Became Member: 28th January 2021
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These initiatives were driven by Lord Kamall, and are more likely to reflect personal policy preferences.
Lord Kamall has not introduced any legislation before Parliament
Lord Kamall has not co-sponsored any Bills in the current parliamentary sitting
The Law Officers sit on the Parliamentary Business and Legislation Committee. As part of the process of approving a government Bill for introduction, as set out in the published Guide to Making Legislation, a legal issues memorandum is prepared for this Committee. This will set out all relevant legal issues.
Whether the Law Officers have been asked to provide advice outside of the PBL process is covered by the Law Officers’ Convention. This Convention provides that whether or not the Law Officers have been asked to provide advice, and the contents of any such advice, is not disclosed outside Government.
The Law Officers sit on the Parliamentary Business and Legislation Committee. As part of the process of approving a government Bill for introduction, as set out in the published Guide to Making Legislation, a legal issues memorandum is prepared for this Committee. This will set out all relevant legal issues.
Whether the Law Officers have been asked to provide advice outside of the PBL process is covered by the Law Officers’ Convention. This Convention provides that whether or not the Law Officers have been asked to provide advice, and the contents of any such advice, is not disclosed outside Government.
The information requested falls under the remit of the UK Statistics Authority.
Please see the letter attached from the National Statistician and Chief Executive of the UK Statistics Authority.
The Lord Kamall
House of Lords
London
SW1A 0PW
22 September 2025
Dear Lord Kamall,
As Acting National Statistician, I am responding to your Parliamentary Question asking what steps are being taken to improve the collection and publication of national data on drowning incidents, including demographic information, to inform targeted prevention policies (HL10639).
The Office for National Statistics (ONS) produces mortality statistics using information provided on death certificates. The ONS codes cause of death using the International Cause of Death (ICD-10). The ICD-10 codes for accidental drowning and submersion are W65 to W74.
The ONS publishes statistics on mortality by specific cause each year, in our Deaths
registered summary statistics [1]. Numbers of deaths for 2024 were published on 20 May 2025, and age-standardised mortality rates will be published on 9 October 2025. Table 3 in that publication presents deaths by specific causes, including accidental drowning and submersion, by sex and five-year age bands. Those published 2024 figures by age and sex are summarised with wider age bands in the table below.
The ONS is currently exploring methods to improve the timeliness of our mortality statistics. We launched a consultation earlier this year asking users about the value of reporting death occurrences rather than registrations for suicide statistics [2], and the same questions are being considered for wider mortality outputs too. This includes assessing the accuracy of “nowcasting”: estimating the number of recent death occurrences, by cause, using factors such as the number registered in the past week and trends in registration delays for that cause.
Death certification reform was also implemented in September 2024 [3], which included adding an ethnicity field to the death certificate for the first time in England and Wales. This aims to improve future reporting of deaths by ethnicity and will enable us to produce further demographic breakdowns in future.
Yours sincerely,
Emma Rourke
Table 1: Number of deaths registered by sex, age group and ONS short list of cause of death code, 2024, England and Wales
ICD-10 code | Underlying cause | Sex | All ages | Aged under 1 year | Aged 01 to 19 years | Aged 20 to 64 years | Aged 65 years and above |
W65 to W74 | Accidental drowning and submersion | Males | 213 | 1 | 23 | 129 | 60 |
W65 to W74 | Accidental drowning and submersion | Females | 83 | 1 | 12 | 38 | 32 |
Notes:
1. Figures are for deaths registered rather than deaths occurred. For more information see our Impact of registration delays publication [4].
2. Figures include non-residents.
3. Based on underlying cause of death.
4. The Office for National Statistics (ONS) short list for cause of death is based on a standard tabulation list developed by the ONS, in consultation with the Department of Health (now the Department of Health and Social Care, DHSC). For more information about the codes included, see our User guide to mortality statistics [5].
