Asked by: Lord Bradley (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government when they will publish an action and implementation plan to ensure the recommendations of the report by the Independent Advisory Panel on Deaths in Custody Investigating deaths under the Mental Health Act: The need for independence and parity, published in September 2025, are quickly progressed.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is very grateful to the Independent Advisory Panel on Deaths in Custody for its report, which highlights the critical issue that there are still too many deaths in mental health services and provides valuable insights and recommendations for change.
The Government is currently considering the report and its recommendation to establish an independent investigative mechanism. We will consider the most suitable way to share the Government’s response to this report in due course and will continue to work with the panel to explore how we can deliver further improvements to the way deaths in mental health detention are investigated.
Asked by: Lord Bradley (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what plans they have to implement the recommendations of the report by the Chief Medical Officer for England, The health of people in prison, on probation and in the secure NHS estate in England, published on 6 November 2025.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department welcomed the Chief Medical Officer’s report and is working across NHS England, HM Prison and Probation Service, and other Government departments on the implementation of its recommendations and the co-production of an action and implementation plan.
Asked by: Lord Bradley (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government how many times, and in which NHS regions of England, the outcome of commissioned health and justice service contracts have been referred to the Independent Patient and Procurement Panel in each of the past two years.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The panel has received two representations regarding Health and Justice services. The panel accepted one case for review and did not review the other case. The case that the panel accepted was in the North West of England.
Asked by: Lord Bradley (Labour - 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 30 January (HL13777), when they will publish the results of the consultation on proposals to extend the medicines responsibilities of four professions.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The consultation for proposals to extend medicines responsibilities for paramedics, physiotherapists, operating department practitioners, and diagnostic radiographers closed on 28 October 2025. Our team is currently analysing the large number of respondents received and a Government response detailing next steps will be published in due course.
Non-medical prescribing remains a keen area of interest since the Government took office in 2024, and we support the expansion of professional groups being able to use legal mechanisms to supply, administer, and prescribe medicines to patients, where it is safe to do so, within their scope of practice.
Asked by: Lord Bradley (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what steps they are taking to ensure greater collaboration between adult social care and the NHS.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
Greater collaboration between adult social care and the National Health Service is a priority for the Government. Adult social care is a central part of our commitment to developing a Neighbourhood Health Service that shifts care from hospitals to communities, with more personalised, proactive, and joined-up health and care services that help people stay independent for as long as possible. In 2025/26, approximately £9 billion is being invested through the Better Care Fund to enable NHS bodies and local authorities to pool budgets and deliver joined-up care.
Starting in the financial year 2026/27, we will reform the Better Care Fund. This reform will provide a sharper focus on ensuring consistent joint NHS and local authority funding for those services that are essential for integrated health and social care, such as hospital discharge, intermediate care, rehabilitation and reablement. We will set out further details in due course.
We also provide improvement support to local systems to help them strengthen the delivery of integrated health and social care. This includes the National Neighbourhood Health Implementation Programme and also work with the Local Government Association to deliver targeted and universal support to local systems through the Better Care Fund Support Fund. Information on these can be found respectively on the Neighbourhood Health and the Local Government Association websites.
Asked by: Lord Bradley (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what action they are taking to extend independent prescribing responsibilities to occupational therapists.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
We support the expansion of non-medical professional groups being able to use legal mechanisms to prescribe, supply, and administer medicines to patients where it is safe to do so. There is a robust process in place for making such changes to ensure they are safe and beneficial for patients.
We are considering requests for the extension of existing medicines responsibilities and recently concluded a consultation on proposals to extend the medicines responsibilities of four professions. Further information can be found on the GOV.UK website.
Asked by: Lord Bradley (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government when they will publish (1) the NHS workforce plan, and (2) the social care workforce plan.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government will publish the 10 Year Workforce Plan in spring 2026.
This plan will set out action to create an NHS workforce able to deliver the transformed service set out in the 10-Year Health Plan. It is important we do this in a robust and joined up way. We are therefore engaging extensively with partners to ensure this plan delivers for staff and patients.
Decisions regarding any potential publication for social care remain under consideration and no final position has been reached.
The Department is supporting the Adult Social Care workforce by improving terms and conditions through introducing a new Fair Pay Agreement, and supporting career development and progression by implementing the first ever career structure and investing up to £12 million in training and qualifications.
Baroness Casey’s independent commission into adult social care is underway as part of our critical first steps towards delivering a National Care Service. The Terms of Reference have been designed to be sufficiently broad to enable Baroness Casey to independently consider how to build a social care system, and workforce, fit for the future.
Asked by: Lord Bradley (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government how many prisoners are (1) eligible for support, and (2) receiving support, under section 117 of the Mental Health Act 1983.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The eligibility criteria for Section 117 applies to those who have been discharged from hospital following detention under the Mental Health Act, including those who have been remitted to prison. This is to help meet their needs and reduce the risk of their mental health condition worsening, which could lead to another hospital admission. Where prisoners are remitted back to prison, their right to receive Section 117 aftercare should be dealt with in the same way as it would be in the community, apart from any provisions which do not apply in custodial settings, such as direct payments and choice of accommodation. We do not hold centralised data on the number of prisoners receiving support under Section 117.
Asked by: Lord Bradley (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what plans they have to increase the availability of comprehensive palliative care across England.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
Palliative care services are included in the list of services an integrated care board (ICB) must commission. To support ICBs in this duty, NHS England has published statutory guidance and service specifications. The statutory guidance states that ICBs must work to ensure that there is sufficient provision of palliative care and end of life care services to meet the needs of their local populations.
NHS England has also developed a palliative care and end of life care dashboard, which brings together all relevant local data in one place. The dashboard helps commissioners understand the palliative care and end of life care needs of their local population.
The Department and NHS England are currently working at pace to develop plans on how best to improve the access, quality, and sustainability of all-age palliative care and end of life care in line with the 10-Year Health Plan. We will closely monitor the shift towards the strategic commissioning of palliative and end of life care services to ensure that services reduce variation in access and quality.
Asked by: Lord Bradley (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what plans they have to support the establishment of more hospices in England.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government has set out that integrated care boards (ICBs) are required to commission palliative care and end of life care services to meet the needs of their local populations, which can include hospice services available within the ICB catchment.
We are supporting the hospice sector with a £100 million capital funding boost for eligible adult and children’s hospices in England to ensure they have the best physical environment for care. We are also committing £80 million for children’s and young people’s hospices over the next three financial years.