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 Baroness Maclean of Redditch, and are more likely to reflect personal policy preferences.
The Bill failed to complete its passage through Parliament before the end of the session. This means the Bill will make no further progress. A Bill to require doctors to inform the appropriate driver licensing agency of a diagnosis of dementia; to require drivers diagnosed with dementia to undertake a supplementary driving assessment; and for connected purposes.
Assistance Dogs and Pavement Parking Bill 2023-24
Sponsor - Bill Wiggin (Con)
Flexible Working Bill 2017-19
Sponsor - Helen Whately (Con)
Banknote Diversity Bill 2017-19
Sponsor - Helen Grant (Con)
Registration of Marriage (No. 2) Bill 2017-19
Sponsor - Caroline Spelman (Con)
Channel 4 (Relocation) Bill 2017-19
Sponsor - Jack Brereton (Con)
Each application for a Gender Recognition Certificate (GRC) is independently evaluated by the Gender Recognition Panel, underpinned by a range of required evidence. Certificates are only granted to those who meet the criteria, and not everyone who applies is granted one and circumstances are taken into account.
In order to be granted a GRC, an applicant must meet a high threshold of requirements:
There are safeguards in place to ensure that the relevant authorities can manage the risk posed by sex offenders. These include a requirement for registered sex offenders to notify the police of any changes to their personal information such as change of name. Furthermore, as previously stated, the police can require registered sex offenders to notify them of an intended change of name at least seven days in advance of using it. If a person with any criminal record were to obtain a GRC, this would not remove or invalidate past sentences served in their previous gender.
We continue to monitor these arrangements to ensure they safeguard the public.
Each application for a Gender Recognition Certificate (GRC) is independently evaluated by the Gender Recognition Panel, underpinned by a range of required evidence. Certificates are only granted to those who meet the criteria, and not everyone who applies is granted one and circumstances are taken into account.
In order to be granted a GRC, an applicant must meet a high threshold of requirements:
There are safeguards in place to ensure that the relevant authorities can manage the risk posed by sex offenders. These include a requirement for registered sex offenders to notify the police of any changes to their personal information such as change of name. Furthermore, as previously stated, the police can require registered sex offenders to notify them of an intended change of name at least seven days in advance of using it. If a person with any criminal record were to obtain a GRC, this would not remove or invalidate past sentences served in their previous gender.
We continue to monitor these arrangements to ensure they safeguard the public.
Each application for a Gender Recognition Certificate (GRC) is independently evaluated by the Gender Recognition Panel, underpinned by a range of required evidence. Certificates are only granted to those who meet the criteria, and not everyone who applies is granted one and circumstances are taken into account.
In order to be granted a GRC, an applicant must meet a high threshold of requirements:
There are safeguards in place to ensure that the relevant authorities can manage the risk posed by sex offenders. These include a requirement for registered sex offenders to notify the police of any changes to their personal information such as change of name. Furthermore, as previously stated, the police can require registered sex offenders to notify them of an intended change of name at least seven days in advance of using it. If a person with any criminal record were to obtain a GRC, this would not remove or invalidate past sentences served in their previous gender.
We continue to monitor these arrangements to ensure they safeguard the public.
The For Women Scotland Ltd vs The Scottish Ministers judgment ruled that for the purposes of the Equality Act, “woman” is a biological woman. The ruling makes clear that a Gender Recognition Certificate does not change a person’s sex for the purposes of the Equality Act.
The Equality and Human Rights Commission has submitted a draft Code of Practice to Ministers, and we are reviewing it with the care it deserves. The Code concerns how the Equality Act 2010 applies to services, associations and those exercising public functions.
There are significant safeguards built into the process for obtaining a Gender Recognition Certificate (GRC) under the Gender Recognition Act 2004; not everyone who applies is granted one. Additionally, there are safeguards in place to ensure that the relevant authorities can manage the risk posed by sex offenders. These include a requirement for registered sex offenders to notify the police of any changes to their personal information such as change of name. Alongside this, His Majesty’s Passport Office monitors high-risk offenders to ensure they cannot obtain a new passport without police consultation. Failure to comply with requirements in this area is a criminal offence.
The Crime and Policing Bill will introduce a range of legislative changes which will strengthen the management of registered sex offenders, including where they aim to change their name.
