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1608863

registered interest
date	29/03/2023
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: Statistics
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they have plans to collect data on the causes of obesity; and if so, when this will start.
tabling member printed	Lord McColl of Dulwich
uin	HL7014
answer	answer is ministerial correction date of answer 06/04/2023 answer text <p>Obesity is a complex problem, and the causes are multi-factorial, including biological; physiological; psycho-social; behavioural; and environmental factors. There are no plans to collect data on the causes of obesity and no specific assessment has been made on the causes of obesity.</p><p> </p><p>Government advice on a healthy, balanced diet is encapsulated in the United Kingdom’s national food model, the Eatwell Guide. The Eatwell Guide shows the proportions in which different types of foods should be consumed to have a healthy balanced diet, including average calorie intakes for men and women. The Eatwell Guide principles are communicated through a variety of channels, including the National Health Service website, Government social marketing campaigns, and guidance on healthier catering. For example, the Better Health campaign encourages adults to introduce changes that will help them work towards a healthier weight, including guidance on healthier food choices, calorie intake and portion control.</p> answering member printed Lord Markham grouped question UIN HL7015 HL7016 question first answered 06/04/2023 14:42:44 answering member 4948 label Biography information for Lord Markham
tabling member	1892 label Biography information for Lord McColl of Dulwich

1608864

registered interest
date	29/03/2023
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 His Majesty's Government whether they intend to promote personal calorie control as one of the main mechanisms for preventing obesity.
tabling member printed	Lord McColl of Dulwich
uin	HL7015
answer	answer is ministerial correction date of answer 06/04/2023 answer text <p>Obesity is a complex problem, and the causes are multi-factorial, including biological; physiological; psycho-social; behavioural; and environmental factors. There are no plans to collect data on the causes of obesity and no specific assessment has been made on the causes of obesity.</p><p> </p><p>Government advice on a healthy, balanced diet is encapsulated in the United Kingdom’s national food model, the Eatwell Guide. The Eatwell Guide shows the proportions in which different types of foods should be consumed to have a healthy balanced diet, including average calorie intakes for men and women. The Eatwell Guide principles are communicated through a variety of channels, including the National Health Service website, Government social marketing campaigns, and guidance on healthier catering. For example, the Better Health campaign encourages adults to introduce changes that will help them work towards a healthier weight, including guidance on healthier food choices, calorie intake and portion control.</p> answering member printed Lord Markham grouped question UIN HL7014 HL7016 question first answered 06/04/2023 14:42:44 answering member 4948 label Biography information for Lord Markham
tabling member	1892 label Biography information for Lord McColl of Dulwich

1608865

registered interest
date	29/03/2023
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 His Majesty's Government what assessment they have made of the causes of obesity; in particular, (1) food addiction, (2) genetics, and (3) other factors.
tabling member printed	Lord McColl of Dulwich
uin	HL7016
answer	answer is ministerial correction date of answer 06/04/2023 answer text <p>Obesity is a complex problem, and the causes are multi-factorial, including biological; physiological; psycho-social; behavioural; and environmental factors. There are no plans to collect data on the causes of obesity and no specific assessment has been made on the causes of obesity.</p><p> </p><p>Government advice on a healthy, balanced diet is encapsulated in the United Kingdom’s national food model, the Eatwell Guide. The Eatwell Guide shows the proportions in which different types of foods should be consumed to have a healthy balanced diet, including average calorie intakes for men and women. The Eatwell Guide principles are communicated through a variety of channels, including the National Health Service website, Government social marketing campaigns, and guidance on healthier catering. For example, the Better Health campaign encourages adults to introduce changes that will help them work towards a healthier weight, including guidance on healthier food choices, calorie intake and portion control.</p> answering member printed Lord Markham grouped question UIN HL7014 HL7015 question first answered 06/04/2023 14:42:44 answering member 4948 label Biography information for Lord Markham
tabling member	1892 label Biography information for Lord McColl of Dulwich

1608899

registered interest
date	29/03/2023
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 Boards: Palliative Care
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to ensure that integrated care boards fulfil their obligations under the Health and Care Act 2022 to provide palliative care services to meet the needs of their population.
tabling member printed	Baroness Finlay of Llandaff
uin	HL6993
answer	answer is ministerial correction date of answer 11/04/2023 answer text <p>NHS England has actively increased its support to local commissioners to improve the accessibility, quality and sustainability of palliative and end of life care for all. This has included the publication of statutory guidance and service specifications, with further resources available on the FutureNHS Collaboration Platform. Copies of these documents are attached.</p><p> </p><p>In addition, NHS England has funded the establishment of a palliative and end of life care Strategic Clinical Network in every NHS England region, which work closely with local commissioners regarding the development of accessible, high quality and sustainable services.</p> answering member printed Lord Markham attachment 1 file name Palliative-and-End-of-Life-Care-Statutory-Guidance-for-Integrated-Care-Boards-ICBs-September-2022.pdf title Palliative and End of Life Care ICB guidance 2 file name B1675-specialist-palliative-and-end-of-life-care-services-cyp-service-spec.pdf title Child Palliative and End of Life Care ICB guidance question first answered 11/04/2023 13:49:00 answering member 4948 label Biography information for Lord Markham
tabling member	3609 label Biography information for Baroness Finlay of Llandaff

1608900

registered interest
date	29/03/2023
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	Hospices: Hospital Beds
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 number of hospice beds that have been lost due to shortfalls in the funding through integrated care boards and where no alternative provision has been made by local NHS providers.
tabling member printed	Baroness Finlay of Llandaff
uin	HL6994
answer	answer is ministerial correction date of answer 11/04/2023 answer text <p>No specific assessment has been made. Palliative and end of life care is commissioned at a local level by integrated care boards (ICBs) in response to the needs of their local population. NHS England has published statutory guidance and service specifications to support ICBs in commissioning a range of palliative and end of life services, including inpatient beds, that meet local needs and preferences.</p><p> </p><p>In addition, NHS England has funded the establishment of a palliative and end of life care Strategic Clinical Network in every NHS England region to work closely with local commissioners on the development of accessible, high quality and sustainable services.</p> answering member printed Lord Markham question first answered 11/04/2023 13:45:49 answering member 4948 label Biography information for Lord Markham
tabling member	3609 label Biography information for Baroness Finlay of Llandaff

1608907

registered interest
date	29/03/2023
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	Vaccines Manufacturing and Innovation Centre
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 implications the sale of the Vaccines Manufacturing And Innovation Centre (VMIC) near Oxford for the UK’s long-term investment in vaccine manufacturing; and how the disposal of the VMIC will contribute to the preparedness of the UK for future pandemics, particularly in view of the experiences of COVID-19 pandemic.
tabling member printed	The Marquess of Lothian
uin	HL7010
answer	answer is ministerial correction date of answer 06/04/2023 answer text <p>The decision to sell the Vaccine Manufacturing and Innovation Centre was made by VMIC UK Ltd.’s Board of Directors, with the facility being subsequently sold to Catalent. Once completed, it is intended that the facility will be capable of producing a range of therapeutics and vaccines.</p><p> </p><p>Officials regularly engage with industry stakeholders to understand the wider landscape and implications for vaccine development and manufacturing in the United Kingdom and will continue to do so. Officials are also working across Government to review lessons learned from the COVID-19 pandemic and prepare for future health emergencies.</p> answering member printed Lord Markham question first answered 06/04/2023 10:40:12 answering member 4948 label Biography information for Lord Markham
tabling member	259 label Biography information for The Marquess of Lothian

1608909

registered interest
date	29/03/2023
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: Complaints
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how many patients used the complaints procedure of their local GP surgery in England in each of the last five years; and what was the average length of time GP surgeries in England to investigate patient complaints and to provide a response.
tabling member printed	The Marquess of Lothian
uin	HL7012
answer	answer is ministerial correction date of answer 06/04/2023 answer text <p>The following table shows the number of complaints received by general practitioners (GPs) in the past five years, and is derived from the document, <em>‘Data on Written Complaints in the NHS 2021-22’.</em> A copy of this document is attached.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Number of complaints</p></td></tr><tr><td><p>2021/22</p></td><td><p>99,459</p></td></tr><tr><td><p>2020/21</p></td><td><p>72,087</p></td></tr><tr><td><p>2019/20</p></td><td><p>Not available</p></td></tr><tr><td><p>2018/19</p></td><td><p>72,356</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,782</p></td></tr></tbody></table><p> </p><p>The data collection for GP practices was suspended in 2019/20 due to the COVID-19 pandemic, so data for that year is unavailable. Data on the length of time that it took GP surgeries to investigate and provide a response to complainants is not collected centrally.</p> answering member printed Lord Markham question first answered 06/04/2023 10:49:50 answering member 4948 label Biography information for Lord Markham attachment 1 file name Data on Written Complaints in the NHS 2021-22 Tables.xlsx title Data on Written Complaints in the NHS 2021-22
tabling member	259 label Biography information for The Marquess of Lothian

1608917

registered interest
date	29/03/2023
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	Health: Women
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 particular mental health and wellbeing of ethnic minority girls and young women.
tabling member printed	Baroness Thornton
uin	HL7035
answer	answer is ministerial correction date of answer 13/04/2023 answer text <p>Whilst we are not taking steps nationally to address specifically the particular mental health and wellbeing of ethnic minority girls and young women, we are expanding access to mental health services through the NHS Long Term Plan, which commits to investing an additional £2.3 billion a year for mental health services by 2023/24, so that an additional two million people, including girls and young women from minority ethnic groups, can access National Health Service-funded mental health support.</p><p> </p><p>NHS England launched its first <em>Advancing mental health equalities strategy</em> in October 2020 to support the ambition of reducing mental health inequalities outlined in the NHS Long Term Plan. The strategy summarises the core actions that NHS England will take to bridge the gaps for communities faring worse than others in mental health services, including black, Asian and minority ethnic groups, and women in secure care settings. A copy of the strategy is attached.</p><p> </p><p>The Government and NHS England are also taking forward non-legislative work to address racial disparities, including the piloting of Culturally Appropriate Advocacy services by the Department. These are exploring approaches to identifying, supporting, and advocating for the specific cultural needs of people from ethnic minority groups.</p> answering member printed Lord Markham question first answered 13/04/2023 15:17:25 answering member 4948 label Biography information for Lord Markham attachment 1 file name 00159-advancing-mental-health-equalities-strategy.pdf title Advancing mental health equalities strategy
tabling member	1782 label Biography information for Baroness Thornton

1608918

registered interest
date	29/03/2023
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	Mental Health: Women
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to their Women’s Health Strategy for England, published on 30 August 2022, what steps they are taking to address the high rates of poor mental health amongst girls and young women.
tabling member printed	Baroness Thornton
uin	HL7036
answer	answer is ministerial correction date of answer 11/04/2023 answer text <p>The NHS Long Term Plan commits an additional £2.3 billion a year for mental health services in England by 2023/24, supporting an additional two million people, including girls and young women, to get the National Health Service-funded mental health support that they need.</p><p> </p><p>We also continue to make progress on rolling out mental health support teams to schools and colleges, with 287 in place in over 4,700 schools and colleges across the country, offering support to children experiencing common mental health issues. The number of teams is expected shortly to have increased to 399.</p><p> </p><p>We know that girls and women are more likely to experience an eating disorder, so as part of the NHS Long Term Plan investment, we are putting an extra £1 billion into community mental health care for adults with severe mental illness by 2023/24. This will give 370,000 adults and older adults with severe mental illnesses, including eating disorders, greater choice and control over their care and will support them to live well in their communities.</p><p> </p><p>Since 2016, extra funding is going into children and young people's community eating disorder services every year, with £54 million per year from 2022/23. This extra funding will enhance the capacity of community eating disorder teams across the country.</p><p> </p><p>The NHS Long Term Plan also includes measures to improve safety, quality and continuity of care and a commitment for a further 24,000 women to be able to access specialist perinatal mental health care by 2023/24. This care will also be available from preconception to 24 months after birth, which will provide an extra year of support. This expansion includes 33 new Maternal Mental Health Services, which bring together psychological therapy, maternity services and reproductive health for women who have mental health needs following trauma or loss related to their maternity experience. These will be available across England by March 2024.</p><p> </p><p>As outlined in the Women’s Health Strategy, women are one of our priority groups when promoting our Every Mind Matters resource, which includes content to support issues affecting women’s mental health, including life changes such as pregnancy.</p> answering member printed Lord Markham question first answered 11/04/2023 13:44:38 answering member 4948 label Biography information for Lord Markham
tabling member	1782 label Biography information for Baroness Thornton

1608404

registered interest
date	28/03/2023
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	Nurses: Migrant Workers
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how many international nurses NHS Trusts have recruited in the past 12 months; and of those, how many have been permitted to work.
tabling member printed	Baroness Cavendish of Little Venice
uin	HL6909
answer	answer is ministerial correction date of answer 06/04/2023 answer text <p>This information is not collected centrally.</p> answering member printed Lord Markham question first answered 06/04/2023 10:41:51 answering member 4948 label Biography information for Lord Markham
tabling member	4578 label Biography information for Baroness Cavendish of Little Venice