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To ask His Majesty's Government, further to the answer by Baroness Merron on 6 July (HL Deb col 2), how many Integrated Care Boards (ICBs) do not have a fracture liaison service in each of the NHS hospitals within the ICB.
To ask His Majesty's Government, further to the answer by Baroness Merron on 6 July (HL Deb col 2), how many Integrated Care Boards (ICBs) do not have a fracture liaison service in each of the NHS hospitals within the ICB.
Analysis of 2025 Fracture Liaison Services (FLS) data shows that the number of FLS’ in England has increased since 2024, from 80 to 83. These 83 services are based in 23 out of the 25 integrated care board (ICB) clusters.
Analysis of the 2025 data suggests that no ICB clusters had an FLS in each of the NHS hospitals within the ICB clusters. The number of FLS’ per ICB cluster ranged from one to eight.
To ask His Majesty's Government what are the financial or legislative barriers to making the display of food hygiene ratings mandatory in England.
To ask His Majesty's Government what are the financial or legislative barriers to making the display of food hygiene ratings mandatory in England.
The Food Standards Agency (FSA) is currently exploring a wide set of reforms to the existing food system, and this will include consideration of a statutory Food Hygiene Rating Scheme in England. As part of this work, the FSA will review the available legislative options and update its assessment of the associated costs and benefits of a statutory scheme. Ministers will consider proposals in due course.
To ask His Majesty's Government whether and how Osteoporosis is considered within wider preventative health policies.
To ask His Majesty's Government whether and how Osteoporosis is considered within wider preventative health policies.
To ask His Majesty's Government what consideration they have given to a public information campaign on systemic state-sponsored non-military efforts that disrupt economic and political systems in the UK; and what assessment they have made of the impact of such a campaign on national defence and deterrence.
To ask His Majesty's Government what consideration they have given to a public information campaign on systemic state-sponsored non-military efforts that disrupt economic and political systems in the UK; and what assessment they have made of the impact of such a campaign on national defence and deterrence.
To ask His Majesty's Government on how many occasions since July 2024 ministers have met representatives of the Royal Osteoporosis Society.
To ask His Majesty's Government on how many occasions since July 2024 ministers have met representatives of the Royal Osteoporosis Society.
To ask His Majesty's Government why they do not publish data on greenhouse gas emissions embedded within the supply chain of (1) energy intensive goods, (2) car batteries, and (3) solar panels, imported into the UK.
To ask His Majesty's Government why they do not publish data on greenhouse gas emissions embedded within the supply chain of (1) energy intensive goods, (2) car batteries, and (3) solar panels, imported into the UK.
Defra publishes annual data on greenhouse gas emissions embedded within goods and services imported into the UK here (see attached) as part of the UK and England’s Carbon Footprint.
Because of the methodology used, Defra does not hold data on these emissions at an individual product level, so the department is unable to publish estimates of greenhouse gas emissions embedded specifically within the supply chains of energy intensive goods, car batteries, and solar panels, imported into the UK.
For further information, a methodology document is published alongside the UK and England’s Carbon Footprint statistics here (see attached).
To ask His Majesty's Government how they intend to replace revenue from fuel duties in the light of the increasing adoption of electric vehicles.
To ask His Majesty's Government how they intend to replace revenue from fuel duties in the light of the increasing adoption of electric vehicles.
As more people choose to switch to cleaner, greener electric cars, the Office for Budget Responsibility (OBR) has forecast fuel duty receipts will decline to around half current levels (around £12 billion) in the 2030s in real terms. Receipts are then expected to approach zero by 2050.
That’s why in the Budget in 2025 the Government announced the introduction of Electric Vehicle Excise Duty (eVED), a new mileage charge for electric and plug-in hybrid cars, which will come into effect in April 2028. All UK-registered electric and plug-in hybrid cars will pay eVED, but the rate of eVED paid by electric vehicle drivers will be half the fuel duty rate paid by the average petrol/diesel driver, ensuring that it will still be cheaper to own and run an EV for the majority of EV drivers, with a reduced rate for plug-in hybrid drivers.
