Whilst it is possible, it is not mandatory for trusts to record second trimester miscarriage through the Maternity Services Data Set (MSDS). The requirements for the next iteration for the MSDS include more detailed data collection around pregnancy outcomes, including on miscarriage. Timescales for this next iteration are yet to be confirmed.

There are no specific plans to update the Digital Maternity Record Standard at present, as the current version has yet to be fully implemented by all maternity system suppliers. However, this will be considered as part of wider maternity data architecture design work, which will also support the MSDS and the Single Patient Record.

Whilst it is possible, it is not mandatory for trusts to record second trimester miscarriage through the Maternity Services Data Set (MSDS). The requirements for the next iteration for the MSDS include more detailed data collection around pregnancy outcomes, including on miscarriage. Timescales for this next iteration are yet to be confirmed.

There are no specific plans to update the Digital Maternity Record Standard at present, as the current version has yet to be fully implemented by all maternity system suppliers. However, this will be considered as part of wider maternity data architecture design work, which will also support the MSDS and the Single Patient Record.

National Highways committed to add over 150 new emergency areas on existing All Lane Running smart motorways by the end of March 2025, prioritising locations where these would provide the greatest benefit and could be delivered within the £390 million budget. The table below sets out the number of additional emergency areas delivered on each relevant motorway section.

On average, across the programme, an emergency area costs approximately £2.6 million to construct (pending final accounts). Individual emergency areas have varying design requirements, including topography, requirement for supporting structures, drainage, and technology, which mean they can cost less or more than the expected average to construct.

National Highways has recently commenced work on the M1 between junctions 16 and 19 to undertake remedial works to strengthen embankments adjacent to four new emergency areas. These works are expected to be completed by August 2026. As a result, programme close-out activities have been extended and final costs for the National Emergency Area Retrofit programme are now expected to be available in Spring 2027, subject to final accounting and internal governance.

In October 2025, NHS England set out the expectation, through the Medium Term Planning Framework, for trusts to implement the National Bereavement Care Pathway for stillbirth and neonatal death. In practice, some of these standards will also be applicable in the context of miscarriage, ectopic pregnancy, and molar pregnancy, offering support for these women and families.

While miscarriage and other types of pregnancy loss were not explicitly covered in Baroness Amos’ final report into National Health Service maternity and neonatal care, she did make a recommendation around fundamentally reforming care, including through the development of a new modern service framework. The taskforce will consider all stages of maternity and neonatal care when developing its new national action plan, and we anticipate that the taskforce may wish to include pregnancy loss.

We are also working closely with NHS England to improve the availability of Early Pregnancy Assessment Units, and have extended the Baby Loss Certificate scheme, which provides recognition of pre-24-week loss.

In October 2025, NHS England set out the expectation, through the Medium Term Planning Framework, for trusts to implement the National Bereavement Care Pathway for stillbirth and neonatal death. In practice, some of these standards will also be applicable in the context of miscarriage, ectopic pregnancy, and molar pregnancy, offering support for these women and families.

While miscarriage and other types of pregnancy loss were not explicitly covered in Baroness Amos’ final report into National Health Service maternity and neonatal care, she did make a recommendation around fundamentally reforming care, including through the development of a new modern service framework. The taskforce will consider all stages of maternity and neonatal care when developing its new national action plan, and we anticipate that the taskforce may wish to include pregnancy loss.

We are also working closely with NHS England to improve the availability of Early Pregnancy Assessment Units, and have extended the Baby Loss Certificate scheme, which provides recognition of pre-24-week loss.

In developing the Modern Service Framework for Frailty and Dementia, we are engaging with a wide group of partners to understand what should be included to ensure the best outcomes for people living with dementia.

As part of this exercise, we will consider what interventions should be supported to improve diagnosis waiting times, which we know are too long in many areas. We are considering all options to help reduce variation, including reviewing metrics and targets.

The modern service framework will identify the best evidenced interventions that would support progress towards an outcome goal and set standards on how those interventions should be used.

The Department has not made a specific, standalone assessment of how brain tumour tissue is fresh frozen and stored. Standard operating procedures (SOPs) for fresh-freezing, or snap-freezing, of tissue samples have already been developed across pathology networks in England. It is, however, the responsibility of individual pathology services to maintain their own SOPs for the fresh freezing of tissue samples. These protocols outline local capabilities and practices, including access and storage capacity for neurosurgery services. Furthermore, NHS England has completed a gap analysis of the need for freezer capacity and is now looking at how to support services to provide an equitable expansion of that capacity.

NHS England has also produced national sample handling guidance of solid tumours to standardise the collection, processing, and transport of tumour samples, helping to maintain DNA quality and access to precision diagnostics. The guidance is regulated by the Human Tissue Authority, so that human tissue is removed, stored and used in an appropriate, respectful and well-managed way, with consent from patients and families. This ensures human tissue, including brain tumour tissue, can be used to assist in clinical trials, personalised treatment and research. The Department and NHS England will work with professional bodies, including the Royal College of Pathologists, to review tissue retention guidance and consent processes.

The Department funds research on health and social care through the National Institute for Health and Care Research (NIHR). In 2024/25, through the NIHR, the Department committed £1.3 million for new research projects on gynaecological conditions and menstrual health, which includes endometriosis. This is building on the existing portfolio commissioned in this area. The NIHR welcomes funding applications for research into any aspect of human health and care, including endometriosis. In recognition that some areas of women’s health have been underserved in research, the Renewed Women’s Health Strategy for England commits to prioritising research through the NIHR in areas of unmet need in women’s health, such as endometriosis.

My Lords, miscarriage can have a devastating impact on women and their families, and we are determined that they receive the support they need. We committed in the women’s health strategy to improve care for

women, including carefully considering the graded model of care for repeated miscarriage. The National Maternity and Neonatal Taskforce will develop the national action plan to improve maternity and neonatal safety and experiences, and it will follow the pending recommendations of the independent investigation by the noble Baroness, Lady Amos.

Vehicle Excise Duty (VED) is a tax on vehicles used or kept on public roads. Different rates apply to cars, vans, and motorcycles, and the rate for each vehicle is calculated according to a range of factors, such as its date of first registration, weight, or CO2 emissions. As of April last year, zero emission and hybrid cars, vans and motorcycles now pay VED in a similar way to petrol and diesel vehicles.

There are no current plans to review how VED is calculated for all road vehicles. The Government regularly reviews the rates and thresholds of taxes and reliefs at fiscal events to ensure that they are appropriate and reflect the current state of the economy.

The Government is working with mayoral combined authorities and local partners to implement improvements to passenger fares and ticketing, with work accelerated in Greater Manchester and the West Midlands. With initial delivery of schemes in the West Midlands by spring 2027, and Manchester later this year. We are also exploring options for further improvement with smarter ticketing to passengers in the North and East Midlands, with cutting-edge digital trials.