Acute, primary and community healthcare

There have been big differences in expenditure across different forms of healthcare for a number of years. In 2024/25, spending on acute care was £74.7bn, compared to £14.5bn on primary care and £13.8bn on community services. Both the 2024 Labour Party manifesto and the subsequent 10 year health plan for England contained an emphasis on shifting towards more care being delivered in local communities rather than in acute settings, dubbed a ‘neighbourhood health service’.

Acute, primary and community healthcare

Commercial Payments Bill [HL]: HL Bill 4 of 2026–27

The Commercial Payments Bill seeks to tackle late payments to small businesses, estimated to affect 44% of invoices. It would impose minimum payment periods for invoices, prohibit the use of retentions in construction contracts and provide the small business commissioner with greater powers. The bill was introduced in the House of Lords on 19 May 2026 and is due to receive its second reading on 9 June 2026.

Commercial Payments Bill [HL]: HL Bill 4 of 2026–27

  • In Focus

    National curriculum and assessment review

    The national curriculum contains the subjects and standards that must be used to teach primary and secondary pupils in maintained schools. The Labour manifesto committed to modernising the curriculum. The government established a curriculum and assessment review in July 2024. Its final report was published in November 2025. The government has responded to the review and confirmed a revised curriculum will be published in 2027, for first teaching in 2028.

  • In Focus

    Superintelligent AI: Should its development be stopped?

    Artificial superintelligence (ASI) is a hypothetical future form of AI with cognitive functions and highly developed thinking skills more advanced than any human. While some have claimed it might be possible “in a few thousand days”, others are more sceptical about its development. Concerns have been raised that ASI presents an existential threat to humanity and its creation should be prevented or more strictly regulated.

  • In Focus

    Historical responsibility for colonial mining pollution

    Mining can have major impacts on the environment with one study putting the current global environmental costs of mining annually at £0.3tn, representing 0.5% of the world’s annual GDP. Widespread mining took place in British colonies during colonial rule. Commentators such as Action for Southern Africa have argued that instances of historic pollution, and how mining industries deal with them, present “a warning for what could come as the energy transition accelerates”.

  • In Focus

    Looked after children

    Over 81,000 children are currently looked after by local authorities in England, with approximately 9,500 in secure homes and children’s homes. Increasing demand, a high number of placements outside a local authority’s boundaries and the growing cost of providing care have led to calls for reform of the sector. This briefing examines the demographics of looked after children and what can be done to improve the current system.

  • In Focus

    Hillsborough Law

    The government has committed to introducing a ‘Hillsborough Law’, placing a legal duty of candour on public servants and providing legal aid for victims of state related deaths and disasters. In September 2025 the government introduced the Public Office (Accountability) Bill in the House of Commons. This follows calls for legislation to avoid repeating the long process that families and others affected went through to get information about the 1989 Hillsborough disaster.

  • In Focus

    Shanghai Cooperation Organisation summit in Tianjin: China’s plans for global governance

    China recently hosted a summit of the Shanghai Cooperation Organisation (SCO) in the northern port city of Tianjin. Established in 2001 with six member states, the intergovernmental organisation now comprises 10 countries, including China, Russia and India, which collectively represent over 42% of the world’s population. Commentators argue it has evolved from a group focused on regional security into a forum aimed at projecting a non-western alternative worldview.

  • Research Briefing

    Absent Voting (Elections in Scotland and Wales) Bill: HL Bill 116 of 2024–25

    The Absent Voting (Elections in Scotland and Wales) Bill is a private member’s bill which seeks to align the rules regarding applying online for absent voting (postal or proxy votes) in Scotland and Wales with rules in England. While voters can currently apply for absent votes in several elections online, this does not include local elections in Scotland and Wales and elections to the Scottish Parliament and Senedd. Absent votes can still be applied for but must be done via a paper form. The bill also includes provisions giving the Scottish and Welsh governments powers to include an identity verification requirement on absent voting applications. It would also align postal voting renewal cycles. The bill is sponsored by Lord Murphy of Torfaen (Labour) and is scheduled to have its second reading on 5 September 2025. The bill passed its Commons stages with only technical amendments and received cross-party support.

  • In Focus

    Music education in state schools

    Music forms part of the national curriculum up to key stage 3. Recent statistics show increases in GCSE music entries in summer 2025 compared to the previous academic year, but there has also been a drop in A-level entries in the same period. Additionally, concerns have been raised about the quality of music provision in schools and the difficulties faced by children from more deprived areas in accessing music education.

  • Research Briefing

    Public Authorities (Fraud, Error and Recovery) Bill: HL Bill 96 of 2024–25

    The government has committed to reducing and reclaiming public money lost to fraud and error. The Public Authorities (Fraud, Error and Recovery) Bill contains provisions to extend Cabinet Office and Public Sector Fraud Authority powers to tackle fraud and error outside the tax and benefits system, and also expands powers to tackle fraud within the benefits system. The bill is due to have its second reading in the House of Lords on 15 May 2025.

  • In Focus

    Rape: Levels of prosecutions

    In the 2021 ‘End-to-end rape review’, the Conservative government pointed to a sharp decrease in rape prosecutions since 2016/17. Issues cited include long delays during the criminal justice process and a lack of specialist support for victims. Labour’s 2024 general election manifesto argued prosecutions were “shamefully low”. It committed to specialist rape and sexual offences teams in every police force and specialist courts to fast-track rape cases.

  • Research Briefing

    Women, Peace and Security Bill [HL]: HL Bill 20 of 2024–25

    The Women, Peace and Security Bill [HL] is a short private member’s bill introduced by Baroness Hodgson of Abinger (Conservative). The bill would require the secretary of state to have regard to the UK’s national action plan on women, peace and security (NAP) when formulating and implementing policy on foreign affairs, defence or related matters. The bill includes provisions requiring the government to report to Parliament annually on the progress made in implementing the NAP. It also requires considerations the government must have regard to when participating in multi-national organisations such as the United Nations. The bill was introduced on 4 September 2024 and is scheduled to have its second reading on 15 November 2024. The bill would extend to England and Wales, Scotland and Northern Ireland. It would come into force on the day the legislation was passed.

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