Joined House of Lords: 28th January 2021
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Lord Kamall has not introduced any legislation before Parliament
Lord Kamall has not co-sponsored any Bills in the current parliamentary sitting
The Law Officers sit on the Parliamentary Business and Legislation Committee. As part of the process of approving a government Bill for introduction, as set out in the published Guide to Making Legislation, a legal issues memorandum is prepared for this Committee. This will set out all relevant legal issues.
Whether the Law Officers have been asked to provide advice outside of the PBL process is covered by the Law Officers’ Convention. This Convention provides that whether or not the Law Officers have been asked to provide advice, and the contents of any such advice, is not disclosed outside Government.
The Law Officers sit on the Parliamentary Business and Legislation Committee. As part of the process of approving a government Bill for introduction, as set out in the published Guide to Making Legislation, a legal issues memorandum is prepared for this Committee. This will set out all relevant legal issues.
Whether the Law Officers have been asked to provide advice outside of the PBL process is covered by the Law Officers’ Convention. This Convention provides that whether or not the Law Officers have been asked to provide advice, and the contents of any such advice, is not disclosed outside Government.
The information requested falls under the remit of the UK Statistics Authority.
Please see the letter attached from the National Statistician and Chief Executive of the UK Statistics Authority.
The Lord Kamall
House of Lords
London
SW1A 0PW
22 September 2025
Dear Lord Kamall,
As Acting National Statistician, I am responding to your Parliamentary Question asking what steps are being taken to improve the collection and publication of national data on drowning incidents, including demographic information, to inform targeted prevention policies (HL10639).
The Office for National Statistics (ONS) produces mortality statistics using information provided on death certificates. The ONS codes cause of death using the International Cause of Death (ICD-10). The ICD-10 codes for accidental drowning and submersion are W65 to W74.
The ONS publishes statistics on mortality by specific cause each year, in our Deaths
registered summary statistics [1]. Numbers of deaths for 2024 were published on 20 May 2025, and age-standardised mortality rates will be published on 9 October 2025. Table 3 in that publication presents deaths by specific causes, including accidental drowning and submersion, by sex and five-year age bands. Those published 2024 figures by age and sex are summarised with wider age bands in the table below.
The ONS is currently exploring methods to improve the timeliness of our mortality statistics. We launched a consultation earlier this year asking users about the value of reporting death occurrences rather than registrations for suicide statistics [2], and the same questions are being considered for wider mortality outputs too. This includes assessing the accuracy of “nowcasting”: estimating the number of recent death occurrences, by cause, using factors such as the number registered in the past week and trends in registration delays for that cause.
Death certification reform was also implemented in September 2024 [3], which included adding an ethnicity field to the death certificate for the first time in England and Wales. This aims to improve future reporting of deaths by ethnicity and will enable us to produce further demographic breakdowns in future.
Yours sincerely,
Emma Rourke
Table 1: Number of deaths registered by sex, age group and ONS short list of cause of death code, 2024, England and Wales
ICD-10 code | Underlying cause | Sex | All ages | Aged under 1 year | Aged 01 to 19 years | Aged 20 to 64 years | Aged 65 years and above |
W65 to W74 | Accidental drowning and submersion | Males | 213 | 1 | 23 | 129 | 60 |
W65 to W74 | Accidental drowning and submersion | Females | 83 | 1 | 12 | 38 | 32 |
Notes:
1. Figures are for deaths registered rather than deaths occurred. For more information see our Impact of registration delays publication [4].
2. Figures include non-residents.
3. Based on underlying cause of death.
4. The Office for National Statistics (ONS) short list for cause of death is based on a standard tabulation list developed by the ONS, in consultation with the Department of Health (now the Department of Health and Social Care, DHSC). For more information about the codes included, see our User guide to mortality statistics [5].
5. Figures for deaths aged under 1 year exclude deaths under 28 days, which are registered with separate neonatal death certificate from which it is not possible to assign an underlying cause of death. For more information see the childhood mortality section of our User guide to mortality statistics.
