Became Member: 28th January 2021
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These initiatives were driven by Lord Kamall, and are more likely to reflect personal policy preferences.
Lord Kamall has not introduced any legislation before Parliament
Lord Kamall has not co-sponsored any Bills in the current parliamentary sitting
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 |
The Government is focussed on delivering the commitment in the Plan to Make Work Pay, to strengthening protections for whistleblowers, including by updating protections for women who report sexual harassment at work. The Employment Rights Bill delivers on that commitment.
Organisations and individuals have put forward many different ideas for how to strengthen the whistleblowing framework, including proposals for an office. The Government is always open to ideas.
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.
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.
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.
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.
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 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.
The Government is committed to innovation in drones and other growth sectors, with further information available on the GOV.UK website in an online only format, and work is ongoing across Government, including between the Department and the Civil Aviation Authority, to support the safe and effective introduction of drones into medical logistics.
The Department continuously reviews the available evidence surrounding the use of drones in medical logistics and is supportive of new trials to further build this evidence base, in particular regarding the benefits of the use of drones to deliver urgent medical supplies in remote and urban areas. Last year, the Department of Health and Social Care, working in collaboration with the Department for Transport, Innovate UK, and UK Research and Innovation, supported five pilot projects, allocating them a total of £500,000, to explore the use of drones in the National Health Service. Given the potential of drones to improve how the NHS delivers patient care, the Department of Health and Social Care is supportive of trials that explore the use of drones in medical logistics.
The Government is committed to innovation in drones and other growth sectors, with further information available on the GOV.UK website in an online only format, and work is ongoing across Government, including between the Department and the Civil Aviation Authority, to support the safe and effective introduction of drones into medical logistics.
The Department continuously reviews the available evidence surrounding the use of drones in medical logistics and is supportive of new trials to further build this evidence base, in particular regarding the benefits of the use of drones to deliver urgent medical supplies in remote and urban areas. Last year, the Department of Health and Social Care, working in collaboration with the Department for Transport, Innovate UK, and UK Research and Innovation, supported five pilot projects, allocating them a total of £500,000, to explore the use of drones in the National Health Service. Given the potential of drones to improve how the NHS delivers patient care, the Department of Health and Social Care is supportive of trials that explore the use of drones in medical logistics.
We have made the necessary decisions to fix the foundations of the public finances in the Autumn Budget. Resource spending for the Department is £22.6 billion more in 2025/26 than in 2023/24, as part of the Spending Review settlement. The employers’ National Insurance rise was implemented in April 2025.
The Government committed to recruiting over 1,000 recently qualified general practitioners (GPs) in primary care networks (PCNs) through an £82 million boost to the Additional Roles Reimbursement Scheme (ARRS) over 2024/25, as part of an initiative to secure the future pipeline of GPs, with over 1,000 doctors otherwise likely to graduate into unemployment in 2024/25. Data on the number of recently qualified GPs for which PCNs are claiming reimbursement via the ARRS show that since 1 October 2024, over 2,000 GPs were recruited through the scheme. Newly qualified GPs employed under the ARRS will continue to receive support under the scheme in the coming year as part of the 2025/26 contract. A number of changes have been confirmed to increase the flexibility of the ARRS. This includes GPs and practice nurses included in the main ARRS funding pot, an uplift of the maximum reimbursable rate for GPs in the scheme, and no caps on the number of GPs that can be employed through the scheme.
We are boosting practice finances by investing an additional £1.1 billion in GPs to reinforce the front door of the National Health Service, bringing total spend on the GP Contract to £13.4 billion in 2025/26. This is the biggest cash increase in over a decade, and aims to support GPs to build capacity, reduce bureaucracy, and deliver more care in the community.
Primary care providers, including GPs, are valued independent contractors who provide nearly £20 billion worth of NHS services. Every year we consult with each sector both about what services they provide, and the money providers are entitled to in return under their contract.
NHS England has published statutory guidance on palliative and end of life care and a service specification for children and young people. This sets out the expectations and responsibilities placed on integrated care boards (ICBs) in relation to the commissioning of children’s palliative care.
The NHS Futures platform offers ICB commissioners the opportunity to share examples of best practice amongst each other and with healthcare professionals and researchers. The NHS Futures platform also offers access to upcoming and past webinars and a clinical excellence workstream, among other resources, to support ICB commissioners and clinical staff to support outstanding clinical care based on the best available evidence.
The Department and NHS England are currently looking at how to improve the access, quality, and sustainability of all-age palliative care and end of life care in line with the 10-Year Health Plan.
We will closely monitor the shift towards the strategic commissioning of palliative care and end of life care services to ensure that services reduce variation in access and quality.
Most hospices are charitable, independent organisations which receive some statutory funding for providing National Health Services. The amount of funding each charitable hospice receives varies both within and between integrated care board (ICB) areas, including the North East London ICB and the North Central London ICB. This will vary depending on the demand in that ICB area but will also be dependent on the totality and type of palliative care and end of life care provision from both NHS and non-NHS services, including charitable hospices, within each ICB area.
The Department and NHS England are currently looking at how to improve the access, quality, and sustainability of all-age palliative care and end of life care in line with the 10-Year Health Plan.
We will closely monitor the shift towards the strategic commissioning of palliative care and end of life care services to ensure that the future state of services reduces variation in access and quality, although some variation may be appropriate to reflect both innovation and the needs of local populations.
The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for ensuring medicines, medical devices, and blood components for transfusion meet applicable standards of safety, quality, and efficacy. The MHRA rigorously assesses the available data, including from the Yellow Card scheme, and seeks advice from their independent advisory committee, the Commission on Human Medicines, where appropriate, to inform regulatory decisions.
It is important to note that a reaction reported to the Yellow Card scheme does not necessarily mean that it has been caused by the medicine, only that the reporter had a suspicion it may have. Underlying or concurrent illnesses may be responsible, or the events could be coincidental. The number of reports received cannot be used as a basis for determining the incidence of a reaction, as neither the total number of reactions occurring, nor the number of patients using the drug, is known.
The MHRA can confirm that it has received 124 spontaneous suspected United Kingdom Adverse Drug Reaction reports from 1 January 2014 to, and including, 18 September 2025, where a reaction term within the Medical Dictionary for Regulatory Activities’ (MedDRA) High-Level Term "Sexual Arousal Disorders” was reported. MedDRA is a clinically validated international medical terminology dictionary. It’s organised by System Organ Class, divided into High-Level Group Terms, High-Level Terms, Preferred Terms, and finally into Lowest Level Terms.
The following table shows the number of UK spontaneous suspected Adverse Drug Reaction reports where a reaction within the High-Level Term “Sexual Arousal Disorders” was reported, from 1 January 2014 to, and including, 18 September 2025, by year:
Year received | Number of reports received |
2014 | 6 |
2015 | 8 |
2016 | 15 |
2017 | 11 |
2018 | 5 |
2019 | 8 |
2020 | 8 |
2021 | 26 |
2022 | 10 |
2023 | 11 |
2024 | 8 |
2025 | 8 |
In addition, the following table shows a breakdown of these reports by suspect medicine, for all suspect substances for which we received two or more reports:
Substance | Number of reports received |
SERTRALINE | 22 |
CITALOPRAM | 15 |
CHADOX1 NCOV-19 | 7 |
ARIPIPRAZOLE | 6 |
FLUOXETINE | 6 |
TOZINAMERAN | 5 |
FINASTERIDE | 5 |
ETHINYLESTRADIOL | 4 |
ESCITALOPRAM | 3 |
LISDEXAMFETAMINE | 3 |
OXYCODONE | 2 |
DESOGESTREL | 2 |
DULOXETINE | 2 |
ISOTRETINOIN | 2 |
LISINOPRIL | 2 |
MEMANTINE | 2 |
OESTRIOL | 2 |
PAROXETINE | 2 |
TRAZODONE | 2 |
VENLAFAXINE | 2 |
VORTIOXETINE | 2 |
Note: please be aware that reports received via the Yellow Card scheme can contain more than one suspect medicine and as such the numbers in the table cannot be summed up to the total number of reports.
Suspect substances for which a single report was received were amitriptyline, amoxycillin, atomoxetine, canagliflozin, candesartan, ciprofloxacin, clavulanic acid, clobetasol, clonazepam, diazepam, donepezil, doxycycline, drospirenone, dutasteride, elasomeran, estradiol, etonogestrel, flucloxacillin, flupenthixol, ibutamoren, levonorgestrel, linagliptin, mefloquine, methylphenidate, metronidazole, minoxidil, norelgestromin, pramipexole, propranolol, quetiapine, reboxetine, risperidone, ropinirole, sildenafil, solifenacin, teriparatide, tirzepatide, tramadol, ulipristal, and varenicline.
The Minister of State for Care is currently having discussions with NHS England and Department officials about the funding arrangements for children and young people’s hospices in 2026/27. We hope to be able to provide further communication on this later in the year.
Locally employed doctor (LED) is a catch-all term used to refer to doctors employed by a National Health Service trust that are not on one of the nationally negotiated contracts. LEDs do not work in formal or approved training posts and as such are not funded centrally by NHS England for any specialty.
There are some individual NHS trusts that support LEDs through alternative training pathways, mainly in core training in medicine, anaesthetics and surgery. Data on this would only be available at trust level and is not collected or held centrally.
NHS England has published the LED Blueprint for Change. This outlines a set of targeted high impact actions for Trusts to use to enhance opportunities for training, skills improvement, career pathways and progression to support professional development for LEDs. It has been shaped by LEDs and other key stakeholders including the Academy of Medical Royal Colleges, General Medical Council, NHS Employers and British Medical Association.
Locally employed doctor (LED) is a catch-all term used to refer to doctors employed by a National Health Service trust that are not on one of the nationally negotiated contracts. LEDs do not work in formal or approved training posts and as such are not funded centrally by NHS England for any specialty.
There are some individual NHS trusts that support LEDs through alternative training pathways, mainly in core training in medicine, anaesthetics and surgery. Data on this would only be available at trust level and is not collected or held centrally.
NHS England has published the LED Blueprint for Change. This outlines a set of targeted high impact actions for Trusts to use to enhance opportunities for training, skills improvement, career pathways and progression to support professional development for LEDs. It has been shaped by LEDs and other key stakeholders including the Academy of Medical Royal Colleges, General Medical Council, NHS Employers and British Medical Association.
Keeping data safe and secure and ensuring patient and public privacy remain key principles of the Health Data Research Service (HDRS). The public will retain a right to opt out of specific uses of their data beyond their direct care, and these opt-outs will be respected with the implementation of HDRS.
Integrated care boards (ICBs) are responsible for undertaking health needs assessments, including any data collection, to understand the health and wellbeing needs of their local populations, including identifying inequalities and planning services accordingly. NHS England has issued guidance to ICBs on developing an intelligence function to ensure locally tailored, evidence-based decisions are made that address health inequalities and support personalised, population-focused care planning.
The 10 Year Health Plan shifts care from hospitals into communities, with neighbourhood health services led by multidisciplinary teams offering preventative and personalised support closer to where people live with increased access to services and information for people with allergies and long-term health conditions.
The plan also commits expanding the use of digital technology. By 2035, two thirds of outpatient care will take place digitally or in the community closer to home, with patients, including those with allergies and long-term conditions, able to access the best of their local hospital in a much more responsive way at home via their phones.
The Government is committed to ensuring that fewer lives are lost to the biggest killers, including cardiovascular disease (CVD), and the 10-Year Health Plan sets out our intention to publish a CVD modern service framework in 2026. Work to improve the impact of the NHS Health Check programme is ongoing and will inform the development of the CVD modern service framework. This will set out the best evidenced interventions, clear quality standards, and a plan for innovation.
Department officials are carefully considering the recommendations from the National Audit Office’s (NAO) report, Progress in preventing cardiovascular disease, and we will respond to the four recommendations made by the NAO in their report by the end of this year.
The role of biomedical scientists is critical to the delivery of the Government’s overarching ambitions for National Health Service recovery, and to deliver on the strategic shift of moving care from the hospital to the community. The Government and NHS England have ensured that their views and input have been sought to inform the development and delivery of policy, including on diagnostic services.
