Asked by: Baroness Ritchie of Downpatrick (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government whether the Dementia and Frailty Modern Service Framework will establish a single national dementia care pathway, including end of life care and clear minimum service standards.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
We will deliver the first ever Frailty and Dementia Modern Service Framework to deliver rapid and significant improvements in the quality of care and productivity. This will be informed by phase one of the independent commission into adult social care, which is expected this year.
The Frailty and Dementia Modern Service Framework will seek to reduce unwarranted variation and narrow inequality for those living with dementia and will set national standards for dementia care and redirect National Health Service priorities to provide the best possible care and support.
In developing the Modern Service Framework for Frailty and Dementia, we will be considering existing guidance, including the D100 Pathway Assessment tool, which continues the work of the Dementia Care Pathway and covers all elements of the Well Pathway from prevention through to dying well.
Asked by: Liz Jarvis (Liberal Democrat - Eastleigh)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will make an assessment of potential merits of establishing a single National Dementia Care Pathway supported by minimum service standards in the forthcoming Dementia and Frailty Modern Service Framework.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
To develop the content for the modern service framework for dementia and frailty, we intend to engage with a range of partners over the coming months to enable us to build a framework which is both ambitious and practical, to ensure we can improve system performance for people with dementia both now and in the future.
We have already published the D100: Assessment Tool Pathway programme, which brings together multiple resources into a single, consolidated tool to help simplify best practice for system leaders and help create communities and services where the best possible care and support is available to those with dementia. The D100: Pathway Assessment Tool is available at the following link:
By helping places and systems identify where improvement needs to be targeted, the tool continues the work of the Dementia Care Pathway, covering all elements of the Well Pathway from Prevention through to Dying Well. Further information is available at the following link:
Asked by: Baroness Berger (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government, further to the remarks by Baroness Merron on 5 December (HL Deb col 2044), what distinction exists under Articles 2, 8 or 14 of the European Convention on Human Rights which means that a legal challenge would not arise for a person under 18 years old compared to those who are (1) under 21 years old, and (2) under 25 years old.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
At the Terminally Ill Adults (End of Life) Bill committee debate on 5 December 2025, the comments referred to were made in relation to the amendments that had been tabled for consideration in the Lords. There would need to be a reasonable, necessary and proportionate justification to underpin restricting access to assisted dying to any age on the face of the Bill. Although the reasons to support an age limit of 18 years old, as opposed to an age limit of 21 or 25 years old, may well be different. This matter was debated at some length on 5 December 2025, and as I stated in that debate, it is rightly for Parliament to decide on any age-related restrictions and to consider the proportionality of the reasons which underpin them. As the Government is neutral, it is not for the Government to comment on the likelihood of a court upholding any particular case brought to challenge the age on the face of the Bill but it was important to note the general risk to aid the debate in the Chamber.
Asked by: Lord Harper (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government, further to the remarks by Baroness Merron on 20 October (HL Deb col 480), in what way is the Mental Health Act "very significant" in supporting people with learning disabilities to access NHS services.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government’s 10-Year Health Plan sets out to tackle health inequalities and people with disabilities are a priority for care from a neighbourhood team with more holistic, on-going support. Ahead of this, action is underway to improve access and support through staff training, proactive health checks and plans, and the Mental Health Act reforms.
The Government knows that people with a learning disability and autistic people have poorer health outcomes than the general population, including, on average, dying younger. They continue to experience disparities in the quality of care they receive, which may include barriers to accessing the right support.
The Government is rolling out the Oliver McGowan Mandatory Training on Learning Disability and Autism to the health and adult social care workforce to ensure staff have the right knowledge and skills to provide safe, informed care. Oliver’s Training is the Government’s preferred package for providers registered with the Care Quality Commission to meet the statutory training requirement under the Health and Care Act 2022. Over three million people have completed the e-learning package, the first part of this training, and more than 2,700 people have been trained to deliver the interactive second part nationwide.
Annual health checks for people with a learning disability are a crucial way to identify undetected conditions early and ensure the appropriateness of ongoing treatments. NHS England is working with people with lived experience, clinical professionals, and commissioners to produce a quality framework to ensure that these vital checks are high-quality. NHS England is also taking forward a range of work to improve the quality of the services accessed by people with a learning disability, including rollout of the Reasonable Adjustment Digital Flag across health and care services which enables health and publicly funded care professionals to record, share, and view details of the reasonable adjustments which individuals need to support their care and treatment.
