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To ask Her Majesty's Government what plans they have, if any, to implement new restrictions on promotions and advertising for products which are high in salt, sugar and fat.
To ask Her Majesty's Government what plans they have, if any, to implement new restrictions on promotions and advertising for products which are high in salt, sugar and fat.
It has not proved possible to respond to this question in the time available before Dissolution. Ministers will correspond directly with the Member.
To ask Her Majesty's Government whether they intend to implement the commitments relating to children’s oral health contained in the Advancing on health: prevention in the 2020's consultation document, published in July 2019.
To ask Her Majesty's Government whether they intend to implement the commitments relating to children’s oral health contained in the Advancing on health: prevention in the 2020's consultation document, published in July 2019.
The Government’s Green Paper, Advancing our health: prevention in the 2020s, published in July, commits to consulting next year on options for rolling out a national school toothbrushing scheme in more pre-school settings and primary schools in England. These proposals will aim to reach the most deprived 3-5 year olds in all areas of the country and will look to reach 30% by 2022.
The Green Paper consultation included a question on the role that water companies can play in supporting water fluoridation initiatives. The consultation closed on 14 October and we are currently analysing responses. In addition, we will also be exploring ways of removing the funding barriers to encourage more local areas that are interested in fluoridating water to come forward with proposals.
To ask Her Majesty's Government how many Individual Funding Requests have been received for treatment with liothyronine since the start of the Low Priority Prescribing Project Programme in 2017.
To ask Her Majesty's Government how many Individual Funding Requests have been received for treatment with liothyronine since the start of the Low Priority Prescribing Project Programme in 2017.
NHS England has advised that treatment with liothyronine is commissioned by clinical commissioning groups and that it does not collate information on Individual Funding Requests centrally.
My Lords, I must confess to the House that I am president of the Hospital Caterers Association. Would the noble Baroness agree that there is no shortage of good advice on dealing with malnutrition and good food in the health service; nor is there a shortage of good catering professionals? The issue is trust boards that will not invest sufficiently in this area. Will she start to instruct the NHS to get serious about this if we are going to deal with this big problem?
My Lords, I must confess to the House that I am president of the Hospital Caterers Association. Would the noble Baroness agree that there is no shortage of good advice on dealing with malnutrition and good food in the health service; nor is there a shortage of good catering professionals? The issue is trust boards that will not invest sufficiently in this area. Will she start to instruct the NHS to get serious about this if we are going to deal with this big problem?
The noble Lord is quite right that this is about leadership not only at board level but from the very top. It has been instructive that not only the Secretary of State but the chief executive of NHS England, Simon Stevens, have made it one of their priorities to ensure that the quality of food and food safety standards throughout the hospital and care systems should be improved. This is one of the key ways that we will drive out malnutrition from our health and care sector.
My Lords, if the Government are so committed to transparency, why have they not released the report of the Intelligence and Security Committee looking at the potential influence of Russian interference in our electoral system?
My Lords, if the Government are so committed to transparency, why have they not released the report of the Intelligence and Security Committee looking at the potential influence of Russian interference in our electoral system?
The noble Lord is straying slightly away from the original Question, but the Prime Minister is considering the report and will report in due course.
To ask Her Majesty's Government whether Individual Funding Requests are intended to be used for rationing access to NHS treatments, such as liothyronine, where there is a recognised cohort of patients.
To ask Her Majesty's Government whether Individual Funding Requests are intended to be used for rationing access to NHS treatments, such as liothyronine, where there is a recognised cohort of patients.
Individual Funding Requests are not intended to be used for rationing treatments, such as liothyronine. All clinical commissioning groups have their own Individual Funding Request policies that enable commissioners to focus on commissioning services that will meet the majority of their local population’s needs without spending funds on services that very few people may need access to.
To ask Her Majesty's Government what consideration they have given to extending the Soft Drinks Industry Levy to other products which fail to meet Public Health England’s voluntary sugar reformulation targets.
To ask Her Majesty's Government what consideration they have given to extending the Soft Drinks Industry Levy to other products which fail to meet Public Health England’s voluntary sugar reformulation targets.
As set out in Phase 2 of the Childhood Obesity Strategy, HM Treasury is due to review the Soft Drinks Industry Levy exemption for milk-based drinks in 2020.
The Government has no other plans to extend the scope of the Soft Drinks Industry Levy.
To ask Her Majesty's Government what plans they have to maintain the Soft Drinks Industry Levy.
To ask Her Majesty's Government what plans they have to maintain the Soft Drinks Industry Levy.
The Government has no plans to end the Soft Drinks Industry Levy. However, HM Treasury keeps all taxes under review.
To ask Her Majesty's Government what plans they have to extend the supervised tooth brushing programme, as recommended by the Royal College of Surgeon's Faculty of Dental Surgery in its report The state of children's oral health in England, published in August.
