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1651487

registered interest
date	10/07/2023
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	Pharmacy: Standards
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 level of support available under the Pharmacy Access Scheme; and whether the criteria includes the (1) quality, (2) opening hours, and (3) range of provision, of existing pharmacies.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL9200
answer	answer is ministerial correction date of answer 19/07/2023 answer text <p><del class="ministerial">The early access to medicines scheme (EAMS) aims to give patients with life threatening or seriously debilitating conditions access to medicines that do not yet have a marketing authorisation when there is a clear unmet medical need.</del></p><p><del class="ministerial">Under the scheme, the Medicines and Healthcare products Regulatory Agency (MHRA) will give a scientific opinion on the benefit/risk balance of the medicine, based on the data available when the EAMS submission was made and the EAMS criteria. The MHRA will make an evaluation of products, including drugs such as for brain tumour treatments, once an application is received.</del></p><p><del class="ministerial">If we do receive an application, it is only made public where an EAMS Scientific Opinion (SO) is awarded. All EAMS SOs are published on the EAMS webpage. All drugs that have previously held an EAMS SO are also published on the EAMS webpage.</del></p><p><ins class="ministerial">The Pharmacy Access Scheme provides additional funding to pharmacies where the next nearest pharmacy is more than a 20-minute walk away. This is calculated as a 0.8-mile walking distance in areas of high deprivation and 1 mile in other areas. In 2021, we agreed updated eligibility criteria and an updated payment model with Community Pharmacy England. To be eligible for the payment, pharmacies must deliver the Community Pharmacist Consultation Service. Quality and opening hours are not included in the eligibility criteria.</ins></p><p> </p><p> </p> answering member printed Lord Markham question first answered 19/07/2023 15:05:50 question first ministerially corrected 20/07/2023 15:18:01 answering member 4948 label Biography information for Lord Markham previous answer version 88780 answering member printed Lord Markham answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1648704

registered interest
date	28/06/2023
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	Zoonoses
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 finding of Min Cui, Bang Shen and others in their article ‘Animal diseases and human future’, published in Animal Diseases in April 2022, that 75 per cent of emerging human infectious diseases originate from animals.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL8865
answer	answer is ministerial correction date of answer 10/07/2023 answer text <p>UK Health Security Agency (UKHSA) is aware of the paper Animal diseases and human future by Min Cui, Bang Shen et al published in Animal Diseases, April 2022. The paper asserts that “approximately 60% of human infectious diseases are zoonotic, and 75% of emerging human infectious diseases originate from animals”. While there is not one internationally agreed figure for the percentages of diseases, emerging or established, that are zoonotic, these figures are broadly in line with that of global public health partners such as World Organisation for Animal Health.</p> answering member printed Lord Markham question first answered 10/07/2023 14:28:26 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1648323

registered interest
date	27/06/2023
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	Urinary Tract Infections
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they have plans for trials across England of antibiotic cessation for those receiving prophylactic antibiotics for recurrent urinary tracts infection, as pioneered in Wales.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL8808
answer	answer is ministerial correction date of answer 05/07/2023 answer text <p>NHS England has supported two integrated care boards (ICBs) in the East of England to pilot local schemes to incentivise primary care networks to identify patients prescribed prophylactic antibiotics and invite those patients for a clinical review. Prescribing data will be used to monitor the impact of these pilot schemes and, if safe and effective, underpin a national roll out of this approach.</p> answering member printed Lord Markham question first answered 05/07/2023 16:20:58 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1648324

registered interest
date	27/06/2023
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	Antibiotics: Water
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they have taken to research and promote increased water consumption by care home patients to reduce (1) prophylactic antibiotic use, and (2) downstream effects on drug-resistant infections.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL8809
answer	answer is ministerial correction date of answer 04/07/2023 answer text <p>NHS England is funding a series of hydration pilots, to test out which hydration related interventions are most likely to increase fluid intake and whether this in turn reduces the risk of developing a urinary tract infection (UTI) in the older adult population living in care homes. These pilots are intended to reduce the incidence of urinary tract and blood stream infections, antibiotic prescribing and use, and antimicrobial resistance.</p> answering member printed Lord Markham question first answered 04/07/2023 13:49:54 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1644866

registered interest
date	14/06/2023
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 Services: Asylum
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they are giving GPs different advice about the provision of treatments and services to asylum-seekers as compared to provision for the general population.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL8469
answer	answer is ministerial correction date of answer 27/06/2023 answer text <p>Anyone in England can register and consult with a general practitioner without charge, including people seeking asylum. Asylum seekers are particularly vulnerable to potential health needs because of their experiences either before, during or after migration. Additional services may be locally commissioned by the National Health Service, including from general practice, to identify and manage such health needs. Information for healthcare professionals on meeting the health needs of migrants is available in the Migrant Health Guide, which is produced by the Office for Health Improvement and Disparities.</p> answering member printed Lord Markham question first answered 27/06/2023 11:36:28 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1644869