[1]https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/datasets/d eathsregisteredsummarystatisticsenglandandwales
[2]https://consultations.ons.gov.uk/external-affairs/user-requirements-for-official-suicide-statistics/
[4]https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/articles/im pactofregistrationdelaysonmortalitystatisticsinenglandandwales/latest
[5]https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/methodolo gies/userguidetomortalitystatisticsjuly2017#ons-short-list-of-cause-of-death
The information requested falls under the remit of the UK Statistics Authority.
Please see the letter attached from the National Statistician and Chief Executive of the UK Statistics Authority.
The Lord Kamall
House of Lords
London
SW1A 0PW
21 March 2025
Dear Lord Kamall,
As National Statistician and Chief Executive of the UK Statistics Authority, I am responding to your Parliamentary Question asking for an estimate of the number of days of work that were lost due to asthma in the UK in each year since 2010 for which there are data available (HL5962).
The Office for National Statistics (ONS) collects information on the labour market status of individuals through the Labour Force Survey (LFS), which is a survey of people resident in households in the UK. The LFS also collects information on whether respondents have missed days off work due to illness and/or injury.
Unfortunately, we do not collect information regarding the type of sickness at a level of detail to identify those suffering from asthma specifically, but we can provide the number of working days lost due to respiratory conditions.
We publish estimates of the number of working days lost through sickness absence, including the number of working days lost due to respiratory conditions, in our Sickness absence in the UK labour market: 2022 article1. This article is due to be updated to include 2023 and 2024 estimates on 1 May 2025. This update will also include revisions to estimates from 2019 to 2022. We will send the updated data to you once it has been published.
Yours sincerely,
Professor Sir Ian Diamond
Table 1 contains LFS estimates of the number, and percentage, of working days lost due to respiratory conditions from 2012 to 2022, the latest data currently available.
Table 1: Number and percentage of working days lost due to respiratory conditions, between 2012 and 2022.
| Number of working days lost due to respiratory conditions (millions) | Percentage of working days lost due to respiratory conditions (% of all working days lost) |
2022 | 16.2 | 8.7 |
2021 | 10.0 | 6.7 |
2020 | 6.4 | 5.5 |
2019 | 5.6 | 4.0 |
2018 | 3.9 | 2.8 |
2017 | 3.7 | 2.8 |
2016 | 5.4 | 3.9 |
2015 | 5.4 | 3.9 |
2014 | 6.8 | 5.0 |
2013 | 5.8 | 4.4 |
2012 | 4.4 | 3.3 |
DBT, as part of the 2025 Autumn Budget announcements, launched a Call for Evidence on Business Support for Co-operatives and Mutuals. This was open across Great Britain for 12 weeks and closed on 18th February. DBT is now analysing responses and these responses will inform any potential business support policy for the co-operative and mutual businesses.
DBT ensured that for Financial Year 25/26 Growth Hubs in England offer support to businesses with alternative business models – including Co-operatives and Mutuals, as a condition of funding, and included more information on Co-operatives and Mutuals through the highly successful Help to Grow Management programme.
The Law Commission reviews are considering ways to update and modernise the legislation for co-operatives, community benefit societies, and friendly societies, ensuring that it fits the nature and needs of these societies as well as ensuring that regulation is proportionate and effective. The government will carefully consider the recommendations to understand whether reform is needed to ensure these businesses are supported to grow and succeed into the future.
The US has committed to ensuring that access to medicines and launches of new innovative medicines in the UK are not inadvertently impacted by the US’s ‘Most Favoured Nation’ policy, thereby reducing the risk to the UK where the NHS has managed to secure lower prices for medicines.
Further work to finalise underpinning details is ongoing.
Ministers and officials regularly meet with the Competition and Markets Authority to discuss key policy issues, including the CMA’s digital markets work. Close collaboration between Government and the CMA is crucial for delivering the agenda of this Government. As the UK’s independent competition authority, the CMA is responsible for all digital markets decisions, including on designations and interventions.
Ministers and officials have met with representatives of Google to discuss a range of topics, including the Competition and Markets Authority’s digital markets work. Such meetings are important for the exchange of views and the development of policy. As the UK’s independent competition authority, the CMA is responsible for all digital markets decisions, including on designations and interventions.
Next Steps to Make Work Pay, published in 2024, set out the Government’s preference for the statutory probation period to be nine months long.
