Asked by: Lord Scriven (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 1 December 2025 (HL12313), where the results of the NHS Learning Disability Improvement Standard exercise are published; how people with learning disabilities and their families are involved in the exercise; and how the results are made accessible to people with learning disabilities and their families so they are able to compare performance amongst NHS Trusts.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The NHS Learning Disability Improvement Standards support National Health Service trusts to assess the quality of care provided for people with a learning disability and were designed with lived experience at the centre of the process. The standards and easy read information are available on the NHS England website.
To understand how well organisations are meeting the standards, the NHS Benchmarking Network undertakes an annual data collection exercise, with further information avaiable at the NHS Benchmarking Network website. All annual summary reports are published on the Learning Disability Improvement Standards Hub website. Each trust that participates in the exercise also receives their own bespoke report and are encouraged to share learning at the local level in suitable formats for the populations they serve.
Ahead of each annual benchmarking exercise, people with a learning disability and user-led organisations are engaged to design and revise the metrics which are asked of NHS organisations. This process recognises that people with lived experience are best placed to ask questions concerning the quality of services they expect and has recently been facilitated by Learning Disability England. Input is also sought from clinicians, managers, and senior leadership, ensuring greater transparency and accountability.
Asked by: Jas Athwal (Labour - Ilford South)
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 improve the quality of medical care available to people with learning disabilities.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Significant action is underway to improve access to and the quality of care for people with a learning disability. This will help deliver the shift from treatment to prevention, outlined in our 10-Year Health Plan, with further information avaiable at the following link:
https://www.gov.uk/government/publications/10-year-health-plan-for-england-fit-for-the-future
As part of this we are rolling out mandatory training for health and social care staff, improving identification on the general practice learning disability register and uptake of annual health checks, and implementing a Reasonable Adjustment Digital Flag in health and care records to ensure care is tailored appropriately. The NHS Learning Disability Improvement Standard also supports trusts by setting guidance on safe, personalised, and high-quality care provision. The standards are designed to support organisations in assessing the quality of their services and to promote uniformity across the National Health Service in the care and treatment provided to people with a learning disability. Further information on the standards is avaiable at the following link:
Each integrated care board must also have an executive lead for learning disability and autism and must demonstrate how they will reduce inequalities for people with a learning disability within their five year strategic plans under the Medium-Term Planning Framework. Further information is avaiable on the Medium-Term Planning Framework at the following link:
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 assessment his Department has made of the (a) quality and (b) accessibility of health and care services for people with learning disabilities in Surrey Heath constituency.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Significant action is underway to improve the quality and accessibility of health and care services for people with a learning disability at a local level, helping to deliver the shift from treatment to prevention, outlined in our 10-Year Health Plan, which is avaiable at the following link:
https://www.gov.uk/government/publications/10-year-health-plan-for-england-fit-for-the-future
The national Learning Disabilities Health Check Scheme is designed to encourage general practices to identify all patients aged 14 years old and over with a learning disability, and to offer them an annual health check and health action plan. Further information on the Learning Disabilities Health Check Scheme is available at the following link:
The latest published data for Surrey Heath shows that 82.78% of people with a learning disability in the area had completed a health check, and that 80.19% of learning disability patients in Surrey Heath had a completed health action plan. The latest published data for Surrey Heath is avaiable at the following link:
According to recently published data on Health and Care of People with Learning Disabilities, 81.5% of people with a learning disability had completed an annual health check in England. Further information on the recently published data on Health and Care of People with Learning Disabilities is avaiable at the following link:
The Surrey All Ages Mental Health, Learning Disabilities and Autism Oversight Committee routinely monitors the following:
- admissions and discharges for adults, and children and young people with a learning disability and any barriers to timely discharge;
- mandatory training on learning disability and autism;
- performance on Care (Education) and Treatment Reviews and commissioner oversight visits;
- Dynamic Support Register governance; and
- implementation of the Reasonable Adjustments Digital Flag.
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, what recent assessment has been made of the adequacy of the availability of employment support for people with learning disabilities in Surrey Heath constituency.
Answered by Diana Johnson - Minister of State (Department for Work and Pensions)
For people who need specialist intensive support, DWP have agreed to fund Surrey County Council up to £9.8m to deliver the national Connect to Work programme across Surrey to around 2500 people to March 2030. This voluntary Supported Employment programme is for disabled people, people with health conditions and those with complex barriers to employment, including those with learning disabilities and autistic adults, helping them to find sustained work. People interested in taking part in Connect to Work in Surrey can do so via this website: Connect to Work - Surrey County Council.
We also have support for individuals available via our Jobcentres. This includes our Pathways to Work Advisors, who are helping individuals identify and overcome obstacles which may stop them from moving towards or into work, and for those who are ready to access employment, wider skills support, and our employment programmes. There is also support available through our Disability Employment Advisors (DEAs). DEAs provide Jobcentre Plus work coaches with specialist support on how to tailor their support to help customers with long-term health conditions and disabilities move closer or into the labour market. Additionally, they can also offer direct support (1-2-1) to customers on top of what they receive from their work coach. They also work with the local community to advocate for customers, collaborate with local partners (GPs, NHS, third sector organisations), facilitate support that meets local needs and promote other initiatives such as Disability Confident, Workwell, Connect to Work and Access to Work.
Access to Work provides grant funding to support Workplace Adjustments that go beyond an employer's duty to provide reasonable adjustments as outlined in the Equality Act 2010. The grant provides personalised support and workplace assessments, travel to work, support workers, and specialist aids and equipment. In March 2025, we published the Pathways to Work Green Paper, to consult on the future of Access to Work. We are considering responses to the consultation and will set out our plans in due course.