The pathology professional bodies, including the Royal College of Pathologists and the Institute of Biomedical Science, are key stakeholders in NHS England’s pathology transformation and diagnostics programmes. They are represented on programme boards and working groups, and there is a strong track record of joint working, including national engagement events on topics such as sustainability, modernising histopathology services, and digital transformation. This engagement is helping to shape policy and delivery, including the delivery of community diagnostic services, to ensure equitable access to high-quality diagnostics outside of hospital settings.
With more than 270,000 contributions, the engagement the Government undertook to inform the 10-Year Health Plan was the biggest ever national conversation in the history of the NHS. Organisations representing the biomedical science sector played an important part in it. We received consultation responses from a number of these organisations, including The Institute of Biomedical Science and Royal College of Pathologists, who we undertook specific engagement with through our Partners’ Council.
All of this input fed directly into our policy making process, and insights from the engagement are embedded throughout the plan. As NHS England prepares to deliver the Government’s health ambitions set out in the 10-Year Health Plan, professional bodies, alongside other key stakeholders, will continue to play an important role in informing the implementation of priority programmes.
Biomedical scientists are increasingly working at the top of their licence, supported by digital pathology and laboratory automation that improves workflow and turnaround times. They provide governance and quality oversight for community point-of-care testing, outside of hospital settings linked to community diagnostic centres and hub laboratories, with advanced and consultant-level roles developing where appropriate.
Decisions on the availability of trainee positions to become registered biomedical scientists are matters for individual NHS trusts. NHS trusts manage their recruitment at a local level to ensure they have the right number of staff in place, with the right skill mix, to deliver safe and effective care. NHS England, and previously Health Education England, have, however, supported advanced specialist diplomas and other advanced training for biomedical scientists, with further information on this available on the Institute of Biomedical Science’s website, in an online only format.
The Government will be publishing a 10 Year Workforce Plan to create a workforce ready to deliver a transformed service. They will be more empowered, more flexible, and more fulfilled. The 10 Year Workforce Plan will ensure the NHS has the right people in the right places, with the right skills to deliver the best care for patients, when they need it.
The role of biomedical scientists is critical to the delivery of the Government’s overarching ambitions for National Health Service recovery, and to deliver on the strategic shift of moving care from the hospital to the community. The Government and NHS England have ensured that their views and input have been sought to inform the development and delivery of policy, including on diagnostic services.
The pathology professional bodies, including the Royal College of Pathologists and the Institute of Biomedical Science, are key stakeholders in NHS England’s pathology transformation and diagnostics programmes. They are represented on programme boards and working groups, and there is a strong track record of joint working, including national engagement events on topics such as sustainability, modernising histopathology services, and digital transformation. This engagement is helping to shape policy and delivery, including the delivery of community diagnostic services, to ensure equitable access to high-quality diagnostics outside of hospital settings.
With more than 270,000 contributions, the engagement the Government undertook to inform the 10-Year Health Plan was the biggest ever national conversation in the history of the NHS. Organisations representing the biomedical science sector played an important part in it. We received consultation responses from a number of these organisations, including The Institute of Biomedical Science and Royal College of Pathologists, who we undertook specific engagement with through our Partners’ Council.
All of this input fed directly into our policy making process, and insights from the engagement are embedded throughout the plan. As NHS England prepares to deliver the Government’s health ambitions set out in the 10-Year Health Plan, professional bodies, alongside other key stakeholders, will continue to play an important role in informing the implementation of priority programmes.
Biomedical scientists are increasingly working at the top of their licence, supported by digital pathology and laboratory automation that improves workflow and turnaround times. They provide governance and quality oversight for community point-of-care testing, outside of hospital settings linked to community diagnostic centres and hub laboratories, with advanced and consultant-level roles developing where appropriate.
Decisions on the availability of trainee positions to become registered biomedical scientists are matters for individual NHS trusts. NHS trusts manage their recruitment at a local level to ensure they have the right number of staff in place, with the right skill mix, to deliver safe and effective care. NHS England, and previously Health Education England, have, however, supported advanced specialist diplomas and other advanced training for biomedical scientists, with further information on this available on the Institute of Biomedical Science’s website, in an online only format.
The Government will be publishing a 10 Year Workforce Plan to create a workforce ready to deliver a transformed service. They will be more empowered, more flexible, and more fulfilled. The 10 Year Workforce Plan will ensure the NHS has the right people in the right places, with the right skills to deliver the best care for patients, when they need it.
The role of biomedical scientists is critical to the delivery of the Government’s overarching ambitions for National Health Service recovery, and to deliver on the strategic shift of moving care from the hospital to the community. The Government and NHS England have ensured that their views and input have been sought to inform the development and delivery of policy, including on diagnostic services.
The pathology professional bodies, including the Royal College of Pathologists and the Institute of Biomedical Science, are key stakeholders in NHS England’s pathology transformation and diagnostics programmes. They are represented on programme boards and working groups, and there is a strong track record of joint working, including national engagement events on topics such as sustainability, modernising histopathology services, and digital transformation. This engagement is helping to shape policy and delivery, including the delivery of community diagnostic services, to ensure equitable access to high-quality diagnostics outside of hospital settings.
With more than 270,000 contributions, the engagement the Government undertook to inform the 10-Year Health Plan was the biggest ever national conversation in the history of the NHS. Organisations representing the biomedical science sector played an important part in it. We received consultation responses from a number of these organisations, including The Institute of Biomedical Science and Royal College of Pathologists, who we undertook specific engagement with through our Partners’ Council.
All of this input fed directly into our policy making process, and insights from the engagement are embedded throughout the plan. As NHS England prepares to deliver the Government’s health ambitions set out in the 10-Year Health Plan, professional bodies, alongside other key stakeholders, will continue to play an important role in informing the implementation of priority programmes.
Biomedical scientists are increasingly working at the top of their licence, supported by digital pathology and laboratory automation that improves workflow and turnaround times. They provide governance and quality oversight for community point-of-care testing, outside of hospital settings linked to community diagnostic centres and hub laboratories, with advanced and consultant-level roles developing where appropriate.
Decisions on the availability of trainee positions to become registered biomedical scientists are matters for individual NHS trusts. NHS trusts manage their recruitment at a local level to ensure they have the right number of staff in place, with the right skill mix, to deliver safe and effective care. NHS England, and previously Health Education England, have, however, supported advanced specialist diplomas and other advanced training for biomedical scientists, with further information on this available on the Institute of Biomedical Science’s website, in an online only format.
The Government will be publishing a 10 Year Workforce Plan to create a workforce ready to deliver a transformed service. They will be more empowered, more flexible, and more fulfilled. The 10 Year Workforce Plan will ensure the NHS has the right people in the right places, with the right skills to deliver the best care for patients, when they need it.
A timely diagnosis is vital to ensuring that a person with dementia can access the advice, information, care, and support that can help them to live well and remain independent for as long as possible. We remain committed to recovering the dementia diagnosis rate to the national ambition of 66.7%.
The Neighbourhood Health Service will bring together teams of professionals closer to people’s homes to work together to provide comprehensive care in the community. Whilst no specific assessment has been made regarding dementia diagnosis rates, we expect neighbourhood teams and services to be designed in a way that reflects the specific needs of local populations. While we will be clear on the outcomes we expect, we will give significant licence to tailor the approach to local need. While the focus on personalised, coordinated care will be consistent, that will mean the services will look different in rural communities, coastal towns, and/or deprived inner cities.
Our health system has struggled to support those with complex needs, including those with dementia. Under the 10-Year Health Plan, those living with dementia will benefit from improved care planning and better services.
The Department is committed to funding health and care research via the National Institute for Health and Care Research (NIHR) across England, to ensure that the research we support is inclusive and representative of the populations we serve.
In 2024, the NIHR made equity, diversity, and inclusion a condition of funding for all domestic research awards. This means applicants must demonstrate how their research will contribute towards the NIHR’s mission to reduce health and care inequalities, with a focus on participant inclusion from diverse populations of the United Kingdom.
