First elected: 29th June 2006
Left House: 30th May 2024 (Dissolution)
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 Robert Neill, and are more likely to reflect personal policy preferences.
MPs who are act as Ministers or Shadow Ministers are generally restricted from performing Commons initiatives other than Urgent Questions.
Robert Neill has not been granted any Urgent Questions
A Bill to make provision for the holding of a referendum in the United Kingdom and Gibraltar on the United Kingdom’s membership of the European Union.
Greater London Authority Act 1999 (Amendment) Bill 2022-23
Sponsor - Theresa Villiers (Con)
Criminal Appeal (Amendment) Bill 2022-23
Sponsor - Barry Sheerman (LAB)
Institutes of Technology (Royal Charter) Bill 2021-22
Sponsor - Robert Buckland (Con)
Unauthorised Development (Offences) Bill 2021-22
Sponsor - Gareth Bacon (Con)
Youth Courts and Sentencing Bill 2019-21
Sponsor - Rob Butler (Con)
Doctors and Nurses (Developing Countries) Bill 2019-21
Sponsor - Andrew Mitchell (Con)
Apologies Bill 2019-21
Sponsor - John Howell (Con)
Kew Gardens (Leases) (No. 2) Bill 2017-19
Sponsor - Lord Goldsmith of Richmond Park (Con)
Pedicabs (London) Bill 2017-19
Sponsor - Paul Scully (Con)
Online Forums Bill 2017-19
Sponsor - Lucy Powell (LAB)
Short and Holiday-Let Accommodation (Notification of Local Authorities) Bill 2017-19
Sponsor - Karen Buck (Lab)
Refugees (Family Reunion) (No. 2) Bill 2017-19
Sponsor - Angus Brendan MacNeil (Ind)
Family Justice Bill 2016-17
Sponsor - None ()
Lee Valley Regional Park (Amendment) Bill 2016-17
Sponsor - Jake Berry (Con)
Electoral Reform (Local Elections and Miscellaneous Provisions) Bill 2016-17
Sponsor - Ranil Jayawardena (Con)
Stalking (Sentencing) Bill 2016-17
Sponsor - Alex Chalk (Con)
The Trade and Cooperation Agreement (TCA) imposes reciprocal obligations on the Parties to the Agreement. The TCA also includes some provisions – common in international agreements of this kind – which impose specific obligations on a particular Party.
There is no general non-discrimination provision applicable to all current and future EU Member States in the TCA.
The TCA does not prohibit either the UK or EU from entering into future agreements with each other. Article COMPROV.2 of the TCA includes information on how to treat future UK-EU agreements. The UK and EU Member States are free to make bilateral agreements with each other in principle. However, whether the EU Member States can enter into an agreement with the UK depends on the subject matter and the competence position under EU law.
The Trade and Cooperation Agreement (TCA) imposes reciprocal obligations on the Parties to the Agreement. The TCA also includes some provisions – common in international agreements of this kind – which impose specific obligations on a particular Party.
There is no general non-discrimination provision applicable to all current and future EU Member States in the TCA.
The TCA does not prohibit either the UK or EU from entering into future agreements with each other. Article COMPROV.2 of the TCA includes information on how to treat future UK-EU agreements. The UK and EU Member States are free to make bilateral agreements with each other in principle. However, whether the EU Member States can enter into an agreement with the UK depends on the subject matter and the competence position under EU law.
In the last Parliament, the Government amended legislation to make it easier for overseas electors and Armed Forces personnel to vote by post at elections and referendums in the UK. The electoral timetable was lengthened and the restriction on issuing postal votes ahead of the postal vote application deadline removed.
We continue to keep under review the practical operation of the postal voting process and meet with electoral administrators and their suppliers to identify ways to provide a more effective service, including expediting the delivery of postal votes to overseas electors.
It has not proved possible to respond to the hon. Member in the time available before Prorogation.
It is for Ofcom to set and monitor Royal Mail's service standards with powers to investigate and take enforcement action where there are reasonable grounds for concluding Royal Mail has failed to achieve its obligations.
I am aware that Royal Mail continues to have particular service challenges in some postcode areas. I note that Royal Mail management accepts its performance needs to be much better and has started to address this, for example, by recruiting an additional 3,000 postmen and women so far with a further 500 permanent delivery positions a week going forwards.
This government recognises the importance of our world leading creative and cultural industries. That is why the UK took an ambitious approach during negotiations that would have ensured that touring musicians, performers and their support staff did not need work-permits to perform in the EU. Regrettably, our proposals were rejected by the EU, but our door remains open if the EU wants to reconsider its position.
A bespoke visa waiver agreement with the EU would require the Trade and Cooperation Agreement (TCA) to be renegotiated. The TCA is the basis of our trading relations with the EU, and this is not going to be renegotiated.
The Commission would be likely to argue that any EU-wide visa waiver agreement can only be part of a wider package with a binding non-discrimination clause and a reciprocal visa waiver agreement covering all current and future Member States. This was what the Commission proposed in the negotiations and would be incompatible with our manifesto commitment to retain control of our borders.
It should also be noted that while the EU has visa-waiver deals with some other third countries, this does not bind Member States and many continue to apply visas on paid activity, while some Member States offer the same waiver regime to those with whom they don’t have deals.
However, we will imminently be engaging with Member States to improve their guidance around their entry and work requirements. DCMS is working closely with the FCDO and other government departments on an engagement strategy with EU Member States, and DCMS Ministers will speak to our Heads of Missions in EU countries shortly. Should Member States be willing to change their rules to match the UK’s significantly more generous arrangements for touring professionals, then we will have those discussions and encourage them to do so.
This government recognises the importance of our world leading creative and cultural industries. That is why the UK took an ambitious approach during negotiations that would have ensured that touring musicians, performers and their support staff did not need work-permits to perform in the EU. Regrettably, our proposals were rejected by the EU, but our door remains open if the EU wants to reconsider its position.
A bespoke visa waiver agreement with the EU would require the Trade and Cooperation Agreement (TCA) to be renegotiated. The TCA is the basis of our trading relations with the EU, and this is not going to be renegotiated.
The Commission would be likely to argue that any EU-wide visa waiver agreement can only be part of a wider package with a binding non-discrimination clause and a reciprocal visa waiver agreement covering all current and future Member States. This was what the Commission proposed in the negotiations and would be incompatible with our manifesto commitment to retain control of our borders.
It should also be noted that while the EU has visa-waiver deals with some other third countries, this does not bind Member States and many continue to apply visas on paid activity, while some Member States offer the same waiver regime to those with whom they don’t have deals.
However, we will imminently be engaging with Member States to improve their guidance around their entry and work requirements. DCMS is working closely with the FCDO and other government departments on an engagement strategy with EU Member States, and DCMS Ministers will speak to our Heads of Missions in EU countries shortly. Should Member States be willing to change their rules to match the UK’s significantly more generous arrangements for touring professionals, then we will have those discussions and encourage them to do so.
The Government recognises the world-leading position of the UK performing arts sector and the rich breadth of artistic talent across the UK.
Leaving the EU has always meant that there would be changes to how creative professionals operate in the EU. UK performing artists are still able to tour and perform in the EU. However, we understand the concerns about the new arrangements and we are committed to supporting the sectors as they get to grips with the changes to systems and processes.
We are now working urgently across government and in collaboration with the performing arts and wider creative industries, including through the DCMS-led working group, on plans to support the creative sectors tour in Europe. This includes producing new guidance to help artists understand what's required in different countries, and looking carefully at proposals for a new Export Office that could provide further practical help.
While UK performing artists are still able to tour and perform in the EU, being outside the European Union means practical changes on both sides of the Channel that will require understanding and adaptation. We recognise this, and that is why we are working urgently across government to ensure guidance is clear, up to date and accessible for the performing arts sector travelling to the EU.
To date, we have published guidance on GOV.UK, signposting to official information provided by EU countries about their business travel routes. We will continue to enhance guidance for businesses to support travel for work purposes under our new trading relationship with the European Union, and we will publish business traveller summaries for each Member State in April. We are also developing sector specific “landing pages” for GOV.UK.
We will imminently be engaging with EU Member States to improve their guidance, specifically around their entry and work permit requirements, to ensure this is as clear and accessible as possible. Where there are issues around the clarity of Member States’ immigration rules, we will also raise these with the European Commission.
And through the DCMS-led Working Group, we are working closely with sector bodies - several of whom have already produced excellent guidance in this area - to help distil and clarify the new rules further.
We work closely with all devolved authorities on their Broadband needs. The appointment of a chief digital officer for London is a matter for the new Mayor of London.
Getting children and young people back into education, with settings devoting time to supporting wellbeing, will play a fundamental part in supporting children and young people’s mental health. The return to school will allow social interaction with peers, carers and teachers, which benefits wellbeing. The department has now published detailed plans?for all children and young people to return to full-time education from September. The guidance for schools is available here:
https://www.gov.uk/government/publications/actions-for-schools-during-the-coronavirus-outbreak/guidance-for-full-opening-schools.
We have been working hard to ensure that all pupils and learners will return to a full high-quality education programme in September. Our £1 billion Covid catch-up package, with £650 million shared across schools over the 2020-21 academic year, will support education settings to put the right catch-up and pastoral support in place. More information is available here:
https://www.gov.uk/government/news/billion-pound-covid-catch-up-plan-to-tackle-impact-of-lost-teaching-time.
As pupils return to school, staff need to be equipped to understand that some children and young people may be experiencing feelings in such as anxiety, stress or low mood as a result of the COVID-19 outbreak, and that these are normal responses to an abnormal situation. Our Mental Health and Behaviour in Schools Advice includes information about what to look for in terms of underlying mental health issues, linked to the graduated response and the support that might be suitable. More information is available here:
https://www.gov.uk/government/publications/mental-health-and-behaviour-in-schools--2.
From September, the Government is investing £8 million to launch the new Wellbeing for Education Return training programme, which will provide schools and colleges all over England with the knowledge and practical skills they need to support teachers, students and parents, to help improve how they respond to the emotional impact of the coronavirus pandemic. This is additional to?longer term work to improve support, including?the?new?mental health support teams that we are rolling out?across the country,?linked to schools and colleges. More information is available here: https://www.gov.uk/government/news/8m-programme-to-boost-pupil-and-teacher-wellbeing.
The department in collaboration with Public Health England and NHS England, delivered two webinars in July to provide further mental health support. The first webinar was for schools and colleges?to support?teachers in?promoting?and supporting?the?mental wellbeing?of children and young people?during the COVID-19 outbreak.?The second event was for?stakeholders?across the local system?to?support?strengthening of local partnerships?to?further?support?children and young people’s mental health as they return to school. We had around 10,000 sign up to the first webinar and around 1,300 to the second, and they are now available online for wider use.
We continue to working in partnership across education, health, the voluntary sector and local authorities to ensure that children and young people, parents and carers, and the professionals supporting them:
Access to mental health support is more important than ever during the COVID-19 outbreak. NHS mental services remain open. All NHS mental health trusts are providing 24/7 open access telephone lines to support people of all ages. The Government has also provided over £9 million to mental health charities to ensure they can continue to support people experiencing mental health challenges throughout the outbreak.
The Government has taken 32 specific measures to deal with the shortage of HGV drivers. These include the Large Goods Vehicle Driver apprenticeship standard with a funding band of £7,000 and the Urban Driver apprenticeship with a funding band of £5,000. The Government has also extended its £3,000 incentive payment for every apprentice a business hires to 31 January 2022.
The Department for Education is investing £34 million in skills bootcamps to train just over 11,000 more people to become HGV drivers. An additional 1,000 people are expected to be trained through the Government’s adult education budget.
The Department for Work and Pensions and Jobcentre Plus are supporting an HGV driver training pilot scheme. Jobcentre Plus is also able to make Flexible Support Fund grants available to those who are unemployed or are in receipt of Universal Credit. It can be used to help those that hold an HGV licence but need to renew their Driver Certificate of Professional Competence (CPC).
Throughout the pandemic the DVLA’s contact centre has actively managed its operation and flexed the services for customers in line with the available resources. This has included procuring the use of an additional building to increase the number of staff able to take calls within the social distancing guidelines. Remote working has been increased with staff handling email, webchat, social media and more recently telephone customer contacts.
The quickest and easiest way to make an application to the Driver and Vehicle Licensing Agency (DVLA) is by using its extensive suite of online services. There are no delays in successful online applications and customers should receive their documents within a few days.
However, many people still choose or have to make a paper application. The DVLA receives around 60,000 items of mail every day and industrial action by members of the Public and Commercial Services union has led to delays for customers. Throughout the pandemic DVLA has also been working with a significantly reduced number of staff on site to ensure social distancing in line with Welsh Government requirements. The current increased demand for the DVLA’s services has also contributed to delays with paper applications.
Paper driving licence applications are currently taking between six and ten weeks to process. There may be additional delays in processing more complex transactions, for example if medical investigations are needed. The latest information on turnaround times for paper driving licence applications can be found here.
The DVLA continues to explore opportunities to reduce turnaround times and has introduced new online services and recruited additional staff. The DVLA is exploring the possibility of securing extra office space to accommodate more staff to work predominantly on drivers’ medical casework and queries. This will be surge capacity accommodation and resource to help reduce backlogs while providing future resilience and business continuity.
To help stop the spread of coronavirus, routine driving tests have been suspended in all areas of England, Scotland and Wales.
In England and Wales, the Driver and Vehicle Standards Agency (DVSA) will respond to requests for driving tests from organisations on behalf of frontline mobile emergency workers, who require a driving licence to carry out duties in their employment role. This service is restricted to candidates working in health and social care, and public bodies providing a service in the national interest. The DVSA will contact eligible organisations.
Approved driving instructors and trainers can return to work only for the purpose of supporting a mobile emergency worker with a booked test.
The Driver and Vehicle Licensing Agency (DVLA) has a range of services available online offering quick and easy ways of transacting. The DVLA’s online services have worked well and as normal throughout the pandemic. Over 36 million online driver and vehicle transactions have been processed since March with nearly two million driving licences issued.
The DVLA’s 6,000 staff are largely based at a single site in Swansea and to adhere to Welsh social distancing requirements the number of staff onsite has been greatly reduced. This has impacted on the time taken to process applications sent by post as these have to be dealt with in person.
The DVLA has reconfigured its accommodation to maximise staff numbers whilst meeting the requirement in Wales to maintain the two-metre social distancing and ensure it remains Covid secure.
Additionally, drivers with a licence that expires between 1 February and 31 December 2020 have been given an automatic extension from the date of expiry. This means they will not need to renew their entitlement to drive until 11 months after the original expiry date.
The DVLA has also accelerated the development of additional online services to further reduce paper applications and supported their take up through a publicity campaign.
The two-year validity period of the theory driving test certificate is set in legislation. The Government has no plans to lay further legislation to extend it.
At present there are no plans to extend the ultra-low emission bus scheme to coach operators. However, the Clean Air Fund is available for those local authorities with a significant NO2 exceedance. Measures which the fund could support include retrofitting solutions for coaches to help operators reduce their emissions.
Coaches can reduce congestion and associated emissions. Local Authorities with a significant NO2 exceedance have conducted feasibility studies assessing the impact of road transport on local emissions, including from coaches. The £220m Clean Air Fund is available for these local authorities to help improve air quality, including measures such as coach retrofitting to reduce emissions. Furthermore, the Government has funded the Low Carbon Vehicle Partnership’s Clean Vehicle Retrofit Accreditation Scheme, which has been extended to support retrofit solutions for coaches.
According to the Department’s annual survey of local bus operators the following local authority areas saw an increase in passenger journeys on local bus service per head between 2011/12 and 2016/17:
The Department does not hold data on passenger journeys per head in individual London authorities. However, overall passenger journeys per head on local bus services in London fell from 283 in 2011/12 to 255 in 2016/17.
Mid-year population estimates from the Office for National Statistics are used to calculate the per head figures but this does not account for bus passengers using the bus outside the local authority in which they reside.
According to the Department’s annual survey of local bus operators there were approximately 10,200 buses used on local bus services in London as at 31 March 2017, of which 3 per cent had free Wi-Fi. No buses on routes run under contract to TfL have free Wi-Fi. However, some buses on non-TfL bus routes in London do have free Wi-Fi.
In England outside London there were approximately 24,700 buses used on local bus services as at 31 March 2017, of which 34 per cent had free Wi-Fi.
No specific assessment has been made regarding Bus Service Operators Grant (BSOG) and the stability of bus services. But departmental assessments of the £250m of BSOG (in England outside London) suggest that it helps to keep fares lower by 3%, service levels 6.7% higher, and patronage 4.4% higher.
Whilst Heathrow is operating at capacity today, the Airports Commission recognised that there is still spare capacity in the South East. The Government will be progressing work on a new Aviation Strategy which will consider how we can make best use of existing capacity.
NHS England has committed to invest up to £12.7 million annually on the provision of sight tests and associated optical vouchers in special educational settings. This represents an approximate 87% increase compared to the current budget. This additional investment has the potential to increase coverage from 4% of special educational settings to 100%. NHS England has already engaged with the Optical Fees Negotiating Committee, which includes the Association of Optometrists.
NHS England has committed to invest up to £12.7 million annually on the provision of sight tests and associated optical vouchers in special educational settings. This represents an approximate 87% increase compared to the current budget. This additional investment has the potential to increase coverage from 4% of special educational settings to 100%. NHS England has already engaged with the Optical Fees Negotiating Committee, which includes the Association of Optometrists.
NHS England has committed to invest up to £12.7 million annually on the provision of sight tests and associated optical vouchers in special educational settings. This represents an approximate 87% increase compared to the current budget. This additional investment has the potential to increase coverage from 4% of special educational settings to 100%. NHS England has already engaged with the Optical Fees Negotiating Committee, which includes the Association of Optometrists.
The Government has and will continue to prioritise investment into the National Health Service. We worked closely with NHS leadership to agree £3.3 billion per year of new funding for the NHS in England at the autumn statement. This is on top of the historic funding settlement that the NHS received at the last spending review.
The work of the Long Term Workforce Plan will be used to inform future Government work on how to best meet the needs of patients and the NHS workforce. Funding plans will be subject to business and financial planning and investment decisions once the work has been completed. Funding plans beyond the current Spending Review period will be subject to the outcome of future Spending Reviews.
The NHS Long Term Workforce Plan has been developed jointly by NHS England and Health Education England (HEE), reflecting their close working relationship irrespective of the merger. The merger builds on cooperation and joint working between HEE and NHS England and will help ensure that the merged organisation performs its functions as effectively as possible, including on the implementation of the Long-Term Workforce Plan.
The Department will continue to monitor and track the performance of the new NHS England through the NHS England mandate.
The Government has committed to publishing the long term workforce plan this year. Further information on governance arrangements will be set out in due course.
A copy of the Terms of Reference for the joint NHS England and Health Education England Diagnostic Workforce Board is attached. There is an imaging workforce sub-group of this board.
Individual members of the Diagnostic Workforce Board have had an opportunity to feed into the development of the Long Term Workforce Plan for the National Health Service at appropriate stages and in the capacity of their roles. In line with the Terms of Reference, the board will have a role in supporting implementation of the workforce plan.
Our ministers are planning to have a discussion with the Community Rehabilitation Alliance to discuss the rehabilitation workforce soon.
NHS England have invested in the Stroke Quality Improvement in Rehabilitation (Squire) programme. Regional Squire managers in collaboration with integrated stroke delivery networks and newly formed integrated care boards are working to improve access to community-based stroke rehabilitation
The Government is making available up to £1.6 billion of additional funding to reduce delayed discharges in 2023/24 and 2024/25. This is on top of the £500 million Adult Social Care Discharge Fund already announced for 2022/23. NHS England recommends that stroke survivors access specialist community-based stroke rehabilitation services, which facilitate transfer of care from hospital to home and provide specialist rehabilitation in their home or place of residence.
My Rt Hon. Friend, the Secretary of State for Health and Social Care received the letter of 9 December 2022 and will respond in due course.
As of November 2022, there are 40 optometrists and 33 dispensing opticians contributing to the delivery of the NHS Special Schools Eye Care Service, under Primary Ophthalmic Services contracts. However, the number providing the service in schools will vary from month to month.
The Department regularly discusses eyecare services with NHS England, which has commissioned an independent evaluation of the special schools' proof-of-concept pilot programme to inform future National Health Service commissioning decisions. The Department will discuss future plans for the service with NHS England once the evaluation has concluded early in 2023.
As of November 2022, there are 40 optometrists and 33 dispensing opticians contributing to the delivery of the NHS Special Schools Eye Care Service, under Primary Ophthalmic Services contracts. However, the number providing the service in schools will vary from month to month.
The Department regularly discusses eyecare services with NHS England, which has commissioned an independent evaluation of the special schools' proof-of-concept pilot programme to inform future National Health Service commissioning decisions. The Department will discuss future plans for the service with NHS England once the evaluation has concluded early in 2023.
No specific assessment has been made. Individual employers are responsible for ensuring the appropriate staff are available and trained to undertake their duties. There has been an increase of 63% in entry points in clinical radiology specialty training places from 2016 to 2021. In addition, through the Spending Review there has been an increase in funding for ST6 year for interventional radiologists for 20 places in 2021/22 and 2022/23.
As of July 2022, there were 5,040 full-time equivalent (FTE) doctors working in the National Health Service in England in the sub-specialism of clinical radiology. This is an increase of 5.7% since July 2021 and 55.4% since July 2010 and includes doctors in training grades, specialists and doctors on other contracts. The consultant clinical radiologist workforce has increased by 4.3% since July 2021 and 53.7% since July 2010. Health Education England is implementing the priorities identified in the cancer workforce plan phase 1 and is investing an additional £50 million in 2022/23 to expand the cancer and diagnostics workforce, including postgraduate medical training of cancer-related medical professions, such as interventional radiologists.
No specific assessment has been made. Individual employers are responsible for ensuring the appropriate staff are available and trained to undertake their duties. There has been an increase of 63% in entry points in clinical radiology specialty training places from 2016 to 2021. In addition, through the Spending Review there has been an increase in funding for ST6 year for interventional radiologists for 20 places in 2021/22 and 2022/23.
As of July 2022, there were 5,040 full-time equivalent (FTE) doctors working in the National Health Service in England in the sub-specialism of clinical radiology. This is an increase of 5.7% since July 2021 and 55.4% since July 2010 and includes doctors in training grades, specialists and doctors on other contracts. The consultant clinical radiologist workforce has increased by 4.3% since July 2021 and 53.7% since July 2010. Health Education England is implementing the priorities identified in the cancer workforce plan phase 1 and is investing an additional £50 million in 2022/23 to expand the cancer and diagnostics workforce, including postgraduate medical training of cancer-related medical professions, such as interventional radiologists.
Individual National Health Service employers are responsible for ensuring the appropriate staff are trained and competent to undertake mechanical thrombectomy. A credential for mechanical thrombectomy has now been agreed with the General Medical Council to allow interventional radiologists, cardiologists, neurosurgeons and stroke physicians to be trained to deliver medical treatment for stroke.
From 2016 to 2021 there has been a 63% increase in entry points in clinical radiology specialty training places. As of July 2022, there were 5,040 full-time equivalent (FTE) doctors working in the NHS in England in the sub-specialism of clinical radiology, an increase of 5.7% since July 2021 and 55.4% since July 2010. This includes doctors in training grades, specialists and doctors on other contracts. The consultant clinical radiologist workforce has also increased by 4.3% since July 2021 and 53.7% since July 2010.
Individual National Health Service employers are responsible for ensuring the appropriate staff are trained and competent to undertake mechanical thrombectomy. A credential for mechanical thrombectomy has now been agreed with the General Medical Council to allow interventional radiologists, cardiologists, neurosurgeons and stroke physicians to be trained to deliver medical treatment for stroke.
From 2016 to 2021 there has been a 63% increase in entry points in clinical radiology specialty training places. As of July 2022, there were 5,040 full-time equivalent (FTE) doctors working in the NHS in England in the sub-specialism of clinical radiology, an increase of 5.7% since July 2021 and 55.4% since July 2010. This includes doctors in training grades, specialists and doctors on other contracts. The consultant clinical radiologist workforce has also increased by 4.3% since July 2021 and 53.7% since July 2010.
A credential for mechanical thrombectomy has now been agreed with the General Medical Council to allow interventional radiologists, cardiologists, neurosurgeons and stroke physicians to be trained to deliver medical treatment for stroke. From 2016 to 2021 there has been a 63% increase in entry points in clinical radiology specialty training places.
A credential for mechanical thrombectomy has now been agreed with the General Medical Council to allow interventional radiologists, cardiologists, neurosurgeons and stroke physicians to be trained to deliver medical treatment for stroke. From 2016 to 2021 there has been a 63% increase in entry points in clinical radiology specialty training places.
Thrombectomy is available in 24 centres in England and two non-neuroscience centres are currently under development. The latest available data shows that 3.1% of patients are receiving a thrombectomy following a stroke. The Sentinel Stroke National Audit Programme reported that between April 2021 and March 2022, 75% of patients spent at least 90% of their hospital stay on a specialist stroke unit.
Category 2 calls are ‘emergency’ calls, including serious time-sensitive incidents such as strokes and heart attacks.
There is evidence that mechanical thrombectomy performed within six hours of the onset of symptoms can reduce brain damage and prevent or limit long-term disability. NHS England has allocated an additional £150 million for ambulance services in 2022/23, supporting improvements to response times through additional call handler recruitment, retention and other funding requirements.
NHS England is implementing video triage in ambulances for stroke patients. This provides a video consultation from home or in an ambulance with a hospital-based stroke clinician to advise paramedics on the appropriate action for the patient, such as thrombectomy or the relevant hospital for treatment.
In England, 34 National Health Service acute trusts currently provide 24 hours a day, seven days a week access to interventional radiology (IR) services. Where necessary, patients are diverted to trusts which deliver these services. National IR services are supported by an imaging network, which will develop alongside services as provision increases.
The information requested is not held centrally.
The information requested is not held centrally.
The Department's NHS Quality, Safety and Investigations Directorate is responsible for the oversight of policy related to strokes.