Found: In response, the Minister, Baroness Merron, stated that the Government would outline expectations for

Question to the Department of Health and Social Care:

To ask His Majesty's Government further to the Written Answers by Baroness Merron on 27 January (HL4224 and HL4225), what steps they are taking to ensure hospitals meet the Commissioning for Quality and Innovation target of revascularisation in patients with chronic limb-threatening ischaemia within five days of admission.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

In 2022, NHS England commissioned the two-year Commissioning for Quality and Innovation (CQUIN) scheme, which incentivised the adoption of the Vascular Peripheral Arterial Disease Quality Improvement Framework, to support timely interventions for revascularisation. This measures the proportion of patients who have a diagnosis of chronic limb threatening ischaemia (CLTI) and who undergo revascularisation within five days of a non-elective admission to vascular providers.

NHS England commissions the National Vascular Registry (NVR) to provide information on the quality and outcomes of care for adults who have major vascular procedures. The NVR provides annual and quarterly reports for emergency and elective vascular procedures, including for those people with peripheral arterial disease who undergo either a lower limb angioplasty/stent, lower limb bypass surgery, or major lower limb amputation. From quarter one of 2022 to quarter four of 2024, NVR data demonstrated that vascular providers achieving the CQUIN standards had increased from 47% to 55%. During this period, the number of providers submitting data to the NVR had increased by approximately 14%, and every National Health Service region showed an improvement in CLTI revascularisation quality.

Furthermore, NHS England has commissioned the NVR to facilitate an ‘outliers’ process in which vascular providers are monitored on several key performance metrics, including CLTI revascularisation. NHS England continues to monitor all specialised vascular disease services via the NVR, working in collaboration with NHS England regional teams and integrated care boards.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 14 February (HL4607), how much of the capital allocated to each hospital to be built has been allocated in this funding round; and what are the provisional amounts allocated to each hospital in future rounds.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

Funding has been agreed with HM Treasury to cover 2025/26. For 2025/26, we have approved and issued £233 million of funding to trusts. Funding beyond this will be agreed in the Spending Review in spring 2025.

Funding is issued subject to the approval of a business case. These are submitted at different stages for separate elements of a scheme. At the start of a scheme such business cases would be for enabling works, including, for example, site clearance or a land purchase, and are relatively small. Fees are also allocated to Trusts to develop plans and business cases. However, most of the funding for individual schemes in the New Hospital Programme will be subject to the approval of a Full Business Case as set out in HMT Green Book and is usual for large infrastructure projects.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 3 February (HL3955), on what basis local authorities are required to collect information about gender and who requires that information.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

The 2023 Client Level Data (CLD) Directions set out the specific data that local authorities are required to collect and submit to the Department, in order for the Department to produce national data on the provision of adult social care in England. The data mandated in these directions are therefore only a small subset of all the administrative data that local authorities may collect and hold.

Meanwhile, local authorities routinely collect the data and information they consider necessary to perform their functions. The 2023 CLD Directions do not preclude local authorities from collecting any further information, including for example sex, that local authorities may consider necessary to effectively discharge their legal obligations.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the answer by Baroness Merron on 30 January (HL Deb col 366), when they plan to (1) begin the rollout of fracture liaison services, and (2) achieve universal coverage for fracture liaison services.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

We remain committed to rolling out fracture liaison services across every part of the country by 2030.

The Government and NHS England support the clinical case for services which help to prevent fragility fractures and support the patients who sustain them. Officials continue to work closely with NHS England to explore a range of options to provide better quality and access to these important preventative services.

In the meantime, we are investing in 14 high-tech DEXA scanners, which are expected to provide an extra 29,000 scans to ensure people with bone conditions get diagnosed earlier.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 30 January (HL3972), what the total value is of the five special severance payments currently pending approval by the Treasury; and whether any of these payments have already been disbursed or remain withheld pending approval.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

All five cases are pending retrospective approval. The National Audit Office, as disclosed on page 47 of the consolidated provider accounts, put a value to these cases of £180,688. Final values may change subject to the approval process.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 23 January (HL4187), what assessment they have made of the pace at which international applicants are registered by the General Medical Council for the purposes of enabling them to become economically independent and reducing the shortfall of trained personnel in the NHS.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

No assessment has been made of the pace at which international applicants are registered by the General Medical Council (GMC) for the stated purposes.

All medical practitioners wishing to practise in the United Kingdom must be registered with the GMC and hold a licence to practise. The GMC is statutorily independent of the Government and sets the standards that must be met by domestic and international applicants wishing to be added to its register. This ensures registrants are safe to practise, and that patients receive a high standard of care.

Found: Baroness Merron Ordered to be Printed, 24th February 2025.

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Found: Letter from Baroness Merron to Peers regarding county courts and legal aid, data on instances of police

Found: Letter from Baroness Merron to colleagues regarding points raised during the Committee stage: tier 3

Found: Letter from Baroness Merron to Peers regarding how learning from mental health inpatients' experiences

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Found: Letter dated 18/02/2025 from Baroness Merron to colleagues regarding clarification to remarks made about

Found: Letter dated 06/02/2025 from Baroness Merron to colleagues regarding points raised during the Committee

Found: Letter dated 17/02/2025 from Baroness Merron to Peers regarding a parliamentary question on the health

Found: Letter dated 17/02/2025 from Baroness Merron to Peers regarding points raised during the Mental Health