Analysis · No. 3 · Sectors
Health and social care: one of the two busiest sectors in government.
We sorted everything government published, bought, discussed and was asked about since the July 2024 election into 39 sectors. Health and social care is the busiest.
We read 456,455 records across 24 sources. We placed each record in the sectors its words are about, with the same scorer that runs search on Seam. We measure activity in five strands: what government publishes, what it buys, who it meets, what Parliament asks, and who checks it. The method is at the end of the page.
Where health ranks
Health and social care is the busiest of the 39 sectors, alongside education and skills and local government. It is strongest in “what it buys”, where it takes 8.6% of records, about 5 times the typical sector’s share, third of the 39 sectors.
The busiest sectors in government
Each sector’s share of activity in the latest twelve months (Nov 2025–Oct 2026), averaged across the five strands. It shows the top 12 of 39. The three busiest are darker, and Health and social care is darkest.
- Health and social care
- The other two busiest sectors
- Other sectors
- 1. Health and social care7.9%
- 2. Education and skills8.1%
- 3. Local government8.3%
- 4. Energy and utilities6.1%
- 5. Transport5.2%
- 6. Digital and telecoms4.7%
- 7. Justice and policing5.4%
- 8. Life sciences5.3%
- 9. Manufacturing3.9%
- 10. Small business3.7%
- 11. Housing3.9%
- 12. Construction3.3%
We order sectors by their average rank on three measures: the average strand share shown here, the middle (median) strand share, and the raw number of records. Ties go to the higher average share. The table shows all three.
Show the numbers
| # | Sector | Average share | Rank | Middle strand share | Rank | Records | Rank |
|---|---|---|---|---|---|---|---|
| 1 | Health and social care | 7.9% | 3 | 8.6% | 1 | 22,613 | 1 |
| 2 | Education and skills | 8.1% | 2 | 7.9% | 2 | 22,370 | 2 |
| 3 | Local government | 8.3% | 1 | 6.0% | 3 | 13,388 | 7 |
| 4 | Energy and utilities | 6.1% | 4 | 5.5% | 4 | 15,165 | 5 |
| 5 | Transport | 5.2% | 7 | 4.5% | 7 | 17,494 | 4 |
| 6 | Digital and telecoms | 4.7% | 8 | 5.3% | 5 | 13,865 | 6 |
| 7 | Justice and policing | 5.4% | 5 | 5.2% | 6 | 10,366 | 10 |
| 8 | Life sciences | 5.3% | 6 | 3.4% | 12 | 18,079 | 3 |
| 9 | Manufacturing | 3.9% | 10 | 4.1% | 8 | 10,918 | 8 |
| 10 | Small business | 3.7% | 11 | 3.5% | 11 | 10,441 | 9 |
| 11 | Housing | 3.9% | 9 | 3.5% | 10 | 8,246 | 14 |
| 12 | Construction | 3.3% | 12 | 3.3% | 13 | 9,133 | 11 |
| 13 | Financial services | 3.2% | 13 | 3.7% | 9 | 8,066 | 15 |
| 14 | Environment | 2.9% | 15 | 2.9% | 14 | 8,254 | 13 |
| 15 | Employment | 3.1% | 14 | 2.7% | 17 | 8,299 | 12 |
| 16 | Children and families | 2.8% | 16 | 2.7% | 16 | 7,613 | 16 |
| 17 | Charities | 2.5% | 17 | 2.9% | 15 | 6,541 | 18 |
| 18 | Planning | 1.9% | 21 | 2.5% | 18 | 6,140 | 19 |
| 19 | Defence | 2.3% | 18 | 1.4% | 26 | 7,560 | 17 |
| 20 | Research and science | 1.8% | 23 | 1.8% | 20 | 4,498 | 24 |
| 21 | Tax and accounting | 2.2% | 19 | 1.0% | 30 | 5,661 | 20 |
| 22 | Farming and food | 1.8% | 24 | 2.2% | 19 | 4,403 | 26 |
| 23 | Media, culture and sport | 1.7% | 25 | 1.5% | 24 | 5,538 | 21 |
| 24 | govaffairs | 2.1% | 20 | 1.8% | 21 | 3,355 | 32 |
| 25 | Foreign affairs and trade | 1.9% | 22 | 1.3% | 28 | 4,651 | 23 |
| 26 | Aviation, maritime and ports | 1.6% | 27 | 1.6% | 22 | 4,165 | 27 |
| 27 | Welfare | 1.7% | 26 | 1.0% | 29 | 5,413 | 22 |
| 28 | Pensions | 1.5% | 28 | 1.5% | 25 | 4,134 | 28 |
| 29 | Retail | 1.5% | 30 | 1.5% | 23 | 3,743 | 30 |
| 30 | Water | 1.5% | 29 | 1.4% | 27 | 4,042 | 29 |
| 31 | Facilities and estates | 1.1% | 32 | 0.8% | 34 | 4,421 | 25 |
| 32 | Automotive | 1.0% | 33 | 0.9% | 31 | 3,413 | 31 |
| 33 | Immigration | 1.1% | 31 | 0.9% | 32 | 3,285 | 33 |
| 34 | Aviation | 0.8% | 34 | 0.8% | 33 | 1,946 | 35 |
| 35 | Artificial intelligence | 0.8% | 35 | 0.7% | 35 | 2,099 | 34 |
| 36 | Hospitality and tourism | 0.5% | 36 | 0.6% | 36 | 1,827 | 36 |
| 37 | Insurance | 0.3% | 37 | 0.3% | 37 | 998 | 37 |
| 38 | Semiconductors and compute | 0.2% | 38 | 0.2% | 38 | 668 | 38 |
| 39 | Gambling | 0.1% | 39 | 0.1% | 39 | 349 | 39 |
Where health shows up
Share of each strand’s records that affect health and social care, latest twelve months, against the typical (median) sector.
- Typical sector
- Health and social care
- What government publishesAnnouncements, policy papers, consultations, guidance, transparency releases, statistics, NHS England8.7%
- What it buysContract notices and awards8.6%
- Who it meetsMeetings ministers and senior officials hold with outside organisations4.9%
- What Parliament asksWritten and oral questions, debates, select committee letters and evidence, Holyrood and the Senedd9.8%
- Who checks itRegulators, the Information Commissioner, the public auditors, the RPC7.3%
A record can touch more than one sector, so shares across sectors add up to more than 100%.
Show the numbers
| Strand | Records in the strand | Health and social care | Typical sector | Multiple |
|---|---|---|---|---|
| What government publishes | 33,752 | 8.7% | 2.9% | 3.0× |
| What it buys | 98,295 | 8.6% | 1.7% | 5.1× |
| Who it meets | 11,870 | 4.9% | 1.6% | 3.1× |
| What Parliament asks | 102,894 | 9.8% | 2.6% | 3.8× |
| Who checks it | 7,018 | 7.3% | 1.5% | 4.9× |
How it has changed
Since the government’s first year, health’s share of “what government publishes” has moved most upward (+1.4 points). Its share of “what it buys” has moved most downward (−6.2 points).
Then and now, strand by strand
Health and social care’s share of each strand in the government’s first year (Jul 2024–Jun 2025) and the latest twelve months (Nov 2025–Oct 2026).
- First year
- Latest twelve months: bigger share
- smaller share
- What government publishes+1.4 pts
- What it buys−6.2 pts
- Who it meets+0.8 pts
- What Parliament asks−0.8 pts
- Who checks it−0.5 pts
Show the numbers
| Strand | First year | Latest 12 months | Change, points |
|---|---|---|---|
| What government publishes | 7.3% | 8.7% | +1.4 |
| What it buys | 14.8% | 8.6% | −6.2 |
| Who it meets | 4.1% | 4.9% | +0.8 |
| What Parliament asks | 10.6% | 9.8% | −0.8 |
| Who checks it | 7.8% | 7.3% | −0.5 |
Month by month, in each strand
Health and social care’s share of each strand, averaged over three months to reduce the effect of single busy weeks. Each panel has its own scale. Hover over the line to see each month.
- Higher now than at the start
- Lower
What government publishes
7.3% → 8.7%
What it buys
14.8% → 8.6%
Who it meets
4.1% → 4.9%
What Parliament asks
10.6% → 9.8%
Who checks it
7.8% → 7.3%
Meetings appear a quarter or more late, so that panel stops earlier than the rest.
How much activity affects health, month by month
Records affecting health and social care each month, July 2024 to October 2026, coloured by strand. Hover over a column for the detail.
- What government publishes
- What it buys
- Who it meets
- What Parliament asks
- Who checks it
The busiest month was September 2026. Counts swing with the parliamentary calendar and with how sources publish (a council can post a hundred contract awards in a day). That is why the rest of this page uses shares.
Show the numbers
| Month | What government publishes | What it buys | Who it meets | What Parliament asks | Who checks it | All |
|---|---|---|---|---|---|---|
| July 2024 | 103 | 42 | 63 | 399 | 44 | 651 |
| August 2024 | 117 | 63 | 33 | 88 | 38 | 339 |
| September 2024 | 127 | 39 | 61 | 272 | 29 | 528 |
| October 2024 | 142 | 54 | 104 | 946 | 56 | 1,302 |
| November 2024 | 145 | 64 | 84 | 724 | 69 | 1,086 |
| December 2024 | 168 | 65 | 58 | 520 | 50 | 861 |
| January 2025 | 112 | 43 | 64 | 869 | 49 | 1,137 |
| February 2025 | 100 | 95 | 47 | 874 | 45 | 1,161 |
| March 2025 | 131 | 371 | 56 | 1,046 | 47 | 1,651 |
| April 2025 | 117 | 431 | 59 | 800 | 47 | 1,454 |
| May 2025 | 149 | 407 | 59 | 852 | 45 | 1,512 |
| June 2025 | 139 | 391 | 74 | 1,041 | 53 | 1,698 |
| July 2025 | 182 | 651 | 64 | 898 | 64 | 1,859 |
| August 2025 | 97 | 410 | 25 | 343 | 29 | 904 |
| September 2025 | 125 | 805 | 60 | 620 | 47 | 1,657 |
| October 2025 | 128 | 551 | 71 | 1,176 | 63 | 1,989 |
| November 2025 | 167 | 385 | 71 | 1,039 | 48 | 1,710 |
| December 2025 | 197 | 505 | 70 | 706 | 36 | 1,514 |
| January 2026 | 238 | 513 | 80 | 925 | 43 | 1,799 |
| February 2026 | 218 | 493 | 80 | 822 | 41 | 1,654 |
| March 2026 | 271 | 704 | 79 | 956 | 62 | 2,072 |
| April 2026 | 211 | 452 | 68 | 702 | 35 | 1,468 |
| May 2026 | 215 | 630 | 58 | 627 | 49 | 1,579 |
| June 2026 | 240 | 522 | 74 | 1,268 | 26 | 2,130 |
| July 2026 | 302 | 616 | 0 | 784 | 58 | 1,760 |
| August 2026 | 268 | 1,030 | 0 | 468 | 38 | 1,804 |
| September 2026 | 285 | 1,555 | 0 | 700 | 59 | 2,599 |
| October 2026 | 334 | 1,076 | 0 | 1,094 | 20 | 2,524 |
What it is about
The biggest themes are adult social care, NHS structure and reform and GPs, pharmacy and dentistry. Growing fastest: NHS digital, data and AI, hospitals and equipment and A&E, ambulances and urgent care. Fading: patient safety and complaints and NHS staff and pay. Parliament drives cancer and patient safety and complaints.
What health activity is about
Share of health and social care records touching each theme, first year (Jul 2024–Jun 2025) against the latest twelve months (Nov 2025–Oct 2026). Sorted by the latest share.
- First year
- Latest twelve months: bigger share
- smaller share
- Adult social care22.7%
- NHS structure and reform16.7%
- GPs, pharmacy and dentistry12.9%
- Prevention and public health10.6%
- Mental health9.7%
- Medicines and devices6.2%
- NHS staff and pay5.7%
- Waiting lists and planned care3.6%
- Cancer3.5%
- A&E, ambulances and urgent care3.0%
- NHS digital, data and AI3.0%
- Hospitals and equipment2.5%
- Patient safety and complaints2.1%
- Maternity and neonatal1.7%
A record can affect several themes, or none. 25% touch none of these, usually because the title says too little (“Lot 2”, “Provision of services”). The word lists are in the method box at the end of the page.
Show the numbers
| Theme | Records | First year | Latest 12 months | Relative change |
|---|---|---|---|---|
| Adult social care | 9,438 | 21.2% | 22.7% | +7% |
| NHS structure and reform | 6,458 | 14.2% | 16.7% | +18% |
| GPs, pharmacy and dentistry | 5,712 | 14.0% | 12.9% | −8% |
| Prevention and public health | 4,246 | 9.5% | 10.6% | +12% |
| Mental health | 4,127 | 9.6% | 9.7% | +1% |
| Medicines and devices | 2,489 | 5.9% | 6.2% | +5% |
| NHS staff and pay | 2,569 | 6.4% | 5.7% | −11% |
| Waiting lists and planned care | 1,525 | 3.9% | 3.6% | −8% |
| Cancer | 1,463 | 3.6% | 3.5% | −3% |
| A&E, ambulances and urgent care | 1,109 | 2.5% | 3.0% | +20% |
| NHS digital, data and AI | 1,015 | 1.6% | 3.0% | +88% |
| Hospitals and equipment | 903 | 1.9% | 2.5% | +32% |
| Patient safety and complaints | 927 | 2.5% | 2.1% | −16% |
| Maternity and neonatal | 681 | 1.5% | 1.7% | +13% |
The themes, quarter by quarter
Share of health and social care records touching each theme in each quarter, in per cent. We set the shading row by row. The darkest cell is that theme’s busiest quarter. Hover over a cell for the detail.
- Quietest quarter for the theme
- Busiest quarter
| Jul–Sep2024 | Oct–Dec2024 | Jan–Mar2025 | Apr–Jun2025 | Jul–Sep2025 | Oct–Dec2025 | Jan–Mar2026 | Apr–Jun2026 | Jul–Sep2026 | Oct2026 | |
|---|---|---|---|---|---|---|---|---|---|---|
| Adult social care | 28.8 | 25.4 | 19.8 | 17.1 | 24.4 | 21.3 | 21.7 | 20.6 | 23.4 | 27.6 |
| NHS structure and reform | 10.3 | 9.5 | 13.9 | 18.9 | 12.6 | 12.6 | 13.8 | 16.2 | 19.9 | 20.7 |
| GPs, pharmacy and dentistry | 16.8 | 11.4 | 13.8 | 15.1 | 14.6 | 11.4 | 12.5 | 14.2 | 14.6 | 10.9 |
| Prevention and public health | 10.7 | 10.4 | 9.6 | 8.4 | 9.0 | 9.8 | 9.6 | 10.9 | 11.2 | 11.3 |
| Mental health | 8.4 | 9.3 | 9.6 | 10.2 | 11.2 | 8.6 | 8.8 | 9.9 | 9.9 | 11.6 |
| Medicines and devices | 6.7 | 6.0 | 5.4 | 5.9 | 4.9 | 5.4 | 5.5 | 6.1 | 7.1 | 5.6 |
| NHS staff and pay | 8.9 | 7.9 | 5.4 | 5.4 | 6.7 | 5.9 | 6.2 | 5.6 | 5.5 | 5.2 |
| Waiting lists and planned care | 3.3 | 3.6 | 4.6 | 3.8 | 2.8 | 4.9 | 3.5 | 3.7 | 2.5 | 3.2 |
| Cancer | 3.6 | 4.4 | 3.5 | 3.2 | 2.4 | 5.0 | 4.4 | 2.7 | 2.4 | 3.4 |
| A&E, ambulances and urgent care | 3.4 | 2.7 | 2.7 | 2.0 | 1.6 | 2.1 | 3.0 | 3.2 | 3.1 | 2.8 |
| NHS digital, data and AI | 0.7 | 1.0 | 2.0 | 2.1 | 2.0 | 2.3 | 1.8 | 3.2 | 3.4 | 4.7 |
| Hospitals and equipment | 2.0 | 1.7 | 2.2 | 1.7 | 1.6 | 1.4 | 2.6 | 1.9 | 2.6 | 4.3 |
| Patient safety and complaints | 3.6 | 2.7 | 2.3 | 2.2 | 2.1 | 1.7 | 2.0 | 2.5 | 1.8 | 2.2 |
| Maternity and neonatal | 1.8 | 1.8 | 1.5 | 1.2 | 1.4 | 1.6 | 1.8 | 1.9 | 1.6 | 1.7 |
| Health and social care records in the quarter | 1,518 | 3,249 | 3,949 | 4,664 | 4,420 | 5,213 | 5,525 | 5,177 | 6,163 | 2,524 |
The first quarter starts on 5 July 2024, the day after the general election. The last runs only to the end of October 2026. Read along a row, not down a column.
Where each theme comes from
Share of each theme’s records by strand, since July 2024. Sorted by how much comes from Parliament.
- What government publishes
- What it buys
- Who it meets
- What Parliament asks
- Who checks it
- Cancer9%17%72%
- Patient safety and complaints15%67%10%
- Maternity and neonatal24%61%
- Waiting lists and planned care14%24%60%
- Mental health32%54%
- Hospitals and equipment40%52%
- A&E, ambulances and urgent care24%18%52%
- NHS digital, data and AI13%31%48%
- Prevention and public health26%22%46%
- GPs, pharmacy and dentistry44%45%
- Medicines and devices24%12%45%17%
- NHS staff and pay12%33%9%44%
- NHS structure and reform42%43%
- Adult social care26%27%41%
Themes near the top are what MPs and peers raise. Themes near the bottom are what government buys, publishes or is checked on.
Show the numbers
| Theme | What government publishes | What it buys | Who it meets | What Parliament asks | Who checks it | Records |
|---|---|---|---|---|---|---|
| Cancer | 9.0% | 16.7% | 0.9% | 71.6% | 1.8% | 1,463 |
| Patient safety and complaints | 14.9% | 3.9% | 4.2% | 66.9% | 10.1% | 927 |
| Maternity and neonatal | 24.4% | 5.7% | 4.4% | 61.1% | 4.4% | 681 |
| Waiting lists and planned care | 14.4% | 23.9% | 0.5% | 59.7% | 1.4% | 1,525 |
| Mental health | 8.6% | 32.3% | 3.9% | 54.1% | 1.1% | 4,127 |
| Hospitals and equipment | 6.2% | 39.8% | 0.9% | 51.7% | 1.4% | 903 |
| A&E, ambulances and urgent care | 24.1% | 18.1% | 0.8% | 51.5% | 5.5% | 1,109 |
| NHS digital, data and AI | 12.9% | 31.0% | 3.0% | 48.3% | 4.8% | 1,015 |
| Prevention and public health | 26.4% | 21.8% | 3.9% | 45.8% | 2.1% | 4,246 |
| GPs, pharmacy and dentistry | 8.3% | 43.6% | 1.5% | 45.2% | 1.4% | 5,712 |
| Medicines and devices | 23.8% | 12.3% | 2.7% | 44.6% | 16.6% | 2,489 |
| NHS staff and pay | 11.9% | 32.6% | 9.4% | 44.2% | 1.9% | 2,569 |
| NHS structure and reform | 6.6% | 41.6% | 3.2% | 42.7% | 5.9% | 6,458 |
| Adult social care | 25.6% | 27.3% | 4.4% | 41.4% | 1.3% | 9,438 |
Who is involved
Department of Health and Social Care publishes most, Bristol City Council buys most, and NHS England is the organisation ministers and officials meet most often on health.
Who is doing the health activity
The ten bodies with the most records in each strand since July 2024. Hover over a bar for the full name and count.
Who publishes most · 150 bodies
Who buys most · 985 buyers
Who ministers and officials meet most · 898 organisations
Which departments answer the questions
Contracts went to 9,072 different suppliers. The ten busiest won 2% of them. The meetings chart counts each organisation named on a return once per meeting.
What Parliament asks
Liberal Democrat members ask about 1.5 times their usual share of health questions (27.0% against 18.4%). Written questions here take a median 9 days to answer, against 8 across government.
Who asks about health
Share of written and oral questions on health and social care asked by each party, against its share of all questions, since July 2024.
- All questions
- Health and social care: more than its usual share
- less
- Labour34%
- Conservative28%
- Liberal Democrat27%
- Reform UK3%
- Independent4%
- Crossbench1%
- Green1%
- DUP3%
Based on 18,921 questions where the asking member’s party is recorded. Peers sit in the Lords. “Crossbench” members belong to no party.
Show the numbers
| Party | Health and social care | All questions |
|---|---|---|
| Labour | 33.5% | 29.0% |
| Conservative | 27.5% | 39.9% |
| Liberal Democrat | 27.0% | 18.4% |
| Reform UK | 2.6% | 2.5% |
| Independent | 3.8% | 3.7% |
| Crossbench | 0.9% | 1.1% |
| Green | 1.0% | 1.1% |
| DUP | 3.2% | 2.7% |
Where the money goes
12,963 contract notices and awards since July 2024. The typical (median) one is worth £173k, against £120k across all of government.
Contracts, quarter by quarter
Health and social care contract notices and awards each quarter. The figure above each column is its share of all contracts that quarter.
