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1059803

	registered interest
	date	12/02/2019
	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	Respiratory System: Staff
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he plans to collect data on the regional primary-care respiratory workforce in the NHS to address the long-term respiratory workforce challenge identified in the NHS Long Term Plan.
	tabling member constituency	Wythenshawe and Sale East
	tabling member printed	Mike Kane
	uin	220250
	answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>Following the publication of the NHS Long Term Plan, the National Implementation Framework, to be published in the spring, will provide further information on how the Long Term Plan will be implemented. Additional details, based on local health system five year plans, will be brought together in a detailed national implementation plan in the autumn.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/02/2019 17:23:56 answering member 4067 label Biography information for Steve Brine
	tabling member	4316 label Biography information for Mike Kane

1059971

	registered interest
	date	12/02/2019
	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	Foetal Alcohol Spectrum Disorder: Cumbria
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many cases of foetal alcohol spectrum disorder have been diagnosed in Cumbria in the last 12 months for which information is available.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	220160
	answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>This information is not collected centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/02/2019 17:17:55 answering member 4067 label Biography information for Steve Brine
	tabling member	1591 label Biography information for Tim Farron

1060018

	registered interest
	date	12/02/2019
	answering body	Department for International Trade
	answering dept id	202
	answering dept short name	International Trade
	answering dept sort name	International Trade
	hansard heading	Arms Trade: Trade Fairs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for International Trade, pursuant to Answer of 25 January 2018 to Question 124053 on Arms Trade: Trade Fairs, what estimate he has made of the number of military escort officers due to attend the Defence and Security Equipment International in 2019.
	tabling member constituency	West Ham
	tabling member printed	Lyn Brown
	uin	220159
	answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>The number of military escort officers who will be required to attend the Defence and Security Equipment International in September 2019 is not yet finalised.</p> answering member constituency Beverley and Holderness answering member printed Graham Stuart question first answered 18/02/2019 17:48:29 answering member 1482 label Biography information for Graham Stuart
	tabling member	1583 label Biography information for Ms Lyn Brown

1059735

	registered interest
	date	12/02/2019
	answering body	Treasury
	answering dept id	14
	answering dept short name	Treasury
	answering dept sort name	Treasury
	hansard heading	Tax Avoidance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Chancellor of the Exchequer, if he will make it his policy to delay the loan charge settlement day until after the conclusion of the review of that charge.
	tabling member constituency	Welwyn Hatfield
	tabling member printed	Grant Shapps
	uin	220152
	answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>The Government chose to accept section 95 during the passage of the Finance Bill introduced by a cross party group. As set out by section 95, the Government will lay a report no later than 30 March 2019. The report will review the effect of changes made to the time limits for assessment where tax loss arises in relation to offshore tax, and compare these with other legislation including the charge on disguised remuneration loans.</p><p>The charge on disguised remuneration loans remains unchanged as a result of the requirement for a report, and will apply to disguised remuneration loan balances on 5 April 2019.</p><p>The charge on disguised remuneration (DR) loans will apply to outstanding DR loan balances on 5 April 2019. It is targeted at artificial tax avoidance schemes where earnings were paid in the form of non-repayable loans made by a third party. The loans are provided on terms that mean they are not repaid in practice, so they are no different to normal income and are, and always have been, taxable.</p><p> </p><p>The Government estimates that up to 50,000 individuals will be affected by the 2019 loan charge. Information is not held at constituency, borough or regional level.</p><p> </p><p>Since the announcement of the 2019 loan charge at Budget 2016, HMRC has now agreed settlements on disguised remuneration schemes with employers and individuals totalling over £1 billion. Pay As You Earn (PAYE) liabilities fall on the employer in the first instance. The charge on DR loans does not change this principle and the employee will only be liable where the amount cannot reasonably be collected from the employer, such as where the employer is offshore or no longer exists. Around 85% of the settlement yield since 2016 is from employers, with less than 15% from individuals. HMRC will never force somebody to sell their main home to pay for their DR debt, or the loan charge.</p><p> </p><p>HMRC is working hard to help individuals get out of avoidance for good and offer manageable and sustainable payment plans wherever possible. It carefully considers each case and there is no maximum limit on how long a customer can be given to pay what they owe. HMRC considers a customer’s ability to pay on a case by case basis and decisions are based on each individual’s personal circumstances.</p><p> </p><p>HMRC has simplified the process for those who want to settle their use of DR schemes before the loan charge arises. DR scheme users who currently have an income of less than £50,000 and are no longer engaging in tax avoidance can automatically agree a payment plan of up to five years without the need to give HMRC detailed information about their income and assets. This arrangement has been extended to 7 years for scheme users who have an income of less than £30,000.</p><p> </p><p>Anybody who is worried about being able to pay what they owe should get in touch with HMRC as soon as possible. They have a number of ways to help those who are genuinely unable to make a full payment of tax on time, for example, by arranging payments by instalments.</p> answering member constituency Central Devon answering member printed Mel Stride question first answered 18/02/2019 17:20:20 answering member 3935 label Biography information for Mel Stride
	tabling member	1582 label Biography information for Grant Shapps

1059854

	registered interest
	date	12/02/2019
	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	Disability: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what plans his Department has to tackle the funding shortfall for health and social care services for disabled children.
	tabling member constituency	Warwick and Leamington
	tabling member printed	Matt Western
	uin	220316
	answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>The commissioning of health and social care services for children with disabilities is the responsibility of clinical commissioning groups and local authorities respectively. Local commissioners are best placed to assess the needs of the local population and allocate funds accordingly.</p><p> </p><p>In 2014, the Government introduced a new statutory framework requiring local authorities and clinical commissioning groups to commission jointly services for children with special educational needs and disability, across health, social care and education. Since 2014, £327 million has been given to local areas to support implementation of these new arrangements, in addition to the high needs budget for placements for pupils with complex special educational needs which is over £6 billion this year, the highest it has ever been.</p><p> </p><p>The 2015 Spending Review made available more than £200 billion until 2020 for councils to deliver services to local communities, including for provision of social care services for disabled children. The Government is conducting a review of the relative needs and resources of local authorities which will develop a robust, up-to-date approach to distributing funding across all local authorities in England at Local Government Finance Settlements, including for children’s services.</p><p> </p><p>Funding for the National Health Service will grow on average by 3.4% in real terms each year from 2019/20 to 2023/24; by 2023/24 the NHS budget will increase by over £20 billion a year in real terms compared with today.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 18/02/2019 17:55:27 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4617 label Biography information for Matt Western

1057028

	registered interest
	date	08/02/2019
	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	Incinerators: Air Pollution
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 5 February 2019 to Question 213202 on Incinerators: Air Pollution, with reference to the report entitled Ultrafine Particulates (UFP) in the UK, published by the Air Quality Expert Group by his Department in 2018, if he will make an assessment of the effect of ultrafine particles on human health (a) in and (b) outside of the vicinity of incinerators.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	218744
	answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>The Air Quality Expert Group Report on ‘Ultrafine Particles in the UK’ summarised current knowledge on the levels, sources and characteristics of ultrafine particles in the United Kingdom air; the report can be viewed at the following link:</p><p> </p><p><a href="https://uk-air.defra.gov.uk/library/reports.php?report_id=968" target="_blank">https://uk-air.defra.gov.uk/library/reports.php?report_id=968</a></p><p> </p><p>An assessment on the potential health impacts of ultrafine particles was beyond the scope of this report.</p><p> </p><p>Reviews by the Health Effects Institute and World Health Organization of the effects of different components of air pollution, including ultrafine particles (PM<sub>0.1</sub>), concluded that there is currently limited evidence on the effects on health of ultrafine particles. These reports are available to view at the following links:</p><p> </p><p><a href="https://www.healtheffects.org/publication/understanding-health-effects-ambient-ultrafine-particles" target="_blank">https://www.healtheffects.org/publication/understanding-health-effects-ambient-ultrafine-particles</a></p><p> </p><p><a href="http://www.euro.who.int/__data/assets/pdf_file/0004/193108/REVIHAAP-Final-technical-report-final-version.pdf?ua=1" target="_blank">http://www.euro.who.int/__data/assets/pdf_file/0004/193108/REVIHAAP-Final-technical-report-final-version.pdf?ua=1</a></p><p> </p><p>Public Health England has no plans to engage in work on the effects of ultrafine particles on human health in and outside the vicinity of incinerators.</p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/02/2019 17:27:43 answering member 4067 label Biography information for Steve Brine
	tabling member	252 label Biography information for Dr David Drew

1057029

	registered interest
	date	08/02/2019
	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	Incinerators: Air Pollution
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 5 February 2019 to Question 213203 on Incinerators: Air Pollution, if he will publish the results of the developing work referred to in paragraph 15 of the paper, The Impact on Health of Emissions to Air from Municipal Waste Incinerators, published in September 2009.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	218745
	answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>Paragraph 15 of the report ‘The Impact on Health of Emissions to Air from Municipal Waste Incinerators’ refers to ultrafine particles. The report can be viewed at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/384592/The_impact_on_health_emissions_to_air_from_municipal_waste_incinerators.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/384592/The_impact_on_health_emissions_to_air_from_municipal_waste_incinerators.pdf</a></p><p> </p><p>Since this report, the reviews by the Health Effects Institute and World Health Organization of the effects of different components of air pollution, including ultrafine particles (PM<sub>0.1</sub>), concluded that there is currently limited evidence on the effects on health of ultrafine particles. These reviews can be viewed at the following links:</p><p> </p><p><a href="https://www.healtheffects.org/publication/understanding-health-effects-ambient-ultrafine-particles" target="_blank">https://www.healtheffects.org/publication/understanding-health-effects-ambient-ultrafine-particles</a></p><p> </p><p><a href="http://www.euro.who.int/__data/assets/pdf_file/0004/193108/REVIHAAP-Final-technical-report-final-version.pdf?ua=1" target="_blank">http://www.euro.who.int/__data/assets/pdf_file/0004/193108/REVIHAAP-Final-technical-report-final-version.pdf?ua=1</a></p><p> </p><p>Recent assessments have been undertaken of the health effects of long-term exposure to the air pollution mixture in the United Kingdom. This work estimated that long-term exposure to the man-made air pollution mixture in the UK has an annual effect equivalent to 28,000 to 36,000 deaths. This was based on studies reporting associations of mortality risk with fine particulate matter (PM<sub>2.5</sub>), which includes PM<sub>0.1</sub>, and nitrogen dioxide (NO<sub>2</sub>). These documents can be viewed at the following links:</p><p> </p><p><a href="https://www.gov.uk/government/publications/nitrogen-dioxide-effects-on-mortality" target="_blank">https://www.gov.uk/government/publications/nitrogen-dioxide-effects-on-mortality</a></p><p> </p><p><a href="https://www.gov.uk/government/publications/nitrogen-dioxide-effects-on-mortality" target="_blank">https://www.gov.uk/government/publications/nitrogen-dioxide-effects-on-mortality</a></p><p> </p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/02/2019 17:26:09 answering member 4067 label Biography information for Steve Brine
	tabling member	252 label Biography information for Dr David Drew

1057030

	registered interest
	date	08/02/2019
	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	Plastics: Air Pollution
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what information his Department holds on the pollutants emitted by the combustion of plastic that are detrimental to human health.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	218746
	answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>Public Health England (PHE) does not hold specific information on pollutants emitted by the combustion of plastics other than monitoring information provided to it in relation to incidents involving the combustion of plastics, such as fires at centres storing plastics intended for recycling.</p><p> </p><p>PHE, previously as the Health Protection Agency, reviewed the evidence on the products of combustion from fires in general including, but not specifically involving plastics. This advice can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/combustion-products-a-toxicological-review" target="_blank">https://www.gov.uk/government/publications/combustion-products-a-toxicological-review</a></p><p> </p><p>The combustion of plastic material can release various substances that are potentially harmful to health, for example, asphyxiant gases e.g. carbon monoxide, irritant gases e.g. hydrogen chloride and phosgene, polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs), phosphorous oxides and particulate matter.</p><p> </p><p>Prediction of the formation toxic combustion products from plastics and risk to health would depend on many factors, such as the type of plastic, combustion conditions (temperature, oxygen availability etc), chemicals released, concentrations and duration of exposure.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/02/2019 17:28:53 answering member 4067 label Biography information for Steve Brine
	tabling member	252 label Biography information for Dr David Drew

1057031

	registered interest
	date	08/02/2019
	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, pursuant to the Answer of 4 February 2019 to Question 212585 on Air Pollution: Health Hazards, what steps (a) his Department and (b) Public Health England are taking to compile sufficient evidence to enable further quantification.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	218747
	answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>The Committee on the Medical Effects of Air Pollutants (COMEAP) work programme is agreed annually to ensure this meets changing priorities. The committee is not scheduled to engage in further work on the differential health effects of particulate air pollution according to source or components. The Committee’s work programme is reviewed annually to ensure that the work is based on existing priorities. Current topics being considered by COMEAP are available at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/653713/COMEAP_work_program.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/653713/COMEAP_work_program.pdf</a></p><p> </p><p>Recent assessments have been undertaken of the health effects of long-term exposure to the air pollution mixture in the United Kingdom. This was based on studies reporting associations of mortality risk with fine particulate matter (PM<sub>2.5</sub>) and nitrogen dioxide (NO<sub>2</sub>). Further information is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/nitrogen-dioxide-effects-on-mortality" target="_blank">https://www.gov.uk/government/publications/nitrogen-dioxide-effects-on-mortality</a></p><p> </p><p>Recent reviews by the Health Effects Institute and World Health Organization of the effects of different components of air pollution, including ultrafine particles (PM0.1), concluded that there is currently limited evidence on the effects on health of ultrafine particles. These reviews can be viewed at the following links:</p><p> </p><p><a href="https://www.healtheffects.org/publication/understanding-health-effects-ambient-ultrafine-particles" target="_blank">https://www.healtheffects.org/publication/understanding-health-effects-ambient-ultrafine-particles</a></p><p> </p><p><a href="http://www.euro.who.int/__data/assets/pdf_file/0004/193108/REVIHAAP-Final-technical-report-final-version.pdf?ua=1" target="_blank">http://www.euro.who.int/__data/assets/pdf_file/0004/193108/REVIHAAP-Final-technical-report-final-version.pdf?ua=1</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/02/2019 17:31:47 answering member 4067 label Biography information for Steve Brine
	tabling member	252 label Biography information for Dr David Drew

1060686

	registered interest
	date	13/02/2019
	answering body	Department for Environment, Food and Rural Affairs
	answering dept id	13
	answering dept short name	Environment, Food and Rural Affairs
	answering dept sort name	Environment, Food and Rural Affairs
	hansard heading	Food: Consumption
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Environment, Food and Rural Affairs, what steps the Government is taking to increase consumption of local and seasonal foods.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	220754
	answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>The Government is keen to see an increase in the amount of locally grown seasonal produce consumed in the UK. The Plan for Public Procurement, published under the 2010-15 Conservative and Liberal Democrat coalition Government, includes a balanced scorecard to help define the criteria of bids for food and catering contracts.</p><p> </p><p>The scorecard rewards tenders which commit to serve locally sourced food and those that highlight the benefits of seasonal increases in the availability of certain types of produce. Use of the balanced scorecard is mandatory for central Government departments and executive agencies, and Defra is working to increase its uptake in the wider public sector.</p> answering member constituency Macclesfield answering member printed David Rutley question first answered 18/02/2019 17:56:40 answering member 4033 label Biography information for David Rutley
	tabling member	252 label Biography information for Dr David Drew