Asked by: Lord Bird (Crossbench - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what action they are taking to reduce regional differences in life expectancy; and what steps they are taking to account for housing, employment and environmental factors in health policy.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is committed to increasing the amount of time people spend in good health and to preventing premature deaths, with an ambitious commitment to halve the healthy life expectancy gap between the richest and poorest regions.
Our 10-Year Health Plan for England sets out a reimagined service designed to tackle inequalities in both access and outcomes, as well as to give everyone, no matter who they are or where they come from, the means to engage with the health service on their own terms.
The 10-Year Health Plan and the Environmental Improvement Plan set out how the Government will take action to reduce exposure to harmful emissions of air pollutants. This includes action on domestic burning, on which the Department for Environment, Food and Rural Affairs have recently launched a consultation.
The 10-Year Health Plan also sets out actions to address poor quality housing and improve the standard of rented homes, alongside £15 billion of investment announced in the Warm Homes Plan. £5 billion of this will be targeted at low-income and fuel poor households. This will help to make homes warmer, more comfortable, and more energy-efficient, which in turn will improve health and reduce health inequalities.
Further to this, the Government recognises that good-quality employment is an important determinant of good health. Sir Charlie Mayfield has submitted the Keep Britain Working review, which highlights how crucial it is to support people to stay healthy and in work.
In partnership with the Department for Business and Trade and the Department for Work and Pensions, we are rapidly translating Sir Charlie’s key recommendations into action.
Asked by: Lord Kamall (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 merits of including male veterans and service personnel in the next Men’s Health Strategy.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
On 19 November 2025, to coincide with International Men’s Health Day, we published the first ever Men’s Health Strategy for England. Our vision is to improve the health of all men and boys in England, including male veterans and service personnel.
This strategy is a crucial first step, laying the foundation from which we can learn, iterate and grow to create a society where all men and boys are supported to live longer, healthier and happier lives. As a first step, we will work with the Men's Health Academic Network and the voluntary, community and social enterprise sector to develop and publish a one-year-on report, highlighting the improvements made and where future efforts will need to be targeted.
Asked by: Lord Weir of Ballyholme (Democratic Unionist Party - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what plans they have to set a target for reducing incidence of cardiovascular disease as part of the 10 Year Health Plan for England.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is committed to fewer lives being lost to the biggest killers, such as cardiovascular disease. As set out in the 10-Year Health Plan, to accelerate progress on the ambition to reduce premature deaths from heart disease and stroke by 25% within a decade, we will publish a new cardiovascular disease modern service framework later this year.
Asked by: Lord Kamall (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assistance is available to people who are not sufficiently technologically proficient to use the NHS app.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
We are working to improve access to digital services, outcomes, and experiences for the widest range of people, based on their preferences. Digital health tools should be part of a wider offering that includes face-to-face support with appropriate help for people who struggle to access digital services.
Centrally built services, such as the NHS App and National Health Service website, are designed to meet international accessibility standards. We are modernising the mobile patient experience within the NHS App, ensuring information is clearly structured and easy to find and understand.
NHS England has successfully run several programmes to support patients, carers, and health service staff with their digital skills. These include:
the Digital Health Champions programme, a proof of concept to support citizens who have no or low digital skills with understanding how to access health services online;
the Widening Digital Participation programme, aimed to ensure more people have the digital skills, motivation, and means to access health information and services online; and
the NHS App ‘Spoken Word’ Pilot project, designed to test the efficacy of promoting NHS digital health products and services in languages other than English.
We have also recruited over 2,000 NHS App ambassadors and 1,400 libraries to help people to learn how to use the NHS App.
NHS England has published a framework for NHS action on digital inclusion and is developing further resources to support practical actions. All programmes are actively considering how they can contribute to improvements in healthcare inequalities and digital inclusion.
We are also developing a national proxy service to grant authorised access for people to manage health care on behalf of other people that are unable to use the NHS App.
Asked by: Baroness Deech (Crossbench - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of the long-term physical, mental and legal consequences of the Puberty Suppression and Transitional Healthcare with Adaptive Youth Services study of children with gender dysphoria.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is following expert, independent advice from the Cass Review to implement a programme of research to support high quality National Health Service care for children and young people with gender incongruence. Responding to the specific recommendations of the review, the programme includes the PATHWAYS trial, a carefully designed clinical trial to assess the relative benefits and harms of puberty-suppressing hormones as a treatment option for children and young people with gender incongruence when provided alongside an updated model of NHS care incorporating holistic assessment and a tailored package of psychosocial support.
