The following table sets out the revenue spend categories for the specified services commissioned by NHS England and clinical commissioning groups, now integrated care boards, using audited figures between 2015/16 to 2024/25:

Notes:

1. delegated specialised commissioning has been included within the specialised commissioning line as well as directly commissioned spec comm to remain consistent with previous years; and
2. prescribing and delegated pharmacy/ophthalmology/primary and secondary dental all sit within the ‘other’ category.

Information for 2025/26 is unvalidated and not quality assured. In-year data is not routinely reported on with the breakdown of spend used for this answer and would be subject to material change between plan and outturn as a result.

75% of NHS England commissioned social services are within the community services line.

As independent businesses that hold contracts with the National Health Service, practices determine the staffing skill mix to best suit the patients they serve. GP services are commissioned and assured by integrated care boards to meet the needs of changing populations and demographics.

Total full-time equivalent GPs in Castle Point constituency have increased in the past five years, from 31.37 in May 2022 to 41.58 in May 2026.

The information is not held in the format requested, and can only be obtained at disproportionate cost.

Data is not held on the exact median waiting time to diagnosis for suspected sarcoma from general practice referral. Data is published on the time from referral to diagnosis for suspected sarcoma, by time bands, at the following link:

https://www.england.nhs.uk/statistics/statistical-work-areas/cancer-waiting-times/monthly-data-and-summaries/

The following table shows the number of suspected sarcoma diagnoses, or cancer being ruled out, sorted by time band, in May 2026 for England:

The following table shows general practice (GP) appointment data for the Tunbridge Wells constituency:

We are working to expand capacity in GPs which will help deliver more appointments to patients. Changes to the 2025/26 GP Contract removed restrictions so individual primary care networks (PCNs) can hire more GPs, and we have introduced a practice-level GP reimbursement scheme, worth £292 million, which will enable practices to hire additional GPs or fund extra GP sessions with existing GPs. This will improve access, boost capacity, support GP employment, and continue improve patient satisfaction.

In the 2026 GP Patient Survey, 83% of patients in the Tunbridge Wells PCN reported a good overall experience of their GP, compared to 77% nationally. This is an increase from 79% in the 2025 survey.

We are working to deliver 250 neighbourhood health centres by 2035. The first 120 centres, expected by 2030, will be delivered through the NHS Neighbourhood Rebuild Programme using a mix of public investment and a new model of public–private partnerships.

We are currently assessing Neighbourhood Health Centre proposals submitted by integrated care boards (ICBs). We received proposals from all regions, and all those submitted by the 28 May 2026 deadline are being assessed. We will notify ICBs of the outcomes over the coming weeks and months.

ICBs hold the relevant information on Neighbourhood Health Centre proposal submissions and we encourage MPs to continue to engage with their local ICBs as they develop their Neighbourhood Health Centre schemes.

Tunbridge Wells had 5.1 full time equivalent doctors in general practice (GP) per 10,000 patients in March 2026, the most recent comparable month for which data is available. This compares with 5.2 in March 2021.

Each practice is required to provide services to meet the reasonable needs of their patients. The demands each patient places on their practice 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.

No threshold exists for the ratio of GPs to patients above which additional GP provision is required. As independent contractors to the National Health Service, it is down to practices to determine the staffing and skills mix they recruit.

We are taking steps to boost capacity in GPs and support practices and primary care networks (PCNs) to recruit more GPs. Since October 2024, we have funded PCNs with an additional £160 million to recruit recently qualified GPs through the Additional Roles Reimbursement Scheme. Over 2,200 individual GPs are currently in post as a result of the scheme, preventing them graduating into unemployment and increasing clinical capacity. This was a measure to respond to feedback from the profession and to help solve an immediate issue of GP unemployment.

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.

NHS England publishes the number of posts and fill rates for medical specialty training programmes, including general practice training. Data for 2013 to 2025 is available at the following link:

https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/fill-rates

The GP Contract requires all practices to enable patients to telephone or visit their practice in person to make appointments. Online tools must always be provided in addition to, rather than as a replacement for, other channels for accessing a general practitioner, and practice receptions should be open so that patients without access to telephone or online services are in no way disadvantaged.

To support patients who depend on telephone bookings, recent contractual changes require all general practices to offer online booking throughout core hours, from 8:00am to 6:30pm. This is designed to ease pressure on phone lines by allowing those who prefer online booking to do so at any time, freeing up phone lines, reducing long phone queues, and improving the experience for those reliant on telephone bookings.

The 2026/27 GP Contract makes clear that requests identified by practices as clinically urgent should be responded to on the same day. This builds on NHS England’s Medium Term Planning Framework, which set an expectation that urgent appointments should be delivered on the same day so that patients with urgent needs are prioritised.

We recognise that practices will need the right capacity and flexibility to deliver this. That is why we are investing an additional £601 million in general practices (GPs) in 2026/27, bringing total spend on the GP Contract to approximately £14 billion. This builds on the £1.1 billion increase in 2025/26, the largest uplift in over a decade. Since October 2024 we have recruited 2,000 more GPs. We now have the highest number of GPs by headcount since 2015. The 2026/27 contract also introduces a practice-level GP reimbursement scheme, backed by £292 million of ringfenced funding, to help practices recruit more GPs or expand sessions.

This will support practices to manage demand, improve access for patients, strengthen GP employment, and continue to improve patient satisfaction.

Same-day appointment levels have remained broadly steady. In May 2026, 44.9% of appointments were booked and attended on the same day, up 0.3% from April 2026 and 0.7% from May 2025. This represents approximately 13 million appointments taking place on the day of booking.

We recognise the pressure that housing developments can place upon local health infrastructure. These impacts can be particularly acute for general practice, which is often the first point of contact for people seeking healthcare.

Integrated care boards are responsible for planning and commissioning services to meet the reasonable needs of people in the locality. The National Health Service has a statutory duty to ensure there are sufficient medical services, including general practices, in each local area. It should take account of population growth and demographic changes.

At a national level, we continue to work closely with the Ministry of Housing, Communities and Local Government to ensure all new and existing developments have an adequate level of healthcare infrastructure for the community. Local planning authorities are responsible for negotiating and agreeing developer contributions to support necessary associated infrastructure when new housing developments are built, including general practices and primary care provision.

The GP Contract’s changes for 2026/27 are underpinned by regulations, which have been laid before Parliament in the usual way, alongside an explanatory memorandum. There is currently no intention of pausing the implementation of the changes being made to Advice and Guidance (A&G) in 2026/27.

The 2026/27 GP Contract embeds the previous A&G enhanced service funding into core practice funding. Following near universal uptake of the Advice and Guidance Enhanced Service in 2025/26, the focus for 2026/27 is on stability and simplicity. Embedding the specialist advice model within the core contract recognises its role in routine clinical practice, removes annual signups, and provides more predictable funding while supporting consistent patient pathways.

The contract does not change the clinical threshold for referral to specialist care. General practitioners (GPs) should continue to make a clinical decision to refer for specialist care where that is in the patient’s best interests, and to request specialist advice where it is needed. GPs retain responsibility for referral decisions, and this model supports, and does not replace, clinical judgement. This reflects longstanding planned care referral practice and does not alter existing legal or professional accountability frameworks for GPs.

NHS England has not produced guidance specifically for general practices on the covert recording of consultations. NHS England has published guidance on the use of mobile devices by patients in hospitals, which signposts to the British Medical Association guidance on managing covert recordings. Both of these guidance documents are available, respectively, at the following two links:

https://digital.nhs.uk/data-and-information/information-governance/guidance/use-of-mobile-devices-by-patients-in-hospitals#guidance-for-health-and-care-professionals

https://www.bma.org.uk/advice-and-support/ethics/confidentiality-and-health-records/patients-recording-consultations

There is also advice available from the Medical Defence Union and from local medical committees to assist general practices in developing policies for their own practices.

The following table shows full time equivalent (FTE) doctors in general practice in Widnes and Halewood constituency in the period between March 2020 and March 2026:

Source: NHS England

Notes:

1. Data does not include estimates for practices that did not provide fully valid staff records.

2. Data does not include general practitioners (GPs) employed directly by primary care networks (PCNs) as PCNs may operate across constituency boundaries.

3. FTE refers to the proportion of full time contracted hours that the post holder is contracted to work. 1 would indicate they work a full set of hours (37.5), 0.5 that they worked half time.  In GPs in Training Grade contracts 1 FTE = 40 hours and in this table these FTEs have been converted to the standard wMDS measure of 1 FTE = 37.5 hours for consistency.

4. Figures shown do not include staff working in Prisons, Army Bases, Educational Establishments, Specialist Care Centres including Drug Rehabilitation Centres, Walk-In Centres and other alternative settings outside of traditional general practice such as urgent treatment centres and minor injury units.

5. Practices in Widnes and Halewood constituency were identified using the practice postcode and the National Statistics Postcode Lookup.