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1717019

	human indexable
	published
	registered interest
	answer date	23/05/2024
	date	09/05/2024
	date tabled	09/05/2024
	ddp created	09/05/2024 19:27:33
	answering body	Department of Health and Social Care
	question status	Tabled
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	ddp modified	09/05/2024 19:35:59 17/05/2024 12:29:06
	hansard heading	Fats
	house id	2
	identifier	HL4521
	legislature	25277
	parliament number	58
	question first answered	17/05/2024 11:57:23
	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.
	session	2023/24
	session number	4
	tabling member printed	Lord McColl of Dulwich
	title	House of Lords Tabled Parliamentary Question 2023/24 HL4521
	type	WrittenParliamentaryQuestion
	uin	HL4521
	version	1
	written parliamentary question type	Ordinary
	answer	answer 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 4948 label Biography information for Lord Markham
	creator	1892 label Biography information for Lord McColl of Dulwich
	publisher	25277
	tabling member	1892 label Biography information for Lord McColl of Dulwich

1715948

	human indexable
	published
	registered interest
	answer date	21/05/2024
	date	07/05/2024
	date tabled	07/05/2024
	ddp created	07/05/2024 21:02:37
	answering body	Department of Health and Social Care
	question status	Tabled
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	ddp modified	07/05/2024 21:15:43 17/05/2024 11:52:09
	hansard heading	Obesity: Children
	house id	2
	identifier	HL4398
	legislature	25277
	parliament number	58
	question first answered	17/05/2024 11:51:56
	question text	To ask His Majesty's Government what plans they have, if any, to undertake a review into levels of childhood obesity and the role that the promotion of meals, snacks and drinks in early years settings can play in combatting this trend.
	session	2023/24
	session number	4
	tabling member printed	Baroness Goudie
	title	House of Lords Tabled Parliamentary Question 2023/24 HL4398
	type	WrittenParliamentaryQuestion
	uin	HL4398
	version	1
	written parliamentary question type	Ordinary
	answer	answer answer text <p>The Early Years Foundation Stage Statutory Framework (EYFS) sets the standards that all early years providers must meet, for the learning, development, and care of children from birth to five years old. The EYFS requires that where children are provided with meals, snacks, and drinks, they must be healthy, balanced, and nutritious. The EYFS also refers to example menus and guidance, which support parents, carers, and anyone working with children, to provide healthy food options. The Department for Education has also very recently published a range of tools and advice to support childminders, nursery leaders, and pre-school practitioners to improve the food offered in early years settings on the Help for early years providers platform.</p> answering member 4948 label Biography information for Lord Markham
	creator	3575 label Biography information for Baroness Goudie
	publisher	25277
	tabling member	3575 label Biography information for Baroness Goudie

