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To ask His Majesty's Government when they expect the (1) any interim reports, and (2) the final report, by Donna Ockenden regarding the ongoing maternity reviews of Leeds Teaching Hospitals NHS Trust and University Hospitals Sussex NHS Foundation Trust to be published.
To ask His Majesty's Government when they expect the (1) any interim reports, and (2) the final report, by Donna Ockenden regarding the ongoing maternity reviews of Leeds Teaching Hospitals NHS Trust and University Hospitals Sussex NHS Foundation Trust to be published.
The timeframe of the independent maternity reviews of Leeds Teaching Hospitals NHS Trust and University Hospitals Sussex NHS Foundation Trust will be determined by the Terms of Reference.
The full Terms of Reference will be developed and finalised with the Chair, Donna Ockenden, and families in the coming months. Families are helping shape the scope of these reviews, ensuring every person who experienced harm gets the answers they deserve, driving lasting improvements to maternity safety.
To ask His Majesty's Government how many crimes were committed by foreign nationals in England and Wales in (1) 2023–24, (2) 2024–25, and (3) 2025–26; of those, what crimes were the most common; and in what counties they were most common.
To ask His Majesty's Government how many crimes were committed by foreign nationals in England and Wales in (1) 2023–24, (2) 2024–25, and (3) 2025–26; of those, what crimes were the most common; and in what counties they were most common.
To ask His Majesty's Government what welfare, housing and health benefits foreign nationals are entitled to; from what point after their arrival in the UK are they entitled to those benefits; and what criteria are used to assess their eligibility.
To ask His Majesty's Government what welfare, housing and health benefits foreign nationals are entitled to; from what point after their arrival in the UK are they entitled to those benefits; and what criteria are used to assess their eligibility.
To ask His Majesty's Government, in light of the independent reviews by Dr Bill Kirkup, Donna Ockenden and Baroness Amos, what actions they are taking to ensure accountability for failures identified in relation to maternity services and care, particularly regarding leadership and governance; and whether they intend to remove any...
To ask His Majesty's Government, in light of the independent reviews by Dr Bill Kirkup, Donna Ockenden and Baroness Amos, what actions they are taking to ensure accountability for failures identified in relation to maternity services and care, particularly regarding leadership and governance; and whether they intend to remove any...
My Lords, what action are the Government taking to tackle interoperability within government departments? What are they doing to ensure that there is AI investment in the regions? We need actions, please.
My Lords, what action are the Government taking to tackle interoperability within government departments? What are they doing to ensure that there is AI investment in the regions? We need actions, please.
On investment in the regions, the Government are supporting huge investment in AI through AI growth zones and through investment in people, with the £10 million jobs boost and £187 million to support young people and those returning to work to get the skills that they need. These programmes are developed centrally and delivered in partnership with local organisations and civil society. We are investing in infrastructure and we are investing in people.
My Lord, I agree with the sentiments that have been expressed by the Minister. However, she will be aware that there are significant regional variations in the uptake of breast screening among those who live in poorer disadvantaged communities and among ethnic-minority women. These are women below the age of 70. What are the Government doing to narrow the gap in outcome for these women, and what key performance indicators are the Government using to monitor this?
My Lord, I agree with the sentiments that have been expressed by the Minister. However, she will be aware that there are significant regional variations in the uptake of breast screening among those who live in poorer disadvantaged communities and among ethnic-minority women. These are women below the age of 70. What are the Government doing to narrow the gap in outcome for these women, and what key performance indicators are the Government using to monitor this?
The noble Baroness will be aware of the launch of the women’s health strategy. Running throughout that is a real understanding that too many women are not aware of the treatment that is available. There might be all sorts of reasons why they are not coming forward for the screening to which they are entitled. The focus on working locally, spreading information, giving reassurance, and coming up with peer models within communities who can go out and convince women that screening is in their interest are all parts of the rich toolkit available to local health communities.
My Lords, I welcome the comments made by the Minister. However, she will be aware that, as well as having a shortage of midwives in place—and we have seen the terrible effects of poor service delivery in antenatal and postnatal care—we have a significant shortage of health visitors, who give advice regarding immunisations, development, feeding and so forth. Some of those health visitors have caseloads of up to 1,000 families. That is not sustainable and, frankly, is quite dangerous. What are the Government going to do to address this?
My Lords, I welcome the comments made by the Minister. However, she will be aware that, as well as having a shortage of midwives in place—and we have seen the terrible effects of poor service delivery in antenatal and postnatal care—we have a significant shortage of health visitors, who give advice regarding immunisations, development, feeding and so forth. Some of those health visitors have caseloads of up to 1,000 families. That is not sustainable and, frankly, is quite dangerous. What are the Government going to do to address this?
Again, I refer to the forthcoming 10-year health and care workforce plan, which will take a multidisciplinary approach. I certainly share the noble Baroness’s views about the value of health visitors. As we move services into the community and develop the neighbourhood health service, that will require the greater use of roles such as health visitors. Ultimately, this is a local matter about local employment of staff to meet local need.
My Lords, as has already been mentioned, over 10 million people in the UK suffer from migraine, and it is highly prevalent in women. It is also linked to anxiety and depression. I welcome what the Government are doing in extending women’s health hubs and emphasising mental health in the 10-year plan but, unfortunately, there are no systematic gateways for migraine care in the 10-year plan. How can the Government address this in the light of the significant problem that there is? I am also sorry to hear that the noble Lord, Lord Londesborough, suffers from migraine.
My Lords, as has already been mentioned, over 10 million people in the UK suffer from migraine, and it is highly prevalent in women. It is also linked to anxiety and depression. I welcome what the Government are doing in extending women’s health hubs and emphasising mental health in the 10-year plan but, unfortunately, there are no systematic gateways for migraine care in the 10-year plan. How can the Government address this in the light of the significant problem that there is? I am also sorry to hear that the noble Lord, Lord Londesborough, suffers from migraine.
It is important that we acknowledge that this is a debilitating condition. The noble Baroness is right that it is one of the most common neurological conditions, affecting one in five women and one in 15 men. Indeed, it is a major cause of disability. The 10-year plan sets out the main pillars. For example, there will be an updated adult neurology service specification, which will come into being just next month. It was published in August, and I believe it will take account of the points the noble Baroness rightly raises.
My Lords, the Minister is a Yorkshire woman, as am I, and she will know that Leeds general hospital, one of the biggest teaching hospitals in the UK, has had dreadful maternity services and a review was meant to be established. There still is no chair for that review. What is happening in relation to that? If that is the pace of change that we are going to see, it does not bode well for the future.
My Lords, the Minister is a Yorkshire woman, as am I, and she will know that Leeds general hospital, one of the biggest teaching hospitals in the UK, has had dreadful maternity services and a review was meant to be established. There still is no chair for that review. What is happening in relation to that? If that is the pace of change that we are going to see, it does not bode well for the future.
I start by declaring an interest: I was born in one of the hospitals there and three of my Leeds-based grandchildren have been born there relatively recently. Of course, it is of concern, particularly for the country; I think it is the largest teaching hospital in Europe. I want to reassure the noble Baroness that the parents have been down to visit the Secretary of State in the past week, and on their mind was exactly the issue she raises about the review and who will chair it. I can tell noble Lords across the House that this is being taken very seriously, and they will be kept in the loop on how it progresses.
My Lords, I am sorry if I sound like a broken record, but what are the Government doing to ensure that we retain the health visitors and midwives that we have? There are not sufficient midwives or health visitors in the service and they play a vital role in supporting young mothers and fathers in the care of their babies and children.
My Lords, I am sorry if I sound like a broken record, but what are the Government doing to ensure that we retain the health visitors and midwives that we have? There are not sufficient midwives or health visitors in the service and they play a vital role in supporting young mothers and fathers in the care of their babies and children.
They do: I completely agree. That is why they are very much part of our delivery plan. It is part of the move from hospital to community: part of the neighbourhood service model. We will be publishing the workforce plan in the spring; that will take account of it. This is a multidisciplinary approach. We are seeing more midwives. We are also seeing more consultants in obstetrics, for example, although I know that the noble Baroness was not referring particularly to that. We are also developing stronger health visitor teams. They all matter, because they bring the care closer to home in a way that will make the greatest impact.
The Government introduced voluntary guidelines for manufacturers to reduce salt and sugar in baby food and milk food products for ages up to 36 months. How has that gone? Will they introduce statutory guidelines after the first 18 months? Have companies complied with the guidelines?
The Government introduced voluntary guidelines for manufacturers to reduce salt and sugar in baby food and milk food products for ages up to 36 months. How has that gone? Will they introduce statutory guidelines after the first 18 months? Have companies complied with the guidelines?
We were glad to introduce the voluntary measures. To be proportionate and evidence-based, they will in the first instance be voluntary. We will review along the way how we are getting on and whether there is a need for statutory action, as the noble Baroness asks.
My Lords, the Minister will be aware that there is limited capacity in social care in terms of beds and that there are real problems of staff shortages across the NHS and in social care. The noble Baroness, Lady Pitkeathley, mentioned functionality and co-ordination between different agencies, including the NHS, local authorities and social care. As she rightly mentioned, there are blockages—such as receiving medicines et cetera—to patients being discharged from hospital. What key performance indicators are the Government going to put in place to ensure that we remove these blockages rather than just pursuing a generalised way forward?
My Lords, the Minister will be aware that there is limited capacity in social care in terms of beds and that there are real problems of staff shortages across the NHS and in social care. The noble Baroness, Lady Pitkeathley, mentioned functionality and co-ordination between different agencies, including the NHS, local authorities and social care. As she rightly mentioned, there are blockages—such as receiving medicines et cetera—to patients being discharged from hospital. What key performance indicators are the Government going to put in place to ensure that we remove these blockages rather than just pursuing a generalised way forward?
The noble Baroness raises how we assess performance. That is a valid question. This work has been tackled through all the plans for improvement. It is complicated, as she suggests, and covers a range of different areas. I do not think there is one prescriptive model that we need to adhere to. We need to make sure that it is very clear how benefits come to patients, in particular, when we get the systems right. I am happy to discuss this further with her.
My Lords, in a recent survey 78% of physicians reported undertaking corridor care. It is becoming almost the norm all the year round. It affects patients’ dignity, health and safety, and patient outcomes, because there are greater infection rates. I welcome the Minister’s points on the action that the Government are taking, but it is rather long-sighted and there is a real urgency to do something now.
My Lords, in a recent survey 78% of physicians reported undertaking corridor care. It is becoming almost the norm all the year round. It affects patients’ dignity, health and safety, and patient outcomes, because there are greater infection rates. I welcome the Minister’s points on the action that the Government are taking, but it is rather long-sighted and there is a real urgency to do something now.
I agree with the noble Baroness. Corridor care is perhaps one of the most visible and distressing symptoms of an NHS that the noble Lord, Lord Darzi, described as broken. We have to fix a number of the processes. I welcome that we are expanding urgent care access, for example, in primary, community and mental health settings, which will reduce demand on services. However, without publicly available data and the clinical operational standards that we are setting, the change will not be made as quickly as we would all like. There are immediate actions, as well as medium and long-term actions.
My Lords, of course the best food for babies comes from breastfeeding. May I advocate that we should not lose sight of the fact that many mothers do breastfeed? But I understand the anguish and fear that mothers who cannot breastfeed have had in relation to this incident, and the department needs to do more to make young new mothers aware of the issue, because, as the Minister and I know, there is a shortage of community midwives and health visitors.
My Lords, of course the best food for babies comes from breastfeeding. May I advocate that we should not lose sight of the fact that many mothers do breastfeed? But I understand the anguish and fear that mothers who cannot breastfeed have had in relation to this incident, and the department needs to do more to make young new mothers aware of the issue, because, as the Minister and I know, there is a shortage of community midwives and health visitors.
That last point is something that will be looked at as part of workforce planning. I totally agree with the noble Baroness about the importance of the multidisciplinary team in supporting new mothers to find the right ways that are suitable for them and best for their baby—and I am glad the noble Baroness accepted that breastfeeding is not possible for everybody.
My Lords, many NHS trusts are facing deficits in midwives. There is not a sufficient workforce. What are the Government doing
to tackle this issue? New parents, and new mothers during their birth, are not being supported, and there are significant problems as a direct result of this.
My Lords, many NHS trusts are facing deficits in midwives. There is not a sufficient workforce. What are the Government doing
to tackle this issue? New parents, and new mothers during their birth, are not being supported, and there are significant problems as a direct result of this.
Midwives are absolutely crucial, and I pay tribute to them and to the wider maternity team. As of October 2025, there has been an increase of some 3.6%—that is 878 more midwives—compared to October 2024. Importantly, we are seeing the introduction of a range of initiatives to improve retention in the maternity workforce, including in midwifery. That will include mentoring and giving better advice and support on pensions and flexible retirement options, because we are keen to retain the long years of service that many midwives and other staff have.
