First elected: 7th May 2015
Speeches made during Parliamentary debates are recorded in Hansard. For ease of browsing we have grouped debates into individual, departmental and legislative categories.
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These initiatives were driven by Oliver Dowden, and are more likely to reflect personal policy preferences.
MPs who are act as Ministers or Shadow Ministers are generally restricted from performing Commons initiatives other than Urgent Questions.
Oliver Dowden has not been granted any Urgent Questions
Oliver Dowden has not been granted any Adjournment Debates
Oliver Dowden has not introduced any legislation before Parliament
Oliver Dowden has not co-sponsored any Bills in the current parliamentary sitting
The information requested falls under the remit of the UK Statistics Authority.
A response to the Rt. Hon gentleman’s Parliamentary Question of 26th February is attached.
The information requested falls under the remit of the UK Statistics Authority.
A response to the Rt. Hon gentleman’s Parliamentary Question of 26th February is attached.
The Department for Business and Trade does not hold this information. However, we are clear that disguised employment practices such as false self-employment are unacceptable. Employers should never seek to deny people their employment rights and avoid their own legal obligations by claiming someone is self-employed when in reality they are not.
The Government is committed to tackling false self-employment and HMRC will investigate evidence suggesting businesses have misclassified individuals for tax purposes. The Government has also set up a forum with the hair and beauty industry to support compliance in the sector.
This Government recognises the significant economic and social value of the hair and beauty industry.
That is why we have committed to reforming business rates from 2026-27 with a permanently lower multiplier for retail, leisure and hospitality properties, including hair and beauty salons.
The Government will also protect the smallest businesses by increasing the Employment Allowance to £10,500, meaning that 865,000 employers will pay no National Insurance contributions (NICs) at all and employers will be able to employ up to four full-time workers on the National Living Wage and pay no employer NICs.
We will also transform the existing Apprenticeship Levy into a more flexible Growth and Skills Levy to support business and boost opportunity.
We know this is a difficult time for businesses and workers alike, the Low Pay Commission are independent experts who conducts extensive consultation, analysis and evidence gathering when recommending the minimum wage rates.
We asked the LPC to make progress in extending the National Living Wage to more adults than ever before, by continuing to narrow the gap between the 18-20 rate and the NLW.
We do recognise that the 18-20 band are more vulnerable to unemployment, and therefore any impacts on employment - as well as incentives to remain in training or education - must be monitored carefully, as we proceed.
Ofgem is an independent regulator and HM Treasury has principal oversight over Ofgem’s finances. As an independent regulator and Non-Ministerial Government Department, Ofgem is responsible for setting its own internal policies and controls in-line with its legal functions and duties, and it is directly accountable to Parliament for the performance of its functions and duties.
However, the Department collaborates with Ofgem, in line with the Greening Government Commitments (GGCs), to work towards our mutual net zero 2050 target. This includes reviewing our respective environmental impact and ensuring that Ofgem’s operations and procurement support are delivered in advance of the government’s targets.
Ofgem, with guidance from the Department, use the Greening Government Commitments as the main measure of progress – these commitments span the period from 2021-2025 and set out a sustainability framework for government departments.
Ofgem’s annual report that outlines their data governance and sustainability arrangements: https://www.ofgem.gov.uk/sites/default/files/2025-04/Ofgem-annual-report-and-accounts-2023-2024.pdf
We have strengthened the sustainability criteria for large-scale biomass generation from the previous government to ensure wood from primary forest is not used for energy generation. Under new arrangements as part of the Low Carbon Dispatchable Contract for Difference this includes increasing the proportion of woody biomass that must come from sustainable sources from 70% to 100% and clarifying explicitly that no subsidy will be paid for electricity generated from material sourced from primary forest and old growth areas. We are also working with Ofgem and the Low Carbon Contracts Company to ensure there is robust appropriate assurance and enforcement activity to support this.
Details of Ministers' and Permanent Secretaries' meetings with external individuals and organisations are published quarterly in arrears on GOV.UK.
Details of Ministers' and Permanent Secretaries' meetings with external individuals and organisations are published quarterly in arrears on GOV.UK.
