A recent House of Lords debate on the English Devolution and Community Empowerment Bill has highlighted long-standing challenges in wheelchair and community equipment provision — and how a proposed amendment could help address them.

The amendment

Amendment 165A to Clause 44 of the Bill, tabled by Lord Hunt of Kings Heath, would add the following to the list of “general health determinants” that authorities must consider when addressing health inequalities:

“(f) the degree of ease or difficulty with which persons have access to high quality wheelchair and community equipment provision.”

This amendment would include wheelchair and community equipment provision in the list of ‘general health determinants’ that authorities need to have regard to as a cause of health inequality.

Debate highlights

Peers from across the House voiced support for the amendment, describing the current state of wheelchair and community equipment provision as fragmented, inconsistent, and underfunded.

Watch the debate from 19:56:28 via this link: https://parliamentlive.tv/event/index/dacc4873-aaf6-4230-83a1-46ad665ad36b?in=19:56:28

Lord Hunt of Kings Heath called the current system “a disgrace,” citing evidence from the Wheelchair Alliance and the All-Party Parliamentary Group for Access to Disability Equipment showing the lack of national standards, independent regulation, and clear repair or complaints processes. “Many disabled people face long waiting times, delays in hospital discharge, loss of independence, social isolation and avoidable deterioration in health and well-being,” he said.

He explained that wheelchair and community equipment services, though often reaching the same individuals, are managed separately — one primarily by the NHS, the other by local authorities and integrated care boards. This division, he argued, leads to inefficiency and poor outcomes. “They should operate in tandem, but they are two distinct systems,” he said, urging closer collaboration.

Lord Shinkwin, speaking as a wheelchair user, said the amendment “puts the issue on the radar,” adding that access to wheelchair and community equipment services “is a health inequality issue.” He warned that the system’s fragmentation and lack of accountability have allowed inequality to become normalised. “Fragmentation may make for better ICB balance sheets in the short term, but history shows that, in the medium term, it is a very costly false economy.”

Baroness Griffin of Princethorpe added that one in three disabled people are still waiting for approved equipment, and that 74 percent of delayed hospital discharges are linked to equipment delays. The amendment, she said, would help make this area of provision a recognised factor in tackling health inequalities.

Government response

Responding for the UK Government, Baroness Taylor of Stevenage acknowledged the concerns but said existing legislation already requires provision of such services. In her response in the House of Lords, she said:

“Local authorities in England already have a statutory duty under various legislation, including the Care Act 2014 and the Children and Families Act 2014, to make arrangements for the provision of disability aids and community equipment to meet the assessed eligible needs of individuals who are resident in their area. In terms of delivery, NHS England supports integrated care boards and wheelchair providers to reduce regional variation in the quality and provision of NHS wheelchairs and to reduce delays in people receiving timely intervention and wheelchair equipment.”

She added that she would raise the issues with colleagues in DHSC and MHCLG and confirmed that the Bill’s existing scope already allows for access to equipment to be considered under “general health determinants.”

Watch Baroness Taylor’s response to Amendment 165A from 16:06:27 via this link: https://parliamentlive.tv/event/index/49b1e807-8829-4a75-a307-4a738052e65b?in=16:06:27

What it could mean for BHTA members

If accepted, Amendment 165A would:

• Formally recognise wheelchair and community equipment provision as a determinant of health.
• Require authorities to show how they are addressing access and quality of provision.
• Potentially influence commissioning priorities and encourage more consistent service standards.

Next steps

The amendment remains under consideration as the Bill progresses through the House of Lords. Its debate marks an important acknowledgment of the essential role that wheelchairs and community equipment play in tackling health inequalities. The BHTA will update members if the amendment is accepted into the Bill.

BHTA members specialising in assessment and equipment provision for adult and children’s seating solutions may be interested in a new open tender opportunity announced by Wigan Council.

The contract aims to appoint a single provider to deliver a comprehensive range of community seating solutions that support independent living, hospital discharge, and hospital admission avoidance. The successful provider will play a key role in helping residents across Wigan live safely and independently at home through the timely provision of appropriate seating equipment.

Overview of the tender

Wigan Council’s vision for this contract is to establish a single, reliable partnership for the supply, assessment, and provision of both children’s and adults’ seating. The service will support prescribers by providing high-quality equipment that facilitates hospital discharges and helps avoid unnecessary admissions. It also aims to improve residents’ quality of life. By consolidating these services under one provider, the council hopes to achieve greater efficiency, consistency, and cost-effectiveness.

The contract is valued at an estimated £480,000 (excluding VAT), or £576,000 (including VAT). The term will run from 20 April 2026 to 19 April 2028, with the option to extend for a further 12 months until 19 April 2029.

Participation and submission

Interested organisations should review the full tender documentation, available on The Chest Procurement portal. All submissions must be made electronically through the platform. Applicants can find this opportunity by searching for PA060 – Community Equipment Adult & Child Seating within The Chest.

Key dates

Enquiry deadline: 12am on 23 January 2026
Tender submission deadline: 12am on 30 January 2026

The contract will be awarded through an open procedure under the Procurement Act 2023. The award decision is expected by 19 March 2026.

Eligibility and evaluation

The opportunity is open to a wide range of providers, including small and medium-sized enterprises (SMEs) and voluntary, community, and social enterprises (VCSEs). Evaluation will be based on a balanced assessment of quality and price, each carrying a 50 percent weighting.

Further details on submission requirements, evaluation questions, and pricing schedules are provided within the tender documents. All contractual and payment terms are detailed within the documentation available on The Chest.

Contact information

Contact: Amanda Taylor
Organisation: Wigan Council
Email: a.taylor3@wigan.gov.uk
Website: www.wigan.gov.uk

This procurement presents an opportunity for BHTA members involved in the design, supply, and maintenance of community seating solutions for adults and children. Providers able to deliver comprehensive, ethical, and value-driven services are encouraged to review the tender requirements and consider submitting a proposal before the deadline.

The collapse of NRS Healthcare in August 2025 sent shockwaves through the healthcare sector, disrupting essential provision for thousands of people who rely on vital aids to live safely and independently.  

Given the scale of the impact, the UK Government has now issued a response to a key parliamentary question examining both the collapse of NRS Healthcare and its impact on vital healthcare equipment services. 

However, while the response acknowledges the importance of community equipment and outlines short-term actions taken during the liquidation, it offers no long-term assurances to prevent a similar collapse from happening again.

A key reason there was not a system-wide failure was due to the hard work by BHTA members and others to step in and take on contracts and ensure continuity of services. This has so far gone unacknowledged by government.

Below is the full written question and government response for BHTA members’ reference: 

NRS Healthcare: Insolvency 
Asked by Lord Allan on 17 November 2025 
“To ask His Majesty’s Government what assessment they have made of the impact of the insolvency of NRS Healthcare on the provision of community equipment services.” 

Answer from Baroness Merron, Parliamentary Under-Secretary of State for Health and Social Care (4 December 2025) 

“Community equipment, such as wheelchairs, hoists, and other specialist medical equipment, forms an important part of many people’s health and care support package. Such equipment can be critical in supporting better care outcomes, can enable people to remain in or return to their homes as the primary setting for care, and can avoid unnecessary stays in hospital or care homes. 

“Local authorities have statutory duties under the Care Act 2014 and the Children and Families Act 2014 to arrange for the provision of disability aids and community equipment to meet the assessed needs of individuals in their area. While some local authorities provide these services themselves, many have contracts with external suppliers, such as NRS Healthcare. The Department does not have a statutory role in the provision of community equipment. 

“However, as part of NRS Healthcare’s liquidation process, the Government made available short-term funding to the Official Receiver to cover the essential operating costs of NRS Healthcare and its affiliated companies. This funding ensured that trading was able to continue for a limited time, minimising disruption by providing crucial time for local authorities to put alternative supply in place. The Department continues to monitor the situation in affected local authorities through Partners in Care and Health, a Department funded programme run in partnership with the Local Government Association and the Association of Directors of Adult Social Services.” 

BHTA’s call for urgent, coordinated action 

To protect service users and support the businesses that deliver this essential work, the All-Party Parliamentary Group (APPG) for Access to Disability Equipment’s recent report points to a series of important recommendations to the UK Government to improve community equipment services as a whole:

• Develop a National Strategy for Community Equipment – led by a dedicated Minister, ensuring national consistency, accountability, and funding reform.
• Reform funding and commissioning to focus on quality, not just cost, and support sustainable innovation.
• Reduce waiting times and delays through workforce investment and better coordination between the NHS and local authorities.
• Improve communication and transparency with families and carers through a national framework and central data monitoring.
• Create a National Advisory Board to give equipment users and carers a real voice in service design and delivery.
• Strengthen reuse and recycling systems so equipment no longer sits unused while others go without.

BHTA stands ready to work with the government, local authorities, the NHS and industry partners to help shape a more resilient and sustainable future for these essential sectors. The people who rely on this equipment — and the professionals who deliver it — deserve a system that is robust, responsive, and protected from preventable disruption.