Where the police consider it necessary to protect the public or children or vulnerable adults from sexual harm, they will be able to serve a notice on offenders requiring them to seek the police’s authorisation before applying to change their name on a specified identity document (namely, a UK passport, driving licence or immigration document).
Police will also be able to require registered sex offenders to notify them of an intended change of name at least seven days in advance of using it, or if that is not reasonably practicable, as far in advance of their using it as it is reasonably practicable.
We continue to monitor these arrangements to ensure they safeguard the public.
Yes the answer was correct at the time of writing.
The Government has published 29 Impact Assessments representing a comprehensive package of analysis on the impact of the Employment Rights Act: https://www.gov.uk/guidance/employment-rights-bill-impact-assessments. Each Impact Assessment considers how impacts may vary depending on business size and includes an estimation of the potential compliance costs.
On Wednesday 7 January, the Government published the Enactment Summary Impact Assessment for the Employment Rights Act 2025. This forms part of a comprehensive package of 29 Impact Assessments analysing the impact of the Act: https://www.gov.uk/guidance/employment-rights-bill-impact-assessments. As per our Better Regulation requirements, each Impact Assessment includes a small and micro business assessment.
The Government has published 29 Impact Assessments representing a comprehensive package of analysis on the impact of the Employment Rights Act: https://www.gov.uk/guidance/employment-rights-bill-impact-assessments. As per our Better Regulation requirements, each Impact Assessment includes a small and micro business assessment.
The Government will be publishing an Enactment Impact Assessment on the impacts of the Employment Rights Act. This assessment can be found here when published: https://www.gov.uk/guidance/employment-rights-bill-impact-assessments
My department has published a robust set of Impact Assessments that provide a comprehensive analysis on the potential impact of the Employment Rights Act, available here: https://www.gov.uk/guidance/employment-rights-bill-impact-assessments
This analysis includes consideration of increases in labour costs for businesses and the subsequent effects, as well as assessments on how the proposed zero hour contract measures could affect different groups in the labour market. The impact on younger people and students will depend on the regulations following consultation, however it is important to note the measures will focus on exploitative zero hours contracts to ensure people are able to access guaranteed hours. For those who want to remain on a zero hours contract, for example many students, they will still be able to.
We have committed to reduce bureaucracy for businesses by cutting the administrative costs of regulation for businesses by 25% by the end of this Parliament. We are working with taking a whole of government approach toward achieving this by asking all government departments to work with us to meet this ambitious target.
Determining the cumulative administrative costs of regulation that businesses face, has not been done for 15 years. That’s why we are undertaking a baselining exercise to understand the administrative costs of regulation to all businesses, including SMEs. We have considered different analytical options and looked to identify the most proportionate methodology to calculate the baseline for costs.
We are working across government to identify savings to deliver this ambitious target and we will set out our more detail in due course.
We are working across government and with regulators to meet our ambitious target to reduce the administrative burden of regulation to business by 25%. As a down payment on this work, we announced reforms as part of the Industrial Strategy that will contribute. This included harnessing the potential of new technology to make compliance with money laundering regulations simpler using digital identity verification checks and removing requirements and increasing the permissible size for air source heat pumps. We will continue to work with business and stakeholders to identify further administrative savings. We will set out more detail in due course.
A greater proportion of our school children are educated in special schools than at any time in the past fifty years.
For the first time in 2023, the school capacity survey asked local authorities to provide data on the capacity of special schools and the capacity of special education needs (SEN) units and resourced provision in mainstream schools, as well as their forecast future demand for specialist provision. This is published at: https://www.gov.uk/government/statistics/school-capacity-in-england-academic-year-2023-to-2024.
Since 2015/16, the number of children in all types of special schools has increased from 115,000 to 200,000 in 2024/25. The number of specialist placements overall is expected to continue to increase based on current trends.
The department also collects numbers of pupils on roll with SEN through the school census with data from 2025/26 onwards. Data is published by type of provision and can be accessed here at: https://www.gov.uk/government/statistics/special-educational-needs-in-england-january-2025.
Every child deserves an education that meets their needs, is academically stretching, where they feel like they belong, and that sets them up for life and work
As part of the government’s Plan for Change, we are determined to fix the special educational needs and disabilities (SEND) system and restore the trust of parents. We will do this by ensuring schools have the tools to better identify and support children before issues escalate.
The department has improved data by disaggregating the SEN2 data collection from 2023. This change enabled more detailed, pupil level analysis of education health and care (EHC) plans and the processes associated with it, providing deeper insights into specific patterns and trends to support decision-making. The annual EHC plan statistics report provides information on the numbers of children and young people with an EHC plan
International evidence indicates that the number of children and young people with SEN is also increasing in comparable countries. Although definitions and systems vary considerably between countries, the key drivers include improved understanding and diagnosis of need, as well as social and medical factors.
The government remains committed to providing opportunities to study and work abroad, especially for those participants from disadvantaged backgrounds. We expect that over 100,000 people could benefit from mobility and partnership opportunities from Erasmus+ participation in 2027/28. Placement totals will depend on the length of each placement and grant rates. The Erasmus+ Work Programme sets out budget thresholds for education by sector. Thresholds for 2027 will be published in the 2027 Erasmus+ Work Programme.
The department does not collect data on the religion of the parents of children in Elective Home Education (EHE).
There are strict rules that govern who can access benefits. Parents who are not British or Irish nationals can only access Universal Credit with a valid immigration status of a kind that gives them the right to access public funds. Most migrants with temporary visas cannot access the benefit system. Access to public funds and benefits is usually at the point of settlement, which for most people will be after they have lived in the UK legally for five years, and the Home Office Earned Settlement policy consultation is looking at increasing this to ten years. The Home Office is also consulting on changing the default position to maintain No Recourse to Public Funds at settlement and lifting this only at the point of British citizenship. This would mean that migrants would need to wait longer to access benefits.
DWP also plans to consult on changes to the benefit rules to prioritise access for those who are making an economic contribution to the UK. The consultation will look at how the benefit rules apply to everyone arriving or returning to the UK.
Full details about the consultation including timelines, how long the consultation will last, and how to be involved, will be announced in due course.
The Home Office is the department responsible for assessing migration trends – including pull factors for migration. The Home Office report ‘Asylum seeker decision-making in journeys to the United Kingdom (2022)’ explores the decision-making process for asylum seekers choosing to come to the UK.
Most migrants with temporary visas cannot access the benefit system. Access to public funds and benefits is usually at the point of settlement, which for most people will be after they have lived in the UK legally for five years, and the Home Office Earned Settlement policy consultation is looking at increasing this to ten years.
The Home Office are also consulting on changing the default position to maintain No Recourse to Public Funds at settlement and lifting this only at the point of British citizenship, in addition to increasing times for path to settlement from five to ten years.
The Department does not produce forecasts of the impact of removing the two child limit on families or children by immigration status, and the estimate requested is not available. To produce such an estimate would incur disproportionate cost.
As our published information shows, in 2026/27, we estimate around 510,000 and in 2027/28, we estimate 520,000 Universal Credit Households will benefit from this policy change.
Table 5: Estimated number of households benefitting from the policy change
| 2026/27 | 2027/28 | 2028/29 | 2029/30 | 2030/31 |
Already on UC (static) (000’s) | 500 | 510 | 520 | 550 | 560 |
Newly entitled to UC (static) (000’s) | 10 | 10 | 10 | 10 | 10 |
Reduction due to exceptions (static) (000’s) | - 20 | - 20 | - 20 | - 20 | - 20 |
Increased take-up of UC (behavioural) (000’s) | 20 | 20 | 30 | 30 | 20 |
Total (000’s) | 510 | 520 | 540 | 560 | 570 |
Note: Caseloads rounded to the nearest 10k and totals may not sum up due to rounding. Great Britain only. | |||||
Universal Credit (Removal of Two Child Limit) Bill publications - Parliamentary Bills - UK Parliament - Regulatory impact assessment template (2023 reforms)
Most migrants with temporary visas cannot access the benefit system. Access to public funds and benefits is usually at the point of settlement, which for most people will be after they have lived in the UK legally for five years, and the Home Office Earned Settlement policy consultation is looking at increasing this to ten years. The Home Office is also consulting on changing the default position to maintain No Recourse to Public Funds at settlement and lifting this only at the point of British citizenship.
People who are not British or Irish can only access Universal Credit with a valid immigration status that grants them access to public funds. The majority of temporary migrants are subject to a No Recourse to Public Funds (NRPF) condition which restricts them from accessing certain public funded benefits and services.
The proportion of Universal Credit claimants with an immigration status recorded as ‘other’ or where there is no immigration status recorded on the digital system has decreased in the latest statistics (January 2026) compared with January 2025. There are no plans to change how this data is collected, although analysts are continuously looking at how we can improve the statistics.