To ask Her Majesty's Government what plans they have to extend the supervised tooth brushing programme, as recommended by the Royal College of Surgeon's Faculty of Dental Surgery in its report The state of children's oral health in England, published in August.
Evidence shows that targeted supervised toothbrushing schemes are effective at preventing tooth decay and produce the biggest impact in reducing inequalities in oral health.
The Government’s Green Paper Advancing our health: prevention in the 2020s, published in July, commits to consulting next year on options for rolling out a national school toothbrushing scheme in more pre-school settings and primary schools in England. These proposals will aim to reach the most deprived 3-5 year olds in all areas of the country, and will look to reach 30% by 2022.
To ask Her Majesty's Government what plans they have to introduce a new NHS dental contract focused on prevention, as recommended by the Royal College of Surgeon's Faculty of Dental Surgery's report The state of children's oral health in England, published in August.
To ask Her Majesty's Government what plans they have to introduce a new NHS dental contract focused on prevention, as recommended by the Royal College of Surgeon's Faculty of Dental Surgery's report The state of children's oral health in England, published in August.
The Government is committed to reforming the current National Health Service dental contract to focus on preventing, as well as treating, dental disease.
We are currently testing this new approach in 101 dental practices, known as dental prototype practices, across the country. No decisions have yet been made on wider national roll out.
To ask Her Majesty's Government what action they propose to take in relation to thyroid patients who, having previously had successful treatment on dosages of 20mcg and above of liothyronine, are now facing a restriction on the dosage.
To ask Her Majesty's Government what action they propose to take in relation to thyroid patients who, having previously had successful treatment on dosages of 20mcg and above of liothyronine, are now facing a restriction on the dosage.
Whilst NHS England and NHS Improvement will regularly review its guidance, at present, there are no plans to revisit the specific recommendations for liothyronine unless new clinical evidence comes to light. Decisions on appropriate treatment for thyroid patients and doses are taken in accordance with a clinical management plan and implemented by the clinician.
To ask Her Majesty's Government what price to the NHS liothyronine would need to fall below in order for the restriction on its prescription to be lifted.
To ask Her Majesty's Government what price to the NHS liothyronine would need to fall below in order for the restriction on its prescription to be lifted.
The Department would not intervene in determining what price to the National Health Service liothyronine would need to fall below in order for the restriction on its prescription to be lifted.
Liothyronine is only appropriate for a certain group of patients and the South Regional Medicines Optimisation Committee advice sought to provide further clinical guidance on this matter. Whilst NHS England and NHS Improvement will regularly review its guidance, at present, there are no plans to revisit the specific recommendations for liothyronine unless new clinical evidence comes to light.
To ask Her Majesty's Government what assessment they have made, if any, of whether the Birmingham and Solihull Clinical Commissioning Group is following the updated prescribing guidance for liothyronine issued by the South Regional Medicines Optimisation Committee in July; and what action they are taking to ensure the guidance is...
To ask Her Majesty's Government what assessment they have made, if any, of whether the Birmingham and Solihull Clinical Commissioning Group is following the updated prescribing guidance for liothyronine issued by the South Regional Medicines Optimisation Committee in July; and what action they are taking to ensure the guidance is...
The Department has not made an assessment and does not have the responsibility to direct clinical commissioning groups on which medicines they can or cannot prescribe.
To ask Her Majesty's Government what action can be taken by thyroid patents who in raising concerns about the Birmingham and Solihull Clinical Commissioning Group's (CCG) refusal to allow the prescription of liothyronine, were told by that CCG to raise the issue with NHS England only to be told by...
To ask Her Majesty's Government what action can be taken by thyroid patents who in raising concerns about the Birmingham and Solihull Clinical Commissioning Group's (CCG) refusal to allow the prescription of liothyronine, were told by that CCG to raise the issue with NHS England only to be told by...
Clinical commissioning groups (CCG) are the responsible commissioner for this prescription of liothyronine. NHS England and NHS Improvement has set out its position and it is for CCGs to have regard to that guidance. If a CCG has a commissioning policy that differs from the guidance, then it is for the CCG to explain to patients why this is the case and the basis on which their decision was made. Therefore, patients should raise their concerns with the CCG. NHS England and NHS Improvement’s guidance does not remove the discretion of individual prescribers who remain responsible for clinical decisions relating to their patient’s care.
To ask Her Majesty's Government what action they are taking to ensure that the updated prescribing guidance for liothyronine issued by the South Regional Medicines Optimisation Committee in July is followed by all Clinical Commissioning Groups.
To ask Her Majesty's Government what action they are taking to ensure that the updated prescribing guidance for liothyronine issued by the South Regional Medicines Optimisation Committee in July is followed by all Clinical Commissioning Groups.
It is not the responsibility of the Department to direct clinical commissioning groups (CCGs) on which medicines they can or cannot prescribe. These decisions need to be taken by each individual CCG. However, we would expect CCGs to have regard to the South Regional Medicines Optimisation Committee prescribing guidance.
