First elected: 4th July 2024
Speeches made during Parliamentary debates are recorded in Hansard. For ease of browsing we have grouped debates into individual, departmental and legislative categories.
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MPs who are act as Ministers or Shadow Ministers are generally restricted from performing Commons initiatives other than Urgent Questions.
Amanda Hack has not been granted any Urgent Questions
Amanda Hack has not been granted any Adjournment Debates
Amanda Hack has not introduced any legislation before Parliament
Right to Manage and Leasehold Bill 2024-26
Sponsor - Rachel Blake (LAB)
As part of the Warm Homes Plan, the government has committed an initial £3.4 billion over the next 3 years towards heat decarbonisation and household energy efficiency. Officials are exploring the role of incentives and private finance for households to support homeowners with the upfront costs.
The government is committed to protecting homeowners across the UK, further details for improved consumer protection will be set out in the Warm Homes Plan.
The government also recognises the importance of access to trusted and impartial information, the retrofitting tool ‘find ways to save energy in your home’ (https://www.gov.uk/improve-energy-efficiency), provides tailored guidance to help consumers and is supported by a call centre.
Making Britain a Clean Energy Superpower is one of the five Missions set out by the government: aiming for clean power by 2030 and accelerating to net zero. Delivering the Warm Homes Plan is central to the clean energy mission. Targeting decarbonisation of heat in buildings will account for around 75% of reduction in all building emissions as well as reducing demand.
Decarbonising buildings will support 175,000 jobs by 2030 and 240,000 by 2035 – resulting in £6 billion additional GVA by 2030. It is the only certain way to permanently lower bills (through energy efficiency), protecting the UK against price shocks, reducing demand and therefore preserving energy security and helping the UK become energy independent.
The Warm Homes Plan will help cut household bills for families and slash fuel poverty. The Government has committed £13.2 billion to upgrade millions of homes across the country.
The Government is working to ensure that homes are fit for the future and the Department has been carrying out research to respond to the relevant climate change adaptation risks identified by the third Climate Change Risk Assessment, including to health and wellbeing. This work is informing the development of the Warm Homes Plan.
The Government engages regularly with communications providers to ensure that the industry-led switch-off of the Public Switched Telephone Network (PSTN) to Voice over Internet Protocol (VoIP) proceeds safely and with minimum inconvenience for end users. For many users, the upgrade will only involve unplugging their existing landline phone from the wall and plugging it into the back of their broadband router.
As part of the migration to VoIP, current landline-only consumers do not need to purchase a general broadband connection if they do not want one. Most users can retain the same telephone devices after the migration, but in scenarios where this is not possible, they will receive a replacement device for free. Existing contracts will not increase in price when customers are migrated to VoIP.
The Department does not hold data on the number of landline-only VoIP products but is working with stakeholders to identify those that require additional support during their PSTN migration, including consumers who are dependent on their landline.
The Government engages regularly with communications providers to ensure that the industry-led switch-off of the Public Switched Telephone Network (PSTN) to Voice over Internet Protocol (VoIP) proceeds safely and with minimum inconvenience for end users. For many users, the upgrade will only involve unplugging their existing landline phone from the wall and plugging it into the back of their broadband router.
As part of the migration to VoIP, current landline-only consumers do not need to purchase a general broadband connection if they do not want one. Most users can retain the same telephone devices after the migration, but in scenarios where this is not possible, they will receive a replacement device for free. Existing contracts will not increase in price when customers are migrated to VoIP.
The Department does not hold data on the number of landline-only VoIP products but is working with stakeholders to identify those that require additional support during their PSTN migration, including consumers who are dependent on their landline.
The Government engages regularly with communications providers to ensure that the industry-led switch-off of the Public Switched Telephone Network (PSTN) to Voice over Internet Protocol (VoIP) proceeds safely and with minimum inconvenience for end users. For many users, the upgrade will only involve unplugging their existing landline phone from the wall and plugging it into the back of their broadband router.
As part of the migration to VoIP, current landline-only consumers do not need to purchase a general broadband connection if they do not want one. Most users can retain the same telephone devices after the migration, but in scenarios where this is not possible, they will receive a replacement device for free. Existing contracts will not increase in price when customers are migrated to VoIP.
The Department does not hold data on the number of landline-only VoIP products but is working with stakeholders to identify those that require additional support during their PSTN migration, including consumers who are dependent on their landline.