Following the Licensing taskforce report, the Government published a Call for Evidence on reforming the licensing system on 7 October, which closed on 6 November. The Call for Evidence invited views on the impact of licensing reforms, including in relation to Recommendation 4 of the taskforce on ending the requirement for printed statutory notices in local newspapers for alcohol licences. The reforms collectively aim to create a modern, proportionate, and enabling system that supports economic growth, revitalises high streets and fosters vibrant communities.
More broadly, the Government is concerned about the sustainability of local journalism and DCMS is developing a Local Media Strategy, in recognition of the importance of this vital sector. We also recognise that local press continues to play a central role in informing local communities, and that statutory notices can be important in helping inform the public of decisions made by their council which may affect their quality of life, local services or amenities, or their property.
Additionally, the sector’s Public Notice Portal is a welcome innovation, taking advantage of print publishers’ growing digital audiences and providing a centralised resource for all types of public notice. We also welcome the Portal's current expansion to include archive and consultation functions to help public bodies and commercial entities engage with the public more effectively.
DCMS is monitoring the progress of the Portal, and the effect that it has on the audience reach of public notices. This type of industry innovation and collaboration is integral to securing the sector’s future. It will be taken into account in our planned review of statutory notices as part of the Local Media Strategy, which will more broadly consider the merits of making changes to existing requirements to place statutory notices in print local newspapers, including the impact this has on local transparency and the newspaper industry, including in Hertfordshire. The review will also take forward final decisions on the future of alcohol licence notices. More will be announced on the Strategy and the review in due course.
Following the Licensing taskforce report, the Government published a Call for Evidence on reforming the licensing system on 7 October, which closed on 6 November. The Call for Evidence invited views on the impact of licensing reforms, including in relation to Recommendation 4 of the taskforce on ending the requirement for printed statutory notices in local newspapers for alcohol licences. The reforms collectively aim to create a modern, proportionate, and enabling system that supports economic growth, revitalises high streets and fosters vibrant communities.
More broadly, the Government is concerned about the sustainability of local journalism and DCMS is developing a Local Media Strategy, in recognition of the importance of this vital sector. We also recognise that local press continues to play a central role in informing local communities, and that statutory notices can be important in helping inform the public of decisions made by their council which may affect their quality of life, local services or amenities, or their property.
Additionally, the sector’s Public Notice Portal is a welcome innovation, taking advantage of print publishers’ growing digital audiences and providing a centralised resource for all types of public notice. We also welcome the Portal's current expansion to include archive and consultation functions to help public bodies and commercial entities engage with the public more effectively.
DCMS is monitoring the progress of the Portal, and the effect that it has on the audience reach of public notices. This type of industry innovation and collaboration is integral to securing the sector’s future. It will be taken into account in our planned review of statutory notices as part of the Local Media Strategy, which will more broadly consider the merits of making changes to existing requirements to place statutory notices in print local newspapers, including the impact this has on local transparency and the newspaper industry, including in Hertfordshire. The review will also take forward final decisions on the future of alcohol licence notices. More will be announced on the Strategy and the review in due course.
The Department for Culture, Media and Sport meets regularly with BBC leadership, including its Board, to discuss a range of topics.
The Government believes that it is absolutely fundamental that stories about the events in Gaza are told and heard, but are done so with the utmost care, transparency and sensitivity. Under its Royal Charter and Ofcom’s wider Broadcasting Code, the BBC has a duty to provide accurate and impartial news and information. This responsibility is particularly important when it comes to coverage of highly sensitive issues, such as the conflict in Gaza. Ofcom, as the BBC’s independent regulator, is responsible for ensuring BBC coverage is impartial and accurate under the Broadcasting Code and BBC Charter.
The Government’s Industrial Strategy will prioritise the creative industries.
