Asked by: Sarah Gibson (Liberal Democrat - Chippenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent discussions his Department has had with relevant stakeholders on the use of AI-based mental health tools in the NHS; and what plans he has to consult on the use of these tools.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department recognises the potential of artificial intelligence-based tools to support mental health services in the National Health Service. Recent discussions have focused on ensuring that these technologies meet safety, ethical, and clinical standards. We are working with NHS England, regulators such as the Medicines and Healthcare products Regulatory Agency and the National Institute for Health and Care Excellence, and other partners to develop robust evaluation frameworks. Plans include consultation with clinicians, patient groups, and industry to ensure transparency and public confidence. Any adoption will comply with NHS standards and data protection requirements.
Asked by: Sarah Gibson (Liberal Democrat - Chippenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent discussions his Department has had on the use of AI-based mental health tools in the NHS; and whether he plans to consult relevant stakeholders on the use of such tools.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department recognises the potential of artificial intelligence-based tools to support mental health services in the National Health Service. Recent discussions have focused on ensuring that these technologies meet safety, ethical, and clinical standards. We are working with NHS England, regulators such as the Medicines and Healthcare products Regulatory Agency and the National Institute for Health and Care Excellence, and other partners to develop robust evaluation frameworks. Plans include consultation with clinicians, patient groups, and industry to ensure transparency and public confidence. Any adoption will comply with NHS standards and data protection requirements.
Asked by: Sarah Gibson (Liberal Democrat - Chippenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of provision of independent advocacy services for patients in Wiltshire.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Advocacy services play an important role in helping patients' voices to be heard and in ensuring their legal rights are protected. Guidance issued by the National Institute for Health and Care Excellence indicates that advocacy can provide several benefits, including helping to uphold individuals’ rights, supporting vulnerable individuals, involvement in decision-making, and promoting continuity of care.
There are several different types of patient advocacy services, and it is for local commissioning bodies to plan and commission advocacy services, in line with relevant legislation.
Specifically on complaints advocacy services, whilst National Health Service organisations must have their own complaints procedures, they are not required to provide complaints advocacy services. The legal duty to provide this service rests with local authorities, who are required by the Health and Social Care Act 2012 to make arrangements for the provision of independent advocacy services in their area. Each year the Government provides approximately £15 million of grant funding to local authorities towards this service.
Asked by: Sarah Gibson (Liberal Democrat - Chippenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what geographic barriers there are to accessing independent advocacy services for patients in rural areas, including Wiltshire; and what steps he is taking to help tackle those barriers.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Advocacy services play an important role in helping patients' voices to be heard and in ensuring their legal rights are protected. Guidance issued by the National Institute for Health and Care Excellence indicates that advocacy can provide several benefits, including helping to uphold individuals’ rights, supporting vulnerable individuals, involvement in decision-making, and promoting continuity of care.
There are several different types of patient advocacy services, and it is for local commissioning bodies to plan and commission advocacy services, in line with relevant legislation.
Specifically on complaints advocacy services, whilst National Health Service organisations must have their own complaints procedures, they are not required to provide complaints advocacy services. The legal duty to provide this service rests with local authorities, who are required by the Health and Social Care Act 2012 to make arrangements for the provision of independent advocacy services in their area. Each year the Government provides approximately £15 million of grant funding to local authorities towards this service.
Asked by: Sarah Gibson (Liberal Democrat - Chippenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what requirements are placed on NHS trusts and integrated care boards on the publication of independent NHS complaints advocacy services to patients, including in Wiltshire.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Advocacy services play an important role in helping patients' voices to be heard and in ensuring their legal rights are protected. Guidance issued by the National Institute for Health and Care Excellence indicates that advocacy can provide several benefits, including helping to uphold individuals’ rights, supporting vulnerable individuals, involvement in decision-making, and promoting continuity of care.
There are several different types of patient advocacy services, and it is for local commissioning bodies to plan and commission advocacy services, in line with relevant legislation.
Specifically on complaints advocacy services, whilst National Health Service organisations must have their own complaints procedures, they are not required to provide complaints advocacy services. The legal duty to provide this service rests with local authorities, who are required by the Health and Social Care Act 2012 to make arrangements for the provision of independent advocacy services in their area. Each year the Government provides approximately £15 million of grant funding to local authorities towards this service.
Asked by: Sarah Gibson (Liberal Democrat - Chippenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the Ockenden report, what recent assessment his Department has made of the adequacy of the progress in delivering the Immediate and Essential Actions; and if he will publish an update on the implementation status of each action within every NHS trust providing maternity care.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The final report of the Ockenden review contained 96 immediate and essential actions (IEAs), some national and some for local implementation. The IEAs contained in the Ockenden review were brought together, alongside other reports and guidance, into NHS England’s three-year delivery plan for maternity and neonatal services. A review of progress against the national actions in April 2025 demonstrated that work has been completed for many actions, but that there have been some challenges, for example in pre-conception care for women with pre-existing medical conditions.
NHS England wrote to all trusts and systems following publication of the review in April 2022, asking them to deliver the recommendations and report to their public boards. The expectation is that local board oversight of progress with implementation should be ongoing. Following discussion, it was agreed that some of the actions should not be universally implemented, for example newly qualified midwives remaining hospital based for one year post-qualifying.
More widely, Baroness Amos is leading a rapid, national, independent investigation into National Health Service maternity and neonatal services to help us to understand the systemic issues behind why so many women, babies, and families experience unacceptable care. My Rt Hon. Friend, the Secretary of State for Health and Social Care, has agreed with Baroness Amos that the investigation will publish its final report and recommendations in the spring of 2026, bringing together the findings of past reviews into one clear national set of recommendations.
The Government is also setting up a National Maternity and Neonatal Taskforce, chaired by My Rt Hon. Friend, the Secretary of State for Health and Social Care. The taskforce will take forward the recommendations of the investigation to develop a new national action plan to drive improvements across maternity and neonatal care.
Asked by: Sarah Gibson (Liberal Democrat - Chippenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the adequacy of the condition of maternity wards and equipment across NHS trusts.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
NHS England’s maternity and neonatal infrastructure review was completed in spring 2024 by all trusts in England that provide maternity and neonatal services. It found various issues with maternity and neonatal service infrastructure, including limited physical space, inadequate capacity for efficient services, and poor building conditions.
However, all trust boards are asked to review their estates data and to seek assurance that all healthcare premises, from which they are delivering maternity and neonatal services, are of appropriate standard. In instances where the estate is not of appropriate standard, trust boards should ensure mitigating action is being taken accordingly.
NHS England is developing a data dashboard to present maternity and neonatal estate survey data. This will enable trusts to capture the latest information on their estates and take action at the local level when required.
The independent National Maternity and Neonatal Investigation, chaired by Baroness Amos, is considering the adequacy of maternity and neonatal infrastructure within its scope.
Asked by: Sarah Gibson (Liberal Democrat - Chippenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the adequacy of the availability of information on birth care choices for expectant parents.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
An assessment of the adequacy of the availability of information on birth care choices for expectant parents has not been made at a national level.
This information is managed by local trusts and must reflect the facilities that are available locally. Information on birth care choices must also be accompanied by personalised advice from a midwife or obstetrician.
It is expected that care is provided in line with national guidelines, such as guidance issued by the National Institute for Health and Care Excellence (NICE). NICE’s guideline on intrapartum care sets out the standard of intrapartum care, ensuring women and pregnant people receive safe, evidence-based information and support during labour and birth. It emphasises the role of healthcare professionals in supporting informed choice by providing clear information on the full range of birth settings and care options, enabling women to make decisions that reflect their preferences and needs.
Asked by: Sarah Gibson (Liberal Democrat - Chippenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what plans he has to improve the recording of miscarriage in NHS services.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The risk of miscarriage is estimated at 15%, and there are approximately 100,000 to 150,000 miscarriages per year in the United Kingdom. However, due to lack of data on the earliest losses, the true figure could be higher at approximately 250,000 a year.
An update to digital record standards on maternity in March 2025 means that the National Health Service is now able to record the pregnancy outcome for any woman, including miscarriage, where they have been in contact with NHS maternity services.
NHS England is in the early stages of a new project to review the Maternity Services Dataset, and we will carefully consider miscarriage information as part of this work.
Asked by: Sarah Gibson (Liberal Democrat - Chippenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to support retention within the maternity and neonatal workforce.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
As set out in the 10-Year Health Plan, the Government is committed to making the National Health Service the best place to work, by supporting and retaining our hardworking and dedicated healthcare professionals.
To support this ambition, the Government plans to introduce a new set of standards for modern employment in April 2026. The new standards will reaffirm our commitment to improving retention by tackling the issues that matter to staff including promoting flexible working, improving staff health and wellbeing, and dealing with violence, racism, and sexual harassment in the NHS workplace. They will provide a framework for leaders across the NHS to build a supportive culture that embeds retention.
Targeted retention initiatives for nurses and midwives have also been undertaken by NHS England and led by the Chief Nursing Officer, including: the introduction of a nursing and midwifery retention self-assessment tool; a national preceptorship framework; mentoring schemes; and strengthened advice and support on pensions and flexible retirement options.