Question to the Foreign, Commonwealth & Development Office:

To ask His Majesty's Government what representations they have made to authorities in Bahrain regarding allegations of mistreatment, suspension of telephone calls, and solitary confinement of (1) Mohamed Ramadan, (2) Zuhair Ebrahim Jasim Abdullah, (3) Mohamed Radhi Hasan, and (4) Husain Ebrahim Marzooq, who are on death row in Jau Prison.

Answered by Lord Collins of Highbury - Lord in Waiting (HM Household) (Whip)

We continue to discuss the use of the death penalty with the Bahrain authorities and have not made representations recently on the cases mentioned. We are aware that investigations are ongoing into allegations of mistreatment.

Question to the Ministry of Housing, Communities and Local Government:

To ask His Majesty's Government, following the response to the Secretary of the State for Levelling Up, Housing and Communities from the Tees Valley Mayor in September, what assessment they have made of whether all 28 recommendations from the Tees Valley Review, published 23 January, will be carried out effectively and at the best value for the taxpayer.

Answered by Baroness Taylor of Stevenage - Baroness in Waiting (HM Household) (Whip)

We received a response from the Mayor on the recommendations made by the independent Tees Valley Review. We are currently reviewing that response against the recommendations made and we will publish our response as soon as our review is completed.

Question to the Ministry of Housing, Communities and Local Government:

To ask His Majesty's Government whether they plan to respond to the reply to the Secretary of State for Levelling Up, Housing and Communities from the Tees Valley Mayor in September about the recommendations from the Tees Valley Review and, if so, when and how they will publish their response.

Answered by Baroness Taylor of Stevenage - Baroness in Waiting (HM Household) (Whip)

We received a response from the Mayor on the recommendations made by the independent Tees Valley Review. We are currently reviewing that response against the recommendations made and we will publish our response as soon as our review is completed.

Question to the Department of Health and Social Care:

To ask His Majesty's Government how many people were detained under (1) section 37, (2) section 41, and (3) section 45A, of Part 3 of the Mental Health Act 1983 in the years (a) 2022, (b) 2023, and (c) 2024 to date.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

The following table shows the detentions under the Mental Health Act 1983, by legal status and across all providers, each year from 2021/22 to 2023/24:

Source: the Emergency Care Data Set and the Mental Health Data Set.

Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made, if any, of the impact of the national insurance rise for employers on service levels for (1) community pharmacies, (2) NHS dentists, (3) care homes, (4) social care, and (5) GP services.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

We have taken necessary decisions to fix the foundations in the public finances at Autumn Budget. This enabled the Spending Review settlement of a £22.6 billion increase in resource spending for the Department from 2023/24 outturn to 2025/26. The employer national insurance rise will be implemented in April 2025, with the Department setting out further details on allocation of funding for next year in due course.

Question to the Department of Health and Social Care:

To ask His Majesty's Government how many mental health patients under 18 years of age were placed in a hospital or unit more than 10 miles from their residence in (1) 2022, (2) 2023, and (3) 2024 to date.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

This information is not held in the format requested, as data on active out of area placements is not categorised by age.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 8 November (HL2000), from which budget lines and areas NHS England provided the additional funding outlined; how much, if any, of the additional funding came from allocated capital budgets and what the slippage this has caused; and how much, if any, funding came from non-capital budget lines and what are the opportunity costs this has incurred.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

There have been no cuts to operational services to make the £2.3 billion of funding available. The majority came from central NHS England funding, held as part of the start year financial plans for this purpose. The remainder came from savings identified during the subsequent planning round, including taking a higher risk appetite on the extent to which underspends or savings would be identified during the course of the year. No funding came from savings on allocated capital budgets.

Question to the Department of Health and Social Care:

To ask His Majesty's Government how many out of area hospital admissions for mental health patients there were in (1) 2022, (2) 2023, and (3) 2024 to date.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

The following table shows the amount of adult acute mental health out of area placements in each of the last three years:

Source: Out of Area Placements in Mental Health Services, NHS England.

Note: Information about OAP placements in other mental health services, such as specialist mental health inpatient services or services for children and young people, is not available. The information provided is for financial years and goes up to March 2024 before the new data collection begins.

Question to the Department of Health and Social Care:

To ask His Majesty's Government what financial assessment they have made to determine if the £600 million of grant funding for social care in 2025–26 will be sufficient to cover the cost of increased employer National Insurance contributions to social care providers.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government considered the cost pressures facing adult social care as part of the wider consideration of local government spending within the Spending Review process. This assessment took into account a wide range of factors, including changes to employer National Insurance contributions, and the National Living Wage increases.

In response to the range of pressures facing local authorities, the Government is providing a real-terms uplift to core local government spending power of approximately 3.2%, which includes £1.3 billion of new grant funding in 2025/26.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 12 November (HL2220), what is the timescale for delivery of the proposed reforms to the patient care pathways; what conditions and pathways are in scope for these changes; in what settings this care will be delivered; who will be responsible for ensuring that these changes will be at lower cost; and how will progress be monitored and reported.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

As part of the Government's commitment to returning to the 18-week constitutional standard from Referral to Treatment, work is underway and planned throughout 2025/26 to reform patient care pathways to ensure patients are seen in the settings which deliver better patient experience for lower cost.

This pathway reform will look at end-to-end pathways across primary, community and secondary care, and include diagnostics. NHS England is initially prioritising pathways in cardiology, respiratory, ear-nose-throat, gastroenterology and urology due to challenging demand, and is looking at opportunities to improve efficiency across other pathways, including through the use of diagnostic first pathways, integration across settings workforce development. There are ongoing reform efforts underway to address challenges identified in other specialities too. For example, in gynaecology, women’s health hubs are bringing together healthcare professionals and existing services to provide integrated women’s health services in the community to improve health outcomes for women, whilst reducing healthcare inequalities.

NHS England is leading national efforts to support pathway re-design, to take the best of clinically led innovation and practice across the country. Progress will be monitored and reported via the Oversight and Assessment Framework through which trusts report to integrated care boards; these are in turn shared with NHS England regional teams and filter into national reporting.

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