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1718616

	registered interest
	date	15/05/2024
	answering body	Department for Environment, Food and Rural Affairs
	answering dept id	13
	answering dept short name	Environment, Food and Rural Affairs
	answering dept sort name	Environment, Food and Rural Affairs
	hansard heading	Food Supply
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what steps they are taking (1) to strengthen the resilience of the UK's food supply chain, and (2) to enhance food security, in the face of external disruptions and challenges.
	tabling member printed	Lord Taylor of Warwick
	uin	HL4718
	answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>The UK has a highly resilient food supply chain and is well equipped to deal with situations with the potential to cause disruption.</p><p> </p><p>Our high degree of food security is built on supply from diverse sources; strong domestic production as well as imports through stable trade routes. We produce 60% of all the food we need, and 73% of food which we can grow or rear in the UK for all or part of the year, and these figures have changed little over the last 20 years.</p><p> </p><p>UK consumers have access through international trade to food products that cannot be produced here, or at least not on a year-round basis. This supplements domestic production, and also ensures that any disruption from risks such as adverse weather or disease does not affect the UK's overall security of supply.</p><p> </p><p>Defra has well established ways of working with the industry and across Government to monitor risks that may arise. This includes extensive, regular and ongoing engagement in preparedness for, and response to, issues with the potential to cause disruption to food supply chains.</p><p> </p><p>Recognising the importance of food security, in the Agriculture Act 2020, the Government made a commitment to produce an assessment of our food security at least once every three years. The first UK Food Security Report was produced in 2021 and the next will be published by December 2024. This report serves as an evidence base for policy work.</p><p> </p><p>Starting this year, the government is also strengthening our food security monitoring by introducing the annual Food Security Index in addition to the three-yearly UKFSR.</p><p> </p><p>Published to coincide with the second UK Farm to Fork Summit on 14 May 2024, the 2024 Food Security Index sets out how Government will track UK-wide food security on an annual basis, monitoring domestic food production, land use, input costs, and farmer productivity.</p><p> </p><p>The Index looks at shorter-term trends that change year on year, complementing the UKFSR’s comprehensive assessment and attention to longer-term trends. The 2024 Index shows that the UK farming sector is at its most productive since records began.</p><p> </p><p>A further package of measures to support farmers and grow the UK’s farming and food sector was announced by the government at the Farm to Fork Summit on 14th May 2024.</p><p> </p><p>This includes a <a href="https://eur03.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.gov.uk%2Fgovernment%2Fpublications%2Fa-blueprint-to-grow-the-uk-fruit-and-vegetable-sector&amp;data=05%7C02%7Cpqteam%40defra.gov.uk%7Ca6bcce62eca54b98c7e208dc75998dde%7C770a245002274c6290c74e38537f1102%7C0%7C0%7C638514549574220446%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&amp;sdata=EPMGmy06utGwoW2ak97LftPPf0kq62W6%2FnmT7isxfXs%3D&amp;reserved=0" target="_blank">new Blueprint for Growing the UK Fruit and Vegetable Sector</a> (see attached), setting out how industry and government can work together to increase domestic production and drive investment into this valuable sector. The plan involves ensuring the sector has access to affordable and sustainable energy and water, cutting planning red tape to make it easier and quicker to build glasshouses, and looking to double to £80 million the amount of funding given to horticulture businesses when compared to the EU legacy Fruit and Vegetable Aid Scheme which will be replaced from 2026 onwards.</p> answering member printed Lord Douglas-Miller question first answered 20/05/2024 14:32:21 answering member 5006 label Biography information for Lord Douglas-Miller attachment 1 file name HL4718 - A blueprint to grow the UK fruit and vegetable sector.pdf title blueprint - growing UK fruit and vegetable sector
	tabling member	1796 label Biography information for Lord Taylor of Warwick

1717405

	registered interest
	date	13/05/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Tobacco and Vapes Bill
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what data they collected on other countries that have restricted smoking when drafting the Tobacco and Vapes Bill.
	tabling member printed	Lord Bourne of Aberystwyth
	uin	HL4570
	answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>Smoking is responsible for approximately 80,000 deaths a year in the United Kingdom and causes around one in four UK cancer deaths. It also costs society £21.8 billion a year and puts a huge burden on the National Health Service. The latest estimates from Action on Smoking and Health put the cost of smoking to the NHS and social care at £3 billion a year.</p><p>As part of our impact assessment, we reviewed evidence and data from a range of countries. This included modelling from New Zealand, Singapore, and the Solomon Islands on the estimated impact of a smokefree generation policy on smoking prevalence, smoking attributable mortality, and other health impacts. We also considered evidence and data from countries that have already implemented an increase in the age of sale for tobacco to a particular age. For example, we analysed data and evidence from the United States on the impact that raising the age of sale from 18 to 21 years old had on smoking prevalence.</p><p>This was in addition to considering evidence and data from the UK on the impact that previous increases in the age of sale for tobacco have had on smoking prevalence. A copy of our Tobacco and Vapes Bill - impact assessment is attached.</p> answering member printed Lord Markham question first answered 20/05/2024 15:06:35 answering member 4948 label Biography information for Lord Markham attachment 1 file name tobacco-vapes-bill-impact-assessment.pdf title tobacco-vapes-bill-impact-assessment
	tabling member	4282 label Biography information for Lord Bourne of Aberystwyth

1717423

	registered interest
	date	13/05/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Cancer: Health Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what steps they will take to ensure equity and quality in care and support across the entire cancer pathway, including (1) fairness and equity in diagnostics, (2) on time treatment, and (3) patients being offered conversations about the additional care and support they may need.
	tabling member printed	Lord Kempsell
	uin	HL4588
	answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>The Department is taking steps to ensure equity and quality in care and support for patients is available across the entire cancer pathway. Reducing inequalities and variation in cancer diagnosis and treatment are a priority for the Government, as is increasing early cancer diagnosis, as this is a key contributor to reducing cancer health inequalities. The Government is working jointly with NHS England on implementing the delivery plan for tackling the COVID-19 backlogs in elective care, and plans to spend more than £8 billion from 2022/23 to 2024/25 to help drive up and protect elective activity, including cancer diagnosis and treatment activity. As part of this, we are increasing diagnostic capacity by rolling out community diagnostic centres across England, with capacity prioritised for cancer checks. Additionally, and as outlined in the 2024/25 NHS England Planning Guidance, NHS England is providing over £266 million in cancer service development funding to Cancer Alliances, to support delivery of the operational priorities for cancer.</p><p>The Department's ministers and officials frequently meet with key stakeholders within the cancer community, including discussions on support for patients and their families. The National Health Service provides personalised cancer care and support plans, to support both patients and their families at all stages of their cancer journey. This is being delivered in line with the NHS Comprehensive Model for Personalised Care, empowering people to manage their care and the impact of their cancer, and maximise the potential of digital and community-based support.</p><p>General practice surgeries also conduct cancer care reviews at regular intervals after cancer diagnosis, to offer support with any needs patients may have. This includes providing access to other specialist-led services who work alongside patients’ medical teams, to support patients and their families, such as counsellors, rehabilitation specialists, or social prescribers, who can connect you to community groups or services for more support.</p><p>NHS England and the integrated care boards are responsible for commissioning and ensuring the healthcare needs of local communities in England are met, including for cancer patients. NHS England provides access to a personal health budget, which is an amount of NHS money that is allocated to support the health and wellbeing needs of a patient, if eligible.</p> answering member printed Lord Markham question first answered 20/05/2024 15:19:21 answering member 4948 label Biography information for Lord Markham
	tabling member	4988 label Biography information for Lord Kempsell

1717435

	registered interest
	date	13/05/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Health: Productivity
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what plans they have to enable evaluation of health programmes and investments to account for productivity benefits, in line with guidance issued in the Green Book.
	tabling member printed	Baroness Ritchie of Downpatrick
	uin	HL4600
	answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>The Department has well-established policies and mechanisms in place to ensure health programmes and investments are subject to systematic evaluation at key stages in their lifecycle, in accordance with HM Treasury’s business case guidance. This includes reviewing quantitative and qualitative evidence on whether approved health projects achieve their objectives and deliver the promised benefits within the agreed budget, timescale, and scope. Lessons from post-project evaluation are widely disseminated, to support better investment decisions in future, and more robustly developed business cases.</p> answering member printed Lord Markham question first answered 20/05/2024 10:34:42 answering member 4948 label Biography information for Lord Markham
	tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1717437

	registered interest
	date	13/05/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Pharmacy: Drugs
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of the (1) level, and (2) geographical distribution, of drug shortages in pharmacies.
	tabling member printed	The Lord Bishop of St Albans
	uin	HL4602
	answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>The Department monitors and manages medicine supply issues at a national level, so that stocks remain available to meet regional and local demand. We receive notifications of supply issues from United Kingdom medicine license holders. In 2022 and 2023, the number of notifications of supply issues remained broadly stable, at approximately 1,600 per year.</p> answering member printed Lord Markham question first answered 20/05/2024 15:11:51 answering member 4948 label Biography information for Lord Markham
	tabling member	4308 label Biography information for The Lord Bishop of St Albans

