Asked by: Lord Harper (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government how many members will be on the Independent Commission on Adult Social Care, how many have been appointed to date, and what are the names and backgrounds of those appointed.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
Baroness Louise Casey of Blackstock chairs the independent commission into adult social care (the Commission) alongside a dedicated secretariat team. No commissioners have been appointed.
Baroness Casey and the Commission’s secretariat are based in the Cabinet Office. The secretariat has a total of 11 officials, nine are employed by the Department of Health and Social Care, and two by the Cabinet Office. One external individual has been hired as contingent labour to support the work of the Commission’s secretariat. There are a further four officials working in the Commission’s sponsorship function based in the Department of Health and Social Care.
As the Commission is independent, the secretariat may expand as it carries out its work and as Baroness Casey considers what further skills and expertise she needs.
Asked by: Lord Kempsell (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government, with regard to the Terminally Ill Adults (End of Life) Bill, and following the published impact assessment and equality impact assessment, what estimate they have made of the proportion of people who would be eligible for assistance to end their own life who have a history of depression, self-harm or other mental health conditions.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The published Impact Assessment and Equality Impact Assessment provides illustrative figures for aspects of the service where sufficient information and evidence is available and where the level of detail contained in the bill permits.
The Government does not have an estimate of the proportion of people who would be eligible for assistance to end their own life who have a history of mental health conditions.
Further considerations for information regarding Cohort Estimates and Impacts on individuals and specific groups of individuals can be found in section 7 and section 8 of the bill’s impact assessment, a copy of which is attached.
Asked by: Lord Kempsell (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government, for the purposes of the Terminally Ill Adults (End of Life) Bill, what assessment they have made of the adequacy of current adult safeguarding and mental capacity training among GPs, hospital consultants and community nurses.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government remains neutral on the Terminally Ill Adults (End of Life) Bill. The Government has not made an assessment of the current adult safeguarding and mental capacity training among general practitioners, hospital consultations, and/or community nurses in the context of that bill.
The Government’s consideration of the provision and training of a voluntary assisted dying service can be found in section 10 of the bill’s impact assessment, a copy of which is attached.
Asked by: Lee Dillon (Liberal Democrat - Newbury)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking with the South Central Ambulance Service to reduce ambulance wait times for people in Newbury constituency.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government recognises that in recent years ambulance response times have not met the high standards patients should expect.
We are determined to turn things around and have taken serious steps to achieve this. Our Urgent and Emergency Care Plan for 2025/26, backed by almost £450 million of capital investment, commits to reducing ambulance response times for Category 2 incidents to 30 minutes on average this year. The South Central Ambulance Service NHS Foundation Trust (SCAS) has a dedicated Category 2 performance team driving improvements through targeted interventions.
We have already seen improvements in ambulance response times in SCAS, which serves Newbury. The latest NHS performance figures for SCAS show that Category 2 incidents were responded to in 31 minutes 54 seconds on average, over six minutes faster the same month last year.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many people are on ENT waiting lists in England.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
As of October 2025, there are 613,974 incomplete ear, nose, and throat patient pathways. Patient pathways are not equivalent to the number of people on the waiting list, as patients can be waiting for more than one treatment at the same time.
A dashboard that provides monthly data on patient pathways is also available at the following link:
https://data.england.nhs.uk/dashboard/rtt
Asked by: Rupert Lowe (Independent - Great Yarmouth)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether any NHS regional gender hubs have prescribed puberty blockers to patients under 18 since the publication of the Cass Review.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
From 1 April 2024, NHS England adopted a new clinical commissioning policy that prevents the newly established Children and Young People's Gender Services from initiating prescriptions for gonadotrophin releasing hormone analogues for the purpose of puberty suppression.
Asked by: Anneliese Midgley (Labour - Knowsley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what plans his Department has to publish a national strategy for palliative and end of life care.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Government is developing a Palliative Care and End of Life Care Modern Service Framework (MSF) for England.
The MSF will drive improvements in the services that patients and their families receive at the end of life and will enable integrated care boards to address challenges in access, quality, and sustainability through the delivery of high-quality, personalised care. This will be aligned with the ambitions set out in the recently published 10-Year Health Plan.
Further information about the MSF is set out in the Written Ministerial Statement HCWS1087, which I gave on 24 November 2025.
Asked by: Marie Goldman (Liberal Democrat - Chelmsford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that people born with cleft (a) lips and (b) palates have access to appropriate dental care.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
I refer the Hon. Member to the answer I gave to the Hon. Member for Eastleigh on 21 November 2025 to Question 89684.
Asked by: Sarah Gibson (Liberal Democrat - Chippenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the Ockenden report, what recent assessment his Department has made of the adequacy of the progress in delivering the Immediate and Essential Actions; and if he will publish an update on the implementation status of each action within every NHS trust providing maternity care.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The final report of the Ockenden review contained 96 immediate and essential actions (IEAs), some national and some for local implementation. The IEAs contained in the Ockenden review were brought together, alongside other reports and guidance, into NHS England’s three-year delivery plan for maternity and neonatal services. A review of progress against the national actions in April 2025 demonstrated that work has been completed for many actions, but that there have been some challenges, for example in pre-conception care for women with pre-existing medical conditions.
NHS England wrote to all trusts and systems following publication of the review in April 2022, asking them to deliver the recommendations and report to their public boards. The expectation is that local board oversight of progress with implementation should be ongoing. Following discussion, it was agreed that some of the actions should not be universally implemented, for example newly qualified midwives remaining hospital based for one year post-qualifying.
More widely, Baroness Amos is leading a rapid, national, independent investigation into National Health Service maternity and neonatal services to help us to understand the systemic issues behind why so many women, babies, and families experience unacceptable care. My Rt Hon. Friend, the Secretary of State for Health and Social Care, has agreed with Baroness Amos that the investigation will publish its final report and recommendations in the spring of 2026, bringing together the findings of past reviews into one clear national set of recommendations.
The Government is also setting up a National Maternity and Neonatal Taskforce, chaired by My Rt Hon. Friend, the Secretary of State for Health and Social Care. The taskforce will take forward the recommendations of the investigation to develop a new national action plan to drive improvements across maternity and neonatal care.
Asked by: Tanmanjeet Singh Dhesi (Labour - Slough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to reduce inequality in perinatal outcomes.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department recognises that there are stark inequalities for women and babies, and that they should receive the high-quality care they deserve, regardless of their background, location, or ethnicity.
The Government is committed to setting an explicit target to close the maternal mortality gap. We are ensuring that we take an evidence-based approach to determining what targets are set, and that any targets set are women and baby-centred. It is crucial that we also ensure the system is supported to achieve any target set.
Baroness Amos is chairing a national independent Maternity and Neonatal Investigation. The investigation aims to identify the drivers and impact of inequalities faced by women, babies, and families from black and Asian backgrounds, those from deprived groups, and those from other marginalised groups when receiving maternity and neonatal care. The Government is currently establishing a National Maternity and Neonatal Taskforce, to be chaired by my Rt Hon. Friend, the Secretary of State for Health and Social Care, that will then develop a national action plan based on the recommendations of the investigation.
A number of interventions specifically aimed at addressing maternal and neonatal inequalities are now underway. These include an anti-discrimination programme, which aims to ensure that all service users and their families receive care free from discrimination and racism, and that all staff will experience a work environment free from discrimination and racism. We are also developing an inequalities dashboard and projects on removing racial bias from clinical education and embedding genetic risk equity.
Additionally, all local areas have published equity and equality action plans to tackle inequalities for women and babies from ethnic minorities and those living in the most deprived areas.
We are also putting in place wider actions to improve safety across maternity and neonatal care, which will also contribute to reducing inequalities. This includes the implementation of the Saving Babies Lives Care Bundle, a package of evidence-based interventions to support staff to reduce stillbirth, neonatal brain injury, neonatal death, and pre-term births. It includes guidance on managing multiple pregnancies to ensure optimal care for the woman and baby. NHS England is also introducing a Maternal Mortality Care Bundle to set clear standards across all services, and to address the leading causes of maternal mortality. Women from black and Asian backgrounds are more at risk of specific clinical conditions that are the leading causes of death. This bundle will target these conditions, and we expect a decline in deaths and harm.