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My Lords, it is a pleasure to follow my noble friend Lady Maclean of Redditch. I want to take a slightly a bigger picture view to explain why I support the Motion. My greatest fear, as a severely disabled person, is that the overall benefits bill, particularly the cost to...
My Lords, it is a pleasure to follow my noble friend Lady Maclean of Redditch. I want to take a slightly a bigger picture view to explain why I support the Motion. My greatest fear, as a severely disabled person, is that the overall benefits bill, particularly the cost to...
My Lords, it is a pleasure to follow the noble Lord, Lord Moraes, and I join other noble Lords in paying tribute to our much-loved noble friend, the late Lord Mackay of Clashfern. I also congratulate my noble friend Lord Strathclyde on the powerful call to action that he and...
My Lords, it is a pleasure to follow the noble Lord, Lord Moraes, and I join other noble Lords in paying tribute to our much-loved noble friend, the late Lord Mackay of Clashfern. I also congratulate my noble friend Lord Strathclyde on the powerful call to action that he and...
My Lords, it is a great pleasure to be able to speak in support of the noble Baroness, Lady Hayter, twice in the same week. I do so today because I start from the premise that transparency is inherently a good thing.
Transparency in lobbying is not only a good thing;...
My Lords, it is a great pleasure to be able to speak in support of the noble Baroness, Lady Hayter, twice in the same week. I do so today because I start from the premise that transparency is inherently a good thing.
Transparency in lobbying is not only a good thing;...
My Lords, I will speak to the amendments in group 1 in the name of various noble Lords, including, of course, the noble Lord, Lord Alton of Liverpool. I say “of course” in tribute to the noble Lord’s indefatigable illumination of the threat posed to this country by the odious...
My Lords, I will speak to the amendments in group 1 in the name of various noble Lords, including, of course, the noble Lord, Lord Alton of Liverpool. I say “of course” in tribute to the noble Lord’s indefatigable illumination of the threat posed to this country by the odious...
My Lords, I speak as the co-chair of the APPG on disability employment. One initiative that would benefit people with autism and disabled people in general, and which was in both the Labour manifesto and the 2024 King’s Speech, is an equality, ethnicity and disability Bill. Yet the Bill was pulled from the latest King’s Speech at the last minute by No. 10, despite the Bill manager, whom I met, having been appointed. Does the Minister appreciate the huge disappointment that this inexplicable decision has caused, and will she make every effort to ensure that the Government introduce the Bill in this session?
My Lords, I speak as the co-chair of the APPG on disability employment. One initiative that would benefit people with autism and disabled people in general, and which was in both the Labour manifesto and the 2024 King’s Speech, is an equality, ethnicity and disability Bill. Yet the Bill was pulled from the latest King’s Speech at the last minute by No. 10, despite the Bill manager, whom I met, having been appointed. Does the Minister appreciate the huge disappointment that this inexplicable decision has caused, and will she make every effort to ensure that the Government introduce the Bill in this session?
The noble Lord raises an important point. I reassure him that the Government are completely committed to delivering on the manifesto commitment to introduce mandatory ethnicity and disability pay gap reporting for large employers. I know that my colleagues in the Cabinet Office are working hard on this and will introduce legislation as soon as parliamentary time allows. There is always competition for Bills in the Session, but I know that they are still committed to it. In March, as the noble Lord probably knows, the pay gap reporting consultation was published, showing how the proposed approach would work. Employers with 250 or more employees would have to report their workforce composition and ethnicity and disability pay gaps and take action to address that. It is very hard to solve something if we do not know the scale of the problem. I reassure him that the Government will do this as soon as possible.
My Lords, in the event of our being at war, which some experts suggest is increasingly likely by 2030, the massive and urgent recalibration of resources to defence will inevitably mean that those who need most support due to their disability will be hit the hardest. What advice are His Majesty’s Government giving to the Scottish Government on the careful management of their social security budget so that they can mitigate the worst effects of such an eventuality on those whose disability makes them most dependent?
My Lords, in the event of our being at war, which some experts suggest is increasingly likely by 2030, the massive and urgent recalibration of resources to defence will inevitably mean that those who need most support due to their disability will be hit the hardest. What advice are His Majesty’s Government giving to the Scottish Government on the careful management of their social security budget so that they can mitigate the worst effects of such an eventuality on those whose disability makes them most dependent?
I am grateful to the noble Lord for his question but I do not agree with the assumption underlying it. Of course we must spend more on defence, but we must also continue to support those who need that support the most. As I said in answer to the first Question, spending on benefits is a choice for the Scottish Government and must come from within their own budget.
My Lords, it is a pleasure to follow the noble Baroness, Lady Gill, in what has been an informative, if alarming, debate—alarming because it has highlighted the degree to which the freedoms which my grandparents’ generation fought and died for are now under grave threat. The need for this Bill...
My Lords, it is a pleasure to follow the noble Baroness, Lady Gill, in what has been an informative, if alarming, debate—alarming because it has highlighted the degree to which the freedoms which my grandparents’ generation fought and died for are now under grave threat. The need for this Bill...
To ask His Majesty's Government what assessment they have made of comparative patient outcomes in England and Scotland relative to their respective NHS provision of gastroparesis services.
To ask His Majesty's Government what assessment they have made of comparative patient outcomes in England and Scotland relative to their respective NHS provision of gastroparesis services.
Integrated care boards (ICBs) commission all services for patients with gastroparesis, with the exception of gastro-electrical stimulation (GES), which falls with the remit of nationally commissioned services. As these services are ICB commissioned, engagement is therefore determined at the local level.
The Government remains committed to improving outcomes for people living with rare diseases, including gastroparesis, through the UK Rare Diseases Framework and England Rare Diseases Action Plans to deliver a health and care system that works for all. In the 2026 action plan, we introduced a new and important action to address health inequalities for rare diseases through the Core20PLUS5 Framework. In addition, NHS England has published a Health Inequalities Toolkit for Highly Specialised Services.
NHS England’s Clinical Panel considered evidence submitted to review the existing commissioning policy on GES for gastroparesis. NHS England concluded that the additional evidence was limited and did not constitute a sufficiently robust clinical evidence base to support any revision to the current policy position, under which the procedure is not routinely commissioned. Clinicians may trigger a review of NHS England’s commissioning policies if new evidence is published.
To ask His Majesty's Government what assessment they have made of the impact of regional disparities in gastroparesis treatment on (1) patient outcomes, (2) the financial costs and benefits of gastroparesis treatment as compared to the costs to the NHS of frequent hospital admissions, and (3) the wider costs to the economy...
To ask His Majesty's Government what assessment they have made of the impact of regional disparities in gastroparesis treatment on (1) patient outcomes, (2) the financial costs and benefits of gastroparesis treatment as compared to the costs to the NHS of frequent hospital admissions, and (3) the wider costs to the economy...
Integrated care boards (ICBs) commission all services for patients with gastroparesis, with the exception of gastro-electrical stimulation (GES), which falls with the remit of nationally commissioned services. As these services are ICB commissioned, engagement is therefore determined at the local level.
The Government remains committed to improving outcomes for people living with rare diseases, including gastroparesis, through the UK Rare Diseases Framework and England Rare Diseases Action Plans to deliver a health and care system that works for all. In the 2026 action plan, we introduced a new and important action to address health inequalities for rare diseases through the Core20PLUS5 Framework. In addition, NHS England has published a Health Inequalities Toolkit for Highly Specialised Services.
NHS England’s Clinical Panel considered evidence submitted to review the existing commissioning policy on GES for gastroparesis. NHS England concluded that the additional evidence was limited and did not constitute a sufficiently robust clinical evidence base to support any revision to the current policy position, under which the procedure is not routinely commissioned. Clinicians may trigger a review of NHS England’s commissioning policies if new evidence is published.
To ask His Majesty's Government what engagement they have had with patient groups about improving gastroparesis services.
To ask His Majesty's Government what engagement they have had with patient groups about improving gastroparesis services.
Integrated care boards (ICBs) commission all services for patients with gastroparesis, with the exception of gastro-electrical stimulation (GES), which falls with the remit of nationally commissioned services. As these services are ICB commissioned, engagement is therefore determined at the local level.
The Government remains committed to improving outcomes for people living with rare diseases, including gastroparesis, through the UK Rare Diseases Framework and England Rare Diseases Action Plans to deliver a health and care system that works for all. In the 2026 action plan, we introduced a new and important action to address health inequalities for rare diseases through the Core20PLUS5 Framework. In addition, NHS England has published a Health Inequalities Toolkit for Highly Specialised Services.
NHS England’s Clinical Panel considered evidence submitted to review the existing commissioning policy on GES for gastroparesis. NHS England concluded that the additional evidence was limited and did not constitute a sufficiently robust clinical evidence base to support any revision to the current policy position, under which the procedure is not routinely commissioned. Clinicians may trigger a review of NHS England’s commissioning policies if new evidence is published.
My Lords, I too congratulate the right reverend Primate on securing this important debate and on her thought-provoking speech. She and others have referred to the Pope’s encyclical on AI, which states:
“technology is never neutral, because it takes on the characteristics of those who devise, finance, regulate, and use it.”
I...
My Lords, I too congratulate the right reverend Primate on securing this important debate and on her thought-provoking speech. She and others have referred to the Pope’s encyclical on AI, which states:
“technology is never neutral, because it takes on the characteristics of those who devise, finance, regulate, and use it.”
