Became Member: 19th September 2014
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 Scriven, and are more likely to reflect personal policy preferences.
A Bill to disestablish the Church of England; to make provision for the protection of freedom of religion or belief; and for connected purposes.
Lord Scriven has not co-sponsored any Bills in the current parliamentary sitting
The content of such discussions are published in read-outs under the News and Communications page on gov.uk. Summaries of the most recent of such readouts are provided below.
(1) Kuwait
The Prime Minister spoke to His Highness Sheikh Mishal Al-Ahmad Al-Jaber Al-Sabah, Amir of the State of Kuwait, this morning.
The Prime Minister began by highlighting the close and historic relationship between the UK and Kuwait, which has endured for 125 years.
Across defence, security, trade and investment, the leaders discussed the cooperation between the UK and Kuwait, which they looked forward to strengthening.
The Prime Minister congratulated the Amir for the successful Gulf Cooperation Council Summit in December and reiterated the UK’s commitment to a Free Trade Agreement as negotiations continue.
Discussing investment from Kuwait into the UK, the leaders discussed further opportunities to drive growth in both countries across every sector.
They agreed on the importance of the work of the UN sponsored mission in Iraq (UNAMI), which leads efforts to locate missing people from the First Gulf War. They welcomed the extension of UNAMI’s mandate until 31 December 2025 and to identify a suitable follow-on process for this vital work.
They looked forward to seeing one another at the earliest opportunity.
(2) Qatar
The Prime Minister hosted The Amir of Qatar His Highness Sheikh Tamim Bin Hamad Al Thani in Downing Street this afternoon.
He began by welcoming a significant milestone in the UK and Qatar’s new clean energy partnership, and the initial £1 billion commitment made by Qatar.
The two leaders agreed that the countries’ thriving investment relationship would continue to grow and deliver significant benefits for both countries.
Turning to defence, the Prime Minister reflected on the UK’s close cooperation with Qatar and the leaders discussed their ambition to go further to strengthen their unique partnership.
Finally, the Prime Minister commended Qatar’s leadership in mediation in the Middle East, including their role in securing the release of hostages from Gaza. He added that we must continue to push for all hostages to be released, including British national Emily Damari.
The leaders looked forward to speaking again soon.
The content of such discussions are published in read-outs under the News and Communications page on gov.uk. Summaries of the most recent of such readouts are provided below.
Bahrain
The Prime Minister welcomed His Royal Highness Crown Prince Salman bin Hamad Al Khalifa, Prime Minister of Bahrain to Downing Street today.
The leaders reflected on the strength of the UK-Bahrain relationship, and welcomed the UK becoming a full member of the Comprehensive Security Integration and Prosperity Agreement (C-SIPA) today. The agreement will deepen trilateral cooperation with Bahrain and the United States on regional security at a critical time, both agreed.
The Prime Minister also welcomed the signing of the Strategic Investment and Collaboration Partnership, building on the two-way investment partnership between the countries, and how this will unlock new investment, growth and jobs into the UK, delivering on the Plan for Change.
The leaders also underscored the importance of the new Defence Cooperation Accord between the two countries, deepening joint military training and building on the two nations’ strong naval ties.
Highlighting the strength of the 200-year relationship between both nations, the leaders looked forward to further cooperation, including trade negotiations with the Gulf Cooperation Council.
Turning to the situation in the Middle East, the leaders called for de-escalation and both agreed on the need for enduring and closer relationships across the region to support stability.
The Prime Minister and Crown Prince looked forward to speaking again soon.
(2) Saudi Arabia
The Prime Minister met the Crown Prince of Saudi Arabia, Mohammed bin Salman, in Riyadh this evening.
The leaders began by discussing the shared challenges and opportunities between the two countries, including on defence and security, growth, and research and development.
The Prime Minister updated on his Plan for Change, which he announced last week, including his ambition to drive growth across the country.
Saudi Arabia was already playing a central role in supporting growth and job creation in the UK, especially through the green energy sector, the Prime Minister added.
The relationship between the UK and Saudi Arabia was also central to regional stability, the leaders agreed.
Reflecting on Saudi Arabia’s reform agenda, the leaders discussed the steps taken by the Crown Prince’s government to improve human rights under Saudi’s Vision 2030.