1717442

	registered interest
	date	13/05/2024
	answering body	Treasury
	answering dept id	14
	answering dept short name	Treasury
	answering dept sort name	Treasury
	hansard heading	Economic Growth
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what steps they are taking to leverage the positive growth momentum reported in the first quarter of 2024, particularly in sectors such as housing and recreation, to stimulate further economic expansion and job creation.
	tabling member printed	Lord Taylor of Warwick
	uin	HL4607
	answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>The government continues to pursue an ambitious policy agenda to increase growth and productivity across the economy.</p><p> </p><p>Alongside wider pro-growth measures announced at recent fiscal events, the Government is taking action in relation to housing and recreation. To ensure that people can live where they want to and meet the needs of the UK’s growing, cutting-edge industries, the Spring Budget allocated over £260 million to build more homes now. The Government also set out further detail on plans to support growth in Cambridge with long-term funding at the next Spending Review, to build on the success of the UK’s third most productive city.</p><p> </p><p>The Government is also taking action to leverage growth in recreation. We have committed to the Creative Industries Sector Vision which sets out our vision for the sector to become an even greater growth engine, with a goal to support 1 million more creative jobs by 2030. At Spring Budget 2024, the Government announced a package that will provide over £1 billion in additional tax relief over the next five years.</p> answering member printed Baroness Vere of Norbiton question first answered 20/05/2024 13:56:57 answering member 4580 label Biography information for Baroness Vere of Norbiton
	tabling member	1796 label Biography information for Lord Taylor of Warwick

1717011

	registered interest
	date	09/05/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Abortion
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what steps they are taking to address complication rates identified in the Office for Health Improvement and Disparities statistics published 23 November 2023 (1) for women under 20 in home and clinical settings, and (2) for those who had abortions after more than ten weeks gestation in a clinical setting.
	tabling member printed	Lord Jackson of Peterborough
	uin	HL4511
	answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>The Department’s comparison of statistics on abortion complications in England, using data from the Abortion Notification System, compared to data on hospital admissions for abortion complications from Hospital Episode Statistics for the years 2017 to 2021, found that women under 20 years old had the lowest complication rates of any age group.</p><p>Abortion continues to be a very safe procedure for which major complications are rare at all gestations. However, it is known that the risk of complications increases at higher gestations. The Department works closely with NHS England, the Care Quality Commission, and abortion providers to ensure that abortions are provided safely, in accordance with the legal framework set by the Abortion Act 1967.</p><p>It is a legal requirement under the 1967 Abortion Act that the Chief Medical Officer must be notified of all abortions within 14 days of the procedure. The Department provides the HSA4 abortion notification form for this purpose. HSA4 forms record known complications, up until the time of the patient’s discharge from the abortion service.</p><p>To consider the completeness of abortion complications data submitted via abortion notifications, the Department committed to publishing a one-time analysis comparing data from the Department’s Abortion Notification System and the Hospital Episode Statistics. This was published in November 2023. The Department is inviting views on abortion statistics for England and Wales, including the future publication of abortion complications data, via an online user engagement survey and via email. We welcome responses from abortion providers and all interested parties on this matter.</p> answering member printed Lord Markham grouped question UIN HL4512 question first answered 20/05/2024 10:50:09 answering member 4948 label Biography information for Lord Markham
	tabling member	1551 label Biography information for Lord Jackson of Peterborough

