Disability Equipment Provision

John Hayes Excerpts

Wednesday 11th March 2026 Westminster Hall

[Sir John Hayes (South Holland and The Deepings) (Con)]

I want to speak about three things in this debate, which was helpfully secured by the hon. Member for Aberdeenshire North and Moray East (Seamus Logan).

The first has already been dealt with but requires some amplification: the system is not working as well as it should. The figures that we heard quoted about access to wheelchairs, for example, are stark and surprising. In researching for the debate, I was surprised that, according to figures from NHS England—and we heard it again from the hon. Member—70% of wheelchair users wait more than three months for their chair, 30% wait more than six months, and 15% more than 12 months. Those are pretty astounding figures.

I say to the Minister: do not let the perfect be the enemy of the good. If those people could be provided with some help—perhaps not the chair ideally suited to their needs but something that assisted them—through a recycling scheme, I am sure that they would feel that the authorities were at least making an effort. If someone is sitting at home, hearing nothing and getting nothing, they must get increasingly frustrated. Let us be more creative in how we improve those numbers. Recycling equipment has to be at the heart of that. It is not a perfect solution, because equipment often has to be tailored to the specific requirements of the individual concerned, but it might help.

The second point I want to raise is about housing. There are real problems with adapted housing, with the obligation on developers to build enough adapted houses, and with local authorities facing up to their responsibilities. I know that you are a great expert in this field, Mr Betts—a greater expert than me—but I would like to go back to the days when adapted housing was built for the elderly, the infirm and the disabled, perhaps with a resident warden who would take personal care in their interests and be available night and day for their needs. I am talking not about a distant individual obtained by means of a telephone or—heaven forbid—online, but about someone with hands-on knowledge of local residents. That existed in our lifetimes, and it does not exist now in any significant shape or form. Let us think again about best practice from past times in respect of housing, and create some obligations on local authorities and private developers to build a sufficient number of adapted homes.

It is not just me; various reports have indicated the need. Analysis published in January 2026 by the Office for Equality and Opportunity, “Disabled people’s lived experience of housing in the UK: an evidence review”, stated that there are specific requirements or financial provision to provide suitable housing, but that the physical design of adaptations needs more understanding of individual needs, and that too often adaptations were not focused on the quality of life, wellbeing or independence of the person living there. Let us do more, and better, in respect of housing.

My final point—I said I was only going to make three—is perhaps something that others will not raise, or certainly have not so far: the way that the provision of all kinds of other services can support disabled people. For example, various organisations that represent the blind and partially sighted have reported that flat bank cards have been a huge disadvantage to partially sighted people. Access to cash is actually quite important, because coins, which can be felt and are tactile, are important for small transactions. These small things make a huge difference to people’s lives. We need to think more laterally, and give considerably more thought to such small ways in which we as a Parliament, and the Minister as part of a Government, can make a huge difference to disabled people in all our constituencies.

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[Dr Luke Evans (Hinckley and Bosworth) (Con)]

It is lovely to see such a thoughtful, thought-provoking debate, with cross-party unity on the question of how we can better support our constituents who are suffering. It could be with a stairlift, a shower, a home aid or an adaption. When I was a GP, I saw what difference that can make to people. More recently, I visited Mounts & More in Stoke Golding, a company of specialists who support wheelchair users. Margaret and her family started Mounts & More in Market Bosworth in 1996; it fits mounting systems, such as for augmentative and alternative communication, to wheelchairs. The company’s best example is of Professor Stephen Hawking—it fitted the specialist holding position for such equipment. It also drives innovation and the small business side of things that we so long for in the UK.

I am keen to dive straight into some of the questions asked, as time is short, but before I do so, I pay tribute to the hon. Member for Aberdeenshire North and Moray East (Seamus Logan) for being so succinct in his well thought out speech. He is a rare parliamentarian in that he had only a single question for the Minister. I congratulate him on that. He raised a significant point about strategy. The Government say they do not have a plan to bring forward an equipment strategy, and they tend to point towards the ICBs as the commissioners on this.

There is going to be some difficulty, though, if the ICBs are cutting their staff by 50%. I do agree with the Liberal Democrat spokesman, the hon. Member for Epsom and Ewell (Helen Maguire), who asked whether there is an opportunity to look at what can be done in the forthcoming health Bill. I would be grateful if the Minister would set out whether this is a consideration when it comes to dealing with support for people with disabilities.

I have another question for the Minister on the disabled facilities grant. The Government have done a review, which is welcome, and recently published their look at the issue. As more and more people become infirm—the good news is that they are living longer, the bad news that they have more disabilities—the need will go up. It is not clear from the information that has been published just how that will be monitored. How will we ensure that the funding is going to the right place and working? There is a calculator on the website that says how it will be redistributed, but I point out that clarity on accountability will be hugely important. I would welcome input from the Minister on what that will look like.

[Sir John Hayes]

On that specific point, the Government have said that that additional money for the grant will provide about 5,000 additional home adaptations. It would be really useful if the Minister, when he responds, could describe how local authorities will access that funding, how those 5,000 adaptations will be distributed across the kingdom and what kind of adaptations we are talking about. Are we talking about adaptations to new build houses or long-standing traditional houses in the private or public sectors? A bit more detail on that would be very welcome.

[Dr Evans]

My right hon. Friend has hit the nail on the head. This is part of the problem in how we get different parts of the system to work together to get a full understanding of the situation; that is most important for those who are affected, but also for the commissioners who are trying to make the decisions on where the equipment goes. I hope the Minister has heard that and will be able to work it into his response.

I was very pleased to hear the hon. Member for Bexleyheath and Crayford (Daniel Francis), the chair of the APPG, raise the very important issue of the insolvency of NRS Healthcare. For those who do not know, NRS Healthcare accounts for about 40% of coverage, covering 15 million people and 21 local authorities across the country. Its insolvency showed a weakness in the way we deliver our supply.

I wrote to the Government back in the summer to try to find out what was being done and what lessons had been learnt. I received a generic response early on in August, saying that things are being kept under review. It stated:

“The Department continues to monitor the situation closely and will support LAs to learn lessons and consider the implications for future resilience in this market.”

I followed up very quickly and wrote back in September to ask more questions, but unfortunately I have not as yet received a response. I have with me a copy of the letter that was sent asking questions, particularly about what lessons have been learnt in this case and, more importantly, what is being done to implement more resilience in the supply chain. I would be grateful if the Minister could take a look.

If such a thing were to happen again, given the stark economic situation we are facing, which I appreciate is outside the scope of this debate, it would have knock-on effects for some of the most vulnerable in our society. I would be grateful if the Government would set out exactly what they are doing to make sure the supply chain is secure.

Finally, I want to raise concerns about the better care fund. The Government have been clear in the 10-year health plan about their promise to reform the fund, which has been very useful in bringing pooling together. However, we have already noticed that NHS England has already reduced the amount of additional voluntary funding it was putting in by £388 million. The example given by my right hon. Friend the Member for South Holland and The Deepings (Sir John Hayes) goes to the heart of the question: looking from the top down, how do we make sure these things are all integrated? How do we understand what ICBs, councils, the NHS and charities are doing through their provision?

I would be grateful if the Government could set out where they see that better care funding fitting in and when we will actually see the outcome of the changes they propose. It appears that there have been delays in the national neighbourhood health service guidance and delays in the better care fund. Without that structure and without joining it all together, it is very difficult for those scrutinising the system and, more importantly, those working in and using the system to understand exactly what to expect and when. I would be grateful if the Minister would be kind enough to set that out.

I thank Members for their thoughtful contributions today, because, at the end of the day it is really important to shine a spotlight on those constituents who suffer the most and get on with it the most. They are the most pragmatic, fantastic people, and their support is paramount.

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[Dr Ahmed]

I am very grateful to my hon. Friend. He always channels personal experience in such a productive way and he is a credit to this House in the way he conducts himself. I remember his maiden speech with great fondness in that regard. I do agree, and I will come later in my speech to how we can maintain quality more persistently across the whole system.

Access to temporary wheelchair provision to support hospital discharge is also determined locally by ICBs. We recognise that elements of the NHS—despite it being on the road to recovery—are functioning below par and that many people are waiting too long to access equipment such as wheelchairs. During the pandemic, some wheelchair services experienced lower referral rates, which led to a surge in referrals post pandemic. Because of that, providers not only reduced their services but now, of course, face a backlog of referrals. That has meant unacceptable waiting times for both adults and—sadly—children, and those have fluctuated as services work to recover.

However, action is being taken to address waiting times in England. In October 2025, we published the NHS medium-term planning framework, requiring all ICBs and community health services to actively manage and reduce waits above 18 weeks and to develop a plan to eliminate all 52-week waits. The community health services situation report will be used to monitor ICB performance against waiting-time targets in 2026-27, and it currently monitors waiting times for children, young people and adults under

“Wheelchair, orthotics, prosthetics and equipment”.

These targets will guide the system to reduce the longest waits first.

[Sir John Hayes]

Have the Government made any assessment of the return and reuse of equipment? That is not always possible, as I said earlier, but it would be an incredibly powerful message to send to many of those people who have waited so long, and, I think, a very straightforward thing to do. If that assessment has not been made, will the Minister commit today to making such an assessment? That would be a positive outcome from this debate.

[Dr Ahmed]

I am grateful to the right hon. Gentleman, and to those who raised this matter earlier in the debate. It does trouble me deeply that we have a situation in which equipment is going unused when there is that need in another part of the system. I actually feel that quite acutely. Hon. Members may know that I am a vascular surgeon; at times, unfortunately, some of my job involves having to amputate people’s limbs for end-stage vascular disease. I see for myself that transition from someone being able-bodied to needing assistance, and, where that assistance is not available, the impact that has, especially when people know there is this lack of productive exchange of equipment in the system highlighted by hon. Members today. I am therefore very happy to take the issue forward with my officials to see what can be done further to marry the demand and the supply together in the country.

Regarding wheelchair provision, NHS England has developed policy guidance and legislation to support ICBs to commission effective, efficient and personalised wheelchair services. I again nod to the remarks from the hon. Member for Aberdeenshire North and Moray East on making sure we get better, more efficient and personalised service provision.

In April 2025, NHS England published the wheelchair quality framework, developed in collaboration with the NHS England national wheelchair advisory group. The framework is designed to assist ICBs and NHS wheelchair service providers in delivering high-quality provision that offers improved access, outcomes and experience. NHS England introduced personal wheelchair budgets, including legal rights, in 2019, providing a clear framework for ICBs to commission personalised wheelchair services that are outcomes-focused and integrated. Those budgets give people greater choice over the wheelchairs that they are provided with. Additionally, the model service specification for wheelchairs sets out that wheelchair assessments should take place in the most suitable environment based on the needs of that individual.

NHS England is aware, as am I, that several complaints have been made about the quality of services commissioned by some ICBs. NHS England is working through the appropriate regional teams to gain intelligence from those ICBs on quality concerns and contracting arrangements, to fully understand the issues being raised.