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To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 4 September (HL2165), at what administrative level data on Accessible Information Standard compliance in pharmacies is collected; which local bodies, including Integrated Care Boards and NHS trusts, hold records on compliance; and whether the Department of...
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 4 September (HL2165), at what administrative level data on Accessible Information Standard compliance in pharmacies is collected; which local bodies, including Integrated Care Boards and NHS trusts, hold records on compliance; and whether the Department of...
Data on compliance with the Accessible Information Standard is held locally by healthcare providers, whilst responsibility for monitoring compliance rests with the commissioner of the service such as integrated care boards and NHS England.
The Department does not currently hold these records centrally and has no immediate plans to request them for a national evaluation.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 28 August (HL2592), what steps they will take to identify deaths of individuals with a learning disability which are not correctly flagged on primary care records; and whether they will be included in future early mortality statistics.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 28 August (HL2592), what steps they will take to identify deaths of individuals with a learning disability which are not correctly flagged on primary care records; and whether they will be included in future early mortality statistics.
I refer the Noble Lord to the answer provided on 28 August in response to Question HL2592, in which I set out that we will share next steps in due course regarding the new patient level data set.
In the meantime, work is ongoing to improve identification of people with a learning disability within General Practice (GP) Learning Disability Registers. New guidance was published on 1 September to support the development and maintenance of those registers, enabling patients to access support and services, and improve data on learning disability.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 28 August (HL2592), what assessment they have made of the reliability of mortality data for individuals with learning disabilities in the light of reports by Mencap that around three-quarters of people with a learning disability are not...
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 28 August (HL2592), what assessment they have made of the reliability of mortality data for individuals with learning disabilities in the light of reports by Mencap that around three-quarters of people with a learning disability are not...
I refer the Noble Lord to the answer provided on 28 August in response to Question HL2592, in which I set out that we will share next steps in due course regarding the new patient level data set.
In the meantime, work is ongoing to improve identification of people with a learning disability within General Practice (GP) Learning Disability Registers. New guidance was published on 1 September to support the development and maintenance of those registers, enabling patients to access support and services, and improve data on learning disability.
To ask His Majesty's Government whether NHS England provided formal prior approval for the exit package in excess of £100,000 identified in Grant Thornton’s audit findings report for NHS Kent and Medway Integrated Care Board; and if approval was not granted, what steps are being taken to address this failure...
To ask His Majesty's Government whether NHS England provided formal prior approval for the exit package in excess of £100,000 identified in Grant Thornton’s audit findings report for NHS Kent and Medway Integrated Care Board; and if approval was not granted, what steps are being taken to address this failure...
To ask His Majesty's Government what justification was provided for NHS Kent and Medway Integrated Care Board continuing to pay the former Chief Executive between his departure on 14 October 2025 and 31 March 2026.
To ask His Majesty's Government what justification was provided for NHS Kent and Medway Integrated Care Board continuing to pay the former Chief Executive between his departure on 14 October 2025 and 31 March 2026.
To ask His Majesty's Government whether the departure of the former Chief Executive of NHS Kent and Medway Integrated Care Board was categorised as a compulsory redundancy; and if so, whether a full business case was made and if so when and by whom.
To ask His Majesty's Government whether the departure of the former Chief Executive of NHS Kent and Medway Integrated Care Board was categorised as a compulsory redundancy; and if so, whether a full business case was made and if so when and by whom.
To ask His Majesty's Government what representations they have made, or plan to make, to the Ambassador of Türkiye to the United Kingdom regarding the arrest of at least 162 individuals, police raids on six LGBTQ+ associations across 15 provinces, and the blocking of access to affiliated social media accounts...
To ask His Majesty's Government what representations they have made, or plan to make, to the Ambassador of Türkiye to the United Kingdom regarding the arrest of at least 162 individuals, police raids on six LGBTQ+ associations across 15 provinces, and the blocking of access to affiliated social media accounts...
To ask His Majesty's Government what assessment they have made of the human rights situation and civil liberties in Türkiye following police operations conducted under the "Decade of Family and Population" scheme on LGBT individuals and organisations; and what diplomatic steps they are taking alongside international partners to support human...
To ask His Majesty's Government what assessment they have made of the human rights situation and civil liberties in Türkiye following police operations conducted under the "Decade of Family and Population" scheme on LGBT individuals and organisations; and what diplomatic steps they are taking alongside international partners to support human...
To ask His Majesty's Government how many of the 10 published NHS federated data platform case studies were drafted, contributed to, or reviewed prior to publication, by Palantir Technologies, its subsidiaries, or associated contractors, rather than authored solely by the featured NHS Trust or integrated care board.