5. Figures for deaths aged under 1 year exclude deaths under 28 days, which are registered with separate neonatal death certificate from which it is not possible to assign an underlying cause of death. For more information see the childhood mortality section of our User guide to mortality statistics.
[1]https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/datasets/d eathsregisteredsummarystatisticsenglandandwales
[2]https://consultations.ons.gov.uk/external-affairs/user-requirements-for-official-suicide-statistics/
[4]https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/articles/im pactofregistrationdelaysonmortalitystatisticsinenglandandwales/latest
[5]https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/methodolo gies/userguidetomortalitystatisticsjuly2017#ons-short-list-of-cause-of-death
The information requested falls under the remit of the UK Statistics Authority.
Please see the letter attached from the National Statistician and Chief Executive of the UK Statistics Authority.
The Lord Kamall
House of Lords
London
SW1A 0PW
21 March 2025
Dear Lord Kamall,
As National Statistician and Chief Executive of the UK Statistics Authority, I am responding to your Parliamentary Question asking for an estimate of the number of days of work that were lost due to asthma in the UK in each year since 2010 for which there are data available (HL5962).
The Office for National Statistics (ONS) collects information on the labour market status of individuals through the Labour Force Survey (LFS), which is a survey of people resident in households in the UK. The LFS also collects information on whether respondents have missed days off work due to illness and/or injury.
Unfortunately, we do not collect information regarding the type of sickness at a level of detail to identify those suffering from asthma specifically, but we can provide the number of working days lost due to respiratory conditions.
We publish estimates of the number of working days lost through sickness absence, including the number of working days lost due to respiratory conditions, in our Sickness absence in the UK labour market: 2022 article1. This article is due to be updated to include 2023 and 2024 estimates on 1 May 2025. This update will also include revisions to estimates from 2019 to 2022. We will send the updated data to you once it has been published.
Yours sincerely,
Professor Sir Ian Diamond
Table 1 contains LFS estimates of the number, and percentage, of working days lost due to respiratory conditions from 2012 to 2022, the latest data currently available.
Table 1: Number and percentage of working days lost due to respiratory conditions, between 2012 and 2022.
| Number of working days lost due to respiratory conditions (millions) | Percentage of working days lost due to respiratory conditions (% of all working days lost) |
2022 | 16.2 | 8.7 |
2021 | 10.0 | 6.7 |
2020 | 6.4 | 5.5 |
2019 | 5.6 | 4.0 |
2018 | 3.9 | 2.8 |
2017 | 3.7 | 2.8 |
2016 | 5.4 | 3.9 |
2015 | 5.4 | 3.9 |
2014 | 6.8 | 5.0 |
2013 | 5.8 | 4.4 |
2012 | 4.4 | 3.3 |
Ministers and officials regularly meet with the Competition and Markets Authority to discuss key policy issues, including the CMA’s digital markets work. Close collaboration between Government and the CMA is crucial for delivering the agenda of this Government. As the UK’s independent competition authority, the CMA is responsible for all digital markets decisions, including on designations and interventions.
Ministers and officials have met with representatives of Google to discuss a range of topics, including the Competition and Markets Authority’s digital markets work. Such meetings are important for the exchange of views and the development of policy. As the UK’s independent competition authority, the CMA is responsible for all digital markets decisions, including on designations and interventions.
Next Steps to Make Work Pay, published in 2024, set out the Government’s preference for the statutory probation period to be nine months long.
Under the Employment Rights Bill, the normal grounds for fair dismissal (under the Employment Rights Act 1996) will apply in this period, and light-touch standards will apply to dismissals for reasons of the employee’s conduct, capability, illegality, or some other substantial reason relating to the employee. The Government believes this will allow businesses to remain confident in hiring.
The Government is focussed on delivering the commitment in the Plan to Make Work Pay, to strengthening protections for whistleblowers, including by updating protections for women who report sexual harassment at work. The Employment Rights Bill delivers on that commitment.
