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796000

	registered interest
	date	28/11/2017
	answering body	HM Treasury
	answering dept id	14
	answering dept short name	Treasury
	answering dept sort name	CaTreasury
	hansard heading	Alcoholic Drinks: Excise Duties
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether, prior to the suspension of the alcohol duty escalator announced in the Budget Statement, they conducted a risk assessment of the effects and consequences for the NHS; and if so, what that risk assessment showed.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL3651
	answer	answer is ministerial correction date of answer 12/12/2017 answer text <p>The government ended the alcohol duty escalator for beer in 2013, and for cider, wine and spirits in 2014.</p><p> </p><p>A Tax Impact and Information Note (TIIN) was published alongside these measures which set out the government’s assessment of the impacts of ending the beer duty escalator. The relevant TIINs for the 2013 changes are attached.</p><p> </p><p>For the 2014 changes please see Section A63 of the Overview of Tax Legislation and Rates document which is also attached.</p><p> </p><p>A separate assessment of the specific impact on the NHS was not undertaken.</p><p> </p> answering member printed Lord Bates attachment 1 file name tax and legislation rules .pdf title Tax and legislation rules 2 file name beer duty rates .pdf title Beer duty rates question first answered 12/12/2017 16:38:35 answering member 1091 label Biography information for Lord Bates
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

806725

	registered interest
	date	14/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Eating Disorders
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how much funding is allocated to adult eating disorder services in the NHS; and how much of that allocated funding has reached front-line services in each of the past five years.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL4185
	answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>The information requested is not collected centrally.</p><p> </p><p>NHS England is currently developing a pathway for adults with eating disorders and working with healthcare professionals so they better understand eating disorders.</p><p> </p><p>The National Institute for Health and Care Excellence published its updated clinical guideline, <em>Eating Disorders: recognition and treatment</em>, on managing and treating eating disorders for the over 8s - including adults, children and young people in May 2017. A copy of the guideline is attached. For adults, NHS England is conducting a baseline audit to measure existing levels of investment, capacity and activity across inpatient and community services for adults with eating disorders.</p> answering member printed Lord O'Shaughnessy question first answered 21/12/2017 15:37:43 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name eating-disorders-recognition-and-treatment.pdf title Eating disorders: recognition and treatment
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

806726

	registered interest
	date	14/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Eating Disorders
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, following the report of the Parliamentary and Health Services Ombudsman, Ignoring the alarms: how NHS eating disorder services are failing patients (HC 634), published on 6 December, what is their assessment of the conclusion of that report that funding for the eating disorder services in the case of Miss B was “woefully inadequate”.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL4186
	answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>The Department recognises that funding for eating disorder service provision needed to be improved and, since 2013, the Government has embarked on a major programme to improve eating disorders services.</p><p> </p><p>The Government published the first national policy framework on learning from deaths for the National Health Service in March 2017. We now expect trusts, including mental health Trusts, to have proper arrangements for learning from deaths of patients in their care.</p><p> </p><p>For children and young people aged between eight and 18 years, the Government is investing £150 million to expand eating disorder services – with 70 new or enhanced services already in place. The Government’s aim is for the NHS to meet the Access and Waiting Time Standard for Children and Young People with an Eating Disorder by 2020/21 so that 95% of children with an eating disorder will receive treatment within one week for urgent cases and within four weeks for routine cases.</p><p> </p><p>For adults, NHS England is conducting a baseline audit to measure existing levels of investment, capacity and activity across inpatient and community services for adults with eating disorders.</p><p> </p><p>NHS England will develop evidence based treatment pathways across mental health services over the next five years in line with the recommendations of the Five Year Forward View for Mental Health. NHS England is working with the National Institute for Health and Clinical Excellence (NICE) and the National Collaborating Centre for Mental Health (NCCMH) to ensure that each pathway is fully informed by the available evidence and the views of experts by experience.</p><p> </p><p>The NCCMH is developing a pathway for adults with eating disorders, together with detailed implementation guidance for providers. This work will complete in 2018.</p><p> </p><p>NICE published its updated clinical guideline on managing and treating eating disorders, including adults, children and young people, <em>Eating Disorders: recognition and treatment</em>, in May 2017. A copy is attached.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL4187 HL4188 question first answered 21/12/2017 15:34:10 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name eating-disorders-recognition-and-treatment.pdf title Eating disorders; recognition and treatment
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

806727

	registered interest
	date	14/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Eating Disorders
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, following the conclusions of the report of the Parliamentary and Health Services Ombudsman, Ignoring the alarms: how NHS eating disorder services are failing patients (HC 634), published on 6 December, whether they have any plans to increase funding to eating disorder services in the NHS.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL4187
	answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>The Department recognises that funding for eating disorder service provision needed to be improved and, since 2013, the Government has embarked on a major programme to improve eating disorders services.</p><p> </p><p>The Government published the first national policy framework on learning from deaths for the National Health Service in March 2017. We now expect trusts, including mental health Trusts, to have proper arrangements for learning from deaths of patients in their care.</p><p> </p><p>For children and young people aged between eight and 18 years, the Government is investing £150 million to expand eating disorder services – with 70 new or enhanced services already in place. The Government’s aim is for the NHS to meet the Access and Waiting Time Standard for Children and Young People with an Eating Disorder by 2020/21 so that 95% of children with an eating disorder will receive treatment within one week for urgent cases and within four weeks for routine cases.</p><p> </p><p>For adults, NHS England is conducting a baseline audit to measure existing levels of investment, capacity and activity across inpatient and community services for adults with eating disorders.</p><p> </p><p>NHS England will develop evidence based treatment pathways across mental health services over the next five years in line with the recommendations of the Five Year Forward View for Mental Health. NHS England is working with the National Institute for Health and Clinical Excellence (NICE) and the National Collaborating Centre for Mental Health (NCCMH) to ensure that each pathway is fully informed by the available evidence and the views of experts by experience.</p><p> </p><p>The NCCMH is developing a pathway for adults with eating disorders, together with detailed implementation guidance for providers. This work will complete in 2018.</p><p> </p><p>NICE published its updated clinical guideline on managing and treating eating disorders, including adults, children and young people, <em>Eating Disorders: recognition and treatment</em>, in May 2017. A copy is attached.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL4186 HL4188 question first answered 21/12/2017 15:34:10 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name eating-disorders-recognition-and-treatment.pdf title Eating disorders; recognition and treatment
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

806728

	registered interest
	date	14/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Eating Disorders
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, following the conclusions of the Parliamentary and Health Services Ombudsman, Ignoring the alarms: how NHS eating disorder services are failing patients (HC 634), published on 6 December, whether they have any plans to give adult eating disorder services parity of esteem with child and adolescent eating disorder services in the NHS.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL4188
	answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>The Department recognises that funding for eating disorder service provision needed to be improved and, since 2013, the Government has embarked on a major programme to improve eating disorders services.</p><p> </p><p>The Government published the first national policy framework on learning from deaths for the National Health Service in March 2017. We now expect trusts, including mental health Trusts, to have proper arrangements for learning from deaths of patients in their care.</p><p> </p><p>For children and young people aged between eight and 18 years, the Government is investing £150 million to expand eating disorder services – with 70 new or enhanced services already in place. The Government’s aim is for the NHS to meet the Access and Waiting Time Standard for Children and Young People with an Eating Disorder by 2020/21 so that 95% of children with an eating disorder will receive treatment within one week for urgent cases and within four weeks for routine cases.</p><p> </p><p>For adults, NHS England is conducting a baseline audit to measure existing levels of investment, capacity and activity across inpatient and community services for adults with eating disorders.</p><p> </p><p>NHS England will develop evidence based treatment pathways across mental health services over the next five years in line with the recommendations of the Five Year Forward View for Mental Health. NHS England is working with the National Institute for Health and Clinical Excellence (NICE) and the National Collaborating Centre for Mental Health (NCCMH) to ensure that each pathway is fully informed by the available evidence and the views of experts by experience.</p><p> </p><p>The NCCMH is developing a pathway for adults with eating disorders, together with detailed implementation guidance for providers. This work will complete in 2018.</p><p> </p><p>NICE published its updated clinical guideline on managing and treating eating disorders, including adults, children and young people, <em>Eating Disorders: recognition and treatment</em>, in May 2017. A copy is attached.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL4186 HL4187 question first answered 21/12/2017 15:34:10 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name eating-disorders-recognition-and-treatment.pdf title Eating disorders; recognition and treatment
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1055116

	registered interest
	date	05/02/2019
	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	Obesity
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what support and assistance they plan to offer obese people with a body mass index of 30 and above who have not been diagnosed with Type 2 diabetes or hypertension.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL13442
	answer	answer is ministerial correction date of answer 19/02/2019 answer text <p>Public Health England (PHE) has a responsibility to support the local delivery of evidence-based, effective and sustainable weight management services, as recommended by the National Institute for Health and Care Excellence (NICE), which support adults who are obese (that is, with a body mass index over 30 kg/m2, or lower for those from black and minority ethnic groups) or with other risk factors.</p><p>PHE provides practitioners, commissioners and providers of tier 2 weight management services with a range of resources to support the commissioning and delivery of these services. This includes:</p><p>- Guidance on how services should include diet, physical activity, and behaviour change components; and</p><p>- A tool to support the implementation of evidence-based behaviour change techniques.</p><p>A copy of this tool, <em>Changing Behaviour: Techniques for Tier 2 Adult Weight Management Services</em>, is attached.</p><p>NICE has also produced a guideline, <em>Weight management: lifestyle services for overweight or obese adults, </em>aimed at commissioners, health professionals, providers of lifestyle weight management programmes, adults who are overweight or obese, their families and other members of the public. This guideline covers lifestyle weight management services including programmes, courses, clubs or groups provided by the public, private and voluntary sector. The aim is to help people lose weight and become more physically active to reduce the risk of diseases associated with obesity. A copy of NICE’s guideline is attached.</p> answering member printed Baroness Blackwood of North Oxford attachment 1 file name changing behaviour techniques for tier 2 adult weight management services.pdf title HL13442 attached document 2 file name weight-management-lifestyle-services-for-overweight-or-obese-adults-pdf-1996416726469.pdf title HL13442 attached document question first answered 19/02/2019 14:09:01 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1227826

	registered interest
	date	23/07/2020
	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: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to implement (1) the proposals contained in Childhood obesity: a plan for action - Chapter 2, published in June 2018, and (2) the recommendations relating to childhood obesity outlined in the Green Paper Advancing our health: prevention in the 2020s, published in July 2019.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL7200
	answer	answer is ministerial correction date of answer 10/08/2020 answer text <p>We published <em>Tackling obesity: empowering adults and children to live healthier lives</em> on 27 July. The strategy demonstrates an overarching campaign to reduce obesity, takes forward actions from previous chapters of the childhood obesity plan and sets our measures to get the nation fit and healthy, protect against COVID-19 and protect the National Health Service.</p><p> </p><p>In addition, Public Health England has launched the Better Health campaign, which will call on people to embrace a healthier lifestyle and to lose weight if they need to, supported by a range of evidence-based tools and apps providing advice on how to reduce the waistline.</p><p><strong> </strong></p><p>A copy of <em>Tackling obesity: empowering adults and children to live healthier lives </em>is attached.</p> answering member printed Lord Bethell grouped question UIN HL7201 question first answered 10/08/2020 10:09:21 answering member 4708 label Biography information for Lord Bethell attachment 1 file name Tackling obesity. Empowering adults and children to live healthier lives 27 7 20.pdf title Tackling obesity strategy
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1227827

	registered interest
	date	23/07/2020
	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 Her Majesty's Government, further to reports of the disproportionate impact COVID-19 has on people living with obesity, what plans they have to develop a campaign to encourage people to make healthy choices; with whom they have engaged on the development of any such plans; and whether they intend to publish those plans.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL7201
	answer	answer is ministerial correction date of answer 10/08/2020 answer text <p>We published <em>Tackling obesity: empowering adults and children to live healthier lives</em> on 27 July. The strategy demonstrates an overarching campaign to reduce obesity, takes forward actions from previous chapters of the childhood obesity plan and sets our measures to get the nation fit and healthy, protect against COVID-19 and protect the National Health Service.</p><p> </p><p>In addition, Public Health England has launched the Better Health campaign, which will call on people to embrace a healthier lifestyle and to lose weight if they need to, supported by a range of evidence-based tools and apps providing advice on how to reduce the waistline.</p><p><strong> </strong></p><p>A copy of <em>Tackling obesity: empowering adults and children to live healthier lives </em>is attached.</p> answering member printed Lord Bethell grouped question UIN HL7200 question first answered 10/08/2020 10:09:21 answering member 4708 label Biography information for Lord Bethell attachment 1 file name Tackling obesity. Empowering adults and children to live healthier lives 27 7 20.pdf title Tackling obesity strategy
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1692897

	registered interest
	date	29/02/2024
	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	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government how many limb amputations were performed in NHS hospitals in (1) 2005, (2) 2010, (3) 2015, and (4) 2020, and what was the principal cause of these.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL2879
	answer	answer is ministerial correction date of answer 06/03/2024 answer text <p>A table showing the number of finished consultant episodes with a main or secondary procedure code for limb amputation, broken down by primary diagnosis group and the year of the operation, is attached due to the size of the data.</p> answering member printed Lord Markham question first answered 06/03/2024 12:06:17 answering member 4948 label Biography information for Lord Markham attachment 1 file name Table for HL2879 - Lord Brooke of Alverthorpe - Limb amputations.xlsx title Table for HL2879 - limb amputations
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1546633

	registered interest
	date	29/11/2022
	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	Sugar: Consumption
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government when they will publish the fourth and final report from their Sugar Reduction Programme.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL3839
	answer	answer is ministerial correction date of answer 20/12/2022 answer text <p>The fourth progress report, <em>Sugar reduction – industry progress 2015 to 2020: Including the final report for foods included in the programme and the latest data for drinks included in the Soft Drinks Industry Levy and juices and milk based drinks on the sugar reduction programme</em> was published on 1 December. A copy of the report is attached.</p> answering member printed Lord Markham question first answered 20/12/2022 16:27:32 answering member 4948 label Biography information for Lord Markham attachment 1 file name Sugar-reduction-and-reformulation-progress-report-2015-to-2020.pdf title Sugar reduction programme report
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe