Joined House of Lords: 9th September 2020
Speeches made during Parliamentary debates are recorded in Hansard. For ease of browsing we have grouped debates into individual, departmental and legislative categories.
These initiatives were driven by Lord Moylan, and are more likely to reflect personal policy preferences.
A Bill to require the Secretary of State to publish an annual report on complications from abortions in England; and for connected purposes.
A Bill to make provision for a Foetal Sentience Committee to review current understanding of the sentience of the human foetus and to inform policy-making; and for connected purposes.
A Bill to require the Secretary of State to publish an annual report on complications from abortions in England; and for connected purposes.
Lord Moylan has not co-sponsored any Bills in the current parliamentary sitting
Since its establishment in 2020, the Restoration and Renewal (R&R) Delivery Authority has developed a 3D Building Information Model of the Palace of Westminster for the purposes of the R&R Programme. This model is able to generate drawings and plans of any part of the building, as well as enable digital rehearsals prior to physical works taking place.
The Government is committed to extending mandatory pay gap reporting to ethnicity and disability pay gaps for employers with at least 250 employees. It is also committed to ensuring the Public Sector Equality Duty covers all parties exercising public functions.
The information requested falls under the remit of the UK Statistics Authority.
Please see the letter attached from the Director General for Office for Statistics Regulation.
Ed Humpherson, Director General for Office for Statistics Regulation
The Lord Moylan
House of Lords
London
SW1A 0PW
19 December 2024
Dear Lord Moylan,
As Director General for Office for Statistics Regulation, I am responding to your Parliamentary Question asking when His Majesty's Government plan to update the assessment of abortion statistics by the UK Statistics Authority in order to comply with the Code of Practice for Statistics (HL3549).
The Office for Statistics Regulation (OSR) was established in 2016 and is the regulatory arm of the UK Statistics Authority (the Authority). OSR provides independent regulation of all official statistics produced in the UK. Before 2016, the Authority's Monitoring and Assessment team handled regulatory functions.
Accredited Official Statistics are official statistics that have been independently assessed by OSR to comply with the standards of trustworthiness, quality and value in the Code of Practice for Statistics. Accredited Official Statistics are called National Statistics in the Statistics and Registration Service Act 2007.
Abortions Statistics for England and Wales produced by the Office for Health Improvement & Disparities (OHID, was previously Department of Health) were assessed as complying with the Code of Practice for Statistics in February 2012, and National Statistics designation was awarded[1].
It is a requirement of the Statistics and Registration Service Act 2007 that the Code of Practice must continue to be complied with by the statistics producer in relation to the statistics. OSR regularly engages with the Head of Profession for Statistics for the Department of Health and Social Care to obtain general assurance on the Department’s compliance with the Code of Practice, but the OSR team has not discussed the abortion statistics specifically in these conversations.
Once a set of statistics has been assessed, OSR can re-assess them at any time. Reassessments can be initiated as a result of concerns raised with us by users, including citizens, academic experts and policy stakeholders. While we do not currently have any plans to re-assess the abortion statistics in this financial year, we are always open to hearing the concerns of people with an interest in the topic area.
To that end, if you have any concerns regarding the trustworthiness, quality and value of these abortion statistics not complying with the Code of Practice for Statistics, please do contact me through our general contact email regulation@statistics.gov.uk.
Yours sincerely
Ed Humpherson
Director General for OSR
[1]Statistics on Abortion: Letter of Confirmation as National Statistics, https://uksa.statisticsauthority.gov.uk/publication/statistics-on-abortion-letter-of-confirmation-as-national-statistics/
The impugned legislation in Podchasov v. Russia is not directly comparable to the Online Safety Act, which contains robust protections for privacy and freedom of expression. A memorandum on ECHR compatibility was published during Bill passage.
Section 121 of the Act contains stringent safeguards ensuring that Ofcom’s power to issue Technology Notices, including relating to child sexual exploitation and abuse (CSEA) content communicated privately, can only be used when necessary and proportionate. Ofcom must consider a range of matters, including whether there are less intrusive alternatives, the harm to individuals and the required technology’s ability to achieve the purpose described.
The Charity Commission’s role as the independent regulator of charities in England and Wales is to ensure that charity trustees comply with their duties as set out in charity law. The Charity Commission has published guidance for trustees on the use of social media and managing the risks for charities.