To ask His Majesty's Government whether the UK's total offshore wind capacity over the past two years has been equal to, or greater than, the total offshore wind capacity in the preceding six years.
To ask His Majesty's Government whether the UK's total offshore wind capacity over the past two years has been equal to, or greater than, the total offshore wind capacity in the preceding six years.
The UK’s total offshore wind capacity and electricity generation, 2018-2025, are presented in this table:
Year | Installed capacity (MW) | Electricity generated (GWh) |
2018 | 8,181 | 26,525 |
2019 | 9,888 | 31,975 |
2020 | 10,383 | 40,750 |
2021 | 11,255 | 35,597 |
2022 | 13,847 | 45,113 |
2023 | 14,732 | 49,650 |
2024 | 15,916 | 48,805 |
2025 | 16,650 | 52,019 |
Source: UK Energy Trends table 6.1, available at https://www.gov.uk/government/statistics/energy-trends-section-6-renewables
To ask His Majesty's Government whether new jobs created over the past two years by the clean power investment programme have equalled the jobs lost in the fossil fuel industry over the same period of time.
To ask His Majesty's Government whether new jobs created over the past two years by the clean power investment programme have equalled the jobs lost in the fossil fuel industry over the same period of time.
The most recent Office for National Statistics figures show that up to 453,900 full-time equivalent jobs were in the UK’s low carbon and renewable energy economy and wider supply chain in 2024.
The UK Government’s Clean Energy Jobs Plan sets out that the clean energy workforce could grow to 860,000 jobs by 2030, an increase of over 400,000 from 2023.
Independent Robert Gordon University analysis indicates that, under a pathway consistent with delivering clean power, job creation in clean energy sectors is expected to exceed projected job reductions in oil and gas, with renewables supporting more jobs overall over time.
To ask His Majesty's Government whether it remains the policy of the National Energy System Operator to achieve clean electricity by 2030 and, if so, what is the effect on the UK's energy security.
To ask His Majesty's Government whether it remains the policy of the National Energy System Operator to achieve clean electricity by 2030 and, if so, what is the effect on the UK's energy security.
The National Energy System Operator (NESO) is operationally independent from His Majesty's Government. NESO set out pathways to a clean power system in 2030, and confirmed it was deliverable and could see lower electricity costs and bills.
Clean power gives us greater energy security, reducing our dependency on volatile global fossil fuel markets and delivering a diverse, secure and clean energy system based on renewables and nuclear, backed by a reserve of gas supply to be used only when essential. Over time it should significantly lower the wholesale costs of electricity, which will benefit heavy industry and has the potential to bring down consumer bills for good.
To ask His Majesty's Government when they expect to break the link between electricity bills and volatile international gas prices.
To ask His Majesty's Government when they expect to break the link between electricity bills and volatile international gas prices.
Government is already breaking the link between wholesale gas prices and consumer bills by accelerating the deployment of low-cost renewable electricity technologies to reduce our reliance on international fossil fuel markets.
Furthermore, Government plans to offer legacy low-carbon generators the option to move onto fixed price contracts, known as Contracts for Difference (CfDs). We will consult this year and intend to run an allocation process in 2027 to award such contracts.
Finally, Government has acted to tax excess profits by raising the rate of the Electricity Generator Levy from 45% to 55%, ensuring a proportion of any exceptional revenues is available to Government to support households with their cost of living.
To ask His Majesty's Government whether there is co-ordinated planning taking place within Government in respect of addressing potential power cuts in 2026 and 2027.
To ask His Majesty's Government whether there is co-ordinated planning taking place within Government in respect of addressing potential power cuts in 2026 and 2027.
The UK has a highly resilient energy network, with diverse and secure electricity supplies; Government is confident that operators can effectively balance supply and demand in a wide range of scenarios.
Nevertheless, as a responsible Government we work continually and closely with industry and across Government to maintain this resilience, planning for a range of risks and to identify opportunities to mitigate the impacts of actual or potentially disruptive incidents.
To ask His Majesty's Government what assessment they have made of whether the capping of ground rents will affect the price of the purchase of the freehold by leaseholders.
To ask His Majesty's Government what assessment they have made of whether the capping of ground rents will affect the price of the purchase of the freehold by leaseholders.
We will implement measures in the Leasehold and Freehold Reform Act to make it cheaper and easier for leaseholders to extend a lease or buy their freehold (enfranchisement). The Act caps ground rent in the enfranchisement calculation at 0.1% of the freehold value.
We will also cap ground rents via the Commonhold and Leasehold Reform Bill at £250 transitioning to a peppercorn after 40 years.
I refer the Noble Lord to the government’s draft Impact Assessment for the draft Commonhold and Leasehold Reform Bill. This was published on 19 March 2026 and can be found on gov.uk here (attached). It has been reviewed by the independent Regulatory Policy Committee which published its opinion on 1 May. It can be found on gov.uk here (attached).
To ask His Majesty's Government how many fracture liaison services have been established since July 2024.
To ask His Majesty's Government how many fracture liaison services have been established since July 2024.
Our 10-Year Health Plan committed to rolling out Fracture Liaison Services (FLSs) across every part of the country by 2030.
The Department does not routinely collect data on the number of FLSs. The Falls and Fragility Fracture Audit Programme, which includes a dedicated FLS database, is a clinical audit of fracture prevention care, delivered by the Royal College of Physicians. The FLS database collects, measures, and reports on the care provided by FLSs in England, Wales, and Northern Ireland. It does not include opening and closing dates of FLSs but provides an annual snapshot of the number of FLSs that have submitted data. The database is available at the Fracture Liaison Service Database’s website.
To ask His Majesty's Government what steps they have taken since July 2024 to establish early diagnosis clinics for osteoporosis in England; and how many such clinics have been established.
To ask His Majesty's Government what steps they have taken since July 2024 to establish early diagnosis clinics for osteoporosis in England; and how many such clinics have been established.
There are no ‘early diagnosis centres’ for osteoporosis as such. Many patients with osteoporosis will be diagnosed in primary care. Additionally, osteoporosis assessment services can be run from a number of different specialities, for example rheumatology, endocrinology, or older people’s medicine.
To ask His Majesty's Government what steps they plan to take to ensure standards of treatment for osteoporosis are consistent across England.
To ask His Majesty's Government what steps they plan to take to ensure standards of treatment for osteoporosis are consistent across England.
We would expect healthcare professionals to follow the National Institute for Health and Care Excellence clinical knowledge summary on osteoporosis and the prevention of fragility fractures.
The Royal College of General Practitioners also has an e-learning module for general practitioners on the diagnosis and management of osteoporosis, developed in collaboration with the Royal Osteoporosis Society, which helps to ensure there is consistency across general practitioners in the management and treatment of osteoporosis.
We are supporting better care for patients with musculoskeletal (MSK) conditions, including osteoporosis, through the Getting It Right First Time Programme (GIRFT) for Rheumatology. The GIRFT rheumatology programme is supporting the National Health Service to deliver care more equitably across the country and improve services nationally.
Additionally, the GIRFT community MSK workstream is working to better enable integrated care systems to commission the delivery of high-quality MSK services in the community, including for patients with osteoporosis.
To ask His Majesty's Government what assessment they have made of the number of deaths each year following fractures.
To ask His Majesty's Government what assessment they have made of the number of deaths each year following fractures.
Not all deaths are directly attributable to the fracture, and complications following a fracture are often related to pre-existing ill health and frailty.
For hip fractures, data is available through the National Hip Fracture Database, which is part of the Falls and Fragility Fracture Audit Programme, a clinical audit of fracture prevention care delivered by the Royal College of Physicians.
The National Hip Fracture Database collects data on the care and outcomes for the over 70,000 people who have a hip fracture each year in England, Wales, and Northern Ireland. Data from the National Hip Fracture Database for 2024 shows that the percentage of patients who die in the month after a hip fracture in England is 6%.
We do not have data on the number of deaths after other types of fractures.
To ask His Majesty's Government what assessment they have made of whether a health gap for females is caused by bias in medical research.
To ask His Majesty's Government what assessment they have made of whether a health gap for females is caused by bias in medical research.
Through our National Institute for Health and Care Research (NIHR), we are actively committed to ensuring there is more research into women’s health, and that women’s voices and priorities are placed at the heart of this research.