The trial is now in the set-up phase following comprehensive independent scientific, ethical, and regulatory review and approvals. It was designed by an independent research team, in conjunction with patient and public involvement as well as independent ethics, clinical, and legal experts. The team responsible for the protocol design have given considerable thought to the most appropriate eligibility criteria for entry into the trial, and to the physical and mental outcome measures to be monitored, to properly assess and protect young people's wellbeing.
Asked by: Lord Freyberg (Crossbench - Excepted Hereditary)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of the potential benefits of technology investments, including optical character recognition and natural language processing, to automate manual processes in clinical audit and registry submission across NHS England; whether businesses cases for that investment have been prepared; if so, in which disease areas or audit programmes those cases were prepared; and what were the outcomes of those cases.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England is exploring a range of functionality to automate manual data processes aligned to clinical improvement, including for our Outcomes & Registries Programme, National Disease Registration Service, frontline digitisation and the promotion and adoption of new technology across provider systems. Our central data and digital transformation business cases are primarily focused on the adoption of the technical capabilities and innovations, applicable in many areas, rather than focusing within specific individual audits or registries alone. Some business cases have been accepted and moved forward.
Asked by: Lord Scriven (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government whether the vacancy for the chief executive of NHS South Yorkshire Integrated Care Board will adhere to the standard NHS very senior manager pay framework, or whether they intend to approve an exceptional salary business case for this post that exceeds the national midpoint.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Chief Executive Officer for the NHS South Yorkshire Integrated Care Board (ICB) role is subject to the Very Senior Manager’s pay framework and is currently covered on an interim basis in line with that framework. Should permanent cover of the role require a review of pay for the new employee, the expectation would be that this is also done in line with the framework, but if an exceptional salary was proposed by the ICB, that would be subject to review and approval by the Department.
Asked by: Lord Kamall (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government, further to the Written Answer the Minister of State for Care on 5 January (HC99433), whether they have considered allowing local authorities to set or amend the means-testing criteria for the mandatory Disabled Facilities Grant scheme that such authorities administer on behalf of the Government.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
In England, we continue to fund the Disabled Facilities Grant (DFG) which is administered by local authorities. This grant helps eligible older and disabled people on low incomes to adapt their homes to make them safe and suitable for their needs. Practical changes include installing stairlifts, level-access showers, and ramps.
As highlighted in the response to HC99433, local authorities already have a significant amount of flexibility in how they deliver the DFG. This includes setting or amending the means-testing criteria.
We have recently announced an additional £50 million for the DFG in 2025/26. This could fund approximately 5,000 home adaptations supporting older and disabled people to live more independently in their homes, it brings the total DFG amount this year to £761 million.
Asked by: Lord Scriven (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government on what basis the chief executive of the South Yorkshire Integrated Care Board was reportedly allowed to receive redundancy payments and pay in lieu of notice after he announced his retirement in September 2025.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The number of integrated care boards (ICBs) is reducing from 42 to 26 and this has had an impact on senior leadership roles resulting in a number of ICB chief executive officers being subject to compulsory redundancy in August 2025 and receiving contractual redundancy pay. The Chief Executive Officer for the South Yorkshire ICB was within this group and his selection for redundancy pre-dated any communication that his exit was linked to retirement.
The severance payments he received were contractual redundancy in line with national Agenda for Change terms and conditions and contractual pay in lieu of notice.
The Chief Executive Officer for the NHS South Yorkshire ICB role is subject to the Very Senior Manager’s pay framework and is currently covered on an interim basis in line with that framework. Should permanent cover of the role require a review of pay for the new employee, the expectation would be that this is also done in line with the framework, but if an exceptional salary was proposed by the ICB, that would be subject to review and approval by the Department.
Asked by: Baroness Thomas of Winchester (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of the delays faced by those ordering essential disability equipment from overseas.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
No such assessment has been made. At this time the Department is not centrally managing any shortages related to delayed overseas orders of disability equipment. We would encourage any specific detail of supply issues to be shared with the Department.
The Department's National Supply Disruption Response team works with system partners to help mitigate supply issues, including through the coordination of mutual aid, identifying alternative products or clinical practices, regulatory easements, and/or use of the Express Freight Service which can provide bespoke global logistics services in the event of critical supply disruption.