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To ask His Majesty's Government what assessment they have made of the way that integrated care boards are discharging their responsibility to pay for the care of disabled patients on their discharge from hospital.
To ask His Majesty's Government what assessment they have made of the way that integrated care boards are discharging their responsibility to pay for the care of disabled patients on their discharge from hospital.
The Department’s statutory guidance on hospital discharge and community support, published jointly with NHS England, sets out the responsibilities of integrated care boards (ICBs) and local authorities (LAs) in planning and delivering local hospital discharge services. ICBs are expected to work with relevant local partner organisations, including LAs and other National Health Service bodies, to agree local protocols for individuals being discharged from hospital.
This may cover arrangements for discharge services including intermediate care, reablement, and rehabilitation, as well as set out arrangements for long-term care assessments, and any associated funding including through NHS Continuing Healthcare (CHC).
NHS England holds ICBs accountable for their performance though the NHS Oversight Framework, which is available on the NHS.UK website. In regard to CHC, NHS England holds ICBs accountable and engages with them through a well-established programme of assurance, to ensure they fulfil their duties.
My Lords, I congratulate the noble Baroness, Lady Rock, on the truly impressive way in which she chaired our committee and got this group of very knowledgeable people to produce a really tight and very good report. I also add my congratulations to Stuart Stoner and his team and to...
My Lords, I congratulate the noble Baroness, Lady Rock, on the truly impressive way in which she chaired our committee and got this group of very knowledgeable people to produce a really tight and very good report. I also add my congratulations to Stuart Stoner and his team and to...
To ask His Majesty's Government what criteria integrated care boards use to determine whether to pay for care for disabled people who are fit for discharge from hospital.
To ask His Majesty's Government what criteria integrated care boards use to determine whether to pay for care for disabled people who are fit for discharge from hospital.
Integrated care boards should work with relevant local partner organisations, including local authorities and other National Health Service bodies to take a person-centred approach when deciding the most appropriate care setting for individuals being discharged from hospital.
Local protocols should be agreed between the relevant partners. These protocols may cover arrangements for discharge services including intermediate care, reablement and rehabilitation, and may also set out arrangements for long-term care assessments, and any associated funding, including for NHS Continuing Healthcare.
Long-term care arrangements should not be made until an individual’s longer-term needs can be assessed accurately.
Departmental statutory guidance published jointly with NHS England on planning and delivering hospital discharge services is available on GOV.UK in an online-only format.
My Lords, it is a privilege to follow four such powerful, knowledgeable and moving speeches. I will briefly discuss five areas.
First, following the powerful speech of the noble Lord, Lord Scriven, I congratulate him on getting this debate and focusing on reasonable adjustments—that kept coming up in all noble Lords’...
My Lords, it is a privilege to follow four such powerful, knowledgeable and moving speeches. I will briefly discuss five areas.
First, following the powerful speech of the noble Lord, Lord Scriven, I congratulate him on getting this debate and focusing on reasonable adjustments—that kept coming up in all noble Lords’...
My Lords, I am pleased to see that, in Motion K1, the noble Baroness, Lady Barran, has reduced the issue to being about only Section 31 and that she has provided a carve-out, as it were, for adoption. Imagine if you adopted a two year-old who had been in care...
My Lords, I am pleased to see that, in Motion K1, the noble Baroness, Lady Barran, has reduced the issue to being about only Section 31 and that she has provided a carve-out, as it were, for adoption. Imagine if you adopted a two year-old who had been in care...
My Lords, may I pick up on that point?
My Lords, may I pick up on that point?
Moved by
Lord Crisp
120A: At end insert—
“(4A) Condition B does not apply to a child who has been adopted, if the action specified in subsection (4)(b) occurred before the child was adopted.”
Member's explanatory statement
This amendment seeks to ensure that parents are not required to receive local authority consent to withdraw adopted...
Moved by
Lord Crisp
120A: At end insert—
“(4A) Condition B does not apply to a child who has been adopted, if the action specified in subsection (4)(b) occurred before the child was adopted.”
Member's explanatory statement
This amendment seeks to ensure that parents are not required to receive local authority consent to withdraw adopted...