I...
To ask His Majesty's Government what assessment they have made of whether full coverage of fracture liaison services across England by 2030 is deliverable without additional funding; and what assumptions they made in that assessment.
To ask His Majesty's Government what assessment they have made of whether full coverage of fracture liaison services across England by 2030 is deliverable without additional funding; and what assumptions they made in that assessment.
Our 10-Year Health Plan committed to rolling out Fracture Liaison Services across every part of the country by 2030. Integrated care boards remain well-placed to make decisions according to local need.
The Renewed Women’s Health Strategy sets an expectation that integrated care boards prioritise community-based models when commissioning new fracture prevention services.
The Department continues to work closely with NHS England to explore a range of options to provide better quality and access to these important preventative services.
My Lords, my noble friend Lord Hunt of Wirral mentioned value for money. Taxpayers’ and businesses’ confidence to contribute to economic growth, whether through the consumption of goods and services, investment or job creation, must go hand in hand with the confidence that all government policy is developed and evaluated...
My Lords, my noble friend Lord Hunt of Wirral mentioned value for money. Taxpayers’ and businesses’ confidence to contribute to economic growth, whether through the consumption of goods and services, investment or job creation, must go hand in hand with the confidence that all government policy is developed and evaluated...
My Lords, I rise to speak in support of my noble friend’s Amendments 268 and 287. In doing so, I should say that, although I welcome them, the fact that we are considering them this evening makes me sad, because they should not be necessary. The fact that they are...
My Lords, I rise to speak in support of my noble friend’s Amendments 268 and 287. In doing so, I should say that, although I welcome them, the fact that we are considering them this evening makes me sad, because they should not be necessary. The fact that they are...
My Lords, I am mindful that noble Lords will be counting down the minutes to the start of a well-earned Easter Recess, so I will keep my remarks as short as I can. I hope I will be forgiven if I do not refer to individual contributions, but I was...
My Lords, I am mindful that noble Lords will be counting down the minutes to the start of a well-earned Easter Recess, so I will keep my remarks as short as I can. I hope I will be forgiven if I do not refer to individual contributions, but I was...
Moved by
Lord Shinkwin
193: Clause 5, page 3, line 34, at end insert—
“(7) If a registered medical practitioner or other health professional raises the subject of the provision of assistance in accordance with this Act with a person, or if a person raises the subject with a registered medical practitioner or...
Moved by
Lord Shinkwin
193: Clause 5, page 3, line 34, at end insert—
“(7) If a registered medical practitioner or other health professional raises the subject of the provision of assistance in accordance with this Act with a person, or if a person raises the subject with a registered medical practitioner or...
My Lords, I make it clear at the outset that I do not intend to press my Amendment 193. I also support the other amendments in this group and look forward to learning and listening, as I am sure the noble and learned Lord does, before I wind up at...
My Lords, I make it clear at the outset that I do not intend to press my Amendment 193. I also support the other amendments in this group and look forward to learning and listening, as I am sure the noble and learned Lord does, before I wind up at...
My Lords, I shall speak to Amendment 167 in the name of my noble friend Lady Fraser of Craigmaddie. In doing so, I should make it clear that I support the other amendments in this group, and I join other noble Lords in saying how good it is to see...
My Lords, I shall speak to Amendment 167 in the name of my noble friend Lady Fraser of Craigmaddie. In doing so, I should make it clear that I support the other amendments in this group, and I join other noble Lords in saying how good it is to see...
My Lords, Amendments 162, 194 and 858 are in my name, and I should make clear that I do not intend to move them. Amendment 162 proposes that, where a person has Down syndrome or a learning disability, a registered medical practitioner must not initiate, suggest or raise the matter...
My Lords, Amendments 162, 194 and 858 are in my name, and I should make clear that I do not intend to move them. Amendment 162 proposes that, where a person has Down syndrome or a learning disability, a registered medical practitioner must not initiate, suggest or raise the matter...
To ask His Majesty's Government what preparations they have made to ensure there is a sufficient workforce of prosthetists and orthotists to meet the anticipated demand for prosthetic and orthotic rehabilitation in the event of a conflict situation.
To ask His Majesty's Government what preparations they have made to ensure there is a sufficient workforce of prosthetists and orthotists to meet the anticipated demand for prosthetic and orthotic rehabilitation in the event of a conflict situation.
The Department of Health and Social Care, the National Health Service, and the Ministry of Defence continue to ensure health services, including prosthetic and orthotic services, can respond effectively to meet the demands of conflict situations through regularly reviewing system-wide capacity.
The Department of Health and Social Care’s commitment to longer term workforce planning through the 10 Year Workforce Plan will also ensure that the NHS has the right people in the right places, with the right skills to care for patients, when they need it.