English Devolution and Community Empowerment Bill

Debate between Baroness Royall of Blaisdon and Lord Hunt of Kings Heath

Committee stage
Wednesday 4th February 2026 Grand Committee

[Lord Hunt of Kings Heath (Lab)]

My Lords, Amendment 165A is in my name. It seeks to

“include wheelchair and community equipment provision in the list of ‘general health determinants’ that authorities need to have regard to as a cause of health inequality”.

My intention is to highlight to noble Lords that the provision of wheelchairs and community equipment for disabled people is, to put it bluntly, a disgrace. I urge the Government to look at the outcomes at the moment for those who depend on wheelchairs and disability equipment and, basically, to ensure that local authorities and the NHS play their part in putting things right.

As the Wheelchair Alliance has said, at the moment, there are no consistent national standards, there is no independent regulation and there are few clear paths for users seeking repairs, reporting faults or making complaints. As a result, many disabled people face long waiting times, delays in hospital discharge, loss of independence, social isolation and, tragically, avoidable deterioration in health and well-being. It is the same dismal picture with community equipment, embracing hoists, hospital beds, pressure-related mattresses, grab rails, bathing aids, harnesses and all of the other essential items that we need.

The All-Party Group for Access to Disability Equipment recently reported on the systemic crisis in this sector. Carers think that things are getting worse, and the system is inconsistent, underinvested, fragmented and lacking leadership. What is tragic is that this is easily sortable. I am convinced that, if we sorted this out, we would provide a better service at less cost, because the current system is just a complete and utter mess.

The reason why the Bill is suitable is because local authorities and integrated care boards share responsibility for community equipment. Wheelchair services and community equipment often reach the same individual; they should operate in tandem, but they are two distinct systems. In welcoming this very good clause, I would like an assurance that combined authorities, in collaboration with the NHS, will take their responsibilities in relation to wheelchair and community equipment services seriously.

The noble Baroness, Lady Scott, made an important point about the difficulties that local authorities sometimes have in working with the health service and in the release of budget. Here we have a situation where both types of authority spend money inefficiently. I am suggesting that we could provide a much better service. Either the quality will be much better or we will have consistent quality, at least; I do not think that it will cost a lot of extra money as well.

[Baroness Royall of Blaisdon (Lab)]

My Lords, my Amendment 166 would provide a clear mechanism for implementation and accountability of the proposed health duty, while maintaining local flexibility. It would require strategic authorities to produce a health inequality strategy and report on progress every five years.

In many ways, this follows the debate we had on earlier amendments. It is intended to provide a minimum standard and accountability for strategic authorities to adhere to, ensuring that they are meeting their new health duty. The requirement to report every five years was deliberately designed to be the same length of time as the proposed local growth plans will cover, to ensure that they better support one another in strengthening local economies and improving health. The amendment would also ensure that new strategic authorities will mirror existing practice in London, ensuring that health and well-being are embedded across all strategic functions.