The information requested is not readily available, and to obtain it would incur disproportionate cost.
The information requested is not readily available, and to obtain it would incur disproportionate cost.
The information requested is not readily available, and to obtain it would incur disproportionate cost.
The Secretary of State has commissioned the Right Honourable Alan Milburn to author a report that will seek to understand the drivers of the increase in the number of young people who are not in education, employment, or training. He will be supported by a panel of experts with diverse expertise and will be mobilising the existing Youth Guarantee Advisory Panel.
The research and analysis to inform the report will aim to improve our understanding of the number of young people not in education, employment or training, including identification of those with health needs.
The information requested is not readily available, and to obtain it would incur disproportionate cost.
This government is transforming the apprenticeships offer into a new growth and skills offer that will give greater flexibility to employers and support young people at the beginning of their careers.
In August 2025, we introduced new foundation apprenticeships to give young people a route into careers in critical sectors, enabling them to earn a wage while developing vital skills. They are underpinned by additional funding for employers of up to £2,000 to contribute to the extra costs of supporting someone at the beginning of their career.
We are investing an additional £725 million to deliver the next phase of the offer and meet our ambition to support 50,000 more young people into apprenticeships. We will expand foundation apprenticeships into sectors that traditionally recruit young people, launch a pilot with Mayoral Strategic Authorities to better connect young people to local apprenticeship opportunities, and fully fund SME apprenticeships for eligible 16–24-year-olds from the next academic year.
The government also facilitates the Apprenticeship Ambassador Network (AAN), comprising around 2,500 employer and apprentice volunteers who go into schools and colleges to share their compelling stories and experiences of what apprenticeships can do for young people.
Regarding other workplace opportunities, nearly 900,000 young people (aged 16–24) on Universal Credit will receive a dedicated session and four weeks of intensive support with a Work Coach to help them find local work, training, or learning opportunities. Over 360 Youth Hubs are also being established across Great Britain, providing access to employment and support services for all young people, including those not on benefits. These hubs will offer joined-up, community-based support by partnering with health, skills, and voluntary sector organizations.
Additionally, up to 150,000 additional work experience placements and 145,000 bespoke training opportunities will be created, including Sector-based Work Academy Programmes (SWAPs), which guarantee a job interview for participants at the end.
The Jobs Guarantee Scheme will also mean that every eligible 18–21-year-old who has been on Universal Credit and looking for work for 18 months will be guaranteed six months of paid employment (25 hours/week at minimum wage), with the government covering all employment costs. These initiatives are designed to support young people into employment and training with a strong focus on local opportunities and guaranteed paid work for those most in need.
We are aiming to achieve our employment ambitions by reforming the system to enable greater participation, progression and productivity in the labour market. This requires action to reverse the trend of rising economic inactivity, support people into good quality work, help people to get on in work and increase their earnings and develop the skilled workforce that key sectors need to grow.
We set out our plan in the Get Britain Working White Paper, with three pillars:
Reforming the skills system is also essential to deliver this change. The recent Machinery of Government change provides new opportunities to align our labour market and skills objectives.
The Post-16 Education and Skills White Paper, published in October 2025, outlined our plan to deliver the skilled workforce our economy needs now and in the future.
For Employment and Support Allowance (ESA) and Universal Credit (UC), the specific information requested is not readily available and to provide it would incur disproportionate cost.
Information on the volume of 18- to 24-year-old ESA claimants with main disabling condition ‘mental and behavioural’ disorders is held and is provided below. Note that Income-related ESA has not been available to new claimants since January 2021 as this benefit is being replaced by UC.
ESA 18 -24-year-old caseload with main disabling condition ‘mental and behavioural disorders’ by year:
| May-21 | May-22 | May-23 | May-24 | May-25 |
New Style ESA only | 1,300 | 1,100 | 900 | 900 | 900 |
Both New style ESA and Income-related ESA | 100 | .. | .. | .. | .. |
Income-related ESA only | 30,800 | 18,000 | 9,000 | 3,700 | 1,100 |
Data is not available on the number of young people who are not in education, employment, or training (NEET) because they are waiting for mental health, attention deficit hyperactive disorder or autism services or diagnosis.
https://obr.uk/docs/dlm_uploads/OBR_Economic_and_fiscal_outlook_November_2025.pdf
Table 3.2: Costing of the removal of the two-child limit
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| £ billion (unless otherwise stated) | ||||
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| Forecast | ||||
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| 2026-27 | 2027-28 | 2028-29 | 2029-30 | 2030-31 |
Post-behavioural costing |
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| 2.3 | 2.5 | 2.7 | 3.0 | 3.1 | ||
of which: |
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Static costing |
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| 2.1 | 2.2 | 2.4 | 2.7 | 2.8 | |
Direct behavioural response from higher take-up | 0.2 | 0.3 | 0.3 | 0.3 | 0.3 | ||||
Number of families gaining (thousand) |
| 510 | 520 | 540 | 560 | 570 | |||
Average annual change in award for gaining |
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families (£) |
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| 4,530 | 4,790 | 5,040 | 5,310 | 5,450 | |
We have announced plans to double the standard time most migrants have to wait before they can access benefits to 10 years, reducing the burden on the taxpayer and making sure settlement rights are earned.
The Government recognises that information about mental health is increasingly accessed online, including through quizzes and other digital resources. While such tools can play a role in helping people reflect on their wellbeing and can encourage them to seek support, they should not be used as a substitute for professional advice or diagnosis from appropriately trained clinicians.
We continue to signpost the public to trusted sources of information and support. For example, the National Health Service’s Every Mind Matters platform provides evidence-based advice, including a short quiz which offers tailored tips to support mental health and wellbeing.
The Government also recognises the broader risks that can arise from online environments. We have launched a national consultation on children’s online wellbeing to gather views on the next steps to build on the provisions in the Online Safety Act 2023. The three-month consultation will be evidence-led, with input from independent experts, and will explore options including strengthening age assurance, addressing harmful design features, and determining the appropriate minimum age for children to access social media. It will report in the summer.
We are also aware that more children and young people are using generative artificial intelligence (AI) chatbots for mental health advice and support. The Government is clear that AI chatbots must not replace advice and support from trained medical professionals. Publicly available AI applications that are not deployed by the NHS are not regulated as medical technologies, and users should exercise caution when using unregulated applications. The Government’s consultation will also explore the impact that chatbots may have on children’s wellbeing and whether further safeguards are required.
More broadly, we recognise that mental health is complex and that a range of factors may be contributing to rising demand for support. In December 2025, my Rt Hon. Friend, the Secretary of State for Health and Social Care, commissioned an independent review into the prevalence and support for mental health conditions, attention deficit hyperactivity disorder, and autism. The review will examine the evidence on what is driving increased demand for support and diagnosis so that we can ensure people receive the right support, at the right time, and in the right place.
As this is an independent review, it is for the chair, Professor Peter Fonagy, alongside the co-chairs, to determine the scope of their work, what conditions are covered, and the outputs and recommendations they choose to make, in line with the terms of reference set by the Government.
The review will examine the impact of clinical practice and explore the role that medicalisation of mental health conditions, attention deficit hyperactivity disorder, and autism plays, including the associated risks and benefits. The terms of reference are available at the GOV.UK website.
The Government has launched an independent review into mental health conditions, attention deficit hyperactivity disorder, and autism to understand the rises in the prevalence and demand on services. The review will examine the evidence around what is driving this rising demand, including determining which trends reflect real increases in disorder, which reflect changes in awareness or access, and which are artefacts of measurement or definition. It will also consider wider factors beyond the National Health Service, such as education, employment, housing, and digital culture, to understand how these interact with people’s needs and where intervention may make the greatest difference.
We need a new approach to mental health that goes further than simply more funding, one that reduces waiting times, improves the quality of care, and promotes prevention and early intervention. Patients should have access to alternative models of support within and beyond the NHS, supplemented by clinical care. This will mean people get support earlier, avoid reaching crisis, and experience better mental health outcomes.
While no such specific assessment has been made, the terms of reference for the independent review into the prevalence and support for mental health conditions, attention deficit hyperactivity disorder, and autism state that the review will look at evidence on the role of diagnosis for children, young people, and adults, including the value of diagnosis to individuals, and barriers to receiving a diagnosis, and its impact on receiving support. The terms of reference are available on the GOV.UK website.
