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1586004

registered interest
date	09/02/2023
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	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they have to use more trained therapists to ease the backlog of NHS patients with mental health problems.
tabling member printed	Lord Brooke of Alverthorpe
uin	HL5596
answer	answer is ministerial correction date of answer 17/02/2023 answer text <p>Through the NHS Long Term Plan we are committed to transforming and expanding mental health services in England by 2023/24 so that an additional two million people can get the mental health support that they need. This commitment is backed by our plans through the NHS Long Term Plan to grow the mental health workforce by an additional 27,000 professionals, including more trained therapists to provide more people with National Health Service talking therapies, by 2023/24.</p> answering member printed Lord Markham question first answered 17/02/2023 11:36:02 answering member 4948 label Biography information for Lord Markham
tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1586019

registered interest
date	09/02/2023
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	Exhaust Emissions: Health Hazards
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what evidence they have that fumes from motor vehicles cause (1) stunted lung growth in children, and (2) premature death.
tabling member printed	Lord Naseby
uin	HL5612
answer	answer is ministerial correction date of answer 17/02/2023 answer text <p>Exposure to traffic related air pollution is associated with both effects on lung growth and mortality, with a number of organisations contributing to evidence. For example, the Committee on the Medical Effects of Air Pollutants highlighted in their statement from March 2015, <em>Statement on the evidence for differential health effects of particulate matter according to source or components</em>, that adverse health effects, including changes in lung function, are associated with exposure to traffic-derived pollutants. A copy of this statement is attached.</p><p>Additionally, The Royal College of Physicians’ and Royal College of Paediatrics and Child Health reported evidence in February 2016 in <em>Every Breath We Take: The Lifelong Impact Of Air Pollution</em> that lung function growth in children is suppressed by long-term exposure to air pollution. A copy of this report is also attached.</p><p>The UK Health Security Agency has estimated that exposure to air pollution in the United Kingdom has an annual burden equivalent to 29,000 to 43,000 deaths.</p> answering member printed Lord Markham attachment 1 file name COMEAP_The_evidence_for_differential_health_effects_of_particulate_matter_according_to_source_or_components.pdf title COMEAP Health effects of particulate matter 2 file name Air_pollution_main report_WEB_1_0_0.pdf title RCPCH Every Breath We Take report question first answered 17/02/2023 11:35:11 answering member 4948 label Biography information for Lord Markham
tabling member	1251 label Biography information for Lord Naseby

1585529

registered interest
date	08/02/2023
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	Cancer: Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they have to increase access to (1) diagnosis centres, and (2) radiotherapy cancer treatments, for patients in England.
tabling member printed	Baroness Hodgson of Abinger
uin	HL5548
answer	answer is ministerial correction date of answer 17/02/2023 answer text <p>£2.3 billion was awarded at the Spending Review 2021 to transform diagnostic services over the next three years. Most of this will help increase the number of Community Diagnostic Centres up to 160 by March 2025, expanding and protecting elective planned diagnostic services.</p><p>NHS England has set a target for systems to increase cancer treatment capacity by 13%. Specific funding has been allocated, including £1.5 billion through the Targeted Investment Fund to support our wider elective recovery plan.</p><p>NHS England is responsible for setting evidence-based national service standards for radiotherapy, and for ensuring that these are implemented within local systems. Since 2016, around £162 million of central investment has been made to replace or upgrade around 100 radiotherapy machines. 11 Radiotherapy Networks were established across England in 2019/20 to drive improvements through greater workforce resilience and increased access to specialist skills and knowledge, ensuring all patients can access the very best treatment regardless of where they live.</p> answering member printed Lord Markham grouped question UIN HL5550 question first answered 17/02/2023 11:37:39 answering member 4948 label Biography information for Lord Markham
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1585531

registered interest
date	08/02/2023
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	Cancer: Health Services
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 availability of funding for establishing (1) community diagnostic centres, and (2) cancer treatment hubs, in England.
tabling member printed	Baroness Hodgson of Abinger
uin	HL5550
answer	answer is ministerial correction date of answer 17/02/2023 answer text <p>£2.3 billion was awarded at the Spending Review 2021 to transform diagnostic services over the next three years. Most of this will help increase the number of Community Diagnostic Centres up to 160 by March 2025, expanding and protecting elective planned diagnostic services.</p><p>NHS England has set a target for systems to increase cancer treatment capacity by 13%. Specific funding has been allocated, including £1.5 billion through the Targeted Investment Fund to support our wider elective recovery plan.</p><p>NHS England is responsible for setting evidence-based national service standards for radiotherapy, and for ensuring that these are implemented within local systems. Since 2016, around £162 million of central investment has been made to replace or upgrade around 100 radiotherapy machines. 11 Radiotherapy Networks were established across England in 2019/20 to drive improvements through greater workforce resilience and increased access to specialist skills and knowledge, ensuring all patients can access the very best treatment regardless of where they live.</p> answering member printed Lord Markham grouped question UIN HL5548 question first answered 17/02/2023 11:37:39 answering member 4948 label Biography information for Lord Markham
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1585540