registered interest
date	14/06/2023
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: Asylum
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they plan to require GPs to provide, without charge, letters confirming the residential addresses of asylum-seekers and refugees seeking to open a bank account.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL8472
answer	answer is ministerial correction date of answer 26/06/2023 answer text <p>There is currently no plan to require general practitioners to provide letters confirming the residential addresses of asylum-seekers and refugees seeking to open a bank account. Asylum seekers and refugees are entitled to register for and receive general practice services in the same way as any other member of the general population. This is confirmed in a range of advice and guidance published by NHS England and the NHS more widely.</p> answering member printed Lord Markham question first answered 26/06/2023 14:39:23 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1641664

registered interest
date	05/06/2023
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	Food
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 trends in the past three years relating to the consumption levels of high fat, salt and sugar foods in the UK, particularly among (1) children and (2) vulnerable populations.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL8186
answer	answer is ministerial correction date of answer 20/06/2023 answer text <p>This assessment has not yet been published. Data on consumption of foods and their contribution to fat, saturated fat, salt and free sugars intakes are collected and reported via the National Diet and Nutrition Survey (NDNS). Data for 2019 to 2023 combined will be published as part of the next NDNS report, expected in Spring 2024. Data will be published by age group, including for children aged 1.5 to 3 years, 4 to 10 years, and 11 to 18 years. Analysis of food consumption by equivalised household income and Index of Multiple Deprivation will also be published.</p><p>Monitoring data for the government’s voluntary sugar reduction programme showed that, between 2015 and 2020, retailers and manufacturers achieved a -3.5% reduction in sales weighted average SWA sugar content per 100g. Overall sales of sugar from the categories included in the programme increased by 7.1% overall, with the largest increases at a category level seen in chocolate confectionary (+26.9%) and sweet spreads and sauces (+24.5%). In contrast, the total sugar sales from drinks subject to the Soft Drinks Industry Levy (SDIL) decreased by 34.3% between 2015 and 2020.</p> answering member printed Lord Markham question first answered 20/06/2023 16:38:14 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1641665

registered interest
date	05/06/2023
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	Food
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what funding they have allocated to support initiatives aimed at (1) reducing the consumption of high fat, salt and sugar foods, and (2) improving the overall dietary habits of the population.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL8187
answer	answer is ministerial correction date of answer 14/06/2023 answer text <p>The Department has allocated funding to support enforcement of current regulatory measures to reduce consumption of products high in fat, salt, or sugar, and improve dietary habits. This will include enforcement of promotions restrictions, mandatory calorie labelling in the out-of-home sector and restrictions on advertising of less healthy food (on television and online).</p><p> </p><p>In March 2021, the Department committed to develop a new approach to health incentives that aims to support people to eat better and move more. The Better Health: Rewards pilot launched on 17 February 2023 to adults who live in Wolverhampton and includes a £3 million investment for rewards in Wolverhampton.</p><p> </p><p>In addition, approximately £500,000 will be spent on promotion of healthy weaning and breastfeeding support and advice to parents. This is delivered through Start for Life which is the Department’s national communications programme, supporting families to better health.</p> answering member printed Lord Markham question first answered 14/06/2023 14:15:44 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1641666

registered interest
date	05/06/2023
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	Artificial Sweeteners
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 of the World Health Organization guideline on the use of non-sugar sweeteners, published on 15 May 2023, for dietary guidelines in England.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL8188
answer	answer is ministerial correction date of answer 14/06/2023 answer text <p>No assessment has been made. Policy officials have noted the report, its findings and the evidence used by World Health Organization (WHO) to inform their conclusions.</p><p>The United Kingdom’s Scientific Advisory Committee on Nutrition keeps a watching brief on the evidence around non-sugar sweeteners and health. The Government continues to recommend that the population’s average sugars intake should be reduced to no more than 5% of daily energy intake.</p> answering member printed Lord Markham question first answered 14/06/2023 14:19:34 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1641667

registered interest
date	05/06/2023
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	Antibiotics: Prescriptions
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the delivery plan for recovering access to primary care published on 9 May, what steps they are taking to ensure that the training provided to pharmacists and pharmacy staff equips them with the necessary skills to prescribe antibiotics.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL8189
answer	answer is ministerial correction date of answer 15/06/2023 answer text <p>The delivery plan for recovering access to primary care will enable community pharmacies to supply prescription-only medicines for seven common conditions under Patient Group Directions (PGDs). PGDs are written instructions enabling certain health care professionals to supply or administer medicines to patients without a prescription. Any pharmacy offering this service will have to declare they are competent to deliver the service and pharmacists supplying medicines under PGDs must have undertaken the training set out in those specific PGDs.</p><p>Antimicrobial stewardship is a priority for the Government and NHS England. Action to embed antimicrobial stewardship principles in community pharmacy teams has formed part of the Pharmacy Quality Scheme in the National Health Service contractual arrangements.</p><p>The supply of antibiotics under the new service will be monitored by collecting and analysing data about the supply of medicines, including antibiotics, in the same way that data is collected on prescribing in general practice.</p><p>In addition, in May, the National Institute for Health and Care Research issued a research call for a robust wrap around evaluation of the Pharmacy First service to understand its impact, safety, cost effectiveness, acceptability and implications for antibiotic use and antimicrobial resistance.</p> answering member printed Lord Markham grouped question UIN HL8190 question first answered 15/06/2023 14:22:25 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle