Disability Equipment Provision

Zubir Ahmed Excerpts

Wednesday 11th March 2026 Westminster Hall

[The Parliamentary Under-Secretary of State for Health and Social Care (Dr Zubir Ahmed)]

Mr Betts, it is a pleasure to serve under your chairmanship. I start by thanking the hon. Member for Aberdeenshire North and Moray East (Seamus Logan) for securing the debate, as well as all Members who contributed.

We, of course, want disabled people to access and experience healthcare services on an equitable footing and to have a healthcare service that is responsive to their needs. That includes making sure that they have the right equipment at the right time to maintain independence for as long as possible, whether that means wheelchairs, mobility aids or other assistive technologies.

We recognise the profound impact that delays in receiving disability equipment have on people’s quality of life, and I will set out the action that the Government are taking. Before I do so, however, I want to take a moment to acknowledge the points raised by the hon. Members for Tiverton and Minehead (Rachel Gilmour) and for Mid Sussex (Alison Bennett), particularly the cases they raised. I will certainly ensure that I take a personal interest in the case described by the hon. Member for Tiverton and Minehead and that the relevant DWP Minister also has an opportunity to address that particularly harrowing case.

The Liberal Democrat Front Bencher, the hon. Member for Epsom and Ewell (Helen Maguire), asked for an update on the Design for Life statistics on recycling and reusing, and I will get my officials to get back to her on that.

We are committed to ensuring that disabled people have access to the services and support that they need. The Opposition spokesperson, the hon. Member for Hinckley and Bosworth (Dr Evans), asked about our NHS reforms and whether that might be an opportunity to think about better end-to-end commissioning and strategising on the topic. I can assure him that those conversations are being had both in the context of disability and, with regard to special educational needs and disabilities, in the Department for Education. There are a number of topics that, if we are honest with ourselves, have been often neglected in the last couple of decades and have a material impact on the quality of life for disabled people, sometimes for want of very simple changes to practice and, potentially, legislation, so I am very happy to take that on board with the Bill team.

The reforms that we are taking forward in the health and social care space will hopefully help us to achieve what I have outlined. The 10-year health plan specifically identifies disabled people as a priority group for the development of neighbourhood healthcare, offering more holistic and ongoing support. We are making £4.6 billion of additional funding available for adult social care in 2028-29, compared with ’25-26, to support the sector in making some of those improvements. In July ’25, the Government announced that they would develop a new plan for disability, setting out a clear vision to break down barriers to opportunity for disabled people. That of course aligns with every Department having a Minister responsible for disability. We meet regularly to discuss challenges, particularly some of the ones highlighted during this debate, which often do not fit neatly into one Department’s purview.

As hon. Members will be aware, health and social care are largely devolved across the UK. I will talk mainly about England, but of course I am the representative of a Scottish constituency, like the hon. Member who opened the debate, and he will understand if I just mention that we are committed, through the Barnett formula, to funding the NHS in Scotland, as we are doing in England; there is a £9.1 billion real-terms uplift in the Scottish budget over the period of the spending review.

In England, integrated care boards are responsible for commissioning services to meet the health needs of their local population, and responsibility for providing community equipment to disabled people typically falls at the moment, as has been outlined, to local authorities. They have a statutory duty to make arrangements for the provision of community equipment to disabled people in their area. That equipment can be free for the recipient if the person is assessed as having eligible needs. Types of support include equipment to enable people to live more independently, such as grab rails, walking aids and wheelchairs for short-term use. Responsibility for managing the market for these services rests with local authorities.

For people with long-term, complex mobility needs, support is provided by the national health service, based on assessed need. That may involve the provision of specialist equipment adapted to the specific needs of the individual, and can include both powered and manual wheelchairs.

[Liam Conlon (Beckenham and Penge) (Lab)]

As someone who, growing up, spent a long time on children’s wards at the Royal London hospital and the Royal National orthopaedic hospital and relied on disability equipment, I know that often this service provision is very patchy. Whizz Kidz has described the system as “underfunded, inaccessible, and fractured” and I have also heard that from constituents in Beckenham and Penge. Does my hon. Friend the Minister agree that the Government should look at how we can ensure that high standards are common right across the country on this?

[Dr Ahmed]

I am very grateful to my hon. Friend. He always channels personal experience in such a productive way and he is a credit to this House in the way he conducts himself. I remember his maiden speech with great fondness in that regard. I do agree, and I will come later in my speech to how we can maintain quality more persistently across the whole system.

Access to temporary wheelchair provision to support hospital discharge is also determined locally by ICBs. We recognise that elements of the NHS—despite it being on the road to recovery—are functioning below par and that many people are waiting too long to access equipment such as wheelchairs. During the pandemic, some wheelchair services experienced lower referral rates, which led to a surge in referrals post pandemic. Because of that, providers not only reduced their services but now, of course, face a backlog of referrals. That has meant unacceptable waiting times for both adults and—sadly—children, and those have fluctuated as services work to recover.

However, action is being taken to address waiting times in England. In October 2025, we published the NHS medium-term planning framework, requiring all ICBs and community health services to actively manage and reduce waits above 18 weeks and to develop a plan to eliminate all 52-week waits. The community health services situation report will be used to monitor ICB performance against waiting-time targets in 2026-27, and it currently monitors waiting times for children, young people and adults under

“Wheelchair, orthotics, prosthetics and equipment”.

These targets will guide the system to reduce the longest waits first.

[Sir John Hayes]

Have the Government made any assessment of the return and reuse of equipment? That is not always possible, as I said earlier, but it would be an incredibly powerful message to send to many of those people who have waited so long, and, I think, a very straightforward thing to do. If that assessment has not been made, will the Minister commit today to making such an assessment? That would be a positive outcome from this debate.

[Dr Ahmed]

I am grateful to the right hon. Gentleman, and to those who raised this matter earlier in the debate. It does trouble me deeply that we have a situation in which equipment is going unused when there is that need in another part of the system. I actually feel that quite acutely. Hon. Members may know that I am a vascular surgeon; at times, unfortunately, some of my job involves having to amputate people’s limbs for end-stage vascular disease. I see for myself that transition from someone being able-bodied to needing assistance, and, where that assistance is not available, the impact that has, especially when people know there is this lack of productive exchange of equipment in the system highlighted by hon. Members today. I am therefore very happy to take the issue forward with my officials to see what can be done further to marry the demand and the supply together in the country.

Regarding wheelchair provision, NHS England has developed policy guidance and legislation to support ICBs to commission effective, efficient and personalised wheelchair services. I again nod to the remarks from the hon. Member for Aberdeenshire North and Moray East on making sure we get better, more efficient and personalised service provision.

In April 2025, NHS England published the wheelchair quality framework, developed in collaboration with the NHS England national wheelchair advisory group. The framework is designed to assist ICBs and NHS wheelchair service providers in delivering high-quality provision that offers improved access, outcomes and experience. NHS England introduced personal wheelchair budgets, including legal rights, in 2019, providing a clear framework for ICBs to commission personalised wheelchair services that are outcomes-focused and integrated. Those budgets give people greater choice over the wheelchairs that they are provided with. Additionally, the model service specification for wheelchairs sets out that wheelchair assessments should take place in the most suitable environment based on the needs of that individual.

NHS England is aware, as am I, that several complaints have been made about the quality of services commissioned by some ICBs. NHS England is working through the appropriate regional teams to gain intelligence from those ICBs on quality concerns and contracting arrangements, to fully understand the issues being raised.

[Dr Luke Evans]

Will the Minister give way?

[Dr Ahmed]

In the interest of time, I will not, but I think I know where the hon. Gentleman wants to go with this, with the NRS. I will be happy to write more fully—

[Dr Evans]

It was a different point.

[Dr Ahmed]

Well, I have not got time. I will write more fully regarding his correspondence. I am genuinely disappointed, if it is true, that he has not been responded to since September.

In addition, the 10-year plan makes a commitment to reviewing the complaints regulations. NHS England and the Department are developing those together to achieve better accountability. The Government are also taking wider action to support disabled people through the 10-year health plan. On neighbourhood health, the neighbourhood health service will support disabled people to have choice and control over their care. That includes increasing the uptake of personal health budgets, which provide individuals with that greater choice and control over how their health is assessed and their wellbeing needs are met.

One aim is to have a neighbourhood health centre in each community, bringing the NHS, local authority and voluntary sectors together to create a holistic offer that meets people’s needs in the place that they are. We expect these services to be designed in a way that reflects the specific needs of disabled people, with a focus on personalised, co-ordinated care. I particularly think that this is an opportunity, as we move care from hospital to the community, to address some of the concerns raised in the debate today.

On social care, the Government are also driving forward improvements for disabled people. We are enabling people to have more choice and control over their care—through greater use of direct payments, for example. We are also expanding care options to boost independent living at home and have recently confirmed £723 million for the disabled facilities grant in 2026-27. The total DFG budget across 2025-26 and 2026-27 is £150 million more than the total budget across the previous two years. That represents an 11% increase and will support more disabled people to get the vital home adaptations that they might need.

The Better Care Fund, which took effect in April 2025, is a framework for ICBs and local authorities to make joint plans and pool budgets to deliver better joined-up care. That can include the provision of assistive technology and equipment, such as wheelchairs. This financial year, ICBs and local authorities plan to spend £440 million on assistive technology and equipment, and we have introduced care technology standards to help them to choose the right support. In addition, as we move from hospital to community, commissioners can, if they wish, think about better co-commissioning, transcending traditional boundaries between local authorities, social care and the NHS.

I am grateful to the hon. Member for Aberdeenshire North and Moray East for securing this important debate and I want to respond to a question he asked. Whether we call it a strategy or a framework, there is a real opportunity at this time of change in the NHS—including the development of a national quality board at NHS England, which will come into the Department of Health and Social Care once NHS England is abolished —to genuinely think about how we define “quality” for disabled people and about the equipment and the spaces that they use. Again, I will be very happy to discuss that with my colleagues in charge of the quality board. I will write to the hon. Gentleman with specifics that we can perhaps tease out after this debate today.

We recognise the life-changing impact that having timely access to suitable disability equipment can have on the lives of disabled people across the United Kingdom, in every nation. The Government are dedicated to ensuring that all disabled people have access to the services and support that they need to live a fulfilling life; the presence of disability Ministers in each Department is certainly progress in that regard. Our work to reform health and social care, alongside the new plan for disability, will also help us to achieve that.