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My Lords, the Minister will understand why I ask her this question, because we have discussed it many times before. When this new regime comes in, will there be any restriction or criteria at all that would prevent any disabled person of working
age walking into a Jobcentre Plus and not being turned away at the door because they do not meet the criteria? Can they just walk in and get help?
My Lords, the Minister will understand why I ask her this question, because we have discussed it many times before. When this new regime comes in, will there be any restriction or criteria at all that would prevent any disabled person of working
age walking into a Jobcentre Plus and not being turned away at the door because they do not meet the criteria? Can they just walk in and get help?
My Lords, I hope people would not just be turned away. We will always prioritise resources for those who need them most. One of the great things about the new service is that there are lots of different ways to get help. For example, those who are already in touch with the DWP because they are on benefits will have a work coach, but the work coach will now find it easier and more seamless in the journey for them to be referred on to help. We have also created the work hub, a brilliant new set of digital tools which allows people to use all kind of things—not only CV builders but AI tools to enable them to find a job, putting in their particular skills and challenges. But there are categories of people who at the moment are not covered by any of these things, and we will make sure they get the support they need. The aim is to make sure you can phone up a helpline or get help online. If you need particular kinds of help, you will get the help you need.
My Lords, I support the Government in regulation, because what has happened in Hull has been tragic for the people concerned. We have noticed increasing television advertising for funerals without any form of ceremony or service. Of course, that is personal preference, but it looks as though the public are increasingly putting their faith in funeral directors to have sole charge of the deceased from the time they die to the time they are cremated, without necessarily having any input from people around them—of course, some people have no surviving relatives or friends—and I think that trust needs to be regulated.
My Lords, I support the Government in regulation, because what has happened in Hull has been tragic for the people concerned. We have noticed increasing television advertising for funerals without any form of ceremony or service. Of course, that is personal preference, but it looks as though the public are increasingly putting their faith in funeral directors to have sole charge of the deceased from the time they die to the time they are cremated, without necessarily having any input from people around them—of course, some people have no surviving relatives or friends—and I think that trust needs to be regulated.
That, my Lords, is exactly why we are taking the action that we are.
My Lords, I am grateful to put on the record of the House that I met Ann in the early 1980s and we became close friends. We worked together to become Members of Parliament. We debated with anybody and on anything, and she taught me a lot. She was ahead...
My Lords, I am grateful to put on the record of the House that I met Ann in the early 1980s and we became close friends. We worked together to become Members of Parliament. We debated with anybody and on anything, and she taught me a lot. She was ahead...
To ask His Majesty's Government what the average waiting time is for the Land Registry to issue a changed Title Deed following the completion of a domestic dwelling sale.
To ask His Majesty's Government what the average waiting time is for the Land Registry to issue a changed Title Deed following the completion of a domestic dwelling sale.
In 2025/26, HM Land Registry completed over 4 million post‑completion applications to update or create titles. Nearly half were completed and returned to the customer within one week (excluding third-party action) with 23% automated and completed within minutes.
If a delay to an application may cause financial, legal or personal problems or put a property sale at risk, it can be expedited free of charge.
Improving speed of service for customers remains HM Land Registry’s main priority. Plans to achieve this are outlined in its published Strategy 25+ and supporting Business Plan 2026+.
HM Land Registry’s processing times are publicly available at: HM Land Registry: processing times - GOV.UK and they also provide information on forward looking estimated time ranges for most applications once they have been submitted: HM Land Registry estimated completion timeframes - GOV.UK.
To ask His Majesty's Government what percentage of staff employed by the Land Registry work from home.
To ask His Majesty's Government what percentage of staff employed by the Land Registry work from home.
HM Land Registry (HMLR) operates a hybrid working model under which staff are expected to spend at least 60% of their time on average working in an office, in line with Civil Service expectations.
Less than 2% of HMLR staff have not attended an office in the last 12 months. In addition to full-time homeworkers for whom this is a reasonable workplace adjustment (for example those managing long-term health conditions and disabilities), this includes employees on long-term sickness absence, maternity/paternity leave, and career breaks. Reasonable workplace adjustments are regularly reviewed.
To ask His Majesty's Government what assessment they have made of the efficiency of the work of the Land Registry.
To ask His Majesty's Government what assessment they have made of the efficiency of the work of the Land Registry.
I refer the Noble Baroness to the response given to UIN HL15918 on 8 April 2026.
My Lords, I declare my interest as a vice-president, along with my noble friend Lord Touhig, of the National Autistic Society, and I hold lasting power of attorney for autistic adults. I thank the excellent chair of our committee—I genuinely think we would not have got here without her.
When the...
My Lords, I declare my interest as a vice-president, along with my noble friend Lord Touhig, of the National Autistic Society, and I hold lasting power of attorney for autistic adults. I thank the excellent chair of our committee—I genuinely think we would not have got here without her.
When the...
My Lords, does the Minister accept that, prior to a diagnosis of dementia or Alzheimer’s, many people are diagnosed with mild cognitive impairment and sometimes there is a very long gap between that diagnosis and ultimately a diagnosis of Alzheimer’s? Will she look at the way in which the new plan is drafted to ensure that once a diagnosis of mild cognitive impairment has been given, there is a much quicker follow-up? Sometimes it is years later, and by then it is too late. I should declare that I am an ambassador for the Alzheimer’s Society.
My Lords, does the Minister accept that, prior to a diagnosis of dementia or Alzheimer’s, many people are diagnosed with mild cognitive impairment and sometimes there is a very long gap between that diagnosis and ultimately a diagnosis of Alzheimer’s? Will she look at the way in which the new plan is drafted to ensure that once a diagnosis of mild cognitive impairment has been given, there is a much quicker follow-up? Sometimes it is years later, and by then it is too late. I should declare that I am an ambassador for the Alzheimer’s Society.
I thank the noble Baroness. I will just reflect on exactly what she has said as it is so important. We know that even without a definite diagnosis, so many preventive interventions could be made. If the early signs are there, they should be flagged up, and individuals can then take their own preventive measures and particularly, I hope, be supported by their friends and family to delay the onset, but also to make sure if signs start to get worse, they can be rapidly progressed along the system.
Does the Minister agree that, since it is a given fact that women over 70 can self-refer every three years, there is no need for these layers of bureaucracy and administration in the health service? There is no reason why a GP needs to refer a woman in that age group to their local breast screening unit. I go into the hospital breast-screening unit and say, “Could I please book an appointment?” They say, “Yes, certainly”. No GP comes anywhere near it. Let us cut out the bureaucracy; there is too much of it in the NHS.
Does the Minister agree that, since it is a given fact that women over 70 can self-refer every three years, there is no need for these layers of bureaucracy and administration in the health service? There is no reason why a GP needs to refer a woman in that age group to their local breast screening unit. I go into the hospital breast-screening unit and say, “Could I please book an appointment?” They say, “Yes, certainly”. No GP comes anywhere near it. Let us cut out the bureaucracy; there is too much of it in the NHS.
To veer away from breast cancer for a moment, one of the most successful programmes I was involved in was working with the local authority and local NHS services to remove the need to see a GP to be referred for lung x-rays. This programme particularly targeted men in disadvantaged areas and, my goodness, it had a huge impact. This is something that needs to be taken seriously. A lot of people, men and women, are averse to going to seek medical help. We need to make available as many opportunities as we possibly can.
My Lords, we have heard three wonderful maiden speeches, each distinct in its own way. I can see clearly that each of our contributors today will make an important contribution to our future debates, and I congratulate them all.
I will focus on the proposed SEND changes in the forthcoming education...
My Lords, we have heard three wonderful maiden speeches, each distinct in its own way. I can see clearly that each of our contributors today will make an important contribution to our future debates, and I congratulate them all.
I will focus on the proposed SEND changes in the forthcoming education...
Is there any monitoring of when GPs insist on a telephone call rather than a face-to-face meeting, or when things are sent by email to the surgery and they are then triaged by others rather than their normal GP? Is there any identifying of just how many cases they miss...
Is there any monitoring of when GPs insist on a telephone call rather than a face-to-face meeting, or when things are sent by email to the surgery and they are then triaged by others rather than their normal GP? Is there any identifying of just how many cases they miss...
The noble Lord, Lord McCabe, referenced older people in particular in his Question—he did not say where he drew the line at old, but perhaps I will declare an interest. What happens, for example, when really older people need heart surgery but are considered to be an anaesthetic risk? With new
developments in heart surgery, I wonder whether the Minister can tell us what progress there has been in carrying out procedures without necessarily needing to have invasive surgery.
The noble Lord, Lord McCabe, referenced older people in particular in his Question—he did not say where he drew the line at old, but perhaps I will declare an interest. What happens, for example, when really older people need heart surgery but are considered to be an anaesthetic risk? With new
developments in heart surgery, I wonder whether the Minister can tell us what progress there has been in carrying out procedures without necessarily needing to have invasive surgery.
