Question to the Department of Health and Social Care:

To ask His Majesty's Government, with regard to the LeDeR Annual Report 2023, published on 2 September, what the "unforeseen pressures" on the NHS were that resulted in fewer completed learning disabilities mortality reviews than expected.

Pressure on NHS services remain high due to a combination of factors including high demand across all services; ongoing recovery efforts after the pandemic and industrial action, recruitment and retention challenges in the NHS workforce and the need to reduce running costs of Integrated Care Boards.

Integrated Care Systems are expected both to complete LeDeR reviews and to implement improvement initiatives in response to reviews to reduce health inequalities and premature and avoidable deaths of people with a learning disability and autistic people. This remains a priority despite pressures on NHS services. NHS England’s Action from Learning Report highlights improvement action being taken locally which is directly driven by LeDeR findings.

As of August 2025, 94% of all LeDeR reviews have been completed since the start of the programme in 2017.