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To ask His Majesty's Government what assessment they have made of the potential cost savings to caterers, schools, and the NHS of serving a higher proportion of pulses and other plant-based protein in schools and NHS institutions; and the potential of these cost savings to help public institutions afford more...
To ask His Majesty's Government what assessment they have made of the potential cost savings to caterers, schools, and the NHS of serving a higher proportion of pulses and other plant-based protein in schools and NHS institutions; and the potential of these cost savings to help public institutions afford more...
No such assessment has been made.
A new national procurement policy statement has been published which sets expectations for government contracts to favour products certified to high environmental standards that British producers are well-placed to meet.
The NHS Eatwell Guide recognises the valuable contribution of plant-based foods and drinks, illustrating that both plant-based products and animal-based products can be part of a healthy balanced diet.
To ask His Majesty's Government what assessment they have made of the compatibility of one-to-one screen-based device use in primary schools in England with NHS guidance on daily screen time for young children.
To ask His Majesty's Government what assessment they have made of the compatibility of one-to-one screen-based device use in primary schools in England with NHS guidance on daily screen time for young children.
Decisions about the use of digital devices in classrooms are for schools to make. However, the government’s guidance for younger children advises limiting screen time and prioritising sleep, play, physical activity and interaction with adults. The government is considering the evidence base, following a Call for Evidence, on screen use for children aged 5 to 18 and how to support schools and families to make informed, evidence-based decisions about technology use.
To ask His Majesty's Government what the current policy and practice is for (1) requesting independent advice, oversight, and assurance on potential internal data disseminations within NHS England and the Department of Health and Social Care, and (2) deciding which projects do not require such advice.
To ask His Majesty's Government what the current policy and practice is for (1) requesting independent advice, oversight, and assurance on potential internal data disseminations within NHS England and the Department of Health and Social Care, and (2) deciding which projects do not require such advice.
To ask His Majesty's Government what assessment they have made of whether the NHS National Data Opt-out creates a bias in data.
To ask His Majesty's Government what assessment they have made of whether the NHS National Data Opt-out creates a bias in data.
To ask His Majesty's Government whether they remain committed to a 50 per cent reduction in headcount across the Department of Health and Social Care, NHS England and integrated care boards by 2028.
To ask His Majesty's Government whether they remain committed to a 50 per cent reduction in headcount across the Department of Health and Social Care, NHS England and integrated care boards by 2028.
To ask His Majesty's Government what measures they are using to assess whether NHS resource allocations are reflecting their commitment to deliver more care closer to home.
To ask His Majesty's Government what measures they are using to assess whether NHS resource allocations are reflecting their commitment to deliver more care closer to home.
To ask His Majesty's Government what proportion of NHS expenditure has been allocated to (1) acute hospital services, (2) primary medical care, and (3) community health services in each financial year since 2015-16.
To ask His Majesty's Government what proportion of NHS expenditure has been allocated to (1) acute hospital services, (2) primary medical care, and (3) community health services in each financial year since 2015-16.
To ask His Majesty's Government what proportion of NHS expenditure has been allocated to (1) acute hospital services, (2) primary medical care (general practice), and (3) community health services, in each financial year since 2015/16.
To ask His Majesty's Government what proportion of NHS expenditure has been allocated to (1) acute hospital services, (2) primary medical care (general practice), and (3) community health services, in each financial year since 2015/16.
The following table sets out the revenue spend categories for the specified services commissioned by NHS England and clinical commissioning groups, now integrated care boards, using audited figures between 2015/16 to 2024/25:
All spend figures are billions | 2015/16 | 2016/17 | 2017/18 | 2018/19 | 2019/20 | 2020/21 | 2021/22 | 2022/23 | 2023/24 | 2024/25 |
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Specialised services | £14.8 | £15.4 | £16.4 | £17.2 | £18.5 | £18.8 | £20.5 | £22.7 | £25 | £27.1 |
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Primary medical care | £8.7 | £9.1 | £9.4 | £9.7 | £10.6 | £11.7 | £12.3 | £12.5 | £13.6 | £14.5 |
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Community services | £7.1 | £7.3 | £7.4 | £7.5 | £8.1 | £10 | £11.2 | £12 | £12.8 | £13.8 |
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Continuing care | £4.3 | £4.7 | £4.6 | £4.7 | £5 | £6.3 | £6.1 | £6.2 | £7.1 | £7.8 |
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Acute | £38.2 | £40.1 | £41.4 | £42.9 | £45.9 | £50.7 | £60.7 | £62.4 | £68.1 | £74.7 |
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Core mental health | £7.3 | £7.6 | £8.1 | £8.5 | £9.3 | £10.4 | £11.9 | £12.7 | £14.2 | £15.5 |
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Other | £18.9 | £17.8 | £18.3 | £18.6 | £18.4 | £21 | £21 | £20 | £20.4 | £21.9 |
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Total CCG/ICB and direct commissioning spend | £99.4 | £102 | £105.5 | £109.1 | £115.7 | £129 | £143.7 | £148.6 | £161.3 | £175.2 |
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Notes:
- delegated specialised commissioning has been included within the specialised commissioning line as well as directly commissioned spec comm to remain consistent with previous years; and
- prescribing and delegated pharmacy/ophthalmology/primary and secondary dental all sit within the ‘other’ category.
Information for 2025/26 is unvalidated and not quality assured. In-year data is not routinely reported on with the breakdown of spend used for this answer and would be subject to material change between plan and outturn as a result.
75% of NHS England commissioned social services are within the community services line.
To ask His Majesty's Government how many cyber incidents the NHS Cyber Security Operations Centre (1) detected and prevented, (2) detected but failed to prevent, and (3) initially detected but subsequently found to be a false alarm, in (a) the first half of 2025, (b) the second half of 2025,...
To ask His Majesty's Government how many cyber incidents the NHS Cyber Security Operations Centre (1) detected and prevented, (2) detected but failed to prevent, and (3) initially detected but subsequently found to be a false alarm, in (a) the first half of 2025, (b) the second half of 2025,...
The following figures are from the NHS England Cyber Security Operations Centre (CSOC) incident ticketing systems, namely aggregating data from security tooling that monitors cyber security incidents detected by, or reported to, the CSOC. The following table shows the number of security incidents detected by the CSOC where the impact to National Health Services has been prevented:
Period | Incident count |
2025H1 | 1,443 |
2025H2 | 1,364 |
2026H1 | 1,740 |
There are no recorded cyber security incidents that were initially detected by the CSOC which were subsequently not prevented.
The following table shows the number of security incidents initially detected by CSOC security tooling, but which were subsequently found to be a false alarm via either automated mechanisms or manual activity:
Period | Incident Count |
2025H1 | Unavailable |
2025H2 | 85,819 |
2026H1 | 73,628 |
As these are false positives, the data surrounding them is only retained for 12 months, making a response to 2025H1 not possible.
To ask His Majesty's Government what plans they have to ensure the appropriate oversight and operational effectiveness of NHS procurement policies following the abolition of NHS England.
To ask His Majesty's Government what plans they have to ensure the appropriate oversight and operational effectiveness of NHS procurement policies following the abolition of NHS England.
To ask His Majesty's Government what plans they have to organise NHS procurement to ensure value for money at all levels following the abolition of NHS England.
To ask His Majesty's Government what plans they have to organise NHS procurement to ensure value for money at all levels following the abolition of NHS England.
To ask His Majesty's Government what assessment they have made of whether principle 4 of NHS England's Commercial Framework for New Medicines affects the availability of commercial flexibilities for multi-indication medicines.
To ask His Majesty's Government what assessment they have made of whether principle 4 of NHS England's Commercial Framework for New Medicines affects the availability of commercial flexibilities for multi-indication medicines.
To ask His Majesty's Government what plans they have to consult on changes to the process for securing indication-specific pricing agreements for multi-indication medicines in the next review of NHS England's Commercial Framework for New Medicines.
To ask His Majesty's Government what plans they have to consult on changes to the process for securing indication-specific pricing agreements for multi-indication medicines in the next review of NHS England's Commercial Framework for New Medicines.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 2 July 2026 (HL232), what mechanisms they use to ensure compliance with HM Treasury guidance on public sector exit payments, given the statement that the Department of Health and Social Care does not centrally reassess whether an...
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 2 July 2026 (HL232), what mechanisms they use to ensure compliance with HM Treasury guidance on public sector exit payments, given the statement that the Department of Health and Social Care does not centrally reassess whether an...
As set out in the answer of 2 July 2026 to Question HL232, compliance with HM Treasury’s guidance on public sector exit payments and value for money protocols is secured through the relevant employer governance and assurance processes, with NHS England oversight where required. Departmental and HM Treasury approval is generally required where the payment relates to a special severance payment or other non-contractual payment.
Responsibility for ensuring that any redundancy decision is lawful, contractual, and represents value for money rests with the employing integrated care board, supported by NHS England’s assurance role where applicable.
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 how much (1) NHS England, and (2) the Department of Health and Social Care, have spent on external bodies, including management consultants and advisory firms, to support or provide advice on the current NHS reorganisation and structural changes in the (a) 2024–25 financial year, (b)...
To ask His Majesty's Government how much (1) NHS England, and (2) the Department of Health and Social Care, have spent on external bodies, including management consultants and advisory firms, to support or provide advice on the current NHS reorganisation and structural changes in the (a) 2024–25 financial year, (b)...
To ask His Majesty's Government what is their estimate of the proportion of NHS-registered GPs in England who offer all patients the ability to make an appointment in person or by phone rather than through the NHS app or other online booking facilities.
To ask His Majesty's Government what is their estimate of the proportion of NHS-registered GPs in England who offer all patients the ability to make an appointment in person or by phone rather than through the NHS app or other online booking facilities.
The GP Contract requires all practices to enable patients to telephone or visit their practice in person to make appointments. Online tools must always be provided in addition to, rather than as a replacement for, other channels for accessing a general practitioner, and practice receptions should be open so that patients without access to telephone or online services are in no way disadvantaged.
To support patients who depend on telephone bookings, recent contractual changes require all general practices to offer online booking throughout core hours, from 8:00am to 6:30pm. This is designed to ease pressure on phone lines by allowing those who prefer online booking to do so at any time, freeing up phone lines, reducing long phone queues, and improving the experience for those reliant on telephone bookings.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 16 June (HL696), who authorised the sign-off and publication of National Data Integration Tenant Data Protection Impact Assessment.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 16 June (HL696), who authorised the sign-off and publication of National Data Integration Tenant Data Protection Impact Assessment.
The NHS Federated Data Platform (NHS FDP) safely connects information from different systems across the National Health Service into a single, secure environment. This allows staff to co-ordinate care better to improve outcomes for patients.
In accordance with NHS England’s established information governance and assurance processes, the National Data Integration Tenant (NDIT) Data Protection Impact Assessment (DPIA) was reviewed and approved for sign off by the FDP Data Governance Group as well as senior Information Governance Professionals from NHS England.
For publication, the approved DPIA was reviewed by the Information Asset owner for NDIT and redacted in line with the Freedom of Information Act 2000 prior to approval for publication by the NDIT product owner, Programme Director and senior Information Governance Professionals from NHS England.