Under the Employment Rights Bill, the normal grounds for fair dismissal (under the Employment Rights Act 1996) will apply in this period, and light-touch standards will apply to dismissals for reasons of the employee’s conduct, capability, illegality, or some other substantial reason relating to the employee. The Government believes this will allow businesses to remain confident in hiring.
Greenhouse Gas Removals are important for reaching net zero, by balancing residual emissions from hard-to-decarbonise sectors while providing new economic opportunities.
A range of removal technologies will be needed to deliver net zero, including Energy from Waste with Carbon Capture and Storage projects which have the potential to deliver removals by capturing the biogenic CO₂ from their waste feedstock.
The Government remains committed to ensuring that removals delivered under future policy frameworks are measurable, verifiable and represent high-integrity carbon removals.
Energy from Waste with Carbon Capture and Storage projects have the potential to deliver Greenhouse Gas Removals (GGRs). Subject to robust monitoring, reporting and lifecycle assessment arrangements, these projects could contribute to the delivery of high-integrity carbon removals in the UK.
The Carbon Budget Delivery Growth Plan set out projected emissions savings of 0.7Mtpa by 2030, increasing to 21.8Mtpa by 2035, but did not break this down by technology. Modelling is reviewed as evidence emerges.
The Digital Inclusion Innovation Fund was designed as a one-year programme to understand what works in digital inclusion, and how best practice or innovative approaches can be scaled to maximise local impact across the UK.
We remain committed to building a digitally inclusive society where no one is left behind, and plans for future support for digital inclusion are still in development.
We know that digital inclusion works best when it's delivered in local places by trusted people and organisations. The Digital Inclusion Innovation Fund is about backing local communities to close the digital divide, and grassroots organisations are fundamental to that process.
The Digital Inclusion Innovation Fund had 85 successful applications in England: a mix of charities, research organisations and local and combined authorities.
Around 73% of the organisations funded by the Digital Inclusion Innovation Fund are charities, many of which are local, grassroots voluntary organisations. We don't hold specific data on the annual income of organisations.
The GOV.UK app is in public beta with expenditure met from within the overall budgets of the Government Digital Service (GDS) as part of the wider GOV.UK modernisation activity.
In 25/26 c.£6.2m has been attributed to GOV.UK app and related programme of personalisation and modernisation - this relates to spend on design, build, test and running. There has been no significant spend on marketing of the app, with less than £2k related to reaching private beta testing audiences.
The Digital Inclusion Innovation Fund is about testing new ideas, learning what works, and supporting the best approaches so they can grow and benefit more communities across the UK. The Fund received 1016 applications from organisations across the country, amounting to a total request of over £170m for the £11.9m available.
Payment-in-arrears is the standard Government approach for grants. However, we recognise some stakeholders were concerned about payments-in-arrears and the short delivery window of the Fund. These issues are considerations we are taking forward as we continue policy development in this area.
Despite this, projects are continuing to deliver important outcomes for the people they support, such as supporting people to access the internet and building their digital skills.
We have appointed external evaluators who are working with grant recipients to understand the impact of the Fund. This will also involve assessing the process, including grant management and deliverability within the timescale.
We expect to receive their report in April 2026.
As of 16 March 2026, the GOV.UK App has an estimated total of over 230,000 active users. Analytics tracking captures only those who opt in, so this figure is higher than the number of users providing consent. To date, approximately 135,000 users have consented to analytics tracking, averaging around 23,000 consented users per month.
While the Government has not set formal numerical targets for 2026–27, the strategic aim is to drive sustained growth by making the GOV.UK App the most convenient and trusted way for people to access government services. Growth is expected as new features and services are introduced, alongside improvements in personalisation and ongoing focus on user needs, in line with the Government Digital Service’s roadmap for modern digital government.
The Government is also committed to addressing digital exclusion. The GOV.UK App has been designed to be simple and accessible, informed by user research conducted during its public beta and in line with GOV.UK accessibility standards. Alongside this, the Government will continue to assess the digital skills support needed, including understanding barriers faced by digitally excluded groups and working with departments, local authorities and delivery partners to provide assisted digital support and signposting to digital skills training. Services will continue to be available through multiple channels, ensuring that those who are unable to use digital services can still access government support.
