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Written Question
Sepsis and Strokes: Health Services
Tuesday 13th May 2025

Asked by: Lord Mackinlay of Richborough (Conservative - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what steps they are taking to address any inequality in reliability of diagnosis and immediate care between (1) sepsis, and (2) stroke.

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

Sepsis and stroke are time sensitive and potentially life-threatening conditions, both taken very seriously by the Government. However, they are distinct conditions and present different diagnostic and treatment challenges.

The National Optimal Stroke Imaging pathway provides a pathway to rapid intervention based on a clear diagnosis through imaging, such as computed tomography and magnetic resonance imaging scans. Thrombolysis and thrombectomy rates have risen, indicating effective immediate stroke care. In comparison, sepsis has no specific diagnostic test, and the signs and symptoms can vary hugely. As a result, sepsis can be challenging to diagnose.

The Government is focused on improving the recognition and early diagnosis of sepsis by healthcare professionals, including through NHS England’s online sepsis training programmes, so that unwell patients are identified promptly and started on immediate life-saving treatment. The National Early Warning Score (NEWS2), is a clinical screening tool for the recognition of acutely unwell adults, including those with sepsis. NEWS2 supports clinicians to determine the need for immediate care and is used in 99% of acute trusts and 100% of ambulance trusts in England.

Furthermore, the Department continues to fund research through the National Institute for Health and Care Research, to improve our understanding of sepsis diagnosis and immediate management.


Written Question
Disability: Employment
Friday 9th May 2025

Asked by: Lord Mackinlay of Richborough (Conservative - Life peer)

Question to the Department for Work and Pensions:

To ask His Majesty's Government how much funding was available to help amputees to find employment in each of the past five years for which figures are available; and how much funding will be provided this year.

Answered by Baroness Sherlock - Minister of State (Department for Work and Pensions)

We are unable to provide this information as this is not available.

We can provide the overall budgets for Contracted Employment provision (including Access to Work) that support people to find employment above that provided by job centres over the last 5 years

Budgets

2020/21

2021/22

2022/23

2023/24

2024/25

2025/26

Contracted Employment Programmes

£290m

£760m

£830m

£740m

£800m

£830m


Written Question
Boiler Upgrade Scheme: Listed Buildings
Thursday 8th May 2025

Asked by: Lord Mackinlay of Richborough (Conservative - Life peer)

Question to the Department for Energy Security & Net Zero:

To ask His Majesty's Government what estimate they have made of the number of approved contractors in the Microgeneration Certification Scheme that can work on the Boiler Upgrade Scheme in listed properties.

Answered by Lord Hunt of Kings Heath - Minister of State (Department for Energy Security and Net Zero)

The Microgeneration Certification Scheme (MCS) is a nationally recognised quality assurance scheme for renewable technologies, setting high standards for products and installations, including under the Boiler Upgrade Scheme (BUS).

As of April 2025, there are 1,580 MCS registered companies with an active BUS account, with these companies ranging from sole traders to larger corporations with large number of installers.

The Government’s Heat Training Grant continues to support existing heating engineers in England to take the relevant training to install heat pumps. Since its launch in July 2023, over 6,500 individuals have gone through heat pump installation training funded through the scheme.


Written Question
Orthopaedics: Assistive Technology
Thursday 8th May 2025

Asked by: Lord Mackinlay of Richborough (Conservative - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what steps they are taking to support individuals with limb loss to use the healthcare system by innovation in assistive technologies.

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

Appointments for prosthetics services are offered over a range of media, including via video and telephone. All patients, including individuals with limb loss, can access environmental controls if they meet the criteria as set out within the service specifications Environmental Control Equipment for Patients with Complex Disability (All Ages) and Complex Disability Equipment – Prosthetic Specialised Services For People Of All Ages With Limb Loss, copies of which are attached.

NHS England’s Clinical Priorities Advisory Group has approved a new service specification titled Prosthetic Specialised Services For People Of All Ages With Limb Loss, due for publication in May 2025. This will be implemented by all 35 specialist centres providing prosthetics care. It will improve outcomes for those with limb loss by offering personalised care and enabling patient choice. It also includes metrics which can be used to monitor access times and the quality of care.

NHS England is also reviewing the Clinical Commissioning Policy relating to multi-grip hand and upper limb prosthesis. To inform this review, an audit exploring data relating to the uptake and the latest clinical outcomes is underway, with results expected in Summer 2025. Alongside this, NHS England is commissioning a horizon scan of the latest prosthesis innovations.

The Department will continue to encourage greater innovation in the health sector to help support the three big shifts in healthcare, from hospitals to communities, from analogue to digital, and from treatment to prevention, which are set out as part of the Government’s Health Mission.

The upcoming Life Sciences Sector Plan, as part of the United Kingdom’s industrial strategy, and the 10-Year Health Plan present significant opportunities to enable patients to benefit from the strengthening of the UK’s life sciences sector, ensuring that innovation is embedded across the healthcare system. This will build on the Department’s Medical Technology Strategy, published in February 2023, and the subsequent One Year On Report in April 2024, outlining our priorities for improving the adoption and spread of safe, effective, and innovative medical technologies across the National Health Service.