Asked by: Chris Kane (Labour - Stirling and Strathallan)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, further to the answer to UIN 92453 of 21 November 2025, what further assessment will be made of the Disability Confident scheme, and what action will be taken to assess employees and applicants experiences as part of this process.
Answered by Stephen Timms - Minister of State (Department for Work and Pensions)
On 15 January 2026 I announced more details about the reforms to the Disability Confident Scheme.
Proposed changes include:
We are planning a proportionate assessment of the different strands of the upcoming reforms: this is likely to include qualitative interviews to get insights from employers and employees, conducting short surveys, and gathering feedback on specific processes and products to iteratively improve and adapt.
Asked by: Adam Dance (Liberal Democrat - Yeovil)
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 insure that NHS correspondence is accessible for constituents in Yeovil with a visual impairment.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Under the Equality Act 2010, health and social care organisations must make reasonable adjustments to ensure that disabled people are not disadvantaged. NHS England is rolling out a Reasonable Adjustment Digital Flag which enables the recording of key information about a disabled patient or client and the reasonable adjustments to care and treatment that they need, to ensure support can be tailored appropriately and equitably. This might include, although is not limited to, recording details of specific communication methods that are required for interacting with the person such as providing information in a specific format.
Since 2016, all National Health Service organisations and publicly funded social care providers are expected to meet the Accessible Information Standard (AIS), which details the approach to supporting the information and communication support needs of people with a disability, impairment, or sensory loss, including people with a visual impairment. Provision of correspondence in an accessible format is specifically covered within the AIS.
On 30 June 2025, NHS England published a revised AIS. NHS England is working to support implementation of the AIS with awareness raising, communication and engagement, and a review of the current e-learning modules on the AIS. The intention is to ensure that staff and organisations in the NHS are aware of the AIS and the importance of meeting the information and communication needs of disabled people using NHS services.
Asked by: Jenny Riddell-Carpenter (Labour - Suffolk Coastal)
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 improve the identification of mental health needs among people entering the criminal justice system.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
We are committed to diverting offenders with mental health, substance misuse, and other vulnerabilities away from prison or out of the criminal justice system altogether, where appropriate.
NHS Liaison and Diversion services identify people who have mental health, learning disability, substance misuse or other vulnerabilities when they first come into contact with the criminal justice system as suspects, defendants or offenders.
Mental health screening also takes place when someone is detained in prison, as set out in the National Health Service service specification for health care in prisons. As part of the formal prisoner induction process, all prisoners must undergo health screening that incorporates a mental health assessment. This is an essential standard under the specification.
Asked by: Toby Perkins (Labour - Chesterfield)
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 specific challenges that face adults with learning difficulties in accessing health services; and what actions he is taking to ensure that they receive an acceptable level of service.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
A learning difficulty is a reduced ability for a specific form of learning and includes conditions such as dyslexia and dyspraxia. These are life-long conditions.
Under the Equality Act 2010, public sector organisations are required to make changes in their approach or provision to ensure that services are accessible to disabled people as well as to everybody else.
Reasonable adjustments can make a real difference to people’s care and are based on physical or mental impairment, not on diagnosis. The 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, enabling support to be tailored appropriately. This is supported by e-learning for all health and social care staff. All organisations that provide National Health Service care or adult social care must also follow the Accessible Information Standard.
It is the responsibility of integrated care boards to make available appropriate provision to meet the health and care needs of their local population. Further information on specific learning difficulties can be found on the NHS website.
Asked by: Lord Scriven (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 1 December 2025 (HL12313), what Core20Plus5 indicators they have developed and embedded to monitor access, experiences and outcomes for people with learning disabilities; and how this information will be reported upon nationally.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England has put in place indicators designed to monitor access, experience, and outcomes for Core20PLUS populations, including people with a learning disability who are expected to be identified as a priority group. The Core20PLUS5 indicator for learning disability is the ‘Percentage of patients aged 14+ on GP learning disability registers who received an annual health check'. This is reported nationally as part of the NHS Oversight Framework.
There are clear expectations of local systems to improve outcomes for people with a learning disability and governance through existing frameworks. NHS England has published a Statement on Information on Health Inequalities, avaiable on the NHS.UK website in an online only format, which sets out the data that integrated care boards (ICB) are expected to collect. This includes measures relating to percentage of learning disability annual health checks and adult mental health inpatient rates for people with a learning disability and autistic people. Within annual reports, ICBs should explain how information has been used to guide action.
In addition, each ICB is required to have an executive lead on learning disability and autism and to consider and demonstrate how they will reduce the health inequalities faced by people with a learning disability and autistic people in their local populations within the five year strategic plans mandated as part of the Medium-Term Planning Framework, which is avaiable on the NHS.UK website in an online only format.
Asked by: Jas Athwal (Labour - Ilford South)
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 impact of Matha's Rule on enhancing patient care and saving lives for those with learning disabilities.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Martha’s Rule is being implemented in all acute hospitals in England. Early indications suggest a positive impact on patient care across patient groups, including people with learning disabilities, through improved recognition of physiological deterioration, strengthened patient and family voice, and earlier clinical review.
Data published by NHS England shows that from September 2024 to November 2025, 9,135 Martha’s Rule calls were made, with the highest proportion of calls, or 72%, made via the family escalation process. 3,186 Martha’s Rule escalation calls, or 36%, related to acute deterioration and of those, 412 calls resulted in potentially life-saving transfers of care.