The Medical Research Council (MRC), which is part of UK Research and Innovation (UKRI), is not currently funding any research into vaccines for gingivitis or periodontitis. MRC invests more broadly in dental and oral health research, including some periodontitis research, to aid its detection and treatment.
Ofcom will set out what technology is required for a service to comply with a Technology Notice under section 121 of the Online Safety Act. That technology must be accredited as meeting minimum standards of accuracy. Ofcom’s consultation on the minimum standards of accuracy closed in March 2025 and the finalised version will be published in due course.
Where a tech solution does not exist in relation to a particular service design, Ofcom will be able to direct companies to use best endeavours to develop or source technology that deals with child sexual exploitation and abuse content.
Digital inclusion is a priority for this Government. It means ensuring that everyone has the access, skills, support and confidence to participate in our modern digital society, whatever their circumstances. Work is ongoing to develop our approach to tackling digital exclusion and coordinating across government departments continues to be a core part of this work. We hope to say more on this soon.
The Reducing Drug Deaths Innovation Challenge funded eleven technologies in its first phase, all of which were completed successfully. Seven projects secured phase 2 funding to advance development of their technologies through testing with relevant populations. The UK Government’s Office for Life Sciences, in collaboration with the Chief Scientist Office in Scotland, is monitoring the progress of these projects and will provide guidance to support commercialisation, spread and UK-wide adoption of the technologies to prevent drug overdose deaths. Future funding and initiatives through the Addiction Healthcare Goals programme are being explored to further encourage innovative research and the development of novel technologies to treat drug and alcohol addictions.
While no such assessment has been made, this Government recognises the importance of exploring innovative approaches to tackle loneliness, whilst protecting people's safety and wellbeing.
Collaboration and partnership are at the heart of the Civil Society Covenant which was launched by the Prime Minister in July at a major civil society summit. To inform the development of the Civil Society Covenant, the Department for Culture, Media and Sport engaged with over 1,200 organisations and worked closely with the Civil Society Advisory Group, including representatives from the National Council for Voluntary Organisations (NCVO) alongside a wide range of other civil society organisations.
At the launch we announced the Joint Civil Society Covenant Council which will be central to the delivery of the Covenant, setting direction and providing strategic oversight for its implementation. It will have cross-sector membership comprising senior leaders from civil society and senior representatives from government departments. We also announced a Local Covenant Partnerships Programme to support collaborative working between civil society organisations, local authorities and public service providers to deliver services that better meet the needs of their communities.
We will continue working in the spirit of partnership as we establish and develop both the Joint Civil Society Covenant Council and the Local Covenant Partnerships Programme.
Collaboration and partnership are at the heart of the Civil Society Covenant which was launched by the Prime Minister in July at a major civil society summit. To inform the development of the Civil Society Covenant, the Department for Culture, Media and Sport engaged with over 1,200 organisations and worked closely with the Civil Society Advisory Group, including representatives from the National Council for Voluntary Organisations (NCVO) alongside a wide range of other civil society organisations.
At the launch we announced the Joint Civil Society Covenant Council which will be central to the delivery of the Covenant, setting direction and providing strategic oversight for its implementation. It will have cross-sector membership comprising senior leaders from civil society and senior representatives from government departments. We also announced a Local Covenant Partnerships Programme to support collaborative working between civil society organisations, local authorities and public service providers to deliver services that better meet the needs of their communities.
We will continue working in the spirit of partnership as we establish and develop both the Joint Civil Society Covenant Council and the Local Covenant Partnerships Programme.
All state funded schools are required to teach pupils about self-care as part of the statutory health education set out in the relationships, sex and health education (RSHE) statutory guidance. Independent schools are required to cover health education as part of their responsibility to provide personal, social, health and economic (PSHE) education.
Pupils are taught basic treatment for common injuries and ailments and, as part of the secondary health and wellbeing curriculum, pupils should be taught how and when to self-care for minor ailments and the role of pharmacists as knowledgeable healthcare professionals.
Schools continue to have the flexibility, as part of a broad and balanced curriculum, to decide how they teach RSHE topics, including using high quality expertise available to them locally, including drawing on the Oak Academy lesson plans that is available to all schools.
The department has engaged with a range of stakeholders, including the PSHE Association to support the implementation of the updated RSHE guidance.