NIHR research infrastructure has national coverage across the whole of England. Our infrastructure schemes aim to build research capacity and capability across the country, across all geographies and settings. In line with prior commitments, the Department has increased funding for NIHR research infrastructure schemes delivering cancer research outside the Greater South East, including Biomedical Research Centres, Clinical Research Facilities, and HealthTech Research Centres.
Through the NIHR Research Delivery Network (RDN), the NIHR provides funding to 100% of National Health Service trusts in England to deliver research, operating across 12 regions throughout the country. From 2026/27, the RDN will adopt a new national funding model for NHS support costs and research delivery. This will be a consistent, nationally agreed funding distribution model across all regions of England and will reduce regional variation in health research delivery investment. This aims to reduce inequity in research delivery across all therapy and geography areas, including in underserved areas and settings.
The NIHR also provides an online service called Be Part of Research which promotes participation in health and social care research by allowing users to search for relevant studies and register their interest. This makes it easier for people to find and take part in health and care research that is relevant to them.
NHS England wrote to the National Health Service providers’ chief financial officers and research and development directors on 30 May 2025, requiring them to ensure all commercial trial activities are invoiced in a timely manner. A copy of this correspondence is attached.
NHS England is currently holding a series of round tables to explore the challenges facing some NHS providers in maintaining good financial management for research, and this includes invoicing. The outcome of these roundtables will be the revision and strengthening of NHS England’s Research Finance Guidance, which was first published in 2024.
The Government publishes United Kingdom-wide data on clinical research delivery performance through the Department’s UK Clinical Research Delivery (UKCRD) Key Performance Indicator Report. This monthly report brings together data from the National Institute for Health and Care Research (NIHR) and the Medicines and Healthcare products Regulatory Agency to monitor system-wide progress in the delivery of globally competitive clinical research across the UK. Alongside this reporting, the Department also publishes National Health Service trust level data on the study set-up performance of sites in England.
The Health and Care Act 2022 sets legal duties for integrated care boards (ICBs) in relation to research, and these duties include requirements to include research in ICB joint forward plans and reports. The Department and NHS England are currently developing plans for the future structure and functions of ICBs and regions and this includes consideration of where governance for research will sit. In May, NHS England wrote a letter to NHS providers requiring board-level reporting of research activity and income, with scrutiny of the UKCRD programme’s site-level performance metrics for study set-up. A copy of this correspondence is attached. NHS England will publish revised guidance on financial management for research later in 2025.
Regional pilots such as the Targeted Lung Health Check can be used to build an evidence base and inform decisions regarding screening. However, the Department is guided on screening policy by the UK National Screening Committee (UK NSC). This is an independent scientific advisory committee and makes its recommendations based on internationally recognised criteria and a rigorous evidence review and consultation process.
Regional screening initiatives would only be rolled out nationally when they followed a UK NSC recommendation based on scientific evidence that showed the programme would do more good than harm at reasonable cost.
The Department and NHS England are taking a number of steps to support the National Health Service to deliver cost-effective, lifesaving prehabilitation and rehabilitation services.
Local planning for prehabilitation and rehabilitation services is a matter for NHS trusts and Cancer Alliances to take forward in their local areas. NHS England has highlighted the positive impact of efficient prehabilitation and rehabilitation on cancer outcomes and the potential to lead to cost savings. The ‘PRosPer’ Cancer Prehabilitation and Rehabilitation learning programme, launched in partnership between NHS England and Macmillan Cancer support, aims to support allied health professionals and the wider healthcare workforce in developing their skills in providing prehabilitation and rehabilitation, including in areas such as exercise, nutrition, and wellbeing support.
The Government and NHS England recognise that for most people living with long term conditions, including people living with cancer, physical activity is safe and can support recovery after treatment and promote quality of life. The NHS is committed to ensuring that all cancer patients in England have access to personalised care, including a needs assessment, a care plan, and health and wellbeing information and support.
Our 10-Year Health Plan for England has set out a series of national actions to address the major risk factors associated with cancer. The National Cancer Plan, due to be published later this year, will build on the shift from sickness to prevention set out in the 10-Year Health Plan. The plan will seek to reduce cancer risk factors, including smoking, and will include further detail about how we will improve outcomes for cancer patients.
