Asked by: Lord McCabe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what plans they have to update NHS England’s Commissioning Framework for transcatheter heart valve interventions, including procedures for (1) tricuspid regurgitation, (2) mitral regurgitation, (3) aortic stenosis and (4) valve-in-valve interventions, in the light of any new evidence and clinical advancements since the Framework was introduced in 2013.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England commissions the National Institute for Cardiovascular Outcomes Research (NICOR) to collect national data on all transcatheter aortic valve implantation (TAVI) procedures.
NICOR currently reports aggregate TAVI mortality and does not disaggregate outcomes by clinical indication. However, over the past decade, TAVI mortality has significantly reduced with, for example, in-hospital mortality decreasing from approximately 3% to 4% in 2013/14 to 0.8% in 2022/23.
Aortic stenosis pathways continue to be reviewed to improve access and productivity. In August 2025, a new policy proposition proposal (PPP) for TAVI in aortic valve disease and bioprosthetic valve failure was submitted for further consideration. NHS England is currently reviewing this PPP in line with the national methods for clinical commissioning policy development.
A PPP has also been submitted for transcatheter edge-to-edge repair for the treatment of severe tricuspid regurgitation in patients who remain symptomatic despite optimal medical therapy, and is being considered in line with NHS England’s national policy methods.
NHS England routinely commissions transcatheter edge to edge (TEER) repair for primary/degenerative mitral regurgitation (MR). A clinical commissioning policy for TEER for secondary/functional MR has been developed and is awaiting consideration by the Clinical Priorities and Advisory Group.
Asked by: Lord McCabe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of any risk of increased patient mortality associated with NHS England’s continued use of the 2013 Commissioning Framework for transcatheter heart valve interventions, specifically in relation to patients with (1) aortic stenosis, (2) tricuspid regurgitation, (3) mitral regurgitation and (4) valve-in-valve procedures.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England commissions the National Institute for Cardiovascular Outcomes Research (NICOR) to collect national data on all transcatheter aortic valve implantation (TAVI) procedures.
NICOR currently reports aggregate TAVI mortality and does not disaggregate outcomes by clinical indication. However, over the past decade, TAVI mortality has significantly reduced with, for example, in-hospital mortality decreasing from approximately 3% to 4% in 2013/14 to 0.8% in 2022/23.
Aortic stenosis pathways continue to be reviewed to improve access and productivity. In August 2025, a new policy proposition proposal (PPP) for TAVI in aortic valve disease and bioprosthetic valve failure was submitted for further consideration. NHS England is currently reviewing this PPP in line with the national methods for clinical commissioning policy development.
A PPP has also been submitted for transcatheter edge-to-edge repair for the treatment of severe tricuspid regurgitation in patients who remain symptomatic despite optimal medical therapy, and is being considered in line with NHS England’s national policy methods.
NHS England routinely commissions transcatheter edge to edge (TEER) repair for primary/degenerative mitral regurgitation (MR). A clinical commissioning policy for TEER for secondary/functional MR has been developed and is awaiting consideration by the Clinical Priorities and Advisory Group.
Asked by: Lord McCabe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an estimate of the number of veterans that were treated by the NHS for psychosis and schizophrenia in (a) 2018-19, (b) 2021-22 and (c) 2022-23.
Answered by Maria Caulfield
No such estimates have been made, as the information is not held in the format requested. Veterans may be treated in several National Health Service settings, including primary care, community mental health, and specialist services. Veterans are not systematically identified in all settings, and data is not systematically collated and aggregated across settings.
Asked by: Lord McCabe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an estimate of the number of veterans that were treated by the NHS for generalised anxiety disorder in (a) 2018-19, (b) 2021-22 and (c) 2022-23.
Answered by Maria Caulfield
No such estimates have been made, as the information is not held in the format requested. Veterans may be treated in several National Health Service settings, including primary care, community mental health, and specialist services. Veterans are not systematically identified in all settings, and data is not systematically collated and aggregated across settings.
Asked by: Lord McCabe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an estimate of the number of veterans that were treated by the NHS for PTSD in (a) 2018-19, (b) 2021-22 and (c) 2022-23.
Answered by Maria Caulfield
No such estimates have been made, as the information is not held in the format requested. Veterans may be treated in several National Health Service settings, including primary care, community mental health, and specialist services. Veterans are not systematically identified in all settings, and data is not systematically collated and aggregated across settings.
Asked by: Lord McCabe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an estimate of the number of veterans that were treated by the NHS for addiction in (a) 2018-19, (b) 2021-22 and (c) 2022-23.
Answered by Maria Caulfield
No such estimates have been made, as the information is not held in the format requested. Veterans may be treated in several National Health Service settings, including primary care, community mental health, and specialist services. Veterans are not systematically identified in all settings, and data is not systematically collated and aggregated across settings.
Asked by: Lord McCabe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an estimate of the number of veterans that were treated by the NHS for depression in (a) 2018-19, (b) 2021-22 and (c) 2022-23.
Answered by Maria Caulfield
No such estimates have been made, as the information is not held in the format requested. Veterans may be treated in several National Health Service settings, including primary care, community mental health, and specialist services. Veterans are not systematically identified in all settings, and data is not systematically collated and aggregated across settings.
Asked by: Lord McCabe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many veterans were treated by the NHS for bipolar disorder in (a) 2018-19, (b) 2021-22 and (c) 2022-23.
Answered by Maria Caulfield
No such estimates have been made, as the information is not held in the format requested. Veterans may be treated in several National Health Service settings, including primary care, community mental health, and specialist services. Veterans are not systematically identified in all settings, and data is not systematically collated and aggregated across settings.
Asked by: Lord McCabe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an assessment of the potential merits of increasing the level of mental health support provided to veterans who have addictions.
Answered by Maria Caulfield
Since 2015, the Better Care Fund has been crucial in supporting people of all walks of life to live healthy, independent, and dignified lives, through joining up health, social care, and housing services seamlessly around the person. There is no data available on how much of that funding may have been used for veterans. However, since August 2021, there have been four social prescribing pilots in the areas of Cornwall, Durham, Dorset, and Kensington and Chelsea. Between July 2023 and March 2024, the projects supported a total of 226 veterans.
In addition to the social prescribing pilots, NHS England has been operating seven Op COMMUNITY pilot sites which provide support to the wider Armed Forces Community, including veterans. These sites are in the integrated care board areas of Humber and North Yorkshire, Hertfordshire and West Essex, Leicester, Leicestershire and Rutland, North Central London, Devon, Kent and Medway with Sussex, Bath, North-East Somerset, Swindon and Wiltshire. Across the seven sites, they have supported 319 referrals relating to veterans.
No formal single assessment has been made to the potential merits of increasing mental health support to veterans with addictions. It is recognised that some individuals would benefit from mental health support, which is why NHS England commissioned Op COURAGE. This is a bespoke mental health pathway that provides support to veterans with mental health issues and addiction issues. The Op COURAGE service is in addition to the support that is available to veterans from locally commissioned addiction and mental health services.
Asked by: Lord McCabe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many physically injured veterans are on a waiting list for rehabilitative care.
Answered by Maria Caulfield
The information requested is not held centrally by NHS England. Veterans are not systematically identified in National Health Service systems, and therefore it is not possible to confirm how many veterans are on waiting lists for NHS services.