All state funded schools are required to teach pupils about self-care as part of the statutory health education set out in the relationships, sex and health education (RSHE) statutory guidance. Independent schools are required to cover health education as part of their responsibility to provide personal, social, health and economic (PSHE) education.
Pupils are taught basic treatment for common injuries and ailments and, as part of the secondary health and wellbeing curriculum, pupils should be taught how and when to self-care for minor ailments and the role of pharmacists as knowledgeable healthcare professionals.
Schools continue to have the flexibility, as part of a broad and balanced curriculum, to decide how they teach RSHE topics, including using high quality expertise available to them locally, including drawing on the Oak Academy lesson plans that is available to all schools.
The department has engaged with a range of stakeholders, including the PSHE Association to support the implementation of the updated RSHE guidance.
Swimming and water safety are vital life skills that are compulsory elements of the PE National Curriculum at key stages 1 and 2. In addition, the changes made to the department’s statutory relationships, sex and health education guidance will ensure all pupils are taught about the water safety code, supporting them to be safe in different types of water. To support schools, Oak National Academy offers swimming and water safety units as part of its PE curriculum, developed in partnership with Swim England.
In June, my right hon. Friend, the Prime Minister announced a new national approach to PE and school sport as part of which we will establish a PE and School Sport Partnership Network, designed to build stronger links between schools, local clubs, and National Governing Bodies. It will identify and remove barriers to participation in PE and school sport, including swimming.
The department is also providing a grant of up to £300,000 to deliver Inclusion 2028, a programme which upskills teachers to deliver high quality, inclusive PE, including swimming and water safety, to pupils with special educational needs and disabilities.
Skills England, and its predecessor the Institute for Apprenticeships and Technical Education (IfATE), has worked with employers to develop apprenticeships covering a range of occupations in the care services sector. These are designed to enable an individual to acquire full competence in an occupation whilst undertaking paid work and provide a progression route in the sector. These products are available for both public and private sector employers to use, with funding to support the training from the Growth and Skills Levy.
In addition, a Health and Social Care foundation apprenticeship has been developed and will be available for delivery from autumn this year. This is specifically aimed at young people who are not yet ready for work, and will provide the individual with a mix of employability and sectoral skills designed to provide a good grounding for a career in the health or adult social care sector.
To support the awareness of careers in adult social care, the National Careers Service, a free, government funded careers information, advice and guidance service, uses a range of labour market information to support and guide individuals. The Service website gives customers access to a range of digital tools and resources, including ‘Explore Careers’ which includes more than 130 industry areas and more than 800 job profiles including a range of construction and health and social care roles, describing what the roles entail, qualifications needed and entry routes.
As part of the UK-EU SPS Agreement currently being negotiated, the Government is making a sovereign choice in the national interest to align in some areas where it makes sense to do so, as set out in the Government’s recently published announcement on legislation in scope. This includes Regulation 1925/2006 on the addition of vitamins and minerals and certain other substances to foods and Directive 2002/46/EC relating to Food supplements. While those negotiations are ongoing, we cannot comment further on the SPS agreement.
The Government is committed to working with industry, particularly those impacted on the above, on preparing for implementation, noting that the precise detail and timing of this process – including legislative arrangements are subject to discussions with the EU.
The Government is currently negotiating a Sanitary and Phytosanitary Agreement to make agrifood trade with our biggest market cheaper and easier, cutting costs and red tape for British producers and retailers, and helping to reduce the pressure on prices and increase choice in the shops.
We are working closely with businesses to assess the implementation impacts of the Agreement.
We have begun negotiations with the EU on an SPS agreement to make agrifood trade with our biggest market cheaper and easier, cutting costs and removing barriers to trade for British producers and retailers. While negotiations with the EU on the SPS agreement are underway, we will not be providing a running commentary of discussions.
The size of the probiotics market in the United Kingdom was £1.07 billion in 2024 (table 1, Euromonitor International*). The UK market value for probiotic products grew by 19% between 2019 and 2024 (in 2024 prices) and 41% by sales volumes. Recent growth in the probiotic market has been attributed to the increasing popularity of probiotic dairy products like Kefir.
