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1109016

	registered interest
	date	02/04/2019
	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	Obesity
	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 has taken to establish the cost of obesity to the (a) NHS, (b) social services and (c) the wider economy.
	tabling member constituency	St Ives
	tabling member printed	Derek Thomas
	uin	240052
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>‘The economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: an update to 2006-07 NHS costs’ estimated that overweight and obesity cost the National Health Service in the United Kingdom £5.1 billion per year. This figure was uplifted to £6.1 billion in 2014/15 to take account of inflation.</p><p> </p><p>The Foresight team published ‘Tackling Obesities: Future Choices in 2007’. This estimated the annual costs of overweight and obesity to society and the economy as £27 billion in 2015, based on obesity prevalence at the time. In 2014 the McKinsey Global Institute estimated the cost of obesity to the UK economy as £46 billion per year.</p><p> </p><p>No further estimates of the costs of obesity are planned or have been made centrally.</p><p> </p><p>Copies of ‘The economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: an update to 2006-07 NHS costs’; ‘Tackling Obesities: Future Choices’; and the McKinsey Global Institute’s report ‘Overcoming obesity: An initial economic analysis’ are available at the following links:</p><p> </p><p><a href="https://academic.oup.com/jpubhealth/article/33/4/527/1568587" target="_blank">https://academic.oup.com/jpubhealth/article/33/4/527/1568587</a></p><p> </p><p><a href="https://www.gov.uk/government/publications/reducing-obesity-future-choices" target="_blank">https://www.gov.uk/government/publications/reducing-obesity-future-choices</a></p><p> </p><p><a href="http://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/how-the-world-could-better-fight-obesity" target="_blank">www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/how-the-world-could-better-fight-obesity</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 240053 question first answered 10/04/2019 13:47:01 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4532 label Biography information for Derek Thomas

1109017

	registered interest
	date	02/04/2019
	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	Obesity
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will make an assessment of the cost of obesity to the (a) NHS, (b) social services and (c) wider economy.
	tabling member constituency	St Ives
	tabling member printed	Derek Thomas
	uin	240053
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>‘The economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: an update to 2006-07 NHS costs’ estimated that overweight and obesity cost the National Health Service in the United Kingdom £5.1 billion per year. This figure was uplifted to £6.1 billion in 2014/15 to take account of inflation.</p><p> </p><p>The Foresight team published ‘Tackling Obesities: Future Choices in 2007’. This estimated the annual costs of overweight and obesity to society and the economy as £27 billion in 2015, based on obesity prevalence at the time. In 2014 the McKinsey Global Institute estimated the cost of obesity to the UK economy as £46 billion per year.</p><p> </p><p>No further estimates of the costs of obesity are planned or have been made centrally.</p><p> </p><p>Copies of ‘The economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: an update to 2006-07 NHS costs’; ‘Tackling Obesities: Future Choices’; and the McKinsey Global Institute’s report ‘Overcoming obesity: An initial economic analysis’ are available at the following links:</p><p> </p><p><a href="https://academic.oup.com/jpubhealth/article/33/4/527/1568587" target="_blank">https://academic.oup.com/jpubhealth/article/33/4/527/1568587</a></p><p> </p><p><a href="https://www.gov.uk/government/publications/reducing-obesity-future-choices" target="_blank">https://www.gov.uk/government/publications/reducing-obesity-future-choices</a></p><p> </p><p><a href="http://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/how-the-world-could-better-fight-obesity" target="_blank">www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/how-the-world-could-better-fight-obesity</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 240052 question first answered 10/04/2019 13:47:01 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4532 label Biography information for Derek Thomas

1109031

	registered interest
	date	02/04/2019
	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	Orthopaedics
	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 report from the All-Party Parliamentary Group on Vascular and Venous Disease entitled Saving Limbs, Saving Lives: A Call to Action to Reduce Inequalities in Lower Limb Amputation Rates, what steps he will take to address disparities in amputation rates throughout the UK.
	tabling member constituency	St Ives
	tabling member printed	Derek Thomas
	uin	240056
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>The specialised commissioning Clinical Reference Group (CRG) for Vascular Disease, together with NHS Improvement’s Getting it Right First Time (GIRFT) team, aims to address many of the issues raised in the report. There is a joint NHS England and GIRFT Board for the ‘Action on Vascular’ work, which is focusing on the early availability of treatments to increase lower limb circulation and reduce amputation rates.</p><p> </p><p>The NHS Long Term Plan published on 7 January commits to ensuring that hospitals provide patients with access to multi-disciplinary footcare teams and inpatient specialist nursing teams, in order to improve recovery and reduce lengths of stay and future readmissions. This commitment will support reducing inequalities by giving universal access to multi-disciplinary footcare teams and diabetes inpatient specialist nurses.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 240055 question first answered 10/04/2019 13:38:19 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4532 label Biography information for Derek Thomas