registered interest
date	08/02/2023
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	Obesity: Malnutrition
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what are the criteria that distinguish obese citizens in England who are described as malnourished from other obese citizens who are not so described.
tabling member printed	Lord McColl of Dulwich
uin	HL5559
answer	answer is ministerial correction date of answer 17/02/2023 answer text <p>Obesity is a complex problem caused by numerous factors, to which there is no single solution. The National Institute for Health and Care Excellence (NICE) recommends that body mass index (BMI) is used to assess obesity in adults and children. Additionally, it recommends the use of other validated obesity measures, such as waist circumference, to be undertaken alongside BMI for adults when assessing overweightness and obesity in individuals to give a more detailed assessment of an individual’s health risk.</p><p> </p><p>Malnutrition as a broad term refers to deficiency, excess or imbalances of a person’s intake of calories, protein and other nutrients which causes measurable adverse effects on body composition, function or clinical outcome. The full definition of malnutrition therefore includes overnutrition which can lead to obesity, however, in the United Kingdom, the term is more commonly used to refer to a clinical condition involving undernutrition.</p><p> </p><p>NICE advises that nutrition support should be considered in people who are malnourished, as defined by any of the following: a BMI of less than 18.5 kilograms/m<sup>2</sup>; unintentional weight loss greater than 10% within the last three to six months; or a BMI of less than 20 kilograms/m<sup>2</sup> and unintentional weight loss greater than 5% within the last three to six months.</p><p> </p><p>Someone can therefore be a healthy weight or have a BMI in the overweight or obese categories but be identified through the NICE definition as potentially requiring nutrition support. The term ‘malnutrition’ is sometimes incorrectly used to refer to a poor diet; although this may put someone at increased risk of malnutrition, this would not necessarily meet the criteria for malnutrition.</p><p> </p><p>Data is not collected on causes of obesity. Data from the <em>Health Survey for England, 2021</em> and <em>National Child Measurement Programme</em> show obesity prevalence was lowest for those living in the least deprived areas and highest in the most deprived areas.</p> answering member printed Lord Markham grouped question UIN HL5560 question first answered 17/02/2023 11:50:51 answering member 4948 label Biography information for Lord Markham
tabling member	1892 label Biography information for Lord McColl of Dulwich

1585541

registered interest
date	08/02/2023
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	Obesity
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what data describes the differing causes of obesity (1) with and without malnutrition, and (2) in people of high and low economic placement.
tabling member printed	Lord McColl of Dulwich
uin	HL5560
answer	answer is ministerial correction date of answer 17/02/2023 answer text <p>Obesity is a complex problem caused by numerous factors, to which there is no single solution. The National Institute for Health and Care Excellence (NICE) recommends that body mass index (BMI) is used to assess obesity in adults and children. Additionally, it recommends the use of other validated obesity measures, such as waist circumference, to be undertaken alongside BMI for adults when assessing overweightness and obesity in individuals to give a more detailed assessment of an individual’s health risk.</p><p> </p><p>Malnutrition as a broad term refers to deficiency, excess or imbalances of a person’s intake of calories, protein and other nutrients which causes measurable adverse effects on body composition, function or clinical outcome. The full definition of malnutrition therefore includes overnutrition which can lead to obesity, however, in the United Kingdom, the term is more commonly used to refer to a clinical condition involving undernutrition.</p><p> </p><p>NICE advises that nutrition support should be considered in people who are malnourished, as defined by any of the following: a BMI of less than 18.5 kilograms/m<sup>2</sup>; unintentional weight loss greater than 10% within the last three to six months; or a BMI of less than 20 kilograms/m<sup>2</sup> and unintentional weight loss greater than 5% within the last three to six months.</p><p> </p><p>Someone can therefore be a healthy weight or have a BMI in the overweight or obese categories but be identified through the NICE definition as potentially requiring nutrition support. The term ‘malnutrition’ is sometimes incorrectly used to refer to a poor diet; although this may put someone at increased risk of malnutrition, this would not necessarily meet the criteria for malnutrition.</p><p> </p><p>Data is not collected on causes of obesity. Data from the <em>Health Survey for England, 2021</em> and <em>National Child Measurement Programme</em> show obesity prevalence was lowest for those living in the least deprived areas and highest in the most deprived areas.</p> answering member printed Lord Markham grouped question UIN HL5559 question first answered 17/02/2023 11:50:51 answering member 4948 label Biography information for Lord Markham
tabling member	1892 label Biography information for Lord McColl of Dulwich

1585551

registered interest
date	08/02/2023
answering body	Department for Science, Innovation and Technology
answering dept id	216
answering dept short name	Science, Innovation and Technology
answering dept sort name	Science, Innovation and Technology
hansard heading	Artificial Intelligence: Safety
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they consider predictive text engines such as ChatGPT and Google's LaMDA BARD to be within the scope of the Online Safety Bill, as currently drafted; and if not, what other measures they will introduce to hold companies responsible for the operation of such software should it be likely to be accessed by children or by vulnerable UK citizens.
tabling member printed	Lord Stevenson of Balmacara
uin	HL5570
answer	answer is ministerial correction date of answer 17/02/2023 answer text <p>The Online Safety Bill has been designed to be technology-neutral to future-proof it and to ensure that the legislation keeps pace with emerging technologies. It will apply to companies which enable users to share content online or to interact with each other, as well as search services. Content generated by artificial intelligence ‘bots’ is in scope of the Bill, where it interacts with user-generated content, such as on Twitter. Search services using AI-powered features will also be in scope of the search duties outlined in the Bill.</p> answering member printed Lord Parkinson of Whitley Bay question first answered 17/02/2023 14:26:05 answering member 4728 label Biography information for Lord Parkinson of Whitley Bay
tabling member	4175 label Biography information for Lord Stevenson of Balmacara

1585025

registered interest
date	07/02/2023
answering body	Department for Education
answering dept id	60
answering dept short name	Education
answering dept sort name	Education
hansard heading	Primary Education: Assessments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Education, what assessment she has made of the implications for her policies of the final report of the Independent Commission on Assessment in Primary Education; and what plans the Government has to implement that report's recommendations.
tabling member constituency	Salford and Eccles
tabling member printed	Rebecca Long Bailey
uin	141528
answer	answer is ministerial correction date of answer 17/02/2023 answer text <p>Primary assessments play a crucial role in supporting pupils to grasp the basics of reading, writing and mathematics and to prepare them for secondary school. They allow parents and schools to understand pupils’ achievements in relation to the age-related attainment expectations outlined in the National Curriculum.</p><p>In 2017, the Department carried out a consultation into primary assessment in England, with the aim of creating a settled policy in this area. The consultation received over 4,000 responses from a diverse range of backgrounds and specialisms, providing a broad and informed range of views. The Department has reached the end of the programme of reform to the current primary assessment system that followed. The Department has no current plans to undertake further major reform.</p><p>The Department remains committed to producing and publishing school-level accountability measures using full-cohort assessment data, which provide important information to support parents when choosing schools. The Department keeps all school performance measures under review, and welcomes feedback on how it can be refined and improved.</p><p>As primary school tests and assessments returned in 2021/22 for the first time since 2019, without any adaptations, the results were not published in Key Stage 2 performance tables. The usual suite of Key Stage 2 accountability measures has been produced at school level and shared securely with primary schools, academy trusts, Local Authorities and Ofsted to inform school improvement, inspection and to help identify schools most in need of support. This is a transitional arrangement for the first year in which primary assessments returned. The Department intends to publish Key Stage 2 assessment data on the performance measures website again for 2022/23.</p> answering member constituency Bognor Regis and Littlehampton answering member printed Nick Gibb question first answered 17/02/2023 13:12:05 answering member 111 label Biography information for Nick Gibb
tabling member	4396 label Biography information for Rebecca Long Bailey

1585190

registered interest
date	07/02/2023
answering body	Department for International Trade
answering dept id	202
answering dept short name	International Trade
answering dept sort name	International Trade
hansard heading	Trade Promotion
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what are the (1) roles, and (2) expectations, of the Prime Minister's trade envoys.
tabling member printed	Viscount Waverley
uin	HL5530
answer	answer is ministerial correction date of answer 17/02/2023 answer text <p>Prime Minister’s Trade Envoys are appointed to a wide spectrum of countries where they are able to make a significant contribution to the Government’s trade and investment objectives.</p><p> </p><p>They champion Global Britain and promote the UK as a destination of choice for inward investment across all regions of the UK, helping to level up the country by supplementing the UK’s existing trade relations in their respective markets, working with our regional Trade Commissioners and global network to promote British business across the globe.</p> answering member printed Lord Johnson of Lainston question first answered 17/02/2023 14:09:46 answering member 4949 label Biography information for Lord Johnson of Lainston
tabling member	1744 label Biography information for Viscount Waverley

1585191

registered interest
date	07/02/2023
answering body	Department for International Trade
answering dept id	202
answering dept short name	International Trade
answering dept sort name	International Trade
hansard heading	Trade Promotion: Public Appointments
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what countries of strategic trade interest to the UK do not have a Prime Minister's trade envoy appointed to them; and what are the reasons in each case.
tabling member printed	Viscount Waverley
uin	HL5531
answer	answer is ministerial correction date of answer 17/02/2023 answer text <p>Prime Minister’s Trade Envoys are appointed to a wide spectrum of countries where they are able to make a significant contribution to the government’s trade and investment objectives and the ultimate decision is the Prime Minister’s. The government tailors our business and investor support in different countries depending on market conditions and opportunities. We are regularly reviewing countries and markets to identify where the appointment of a Trade Envoy can be of greatest benefit.</p> answering member printed Lord Johnson of Lainston question first answered 17/02/2023 14:15:57 answering member 4949 label Biography information for Lord Johnson of Lainston
tabling member	1744 label Biography information for Viscount Waverley