The Charity Commission notes the Tribunal’s judgment in this recent case, and is considering what lessons can be applied to future casework.
In the last five years, the Charity Commission has disqualified six individuals in cases that relate to the usage of social media. An individual’s use of social media was the sole basis for disqualification in three cases, while in the other three it was one of several grounds.
The Commission’s decisions to disqualify are subject to robust oversight and can be appealed through review by an independent member of Commission staff, and subsequently to the First Tier Tribunal.
The Charity Commission is independent from the Government in its regulatory decision making.
Departmental settlements have been set following the Budget announcement on October 30. Individual programmes will now be assessed during the departmental Business Planning process.
Students on Erasmus+ placements are exempt from tuition and registration fees at their host institution.
This means that EU nationals who previously came to the UK through Erasmus+ would not have taken out UK student loans, as their placements were supported through Erasmus+ funding.
Local highway authorities are responsible for maintaining their roads under section 41 of the Highways Act 1980. Individual authorities set their own criteria, including the minimum size and depth at which a defect, or pothole, is recorded or repaired, and apply risk‑based assessments that account for local conditions, traffic volumes and safety considerations when making decisions on maintenance programmes. These thresholds therefore vary between areas and are not prescribed by the Department for Transport.
This approach is based on the Well‑managed Highway Infrastructure Code of Practice, which advises that local highway authorities should use a risk‑based approach when assessing and repairing defects, and recommends that each authority determine its own intervention criteria based on local circumstances rather than a single national threshold.
Chiltern worked with Network Rail, DfT and other operators on the December 2026 timetable and services have been timetabled between Oxford, Winslow, Bletchley and Milton Keynes. The Department continues to work closely with Chiltern Railways and other partners to confirm a start date for the first East-West Rail services between Oxford and Milton Keynes Central via Winslow.
The Driver and Vehicle Standards Agency (DVSA) publishes driving instructor and motorcycle instructor register data online.
The below table shows the number of approved driving instructors (ADI) on the official register in each month since July 2024. Please note, DVSA can currently only publish data up to September 2025.
Date | Number of ADIs on register |
July 2024 | 41,207 |
August 2024 | 41,366 |
September 2024 | 41,453 |
October 2024 | 41,615 |
November 2024 | 41,832 |
December 2024 | 41,900 |
January 2025 | 42,146 |
February 2025 | 42,330 |
March 2025 | 42,401 |
April 2025 | 42,513 |
May 2025 | 42,825 |
June 2025 | 42,881 |
July 2025 | 43,020 |
August 2025 | 43,559 |
September 2025 | 43,334 |
On 19 May, the Secretary of State for Transport updated Parliament on the progress of the HS2 reset, alongside the publication of her latest parliamentary report.
In addition, the government published the initial findings of HS2 Ltd CEO Mark Wild’s review into the simplification of the railway’s operational specification, and his advice on the estimated cost of cancelling and remediating the programme.
As Mark Wild said before the TSC on 20 May, the HS2 reset will continue to progress and is planned to complete in Spring 2027 when the full delivery baseline is expected to be completed, a new commercial strategy to be implemented, and HS2 Ltd to be reshaped into a leaner, more skilled organisation.
Each train operating company currently records this information in a different way – some by days lost and some by percentage absence rate. The figures below have been collated by DFT Operator. Figures cover periods in public ownership only.
