Asked by: Lord Weir of Ballyholme (Democratic Unionist Party - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of the recommendation by the All Party Parliamentary Group for Defibrillators that all emergency service vehicles, including newly acquired emergency vehicles, be legally required to carry defibrillators.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
There is no national standard for defibrillator provision in all emergency vehicles, and the Government has not considered centralised procurement arrangements. There are no current plans to make legislative changes to mandate the provision of defibrillators in all emergency vehicles. For National Health Service ambulance services, all NHS ambulances carry defibrillators.
The Home Office has advised that Fire Services and police forces are operationally independent from the Government, and therefore decisions on the use of automated external defibrillators (AEDs) would be an operational matter for them.
The Ministry of Housing, Communities and Local Government has confirmed there are already local models of joint working between emergency services, for example where firefighters are trained to respond alongside ambulance services, including basic life support and AED use. The Ministry of Housing, Communities and Local Government supports effective collaboration that strengthens public safety.
Asked by: Lord Weir of Ballyholme (Democratic Unionist Party - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what consideration they have given, if any, to centralised procurement arrangements to equip emergency vehicle fleets with defibrillators at scale.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
There is no national standard for defibrillator provision in all emergency vehicles, and the Government has not considered centralised procurement arrangements. There are no current plans to make legislative changes to mandate the provision of defibrillators in all emergency vehicles. For National Health Service ambulance services, all NHS ambulances carry defibrillators.
The Home Office has advised that Fire Services and police forces are operationally independent from the Government, and therefore decisions on the use of automated external defibrillators (AEDs) would be an operational matter for them.
The Ministry of Housing, Communities and Local Government has confirmed there are already local models of joint working between emergency services, for example where firefighters are trained to respond alongside ambulance services, including basic life support and AED use. The Ministry of Housing, Communities and Local Government supports effective collaboration that strengthens public safety.
Asked by: Lord Weir of Ballyholme (Democratic Unionist Party - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government whether there is a national standard or equivalent for defibrillator provision in emergency vehicles; and if so, whether they will publish that standard.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
There is no national standard for defibrillator provision in all emergency vehicles, and the Government has not considered centralised procurement arrangements. There are no current plans to make legislative changes to mandate the provision of defibrillators in all emergency vehicles. For National Health Service ambulance services, all NHS ambulances carry defibrillators.
The Home Office has advised that Fire Services and police forces are operationally independent from the Government, and therefore decisions on the use of automated external defibrillators (AEDs) would be an operational matter for them.
The Ministry of Housing, Communities and Local Government has confirmed there are already local models of joint working between emergency services, for example where firefighters are trained to respond alongside ambulance services, including basic life support and AED use. The Ministry of Housing, Communities and Local Government supports effective collaboration that strengthens public safety.
Asked by: Lord Wigley (Plaid Cymru - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what is the total number of full time permanent employees of the NHS in England; and how many of those employees are (1) UK nationals, and (2) overseas nationals with permission to work in the UK.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department does not hold information on the number of overseas nationals with permission to work in the United Kingdom who are employed in the National Health Service in England. The following table shows, for January 2026, the self-reported nationality of staff employed by NHS hospital trusts and integrated care boards in England:
All nationality groups (headcount) | United Kingdom nationality | Non-UK nationalities | Unknown nationality |
1,545,602 | 1,197,793 | 330,982 | 17,119 |
Source: NHS Workforce Statistics, NHS England
Note: total staff number is not equal to the sum of components due to some staff working in more than one role.
Self-reported nationality may sometimes reflect an NHS employee’s heritage rather than their current citizenship.
Asked by: Lord Ravensdale (Crossbench - Excepted Hereditary)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what plans they have to implement the recommendations of the report by the Royal College of Pathologists, Paediatric and perinatal pathology workforce report 2025, published in November 2025.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The paediatric and perinatal pathology workforce report highlights the extent of the workforce crisis in paediatric and perinatal pathology and the impact this can have on turnaround times and families.
NHS England has launched a national programme to strengthen perinatal and paediatric pathology services and to improve service capacity and resilience.
A £20,000 recruitment incentive for new trainees has been introduced, a fully funded international recruitment campaign has launched, and a new National Training Programme Director has been appointed.
Further initiatives are underway to review the training pathway, develop advanced practitioner roles, and implement a retention strategy for existing staff.
Asked by: Lord Hunt of Kings Heath (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of the recent report by NHS Providers Beyond Councils of Governors: rethinking public accountability, published 20 March, for future governance arrangements for NHS Foundation Trusts.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The report will be considered as part of the wider work underway on future engagement models.
The removal of councils of governors from National Health Service foundation trusts forms part of the wider 10-Year Health Plan’s aim to ensure hospitals put patient experiences and outcomes at the heart of their decision-making.
While governors have provided helpful advice and oversight for some foundation trusts, we now need to move to a more dynamic model, drawing on patient, staff, and stakeholder insight.
Asked by: Baroness Thomas of Winchester (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government how the NHS 10 Year Workforce Plan will ensure growth and retention in the occupational therapy workforce across health, social care, community and specialist services.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The 10 Year Workforce Plan will ensure the National Health Service has the right people in the right places, with the right skills to care for patients, when they need it. While the scope of the 10 Year Workforce Plan is the NHS workforce, we understand the importance of effective integration across social care and community care.
We are working through how the 10 Year Workforce Plan will articulate the changes for different professional groups.
Asked by: Lord Mott (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what (1) number, and (2) percentage, of NHS acute providers (a) have been in deficit in each of the past three years, and (b) are projected to be in deficit at the end of the current financial year.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
In 2022/23, 60 National Health Service acute trusts reported a deficit, which is the equivalent to 49% of acute trusts. In 2023/24, 75 NHS acute trusts reported a deficit, which is the equivalent to 61% of acute trusts. In 2024/25, 74 NHS acute trusts reported a deficit, which is the equivalent to 62% of acute trusts. Looking ahead to 2025/26, at month 11, 61 NHS acute trusts are forecasting a year‑end deficit, which is the equivalent to 51% of acute trusts.
Asked by: Lord Watson of Invergowrie (Labour - Life peer)
Question to the Department for Education:
To ask His Majesty's Government, further to the Written Answer by Baroness Anderson of Stoke-on-Trent on 11 March (HL14898), what assessment they have made of the cost to the public of multi academy trust chief executives pay in comparison to similar roles in the maintained school sector.
Answered by Baroness Smith of Malvern - Minister of State (Department for Work and Pensions)
The responsibilities of multi-academy trust chief executives are not directly comparable to those of leaders in the maintained sector.
The department is clear that executive pay must be justifiable, transparent, evidence-based and reflect individual responsibility. Trustees should adhere to these principles in setting pay, supported by our guidance and advice. We are taking steps to respond to instances where we see high salaries compared to peers. This includes tightening the academy trust handbook (ATH) by requiring executive pay increases to be proportionate and justified, to prevent excessive increases for individuals carrying out broadly similar roles.
The department reviews trusts’ annual accounts to identify trusts with outlying levels of executive pay and engages with them to ensure compliance with the requirements of the ATH.
Asked by: Lord Lancaster of Kimbolton (Conservative - Life peer)
Question to the Department for Energy Security & Net Zero:
To ask His Majesty's Government what steps they are taking to ensure that Environmental, Social and Governance frameworks prevent the displacement of emissions to unregulated regions.
Answered by Lord Whitehead - Minister of State (Department for Energy Security and Net Zero)
The Government is working to reduce the risk of emissions displacement through adopting and supporting the use of internationally recognised sustainability standards.
The Government is also taking action to address carbon leakage, including by introducing a carbon border adjustment mechanism from January 2027. This will ensure highly traded, carbon intensive products from jurisdictions outside the UK face a comparable carbon price to that paid by UK manufacturers, so that UK decarbonisation efforts lead to a true reduction in global emissions rather than simply displacing carbon emissions overseas.