Asked by: Lord Smith of Finsbury (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 8 December (HL12316), in the most recent period for which figures are available, (1) what proportion of, and (2) how many, invoices for contracts carried out for the NHS in England are not paid and must subsequently be resubmitted.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
This information is not held centrally as NHS England do not collect supplier payment information on behalf of National Health Service trusts.
Asked by: Lord Smith of Finsbury (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government how many invoices submitted to the NHS for services provided by Mildmay Hospital remain unpaid.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
This information is not held centrally as NHS England do not collect supplier payment information on behalf of National Health Service trusts.
Asked by: Lord Taylor of Warwick (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of pressures facing the NHS from a surge in flu cases and staff shortages this winter, in the context of maintaining safe patient care standards.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is clear that patients should expect and receive the highest standard of care throughout the year, including during the busy winter period.
We started earlier and have done more than ever to prepare for winter this year. We continue to monitor the impact of winter pressures on the National Health Service over the winter months, providing additional support to services across the country as needed.
Flu is a recurring pressure that the NHS faces every winter. There is particular risk of severe illness for older people, the very young, pregnant people, and those with certain underlying health conditions. The flu vaccine remains the best form of defense against influenza, particularly for the most vulnerable, and continues to be highly effective at preventing severe disease and hospitalisation.
Decisions about recruitment and resourcing are a matter for individual NHS employers, who manage this at a local level to ensure they have the staff they need to deliver safe and effective care.
Asked by: Lord Taylor of Warwick (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of reports that a third of UK citizens have used AI chatbots for emotional support or social interaction and the implications for safeguarding and mental health policy frameworks.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
No such assessment has been made. We recognise that people are facing unacceptably long waiting times to access mental health support. This is why we are transforming the current mental health system so people can access the right support, at the right time, in the right place.
Building on the 10-Year Health Plan, the NHS Medium Term Planning Framework, published on 24 October 2025, sets targets for integrated care boards in 2026/27 to improve quality and access to mental health services. This includes expanding NHS Talking Therapies and expanding coverage of mental health support teams in schools and colleges.
This builds on the significant progress we’ve made since July 2024 to hire almost 7,000 extra mental health workers. And by spring next year, over 900,000 children and young people will have access to a Mental Health Support team in schools and colleagues.
Asked by: Baroness Hayter of Kentish Town (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what discussions they have had with the General Medical Council about whether patients who ask for a doctor of a preferred sex will be told the biological sex or declared gender of that medical professional.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The General Medical Council (GMC) is the regulator of all medical doctors, physician assistants and physician assistants in anaesthesia, still legally known as anaesthesia associates and physician associates, practising in the United Kingdom. The GMC is independent of Government, directly accountable to Parliament and is responsible for operational matters concerning the discharge of its statutory duties.
The Government has had discussions with the GMC on this issue. The GMC’s Good Medical Practice states that professionals must act with honesty and integrity and ensure their conduct justifies patient’s trust in them and the public’s trust in the profession. They must also recognise a patient’s right to choose whether to accept their advice. It is up to individual healthcare providers, rather than the GMC, to consider patient requests for care based on sex.
Asked by: Baroness Hayter of Kentish Town (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what discussions they have had with the General Medical Council (GMC) about whether doctors are included on GMC registers by gender or biological sex.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The General Medical Council (GMC) is the regulator of all medical doctors, physician assistants and physician assistants in anaesthesia, still legally known as anaesthesia associates and physician associates, practising in the United Kingdom. The GMC is independent of Government, directly accountable to Parliament and is responsible for operational matters concerning the discharge of its statutory duties.
The GMC maintains the official register of registered medical practitioners. Under the Form and Content of the Register Regulations, the GMC records a doctor's gender rather than sex.
The Government has had some discussions with the GMC about this topic. In light of the Supreme Court ruling in the case of For Women Scotland v. The Scottish Ministers regarding the meaning of “sex” in the Equality Act 2010, the GMC is in the process of reviewing its policy position regarding the recording of a doctor’s gender or biological sex on its registers.
Asked by: Lord Scriven (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what is the total number of senior managers at NHS England who have left since 1 March and received a payment in lieu of notice, and what is the total amount of these payments; and how many senior managers received a payment in lieu of annual leave, and what is the total amount of those payments.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
Five executive senior managers at NHS England have left since 1 March 2025 and received a payment in lieu of notice. These payments total £553,252.15. 12 executive senior managers at NHS England have left since 1 March 2025 and received a payment in lieu of annual leave. These payments total £124,015.62.
Asked by: John McDonnell (Labour - Hayes and Harlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what are the findings of the department’s business case on new private finance in the NHS.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
As set out in the 10 Year Infrastructure Strategy (the Strategy) and the 10-Year Health Plan, in addition to significant capital investment, the Government would explore the feasibility of using new Public Private Partnership (PPP) models for taxpayer-funded projects in very limited circumstances, where they could represent value for money. This included the potential use of PPPs to deliver Neighbourhood Health Centres (NHCs).
A business case was developed by the Department and supported by National Infrastructure and Service Transformation Authority (NISTA). The business case was considered by ministers and has resulted in the announcement in the Budget published on 26 November 2025.
The Budget builds on the Strategy and the 10-Year Health Plan by confirming that the NHS Neighbourhood Rebuild Programme will deliver new NHCs through upgrading and repurposing existing buildings and building new facilities through a combination of public sector investment and a new model of PPPs.
This new PPP model is being developed by NISTA, and is supported by the Department, and will ensure private sector expertise is harnessed to deliver these assets on time and on budget.
The new model will build on lessons from the past and other models currently in use, and will draw on lessons learnt, including the National Audit Office’s 2025 report on private finance.
To ensure the NHC PPPs are managed transparently and are fiscally sustainable, these partnerships will be budgeted for as if they are on a balance sheet.
Delivering new NHCs through a combination of public investment and PPPs will also allow, for the first time, for evidence to be built and compared between different delivery models.
Asked by: Steve Witherden (Labour - Montgomeryshire and Glyndwr)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will publish details of his Department new private finance model for building neighbourhood health centres and the business case completed for it.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department and the National Infrastructure and Service Transformation Authority (NISTA) will continue to work with the market to further develop the new Public Private Partnership (PPP) model for neighbourhood health centres (NHCs) with further engagement next year. The final design and development of this new PPP model for NHCs will be led by NISTA and co-designed by the Department.
The Department has no plans to publish the NHC PPP Feasibility Programme Business Case. Publication is not standard practice for business cases outside of the Government Major Projects Portfolio.
Asked by: Ian Lavery (Labour - Blyth and Ashington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of funding neighbourhood health centres through alternative, non-private finance means.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
At the Autumn Budget, we announced our commitment to deliver 250 Neighbourhood Health Centres (NHCs) through the NHS Neighbourhood Rebuild Programme. This will deliver NHCs through a mixture of refurbishments, to expand and improve sites over the next three years, and new-build sites opening in the medium term.
The first 120 NHCs are due to be operational by 2030, delivered through public private partnerships (PPPs) and public capital. 50 NHCs will be completed through the repurposing of the existing estate with public sector funding, and 70 through new builds by 2030. 80% of the new builds will be PPPs, with a further 20% coming from public sector investment.
The Spending Review has seen the Government provide £426 million over four years through the Utilisation and Modernisation Fund, upgrading general practice estates and supporting delivery of 40 to 50 neighbourhood health centres this Parliament through the refurbishment of existing buildings.