Everyone, including children and young people, should have the opportunity to play sport and do regular physical activity. The Government has committed to continued funding for grassroots facilities which will ensure that communities have access to high-quality, inclusive facilities, no matter where they live.
The Government recently announced £100 million additional funding for the UK-wide Multi-Sport Grassroots Facilities Programme which funds new and upgraded pitches, facilities, and equipment, so that sites can provide a more inclusive and sustainable offer throughout the year, including the school holidays.
More widely, the Government has confirmed more than £200 million of funding for the Holiday, Activities and Food (HAF) programme over the 2025/26 financial year. The HAF programme provides healthy meals, enriching activities and free childcare places to children from low-income families over the school holidays, benefiting their health, wellbeing and learning.
It is important that children eat nutritious food at school and the department understands the value of compliance with the school food standards. We continue to work with the Food Standards Agency (FSA) following the findings of the compliance pilot run by the department and the FSA during the 2022/23 academic year.
School governors and trustees have a responsibility to ensure compliance with the school food standards and should work with the headteacher and the senior leadership team to ensure the school is meeting its obligations.
To support governors, in November 2024 the department, along with the National Governance Association, launched an online training course on school food for governors and trustees. This training is designed to improve understanding of the school food standards and give governing boards confidence to hold their school leaders to account on their whole school approach to food.
Additionally, to ensure quality and nutrition in meals for the future, the department is acting quickly with experts across the sector to revise the school food standards, so every school is supported with the latest nutrition guidance. We will consider approaches to compliance to ensure children receive the nutritious meals they need.
I refer my hon. Friend, the Member for North West Leicestershire to the answer of 21 March 2025 to Question 36968.
Governing bodies must ensure that the arrangements they put in place are sufficient to meet their statutory responsibilities and that policies, plans, procedures and systems are properly and effectively implemented. This includes the duty under Section 100 of the Children and Families Act 2014 to make arrangements for supporting pupils with medical conditions and the duties under the Equality Act 2010.
The department has included reminders to schools of these duties in its regular schools’ email bulletin. The department has also recently alerted schools to external resources from trusted allergy organisations. This includes the Schools Allergy Code, developed by The Allergy Team, Independent Schools’ Bursars Association and the Benedict Blythe Foundation, and Allergy School created by the Natasha Allergy Research Foundation.
The holiday activities and food (HAF) programme supports disadvantaged children and their families with enriching activities, providing them with healthy food, helping them to learn new things, improving socialisation and benefiting their health and wellbeing during school holidays.
The HAF programme, although aimed at those children in receipt of benefits related free school meals (FSM) is not exclusively for them. As set out in the HAF guidance, while the majority of funding that local authorities receive should be used for holiday club places for children in receipt of FSM, local authorities have discretion to use up to 15% of their funding to provide free or subsidised holiday club places for children who are not in receipt of benefits-related FSM, but who the local authority believe could benefit from HAF provision.
The government is committed to the holiday activities and food (HAF) programme and the impact it has on children, young people and families. The department is very pleased that the overall funding for the HAF programme in 2025/26 will again be more than £200 million, with delivery across England taking place at Easter, summer and Christmas.
Funding beyond March 2026 is subject to the multi-year spending review and any decisions will be made as part of the spending review taking place later this year.
An uplift to the per-meal rate for universal infant free school meals (UIFSM) and further education (FE) free meals was announced on 4 December 2024. The uplifted meal rate will be increased from £2.53 to £2.58 for 2024 to 2025, backdated to the start of the academic year.
To support the provision of benefits-related free school meals (FSM), the government provides funding at £490 per eligible FSM pupil per year as a factor value within the national funding formula. This value will be increasing to £495 per eligible FSM pupil in 2025/26. UIFSM and FE free meals are funded separately through a direct grant to schools and colleges. As with all government programmes, we will keep our approach, including for FSM, under continued review.
It is important that children eat nutritious food at school and the department encourages schools to have a whole school approach to healthy eating. The School Food Standards regulate the food and drink provided at lunchtime and at other times of the school day.
School governors have a responsibility to ensure compliance and should appropriately challenge the headteacher and the senior leadership team to ensure the school is meeting its obligations.
To support governors in their role around compliance, the department, along with the National Governance Association, is running a pilot online training course on school food for governors and trustees. This launched on 4 November 2024 and will run until 1 April 2025. This will help governors to improve their understanding of the standards and give governing boards confidence to hold their school leaders to account on their whole school approach to food. The department will evaluate the training programme’s reception and effectiveness in the short term.