Written Question
Immigration Controls
Tuesday 15th April 2025

Asked by: Lord Mackinlay of Richborough (Conservative - Life peer)

Question to the Home Office:

To ask His Majesty's Government what plans they have to implement an entry/exit border control system to aid the identification and removal of individuals who have overstayed across all visa types.

Answered by Lord Hanson of Flint - Minister of State (Home Office)

The UK has introduced Electronic Travel Authorisations (ETAs) to enhance our ability to screen travellers upstream, and improve the customer experience. The introduction of the ETA scheme is in line with the approach many of the UK’s international partners have already taken to border security, including the European Union’s forthcoming ETIAS and EES. The UK’s scheme was extended to eligible European nationals on 5 March 2025, and will be a requirement for this cohort for travel from 2 April 2025.


Written Question
Housing: VAT Exemptions
Monday 7th April 2025

Asked by: Lord Mackinlay of Richborough (Conservative - Life peer)

Question to the HM Treasury:

To ask His Majesty's Government what assessment they have made of the effectiveness of VAT relief on new build properties on increasing house building, and what plans they have to extend VAT relief to the refurbishment of listed buildings.

Answered by Lord Livermore - Financial Secretary (HM Treasury)

To support the construction of new homes, the Government maintains a zero rate of VAT on new-build residential buildings and a reduced rate of VAT of five per cent for residential renovations that meet certain conditions.

To preserve heritage, restorative work carried out on listed buildings previously benefited from a zero rate of VAT. However, this relief was abolished in 2012, as it was primarily used to carry out extension work unnecessary for heritage purposes. The Government has no current plans to reduce the VAT charged on work to maintain and repair listed properties, but keeps all taxes under review.


Written Question
Fracking: Fylde
Wednesday 2nd April 2025

Asked by: Lord Mackinlay of Richborough (Conservative - Life peer)

Question to the Department for Energy Security & Net Zero:

To ask His Majesty's Government, further to the Written Answer by the Parliamentary Under Secretary of State for the Department for Energy Security and Net Zero (HC37979), whether the decision to plug and abandon Preston New Road shale gas well was a matter for (1) the company, (2) the Department for Energy Security and Net Zero, or (3) the North Sea Transition Authority.

Answered by Lord Hunt of Kings Heath - Minister of State (Department for Energy Security and Net Zero)

As stated in the previous answer, decisions on whether to abandon wells are ultimately a matter for the company.


Written Question
Cultural Heritage: Skilled Workers
Wednesday 2nd April 2025

Asked by: Lord Mackinlay of Richborough (Conservative - Life peer)

Question to the Department for Digital, Culture, Media & Sport:

To ask His Majesty's Government, further to the Written Answer by the Minister of State for Culture, Media and Sport on 24 February (HC30997), what measures they have agreed with Historic England to ensure that the necessary workforce is in place in the UK heritage skills sector.

Answered by Baroness Twycross - Baroness in Waiting (HM Household) (Whip)

Historic England are working across government and with sector partners to develop the infrastructure needed for heritage building skills.

For example, Historic England is engaging with the Department for Education via the Construction Skills Delivery Board, as well as on changes to vocational education, such as the introduction of Skills England. Historic England is also involved in regional pilot programmes aiming to tackle traditional building skills needs locally, and collaborating with Cadw and Historic Environment Scotland to improve the standard of retrofit training, to care for our historic buildings, while also making them more energy efficient.


Written Question
Listed Buildings: Energy
Tuesday 1st April 2025

Asked by: Lord Mackinlay of Richborough (Conservative - Life peer)

Question to the Department for Energy Security & Net Zero:

To ask His Majesty's Government, further to the Written Answer by Baroness Twycross on 13 February (HL4762), what routes are available to owner-occupiers of listed buildings that are exempt from requiring an energy performance certificate to access the Boiler Upgrade Scheme.

Answered by Lord Hunt of Kings Heath - Minister of State (Department for Energy Security and Net Zero)

A property must have a valid Energy Performance Certificate (EPC) to be eligible for the Boiler Upgrade Scheme (BUS) as they support property owners to understand how energy efficient their building is, enabling them to make an informed choice on whether to proceed with an installation.

While completing an EPC is generally not a requirement for listed buildings, they can still be obtained from an accredited EPC assessor, to meet BUS eligibility requirements. The Government will continue to review scheme eligibility criteria, and consider changes to drive further demand, making low carbon heating accessible to a wider range of households.


Written Question
Offshore Industry
Friday 21st March 2025

Asked by: Lord Mackinlay of Richborough (Conservative - Life peer)

Question to the HM Treasury:

To ask His Majesty's Government what assessment they have made of the impact of the proposed ban on issuing new licences to explore oil and gas fields on investment, jobs, tax revenue and the balance of payments.

Answered by Lord Livermore - Financial Secretary (HM Treasury)

Forecasts for oil and gas tax revenues are published by the Office for Budget Responsibility (OBR), which take into account many factors including the sector’s expectations and the Government’s policy at the time. The most recent forecast was published at Autumn Budget 2024 in the Economic and Fiscal Outlook October 2024 [1] . This also includes other economic projections, including in relation to future investment in the oil and gas sector and the UK’s balance of payments.

Future OBR forecasts will consider any changes to policy that may have an impact on investment in the oil and gas sector, oil and gas production or tax revenues from the sector.

1. https://obr.uk/efo/economic-and-fiscal-outlook-october-2024/