Asked by: James McMurdock (Independent - South Basildon and East Thurrock)
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 reasons for ICB non-compliance with the 72-hour follow-up requirement for mental health inpatients.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The national ambition is for all mental health trusts to ensure 80% of patients discharged from adult acute mental health inpatient settings are followed up within 72 hours, and is intended to bring focus not just to the timeliness of follow-up, but also to the quality of pre and post-discharge care and safety planning and support. NHS England routinely monitors performance against this target at an integrated care board (ICB) level, which is subject to the same quality and performance oversight as other national targets.
This expectation is reinforced through national statutory guidance on Discharge from mental health inpatient settings, and data on performance is also published on a monthly basis, with 75% of discharges in October 2025 meeting the ambition. Over 40% of ICBs met or exceeded the target in October 2025. Further information on the Discharge from mental health inpatient settings guidance and the monthly data is available respectively, at the following two links:
The timeliness of follow-up support is linked to the capacity of community teams and pathways between inpatient and community services which vary across the country. Mental health services are facing significant pressures with more people being seen than ever before. Ongoing improvements in community mental healthcare and work to localise and realign inpatient mental health care within ICBs is expected to improve the national picture.
While the central metric of the new standard focuses on the timeliness of follow up, the overarching expectation is that this will incentivise focus on overall quality of discharge planning and support. This is expected to have a direct impact on patient experience as well as outcomes. The Urgent and Emergency Care Plan for 2025/26 includes the expectation that plans should be set out for the consistent and systematic use of the mental health Urgent and Emergency Care Action Cards in all relevant settings, namely acute settings, and delivery of the 10 high-impact actions for mental health discharges to support flow through all mental health, including child and adolescent mental health, and learning disability and autism pathways. Further information on the Urgent and Emergency Care Plan for 2025/26 and mental health discharges is available, respectively, at the following two links:
https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/
Asked by: James McMurdock (Independent - South Basildon and East Thurrock)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will introduce additional safeguards for patients assessed as being at higher risk of harm following discharge from mental health inpatient wards.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The national ambition is for all mental health trusts to ensure 80% of patients discharged from adult acute mental health inpatient settings are followed up within 72 hours, and is intended to bring focus not just to the timeliness of follow-up, but also to the quality of pre and post-discharge care and safety planning and support. NHS England routinely monitors performance against this target at an integrated care board (ICB) level, which is subject to the same quality and performance oversight as other national targets.
This expectation is reinforced through national statutory guidance on Discharge from mental health inpatient settings, and data on performance is also published on a monthly basis, with 75% of discharges in October 2025 meeting the ambition. Over 40% of ICBs met or exceeded the target in October 2025. Further information on the Discharge from mental health inpatient settings guidance and the monthly data is available respectively, at the following two links:
The timeliness of follow-up support is linked to the capacity of community teams and pathways between inpatient and community services which vary across the country. Mental health services are facing significant pressures with more people being seen than ever before. Ongoing improvements in community mental healthcare and work to localise and realign inpatient mental health care within ICBs is expected to improve the national picture.
While the central metric of the new standard focuses on the timeliness of follow up, the overarching expectation is that this will incentivise focus on overall quality of discharge planning and support. This is expected to have a direct impact on patient experience as well as outcomes. The Urgent and Emergency Care Plan for 2025/26 includes the expectation that plans should be set out for the consistent and systematic use of the mental health Urgent and Emergency Care Action Cards in all relevant settings, namely acute settings, and delivery of the 10 high-impact actions for mental health discharges to support flow through all mental health, including child and adolescent mental health, and learning disability and autism pathways. Further information on the Urgent and Emergency Care Plan for 2025/26 and mental health discharges is available, respectively, at the following two links:
https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/
Asked by: Helen Maguire (Liberal Democrat - Epsom and Ewell)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential merits of reinstating the annual health check target of 75% for people with learning disabilities.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department and NHS England have not undertaken a specific assessment of reinstating the 75% annual health check target for people with a learning disability. My Rt Hon. Friend, the Secretary of State for Health and Social Care, wrote to general practitioners (GPs) in October 2025 emphasising the importance of the learning disability register and providing high quality annual health checks. These checks are the first line of defence for people with a learning disability, many of whom live with additional health needs, including long-term conditions. Strong support from GPs to maintain learning disability annual health checks has enabled more people than ever before to receive a health check and health action plan, an increase of more than 20% since 2020.
As of March 2025, 81.5% of eligible people on the GP learning disability register received an annual health check, surpassing the previous 75% National Health Service target.
Asked by: Helen Maguire (Liberal Democrat - Epsom and Ewell)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to help ensure that people with learning disabilities do not remain in hospital beds when there is no medical need for them to do so.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Our 10-Year Health Plan sets out to tackle health inequalities and offer people more holistic, on-going support in the community. It is important that people are discharged promptly from hospital with the right support, both for their outcomes, and to free up beds for other patients.
The Department is working to ensure that patients, including people with a learning disability, can leave hospital promptly by strengthening access to appropriate community-based services. Local systems, supported through the £9 billion Better Care Fund, are required to plan jointly for integrated health and social care that supports individuals to live independently. This includes commissioning supported living arrangements, residential care where needed, and tailored packages of domiciliary care.
For 2025/26, National Health Service trusts have been asked to focus on eliminating discharge delays of more than 48 hours caused by issues within acute hospitals, and to work with local authorities on eliminate the longest delays, starting with those of over 21 days.