Additionally, the department and the Food Standards Agency, along with support from the Office for Health Improvement and Disparities, ran a pilot with 18 local authorities during the 2022/23 academic year to find out whether food safety officers were able to ensure the compliance of School Food Standards when carrying out routine food hygiene inspections in schools. Analysis of the final phase has now been completed, and the final report was published August 2024.
We will keep our approach to the School Food Standards and our approaches to compliance under continued review.
It is important that children eat nutritious food at school and the department encourages schools to have a whole school approach to healthy eating. The School Food Standards regulate the food and drink provided at lunchtime and at other times of the school day.
School governors have a responsibility to ensure compliance and should appropriately challenge the headteacher and the senior leadership team to ensure the school is meeting its obligations.
To support governors in their role around compliance, the department, along with the National Governance Association, is running a pilot online training course on school food for governors and trustees. This launched on 4 November 2024 and will run until 1 April 2025. This will help governors to improve their understanding of the standards and give governing boards confidence to hold their school leaders to account on their whole school approach to food. The department will evaluate the training programme’s reception and effectiveness in the short term.
Additionally, the department and the Food Standards Agency, along with support from the Office for Health Improvement and Disparities, ran a pilot with 18 local authorities during the 2022/23 academic year to find out whether food safety officers were able to ensure the compliance of School Food Standards when carrying out routine food hygiene inspections in schools. Analysis of the final phase has now been completed, and the final report was published August 2024.
We will keep our approach to the School Food Standards and our approaches to compliance under continued review.
The government is determined to break down barriers to opportunity and ensure the best start in life for every child, including those who are born prematurely.
The early years foundation stage (EYFS) framework sets the standards and requirements that all early years providers must follow. The EYFS is clear that every child is unique and that they develop and learn at different rates. It also describes the importance of responding to children’s individual interests and needs. Being born prematurely is not classified as a special educational need or a disability, however, when a premature child does need special educational needs and disability support, schools and early years settings are encouraged to identify and support them early as possible.
The investment announced at Budget to rebuild school buildings, alongside funding for children’s social care, breakfast clubs and early years, reflects the government’s commitment to putting education back at the forefront of national life.
Defra works with other departments, regulators and devolved administrations to assess PFAS levels, their sources and potential risks, informing future policy and regulation.
The Drinking Water Inspectorate (DWI) has provided guidance on PFAS since 2007, most recently updated in August 2024 and consolidated in March 2025. The guidance uses a tiered system with graduated responses based on concentrations detected in raw water.
In 2021 a guideline value of 0.1 micrograms per litre (µg/L) was adopted. Since August 2024, water companies must monitor for 48 PFAS in supplies, agreed with the UK Health Security Agency as safe levels with an appropriate margin. Any exceedance must be reported to the DWI, with actions taken to reduce levels. No exceedances have been found in UK supplies.
The DWI continues to review advice from World Health Organisation and the UK’s Committee on Toxicity, acting on emerging science to safeguard public health.
We are working together with the devolved Governments to ban wet wipes containing plastic across the UK. For England, we will legislate in Autumn this year.
The Government is committed to ensuring a high level of protection for human health and the environment. Drinking water quality in England is exceptionally high and among the best in the world; the UK was ranked in the top 8 countries globally for drinking water safety in the 2024 Environmental Performance Index.
Public drinking water compliance with the Water Supply (Water Quality) Regulations 2016 has been consistently high for years. The most recent published figures show 99.97% compliance rate compared with between 98-98.5% in the early 1990s.
The Drinking Water Inspectorate (DWI) publishes advice on drinking water quality safety and standards online. In December 2024, the DWI published a report, with recommendations, on drinking water standards by an advisory group of specialists with wide-ranging technical expertise. Defra and the DWI will work together to consider potential regulatory updates to England’s drinking water quality legislation based on these recommendations.
The Yellow fish campaign is a targeted community-led engagement initiative that raises awareness of water pollution caused by contaminants such as chemicals, oils, detergents, and litter entering road drains. Where drainage has been identified as a pollution source, this campaign offers a practical, visible solution to support pollution reduction efforts. It aligns with policy goals on clean water, community engagement and sustainable infrastructure and is a solution that should be encouraged in appropriate locations.
The Government’s message is clear – if you need to use wet wipes, dispose of them in the bin, not the loo, flushing wet wipes causes a number of environmental and drainage impacts.
We are considering if further action, including on product labelling, is required to tackle the issues caused by wrongly flushing wet wipes and other unflushables.
Comparative and impact assessments of the type requested are not currently available. This is primarily because the design of Sustainable drainage systems (SuDS) for any given development site will depend on a range of factors, including topography of the site, development size, development type, and rainfall rates.
SuDS provide a range of benefits. They mimic natural water flow and are designed to reduce the impact of rainfall by using features such as soakaways, grassed areas, permeable surfaces and wetlands. This reduces the pressure on our drainage infrastructure by reducing the quantity of water that ends up in the sewers and storm overflow discharges, mitigating flood risk and preventing pollution from untreated sewage ending up in our waterways.
SuDS also improve the quality of water entering our drainage infrastructure as they offer a natural filtration process, thereby removing pollutants. SuDS provide additional benefits, such as boosting biodiversity, improving local amenities, harvesting rainwater for reuse, heat island mitigation, improve air quality and even providing food growing opportunities.
Defra is developing an ambitious food strategy which will set the food system on the path for long-term success, ensuring it is able to feed the nation, realising its potential for economic growth, boosting our food security, improving our health, and ensuring environmental sustainability now and in the future.
We know this will require a whole-of-Government effort – the issues the food system faces cut across the work of many Departments. We also know that this is not a job for government alone. We will work side-by-side with industry and stakeholders across the food system to deliver lasting change, forming a partnership that draws on shared expertise and collective commitments, backed by a clear vision and framework for change.
The Government has an ambition to be able to supply half of all food into the public sector from British producers or certified to higher environmental standards, whilst being in line with World Trade Organisation and domestic procurement obligations. Officials are developing a range of proposals to develop public sector food and catering procurement policy, to set the tone for Government ambition, as well as driving net zero, public health and animal welfare outcomes. In the meantime, the Procurement Act 2023 allow contracts below certain spending thresholds to be reserved for smaller UK suppliers which presents a real opportunity for small and medium sized enterprises and public procurement.
To ensure fairness for everyone wanting to book a practical driving test, the Driver and Vehicle Standards Agency (DVSA) continues to work hard to combat the unscrupulous practice of reselling tests.
Between 28 May and 23 July 2025, DVSA ran a public consultation on improving the rules for booking car driving tests. Views were sought from the driver training industry, learner drivers and other interested parties on changes which aim to prevent learner drivers from being exploited by those who resell tests at a higher price.
In line with the consultation principles, DVSA will aim to publish a summary of responses, including the next steps, which might include new legislation.
While the selling of tests for profit is not illegal, DVSA deploys enhanced bot protection to help stop automated systems from buying up tests unfairly, but these applications are constantly evolving and changing. DVSA continues looking for ways to ensure the safest and fairest way to book a driving test is for a legitimate candidate to use its services. DVSA has zero tolerance for those who exploit learner drivers and is committed to tackling the reselling of driving tests.
The attached spreadsheet, WPQ00047632, shows the number bookings made* and the number of bookings ,including percentage, of practical driving test bookings where the initial test candidate’s driving licence number was subsequently changed to a different driving test candidate’s licence number in each month since January 2015.
* The number of bookings made does not equate to the number of practical driving tests conducted. Not all test bookings result in a test being conducted.
Government has regular discussions with local authorities about accessing the £381 million Local Electric Vehicle Infrastructure (LEVI) Fund and has appointed a support body to assist local authorities with pre and post-application support.
In December 2024, following significant engagement with local authorities, the Government published cross-pavement guidance to help local authorities understand what they need to consider for the roll-out of cross-pavement solutions. This includes relevant planning permissions, minimum existing standards, responsibilities and case studies of trials.
We continue to invest in improving connectivity for passengers on our railways. Major enhancements, such as Transpennine Route Upgrade and East West Rail, will provide new connections for passengers alongside wider investment in improvements that totals around £2bn each year. Increasingly our focus is on connectivity to places that have had less historic investment, and more than 75% of our forecast spend is proposed to be outside of London and the South East in the next Spending Review Period.
We take the concerns raised in Transport & Environment’s publication relating to the biofuel feedstock Palm Oil Mill Effluent (POME) seriously.
Fuel supplied in the UK under the Renewable Transport Fuel Obligation (RTFO) is subject to robust checks as required by legislation. If evidence of fraud or non-compliance is found we have powers to withhold or revoke certificates, issue civil penalties and, where appropriate, refer the matter to the relevant authorities.
The Department does not expect the concerns raised to result in disruption to the overall supply of transport fuel.
The Department for Transport issues guidance to licensing authorities in England to help them regulate the sector. One of the aims of the guidance is to improve consistency in the licensing standards required by licensing authorities. Statutory guidance was issued in 2020 on measures that should be taken to protect children and vulnerable adults, and by extension all passengers, when using these services. Last year the Department issued updated best practice guidance which made recommendations to promote regulation that enables the provision of safe, accessible, available, and affordable services that meet the wide range of passenger needs by a thriving sector.
To ensure fairness for everyone wanting to book a practical driving test, the Driver and Vehicle Standards Agency (DVSA) continues to work hard to combat the unscrupulous practice of reselling tests.
DVSA is experiencing some of the highest demand for driving tests it has ever seen. This, and continued high waiting times for tests, has contributed to a major shift in customer booking behaviour. Many customers now book their car practical test far earlier in their learning journey, sometimes before they have even had a practical driving lesson.
DVSA does not employ, encourage or licence anyone to provide a cancellation service checking for newly open slots. These apps or bots are not approved by the DVSA as they make it harder for candidates to get a test and can result in people paying more for a test than the official test fee of £62. Using such services also means that any changes to the test may not necessarily be relayed to the candidate.
The attached spreadsheet shows the number and percentage of practical driving test bookings where the initial test candidate’s driving licence number was subsequently changed to a different driving test candidate’s licence number in each month since January 2019.
Work on the 2021-22 and 2022-23 Social Fund Annual Reports is underway, and these will be published as soon as possible. The 2023-24 Social Fund Annual Report will follow in due course.
Access to Work has a significant backlog of applications, with 62,000 outstanding applications in February 2025. This has resulted in significant delays and we are considering changes within the existing policy framework to reduce this.
To support customers with the application process, we have streamlined our delivery process and made all core parts of the Scheme, such as applying and requesting payment, fully digital. We recognise that significant delays can have adverse effects on customers, our Case Managers receive training in how to identify and support vulnerable customers during their application process and can provide advanced support to those whose wellbeing is affected during the application process.
The Child Maintenance Service (CMS) are committed to delivering the best possible service to all customers. Customers can contact the CMS in a number of different ways.
This could be via the telephone, by post or through the CMS online service. Depending on what the query is and how it was made, response times can vary.
Whilst the DWP does not collate data on average response times for all queries across different CMS channels, we are working to improve the efficiency of our customer interactions. We will continue to review, evaluate, and enhance our service lines to meet demand and deliver a quality customer service.
The number of complaints made to DWP regarding the Child Maintenance Service is published within table 11 of the Child Maintenance Service Official Statistics: Child Maintenance Service statistics - GOV.UK. Data is presented on a quarterly basis.
Table 1: Number of complaints received by the Child Maintenance Service
Quarter | Complaints received |
Jan to Mar 2015 | 625 |
Apr to Jun 2015 | 625 |
Jul to Sep 2015 | 760 |
Oct to Dec 2015 | 715 |
Jan to Mar 2016 | 645 |
Apr to Jun 2016 | 635 |
Jul to Sep 2016 | 710 |
Oct to Dec 2016 | 695 |
Jan to Mar 2017 | 840 |
Apr to Jun 2017 | 760 |
Jul to Sep 2017 | 645 |
Oct to Dec 2017 | 745 |
Jan to Mar 2018 | 990 |
Apr to Jun 2018 | 1,400 |
Jul to Sep 2018 | 1,595 |
Oct to Dec 2018 | 1,810 |
Jan to Mar 2019 | 2,430 |
Apr to Jun 2019 | 2,485 |
Jul to Sep 2019 | 2,830 |
Oct to Dec 2019 | 2,410 |
Jan to Mar 2020 | 2,590 |
Apr to Jun 2020 | 1,360 |
Jul to Sep 2020 | 1,430 |
Oct to Dec 2020 | 1,865 |
Jan to Mar 2021 | 1,815 |
Apr to Jun 2021 | 1,710 |
Jul to Sep 2021 | 1,545 |
Oct to Dec 2021 | 1,505 |
Jan to Mar 2022 | 1,570 |
Apr to Jun 2022 | 1,455 |
Jul to Sep 2022 | 1,450 |
Oct to Dec 2022 | 1,380 |
Jan to Mar 2023 | 1,420 |
Apr to Jun 2023 | 1,285 |
Jul to Sep 2023 | 1,385 |
Oct to Dec 2023 | 1,260 |
Jan to Mar 2024 | 1,435 |
Apr to Jun 2024 | 975 |
Note: Figures are rounded to the nearest 5
The Government has been clear that community pharmacies will have a vital role in the Neighbourhood Health Service, bringing healthcare to the heart of the high street, as set out in our 10-Year Health Plan.