My Lords, I come back to screen time. There is significant evidence now that, for young children, particularly under the age of five, spending a lot of time on screens actually changes the neural pathways in their brains. We understand that gap and so the Government must start doing something constructive about this now, because it will damage our young children.
My Lords, I come back to screen time. There is significant evidence now that, for young children, particularly under the age of five, spending a lot of time on screens actually changes the neural pathways in their brains. We understand that gap and so the Government must start doing something constructive about this now, because it will damage our young children.
The noble Baroness picks up an important point. We know how important ages nought to five are in development, particularly of the brain, and going forward. As I said, the evidence on this is emerging and good practice is coming forward. It is heartbreaking that young children arrive at school and, when they are given a book, just turn the pages, because they have never held a book in their hands, for example. There is an enormous amount to do and the noble Baroness raises an important question about the long-term impact that this is having on children’s brains.
My Lords, as an ex-nurse, ex-midwife and ex-health visitor, and having run a large part of the National Health Service, I am aware, as my noble friend on the Front Bench has already said, that there is a real psychological impact on children who go to school without being appropriately toilet trained. On top of that, the number of health visitors has reduced quite dramatically, so they cannot provide the services, help and support that they need to give to mothers in need.
My Lords, as an ex-nurse, ex-midwife and ex-health visitor, and having run a large part of the National Health Service, I am aware, as my noble friend on the Front Bench has already said, that there is a real psychological impact on children who go to school without being appropriately toilet trained. On top of that, the number of health visitors has reduced quite dramatically, so they cannot provide the services, help and support that they need to give to mothers in need.
I am looking forward, as I am sure the noble Baroness is, to the professional strategy for nursing and midwifery, which will come out with our workforce plan through the 10-year plan for the health service. These are really important areas; we need to have a real focus. I am pleased that she recognises just what an important issue this is, how it can actually indicate further problems and what can be done to resolve them.
My Lords, I welcome the Government’s strategy to have a dedicated cancer plan, but can the Minister say when this plan will be published, particularly in relation to breast screening? Will she give an indication of the uptake rate by women from disadvantaged backgrounds and women from ethnic minorities? The uptake rates are very low. Will these also be considered in this national plan?
My Lords, I welcome the Government’s strategy to have a dedicated cancer plan, but can the Minister say when this plan will be published, particularly in relation to breast screening? Will she give an indication of the uptake rate by women from disadvantaged backgrounds and women from ethnic minorities? The uptake rates are very low. Will these also be considered in this national plan?
The answer to that latter question is yes, and the noble Baroness will not have to wait too long to see the national cancer plan.
To ask His Majesty's Government what assessment they have made of providing child benefits and child care support based on (1) joint household income and (2) parents individual earnings, given that currently a family of two parents earning £50,000 each may be eligible for a different level of support than...
To ask His Majesty's Government what assessment they have made of providing child benefits and child care support based on (1) joint household income and (2) parents individual earnings, given that currently a family of two parents earning £50,000 each may be eligible for a different level of support than...
The current rules base the High Income Child Benefit Charge on the income of one parent or carer. Basing the charge on household income, or the individual incomes of both parents or carers, would come at a significant fiscal cost if we were to ensure that no families lose out.
Regarding the 30 hours childcare offer, the £100,000 earnings threshold for eligibility is currently assessed on a per parent basis, rather than household income for two main reasons. First, aligning to the existing boundary in the tax system makes it easy for parents to understand what they are entitled to. Second, this policy approach means there is no incentive for the lower earner in a household to reduce their income, for example through working fewer hours, to be eligible.
My Lords, as the Minister said, the NHS provides the funding for wheelchair access, but the wheelchairs are mostly necessary in community settings and in the home, and there is a gap between social services and the NHS using different criteria to assess the health needs of the patient. What are the Government going to do to address this so that people get the service that they need?
My Lords, as the Minister said, the NHS provides the funding for wheelchair access, but the wheelchairs are mostly necessary in community settings and in the home, and there is a gap between social services and the NHS using different criteria to assess the health needs of the patient. What are the Government going to do to address this so that people get the service that they need?
The provision of the right type of wheelchair is crucial, but we also need to expand care options to boost independent living at home. We have done that in part through an additional £172 million for the disabled facilities grant, which goes hand in hand with people being able to live at home. This could enable around 15,600 extra home adaptations. Introducing care technology standards for those who are using wheelchairs and those who are not will also enable proper care standards and independent living.