Table 1:
Absences by days lost, presented by Rail Period
(Northern, TransPennine Trains, South Western Railway)
| NORTHERN | TPT | SWR |
P11 2023 (broadly Jan 24) | 7496 | 1881 |
|
P12 2023 (Feb 24) | 7759 | 1785 |
|
P13 2023 (Mar 24) | 7532 | 1548 |
|
P1 2024 (Apr 24) | 7291 | 1597 |
|
P2 2024 (Apr / May 24) | 7569 | 1724 |
|
P3 2024 (May / Jun 24) | 7954 | 1602 |
|
P4 2024 (Jun / Jul 24) | 8506 | 1769 |
|
P5 2024 (Jul / Aug 24) | 8243 | 1673 |
|
P6 2024 (Aug / Sep 24) | 7778 | 1669 |
|
P7 2024 (Sep / Oct 24) | 8196 | 1646 |
|
P8 2024 (Oct / Nov 24) | 8394 | 1571 |
|
P9 2024 (Nov / Dec 24) | 8472 | 1524 |
|
P10 2024 (Dec 24 / Jan 25) | 8827 | 1756 |
|
P11 2024 (Jan 25) | 8152 | 1611 |
|
P12 2024 (Feb 25) | 7797 | 1410 |
|
P13 2024 (Mar 25) | 7345 | 1451 |
|
P1 2025 (Apr 25) | 7030 | 1541 |
|
P2 2025 (Apr / May 25) | 7443 | 1546 |
|
P3 2025 (May / Jun 25) | 7420 | 1576 | 1055 |
P4 2025 (Jun / Jul 25) | 7578 | 1557 | 5175 |
P5 2025 (Jul / Aug 25) | 7976 | 1937 | 5727 |
P6 2025 (Aug / Sep 25) | 8097 | 1937 | 5916 |
P7 2025 (Sep / Oct 25) | 8033 | 2045 | 5130 |
P8 2025 (Oct / Nov 25) | 8113 | 2226 | 5453 |
P9 2025 (Nov 25 / Dec 25) | 8663 | 2122 | 4997 |
P10 2025 (Dec 25 / Jan 26) | 8986 | 2034 | 5471 |
P11 2025 (Jan 26) | 8578 | 1944 | 5416 |
P12 2025 (Feb 26) | 8281 | 1767 | 4741 |
P13 2025 (Mar 26) | 7824 | 1665 | 5091 |
P1 2026 (Apr 26) | 8056 | 1744 | 4533 |
Table 2:
Absences by days lost, presented by calendar month
(Southeastern)
| SOUTHEASTERN |
Feb-24 | 5692 |
Mar-24 | 5369 |
Apr-24 | 5205 |
May-24 | 5330 |
Jun-24 | 4700 |
Jul-24 | 5783 |
Aug-24 | 5418 |
Sep-24 | 5482 |
Oct-24 | 6279 |
Nov-24 | 5510 |
Dec-24 | 6302 |
Jan-25 | 6678 |
Feb-25 | 5594 |
Mar-25 | 5309 |
Apr-25 | 5368 |
May-25 | 5144 |
Jun-25 | 5064 |
Jul-25 | 5714 |
Aug-25 | 5029 |
Sep-25 | 5717 |
Oct-25 | 5903 |
Nov-25 | 5341 |
Dec-25 | 6531 |
Jan-26 | 5879 |
Feb-26 | 4756 |
Mar-26 | 5533 |
Apr-26 | 5374 |
Table 3:
Absences by percentage, presented by Rail Period
(LNER, c2c, Greater Anglia, West Midlands Trains)
| LNER | c2c | GA | WMT |
P11 2023 (broadly Jan 24) | 6.46% |
|
|
|
P12 2023 (Feb 24) | 5.91% |
|
|
|
P13 2023 (Mar 24) | 5.25% |
|
|
|
P1 2024 (Apr 24) | 5.35% |
|
|
|
P2 2024 (Apr / May 24) | 5.56% |
|
|
|
P3 2024 (May / Jun 24) | 5.34% |
|
|
|
P4 2024 (Jun / Jul 24) | 5.25% |
|
|
|
P5 2024 (Jul / Aug 24) | 6.06% |
|
|
|
P6 2024 (Aug / Sep 24) | 5.96% |
|
|
|
P7 2024 (Sep / Oct 24) | 5.66% |
|
|
|
P8 2024 (Oct / Nov 24) | 6.33% |
|
|
|
P9 2024 (Nov / Dec 24) | 6.48% |
|
|
|
P10 2024 (Dec 24 / Jan 25) | 7.34% |
|
|
|
P11 2024 (Jan 25) | 7.05% |
|
|
|
P12 2024 (Feb 25) | 5.86% |
|
|
|
P13 2024 (Mar 25) | 5.43% |
|
|
|
P1 2025 (Apr 25) | 5.15% |
|
|
|
P2 2025 (Apr / May 25) | 5.15% |
|
|
|
P3 2025 (May / Jun 25) | 5.08% |
|
|
|
P4 2025 (Jun / Jul 25) | 5.31% |
|
|
|
P5 2025 (Jul / Aug 25) | 5.75% | 5.49% |
|
|
P6 2025 (Aug / Sep 25) | 5.84% | 6.45% |
|
|
P7 2025 (Sep / Oct 25) | 5.97% | 5.56% | 4.68% |
|
P8 2025 (Oct / Nov 25) | 5.88% | 4.74% | 4.39% |
|
P9 2025 (Nov 25 / Dec 25) | 6.24% | 3.73% | 5.06% |
|
P10 2025 (Dec 25 / Jan 26) | 7.08% | 4.34% | 5.09% |
|
P11 2025 (Jan 26) | 7.36% | 3.93% | 5.04% |
|
P12 2025 (Feb 26) | 7.36% | 3.18% | 4.71% | 6.72% |
P13 2025 (Mar 26) | 6.94% | 3.24% | 4.82% | 7.09% |
P1 2026 (Apr 26) | 6.35% | 4.68% | 4.78% | 5.09% |
To ensure a smooth transition from today’s access and charging regime to the new access and charging framework under Great British Railways (GBR), Network Rail System Operator (NRSO) were commissioned to develop a draft Access and Use Policy for consultation on behalf of GBR. NRSO has led a highly collaborative and transparent process in the development of this important work. This includes publishing a Discussion Document last December that set out emerging thinking for further engagement and policy development on key areas such as capacity allocation, timetabling, setting of access charges and managing performance alongside frequent engagement with the industry.
A full draft of the Access and Use Policy is expected to be published by NRSO later this year which will give industry an opportunity to formally provide comments and responses before Great British Railways is fully established.
Staff transferred from the Department for Transport (DfT) to DfT Operator are based in a range of office locations, including Network Rail premises in Waterloo and other locations across the country. NR and DFTO are separate companies with different legal duties. On the journey to GBR they are co-locating and working closely together - for example co-designing GBR with DfT - to ensure that benefits for customers and taxpayers can be delivered as soon as possible.
Please see the attached document which contains the information requested.
Thank you for your continued interest in this project; we are still developing the proposition and preparing for the procurement. The procurement process will involve engagement with suppliers which will be commercially sensitive, so sharing costs at this stage would not be appropriate. We will provide updates at the appropriate time.
The Department understands that discussions continue between Chiltern Railways and the relevant trade unions on the operational arrangements for the first phase of East West Rail. Once this has been resolved, and other preparatory works on the trains and infrastructure have been completed, it will be possible to determine an expected start date for the new services.
The Department for Transport's support for the 14 contracted operators and Network Rail was £8.47 per journey in 2024/25. It is currently estimated that this will steadily decrease to circa £7.40 per journey in 2028/29.
Clause 3 of the Railway’s Bill sets out the statutory functions of GBR – what we expect it to do, and Clause 18 its general duties – what we expect it to consider when it is delivering on its functions. Taken together, the functions and duties already set out GBR’s fundamental purpose.
Further, the Railways Bill requires the Secretary of State for Transport to issue the Long-Term Rail Strategy (LTRS), which is the first strategy of its kind. It will set out strategic objectives for the railway over a 30-year period.
Network Rail is responsible for assessing the availability of specialist rail plant used in maintaining the rail network. It is currently reviewing its long-term equipment requirements for track maintenance and renewals, to ensure that it has the capacity, flexibility, and technology it needs to meet future demand efficiently.
The table below shows the total expenditure on the maintenance of the rail network in the past six financial years and its proportion of the total expenditure.
| £m | £m | £m | £m | £m | £m |
| FY20 | FY21 | FY22 | FY23 | FY24 | FY25 |
Maintenance | 1,737 | 1,892 | 1,947 | 2,089 | 2,290 | 2,504 |
Operations | 657 | 714 | 717 | 716 | 812 | 892 |
Support | 662 | 956 | 968 | 1,019 | 1,157 | 1,099 |
Traction Electricity, Industry Costs and Rates | 798 | 845 | 860 | 979 | 1,103 | 1,322 |
Total Operating Expenditure | 3,854 | 4,407 | 4,492 | 4,803 | 5,362 | 5,817 |
Maintenance Share | 45% | 43% | 43% | 43% | 43% | 43% |
|
|
|
|
|
|
|
Renewals | 2,908 | 3,910 | 3,948 | 4,046 | 3,930 | 3,683 |
Maintenance share in OMR | 26% | 23% | 23% | 24% | 25% | 26% |
|
|
|
|
|
|
|
Enhancements | 1,824 | 1,620 | 1,787 | 2,011 | 2,267 | 2,084 |
Total Operating and Capital Expenditure | 8,586 | 9,937 | 10,227 | 10,860 | 11,559 | 11,584 |
Maintenance Share | 20% | 19% | 19% | 19% | 20% | 22% |
|
|
|
|
|
|
|
Financing Costs and Tax | 2,105 | 1,748 | 2,783 | 4,085 | 2,583 | 2,498 |
Total Expenditure | 10,691 | 11,685 | 13,010 | 14,945 | 14,142 | 14,082 |
Maintenance Share | 16% | 16% | 15% | 14% | 16% | 18% |
Source: Network Rail’s published Regulatory Financial Statements.
Officials continue to develop the proposition for the Great British Railways app and website. We are engaging with industry on this project and will provide updates in due course.
Great British Railways’ (GBR’s) licence will require it to comply with the code of practice, which will be owned and managed by the Office of Road and Rail (ORR).
To ensure that GBR abides by the rules set out in the code of practice, affected third parties will be able challenge any decisions or actions they consider to be noncompliant, by raising them directly with the ORR. The ORR will be required to investigate and, if it considers that GBR has not complied, it will be able to demand corrective action by issuing binding orders on GBR.
The Government intends to publish the Road Safety Strategy this year.
The Government is committed to a fair and open rail retail market, in which Great British Railways (GBR) will sell tickets alongside, and compete with, independent retailers. Moreover, the retail industry management functions currently performed by the Rail Delivery Group will move to GBR.
To ensure fairness when GBR takes on these functions, the Government has announced a range of safeguards, including an industry code of practice. The code of practice will incorporate clear requirements for how GBR interacts with all market participants and impose separation of decision-making where relevant. It will be owned and managed by the Office of Rail and Road, and GBR’s licence will require compliance with it.
The Secretary of State has not met with the rail trade unions to discuss changes to pay and conditions. These matters are for employers to discuss with their union representatives, regardless of whether publicly or privately owned.
The Department is not a party to the contractual arrangements between Network Rail and Southeastern and cannot therefore comment on publication.
A single leadership team is achieved through contractual arrangements between Network Rail, the train operating company and DfT Operator Limited. The legal arrangements are based on those used in previous alliancing arrangements between Network Rail and train operators. These organisations will still be held to account for their respective accountabilities (including Network Rail under its network licence). Governance mechanisms being put in place include clear job descriptions for the single leadership team detailing the extent of their decision-making abilities and an escalation process for any perceived conflicts.
The Government has received no such representations.
The Department keeps all of its policies under review, to ensure they are aligned to the Government’s priorities and delivering the best possible outcomes for the public.
It is standard practice for any new administration to review the policies of its predecessors.
Where appropriate, we publish details of our reviews on gov.uk. This includes information on the independent reviews, public consultations and taskforces that have been launched, completed and published between 5 July 2024 and 5 January 2025.
The Remedial Agreement letter has been published on the .gov website. Redactions have been made using the exemptions permitted under both section 40(2) (personal information) and 43(2) (commercially prejudicial information) of the Freedom of Information Act. A public interest test was conducted as part of the consideration process. The Remedial Agreement runs until March 2025.
The current Remedial Agreement with XC Trains Limited that was agreed in August 2024 runs until March 2025. The Department is considering what further actions might be appropriate, if any.
All operators are required to meet their contractual obligations as set out in their National Rail Contract. Failure to comply with those contractual obligations leaves operators open to enforcement action.
It is public knowledge that CrossCountry is both reinstating services on some routes and amending the times of some services from May 2025. The Department has not agreed any alterations to the CrossCountry May 2025 timetable.
All operators are required to meet their contractual obligations as set out in their National Rail Contract, including contractual performance indicators. Failure to comply with those contractual obligations, once Force Majeure claims have been taken into account, leaves operators open to enforcement action.
The Department is currently assessing if XC Trains Limited exceeded the default threshold, for any of the relevant indicators in these periods, once Force Majeure claims have been taken into account.
The current Remedial Agreement with XC Trains Limited that was agreed in August 2024 runs until March 2025. There has been no amendment to the existing Remedial Agreement.
The way funding has been allocated to local authorities represents a change from previous methodologies to a fairer and simpler system, moving away from a competitive process. This funding for local authorities to deliver their Bus Service Improvement Plans has been allocated based on local needs, considering three factors, equally weighted. These are:
The Secretary of State announced on 4 December that, under the Passenger Railway Services (Public Ownership) Act 2024, South Western Railway’s services will transfer into public ownership on 25 May 2025, followed by c2c’s on 20 July 2025 and Greater Anglia’s in autumn 2025.
Transport in London is devolved to the Mayor and TfL. Thanks to constructive dialogue between TfL and the unions the strikes planned by both RMT and ASLEF for early November have now been called off.
The Government is currently reviewing the position it has inherited on rail infrastructure and will consider how to address capacity needs and support economic growth in and between the North and the Midlands, whilst maintaining fiscal discipline.
We will set out next steps in due course.
The Government will implement the Rare Cancers Act 2026 by ensuring that a National Specialty Lead for Rare Cancers is appointed by summer 2026.
The National Specialty Lead will be based in the National Institute for Health and Care Research (NIHR) Research Delivery Network (RDN) and will support research delivery for rare cancers research.
National specialty leads are part time roles that are appointed through a competitive process as a secondment to the University of Leeds who provide the NIHR RDN Coordinating Centre, working with and on behalf of the Department. The National Specialty Lead for Rare Cancers will be appropriately renumerated with a salary grade that is consistent with their substantive post.
Implementing the Rare Cancers Act 2026 will make it easier for clinical trials on rare cancers to be delivered in England.
The Government will implement the Rare Cancers Act 2026 by ensuring that a National Specialty Lead for Rare Cancers is appointed by summer 2026.
The National Specialty Lead will be based in the National Institute for Health and Care Research (NIHR) Research Delivery Network (RDN) and will support research delivery for rare cancers research.
The National Specialty Lead will not directly manage a budget or full-time equivalent (FTE) staff direct reports. Instead, as part of the RDN’s Health and Care Leadership team, the National Specialty Lead will work closely with researchers to develop their national funding bids for rare cancers research and deliver strategic work supported by FTE staff across NIHR partners, including the RDN, NIHR Industry Hub, and NIHR Infrastructure.
Implementing the Rare Cancers Act 2026 will make it easier for clinical trials on rare cancers to be delivered in England.
The National Institute for Health and Care Excellence (NICE) evaluates all newly licensed cancer medicines and may recommend promising treatments for use through the Cancer Drugs Fund (CDF) where there is too much clinical uncertainty for routine commissioning. Under these arrangements, cancer medicines are made available to National Health Service patients for a defined period while further real‑world evidence is collected to address the uncertainties identified in NICE’s original appraisal.
At the end of the managed access period, NICE undertakes a full re‑appraisal of the medicine. This re‑appraisal considers all the evidence gathered during CDF use alongside updated clinical and cost‑effectiveness analyses. NICE then determines whether the medicine should be routinely funded by the NHS, or whether it cannot be recommended for routine commissioning. This re‑appraisal process is one of the limited circumstances in which NICE routinely re‑evaluates previous decisions.
In 2022, NICE updated its methods and replaced the earlier end‑of‑life flexibilities with the severity modifier. As a result, re‑appraisals of cancer medicines that originally entered the CDF under end‑of‑life criteria are now conducted in line with NICE’s current methods framework, ensuring consistency, fairness, and opportunity‑cost neutrality across all appraisals. NICE has recommended 96% of the medicines that it has re-appraised following a period of managed access for routine NHS use. Where NICE is unable to recommend a medicine for routine use following the period of managed access, it remains available for existing patients but is no longer routinely funded for new patients.
A number of National Health Service treatment options are available for patients with mantle cell lymphoma, and may include:
- chemotherapy plus rituximab;
- autologous stem cell transplant;
- ibrutinib;
- zanubrutinib;
- brexucabtagene autoleucel, a type of chimeric antigen receptor T-cell therapy; and/or
- supportive care.
None of these treatments are precluded on the basis of ethnicity, age, or a combination of the two, but available options will be dependent on individual clinical circumstances and any prior treatment or treatments received.
Potential treatment options are also currently being appraised by the National Institute for Health and Care Excellence and therefore could be made available within England in the future, subject to positive recommendations on NHS adoption being reached. These are: Acalabrutinib with bendamustine and rituximab; and Ibrutinib with R-CHOP.
202 patients have received brexucabtagene autoleucel, a form of CAR-T therapy, for the treatment of mantle cell lymphoma via the Cancer Drugs Fund (CDF). This data is taken from NHS England’s prior approval system. The National Institute for Health and Care Excellence (NICE) is currently re-evaluating the evidence on clinical outcomes collected through its use in the CDF in its ongoing re-evaluation of brexucabtagene autoleucel.
NICE published final draft guidance on 24 December 2025 in which it was not able to recommend brexucabtagene autoleucel for the treatment of relapsed or refractory mantle cell lymphoma in adults who have had two or more lines of systemic treatment that included a Bruton's tyrosine kinase inhibitor. This is because the extent of brexucabtagene autoleucel’s clinical benefit is uncertain. There are also uncertainties in the economic model because there is not enough evidence to tell if the cancer can be ‘cured’ in people having brexucabtagene autoleucel and it is not known how long people live after having brexucabtagene autoleucel. The cost-effectiveness estimates are also substantially above the range that NICE considers an acceptable use of National Health Service resources. NICE has not yet published final guidance and stakeholders have recently had an opportunity to appeal NICE’s recommendations.
The Government recognises that the potential withdrawal of brexucabtagene autoleucel as a treatment for future patients will be concerning for patients and their families, but it is right that these decisions are taken independently and on the basis of the available evidence. In line with an arrangement between NHS England and the company, if NICE’s final guidance does not recommend use, patients who started treatment during the managed access period can continue their treatment.
In accordance with the Abortion Act 1967, all abortions in England must be notified to the Chief Medical Officer within 14 days of the procedure. This information is used by the Department to monitor compliance with the act. The Department also publishes this data in line with the Code of Practice for Statistics, to ensure it is available to commissioners and providers of abortion services and others with an interest in abortion in England and Wales. There is no legal duty placed on the Department to publish data collected through abortion notification forms.
The Department regularly consults the Office for Statistics Regulation, which is the independent regulatory arm of the UK Statistics Authority, and provides independent regulation of all official statistics produced in the United Kingdom.
As of 30 September 2024, the Vaccine Damage Payment Scheme (VDPS) has processed 3,825 claims relating to the AstraZeneca COVID-19 vaccine. A further 207 claims relating to the AstraZeneca COVID-19 vaccine are undergoing medical assessment. As of 30 September 2024, there were 7,335 live VDPS claims, of which 1,024 have been awaiting resolution for longer than 12 months, and 316 claims for longer than 18 months.
The Joint Committee on Vaccination and Immunisation (JCVI) provided advice to the Government between 1 April and 6 May 2021 regarding age restrictions for the AstraZeneca COVID-19 vaccine. This advice was published on the GOV.UK website, and states that the JCVI currently advises that it is preferable for adults aged less than 30 years old, without underlying health conditions that put them at higher risk of severe COVID-19 disease, to be offered an alternative COVID-19 vaccine, if available.
Discussions on the AstraZeneca vaccine also took place and are noted within the minutes of the JCVI’s COVID-19 sub-committee meetings held on 13, 22, and 29 April 2021. The outcome of the discussions held within these meetings was reflected in the updated JCVI advice on the use of the AstraZeneca vaccine, published on the 7 May 2021, which extended the preferential use of alternative vaccines to unvaccinated adults aged 30 to 39 years old, who are not in a clinical priority group at higher risk of severe COVID-19 disease.
All claims to the Vaccine Damage Payment Scheme (VDPS) are assessed on a case-by-case basis by experienced independent medical assessors, General Medical Council registered doctors with a licence to practise, who have undertaken specialised training in vaccine damage and disability assessment.
When making medical assessment through the VDPS, independent medical assessors consider not just the claimant’s full medical records once they are gathered, but also the claim form and a range of credible resources to support their assessment, as per NHS Business Services Authority’s published VDPS Principles of Medical Assessment. This includes, but is not limited to, the Medicines and Healthcare products Regulatory Agency’s data, including Yellow Card information on suspected safety concerns involving a healthcare product, vaccine product information and updates, the UK Health Security Agency's Green Book, and the World Health Organization’s Causality assessment of an adverse event following immunization. Medical assessors will also consider academic research, epidemiological evidence, and the current consensus of expert medical opinion.