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1714612

registered interest
date	29/04/2024
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	Obesity: Health Services
house id	2
legislature	25277 pref label House of Lords
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.
tabling member printed	Lord McColl of Dulwich
uin	HL4164
answer	answer is ministerial correction date of answer 17/05/2024 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 printed Lord Markham question first answered 17/05/2024 11:51:29 answering member 4948 label Biography information for Lord Markham
tabling member	1892 label Biography information for Lord McColl of Dulwich

1714683

registered interest
date	29/04/2024
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	Nutrition
house id	2
legislature	25277 pref label House of Lords
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.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL4175
answer	answer is ministerial correction date of answer 15/05/2024 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 printed Lord Markham question first answered 15/05/2024 16:54:19 answering member 4948 label Biography information for Lord Markham
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1714689

registered interest
date	29/04/2024
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	Agricultural Products and Food: Trade Barriers
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to address the additional administrative burdens and costs imposed on farmers and producers due to the new import and export regulations being introduced on 30 April; and how they will ensure that international competitiveness is maintained.
tabling member printed	Viscount Waverley
uin	HL4186
answer	answer is ministerial correction date of answer 16/05/2024 answer text <p>The Border Target Operating Model strikes an appropriate balance between supporting business, by avoiding unnecessary regulatory burdens in the process of moving goods into Great Britain, while focusing controls on consignments proven to cause the most significant biosecurity risk.</p><p> </p><p>The implementation of controls on EU goods reduces the risk of plant and animal pests and diseases reaching GB and potentially causing significant disruption to domestic production, as well as assuring the safety of all imported food.</p><p> </p><p>No new export controls were introduced on 30 April.</p><p> </p><p>To support British exporters, the Department for Business and Trade will continue our engagement with the 27 EU Member-States as well as the Rest-of-World to smooth trade flow and open new markets.</p> answering member printed Lord Douglas-Miller question first answered 16/05/2024 16:58:14 answering member 5006 label Biography information for Lord Douglas-Miller
tabling member	1744 label Biography information for Viscount Waverley

1714691

registered interest
date	29/04/2024
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	UK Trade with EU: Trade Barriers
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they will take to enhance collaboration with EU authorities to (1) facilitate smoother import and export processes, and (2) uphold food safety standards.
tabling member printed	Viscount Waverley
uin	HL4187
answer	answer is ministerial correction date of answer 21/05/2024 answer text <p>Since the publication of the draft Border Target Operating Model (BTOM) on 5 April 2023, Defra and the UK Government have been engaging with all border stakeholders to ensure that every actor is as prepared as possible for the controls outlined in the BTOM.</p><p> </p><p>We are working with officials at ports to enable us to monitor trade flow at the border and we have planning in place that will mitigate disruption or queues. These measures include approaches that reduce the chances of delays due to trader administrative errors contained in official documentation.</p><p> </p><p>The implementation of controls on EU goods does not change the safety standards of imported food. It has reduced the risk of plant and animal pests and diseases reaching GB and potentially causing significant disruption to domestic production, as well as assuring the safety of all imported food.</p> answering member printed Lord Douglas-Miller question first answered 21/05/2024 16:24:52 answering member 5006 label Biography information for Lord Douglas-Miller
tabling member	1744 label Biography information for Viscount Waverley

1714016

registered interest
date	25/04/2024
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	NHS: Contracts
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what estimate they have made of payments made by the NHS in each of the last three years to (1) Cerner, (2) Epic and (3) EMIS; and of the cost of the contractual commitments the NHS has entered into with them over the next 10 years.
tabling member printed	Lord Wills
uin	HL4123
answer	answer is ministerial correction date of answer 22/05/2024 answer text <p>Information for all National Health Service payments, including at local level, in each of the last three years to Cerner, EPIC and EMIS is not held centrally. Additionally, no overall estimate has been made for all NHS contractual commitments for the next 10 years with these companies. The NHS adheres to central Government transparency requirements when publishing contracts.</p> answering member printed Lord Markham question first answered 22/05/2024 15:04:16 answering member 4948 label Biography information for Lord Markham
tabling member	260 label Biography information for Lord Wills

1713734

registered interest
date	24/04/2024
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	Air Quality Grant Scheme
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they have made an assessment of the impact that withdrawing funding for the Air Quality Grant Scheme will have on public health.
tabling member printed	The Lord Bishop of St Albans
uin	HL4084
answer	answer is ministerial correction date of answer 24/05/2024 answer text <p>An impact assessment on public health was not carried out before withdrawing the Air Quality Grant Scheme for 2023-2024. The Minister used his discretion not to fund the Local Air Quality Grant Scheme for the 2023-2024 financial year. He has asked Defra officials to consider the future of the scheme and how it might be redesigned to better deliver positive outcomes for local air quality and public health and therefore enhanced value for money for taxpayers.</p> answering member printed Lord Douglas-Miller question first answered 24/05/2024 09:15:38 answering member 5006 label Biography information for Lord Douglas-Miller
tabling member	4308 label Biography information for The Lord Bishop of St Albans

1713735

registered interest
date	24/04/2024
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	Air Quality Grant Scheme
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 report by the University of Copenhagen Lifetime exposure to air pollution and academic achievement: A nationwide cohort study in Denmark, published in March, particularly the finding that high levels of air pollution may negatively impact children’s cognitive development; and whether in light of this they will consider reinstating funding for the Air Quality Grant Scheme.
tabling member printed	The Lord Bishop of St Albans
uin	HL4085
answer	answer is ministerial correction date of answer 24/05/2024 answer text <p>The Government keeps new studies on health impacts of air pollution under review and is advised by the Committee on Medical Effects of Air Pollutants (COMEAP).</p><p> </p><p>The Minister used his discretion not to fund the Local Air Quality Grant Scheme for the 2023-2024 financial year. He has asked Defra officials to consider the future of the scheme and how it might be redesigned to better deliver positive outcomes for local air quality and public health and therefore enhanced value for money for taxpayers.</p> answering member printed Lord Douglas-Miller question first answered 24/05/2024 09:51:12 answering member 5006 label Biography information for Lord Douglas-Miller
tabling member	4308 label Biography information for The Lord Bishop of St Albans

1713278

registered interest
date	23/04/2024
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	General Practitioners: Employment
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment, if any, they have made of the number of GPs currently seeking, yet unable to obtain, employment.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL4019
answer	answer is ministerial correction date of answer 21/05/2024 answer text <p>There is no centrally held data on the number of general practice vacancies.</p><p>The Government remains committed to growing the number of doctors working in general practice. NHS England has made available a number of recruitment schemes, including the Targeted Enhanced Recruitment Scheme and the Return to Practice Programme.</p><p>The headcount of doctors working in general practice in March 2024 was 4,282 more, including 2,709 full time equivalent (FTE) doctors, than in March 2019.</p><p>The latest available data, as of March 2024, shows that the headcount of doctors in general practice in England was 47,173, including 37,235 FTE doctors, of whom 37,399 (27,574 FTE) were fully qualified general practioners.</p> answering member printed Lord Markham grouped question UIN HL4372 question first answered 21/05/2024 11:16:59 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1713307

registered interest
date	23/04/2024
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	Breastfeeding: Breast Cancer
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 impact of low rates of breastfeeding on incidences of breast cancer.
tabling member printed	The Lord Bishop of St Albans
uin	HL4048
answer	answer is ministerial correction date of answer 15/05/2024 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 printed Lord Markham question first answered 15/05/2024 16:49:30 answering member 4948 label Biography information for Lord Markham
tabling member	4308 label Biography information for The Lord Bishop of St Albans

1712647

registered interest
date	22/04/2024
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	Lake Windermere: Pollution
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 environmental impact of pollution in Lake Windermere.
tabling member printed	The Lord Bishop of St Albans
uin	HL4008
answer	answer is ministerial correction date of answer 24/05/2024 answer text <p>A thorough investigation by the Environment Agency (EA) into the pollution incident at Lake Windermere earlier this year remains ongoing, which involves examining further evidence from United Utilities (UU). If the EA determines a permit breach has taken place, it will not hesitate to take enforcement action up to and including a criminal prosecution.</p><p> </p><p>Windermere is affected by pollution from a range of different sources, including sewage discharges from water company assets, private septic tanks/sewage works and road and agricultural run-off, as well as physical modifications. Climate change has also altered temperature, precipitation and weather patterns which can affect the lake's water quality, by altering nutrient cycles, water chemistry and aquatic habitats, and affect the amount of water resulting in droughts and floods.</p><p> </p><p>The last Water Framework Directive full water body classification results in 2019 assessed that Lake Windermere achieved moderate ecologic status and is impacted by excessive nutrients, leading to algal growth and cyanobacterial blooms.</p><p> </p><p>Recent data shows a 30% reduction in phosphorus – which can lead to algal blooms – entering the lake since 2020 and this reduction is predominantly due to EA-driven improvements to UU Wastewater Treatment Works.</p><p> </p><p>Water quality modelling continues to quantify the different sources of pollution in Windermere and the impact that it is having in different parts of the lake. The EA is also working with the Love Windermere partnership to improve the overall health of the lake through behavioural and societal change.</p> answering member printed Lord Douglas-Miller question first answered 24/05/2024 09:12:55 answering member 5006 label Biography information for Lord Douglas-Miller
tabling member	4308 label Biography information for The Lord Bishop of St Albans