NHS Federated Data Platform

Debate between Zubir Ahmed and Rachael Maskell

Thursday 16th April 2026 Westminster Hall

[Dr Ahmed]

If the hon. Gentleman will allow me, I think I will answer his point shortly; in the interests of time, we have to be careful about interventions.

We live in a fast-paced technological world, and that means that we always look to the next possible provider to provide value for money, so it is right that there are break clauses in the contract to allow evaluations to take place. I can reassure all hon. Members that, as a clinician and a Minister, my north star is always patient safety and quality, and of course value for money. If, at the point of the break clause, we evaluate and find that there are other providers that can do the job better, then of course that needs to be looked at and reflected upon. More generally, as the Minister for Health Innovation, Patient Safety and Life Sciences, I would not be doing my job properly if I did not try to champion British business at every opportunity or to champion British small and medium-sized enterprises to become British plcs. I hope hon. Members will take that as read.

The contract has extension provisions and will be reviewed in line with standard contract management processes. We will decide later this year whether to extend it. NHS England will be transparent about the process and the evidence used, as we have been throughout our regular performance reviews for this contract and the FDP.

On digital sovereignty, our priority is to give patients the care they need. As Members will no doubt understand, for some essential IT services, it is simply not possible to develop in-house solutions, as we seek the best from the market. I reflect on my own practice in Glasgow, in the Queen Elizabeth university hospital, which the hon. Member for Aberdeenshire North and Moray East seems to think has found a panacea of publicly delivered technology. I can tell him that when I walk into that hospital, I login through Microsoft Windows. Then I open a programme built by a North American tech company to order test results. Then I open another programme built by a North American tech company to look at the results of those tests. Finally, if I want to check X-rays, I open a fourth programme built by a North American technology company to evaluate CT scans, MRI scans and X-rays.

[Rachael Maskell]

Will my hon. Friend give way?

[Dr Ahmed]

In the interests of time, I will continue. I apologise to my hon. Friend.

In the future, our goal is to see a vibrant UK market in digital and technology, which would give the NHS more choices and help to improve standards. Of course, I would be unashamedly pro-British about my ambitions for that mix, because that is the way that we not only serve our NHS but also support economic growth. At the moment, what matters is who controls the data and how that is governed. I appreciate the sensitivities around that, I really do. Rightly for the FDP, this is a matter for the NHS and UK regulators.

I have also been asked about vendor lock-in and whether it is possible to remove companies like Palantir from the NHS. The answer is unequivocally yes, it is possible. Of course, it would take time and planning to safely transition from one supplier to another, as it always does in the NHS, when patient safety is the primary concern. At the moment, there are unfortunately only a small number of companies that can do what we genuinely need them to do at the scale that we need them to do it, but the contract has multiple measures built in to allow greater freedom of choice. That includes making sure that the NHS owns the intellectual property for all products and that it is possible to migrate them to other providers.

Data security is also at the heart of our health innovation programme. Protecting personal data is at the heart of the FDP and the health innovation strategy. Most importantly, we have separated church and state, in terms of service provision and data security. A separate company, IQVIA, provides the highest standard of privacy-enhancing technology for that data in the FDP, which means that we can remove personal identifiers from the data where they are not required, ensuring that privacy is maintained throughout. NHS England and NHS organisations retain full control as data controllers, including over decisions about how data is used, who can access it and which products are deployed. Palantir does not own the data, the products or the intellectual property, nor can it use the NHS data for its own purposes.

The FDP is a secure data environment. Security is built into its design and operation, and it has been through national, technical and cyber-assurance, with external oversight. It should also be understood that the FDP is only for health and care purposes; it cannot be legally used for non-health purposes such as immigration enforcement, as has been promulgated.

As Members will expect, my position on the owners and executives of Palantir is very much the same as that of my right hon. Friend the Secretary of State—we are no fan of their politics. However, the FDP, and the principles that underpin it, are critical to the future of the NHS. Palantir operates strictly within a UK-regulated contract where the NHS controls all data, access is tightly governed and information can be used only for agreed purposes that benefit patients. I would expect any member of staff who did not in all conscience feel that they could work with Palantir to raise that with their employer.

[Rachael Maskell]

I raised the issue of patient trust. We know that over 50% of the public do not have confidence in this system, so they might not share vital health information with their clinicians. As a result, will the Minister include that point in the consultation? He has only 10 months until this first period ends, so can he say more about the public perspective on the Government consultation?

[Dr Ahmed]

My hon. Friend will know that no NHS system or pathway can ever work without the confidence of the public, and that needs to be reflected in any evaluations that take place. I have heard my hon. Friend’s concerns loud and clear, as well as those of Members across the House. It is right that we look to maintain the highest standards for our NHS. It is also true that the FDP has a role to play in delivering for the NHS and helping people get the care they need more quickly and efficiently. Those are real outcomes that will improve people’s lives, all through the better use of data.

Members on both sides of the House often rightly challenge me to go further, faster on rare diseases, rare tumours and rare cancers. None of that is possible in modern medicine without data, and the analysis of data. Just as I have a responsibility to ensure that we get value for money out of all contracts in the national health service, and that we evaluate them regularly, Members also have a responsibility to be careful not to aggregate different components of the NHS and present them as a monolithic technological solution.

The FDP is, and will continue to be, an important component of delivering patient care in the NHS in England. Of course, who contracts with the FDP will be open to question as we go forward and think about future contractual arrangements. It would be disingenuous to suggest that the FDP is somehow the only technological solution or database in the NHS; there are many others that do good work—whether that is the single patient record, the health data research service, the NHS app or clinical systems for NHS primary care providers. We must be careful not to conflate one technology with the next, and in doing so, alarm citizens and patients about what is happening with their data.

I can assure Members across the House that in my ministerial service—just as in my 20 years of clinical service—my north star is transparency, patient safety, quality and providing the best care to all patients up and down the country.

National Suicide Prevention Standard

Debate between Zubir Ahmed and Rachael Maskell

Tuesday 14th April 2026 Westminster Hall

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

It is a pleasure to serve under your chairmanship, Mr Stringer. I thank my hon. Friend the Member for Blaydon and Consett (Liz Twist) for securing this debate on a topic that is especially close to her heart and for her work more generally to promote action on suicide prevention. I am also grateful to hon. Members across the Chamber for their interventions.

Every suicide is nothing short of a tragedy. It has lasting and devastating impacts on families, friends and communities. Ensuring that the right care and support are available to someone who may be struggling when and where they need it can make all the difference in saving a life. That is why reducing the numbers of lives lost to suicide is a key priority for this Government, and we are committed to taking forward the suicide prevention strategy for England. The strategy focuses on harnessing efforts across civil society to help identify and support people at risk.

Standards such as the one produced by the British Standards Institution play an important role in raising the profile of suicide prevention in England and in supporting employers to play their part. I take this opportunity to congratulate the BSI on 125 years of tireless work, ensuring quality not only in British society, but across the world. The British Standards Institution is the UK’s national standards body—an independent organisation that develops standards that shape and encourage best practice across myriad professional sectors. The Government’s relationship with the BSI is through a memorandum of understanding, primarily to support the UK standards system, rather than to direct or enforce implementation of standards by businesses.

Decisions on adoption and implementation remain with individual organisations, although the Government may play a role in encouraging awareness of those standards to support best practice. In November last year, as we heard, the BSI launched a new voluntary standard entitled “Suicide and the Workplace”. That standard was particularly notable, given that it was not just the UK’s but the world’s first national standard supporting suicide prevention efforts in the workplace—a truly commendable achievement. My ministerial counterpart, the Minister with responsibility for mental health and women’s health, Baroness Gillian Merron, was particularly pleased to speak at the launch of that standard.

As with other BSI standards, this voluntary British standard is published as guidance; it is designed to support organisations of any size and across all sectors in strengthening their approach to suicide prevention, intervention and bereavement support in the workplace.

On uptake, I was pleased to hear that the standard has been well received so far, with more than 11,000 downloads since its publication in November. It is overwhelming to hear that businesses across the country are putting the standard into practice, including Heathrow airport and Inclusion Education, which have publicly adopted it.

The standard is advisory and is intended to be integrated into existing organisational policies and health, safety and wellbeing arrangements, and therefore to be flexible. In terms of supporting its implementation, decisions on how to use it rest with individual organisations, but the Government recognise that some employers may choose to use it as a reference point or benchmark alongside their existing workplace mental health and wellbeing policies.

My hon. Friend the Member for Blaydon and Consett knows I am not a Department for Business and Trade Minister, but I am committed to making sure that she is linked in with the appropriate Minister in that Department, particularly around her asks on how smaller and medium-sized enterprises can access and implement the standard and overcome the regulatory and financial hurdles to doing so, and I would be delighted to try to organise that meeting for her.

[Rachael Maskell]

In 2003, the last Labour Government introduced a programme called Dignity at Work. It looked at bullying in the workplace, which we know is significant, and there are a lot of parallels we can draw on. A partnership was formed between trade unions, Government, businesses and public sector bodies to implement a programme of work to address bullying in the workplace, and it was incredibly successful. Will the Minister look at the Government being more interventionist on this standard and perhaps adopting a similar programme of work?

[Dr Ahmed]

My hon. Friend is always knowledgeable about these matters and she tempts me to egress across the confines of my departmental portfolio. I am happy to cite her recommendations in my correspondence with colleagues in the Department for Business and Trade when I try and set up a meeting for my hon. Friend the Member for Blaydon and Consett.

The role of employers generally cannot be understated. As the suicide prevention strategy clearly sets out, by improving support practices and conversations employers can and do save lives from suicide. Almost three quarters of people who take their own lives are not in contact with NHS mental health services. That points to the importance of public and private sector organisations—well beyond the confines of what we see as the traditional NHS—that are well placed to reach those vulnerable people most at risk. Workplaces provide the perfect opportunity to signpost people to the support they need. Employers should support practices and conversations that help to prevent suicides—for example, by having employment assistance programmes, line manager training and support networks in place for employees. Every employee should feel supported, and every employer should ensure that support is known of and available to their staff.

As has been highlighted, we know that some sectors are disproportionately affected by suicide. For example, suicide rates in construction are four times higher than in other business sectors. The Construction Leadership Council’s mental health project has focused, through the lens of prevention, on identifying the primary root mental health causes impacting construction workers. The project, in partnership with Mates in Mind and the University of Warwick, held a series of regional focus groups with on-the-ground workers and identified those causes as including late payments, a lack of stable work, and workers having to travel and stay far away from family and loved ones. The Department for Business and Trade consulted on those issues and received around 3,000 responses. An action plan, together with a joint code of practice setting out how employers across the sector can provide a more supportive environment to address and prevent those issues specifically, will be published this summer.

With suicide prevention, we often talk about the importance of meeting people where they are. Ensuring that people are supported by their workplaces is one valuable way of doing that, and the Government are committed to finding more opportunities to ensure that every person requiring support can access it readily. For example, my counterpart Baroness Merron, alongside co-chairs Money and Mental Health, convened senior stakeholders from financial services to discuss the role they could play in supporting people at risk—both their customers and their employees. I understand there was a great appetite in the room to take further action on this matter, and Baroness Merron is working closely with officials to progress this work at pace.

I encourage all workplaces and employers to familiarise themselves, and align their work practices, with the Government’s suicide prevention strategy and to consider how they can best support their staff. I would also encourage them to consider drawing on the BSI standards as an exemplar tool to help embed suicide prevention in working practices.

Finally, as the BSI standard highlights, the importance of community, both inside and outside the workplace, cannot be overstated. That is why so many of the Government’s ambitions surrounding suicide prevention, and indeed wider prevention, hold community at their core. With our 10-year health plan, we are shifting care and support from traditional institutions into the community, and our focus is more firmly on prevention. Through the new community-based mental health centres that are being piloted, people and families can receive care and treatment when they need it, in their community, 24 hours a day, and in a much calmer environment than one finds in traditional A&E departments.

Mental Health and Hoarding

Debate between Zubir Ahmed and Rachael Maskell

Wednesday 22nd October 2025 Commons Chamber

[Dr Ahmed]

The impact of hoarding can be severe. The clutter can compromise hygiene, strain relationships and pose safety risks, so let me be clear: these people deserve compassion and support from this Government and from every corner of society.

My hon. Friend asks whether the Government will introduce a national hoarding strategy. There are no plans for a specific strategy, but we absolutely recognise that people who hoard must have access to the right support. At the moment, that requires more co-ordination than is currently in place. As she knows better than anyone as a district nurse and an independent lay manager, mental health services have been decimated over the last 14 years. This Government are doing the hard yards of rebuilding those services while transforming our mental health system, so people can access the right support at the right time and indeed the right place. Through our 10-year health plan, we have set long-term reforms to make mental health a core priority of the NHS and to move from crisis care to prevention and early intervention.

This transformation will include: investing up to £120 million to expand the number of mental health emergency departments to 85 across England; a modern service framework for severe mental illness to support consistent high-quality and high-value care; and, as my hon. Friend mentioned, recruiting 8,500 new mental health workers across the NHS to increase capacity and make sure help is available where and when needed.

