Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question
To ask The Leader of the House when she expects a Written Answer to be given to the question asked by Lord McColl of Dulwich on 21 May (HL381).
Answered by Baroness Smith of Basildon - Leader of the House of Lords and Lord Privy Seal
The question was answered by the Department for Health and Social Care on the 30th June 2026. I apologise for the delay and have reminded the department of the need to meet the response target of 10 working days.
Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what proportion of patients removed from NHS waiting lists in the past year were removed as a result of (1) resolution by medical intervention, (2) withdrawing from treatment, (3) the patient's death, and (4) administrative revisions.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
Patients can be removed from the waiting list for various reasons. These include where a patient receives their first definitive treatment, begins a period of active monitoring, or declines treatment, or where a decision is made that no treatment is required. It can also include where a patient does not attend their first appointment, instances where the provider cannot accept the referral because it does not carry out the relevant procedure, and where patients are removed from the waiting list through validation because they no longer need to be treated.
A breakdown of reasons for coming off the waiting list is not available in the monthly official statistics. However, some such information is collected in the weekly management information from the Waiting List Minimum Data Set (WLMDS). The WLMDS is unverified management information, subject to less validation than the monthly official statistics and totals do not match between the two sources.
The WLMDS can be used to estimate proportions for the reasons patients have been removed from the waiting list. Of the reasons requested in this question, the WLMDS does not record centrally the proportion of patients removed due to administrative reasons.
The following table lists the estimated proportion of total completed pathways in the 2025 calendar year for reasons where data is held, with these proportions having been stable since WLMDS data was first collected:
Completed Referral to Treatment (RTT) pathways by RTT status code (WLMDS) | % of total completed pathways |
30- First treatment - the start of the first treatment that is intended to manage a PATIENT's disease, condition or injury in a REFERRAL TO TREATMENT PERIOD | 49% |
31 - Start of active monitoring initiated by the PATIENT | 2% |
32 - Start of active monitoring initiated by the CARE PROFESSIONAL | 13% |
34 - Decision not to treat - decision not to treat made or no further contact required | 31% |
35 - PATIENT declined offered treatment | 5% |
36 - PATIENT died before treatment | <1% |
Total with a valid status code | 100% |
Source: Waiting List Minimum Data Set (WLMDS), NHS England
Notes:
Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of (1) the extent to which obesity levels in England can be reduced, and (2) whether any such reduction can be driven by government action; and what steps they are taking to reduce levels of obesity in England.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is committed to tackling the obesity crisis, easing the strain on our National Health Service and raising the healthiest generation of children ever.
As set out in the 10-Year Health Plan and published impact assessments, obesity can be reduced over time through sustained improvements in diet at the population level.
The Government is taking bold action to address the obesity crisis. As part of the 10-Year Health Plan, we are consulting on applying the new Nutrient Profiling Model to the existing advertising and promotions restrictions for less healthy food and drink. Illustrative modelling published alongside the consultation suggests this could prevent almost 520,000 cases of adult obesity and over 110,000 cases of childhood obesity over time. We also announced a world first to introduce mandatory healthier food sales reporting for all large food businesses, which could reduce approximately 340,000 cases of childhood obesity, although these figures are provisional and subject to refinement through subsequent impact assessments. This is alongside existing action to restrict junk food advertising on television and online and to give councils stronger powers to block new fast-food outlets near schools.
Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Department for Transport:
To ask His Majesty's Government what assessment they have made of the risks of bright vehicle headlights impeding the vision of oncoming drivers.
Answered by Lord Hendy of Richmond Hill - Minister of State (Department for Transport)
The Department’s published road casualty statistics include figures for the number of collisions where ‘vision affected by dazzling headlights’ was recorded as a contributory factor by a police officer attending the scene. In 2023, the latest year for which this data is available, there were 216 reported injury collisions with this factor assigned which equates to 0.2% of overall collisions recorded.
In recognition of public concern about headlamp glare, the recently published Road Safety Strategy includes a commitment to carry out further research in this area.
Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Home Office:
To ask His Majesty's Government how many asylum applications have been (1) made, and (2) accepted over the last 10 years, in total and in each of those years.
Answered by Lord Hanson of Flint - Minister of State (Home Office)
Please find the figures in the table below.
Table 1: Number of Asylum Claims and Number of Grants of Protection or Other Leave at Initial Decision (October 2015 – September 2025)
Period | Asylum Claims | Grants of Protection or Other Leave (at initial decision) |
October 2015-September 2016 | 41,981 | 10,556 |
October 2016-September 2017 | 34,645 | 9,279 |
October 2017-September 2018 | 36,717 | 9,186 |
October 2018-September 2019 | 44,145 | 13,867 |
October 2019-September 2020 | 39,979 | 10,697 |
October 2020-September 2021 | 45,535 | 11,897 |
October 2021-September 2022 | 88,213 | 15,533 |
October 2022-September 2023 | 94,132 | 38,098 |
October 2023-September 2024 | 97,091 | 52,742 |
October 2024-September 2025 | 110,051 | 58,148 |
Total | 632,489 | 230,003 |
Source: Asy_D01- Asylum Claims and Asy_D02 Asylum Initial Decisions of the ‘Asylum claim and initial decisions detailed datasets’, as part of Home Office’s ‘Immigration System Statistics Quarterly Release’.
Figures include both main applicants and dependants. Grant figures reflect outcomes at the initial decision stage only.
Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Home Office:
To ask His Majesty's Government what plans they have to prevent illegal immigrants from working in food and parcel delivery with access to private blocks of flats.
Answered by Lord Hanson of Flint - Minister of State (Home Office)
The government is changing the law through the upcoming Border Security, Asylum and Immigration Bill. to extend the requirement for right to work checks and bring in employer sanctions, to businesses hiring gig economy and zero-hours workers in sectors like food delivery, courier services and warehousing. This will apply to all roles, including public-facing delivery services who attend private properties.
Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Home Office:
To ask His Majesty's Government, in regard to the report Reasonable grounds decisions in the NRM – who has been impacted by the change to the decision-making threshold?, published by Justice and Care, what assessment they have made of the impact of the increased evidential requirements for positive reasonable grounds decisions on the ability of adult potential modern slavery victims to access specialist support.
Answered by Lord Hanson of Flint - Minister of State (Home Office)
All NRM decisions are made on an individual basis, carried out by trained specialist decision-makers in the Competent Authorities, in line with the Modern Slavery Statutory Guidance for England and Wales (under section 49 of the Modern Slavery Act 2015) and the non-statutory guidance for Scotland and Northern Ireland. The guidance is underpinned by The Slavery and Human Trafficking Definition of Victim Regulations 2022 and in accordance with the UK's international legal obligations.
We recognise the challenges associated with the National Referral Mechanism (NRM) and have made significant strides to implement changes. This Government recruited 200 new staff to clear the NRM decision backlog and as of March 2025, the backlog is now less than half the size it was at its worst in 2022.
On 30 April this year, we also published our improved and simplified NRM referral form following extensive feedback from over 450 stakeholders. The new referral form will improve the quality of referrals, better reflect victims’ experiences, and support more informed and consistent decision-making.
Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Home Office:
To ask His Majesty's Government what assessment they have made of the report Reasonable grounds decisions in the NRM – who has been impacted by the change to the decision-making threshold?, published by Justice and Care, and what are the reasons why some groups of potential modern slavery victims receive disproportionate levels of negative reasonable grounds decisions.
Answered by Lord Hanson of Flint - Minister of State (Home Office)
All NRM decisions are made on an individual basis, carried out by trained specialist decision-makers in the Competent Authorities, in line with the Modern Slavery Statutory Guidance for England and Wales (under section 49 of the Modern Slavery Act 2015) and the non-statutory guidance for Scotland and Northern Ireland. The guidance is underpinned by The Slavery and Human Trafficking Definition of Victim Regulations 2022 and in accordance with the UK's international legal obligations.
We recognise the challenges associated with the National Referral Mechanism (NRM) and have made significant strides to implement changes. This Government recruited 200 new staff to clear the NRM decision backlog and as of March 2025, the backlog is now less than half the size it was at its worst in 2022.
On 30 April this year, we also published our improved and simplified NRM referral form following extensive feedback from over 450 stakeholders. The new referral form will improve the quality of referrals, better reflect victims’ experiences, and support more informed and consistent decision-making.
Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of the reasons why some local authorities have proposed (1) no increase, or (2) an increase below the rate of inflation, to fees for adult social care services.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
Local authorities negotiate fees individually with care providers to achieve a sustainable balance of quality, effectiveness, and value for money.
We recognise the importance of fee rates, which meet the costs of delivery of care, which is why the Market Sustainability and Improvement Fund has been provided to local authorities since 2023/24, which can be used based on their areas’ needs. Improving fee rates to providers is one of the three target areas local authorities can spend their allocation on.
Asked by: Lord McColl of Dulwich (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what steps they are taking to monitor the number of providers delivering publicly funded care services that have failed due to financial difficulties.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Care Quality Commission’s Market Oversight Scheme monitors the financial health of typically the largest and potentially most difficult-to-replace providers in the adult social care sector.
Adult social care services are provided through a largely outsourced market of commercial organisations and charities, commissioned by local authorities. Under the Care Act 2014, local authorities have a duty to promote the efficient and effective operation of their local market. Ensuring good management of the market and securing continuity of care in the event of market exit are fundamental elements of the system.