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 25 February (HL14473), when they expect the co-produced action and implementation plan to be published.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England has no plans at present to publish the action plan. The action plan is a partnership with HM Prison and Probation Service and other Government departments, and NHS England has a governance route through which it holds itself accountable.
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 Ministry of Justice:
To ask His Majesty's Government how many people in prison or a Young Offenders Institute self-describe their ethnicity as Romany.
Answered by Lord Timpson - Minister of State (Ministry of Justice)
This information is published in Table 1_A_21 of the Offender Management Statistics ‘annual’ prison population tables.
As of 30 June 2025, the most recent date for which statistics are available, 79 of those in custody described their ethnicity as Roma.
To note, the ‘Roma’ ethnicity code is a recent addition to the prison offender management system, and the ‘as at 30 June 2025’ data is the first publication of these figures. As such, we would expect numbers to increase over time as new prisoners entering the system are able to self-identify as ‘Roma’.
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 Ministry of Justice:
To ask His Majesty's Government how many and what proportion of Parole Board recommendations to move prisoners (1) serving an Imprisonment for Public Protection sentence, and (2) serving a life sentence, to open conditions were rejected in each month in 2025.
Answered by Baroness Levitt - Parliamentary Under-Secretary (Ministry of Justice)
For many years the Secretary of State has asked the independent Parole Board for advice on whether a prisoner serving an imprisonment for public protection (IPP) or a life sentence is suitable for transfer to open conditions. Where the Parole Board recommends that a prisoner is so suitable, the Secretary of State is not bound to accept the recommendation, and it is the Secretary of State who is ultimately responsible for determining whether a life or IPP prisoner is safe to be managed in an open prison.
The following tables provide the number and proportion of recommendations made by the Parole Board which were rejected in each month in 2025 for prisoners serving (1) an IPP sentence and (2) a life sentence.
Table 1: Outcomes of consideration of IPP open condition recommendations
Period considered | Accepted | Rejected | Total | % Rejected |
January 2025 | 10 | 2 | 12 | 17% |
February 2025 | 7 | 7 | 14 | 50% |
March 2025 | 6 | 2 | 8 | 25% |
Table 2: Outcomes of Consideration of life sentence open condition recommendations
Period considered | Accepted | Rejected | Total | % Rejected |
January 2025 | 19 | 7 | 26 | 27% |
February 2025 | 23 | 3 | 26 | 12% |
March 2025 | 23 | 3 | 26 | 12% |
Data have been provided for the period 1 January 2025 to 31 March 2025 to align with the publication of the Parole Board’s data on recommendations for open conditions.
Public protection remains the priority and prisoners will only be approved for a move to open conditions if it is assessed that it is safe to do so.