Table 1 – UK probiotic product retail sales (GBP million, Euromonitor)
Category | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
Probiotic Dairy | 690.8 | 780.0 | 867.5 | 949.6 | 999.5 | 1,051.8 |
Probiotic Butter and Spreads | 7.3 | 7.3 | 8.0 | 9.8 | 11.1 | 10.6 |
Probiotic Other Dairy | 4.9 | 5.8 | 5.5 | 7.5 | 7.5 | 10.1 |
Probiotic Snacks | 0.5 | 0.7 | 3.4 | 1.5 | 1.1 | 1.8 |
Probiotic Carbonates | 0.2 | 0.3 | 0.3 | 0.3 | 0.3 | 0.6 |
Probiotic Cheese | 1.6 | 1.4 | 0.0 | 0.0 | - | 0.0 |
Total UK Market | 705.3 | 795.5 | 884.7 | 968.7 | 1,019.5 | 1,074.9 |
Euromonitor have considered growth in the wider UK diary and dairy alternatives market and forecast that the value of probiotic dairy market will grow by 14% up to 2029, to £1.2 billn. There is no forecast for the overall probiotics market, but as probiotic dairy products make up 99% of the market by volume, this forecast is sufficient for the market overall.
*Although Euromonitor aims to correct inaccuracies of which it is aware, it does not warrant that the Intelligence will be accurate, up-to-date or complete as the accuracy and completeness of the data and other content available in respect of different parts of the Content will vary depending on the availability and quality of sources on which each part is based. Euromonitor accepts no liability in regard to the derived data which has been presented here and furthermore, Euromonitor does not warrant that the Intelligence will be/is fit for any particular purpose(s) for which they are used as Euromonitor does not have any knowledge of, nor control over, those purposes.
Responsibilities for water safety sit with various Government departments, agencies, local authorities, and other public bodies. These include regular safety messaging and guidance to ensure people have the knowledge they need to keep themselves safe, as well as provision of safety/lifesaving equipment at water bodies. Water sports national governing bodies are responsible for providing advice and guidance for how to participate in their sports safely. Inland waterway navigation authorities conduct risk assessments to inform the provision of appropriate lifesaving equipment on their networks. In conjunction with other services, HM Coastguard provides safety advice and guidance about the coastal environment.
The National Water Safety Forum brings together a wide range of national groups, including some 80 local authorities, to create a ‘one-stop shop’ for the prevention of drowning and water safety harm in the UK. The Forum launched the UK Drowning Prevention Strategy 2016-2026 (copy attached), which aims to reduce the number of accidental drownings in the UK by 50% by 2026. The Local Government Association has developed a water safety toolkit (copy attached) for local authorities for use inland and on the coast.
The Government oversees policy and legislation with respect to the safe management of waste and litter as well as the protection of drains and sewers. This however does not extend to compelling or explicitly encouraging local authorities with regard to types of waste receptacles or their placement. These decisions are for local authorities to make.
The Building Regulations for England were updated in 2024 with the addition of a new ‘Part T’ which sets out toilet requirements in new non-domestic buildings in England. Part T is supported by statutory guidance which includes space for disposal bins in the design layouts. However, the Building Regulations are limited to the provision and design of toilet facilities and do not extend to the management and use of disposal bins.
The Health and Safety Executive (HSE) is reviewing the Approved Code of Practice (ACOP) and the guidance of the Workplace (Health, Safety and Welfare) Regulations 1992 regarding the provision of disposal facilities in workplace toilets. This work is included within the Government’s wider plans under Make Work Pay, and HSE will hold appropriate consultation in due course.
I refer the hon. Member to the reply previously given on 20 January 2025, PQ HL3929, as no further discussions with Ofwat or water companies have taken place since.
The Government recognises that rainwater harvesting and other forms of water reuse can play a key role in helping non-households and businesses meet the statutory water demand reduction target of 9% by March 2038. We are therefore supporting water companies and developers to deliver water efficiency through both rainwater harvesting and other forms of water reuse.
We supported Ofwat on their consultation to provide environmental incentives to developers which included considering where new technologies and water efficient practices could be integrated into buildings and developments. Ofwat reported that water reuse solutions are likely to be an important tool for improving water efficiency in the medium term.
