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1657373

registered interest
date	01/09/2023
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	General Practitioners: Allergies
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has made a recent assessment of the (a) adequacy and (b) availability of allergy training for GPs.
tabling member constituency	Linlithgow and East Falkirk
tabling member printed	Martyn Day
uin	196979
answer	answer is ministerial correction date of answer 07/09/2023 answer text <p>We have made no assessment. General practitioners (GPs) are responsible for ensuring their own clinical knowledge remains up-to-date and for identifying learning needs as part of their continuing professional development. This activity should include taking account of new research and developments in guidance, such as that produced by the National Institute for Care Excellence, to ensure that they can continue to provide high-quality care to all patients.</p><p>All UK registered doctors are expected to meet the professional standards set out in the General Medical Council’s (GMC’s) Good Medical Practice. In 2012, the GMC introduced revalidation which supports doctors in regularly reflecting on how they can develop or improve their practice. This gives patients confidence doctors are up to date with their practice and promotes improved quality of care by driving improvements in clinical governance.</p><p>The training curricula for postgraduate trainee doctors is set by the relevant medical Royal College and has to meet the standards set by the GMC. The Royal College of General Practitioners has developed an allergy e-learning online resource to support their continuing professional development which aims to educate GPs about the various presentations of allergic disease.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 07/09/2023 16:15:53 answering member 4679 label Biography information for Neil O'Brien
tabling member	4488 label Biography information for Martyn Day

1657481

registered interest
date	01/09/2023
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	Obesity
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the potential role hydration may play in tackling obesity.
tabling member constituency	Linlithgow and East Falkirk
tabling member printed	Martyn Day
uin	197037
answer	answer is ministerial correction date of answer 05/09/2023 answer text <p>There has been no specific assessment. Government advice on a healthy, balanced diet is encapsulated in the United Kingdom’s national food model, the Eatwell Guide. This recommends that people should aim to drink six to eight cups or glasses of fluid a day.</p> answering member constituency Harborough answering member printed Neil O'Brien grouped question UIN 197038 question first answered 05/09/2023 11:38:03 answering member 4679 label Biography information for Neil O'Brien
tabling member	4488 label Biography information for Martyn Day

1657482

registered interest
date	01/09/2023
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	Obesity
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department plans to take steps to promote the potential role hydration may play in tackling obesity.
tabling member constituency	Linlithgow and East Falkirk
tabling member printed	Martyn Day
uin	197038
answer	answer is ministerial correction date of answer 05/09/2023 answer text <p>There has been no specific assessment. Government advice on a healthy, balanced diet is encapsulated in the United Kingdom’s national food model, the Eatwell Guide. This recommends that people should aim to drink six to eight cups or glasses of fluid a day.</p> answering member constituency Harborough answering member printed Neil O'Brien grouped question UIN 197037 question first answered 05/09/2023 11:38:04 answering member 4679 label Biography information for Neil O'Brien
tabling member	4488 label Biography information for Martyn Day

1653654

registered interest
date	17/07/2023
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	Department of Health and Social Care: Wave Trust
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the potential merits of working directly with the WAVE Trust 70/30 campaign.
tabling member constituency	Linlithgow and East Falkirk
tabling member printed	Martyn Day
uin	194533
answer	answer is ministerial correction date of answer 21/07/2023 answer text <p>The 1,001 critical days from conception to the age of two set the foundations for an individual’s cognitive, emotional and physical development. That is why the Government is investing around £300 million to improve support for babies, children and families through the joint Department of Health and Social Care and Department for Education Family Hubs and Start for Life Programme.</p><p> </p><p>The safeguarding of children and young people is also an important part of the National Health Service’s role. This is why we have also published and disseminated a working definition of trauma-informed practice for the health and care sector. In England, at the local authority level, the police, integrated care board and local authority are under a statutory duty to make arrangements to work together, and with other partners locally, to safeguard children in their area.</p><p> </p><p>Officials in the Department of Health and Social Care would be happy to meet with the WAVE Trust to discuss our joint commitment to giving every baby the best start in life.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 21/07/2023 10:10:28 answering member 4679 label Biography information for Neil O'Brien
tabling member	4488 label Biography information for Martyn Day

1653662

registered interest
date	17/07/2023
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	Probiotics: Labelling
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the potential merits of the term probiotic being used as an ingredient descriptor on (a) food and (b) food supplement labels.
tabling member constituency	Linlithgow and East Falkirk
tabling member printed	Martyn Day
uin	194538
answer	answer is ministerial correction date of answer 21/07/2023 answer text <p>‘Probiotic’ is a term used to describe live bacteria used in food and food supplements. The current Regulation governs the use of nutrition and health claims on foods to protect consumers from being misled, by ensuring that any health claims made are backed by substantiated scientific evidence. Under the Regulation, the term ‘probiotic’ can be considered a non-specific health claim, as it suggests a relationship between the substance and health. It can already be used, providing it is accompanied by an approved health claim for the specific strain of live bacteria. No further assessment of merit has been undertaken although the Department continues to engage with industry on any potential future application for new assessment. To date the Department has not received any application for approving claims on specific strains of live bacteria. Companies would be required to include the specific strain in the ingredient listing.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 21/07/2023 10:08:15 answering member 4679 label Biography information for Neil O'Brien
tabling member	4488 label Biography information for Martyn Day

1640598

registered interest
date	25/05/2023
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	Liver Cancer: Transplant Surgery
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 implementing the recommendations made by the Liver Advisory Group in 2020 on liver transplantation for the treatment of perihilar cholangiocarcinoma and intra-hepatic cholangiocarcinoma.
tabling member constituency	Linlithgow and East Falkirk
tabling member printed	Martyn Day
uin	186911
answer	answer is ministerial correction date of answer 13/06/2023 answer text <p>The Liver Advisory Group, on behalf of NHS Blood and Transplant (NHSBT), are exploring pilot programmes for selected patients with both small intra-hepatic cholangiocarcinoma and perihilar cholangiocarcinoma (pHCCa) with underlying primary sclerosing cholangitis.</p><p>The pathway for intrahepatic Cholangiocarcinoma is now live and there is an offering process in place which should ensure they receive a timely named patient offer. The protocol for pHCCa remains in development and will soon be live in the third quarter of this year. Additionally, in collaboration with NHS England, NHSBT are developing the pHCCa as a commissioning evaluation for the neoadjuvant pathway of proton beam therapy which is a ground-breaking intervention that is being evaluated in this clinical transplant pathway.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 13/06/2023 14:45:08 answering member 4679 label Biography information for Neil O'Brien
tabling member	4488 label Biography information for Martyn Day

1583632

registered interest
date	03/02/2023
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
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 his Department has made of the consequences for his policies of the long-term (a) health impact of air pollution and (b) cost of treatments in the NHS associated with such pollution.
tabling member constituency	Linlithgow and East Falkirk
tabling member printed	Martyn Day
uin	139208
answer	answer is ministerial correction date of answer 14/02/2023 answer text <p>Air pollution has a significant effect on people’s health and poor air quality is the largest environmental risk to public health in the United Kingdom. Long-term exposure to air pollution can cause chronic conditions such as cardiovascular and respiratory diseases as well as lung cancer. The Committee on the Medical Effects of Air Pollutants has estimated that long-term exposure to air pollution in the UK has an annual effect equivalent to 29,000 to 43,000 deaths.</p><p>Between 2017 and 2025 the total cost to the national health service and social care from air pollution in England has been estimated, by Public Health England, to be £1.6 billion for fine particulate matter (PM2.5) and nitrogen dioxide (NO2) combined where there is robust evidence for an association between exposure and disease; where the evidence is less robust the estimated cost is £2.81 billion for PM2.5 and £2.75 billion for NO2.</p><p>Implementation of the Government’s policies to improve air quality will therefore support better health and help mitigate demand for health and care services.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 14/02/2023 14:20:21 answering member 4679 label Biography information for Neil O'Brien
tabling member	4488 label Biography information for Martyn Day

1568667

registered interest
date	19/01/2023
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	Integrated Care Boards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the potential merits of including (a) primary care optometrists and (b) other primary care clinicians on integrated care boards alongside primary medical clinicians such as GPs.
tabling member constituency	Linlithgow and East Falkirk
tabling member printed	Martyn Day
uin	127832
answer	answer is ministerial correction date of answer 25/01/2023 answer text <p>The Health and Care Act 2022 sets a minimum membership requirement for integrated care boards that includes representatives from National Health Service trusts, Primary Care and Local Authorities. However, the local areas can, by local agreement, go beyond the legislative minimum requirements in order to address their local needs.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 25/01/2023 14:59:25 answering member 4679 label Biography information for Neil O'Brien
tabling member	4488 label Biography information for Martyn Day

1568668

registered interest
date	19/01/2023
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	Primary Health Care
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 the wider use of other NHS Primary Care providers to ease the pressures on General Practice.
tabling member constituency	Linlithgow and East Falkirk
tabling member printed	Martyn Day
uin	127833
answer	answer is ministerial correction date of answer 25/01/2023 answer text <p>The Community Pharmacy Contractual Framework (CPCF) 2019-24 five-year deal sets out the vision for how community pharmacy will support the NHS Long Term Plan by being better integrated into the National Health Service, delivering more clinical services, and becoming the first port of call for minor illness. All community pharmacies provide health advice including support for self-care and healthy living advice. NHS 111 phone and online as well as general practitioner practices can refer patients with a minor illness to a community pharmacy and this will be expanded to urgent and emergency care setting in March. Most pharmacies now also carry out blood pressure checks. From Autumn, pharmacies will also be able to supply oral contraception without a visit to general practice.</p><p>In addition, NHS England’s 2023/24 priorities and operational planning guidance published in December 2022 asks systems to expand direct access and self-referrals to community health services to empower patients to take control of their healthcare.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 25/01/2023 15:13:18 answering member 4679 label Biography information for Neil O'Brien
tabling member	4488 label Biography information for Martyn Day

1568669

registered interest
date	19/01/2023
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	Primary Health Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department is taking steps to move towards patient self-referral as the default pathway for (a) community audiology and (b) other routine community NHS services.
tabling member constituency	Linlithgow and East Falkirk
tabling member printed	Martyn Day
uin	127834
answer	answer is ministerial correction date of answer 25/01/2023 answer text <p>There are currently differing approaches to patient self-referral to audiology services across the country. The NHS England ‘2023/24 priorities and operational planning guidance’ was published in December 2022. This set out a key action for systems to expand direct access and self-referral for a range of services where general practitioner involvement is not clinically necessary. By September 2023, systems are asked to put in place self-referral routes to audiology-including hearing aid provision as well as falls response services, musculo-skeletal physiotherapy services, weight management services, community podiatry, and wheelchair and community equipment services. Systems are also expected to put in place direct referral pathways from community optometrists to ophthalmology services for all urgent and elective eye consultations by September 2023.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 25/01/2023 15:05:52 answering member 4679 label Biography information for Neil O'Brien
tabling member	4488 label Biography information for Martyn Day