/diagnosis/

The Government is committed to patients having the right to choose their provider when referred to consultant-led treatment, or to a mental health professional, for their first appointment as an outpatient. This is a legal right for patients set out in legislation.

Patients, including those in Nottinghamshire, have the right to choose their provider when referred to consultant-led treatment, or to a mental health professional, for their first appointment as an outpatient. Further information on the choices available for patients can be found on the NHS Choice framework, which is available at the following link:

https://www.gov.uk/government/publications/the-nhs-choice-framework

Information on autism assessments is not held centrally in the format requested, but may be held by individual providers or integrated care boards (ICBs). Some relevant information is available on autism assessment waiting times for the NHS Nottingham and Nottinghamshire ICB and the Midlands commissioning region.

In the NHS Nottingham and Nottinghamshire ICB, the Autism Waiting Time Statistics published by NHS England show that there were a total of 6,120 patients of all-ages with an open suspected autism referral in December 2024, the latest available data. The median waiting time of all patients in this ICB with an open suspected autism referral, where their first care contact was in the quarter, was 244 days in December 2024.

In the Midlands commissioning region, the Autism Waiting Time Statistics show that there were a total of 58,445 patients of all-ages with an open suspected autism referral in December 2024. The median waiting time of all patients in the Midlands commissioning region with an open suspected autism referral, where their first care contact was in the quarter, was 352 days in December 2024.

Caution should be used when interpreting these statistics since they are experimental rather than official statistics.

Schools decide whether a pupil has additional needs that warrant them being on the school's Special Educational Needs and Disabilities register. Some relevant information on waiting times for Education, Health and Care Plans (EHCPs) for children with Special Educational Needs and Disabilities is available from the GOV.UK website, from Education, health and care plans: England 2024, with the latest data available being from 2023. In Nottingham,

TARGET DATE 05/03/2025

67.1% of EHCPs, including exceptions, were issued within 20 weeks and in the East Midlands 40.4% of EHCPs, including exceptions, were issued within 20 weeks.

As of 4 February 2025, there are seven National Health Service practices in the Broxtowe constituency. In Nottingham, there are 110 NHS practices. In the East Midlands, there are 466 NHS practices.

This data is sourced from the Find a Dentist website and is matched to constituencies based on the postcode data shown on the website, which is available at the following link:

https://www.nhs.uk/service-search/find-a-dentist

Comparable data is not available for any of the earlier years.

The Dental Statistics - England 2023/24, published by the NHS Business Services Authority on 22 August 2024, is available from the following link:

https://www.nhsbsa.nhs.uk/statistical-collections/dental-england/dental-statistics-england-202324

In the NHS Nottingham and Nottinghamshire Integrated Care Board, which includes Nottinghamshire, 42% of adults were seen by a National Health Service dentist in the previous 24 months to June 2024, compared to 40% in England. In addition, 60% of children were seen by an NHS dentist in the previous 12 months to June 2024, compared to 56% in England.

Within the Midlands region, which includes the East Midlands, 42% of adults were seen by an NHS dentist in the previous 24 months to June 2024, compared to 40% in England. Additionally, 56% of children were seen by an NHS dentist in the previous 12 months to June 2024, compared to 56% in England.

The Government plans to tackle the challenges for patients trying to access NHS dental care with a rescue plan to provide 700,000 more urgent dental appointments and recruit new dentists to areas that need them most.

We know there are challenges with accessing National Health Service dentistry across the country. 28% of adults in England, or 13 million people, are estimated to have an unmet need for NHS dentistry.

The following table shows the number of dentists per 100,000 people in the Nottingham and Nottinghamshire Integrated Care Board (ICB), from 2019/20 to 2023/24:

Source: data is published by the NHS Business Services Authority and is available at the following link: https://www.nhsbsa.nhs.uk/statistical-collections/dental-england/dental-statistics-england-202324