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To ask His Majesty's Government what assessment they have made of the cost of their proposal to maintain a fully iOS native, a fully Android native, and a computer/web browser version of the NHS app, by comparison to the current arrangements.
To ask His Majesty's Government what assessment they have made of the cost of their proposal to maintain a fully iOS native, a fully Android native, and a computer/web browser version of the NHS app, by comparison to the current arrangements.
NHS England routinely assesses options for the future technological development of the NHS App. This includes due regard to cost, appropriate use of artificial intelligence, and most importantly how changes will best enhance the service for patients.
A roadmap of future developments is available at the NHS.UK website, in an online only format.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 22 June (HL816), how the "similar functionality" commitment applies to (1) the "native code and native interfaces" re-implementation of the NHS app with any new minimal compatibility requirements; (2) services in the current NHS app; and...
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 22 June (HL816), how the "similar functionality" commitment applies to (1) the "native code and native interfaces" re-implementation of the NHS app with any new minimal compatibility requirements; (2) services in the current NHS app; and...
The Government is fully committed to developing the NHS App for the benefit of patients and services in the National Health Service, in line with the 10-Year Health Plan.
We have consistently minimised any divergence between code bases and will continue to do so in the future as we develop the NHS App. This helps to optimise the service for patients.
We are continuing to fully develop the NHS App for users as an iOS app, an Android app, and as a website. Where there are any differences between these formats, this can be due to natural differences in design due to different operating systems and conventions or it can also occur as new features are rolled out across formats, one at a time. In the case of the latter, this means any differences may only be temporary.
We are committed to making the NHS App as accessible as possible, whilst at the same time ensuring the software remains safe and secure for use by patients. We review the operating system and browser version policy annually, to determine how best to strike this balance.
To ask His Majesty's Government what assessment they have made of the safeguards required for the use of artificial intelligence to triage patients through the NHS app.
To ask His Majesty's Government what assessment they have made of the safeguards required for the use of artificial intelligence to triage patients through the NHS app.
The Government is committed to safeguarding patients as part of the shift from analogue to digital National Health Services, as set out in the 10-Year Health Plan.
The Medicines and Healthcare products Regulatory Agency regulates artificial intelligence (AI) tools that provide clinical assessment to ensure they are safe for patient use in the NHS. NHS organisations deploying such tools must also comply with risk management standards and with the Digital Technology Assessment Criteria.
NHS England is developing national triage standards setting out the clinical principles, urgency thresholds, and performance expectations against which any AI-enabled triage will be assured before use and continuously evaluated against.
The Government has also established the National Commission into the regulation of AI in healthcare, which will advise on the future regulatory framework of AI.
To ask His Majesty's Government what the expected timeline for implementing the commitment in the 10-Year Health Plan to provide self-care support and guidance via the NHS App is; and how they will report the impact of this commitment.
To ask His Majesty's Government what the expected timeline for implementing the commitment in the 10-Year Health Plan to provide self-care support and guidance via the NHS App is; and how they will report the impact of this commitment.
We are planning for the delivery of self-care support and guidance via the NHS App to be implemented on a phased basis over the lifetime of the 10-Year Health Plan, and will be piloting artificial intelligence triage into self-care support and guidance via the NHS App in 2027.
Initial capabilities, namely providing trusted health information, symptom guidance, and signposting to appropriate services, will continue to be expanded in the near term, with further enhancements introduced over time. These will include more personalised advice, improved integration with local services, and support for prevention and long-term condition management. The aim for the NHS App is to be routinely used front door for self-care and early intervention during the early years of the Plan.
The Government will monitor the impact of this commitment through a combination of usage metrics, patient outcomes, service impact, and equity of access. Progress will be reported through existing National Health Service performance reporting mechanisms and updates on delivery of the 10-Year Health Plan and Medium Term Planning Framework.
To ask His Majesty's Government what plans they have to develop the NHS App to run on HarmonyOS for devices that do not have access to the Google Play store; and what assessment they have made of how patients who have purchased such devices can access all the digital services...
To ask His Majesty's Government what plans they have to develop the NHS App to run on HarmonyOS for devices that do not have access to the Google Play store; and what assessment they have made of how patients who have purchased such devices can access all the digital services...
The NHS App is the digital front door to the National Health Service, giving patients greater control and choice over their healthcare and better access to services. The Government currently has no plans to develop the NHS App using the Harmony Operating System (OS) or to assess related devices for accessibility.
Current United Kingdom levels of adoption to HarmonyOS are considered very low when compared to other mobile operating systems and we expect to continue using those systems that are the most accessible and helpful to patients. The NHS App is available through a web browser which provides similar functionality for people who can't directly use the NHS App.
To ask His Majesty's Government, for each month since UK Biobank first detected de-identified participant data on GitHub in 2022, (1) how many instances there have been of participant-level UK Biobank data being identified on GitHub, and (2) in each case, what estimate has been made of the length of...
To ask His Majesty's Government, for each month since UK Biobank first detected de-identified participant data on GitHub in 2022, (1) how many instances there have been of participant-level UK Biobank data being identified on GitHub, and (2) in each case, what estimate has been made of the length of...
UK Biobank is a charity and operationally independent of government. The Government has been working closely with UK Biobank in its response to the data breach which it reported to the Government on 20 April 2026. Measures taken so far have included the suspension of access to their research analysis platform, revocation of access permissions from the institutions involved, rapid removal of the listings from the e-commerce platform, self‑referral to the Information Commissioners Office, and urgent work to introduce technical barriers to prevent download of participant‑level data.
My Lords, NHS Digital services are built and run to rigorous Government Digital Service standards. They are secure, user-centred, interoperable and continually improving. National Health Service England has significantly expanded its in-house engineering and data capability, and it is reducing its reliance on outsourced systems and strengthening operational resilience. These measures ensure that health and care data is available in all clinical settings to improve outcomes for patients, while delivering value for money to the taxpayer.
My Lords, NHS Digital services are built and run to rigorous Government Digital Service standards. They are secure, user-centred, interoperable and continually improving. National Health Service England has significantly expanded its in-house engineering and data capability, and it is reducing its reliance on outsourced systems and strengthening operational resilience. These measures ensure that health and care data is available in all clinical settings to improve outcomes for patients, while delivering value for money to the taxpayer.
To ask His Majesty’s Government what plans they have for sustaining and enhancing the in-house software capabilities of the NHS.
My noble friend is right to point out the history. The NHS previously relied very heavily on large, outsourced IT systems that, in some cases, led to inflexibility, high long-term costs and limited NHS control over core platforms and data. I was glad to arrange for my noble friend to meet the chief data and analytics officer at NHS England last Wednesday. I hope that, like me, he was reassured that NHS England has very much shifted its model towards building and operating critical digital services in-house, in line with the standards that I referred to in my initial Answer.
My noble friend is right to point out the history. The NHS previously relied very heavily on large, outsourced IT systems that, in some cases, led to inflexibility, high long-term costs and limited NHS control over core platforms and data. I was glad to arrange for my noble friend to meet the chief data and analytics officer at NHS England last Wednesday. I hope that, like me, he was reassured that NHS England has very much shifted its model towards building and operating critical digital services in-house, in line with the standards that I referred to in my initial Answer.
I thank the Minister for that reassuring Answer. The NHS has had a disastrous history of outsourcing its IT technology, which has wasted millions of pounds. A requirement of outsourcing is that there must be sufficient in-house expertise to properly assess the need for outside assistance and the quality of whatever assistance is on offer. In the absence of such expertise, outsourcing can be perilous. Moreover, given the requisite in-house expertise, outsourcing may become unnecessary. At a time when a host of novel IT solutions are becoming available, the IT staff of NHS England are seeing their numbers radically reduced. At the same time, the NHS is becoming increasingly dependent on the services of large American IT corporations. Can we be assured—genuinely assured—that history will not be repeating itself?
