Bread and Flour Regulations: Folic Acid

Debate between Baroness Hayman and Lord Kamall

Wednesday 6th July 2022 Lords Chamber

[Lord Kamall (Con)]

The Government are clear that we are doing this, but we also have to be aware of the debate regarding high levels of folic acid. We are progressing in areas where the consensus is that there are no unintended consequences or damage. However, the NHS website plainly says that you should not take folic acid if you have had an allergic reaction to it; if you have certain forms of cancer, unless you have folic deficiency anaemia; if you have a type of kidney dialysis called haemodialysis; or if you have a stent in your heart. Let us make sure that this is based on evidence. We have to make sure that we address the worry of unintended consequences; otherwise, what do we tell the relatives of those who have died because of high levels of folic acid?

[Baroness Hayman (CB)]

Does the Minister accept that that sort of advice is given regarding life-saving treatments across the board? In more than a quarter of a century, I have heard Ministers at that Dispatch Box prevaricate and obfuscate on this issue, while the rest of the world has moved on and given us scientific evidence, in 85 countries, that this works—that it saves lives and saves distress. There is scientific evidence, and evidence in practice as well. The Minister has the opportunity not to be one of those prevaricating and obfuscating Ministers; I hope that he will take it.

Vaccinations

Debate between Baroness Hayman and Lord Kamall

Wednesday 15th June 2022 Lords Chamber

[Lord Kamall (Con)]

Indeed, this is a really important point: the essential issue must be trust. As politicians in Westminster or officials in Whitehall, we must all have enough humility to recognise that we may not be able to cut through that. We have been looking at working with a number of different people in those communities and working out what the best message and channels will be. For example, we have spoken to faith leaders in some places. Even though some people may not be of a certain faith—they may be agonistic or atheist—they still respect faith leaders. In other places, we are looking at where people who are vaccine-hesitant go, and whether we can get the message—or even the vaccines—across to them.

[Baroness Hayman (CB)]

My Lords, much of the success of our own vaccine development programme was based on investment in global health over many years. Is the Minister confident that, given the possibility of future pandemics, the research capacity in this country, and our contribution to international agencies such as the Global Fund, will not be prejudiced by the cut in our ODA spending?

[Lord Kamall (Con)]

How we work together globally, learn from each other and co-operate are really important. One of the bits in my portfolio is international relations and, particularly, co-operation on health issues. I have been in G7 and G20 meetings on this. One of the big issues we must all look at is AMR—antimicrobial resistance—and how we can, first, stop the use of antibiotics in both human and animal health and, at the same time, help those countries that use quite a lot to build capacity.

Sugar Reduction Programme: Bread

Debate between Baroness Hayman and Lord Kamall

Wednesday 25th May 2022 Lords Chamber

[Lord Kamall (Con)]

I thank the noble Baroness for raising that point. Part of my role is in international health diplomacy, where other countries come to the UK wanting to learn from us. It is very interesting that a number of other countries are asking to learn from our sugar and salt reduction programmes, our alcohol and anti-tobacco programmes and our campaigns for healthy eating—not just telling people they should not do things but encouraging them to have a healthier lifestyle

[Baroness Hayman (CB)]

My Lords, the Minister has said that the Government accept the need for sugar in bread, which is controversial with many authorities and Members of this House, but they seem to be taking an extraordinarily long time to accept the fortification with folic acid of the flour used for bread. As the Minister has heard many times, this would have undoubted health benefits. Since the noble Lord, Lord Rooker, is not in his place, I felt the need to ask the question.

[Lord Kamall (Con)]

I would have hoped that the noble Baroness would have lined up the noble Lord, Lord Rooker, to be in his place. Only yesterday, I had a meeting with him, the noble Lord, Lord Patel, and a number of other noble Lords, together with departmental officials.

We have to do this within the general picture of the Bread and Flour Regulations. At one stage, the dispute was about the upper limit of folic acid. We have agreed that we will push forward as quickly as possible. We were waiting for the Northern Ireland elections. It has now been confirmed that the Northern Ireland Minister will remain in place until a new Executive is formed. He has promised to push his officials to give approval so that we can get on with the consultation and get this measure in place as soon as possible. I hope that the noble Lord, Lord Rooker, was happy with the progress we made yesterday. I am sure he will tell us in due course.

Folic Acid Fortification

Debate between Baroness Hayman and Lord Kamall

Wednesday 6th April 2022 Lords Chamber

[Lord Kamall (Con)]

I understand the noble Lord’s question but the expert Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment has advised on the level of fortification needed to prevent neural tube defects. It wants a level that is not considered to pose a risk to health. The advice it has at the moment is that supplementation of folic acid can mask underlying vitamin B12 deficiencies, particularly in older adults. If noble Lords with medical experience disagree, I will be very happy to facilitate a meeting with my officials.

[Baroness Hayman (CB)]

My Lords, I think the House would be grateful for such a meeting. Perhaps the noble Lord, Lord Patel, could take part. It is extremely depressing to hear the Minister today go backwards in time to the arguments, which have all—one by one—been disproved, against this policy. It would be much more helpful to hear of a timetable going forward for implementing it. Does the Minister accept that it is a matter of embarrassment, shame and distress to many of us that, more than 30 years after UK research did this and with 80 other countries that should be able to help us in getting levels and procedures right, there are still families facing distress and the termination of wanted pregnancies because we have not made progress?

[Lord Kamall (Con)]

I understand the frustration that noble Lords have expressed. The same frustration is shared by officials in the department. When I asked officials, “What are the issues that you really need to get to the bottom of?”, one was the appropriate level of fortification. It is interesting that noble Lords seem to disagree with the department’s advice. Therefore, I will facilitate a conversation. Another issue is how that appears compared to other additions and fortifications put into flour. We want to get the right balance. The Government are committed to doing this and we will start as soon as the Northern Ireland elections are over.