1109055

	registered interest
	date	02/04/2019
	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	Cytomegalovirus
	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 increase (a) awareness of and (b) education on cytomegalovirus among parents and children.
	tabling member constituency	Glasgow East
	tabling member printed	David Linden
	uin	240084
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>Health visitors and midwives, together with other health care professionals including general practitioners and general practice nurses provide advice and guidance to families at contacts in the pre-conception period, pregnancy and throughout early childhood.</p><p> </p><p>To support direct clinical advice from health care professionals, Public Health England’s Start4Life social marketing programme informs parents-to-be and parents about cytomegalovirus via its Information Service for Parents subscription email service. This includes links to the National Health Service website, and information on preventative measures, including good hand hygiene. Start4Life also provides this messaging through its social media channels.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 240085 question first answered 10/04/2019 13:42:07 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4640 label Biography information for David Linden

1109056

	registered interest
	date	02/04/2019
	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	Cytomegalovirus
	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 increase (a) awareness of and (b) education on cytomegalovirus among pregnant women.
	tabling member constituency	Glasgow East
	tabling member printed	David Linden
	uin	240085
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>Health visitors and midwives, together with other health care professionals including general practitioners and general practice nurses provide advice and guidance to families at contacts in the pre-conception period, pregnancy and throughout early childhood.</p><p> </p><p>To support direct clinical advice from health care professionals, Public Health England’s Start4Life social marketing programme informs parents-to-be and parents about cytomegalovirus via its Information Service for Parents subscription email service. This includes links to the National Health Service website, and information on preventative measures, including good hand hygiene. Start4Life also provides this messaging through its social media channels.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 240084 question first answered 10/04/2019 13:42:07 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4640 label Biography information for David Linden

1109224

	registered interest
	date	02/04/2019
	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	Integrated Care Systems
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what comparative assessment he has made of the effectiveness of (a) Integrated Care Organisations and (b) pre-existing NHS England arrangements; and what assessment he has made of the effect of those (a) organisations and (b) arrangements on patient care.
	tabling member constituency	Tooting
	tabling member printed	Dr Rosena Allin-Khan
	uin	240061
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>Integrated Care Organisations’ is not a term currently used by NHS England, so the answer below refers to Integrated Care Providers.</p><p> </p><p>‘Integrated Care Provider’ (ICP) is a term used to describe a provider that is responsible for the integrated provision of general practice, wider National Health Service and potentially local authority services, which enters into an ICP contract with the commissioner(s) of those services. The ICP would be a ‘lead’ provider organisation, and so would be contractually responsible for delivering integrated services for local people. An ICP is not a new type of legal entity, but simply the name for a provider organisation awarded an ICP contract. The ICP contract is itself a variant of the generic NHS Standard Contract (which is already used to commission a broad range of NHS services) and has been specifically designed to enable integration through a single contract that could be used to commission both primary medical services and other health and care services.</p><p> </p><p>There are not yet any ICPs in place in England. However, NHS England plans to study the effects of the first ICP contracts that come into being and share learning with others that may follow. Where a clinical commissioning group (CCG) proposes to use the ICP contract in future, proposals will be subject to successful completion of the Integrated Support and Assurance Process, managed by NHS England and NHS Improvement, before the ICP Contract is awarded.</p><p> </p><p>Further information about ICPs is available in NHS England’s package of consultation materials and response to consultation, which are available at the following link:</p><p> </p><p><a href="https://www.engage.england.nhs.uk/consultation/proposed-contracting-arrangements-for-icps/" target="_blank">https://www.engage.england.nhs.uk/consultation/proposed-contracting-arrangements-for-icps/</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 10/04/2019 13:43:36 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4573 label Biography information for Dr Rosena Allin-Khan

1109251

	registered interest
	date	02/04/2019
	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	Food: Safety
	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 help improve food safety.
	tabling member constituency	Solihull
	tabling member printed	Julian Knight
	uin	240021
	answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>Food safety policy is the responsibility of the Food Standards Agency (FSA), a non-Ministerial Government Department, which works to protect public health and consumers' wider interests in food. The FSA is concerned with the safety of food right along the food supply chain, from when it is produced, to when it is served on the plate. As the national authority responsible for food safety, we set the regulations that food businesses are obliged to follow, and work with local authorities across England, Wales and Northern Ireland to make sure those regulations are enforced.</p><p>The FSA has delivered a robust regulatory regime that is responsive, scientifically-based and able to provide a high level of assurance for consumers in the food they eat. The FSA is working closely with consumers, local government and industry stakeholders, on modernising the regulatory regime so that it is more risk-based, data-driven and fit-for-purpose.</p><p>For example, the FSA has worked closely with industry on reducing Campylobacter contamination over a number of years. This has seen the highest contamination levels of Campylobacter fall from an average of 19% in 2014/15 to 5% in 2016/17 in surveys of whole, UK produced chicken undertaken at retail level. Latest levels according to major retailers’ data show an average of 3.1% for October-December 2018.</p><p>As part of the FSA’s preparations for EU Exit and regulatory reform, the FSA is heavily investing in its scientific capability and capacity, strengthening its approach to surveillance and horizon scanning, and ensuring a cost-effective national and coordinated approach to food crime.</p><p>The FSA is currently reviewing its strategy, making sure that the Department can respond to both existing and emerging challenges, focusing on key issues and societal developments, such as allergens, so that consumers can continue to enjoy food they can trust.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 10/04/2019 13:40:44 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4410 label Biography information for Julian Knight