Wheelchair and Community Equipment Strategy

Lord Kamall Excerpts

Thursday 11th December 2025 Lords Chamber

[Lord Kamall (Con)]

My Lords, I thank the noble Lord, Lord Hunt of Kings Heath, for securing this valuable debate. I also thank all noble Lords who have shared their own valuable experiences. I also welcome the noble Baroness, Lady Gerada—I hope I have pronounced that correctly—who, in her maiden speech, shared her valuable background, which we know will contribute hugely to this House.

At its heart, this is a discussion about people’s freedom, dignity and independence. Wheelchairs are, for many, the difference between participating in daily life or being excluded, by enabling people to leave their homes, to see loved ones and to access work and education. However, the reason for today’s debate is that the current system faces serious problems. NHS England’s 2025 wheelchair quality framework recognises this, while the APG for Access to Disability Equipment describes the system as being “in crisis”.

We welcome and acknowledge NHS England’s initial steps to improve wheelchair services, such as a national wheelchair dataset and personal wheelchair budgets. These steps are welcome and should be acknowledged, but data from the British Healthcare Trades Association shows that only around 80% of users received a wheelchair, or a much-needed modification, within 18 weeks, which is below the 92% national target, while people with complex needs can wait significantly longer. A delay in receiving a wheelchair is not simply an inconvenience or a statistic; it is a barrier to living a fuller life.

Also, we find that where a person lives determines how their wheelchair services are assessed, whether they qualify, their level of support, how clearly the process is explained, and what kind of equipment they ultimately receive. NHS England’s own national dataset shows significant regional variation between integrated care boards in meeting the 18-week standard. There is also a wide variation in eligibility criteria. In north Bristol, the threshold for regular use is at least 4 times weekly, on a regular basis. In Oxford, regular use is defined as at least three days per week. In Wirral and west Cheshire, regular use is worded as “more often than not”. For powered wheelchair assessment, we find that in west Suffolk a person must demonstrate indoor need and appropriate home accessibility, get GP clearance and pass a driving assessment, while north-west London uses a tiered categorisation system of need, with detailed thresholds and criteria for the effects that denying access to certain items could foreseeably have.

When noble Lords discussed this topic last month, the Minister said that

“integrated care boards are responsible for the commissioning of local wheelchair services based on the needs of the local population”.—[Official Report, 24/11/25; col. 1089.]

I appreciate the need for such flexibility, reflecting local populations, but could the Minister tell the House whether the Government believe there should be better co-ordination on eligibility and communicating the criteria, and what plans they have for achieving this?

The noble Lord, Lord Hunt, shared an article from Paul Sagar about his home experience. While he was on his hospital bed, distressed and worried about his future, he was phoned by the wheelchair service when he was obviously unable to speak. He assumed that he would be called back. Instead, a letter was sent to his home address: an upstairs flat which he would never access again. I thought that showed just how Kafkaesque a situation some users find themselves in. What is the recourse for patients where local ICBs offer such poor and unempathetic services? What is the accountability mechanism for that and, while respecting local differences, what is the department’s thinking on making them accountable for allowing such poor services? Do the Government have any plans for regular reviews of wheelchair service providers to make sure that they are all meeting standards?

I appreciate that noble Lords have asked a lot of questions, but I hope the Minister, who we know cares deeply about patients, will appreciate that we see this not as a party-political issue but as one which all Benches can agree touches directly on people’s independence, dignity and everyday lives.