The number of people with a learning disability and autistic people in mental health hospitals is unacceptable, and there are still too many people being detained who could be supported to live well in their communities. The Mental Health Bill currently before Parliament limits the scope of the ability to detain people with a learning disability and autistic people so that they can only be detained under Part 2, section 3 if they have a co-occurring mental disorder that requires hospital treatment. It also introduces measures to improve community support, including putting Care (Education) and Treatment Reviews and Dynamic Support Registers on a statutory footing, and placing certain duties on integrated care boards and local authorities when exercising existing commissioning duties.
Asked by: Lord Harper (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of the issues faced by people with learning disabilities in accessing NHS services; and what plans they have to address those issues.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government’s 10-Year Health Plan sets out to tackle health inequalities and people with disabilities are a priority for care from a neighbourhood team with more holistic, on-going support. Ahead of this, action is underway to improve access and support through staff training, proactive health checks and plans, and the Mental Health Act reforms.
The Government knows that people with a learning disability and autistic people have poorer health outcomes than the general population, including, on average, dying younger. They continue to experience disparities in the quality of care they receive, which may include barriers to accessing the right support.
The Government is rolling out the Oliver McGowan Mandatory Training on Learning Disability and Autism to the health and adult social care workforce to ensure staff have the right knowledge and skills to provide safe, informed care. Oliver’s Training is the Government’s preferred package for providers registered with the Care Quality Commission to meet the statutory training requirement under the Health and Care Act 2022. Over three million people have completed the e-learning package, the first part of this training, and more than 2,700 people have been trained to deliver the interactive second part nationwide.
Annual health checks for people with a learning disability are a crucial way to identify undetected conditions early and ensure the appropriateness of ongoing treatments. NHS England is working with people with lived experience, clinical professionals, and commissioners to produce a quality framework to ensure that these vital checks are high-quality. NHS England is also taking forward a range of work to improve the quality of the services accessed by people with a learning disability, including rollout of the Reasonable Adjustment Digital Flag across health and care services which enables health and publicly funded care professionals to record, share, and view details of the reasonable adjustments which individuals need to support their care and treatment.
The number of people with a learning disability and autistic people in mental health hospitals is unacceptable, and there are still too many people being detained who could be supported to live well in their communities. The Mental Health Bill currently before Parliament limits the scope of the ability to detain people with a learning disability and autistic people so that they can only be detained under Part 2, section 3 if they have a co-occurring mental disorder that requires hospital treatment. It also introduces measures to improve community support, including putting Care (Education) and Treatment Reviews and Dynamic Support Registers on a statutory footing, and placing certain duties on integrated care boards and local authorities when exercising existing commissioning duties.
Asked by: Lord Harper (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what plans they have, if any, to adopt a policy to achieve equality of access to NHS services for people with learning disabilities and those without such disabilities.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government’s 10-Year Health Plan sets out to tackle health inequalities and people with disabilities are a priority for care from a neighbourhood team with more holistic, on-going support. Ahead of this, action is underway to improve access and support through staff training, proactive health checks and plans, and the Mental Health Act reforms.
The Government knows that people with a learning disability and autistic people have poorer health outcomes than the general population, including, on average, dying younger. They continue to experience disparities in the quality of care they receive, which may include barriers to accessing the right support.
The Government is rolling out the Oliver McGowan Mandatory Training on Learning Disability and Autism to the health and adult social care workforce to ensure staff have the right knowledge and skills to provide safe, informed care. Oliver’s Training is the Government’s preferred package for providers registered with the Care Quality Commission to meet the statutory training requirement under the Health and Care Act 2022. Over three million people have completed the e-learning package, the first part of this training, and more than 2,700 people have been trained to deliver the interactive second part nationwide.
Annual health checks for people with a learning disability are a crucial way to identify undetected conditions early and ensure the appropriateness of ongoing treatments. NHS England is working with people with lived experience, clinical professionals, and commissioners to produce a quality framework to ensure that these vital checks are high-quality. NHS England is also taking forward a range of work to improve the quality of the services accessed by people with a learning disability, including rollout of the Reasonable Adjustment Digital Flag across health and care services which enables health and publicly funded care professionals to record, share, and view details of the reasonable adjustments which individuals need to support their care and treatment.
The number of people with a learning disability and autistic people in mental health hospitals is unacceptable, and there are still too many people being detained who could be supported to live well in their communities. The Mental Health Bill currently before Parliament limits the scope of the ability to detain people with a learning disability and autistic people so that they can only be detained under Part 2, section 3 if they have a co-occurring mental disorder that requires hospital treatment. It also introduces measures to improve community support, including putting Care (Education) and Treatment Reviews and Dynamic Support Registers on a statutory footing, and placing certain duties on integrated care boards and local authorities when exercising existing commissioning duties.
Asked by: Baroness Coffey (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government how many officials (1) in total, and (2) in number of full-time equivalent staff, have been involved in supporting the promoters of the Terminally Ill Adults (End of Life) Bill in the Department of Health and Social Care since November 2020.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The number of full-time equivalent staff working on the Terminally Ill Adults (End of Life) Bill has fluctuated since January 2025; there was not a team working on this bill prior to this, and any work on assisted dying was delivered through existing policy teams. The primary function of the team now in place is to fulfil the Government’s duty to the statute book, with regards to the legal and technical coherence of the bill. This includes providing technical drafting support and advising on workability of the legislation, as well as supporting Ministers to fulfil their duties to Parliament, such as responding to questions and correspondence and Parliamentary debates and committee hearing. Matters of policy have remained solely for the Sponsoring Members, Kim Leadbeater MP in the House of Commons and Lord Falconer in the House of Lords, to determine.
As of 1 September 2025, there were 11.8 full-time equivalent (FTE) officials in the Department of Health and Social Care Bill Team, at its largest the Bill Team was 16.8 FTEs. Where required, contributions on specific issues may have been sought from other teams, however the FTE cannot be accurately quantified for these issues.
Asked by: Lord Blencathra (Conservative - Life peer)
Question to the Department for Transport:
To ask His Majesty's Government what action they are taking against those responsible for Network Rail mistakenly cutting down 300 trees in Derbyshire.
Answered by Lord Hendy of Richmond Hill - Minister of State (Department for Transport)
The government is not taking action against Network Rail for trees removed on the Midland Main Line between Wingfield and Clay Cross. All the vegetation managed in this area was to ensure the safe operation of trains on the track. Any trees within 6.5m of the line and any capable of falling within 4m of the track were either removed or reduced in size. Dead, dying and diseased trees (some with the fungal infection Ash Dieback), as well as healthy trees which were obstructing the view of train conductors and drivers, were cut back or managed due to the risk they posed to the safe operation of the railway. This was done in line with Network Rail’s tree risk assessment model.
Asked by: Lord Scriven (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government, in regard to the collection DHSC: workforce management information, why the total paybill and staffing costs have increased by more than £20 million since July 2024.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department’s total paybill and staffing costs have not risen by £20 million since July 2024; rather, they have risen, but by £2.5 million in that time.
Since the General Election, the Department’s staff numbers have needed to increase to ensure the right skills and capability to deliver several of the Government’s major priorities. These include the 10-Year Health Plan, the Assisted Dying Bill, ending the longest-running pay dispute with resident doctors, publishing an elective reform plan, and publishing a new NHS Mandate, as well as ensuring we can continue to deliver vital services across the health system. During this period, payroll costs have also increased because of annual pay increases.
Given the scale of the challenges facing the health and social care system, as part of the Spending Review, the Department is working on reducing its headcount down to pre-election levels during 2025/26. This is a key step towards a streamlined centre, to support continued prioritisation towards front-line services.
Asked by: Andy Slaughter (Labour - Hammersmith and Chiswick)
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 tackle the (a) palliative, (b) end of life care and (c) other medical needs of older prisoners.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
As a signatory to the National Partnership Agreement for Health and Social Care for people in contact with the criminal justice system, the Department is committed to working with the Ministry of Justice, HM Prison and Probation Service, NHS England, and the UK Health Security Agency to ensure that safe, legal, decent, and effective care that improves health outcomes and reduces health inequalities is provided for all prisoners, including those who are elderly.
NHS England is responsible for providing a full range of healthcare services to meet the needs of the prison population. Every prison will have a health needs assessment undertaken on a regular basis which is then used to locally determine the health needs and requirements of that prison’s population. This includes supporting elderly prisoners in their palliative care, end of life care, and other health needs such as dementia care. Local authorities also have a duty to support elderly prisoners with their social care needs.
The Dying Well in Custody Charter and supporting self-assessment framework describes a set of national standards for local adoption and provides a tool for a local multi-disciplinary approach to providing agreed standards of palliative and end of life care to people in prison. The charter is available at the following link: