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To ask the Secretary of State for Work and Pensions, what assessment his Department has made of the potential merits of the provision of interview questions in advance as a reasonable adjustment for jobseekers with learning disabilities and autism.
To ask the Secretary of State for Work and Pensions, what assessment his Department has made of the potential merits of the provision of interview questions in advance as a reasonable adjustment for jobseekers with learning disabilities and autism.
DWP recognises that some disabled candidates, including people with learning disabilities and autistic people, may benefit from reasonable adjustments during recruitment and as such promotes practices that support fair and accessible recruitment, including the provision of interview questions in advance, the use of clear language and flexibility in assessment methods where appropriate. DWP's Learning Disabilities Project is also working with employers and specialist organisations to identify barriers to recruitment and develop practical guidance that supports more inclusive employment opportunities for people with learning disabilities.
To ask His Majesty's Government what plans they have to measure, monitor, and publish national statistics on the life expectancy gap for people with a learning disability following the conclusion of the national LeDeR annual report; and through what formal mechanism future evidence-based national recommendations will be made to address...
To ask His Majesty's Government what plans they have to measure, monitor, and publish national statistics on the life expectancy gap for people with a learning disability following the conclusion of the national LeDeR annual report; and through what formal mechanism future evidence-based national recommendations will be made to address...
To ask His Majesty's Government what assessment they have made of the value of co-producing recommendations derived from national patient-level health outcomes datasets for people with a learning disability with experts by experience, in line with the Kingston University Intellectual Disability research group model.
To ask His Majesty's Government what assessment they have made of the value of co-producing recommendations derived from national patient-level health outcomes datasets for people with a learning disability with experts by experience, in line with the Kingston University Intellectual Disability research group model.
To ask the Secretary of State for Work and Pensions, what steps his Department is taking to encourage employers to offer paid work trials as an alternative to formal interviews for jobseekers with learning disabilities.
To ask the Secretary of State for Work and Pensions, what steps his Department is taking to encourage employers to offer paid work trials as an alternative to formal interviews for jobseekers with learning disabilities.
Education and skills are devolved matters, the response outlines the information for England only.
We are transforming the Apprenticeships Levy into a new Growth and Skills Levy in England, giving employers greater flexibility, creating more opportunities for young people, and directly supporting the Industrial Strategy.
In April 2026 we launched the first apprenticeship units focussing on priority sectors including artificial intelligence (AI), digital, construction and engineering. Apprenticeship units are short courses built from the knowledge and skills within existing employer-led occupational apprenticeship standards, ensuring high-quality, targeted training. They target immediate shortages in areas that will drive productivity and growth and will help employers upskill existing employees quickly and flexibly.
We have also reduced the apprenticeship minimum duration to 8 months, where this is appropriate for the role or the apprentice, as we know the previous 12-month minimum duration meant some employers and learners were prevented from accessing apprenticeships.
Additionally, we are also supporting more entry-level opportunities for young people, by introducing new foundation apprenticeships to give young people a route into careers in critical sectors, such as construction and health and social care.
To ask His Majesty's Government, further to the Written Answer by Baroness Sherlock on 26 June (HL888), how the existing quality assurance process for the Transform Decision Making pilot measures the accuracy of case managers' descriptor selections for claimants with a learning disability compared to those with purely physical impairments.
To ask His Majesty's Government, further to the Written Answer by Baroness Sherlock on 26 June (HL888), how the existing quality assurance process for the Transform Decision Making pilot measures the accuracy of case managers' descriptor selections for claimants with a learning disability compared to those with purely physical impairments.
DWP has a number of quality assurance processes in place to support decision accuracy; these include local quality checks, independent assurance activity and formal fraud and error measurement. Together, these processes provide assurance that descriptor choices are accurate and consistent.
As part of the pilot Case Managers complete an initial assurance process following their training. During this period, decisions are subject to 100% checking before they are issued to customers. These checks focus on the accuracy of the descriptor selection and whether the resulting award is financially correct. Case Managers receive feedback on the outcome of each check and where errors are identified, may receive further coaching or support. The results of the assurance activity are monitored to identify trends and inform continuous improvement, including targeted guidance and support where required.
To ask His Majesty's Government, further to the Written Answer by Baroness Sherlock on 26 June (HL888), what plans they have to introduce accredited training specifically addressing masking, verbal compliance, and executive dysfunction in claimants with a learning disability for case managers operating the Transform Decision Making pilot.
To ask His Majesty's Government, further to the Written Answer by Baroness Sherlock on 26 June (HL888), what plans they have to introduce accredited training specifically addressing masking, verbal compliance, and executive dysfunction in claimants with a learning disability for case managers operating the Transform Decision Making pilot.
Through the trial we will continue to conduct user research with Case Managers to refine processes, guidance and learning requirements, helping to ensure Case Managers are equipped to make quality decisions under all circumstances. Insights from the trial will help inform whether any changes are needed to the learning offer under the transformed decision making approach.
To ask His Majesty's Government, further to the Written Answer by Baroness Sherlock on 26 June (HL886), what estimate they have made of the proportion of Personal Independence Payment claims processed under the Transform Decision Making pilot where a learning disability is recorded as a secondary condition; and what steps they...
To ask His Majesty's Government, further to the Written Answer by Baroness Sherlock on 26 June (HL886), what estimate they have made of the proportion of Personal Independence Payment claims processed under the Transform Decision Making pilot where a learning disability is recorded as a secondary condition; and what steps they...
In cases where a claimant has multiple conditions or disabilities that affect daily living or mobility, all are considered during the assessment and decision making process. However, only the primary condition is recorded on the data that DWP uses to report disabling conditions. We cannot, therefore, provide information on the proportion of PIP claims processed within the trial where a learning disability is recorded as a secondary or co-occurring condition. Our impact evaluation will also be limited to primary disabling condition. Due to the small scale of the trial and volume of cases involved, we do not expect to be able to produce robust subgroup analysis for claimants whose primary disabling condition is a learning disability.
To ask the Secretary of State for Work and Pensions, what steps his Department is taking following the Keep Britain Working review to improve access to paid employment for people with learning disabilities.
To ask the Secretary of State for Work and Pensions, what steps his Department is taking following the Keep Britain Working review to improve access to paid employment for people with learning disabilities.
Sir Charlie Mayfield’s independent Keep Britain Working Review, published on 5 November 2025, highlighted the scale of the problem of people falling out of work for reasons of ill-health and disability, and the vital role employers can play in addressing this. The Review identified structural challenges for disabled people, including people with learning disabilities, creating barriers to starting and staying in work, and proposed reforms to create healthier, more inclusive workplaces.
While the Keep Britain Working programme’s central aim is to improve workplace health and inclusion for those already in employment, improving workplace conditions, support and inclusion for people with learning disabilities and other disabled people will also help remove barriers to accessing paid employment and support more people to enter and sustain work.
Since publication of the Review, Keep Britian Working has engaged with 180 employers and providers, 11 regions, and worked directly with more than 250 organisations to explore how to create healthier and more inclusive workplaces. This work has included:
- Inclusion-focused workshops with Vanguard employers, Disabled People's Organisations and people with lived experience to explore disability inclusion in the workplace.
- Employer-led sprints and feedback groups examining prevention, staying in work and returning to work, helping identify practical ways employers can better support disabled employees.
- Partnership working with the British Standards Institution to develop a recognised employer-facing standard for healthy and inclusive workplaces.
- Development of Workplace Health Provision, designed to provide employees and managers with coordinated support, advice and early intervention to help people remain in and thrive at work.
Alongside Keep Britain Working, the Government's Pathways to Work offer provides work, health and skills support for disabled people and people with health conditions, backed by £3.5bn of investment by the end of the decade. Pathways to Work includes Connect to Work, a voluntary and locally led Supported Employment programme for disabled people, those with health conditions and people facing complex barriers to work. It will deliver tailored support to around 300,000 people by the end of the decade across England and Wales.
My Lords, we welcome the National Confidential Enquiry into Patient Outcome and Death’s report and its recommendations. NHS England has circulated learning from the report across the health and care system for regional teams to share it with integrated care boards. NHS accountability arrangements are in place, and immediate improvement actions are under way, including the reasonable adjustment digital flag. The Government are committed to high-quality care for people with a learning disability.