The last quarter runs only to the end of October 2026.
Show the numbers
| Quarter | Contracts | Share of all contracts |
|---|---|---|
| Jul–Sep 2024 | 144 | 31.7% |
| Oct–Dec 2024 | 183 | 29.6% |
| Jan–Mar 2025 | 509 | 16.7% |
| Apr–Jun 2025 | 1,229 | 12.5% |
| Jul–Sep 2025 | 1,866 | 12.9% |
| Oct–Dec 2025 | 1,441 | 9.3% |
| Jan–Mar 2026 | 1,710 | 8.9% |
| Apr–Jun 2026 | 1,604 | 8.7% |
| Jul–Sep 2026 | 3,201 | 8.6% |
| Oct 2026 | 1,076 | 7.9% |
How big the contracts are
Share of health and social care contract notices and awards in each value band, against all contracts, since July 2024.
- All contracts
- Health and social care: more common
- less common
- Under £10k16%
- £10k–100k26%
- £100k–1m31%
- £1m–10m16%
- £10m–100m7%
- £100m and over4%
Values are what the buyer published: an estimate for an open notice, the award for a closed one, and for a framework the ceiling across every buyer that might use it.
Show the numbers
| Value | Health and social care | All contracts |
|---|---|---|
| Under £10k | 15.9% | 5.9% |
| £10k–100k | 26.1% | 40.2% |
| £100k–1m | 30.7% | 33.1% |
| £1m–10m | 15.7% | 13.9% |
| £10m–100m | 7.1% | 4.9% |
| £100m and over | 4.5% | 2.0% |
On the record
The most recent policy papers and consultations that affect health, dated by when each consultation closed or each paper was last updated. Every one is on Seam with the rest of its source.
- Policy paper · last updated 28 October 2026 · HM Revenue & CustomsVAT changes following the abolition of NHS England
- Policy paper · last updated 26 October 2026 · Department of Health and Social CareJoint DHSC and NHS England written evidence for the NHSPRB: pay round 2027 to 2028
- Policy paper · last updated 22 October 2026 · Department of Health and Social CareGovernment response to the HSCC's report on healthy ageing and physical activity
- Policy paper · last updated 22 October 2026 · Department of Health and Social CareHealth Bill: patient safety - fact sheet
- Policy paper · last updated 22 October 2026 · Department of Health and Social CareHealth Bill: role and functions of the restructured DHSC - fact sheet
- Policy paper · last updated 22 October 2026 · Department of Health and Social CareHealth Bill: summary - fact sheet
- Policy paper · last updated 19 October 2026 · Department of Health and Social CareJoint DHSC and NHS England written evidence for the DDRB: pay round 2027 to 2028
- Policy paper · last updated 19 October 2026 · Department of Health and Social CareJoint DHSC and NHS England written evidence for the SSRB: pay round 2027 to 2028
If you work in health and social care
- Know where your sector stands out. For health it is “what it buys”, at 5 times the typical sector’s share. That is where your sector stands out most against others.
- Follow the rising themes. Growing fastest: NHS digital, data and AI, hospitals and equipment and A&E, ambulances and urgent care. Watch these for new consultations, contracts and questions.
- Find the people already talking. Liberal Democrat members ask more than their usual share of health questions. The organisations in the meetings chart already have access to ministers. Both are routes in.
How we did this: method and caveats
Data. The Seam search database: one row for every record in every source on the site. This piece uses everything dated from 5 July 2024, the day after the general election, to the end of October 2026: 456,455 records. We leave out directories (officials, bodies, councils, registers of interests) because they are lists, not activity. We also leave out ministers’ expenses, hospitality, gifts and travel. Meetings appear a quarter or more late, so the latest months hold fewer of them. Charts built on months or quarters use whole months only.
The five strands. What government publishes: announcements, policy papers, consultations, guidance, transparency releases, statistics, NHS England (62,441 records). What it buys: contract notices and awards (132,067 records). Who it meets: meetings ministers and senior officials hold with outside organisations (36,405 records). What Parliament asks: written and oral questions, debates, select committee letters and evidence, Holyrood and the Senedd (208,774 records). Who checks it: regulators, the Information Commissioner, the public auditors, the RPC (16,768 records).
Sectors. The scorer that ranks search results on Seam reads each record. It checks the record against the hand-written lexicon (word list) of 39 sectors: phrases and words for each, with words that argue against a sector. A record counts towards its strongest sector, and towards any other sector that scores at least half as much. If a record’s strongest sector scores below 2.5 (less than one decisive phrase), we leave the record unplaced. 74% of records are placed. We made three changes from the search pages, all because a count needs to be stricter than a search. First, we do not use the publisher, because a department’s name decided too many thin records on its own. Second, we switch off the machine-learned extra terms, because they placed records in sectors they were not about. Third, we remove boilerplate first, such as the “Senior official. Meetings” that ends every meeting record. We make one correction by hand. We take a record out of local government if its only “council” is the UN Security Council or a similar body.
Activity and rank. A sector’s activity is its share of each strand’s records, averaged across the five, so that no strand dominates. The biggest strand, what parliament asks, has 12 times as many records as the smallest. We rank sectors on three measures over the latest twelve months (Nov 2025–Oct 2026): that average, the middle (median) strand share, and the raw count of records. We then order them by their average rank across the three. Health and social care, Education and skills and Local government come third, second and first on the average share and first, second and third on the middle share. On the raw count they come first, second and 7th, because sectors heavy in contracts and written questions collect more records. We also tried the scorer with the publisher and the extra terms switched back on. The same sectors stayed near the top, but digital and telecoms rose sharply on meetings alone. That is the noise those changes remove.
Themes come from keywords in each record’s title and summary. For a meeting, that is its purpose and the organisation met. For a question, it is the question. The lists are below. They are a judgement, and they miss records whose titles say little.
Change over time compares the government’s first year (July 2024 to June 2025) with the latest twelve months (Nov 2025–Oct 2026). We compare shares, not counts, because the amount published swings with the parliamentary calendar.
Caveats. Counting records measures how much paper a subject generates, not how much it matters or what it costs. Some sources publish in bulk. One council that posts each school-taxi route as its own contract award can move a sector’s share of contracts on its own. The charts say so where one buyer accounts for 15% or more of a sector’s contract records. Contract values are as published. Frameworks carry their ceiling, which is why we use bands and medians, never totals.
The theme word lists
| Theme | Words and phrases in the title or summary |
|---|---|
| Waiting lists and planned care | waiting (lists?, times?), elective, referral to treatment, RTT, backlogs?, diagnostic, community diagnostic, operations? |
| A&E, ambulances and urgent care | A&E, A and E, accident and emergency, ambulances?, urgent (care, and emergency), emergency departments?, corridor care, NHS 111, winter pressures? |
| GPs, pharmacy and dentistry | GPs?, general practi, primary care, pharmac, dentists?, dental, optometr, opticians? |
| Mental health | mental health, psychiatr, CAMHS, eating disorders?, talking therap, suicide prevention, psycholog, mental illness |
| Adult social care | social care, care homes?, domiciliary, home care, care (workers?, providers?, sector, workforce), carers?, supported living, learning disabilit, autis |
| Cancer | cancer, oncolog, chemotherapy, radiotherapy, tumou?rs? |
| Prevention and public health | public health, obesity, smoking, tobacco, vap(e, es, ing), alcohol, vaccin, immunis, screening, outbreaks?, infectio, UKHSA, health protection, measles, flu, influenza, covid |
| Medicines and devices | medicines?, MHRA, prescri, drugs? (shortages?, pricing, supply), medical devices?, clinical trials?, NICE, recalls?, pharmaceutical |
| NHS staff and pay | nurses?, nursing, doctors?, resident doctors, junior doctors, consultants, paramedics, workforce, strikes?, industrial action, pay (award, review, deal, rise), GMC, NMC |
| Maternity and neonatal | maternity, neonatal, pregnan, midwi, stillbirth, births? |
| NHS digital, data and AI | NHS App, electronic patient records?, patient records, federated data platform, AI, artificial intelligence, software, cyber, digital, health data |
| Hospitals and equipment | new hospitals?, hospital (building, programme, beds?), RAAC, estates?, equipment, scanners?, beds, medical supplies, consumables |
| NHS structure and reform | integrated care (boards?, systems?), ICBs?, 10 Year (Health )?Plan, ten year (health )?plan, reorganis, abolition of NHS England, NHS England, NHS trusts?, foundation trusts? |
| Patient safety and complaints | patient safety, safety (incidents?, investigation), negligence, inquir(y, ies), CQC, Care Quality Commission, complaints?, whistleblow, avoidable harm |