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The House of Lords recently held a debate examining the UK Government’s plans to publish a strategy for wheelchair provision through NHS and social care services. The question was raised by Lord Hunt of Kings Heath, who opened the discussion by highlighting long-standing systemic issues within wheelchair and community equipment provision.
Responding on behalf of the government, Baroness Merron acknowledged the concerns raised across the debate. She confirmed, however, that the government has no plans to publish a national strategy for wheelchair provision, a point that drew disappointment from many peers.
The debate explored wide-ranging issues including service fragmentation, delays in assessments and repairs, unsuitable equipment, lack of national oversight, supply chain vulnerabilities, and the human impact on independence and dignity.
Watch the debate here. Begins at 12:53:10.
Peers highlighted significant inconsistencies in wheelchair and community equipment provision across England. Lord Hunt observed that services are “inconsistent and under-resourced,” noting that each local authority and integrated care board (ICB) operates differently, resulting in a postcode lottery.
Lord Kamall outlined stark disparities in eligibility criteria between regions. For example:
Lord Kamall said: “A delay in receiving a wheelchair is not simply an inconvenience or statistic, it is a barrier to living a fuller life.”
These differences affect who qualifies for a wheelchair, the type of equipment provided, and the level of support available. NHS England’s dataset shows significant regional variation in meeting the 18-week waiting-time standard. Data provided by the British Healthcare Trades Association (BHTA) was also cited in the debate, showing that only around 80 percent of users receive a wheelchair or modification within 18 weeks—below the national 92 percent target—with even longer waits for people with complex needs. in meeting the 18‑week waiting-time standard.
Peers also drew on detailed evidence from national reports. The Wheelchair Alliance report highlighted inconsistent provision, long delays in assessment, unsafe temporary equipment use, and a lack of clear repair pathways. It showed how inadequate provision undermines independence, contributes to deterioration in physical and mental health, and delays discharge.
The APPG for Disability Equipment report about community equipment services described the system as inconsistent, underinvested, fragmented and lacking leadership. It identified staff shortages, supply chain weaknesses, recycling delays, dependency on single contracted providers, and widespread dissatisfaction among users and carers with current provision.
Peers shared examples illustrating the impact of delays and bureaucratic barriers. Lord Harries recounted the case of Rhys Porter, a young man with cerebral palsy who went two years without essential equipment, leaving his family to manage unsafe manual handling that put them all at risk.
Peers described consequences including loss of independence, avoidable deterioration in health, delayed hospital discharge, social isolation, and increased pressure on carers.
The Wheelchair Alliance report further documented how inadequate equipment provision leads to preventable complications and unnecessary healthcare use.
Several peers, including Baroness Lane‑Fox, highlighted how wheelchair and equipment provision affects employment. She argued that these services form part of the national employment infrastructure because many disabled people cannot access or sustain work without the right equipment.
Baroness Lane-Fox stated: “We often file wheelchair and CES services under health and social care; in reality, they ought to be part of our national employment infrastructure. When services fail, people don’t just lose their mobility, they lose their ability to contribute.”
Delays and unsuitable equipment prevent people from accepting job offers, participating in education, or contributing to the workforce.
Lord Rennard expanded on this point, stating: “Fundamentally, what we need to address is balancing the costs of the provision of wheelchairs and community equipment with long‑term benefits including preventing accidents, reducing the need for health care intervention in future, enabling people with disabilities to work, pay taxes, and reduce their dependency on benefits, whilst at the same time significantly increasing emotional wellbeing for many families.”
Concerns were raised about outdated or unsuitable NHS‑provided wheelchairs. Several peers noted that many commonly issued models remain heavy, steel‑framed, and difficult to transport, contrasting them with modern lightweight designs.
Assessments were criticised for failing to consider lifestyle, employment, and daily activity needs; in some cases, users were forced to purchase their own equipment. Baroness Brinton recounted her own experience of being deemed ineligible for an electric chair despite clinical advice, ultimately having to privately fund her own wheelchair.
Baroness Brinton and Lord Rennard highlighted structural weaknesses in commissioning and procurement. The APPG for Disability Equipment recommended more strategic commissioning practices, better alignment between local authorities and ICBs, and improved oversight to ensure service continuity and quality.
The APPG report identified additional challenges:
These issues undermine quality, consistency, and long‑term service sustainability, with direct implications for both users and providers.
Across the House, peers argued for a national strategy to address variation, modernise equipment provision, improve commissioning, and introduce clearer accountability. Suggestions included national leadership and oversight, standardised eligibility and quality criteria, a shift from lowest‑cost procurement to value‑based procurement, and long‑term investment to support modernisation and prevent system fragility.
Lord Hunt argued that many issues could be resolved with national coordination, while Lord Shinkwin and others warned that current failures represent a false economy.
Responding for the UK Government, Baroness Merron acknowledged the problems described but emphasised that responsibility for commissioning wheelchair and community equipment services lies primarily with ICBs and local authorities.
She stated that there are no plans to publish a national strategy for wheelchair provision. Instead, she pointed to existing frameworks such as the Wheelchair Quality Framework, the NHS 10‑year health plan, and Personal Wheelchair Budgets, which are intended to support local improvement.
Baroness Merron acknowledged persistent delays, citing pandemic‑related backlogs and fluctuating referral rates. She highlighted requirements for ICBs to reduce waiting times over 18 weeks and eliminate 52‑week waits, with performance monitored through the Community Health Services Situation Report.
She also emphasised the need for integrated working between ICBs and local authorities, stating that improvements must be driven locally through existing structures rather than through a new national strategy.
Need a wheelchair or mobility scooter? Not sure where to go and how to get one? Do you know your options?
When you find yourself or someone you know requiring a wheelchair, mobility scooter, or powered wheelchair then you should be talking to your local BHTA member retailer.
Dealing with a lack of mobility, whether due to an ongoing, chronic illness, or to a sudden incident, can be a confusing and stressful time. We all see manual and powered wheelchairs and mobility scooters being used, but where do they come from? How do you get one? Until you find yourself in a situation of needing one, it’s not something most people think about.
The wheelchair may be needed full time to get around the house, or to work, which may be a different model from something that may be used occasionally for trips to the doctors or for visiting friends where you may need assistance.
You can ask your GP for a referral to your local NHS wheelchair service if you are having mobility issues. They will discuss your situation with you and may provide an assessment for your needs. If they determine that you require a wheelchair, and you meet their criteria, they will offer to provide you with one. Wheelchair services provide both manual and powered wheelchairs but do not currently provide mobility scooters.
You may have an option to request a voucher, or to use a personal wheelchair budget (PWB), which can be used to purchase a chair from a mobility retailer if you want a higher specification or options that they cannot provide.
Sometimes you may require a wheelchair temporarily, whilst you rehabilitate, or while awaiting delivery of an NHS wheelchair. The British Red Cross in your area will usually have wheelchairs available for temporary use.
You can also contact your local BHTA Member retailer, which may have different types of wheelchairs available for temporary hire.
If you do not qualify for a wheelchair through NHS wheelchair services, or simply wish to purchase your own wheelchair or a mobility scooter, you can contact a BHTA-registered mobility retailer.
BHTA members across the UK offer mobility products and many independent living aids to enhance your life and keep you independent at home and outdoors. They will guide you through a detailed assessment to ensure the product meets your current needs. The BHTA member retailer will discuss the model that will most suit your lifestyle and demonstrate this to ensure you are capable of controlling the mobility product in a safe environment before you head out on your adventures.
Once you have identified the correct model, the BHTA member retailer will be able to also advise you on other topics such as finance, insurance, and any extended warranty packages that are available.
All BHTA members sign up to a Code of Practice which is approved by the Chartered Trading Standards Institute. This ensures you are dealing with a company that will give you good advice, guide you in your discussion making and will not cold call you or use pressure selling techniques. A copy of the Code of Practice is available to download here.
Once you have had your assessment, agreed your needs, and purchased all you need, your local BHTA member retailer will set up your mobility product, carry out pre-delivery inspection, and ensure you know how to charge your vehicle so you are ready to get out and about, unless you opt to take it away with you from their showroom.
Having someone local for backup, aftersales, and servicing is important for your own peace of mind, so should you have any issues you have somewhere local to talk to and visit. The BHTA member retailer will have a wealth of experience about your product, and their engineers will be trained and experienced to assist you with any issues you may have with your product.
To find your nearest BHTA member retailer visit this page and put “mobility” in the search box.
If you are looking for a second-hand piece of equipment, check with your local BHTA member retailer, which will be able to advise you on availability and suitability for your needs.
If you need assistance with the funding of a mobility scooter or wheelchair, there are numerous charities that may be able to assist you, and many BHTA member companies will have links to these on their websites and will be able to give you advice when they carry out an assessment with you.
In some cases, people can use a portion of their Personal Independence Payment (PIP) allowance to lease a mobility vehicle through companies providing this option.
Some customers buy their mobility products via credit cards, bank personal loans, or finance that is available through a number of specialist companies that have packages designed to meet the needs of the mobility industry. With a variety of options available, it is worth discussing the best options that suit your situation with your local BHTA member retailer.
There are many things to consider when thinking about insurance for your new mobility vehicle or wheelchair. There are insurance companies that provide dedicated insurance policies for mobility products. Some home contents insurance policies will cover mobility products, but it is always important to check that the cover is right for you.
Your home cover may pay for a replacement product if stolen but does it cover you for personal injury and public liability, for example, should you accidentally cause any damage with your mobility product or have an accident?
Your BHTA member retailer can advise you of insurance companies that provide specific mobility policies.
Most wheelchairs and scooters when purchased new, come with a 12-month guarantee. Sometimes this may be longer, and there may be options for purchasing extended warranties and/or service and maintenance packages.
Your BHTA member retailer can discuss these options with you to help you make an informed decision about what’s best for you.
BHTA publishes a number of guidance articles to assist consumers when choosing a mobility product. The articles contain useful tips on buying safely to help guide you through the process and point out questions to ask and things to consider.