My Lords, we welcome the National Confidential Enquiry into Patient Outcome and Death’s report and its recommendations. NHS England has circulated learning from the report across the health and care system for regional teams to share it with integrated care boards. NHS accountability arrangements are in place, and immediate improvement actions are under way, including the reasonable adjustment digital flag. The Government are committed to high-quality care for people with a learning disability.
To ask His Majesty’s Government what assessment they have made of the recommendations in the National Confidential Enquiry into Patient Outcome and Death report Acute illness in people with a learning disability, published on 11 June; and whether they intend to ensure those recommendations are implemented by NHS Trusts.
My Lords, enough is enough. Currently, with everything in place, people living with a learning disability still die on average 20 years earlier than their non-learning disabled peers. The key missing part of the jigsaw is a statutory independent review of every such death, legally compelling NHS trusts and other providers to implement the improvements identified. Why are this Government content to rely on the toothless, non-statutory reviews that have changed nearly nothing, and allow this 20-year life expectancy gap to continue?
My Lords, enough is enough. Currently, with everything in place, people living with a learning disability still die on average 20 years earlier than their non-learning disabled peers. The key missing part of the jigsaw is a statutory independent review of every such death, legally compelling NHS trusts and other providers to implement the improvements identified. Why are this Government content to rely on the toothless, non-statutory reviews that have changed nearly nothing, and allow this 20-year life expectancy gap to continue?
I certainly accept the point, and I am not quibbling about the number, because 19 years, which is where we are now, is totally unacceptable. In addition, there is the high percentage of avoidable deaths, which I know the noble Lord is very alive to. While I share the view that this is unacceptable, I would not put it all down to reports. I can say that there are strong expectations of ICBs. As I have mentioned, they are kept to account, and we are continually ensuring that the death of every autistic person and those with a learning disability that is notified is reviewed. The new national-level patient dataset will certainly provide what I would call a single point of truth, which has not been there in the past.
I certainly accept the point, and I am not quibbling about the number, because 19 years, which is where we are now, is totally unacceptable. In addition, there is the high percentage of avoidable deaths, which I know the noble Lord is very alive to. While I share the view that this is unacceptable, I would not put it all down to reports. I can say that there are strong expectations of ICBs. As I have mentioned, they are kept to account, and we are continually ensuring that the death of every autistic person and those with a learning disability that is notified is reviewed. The new national-level patient dataset will certainly provide what I would call a single point of truth, which has not been there in the past.
I certainly accept the point, and I am not quibbling about the number, because 19 years, which is where we are now, is totally unacceptable. In addition, there is the high percentage of avoidable deaths, which I know the noble Lord is very alive to. While I share the view that this is unacceptable, I would not put it all down to reports. I can say that there are strong expectations of ICBs. As I have mentioned, they are kept to account, and we are continually ensuring that the death of every autistic person and those with a learning disability that is notified is reviewed. The new national-level patient dataset will certainly provide what I would call a single point of truth, which has not been there in the past.
My Lords, enough is enough. Currently, with everything in place, people living with a learning disability still die on average 20 years earlier than their non-learning disabled peers. The key missing part of the jigsaw is a statutory independent review of every such death, legally compelling NHS trusts and other providers to implement the improvements identified. Why are this Government content to rely on the toothless, non-statutory reviews that have changed nearly nothing, and allow this 20-year life expectancy gap to continue?
My Lords, the report highlights that, for almost two-thirds of these patients, there was no assessment of mental capacity. However, when people are ill and frightened, mental capacity is incredibly important for being able to communicate with people, to make a diagnosis and to monitor a response to treatment. Without communication, of course the outcomes are worse than they might otherwise be. How will the Government improve the assessment of mental capacity across the board and implement the recommendations in the report?
My Lords, the report highlights that, for almost two-thirds of these patients, there was no assessment of mental capacity. However, when people are ill and frightened, mental capacity is incredibly important for being able to communicate with people, to make a diagnosis and to monitor a response to treatment. Without communication, of course the outcomes are worse than they might otherwise be. How will the Government improve the assessment of mental capacity across the board and implement the recommendations in the report?
