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1718616

registered interest
date	15/05/2024
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	Food Supply
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking (1) to strengthen the resilience of the UK's food supply chain, and (2) to enhance food security, in the face of external disruptions and challenges.
tabling member printed	Lord Taylor of Warwick
uin	HL4718
answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>The UK has a highly resilient food supply chain and is well equipped to deal with situations with the potential to cause disruption.</p><p> </p><p>Our high degree of food security is built on supply from diverse sources; strong domestic production as well as imports through stable trade routes. We produce 60% of all the food we need, and 73% of food which we can grow or rear in the UK for all or part of the year, and these figures have changed little over the last 20 years.</p><p> </p><p>UK consumers have access through international trade to food products that cannot be produced here, or at least not on a year-round basis. This supplements domestic production, and also ensures that any disruption from risks such as adverse weather or disease does not affect the UK's overall security of supply.</p><p> </p><p>Defra has well established ways of working with the industry and across Government to monitor risks that may arise. This includes extensive, regular and ongoing engagement in preparedness for, and response to, issues with the potential to cause disruption to food supply chains.</p><p> </p><p>Recognising the importance of food security, in the Agriculture Act 2020, the Government made a commitment to produce an assessment of our food security at least once every three years. The first UK Food Security Report was produced in 2021 and the next will be published by December 2024. This report serves as an evidence base for policy work.</p><p> </p><p>Starting this year, the government is also strengthening our food security monitoring by introducing the annual Food Security Index in addition to the three-yearly UKFSR.</p><p> </p><p>Published to coincide with the second UK Farm to Fork Summit on 14 May 2024, the 2024 Food Security Index sets out how Government will track UK-wide food security on an annual basis, monitoring domestic food production, land use, input costs, and farmer productivity.</p><p> </p><p>The Index looks at shorter-term trends that change year on year, complementing the UKFSR’s comprehensive assessment and attention to longer-term trends. The 2024 Index shows that the UK farming sector is at its most productive since records began.</p><p> </p><p>A further package of measures to support farmers and grow the UK’s farming and food sector was announced by the government at the Farm to Fork Summit on 14th May 2024.</p><p> </p><p>This includes a <a href="https://eur03.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.gov.uk%2Fgovernment%2Fpublications%2Fa-blueprint-to-grow-the-uk-fruit-and-vegetable-sector&amp;data=05%7C02%7Cpqteam%40defra.gov.uk%7Ca6bcce62eca54b98c7e208dc75998dde%7C770a245002274c6290c74e38537f1102%7C0%7C0%7C638514549574220446%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&amp;sdata=EPMGmy06utGwoW2ak97LftPPf0kq62W6%2FnmT7isxfXs%3D&amp;reserved=0" target="_blank">new Blueprint for Growing the UK Fruit and Vegetable Sector</a> (see attached), setting out how industry and government can work together to increase domestic production and drive investment into this valuable sector. The plan involves ensuring the sector has access to affordable and sustainable energy and water, cutting planning red tape to make it easier and quicker to build glasshouses, and looking to double to £80 million the amount of funding given to horticulture businesses when compared to the EU legacy Fruit and Vegetable Aid Scheme which will be replaced from 2026 onwards.</p> answering member printed Lord Douglas-Miller question first answered 20/05/2024 14:32:21 answering member 5006 label Biography information for Lord Douglas-Miller attachment 1 file name HL4718 - A blueprint to grow the UK fruit and vegetable sector.pdf title blueprint - growing UK fruit and vegetable sector
tabling member	1796 label Biography information for Lord Taylor of Warwick

1718117

registered interest
date	14/05/2024
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	Breast Cancer: Ethnic Groups
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what progress they have made in reducing inequalities in outcomes for breast cancer patients from black and minority ethnic backgrounds over the past (1) 10 years, (2) five years, and (3) two years.
tabling member printed	Baroness Merron
uin	HL4629
answer	answer is ministerial correction date of answer 21/05/2024 answer text <p>Reducing inequalities and improving breast cancer outcomes for ethnic minority women is a priority for the Government. To support this work, NHS England has commissioned six new cancer clinical audits, which will provide timely evidence for cancer service providers of where patterns of care in England may vary, increase the consistency of access to treatments, and help stimulate improvements in cancer treatments and outcomes for patients, including for breast cancer. The Royal College of Surgeons began work on this audit in October 2022, and the first outcomes are expected in September 2024.</p><p>NHS England is also leading a programme of work to tackle healthcare inequalities centred around five clear priorities, which are set out in the operational planning guidance for the health system. The Core20PLUS5 approach proactively targets groups that are less likely to engage with services in the most deprived quintile of the population, along with ethnic minority communities and inclusion health groups, across five clinical areas which includes early cancer diagnosis, specifically screening and early referral.</p><p>The issue of improving equality monitoring, by reference to ethnicity and the other eight protected characteristics, is being considered at a national level under the programme called the Unified Information Standard for Protected Characteristics (UISPC). Evaluating the use of the 2021 ethnicity census categories is part of this programme. The UISPC Publication Steering Group is reporting to NHS England and the Department this year, which will inform a view on the next steps, including any plans for publication and consultation, and an implementation timetable. Preparatory work has been undertaken by NHS England that would facilitate the introduction of the 2021 ethnicity codes, should a decision be made to adopt the 2021 ethnicity census codes, or to implement an alternative approach to ethnicity, if recommended.</p><p>NHS England’s operational planning guidance recognises the importance of improving the quality of data for patient characteristics. This is one of the five strategic priorities in their drive to reduce healthcare inequalities, as improved data quality will help to reveal health inequalities and inform action to address them. NHS England has therefore asked systems to continue to improve the collection and recording of ethnicity data across primary care, outpatients, accident and emergency, mental health, community services, and specialised commissioning.</p><p>NHS England’s National Disease Registration Service (NDRS) collects ethnicity data for all cancer patients through a variety of routine, national data feeds, including the Cancer Outcomes and Services Dataset, Hospital Episode Statistics data, and Patient Administration System data. The NDRS publishes key performance indicator data on the national registration statistics for England. The latest published indicator data, for invasive cancer cases excluding non-melanoma skin cancers, diagnosed in 2020, shows that ethnicity data is complete for 94.9% of cases.</p> answering member printed Lord Markham grouped question UIN HL4631 question first answered 21/05/2024 11:11:25 answering member 4948 label Biography information for Lord Markham
tabling member	347 label Biography information for Baroness Merron

1718119

registered interest
date	14/05/2024
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	Breast Cancer: Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to improve the collection and reporting of ethnicity data for breast cancer patients to support understanding of variations in outcomes and patient experience of NHS care.
tabling member printed	Baroness Merron
uin	HL4631
answer	answer is ministerial correction date of answer 21/05/2024 answer text <p>Reducing inequalities and improving breast cancer outcomes for ethnic minority women is a priority for the Government. To support this work, NHS England has commissioned six new cancer clinical audits, which will provide timely evidence for cancer service providers of where patterns of care in England may vary, increase the consistency of access to treatments, and help stimulate improvements in cancer treatments and outcomes for patients, including for breast cancer. The Royal College of Surgeons began work on this audit in October 2022, and the first outcomes are expected in September 2024.</p><p>NHS England is also leading a programme of work to tackle healthcare inequalities centred around five clear priorities, which are set out in the operational planning guidance for the health system. The Core20PLUS5 approach proactively targets groups that are less likely to engage with services in the most deprived quintile of the population, along with ethnic minority communities and inclusion health groups, across five clinical areas which includes early cancer diagnosis, specifically screening and early referral.</p><p>The issue of improving equality monitoring, by reference to ethnicity and the other eight protected characteristics, is being considered at a national level under the programme called the Unified Information Standard for Protected Characteristics (UISPC). Evaluating the use of the 2021 ethnicity census categories is part of this programme. The UISPC Publication Steering Group is reporting to NHS England and the Department this year, which will inform a view on the next steps, including any plans for publication and consultation, and an implementation timetable. Preparatory work has been undertaken by NHS England that would facilitate the introduction of the 2021 ethnicity codes, should a decision be made to adopt the 2021 ethnicity census codes, or to implement an alternative approach to ethnicity, if recommended.</p><p>NHS England’s operational planning guidance recognises the importance of improving the quality of data for patient characteristics. This is one of the five strategic priorities in their drive to reduce healthcare inequalities, as improved data quality will help to reveal health inequalities and inform action to address them. NHS England has therefore asked systems to continue to improve the collection and recording of ethnicity data across primary care, outpatients, accident and emergency, mental health, community services, and specialised commissioning.</p><p>NHS England’s National Disease Registration Service (NDRS) collects ethnicity data for all cancer patients through a variety of routine, national data feeds, including the Cancer Outcomes and Services Dataset, Hospital Episode Statistics data, and Patient Administration System data. The NDRS publishes key performance indicator data on the national registration statistics for England. The latest published indicator data, for invasive cancer cases excluding non-melanoma skin cancers, diagnosed in 2020, shows that ethnicity data is complete for 94.9% of cases.</p> answering member printed Lord Markham grouped question UIN HL4629 question first answered 21/05/2024 11:11:25 answering member 4948 label Biography information for Lord Markham
tabling member	347 label Biography information for Baroness Merron