Organisations and individuals have put forward many different ideas for how to strengthen the whistleblowing framework, including proposals for an office. The Government is always open to ideas.
Ofcom will set out what technology is required for a service to comply with a Technology Notice under section 121 of the Online Safety Act. That technology must be accredited as meeting minimum standards of accuracy. Ofcom’s consultation on the minimum standards of accuracy closed in March 2025 and the finalised version will be published in due course.
Where a tech solution does not exist in relation to a particular service design, Ofcom will be able to direct companies to use best endeavours to develop or source technology that deals with child sexual exploitation and abuse content.
Digital inclusion is a priority for this Government. It means ensuring that everyone has the access, skills, support and confidence to participate in our modern digital society, whatever their circumstances. Work is ongoing to develop our approach to tackling digital exclusion and coordinating across government departments continues to be a core part of this work. We hope to say more on this soon.
The Reducing Drug Deaths Innovation Challenge funded eleven technologies in its first phase, all of which were completed successfully. Seven projects secured phase 2 funding to advance development of their technologies through testing with relevant populations. The UK Government’s Office for Life Sciences, in collaboration with the Chief Scientist Office in Scotland, is monitoring the progress of these projects and will provide guidance to support commercialisation, spread and UK-wide adoption of the technologies to prevent drug overdose deaths. Future funding and initiatives through the Addiction Healthcare Goals programme are being explored to further encourage innovative research and the development of novel technologies to treat drug and alcohol addictions.
While no such assessment has been made, this Government recognises the importance of exploring innovative approaches to tackle loneliness, whilst protecting people's safety and wellbeing.
Collaboration and partnership are at the heart of the Civil Society Covenant which was launched by the Prime Minister in July at a major civil society summit. To inform the development of the Civil Society Covenant, the Department for Culture, Media and Sport engaged with over 1,200 organisations and worked closely with the Civil Society Advisory Group, including representatives from the National Council for Voluntary Organisations (NCVO) alongside a wide range of other civil society organisations.
At the launch we announced the Joint Civil Society Covenant Council which will be central to the delivery of the Covenant, setting direction and providing strategic oversight for its implementation. It will have cross-sector membership comprising senior leaders from civil society and senior representatives from government departments. We also announced a Local Covenant Partnerships Programme to support collaborative working between civil society organisations, local authorities and public service providers to deliver services that better meet the needs of their communities.
We will continue working in the spirit of partnership as we establish and develop both the Joint Civil Society Covenant Council and the Local Covenant Partnerships Programme.
Collaboration and partnership are at the heart of the Civil Society Covenant which was launched by the Prime Minister in July at a major civil society summit. To inform the development of the Civil Society Covenant, the Department for Culture, Media and Sport engaged with over 1,200 organisations and worked closely with the Civil Society Advisory Group, including representatives from the National Council for Voluntary Organisations (NCVO) alongside a wide range of other civil society organisations.
At the launch we announced the Joint Civil Society Covenant Council which will be central to the delivery of the Covenant, setting direction and providing strategic oversight for its implementation. It will have cross-sector membership comprising senior leaders from civil society and senior representatives from government departments. We also announced a Local Covenant Partnerships Programme to support collaborative working between civil society organisations, local authorities and public service providers to deliver services that better meet the needs of their communities.
We will continue working in the spirit of partnership as we establish and develop both the Joint Civil Society Covenant Council and the Local Covenant Partnerships Programme.
Swimming and water safety are vital life skills that are compulsory elements of the PE National Curriculum at key stages 1 and 2. In addition, the changes made to the department’s statutory relationships, sex and health education guidance will ensure all pupils are taught about the water safety code, supporting them to be safe in different types of water. To support schools, Oak National Academy offers swimming and water safety units as part of its PE curriculum, developed in partnership with Swim England.