We are already piloting six 24/7 neighbourhood mental health centres, which will bring together a range of professionals and imbibe that holistic concept—professionals such as psychologists, peer support workers, housing specialists and employment advisers. The pilots are testing out mechanisms that will enable that whole-team approach to capture people who otherwise remain hidden, including collaborative planning of care and treatment, communication and engagement, single patient records and shared outcome measures. This joined-up approach presents an opportunity for people, including those with hoarding disorder, to be identified and to get holistic support and treatment, and then to better join up between social services and mental health support.

We know, too, that there are people in contact with social care right now who have a suspected hoarding disorder. Digital social care records, which have been implemented by 80% of Care Quality Commission providers, are already improving that quality and safety, and that personalisation of care. We are also investing in the development of a national infrastructure for social care, which will lay the foundations for ensuring greater interoperability and integration between care and health services, so that, again, fewer people slip through the net, as is often the case with hoarding disorders.

People who hoard may be isolated, may not recognise their behaviour as a problem and may be reluctant to engage with services. That is why safeguarding plays such an important role. The Care Act 2014 and its statutory guidance make clear that self-neglect, which explicitly includes hoarding, is a safeguarding concern. Where a local authority has cause to suspect that an adult appears to be at risk of self-neglect and is unable to protect themselves as a result, that authority must carry out a safeguarding inquiry. The purpose of that inquiry is to establish what action is required and by whom, and to keep that person safe and ultimately get them the support they need. The guidance also advises that each case of self-neglect should be assessed on an individualised case-by-case basis. Professionals, whether social workers, carers, housing officers, emergency services or clinicians, have a responsibility to spot the signs, raise concerns, and support people and direct them towards help.

One of the most effective treatments of hoarding disorder is cognitive behavioural therapy, otherwise known as CBT. CBT is a form of talking therapy that helps individuals to understand the thoughts and feelings that influence their behaviour and supports them gradually to make practical changes to their living environment. Through NHS talking therapies, people with a hoarding disorder can access evidence-based psychological interventions such as CBT.

This Government are expanding access to talking therapies this year and have committed to continuing this expansion over the coming years. We aim to increase the number of people completing a course of talking therapy by 384,000 by the end of this Parliament and to increase the number of sessions someone can access, meaning that more people will be able to access timely and high-quality mental health support in their local area, and that these services can be accessed not only through their GP, but through self-referral.

We know, however, that accessing these services can be difficult for those who feel isolated or who feel shame about their condition. As advised by national charities, therefore, during National Hoarding Awareness Week, we encourage friends and family members of people suspected of having a hoarding disorder to gently encourage them to speak to their GP, who can help to assess their needs and refer them to the appropriate mental health and community support. No one should face this condition alone.

Of course, hoarding can also be associated with serious mental illnesses, including severe depression and obsessive compulsive disorder, which can require more specialist or intensive forms of support. That is why the Government are transforming services for people living with severe mental illnesses by investing in new models of integrated community care, expanding priceless support and increasing access to physical health checks and tailored interventions.

At its heart, this debate is about dignity and compassion. We are talking about members of our own communities who deserve the same compassion, care and support as anyone else with any other illness. The Vice-Chair of the Health and Social Care Committee, my hon. Friend the Member for Birmingham Erdington, deserves real credit for her work on this issue. We will continue to work with her, mental health professionals, voluntary organisations and people with lived experience to smash the stigma while improving access to care.

[Rachael Maskell]

I am grateful to the Minister for giving way. From listening to, meeting and engaging with those from York Community Bees, I know that their big cry is for funding. These people are specialists in the work that they do to support my residents, but they need funding. Will the Minister send a message to commissioners to ensure that they commission these support services?

[Dr Ahmed]

My hon. Friend brings a great deal of experience in these matters to this House. I can certainly give her an assurance that as part of this Government’s 10-year health agenda, we encourage all commissioners to commission strategically on the basis of what will prevent ill health in the long term. I believe this issue is an exemplar of where we could think about commissioning mental health services differently to try to pick up the signs earlier.

For too long, people with mental health conditions, including those who hoard, have not received the understanding or support that they deserve. I want to end, however, on a note of optimism. With love from families, patience from friends and the ongoing support of charities and third sector organisations, countless people with hoarding disorder have managed to live safe, healthy and fulfilling lives. We will continue to work closely with these partners, local authorities and charities to ensure that this Government are also playing our full part.

Question put and agreed to.