Guidance was issued not many months ago on this point, and I expect to see improvements. The report found that well under 50% of patients or their carers were asked about reasonable adjustments. It is not acceptable, but that is why we have brought in the mental capacity assessment guidance and the reasonable adjustment digital flag. These will make a major difference.
Guidance was issued not many months ago on this point, and I expect to see improvements. The report found that well under 50% of patients or their carers were asked about reasonable adjustments. It is not acceptable, but that is why we have brought in the mental capacity assessment guidance and the reasonable adjustment digital flag. These will make a major difference.
Guidance was issued not many months ago on this point, and I expect to see improvements. The report found that well under 50% of patients or their carers were asked about reasonable adjustments. It is not acceptable, but that is why we have brought in the mental capacity assessment guidance and the reasonable adjustment digital flag. These will make a major difference.
My Lords, the report highlights that, for almost two-thirds of these patients, there was no assessment of mental capacity. However, when people are ill and frightened, mental capacity is incredibly important for being able to communicate with people, to make a diagnosis and to monitor a response to treatment. Without communication, of course the outcomes are worse than they might otherwise be. How will the Government improve the assessment of mental capacity across the board and implement the recommendations in the report?
My Lords, in her Answer, the Minister mentioned accountability. Given that the report demonstrated that the gaps are very significant, with something like 50% of hospitals not even being able to record a patient’s learning disability on their digital record, what are the Government doing to track progress on hitting these recommendations, and what are the accountability measures? If trusts do not deliver this quickly, who gets fired?
My Lords, in her Answer, the Minister mentioned accountability. Given that the report demonstrated that the gaps are very significant, with something like 50% of hospitals not even being able to record a patient’s learning disability on their digital record, what are the Government doing to track progress on hitting these recommendations, and what are the accountability measures? If trusts do not deliver this quickly, who gets fired?
There are financial sanctions for providers that could be brought into play. On accountability, delivery is monitored through NHS governance and assurance processes. This includes the NHS operating framework, annual assessment of ICB performance, regional oversight and review of local delivery plans.
There are financial sanctions for providers that could be brought into play. On accountability, delivery is monitored through NHS governance and assurance processes. This includes the NHS operating framework, annual assessment of ICB performance, regional oversight and review of local delivery plans.
There are financial sanctions for providers that could be brought into play. On accountability, delivery is monitored through NHS governance and assurance processes. This includes the NHS operating framework, annual assessment of ICB performance, regional oversight and review of local delivery plans.
My Lords, in her Answer, the Minister mentioned accountability. Given that the report demonstrated that the gaps are very significant, with something like 50% of hospitals not even being able to record a patient’s learning disability on their digital record, what are the Government doing to track progress on hitting these recommendations, and what are the accountability measures? If trusts do not deliver this quickly, who gets fired?
My Lords, the tragedy is that Lord Rix many years ago pointed out the same problems and no progress has been made. My noble friend is putting faith in ICBs, but she knows that their resources will be reduced in terms of headcount. Going back to the question by the noble Lord, Lord Harper, does she not think that accountability needs to be placed with NHS trusts? They need to be required to establish specialist teams, which we know lead to better outcomes, and have a response in relation to communications. Should we not be putting responsibility where it actually lies, rather than relying on ICBs to commission this?
My Lords, the tragedy is that Lord Rix many years ago pointed out the same problems and no progress has been made. My noble friend is putting faith in ICBs, but she knows that their resources will be reduced in terms of headcount. Going back to the question by the noble Lord, Lord Harper, does she not think that accountability needs to be placed with NHS trusts? They need to be required to establish specialist teams, which we know lead to better outcomes, and have a response in relation to communications. Should we not be putting responsibility where it actually lies, rather than relying on ICBs to commission this?
I have to vary a bit on that point from my noble friend, who I know brings a tremendous interest to this area. It is right that local services are locally provided, but I do not accept the analysis that this is handing it over to an unaccountable local provision. I outlined to the noble Lord, Lord Harper, the specifics of accountability. All the actions that are identified in the inquiry’s report will make major progress. I assure my noble friend that we will keep this continually under review. I am sure that there are always improvements that we can make, and we are committed to doing so.
I have to vary a bit on that point from my noble friend, who I know brings a tremendous interest to this area. It is right that local services are locally provided, but I do not accept the analysis that this is handing it over to an unaccountable local provision. I outlined to the noble Lord, Lord Harper, the specifics of accountability. All the actions that are identified in the inquiry’s report will make major progress. I assure my noble friend that we will keep this continually under review. I am sure that there are always improvements that we can make, and we are committed to doing so.
I have to vary a bit on that point from my noble friend, who I know brings a tremendous interest to this area. It is right that local services are locally provided, but I do not accept the analysis that this is handing it over to an unaccountable local provision. I outlined to the noble Lord, Lord Harper, the specifics of accountability. All the actions that are identified in the inquiry’s report will make major progress. I assure my noble friend that we will keep this continually under review. I am sure that there are always improvements that we can make, and we are committed to doing so.
My Lords, the tragedy is that Lord Rix many years ago pointed out the same problems and no progress has been made. My noble friend is putting faith in ICBs, but she knows that their resources will be reduced in terms of headcount. Going back to the question by the noble Lord, Lord Harper, does she not think that accountability needs to be placed with NHS trusts? They need to be required to establish specialist teams, which we know lead to better outcomes, and have a response in relation to communications. Should we not be putting responsibility where it actually lies, rather than relying on ICBs to commission this?
My Lords, specialist training in the care of people with a learning disability is critical to reducing avoidable mortality. Will the Government fund dedicated senior clinician roles in learning disability medicine across community, acute and mental health settings to provide the leadership that is necessary to improve healthcare outcomes for this population?
My Lords, specialist training in the care of people with a learning disability is critical to reducing avoidable mortality. Will the Government fund dedicated senior clinician roles in learning disability medicine across community, acute and mental health settings to provide the leadership that is necessary to improve healthcare outcomes for this population?
There are a number of aspects to that area. We have greatly increased the mandatory training requirement and the numbers who have been trained. The noble Baroness also points to the importance of a multidisciplinary approach. We have seen an increase in nursing staff in that regard. It is a matter for the local provider to decide, but the workforce plan, which we will be seeing soon, will be very helpful in this regard.
There are a number of aspects to that area. We have greatly increased the mandatory training requirement and the numbers who have been trained. The noble Baroness also points to the importance of a multidisciplinary approach. We have seen an increase in nursing staff in that regard. It is a matter for the local provider to decide, but the workforce plan, which we will be seeing soon, will be very helpful in this regard.
There are a number of aspects to that area. We have greatly increased the mandatory training requirement and the numbers who have been trained. The noble Baroness also points to the importance of a multidisciplinary approach. We have seen an increase in nursing staff in that regard. It is a matter for the local provider to decide, but the workforce plan, which we will be seeing soon, will be very helpful in this regard.
My Lords, specialist training in the care of people with a learning disability is critical to reducing avoidable mortality. Will the Government fund dedicated senior clinician roles in learning disability medicine across community, acute and mental health settings to provide the leadership that is necessary to improve healthcare outcomes for this population?
My Lords, the report identifies significant variation in the recognition and treatment of acute illness among people with learning disabilities. The Minister talked about guidance, but could she be more specific? What specific help does her department aim to give to those areas, trusts or ICBs deemed to be underperforming? Given the new Prime Minister’s pledge on further devolution, how will the department resolve that tension between local decision-making and central government intervention, especially in underperforming areas?
My Lords, the report identifies significant variation in the recognition and treatment of acute illness among people with learning disabilities. The Minister talked about guidance, but could she be more specific? What specific help does her department aim to give to those areas, trusts or ICBs deemed to be underperforming? Given the new Prime Minister’s pledge on further devolution, how will the department resolve that tension between local decision-making and central government intervention, especially in underperforming areas?
That is the reason for the accountability measures that I have outlined. I should add that transparency is absolutely key to that. The guidance that we have issued about supporting the identification of people with learning disability is important; we are at that basic level. That is where we have started, but it will push this forward. Further to my answer to the noble Baroness, Lady Finlay, the guidance for acute hospital staff, for example, included standardised mental capacity assessment forms; they were not in place previously. Each ICB is required, via statutory guidance, to have an executive lead on learning disability and autism.