1714612

	human indexable
	published
	registered interest
	answer date	14/05/2024
	date	29/04/2024
	date tabled	29/04/2024
	ddp created	29/04/2024 20:57:36
	answering body	Department of Health and Social Care
	question status	Tabled
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	ddp modified	29/04/2024 21:07:18 17/05/2024 12:23:07
	hansard heading	Obesity: Health Services
	house id	2
	identifier	HL4164
	legislature	25277
	parliament number	58
	question first answered	17/05/2024 11:51:29
	question text	To ask His Majesty's Government what is the total cost of treating patients who are obese and overweight; and what are the associated costs of treating (1) type 2 diabetes, (2) cardiovascular disease, (3) cerebrovascular disease, (4) musculoskeletal diseases including joint replacers, (5) cancer, and (6) dementia.
	session	2023/24
	session number	4
	tabling member printed	Lord McColl of Dulwich
	title	House of Lords Tabled Parliamentary Question 2023/24 HL4164
	type	WrittenParliamentaryQuestion
	uin	HL4164
	version	1
	written parliamentary question type	Ordinary
	answer	answer answer text <p>The department has reviewed and uses cost estimates published by Frontier Economics in 2022.</p><p>A study by Frontier Economics estimated that in 2021 obesity related ill-health cost the National Health Service £6.5 billion annually. This estimate includes costs associated with the following obesity related diseases: colorectal cancer; oesophageal cancer; kidney cancer; ovarian cancer; pancreatic cancer; coronary heart disease; stroke; type 2 diabetes; hypertension; knee osteoarthritis; endometrial cancer, and breast cancer.</p><p>The disease costs associated with obesity are calculated from the total annual costs per case, as shown in the following table:</p><p> </p><table><tbody><tr><td><p><strong>Disease</strong></p></td><td><p><strong>Cost per case per year (2021)</strong></p></td></tr><tr><td><p>(1) Type 2 diabetes</p></td><td><p>£ 827.33</p></td></tr><tr><td><p>(2) Cardiovascular disease - Coronary heart disease (CHD)</p></td><td><p>£ 1,557.25</p></td></tr><tr><td><p>(2) Cardiovascular disease - Stroke</p></td><td><p>£ 247.55</p></td></tr><tr><td><p>(2) Risk of Cardiovascular disease - Hypertension</p></td><td><p>£ 453.91</p></td></tr><tr><td><p>(4) Musculoskeletal disease - Knee Osteoarthritis</p></td><td><p>£ 27,798.40</p></td></tr><tr><td><p>(5) Cancer - Colorectal cancer</p></td><td><p>£ 520.13</p></td></tr><tr><td><p>(5) Cancer - Oesophageal cancer</p></td><td><p>£ 545.06</p></td></tr><tr><td><p>(5) Cancer - Kidney cancer</p></td><td><p>£ 1,662.88</p></td></tr><tr><td><p>(5) Cancer - Ovarian cancer</p></td><td><p>£ 14,990.93</p></td></tr><tr><td><p>(5) Cancer - Pancreatic cancer</p></td><td><p>£ 7,447.27</p></td></tr><tr><td><p>(5) Cancer - Endometrial cancer</p></td><td><p>£ 520.13</p></td></tr><tr><td><p>(5) Cancer - Breast cancer</p></td><td><p>£ 545.06</p></td></tr></tbody></table><p> </p><p>The annual costs per case includes direct health-care costs including hospital care (both inpatient and outpatient), primary care, and medication, and they are not exclusively related to obesity associated cases. Indirect and social care costs are not included, which means the exclusion of these costs will probably underestimate total costs of disease events overall.</p> answering member 4948 label Biography information for Lord Markham
	creator	1892 label Biography information for Lord McColl of Dulwich
	publisher	25277
	tabling member	1892 label Biography information for Lord McColl of Dulwich

1715974

	human indexable
	published
	registered interest
	answer date	21/05/2024
	date	07/05/2024
	date tabled	07/05/2024
	ddp created	07/05/2024 21:03:29
	answering body	Department of Health and Social Care
	question status	Tabled
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	ddp modified	07/05/2024 21:17:05 17/05/2024 12:22:04
	hansard heading	Alcoholic Drinks: Children
	house id	2
	identifier	HL4428
	legislature	25277
	parliament number	58
	question first answered	17/05/2024 11:50:11
	question text	To ask His Majesty's Government, further to the World Health Organization report A focus on adolescent substance use in Europe, central Asia and Canada, published on 25 April, what plans they have to address the high levels of child alcohol consumption in England.
	session	2023/24
	session number	4
	tabling member printed	The Lord Bishop of St Albans
	title	House of Lords Tabled Parliamentary Question 2023/24 HL4428
	type	WrittenParliamentaryQuestion
	uin	HL4428
	version	1
	written parliamentary question type	Ordinary
	answer	answer answer text <p>Guidance from England’s Chief Medical Officer for healthcare professionals is clear that an alcohol-free childhood is the healthiest and best option. The Department promotes this through online platforms such as the NHS.UK website, the Talk to FRANK online resource, and the GOV.UK website. Local authorities promote these guidelines as part of their public health duties. As part of the Government’s 10-year drug strategy, the Department has an ambition to support 5,000 more children and young people in receiving treatment than at the start of the strategy in March 2022.</p><p>The Department for Education’s statutory guidance, <em>Relationships education, relationships and sex education and health education</em>, became mandatory in September 2020. Through this, education on drugs, alcohol, and tobacco became compulsory at state-funded primary and secondary schools, teaching children and young people how to manage influences and pressure, and keep themselves healthy and safe. To deter individuals selling alcohol to a person aged under 18 years old, the maximum fine for the offence of persistently selling alcohol to children was increased from £10,000 to £20,000, under section 147A(8) of the 2003 Licensing Act.</p> answering member 4948 label Biography information for Lord Markham
	creator	4308 label Biography information for The Lord Bishop of St Albans
	publisher	25277
	tabling member	4308 label Biography information for The Lord Bishop of St Albans

1715417

	human indexable
	published
	registered interest
	answer date	16/05/2024
	date	01/05/2024
	date tabled	01/05/2024
	ddp created	01/05/2024 20:26:05
	answering body	Department of Health and Social Care
	question status	Tabled
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	ddp modified	01/05/2024 20:35:34 16/05/2024 17:17:04
	hansard heading	Smoking: Trading Standards
	house id	2
	identifier	HL4272
	legislature	25277
	parliament number	58
	question first answered	16/05/2024 16:45:38
	question text	To ask His Majesty's Government whether additional new burdens funding will be committed to local authorities who will require additional enforcement capacity within trading standards teams to enforce the policies included in the 2023 Department For Health and Social Care policy paper Stopping the Start.
	session	2023/24
	session number	4
	tabling member printed	Baroness Eaton
	title	House of Lords Tabled Parliamentary Question 2023/24 HL4272
	type	WrittenParliamentaryQuestion
	uin	HL4272
	version	1
	written parliamentary question type	Ordinary
	answer	answer answer text <p>The Department published the command paper, Stopping the Start, in October 2023, which sets out our plans to create the first Smokefree Generation, to tackle youth vaping, and to strengthen tobacco and vape enforcement. These measures amount to the most significant public health intervention in a generation.</p><p>The policies announced in the command paper are being introduced through the Tobacco and Vapes Bill, which is currently undertaking its passage through Parliament. The bill changes the age of sale of tobacco so that those born on or after 1 January 2009 will never be legally sold tobacco. It also prohibits the sale of non-nicotine vapes to under 18-year-olds, and the free distribution of vapes to under 18-year-olds, and introduces fixed penalty notices for breaches of the age of sale legislation.</p><p>To help tackle the rise in youth vaping, the bill provides powers to restrict vape flavours, point of sale displays, and packaging, and the Government has also confirmed that under environmental legislation, we will ban the sale and supply of disposable vapes. Any new burdens on local trading standards to enforce these new measures will be assessed ahead of any future regulations.</p><p>We are strengthening our enforcement activity through £30 million of new funding per year for enforcement agencies, including for trading standards, to boost the enforcement of underage tobacco and vape sales. In addition, fixed penalty notices introduced in the bill will support trading standards to take quicker action against irresponsible retailers, through using on-the-spot fines rather than going through lengthy magistrate’s court processes. Local authorities will keep the proceeds, to invest back into their enforcement activity.</p> answering member 4948 label Biography information for Lord Markham
	creator	4184 label Biography information for Baroness Eaton
	publisher	25277
	tabling member	4184 label Biography information for Baroness Eaton

1717036

	human indexable
	published
	registered interest
	answer date	23/05/2024
	date	09/05/2024
	date tabled	09/05/2024
	ddp created	09/05/2024 19:28:03
	answering body	Department of Health and Social Care
	question status	Tabled
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	ddp modified	09/05/2024 19:36:49 16/05/2024 16:32:04
	hansard heading	Mental Health Services: Children
	house id	2
	identifier	HL4542
	legislature	25277
	parliament number	58
	question first answered	16/05/2024 16:31:13
	question text	To ask His Majesty's Government how many children under the age of 11 are currently being provided with help with their mental health.
	session	2023/24
	session number	4
	tabling member printed	Lord Sikka
	title	House of Lords Tabled Parliamentary Question 2023/24 HL4542
	type	WrittenParliamentaryQuestion
	uin	HL4542
	version	1
	written parliamentary question type	Ordinary
	answer	answer answer text <p>At the end of February 2024, there were 222,448 people aged under 11 years old who had an open referral, of which: 93,385 have had at least one direct care contact, with a direct contact being defined as a contact recorded in the MHS201 Care Contact table of the Mental Health Services Dataset (MHSDS); 90,942 have had at least one attended direct care contact, with an attended direct contact being defined as a contact recorded in the MHS201 Care Contact table of the MHSDS, where the person was either recorded as attending on time and being seen, or attending late but still being seen.</p> answering member 4948 label Biography information for Lord Markham
	creator	4885 label Biography information for Lord Sikka
	publisher	25277
	tabling member	4885 label Biography information for Lord Sikka

