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Rare Diseases: Children

Asked by Mr Gregory CampbellDemocratic Unionist PartyDepartment of Health and Social CareTabled Answered 23 March 2026UIN 119830

The question

To ask the Secretary of State for Health and Social Care, how many children were born with rare diseases as identified by the National Congenital Anomaly and Rare Disease Registration Service in each of the last ten years.

Answered by Mrs Sharon Hodgson

The National Congenital Condition and Rare Disease Registration Service (NCARDRS), part of the National Disease Registration Service (NDRS), was established in 2015 and collects data on individuals with congenital and rare conditions in England. There are over 7,000 known rare diseases, many of which present after birth rather than at delivery, and for this reason the NDRS does not produce an annual count of ‘children born with rare diseases’.

The NDRS does publish official statistics on the birth prevalence of congenital conditions for England, the vast majority of which are rare diseases, with further information available at the following link:

https://digital.nhs.uk/data-and-information/publications/statistical/ncardrs-congenital-anomaly-statistics-annual-data/ncardrs-congenital-condition-statistics-report-2022

The following table shows NDRS reported national data for England on the number of children born with rare diseases as identified by the NCARDRS for the past five years, covering births between 2018 to 2022:

Year

Number of live births with at least one congenital condition

Live birth prevalence of at least one congenital condition per 10,000 live births

2022

10,856

188.1 [95% CI 184.6-191.7]

2021

10,119

169.2 [95% CI 165.9-172.5]

2020

9,763

166.3 [95% 163.0 -169.6]

2019

9,770

159.5 [156.3-162.7]

2018

9,836

157.2 [154.1-160.3]



Although the reported live birth prevalence of congenital conditions appears to increase over time, this pattern is most likely due to continued improvements in national dataflows, case ascertainment, and completeness as the NCARDRS matures, rather than a genuine rise in the underlying prevalence of these conditions.

The NDRS also publishes prevalence estimates for certain rare conditions where data completeness permits, with further information available at the following link:

https://digital.nhs.uk/ndrs/data/data-outputs/rare-condition-registration-statistics

We are continuing to expand and standardise national rare disease registration in England through the introduction of the national Rare Disease Data Set, which is available at the following link:

https://digital.nhs.uk/ndrs/data/data-sets/rdds

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