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1128914

registered interest
date	03/06/2019
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	5G: Health Hazards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what investigations the Government has commissioned on the health and safety implications of the 5G rollout.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	258952
answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>Electromagnetic fields (EMFs) and health evidence reviews have been prepared by scientific expert groups in the United Kingdom and around the world. The independent Advisory Group on Non-Ionising Radiation (AGNIR) published their report in the UK in 2012 and the European Commission’s Scientific Committee on Emerging and Newly Identified Health Risks (SCENIHR) published their report in 2015. The World Health Organization is presently preparing a review. The AGNIR report is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/radiofrequency-electromagnetic-fields-health-effects" target="_blank">https://www.gov.uk/government/publications/radiofrequency-electromagnetic-fields-health-effects</a></p><p> </p><p>The SCENIHR report is available at the following link:</p><p> </p><p><a href="https://ec.europa.eu/health/sites/health/files/scientific_committees/docs/citizens_emf_en.pdf" target="_blank">https://ec.europa.eu/health/sites/health/files/scientific_committees/docs/citizens_emf_en.pdf</a></p><p> </p><p>Based on the accumulated evidence and reviews, Public Health England (PHE) advises that the guidelines of the International Commission on Non-Ionizing Radiation Protection (ICNIRP) should be adopted and there is no convincing evidence that EMF exposures below the ICNIRP guideline levels cause adverse health effects.</p><p> </p><p>PHE has committed to keeping the emerging evidence under review and to preparing another comprehensive review when sufficient new evidence has accumulated.</p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:19:34 answering member 4455 label Biography information for Seema Kennedy
tabling member	252 label Biography information for Dr David Drew

1129227

registered interest
date	03/06/2019
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	5G: Health Hazards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the merits of the decision by the Belgian authorities to halt the roll out of 5G because of health concerns.
tabling member constituency	Kilmarnock and Loudoun
tabling member printed	Alan Brown
uin	259316
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>The United Kingdom supports European Council Recommendation 1999/519/EC on limiting exposure to electromagnetic fields (EMFs), which include radio waves. The Recommendation incorporates exposure restrictions from the International Commission on Non-Ionizing Radiation Protection (ICNIRP), as advised by Public Health England (PHE).</p><p>An overview of the radio wave exposure restrictions applied in a range of countries has been provided by the World Health Organization (WHO) at the following link:</p><p><a href="http://apps.who.int/gho/data/node.main.EMFLIMITSPUBLICRADIOFREQUENCY?lang=en" target="_blank">http://apps.who.int/gho/data/node.main.EMFLIMITSPUBLICRADIOFREQUENCY?lang=en</a></p><p>This shows that the majority of countries are following the ICNIRP guidelines (41 volts per meter at 900 MHz and 58 volts per meter at 1,800 MHz).</p><p>PHE is a collaborating body in WHO’s International EMF Project, which brings together organisations from around the world to share information on this topic. PHE is committed to keeping its advice under review and to updating its advice should new evidence dictate that is necessary.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:26:51 answering member 4455 label Biography information for Seema Kennedy
tabling member	4470 label Biography information for Alan Brown

1129879

registered interest
date	04/06/2019
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	Accident and Emergency Departments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made on embedding the Same Day Emergency Care model in (a) medical and (b) surgical specialities in each NHS hospital during 2019-20; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	260006
answer	answer is ministerial correction date of answer 12/06/2019 answer text <p>As set out in the NHS Long Term Plan, an Implementation Framework will be published shortly which will set out the next steps the National Health Service will take to deliver the commitments and the national activity and support available to systems. The Implementation Framework will assist local health systems, who will build on the engagement already taking place across the country, in developing their strategic Long Term Plan implementation plan over the summer. NHS England and Improvement will then publish a national implementation plan in the autumn.</p><p>The Same Day Emergency Care (SDEC) Hospitals Programme team conducted a review in December and January 2019 on the progress that Hospitals had made with implementing SDEC services where they had a Type 1 emergency department.</p><p>In February 2019, across England 92% of trusts had a SDEC service, 71% were open every day, 65% of those that had a service were open 12 hours a day when they were open.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 12/06/2019 13:28:36 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1129627

registered interest
date	04/06/2019
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	Acrylamide: Health Hazards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps the Government is taking to tackle the threat of cancer from acrylamide in (a) food and (b) tobacco smoke.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	259846
answer	answer is ministerial correction date of answer 12/06/2019 answer text <p>Since the mid-2000s, when acrylamide was first highlighted as a food safety concern, the Food Standards Agency (FSA) has worked with industry and European counterparts to mitigate the risks of acrylamide to consumers. It has developed a Code of Practice for food businesses; provided local authorities with guidance to ensure business compliance; and worked with catering establishments to reduce acrylamide formation during food preparation.</p><p>The FSA continues to take an active role in European Union/United Kingdom negotiations to develop a process for setting regulatory limits for acrylamide in certain products such as those intended for infants and young children.</p><p>The EU does not include acrylamide in its list of priority additives contained in cigarettes and roll-your-own tobacco that are subject to enhanced reporting obligations under the EU Tobacco Products Directive (2014/40/EU).</p><p>The best way to reduce the risk from tobacco smoke is to reduce smoking. The UK is a world leader in tobacco control, with a comprehensive programme to reduce smoking prevalence, including fiscal measures, a ban on all forms of advertising and promotion, smoke free mass media campaigns, action to tackle illegal tobacco and evidence-based support for smokers to quit.</p><p>In recent years, adult smoking prevalence has been declining at an accelerated rate and the government is working with partners across the healthcare system towards the achievement of a smoke free generation.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 12/06/2019 16:27:53 answering member 4455 label Biography information for Seema Kennedy
tabling member	252 label Biography information for Dr David Drew

1129130

registered interest
date	03/06/2019
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	Air Pollution: Health Hazards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the cost of air pollution-related illness to the NHS.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	258985
answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>Public Health England (PHE) estimated the potential health burden and costs to the National Health Service and social care system arising due to diseases related to air pollution. Between 2017 and 2025, the total cost to the NHS and social care of air pollution in England is estimated to be £1.60 billion for fine particulate matter (PM<sub>2.5</sub>) and nitrogen dioxide (NO<sub>2</sub>) combined (£1.54 billion for PM<sub>2.5</sub> and £60.81 million for NO<sub>2</sub>) where there is robust evidence for an association between exposure and disease. Where there is less robust evidence for an association, then the estimate is increased to an overall total of £2.81 billion for PM<sub>2.5 </sub>and £2.75 billion for NO<sub>2</sub> in England between 2017 and 2025. The PHE estimation of costs to the NHS and social care due to the health impacts of air pollution report and tool can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/air-pollution-a-tool-to-estimate-healthcare-costs" target="_blank">https://www.gov.uk/government/publications/air-pollution-a-tool-to-estimate-healthcare-costs</a></p><p> </p><p> </p><p> </p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:27:00 answering member 4455 label Biography information for Seema Kennedy
tabling member	308 label Biography information for Mr Jim Cunningham

1129141

registered interest
date	03/06/2019
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	Animal Products: Labelling
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the costs which will be accrued as a result of the cost of changing stamps bearing the UK's ISO mark for animal products from EC to GB if the UK leaves the EU.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	258880
answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>As part of preparations for leaving the European Union, the Food Standards Agency (FSA) has taken steps to change the United Kingdom’s health and identification marks so that products of animal origin can continue to be exported to the EU and non-EU countries, should the UK leave the EU in a no deal situation.</p><p>FSA operational staff apply the health mark, sometimes referred to as the health stamp to meat carcases to indicate that the product has been inspected and passed fit for human consumption. The FSA has procured and distributed new health marks to all its operational staff located in England and Wales at an approximate cost of £50,000.</p><p>Further guidance on the form of the new health and identification mark is publicly available on the FSA’s website at the following link:</p><p><a href="https://www.food.gov.uk/business-guidance/eu-exit-changes-to-health-and-identification-marks" target="_blank">https://www.food.gov.uk/business-guidance/eu-exit-changes-to-health-and-identification-marks</a></p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 15:33:20 answering member 4455 label Biography information for Seema Kennedy
tabling member	151 label Biography information for Tom Brake