1718134

registered interest
date	14/05/2024
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Broadcasting Programmes and Film: Tax Allowances
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what consideration they have given to incorporating health and safety requirements into tax incentives for film and television productions, similar to those implemented recently in California.
tabling member printed	Baroness Smith of Basildon
uin	HL4646
answer	answer is ministerial correction date of answer 21/05/2024 answer text <p>The Government is not currently considering incorporating health and safety requirements into tax incentives for film and television productions, however the Government keeps the tax system under review.</p> answering member printed Baroness Vere of Norbiton question first answered 21/05/2024 11:17:15 answering member 4580 label Biography information for Baroness Vere of Norbiton
tabling member	4170 label Biography information for Baroness Smith of Basildon

1717405

registered interest
date	13/05/2024
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	Tobacco and Vapes Bill
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what data they collected on other countries that have restricted smoking when drafting the Tobacco and Vapes Bill.
tabling member printed	Lord Bourne of Aberystwyth
uin	HL4570
answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>Smoking is responsible for approximately 80,000 deaths a year in the United Kingdom and causes around one in four UK cancer deaths. It also costs society £21.8 billion a year and puts a huge burden on the National Health Service. The latest estimates from Action on Smoking and Health put the cost of smoking to the NHS and social care at £3 billion a year.</p><p>As part of our impact assessment, we reviewed evidence and data from a range of countries. This included modelling from New Zealand, Singapore, and the Solomon Islands on the estimated impact of a smokefree generation policy on smoking prevalence, smoking attributable mortality, and other health impacts. We also considered evidence and data from countries that have already implemented an increase in the age of sale for tobacco to a particular age. For example, we analysed data and evidence from the United States on the impact that raising the age of sale from 18 to 21 years old had on smoking prevalence.</p><p>This was in addition to considering evidence and data from the UK on the impact that previous increases in the age of sale for tobacco have had on smoking prevalence. A copy of our Tobacco and Vapes Bill - impact assessment is attached.</p> answering member printed Lord Markham question first answered 20/05/2024 15:06:35 answering member 4948 label Biography information for Lord Markham attachment 1 file name tobacco-vapes-bill-impact-assessment.pdf title tobacco-vapes-bill-impact-assessment
tabling member	4282 label Biography information for Lord Bourne of Aberystwyth

1717421

registered interest
date	13/05/2024
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	Cancer: Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how many people diagnosed with cancer underwent a needs assessment and were given a personalised care and support plan in (1) 2021, (2) 2022, and (3) 2023.
tabling member printed	Lord Kempsell
uin	HL4586
answer	answer is ministerial correction date of answer 21/05/2024 answer text <p>The information is not available, as the data is not collected in the format requested.</p> answering member printed Lord Markham grouped question UIN HL4587 question first answered 21/05/2024 11:09:03 answering member 4948 label Biography information for Lord Markham
tabling member	4988 label Biography information for Lord Kempsell