In June, my right hon. Friend, the Prime Minister announced a new national approach to PE and school sport as part of which we will establish a PE and School Sport Partnership Network, designed to build stronger links between schools, local clubs, and National Governing Bodies. It will identify and remove barriers to participation in PE and school sport, including swimming.
The department is also providing a grant of up to £300,000 to deliver Inclusion 2028, a programme which upskills teachers to deliver high quality, inclusive PE, including swimming and water safety, to pupils with special educational needs and disabilities.
Skills England, and its predecessor the Institute for Apprenticeships and Technical Education (IfATE), has worked with employers to develop apprenticeships covering a range of occupations in the care services sector. These are designed to enable an individual to acquire full competence in an occupation whilst undertaking paid work and provide a progression route in the sector. These products are available for both public and private sector employers to use, with funding to support the training from the Growth and Skills Levy.
In addition, a Health and Social Care foundation apprenticeship has been developed and will be available for delivery from autumn this year. This is specifically aimed at young people who are not yet ready for work, and will provide the individual with a mix of employability and sectoral skills designed to provide a good grounding for a career in the health or adult social care sector.
To support the awareness of careers in adult social care, the National Careers Service, a free, government funded careers information, advice and guidance service, uses a range of labour market information to support and guide individuals. The Service website gives customers access to a range of digital tools and resources, including ‘Explore Careers’ which includes more than 130 industry areas and more than 800 job profiles including a range of construction and health and social care roles, describing what the roles entail, qualifications needed and entry routes.
The Government is currently negotiating a Sanitary and Phytosanitary Agreement to make agrifood trade with our biggest market cheaper and easier, cutting costs and red tape for British producers and retailers, and helping to reduce the pressure on prices and increase choice in the shops.
We are working closely with businesses to assess the implementation impacts of the Agreement.
We have begun negotiations with the EU on an SPS agreement to make agrifood trade with our biggest market cheaper and easier, cutting costs and removing barriers to trade for British producers and retailers. While negotiations with the EU on the SPS agreement are underway, we will not be providing a running commentary of discussions.
Responsibilities for water safety sit with various Government departments, agencies, local authorities, and other public bodies. These include regular safety messaging and guidance to ensure people have the knowledge they need to keep themselves safe, as well as provision of safety/lifesaving equipment at water bodies. Water sports national governing bodies are responsible for providing advice and guidance for how to participate in their sports safely. Inland waterway navigation authorities conduct risk assessments to inform the provision of appropriate lifesaving equipment on their networks. In conjunction with other services, HM Coastguard provides safety advice and guidance about the coastal environment.
The National Water Safety Forum brings together a wide range of national groups, including some 80 local authorities, to create a ‘one-stop shop’ for the prevention of drowning and water safety harm in the UK. The Forum launched the UK Drowning Prevention Strategy 2016-2026 (copy attached), which aims to reduce the number of accidental drownings in the UK by 50% by 2026. The Local Government Association has developed a water safety toolkit (copy attached) for local authorities for use inland and on the coast.
Responsibilities for water safety sit with various Government departments, agencies, local authorities, and other public bodies. These include regular safety messaging and guidance to ensure people have the knowledge they need to keep themselves safe, as well as provision of safety/lifesaving equipment at water bodies. Water sports national governing bodies are responsible for providing advice and guidance for how to participate in their sports safely. Inland waterway navigation authorities conduct risk assessments to inform the provision of appropriate lifesaving equipment on their networks. In conjunction with other services, HM Coastguard provides safety advice and guidance about the coastal environment.
The National Water Safety Forum brings together a wide range of national groups, including some 80 local authorities, to create a ‘one-stop shop’ for the prevention of drowning and water safety harm in the UK. The Local Government Association has developed a water safety toolkit (copy attached) for local authorities for use inland and on the coast.
The Government oversees policy and legislation with respect to the safe management of waste and litter as well as the protection of drains and sewers. This however does not extend to compelling or explicitly encouraging local authorities with regard to types of waste receptacles or their placement. These decisions are for local authorities to make.