We will ensure that the sector can continue to drive growth, boost opportunities and help people to fulfil their creative potential across the UK, including in Hertsmere. Our support includes:
Providing £1 million in funding for 2025/26 for the British Film Commission, which has previously provided support for both Elstree Studios and Sky Studios Elstree in Hertsmere;
Expanding the global reach of independent content through with a further £7 million for the UK Global Screen Fund in 2025/26;
Building on the success of the screen sector tax reliefs, by introducing the enhanced Independent Film Tax Credit, and a new 5% uplift on the rate of relief for visual effects.
Opportunities to drive growth in our screen sectors exist across the whole of the UK, with seven established film production hubs and many more areas brimming with potential and ambition. The film industry also benefits from two major UK Research and Innovation programmes run by the Arts and Humanities Research Council: the £75.6 million CoSTAR programme and the £56 million Creative Industries Clusters programme
In addition, the British Film Institute has committed £34.2 million National Lottery funding over 2023-2026 for education and skills programmes. This includes £9 million to develop skills clusters, one of which has been set up to cover the Metro London area, which includes Hertfordshire, led by Film London.
The Government’s Industrial Strategy will prioritise the creative industries.
We will ensure that the sector can continue to drive growth, boost opportunities and help people to fulfil their creative potential across the UK, including in Hertsmere. Our support includes:
Providing £1 million in funding for 2025/26 for the British Film Commission, which has previously provided support for both Elstree Studios and Sky Studios Elstree in Hertsmere;
Expanding the global reach of independent content through with a further £7 million for the UK Global Screen Fund in 2025/26;
Building on the success of the screen sector tax reliefs, by introducing the enhanced Independent Film Tax Credit, and a new 5% uplift on the rate of relief for visual effects.
Opportunities to drive growth in our screen sectors exist across the whole of the UK, with seven established film production hubs and many more areas brimming with potential and ambition. The film industry also benefits from two major UK Research and Innovation programmes run by the Arts and Humanities Research Council: the £75.6 million CoSTAR programme and the £56 million Creative Industries Clusters programme
In addition, the British Film Institute has committed £34.2 million National Lottery funding over 2023-2026 for education and skills programmes. This includes £9 million to develop skills clusters, one of which has been set up to cover the Metro London area, which includes Hertfordshire, led by Film London.
All schools are under a statutory duty to have due regard to the need to prevent people from being radicalised into terrorism.
Every school should actively promote the shared values of democracy, the rule of law, individual liberty, and mutual respect and tolerance for those of different faiths and beliefs. Promoting shared British values is a way of building pupils’ resilience to radicalisation and enabling them to identify and challenge extremist views.
The department publishes comprehensive advice and has made a range of resources freely available on our Educate Against Hate website, supporting teachers across all sectors to educate children and young people about the risks of extremism and radicalisation. This includes talking about Prevent and discussing controversial issues with children to raise awareness of and build resilience to radicalisation.
We have a team of regional co-ordinators who work directly with education institutions across all sectors in England to provide advice, support and training to ensure providers are well equipped to prevent children and young people from being drawn into terrorism.
Schools and colleges are a place of protection, as well as education. There is no place for antisemitism in our society, and it is essential that Jewish students feel safe in education.
The Holocaust is the only historic event which is compulsory within the current national curriculum for history at key stage 3, and teaching about antisemitism is integral to teaching this event.
There are many other opportunities in the existing curriculum for schools to teach about antisemitism, including through citizenship, relationships and religious education.
The department’s ‘Tackling Antisemitism in Education’ programme, backed by £7 million of funding, seeks to improve confidence and resilience in tackling antisemitism across settings including schools, colleges and universities. It includes an Innovation Fund, which will be launching in the summer. This fund will support the creation of mechanisms to educate young people about antisemitism and provide them with key skills in areas such as media literacy.
The department is also supporting teachers through our Educate Against Hate website, which provides teachers with a range of free, quality assured resources, including on building resilience to antisemitism, teaching about tolerance and rejecting discrimination.
Antisemitism has absolutely no place in universities or wider society. Universities must be places where all students feel safe, respected and able to thrive.
Earlier this month, my right hon. Friend, the Secretary of State for Education brought together vice chancellors and community leaders to hear testimonials from Jewish students and discuss next steps to ensure safer, more inclusive campuses for all.