Turning to the situation in Israel and Gaza, the Prime Minister updated on his view of the situation and welcomed the Crown Prince’s reflection on how the suffering on all sides could be ended.
It was also vital there was an acceleration of aid into Gaza, the Prime Minister added.
The Prime Minister invited the Crown Prince to the UK, and said he hoped the leaders would be able to watch a game of football in between meetings if he took up the offer.
(3) Oman
The Prime Minister welcomed the Sultan of Oman, His Majesty Haitham bin Tarik al Said, to Downing Street this morning.
The Prime Minister began by highlighting the historic relationship between the UK and Oman, noting the special friendship, spanning over 400 years.
The leaders discussed the broad areas of cooperation between their two countries, including defence, security and trade, which they both looked forward to strengthening.
Turning to the situation in the Middle East, the Prime Minister emphasised the clear and urgent the need for de-escalation and urged all parties in the region to exercise restraint.
On Gaza, The Prime Minister reiterated the need for a ceasefire, the return of hostages and an immediate increase in the volume of humanitarian aid reaching civilians. Both agreed on the need for a two-state solution through a peace process.
They looked forward to working closely together in the future.
(4) The United Arab Emirates
The Prime Minister met His Highness Sheikh Mohamed bin Zayed al-Nahyan, President of the United Arab Emirates, in Abu Dhabi this morning.
The Prime Minister thanked His Highness for inviting him to the United Arab Emirates and emphasised the long-standing and wide-ranging partnership between the two countries.
The Prime Minister and His Highness shared their perspectives on the evolving situation in Syria. The Prime Minister welcomed His Highness’s reflections on how to achieve stability in the wider region against the broader geopolitical backdrop.
Turning to the bilateral relationship, they agreed on the untapped potential in areas such as artificial intelligence, and a joint desire to build on existing cooperation in defence and security.
They also discussed a shared ambition for greater investment and trade, building on the close personal ties between the British and Emirati people.
The Prime Minister thanked His Highness for his hospitality, and said he hoped to be able to reciprocate during a visit to the UK in the future.
I refer the Noble Lord to the read out of the meeting:
The Prime Minister welcomed His Royal Highness Crown Prince Salman bin Hamad Al Khalifa, Prime Minister of Bahrain to Downing Street today.
The leaders reflected on the strength of the UK-Bahrain relationship, and welcomed the UK becoming a full member of the Comprehensive Security Integration and Prosperity Agreement (C-SIPA) today. The agreement will deepen trilateral cooperation with Bahrain and the United States on regional security at a critical time, both agreed.
The Prime Minister also welcomed the signing of the Strategic Investment and Collaboration Partnership, building on the two-way investment partnership between the countries, and how this will unlock new investment, growth and jobs into the UK, delivering on the Plan for Change.
The leaders also underscored the importance of the new Defence Cooperation Accord between the two countries, deepening joint military training and building on the two nations’ strong naval ties.
Highlighting the strength of the 200-year relationship between both nations, the leaders looked forward to further cooperation, including trade negotiations with the Gulf Cooperation Council.
Turning to the situation in the Middle East, the leaders called for de-escalation and both agreed on the need for enduring and closer relationships across the region to support stability.
The Prime Minister and Crown Prince looked forward to speaking again soon.
Measures to modernise the constitution were announced in the King’s Speech, including legislation to remove the right of hereditary peers to sit and vote in the House of Lords. This will be the first step in wider reform to the second chamber, as set out in the manifesto.
The UK is a leading advocate for human rights, and we remain committed to the promotion of universal human rights. We have a range of policy tools and levers available to hold to account those involved in serious human rights violations and abuses. In the UK-GCC FTA, provisions we are seeking include those that reaffirm core ILO labour protections, and further our efforts to promote women’s economic empowerment. We raise any concerns with the GCC through Ministerial and diplomatic channels. Our strong relationships with the Gulf do not stop us from speaking frankly about human rights or other issues.
The UK is a leading advocate for human rights around the world. This work takes place separately to negotiations on free trade agreements.
While aspects of trade policy can provide the opportunity to address other issues in a bilateral relationship, free trade agreements are not generally the most effective or targeted tool to advance human rights issues.