The Building Regulations for England were updated in 2024 with the addition of a new ‘Part T’ which sets out toilet requirements in new non-domestic buildings in England. Part T is supported by statutory guidance which includes space for disposal bins in the design layouts. However, the Building Regulations are limited to the provision and design of toilet facilities and do not extend to the management and use of disposal bins.
The Health and Safety Executive (HSE) is reviewing the Approved Code of Practice (ACOP) and the guidance of the Workplace (Health, Safety and Welfare) Regulations 1992 regarding the provision of disposal facilities in workplace toilets. This work is included within the Government’s wider plans under Make Work Pay, and HSE will hold appropriate consultation in due course.
The Government recognises that rainwater harvesting and other forms of water reuse can play a key role in helping non-households and businesses meet the statutory water demand reduction target of 9% by March 2038. We are therefore supporting water companies and developers to deliver water efficiency through both rainwater harvesting and other forms of water reuse.
We supported Ofwat on their consultation to provide environmental incentives to developers which included considering where new technologies and water efficient practices could be integrated into buildings and developments. Ofwat reported that water reuse solutions are likely to be an important tool for improving water efficiency in the medium term.
We are also looking into allowing water companies to supply treated, non-potable water, including rainwater, for certain water demands such as toilet flushing.
Under existing legislation, the Department considers the term ‘probiotic’ to constitute a health claim as it implies that consuming a food or food supplement containing these bacteria may provide a health benefit. Health claims may only be used if they have been scientifically substantiated and authorised in accordance with nutrition and health claims legislation.
There is an established process for authorising health claims, which requires industry to submit detailed scientific evidence for assessment. Since the exit of the European Union, the Department has not received any applications for new health claims relating to probiotics or specific bacterial strains. As no claims are authorised, ‘probiotics’ should not be used as a claim on food labels.
The term ‘probiotic’ could only be used on food labels if a specific authorised health claim existed for the particular strain of live bacteria used. The authorisation process remains available to industry, and any future applications would be considered in line with the requirements to ensure that health claims used on food are accurate, evidence‑based, and not misleading for consumers.
Working under the UK Rare Diseases Framework, the Government is committed to improving the lives of those living with rare diseases, such as sickle cell disease. In 2024, NHS England commenced the roll out of seven Emergency Department Bypass Accelerator sites across England to provide services to persons requiring emergency care for uncomplicated vaso-occlusion crises. An evaluation of the effectiveness of the bypass units is currently being carried out by the National Institute for Health and Care Research (NIHR). The purpose of the evaluation is to provide an evidence-based report on the impact of the bypass units.
Preliminary findings from the NIHR evaluation were shared with NHS England in September 2025. The findings, which were based on qualitative feedback from patients and staff, highlighted that overall patient care and experience have improved since the launch of the bypass units compared to other hospital settings, with patients particularly benefiting from 24/7 access to dedicated triage lines and valuing the privacy and comfort of dedicated units. The next phase of the evaluation will review quantitative data and metrics, including patient time to receiving analgesia, length of hospital stays, and rates of readmissions. The final report is expected in 2026.
The Department is aware of research that shows differences in bystander response in providing cardiopulmonary resuscitation (CPR) to men versus women. Research also shows that training is key to improving bystander confidence in providing CPR to women.
Local ambulance trusts, charities including St John’s Ambulance, the British Heart Foundation, and private providers deliver CPR training and the use of defibrillators both in the community and in schools, under the Restart a Heart programme. NHS England has worked in partnership with St John’s Ambulance and others to increase access to CPR training.
All businesses placing nicotine vaping products on the United Kingdom market are required to notify the Medicines and Healthcare products Regulatory Agency (MHRA). The MHRA’s notification scheme for nicotine-containing vaping products, including pre-filled pods or cartridges, helps ensure that products are in line with the requirements set out by the Tobacco and Related Product Regulations 2016. Businesses are required to provide key product information before these products can be sold, including toxicology data, nicotine dose, and the name and contact details of the manufacturer, so the MHRA can review the data for compliance with the notification requirements. Where products fail to align with the notification data, Trading Standards have powers to remove the products from UK supply chains.