I can privately share with the noble Baroness that I suspect that “older people” covers both of us: it is over 65. The point that she makes is important. The option of what is called a TAVI intervention is far less invasive than a surgical intervention, as she referred to. That activity has grown significantly year on year, with something like a 16% increase on 2024-25. That is a very welcome step forward as we move towards minimally invasive procedures.
My Lords—
My Lords—
My Lords, the employment of autistic adults remains at a remarkably low rate of about 30%. Each time there is a new strategy under the Autism Act, employment has been highlighted as one of the priorities. The strategy is due for renewal in July. I am sure that the Minister will be involved in the discussions for planning that strategy. How does she think we can now get autistic adults of all age groups into employment? It has been far too slow and has taken far too long, under all Governments.
My Lords, the employment of autistic adults remains at a remarkably low rate of about 30%. Each time there is a new strategy under the Autism Act, employment has been highlighted as one of the priorities. The strategy is due for renewal in July. I am sure that the Minister will be involved in the discussions for planning that strategy. How does she think we can now get autistic adults of all age groups into employment? It has been far too slow and has taken far too long, under all Governments.
The noble Baroness raises an important point. This is an opportunity for us to rethink how we can ensure the appropriate support, the appropriate information and understanding of employers about the way in which autistic people can make an enormously important contribution in the workplace, and the support of work coaches in DWP and others who are providing the advice to people about how to get into work. I will certainly undertake to look into this in more detail and take the wisdom of the noble Baroness, who I know has campaigned on this for many years.
My Lords, I support the noble Lord, Lord Norton of Louth. Since coming to this House 16 years ago, I have been fortunate in the ballot for one-year inquiries—in which we are often
encouraged to recommend post-legislative scrutiny—to have successfully brought forward one-year inquiries into two pieces of legislation which...
My Lords, I support the noble Lord, Lord Norton of Louth. Since coming to this House 16 years ago, I have been fortunate in the ballot for one-year inquiries—in which we are often
encouraged to recommend post-legislative scrutiny—to have successfully brought forward one-year inquiries into two pieces of legislation which...
To ask His Majesty's Government whether they conducted a resource and cost analysis when setting guide prices for autism and attention deficit hyperactivity disorder assessments for 2026–27; and if so, whether they will publish that data.
To ask His Majesty's Government whether they conducted a resource and cost analysis when setting guide prices for autism and attention deficit hyperactivity disorder assessments for 2026–27; and if so, whether they will publish that data.
NHS England has engaged with providers and commissioners as part of the development of the currency models and guide prices for autism assessment services and certain attention deficit hyperactivity disorder (ADHD) services prior to their inclusion within the NHS Payment Scheme.
The statutory consultation for the NHS Payment Scheme 2026/27, which closed on 16 December 2025, provided an opportunity for all service providers to review the consultation guidance and provide comments and feedback, with further information avaiable on the NHS.UK website. NHS England is currently reviewing this feedback to inform the final 2026/27 Payment Scheme. The NHS England Payment Team invited all known ADHD and autism service providers to a pre-consultation webinar which set out the overall changes to the payment scheme. NHS England will continue to engage service providers as part of the next phase of development following the publication of the NHS Payment Scheme 2026/27.
As set out in the NHS Payment Scheme consultation, we have used a range of existing local prices agreed between commissioners and providers as the basis for the guide prices in the consultation. The payment scheme consultation provides the opportunity for providers to comment on the proposed guide prices, and we will consider all the responses received before finalising the payment scheme for 2026/27. These proposals for 2026/27 represent the first stage of planning pricing development for autism assessment services and certain ADHD services.
NHS England has set out what is included within assessments for ADHD and autism within a supporting document to the NHS Payment Scheme 2026/27 statutory consultation. This guidance also links to clinical guidance from the National Institute for Health and Care Excellence and other guidance which may support the commissioning and provision of these services. Guidance setting out the all age autism assessment pathway intended to help integrated care boards deliver improved outcomes in all age autism assessment pathways was written by NHS England in April 2024 and is available on the NHS.UK website.
To ask His Majesty's Government what are the criteria for (1) autism, and (2) attention deficit hyperactivity disorder, assessments in 2026–27; and what the differences are between those two assessments.
To ask His Majesty's Government what are the criteria for (1) autism, and (2) attention deficit hyperactivity disorder, assessments in 2026–27; and what the differences are between those two assessments.
NHS England has engaged with providers and commissioners as part of the development of the currency models and guide prices for autism assessment services and certain attention deficit hyperactivity disorder (ADHD) services prior to their inclusion within the NHS Payment Scheme.
The statutory consultation for the NHS Payment Scheme 2026/27, which closed on 16 December 2025, provided an opportunity for all service providers to review the consultation guidance and provide comments and feedback, with further information avaiable on the NHS.UK website. NHS England is currently reviewing this feedback to inform the final 2026/27 Payment Scheme. The NHS England Payment Team invited all known ADHD and autism service providers to a pre-consultation webinar which set out the overall changes to the payment scheme. NHS England will continue to engage service providers as part of the next phase of development following the publication of the NHS Payment Scheme 2026/27.
As set out in the NHS Payment Scheme consultation, we have used a range of existing local prices agreed between commissioners and providers as the basis for the guide prices in the consultation. The payment scheme consultation provides the opportunity for providers to comment on the proposed guide prices, and we will consider all the responses received before finalising the payment scheme for 2026/27. These proposals for 2026/27 represent the first stage of planning pricing development for autism assessment services and certain ADHD services.
NHS England has set out what is included within assessments for ADHD and autism within a supporting document to the NHS Payment Scheme 2026/27 statutory consultation. This guidance also links to clinical guidance from the National Institute for Health and Care Excellence and other guidance which may support the commissioning and provision of these services. Guidance setting out the all age autism assessment pathway intended to help integrated care boards deliver improved outcomes in all age autism assessment pathways was written by NHS England in April 2024 and is available on the NHS.UK website.
To ask His Majesty's Government what consultations they had with service providers in establishing the NHS Payment Scheme guide prices for autism and attention deficit hyperactivity disorder assessment in 2026–27.
To ask His Majesty's Government what consultations they had with service providers in establishing the NHS Payment Scheme guide prices for autism and attention deficit hyperactivity disorder assessment in 2026–27.
NHS England has engaged with providers and commissioners as part of the development of the currency models and guide prices for autism assessment services and certain attention deficit hyperactivity disorder (ADHD) services prior to their inclusion within the NHS Payment Scheme.
The statutory consultation for the NHS Payment Scheme 2026/27, which closed on 16 December 2025, provided an opportunity for all service providers to review the consultation guidance and provide comments and feedback, with further information avaiable on the NHS.UK website. NHS England is currently reviewing this feedback to inform the final 2026/27 Payment Scheme. The NHS England Payment Team invited all known ADHD and autism service providers to a pre-consultation webinar which set out the overall changes to the payment scheme. NHS England will continue to engage service providers as part of the next phase of development following the publication of the NHS Payment Scheme 2026/27.
As set out in the NHS Payment Scheme consultation, we have used a range of existing local prices agreed between commissioners and providers as the basis for the guide prices in the consultation. The payment scheme consultation provides the opportunity for providers to comment on the proposed guide prices, and we will consider all the responses received before finalising the payment scheme for 2026/27. These proposals for 2026/27 represent the first stage of planning pricing development for autism assessment services and certain ADHD services.
NHS England has set out what is included within assessments for ADHD and autism within a supporting document to the NHS Payment Scheme 2026/27 statutory consultation. This guidance also links to clinical guidance from the National Institute for Health and Care Excellence and other guidance which may support the commissioning and provision of these services. Guidance setting out the all age autism assessment pathway intended to help integrated care boards deliver improved outcomes in all age autism assessment pathways was written by NHS England in April 2024 and is available on the NHS.UK website.
My Lords, it is a great pleasure to follow the noble Baroness in her contribution this morning. This short but very important Bill was brought from the Commons in July last year. Many of us feel we have waited a very long time for it to appear on the Floor...
My Lords, it is a great pleasure to follow the noble Baroness in her contribution this morning. This short but very important Bill was brought from the Commons in July last year. Many of us feel we have waited a very long time for it to appear on the Floor...
My Lords, I think we are all grateful to the noble Lord, Lord Fairfax, for giving us this valuable opportunity today. When, within our lifetimes, we experienced the introduction of the world wide web and the internet, we could see the opportunities that that technology brought—but it also brought harms,...
My Lords, I think we are all grateful to the noble Lord, Lord Fairfax, for giving us this valuable opportunity today. When, within our lifetimes, we experienced the introduction of the world wide web and the internet, we could see the opportunities that that technology brought—but it also brought harms,...