This specific data is not held centrally. The 2025 Spending Review prioritised health, with record investment in the health and social care system. The Spending Review announced that annual National Health Service day-to-day spending will increase by £29 billion in real terms, a £53 billion cash increase, by 2028/29 compared to 2023/24. This will take the NHS resource budget to £226 billion by 2028/29, the equivalent to a 3% average annual real terms growth rate over the Spending Review period.
However, the Government has been clear that this investment must come with reform. We will completely reorient the NHS’s operating model, so it is focussed on the most important things, better outcomes for patients.
NHS England is responsible for determining allocations of financial resources to integrated care boards (ICBs). Funding for attention deficit hyperactivity disorder (ADHD) and autism assessments are included within NHS England’s financial allocations to ICBs. The process of setting allocations is informed by the Advisory Committee on Resource Allocation, an independent committee that provides advice to NHS England on setting the target formula which impacts how allocations are distributed over time. ICB allocations for 2026/27 to 2028/29 were published on 17 November 2025 and are available on the NHS England website.
Through the Medium-term planning framework, published 24 October, NHS England has set clear expectations for local ICBs and trusts to improve access, experience, and outcomes for autism and ADHD services over the next three years, focusing on improving quality and productivity.
On Monday 23 February, the Government published the Schools White Paper, Every child achieving and thriving, and a consultation document on Special Educational Needs and Disabilities (SEND) reforms, with both documents being available on the GOV.UK website. SEND reforms begin with significant upfront investment, joint planning, and a lead in period to build system capacity ahead of legislation. As part of these reforms, £4 billion is being invested over the next three years to make schools more inclusive, including £1.8 billion over three years for the new Experts at Hand offer which will bring health and education professionals into schools to upskill education staff and enable earlier intervention.
The Experts at Hand offer builds on the emerging evidence from programmes such as Partnerships for Inclusion of Neurodiversity in Schools, which show the benefits of embedding health and other specialist professionals in mainstream settings to support settings to be more inclusive and to de-escalate need.
The approach for assessment, diagnosis, and care planning, including patients with other presentations, are described in NHS England's published service specification for National Health Service adult gender clinics, which was adopted in April 2020 following a comprehensive public consultation, respondents to which included medical bodies, professional associations, and regulatory bodies. There is currently no specific data field that records the number of patients who are prescribed cross-sex hormones and who have comorbidities.
On 18 December 2025, NHS England published the Review into the operation and delivery of NHS Adult Gender Dysphoria Clinics, which was chaired by Dr David Levy. This review provides a strong basis for action to improve adult gender services.
Recommendation 13 of the review states that NHS England should work with adult gender dysphoria clinics (GDCs) to establish a national minimum dataset so medium and long-term patient outcomes can be understood following treatment by the adult GDCs, and to develop a national research strategy for adult gender dysphoria services.
NHS England, in full partnership with the Department, will now take forward the implementation of the review’s recommendations.
The new, regional children and young people (CYP) services provide holistic care, centred on psychosocial support. This will include thorough mental health support that takes account of the child and young person's individual circumstances, including social factors.
More widely, the Independent Cass Review published in 2024, of which the new National Health Service CYP Gender Services are based, sets out the role social factors, including the role of social media and family mental health problems have in CYP experiencing gender dysphoria.
The review into the operation and delivery of NHS Adult Gender Dysphoria Clinics (GDCs), led by Dr Levy, was published on 18 December 2025 and undertook a comprehensive examination of all nine National Health Service-commissioned adult GDCs in England. The review specifically considered issues of access to clinics, reviewing both the volume of referrals and the length of waiting times for initial assessment and treatment. Dr Levy identified that waiting times for first appointments remain lengthy, with a significant increase in the number of people awaiting assessment, as annual referrals have doubled since 2022/23. The review attributed these extended waits to several factors, including improved reporting as more clinics have joined the national system, as well as a backlog from referrals deferred during the COVID-19 pandemic.
The review also set out that surgery waiting times also contribute to the problem, as some masculinising procedures have waits of approximately eight to nine years. As a result, many patients require extra GDC appointments because the current service specification mandates follow-up reviews every six months for those waiting for surgery.
NHS England has established a National Portfolio Board, in line with Dr Levy’s recommendation, to build and develop a full implementation plan. This will address each of the review’s recommendations in turn and be aligned with the ambitions of the Government’s 10-Year Health Plan for England.
Baroness Cass’s Independent Cass Review of Gender Identity Services for children and young people published in 2024 and observed social factors, including social media and links with children and young people experiencing gender dysphoria.