There are over 10,400 pharmacies in England. Despite a reduction in the number of pharmacies, access to pharmacies remains good. Over 80% of the population live within one mile of a pharmacy and there are twice as many pharmacies in the most deprived areas. In some rural areas where there is no pharmacy, general practitioners are permitted to dispense medicines to their patients. Patients can also choose to access medicines and pharmacy services through any of the over 400 National Health Service online pharmacies that are contractually required to deliver medicines they dispense free of charge to patients.
For 2025/26, funding for the core community pharmacy contractual framework has been increased to £3.073 billion. This represents the largest uplift in funding of any part of the NHS, over 19% across 2024/25 and 2025/26. There is also additional funding available, for example for pharmacies delivering Pharmacy First consultations and flu and COVID-19 vaccinations.
The Government has been clear that community pharmacies will have a vital role in the Neighbourhood Health Service, bringing healthcare to the heart of the high street, as set out in our 10-Year Health Plan.
There are over 10,400 pharmacies in England. Despite a reduction in the number of pharmacies, access to pharmacies remains good. Over 80% of the population live within one mile of a pharmacy and there are twice as many pharmacies in the most deprived areas. In some rural areas where there is no pharmacy, general practitioners are permitted to dispense medicines to their patients. Patients can also choose to access medicines and pharmacy services through any of the over 400 National Health Service online pharmacies that are contractually required to deliver medicines they dispense free of charge to patients.
For 2025/26, funding for the core community pharmacy contractual framework has been increased to £3.073 billion. This represents the largest uplift in funding of any part of the NHS, over 19% across 2024/25 and 2025/26. There is also additional funding available, for example for pharmacies delivering Pharmacy First consultations and flu and COVID-19 vaccinations.
The Government has been clear that community pharmacies will have a vital role in the Neighbourhood Health Service, bringing healthcare to the heart of the high street, as set out in our 10-Year Health Plan.
There are over 10,400 pharmacies in England. Despite a reduction in the number of pharmacies, access to pharmacies remains good. Over 80% of the population live within one mile of a pharmacy and there are twice as many pharmacies in the most deprived areas. In some rural areas where there is no pharmacy, general practitioners are permitted to dispense medicines to their patients. Patients can also choose to access medicines and pharmacy services through any of the over 400 National Health Service online pharmacies that are contractually required to deliver medicines they dispense free of charge to patients.
For 2025/26, funding for the core community pharmacy contractual framework has been increased to £3.073 billion. This represents the largest uplift in funding of any part of the NHS, over 19% across 2024/25 and 2025/26. There is also additional funding available, for example for pharmacies delivering Pharmacy First consultations and flu and COVID-19 vaccinations.
The National Institute for Health and Care Excellence (NICE) makes evidence-based recommendations for the National Health Service on whether new medicines represent a clinically and cost-effective use of resources. To enable rapid access for NHS patients to effective new treatments, NICE aims, wherever possible, to issue recommendations on new medicines close to the point of licensing. The NHS in England is legally required to fund medicines recommended by NICE, normally within three months of the publication of final guidance.
In line with commitments set out in the Regulation Action Plan, NICE is continuing to transform its technology appraisal process and is aiming for 60% of technology appraisals to be completed in 240 working days after the start of the appraisal. NICE is also working to align its processes with the Medicines and Healthcare products Regulatory Agency, supported by information sharing and joint scientific advice, to speed up decision making and reduce the administrative burden for the system and industry, allowing new and innovative technologies to get to patients faster.
The National Institute for Health and Care Excellence’s (NICE) technology appraisal process allows its independent committees to take societal benefits, such as health-related quality-of-life for carers and impacts on personal social services, into account. NICE’s methods are set out in its published health technology evaluations manual, which is available at the following link:
https://www.nice.org.uk/process/pmg36
Evaluations should consider all health effects for patients, and, when relevant, carers. When presenting health effects for carers, evidence should show when the condition is associated with a substantial effect on a carer’s health-related quality of life and how the technology affects carers. This applies for all therapies, including therapies for rare diseases. NICE appraisals specifically consider health-related quality of life, for both patients and carers, rather than quality of life as a whole.
The National Health Service has set an ambitious goal in its new 10-Year Plan that by 2035, artificial intelligence (AI) should be seamlessly integrated into most clinical pathways, with tools like generative AI being widely adopted and continuously improved. The aim is for the NHS to become a global leader in the ethical use of AI.
One promising area is the use of AI to interpret electrocardiograms (ECGs). While AI is not yet routinely used for ECG interpretation in NHS practice, it is being actively developed and tested in research and pilot settings. Major funders such as the British Heart Foundation, the National Institute for Health and Care Research, and the Medical Research Council are supporting this work to improve the speed, accuracy, and accessibility of ECG analysis.
However, there are still important challenges to overcome. Different studies use different types of ECG recordings and data preparation methods, making it difficult to compare results or identify best practices. AI models also need further refinement to ensure they work well across diverse patient groups, including young people. Importantly, these tools must be thoroughly validated, clinicians must be trained to use them, and appropriate legal and ethical frameworks must be in place before they can be safely adopted into routine care.
Research teams are working to address these barriers. For example, NHS trials are planned to begin in late 2025 at the Imperial College Healthcare NHS Trust and the Chelsea and Westminster Hospital NHS Foundation Trust. These trials will test whether an AI model can accurately predict long-term health risks from routine ECGs.
At the same time, United Kingdom health regulators are developing the rules and safety checks needed to ensure that AI tools are accurate, fair, and safe for patients.
It is the responsibility of integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including services for people with brain aneurysms, as they are best placed to make decisions according to local need. The process of commissioning services should take into account best practice guidance, including that published by the National Institute for Health and Care Excellence (NICE).
Nationally, there are several initiatives that are supporting improvements to neurological services more generally. NHS England’s Getting It Right First Time Neurology Programme aims to reduce unwarranted variation and improve efficiency across neurological services, through data-driven analysis and best practice sharing. Additionally, NHS England’s Neurology Transformation Programme is supporting integrated care systems to transform neurology services by promoting integrated care, prevention, and early intervention.
NICE is currently developing the guidance Rehabilitation for chronic neurological disorders including acquired brain injury, which is expected to be published in September 2025. The guideline covers rehabilitation in all settings for children, young people, and adults with a chronic neurological disorder, neurological impairment, or disabling neurological symptoms resulting from acquired brain injury, spinal cord injury or peripheral nerve disorder, progressive neurological disease, or functional neurological disorder. Further information is available at the following link:
https://www.nice.org.uk/guidance/indevelopment/gid-ng10181
NICE has also published the guidance Subarachnoid haemorrhage caused by a ruptured aneurysm: diagnosis and management. The guideline focuses on the diagnosis and management of individuals who are suspected of having a subarachnoid haemorrhage (SAH) caused by ruptured aneurysm and includes recommendations on follow-up care and support for patients, their families, and carers.
This guidance also covers familial aneurysms in the context of SAH and recommends that that individuals with two or more first-degree relatives who have had a SAH may be offered screening to detect potential aneurysms. This guidance is available at the following link:
https://www.nice.org.uk/guidance/ng228
The Government expects the healthcare system and commissioners to take NICE guidelines fully into account when designing services for their local population, and to work towards their implementation over time.
Our 10-year health plan will make the three big shifts the National Health Service needs to be prepared for future challenges, from hospital to community care, from analogue to digital, and from sickness to prevention. We are committed to expanding community-based access to tests and scans, promoting a more collaborative service delivery, and enhancing the use of apps and wearable technology. These changes will help people manage their long-term conditions, including brain aneurysms, more effectively and closer to their homes. Earlier diagnosis will play a key role in preventing disease progression and improving outcomes.
It is the responsibility of integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including services for people with brain aneurysms, as they are best placed to make decisions according to local need. The process of commissioning services should take into account best practice guidance, including that published by the National Institute for Health and Care Excellence (NICE).
Nationally, there are several initiatives that are supporting improvements to neurological services more generally. NHS England’s Getting It Right First Time Neurology Programme aims to reduce unwarranted variation and improve efficiency across neurological services, through data-driven analysis and best practice sharing. Additionally, NHS England’s Neurology Transformation Programme is supporting integrated care systems to transform neurology services by promoting integrated care, prevention, and early intervention.
NICE is currently developing the guidance Rehabilitation for chronic neurological disorders including acquired brain injury, which is expected to be published in September 2025. The guideline covers rehabilitation in all settings for children, young people, and adults with a chronic neurological disorder, neurological impairment, or disabling neurological symptoms resulting from acquired brain injury, spinal cord injury or peripheral nerve disorder, progressive neurological disease, or functional neurological disorder. Further information is available at the following link:
https://www.nice.org.uk/guidance/indevelopment/gid-ng10181
NICE has also published the guidance Subarachnoid haemorrhage caused by a ruptured aneurysm: diagnosis and management. The guideline focuses on the diagnosis and management of individuals who are suspected of having a subarachnoid haemorrhage (SAH) caused by ruptured aneurysm and includes recommendations on follow-up care and support for patients, their families, and carers.
This guidance also covers familial aneurysms in the context of SAH and recommends that that individuals with two or more first-degree relatives who have had a SAH may be offered screening to detect potential aneurysms. This guidance is available at the following link:
https://www.nice.org.uk/guidance/ng228
The Government expects the healthcare system and commissioners to take NICE guidelines fully into account when designing services for their local population, and to work towards their implementation over time.
Our 10-year health plan will make the three big shifts the National Health Service needs to be prepared for future challenges, from hospital to community care, from analogue to digital, and from sickness to prevention. We are committed to expanding community-based access to tests and scans, promoting a more collaborative service delivery, and enhancing the use of apps and wearable technology. These changes will help people manage their long-term conditions, including brain aneurysms, more effectively and closer to their homes. Earlier diagnosis will play a key role in preventing disease progression and improving outcomes.
In making its recommendations on new medicines, the National Institute for Health and Care Excellence (NICE) takes into account all health-related costs and benefits, including health benefits to carers. It does not, however, take into account wider societal or economic considerations. Taking a wider perspective could have unintended consequences such as reducing access to treatments for patients who are disproportionately older, economically inactive, or have greater care needs. NICE’s methods are set out in its published health technology evaluations manual, which is available at the following link:
https://www.nice.org.uk/process/pmg36
When presenting health effects for carers, evidence should show when the condition is associated with a substantial effect on a carer’s health-related quality of life, and how the technology affects carers. This applies for all therapies, including therapies for rare diseases. NICE appraisals specifically consider health-related quality of life, for both patients and carers, rather than quality of life as a whole.
In making its recommendations on new medicines, the National Institute for Health and Care Excellence (NICE) takes into account all health-related costs and benefits, including health benefits to carers. It does not, however, take into account wider societal or economic considerations. Taking a wider perspective could have unintended consequences such as reducing access to treatments for patients who are disproportionately older, economically inactive, or have greater care needs. NICE’s methods are set out in its published health technology evaluations manual, which is available at the following link:
https://www.nice.org.uk/process/pmg36
When presenting health effects for carers, evidence should show when the condition is associated with a substantial effect on a carer’s health-related quality of life, and how the technology affects carers. This applies for all therapies, including therapies for rare diseases. NICE appraisals specifically consider health-related quality of life, for both patients and carers, rather than quality of life as a whole.
The National Institute for Health and Care Excellence (NICE) makes recommendations for the National Health Service on whether all new medicines, and significant licence extensions for existing medicines, should be routinely funded by the NHS in England based on an assessment of clinical and cost effectiveness. The NHS in England is required to fund medicines recommended by NICE, normally within three months of the publication of final guidance.
NHS England takes the necessary action to ensure that the treatments recommended by NICE are available for the services for which it has commissioning responsibility. It has a dedicated team to support the adoption of advanced therapy medicinal products (ATMPs) that are recommended by NICE. NHS England works with a variety of internal and external stakeholders to ensure timely patient access to ATMPs that are on NICE’s technology appraisal and highly specialised technology workplan.
The collaboration platform for the health and care sector in England, Futures NHS, includes information to support NHS organisations in England to plan, implement, and budget for new medicines, once they are recommended by NICE.
The New Medicine Service is an advanced service offered by community pharmacies, providing patients with advice to address any possible side effects, issues, or questions that patients who are prescribed a new medicine may have. The service focuses on treatments for long-term conditions, including asthma and chronic obstructive pulmonary disease.
Community pharmacies are further funded to support patients with asthma through the Pharmacy Quality Scheme, providing additional support to patients aged between five and 15 years old using a spacer, and patients using short-acting bronchodilators.