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To ask His Majesty's Government (1) which Minister, (2) which National Clinical Directors and (3) who within (a) the Department of Health and Social Care, (b) NHS England, and (c) the Department for Work and Pensions, holds responsibility for the delivery and co-ordination of wound care services in England; and...
To ask His Majesty's Government (1) which Minister, (2) which National Clinical Directors and (3) who within (a) the Department of Health and Social Care, (b) NHS England, and (c) the Department for Work and Pensions, holds responsibility for the delivery and co-ordination of wound care services in England; and...
Community health services, including wound care, are locally commissioned to enable systems to best meet the needs of their communities. No discussions have been held about the appointment of a National Clinical Director, and integrated care boards (ICBs) are responsible for the delivery of wound care.
An independent evaluation of the National Wound Care Strategy was undertaken by the Health Innovation Wessex and was presented to the Chief Nursing Officer and shared with provider and ICB Chief Nurses in April 2025. The Government has not made an assessment on developing a modern service framework for wound care.
Standardising Community Health Services, first published 2025, with further detail added in 2026, sets clear expectations of the core community health services ICBs should be providing that will help to ensure consistent delivery of community health services, support effective commissioning, and improve patient access to care. This included expectations for ICBs providing specialist tissue viability or wound care. Work is underway to align current data collections to the definitions set out in Standardising Community Health Services.
The Government has not made an assessment of the cost of wound care to the National Health Service, and this includes whether procurement frameworks reflect total pathway value.
NHS Supply Chain’s frameworks are not simply focussed on price, as they provide value through the provision of product hierarchies and Information for Clinical Choice to enable clinicians to make better informed decisions on the right product for their patients. In addition, NHS Supply Chain actively explores innovation and value-based healthcare opportunities with suppliers and NHS customers across its wound care frameworks, to deliver increased value across the patient pathway.
To ask His Majesty's Government what assessment they have made of (1) the effectiveness of the National Wound Care Strategy Programme in co-ordinating wound care policy prior to its closure in March 2025, and (2) the potential benefits of developing a Modern Service Framework for wound care.
To ask His Majesty's Government what assessment they have made of (1) the effectiveness of the National Wound Care Strategy Programme in co-ordinating wound care policy prior to its closure in March 2025, and (2) the potential benefits of developing a Modern Service Framework for wound care.
Community health services, including wound care, are locally commissioned to enable systems to best meet the needs of their communities. No discussions have been held about the appointment of a National Clinical Director, and integrated care boards (ICBs) are responsible for the delivery of wound care.
An independent evaluation of the National Wound Care Strategy was undertaken by the Health Innovation Wessex and was presented to the Chief Nursing Officer and shared with provider and ICB Chief Nurses in April 2025. The Government has not made an assessment on developing a modern service framework for wound care.
Standardising Community Health Services, first published 2025, with further detail added in 2026, sets clear expectations of the core community health services ICBs should be providing that will help to ensure consistent delivery of community health services, support effective commissioning, and improve patient access to care. This included expectations for ICBs providing specialist tissue viability or wound care. Work is underway to align current data collections to the definitions set out in Standardising Community Health Services.
The Government has not made an assessment of the cost of wound care to the National Health Service, and this includes whether procurement frameworks reflect total pathway value.
NHS Supply Chain’s frameworks are not simply focussed on price, as they provide value through the provision of product hierarchies and Information for Clinical Choice to enable clinicians to make better informed decisions on the right product for their patients. In addition, NHS Supply Chain actively explores innovation and value-based healthcare opportunities with suppliers and NHS customers across its wound care frameworks, to deliver increased value across the patient pathway.
To ask His Majesty's Government what steps they are taking to ensure that Integrated Care Boards collect and publish standardised data on (1) wound care patient outcomes and (2) wound care expenditure.
To ask His Majesty's Government what steps they are taking to ensure that Integrated Care Boards collect and publish standardised data on (1) wound care patient outcomes and (2) wound care expenditure.
Community health services, including wound care, are locally commissioned to enable systems to best meet the needs of their communities. No discussions have been held about the appointment of a National Clinical Director, and integrated care boards (ICBs) are responsible for the delivery of wound care.
An independent evaluation of the National Wound Care Strategy was undertaken by the Health Innovation Wessex and was presented to the Chief Nursing Officer and shared with provider and ICB Chief Nurses in April 2025. The Government has not made an assessment on developing a modern service framework for wound care.
Standardising Community Health Services, first published 2025, with further detail added in 2026, sets clear expectations of the core community health services ICBs should be providing that will help to ensure consistent delivery of community health services, support effective commissioning, and improve patient access to care. This included expectations for ICBs providing specialist tissue viability or wound care. Work is underway to align current data collections to the definitions set out in Standardising Community Health Services.
The Government has not made an assessment of the cost of wound care to the National Health Service, and this includes whether procurement frameworks reflect total pathway value.
NHS Supply Chain’s frameworks are not simply focussed on price, as they provide value through the provision of product hierarchies and Information for Clinical Choice to enable clinicians to make better informed decisions on the right product for their patients. In addition, NHS Supply Chain actively explores innovation and value-based healthcare opportunities with suppliers and NHS customers across its wound care frameworks, to deliver increased value across the patient pathway.
To ask His Majesty's Government what assessment they have made of the extent to which procurement frameworks for wound care products in the National Health Service reflect total pathway value, including the costs of unhealed wounds, rather than unit product cost alone.
To ask His Majesty's Government what assessment they have made of the extent to which procurement frameworks for wound care products in the National Health Service reflect total pathway value, including the costs of unhealed wounds, rather than unit product cost alone.
Community health services, including wound care, are locally commissioned to enable systems to best meet the needs of their communities. No discussions have been held about the appointment of a National Clinical Director, and integrated care boards (ICBs) are responsible for the delivery of wound care.
An independent evaluation of the National Wound Care Strategy was undertaken by the Health Innovation Wessex and was presented to the Chief Nursing Officer and shared with provider and ICB Chief Nurses in April 2025. The Government has not made an assessment on developing a modern service framework for wound care.
Standardising Community Health Services, first published 2025, with further detail added in 2026, sets clear expectations of the core community health services ICBs should be providing that will help to ensure consistent delivery of community health services, support effective commissioning, and improve patient access to care. This included expectations for ICBs providing specialist tissue viability or wound care. Work is underway to align current data collections to the definitions set out in Standardising Community Health Services.
The Government has not made an assessment of the cost of wound care to the National Health Service, and this includes whether procurement frameworks reflect total pathway value.
NHS Supply Chain’s frameworks are not simply focussed on price, as they provide value through the provision of product hierarchies and Information for Clinical Choice to enable clinicians to make better informed decisions on the right product for their patients. In addition, NHS Supply Chain actively explores innovation and value-based healthcare opportunities with suppliers and NHS customers across its wound care frameworks, to deliver increased value across the patient pathway.
To ask His Majesty's Government what assessment they have made of the annual cost of wound care to the National Health Service in England across (1) primary, (2) secondary, (3) community and (4) social care settings.
To ask His Majesty's Government what assessment they have made of the annual cost of wound care to the National Health Service in England across (1) primary, (2) secondary, (3) community and (4) social care settings.
Community health services, including wound care, are locally commissioned to enable systems to best meet the needs of their communities. No discussions have been held about the appointment of a National Clinical Director, and integrated care boards (ICBs) are responsible for the delivery of wound care.
An independent evaluation of the National Wound Care Strategy was undertaken by the Health Innovation Wessex and was presented to the Chief Nursing Officer and shared with provider and ICB Chief Nurses in April 2025. The Government has not made an assessment on developing a modern service framework for wound care.
Standardising Community Health Services, first published 2025, with further detail added in 2026, sets clear expectations of the core community health services ICBs should be providing that will help to ensure consistent delivery of community health services, support effective commissioning, and improve patient access to care. This included expectations for ICBs providing specialist tissue viability or wound care. Work is underway to align current data collections to the definitions set out in Standardising Community Health Services.
The Government has not made an assessment of the cost of wound care to the National Health Service, and this includes whether procurement frameworks reflect total pathway value.
NHS Supply Chain’s frameworks are not simply focussed on price, as they provide value through the provision of product hierarchies and Information for Clinical Choice to enable clinicians to make better informed decisions on the right product for their patients. In addition, NHS Supply Chain actively explores innovation and value-based healthcare opportunities with suppliers and NHS customers across its wound care frameworks, to deliver increased value across the patient pathway.
To ask His Majesty's Government what assessment they have made of the impact of food delivery services on levels of alcohol consumption and any resultant impact on public health.
To ask His Majesty's Government what assessment they have made of the impact of food delivery services on levels of alcohol consumption and any resultant impact on public health.
The Department of Health and Social Care, working in close collaboration with colleagues at the Home Office, are in the early stages of assessing the impact of food delivery services on levels of alcohol consumption and any resultant impact on public health, reflecting the importance of ensuring that the licensing regime remains robust and effective.
A roundtable was convened by both Minister Jones, Minister for Policing and Crime, and Minister Hodgson, Minister for Public Health and Prevention on 15 June, to explore the impact of rapid alcohol deliveries on consumption, the potential impact on harms, and potential solutions. We are also commissioning research to bridge evidence gaps.
The delivery of alcohol is regulated under the Licensing Act 2003, responsibility for which rests with the Home Office. This Government recognises that consumer purchasing habits have evolved in recent years, particularly with a notable growth in alcohol sales made via online platforms and rapid delivery services.
To ask His Majesty's Government what assessment they have made of any regional variation in access to drug, alcohol and smoking cessation services.
To ask His Majesty's Government what assessment they have made of any regional variation in access to drug, alcohol and smoking cessation services.
The Government is committed to ensuring all areas offer high-quality drug, alcohol, and smoking cessation services, with action to support consistent provision nationwide.
For smoking, we have invested an additional £70 million in both 2024/25 and 2025/26 to support local authority-led Stop Smoking Services in England to help people quit. From April 2026, we have provided an additional £260 million over three years, from 2026/27 to 2028/29, and ring-fenced all funding for smoking cessation services within the Public Health Grant, meaning at least £153 million per annum is protected for these services. This will ensure there is a comprehensive offer across local authorities in England and that there is more equitable funding across all regions. The additional funding is weighted toward local authorities with the highest smoking rates to ensure we target areas with the greatest need. We have also has launched a Self-Assessment and Service Improvement Tool to support local authorities to strengthen Stop Smoking Services delivery and improvement, and ensure a minimum standard of service.
For drugs and alcohol, the Department continues to work with all local areas to address unmet need to drive improvements in continuity of care. This includes the Unmet Need Toolkit which can be used by local areas to assess local need and plan to meet it. From 2026, all drug and alcohol treatment and recovery funding is through the Public Health Grant, with £3.4 billion ringfenced for drug and alcohol treatment and recovery over three years. One of the conditions of the Public Health Grant is that all local authorities that receive the grant work with partners to develop a plan to address drug and alcohol need in their community, and this plan is agreed with the Department.
To ask His Majesty's Government what steps they are taking to reduce health inequalities arising from substance misuse.
To ask His Majesty's Government what steps they are taking to reduce health inequalities arising from substance misuse.
The Government is committed to ensuring that anyone with a drug or alcohol problem can access the help and support they need. Funding for drug and alcohol treatment can reduce societal inequalities and contribute to the Government’s mission to increase opportunity for all.