We are also looking into allowing water companies to supply treated, non-potable water, including rainwater, for certain water demands such as toilet flushing.
Through the next phase of Keep Britain Working we will work with businesses of all sizes to design solutions which support the health and wellbeing of employees across the UK. Through employer-led sprints, we are developing a Healthy Working Lifecycle Standard, tailored workplace health support, and stronger evidence on the business benefits of investing in employee wellbeing.
Our Vanguard group includes over 120 employers of varying sizes to ensure the approaches developed reflect the needs and realities of both large employers and SMEs. We are also working closely with regional authorities and leadership to connect the programme to smaller employers across the country.
During the Keep Britain Working review, we heard that employers are already bearing the cost of sickness absence and employees leaving the workforce and are therefore highly incentivised to support the health and wellbeing of their employees. Through the next phase of Keep Britain Working we will grow the evidence for what works and where additional incentives could have the greatest impact, ensuring that support is targeted in ways that encourage employers to take-up effective workplace health measures.
The NHS Health Check (NHS HC) aims to improve the health and wellbeing of adults aged 40 to 74 years old through the promotion of early awareness, assessment, and management of the major risk factors for cardiovascular disease (CVD), risk factors that are associated with premature death, disability, and health inequalities in England. Improving uptake of the programme, including for people at the highest risk and experiencing inequalities, is a priority for the programme.
The NHS Health Check Online is currently being tested in 11 local authorities across England and aims to increase access and engagement with the programme for all population groups, by allowing people to undertake their NHS Health Check at home, at a time and place convenient to them, freeing up in-person NHS HCs for those who want or need more support.
The recently published Cardiovascular Disease Modern Service Framework (CVD MSF) sets out the 10-year ambition to systematically identify individuals with established or emerging cardiovascular, kidney, and metabolic risk factors, including via the NHS HC, whilst reducing the variation in the number of people receiving a check between the best and worst performing areas nationally. A delivery plan will be published later this year to support local implementation of the CVD MSF.
The NHS Health Check programme, a core component of England's cardiovascular disease (CVD) prevention programme, assesses the top risk factors for CVD, including raised cholesterol, in eligible people and refers them to further support through behavioural interventions, clinical assessment, and treatment where appropriate. For every 1.4 million NHS Health Checks delivered annually, 900,000 people are found to have raised cholesterol level. We are also developing the NHS Health Check Online to improve access and help more people understand and act on their risk factors.
Furthermore, NHS England is strengthening lipid management by improving identification of people at risk of CVD through risk assessment, case finding, and community-based initiatives, including pharmacy-led approaches and cholesterol point of care testing.
The Government recently published the Cardiovascular Disease Modern Service Framework, which sets out priorities for the health and care system to accelerate progress on the ambition to reduce premature deaths from heart disease and stroke by 25% within the next decade. Identifying people with high cholesterol and optimising lipid management for people with high cholesterol are amongst the priorities for the health and care system.
The NHS Health Check (NHS HC) programme is commissioned by local authorities who are responsible for offering 100% of their eligible resident population a check every five years.
The Government's Public Health Grant to local authorities is used to enable the programme's provision and allows local authorities to ensure that delivery of the NHS HC is aligned with local public health services and fits their local population.
The programme's Best Practice Guidance provides commissioners and their providers with information on how to deliver the programme effectively, and how to adopt a proportionate universalist approach to ensure that checks are delivered in a way that prioritises resources and effort towards engaging people at higher risk of cardiovascular disease.
Department officials are considering options to improve the NHS HC programme.
The NHS Health Check Online (NHSHC-O) is in the private Beta testing phase and is being piloted in 11 local authorities across England. As part of the NHSHC-O, users receive a self-sampling capillary blood testing kit, delivered to their home, to measure cholesterol, and, if appropriate, HbA1c. Samples are then sent to a United Kingdom Accreditation Service accredited laboratory for assessment.
All results from the NHSHC-O are automatically written back into the patient's electronic health record. General practices are notified if a patient's results indicate that further assessment is necessary and, if required, undertake further clinical investigation and treatment where appropriate, in line with existing clinical pathways.