Trade deals like the UK-GCC FTA will be aligned with the trade and industrial strategies, to bring prosperity to communities across the country and fulfil our mission of securing the highest sustained growth in the G7.
The UK is a leading advocate for human rights around the world. The Department for Business and Trade are currently assessing progress across the programme of Free Trade Agreements currently under negotiation. Economic growth is our first mission in government and Free Trade Agreements have an important part to play in that. The Department's trade deals will be aligned with its industrial strategy, to bring prosperity to communities across the country and fulfil our mission of securing the highest sustained growth in the G7.
The decision by Merck, or MSD, not to progress its investment, is part of a broader effort by MSD to optimise its resources. It announced in July that it would cut $3 billion per year by 2027 and that 6,000 jobs would go worldwide. MSD continues to employ over 1,600 staff in the UK across other operations, including more than 40 collaborative working agreements with the NHS, the Our Future Health project and UK clinical trials. This decision will not impact UK access to new medicines.
The department launched the ‘Data protection in schools’ project, formerly known as the education privacy assurance scheme (EPAS), in autumn 2022. The department’s primary focus is to educate schools and enable them to understand their data protection responsibilities, with the view to improving children’s safety and privacy.
The department is currently awaiting the outcome of an Information Commissioner’s Office audit into educational technology providers, and a subsequent code of practice, before determining whether any additional measures, including certification, should be implemented.
The electrification of the Midland Main Line that is complete will enable bi-mode intercity trains to operate in electric traction between St Pancras and Wigston. These new trains will have more seats and will provide a step change in passenger experience.
Continuing electrification to Nottingham and Sheffield was considered in the Spending Review, which prioritised investment across all government spending, taking account of business cases and affordability, including economic and social impacts.
The next phase of electrification has been paused as it is lower value for money, partly due to rising costs and partly as a consequence of having already delivered substantial electrification, but we will continue to keep it under review as part of our longer-term pipeline of schemes.
The Department is aware of occasions where the air conditioning has failed within one of the carriages on an East Midlands Railway (EMR) train whilst in service. When this occurs the train conductor helps passengers find alternative seats in a cooler carriage and offers water to those who decide to remain in the affected carriage. Excessive temperature is one factor that is measured through the Service Quality Regime to ensure timely rectification of a fault by train operators.
The Class 810 ‘Aurora’ trains are currently undergoing testing by Hitachi, and we expect the first units to be delivered to East Midlands Railway in the Autumn, with a phased roll-out during 2026.
In collaboration with industry partners, East Midlands Railway are considering all factors, including minimising the impacts on passengers, in relation to their fleet transition. There has been no assessment by the Department of the train times to whom the Class 222s are expected to be leased.
The Manchester Task Force was made up of Department for Transport (DfT) officials and representatives from Network Rail, train operators, Rail North Partnership (RNP), Transport for the North (TfN) and Transport for Greater Manchester (TfGM). The task force also had the benefit from expert industry analysis and insight.
After gathering evidence, developing options and consulting with stakeholders and passengers, it identified a range of short and long-term actions to improve the performance of the railway in Manchester and thereby across the North and to support future growth in passengers.
The Task Force formulated a series of recommendations with input from DfT officials and officers from TfN, TfGM and RNP on which Ministers and Northern leaders made a decision on a new timetable.
The Manchester Task Force (MTF) began meeting in February 2020, made up of Department for Transport, Network Rail, train operators, Rail North Partnership, Transport for the North and Transport for Greater Manchester. Through gathering evidence, developing options and publicly consulting, the task force identified a range of short and long-term actions to improve the performance of the railway in Manchester/across the North and support future growth in passengers.
The task force identified the Sheffield-Manchester Airport service, which reversed at Manchester Piccadilly, consuming two train paths in each direction, as one of the worst performing, with a significant impact on delays across the network.
The new timetable developed by MTF has delivered improvements in reliability of around 30 per cent, and the task force concept is now being used to resolve issues on the East Coast main line. As new infrastructure is realised and longer trains allow for a greater capacity with less congestion, we will look at services that could be reintroduced, possibly including direct services from Sheffield to the Airport, although there could be other towns and cities making a case for their pre-2022 direct connections to be restored as well.
This service was withdrawn in December 2022 in the timetable developed by the Manchester Task Force, a cross-industry group comprising of Transport for the North, train operators and Network Rail, to deliver more reliable services through Manchester.
The task force identified the Sheffield-Manchester Airport service, which reverses at Manchester Piccadilly, consuming two train paths in each direction, as one of the worst performing, with a significant impact on delays across the network.
The new timetable has delivered improvements in reliability of around 30 per cent, and the task force concept is now being used to resolve issues on the East Coast main line. As new infrastructure is realised and longer trains allow for a greater capacity with less congestion, we will look at services that could be reintroduced, possibly including direct services from Sheffield to the Airport, though there could be other towns and cities making a case for their pre-2022 direct connections to be restored as well.
I wrote to the Noble Lord in July, explaining this service was withdrawn in December 2022 as part of the Manchester Task Force’s proposals to address the challenges of Manchester’s constrained capacity. We remain committed to improved rail connectivity in growing the Northern and national economy.
East Midlands Railway’s (EMR’s) new Aurora bi-mode trains (electric and diesel) are currently being built by Hitachi at its Newton Aycliffe factory in County Durham. The first three trains are doing test runs on the East Coast and Midland Main Lines. EMR currently expect that the trains will start to be introduced on intercity services in 2025 with the full fleet of trains coming into service during 2025 and 2026.
Deploying revenue protection staff to deter ticketless travel, and doing so in a reasonable and efficient manner, is a matter for train operating companies.
Revenue protection offers passengers an additional level of safety and security whilst travelling on the rail network.
While there has been no specific assessment into the functionality of air conditioning during the recent hot weather, a sample of EMR's trains are independently inspected each month to assess overall ambience, and this includes the temperature of the carriage.
EMR advises that, on the occasion in question, the air conditioning failed in one carriage. All other carriages on the train had functioning air conditioning and staff offered passengers the opportunity to move to a different carriage, as well as providing water. New trains are due to replace the current train fleet from 2025.
The department each year routinely takes steps to ensure letters issued to those eligible to Winter Fuel payments are accurate based on their circumstances at the time of writing. Naturally, there is a short timeframe where in very rare occasions these circumstances may change whilst the letters are already in production or in the delivery network. We continually review our processes to ensure these instances are kept to an absolute minimum to avoid unnecessary impacts on our customers or their relatives.
The proposed core functions of the National Health Service regional teams are set out in the Model Region Blueprint which has been widely cascaded to the service. It forms one part of the wider changes to the NHS operating model. NHS regions will have three core functions:
NHS regional teams are currently a core part of NHS England and work together with national teams to discharge the functions of the organisation. There are currently no plans to delegate additional responsibilities to regional teams from the Department or the integrated care boards.
In March 2025, it was announced that NHS England would be abolished, and its duties and functions combined with the Department, pending legislation. The future organisation will continue to have seven regional teams aligned to the current NHS England regional footprints. In the future organisation, we want our seven regional teams to be leaner and more empowered, working as an integral part of the new centre. Work is underway to consider the role that regional teams should play in the future once NHS England and the Department have been brought together as a single organisation.
Under the proposed reforms to the Mental Health Act, learning disability and autism are still classed as a 'mental disorder', as they are under the existing Mental Health Act. The Mental Health Bill also introduces a new definition of 'psychiatric disorder' under the act, which covers all mental disorders other than learning disability and autism. In future, it will only be possible to detain those people with a learning disability and/or autistic people who also have a psychiatric disorder that needs treatment under the act. This change seeks to ensure that people are only detained when they have a mental disorder that warrants hospital treatment, and which has a reasonable prospect of providing a therapeutic benefit for that disorder.
Mental health, learning disabilities, and autism are all important areas in their own right for both the Department and NHS England, and require leadership at the highest levels to ensure services in these areas meet the ambitions we have set.
Our new proposed structure incudes several senior director roles responsible for leading on particular clusters of services, one of which will include mental health, learning disabilities, and autism.
The remuneration for senior Government Commercial Organisation (GCO) roles is set centrally to ensure a consistent, cross-government approach that allows us to attract and retain commercial leaders within the specialised skills needed to manage complex challenges and deliver value for money.
This ‘invest to save’ model includes a performance-related pay element which is not guaranteed; it is strictly contingent on meeting stretching objectives designed to deliver significant taxpayer savings. Such payment is approved by the GCO Remuneration Committee and the Chief Secretary to the Treasury as per central guidance.