The straightforward answer is that we are doing exactly that. It is important to say that our front-line digitisation—our move from analogue to digital—is not something for the sake of it; we are doing it because it is improving efficiency and outcomes. For example, a 94% coverage of electronic patient records is expected by the end of this month, and the digitally mature trusts show a 13% lower cost per admission. That is a prize worth having, but we can do it only through the systems and training that the noble Baroness seeks.
The straightforward answer is that we are doing exactly that. It is important to say that our front-line digitisation—our move from analogue to digital—is not something for the sake of it; we are doing it because it is improving efficiency and outcomes. For example, a 94% coverage of electronic patient records is expected by the end of this month, and the digitally mature trusts show a 13% lower cost per admission. That is a prize worth having, but we can do it only through the systems and training that the noble Baroness seeks.
My Lords, cyber security is an essential element in any system, but nowhere more so than when people’s health records are being maintained. Many security breaches are attributed, at least in part, to human error. What investment are His Majesty’s Government making to train front-line staff in the new systems and provide continuous professional development to achieve the 10-year digital healthcare plan?
If the noble Lord has particular companies in mind, he is most welcome to raise them with me. It is important that we look at what NHS teams have done: they have designed, built and maintained
national platforms. The NHS app is an example; I am sure that many noble Lords will be familiar with it. That is going to be our digital front door to the NHS. In addition, there is the NHS login and core national infrastructure. All these mean full NHS ownership, governance and control. Supported by £2.5 billion of investment in 2025-26, we are, as the noble Lord seeks, expanding NHS in-house digital capability to reduce the reliance on large suppliers.
If the noble Lord has particular companies in mind, he is most welcome to raise them with me. It is important that we look at what NHS teams have done: they have designed, built and maintained
national platforms. The NHS app is an example; I am sure that many noble Lords will be familiar with it. That is going to be our digital front door to the NHS. In addition, there is the NHS login and core national infrastructure. All these mean full NHS ownership, governance and control. Supported by £2.5 billion of investment in 2025-26, we are, as the noble Lord seeks, expanding NHS in-house digital capability to reduce the reliance on large suppliers.
My Lords, I support what the noble Viscount said. The history of software in the National Health Service is nothing less than a disaster. Coupled with that is a very unfortunate situation where some of the companies that have been responsible for these messes in the NHS are still on the Government’s procurement lists and are still getting contracts from the Government. Surely more attention should be paid to that, and we should curb that as soon as possible.
Cyber attacks across our whole government are extremely concerning, and that is why we have built resilience. On health and social care specifically, I can assure the noble Lord that, in 2025-26, we invested £75 million across health and social care; that built on the £375 million invested since 2017. When I had responsibility for the blood transfusion service, my own experience was that, where there was a cyber attack, we had the systems in place.
Cyber attacks across our whole government are extremely concerning, and that is why we have built resilience. On health and social care specifically, I can assure the noble Lord that, in 2025-26, we invested £75 million across health and social care; that built on the £375 million invested since 2017. When I had responsibility for the blood transfusion service, my own experience was that, where there was a cyber attack, we had the systems in place.
My Lords, last week’s catastrophic attack on Stryker by Iranian-linked actors paralysed supply of some critical surgical equipment across the NHS. Does the Minister agree that our total reliance on vulnerable third-party global medtech platforms is a serious security risk? How will the Government ensure in-house expertise and procurement software so that the NHS can bypass compromised commercial networks during such crises?
That seamless movement is an important point generally, but the federated data platform does not centralise or sell patient data. Data remains firmly under NHS control, and access is strictly governed. It is fully auditable and used only for approved patient benefit and NHS benefit. Palantir operates strictly under the instruction of NHS England and it does not, as I said, own or control NHS data. That access is tightly governed. In response to the earlier question, I note that the federated data platform to which the noble Lord refers is cyber resilient and subject to rigorous contractual, legal and information governance controls.
That seamless movement is an important point generally, but the federated data platform does not centralise or sell patient data. Data remains firmly under NHS control, and access is strictly governed. It is fully auditable and used only for approved patient benefit and NHS benefit. Palantir operates strictly under the instruction of NHS England and it does not, as I said, own or control NHS data. That access is tightly governed. In response to the earlier question, I note that the federated data platform to which the noble Lord refers is cyber resilient and subject to rigorous contractual, legal and information governance controls.
My Lords, there is always a very difficult balance between keeping something in-house or outsourcing it, and we should not forget the national programme for IT in the NHS in the early 2000s, which ended up costing between £10 billion and £20 billion. My question is on the company Palantir. The Minister will be aware that there are a range of views on Palantir. Some say that it is the best software available and that no one can match it; others say that they are worried that it will lock the NHS in long-term and scrape data for other uses. What specific measures have NHS England and the department put in place so that, in the event that the Palantir contract is not renewed, the healthcare system will be able to move seamlessly to another supplier?
I would first look at delivery: the federated data platform has enabled nearly 100,000 extra operations, removed over 600,000 patients from waiting lists and reduced unnecessary bed days by 15%, as well as driving a 10% improvement in cancer diagnosis—so people are being diagnosed sooner because the system is working more efficiently, and that is important. This is a three-year contract given in 2023. I refer the noble Baroness to the comments I made to the noble Lord, Lord Kamall, about the rigorous contract due diligence for all commercial agreements, including with Palantir.
I would first look at delivery: the federated data platform has enabled nearly 100,000 extra operations, removed over 600,000 patients from waiting lists and reduced unnecessary bed days by 15%, as well as driving a 10% improvement in cancer diagnosis—so people are being diagnosed sooner because the system is working more efficiently, and that is important. This is a three-year contract given in 2023. I refer the noble Baroness to the comments I made to the noble Lord, Lord Kamall, about the rigorous contract due diligence for all commercial agreements, including with Palantir.
My Lords, my question also relates to the federated data platform. I am sure the noble Baroness is aware that more than 50,000 patients have written to their local trust boards asking not to have their data placed on it. The Greater Manchester ICB, serving 2.8 million patients, has said
that this does not present value for money and is a big public trust issue. Palantir is of course owned by Peter Thiel and Alex Karp, who are closely associated with the Trump regime and have very right-wing and anti-democratic views. Does the Minister acknowledge that this association with Palantir is damaging our NHS?
Absolutely—public confidence is really important, and the debate around this today perhaps emphasises the need to communicate the realities of what is going on. But giving the NHS greater control and long-term value for money, as well as protecting privacy and improving public trust while improving outcomes, is the way forward. But the noble Lord is quite right, and we will ensure that we seek to build that confidence still further.
Absolutely—public confidence is really important, and the debate around this today perhaps emphasises the need to communicate the realities of what is going on. But giving the NHS greater control and long-term value for money, as well as protecting privacy and improving public trust while improving outcomes, is the way forward. But the noble Lord is quite right, and we will ensure that we seek to build that confidence still further.
My Lords, it is historically true that the NHS wasted a lot of money, but this was partly because the development of digital services was in-house. Currently, things are looking much better, and the classic example is the development of the NHS app. However, I will ask the Minister about the health research data service that will be established. Patients should have confidence in data that is used and collected for research, partly because of the recent report on UK Biobank, where the researchers published the codes they were using to access data for research. It has to be made absolutely certain that the public have the confidence in the data that is used.
To ask His Majesty’s Government what plans they have for sustaining and enhancing the in-house software capabilities of the NHS.
To ask His Majesty’s Government what plans they have for sustaining and enhancing the in-house software capabilities of the NHS.
My Lords, NHS Digital services are built and run to rigorous Government Digital Service standards. They are secure, user-centred, interoperable and continually improving. National Health Service England has significantly expanded its in-house engineering and data capability, and it is reducing its reliance on outsourced systems and strengthening operational resilience. These measures ensure that health and care data is available in all clinical settings to improve outcomes for patients, while delivering value for money to the taxpayer.
To ask His Majesty's Government what assistance is available to people who are not sufficiently technologically proficient to use the NHS app.
To ask His Majesty's Government what assistance is available to people who are not sufficiently technologically proficient to use the NHS app.
We are working to improve access to digital services, outcomes, and experiences for the widest range of people, based on their preferences. Digital health tools should be part of a wider offering that includes face-to-face support with appropriate help for people who struggle to access digital services.
Centrally built services, such as the NHS App and National Health Service website, are designed to meet international accessibility standards. We are modernising the mobile patient experience within the NHS App, ensuring information is clearly structured and easy to find and understand.
NHS England has successfully run several programmes to support patients, carers, and health service staff with their digital skills. These include:
the Digital Health Champions programme, a proof of concept to support citizens who have no or low digital skills with understanding how to access health services online;
the Widening Digital Participation programme, aimed to ensure more people have the digital skills, motivation, and means to access health information and services online; and
the NHS App ‘Spoken Word’ Pilot project, designed to test the efficacy of promoting NHS digital health products and services in languages other than English.
We have also recruited over 2,000 NHS App ambassadors and 1,400 libraries to help people to learn how to use the NHS App.
NHS England has published a framework for NHS action on digital inclusion and is developing further resources to support practical actions. All programmes are actively considering how they can contribute to improvements in healthcare inequalities and digital inclusion.
We are also developing a national proxy service to grant authorised access for people to manage health care on behalf of other people that are unable to use the NHS App.
To ask His Majesty's Government how much money from the Frontline Digitisation programme was allocated to the NHS App in the financial year 2024–25.
To ask His Majesty's Government how much money from the Frontline Digitisation programme was allocated to the NHS App in the financial year 2024–25.
NHS England’s Frontline Digitisation programme was introduced in 2021 to support healthcare organisations to transition from paper-based to digital systems for patient information, clinical notes and access to data.
Its aim is to reach a core level of digitisation following minimum digital foundations, where the health service and the people who use it have digital services and access to the data that they need to effectively manage and improve health and wellbeing. NHS England is providing £2 billion to National Health Service trusts through to 2025/26 to ensure trusts meet a core level of digitisation and have electronic patient records in place.
To ask His Majesty's Government what guidance they have provided to the NHS to ensure that spending on privately owned health apps does not interfere with the operation of the NHS app.
To ask His Majesty's Government what guidance they have provided to the NHS to ensure that spending on privately owned health apps does not interfere with the operation of the NHS app.
Privately owned health apps do not interfere with the operation of the NHS App because they are separate systems that do not share data directly or integrate with the NHS App's core functionalities.
These apps offer different services and information, and some patients might use both to supplement the core functionalities of the NHS App, such as managing personal health data or accessing private healthcare providers.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 14 July (HL8966), what are the reasons for not allowing patients to directly nominate a distance selling pharmacy from within the NHS App.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 14 July (HL8966), what are the reasons for not allowing patients to directly nominate a distance selling pharmacy from within the NHS App.
There are no current plans to allow patients to directly nominate a distance selling pharmacy (DSP) from within the NHS App. A discovery exercise completed in January 2025 explored this option and concluded that within the current landscape of DSPs there are several challenges that could impact user experience and timely access to medicines. This has been communicated to relevant DSP stakeholders.
The NHS App supports seamless pharmacy services by allowing patients to order repeat prescriptions, nominate their preferred pharmacy, and manage their medication. A new prescription tracker feature means that nearly 1,500 pharmacies are now offering the new prescription tracking service through the NHS App, which provides updates on when prescriptions are ready to be collected. Work has also commenced on an ‘in App’ notification which will enhance this feature further.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron (HL7383), whether they plan to develop NHS App functionality to allow patients to nominate a distance selling pharmacy directly within the app.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron (HL7383), whether they plan to develop NHS App functionality to allow patients to nominate a distance selling pharmacy directly within the app.
There are no current plans to allow patients to directly nominate a distance selling pharmacy (DSP) from within the NHS App. Patients can continue to nominate a DSP through existing routes, which currently provide a more seamless patient experience.