No specific assessment has been made. The Government recognises how important it is that patients with rare diseases are able to benefit from access to effective new medicines. The National Institute for Health and Care Excellence (NICE) has a strong track record in supporting access to new medicines for patients with rare diseases with 89% of the rare disease medicines that it has appraised since March 2024 recommended for some or all of the eligible patient population.
Through the Life Sciences Sector Plan and the 10-Year Health Plan, we are taking steps to make the United Kingdom a faster place to approve and adopt new medicines. This includes wider use of real-world evidence, more flexible commercial deals, faster NICE guidance, and a new joint NICE and Medicines and Healthcare products Regulatory Agency pathway to shorten the time from approval to National Health Service use.
We recognise that there is more to do to improve and accelerate access to new medicines for NHS patients and the steps that we are taking as part of the pharmaceuticals partnership with the United States are already resulting in medicines, including medicines for patients with rare diseases, becoming available to NHS patients that may not otherwise have been recommended.
The Care Quality Commission (CQC) regulates the treatment of disease, disorder, and injury across a range of industries, which includes pre-hospital care. The CQC continues to engage with providers of event healthcare directly, and has worked with the Government to meet with industry and medical leaders. This engagement continues.
In accordance with its normal ways of working, the CQC will recruit a team of specialist advisors who are experts in their field to join the inspections of providers. The purpose of that inclusion is to ensure that all regulatory decisions are based upon current best practice. The CQC continues to monitor the implementation of the review of regulations to ensure that financial matters have due attention.
The Government has heard from a range of industry and medical stakeholders and will consider the range of views provided in relation to potential exemptions. There will be close liaison with the Care Quality Commission (CQC) to ensure that everyone either participating in or attending cultural or sporting events receive safe and effective care. The CQC continues to engage with providers to ensure minimal impact on them whilst achieving those aims.
The National Institute for Health and Care Excellence (NICE) highly specialised technologies programme (HST) is reserved for the evaluation of a small number of medicines licensed for the treatment of very rare, very severe diseases. Decisions on whether medicines are routed to the HST programme are taken against a set of published criteria that were updated in April 2025 following public and stakeholder engagement. The purpose of the new criteria is not to change the number or nature of the topics evaluated through the HST programme, but to ensure that the criteria are sufficiently clear and predictable for companies and patient groups and are aligned to the HST vision.
The Government has recently announced a number of pilots and projects following the United States and Untied Kingdom partnership on pharmaceuticals that will shape a commercial environment that actively encourages innovation and improves patient access. As part of that work, NICE will review the approach to valuing rare disease medicines through its Health Technology Assessment Innovation Laboratory. This research will consider both technology appraisal and highly specialised technologies routes. The review will assess a range of both radical and incremental options to improve the current framework.
The following figures are from the NHS England Cyber Security Operations Centre (CSOC) incident ticketing systems, namely aggregating data from security tooling that monitors cyber security incidents detected by, or reported to, the CSOC. The following table shows the number of security incidents detected by the CSOC where the impact to National Health Services has been prevented:
Period | Incident count |
2025H1 | 1,443 |
2025H2 | 1,364 |
2026H1 | 1,740 |
There are no recorded cyber security incidents that were initially detected by the CSOC which were subsequently not prevented.
The following table shows the number of security incidents initially detected by CSOC security tooling, but which were subsequently found to be a false alarm via either automated mechanisms or manual activity:
Period | Incident Count |
2025H1 | Unavailable |
2025H2 | 85,819 |
2026H1 | 73,628 |
As these are false positives, the data surrounding them is only retained for 12 months, making a response to 2025H1 not possible.
All bereaved parents have the option to be involved in a high-quality review of the death of their baby, from 22 weeks' gestation up to 28 days post birth, through a perinatal mortality review. While this is carried out by the hospital or hospitals where the mother and baby were looked after, a national tool is in place, namely the national Perinatal Mortality Review Tool, to ensure such reviews are objective, robust, and standardised.
There are a range of views on how stillbirths should be investigated, and it is important that the Government’s conclusions on coronial investigations of stillbirths reflect the recommendations Baroness Amos has made through the final report of her independent investigation into National Health Service maternity and neonatal care, and supports the most effective model for maternity investigations.
As recommended in Baroness Amos’ report, we will publish the Government’s response to the 2019 consultation, jointly with the Ministry of Justice, in due course.