Asked by: Gill Furniss (Labour - Sheffield Brightside and Hillsborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of delayed access to specialist heart valve treatment has on (a) avoidable unscheduled hospitalisations, (b) deaths on waiting lists and (c) other patient outcomes.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
No specific assessment has been made of the potential impact of delayed access to specialist heart valve disease (HVD) treatment on avoidable unscheduled hospitalisations, deaths on waiting lists, or other patient outcomes.
Cutting waiting times, including for cardiology services, is a key priority for the Government. The cardiology waiting list decreased from 412,164 in September 2024 to 393,400 in September 2025, although this data includes estimates for missing data.
Cardiology is a priority specialty for significant transformation, as outlined in the Elective Reform Plan. The ambition is, where possible and clinically appropriate, to increase specialist care closer to home, and outside of hospitals so that hospital capacity is freed up, enabling patients' timely access to care, as well as improving outcomes.
NHS England has committed to optimising pathways of care for patients with HVD, including earlier detection and improved treatment pathways. To achieve this, the NHS England Cardiac Programme has established an expert advisory group and carried out work including, in 2024/25, providing targeted funding for pathway improvement projects. These included projects that focussed on improving referral processes and local diagnostic pathway provision, as well as fast-tracking patients on valve disease pathways.
To accelerate progress towards the Government’s ambition to reduce premature deaths from heart disease and stroke by 25% within a decade, we will publish a new cardiovascular disease modern service framework in 2026.
Asked by: Chris Bloore (Labour - Redditch)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to reduce the number of deaths in hospital.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Early identification of someone who has palliative and end of life care needs is vital. There are tools to aid clinicians in identifying those approaching the end of life, for example the Supportive and Palliative Care Indicators Tool and the EARLY toolkit. Further information on the Supportive and Palliative Care Indicators Tool and the EARLY toolkit is available, respectively, at the following two links:
https://www.spict.org.uk/the-spict/
NHS England has published universal principles for advanced care planning (ACP). These principles facilitate a consistent national approach to ACP in England. Further information on the universal principles for ACP is available at the following link:
https://www.england.nhs.uk/publication/universal-principles-for-advance-care-planning/
The Government is developing a Palliative Care and End of Life Care Modern Service Framework for England. I refer the Hon. Member to the Written Ministerial Statement HCWS1087, which I gave to the House on 24 November 2025.
Asked by: Luke Taylor (Liberal Democrat - Sutton and Cheam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to reduce the number of deaths in hospital.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
Our recently published 10-Year Health Plan sets out that community-based advice and support will help more people die in their home rather than in hospital, while community teams will work closely with care homes and paramedics to share care plans to avoid people being taken to accident and emergency unless absolutely necessary. Teams can include hospice outreach staff and palliative care professionals. Additionally, rapid response teams will help symptom management, including pain.
The Government is developing a Palliative Care and End of Life Care Modern Service Framework for England. I refer the Hon. Member to the Written Ministerial Statement HCWS1087, which I gave to the House on 24 November 2025.
NHS England has published universal principles for advance care planning (ACP). These principles facilitate a consistent national approach to ACP in England. The principles focus on the importance of providing opportunities for a person and their family or carers to engage in meaningful discussions, led by the person concerned, which consider that person’s priorities and preferences, including place of care, when they are nearing the end of life. Further information is available at the following link:
https://www.england.nhs.uk/publication/universal-principles-for-advance-care-planning/
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to reduce the number of deaths in hospital.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is prioritising patient safety and a learning culture in the National Health Service to prevent harmful events from happening to patients. The NHS Patient Safety Strategy, originally published in 2019, and updated in 2021 and 2023, includes key programmes to support the NHS to improve patient safety continuously and reduce patient harm. Further information on the NHS Patient Safety Strategy is available at the following link:
https://www.england.nhs.uk/patient-safety/the-nhs-patient-safety-strategy/
As part of this, the Patient Safety Incident Response Framework reforms the way providers respond to patient safety incidents, with further information available at the following link:
In addition, the Learn From Patient Safety Events service also enables the NHS to learn from more than three million patient safety incidents reported annually, including through the development of machine learning and artificial intelligence tools for analysis. Further information on the Learn From Patient Safety Events service is available at the following link:
Other examples of key patient safety initiatives include rollout of Martha’s Rule, with further information available at the following link:
https://www.england.nhs.uk/patient-safety/marthas-rule/
From September 2024 to July 2025, this policy has resulted in changes in treatment for roughly 1,000 patients, with more than 260 patients requiring transfers of care to high dependency or intensive care units, enhanced levels of care, or a tertiary centre. The Government also introduced the statutory medical examiner system from September 2024 which means that medical examiners independently scrutinise every death in England and Wales not referred to a coroner. This is estimated as more than half a million deaths in 12 months. Medical examiners support local learning and improvement by detecting and referring concerns through established local clinical governance processes.
Asked by: Lord Scriven (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what specific policy changes they will make to ensure that integrated care boards and healthcare providers are held accountable for systemic failures in providing equitable care for people with learning disabilities.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is committed to improving care for people with a learning disability and has recognised within our new 10-Year Health Plan the unacceptable inequalities and poor life expectancy this group of people faces.
Integrated care boards (ICBs) are held accountable for the care of people with a learning disability through existing governance processes, such as the NHS Operating Framework and annual assessment of ICB delivery. ICBs are expected to have an Executive Lead for learning disability and autism to support the board in planning to meet the needs of its local population of people with a learning disability and autistic people and to have effective oversight of, and support improvements in, the quality of care.
Findings from learning from lives and deaths reviews (LeDeR) are a crucial tool for identifying systemic failures in the care of people with a learning disability and autistic people, as well as driving local service improvements. This is why ICBs are expected to have an Executive Lead on LeDeR and NHS England’s national LeDeR policy sets out the clear expectation that ICBs prioritise LeDeR reviews in their delivery plans and ensure that actions are implemented to improve services and reduce premature mortality.
In the recently published Medium-Term Planning Framework, published 24 October 2025, the Government reaffirmed its commitment to reducing the health inequalities faced by people with a learning disability and autistic people, setting up ambitious targets for ICBs and health care providers. This includes reducing admission rates to mental health hospitals for people with a learning disability and autistic people, and optimising existing resources to reduce long waits for autism and attention deficit hyperactivity disorder assessments.
Asked by: Helen Maguire (Liberal Democrat - Epsom and Ewell)
Question to the Foreign, Commonwealth & Development Office:
To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, what assessment her Department has made of the potential long-term impacts of the conflict in Gaza on children in Gaza's (a) health and (b) education.
Answered by Hamish Falconer - Parliamentary Under-Secretary (Foreign, Commonwealth and Development Office)
Israeli restrictions on aid have created a man-made humanitarian catastrophe in Gaza. Since 1 July, around 400 people have died from malnutrition, including at least 119 children. More than 132,000 children under the age of five are estimated to be at risk of dying from hunger by June of next year. Israel must urgently lift restrictions and facilitate a surge of aid into Gaza to prevent further hunger and malnutrition related deaths. On 21 July, the UK announced £60 million in humanitarian aid, with a further £15 million announced on 1 September, to support healthcare, food and water which includes vital funding to the The United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) and to treat patients at UK-Med field hospitals in Gaza. It is estimated that over 650,000 school-age children have lost two years of in person formal education. UNRWA is continuing to provide learning services in Gaza in Temporary Learning Spaces and through its distance learning initiative. To date, more than 59,000 children, have benefited from learning and recreational activities, established across 67 UNRWA schools-turned-shelters.
Asked by: Baroness Ritchie of Downpatrick (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what discussions they have had with the Scottish Government and Northern Ireland Executive about establishing a national allergy register in the UK.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is committed to improving care for people with allergies, and ensuring that they receive high-quality care and support and access to the latest treatments.
NHS England does not collect national data on allergy prevalence or services, nor does it issue specific guidance. In conducting health needs assessments to inform their commissioning decisions, integrated care boards will have access to a wide range of data sources, including public health data, hospital statistics, primary care data, and social care metrics.