Local authorities are responsible for commissioning community alcohol and drug treatment and recovery services as part of their public health responsibilities. Over the next three years, through the Public Health Grant, we are providing local authorities with £3.4 billion of ringfenced funding for drug and alcohol prevention, treatment, and recovery. Conditions of the Public Health Grant include that local authorities use the funding solely for the purposes of commissioning and providing drug and alcohol services, and they have a comprehensive plan based on the assessment of local need and which has been developed with local health, housing, employment, children and families, and criminal justice partners.
The Department delivers a robust monitoring and assurance programme, and quality improvement interventions, for local authorities commissioning drug and alcohol treatment services. The number of adults in treatment is now the highest since reporting began, with latest annual statistics showing that between April 2024 and March 2025 there were 329,646 adults aged 18 years old and over in contact with community drug and alcohol treatment services.
To ask His Majesty's Government, following the Supreme Court’s ruling on the Cheshire West and Chester Council framework for Deprivation of Liberty Safeguards, who is responsible for determining whether a person who lacks mental capacity is validly consenting to their care placement; whether that determination rests with the managing authority...
To ask His Majesty's Government, following the Supreme Court’s ruling on the Cheshire West and Chester Council framework for Deprivation of Liberty Safeguards, who is responsible for determining whether a person who lacks mental capacity is validly consenting to their care placement; whether that determination rests with the managing authority...
The Government remains firmly committed to safeguarding and protecting the rights of people lacking capacity.
As seen in the attached document, The Department published an update on GOV.UK on 15 June in response to the judgement. The update includes initial steers on what the judgment means, including for the assessment of valid consent, for practitioners and all those involved in supporting individuals where is a deprivation of liberty. We are working with a range of stakeholder partners and charities to develop follow-up guidance as quickly as possible.
Deprivation of Liberty Safeguards (DoLS) are one of several ways that United Kingdom legislation protects people’s rights. Since Winterborne, the Care Act 2014 was implemented and provides explicit safeguards for adults with care and support needs.
As recommended by Baroness Casey, we are working at pace to set up a new National Adult Safeguarding Board to strengthen national oversight and accountability of the safeguarding system and to and to undertake a review of adult safeguarding statutory duties and powers.
To ask His Majesty's Government what plans they have to introduce minimum unit pricing for alcohol in England.
To ask His Majesty's Government what plans they have to introduce minimum unit pricing for alcohol in England.
Under our Health Mission, this government is committed to prioritising public health measures to support people to live longer, healthier lives.
We do not currently have any plans to introduce minimum unit pricing for alcohol in England. However, we are continuing to work closely across government to better understand what can be done to address the drivers of alcohol-related harms.
To ask His Majesty's Government what assessment they have made of the cost to the National Health Service of treating conditions caused or exacerbated by tobacco, alcohol and drug use.
To ask His Majesty's Government what assessment they have made of the cost to the National Health Service of treating conditions caused or exacerbated by tobacco, alcohol and drug use.
The following table shows the available estimates of the cost to the National Health Service of treating conditions caused and exacerbated by tobacco and alcohol:
Substance | Estimated NHS cost | Source of Estimate |
Tobacco | £1.8 billion annually | Action on Smoking and Health, 2025 |
Alcohol | £4.9 billion annually | Institute of Alcohol Studies, 2021/22 |
Comparisons of costs should not be made between estimates above because of the different methodologies used in their construction.
To ask His Majesty's Government what estimate they have made of the number of people who will lose access to independent reviews and advocacy as a result of the Supreme Court ruling removing the Cheshire West Deprivation of Liberty Safeguards framework; and what assessment they have made of the risk...
To ask His Majesty's Government what estimate they have made of the number of people who will lose access to independent reviews and advocacy as a result of the Supreme Court ruling removing the Cheshire West Deprivation of Liberty Safeguards framework; and what assessment they have made of the risk...
The Government remains firmly committed to safeguarding and protecting the rights of people lacking capacity. The deprivation of liberty safeguards (DoLS) will continue to apply in line with changes required by the Supreme Court judgment. This includes the right to independent reviews and advocacy where appropriate.
The Department published an update on GOV.UK on 15 June in response to the judgement, a copy of which is attached. The update includes initial steers on what the judgment means, including for valid consent, for practitioners and all those involved in supporting individuals where is a deprivation of liberty. We are working with a range of stakeholder partners and charities to develop follow-up guidance as quickly as possible. The update is attached below.
Individuals receiving care and support who are not subject to DoLS can also access independent reviews and advocacy where appropriate under a range of other safeguards available, including the Mental Capacity Act 2005 (MCA) and the Care Act 2014.
The Care Quality Commission (CQC) undertakes independent oversight of these safeguards, including DoLS, and will continue to do so in light of the Supreme Court judgment. As part of their inspection regime, CQC checks that care settings and providers have effective systems to help keep adults safe from abuse and neglect, including those subject to DoLS and those not subject to DoLS.
To ask His Majesty's Government what consideration they have given to amending the eligibility criteria for the Pride in Place programme to allow more than one neighbourhood within a single parliamentary constituency to receive funding where multiple areas of significant deprivation exist.
To ask His Majesty's Government what consideration they have given to amending the eligibility criteria for the Pride in Place programme to allow more than one neighbourhood within a single parliamentary constituency to receive funding where multiple areas of significant deprivation exist.
The Pride in Place programme ensures funding is spread fairly across the country while targeting the communities where it can have the greatest impact. To support this, each parliamentary constituency is currently limited to one funded neighbourhood, helping achieve a balanced national distribution of investment.
Alongside this, a robust, evidence‑led methodology prioritises areas with the highest levels of deprivation and need, and is kept under review as the programme develops.
To ask His Majesty's Government what plans they have to issue interim guidance to local authorities and health and care providers following the Supreme Court ruling that removes the Cheshire West framework for Deprivation of Liberty Safeguards; and what timeline they have set, if any, for bringing forward new legislation...
To ask His Majesty's Government what plans they have to issue interim guidance to local authorities and health and care providers following the Supreme Court ruling that removes the Cheshire West framework for Deprivation of Liberty Safeguards; and what timeline they have set, if any, for bringing forward new legislation...
The Department will produce guidance to assist with the implications of this ruling. We are working with a range of stakeholder partners and charities to develop the guidance as quickly as possible. Public bodies, including the National Health Service and local authorities, should be alert to emerging guidance and be prepared to update local practice promptly.
There are currently no plans to bring forward new legislation to restore independent oversight of care arrangements for people who lack mental capacity. Deprivation of Liberty Safeguards are one of several ways that United Kingdom legislation protects people’s rights. The Care Act 2014 provides explicit safeguards for adults with care and support needs. Section 5 of the Care Act 2014 states that local authorities must ensure that the services they commission are safe, effective, and of high quality.
To ask His Majesty's Government what steps they will take to protect the rights of people with disabilities following the Supreme Court ruling that overruled the Cheshire West framework for Deprivation of Liberty Safeguards.
To ask His Majesty's Government what steps they will take to protect the rights of people with disabilities following the Supreme Court ruling that overruled the Cheshire West framework for Deprivation of Liberty Safeguards.
The Government remains firmly committed to safeguarding and protecting the rights of people with disabilities. The recent Supreme Court judgment clarifies the factors to consider when determining whether someone is deprived of their liberty for the purposes of Article 5 of the European Convention on Human Rights and that valid consent can be given.
The deprivation of liberty safeguards (DoLS) system will continue to apply in line with changes informed by the Supreme Court judgement. DoLS are one of several safeguarding protections in place. Adults with care and support needs are safeguarded through the Care Act 2014, which requires local authorities to ensure that commissioned services are safe, effective and high quality. Additional safeguards include the Mental Capacity Act, local authority safeguarding duties through the Care Act 2014, oversight by the Care Quality Commission, and common law duties of care.
To ask His Majesty’s Government what assessment they have made of the level of transparency required for the funding of think tanks, including in relation to funding from abroad.
To ask His Majesty’s Government what assessment they have made of the level of transparency required for the funding of think tanks, including in relation to funding from abroad.
My Lords, it is for each individual think tank to publicise and declare their sources of funding. Think tanks with charitable status must follow Charity Commission guidance, ensuring political activity remains subsidiary and exclusively furthers their charitable purposes. The Government are committed to responding to threats of foreign interference in our democracy. We eagerly await the findings of Philip Rycroft’s independent review into countering foreign financial influence, which will report by the end of March.
To ask His Majesty's Government what safeguards are in place to prevent individuals running social housing from abusing the system for personal gain.
To ask His Majesty's Government what safeguards are in place to prevent individuals running social housing from abusing the system for personal gain.
Registered providers must meet the Regulator of Social Housing’s economic standards, including the Governance and Financial Viability and Value for Money standards, which require robust governance, internal controls, and management of conflicts of interest to protect social housing assets and prevent misuse for personal gain. All landlords must also meet strengthened consumer standards, notably Transparency, Influence and Accountability, which require openness, fair treatment, and effective complaints handling. The Regulator regulates providers of social housing through monitoring data returns, proactive inspections, and publishing regulatory judgements. It takes appropriate action if the outcomes of the standards are not being delivered.
To ask His Majesty's Government what discussions they have had with the Regulator of Social Housing about the Eldonian Housing Association case; and what steps they intend to take in response.
To ask His Majesty's Government what discussions they have had with the Regulator of Social Housing about the Eldonian Housing Association case; and what steps they intend to take in response.
The Regulator of Social Housing operates independently of Government. The department does not routinely discuss ongoing investigations or operational matters with the Regulator.
To ask His Majesty's Government what plans they have, if any, to make representations to the South Yorkshire Police Federation concerning its response to the Independent Office for Police Conduct’s report The Hillsborough Disaster, published on 2 December.
To ask His Majesty's Government what plans they have, if any, to make representations to the South Yorkshire Police Federation concerning its response to the Independent Office for Police Conduct’s report The Hillsborough Disaster, published on 2 December.
I firmly reject the statement issued by the South Yorkshire Police Federation.
The unlawful killing of 97 people at Hillsborough 36 years ago remains a stain on our nation’s history, and publication of the Independent Office for Police Conduct’s (IOPC) report serves as a stark reminder of one of the most significant failings in policing the country has ever seen.
The conduct and criminal investigations were undertaken with the best of intentions and in the wider public interest.
It is extremely frustrating that none of these officers will face disciplinary action, as all of them had retired before the legislation that is now in place. This legislation means that police officers cannot evade misconduct proceedings by retiring or resigning, so these failings can never be repeated.
The IOPC’s report is clear there was a lack of candour from the officers involved. Thanks to the tireless campaigning of the families and survivors of Hillsborough, this Government is introducing the Hillsborough Law [Public Office (Accountability) Bill] which will place a legal duty of candour on public servants and authorities.
To ask His Majesty's Government what assessment they have made of the level of scrutiny involved in decisions by the Regulator of Social Housing to close investigations into regulatory or compliance issues; and what mechanisms exist to review such decisions.
To ask His Majesty's Government what assessment they have made of the level of scrutiny involved in decisions by the Regulator of Social Housing to close investigations into regulatory or compliance issues; and what mechanisms exist to review such decisions.
The Regulator of Social Housing operates independently of Government.
If the Regulator identifies serious failings in delivering the outcomes required by its standards, it engages intensively until the landlord provides evidence which gives assurance that the relevant weaknesses or failings have been addressed. Once the Regulator is satisfied that sufficient progress has been made, it may reflect this through removing or updating previous regulatory judgments. However, engagement may continue to ensure improvements continue.
Decisions of this nature are a matter for the Regulator. Ministers and the department do not intervene in the regulator’s operational decisions, including its engagement with providers or its approach to resolving non-compliance.