My Lords, I am grateful to the Minister that the Government have moved on some of the concerns raised by me and others, particularly
about some of the detail required on the register. However, I of course want to press her to move further. A lot of new and significant...
My Lords, I am grateful to the Minister that the Government have moved on some of the concerns raised by me and others, particularly
about some of the detail required on the register. However, I of course want to press her to move further. A lot of new and significant...
Is the Minister saying that when a local authority has just granted authority to parents to take responsibility for life for what are difficult children with trauma in their background, fairly soon afterwards you are going to second-guess them about how they should do education? The Minister may say that...
Is the Minister saying that when a local authority has just granted authority to parents to take responsibility for life for what are difficult children with trauma in their background, fairly soon afterwards you are going to second-guess them about how they should do education? The Minister may say that...
Sorry, my Lords, I did not realised that I have the chance to respond. I feel somewhat outnumbered on a number of the things that I said. I think there is a real need to have a proper look at policy about how all this fits together. I think we...
Sorry, my Lords, I did not realised that I have the chance to respond. I feel somewhat outnumbered on a number of the things that I said. I think there is a real need to have a proper look at policy about how all this fits together. I think we...
My Lords, I shall speak to Amendment 135A in my name and that of the noble Baroness, Lady Barran. Before doing so, I once again thank the Minister for having reduced the requirements in this section considerably—I am very pleased not to have to comment on whether Scouts, rugby clubs,...
My Lords, I shall speak to Amendment 135A in my name and that of the noble Baroness, Lady Barran. Before doing so, I once again thank the Minister for having reduced the requirements in this section considerably—I am very pleased not to have to comment on whether Scouts, rugby clubs,...
My Lords, I will speak to my Amendment 160. As I did in the last group, I start by saying that I am grateful to the Minister and her colleagues for having moved in some way on the information provided about exams, and for setting up a forum; it will...
My Lords, I will speak to my Amendment 160. As I did in the last group, I start by saying that I am grateful to the Minister and her colleagues for having moved in some way on the information provided about exams, and for setting up a forum; it will...
My Lords, it gives me great pleasure to follow so many powerful speeches and support my noble friend Lord Bird’s amendment. As a former chief executive of the English NHS, I know a thing or two about targets. There are some awful targets and some good ones. I am delighted...
My Lords, it gives me great pleasure to follow so many powerful speeches and support my noble friend Lord Bird’s amendment. As a former chief executive of the English NHS, I know a thing or two about targets. There are some awful targets and some good ones. I am delighted...
Moved by
Lord Crisp (CB)
247: After Clause 108, insert the following new Clause—
“Secretary of State’s duty to promote health improvement and reduce health inequalities
When considering whether or how to exercise any of their functions under the planning Acts the Secretary of State must have regard to the need to—
(a) improve the...
Moved by
Lord Crisp (CB)
247: After Clause 108, insert the following new Clause—
“Secretary of State’s duty to promote health improvement and reduce health inequalities
When considering whether or how to exercise any of their functions under the planning Acts the Secretary of State must have regard to the need to—
(a) improve the...
My Lords, in moving Amendment 247 I will speak to Amendment 248 in my name. I thank the noble Lords who have added their names to it, and I thank Hugh Ellis and Rosalie Callway of the TCPA for their support.
In this House, I am sure we all understand that...
My Lords, in moving Amendment 247 I will speak to Amendment 248 in my name. I thank the noble Lords who have added their names to it, and I thank Hugh Ellis and Rosalie Callway of the TCPA for their support.
In this House, I am sure we all understand that...
My Lords, I thank the noble Lords who have spoken in support of this amendment; I should have supported the amendment from the noble Lord, Lord Moynihan. I am still not convinced by the Minister’s response or that what she has said will make a material difference to health in...
My Lords, I thank the noble Lords who have spoken in support of this amendment; I should have supported the amendment from the noble Lord, Lord Moynihan. I am still not convinced by the Minister’s response or that what she has said will make a material difference to health in...
My Lords, I will speak to Amendments 33 and 34, which I support in principle, but I am interested to hear the Government’s response to the points about practicality, apart from anything else. There is a real issue here. Fundamentally, people are pointing to a very real issue that needs...