NHS Operational Planning Guidance also sets an objective to deliver a minimum 10% reduction in the use of mental health inpatient care for people with a learning disability and autistic people in 2025/26. The NHS Medium-Term Planning Framework maintains this focus, with an ambition for a 10% year-on-year reduction up to 2028/29.
Asked by: James Frith (Labour - Bury North)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, whether he has made an estimate of the proportion of people with a learning disability of working age in England in receipt of a means tested benefit.
Answered by Stephen Timms - Minister of State (Department for Work and Pensions)
The Department has not made such an estimate.
Asked by: Tom Hayes (Labour - Bournemouth East)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, what steps his Department is taking to help support welfare claimants with learning difficulties during the migration process to Universal Credit.
Answered by Stephen Timms - Minister of State (Department for Work and Pensions)
The Department provides tailored support for customers with learning difficulties during their migration to Universal Credit. This includes the Citizens Advice Help to Claim service, face-to-face assistance in Jobcentres, and a dedicated helpline.
Customers may also receive help from friends, family members, or approved third parties. Additionally, we offer an Enhanced Support Journey, alternative formats, and home visits to ensure the process is accessible and that customers feel supported throughout their transition.
Asked by: Helen Maguire (Liberal Democrat - Epsom and Ewell)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to encourage the use of digitalised the Learning Disability Health Passport across ICBs.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England published guidance in June 2024 on health and care passports, which are designed to provide health and social care professionals with essential information about people with a learning disability and other disabled people to ensure appropriate care and treatment. Further information is available at the following link:
https://www.england.nhs.uk/publication/health-and-care-passports/
The guidance makes clear that the passport can be in a physical or digital form, or a combination of formats, and that embedding the passport should take account of local population needs, local digital strategies, and reasonable adjustments.
The National Health Service is working towards a digitally enabled health and social care system to allow information to flow between IT systems, care providers, and settings. However, there remains a significant digital inclusion gap for people with a disability, so digital approaches must remain inclusive and avoid excluding those experiencing digital poverty.
Local systems are therefore encouraged to make both paper and digital versions of the passport available, and to explore ways to convert paper-based passports into digital formats to support interoperability. This aligns with the principles set out in NHS England’s guidance.
Asked by: James MacCleary (Liberal Democrat - Lewes)
Question to the Home Office:
To ask the Secretary of State for the Home Department, what steps her Department is taking to help reduce the number of sexual assaults on individuals with learning difficulties.
Answered by Sarah Jones - Minister of State (Home Office)
We recognise that adults with learning difficulties may be particularly vulnerable to harm in home, care, and educational settings. We remain firmly committed to tackling rape and all forms of sexual offending, and to securing the best possible outcomes for victims.
The cross‑government VAWG Strategy, published on 18 December 2025, sets out a comprehensive programme of action to address rape and sexual offences and to ensure that all victims receive the highest standard of support and protection.
We are investing £13.1 million in the new National Centre for VAWG and Public Protection (NCVPP), which is leading the implementation of Operation Soteria. This work is ensuring that police forces strengthen their response to rape, improve victim safeguarding, and use every available tool to disrupt perpetrators and bring them to justice.
We have also instructed all police forces in England and Wales to establish specialist rape and sexual offence teams by 2029, and we are working with the NCVPP to ensure these units operate consistently and to a high standard nationwide.
As set out in our manifesto, we are committed to introducing free, independent legal advice for victims of adult rape, supporting them to uphold their legal rights.
In addition, the Ministry of Justice will invest £550 million over the next three years to provide counselling, court guidance and children’s services for victims. This funding will be delivered via PCCs, who assess local need and are best placed to commission tailored services, including for victims with protected characteristics such as disability.
Asked by: Vikki Slade (Liberal Democrat - Mid Dorset and North Poole)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many and what proportion of adults with a learning disability in England have a regular annual health check by a GP.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
The Department does not hold data relating to what proportion of adults with a learning disability in England have a regular annual health check with a general practitioner.
NHS England is required to offer to all primary medical services contractors the opportunity to enter into arrangements under the Network Contract Directed Enhanced Services (DES) Scheme. Integrated care boards (ICBs), as commissioners of primary care services, are responsible for ensuring that there is sufficient provision of these services to meet the needs of their patient population.
As part of the Network Contract DES Learning Disabilities Health Check Scheme, primary services contractors are required to identify registered patients aged 14 years old or over who have learning disabilities and to record this on a learning disabilities register. Contractors are required to offer annual health checks to these patients.
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what oversight arrangements are in place to safeguard people with learning disabilities in local care settings in Surrey Heath constituency.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
In the statutory guidance of the Care Act 2014, it states that local authorities must ensure that the services they commission are safe, effective, and of high quality.
Each integrated care board must have an executive lead for learning disability and autism who will support the board in addressing health inequalities, thereby supporting equal access to care across all health services and improving overall health outcomes.
Under the Health and Care Act 2022, Care Quality Commission registered providers are required to ensure their staff receive specific training on learning disability and autism appropriate to their role, to provide safe and informed care.
A Reasonable Adjustment Digital Flag is being rolled out across health and care services to ensure that disabled people’s reasonable adjustments are recorded and shared, to enable tailoring of appropriate support. This is aided by e-learning for health and social care staff.