1717422

registered interest
date	13/05/2024
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	Cancer: Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how many people who completed cancer treatment were offered an 'end of treatment summary' in (1) 2021, (2) 2022, and (3) 2023.
tabling member printed	Lord Kempsell
uin	HL4587
answer	answer is ministerial correction date of answer 21/05/2024 answer text <p>The information is not available, as the data is not collected in the format requested.</p> answering member printed Lord Markham grouped question UIN HL4586 question first answered 21/05/2024 11:09:03 answering member 4948 label Biography information for Lord Markham
tabling member	4988 label Biography information for Lord Kempsell

1717423

registered interest
date	13/05/2024
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	Cancer: Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they will take to ensure equity and quality in care and support across the entire cancer pathway, including (1) fairness and equity in diagnostics, (2) on time treatment, and (3) patients being offered conversations about the additional care and support they may need.
tabling member printed	Lord Kempsell
uin	HL4588
answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>The Department is taking steps to ensure equity and quality in care and support for patients is available across the entire cancer pathway. Reducing inequalities and variation in cancer diagnosis and treatment are a priority for the Government, as is increasing early cancer diagnosis, as this is a key contributor to reducing cancer health inequalities. The Government is working jointly with NHS England on implementing the delivery plan for tackling the COVID-19 backlogs in elective care, and plans to spend more than £8 billion from 2022/23 to 2024/25 to help drive up and protect elective activity, including cancer diagnosis and treatment activity. As part of this, we are increasing diagnostic capacity by rolling out community diagnostic centres across England, with capacity prioritised for cancer checks. Additionally, and as outlined in the 2024/25 NHS England Planning Guidance, NHS England is providing over £266 million in cancer service development funding to Cancer Alliances, to support delivery of the operational priorities for cancer.</p><p>The Department's ministers and officials frequently meet with key stakeholders within the cancer community, including discussions on support for patients and their families. The National Health Service provides personalised cancer care and support plans, to support both patients and their families at all stages of their cancer journey. This is being delivered in line with the NHS Comprehensive Model for Personalised Care, empowering people to manage their care and the impact of their cancer, and maximise the potential of digital and community-based support.</p><p>General practice surgeries also conduct cancer care reviews at regular intervals after cancer diagnosis, to offer support with any needs patients may have. This includes providing access to other specialist-led services who work alongside patients’ medical teams, to support patients and their families, such as counsellors, rehabilitation specialists, or social prescribers, who can connect you to community groups or services for more support.</p><p>NHS England and the integrated care boards are responsible for commissioning and ensuring the healthcare needs of local communities in England are met, including for cancer patients. NHS England provides access to a personal health budget, which is an amount of NHS money that is allocated to support the health and wellbeing needs of a patient, if eligible.</p> answering member printed Lord Markham question first answered 20/05/2024 15:19:21 answering member 4948 label Biography information for Lord Markham
tabling member	4988 label Biography information for Lord Kempsell

1717435

registered interest
date	13/05/2024
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	Health: Productivity
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they have to enable evaluation of health programmes and investments to account for productivity benefits, in line with guidance issued in the Green Book.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL4600
answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>The Department has well-established policies and mechanisms in place to ensure health programmes and investments are subject to systematic evaluation at key stages in their lifecycle, in accordance with HM Treasury’s business case guidance. This includes reviewing quantitative and qualitative evidence on whether approved health projects achieve their objectives and deliver the promised benefits within the agreed budget, timescale, and scope. Lessons from post-project evaluation are widely disseminated, to support better investment decisions in future, and more robustly developed business cases.</p> answering member printed Lord Markham question first answered 20/05/2024 10:34:42 answering member 4948 label Biography information for Lord Markham
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1717437

registered interest
date	13/05/2024
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	Pharmacy: Drugs
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 (1) level, and (2) geographical distribution, of drug shortages in pharmacies.
tabling member printed	The Lord Bishop of St Albans
uin	HL4602
answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>The Department monitors and manages medicine supply issues at a national level, so that stocks remain available to meet regional and local demand. We receive notifications of supply issues from United Kingdom medicine license holders. In 2022 and 2023, the number of notifications of supply issues remained broadly stable, at approximately 1,600 per year.</p> answering member printed Lord Markham question first answered 20/05/2024 15:11:51 answering member 4948 label Biography information for Lord Markham
tabling member	4308 label Biography information for The Lord Bishop of St Albans