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To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 16 September (HL3142), what steps they are taking to promote blood donation in communities of African or Caribbean heritage given the prevalence of sickle cell disease among these groups.
To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 16 September (HL3142), what steps they are taking to promote blood donation in communities of African or Caribbean heritage given the prevalence of sickle cell disease among these groups.
NHS Blood and Transplant (NHSBT) is responsible for blood services in England and is delivering a range of initiatives to increase blood donation in African or Caribbean heritage communities. These include:
- the opening of a donation centre in Brixton in January 2025, aiming to encourage individuals of African or Caribbean heritage to donate, as part of NHSBT’s ongoing effort to diversify the communities where it locates donor centres and mobile collections;
- the NHSBT Community Grants Programme, which funds community and faith organisations to raise awareness, improve understanding, and encourage blood donation among minority ethnic communities; and
- measures to help more people donate successfully, including a pilot translation service to reduce language-related barriers, training to help staff recognise vein characteristics across different skin tones, and improved pre-donation haemoglobin testing.
To ask His Majesty's Government what steps they are taking to ensure that artificial intelligence tools used in healthcare are subject to appropriate approval and continuous monitoring of safety and performance after deployment.
To ask His Majesty's Government what steps they are taking to ensure that artificial intelligence tools used in healthcare are subject to appropriate approval and continuous monitoring of safety and performance after deployment.
The National Commission into the Regulation of AI in Healthcare was established to bring together independent expertise and evidence to inform the Government’s development of a 'future ready’ regulatory framework for the use of artificial intelligence (AI) in healthcare.
Through its work, The National Commission has recommended that the Medicines and Healthcare products Regulatory Agency (MHRA) move to a more proportionate, lifecycle-based approach to regulation of AI products. This includes ensuring regulatory decisions are based on the risks and benefits of the specific device and introducing more ongoing, responsive post-market surveillance expectations and approaches, which will enable regulators to better detect and understand changes in safety and performance across the product lifecycle. The Commission also made a series of recommendations to further support clinical safety and governance, including requiring manufacturers to define the operational conditions needed for safe deployment of AI technologies, supporting providers to demonstrate the ‘AI readiness’ needed for safe deployment, and coordinated training of professionals to enable safe use. More information can be found in The National Commission’s recommendations report, a copy of which is attached. The Government will formally respond to those recommendations in the normal way in due course.
If an AI system providing real-time guidance during surgery meets the definition of a medical device, then the device would be required to comply with existing medical device regulations, including for safety and performance.
To ask His Majesty's Government what steps they are taking to ensure that local authorities using artificial intelligence to assess adult social care needs retain appropriate human oversight and safeguards for vulnerable people.
To ask His Majesty's Government what steps they are taking to ensure that local authorities using artificial intelligence to assess adult social care needs retain appropriate human oversight and safeguards for vulnerable people.
The National Commission into the Regulation of AI in Healthcare was established to bring together independent expertise and evidence to inform the Government’s development of a 'future ready’ regulatory framework for the use of artificial intelligence (AI) in healthcare.
Through its work, The National Commission has recommended that the Medicines and Healthcare products Regulatory Agency (MHRA) move to a more proportionate, lifecycle-based approach to regulation of AI products. This includes ensuring regulatory decisions are based on the risks and benefits of the specific device and introducing more ongoing, responsive post-market surveillance expectations and approaches, which will enable regulators to better detect and understand changes in safety and performance across the product lifecycle. The Commission also made a series of recommendations to further support clinical safety and governance, including requiring manufacturers to define the operational conditions needed for safe deployment of AI technologies, supporting providers to demonstrate the ‘AI readiness’ needed for safe deployment, and coordinated training of professionals to enable safe use. More information can be found in The National Commission’s recommendations report, a copy of which is attached. The Government will formally respond to those recommendations in the normal way in due course.
If an AI system providing real-time guidance during surgery meets the definition of a medical device, then the device would be required to comply with existing medical device regulations, including for safety and performance.
To ask His Majesty's Government what steps they are taking to ensure that artificial intelligence systems used to provide real-time guidance during surgery are subject to appropriate clinical safety and governance standards.