We know that women have been under-represented in some research areas, particularly women in ethnic minority groups, older women, women of reproductive age, disabled women and LGBT+ women. This has implications for the health and care they receive, their options and awareness of treatments, the support they can access afterwards, and their health outcomes. To address this gap, applicants are now required to build inclusion into their research design as a condition of NIHR funding.
As highlighted in the newly published Renewed Women’s Health Strategy for England, the Department has strengthened NIHR conditions of funding by making it mandatory for researchers to account for sex and gender in their research applications. This move aims to tackle significant and persistent gaps in health and care research.
Alongside this, the NIHR’s Research Inclusion Strategy 2022-2027 sets out how NIHR will become a more inclusive funder of research and widen access to participation in clinical trials. The strategy has been designed to address inequalities associated with the protected characteristics of the Equality Act 2010.
Through the ongoing systematic collection of data on sex, ethnicity and age of participants taking part in NIHR research, we can monitor progress and continue to champion the inclusion of under-represented groups.
To ask His Majesty's Government what steps they take when funding medical research to ensure that diseases common to males and females are studied on a separate gender basis rather than a male-only basis.
To ask His Majesty's Government what steps they take when funding medical research to ensure that diseases common to males and females are studied on a separate gender basis rather than a male-only basis.
Through our National Institute for Health and Care Research (NIHR), we are actively committed to ensuring there is more research into women’s health, and that women’s voices and priorities are placed at the heart of this research.
We know that women have been under-represented in some research areas, particularly women in ethnic minority groups, older women, women of reproductive age, disabled women and LGBT+ women. This has implications for the health and care they receive, their options and awareness of treatments, the support they can access afterwards, and their health outcomes. To address this gap, applicants are now required to build inclusion into their research design as a condition of NIHR funding.
As highlighted in the newly published Renewed Women’s Health Strategy for England, the Department has strengthened NIHR conditions of funding by making it mandatory for researchers to account for sex and gender in their research applications. This move aims to tackle significant and persistent gaps in health and care research.
Alongside this, the NIHR’s Research Inclusion Strategy 2022-2027 sets out how NIHR will become a more inclusive funder of research and widen access to participation in clinical trials. The strategy has been designed to address inequalities associated with the protected characteristics of the Equality Act 2010.
Through the ongoing systematic collection of data on sex, ethnicity and age of participants taking part in NIHR research, we can monitor progress and continue to champion the inclusion of under-represented groups.
To ask His Majesty's Government what assessment they have made of the inequalities affecting women identified in the report by Warwick University and Cysters, Women’s reproductive health in the West Midlands, published in March.
To ask His Majesty's Government what assessment they have made of the inequalities affecting women identified in the report by Warwick University and Cysters, Women’s reproductive health in the West Midlands, published in March.
We were dismayed to read the findings of this report, which highlights the deep inequalities faced in accessing gynaecological care by women in the West Midlands. The Government agrees with the conclusion of the report that every woman deserves access to timely and high-quality care. That is why we will not accept these kinds of disparities as inevitable. Our ambition is a fairer Britain, where people live well for longer and spend less time in ill health, and where women, whatever their background, can rely on high-quality care.
We are shifting the centre of gravity of care from hospitals to communities, with neighbourhood services designed around local need.
Earlier this month, we published a Neighbourhood Health Framework setting out three reform agendas for integrated care boards (ICBs), local authorities, and civil society to deliver the aims of neighbourhood health: to improve services for people who need routine healthcare; to improve proactive care including maintaining and developing access to women's health services; and to deliver better alternatives to hospital care.
The framework provides clarity and consistency, supporting joined-up partnership between ICBs and local authorities, working together to develop locally led neighbourhood health plans.
We have made strong progress in turning the commitments in the last administration’s Women's Health Strategy into tangible action. Our renewed strategy will address gaps from the 2022 strategy, and go further to create a system that listens to women and tackles health inequalities across England.
Renewing the strategy will help identify and remove enduring barriers to high-quality care across England, such as long waits for diagnosis, and will ensure that professionals listen and respond to women’s needs.