To ask His Majesty's Government how many of the 10 published NHS federated data platform case studies were drafted, contributed to, or reviewed prior to publication, by Palantir Technologies, its subsidiaries, or associated contractors, rather than authored solely by the featured NHS Trust or integrated care board.
To ask His Majesty's Government how many of the 10 published NHS federated data platform case studies were drafted, contributed to, or reviewed prior to publication, by NHS England officials or external communications contractors acting on their behalf, rather than authored solely by the featured NHS Trust or integrated care...
To ask His Majesty's Government how many of the 10 published NHS federated data platform case studies were drafted, contributed to, or reviewed prior to publication, by NHS England officials or external communications contractors acting on their behalf, rather than authored solely by the featured NHS Trust or integrated care...
My Lords, regardless of whether the two services merge, evidence shows that people who are providing the service for people with learning disabilities lack knowledge and training. What specific requirements will be in the new contract and service to ensure that staff are fully aware of the requirements of people with learning disabilities and are trained to meet individual needs?
My Lords, regardless of whether the two services merge, evidence shows that people who are providing the service for people with learning disabilities lack knowledge and training. What specific requirements will be in the new contract and service to ensure that staff are fully aware of the requirements of people with learning disabilities and are trained to meet individual needs?
The noble Lord raises a very important point. I think there are two different questions. The careers advisers will continue to be careers advisers, who are appropriately qualified, and they will work closely with work coaches. The DWP has a range of support and learning for our staff to make sure they understand the range of customers and disabilities, including learning disabilities. I am quite confident that the relationship between the two will address those points, but I will look specifically at this and make sure we embed it in the guidance and training.
To ask His Majesty's Government how much (1) NHS England, and (2) the Department of Health and Social Care, have spent on external bodies, including management consultants and advisory firms, to support or provide advice on the current NHS reorganisation and structural changes in the (a) 2024–25 financial year, (b)...
To ask His Majesty's Government how much (1) NHS England, and (2) the Department of Health and Social Care, have spent on external bodies, including management consultants and advisory firms, to support or provide advice on the current NHS reorganisation and structural changes in the (a) 2024–25 financial year, (b)...
The Department publishes details of its annual expenditure on external consultants on a regular basis in the Department’s annual report and accounts.
In the 2024/25 annual report, published in December 2025, the Department disclosed that it had spent a total of £2.0 million on external consultancy in that financial year, compared to £3.9 million in 2023-24. Figures for 2025/26 and 2026/27 will be published in the normal way in due course in the relevant annual reports.
To ask His Majesty's Government who is responsible for approving the operating model changes which the Frontline Productivity Programme's senior responsible owner has said fall outside their powers; and by what date they expect those changes to be approved.
To ask His Majesty's Government who is responsible for approving the operating model changes which the Frontline Productivity Programme's senior responsible owner has said fall outside their powers; and by what date they expect those changes to be approved.
To ask His Majesty's Government what plans they have to establish an integrated benefits framework for the Frontline Productivity Programme, given the latest gateway review's finding that no such framework currently exists to demonstrate delivery of the productivity benefits set out in its approved business case.
To ask His Majesty's Government what plans they have to establish an integrated benefits framework for the Frontline Productivity Programme, given the latest gateway review's finding that no such framework currently exists to demonstrate delivery of the productivity benefits set out in its approved business case.
To ask His Majesty's Government what assessment they have made of the effect of the 50 per cent cut to integrated care board running costs and the wider restructuring of NHS England on regional capacity to deliver the Frontline Productivity Programme; and what additional support they intend to provide to regions...
To ask His Majesty's Government what assessment they have made of the effect of the 50 per cent cut to integrated care board running costs and the wider restructuring of NHS England on regional capacity to deliver the Frontline Productivity Programme; and what additional support they intend to provide to regions...
My Lords, while the Minister talks about reduced agency spending, which is welcome, total temporary workforce costs remain largely unchanged, seemingly displacing into bank premiums, overtime and other insourcing. Will the Minister commit to publishing the total combined costs of flexible staffing,
so that Parliament can judge whether taxpayers’ money is actually being saved or merely reshuffled within budget lines?
My Lords, while the Minister talks about reduced agency spending, which is welcome, total temporary workforce costs remain largely unchanged, seemingly displacing into bank premiums, overtime and other insourcing. Will the Minister commit to publishing the total combined costs of flexible staffing,
so that Parliament can judge whether taxpayers’ money is actually being saved or merely reshuffled within budget lines?
I will certainly take away the points that the noble Lord raised, but I do not recognise his description of reshuffling, not least because the requirements on local health providers to reduce agency expenditure are quite clear. They have to report against them and drive further reductions. Those moneys are directed into front-line care. After all, that is what we all want to see.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 4 September (HL2266), what specific regulatory mechanisms or market-concentration limitation rules will be established to NHS acute trusts and private corporate bodies through Multi-Neighbourhood Provider contracts.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 4 September (HL2266), what specific regulatory mechanisms or market-concentration limitation rules will be established to NHS acute trusts and private corporate bodies through Multi-Neighbourhood Provider contracts.
To ask His Majesty's Government what safeguards will be implemented to prevent the Multi-Neighbourhood Provider model resulting in provider dominance by large NHS trusts and corporate bodies.
To ask His Majesty's Government what safeguards will be implemented to prevent the Multi-Neighbourhood Provider model resulting in provider dominance by large NHS trusts and corporate bodies.
The Government is committed to expanding integrated neighbourhood services through better use of existing resources, alongside reform of how services are commissioned and delivered.
The proposed Single Neighbourhood Provider (SNP) and Multi-Neighbourhood Provider (MNP) contracts are designed to support more joined-up, person-centred care by bringing together services that are often commissioned and delivered separately, helping providers to work towards shared outcomes for local populations.
It is proposed that the SNP contract would enable locally determined neighbourhood services and funding to be brought together within a single contractual framework, while the MNP contract would support coordination and integration across multiple neighbourhoods, reducing fragmentation and improving consistency of care.
These proposals are not based on a requirement for new national funding. Rather, they aim to make better use of existing resources by aligning incentives, strengthening accountability for outcomes, supporting the shift of care from hospitals into communities, and enabling providers to work more collaboratively around the needs of people and populations.
These proposals are also currently subject to consultation, which makes clear that MNPs would be expected to work closely with single neighbourhood providers, general practices, community health services, local authorities, civil society organisations, and wider public services to support the delivery of neighbourhood health services.
The Government will continue to engage widely with providers, commissioners, local authorities, and other stakeholders as it considers responses to the consultation, develops any final proposals, and makes decisions on their implementation.
To ask His Majesty's Government how they intend to ensure that the proposed Single Neighbourhood Provider and Multi-Neighbourhood Provider contracts deliver the required expansion in integrated services when no new national funding is to be provided.
To ask His Majesty's Government how they intend to ensure that the proposed Single Neighbourhood Provider and Multi-Neighbourhood Provider contracts deliver the required expansion in integrated services when no new national funding is to be provided.
The Government is committed to expanding integrated neighbourhood services through better use of existing resources, alongside reform of how services are commissioned and delivered.
The proposed Single Neighbourhood Provider (SNP) and Multi-Neighbourhood Provider (MNP) contracts are designed to support more joined-up, person-centred care by bringing together services that are often commissioned and delivered separately, helping providers to work towards shared outcomes for local populations.
It is proposed that the SNP contract would enable locally determined neighbourhood services and funding to be brought together within a single contractual framework, while the MNP contract would support coordination and integration across multiple neighbourhoods, reducing fragmentation and improving consistency of care.
These proposals are not based on a requirement for new national funding. Rather, they aim to make better use of existing resources by aligning incentives, strengthening accountability for outcomes, supporting the shift of care from hospitals into communities, and enabling providers to work more collaboratively around the needs of people and populations.
These proposals are also currently subject to consultation, which makes clear that MNPs would be expected to work closely with single neighbourhood providers, general practices, community health services, local authorities, civil society organisations, and wider public services to support the delivery of neighbourhood health services.
The Government will continue to engage widely with providers, commissioners, local authorities, and other stakeholders as it considers responses to the consultation, develops any final proposals, and makes decisions on their implementation.
To ask His Majesty's Government how NHS England and Integrated Care Boards monitor compliance with the Accessible Information Standard in (1) community pharmacies, and (2) hospital pharmacies, in particular with regard to provision of easy-read, pictorial, or simplified medication labels for patients with learning disabilities; and what data NHS England...
To ask His Majesty's Government how NHS England and Integrated Care Boards monitor compliance with the Accessible Information Standard in (1) community pharmacies, and (2) hospital pharmacies, in particular with regard to provision of easy-read, pictorial, or simplified medication labels for patients with learning disabilities; and what data NHS England...
The requested data is not centrally held. However, the Government is clear that pharmacies play a crucial role in ensuring NHS-funded services are accessible to all, and as part of that, pharmacy teams are expected to take reasonable steps to meet patients’ communication and information needs, including by providing information in formats they can understand and offering appropriate support to aid their understanding.
In addition, all organisations providing publicly funded National Health Service care, including community and hospital pharmacy services, are responsible for implementing the Accessible Information Standard. NHS England and commissioners, including integrated care boards, must have regard to the standard, and may consider providers' compliance with the standard as part of their oversight of commissioned services.