Following the announcement of the abolition of NHS England, we are clear on the need for a smaller centre, as well as scaling back integrated care board running costs and National Health Service provider corporate cost reductions in order to reduce waste and bureaucracy.
Good progress is being made with the Department and NHS England having announced voluntary exit and expressions of interes,t respectively. Departmental exits are expected this calendar year so number of exits can be confirmed in the next few months. NHS England is running to a later timeframe, and we do not expect to be able to confirm numbers before the next financial year. No individuals have yet received redundancy or severance payments, and no assessment of an NHS at-risk pool has been made.
Following the announcement of the abolition of NHS England, we are clear on the need for a smaller centre, as well as scaling back integrated care board running costs and National Health Service provider corporate cost reductions in order to reduce waste and bureaucracy.
Good progress is being made with the Department and NHS England having announced voluntary exit and expressions of interes,t respectively. Departmental exits are expected this calendar year so number of exits can be confirmed in the next few months. NHS England is running to a later timeframe, and we do not expect to be able to confirm numbers before the next financial year. No individuals have yet received redundancy or severance payments, and no assessment of an NHS at-risk pool has been made.
Pressure on NHS services remain high due to a combination of factors including high demand across all services; ongoing recovery efforts after the pandemic and industrial action, recruitment and retention challenges in the NHS workforce and the need to reduce running costs of Integrated Care Boards.
Integrated Care Systems are expected both to complete LeDeR reviews and to implement improvement initiatives in response to reviews to reduce health inequalities and premature and avoidable deaths of people with a learning disability and autistic people. This remains a priority despite pressures on NHS services. NHS England’s Action from Learning Report highlights improvement action being taken locally which is directly driven by LeDeR findings.
As of August 2025, 94% of all LeDeR reviews have been completed since the start of the programme in 2017.
Learning from lives and deaths – People with a learning disability and autistic people (LeDeR) is a service improvement programme established and led by NHS England.
As of 1st September 2025, there were 3,836 LeDeR reviews for people with a learning disability and autistic people in the LeDeR system which had not been completed. Of these, 1,626 (42%) have not been started.
508 (13%) of the reviews that have not been completed are currently on hold awaiting the completion of statutory processes such as coroner’s investigations or safeguarding reviews. 2,155 (56%) of the reviews that have not been completed are for people who died in 2025.
1,842 (48%) of the reviews were received within the last 6 months. The LeDeR policy sets the expectation that reviews are completed within six months of them being notified to LeDeR, unless statutory processes prevent that being possible or family members of those bereaved have asked for the review to be delayed. As of August 2025, 94% of all LeDeR reviews have been completed since the start of the programme in 2017.
Learning from lives and deaths – People with a learning disability and autistic people (LeDeR) is a service improvement programme established and led by NHS England. LeDeR is a crucial source of evidence that helps to identify the key improvements needed to tackle health disparities and prevent avoidable deaths of people with a learning disability and autistic people.
The recommendations within LeDeR reports are not mandated but are intended to inform and guide action by health and social care organisations to improve the quality of care and services for patients, locally and nationally. Alongside each LeDeR report publication, NHS England publishes its Action from Learning Report which highlights local action directly driven by LeDeR findings.
NHS England works with an academic partner, Kings College London, to produce the Learning from lives and deaths – People with a learning disability and autistic people (LeDeR) annual report. NHS England provides oversight in relation to LeDeR policy, process and wider National Health Service policy, and commissions the annual report.
The report is independent and provides analysis of LeDeR review data. NHS England and the Department check findings are clearly and consistently presented to ensure transparency for the public.
The 2023 report was approved by NHS England’s Chief Executive.
NHS England’s Frontline Digitisation programme was introduced in 2021 to support healthcare organisations to transition from paper-based to digital systems for patient information, clinical notes and access to data.
Its aim is to reach a core level of digitisation following minimum digital foundations, where the health service and the people who use it have digital services and access to the data that they need to effectively manage and improve health and wellbeing. NHS England is providing £2 billion to National Health Service trusts through to 2025/26 to ensure trusts meet a core level of digitisation and have electronic patient records in place.
Learning from lives and deaths – People with a learning disability and autistic people (LeDeR) is a service improvement programme established and led by NHS England. NHS England is committed to ensuring that all deaths notified to LeDeR are reviewed in a timely manner. This commitment has been maintained since a pilot scheme was introduced in 2016, nationwide in 2017. There is a national, published LeDeR policy in place clearly setting out requirements and expectations across England.
Integrated care systems are responsible for ensuring that LeDeR reviews are completed in their local area, and that actions are implemented to improve the quality of services and reduce health inequalities and premature mortality for autistic people and people with a learning disability.
The LeDeR policy sets the expectation that reviews are completed within six months of them being notified to LeDeR unless statutory processes prevent that being possible or family members of those bereaved have asked for the review to be delayed.
We recognise the Learning from lives and deaths – People with a learning disability and autistic people (LeDeR) programme as a crucial source of evidence that helps to identify the key improvements needed to tackle health disparities and prevent avoidable deaths of people with a learning disability and autistic people.
NHS England collects data about the completion of LeDeR reviews. The latest data at the end of July 2025 shows that 35% of eligible reviews have been completed within six months of notification.
There are numerous reasons why reviews may take longer than six months to complete. Sometimes, families do not feel it is possible for them to contribute to a review within that time frame; LeDeR reviews always take place after all other statutory processes have happened, for example coronial processes and safeguarding investigations. This means that a review may be delayed for some time. As of August 2025, 94% of all LeDeR reviews have been completed since the start of the programme in 2017.
We recognise the Learning Disabilities Mortality Review (LeDeR) programme as a crucial source of evidence that helps to identify the key improvements needed to tackle health disparities and prevent avoidable deaths of people with a learning disability and autistic people.
Work is progressing at pace to develop the design and operating model for the new integrated organisation, and plan for the smooth transfer of people, functions and responsibilities. We are assessing the full range of current functions across both organisations and options for future allocation. At this stage, it is too early to say what precise changes in personnel and organisational design will be.
NHS England has asked integrated care boards (ICBs) to act primarily as strategic commissioners of health and care services and reduce duplication of responsibilities within their structure with the expectation of achieving a reduction in their running cost allowance. NHS England has circulated a draft of ‘The Model ICB – blueprint’ document to all ICBs to assist them in shaping their future plans. A copy of the document is attached.
We recognise the Learning Disabilities Mortality Review programme as a crucial source of evidence that helps to identify the key improvements needed to tackle health disparities and prevent avoidable deaths of people with a learning disability and autistic people.
Work is progressing at pace to develop the design and operating model for the new integrated organisation, and plan for the smooth transfer of people, functions and responsibilities. We are assessing the full range of current functions across both organisations and options for future allocation. At this stage, it is too early to say what precise changes in personnel and organisational design will be.
NHS England has supported the National Health Service to invest £2 billion over the past four years to buy or upgrade computer systems to meet the baseline standard, and will continue to support investment in the next Spending Review period. NHS England has a good relationship with US Electronic Patient Record vendors and is working collaboratively with them to ensure that software is optimised for use in the NHS in England, which includes a focus on productivity and outcomes.
The £2.2 billion of deficit support funding this year is being provided quarterly, and only to systems that deliver their plans. The five systems that have had deficit support funding withheld for quarter 2 are as follows: Bath and North East Somerset, Swindon and Wiltshire Integrated Care System (ICS); North East London ICS; Cheshire and Merseyside ICS; Coventry and Warwickshire ICS; and South Yorkshire ICS. Deficit support funding will be released to these systems once progress has been made and there is confidence in the delivery of their plans, with progress and funding released reported in individual board reports throughout the year.
All patients who attend accident and emergency departments, including in the Calderdale and Huddersfield NHS Foundation Trust, are prioritised based on clinical need, which ensures that people are seen by the right service in a timely way.
The Calderdale and Huddersfield NHS Foundation Trust has implemented a number of initiatives to improve patient flow and patient waiting times, including introducing a Same Day Emergency Care service which has recently been reviewed by NHS England’s Getting It Right First-Time team.
In June 2025, the Calderdale and Huddersfield NHS Foundation Trust’s accident and emergency four-hour performance was 83.5%.
To enable local authorities to deliver key services such as adult social care, the Government has made available up to £3.7 billion of additional funding for social care authorities in 2025/26, which includes an £880 million increase in the Social Care Grant.
