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To ask the Secretary of State for Health and Social Care, what assessment he has made of the accessibility of hearing tests for those 18 years old and under, including by audiologists who are not registered with the CQC.
To ask the Secretary of State for Health and Social Care, what assessment he has made of the accessibility of hearing tests for those 18 years old and under, including by audiologists who are not registered with the CQC.
The Government is committed to transforming diagnostic services in England and will support the National Health Service to increase diagnostic capacity, including for audiology services for those 18 years old and under.
The National Diagnostic Waiting Times and Activity dataset includes data on the percentage of patients waiting more than six weeks for an audiology assessment, and can be found at the following link:
https://www.england.nhs.uk/statistics/statistical-work-areas/diagnostics-waiting-times-and-activity/
However, this data cannot be split by adult/child, therefore the Department has not made a formal assessment of the accessibility of hearing tests for those 18 years old and under. As of January 2026, the dataset showed that 45% of patients were waiting more than six weeks for an audiology assessment.
Audiology services are not required to be registered with Care Quality Commission where the services provided do not fall under the regulated activities, as set out in the regulations. Audiology activities, such as hearing tests, hearing aid fittings, and tympanometry/routine assessments are not regulated activities. More information is available at the following link:
When an audiologist is a practicing clinical scientist or a hearing aid dispenser, they must be registered with the Health and Care Professions Council, with further information available at the following link:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of training for people performing (a) newborn hearing tests and (b) audiology testing in children.
To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of training for people performing (a) newborn hearing tests and (b) audiology testing in children.
Newborn Hearing Screening in England for babies before the age of 12 weeks is part of the nationally approved commissioned screening services. The services are monitored by the Screening Quality Assurance Service (SQAS) to ensure they meet national standards. The SQAS undertakes a continuous improvement cycle of pathway reviews and onsite quality assurance visits to identify areas for improvement across antenatal and newborn screening programmes where a concern is identified, involving appropriate professional clinical advisors from each screening discipline to support the process. Continuous performance data monitoring of services and representation at screening governance boards by the SQAS and commissioners supports this process and there is ongoing targeted work with services identified as needing improvements.
There are no nationally approved screening hearing services for children over 12 weeks of age.
For clinical referrals, integrated care board commissioners are responsible for ensuring NHS Audiology services meet the needs of patients and that they are delivered to the appropriate quality.
My Rt. Hon. Friend, the Secretary of State for Health and Social Care, commissioned the recently published, independent Kingdon review of children’s hearing services in England. Twelve recommendations were made, including focus on commissioning, governance, data and training amongst others. No assessment has yet been made of the potential implications on policies for the recommendations. We are progressing an early analysis of implementation requirements for the recommendations, including resource.
Staff working in newborn hearing screening services are required to achieve the training standards set out in national guidance, and regional commissioners work with services to assure compliance with both minimum staffing levels and training requirements.
Audiologist training is supported via pathways including the Scientist Training Programme and Higher Specialist Scientific Training programmes. NHS England has undertaken a skills survey across services to assess current capacity and training needs. Support has been put in place for training to ensure practitioners meet nationally agreed standards. This work will provide targeted support to strengthen delivery, and ensure safe, consistent care for children and families.
To ask the Secretary of State for Health and Social Care, whether his department has issued guidance on steps to help increase Child Vision Screening Programmes.
To ask the Secretary of State for Health and Social Care, whether his department has issued guidance on steps to help increase Child Vision Screening Programmes.
The UK National Screening Committee recommends vision screening for children aged four to five years old. Information on the UK National Screening Committee is available at the following link
https://www.gov.uk/government/organisations/uk-national-screening-committee
The aim is to identify children with reduced vision in one or both eyes so that defects can be rectified early. Local authorities are responsible for this as part of the Healthy child programme, although it is not mandated. Further information on the Healthy child programme is available at the following link:
https://www.gov.uk/government/collections/healthy-child-programme
The Department has published a suite of resources to support the commissioning and delivery of high-quality, consistent child vision screening services, with further information available at the following link:
https://www.gov.uk/government/collections/child-vision-screening
A Westminster Hall debate on community audiology will take place on Thursday 18 December. The debate was scheduled by the Backbench Business Committee and will be led by Danny Beales MP.
A Westminster Hall debate on community audiology will take place on Thursday 18 December. The debate was scheduled by the Backbench Business Committee and will be led by Danny Beales MP.
To ask the Secretary of State for Health and Social Care, what assessment he has made of potential merits of introducing routine finger-prick blood glucose testing or urine testing for children who display one or more recognised symptoms of Type 1 diabetes.
To ask the Secretary of State for Health and Social Care, what assessment he has made of potential merits of introducing routine finger-prick blood glucose testing or urine testing for children who display one or more recognised symptoms of Type 1 diabetes.
A national task and finish group has been established by NHS England which brings together key experts from across the health system, including academia/research and leading national clinicians, to jointly assess the opportunities and challenges that are associated with a national screening programme for diabetes and to inform future national policy.
Through our National Institute for Health and Care Research, we have supported the establishment of the Early Surveillance for Autoimmune diabetes, or “ELSA” study. This study is exploring the feasibility and benefits of screening for type 1 diabetes.
Moved by
Baroness Hoey
114B: After Clause 48, insert the following new Clause—
“Regulations made under Part 1: Windsor Framework
(1) Before making any regulations under this Part, the Secretary of State must—
(a) commission an independent legal opinion assessing—
(i) the extent to which the implementation of this Act in Northern Ireland complies with the...
Moved by
Baroness Hoey
114B: After Clause 48, insert the following new Clause—
“Regulations made under Part 1: Windsor Framework
(1) Before making any regulations under this Part, the Secretary of State must—
(a) commission an independent legal opinion assessing—
(i) the extent to which the implementation of this Act in Northern Ireland complies with the...
My Lords, I will also speak to Amendments 138A, 200 and 201A. Before I go into them, I want to remind people that if this Bill goes through in its entirety as it is now, starting in February 2028, adults under the age of 21 in the Republic of Ireland...
My Lords, I will also speak to Amendments 138A, 200 and 201A. Before I go into them, I want to remind people that if this Bill goes through in its entirety as it is now, starting in February 2028, adults under the age of 21 in the Republic of Ireland...
My Lords, I will speak in support of my Amendment 216, which proposes a new clause that would provide accountability and oversight. In my submission, it would balance flexibility with constraint and ensure the approval of the next Parliament for this policy. It would also provide a check on ministerial...
My Lords, I will speak in support of my Amendment 216, which proposes a new clause that would provide accountability and oversight. In my submission, it would balance flexibility with constraint and ensure the approval of the next Parliament for this policy. It would also provide a check on ministerial...
My Lords, I shall speak to my Amendments 195 and 196 on reviews and compliance; I thank my noble friend Lady Walmsley for adding her name in support of them.
We support this Bill and its core intention of creating a smoke-free generation. More than that, we support the fact that...
My Lords, I shall speak to my Amendments 195 and 196 on reviews and compliance; I thank my noble friend Lady Walmsley for adding her name in support of them.
We support this Bill and its core intention of creating a smoke-free generation. More than that, we support the fact that...
My Lords, I support the amendment standing in the name of the noble Baroness, Lady Hoey, and of course Amendment 200, which stands in her name and my own. I look forward to the Minister’s response to this debate, because she is now expected to deliver not just political answers...
My Lords, I support the amendment standing in the name of the noble Baroness, Lady Hoey, and of course Amendment 200, which stands in her name and my own. I look forward to the Minister’s response to this debate, because she is now expected to deliver not just political answers...
My Lords—
My Lords—
My Lords, I am sorry, but we will have to wait a few more moments for the noble Baroness’s excellent speech, which I know is coming filled with logic and reason.
I want briefly to speak in favour of many of these amendments. I echo the points made by the noble...
My Lords, I am sorry, but we will have to wait a few more moments for the noble Baroness’s excellent speech, which I know is coming filled with logic and reason.
I want briefly to speak in favour of many of these amendments. I echo the points made by the noble...
My Lords, I strongly support my noble friend Lord Russell’s Amendments 195 and 196. As he said, they intend to support the core principles of the Bill and ensure effective delivery. It is one thing to legislate; it is quite another to deliver and even to implement. I am currently...
My Lords, I strongly support my noble friend Lord Russell’s Amendments 195 and 196. As he said, they intend to support the core principles of the Bill and ensure effective delivery. It is one thing to legislate; it is quite another to deliver and even to implement. I am currently...
My Lords, I will speak briefly to this group of amendments, which centre on three linked themes: the need for careful, joined-up policy-making; the need for proper review; and the need for clear accountability on how this Bill will work in practice once it becomes law.
In her Amendment 114B, the...
My Lords, I will speak briefly to this group of amendments, which centre on three linked themes: the need for careful, joined-up policy-making; the need for proper review; and the need for clear accountability on how this Bill will work in practice once it becomes law.
In her Amendment 114B, the...
My Lords, I am most grateful for the discussion that we have had today on this group of amendments.
Let me start by turning to Amendment 189 in the name of the noble Lord, Lord Kamall, which would require the Secretary of State to publish a review; it picks up on...
My Lords, I am most grateful for the discussion that we have had today on this group of amendments.
Let me start by turning to Amendment 189 in the name of the noble Lord, Lord Kamall, which would require the Secretary of State to publish a review; it picks up on...
I thank the Minister for her response. I am not sure that I got a reply on the legal aspects. This is not about how terrible smoking is in Northern Ireland; it is about whether we can have the Bill in Northern Ireland. The Minister, while being very gentle, attempted...
I thank the Minister for her response. I am not sure that I got a reply on the legal aspects. This is not about how terrible smoking is in Northern Ireland; it is about whether we can have the Bill in Northern Ireland. The Minister, while being very gentle, attempted...
My Lords, I have not taken a legal eye to it because I do not have a legal eye to do so. I would not wish to inflate my legal expertise in this regard; it is a matter for my colleagues to do that.
My Lords, I have not taken a legal eye to it because I do not have a legal eye to do so. I would not wish to inflate my legal expertise in this regard; it is a matter for my colleagues to do that.
I fully understand that the Minister does not want to do that. However, I would have thought that, if the Attorney-General is telling me that I have to refer to her on this, he would at least have sent her the document.
I fully understand that the Minister does not want to do that. However, I would have thought that, if the Attorney-General is telling me that I have to refer to her on this, he would at least have sent her the document.
I thank the noble Baroness. To reiterate what I said at the beginning, I am very pleased to write to noble Lords about the broader points being raised. I will of course attend to the points that the noble Baroness has raised.
2 pm
I thank the noble Baroness. To reiterate what I said at the beginning, I am very pleased to write to noble Lords about the broader points being raised. I will of course attend to the points that the noble Baroness has raised.
2 pm
I will not push that any further; it speaks for itself.
I thank all noble Lords for their contributions, and I thank the noble Earl, Lord Howe, and the noble Lords, Lord Johnson and Lord Dodds, for their support. It is important that we get to the crux of this very...
I will not push that any further; it speaks for itself.
I thank all noble Lords for their contributions, and I thank the noble Earl, Lord Howe, and the noble Lords, Lord Johnson and Lord Dodds, for their support. It is important that we get to the crux of this very...