The 10-Year Health Plan also committed to ensuring all hospitals integrate ‘opt-out’ smoking cessation interventions into routine care. Within their 2025/26 allocations, integrated care boards have access to funding in order to support the rollout of tobacco dependency treatment services in hospital settings, including acute and mental health inpatient settings and maternity services. Future funding decisions, including any decision to expand tobacco dependency treatment services to additional settings beyond routine care, are subject to the Spending Review process.
The Government is committed to raising the healthiest generation of children ever. This includes all children and young people with special educational needs and disabilities, including non-hearing children. Auditory verbal therapy is one of a range of approaches that can be used with deaf babies and children.
NHS England and the Department for Education are co-funding £10 million over two years in nine Early Language Support for Every Child pathfinder sites to improve early identification, universal and targeted support for speech, language and communication needs in early years and primary schools, with quicker referrals to specialist services when needed.
Delivering services that will raise the healthiest generation of children ever begins with its people. We will publish a 10 Year Workforce Plan to create a workforce ready to deliver a transformed service. The 10 Year Workforce Plan will ensure the National Health Service has the right people in the right places, with the right skills to deliver the best care for patients, when they need it.
There are no current plans to allow patients to directly nominate a distance selling pharmacy (DSP) from within the NHS App. A discovery exercise completed in January 2025 explored this option and concluded that within the current landscape of DSPs there are several challenges that could impact user experience and timely access to medicines. This has been communicated to relevant DSP stakeholders.
The NHS App supports seamless pharmacy services by allowing patients to order repeat prescriptions, nominate their preferred pharmacy, and manage their medication. A new prescription tracker feature means that nearly 1,500 pharmacies are now offering the new prescription tracking service through the NHS App, which provides updates on when prescriptions are ready to be collected. Work has also commenced on an ‘in App’ notification which will enhance this feature further.
On 7 April 2025 the Prime Minister announced that the Government and the Wellcome Trust will invest up to £600 million to create a new Health Data Research Service, co-designed through engagement with the public and patients, data users, and stakeholder organisations.
Providing access to data for direct care purposes is not one of the Health Data Research Service’s planned capabilities. The Health Data Research Service will deliver a single point of access to health data for research from multiple sources, National Health Service and non-NHS. This service will bring new treatments and cures to patients by safely enabling the use of patient data to super-charge research, attracting investment and making the United Kingdom one of the best places in the world to conduct ground-breaking medical research.
The Health Data Research Service will be delivered across the UK to provide a single, integrated system for approved researchers across all sectors to access health, social care, and public health data safely. The service will streamline and simplify current processes, ensuring the safety and security of the data, allowing researchers to spend less time talking to different NHS bodies around the country and more time unlocking new insights that will transform our understanding of health.
NHS England has written to National Health Service trusts, integrated care boards, and primary care networks to reiterate their responsibilities to their staff as employers, including providing pastoral support where required. Importantly, NHS England has also written directly to staff most affected by the recommendations, in the Response to Recommendations from the Independent Review of Physician Associates and Anaesthesia Associates (the Leng Review), available on the NHS.UK website, setting out where they can find support if required.
Implementing the recommendations will require organisations to work together and take action. Some actions will be implemented immediately, whilst others will require wider input, with benefits being fully realised over time. The Department and NHS England will work to ensure that both patient and staff needs are met throughout this process. We will also work collaboratively with other key partners to set out a clear implementation plan for making the required changes, in advance of publishing a fuller response.
According to the latest published data from May 2025, there are 28,250 full time equivalent (FTE) fully qualified general practitioners (GPs). The corresponding headcount figure is 38,868.
Compared to May 2024, there has been a net increase of 601 FTE fully qualified GPs in May 2025. The net increase in headcount over the same period is 1,293.
Data on the number of vacancies is not held centrally.
According to the latest published data from May 2025, there are 28,250 full time equivalent (FTE) fully qualified general practitioners (GPs). The corresponding headcount figure is 38,868.
Compared to May 2024, there has been a net increase of 601 FTE fully qualified GPs in May 2025. The net increase in headcount over the same period is 1,293.