1716664

	human indexable
	published
	registered interest
	answer date	22/05/2024
	date	08/05/2024
	date tabled	08/05/2024
	ddp created	08/05/2024 21:31:50
	answering body	Department of Health and Social Care
	question status	Tabled
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	ddp modified	08/05/2024 21:36:50 16/05/2024 17:01:09
	hansard heading	Radiotherapy: Costs
	house id	2
	identifier	HL4475
	legislature	25277
	parliament number	58
	question first answered	16/05/2024 16:30:12
	question text	To ask His Majesty's Government what assessment they have made of the current cost of radiotherapy services in England, following the publication of the HERO (Health Economics in Radiation Oncology) report by the UK Radiotherapy Board.
	session	2023/24
	session number	4
	tabling member printed	Baroness Ritchie of Downpatrick
	title	House of Lords Tabled Parliamentary Question 2023/24 HL4475
	type	WrittenParliamentaryQuestion
	uin	HL4475
	version	1
	written parliamentary question type	Ordinary
	answer	answer answer text <p>Since 2016, there has been significant investment in radiotherapy equipment, so that every radiotherapy provider had access to modern, cutting-edge radiotherapy equipment, enabling the rollout of new techniques like stereotactic ablative radiotherapy. The total central investment made between 2016 and 2021 was £162 million, and enabled the replacement or upgrade of approximately 100 radiotherapy treatment machines. This is investment on top of that committed by National Health Service trusts, either from their own capital budgets or via donations. From April 2022, the responsibility for investing in new radiotherapy machines sits with local systems. This is supported by the 2021 spending review, which set aside £12 billion in operational capital for the NHS.</p> answering member 4948 label Biography information for Lord Markham
	creator	4130 label Biography information for Baroness Ritchie of Downpatrick
	publisher	25277
	tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1716663

	human indexable
	published
	registered interest
	answer date	22/05/2024
	date	08/05/2024
	date tabled	08/05/2024
	ddp created	08/05/2024 21:31:48
	answering body	Department of Health and Social Care
	question status	Tabled
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	ddp modified	08/05/2024 21:36:48 16/05/2024 17:01:12
	hansard heading	Radiotherapy: Costs
	house id	2
	identifier	HL4474
	legislature	25277
	parliament number	58
	question first answered	16/05/2024 16:30:12
	question text	To ask His Majesty's Government what assessment they have made of the HERO (Health Economics in Radiation Oncology) study published by the UK Radiotherapy Board, which is the first report to estimate the cost of radiotherapy services in England.
	session	2023/24
	session number	4
	tabling member printed	Baroness Ritchie of Downpatrick
	title	House of Lords Tabled Parliamentary Question 2023/24 HL4474
	type	WrittenParliamentaryQuestion
	uin	HL4474
	version	1
	written parliamentary question type	Ordinary
	answer	answer answer text <p>Since 2016, there has been significant investment in radiotherapy equipment, so that every radiotherapy provider had access to modern, cutting-edge radiotherapy equipment, enabling the rollout of new techniques like stereotactic ablative radiotherapy. The total central investment made between 2016 and 2021 was £162 million, and enabled the replacement or upgrade of approximately 100 radiotherapy treatment machines. This is investment on top of that committed by National Health Service trusts, either from their own capital budgets or via donations. From April 2022, the responsibility for investing in new radiotherapy machines sits with local systems. This is supported by the 2021 spending review, which set aside £12 billion in operational capital for the NHS.</p> answering member 4948 label Biography information for Lord Markham
	creator	4130 label Biography information for Baroness Ritchie of Downpatrick
	publisher	25277
	tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1714683

	human indexable
	published
	registered interest
	answer date	14/05/2024
	date	29/04/2024
	date tabled	29/04/2024
	ddp created	29/04/2024 21:02:10
	answering body	Department of Health and Social Care
	question status	Tabled
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	ddp modified	29/04/2024 21:10:25 15/05/2024 17:26:06
	hansard heading	Nutrition
	house id	2
	identifier	HL4175
	legislature	25277
	parliament number	58
	question first answered	15/05/2024 16:54:19
	question text	To ask His Majesty's Government, following the the UK Nutrient Profiling Model 2018 review, when they plan to implement an updated version of the Nutrient Profiling Model.
	session	2023/24
	session number	4
	tabling member printed	Baroness Ritchie of Downpatrick
	title	House of Lords Tabled Parliamentary Question 2023/24 HL4175
	type	WrittenParliamentaryQuestion
	uin	HL4175
	version	1
	written parliamentary question type	Ordinary
	answer	answer answer text <p>The Nutrient Profiling Model (NPM) is a tool that can underpin policy and implements dietary recommendations.</p><p>The United Kingdom NPM was first developed by the Food Standards Agency in 2004 to 2005 (UK 2004/5 NPM). The first Childhood Obesity Plan (2016) committed Public Health England to review the UK 2004/5 NPM and align it to the latest dietary recommendations. A robust and transparent process was undertaken to update the model, with an Independent Expert Group to provide oversight and scientific scrutiny. In 2018, as part of the process, a 12-week public consultation on the modifications made to the current UK 2004/5 NPM took place. The final version will be published in due course.</p><p>Any application of the updated NPM in a policy would be subject to normal policy making and consultation processes and would be accompanied by technical guidance to support its use and implementation. Stakeholders and interested parties would have an opportunity to comment on developing work as part of that process.</p> answering member 4948 label Biography information for Lord Markham
	creator	4130 label Biography information for Baroness Ritchie of Downpatrick
	publisher	25277
	tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1713307

	human indexable
	published
	registered interest
	answer date	08/05/2024
	date	23/04/2024
	date tabled	23/04/2024
	ddp created	23/04/2024 20:12:04
	answering body	Department of Health and Social Care
	question status	Tabled
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	ddp modified	23/04/2024 20:16:20 15/05/2024 17:21:04
	hansard heading	Breastfeeding: Breast Cancer
	house id	2
	identifier	HL4048
	legislature	25277
	parliament number	58
	question first answered	15/05/2024 16:49:30
	question text	To ask His Majesty's Government what assessment they have made of the impact of low rates of breastfeeding on incidences of breast cancer.
	session	2023/24
	session number	4
	tabling member printed	The Lord Bishop of St Albans
	title	House of Lords Tabled Parliamentary Question 2023/24 HL4048
	type	WrittenParliamentaryQuestion
	uin	HL4048
	version	1
	written parliamentary question type	Ordinary
	answer	answer answer text <p>Improving early diagnosis of cancer, including breast cancer, is a priority for the National Health Service. The public health benefits of breastfeeding for child and maternal health are significant and well established. Evidence suggests a range of potential benefits, for example, research published in the British Medical Journal found breastfeeding gave protection against breast cancer.</p><p>We want to ensure that every parent and carer understands the benefits of breastfeeding and has access to the high-quality infant feeding services they need, in their local area, to achieve their breastfeeding goals. Through the Family Hubs and Start for Life Programme, we are investing £50 million to increase the range of specialist support, which is enabling parents to access face-to-face and virtual support whenever they need it.</p> answering member 4948 label Biography information for Lord Markham
	creator	4308 label Biography information for The Lord Bishop of St Albans
	publisher	25277
	tabling member	4308 label Biography information for The Lord Bishop of St Albans