Data regarding all anaphylaxis-related deaths in England and Wales are documented by the Office for National Statistics, and the British Society for Allergy and Clinical Immunology also holds a register to capture and learn from fatal cases of anaphylaxis, which has been operational since 1992, namely the UK Fatal Anaphylaxis Registry (UKFAR).
NHS England’s National Patient Safety Team is working with the UKFAR to develop a mechanism for sharing relevant patient safety information relating to anaphylaxis incidents, including the reporting of anaphylaxis in hospitals. The aim will be for the UKFAR to extract and share patient safety incidents reported to the national databases, the National Reporting and Learning System and the Learn from Patient Safety Events service, relating to severe allergic reactions. Work has been progressing on this, and a search strategy has been agreed upon.
For these reasons, the Government has had no discussions with the Scottish Government or Northern Ireland Executive about establishing a national allergy register in the United Kingdom. However, the Department co-chairs the Expert Advisory Group on Allergy, which brings together external allergy stakeholders, the Department and representatives from the devolved governments, to discuss the development of an external national allergy strategy that will be presented to the four governments of the UK to respond in early 2026. The group aims to support the growth and delivery of comprehensive specialist allergy services across the UK.
Asked by: Baroness Ritchie of Downpatrick (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what steps they will take to establish a national allergy register for England and Wales.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is committed to improving care for people with allergies, and ensuring that they receive high-quality care and support and access to the latest treatments.
NHS England does not collect national data on allergy prevalence or services, nor does it issue specific guidance. In conducting health needs assessments to inform their commissioning decisions, integrated care boards will have access to a wide range of data sources, including public health data, hospital statistics, primary care data, and social care metrics.
Data regarding all anaphylaxis-related deaths in England and Wales are documented by the Office for National Statistics, and the British Society for Allergy and Clinical Immunology also holds a register to capture and learn from fatal cases of anaphylaxis, which has been operational since 1992, namely the UK Fatal Anaphylaxis Registry (UKFAR).
NHS England’s National Patient Safety Team is working with the UKFAR to develop a mechanism for sharing relevant patient safety information relating to anaphylaxis incidents, including the reporting of anaphylaxis in hospitals. The aim will be for the UKFAR to extract and share patient safety incidents reported to the national databases, the National Reporting and Learning System and the Learn from Patient Safety Events service, relating to severe allergic reactions. Work has been progressing on this, and a search strategy has been agreed upon.
For these reasons, the Government has had no discussions with the Scottish Government or Northern Ireland Executive about establishing a national allergy register in the United Kingdom. However, the Department co-chairs the Expert Advisory Group on Allergy, which brings together external allergy stakeholders, the Department and representatives from the devolved governments, to discuss the development of an external national allergy strategy that will be presented to the four governments of the UK to respond in early 2026. The group aims to support the growth and delivery of comprehensive specialist allergy services across the UK.
Asked by: Andrew Gwynne (Independent - Gorton and Denton)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will take steps to implement a specialist pathway for people under the age of 35 with a cardiac abnormality detected on electrocardiogram.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England has published the national service specification Inherited Cardiac Conditions (All Ages), that covers patients who often present as young adults with previously undiagnosed cardiac disease and families requiring follow up due to a death from this cause. This describes the service model and mandated guidelines and guidance that should be followed to support the diagnosis and treatment of patients or family members. It also includes the requirement for inherited cardiac conditions services to investigate suspected cases. Further information on the Inherited Cardiac Conditions (All Ages) service specification is available at the following link:
https://www.england.nhs.uk/wp-content/uploads/2017/11/cardiology-inherited-cardiac-conditions.pdf
NHS England has published a suite of national service specifications and standards for congenital heart disease, which define the standards of care expected from all organisations funded by NHS England, to support and improve the diagnosis and treatment of patients with congenital cardiac problems.
There are no plans to publish further specific information on people under the age of 35 years old with cardiac abnormalities, over and above those who would be covered by the service specifications referenced above.
Data shows that in 2022, there were 939 people under the age of 35 years old who died due to heart and circulatory conditions. Further information, including historic data and a breakdown of death by high level condition, is available on the British Heart Failure website, at the following link:
NHS England does not hold the data for the number of deaths following out of hospital cardiac arrests (OHCAs). The following table shows the number of cardiac arrest patients in England receiving an organised emergency medical services response, whether resuscitation was attempted, continued, terminated, or not attempted, the number where resuscitation was commenced or continued by an ambulance service, and the number of those with survival at 30 days, from 2020 to 2024:
| 2020 | 2021 | 2022 | 2023 | 2024 |
Cardiac arrest patients in England receiving an organised emergency medical services response, whether resuscitation was attempted, continued, terminated, or not attempted | 93,920 | 95,093 | 99,111 | 95,227 | 96,049 |
Number where resuscitation was commenced or continued by an Ambulance Service | 30,841 | 32,486 | 34,195 | 32,031 | 32,932 |
Number of those with survival at 30 days | 2,497 | 2,783 | 2,660 | 2,943 | 3,144 |
Source: NHS England’s Ambulance Quality Indicators, available at the following link:
https://www.england.nhs.uk/statistics/statistical-work-areas/ambulance-quality-indicators/
Notes:
Publicly available data on OHCAs can also be found on the University of Warwick’s out-of-hospital cardiac arrest outcomes website, at the following link:
https://warwick.ac.uk/fac/sci/med/research/ctu/trials/ohcao/
Asked by: Victoria Collins (Liberal Democrat - Harpenden and Berkhamsted)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of deaths as a result of out-of-hospital cardiac arrests in (a) 2020, (b) 2021, (c) 2022, (d) 2023 and (e) 2024.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England has published the national service specification Inherited Cardiac Conditions (All Ages), that covers patients who often present as young adults with previously undiagnosed cardiac disease and families requiring follow up due to a death from this cause. This describes the service model and mandated guidelines and guidance that should be followed to support the diagnosis and treatment of patients or family members. It also includes the requirement for inherited cardiac conditions services to investigate suspected cases. Further information on the Inherited Cardiac Conditions (All Ages) service specification is available at the following link:
https://www.england.nhs.uk/wp-content/uploads/2017/11/cardiology-inherited-cardiac-conditions.pdf
NHS England has published a suite of national service specifications and standards for congenital heart disease, which define the standards of care expected from all organisations funded by NHS England, to support and improve the diagnosis and treatment of patients with congenital cardiac problems.
There are no plans to publish further specific information on people under the age of 35 years old with cardiac abnormalities, over and above those who would be covered by the service specifications referenced above.
Data shows that in 2022, there were 939 people under the age of 35 years old who died due to heart and circulatory conditions. Further information, including historic data and a breakdown of death by high level condition, is available on the British Heart Failure website, at the following link:
NHS England does not hold the data for the number of deaths following out of hospital cardiac arrests (OHCAs). The following table shows the number of cardiac arrest patients in England receiving an organised emergency medical services response, whether resuscitation was attempted, continued, terminated, or not attempted, the number where resuscitation was commenced or continued by an ambulance service, and the number of those with survival at 30 days, from 2020 to 2024:
| 2020 | 2021 | 2022 | 2023 | 2024 |
Cardiac arrest patients in England receiving an organised emergency medical services response, whether resuscitation was attempted, continued, terminated, or not attempted | 93,920 | 95,093 | 99,111 | 95,227 | 96,049 |
Number where resuscitation was commenced or continued by an Ambulance Service | 30,841 | 32,486 | 34,195 | 32,031 | 32,932 |
Number of those with survival at 30 days | 2,497 | 2,783 | 2,660 | 2,943 | 3,144 |
Source: NHS England’s Ambulance Quality Indicators, available at the following link:
https://www.england.nhs.uk/statistics/statistical-work-areas/ambulance-quality-indicators/
Notes:
Publicly available data on OHCAs can also be found on the University of Warwick’s out-of-hospital cardiac arrest outcomes website, at the following link:
https://warwick.ac.uk/fac/sci/med/research/ctu/trials/ohcao/