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1717019

registered interest
date	09/05/2024
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	Fats
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what current guidance they have issued about the maximum recommended dietary intake of (1) saturated, and (2) unsaturated, fat per day; and on the basis of what scientific evidence they made such a recommendation.
tabling member printed	Lord McColl of Dulwich
uin	HL4521
answer	answer is ministerial correction date of answer 17/05/2024 answer text <p>The Government encourages everyone to have a healthy balanced diet in line with the United Kingdom’s healthy eating model, The Eatwell Guide, which shows that foods high in saturated fat, salt, or sugar should be eaten less often, or in small amounts. The Government’s dietary guidelines are based on recommendations from the Scientific Advisory Committee on Nutrition (SACN) and its predecessor, the Committee on Medical Aspects of Nutrition Policy (COMA), and based on comprehensive assessments of the evidence.</p><p>In its 1994 report, Nutritional aspects of cardiovascular disease, the COMA recommended a reduction in the average contribution of total fat to dietary energy in the population to approximately 35%, and that trans fats should provide no more than approximately 2% of dietary energy. In relation to unsaturated fatty acids, the COMA concluded that: monounsaturated fatty acids (MUFA) had no specific recommendation; for n-6 polyunsaturated fatty acids (PUFA), there should be no further increase in average intakes, and the proportion of the population consuming in excess of about 10% energy should not increase; linolenic acid provided at least 1% of total energy; and alpha linolenic acid provided at least 0.2% total energy. The report also included recommendations on saturated fats, which were updated by the SACN in 2019.</p><p>A joint SACN and Committee on Toxicity report, Advice on fish consumption: benefits and risks published in 2004, endorsed the recommendation that the population, including pregnant women, should eat at least two portions of fish per week, one of which should be oily. Two portions of fish per week, one white and one oily, contains approximately 0.45 grams per day of long chain n-3 PUFA. This recommendation represented an increase in the population’s average consumption of long chain n-3 PUFA, from approximately 0.2 grams to approximately 0.45 grams per day.</p><p>The SACN’s 2019 report on saturated fats and health recommended: the dietary reference value for saturated fats remains unchanged, and the population’s average contribution of saturated fatty acids to total dietary energy be reduced to no more than approximately 10%, which also applies to adults and children aged five years and older; and that saturated fats are substituted with unsaturated fats, as it was noted that more evidence is available supporting substitution with PUFA than substitution with MUFA.</p> answering member printed Lord Markham question first answered 17/05/2024 11:57:23 answering member 4948 label Biography information for Lord Markham
tabling member	1892 label Biography information for Lord McColl of Dulwich

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

1678293

registered interest
date	14/12/2023
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Slavery: Victims
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by Lord Murray of Blidworth on 6 February (HL4984), when they will publish the guidance on providing 12 months' support to modern slavery victims who hold a positive conclusive grounds decision.
tabling member printed	Lord McColl of Dulwich
uin	HL1217
answer	answer is ministerial correction date of answer 02/01/2024 answer text <p>We carefully reviewed the commitment made regarding the provision of 12 months’ support to modern slavery victims with a positive Conclusive Grounds decision and concluded that the Recovery Needs Assessment ensures that necessary support is available to victims with a positive Conclusive Grounds decision for the necessary length of time, including if this is 12 months, or longer. There is therefore no need to specify 12-month support for all individuals in guidance and no current plans to do so.</p><p>A total of 10,704 consenting adults in England and Wales received support through the Modern Slavery Victim Care contract during the year ending June 2023, the largest number support for any year since the contract began, and the Government remains committed to supporting victims based on need.</p><p>Through Section 65 of the Nationality and Borders Act 2022, the Government also set out, for the first time in primary legislation, that confirmed victims of modern slavery are eligible for temporary permission to stay in the UK. Depending on the individual circumstances, Temporary Permission to Stay can be granted for 12 months, or more, to confirmed victims of Modern Slavery. This delivers a fair and effective permission to stay process in relation to confirmed victims of modern slavery, allowing those who are cooperating with public authorities in the investigation and/or prosecution of their exploiters to stay in the UK for that purpose.</p><p>We do not publish the other data requested.</p> answering member printed Lord Sharpe of Epsom grouped question UIN HL1218 HL1219 question first answered 02/01/2024 16:39:22 answering member 4888 label Biography information for Lord Sharpe of Epsom
tabling member	1892 label Biography information for Lord McColl of Dulwich