My Lords, I will speak to Amendments 33 and 34, which I support in principle, but I am interested to hear the Government’s response to the points about practicality, apart from anything else. There is a real issue here. Fundamentally, people are pointing to a very real issue that needs...
Before the Minister moves on, can I ask a question that I asked earlier? If she recognises that 75% of smokers think that filters reduce the risk—indeed, they may increase it—does she not think the Government should be doing something to counter that belief, perhaps more actively than they are...
Before the Minister moves on, can I ask a question that I asked earlier? If she recognises that 75% of smokers think that filters reduce the risk—indeed, they may increase it—does she not think the Government should be doing something to counter that belief, perhaps more actively than they are...
My Lords, as this is the first time I have spoken in Committee on this Bill, I want to reflect for a moment on the extraordinary lengths to which tobacco companies will go to sell their products, including getting children addicted to nicotine. When I look at this Bill and...
My Lords, as this is the first time I have spoken in Committee on this Bill, I want to reflect for a moment on the extraordinary lengths to which tobacco companies will go to sell their products, including getting children addicted to nicotine. When I look at this Bill and...
To ask His Majesty's Government how survival rates for brain cancer in the United Kingdom compare with those of other countries of equivalent wealth.
To ask His Majesty's Government how survival rates for brain cancer in the United Kingdom compare with those of other countries of equivalent wealth.
Reducing the number of lives lost to cancer is a key aim of the National Cancer Plan for England, which will be published later this year. The plan will include further details on how the Government will improve outcomes for cancer patients, including brain cancer patients, as well as speeding up diagnosis and treatment, ensuring patients have access to the latest treatments and technology, and ultimately driving up this country’s cancer survival rates.
The Department is committed to working closely with partners and patient groups to shape the long-term vision for cancer. On 4 February 2025, the Department launched a call for evidence for the National Cancer Plan which closed on 29 April. We have received over 11,000 responses from individuals, professionals, and organisations who have shared their views on how we can do more to achieve our ambition, including several brain cancer charities. The call for evidence gave an opportunity to all partners to shape the National Cancer Plan. These submissions are being used to inform our plan to improve cancer care.
The Department recognises that cancer patients, including those with brain tumours, are often waiting too long for referral and treatment. As the first step to ensuring early diagnosis and treatment, NHS England has delivered an extra 40,000 operations, scans, and appointments each week since the start of this administration.
The Department is supporting NHS England in implementing genomic testing, including whole genome sequencing (WGS), in the National Health Service, provided through the NHS Genomic Medicine Service, and delivered by a national genomic testing network of seven NHS Genomic Laboratory Hubs (GLHs). The NHS GLHs deliver testing as directed by the National Genomic Test Directory, which includes tests for over 200 cancer clinical indications, including WGS tests for a range of brain tumours. The NHS now offers all children and young people with cancer, and adults with certain cancers including brain cancer, whole genome sequencing to enable more comprehensive and precise diagnosis, and access to more personalised treatments.
The Department recognises that there are currently limited treatment options available for people who have been diagnosed with brain tumours, and the significant impact that rarer forms of cancer can have on patients, carers, and their families. A new national Brain Tumour Research Consortium was established in December 2024 to bring together researchers from a range of different disciplines and institutions with the aim of driving scientific advancements in how to prevent, detect, manage, and treat cancers in adults and children. The work being undertaken by the consortium aims to ensure that patients have access to the latest treatments and technology and to clinical trials. This will make a significant contribution to bringing the United Kingdom’s cancer survival rates back up to the standards of the best in the world. The following table shows brain cancer five-year survival percentages for adults, those aged 15 to 99 years old, diagnosed from 2010 to 2014, by G7 country:
Country | Cancer site | Five-year net survival |
Japan | Brain (adults) | 46.3% |
USA | Brain (adults) | 36.5% |
Canada | Brain (adults) | 29.9% |
Germany | Brain (adults) | 29.6% |
Italy | Brain (adults) | 28.8% |
France | Brain (adults) | 27.2% |
UK | Brain (adults) | 26.3% |
Source: CONCORD-3, CONCORD Programme, London School of Hygiene and Tropical Medicine.
This data will be updated with the publication of CONCORD-4, which is currently in progress.