The Tobacco and Vapes Bill provides the Government with regulation making powers to develop a new registration system for tobacco, vape and nicotine products that are sold on the UK market. Under this registration system, all producers and manufacturers will be required to provide relevant information before their product can be sold in the UK. Additionally, we are taking powers to establish a new testing regime for these products.
On 28 November, the UK National Screening Committee opened a 12-week public consultation on a draft recommendation on screening for prostate cancer. We anticipate a final recommendation in early 2026. After which, my Rt Hon. Friend, the Secretary of State for Health and Social Care, will make a decision on whether to accept the recommendation, and what next steps are needed, including whether a public health campaign would be appropriate.
Currently there is no agreed definition of what constitutes a handmade cigar, therefore there is no Government data collected on their annual consumption.
However, there is data on cigar usage from the International Tobacco Control Policy Evaluation Project which is produced every two years. In 2024 in England, of adults aged 18 years old or older who currently smoke or quit in the past two years or who currently use vapes, heated tobacco produces, and/or oral nicotine products, 5.1% reported past 30-day use of cigars.
Additionally, HM Revenue and Customs publishes data on clearances of tobacco products which relates to the amount of tobacco products cleared onto the United Kingdom’s market for sale. This data is published every month.
The rising costs of clinical negligence claims against the National Health Service in England are of great concern to the Government. Costs have more than doubled in the last 10 years and are forecast to continue rising, putting further pressure on NHS finances.
As announced in the 10-Year Health Plan for England, David Lock KC is providing expert policy advice on the rising legal costs of clinical negligence and how we can improve patients’ experience of claims. The review is ongoing, following initial advice to ministers and the recent National Audit Office’s (NAO) report, The costs of clinical negligence, which was published on 17 October 2025.
The NAO found that in 2024/25, there was a 3.7 to one ratio of legal costs to damages payable for low-value claims, those of £25,000 or less. The report can be viewed on the NAO’s website.
We welcome the report by the NAO. The results of David Lock’s work will inform future policy making in this area. No decisions on policy have been taken at this point, and the Government will provide an update on the work done and next steps in due course.
The rising costs of clinical negligence claims against the National Health Service in England are of great concern to the Government. Costs have more than doubled in the last 10 years and are forecast to continue rising, putting further pressure on NHS finances.
As announced in the 10-Year Health Plan for England, David Lock KC is providing expert policy advice on the rising legal costs of clinical negligence and how we can improve patients’ experience of claims. The review is ongoing, following initial advice to ministers and the recent National Audit Office’s (NAO) report, The costs of clinical negligence, which was published on 17 October 2025.
The NAO found that in 2024/25, there was a 3.7 to one ratio of legal costs to damages payable for low-value claims, those of £25,000 or less. The report can be viewed on the NAO’s website.
We welcome the report by the NAO. The results of David Lock’s work will inform future policy making in this area. No decisions on policy have been taken at this point, and the Government will provide an update on the work done and next steps in due course.
The rising costs of clinical negligence claims against the National Health Service in England are of great concern to the Government. Costs have more than doubled in the last 10 years and are forecast to continue rising, putting further pressure on NHS finances.
As announced in the 10-Year Health Plan for England, David Lock KC is providing expert policy advice on the rising legal costs of clinical negligence and how we can improve patients’ experience of claims. The review is ongoing, following initial advice to ministers and the recent National Audit Office’s (NAO) report, The costs of clinical negligence, which was published on 17 October 2025.
The NAO found that in 2024/25, there was a 3.7 to one ratio of legal costs to damages payable for low-value claims, those of £25,000 or less. The report can be viewed on the NAO’s website.
We welcome the report by the NAO. The results of David Lock’s work will inform future policy making in this area. No decisions on policy have been taken at this point, and the Government will provide an update on the work done and next steps in due course.
NHS England’s digital accelerators pilots have provided the evidence to demonstrate the value of digital integration of primary and secondary care through a refined single point of access model. The digitally enabled single point of access uses IT connectivity between primary and secondary eye care services to improve the referral and triage of patients, with patient data and images being assessed by clinicians to determine if patients need an appointment in secondary care. This was found to reduce unnecessary hospital appointments, time from referral to treatment, and supports more patients being managed in the community. The learnings from the pilots have been shared with integrated care boards.
National Health Service contractors, in the form of independent sector organisations, who provide health and social care services nationally, can be eligible for NHS.net accounts, formerly NHSmail, subject to acceptance criteria. Organisations that qualify will be permitted to create accounts for staff delivering patient-facing services.
Where an independent sector organisation has been commissioned locally and the commissioning body requires NHS.net, the local NHS organisation may provide sponsor email accounts for the duration of the contract. This is at the discretion of the local NHS organisation, as they are responsible for managing their own accounts.
NHS.net provides licences for optometry practices in England, specifically for General Ophthalmic Services contractors with 10 or fewer sites. Eligible practices can receive one shared mailbox and up to three individual NHS.net accounts per site, enabling secure communication of patient data.
Integrated care boards (ICBs) are responsible for assessing the health needs of their population and commissioning primary and secondary eye care services to meet them.
ICBs already commission National Health Service sight testing services through high street optical practices. Regular sight tests, whether provided by the NHS or privately, play a vital role in the early detection of sight threatening eye conditions.
ICBs can also commission enhanced eye care services from high street optical practices, including minor and urgent eye care services and glaucoma referral refinement services. These services further support the identification and management of eye conditions to prevent avoidable sight loss.
The Department recognises the important role that NHS England’s clinical policy development process plays in determining routine commissioning decisions on new specialised services, treatments, and interventions, which have not been reviewed by the National Institute for Health and Care Excellence.
We are carefully assessing NHS England’s functions as part of the process of merging NHS England with the Department. The outcome of these ongoing assessments will be made at the earliest opportunity, and we remain committed to progressing this reform at pace, subject to legislation and the will of Parliament.
Until such a time that NHS England is being abolished, Clinical Priorities Advisory Group recommendations are being enacted under the current rules and criteria.
The Government intends to respond to the European Commission by the 18 February, in line with requirements under the Technical Regulatory Information System (TRIS) procedure. This exchange of opinions and responses is a standard part of the TRIS procedure which is not an approval process. The Government’s position remains that the Tobacco and Vapes Bill will apply in Northern Ireland and is consistent with both our domestic and international obligations.
The NHS Genomic Medicine Service’s (NHS GMS) service specification, published in July 2025, sets out future testing strategy, including focus on improved turnaround times and requirements to deliver the Genomic Population Health Service, in line with the 10-Year Health Plan. The final service specification was published in Autumn 2025 following stakeholder feedback. The new NHS GMS will be operational from April 2026 and will set out the new model up to 2036.
The NHS Genomic Medicine Service’s (NHS GMS) service specification, published in July 2025, sets out future testing strategy, including focus on improved turnaround times and requirements to deliver the Genomic Population Health Service, in line with the 10-Year Health Plan. The final service specification was published in Autumn 2025 following stakeholder feedback. The new NHS GMS will be operational from April 2026 and will set out the new model up to 2036.
Information regarding the draft NHS Genomic Medicine Service (NHS GMS) specification was shared with the Cancer Alliances as part of stakeholder engagement conversations held during summer 2025. The NHS GMS regions are expected to have ongoing engagement with local Cancer Alliances as part of NHS GMS service development and strategy and as part of regional governance requirements.
The Federated Data Platform’s referral to treatment validation tool supports National Health Service staff to better manage the waiting lists of patients who have been referred for non-urgent elective care.
The Department does not hold the data required to detail the breakdown of reasons patients were removed from the waiting lists as this is patient-level data which is held by trusts themselves in their electronic patient records.
Waiting list validation is a core part of providers’ management of waiting lists which involves ensuring patients’ records are accurate and up to date, that patients still want their treatment, and that they have opportunities to update their clinical team about changes in their condition or relevant circumstances.
This ensures providers have an accurate understanding of the true size of their waiting list, whilst helping minimise missed or cancelled appointments and ensuring the most effective use of clinicians’ time.
Waiting list validation is a well-established component for the effective management of waiting lists, with detailed guidance available for trusts, including safeguards to ensure patients are not incorrectly removed from waiting lists. NHS guidance states there “must be agreement from a clinician before any patient is returned to the referrer”. Any patient removed should receive a letter that would also be sent to their general practitioner.
No final decision has been made about how the single patient record will be delivered.
NHS England has recently completed a substantial update to the suite of Data Protection Impact Assessments (DPIAs) relating to the Privacy Enhancing Technology (PET). These updates were necessary to ensure that the DPIAs reflect the latest technical developments and governance requirements.
These comprise: a Technical DPIA; a Local Operational DPIA; and a National Operational DPIA. NHS England is now undertaking the final stages of review and preparation to ensure that these documents meet all publication standards and accessibility requirements. It is anticipated that the updated PET DPIAs will be published in December 2025.
A Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) is a clinical decision made on the basis of a senior clinical assessment of a patient’s condition. It remains best practice to communicate this decision to the patient and if they lack capacity, their family or representative.
If the patient or their family or representative do not agree with the decision, they should be given time to ask for a second opinion or review. This is in line with the National Health Service guidance for DNACPR decisions. Guidance and information for the public on DNACPR decisions is available on the NHS website, including information on asking for a second opinion or a review and what to do if there are concerns about, or disagreement with, a DNACPR form in a patient’s or family member’s medical records.
The Department recognises the important role that NHS England’s clinical policy development process plays in determining routine commissioning decisions on new specialised services, treatments, and interventions, which have not been reviewed by the National Institute for Health and Care Excellence.
We are carefully assessing NHS England’s functions as part of the process of merging NHS England with the Department. The outcome of these ongoing assessments will be made at the earliest opportunity, and we remain committed to progressing this reform at pace, subject to legislation and the will of Parliament.
Until such a time that the organisations are formally merged, NHS England continues to full fill its statutory duties.
Integrated care boards (ICBs) are responsible for assessing the health needs of their local population and commissioning primary and secondary eye care services to meet them. Arrangements to meet local needs will differ across ICB geographies and could include commissioning minor and urgent eye condition services in the community.
Community audiology services are commissioned by integrated care boards (ICBs). The priorities and operational planning guidance states that systems are expected to put in place self-referral routes to community audiology services.
To raise awareness of self-referral to audiology services, NHS England is adding information on the relevant condition specific pages on the NHS.UK website. ICBs are responsible for ensuring that patients have the information they need to make decisions about their care, including if they have the option to self-refer to locally commissioned services.
Community audiology services are commissioned by integrated care boards (ICBs). The priorities and operational planning guidance states that systems are expected to put in place self-referral routes to community audiology services.
To raise awareness of self-referral to audiology services, NHS England is adding information on the relevant condition specific pages on the NHS.UK website. ICBs are responsible for ensuring that patients have the information they need to make decisions about their care, including if they have the option to self-refer to locally commissioned services.
Community audiology services are commissioned by integrated care boards (ICBs). The priorities and operational planning guidance states that systems are expected to put in place self-referral routes to community audiology services.
To raise awareness of self-referral to audiology services, NHS England is adding information on the relevant condition specific pages on the NHS.UK website. ICBs are responsible for ensuring that patients have the information they need to make decisions about their care, including if they have the option to self-refer to locally commissioned services.