1678294

registered interest
date	14/12/2023
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Slavery: Victims
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, in the past three years, how many victims of modern slavery have (1) received support following a recovery needs assessment, (2) received all the support they asked for, and (3) received support for 12 months or more.
tabling member printed	Lord McColl of Dulwich
uin	HL1218
answer	answer is ministerial correction date of answer 02/01/2024 answer text <p>We carefully reviewed the commitment made regarding the provision of 12 months’ support to modern slavery victims with a positive Conclusive Grounds decision and concluded that the Recovery Needs Assessment ensures that necessary support is available to victims with a positive Conclusive Grounds decision for the necessary length of time, including if this is 12 months, or longer. There is therefore no need to specify 12-month support for all individuals in guidance and no current plans to do so.</p><p>A total of 10,704 consenting adults in England and Wales received support through the Modern Slavery Victim Care contract during the year ending June 2023, the largest number support for any year since the contract began, and the Government remains committed to supporting victims based on need.</p><p>Through Section 65 of the Nationality and Borders Act 2022, the Government also set out, for the first time in primary legislation, that confirmed victims of modern slavery are eligible for temporary permission to stay in the UK. Depending on the individual circumstances, Temporary Permission to Stay can be granted for 12 months, or more, to confirmed victims of Modern Slavery. This delivers a fair and effective permission to stay process in relation to confirmed victims of modern slavery, allowing those who are cooperating with public authorities in the investigation and/or prosecution of their exploiters to stay in the UK for that purpose.</p><p>We do not publish the other data requested.</p> answering member printed Lord Sharpe of Epsom grouped question UIN HL1217 HL1219 question first answered 02/01/2024 16:39:22 answering member 4888 label Biography information for Lord Sharpe of Epsom
tabling member	1892 label Biography information for Lord McColl of Dulwich

1678295

registered interest
date	14/12/2023
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Slavery: Victims
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, in the past three years, how many victims of modern slavery have qualified for leave to remain to pursue a compensation claim or a criminal case against their traffickers.
tabling member printed	Lord McColl of Dulwich
uin	HL1219
answer	answer is ministerial correction date of answer 02/01/2024 answer text <p>We carefully reviewed the commitment made regarding the provision of 12 months’ support to modern slavery victims with a positive Conclusive Grounds decision and concluded that the Recovery Needs Assessment ensures that necessary support is available to victims with a positive Conclusive Grounds decision for the necessary length of time, including if this is 12 months, or longer. There is therefore no need to specify 12-month support for all individuals in guidance and no current plans to do so.</p><p>A total of 10,704 consenting adults in England and Wales received support through the Modern Slavery Victim Care contract during the year ending June 2023, the largest number support for any year since the contract began, and the Government remains committed to supporting victims based on need.</p><p>Through Section 65 of the Nationality and Borders Act 2022, the Government also set out, for the first time in primary legislation, that confirmed victims of modern slavery are eligible for temporary permission to stay in the UK. Depending on the individual circumstances, Temporary Permission to Stay can be granted for 12 months, or more, to confirmed victims of Modern Slavery. This delivers a fair and effective permission to stay process in relation to confirmed victims of modern slavery, allowing those who are cooperating with public authorities in the investigation and/or prosecution of their exploiters to stay in the UK for that purpose.</p><p>We do not publish the other data requested.</p> answering member printed Lord Sharpe of Epsom grouped question UIN HL1217 HL1218 question first answered 02/01/2024 16:39:22 answering member 4888 label Biography information for Lord Sharpe of Epsom
tabling member	1892 label Biography information for Lord McColl of Dulwich

1672771

registered interest
date	23/11/2023
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Independent Child Trafficking Guardianship Service
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how many children and young people were supported by the Independent Child Trafficking Guardian service between January and September; and, of those, how many (1) were supported by a direct worker, and (2) were under the oversight of a Regional Practice Coordinator.
tabling member printed	Lord McColl of Dulwich
uin	HL557
answer	answer is ministerial correction date of answer 07/12/2023 answer text <p>Independent Child Trafficking Guardians (ICTGs) operate in two thirds of local authorities across England and Wales, in addition to the statutory support provided to children by local authorities.</p><p>ICTGs provide an additional source of advice and support for potentially trafficked children, irrespective of nationality, and somebody to advocate on their behalf to ensure their best interests are reflected in the decision-making of the public authorities involved in their care.</p><p>The ICTG service model provides one-to-one support for children with no parental responsibility for them in the UK via an ICTG Direct Worker and an expert ICTG Regional Practice Co-ordinator for children where there is someone with parental responsibility for them in the UK.</p><p>The data requested regarding ICTGs for the timeframe specified has not previously been published and has not yet been verified. We are therefore unable to release the information at this time.</p><p>Data tables published in November 2021 in the UK Annual Report on Modern Slavery: <a href="https://www.gov.uk/government/publications/2021-uk-annual-report-on-modern-slavery/2021-uk-annual-report-on-modern-slavery-accessible-version#annex-a-uk-annual-report-on-modern-slavery--data-tables" target="_blank">2021 UK Annual Report on Modern Slavery (accessible version) - GOV.UK (www.gov.uk)(opens in a new tab)</a> show the numbers of children referred to Direct Workers and Regional Practice Coordinators, broken down by region, in 2019 and 2020.</p><p>To date, two evaluations on the ICTG service have been published: <a href="https://www.gov.uk/government/publications/an-evaluation-of-independent-child-trafficking-guardians-early-adopter-sites-final-report" target="_blank">An evaluation of Independent Child Trafficking Guardians - early adopter sites: Final report - GOV.UK (www.gov.uk)</a> and <a href="https://www.gov.uk/government/publications/an-analysis-of-independent-child-trafficking-guardians" target="_blank">An assessment of Independent Child Trafficking Guardians - GOV.UK (www.gov.uk)</a></p><p>There are currently no plans to publish the evaluation report of changes to the ICTG service from the Independent Review of the Modern Slavery Act 2015.</p> answering member printed Lord Sharpe of Epsom grouped question UIN HL558 HL559 question first answered 07/12/2023 17:43:14 answering member 4888 label Biography information for Lord Sharpe of Epsom
tabling member	1892 label Biography information for Lord McColl of Dulwich

1672772

registered interest
date	23/11/2023
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Independent Child Trafficking Guardianship Service
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how many children and young people who were supported by the Independent Child Trafficking Guardian service between January and September had experienced (1) sexual exploitation, (2) criminal exploitation, (3) labour exploitation, and (4) domestic servitude.
tabling member printed	Lord McColl of Dulwich
uin	HL558
answer	answer is ministerial correction date of answer 07/12/2023 answer text <p>Independent Child Trafficking Guardians (ICTGs) operate in two thirds of local authorities across England and Wales, in addition to the statutory support provided to children by local authorities.</p><p>ICTGs provide an additional source of advice and support for potentially trafficked children, irrespective of nationality, and somebody to advocate on their behalf to ensure their best interests are reflected in the decision-making of the public authorities involved in their care.</p><p>The ICTG service model provides one-to-one support for children with no parental responsibility for them in the UK via an ICTG Direct Worker and an expert ICTG Regional Practice Co-ordinator for children where there is someone with parental responsibility for them in the UK.</p><p>The data requested regarding ICTGs for the timeframe specified has not previously been published and has not yet been verified. We are therefore unable to release the information at this time.</p><p>Data tables published in November 2021 in the UK Annual Report on Modern Slavery: <a href="https://www.gov.uk/government/publications/2021-uk-annual-report-on-modern-slavery/2021-uk-annual-report-on-modern-slavery-accessible-version#annex-a-uk-annual-report-on-modern-slavery--data-tables" target="_blank">2021 UK Annual Report on Modern Slavery (accessible version) - GOV.UK (www.gov.uk)(opens in a new tab)</a> show the numbers of children referred to Direct Workers and Regional Practice Coordinators, broken down by region, in 2019 and 2020.</p><p>To date, two evaluations on the ICTG service have been published: <a href="https://www.gov.uk/government/publications/an-evaluation-of-independent-child-trafficking-guardians-early-adopter-sites-final-report" target="_blank">An evaluation of Independent Child Trafficking Guardians - early adopter sites: Final report - GOV.UK (www.gov.uk)</a> and <a href="https://www.gov.uk/government/publications/an-analysis-of-independent-child-trafficking-guardians" target="_blank">An assessment of Independent Child Trafficking Guardians - GOV.UK (www.gov.uk)</a></p><p>There are currently no plans to publish the evaluation report of changes to the ICTG service from the Independent Review of the Modern Slavery Act 2015.</p> answering member printed Lord Sharpe of Epsom grouped question UIN HL557 HL559 question first answered 07/12/2023 17:43:14 answering member 4888 label Biography information for Lord Sharpe of Epsom
tabling member	1892 label Biography information for Lord McColl of Dulwich

1672773

registered interest
date	23/11/2023
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Independent Child Trafficking Guardianship Service
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the final report of the Independent Review of the Modern Slavery Act 2015, published on 22 May 2019, and the Interim Guidance for Independent Child Trafficking Guardians, updated on 18 November 2021, how many children and young people who had someone with parental responsibility were supported with one-to-one support from the Independent Child Trafficking Guardians service between January and September; how many young people had support from the Independent Child Trafficking Guardians service continued after their 18th birthday, between January and September; and when they intend to publish evaluations of the tests of those models.
tabling member printed	Lord McColl of Dulwich
uin	HL559
answer	answer is ministerial correction date of answer 07/12/2023 answer text <p>Independent Child Trafficking Guardians (ICTGs) operate in two thirds of local authorities across England and Wales, in addition to the statutory support provided to children by local authorities.</p><p>ICTGs provide an additional source of advice and support for potentially trafficked children, irrespective of nationality, and somebody to advocate on their behalf to ensure their best interests are reflected in the decision-making of the public authorities involved in their care.</p><p>The ICTG service model provides one-to-one support for children with no parental responsibility for them in the UK via an ICTG Direct Worker and an expert ICTG Regional Practice Co-ordinator for children where there is someone with parental responsibility for them in the UK.</p><p>The data requested regarding ICTGs for the timeframe specified has not previously been published and has not yet been verified. We are therefore unable to release the information at this time.</p><p>Data tables published in November 2021 in the UK Annual Report on Modern Slavery: <a href="https://www.gov.uk/government/publications/2021-uk-annual-report-on-modern-slavery/2021-uk-annual-report-on-modern-slavery-accessible-version#annex-a-uk-annual-report-on-modern-slavery--data-tables" target="_blank">2021 UK Annual Report on Modern Slavery (accessible version) - GOV.UK (www.gov.uk)(opens in a new tab)</a> show the numbers of children referred to Direct Workers and Regional Practice Coordinators, broken down by region, in 2019 and 2020.</p><p>To date, two evaluations on the ICTG service have been published: <a href="https://www.gov.uk/government/publications/an-evaluation-of-independent-child-trafficking-guardians-early-adopter-sites-final-report" target="_blank">An evaluation of Independent Child Trafficking Guardians - early adopter sites: Final report - GOV.UK (www.gov.uk)</a> and <a href="https://www.gov.uk/government/publications/an-analysis-of-independent-child-trafficking-guardians" target="_blank">An assessment of Independent Child Trafficking Guardians - GOV.UK (www.gov.uk)</a></p><p>There are currently no plans to publish the evaluation report of changes to the ICTG service from the Independent Review of the Modern Slavery Act 2015.</p> answering member printed Lord Sharpe of Epsom grouped question UIN HL557 HL558 question first answered 07/12/2023 17:43:14 answering member 4888 label Biography information for Lord Sharpe of Epsom
tabling member	1892 label Biography information for Lord McColl of Dulwich

1666288

registered interest
date	19/10/2023
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Slavery
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by the Parliamentary Under-Secretary of State for Safeguarding on 13 September (HC197778), how specifically the £37 million Modern Slavery Fund has been spent.
tabling member printed	Lord McColl of Dulwich
uin	HL10690
answer	answer is ministerial correction date of answer 26/10/2023 answer text <p>It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</p><p> </p> answering member printed Lord Sharpe of Epsom question first answered 26/10/2023 11:13:50 answering member 4888 label Biography information for Lord Sharpe of Epsom
tabling member	1892 label Biography information for Lord McColl of Dulwich

1657575

registered interest
date	04/09/2023
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: Malnutrition
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by Lord Markham on 17 February (HL5559), what is the scientific definition of overnutrition; and how this is measured and monitored in obese individuals.
tabling member printed	Lord McColl of Dulwich
uin	HL9796
answer	answer is ministerial correction date of answer 12/09/2023 answer text <p>There is no agreed scientific nor universal definition of overnutrition, however the National Health Service refers to overnutrition as getting more nutrients than needed. Excess intake of macronutrients will mean an excess intake of energy, leading to weight gain and obesity. Excess intake of individual micronutrients may be associated with specific adverse health outcomes depending on the vitamin or mineral. Population prevalence of obesity is monitored by the Health Survey for England and data on population average energy and nutrient intakes are collected by the National Diet and Nutrition Survey. However, at an individual level, healthcare professionals may assess and monitor a patient’s weight and/or nutritional status depending on clinical need.</p><p> </p><p>Although there is no formal assessment of malnutrition at a population-level, NHS Digital collects data on finished hospital admission episodes of malnutrition in England, based on International Classification of Disease (ICD-10) codes. The cause of malnutrition is not presented in the Hospital Episode Statistics.</p><p> </p><p>The criteria referred to are from the National Institute for Health and Care Excellence (NICE) clinical guidelines CG32 ‘Nutrition support for adults: oral nutrition support, enteral tube feeding and parenteral nutrition’ and are recommended as indications for when nutrition support should be considered. This NICE guideline also states that nutrition support should be considered in people at risk of malnutrition, defined as those who have eaten little or nothing for more than 5 days and/or are likely to eat little or nothing for 5 days or longer; a poor absorptive capacity and/or high nutrient losses; and/or increased nutritional needs from causes such as catabolism. Healthcare professionals might use other screening or assessment tools, or their own clinical judgement regarding additional signs and symptoms, to assess whether someone is at risk of malnutrition.</p><p> </p><p>In the NICE guideline CG32, the term malnutrition is not used to cover excess nutrient provision (overnutrition). However, someone can be a healthy weight or have a body mass index in the overweight or obese categories but be identified through the NICE definition as potentially requiring nutrition support. Hospital Episode Statistics (HES) are also reported for scurvy and rickets, conditions which result from nutrient deficiencies, but these are reported separately to the HES for malnutrition.</p> answering member printed Lord Markham grouped question UIN HL9797 HL9798 question first answered 12/09/2023 14:45:31 answering member 4948 label Biography information for Lord Markham
tabling member	1892 label Biography information for Lord McColl of Dulwich