To ask His Majesty's Government what steps they are taking to ensure that artificial intelligence systems used to provide real-time guidance during surgery are subject to appropriate clinical safety and governance standards.
The National Commission into the Regulation of AI in Healthcare was established to bring together independent expertise and evidence to inform the Government’s development of a 'future ready’ regulatory framework for the use of artificial intelligence (AI) in healthcare.
Through its work, The National Commission has recommended that the Medicines and Healthcare products Regulatory Agency (MHRA) move to a more proportionate, lifecycle-based approach to regulation of AI products. This includes ensuring regulatory decisions are based on the risks and benefits of the specific device and introducing more ongoing, responsive post-market surveillance expectations and approaches, which will enable regulators to better detect and understand changes in safety and performance across the product lifecycle. The Commission also made a series of recommendations to further support clinical safety and governance, including requiring manufacturers to define the operational conditions needed for safe deployment of AI technologies, supporting providers to demonstrate the ‘AI readiness’ needed for safe deployment, and coordinated training of professionals to enable safe use. More information can be found in The National Commission’s recommendations report, a copy of which is attached. The Government will formally respond to those recommendations in the normal way in due course.
If an AI system providing real-time guidance during surgery meets the definition of a medical device, then the device would be required to comply with existing medical device regulations, including for safety and performance.
To ask His Majesty's Government whether the terms of reference of the Casey Commission on adult social care have been revised following the Prime Minister’s announcement on social care reform; and if so, whether they will publish those terms of reference.
To ask His Majesty's Government whether the terms of reference of the Casey Commission on adult social care have been revised following the Prime Minister’s announcement on social care reform; and if so, whether they will publish those terms of reference.
The terms of reference for the Independent Commission into Adult Social Care will be published shortly to reflect the earlier timetable for Baroness Casey's final report, but there has been no change to the overall objectives of the Commission, or the independent basis on which it is being conducted.
To ask His Majesty's Government, further to the answer by Baroness Merron on 6 July (HL Deb cols 2–3), how many patients were identified by, assessed by and commenced on treatment through Fracture Liaison Services in England in (1) 2023, (2) 2024, and (3) 2025; and what the equivalent figures...
To ask His Majesty's Government, further to the answer by Baroness Merron on 6 July (HL Deb cols 2–3), how many patients were identified by, assessed by and commenced on treatment through Fracture Liaison Services in England in (1) 2023, (2) 2024, and (3) 2025; and what the equivalent figures...
The Falls and Fragility Fracture Audit Programme, which includes a dedicated Fracture Liaison Service (FLS) database, is a clinical audit of fracture prevention care, delivered by the Royal College of Physicians. The FLS database collects, measures, and reports on the care provided by FLSs in England, Wales, and Northern Ireland.
The data is based on an annual data collection from all FLSs that have registered and participated in the audit in a given year. The following table shows the latest estimates of the number of FLSs in England for the years 2023, 2024, and 2025. Complete data for 2026 is not yet available, and data for 2025 is still being updated:
Year | Estimated number of FLSs in England |
2023 | 68 |
2024 | 73 |
2025 | 78 |
Source: the FLS Database, accessed on 20 August 2026.
The FLS Database does not provide specific dates for when each service became operational, nor does it provide estimates of how many patients have been identified by FLSs on a monthly basis.
To ask His Majesty's Government, further to the answer by Baroness Merron on 6 July (HL Deb cols 2-3), how many additional Fracture Liaison Services have become operational since July 2024; and how many additional patients have been identified, assessed or treated by those services as a result.
To ask His Majesty's Government, further to the answer by Baroness Merron on 6 July (HL Deb cols 2-3), how many additional Fracture Liaison Services have become operational since July 2024; and how many additional patients have been identified, assessed or treated by those services as a result.
The Falls and Fragility Fracture Audit Programme, which includes a dedicated Fracture Liaison Service (FLS) database, is a clinical audit of fracture prevention care, delivered by the Royal College of Physicians. The FLS database collects, measures, and reports on the care provided by FLSs in England, Wales, and Northern Ireland.
The data is based on an annual data collection from all FLSs that have registered and participated in the audit in a given year. The following table shows the latest estimates of the number of FLSs in England for the years 2023, 2024, and 2025. Complete data for 2026 is not yet available, and data for 2025 is still being updated:
Year | Estimated number of FLSs in England |
2023 | 68 |
2024 | 73 |
2025 | 78 |
Source: the FLS Database, accessed on 20 August 2026.
The FLS Database does not provide specific dates for when each service became operational, nor does it provide estimates of how many patients have been identified by FLSs on a monthly basis.
To ask His Majesty's Government, further to the answer by Baroness Merron on 6 July (HL Deb cols 2–3), how many Fracture Liaison Services were operating in England in (1) 2023, (2) 2024, and (3) 2025; how many were operating on the latest date for which figures are available; and what...
To ask His Majesty's Government, further to the answer by Baroness Merron on 6 July (HL Deb cols 2–3), how many Fracture Liaison Services were operating in England in (1) 2023, (2) 2024, and (3) 2025; how many were operating on the latest date for which figures are available; and what...
The Falls and Fragility Fracture Audit Programme, which includes a dedicated Fracture Liaison Service (FLS) database, is a clinical audit of fracture prevention care, delivered by the Royal College of Physicians. The FLS database collects, measures, and reports on the care provided by FLSs in England, Wales, and Northern Ireland.
The data is based on an annual data collection from all FLSs that have registered and participated in the audit in a given year. The following table shows the latest estimates of the number of FLSs in England for the years 2023, 2024, and 2025. Complete data for 2026 is not yet available, and data for 2025 is still being updated:
Year | Estimated number of FLSs in England |
2023 | 68 |
2024 | 73 |
2025 | 78 |
Source: the FLS Database, accessed on 20 August 2026.
The FLS Database does not provide specific dates for when each service became operational, nor does it provide estimates of how many patients have been identified by FLSs on a monthly basis.
To ask His Majesty's Government whether the Casey Commission remains free to make recommendations that differ from the Prime Minister’s stated ambition for adult social care to operate on the same principle as the National Health Service.
To ask His Majesty's Government whether the Casey Commission remains free to make recommendations that differ from the Prime Minister’s stated ambition for adult social care to operate on the same principle as the National Health Service.
The terms of reference for the Independent Commission into Adult Social Care will be updated shortly to reflect the earlier timetable for Baroness Casey's final report, but there has been no change to the overall objectives of the Commission, or the independent basis on which it is being conducted.
To ask His Majesty's Government, further to the answer by Baroness Merron on 6 July (HL Deb cols. 2–4), whether they consider the cited figure that 23 out of 25 reconfigured integrated care board groups having at least one fracture liaison service represents an increase in provision since July 2024; and...
To ask His Majesty's Government, further to the answer by Baroness Merron on 6 July (HL Deb cols. 2–4), whether they consider the cited figure that 23 out of 25 reconfigured integrated care board groups having at least one fracture liaison service represents an increase in provision since July 2024; and...
I refer the Noble Baroness to the answer provided on 1 September in response to Question HL2030, which, for ease of reference, is reproduced below.
Our 10-Year Health Plan is clear that the future National Health Service must be more preventative, more integrated, and deliver more care closer to home, including for people with osteoporosis.
The Plan committed to rolling out Fracture Liaison Services across every part of the country by 2030, and we are clear that everyone at risk of fragility fractures should be able to benefit from high-quality, timely care that supports prevention, early intervention, and effective management. We are pursuing those goals across the whole pathway of fracture prevention, including improving access to diagnosis, supporting the adoption of effective treatments, and encouraging local systems to develop services that identify people at the highest risk of future fractures and intervene early.
Earlier this year, the Government announced £2.6 million of funding for 20 new DEXA bone density scanners across England. Tens of thousands of patients will benefit from faster access to bone scans as a result, helping to ensure that people with bone conditions, such as osteoporosis, get diagnosed earlier. This builds on the first wave of 13 DEXA scanners announced last year. In 2025, over 21,000 extra DEXA scans were delivered in England compared with 2024.
We continue to work closely with NHS England to improve access to fracture prevention services and to explore the best ways of supporting local systems to deliver high-quality care which meets the needs of their populations. The Government has been clear that integrated care boards are best placed to shape services for their localities and we have set expectations, through the Renewed Women’s Health Strategy, that they should prioritise community-based models when commissioning new services.
Progress in this area can be monitored through activity and outcomes reported through the Fracture Liaison Service Database.
To ask His Majesty's Government how many officials (FTE) worked on the Terminally Ill Adults (End of Life) Bill, including any supported documents, as presented by Lauren Edwards this year.
To ask His Majesty's Government how many officials (FTE) worked on the Terminally Ill Adults (End of Life) Bill, including any supported documents, as presented by Lauren Edwards this year.
The number of civil servants working on the Terminally Ill Adults (End of Life) Bill has varied over time. As of 11 September 2026, there were seven full-time equivalent (FTE) officials working on the bill in the Department of Health and Social Care, 1.3 FTE officials from the Ministry of Justice, and two FTE officials from the Government Legal Department. The bill team has subsequently been disbanded.
The final wording of the Explanatory Notes was a matter entirely for the bill sponsor, but as part of the Government’s duty to the statute book, civil servants did suggest minor factual amendments for the sponsor to consider.
To ask His Majesty's Government which paragraphs of the Explanatory Notes to the Terminally Ill Adults (End of Life) Bill, as presented by Lauren Edwards this year, were prepared by or involved the assistance of civil servants.
To ask His Majesty's Government which paragraphs of the Explanatory Notes to the Terminally Ill Adults (End of Life) Bill, as presented by Lauren Edwards this year, were prepared by or involved the assistance of civil servants.
The number of civil servants working on the Terminally Ill Adults (End of Life) Bill has varied over time. As of 11 September 2026, there were seven full-time equivalent (FTE) officials working on the bill in the Department of Health and Social Care, 1.3 FTE officials from the Ministry of Justice, and two FTE officials from the Government Legal Department. The bill team has subsequently been disbanded.
The final wording of the Explanatory Notes was a matter entirely for the bill sponsor, but as part of the Government’s duty to the statute book, civil servants did suggest minor factual amendments for the sponsor to consider.
To ask His Majesty's Government how many suspected breaches of the Medicines (Gonadotrophin-Releasing Hormone Analogues) (Restrictions on Private Sales and Supplies) Order 2024 (SI 2024/1319) have been (1) reported to, and (2) investigated by the medicines and healthcare products regulatory agency since 1 January 2025; and what enforcement action has resulted.
To ask His Majesty's Government how many suspected breaches of the Medicines (Gonadotrophin-Releasing Hormone Analogues) (Restrictions on Private Sales and Supplies) Order 2024 (SI 2024/1319) have been (1) reported to, and (2) investigated by the medicines and healthcare products regulatory agency since 1 January 2025; and what enforcement action has resulted.
In August 2025, the Government launched a call for evidence on private, non-National Health Service prescribing, which included an invitation for views on online prescribing, hormone prescribing, and prescribing by practitioners based in the European Economic Area. We are considering the evidence and next steps.
Since 1 January 2025, the Medicines and Healthcare products Regulatory Agency has received three reports of suspected breaches of the Order cited by the Noble Baroness. All three reports were investigated, but no offences were identified and no criminal enforcement action was taken. In one case, the agency referred safeguarding concerns to the relevant local multi-agency safeguarding team, notified the relevant European regulatory authority about the prescribing doctor’s activities, and passed information about a possible breach by a registered pharmacy to the General Pharmaceutical Council.
To ask His Majesty's Government what assessment they have made of online telemedicine services providing hormones and adult gender clinic services, considering some are based outside of the UK and so are not subject to the Care Quality Commission.
To ask His Majesty's Government what assessment they have made of online telemedicine services providing hormones and adult gender clinic services, considering some are based outside of the UK and so are not subject to the Care Quality Commission.
In August 2025, the Government launched a call for evidence on private, non-National Health Service prescribing, which included an invitation for views on online prescribing, hormone prescribing, and prescribing by practitioners based in the European Economic Area. We are considering the evidence and next steps.
Since 1 January 2025, the Medicines and Healthcare products Regulatory Agency has received three reports of suspected breaches of the Order cited by the Noble Baroness. All three reports were investigated, but no offences were identified and no criminal enforcement action was taken. In one case, the agency referred safeguarding concerns to the relevant local multi-agency safeguarding team, notified the relevant European regulatory authority about the prescribing doctor’s activities, and passed information about a possible breach by a registered pharmacy to the General Pharmaceutical Council.
To ask His Majesty's Government how many NHS hospitals in England currently offer aquablation therapy for the treatment of benign prostatic hyperplasia.
To ask His Majesty's Government how many NHS hospitals in England currently offer aquablation therapy for the treatment of benign prostatic hyperplasia.
Aquablation is one of a number of treatments available for 'bladder outlet obstruction', and it is for the medical professional in each case to decide whether that is an appropriate option to offer. There is no national work that mandates aquablation or assesses current levels of provision.
To ask His Majesty's Government what funding or resources have been allocated to NHS trusts in England in the current financial year to support the procurement of aquablation equipment and the training of surgical staff to deliver the procedure.
To ask His Majesty's Government what funding or resources have been allocated to NHS trusts in England in the current financial year to support the procurement of aquablation equipment and the training of surgical staff to deliver the procedure.
Aquablation is one of a number of treatments available for 'bladder outlet obstruction', and it is for the medical professional in each case to decide whether that is an appropriate option to offer. There is no national work that mandates aquablation or assesses current levels of provision.
To ask His Majesty's Government what assessment they have made of the impact of expanding aquablation therapy within the NHS in England.
To ask His Majesty's Government what assessment they have made of the impact of expanding aquablation therapy within the NHS in England.
Aquablation is one of a number of treatments available for 'bladder outlet obstruction', and it is for the medical professional in each case to decide whether that is an appropriate option to offer. There is no national work that mandates aquablation or assesses current levels of provision.
To ask His Majesty's Government what are the eligibility criteria for a patient with multiple sclerosis to be prescribed Fampridine for a trial period; and what plans they have to fund ongoing treatment on terms similar to those in Wales, Scotland and Northern Ireland where such a trial shows an improvement in the...
To ask His Majesty's Government what are the eligibility criteria for a patient with multiple sclerosis to be prescribed Fampridine for a trial period; and what plans they have to fund ongoing treatment on terms similar to those in Wales, Scotland and Northern Ireland where such a trial shows an improvement in the...
NHS England published a clinical commissioning policy in July 2026 recommending prolonged-release fampridine as a routine commissioning treatment option for adults in England with multiple sclerosis (MS) and associated walking impairment who meet the defined eligibility criteria: those who score 4 to 7 on the Expanded Disability Status Scale.
Funding for prolonged-release fampridine is now available in England. NHS England began routinely commissioning the treatment from 16 July 2026 for eligible adults with multiple sclerosis and associated walking impairment who meet the policy criteria.
To ask His Majesty's Government whether funding is in place to meet the cost of ongoing treatment with Fampridine for patients with multiple sclerosis in England; and, if not, when will it be.
To ask His Majesty's Government whether funding is in place to meet the cost of ongoing treatment with Fampridine for patients with multiple sclerosis in England; and, if not, when will it be.
NHS England published a clinical commissioning policy in July 2026 recommending prolonged-release fampridine as a routine commissioning treatment option for adults in England with multiple sclerosis (MS) and associated walking impairment who meet the defined eligibility criteria: those who score 4 to 7 on the Expanded Disability Status Scale.
Funding for prolonged-release fampridine is now available in England. NHS England began routinely commissioning the treatment from 16 July 2026 for eligible adults with multiple sclerosis and associated walking impairment who meet the policy criteria.
To ask His Majesty's Government on how many days since 1 October 2023 has there been a negative daily change in the count of people with an NHS national data opt-out; and why negative figures are not visible in the NHS National Data Opt-Out Dashboard.
To ask His Majesty's Government on how many days since 1 October 2023 has there been a negative daily change in the count of people with an NHS national data opt-out; and why negative figures are not visible in the NHS National Data Opt-Out Dashboard.
Negative daily change figures are visible on the National Data Opt-Out dashboard. Between 1 October 2023 and 14 July 2026, the latest dashboard update, there have been 278 days with a negative daily change in the count of people with a National Data Opt-Out according to the dashboard.