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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 what assessment they have made of existing virtual outpatient models in the development of NHS Online.
To ask His Majesty's Government what assessment they have made of existing virtual outpatient models in the development of NHS Online.
To ask His Majesty's Government what criteria NHS England will use to determine which planned treatment areas are suitable for inclusion in NHS Online.
To ask His Majesty's Government what criteria NHS England will use to determine which planned treatment areas are suitable for inclusion in NHS Online.
To ask His Majesty's Government whether the contractual requirement introduced on 1 October 2025 requires GP practices to provide (1) an online consultation system, (2) an online appointment booking system, or (3) both; and what percentage of GP practices currently provide each.
To ask His Majesty's Government whether the contractual requirement introduced on 1 October 2025 requires GP practices to provide (1) an online consultation system, (2) an online appointment booking system, or (3) both; and what percentage of GP practices currently provide each.
I refer the Noble Lord to the answer provided on 6 July in response to Question HL1318, which, for ease of reference, is reproduced below.
General practices (GPs) are independent business that hold contracts with the National Health Service to perform essential services to the public. We require practices to provide online consultation tools. From 1 October 2025, GPs have been required to offer access to online services throughout core hours, 8:00am to 18:30pm, bringing online access in line with walk-in and phone access. This change aims to improve patient access, reduce long phone queues, and help GPs manage demand more effectively
NHS England collects data on GP appointments, online consultation submissions, and cloud-based telephony. This data shows that 99% of practices have reported having an online consultation system in place. Where a practice does not comply with these contractual requirements, it may be in breach of contract. Patients who have concerns should contact their practice in the first instance, or raise the matter with their local integrated care board.
To ask His Majesty's Government how many GP practices have been assessed as not complying with the contractual requirement to provide online access during core hours since 1 October 2025; and what action is being taken to increase compliance.
To ask His Majesty's Government how many GP practices have been assessed as not complying with the contractual requirement to provide online access during core hours since 1 October 2025; and what action is being taken to increase compliance.
I refer the Noble Lord to the answer provided on 6 July in response to Question HL1318, which, for ease of reference, is reproduced below.
General practices (GPs) are independent business that hold contracts with the National Health Service to perform essential services to the public. We require practices to provide online consultation tools. From 1 October 2025, GPs have been required to offer access to online services throughout core hours, 8:00am to 18:30pm, bringing online access in line with walk-in and phone access. This change aims to improve patient access, reduce long phone queues, and help GPs manage demand more effectively
NHS England collects data on GP appointments, online consultation submissions, and cloud-based telephony. This data shows that 99% of practices have reported having an online consultation system in place. Where a practice does not comply with these contractual requirements, it may be in breach of contract. Patients who have concerns should contact their practice in the first instance, or raise the matter with their local integrated care board.
To ask the Secretary of State for Digital, Culture, Media and Sport, what discussions her Department has had with the telecare and telecoms industries on enabling network operators to safely move telecare customers between networks.
To ask the Secretary of State for Digital, Culture, Media and Sport, what discussions her Department has had with the telecare and telecoms industries on enabling network operators to safely move telecare customers between networks.
The Fixed Telecoms Modernisation Charter, published in March 2026, includes a commitment by communication providers and network operators to work together to ensure the safe migration of telecare users between networks. Engagement between the Department and industry is ongoing.
To ask the Secretary of State for Digital, Culture, Media and Sport, whether customers with telecare equipment are only permitted to use BT landline services.
To ask the Secretary of State for Digital, Culture, Media and Sport, whether customers with telecare equipment are only permitted to use BT landline services.
Customers with telecare equipment are not required to use BT landline services only and can use any communications provider.
In November 2024 and March 2026, the industry agreed safeguards with Government to protect consumers, in particular vulnerable people and telecare users, during the Public Switched Telephone Network (PSTN) migration to modern digital networks. The Government regularly engages with the providers to monitor the PSTN migration.
A short guide to GP online consultation tools for making appointments.
A short guide to GP online consultation tools for making appointments.
Last month I announced a landmark package of measures to better protect children online. We announced that social media companies will no longer be able to offer their services to under-16s, introduced new restrictions on livestreaming and communications with strangers, and became the first country in the world to ban...
Last month I announced a landmark package of measures to better protect children online. We announced that social media companies will no longer be able to offer their services to under-16s, introduced new restrictions on livestreaming and communications with strangers, and became the first country in the world to ban...
I am repeating the following Written Ministerial Statement made today in the other place by my Right Honourable Friend, the Secretary of State for Science, Innovation and Technology, Rt Hon Liz Kendall MP.
Last month I announced a landmark package of measures to better protect children online. We announced that social...
I am repeating the following Written Ministerial Statement made today in the other place by my Right Honourable Friend, the Secretary of State for Science, Innovation and Technology, Rt Hon Liz Kendall MP.
Last month I announced a landmark package of measures to better protect children online. We announced that social...
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of increased use of online consultation systems on total demand for GP services; and whether additional funding has been provided to practices to meet any increase in workload arising from...
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of increased use of online consultation systems on total demand for GP services; and whether additional funding has been provided to practices to meet any increase in workload arising from...
The Government is committed to improving access to general practices (GPs) by increasing capacity and making it easier for patients to contact their surgery. The changes made to online consultation systems in October 2024 are supporting greater parity across booking routes, reducing pressure on busy phone lines, and ensuring patients have a consistent and reliable way to request care.
The Office for National Statistics’ Health Insight Survey for May 2026 shows that 76.5% of patients reported it was easy to contact their GP, up from 60.9% in July 2024, an increase of nearly 16%
To support practices, we are investing an additional £601 million in GPs in 2026/27, bringing total spend on the GP Contract to approximately £14 billion. This builds on the £1.1 billion increase in 2025/26, the largest uplift in over a decade. Since October 2024 we have recruited 2,000 more GPs. We now have the highest number of GPs by headcount since 2015. The 2026/27 contract also introduces a practice-level GP reimbursement scheme, backed by £292 million, to help practices recruit more GPs or expand sessions
Data collected through General Practice Appointment Data provides insight into the volume of online consultation submissions received by practices. In May 2026, practices received 2.1 million more online consultation submissions than in May 2025, a 36.4% year-on-year increase. However, submissions were 7.2% lower than in April 2026, following a larger month-on-month decrease in April of 14.6%, equivalent to 1.5 million fewer submissions.
As a result, GPs have delivered 12.7 million additional appointments to patients compared with the previous year. This data is available at the following link:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of removing limits on the number of requests using the online consultation tool during core hours on GP practices.
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of removing limits on the number of requests using the online consultation tool during core hours on GP practices.
The Government is committed to improving access to general practice by increasing capacity and making it easier for patients to contact their surgery.
The contractual change from 1 October 2025 clarified that online consultation tools should be available throughout core hours for non-urgent appointment requests, medication queries, and administrative requests. There were no contractual limits on the number of requests patients could make through online consultation tools during core hours before this change, and there continue to be none.
Online access gives patients another route to contact their practice, alongside telephone and walk-in access, and supports practices to triage requests according to clinical need. General practices are independent businesses that hold contracts with the National Health Service to provide essential services to the public and are responsible for managing their daily operations to fulfil their contractual obligations, including how they manage the requests they receive.
Motion that this House has considered community hospitals. Agreed to on question.
Motion that this House has considered community hospitals. Agreed to on question.
I beg to move,
That this House has considered community hospitals.
It is a pleasure to serve under your chairship, Sir Jeremy, and I am grateful to have secured this debate. I want to begin by thanking Jo Posnette and Dr Helen Tucker from the Community Hospitals Association, who have been an...
I beg to move,
That this House has considered community hospitals.
It is a pleasure to serve under your chairship, Sir Jeremy, and I am grateful to have secured this debate. I want to begin by thanking Jo Posnette and Dr Helen Tucker from the Community Hospitals Association, who have been an...
I thank my hon. Friend for her passionate speech about community hospitals. In my constituency we have a fantastic community hospital with a minor injuries unit, but the unit is open only on Tuesdays, Wednesdays and Thursdays, with reduced hours. It could treat thousands more patients each year. Does my...
I thank my hon. Friend for her passionate speech about community hospitals. In my constituency we have a fantastic community hospital with a minor injuries unit, but the unit is open only on Tuesdays, Wednesdays and Thursdays, with reduced hours. It could treat thousands more patients each year. Does my...
My hon. Friend makes a good point. Not everybody can time their minor injuries to fall conveniently within the unit’s opening hours, so I absolutely sympathise with the challenge facing her local hospital.
My hon. Friend makes a good point. Not everybody can time their minor injuries to fall conveniently within the unit’s opening hours, so I absolutely sympathise with the challenge facing her local hospital.
I commend the hon. Lady for securing this important debate. I apologise to her and to you, Sir Jeremy, for not being able to stay; unfortunately, I have to be somewhere at 10 o’clock that is about 10 miles away. Like the hon. Lady, I wish to shine a light...
I commend the hon. Lady for securing this important debate. I apologise to her and to you, Sir Jeremy, for not being able to stay; unfortunately, I have to be somewhere at 10 o’clock that is about 10 miles away. Like the hon. Lady, I wish to shine a light...
I thank the hon. Gentleman for his perceptive intervention. Community hospitals often do feel more like a home from home. They are more accessible for a patient’s friends and family to visit, and they deliver better outcomes for patients and clinicians alike.
In the south-west, ambulance handovers at acute hospitals took...
I thank the hon. Gentleman for his perceptive intervention. Community hospitals often do feel more like a home from home. They are more accessible for a patient’s friends and family to visit, and they deliver better outcomes for patients and clinicians alike.
In the south-west, ambulance handovers at acute hospitals took...
I recently met the chief executive officer of the newly combined Surrey and Sussex integrated care board, and urged her to consider the potential for expanding Horsham community hospital on Hurst Road into a neighbourhood hub, including a women’s health unit, to mitigate the lack of a general hospital in...
I recently met the chief executive officer of the newly combined Surrey and Sussex integrated care board, and urged her to consider the potential for expanding Horsham community hospital on Hurst Road into a neighbourhood hub, including a women’s health unit, to mitigate the lack of a general hospital in...
That is a very good question that I hope the Minister will be able to answer. I pay tribute to the absolute heroism of the people who staff our community hospitals; they are delivering an incredible return on investment.
That is a very good question that I hope the Minister will be able to answer. I pay tribute to the absolute heroism of the people who staff our community hospitals; they are delivering an incredible return on investment.