1129299

registered interest
date	03/06/2019
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	Antibiotics
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when his Department plans to fully implement the pilot scheme for de-linking the payments made to companies from the volumes of antibiotics sold.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	259024
answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>The United Kingdom national action plan for antimicrobial resistance (AMR), published on 24 January 2019, includes the commitment to lead the way in testing solutions that address the failure of companies to invest in the development of new antimicrobials. New models that pay companies for antibiotics based primarily on a National Institute for Health and Care Excellence (NICE) led health technology assessment of their value to the National Health Service, as opposed to the volumes used, are in development.</p><p>The project is co-sponsored by NICE and NHS England, with the Department taking an oversight role. Governance arrangements are being finalised and the central project team is in place.</p><p>This is complex and world-leading work that will involve the development of an evaluation framework and commercial model, as well as undertaking a value assessment for the products included in the test.</p><p>It is anticipated to take between 18 months to two years before payments are implemented.</p><p> </p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:28:20 answering member 4455 label Biography information for Seema Kennedy
tabling member	491 label Biography information for Dame Angela Eagle

1128955

registered interest
date	03/06/2019
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	Antibiotics: Rivers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to reduce the concentration of antibiotics in UK rivers.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	259425
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>The United Kingdom’s national action plan for antimicrobial resistance (AMR), published on 24 January 2019, takes a fully integrated and comprehensive One-Health approach for tackling AMR, and includes challenging five-year commitments across human and animal health, agriculture, the environment and food.</p><p>Without more research into AMR in the environment we cannot design effective interventions to minimise risk and protect public health, food production and natural ecosystems. The national action plan therefore includes commitments to deepen our understanding about AMR in the environment, including a specific commitment to explore the establishment of a river catchment-based research programme with clear standards for sample collection, analysis and review, with the aim of delivering AMR monitoring data that can be used to evaluate existing management interventions and inform new policy initiatives.</p><p>The Environment Agency is working with the Department for Environment, Food and Rural Affairs and water companies to undertake an extensive programme of investigations to assess a wide range of chemicals entering rivers through wastewater treatment works. As part of this programme, levels of four antibiotics have been monitored in treated sewage effluent in order to quantify levels. The choice of antibiotics was based on the levels of prescription and environmental toxicity studies. Outputs will inform the development of future policy and regulatory decisions.</p><p>The Department is establishing a UK AMR national action plan delivery board which will drive and oversee delivery of this work.</p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 06/06/2019 13:21:36 answering member 4455 label Biography information for Seema Kennedy
tabling member	4658 label Biography information for Alex Sobel

1129300

registered interest
date	03/06/2019
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	Antimicrobials: Drug Resistance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress his Department has made on the implementation of the Antimicrobial Resistance National Action Plan 2019-2024; and if he will make a statement.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	259025
answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>The Department is working closely across Government to finalise governance arrangements and plans for implementing the commitments set out in the United Kingdom’s five-year national action plan for antimicrobial resistance (AMR).</p><p>We anticipate that the first cross-Government UK AMR national action plan Delivery Board will meet in the summer. This board will be responsible for overseeing and driving delivery of the commitments in the national action plan and will receive regular reports on progress against the national ambitions.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 15:30:57 answering member 4455 label Biography information for Seema Kennedy
tabling member	491 label Biography information for Dame Angela Eagle

1128929

registered interest
date	03/06/2019
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	Asthma: Medical Equipment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that all asthma inhalers are recycled.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	259040
answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>The Sustainable Development Unit (SDU), a joint NHS England and Public Health England unit, has established a cross sector working group on low carbon inhalers. The group includes representation from a number of patient and clinician groups, as well as cross Government representation.</p><p>The SDU have recently reviewed a scheme operated by GSK that encourages return of inhalers for recycling, including recovery of the F-gases for reuse. The scheme is very welcome but limited in scope. The SDU has therefore invited industry suggestions to the national Low Carbon Inhalers Working Group on ways to increase recovery for environmentally safe disposal and recycling.</p><p>Furthermore, a cross system approach is now being developed into a system wide implementation plan, with specific actions being delivered by individual members of the group. All actions are supporting progress towards or exceed the NHS Long Term Plan commitment on low carbon inhalers. This will contribute to the overall National Health Service commitment in the Long Term Plan to reduce carbon emissions in line with the Climate Change Act.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 16:42:08 answering member 4455 label Biography information for Seema Kennedy
tabling member	1436 label Biography information for Paul Farrelly