Asked by: Lord Harper (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government, further to the answer by Baroness Merron on 16 December (HL Deb Col 661), (1) how many, and (2) what proportion of, NHS staff have taken up the offer of a flu vaccination this year; and how does that compare to each of the previous five years for (a) total NHS staff and (b) NHS staff by job category.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
For England, the UK Health Security Agency publishes monthly provisional vaccine uptake data for frontline healthcare workers (HCWs) from November to March. The most recent monthly data was published on 18 December 2025 and includes all vaccinations given between 1 September to 30 November 2025. For the 2025 to 2026, and 2024 to 2025 seasons HCWs have been eligible from 1 and 3 October respectively, rather than 1 September as in previous seasons. Data is therefore not comparable with seasons prior to 2024 to 2025.
Vaccine uptake data, both percentages and numbers vaccinated, is given at a national, regional, and trust level, with data by staff groups, as percentages, also given. For previous seasons the available data by staff group varies and some previous seasons have numbers vaccinated available. The table attached shows the seasonal influenza vaccine uptake amongst frontline HCWs in National Health Service trusts in England, at a national and staff group level, for vaccinations given between 1 September, where applicable, and 30 November, for the 2020 to 2026 seasons. The numbers vaccinated are based on response rates from NHS trusts and are not extrapolated to represent 100% of the data.
Final end of season vaccine uptake data is published in the annual reports in late spring and include data on staff groups. Annual reports include national level comparative data from 19 previous seasons.
Asked by: Lord Harper (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government how much revenue was received as a result of the work of overseas visitor managers in the NHS (1) in total, and (2) in each NHS Trust, in each of the last five years.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department does not hold the data requested on the number of overseas visitor managers that are employed by the National Health Service.
NHS England publishes Hospital and Community Health Services workforce statistics for England. The data is drawn from the Electronic Staff Record, the Human Resources system for the NHS. The level of detail available in the dataset is insufficient to identify staff who are employed in roles described as ‘Overseas Visitor Managers’ or similar.
The Department and NHS England publish annual data on the income identified and recovered from chargeable overseas visitors in England in the Department’s Annual Report and Accounts and in NHS England’s consolidated NHS provider accounts.
The following table shows aggregate income identified and cash payments received between 2020 and 2025:
Year | Aggregate income identified | Cash payments received in-year |
2020/21 | £61,000,000 | £21,000,000 |
2021/22 | £67,000,000 | £25,000,000 |
2022/23 | £100,000,000 | £32,000,000 |
2023/24 | £123,000,000 | £42,000,000 |
2024/25 | £142,000,000 | £43,000,000 |
Source: The Department of Health and Social Care Annual Report and Accounts and Consolidated NHS provider accounts.
Neither the Department nor NHS England hold a breakdown of this information by NHS trust.
NHS charges can be recovered up to six years from the date of invoice, and therefore the amount recovered in a year does not necessarily mean it was identified in the same financial year.
Asked by: Lord Harper (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government how many Overseas Visitor Managers are employed by the NHS (1) in total, and (2) in each NHS Trust.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department does not hold the data requested on the number of overseas visitor managers that are employed by the National Health Service.
NHS England publishes Hospital and Community Health Services workforce statistics for England. The data is drawn from the Electronic Staff Record, the Human Resources system for the NHS. The level of detail available in the dataset is insufficient to identify staff who are employed in roles described as ‘Overseas Visitor Managers’ or similar.
The Department and NHS England publish annual data on the income identified and recovered from chargeable overseas visitors in England in the Department’s Annual Report and Accounts and in NHS England’s consolidated NHS provider accounts.
The following table shows aggregate income identified and cash payments received between 2020 and 2025:
Year | Aggregate income identified | Cash payments received in-year |
2020/21 | £61,000,000 | £21,000,000 |
2021/22 | £67,000,000 | £25,000,000 |
2022/23 | £100,000,000 | £32,000,000 |
2023/24 | £123,000,000 | £42,000,000 |
2024/25 | £142,000,000 | £43,000,000 |
Source: The Department of Health and Social Care Annual Report and Accounts and Consolidated NHS provider accounts.
Neither the Department nor NHS England hold a breakdown of this information by NHS trust.
NHS charges can be recovered up to six years from the date of invoice, and therefore the amount recovered in a year does not necessarily mean it was identified in the same financial year.
Asked by: Lord Harper (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government, further to the answer by Baroness Merron on 16 December (HL Deb Col 661), what research has been carried out by, or on behalf of, the NHS to identify the reasons for vaccine hesitancy among NHS staff.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department invests over £1.6 billion each year on research through its research delivery arm, the National Institute for Health and Care Research (NIHR). It is funding research into the causes of vaccine hesitancy and ways to improve vaccine uptake in all adults and children, and to reduce inequalities in coverage.
The NIHR has funded a specific study aimed at improving the uptake rate of vaccination in the National Health Service for seasonal influenza. The results are published in Improving uptake of seasonal influenza vaccination by healthcare workers: Implementation differences between higher and lower uptake NHS trusts in England, from Infection, Disease and Health, volume 24, issue 1, published February 2019.
The NIHR has also funded research addressing factors associated with vaccine intention during COVID-19, which included health and social care workers. These results are published in Human Vaccines and Immunotherapeutics, in volume 17 in 2021, and volume 18 in 2022.
Other ongoing research to address the decline in immunisation rates is carried out by the NIHR Health Protection Research Unit in Vaccines and Immunisation and the NIHR Health Protection Research Unit on Evaluation and Behavioural Science. Both have received funding of £5.5 million over five years.
The NIHR continues to welcome funding applications for research into any aspect of human health, including vaccine hesitancy among National Health Service staff.
Asked by: Lord Harper (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what is the expected (1) total and (2) per capita reduction in daily calorie intake for (1) adults and (2) children in England as a result of the extension of the soft drinks industry levy announced on 25 November.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The changes to the Soft Drinks Industry Levy announced in the 2025 Autumn Budget are:
These changes will apply from 1 January 2028. They are designed to encourage producers to reformulate their products to reduce sugar levels and avoid paying the levy, thus reducing the calories consumed from the drinks in scope.
The Department carried out a health benefit assessment to estimate the calorie reduction from these changes through reformulation and substitution to alternative drinks. Together, these changes reduce sugar and calorie intake from drinks across all age groups.
The analysis used nutrition data from the National Diet and Nutrition Survey, sales data from Worldpanel by Numerator, formerly Kantar WorldPanel, and a series of assumptions to estimate the sugar and calories removed from diets due to the changes. The approach, data sources, and assumptions are set out in detail in the published assessment.
This analysis estimates per person per day calorie reductions of 0.3 kcal in five to 10 year olds, 0.4 kcal in 11 to 18 year olds, 0.3 kcal in 19 to 64 year olds, and 0.2 kcal in those aged 65 years old and over. This is equivalent to approximately four million kcal per day in children and 13 million kcal per day in adults.
Asked by: Lord Harper (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government on the basis of what evidence they have estimated that the extension of the soft drinks industry levy, announced on 25 November, could prevent almost 14,000 cases of adult obesity and nearly 1,000 cases of childhood obesity.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The changes to the Soft Drinks Industry Levy announced in the 2025 Autumn Budget are:
These changes will apply from 1 January 2028. They are designed to encourage producers to reformulate their products to reduce sugar levels and avoid paying the levy, thus reducing calories consumed from the drinks in scope.
Evidence shows that energy dense diets such as those that are high in sugar can contribute to excess calorie intake, which if sustained leads to weight gain and obesity. Population-level policies therefore aim to create a healthier food environment to reduce excess calories and obesity prevalence across the entire population.
The Department carried out a health benefit assessment to estimate the calorie reduction from these changes through reformulation and substitution to alternative drinks. Together, these changes reduce sugar and calorie intake from drinks across all age groups.
The analysis used nutrition data from the National Diet and Nutrition Survey, sales data from Worldpanel by Numerator, formerly Kantar WorldPanel, and a series of assumptions to estimate the sugar and calories removed from diets due to the changes. The approach, data sources, and assumptions are set out in detail in the published assessment.
This analysis estimates per person per day calorie reductions of 0.3 kcal in five to 10 year olds, 0.4 kcal in 11 to 18 year olds, 0.3 kcal in 19 to 64 year olds, and 0.2 kcal in those aged 65 years old and over.
The BMI Prevalence Model was then used to simulate the change in obesity prevalence from the estimated change in calorie intake at a population level. This model is based on weight loss equations by Henry (2005), a sample of height and weight data from Health Survey for England, and population data from Office for National Statistics.
This modelling estimates that a calorie reduction of this scale could translate into reducing cases of adult obesity by almost 14,000 and childhood obesity by almost 1,000.
Asked by: Lord Harper (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government how many members will be on the Independent Commission on Adult Social Care, how many have been appointed to date, and what are the names and backgrounds of those appointed.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
Baroness Louise Casey of Blackstock chairs the independent commission into adult social care (the Commission) alongside a dedicated secretariat team. No commissioners have been appointed.
Baroness Casey and the Commission’s secretariat are based in the Cabinet Office. The secretariat has a total of 11 officials, nine are employed by the Department of Health and Social Care, and two by the Cabinet Office. One external individual has been hired as contingent labour to support the work of the Commission’s secretariat. There are a further four officials working in the Commission’s sponsorship function based in the Department of Health and Social Care.
As the Commission is independent, the secretariat may expand as it carries out its work and as Baroness Casey considers what further skills and expertise she needs.
Asked by: Lord Harper (Conservative - Life peer)
Question to the Department for Environment, Food and Rural Affairs:
To ask His Majesty's Government what assessment they have made of the impact of the release of beavers at Greathough Brook in the Forest of Dean, on the ability of the land to retain water and prevent flooding in nearby residential areas.
Answered by Baroness Hayman of Ullock - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)
Forestry England worked with experts at the Beaver Trust to introduce beavers within an enclosure at the Forest of Dean. One of the aims of the project was to hold stormwater flow back to mitigate against future flooding downstream. Forestry England commissioned the University of Exeter to carry out an impact assessment relating to beaver activity and natural flood management which was published in 2020. This is publicly available at Hydrological Processes | Hydrology Journal | Wiley Online Library and a copy is attached to this answer.
The study found that the introduction of beavers had a beneficial effect on flow attenuation during storm events.
Asked by: Lord Harper (Conservative - Life peer)
Question to the Home Office:
To ask His Majesty's Government how many hotels were housing asylum seekers in (1) July 2023, (2) July 2024, and (3) either July 2025 or the most recent month for which data is available.
Answered by Lord Hanson of Flint - Minister of State (Home Office)
This Government recognises that hotels are not a sustainable solution for accommodating asylum seekers and remains committed to ending their use, already reducing the number in operation. We do not provide a running commentary on hotel numbers, our objective is to close all asylum hotels by the end of this Parliament, reducing costs to the taxpayer and restoring control to local communities.
Asked by: Lord Harper (Conservative - Life peer)
Question to the Department for Transport:
To ask His Majesty's Government what assessment they have made of the efficacy of the engineering work carried since October 2022 to reduce flooding of the track near Chipping Sodbury, and what, if any, further work is planned.
Answered by Lord Hendy of Richmond Hill - Minister of State (Department for Transport)
The work Network Rail has completed to date has significantly improved the resilience of the track at Chipping Sodbury during flooding events. Resilience levels for closure have been raised from 36mm to 73mm of rainfall for a 5-day consecutive period. This work delayed the flooding impact of Storm Claudia in mid-November significantly, with flooding above railhead occurring only after 76mm of rain, providing an extra 27 hours of resilience and operational railway at Chipping Sodbury.
Network Rail plans to spend a further £1.45m on further measures at Chipping Sodbury starting in 2026/27, which will include removing some long-standing restrictions to discharging water, reinstatement and renewal of pumps at both tunnel portals, and ground investigation and monitoring work.