To ask Her Majesty's Government what further proof of eligibility for treatment with liothyronine is required for those patients, in Clinical Commissioning Groups (CCG) who are members of the Pan Mersey Area Prescribing Committee, for whom an endocrinologist has confirmed levothyroxine treatment has not been suitable and has recommended they...
To ask Her Majesty's Government what further proof of eligibility for treatment with liothyronine is required for those patients, in Clinical Commissioning Groups (CCG) who are members of the Pan Mersey Area Prescribing Committee, for whom an endocrinologist has confirmed levothyroxine treatment has not been suitable and has recommended they...
In the absence of positive National Institute for Health and Care Excellence technology appraisal guidance, any funding decisions should be made by National Health Service commissioners (including NHS England and NHS Improvement in respect of specialised services), based on an assessment of the available evidence and on the basis of an individual patient’s clinical circumstances. The NHS Constitution states that patients have the right to expect local decisions on the funding of drugs and treatments “to be made rationally following a proper consideration of the evidence”. If an NHS commissioner decides not to fund a drug, then it should explain that decision.
To ask Her Majesty's Government, in their consultation Street and road works: Street Manager and updates to permit schemes, published on 20 July, why the placement of new apparatus underground should where possible and practical be placed under the footway, footpath or verge.
To ask Her Majesty's Government, in their consultation Street and road works: Street Manager and updates to permit schemes, published on 20 July, why the placement of new apparatus underground should where possible and practical be placed under the footway, footpath or verge.
The consultation document invited views on changes to permit scheme conditions relating to the placement of apparatus in the footway. This proposal was based on existing good practice that has been used by utility companies for some time, and recommends the placement of apparatus in the footway where possible to reduce the impact of works on congestion. We did not suggest any changes that would have compromised safe access during works for those that use the highway, including pavements.
We are currently analysing the responses provided and will publish a formal response shortly.
To ask Her Majesty's Government why in the consultation Street and road works: Street Manager and updates to permit schemes, published on 20 July, the need for minimal disruption to the footway, footpath or verge in the placement of new apparatus underground has not been prioritised.
To ask Her Majesty's Government why in the consultation Street and road works: Street Manager and updates to permit schemes, published on 20 July, the need for minimal disruption to the footway, footpath or verge in the placement of new apparatus underground has not been prioritised.
The consultation document invited views on changes to permit scheme conditions relating to the placement of apparatus in the footway. This proposal was based on existing good practice that has been used by utility companies for some time, and recommends the placement of apparatus in the footway where possible to reduce the impact of works on congestion. We did not suggest any changes that would have compromised safe access during works for those that use the highway, including pavements.
We are currently analysing the responses provided and will publish a formal response shortly.
To ask Her Majesty's Government why in the consultation Street and road works: Street Manager and updates to permit schemes’, published on 20 July, where it is proposed that the footway, footpath or verge is used for the placement of apparatus underground, that no requirement for the alternative provision for...
To ask Her Majesty's Government why in the consultation Street and road works: Street Manager and updates to permit schemes’, published on 20 July, where it is proposed that the footway, footpath or verge is used for the placement of apparatus underground, that no requirement for the alternative provision for...
The consultation document invited views on changes to permit scheme conditions relating to the placement of apparatus in the footway. This proposal was based on existing good practice that has been used by utility companies for some time, and recommends the placement of apparatus in the footway where possible to reduce the impact of works on congestion. We did not suggest any changes that would have compromised safe access during works for those that use the highway, including pavements.
We are currently analysing the responses provided and will publish a formal response shortly.
To ask Her Majesty's Government what assessment they have made of the impact on local newspaper revenue of any proposal to remove the requirement on local authorities to advertise Traffic Regulation Orders.
To ask Her Majesty's Government what assessment they have made of the impact on local newspaper revenue of any proposal to remove the requirement on local authorities to advertise Traffic Regulation Orders.
A discovery or user research project, carried out by the Department for Transport, Geoplace, Ordnance Survey and the British Parking Association earlier in 2019, estimated that the estimated annual advertising costs for traffic orders and temporary traffic orders across all authorities in Great Britain is approximately £49m, which accounts for 34% of the total cost of making a traffic order and 46% of the total cost of making a temporary traffic order. The discovery project findings suggest that the average cost to an authority of advertising a single traffic order is £1,021 and a single temporary traffic order is £769.
The Department for Transport has not at this stage made any wider assessment of the impact on local newspaper revenues of removing the statutory requirement to place adverts for traffic orders or temporary traffic orders in local newspapers. The Department is now reviewing the legislation that applies to traffic orders with a view to consulting on proposed amendments in 2020. This may include proposals in relation to advertising, in which case this would form part of the impact assessment that will accompany the consultation.