Data on the number of vacancies is not held centrally.
According to the latest published data from May 2025, there are 28,250 full time equivalent (FTE) fully qualified general practitioners (GPs). The corresponding headcount figure is 38,868.
Compared to May 2024, there has been a net increase of 601 FTE fully qualified GPs in May 2025. The net increase in headcount over the same period is 1,293.
Data on the number of vacancies is not held centrally.
Fracture Liaison Services are commissioned by integrated care boards, which are well-placed to make decisions according to local need.
Our 10-Year Health Plan committed to rolling out Fracture Liaison Services across every part of the country by 2030.
Health and care professionals and other staff responsible for caring for patients within health and social care organisations will be able to access their single patient records under strict role-based access controls. Other Government organisations and public bodies will not have corporate access to the single patient record. The record will be protected by the highest standards of security, with a robust audit trail for patients of who has accessed their record.
The geography of neighbourhoods should be determined locally by integrated care boards in partnership with their strategic partners, particularly local authorities. The Government aims to establish a Neighbourhood Health Centre in every community as we shift from hospital to community. Nationwide coverage will take time, but we will start in areas with the greatest need, for instance where healthy life expectancy is lowest, including coastal towns and communities with higher deprivation levels. Wherever possible, we will maximise value for money by repurposing poorly used, existing National Health Service and public sector estates. The Department is also currently writing a business case on Public Private Partnerships for Neighbourhood Health Centres for review as part of the Autumn Budget.
The Neighbourhood Health Service will embody our new preventative principle that care should happen as locally as it can, digitally by default, in a patient’s home if possible, in a Neighbourhood Health Centre when needed, and only in a hospital if necessary. The Neighbourhood Health Service will mean millions of patients are treated and cared for closer to home by new teams of professionals. We have launched the National Neighbourhood Health Implementation Programme to support systems across the country to test new ways of working, share learning, and scale what works. This programme will inform future strategy and policy development, and outcome metrics will be rigorously monitored.
To support neighbourhood health, we will introduce two new contracts, with roll-out beginning next year, one of which will create neighbourhood providers that deliver enhanced services for groups with similar needs over a footprint of approximately 50,000 people. In many areas, existing groups of general practices will be well placed to take on these contracts.
The Professional Standards Authority for Health and Social Care (PSA) operates an accredited voluntary register scheme for professions not subject to statutory regulation.
The Government values the scheme and the PSA quality mark demonstrates a register’s commitment to high standards of care and provides assurance around professional standards and ethical behaviours.
The scheme covers voluntary registers across a range of professions, including a number relating to counselling and psychotherapy.
The NHS.UK website sets out that professionals must be on one of the PSA’s accredited registers in order to work as a counsellor in the National Health Service.
The Professional Standards Authority for Health and Social Care (PSA) operates an accredited voluntary register scheme for professions not subject to statutory regulation.
The Government values the scheme and the PSA quality mark demonstrates a register’s commitment to high standards of care and provides assurance around professional standards and ethical behaviours.
The scheme covers voluntary registers across a range of professions, including a number relating to counselling and psychotherapy.
The NHS.UK website sets out that professionals must be on one of the PSA’s accredited registers in order to work as a counsellor in the National Health Service.
To support the delivery of this ambition, the Department, through NHS England, has put in place new national service specifications, covering both Principal Treatment Centres and the associated Teenage and Young Adult (TYA) Designated Hospital provision, and has established networks to oversee pathways of care, coordinate clinical trial access, and develop local strategies to increase clinical trial recruitment. Alongside this, NHS England has also introduced a metric to monitor trial participation within the TYA Cancer Quality Dashboard.
The Department does not hold data on the overall percentage of children and young people with cancer that are enrolled into clinical trials nationwide but does collect data on general participation through National Institute for Health and Care Research) funded research infrastructure. The Department reports on this data where it is appropriate to do so.
Since it’s relaunch in February 2025, the Children and Young People Cancer Taskforce has been exploring ways to improve outcomes and experiences for children and young people with cancer, including by improving access to research. The National Cancer Plan, due for publication later this year, will set out further details on how we will improve outcomes for all cancer patients, including young people.