The department remains committed to working with universities, sector partners and stakeholder groups to tackle the unacceptable level of antisemitism on our campuses.
Antisemitism has absolutely no place in universities or wider society. Universities must be places where all students feel safe, respected and able to thrive.
Earlier this month, my right hon. Friend, the Secretary of State for Education brought together vice chancellors and community leaders to hear testimonials from Jewish students and discuss next steps to ensure safer, more inclusive campuses for all.
The department remains committed to working with universities, sector partners and stakeholder groups to tackle the unacceptable level of antisemitism on our campuses.
Allocations of high needs funding for the 2025/26 financial year will be published as soon as possible now that overall budgets for next year have been announced. The department will take longer to consider changes to the funding formula that is used to allocate funding and which creates the variations in funding levels between local authorities across the country. The department fully recognises the importance of establishing a fair education funding system, that directs funding to where it is needed.
This government is committed to providing the necessary support to improve the experiences for children and young people with special educational needs and disabilities (SEND) and their families. We are committed to taking a community-wide approach, improving inclusivity and expertise in mainstream schools and alternative provision settings, as well as ensuring special schools cater to those with the most complex needs.
Ofsted inspected local arrangements for children with SEND in Hertfordshire in July 2023. Its report, published on 10 November 2023, concluded that there are widespread and/or systemic failings, leading to significant concerns about the experiences and outcomes of children and young people with SEND, which the local area partnership must address urgently.
The department provides support and challenge to the Hertfordshire local area partnership by monitoring progress against its priority action plan and improvement plan, and by providing advice and guidance via a SEND expert advisor. The partnership has also established a SEND Improvement Board, independently chaired by Dame Christine Lenehan to oversee progress and provide appropriate challenge.
As autonomous institutions, universities are responsible for tackling antisemitism on campus and should have processes in place to deal with unlawful abuse and harassment.
Universities, as well as Jewish groups and other stakeholders, have told us that the previous government’s Freedom of Speech Act prevented them from taking effective action. The department is stopping further commencement of the Act, in order to consider the options, including its repeal.
The department will continue to work closely with Jewish groups, including the Union for Jewish Students and the University Jewish Chaplaincy, to understand their concerns and what further action is needed.
Access for All funding for the current Spending Review period has been allocated, with projects to be announced in due course.
We would expect any future rounds to align to future Spending Review periods. Until then, accessibility upgrades can be funded via a variety of sources, such as Section 106 developer contributions.
Network Rail has completed initial feasibility work for the 50 projects being considered for inclusion in the Access for All programme within the 2025 Spending Review funding period.
We plan to update stakeholders in due course.
In May 2024, the previous government identified 50 stations, including Bushey, for initial feasibility work to assess their potential for future upgrades under the Access for All programme. Network Rail has now completed this initial feasibility work. We plan to provide an update to stakeholders in due course.
This government is committed to improving the accessibility of the railway and recognises the social and economic benefits this brings to communities.
In May 2024, the previous government selected 50 stations for initial feasibility work for potential upgrades as part of our Access for All programme. This did not include Radlett railway station.
We recently published the Accessibility National Technical Specification Notice (NTSN), replacing the Persons with Reduced Mobility NTSN following an extensive review and public consultation facilitated by the Rail Safety and Standards Board. The Accessibility NTSN updates many specifications inherited from EU law while preserving ones that did not have a clear case for change.
We did not receive feedback on Appendix B during the review and public consultation or any assessment suggesting merit in its removal. However, we keep all NTSN content under regular review and will consider all feedback as part of our ongoing monitoring process.
We are not yet able to comment on next steps regarding Access for All projects at specific stations including at Radlett station. However, please be assured that we are committed to improving the accessibility of the railway and recognise the social and economic benefits this brings to communities.
Further to my answer of 3 September 2024, we are not yet able to comment on next steps regarding Access for All. This Government is committed to improving the accessibility of the railway and recognises the social and economic benefits this brings to communities.
We are carefully considering the best approach to the Access for All programme. This Government is committed to improving the accessibility of the railway and recognise the social and economic benefits this brings to communities.
The Jobs Plus pilot which began in summer 2024 is an exciting test of how housing and community-led employment support can help engage social housing communities. The first report, due this summer, will help us understand how Jobs Plus or similar models might help us achieve our objectives to Get Britain Working. Evaluation will be shared with a range of commissioners and stakeholders, including local authorities.
Local Get Britain Working plans will support areas in identifying and addressing labour market challenges, tackling inactivity, and increasing employment rates. They are a key element in tackling challenges in labour market participation across England and in achieving the long-term ambition to achieve an 80% employment rate.
Local government have been asked to lead a partnership of local labour market stakeholders and seek insights from a broader range of stakeholders. The guidance we published earlier this year included housing associations in the list of key partners to consider.
Drawing on the range of experiences and expertise of partners within the area, the partnership will ensure a comprehensive analysis of key labour market issues and priorities as well as setting short- and longer-term objectives specific to the needs of the labour market locally.
The Jobs Plus pilot which began in summer 2024 is an exciting test of how housing and community-led employment support can help engage social housing communities. The first report, due this summer, will help us understand how Jobs Plus or similar models might help us achieve our objectives to Get Britain Working. Evaluation will be shared with a range of commissioners and stakeholders, including local authorities.
Local Get Britain Working plans will support areas in identifying and addressing labour market challenges, tackling inactivity, and increasing employment rates. They are a key element in tackling challenges in labour market participation across England and in achieving the long-term ambition to achieve an 80% employment rate.
Local government have been asked to lead a partnership of local labour market stakeholders and seek insights from a broader range of stakeholders. The guidance we published earlier this year included housing associations in the list of key partners to consider.
Drawing on the range of experiences and expertise of partners within the area, the partnership will ensure a comprehensive analysis of key labour market issues and priorities as well as setting short- and longer-term objectives specific to the needs of the labour market locally.
The Jobs Plus pilot which began in summer 2024 is an exciting test of how housing and community-led employment support can help engage social housing communities. The first report, due this summer, will help us understand how Jobs Plus or similar models might help us achieve our objectives to Get Britain Working. Evaluation will be shared with a range of commissioners and stakeholders, including local authorities.
Local Get Britain Working plans will support areas in identifying and addressing labour market challenges, tackling inactivity, and increasing employment rates. They are a key element in tackling challenges in labour market participation across England and in achieving the long-term ambition to achieve an 80% employment rate.
Local government have been asked to lead a partnership of local labour market stakeholders and seek insights from a broader range of stakeholders. The guidance we published earlier this year included housing associations in the list of key partners to consider.
Drawing on the range of experiences and expertise of partners within the area, the partnership will ensure a comprehensive analysis of key labour market issues and priorities as well as setting short- and longer-term objectives specific to the needs of the labour market locally.
In September, there were an average of 100,615 general and acute beds open across all acute trusts in England, 93,553 of which were occupied, a 93% occupancy rate.
Decisions regarding the opening of additional beds to manage pressures are made locally by individual National Health Service trusts, in accordance with their operational requirements. The Department does not direct these decisions centrally.
The 10-Year Health Plan aims to expand urgent care capacity through Neighbourhood Health Services and virtual wards, enabling patients to receive care closer to home where clinically appropriate and easing pressure on hospitals. In addition, investment in digital tools will improve patient flow and further reduce reliance on inpatient beds.
In September, there were an average of 100,615 general and acute beds open across all acute trusts in England, 93,553 of which were occupied, a 93% occupancy rate.
Decisions regarding the opening of additional beds to manage pressures are made locally by individual National Health Service trusts, in accordance with their operational requirements. The Department does not direct these decisions centrally.
The 10-Year Health Plan aims to expand urgent care capacity through Neighbourhood Health Services and virtual wards, enabling patients to receive care closer to home where clinically appropriate and easing pressure on hospitals. In addition, investment in digital tools will improve patient flow and further reduce reliance on inpatient beds.
In October 2025, there were 12,588 virtual ward beds across England, with 10,049 being occupied by patients.
Whilst there is currently no specific national target for the number of virtual ward beds, the NHS England 2025/26 operational planning guidance includes a priority to improve access to care services at home or in the community, including virtual wards.
In October 2025, there were 12,588 virtual ward beds across England, with 10,049 being occupied by patients.
Whilst there is currently no specific national target for the number of virtual ward beds, the NHS England 2025/26 operational planning guidance includes a priority to improve access to care services at home or in the community, including virtual wards.
In October 2025, there were 12,588 virtual ward beds across England, with 10,049 being occupied by patients.
Whilst there is currently no specific national target for the number of virtual ward beds, the NHS England 2025/26 operational planning guidance includes a priority to improve access to care services at home or in the community, including virtual wards.
As set out in the 10-Year Health Plan and Life Sciences Sector Plan, the Department encourages innovation in the health sector that helps to support the three big shifts in healthcare: moving care from hospitals to communities; transitioning from analogue to digital; and focusing on prevention over treatment.
The Department is actively supporting the development and evaluation of game-changing innovations as well as the adoption of technologies to give our world leading clinicians the technology and skills to improve outcomes for patients.
Improving innovation, adoption, and procurement of game-changing technology, including nano surgery, will help the National Health Service secure the best possible outcomes for patients whilst also delivering greater value-for-money and unlocking further economic growth. In addition, the National Cancer Plan will include further details on how we will improve outcomes for cancer patients, as well as speeding up diagnosis and treatment, ensuring patients have access to the latest treatments and technology, and ultimately drive up this country’s cancer survival rates.
The Department funds research through the National Institute for Health and Care Research (NIHR). As well as funding research directly through NIHR programmes, the Department also funds NIHR infrastructure which are centres of excellence and collaborations, services, and facilities to support health and care research.
The NIHR research infrastructure drives innovation through research across a range of health and care areas, including nano surgery. For example, the Surgical and Perioperative Care Translational Research Collaboration brings together NIHR infrastructure to develop new surgical interventions, improving patient safety and patient care before and after surgery.
The NIHR HealthTech Research Centres (HRCs) work with industry to develop medical devices, diagnostics, and digital technologies. The NIHR Accelerated Surgical Care HRC’s focus is on minimally invasive therapies which enable surgical care to be delivered with greater precision, minimal trauma, and improved outcomes.
The Government is committed to funding innovative technologies, including multi-cancer detection (MCD) tests such as liquid biopsies, to improve early cancer diagnosis rates for cancer patients in the National Health Service. The Office for Life Sciences’ Cancer Healthcare Goals programme is providing funding for a National Institute for Health and Care Research led trial to assess the clinical and cost effectiveness of MCD tests in primary care for patients presenting with non-specific abdominal symptoms. The programme has also provided £2.35 million of funding to support the research and development of the miONCO-Dx multi-cancer early detection test, which can identify 12 of the most lethal and common cancers at even the earliest stages of the disease course.
The ambitions set out in the Life Sciences Sector Plan, together with the 10-Year Health Plan, will enable the United Kingdom to remain firmly at the forefront of the genomics revolution by driving large-scale preventative care and enabling world-class research. A thriving life sciences sector reinforces the UK’s unique position as the place to discover, test, and roll out genomic innovations that drive better health for all. The Government has committed to investing more than £650 million over five years in Genomics England, up to £354 million in Our Future Health, and up to £20 million in UK BioBank, to ensure that, by 2030, the UK will lead globally in health data and genomics research.
There are currently over 200,000 people living with diabetes in England who benefit from real-time continuous glucose monitoring (CGM)
In order to help integrated care boards (ICBs) improve access to CGM to eligible people, data is now collected as part of the National Diabetes Audit. NHS England routinely publishes this data in the NDA Core Quarterly dashboard in 2025/26, which provides the data insights ICBs require, including data on CGM uptake, variation, and health inequalities. Further information on this is available at the following link:
https://digital.nhs.uk/data-and-information/publications/statistical/national-diabetes-audit
NHS England has developed a five-year national strategy with guidance to National Health Service providers on the phased uptake approach of hybrid closed loop (HCL) systems. Rollout started in April 2024 with pregnant women, children, young people, those planning to become pregnant, and adults already using pumps who want to transition to an HCL system.
So far under the strategy, over 600 pregnant women with type 1 diabetes have been provided with an HCL.
Integrated care boards (ICBs) are responsible for the provision and commissioning of local wheelchair services. It is therefore the responsibility of ICBs to review and assess the quality of the provision of their commissioned National Health Service wheelchair services.
NHS England supports ICBs to commission effective, efficient and personalised wheelchair services. Since July 2015, NHS England has collected quarterly data from clinical commissioning groups, now ICBs, on wheelchair provision, including waiting times, to enable targeted action if improvement is required.
NHS England is taking steps to reduce regional variation in the quality and provision of NHS wheelchairs, and to support ICBs to reduce delays in people receiving timely intervention and wheelchair equipment. This includes publishing a Wheelchair Quality Framework on 9 April 2025 which sets out quality standards and statutory requirements for ICBs, such as offering personal wheelchair budgets. The framework is available at the following link:
https://www.england.nhs.uk/long-read/wheelchair-quality-framework/
The safety of all patients, whether they are treated in the National Health Service or the independent sector, is a top priority for the Government.
NHS England is aware there have been several separate complaints about the quality of services provided by AJM Healthcare, which are being dealt with on an individual basis by the ombudsman’s office. NHS England has flagged this to the relevant integrated care boards (ICBs), who are responsible for the provision and commissioning of local wheelchair services.
NHS England is taking steps to reduce regional variation in the quality and provision of NHS wheelchairs, and to support ICBs to reduce delays in people receiving timely intervention and wheelchair equipment. This includes publishing a Wheelchair Quality Framework on 9 April 2025, which sets out quality standards relevant to all suppliers regardless of Care Quality Commission registration status, and statutory requirements for ICBs. The framework is available at the following link:
https://www.england.nhs.uk/long-read/wheelchair-quality-framework/
There are a range of providers of NHS wheelchair services across England. ICBs are responsible for monitoring service provision and effectively managing contracts with their commissioned providers. Therefore, we would encourage those with concerns regarding the service and support provided by an NHS wheelchair service to raise them directly with the local ICB.
The Care Quality Commission (CQC) is the independent regulator for health and social care in England. The CQC monitors, inspects, and regulates adult social care services, including council-commissioned care homes, to make sure they meet fundamental standards of quality and safety. Inspection reports on individual providers are made publicly available.
Where concerns on quality or safety are identified, the CQC uses a range of regulatory and enforcement powers to take action to ensure the safety of the people drawing on care and support.
This could include using requirement notices to highlight areas that need improvement, or placing adult social care providers into special measures to closely supervise the quality of their care. In cases of significant concern, the CQC can take action that could lead to the removal of a provider’s registration or, in the most serious cases, take criminal action.
The CQC also assesses local authorities’ delivery of their duties under Part 1 of the Care Act 2014. This includes the local authority’s duty to work closely with local providers to ensure high quality services that put the wellbeing of the people who draw on care at the centre of decisions. Local authorities should also keep contracts under review to confirm that care requirements are being met, and to seek to continuously improve the quality, effectiveness, and efficiency of services.
I recently met with Sir Julian Hartley on 14 March 2025, where we discussed the CQC’s recent challenges and how we will continue working closely together on key priorities.
The Drug Tariff is updated monthly and sets out reimbursement prices to be paid to pharmacy contractors for medicines dispensed. When the market price of a generic medicine suddenly increases, concessionary prices can be granted in that month, increasing the reimbursement price above the Drug Tariff price, with the aim of mitigating pharmacy contractors dispensing at a loss. If the medicine margin survey indicates that, despite a concessionary price, there was a significant under payment for a specific product, there is a provision known as a retrospective top-up payment for concessionary prices, which provides an additional payment to contractors for those products. A quarterly medicine margin survey also ensures that pharmacy contractors are reimbursed enough overall for the medicines they dispense.