The review into the operation and delivery of NHS Adult Gender Dysphoria Clinics (GDCs), led by Dr Levy, was published on 18 December 2025 and forms the basis for improving adult gender services.
My Rt Hon. Friend, the Secretary of State for Health and Social Care, laid a Written Ministerial Statement following the review’s publication. This set out that in response to the findings of this review, the Department and NHS England are taking forward a set of immediate priorities that includes:
- creating a new single, national waiting list for adult gender services to be implemented in April 2026;
- raising the referral threshold to 18 years old to align with the age of discharge from the NHS Children and Young People’s Service;
- bringing an end to self-referrals into the service and, in parallel, providing advice and guidance for those finding it difficult to secure a referral; and
- establishing challenging but achievable productivity goals for every service which can then guide and inform the commissioning of additional services, underpinned by a clear understanding of the regional demand through the national waiting list.
In addition to this, NHS England has established a National Portfolio Board, in line with Dr Levy’s recommendation, to build and develop a full implementation plan for the Adult Gender Services review.
We are making progress beyond this review, as NHS England has increased the number of adult GDCs in England from seven to 12 since 2020, and has established a national Quality Improvement Network for Adult Gender Services. In order to support the well-being of patients awaiting their first appointment with a GDC, we are rolling out a ‘waiting well’ pilot for patients on the waiting list for the GDC in the South West.
As a point of clarification, the Every Mind Matters (EMM) website remains live on the National Health Service digital domain for anyone to access free of charge. Between 2019 and 2023, the EMM website and its digital tools were promoted via intermittent paid for marketing campaigns to encourage the use of the site to enable the public to take simple self-care actions to improve their mental health.
A total of £21.93 million was spent on these campaigns. Since 2024 no funding has been available to promote the site to the public. However, as noted in the response to HL14010, a campaign launched over the new year and is running until the end of March 2026 to encourage people to do the new NHS Healthy Choices Quiz which asks questions about six health topics, including mental health and sleep. People whose answers to the Quiz indicate mental health difficulties will be signposted to appropriate help, including Every Mind Matters, NHS Talking Therapies, or other NHS mental health services.
Any future budget for the Every Mind Matters campaigns is yet to be agreed by the Cabinet Office, which determines the health issues which will be supported by paid marketing campaigns and how much should be spent on them.
The review will be chaired by Professor Peter Fonagy, and supported by Professor Sir Simon Wessely and Professor Gillian Baird as vice‑chairs. A multidisciplinary Advisory Working Group will directly shape the recommendations and scrutinise the evidence comprehensively.
The review will seek to understand the factors behind trends in prevalence, the impact of clinical practice, including social and cultural factors and the risks and benefits of medicalisation, and ways to promote the prevention of mental ill health, create resilience, and improve early intervention. The review will examine evidence on prevalence, trends, and inequalities associated with mental health conditions, attention deficit hyperactivity disorder, and autism.
The NHS Healthy Choices Quiz was designed and built at every stage with user research and engagement with policy experts to ensure it is both accurate and effective in supporting people to make healthy changes in six areas: movement; eating; sleep; mental health; smoking; and alcohol consumption. As part of our campaign evaluation, the Quiz will be assessed to explore how many of those who completed the Quiz took action to improve their health, including their mental health.
At the end of the Quiz, people are sign-posted to appropriate help including Better Health - Every Mind Matters, NHS Talking Therapies, or directed to their general practice or 111. The Better Health - Every Mind Matters digital resources offer a range of simple, National Health Service-approved, self-care tips and tools that everyone can use and incorporate into daily routines to help manage common early-stage mental health concerns.
Historic Every Mind Matters (EMM) campaigns have been evaluated according to the process specified by the Government Communications Service’s Evaluation Cycle for all Government paid-for campaigns, following end of each campaign period, the last of which was in 2023.
Data in relation to the EMM campaign was referred to in evidence to the Health and Social Care Committee on 21 February 2023. Text from page 11 of the transcript is as follows:
“The Every Mind Matters campaign includes a health and wellbeing plan – the Mind Plan - that can be personalised, downloaded and followed to enable people to take active steps to look after their wellbeing, and 4.6 million people have done that since October 2019. Every Mind Matters also offers a follow up email programme and two out of three of its users report that it has led to improvements in their health and wellbeing.”
To the current date, 5.4 million Mind Plans have been completed.