1717012

	registered interest
	date	09/05/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Abortion
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what steps they are taking to ensure statistics on abortion complications are accurately collected and analysed to develop policies to improve women's health.
	tabling member printed	Lord Jackson of Peterborough
	uin	HL4512
	answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>The Department’s comparison of statistics on abortion complications in England, using data from the Abortion Notification System, compared to data on hospital admissions for abortion complications from Hospital Episode Statistics for the years 2017 to 2021, found that women under 20 years old had the lowest complication rates of any age group.</p><p>Abortion continues to be a very safe procedure for which major complications are rare at all gestations. However, it is known that the risk of complications increases at higher gestations. The Department works closely with NHS England, the Care Quality Commission, and abortion providers to ensure that abortions are provided safely, in accordance with the legal framework set by the Abortion Act 1967.</p><p>It is a legal requirement under the 1967 Abortion Act that the Chief Medical Officer must be notified of all abortions within 14 days of the procedure. The Department provides the HSA4 abortion notification form for this purpose. HSA4 forms record known complications, up until the time of the patient’s discharge from the abortion service.</p><p>To consider the completeness of abortion complications data submitted via abortion notifications, the Department committed to publishing a one-time analysis comparing data from the Department’s Abortion Notification System and the Hospital Episode Statistics. This was published in November 2023. The Department is inviting views on abortion statistics for England and Wales, including the future publication of abortion complications data, via an online user engagement survey and via email. We welcome responses from abortion providers and all interested parties on this matter.</p> answering member printed Lord Markham grouped question UIN HL4511 question first answered 20/05/2024 10:50:09 answering member 4948 label Biography information for Lord Markham
	tabling member	1551 label Biography information for Lord Jackson of Peterborough

1717019

	registered interest
	date	09/05/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Fats
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what current guidance they have issued about the maximum recommended dietary intake of (1) saturated, and (2) unsaturated, fat per day; and on the basis of what scientific evidence they made such a recommendation.
	tabling member printed	Lord McColl of Dulwich
	uin	HL4521
	answer	answer is ministerial correction date of answer 17/05/2024 answer text <p>The Government encourages everyone to have a healthy balanced diet in line with the United Kingdom’s healthy eating model, The Eatwell Guide, which shows that foods high in saturated fat, salt, or sugar should be eaten less often, or in small amounts. The Government’s dietary guidelines are based on recommendations from the Scientific Advisory Committee on Nutrition (SACN) and its predecessor, the Committee on Medical Aspects of Nutrition Policy (COMA), and based on comprehensive assessments of the evidence.</p><p>In its 1994 report, Nutritional aspects of cardiovascular disease, the COMA recommended a reduction in the average contribution of total fat to dietary energy in the population to approximately 35%, and that trans fats should provide no more than approximately 2% of dietary energy. In relation to unsaturated fatty acids, the COMA concluded that: monounsaturated fatty acids (MUFA) had no specific recommendation; for n-6 polyunsaturated fatty acids (PUFA), there should be no further increase in average intakes, and the proportion of the population consuming in excess of about 10% energy should not increase; linolenic acid provided at least 1% of total energy; and alpha linolenic acid provided at least 0.2% total energy. The report also included recommendations on saturated fats, which were updated by the SACN in 2019.</p><p>A joint SACN and Committee on Toxicity report, Advice on fish consumption: benefits and risks published in 2004, endorsed the recommendation that the population, including pregnant women, should eat at least two portions of fish per week, one of which should be oily. Two portions of fish per week, one white and one oily, contains approximately 0.45 grams per day of long chain n-3 PUFA. This recommendation represented an increase in the population’s average consumption of long chain n-3 PUFA, from approximately 0.2 grams to approximately 0.45 grams per day.</p><p>The SACN’s 2019 report on saturated fats and health recommended: the dietary reference value for saturated fats remains unchanged, and the population’s average contribution of saturated fatty acids to total dietary energy be reduced to no more than approximately 10%, which also applies to adults and children aged five years and older; and that saturated fats are substituted with unsaturated fats, as it was noted that more evidence is available supporting substitution with PUFA than substitution with MUFA.</p> answering member printed Lord Markham question first answered 17/05/2024 11:57:23 answering member 4948 label Biography information for Lord Markham
	tabling member	1892 label Biography information for Lord McColl of Dulwich

1717026

	registered interest
	date	09/05/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Radiotherapy: Expenditure
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what was the total amount spent by the NHS on radiotherapy services in England in the past year, broken down by (1) region, and (2) NHS trust.
	tabling member printed	Baroness Ritchie of Downpatrick
	uin	HL4532
	answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>Whilst data for the past year is not yet available, the latest published data on radiotherapy costs is from the National Health Service national cost collection for 2021/22, where spend is reported as £550 million. More detailed data by the NHS trusts is also available at the NHS website, in an online only format.</p> answering member printed Lord Markham question first answered 20/05/2024 15:05:30 answering member 4948 label Biography information for Lord Markham
	tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick