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To ask His Majesty's Government what plans they have to ensure that adult social care in England is provided free at the point of use on the same principle as the National Health Service.
To ask His Majesty's Government what plans they have to ensure that adult social care in England is provided free at the point of use on the same principle as the National Health Service.
To ask His Majesty's Government what plans they have to publish a green paper or white paper on adult social care reform, and by when.
To ask His Majesty's Government what plans they have to publish a green paper or white paper on adult social care reform, and by when.
To ask His Majesty's Government whether they intend to bring forward legislation to establish a National Care Service; and if so, when.
To ask His Majesty's Government whether they intend to bring forward legislation to establish a National Care Service; and if so, when.
To ask His Majesty's Government what assessment they have made of the merits of providing adult social care free at the point of use, including the impact on the statutory responsibilities and funding of local authorities.
To ask His Majesty's Government what assessment they have made of the merits of providing adult social care free at the point of use, including the impact on the statutory responsibilities and funding of local authorities.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 5 June (HL108), what steps they are taking to ensure that delivery of NHS Health Checks is better incentivised across primary care and local systems.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 5 June (HL108), what steps they are taking to ensure that delivery of NHS Health Checks is better incentivised across primary care and local systems.
The NHS Health Check (NHS HC) programme is commissioned by local authorities who are responsible for offering 100% of their eligible resident population a check every five years.
The Government's Public Health Grant to local authorities is used to enable the programme's provision and allows local authorities to ensure that delivery of the NHS HC is aligned with local public health services and fits their local population.
The programme's Best Practice Guidance provides commissioners and their providers with information on how to deliver the programme effectively, and how to adopt a proportionate universalist approach to ensure that checks are delivered in a way that prioritises resources and effort towards engaging people at higher risk of cardiovascular disease.
Department officials are considering options to improve the NHS HC programme.
To ask His Majesty's Government whether data from cholesterol and lipid testing undertaken through the NHS Health Check Online pilot will be recorded in patient records and used to support follow-up care, including lipid optimisation where clinically indicated.
To ask His Majesty's Government whether data from cholesterol and lipid testing undertaken through the NHS Health Check Online pilot will be recorded in patient records and used to support follow-up care, including lipid optimisation where clinically indicated.
The NHS Health Check Online (NHSHC-O) is in the private Beta testing phase and is being piloted in 11 local authorities across England. As part of the NHSHC-O, users receive a self-sampling capillary blood testing kit, delivered to their home, to measure cholesterol, and, if appropriate, HbA1c. Samples are then sent to a United Kingdom Accreditation Service accredited laboratory for assessment.
All results from the NHSHC-O are automatically written back into the patient's electronic health record. General practices are notified if a patient's results indicate that further assessment is necessary and, if required, undertake further clinical investigation and treatment where appropriate, in line with existing clinical pathways.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 5 June (HL108), what steps they are taking to ensure that improvements to the NHS Health Check programme are targeted towards communities experiencing the greatest health inequalities.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 5 June (HL108), what steps they are taking to ensure that improvements to the NHS Health Check programme are targeted towards communities experiencing the greatest health inequalities.
The NHS Health Check (NHS HC) aims to improve the health and wellbeing of adults aged 40 to 74 years old through the promotion of early awareness, assessment, and management of the major risk factors for cardiovascular disease (CVD), risk factors that are associated with premature death, disability, and health inequalities in England. Improving uptake of the programme, including for people at the highest risk and experiencing inequalities, is a priority for the programme.
The NHS Health Check Online is currently being tested in 11 local authorities across England and aims to increase access and engagement with the programme for all population groups, by allowing people to undertake their NHS Health Check at home, at a time and place convenient to them, freeing up in-person NHS HCs for those who want or need more support.
The recently published Cardiovascular Disease Modern Service Framework (CVD MSF) sets out the 10-year ambition to systematically identify individuals with established or emerging cardiovascular, kidney, and metabolic risk factors, including via the NHS HC, whilst reducing the variation in the number of people receiving a check between the best and worst performing areas nationally. A delivery plan will be published later this year to support local implementation of the CVD MSF.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 5 June (HL108), what steps they are taking to strengthen lipid management pathways, including diagnosis, referral, treatment optimisation and long-term monitoring, for people at risk of cardiovascular disease.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 5 June (HL108), what steps they are taking to strengthen lipid management pathways, including diagnosis, referral, treatment optimisation and long-term monitoring, for people at risk of cardiovascular disease.
The NHS Health Check programme, a core component of England's cardiovascular disease (CVD) prevention programme, assesses the top risk factors for CVD, including raised cholesterol, in eligible people and refers them to further support through behavioural interventions, clinical assessment, and treatment where appropriate. For every 1.4 million NHS Health Checks delivered annually, 900,000 people are found to have raised cholesterol level. We are also developing the NHS Health Check Online to improve access and help more people understand and act on their risk factors.
Furthermore, NHS England is strengthening lipid management by improving identification of people at risk of CVD through risk assessment, case finding, and community-based initiatives, including pharmacy-led approaches and cholesterol point of care testing.
The Government recently published the Cardiovascular Disease Modern Service Framework, which sets out priorities for the health and care system to accelerate progress on the ambition to reduce premature deaths from heart disease and stroke by 25% within the next decade. Identifying people with high cholesterol and optimising lipid management for people with high cholesterol are amongst the priorities for the health and care system.
My Lords, can I ask about entrepreneurs who are not clinicians but have a product or service that could improve health or social care? For them, there is no obvious front door to the NHS, so they spend ages trying to get into the system at primary care, trust or ICB level, and, sadly, some give up or go abroad. Could I suggest that the new Minister for Technology and Innovation, when they are appointed, creates a front door or one-stop shop to triage those who approach them? They could distinguish between salespeople with no real product, those who have a product but need more support, and those who have a fantastic product that could save lives now and that we could pilot as quickly as possible. Can the Minister make that suggestion to the new Minister for Technology within health?
My Lords, can I ask about entrepreneurs who are not clinicians but have a product or service that could improve health or social care? For them, there is no obvious front door to the NHS, so they spend ages trying to get into the system at primary care, trust or ICB level, and, sadly, some give up or go abroad. Could I suggest that the new Minister for Technology and Innovation, when they are appointed, creates a front door or one-stop shop to triage those who approach them? They could distinguish between salespeople with no real product, those who have a product but need more support, and those who have a fantastic product that could save lives now and that we could pilot as quickly as possible. Can the Minister make that suggestion to the new Minister for Technology within health?
Those important discussions will take place. I refer the noble Lord to the Life Sciences Sector Plan, which followed on from the 10-year health plan and which addresses exactly the point he rightly makes. I also refer him to the updated NHS intellectual property guidance, which provided organisations that provide or commission NHS services with much clearer routes to identify, protect and commercialise innovation. That, along with a number of other steps we are taking, will do what he seeks, which is important.
To ask His Majesty's Government whether they intend to consult on further reforms to the NHS dental contract; and if so, when.
To ask His Majesty's Government whether they intend to consult on further reforms to the NHS dental contract; and if so, when.
To ask His Majesty's Government, further to the Written Answer by the Minister of State for Health and Social Care on 12 March (HC118419), what criteria they use to define those in greatest need of dental services.
To ask His Majesty's Government, further to the Written Answer by the Minister of State for Health and Social Care on 12 March (HC118419), what criteria they use to define those in greatest need of dental services.
To ask His Majesty's Government what data they collect on the number of patients with dental issues who present at (1) accident and emergency departments, and (2) GP surgeries.
To ask His Majesty's Government what data they collect on the number of patients with dental issues who present at (1) accident and emergency departments, and (2) GP surgeries.
To ask His Majesty's Government further to the Written Answer by Baroness Merron on 4 June 2026 (HL683), what plans they have to increase the number of services subject to patients' right to choose, particularly non-consultant led community services.
To ask His Majesty's Government further to the Written Answer by Baroness Merron on 4 June 2026 (HL683), what plans they have to increase the number of services subject to patients' right to choose, particularly non-consultant led community services.
To ask His Majesty's Government what assessment they have made of the paper by Zhang X et al (2025, The Lancet Neurology), which states that current tools such as the EQ-5D do not adequately capture health-related quality of life in people with dementia and their carers.
To ask His Majesty's Government what assessment they have made of the paper by Zhang X et al (2025, The Lancet Neurology), which states that current tools such as the EQ-5D do not adequately capture health-related quality of life in people with dementia and their carers.
To ask His Majesty's Government whether the EuroQol 5-dimension questionnaire is the most appropriate tool for assessing the impact on caregivers of caring for people with Alzheimer's disease.
To ask His Majesty's Government whether the EuroQol 5-dimension questionnaire is the most appropriate tool for assessing the impact on caregivers of caring for people with Alzheimer's disease.
To ask His Majesty's Government what data they collect on timely access to diagnostic services for those from underrepresented groups including (1) women, and (2) those from poorer socioeconomic backgrounds.
To ask His Majesty's Government what data they collect on timely access to diagnostic services for those from underrepresented groups including (1) women, and (2) those from poorer socioeconomic backgrounds.
Community diagnostic centres (CDCs) offer patients a wide range of diagnostic tests closer to home and greater choice on where and how they are undertaken, reducing the need for hospital visits and potentially speeding up the start of treatment. CDCs are part of the Government’s aim to shift care out of hospitals and into communities.
NHS England publishes guidance to integrated care boards (ICBs) on CDCs. The 2026 version of the guidance will be published imminently. The guidance sets out the core tests for a CDC. The following table shows the overall type of core diagnostic tests available, as well as the individual modalities:
Modality | Requirements |
Imaging |
|
Pathology |
|
Physiological science | Full range of cardiology tests, for example:
|
Full range of respiratory tests, for example:
| |
Other | Outpatient clinic room capacity |
In addition, the following table shows the overall type of optional diagnostic tests available, as well as the individual modalities:
Modality | Test |
Imaging |
|
Physiological science |
|
Pathology |
|
Endoscopy |
|
Other |
|
Data is not collected on timely access to diagnostic services for those from underrepresented groups including women, and those from poorer socioeconomic backgrounds.
One of the central priorities for CDCs is to offer tests for underserved populations. That is why the vast majority of CDCs are located in, or within easy public transport access from, the areas with the most deprivation and health inequalities in each ICB.
To ask His Majesty's Government which diagnostic tests they require to be available at individual community diagnosis centres.
To ask His Majesty's Government which diagnostic tests they require to be available at individual community diagnosis centres.
Community diagnostic centres (CDCs) offer patients a wide range of diagnostic tests closer to home and greater choice on where and how they are undertaken, reducing the need for hospital visits and potentially speeding up the start of treatment. CDCs are part of the Government’s aim to shift care out of hospitals and into communities.
NHS England publishes guidance to integrated care boards (ICBs) on CDCs. The 2026 version of the guidance will be published imminently. The guidance sets out the core tests for a CDC. The following table shows the overall type of core diagnostic tests available, as well as the individual modalities:
Modality | Requirements |
Imaging |
|
Pathology |
|
Physiological science | Full range of cardiology tests, for example:
|
Full range of respiratory tests, for example:
| |
Other | Outpatient clinic room capacity |
In addition, the following table shows the overall type of optional diagnostic tests available, as well as the individual modalities:
Modality | Test |
Imaging |
|
Physiological science |
|
Pathology |
|
Endoscopy |
|
Other |
|
Data is not collected on timely access to diagnostic services for those from underrepresented groups including women, and those from poorer socioeconomic backgrounds.
One of the central priorities for CDCs is to offer tests for underserved populations. That is why the vast majority of CDCs are located in, or within easy public transport access from, the areas with the most deprivation and health inequalities in each ICB.
To ask His Majesty's Government what steps they are taking to reduce disparities in timely access to diagnostic testing at community-based facilities.
To ask His Majesty's Government what steps they are taking to reduce disparities in timely access to diagnostic testing at community-based facilities.
Community diagnostic centres (CDCs) offer patients a wide range of diagnostic tests closer to home and greater choice on where and how they are undertaken, reducing the need for hospital visits and potentially speeding up the start of treatment. CDCs are part of the Government’s aim to shift care out of hospitals and into communities.
NHS England publishes guidance to integrated care boards (ICBs) on CDCs. The 2026 version of the guidance will be published imminently. The guidance sets out the core tests for a CDC. The following table shows the overall type of core diagnostic tests available, as well as the individual modalities:
Modality | Requirements |
Imaging |
|
Pathology |
|
Physiological science | Full range of cardiology tests, for example:
|
Full range of respiratory tests, for example:
| |
Other | Outpatient clinic room capacity |
In addition, the following table shows the overall type of optional diagnostic tests available, as well as the individual modalities:
Modality | Test |
Imaging |
|
Physiological science |
|
Pathology |
|
Endoscopy |
|
Other |
|
Data is not collected on timely access to diagnostic services for those from underrepresented groups including women, and those from poorer socioeconomic backgrounds.
One of the central priorities for CDCs is to offer tests for underserved populations. That is why the vast majority of CDCs are located in, or within easy public transport access from, the areas with the most deprivation and health inequalities in each ICB.
To ask His Majesty's Government, further to the remarks by Baroness Merron on 15 April (HL Deb, cols 27GC–28GC), whether they intend the provision of treatment by foreign medical teams to those in the performing arts, elite athletes, and their teams, temporarily visiting the UK to constitute a “regulated activity” for...
To ask His Majesty's Government, further to the remarks by Baroness Merron on 15 April (HL Deb, cols 27GC–28GC), whether they intend the provision of treatment by foreign medical teams to those in the performing arts, elite athletes, and their teams, temporarily visiting the UK to constitute a “regulated activity” for...
The Care Quality Commission (CQC) is the regulator for health and social care in England. Providers of health and adult social care who are wholly based outside England would typically not register with the CQC.
This is because the CQC does not hold jurisdiction to regulate providers outside England and therefore cannot inspect and take enforcement action against them if the service being provided fails to meet the necessary standards as set out in the regulations.
To ask His Majesty's Government, further to the remarks by Baroness Merron on 15 April (HL Deb, cols 27GC-28GC), what consideration they have given to exempting the provision of treatment to those in the performing arts, elite athletes, and their teams, from the list of regulated activities for the purposes...
To ask His Majesty's Government, further to the remarks by Baroness Merron on 15 April (HL Deb, cols 27GC-28GC), what consideration they have given to exempting the provision of treatment to those in the performing arts, elite athletes, and their teams, from the list of regulated activities for the purposes...
The Government has heard from a range of industry and medical stakeholders and will consider the range of views provided in relation to potential exemptions. There will be close liaison with the Care Quality Commission (CQC) to ensure that everyone either participating in or attending cultural or sporting events receive safe and effective care. The CQC continues to engage with providers to ensure minimal impact on them whilst achieving those aims.