In addition, the 2025 Spending Review allows for an increase of over £4 billion of funding for adult social care in 2028/29 compared to 2025/26, to support the sector in making improvements. Funding will be made available each year of the Spending Review through additional grant funding and growth in other sources of income available to support adult social care.
Between 2025/26 and 2028/29, local authority core spending power will increase by an average of 2.6% in real terms.
No such assessment has been made. The latest available data for June shows that 83.5% of patients in the Calderdale and Huddersfield NHS Foundation Trust were discharged, admitted, or transferred within four hours of arrival.
The Government is clear that patients should expect and receive the highest standard of service and care from the National Health Service, and that people should be treated with compassion, dignity, and respect. Patients attending emergency departments will always be prioritised based on clinical need.
We are committed to reducing long waits in accident and emergency. Our urgent and emergency care plan for 2025/26, sets out action across the system to deliver improvements for patients this year, backed by nearly £450 million of capital investment.
The Learning from lives and deaths – People with a learning disability and autistic people (LeDeR) reports are a crucial source of evidence which help identify key improvements needed to tackle health disparities and prevent avoidable deaths of people with a learning disability and autistic people. Practical data issues have delayed the work to date and were addressed in the final iteration provided on 25 June 2025. We are committed to publishing the latest report soon after Parliament returns alongside a Written Ministerial Statement.
NHS England works with Kings College London, the academic partner for LeDeR, to produce the LeDeR annual report. Since they submitted their draft report, NHS England has collaborated with them on further iterations with the aim to finalise as soon as possible.
The Department has provided feedback on later iterations of the report on practical data issues with the aim to ensure findings were accurately presented and could be clearly interpreted by the public. Feedback related to definition of technical language, additional context for demographic statistics, and apparent inconsistencies. A final version of the report addressing feedback was shared with the Department on 25 June 2025.
We are committed to publishing the latest report soon after Parliament returns alongside a Written Ministerial Statement.
The Department and NHS England are committed to health and care research, as it is vital to fulfilling the objectives of the Growth and Health Missions. The Department and NHS England will continue to support research and development throughout the transition process and beyond. NHS England’s Innovation, Research and Life Sciences Strategy team has confirmed funding in 2025/26 for innovations already supported through Small Business Research Initiative (SBRI) Healthcare competitions in their current phases. NHS England has invested £13.6 million through the SBRI Healthcare programme to support the development of over 50 innovations this year. NHS England is unable to fund future phases within this financial year.
Since 11 March, NHS England has advertised 25 posts and has recruited 16 where the actual pay will be over £100,000. Actual pay is the amount of an individual’s salary that NHS England pays.
We do not hold this information centrally in relation to integrated care boards.
The 10-Year Health Plan confirmed that we will expand the Graduate Management Trainee Scheme by 50%, to ensure we attract the best and brightest talent. Alongside that, we will increase its diversity and reform it to focus on the three shifts and system working. National Health Service employers and contractors will be required to facilitate the scheme as part of their core business.
Funding has been allocated for an expansion of the Graduate Management Training Scheme as part of the Spending Review. Further detail will be set out in the forthcoming 10 Year Workforce Plan.
This information is not held centrally. Spend on very senior managers (VSM) pay is locally determined by individual National Health Service organisations within their local budget positions. VSM pay arrangements are subject to the decisions of local remuneration committees, which are ordinarily based on the provisions in the VSM pay framework and the independent recommendations of the Senior Salaries Review Body (SSRB). Future spending on VSM pay will depend on the outcomes of SSRB recommendations, and individual NHS trusts’ decisions are dependent on their financial position at a local level.
The 10-Year Health Plan for England sets out how the National Health Service will continue leading the world in genomics as it increasingly becomes part of routine care over the next 10 years. The statement that “by 2035, we anticipate half of all healthcare interactions will be informed by genomic insights and other predictive analytics” is part of Genomics England’s shared vision with the NHS on the potential of genomics in healthcare. Routine use of pharmacogenomics in the NHS could achieve this vision, as over 98% of people carry at least one relevant pharmacogenomic variant, and in a recent study, 80% of patients in an acute setting were exposed to a medicine for which there is pharmacogenetic prescribing guidance available.