Mims Davies is the Minister for Disabled People, Health and Work, but I do not think we should spend all our time focusing on titles. I do not want to tread on my noble friend Lord Younger’s toes but, having studied this subject in preparation, I was trying to talk a little about what we will actually do for the disabled. Of course we need to respect them and talk about them in an appropriate way but, as noble Lords will know, it is important to have action and get things done.

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.

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.

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.

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.

Data tables published in November 2021 in the UK Annual Report on Modern Slavery: 2021 UK Annual Report on Modern Slavery (accessible version) - GOV.UK (www.gov.uk)(opens in a new tab) show the numbers of children referred to Direct Workers and Regional Practice Coordinators, broken down by region, in 2019 and 2020.

To date, two evaluations on the ICTG service have been published: An evaluation of Independent Child Trafficking Guardians - early adopter sites: Final report - GOV.UK (www.gov.uk) and An assessment of Independent Child Trafficking Guardians - GOV.UK (www.gov.uk)

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.

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.

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.

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.

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.

Data tables published in November 2021 in the UK Annual Report on Modern Slavery: 2021 UK Annual Report on Modern Slavery (accessible version) - GOV.UK (www.gov.uk)(opens in a new tab) show the numbers of children referred to Direct Workers and Regional Practice Coordinators, broken down by region, in 2019 and 2020.

To date, two evaluations on the ICTG service have been published: An evaluation of Independent Child Trafficking Guardians - early adopter sites: Final report - GOV.UK (www.gov.uk) and An assessment of Independent Child Trafficking Guardians - GOV.UK (www.gov.uk)

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.

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.

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.

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.

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.

Data tables published in November 2021 in the UK Annual Report on Modern Slavery: 2021 UK Annual Report on Modern Slavery (accessible version) - GOV.UK (www.gov.uk)(opens in a new tab) show the numbers of children referred to Direct Workers and Regional Practice Coordinators, broken down by region, in 2019 and 2020.

To date, two evaluations on the ICTG service have been published: An evaluation of Independent Child Trafficking Guardians - early adopter sites: Final report - GOV.UK (www.gov.uk) and An assessment of Independent Child Trafficking Guardians - GOV.UK (www.gov.uk)

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.

Yes, we are taking extensive action on the obesity front. As well as being a major cause of cancer, it is the cause of a lot of ill health. We have taken a lot of action against 96% of the reasons given in obesity research on calorific intake, with regard to what people buy in supermarkets. Also, the soft drinks industry levy—the sugar tax—has decreased sugar in drinks by at least 14%.

The wideness and diversity of my brief has often been talked about: I now feel I am speaking for the Department of Health. I am delighted that my noble friend is on the Front Bench and he will speak with particular insight, but my noble friend who put the question has great expertise himself—his own profession lends itself—and to sum it all up, I totally agree with him.

It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

I think one of the things that, hopefully, I have learned in the almost year that I have been answering Questions is when I know the answer to a question and when I do not. I am afraid this is one of the examples of the latter. I will happily look up the Canadian example of the use of whole milk and write to the noble Lord on it.

The Government recognises that innovation is crucial to drive improvements in clinical care and improved outcomes for people living with sight-threatening conditions. Integrated care boards (ICBs) are responsible for commissioning services to meet local needs. In making commissioning decisions, we would expect ICBs to take into account the National Institute for Health and Care Excellence (NICE) guideline on the diagnosis and management of glaucoma which NICE keeps under review, to ensure that it reflects developments in medical technology and clinical practice.

The Care Quality Commission (CQC) is the independent regulator of health and adult social care in England, and this includes independent sector providers. CQC monitors, inspects and regulates services and publish what it finds. Where CQC finds poor care, it can use its enforcement powers to take action. This sits alongside guidance issued by NICE for the treatment of glaucoma and any professional standards issued by the Royal College of Ophthalmologists, which we would expect National Health Service commissioners to have regard to when commissioning services from the independent sector.

NHS England’s Getting It Right First Time Programme is also working with providers across the country to reduce unwarranted variation in care across a range of eyecare subspecialties, including glaucoma.

The Government recognises that innovation is crucial to drive improvements in clinical care and improved outcomes for people living with sight-threatening conditions. Integrated care boards (ICBs) are responsible for commissioning services to meet local needs. In making commissioning decisions, we would expect ICBs to take into account the National Institute for Health and Care Excellence (NICE) guideline on the diagnosis and management of glaucoma which NICE keeps under review, to ensure that it reflects developments in medical technology and clinical practice.

The Care Quality Commission (CQC) is the independent regulator of health and adult social care in England, and this includes independent sector providers. CQC monitors, inspects and regulates services and publish what it finds. Where CQC finds poor care, it can use its enforcement powers to take action. This sits alongside guidance issued by NICE for the treatment of glaucoma and any professional standards issued by the Royal College of Ophthalmologists, which we would expect National Health Service commissioners to have regard to when commissioning services from the independent sector.

NHS England’s Getting It Right First Time Programme is also working with providers across the country to reduce unwarranted variation in care across a range of eyecare subspecialties, including glaucoma.

The Government recognises that innovation is crucial to drive improvements in clinical care and improved outcomes for people living with sight-threatening conditions. Integrated care boards (ICBs) are responsible for commissioning services to meet local needs. In making commissioning decisions, we would expect ICBs to take into account the National Institute for Health and Care Excellence (NICE) guideline on the diagnosis and management of glaucoma which NICE keeps under review, to ensure that it reflects developments in medical technology and clinical practice.

The Care Quality Commission (CQC) is the independent regulator of health and adult social care in England, and this includes independent sector providers. CQC monitors, inspects and regulates services and publish what it finds. Where CQC finds poor care, it can use its enforcement powers to take action. This sits alongside guidance issued by NICE for the treatment of glaucoma and any professional standards issued by the Royal College of Ophthalmologists, which we would expect National Health Service commissioners to have regard to when commissioning services from the independent sector.

NHS England’s Getting It Right First Time Programme is also working with providers across the country to reduce unwarranted variation in care across a range of eyecare subspecialties, including glaucoma.

By law, variable service charges must be reasonable and, where costs relate to work or services, the work or services must be of a reasonable standard. Leaseholders may make an application to the appropriate tribunal to challenge the reasonableness of their service charges.

We are committed to protecting and empowering leaseholders by giving them more information on what their costs pay for. We will legislate to ensure service charges are transparent and communicated effectively, removing barriers to challenge when things go wrong. This will help leaseholders more effectively challenge their landlord if they consider their fees are unreasonable. We are due to bring forward further leasehold reforms later in this parliament.

Defra is responsible for the domestic legislation covering statutory nuisances, although local authority environmental health departments are the main enforcers of the statutory noise regime under the Environmental Protection Act, 1990.

Sources of noise nuisance are highly individual, and while some can be dealt with swiftly and straightforwardly, others will require works to be carried out or other steps to be taken which may be more complex and time consuming. As such, the Government considers that decisions around the timeframe for complying with a noise abatement order must be a matter for local authorities to decide within individual situations.

The Home Office publishes quarterly and annual statistics regarding the National Referral Mechanism (NRM). The Q1 2023 statistics can be found here;

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1154119/modern-slavery-national-referral-mechanism-statistics-uk-quarter-1-2023-january-to-march-tables.ods

The data shows the number of duty to notify notices (DTN) received from January to March 2023 and the number of reasonable grounds decisions made per quarter.

Further disaggregated data which shows nationality and whether the potential victim was an adult or child at the time of exploitation is published via the UK Data Service.

The DTN data related to April 2023 will be part of the Q2 statistics which is due to be published in August 2023.

The Home Office publishes quarterly and annual statistics regarding the National Referral Mechanism (NRM). The Q1 2023 statistics can be found here;

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1154119/modern-slavery-national-referral-mechanism-statistics-uk-quarter-1-2023-january-to-march-tables.ods

The data shows the number of duty to notify notices (DTN) received from January to March 2023 and the number of reasonable grounds decisions made per quarter.

Further disaggregated data which shows nationality and whether the potential victim was an adult or child at the time of exploitation is published via the UK Data Service.

The DTN data related to April 2023 will be part of the Q2 statistics which is due to be published in August 2023.

The Immigration Act 1971 contains offences (including those created by the Nationality and Borders Act 2022) for assisting and facilitating unlawful immigration into the United Kingdom.

The Crown Prosecution Service (CPS) does not hold any data which shows the number of defendants in England and Wales charged with, prosecuted and convicted for people smuggling offences created by the Immigration Act 1971.

However, management information for England and Wales is held showing the number of offences charged by way of S25 (Assisting unlawful immigration to member State or the United Kingdom), S25A (Helping an asylum-seeker to enter United Kingdom) and S25B (Assisting entry to United Kingdom in breach of deportation or exclusion order) of the Immigration Act 1971 in which a prosecution commenced in each of the last five years. The table below shows the number of these offences to the latest available year, 2022, in England and Wales.

The figures relate to the number of offences and not the number of individual defendants. It can be the case that an individual defendant is charged with more than one offence against the same complainant. No data is held showing the final outcome or if the charged offence was the substantive charge at finalisation.