Found: Correspondence from Baroness Merron re Black Maternal Health Correspondence

Found: Baroness Merron: We would be happy to.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 7 July (HL8984), why Hertfordshire and West Essex integrated care board's planned elective hub at St Albans City Hospital will now only provide extra funding and capacity for two acute trusts, instead of three as originally intended.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

The Hertfordshire and West Essex Integrated Care System was allocated funding from the national Elective Recovery Fund in 2025/26. Hertfordshire and West Essex’s Surgical Centre Programme Board undertook a full options appraisal to consider how to get the best use out of the new surgical centre facilities within their financial envelope for 2025/26.

The programme board agreed that when it first opens in November, the surgical centre will be used primarily by the West Hertfordshire Teaching Hospitals Trust for treating patients. The Princess Alexandra Hospital Trust is also planning to use the facility to operate over the winter months.

The availability of the surgical centre for patients across Hertfordshire will continue to be reviewed alongside future funding announcements. Subject to future funding, the system will look to accelerate full opening in 2026/27.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 1 July (HL8570), whether any scientific studies authored by Michael Briggs were included in the Expert Working Group review, published in November 2017.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

An Expert Working Group (EWG) of the Commission on Human Medicines reviewed the available evidence on the possible association between hormone pregnancy tests and adverse outcomes in pregnancy. Its review considered all available scientific evidence, including information collected from a public call for evidence.

The purpose of the EWG was to ascertain whether the available data could establish a causal association between the use of hormone pregnancy tests during early pregnancy and adverse pregnancy outcomes.

One publication by Briggs was considered as part of the review of non-clinical evidence of reproductive and developmental toxicity for norethisterone acetate and ethinylestradiol and is therefore referenced on page 97 of this review. This publication is not cited within the text of the report as it did not contribute towards the final paper and its conclusions.

The EWG reported its findings in November 2017 and concluded that the totality of the available scientific data does not support a causal association between the use of hormone pregnancy tests during early pregnancy and adverse pregnancy outcomes.

The Medicines and Healthcare products Regulatory Agency remains committed to reviewing any new scientific data which becomes available following the conclusion of the EWG.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Baroness Merron (HL7383), whether they plan to develop NHS App functionality to allow patients to nominate a distance selling pharmacy directly within the app.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

There are no current plans to allow patients to directly nominate a distance selling pharmacy (DSP) from within the NHS App. Patients can continue to nominate a DSP through existing routes, which currently provide a more seamless patient experience.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 9 April (HL6370), what progress they have made in considering whether to expand the shingles vaccination offer to older adult cohorts; what specific factors are currently under review; and when they expect a decision on the implementation timeline to be made.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

The Department continues to carefully consider the advice provided by the Joint Committee on Vaccination and Immunisation on eligibility for the shingles vaccination programme for adults aged 80 years old and over. The Department will update in due course, as appropriate.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 23 June (HL8243), what specific actions they are taking in response to the rise in whooping cough infections.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

Significant efforts have been made to raise awareness of the importance of whooping cough, also known as pertussis, vaccination. These include targeted campaigns using social media, digital screen graphics, and community outreach. The National Health Service actively promotes vaccination for pregnant women to protect their newborns. NHS England and the UK Health Security Agency have launched a joint maternal vaccination campaign, supported by a comprehensive communications toolkit. This includes a maternal vaccine postcard translated into seven languages, which has been distributed to 200 general practices in areas with lower vaccine uptake.

To improve accessibility, community pharmacies in areas of high deprivation and low uptake are now commissioned to offer vaccinations, making it more convenient for individuals to get vaccinated.

Within the NHS, efforts are underway to enhance the recording and monitoring of vaccinations, ensuring accurate data collection to assess the programme’s effectiveness.

The NHS Public Health and Equalities team regularly produces articles that are shared through community and faith-based channels, including radio, podcasts, and local publications. Additionally, NHS England’s resources are disseminated through pregnancy and parenting forums such as Tommy’s and the National Childbirth Trust, as well as other community and faith organisations. These materials are used across websites, email newsletters, and social media platforms.

Recent data shows a consistent seven-month upward trend in maternal pertussis vaccination rates, rising from 59% in May 2024 to nearly 73% by March 2025.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 4 July (HL8754), what was the breakdown of costs mentioned in the Answer for 2023–24 between products related to (1) colostomy, and (2) ileostomy.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

Further to the previous answer of 4 July 2025 to Question HL8754, the breakdown of the total Net Ingredient Cost (NIC) figure is as follows:

• for colostomy, in 2023/24, there were a total of 491,601 items dispensed to patients in the community in England where the item prescribed was clearly named as a colostomy appliance for which no National Health Service charges were collected at the point of dispensing, with a total NIC of £110,834,133.28; and
• for ileostomy, in 2023/24, there were a total of 808,049 items dispensed to patients in the community in England where the item prescribed was clearly named as an ileostomy appliance for which no NHS charges were collected at the point of dispensing, with a total NIC of £128,445,887.47.

These figures exclude a large number of other stoma appliances that could not be clearly identified as colostomy or ileostomy from their name, although some of these other appliances will be used as colostomy or ileostomy appliances.

The NIC is the basic price of a product excluding VAT. It does not take account of discounts, dispensing costs, fees and allowances paid to pharmacists and appliance contractors for the service they provide to the NHS, or prescription charge income received, where the single charge or Prescription Prepayment Certificate fee is paid, or foregone, where prescriptions are dispensed free of charge.

Question to the Department of Health and Social Care:

To ask His Majesty's Government further to the Written Statement by Baroness Merron on 22 May (HLWS662), whether the commitment by advertisers and broadcasters to implement the advertising restrictions for less healthy food and drink in October 2025 is based on the February 2024 proposed guidance from the Advertising Standards Authority, or the updated guidance discussed in the consultation update on 13 January.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government is committed to implementing advertising restrictions for less healthy food and drink on television and online, as part of its ambition to raise the healthiest generation of children ever. These restrictions are expected to remove up to 7.2 billion calories from United Kingdom children’s diets per year and deliver £2 billion in health benefits.

The Government received representations from a range of stakeholders in response to the Advertising Standards Authority's (ASA) revised implementation guidance and prior to the written statement on 22 May announcing a revised approach to implementing the advertising restrictions. This included written correspondence from the food and drink industry and the advertising industry, however, representations did not reference legal action against the Government or the ASA. We listened carefully to the concerns raised by all stakeholders and worked with the Department of Culture, Media and Sport to find a successful resolution.

The resolution was agreed on the basis that advertisers and broadcasters, with the support of online platforms and publishers, have made a unique and public commitment to comply with the restrictions as though they would still come into force from 1 October 2025. The consistent position of the Government is that brand advertising is not in scope of the advertising restrictions, and this was clearly understood by Parliament during the passage of the Health and Care Bill. We have engaged with industry stakeholders and understand that businesses are using the implementation guidance the ASA consulted on between December 2023 and February 2024 as a guide to comply with the restrictions.

Ofcom was appointed as the statutory regulator for the advertising restrictions, and this was set out in primary legislation via the Health and Care Act 2022. Following consultation, Ofcom appointed the ASA as the frontline regulator. The ASA is required by law to consult my Rt Hon. Friend, the Secretary of State for Health and Social Care on its non-statutory implementation guidance ahead of publication.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Statement by Baroness Merron on 22 May (HLWS662), what discussions they have had with OFCOM about the effectiveness of the Advertising Standards Authority in handling the non-statutory guidance for the regulations on the advertising of unhealthy food and drink on TV and online.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government is committed to implementing advertising restrictions for less healthy food and drink on television and online, as part of its ambition to raise the healthiest generation of children ever. These restrictions are expected to remove up to 7.2 billion calories from United Kingdom children’s diets per year and deliver £2 billion in health benefits.

The Government received representations from a range of stakeholders in response to the Advertising Standards Authority's (ASA) revised implementation guidance and prior to the written statement on 22 May announcing a revised approach to implementing the advertising restrictions. This included written correspondence from the food and drink industry and the advertising industry, however, representations did not reference legal action against the Government or the ASA. We listened carefully to the concerns raised by all stakeholders and worked with the Department of Culture, Media and Sport to find a successful resolution.

The resolution was agreed on the basis that advertisers and broadcasters, with the support of online platforms and publishers, have made a unique and public commitment to comply with the restrictions as though they would still come into force from 1 October 2025. The consistent position of the Government is that brand advertising is not in scope of the advertising restrictions, and this was clearly understood by Parliament during the passage of the Health and Care Bill. We have engaged with industry stakeholders and understand that businesses are using the implementation guidance the ASA consulted on between December 2023 and February 2024 as a guide to comply with the restrictions.

Ofcom was appointed as the statutory regulator for the advertising restrictions, and this was set out in primary legislation via the Health and Care Act 2022. Following consultation, Ofcom appointed the ASA as the frontline regulator. The ASA is required by law to consult my Rt Hon. Friend, the Secretary of State for Health and Social Care on its non-statutory implementation guidance ahead of publication.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Statement by Baroness Merron on 22 May (HLWS662), what representations they received from (1) the food and drink industry, and (2) the advertising industry; and whether those representations contained references to legal action against (a) His Majesty's Government, or (b) the Advertising Standards Authority.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government is committed to implementing advertising restrictions for less healthy food and drink on television and online, as part of its ambition to raise the healthiest generation of children ever. These restrictions are expected to remove up to 7.2 billion calories from United Kingdom children’s diets per year and deliver £2 billion in health benefits.

The Government received representations from a range of stakeholders in response to the Advertising Standards Authority's (ASA) revised implementation guidance and prior to the written statement on 22 May announcing a revised approach to implementing the advertising restrictions. This included written correspondence from the food and drink industry and the advertising industry, however, representations did not reference legal action against the Government or the ASA. We listened carefully to the concerns raised by all stakeholders and worked with the Department of Culture, Media and Sport to find a successful resolution.

The resolution was agreed on the basis that advertisers and broadcasters, with the support of online platforms and publishers, have made a unique and public commitment to comply with the restrictions as though they would still come into force from 1 October 2025. The consistent position of the Government is that brand advertising is not in scope of the advertising restrictions, and this was clearly understood by Parliament during the passage of the Health and Care Bill. We have engaged with industry stakeholders and understand that businesses are using the implementation guidance the ASA consulted on between December 2023 and February 2024 as a guide to comply with the restrictions.

Ofcom was appointed as the statutory regulator for the advertising restrictions, and this was set out in primary legislation via the Health and Care Act 2022. Following consultation, Ofcom appointed the ASA as the frontline regulator. The ASA is required by law to consult my Rt Hon. Friend, the Secretary of State for Health and Social Care on its non-statutory implementation guidance ahead of publication.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of sexual assaults on hospital sites in the last three years.

Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government is committed to tackling the appalling crimes of rape and sexual assault. NHS England has introduced a comprehensive package of measures to improve sexual safety across the National Health Service. The Department feels strongly about this matter, which is why the Parliamentary Under Secretary of State (Baroness Merron) met with Surviving in Scrubs in February 2025 and agreed further action to address issues of sexism, sexual harassment and sexual assault including a focus on medical students. Actions include ensuring students know how to raise concerns, developing good practice on how investigations should be carried out and strengthening communications on the importance of protecting medical students on placements.

NHS providers have a mandatory duty to notify the Care Quality Commission of all incidents that affect the health, safety, and welfare of people who use services, including allegations of sexual abuse.

NHS England is investing in improving the collection and analysis of sexual violence data to support organisations to implement policies that reduce incidents of sexual misconduct in the NHS.

Data relating to rape and sexual assault would be held at NHS trust level. There is no single national dataset in the NHS which captures information on rape and sexual assault for all combinations of staff, patients or visitors to NHS hospitals. Local police forces hold data where there has been a report to the police of rape or sexual assault.

For assaults on staff, the NHS Staff Survey now includes questions about staff experiences of sexual misconduct. Results from the 2024 staff survey show 8.82% of staff received unwanted behaviour of a sexual nature from either patients, service-users or members of the public and 3.66% experienced unwanted behaviour of a sexual nature from colleagues.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer Baroness Merron on 30 May (HL7541), whether they will place a copy of the European Food Safety Authority assessment on the effects of chemical washes applied to chicken in the Library of the House.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

Four reports by the European Food Safety Authority assessing the possible effects of chemical washes applied to chicken have been placed in the Library. These are:

- Report of the Scientific Committee on Veterinary Measures Relating to Public Health (SCVPH) on Benefits and Limitations of Antimicrobial Treatments for Poultry Carcasses;

- Opinion of the Scientific Committee on Veterinary Measures Relating to Public Health on the Evaluation of Antimicrobial Treatments for Poultry Carcasses;

- Opinion of the Scientific Panel on food additives, flavourings, processing aids and materials in contact with food (AFC) related to Treatment of poultry carcasses with chlorine dioxide, acidified sodium chlorite, trisodium phosphate and peroxyacids; and

- Assessment of the possible effect of the four antimicrobial treatment substances on the emergence of antimicrobial resistance.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 4 June (HL8130), what is the reason for the delay in publishing the next annual LeDeR report seven months later relative to the previous annual report.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

We expect the report will be published shortly, and the delay has been due to practical data issues.

NHS England commissions Kings College London and its partners to analyse data from Learning from Lives and Deaths, reviews about people with a learning disability and autistic people (LeDeR). The LeDeR report is published by Kings College London, who are currently working on the next report, and will publish it soon. The last report was published in November 2023, a copy of which has been placed in the Library due to the size of the document.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 15 May (HL7354), what factors the UK Health Security Agency's forum has identified impacting the decline in uptake; and what immediate actions the forum has suggested to improve access to services and to address other potential barriers.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

In 2023, at the request of the Joint Committee on Vaccination and Immunisation (JCVI), a forum for the four nations of the United Kingdom on inequalities and declining coverage across the routine immunisation programmes was set up. This time-limited group brought together relevant stakeholders from across the UK nations of England, Scotland, Wales, and Northern Ireland. Ten deep dives took place in total, ending in June 2025.

These forums facilitated sharing experiences and learning within and across each nation. They explored possible contributing factors to declining coverage across the UK routine immunisation programmes. Areas for further activity included data collection systems, attitudinal work, delivery models, system leadership and coordination, commonalities and difference with other public health programmes.

Immediate actions have included expanding annual attitudinal surveys of parents of infants from England to UK wide, to further strengthen understanding of barriers and facilitators to vaccination uptake. Updating and strengthening training and quality standards for healthcare professionals providing clear expectations and guidance. Sharing expertise to improve data systems and data collection as well as strengthening collaboration with the Department of Education to improve uptake in educational settings.

A final report from the outputs of the UK Forum will be compiled and presented to a future JCVI meeting.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 15 May (HL7354), how many meetings the UK Health Security Agency (UKHSA) forum will have in 2025–26; and what engagement UKHSA has planned with stakeholders.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

In 2023, at the request of the Joint Committee on Vaccination and Immunisation (JCVI), a forum for the four nations of the United Kingdom on inequalities and declining coverage across the routine immunisation programmes was set up. This time-limited group brought together relevant stakeholders from across the UK nations of England, Scotland, Wales, and Northern Ireland. Ten deep dives took place in total, ending in June 2025.

These forums facilitated sharing experiences and learning within and across each nation. They explored possible contributing factors to declining coverage across the UK routine immunisation programmes. Areas for further activity included data collection systems, attitudinal work, delivery models, system leadership and coordination, commonalities and difference with other public health programmes.

Immediate actions have included expanding annual attitudinal surveys of parents of infants from England to UK wide, to further strengthen understanding of barriers and facilitators to vaccination uptake. Updating and strengthening training and quality standards for healthcare professionals providing clear expectations and guidance. Sharing expertise to improve data systems and data collection as well as strengthening collaboration with the Department of Education to improve uptake in educational settings.

A final report from the outputs of the UK Forum will be compiled and presented to a future JCVI meeting.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will designate a Minister in his Department to (a) have responsibility for the field of cell and gene therapies and (b) chair his Department's Advanced Therapies Medicinal Products Coordination Group.

Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)

The Parliamentary Under-Secretary of State for Patient Safety, Women’s Health and Mental Health, Baroness Merron, is the Minister with responsibility for life sciences and innovation, and cell and gene therapies are included in this remit.

In September 2024, the Department stood up an advanced therapies co-ordination group which aims to create a joined-up ecosystem that will support the development, regulation, and delivery of advanced therapy medicinal products in the United Kingdom. This group is chaired at the Senior Civil Service Grade 1 level. We note the recent report from the Cell and Gene Collective, titled Tomorrow’s Science, Today’s NHS, including the ask for a Minister to chair the group, and we will consider the report’s recommendations in due course.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Statement by Baroness Merron on 22 May (HLWS662), whether they consulted or informed any public health organisations of the decision to delay the legislation to regulate unhealthy food and drink advertisements on TV and online before publishing that statement.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government is committed to implementing advertising restrictions for less healthy food and drink on television and online, as part of its ambition to raise the healthiest generation of children ever.  The decision to exempt brand advertising from these restrictions was made following consultation and was understood and agreed by Parliament during the passage of the legislation in 2021.

The consistent position of the Government, as re-confirmed in a written statement in this House on 22 April 2025, is that brand advertising is not captured by the restrictions, as the legislation only restricts adverts that could reasonably be considered to be for identifiable less healthy products.

Industry raised significant concerns in response to the Advertising Standards Authority’s (ASA) draft implementation guidance published for consultation in February 2025. We are aware that many brands have prepared advertising campaigns in good faith ahead of the previous coming into force date of 1 October 2025 and were concerned about how these adverts would be affected by the ASA’s implementation guidance.

There were several meetings between the Department of Health and Social Care and the Department of Culture, Media and Sport to discuss a wide range of options for resolving this issue. This culminated in the successful resolution set out in the written ministerial statement on 22 May 2025. This announced that the Government will lay legislation to explicitly exempt ‘brand advertising’ from the advertising restrictions. Providing legal clarification on the existing policy intention will provide certainty to industry and support businesses to invest in advertising with confidence, while ensuring that we deliver our commitment to protect children from exposure to junk food advertising and the lifelong harms of obesity.

Industry stakeholders were engaged shortly prior to the announcement so that they had sufficient time to agree their voluntary commitment to implement the restrictions from 1 October 2025. We informed other stakeholders at the earliest opportunity and will continue to engage with all stakeholders throughout the consultation on the draft regulations, which will be published soon.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 14 May (HL6764), whether (1) the Department of Health and Social Care, and (2) NHS England’s Workforce, Training and Education Directorate, either (a) hold data on the number of individual applicants for medical speciality training places, or (b) can extract such data from their existing systems.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

NHS England holds data based on the application process for medical specialty training, which allows for the identification of unique applicants. The following data is part of management information systems summarising information supplied in historic medical specialty training cycles and has not been quality assured for routine publication purposes. Applicants may have chosen to only apply to one specialty programme or may have made multiple applications within any year. The following table shows the data held on the number of unique applicants in rounds one and two of medical specialty training for each of the years 2020 to 2024 across the United Kingdom:

Source: NHS England Medical Specialty Programme Applications Data.

Round one of the medical specialty application process includes applications to first year specialty training and core training programmes, often referred to as ST1 and CT1, and some ‘higher’ medical specialty training programmes, usually at year three, often referred to as ST3. Round two is for entry to most ‘higher’ medical specialty training programmes, often referred to as ST3 or ST4. There will be a limited number of doctors who apply in a year to both rounds one and two, and therefore they will appear twice in the aggregated final column of this data.

The Department also has access to information held in the UK Medical Education Database (UKMED) which is managed jointly by the General Medical Council and the Medical Schools Council. NHS England submits specialty medical recruitment data to the UKMED. This includes more information on individual historical applications to medical specialty training, which underpins the data presented above.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Statement by Baroness Merron on 22 May (HLWS662), what representations they received from (1) the food and drink industry, and (2) the advertising industry, about the regulations to restrict the advertising of unhealthy food; and whether those representations were a factor in the decision to delay those regulations.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government is committed to implementing advertising restrictions for less healthy food and drink on television and online, as part of its ambition to raise the healthiest generation of children ever.  The decision to exempt brand advertising from these restrictions was made following consultation and was understood and agreed by Parliament during the passage of the legislation in 2021.

The consistent position of the Government, as re-confirmed in a written statement in this House on 22 April 2025, is that brand advertising is not captured by the restrictions, as the legislation only restricts adverts that could reasonably be considered to be for identifiable less healthy products.

Industry raised significant concerns in response to the Advertising Standards Authority’s (ASA) draft implementation guidance published for consultation in February 2025. We are aware that many brands have prepared advertising campaigns in good faith ahead of the previous coming into force date of 1 October 2025 and were concerned about how these adverts would be affected by the ASA’s implementation guidance.

There were several meetings between the Department of Health and Social Care and the Department of Culture, Media and Sport to discuss a wide range of options for resolving this issue. This culminated in the successful resolution set out in the written ministerial statement on 22 May 2025. This announced that the Government will lay legislation to explicitly exempt ‘brand advertising’ from the advertising restrictions. Providing legal clarification on the existing policy intention will provide certainty to industry and support businesses to invest in advertising with confidence, while ensuring that we deliver our commitment to protect children from exposure to junk food advertising and the lifelong harms of obesity.

Industry stakeholders were engaged shortly prior to the announcement so that they had sufficient time to agree their voluntary commitment to implement the restrictions from 1 October 2025. We informed other stakeholders at the earliest opportunity and will continue to engage with all stakeholders throughout the consultation on the draft regulations, which will be published soon.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Statement by Baroness Merron on 22 May (HLWS662), on what date the food and media companies that signed the letter published on the Advertising Association's website were informed of the decision to delay regulations on TV and online advertising of unhealthy food.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government is committed to implementing advertising restrictions for less healthy food and drink on television and online, as part of its ambition to raise the healthiest generation of children ever.  The decision to exempt brand advertising from these restrictions was made following consultation and was understood and agreed by Parliament during the passage of the legislation in 2021.

The consistent position of the Government, as re-confirmed in a written statement in this House on 22 April 2025, is that brand advertising is not captured by the restrictions, as the legislation only restricts adverts that could reasonably be considered to be for identifiable less healthy products.

Industry raised significant concerns in response to the Advertising Standards Authority’s (ASA) draft implementation guidance published for consultation in February 2025. We are aware that many brands have prepared advertising campaigns in good faith ahead of the previous coming into force date of 1 October 2025 and were concerned about how these adverts would be affected by the ASA’s implementation guidance.

There were several meetings between the Department of Health and Social Care and the Department of Culture, Media and Sport to discuss a wide range of options for resolving this issue. This culminated in the successful resolution set out in the written ministerial statement on 22 May 2025. This announced that the Government will lay legislation to explicitly exempt ‘brand advertising’ from the advertising restrictions. Providing legal clarification on the existing policy intention will provide certainty to industry and support businesses to invest in advertising with confidence, while ensuring that we deliver our commitment to protect children from exposure to junk food advertising and the lifelong harms of obesity.

Industry stakeholders were engaged shortly prior to the announcement so that they had sufficient time to agree their voluntary commitment to implement the restrictions from 1 October 2025. We informed other stakeholders at the earliest opportunity and will continue to engage with all stakeholders throughout the consultation on the draft regulations, which will be published soon.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Statements by Baroness Merron on 22 April (HLWS587) and 22 May (HLWS662), what were the developments that led to the decision to delay the regulation of unhealthy food advertising in the time between those statements.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government is committed to implementing advertising restrictions for less healthy food and drink on television and online, as part of its ambition to raise the healthiest generation of children ever.  The decision to exempt brand advertising from these restrictions was made following consultation and was understood and agreed by Parliament during the passage of the legislation in 2021.

The consistent position of the Government, as re-confirmed in a written statement in this House on 22 April 2025, is that brand advertising is not captured by the restrictions, as the legislation only restricts adverts that could reasonably be considered to be for identifiable less healthy products.

Industry raised significant concerns in response to the Advertising Standards Authority’s (ASA) draft implementation guidance published for consultation in February 2025. We are aware that many brands have prepared advertising campaigns in good faith ahead of the previous coming into force date of 1 October 2025 and were concerned about how these adverts would be affected by the ASA’s implementation guidance.

There were several meetings between the Department of Health and Social Care and the Department of Culture, Media and Sport to discuss a wide range of options for resolving this issue. This culminated in the successful resolution set out in the written ministerial statement on 22 May 2025. This announced that the Government will lay legislation to explicitly exempt ‘brand advertising’ from the advertising restrictions. Providing legal clarification on the existing policy intention will provide certainty to industry and support businesses to invest in advertising with confidence, while ensuring that we deliver our commitment to protect children from exposure to junk food advertising and the lifelong harms of obesity.

Industry stakeholders were engaged shortly prior to the announcement so that they had sufficient time to agree their voluntary commitment to implement the restrictions from 1 October 2025. We informed other stakeholders at the earliest opportunity and will continue to engage with all stakeholders throughout the consultation on the draft regulations, which will be published soon.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Statement by Baroness Merron on 22 May (HLWS662), whether they considered alternatives to delaying the regulation of the advertising of unhealthy food on TV and online.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government is committed to implementing advertising restrictions for less healthy food and drink on television and online, as part of its ambition to raise the healthiest generation of children ever.  The decision to exempt brand advertising from these restrictions was made following consultation and was understood and agreed by Parliament during the passage of the legislation in 2021.

The consistent position of the Government, as re-confirmed in a written statement in this House on 22 April 2025, is that brand advertising is not captured by the restrictions, as the legislation only restricts adverts that could reasonably be considered to be for identifiable less healthy products.

Industry raised significant concerns in response to the Advertising Standards Authority’s (ASA) draft implementation guidance published for consultation in February 2025. We are aware that many brands have prepared advertising campaigns in good faith ahead of the previous coming into force date of 1 October 2025 and were concerned about how these adverts would be affected by the ASA’s implementation guidance.

There were several meetings between the Department of Health and Social Care and the Department of Culture, Media and Sport to discuss a wide range of options for resolving this issue. This culminated in the successful resolution set out in the written ministerial statement on 22 May 2025. This announced that the Government will lay legislation to explicitly exempt ‘brand advertising’ from the advertising restrictions. Providing legal clarification on the existing policy intention will provide certainty to industry and support businesses to invest in advertising with confidence, while ensuring that we deliver our commitment to protect children from exposure to junk food advertising and the lifelong harms of obesity.

Industry stakeholders were engaged shortly prior to the announcement so that they had sufficient time to agree their voluntary commitment to implement the restrictions from 1 October 2025. We informed other stakeholders at the earliest opportunity and will continue to engage with all stakeholders throughout the consultation on the draft regulations, which will be published soon.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 4 June (HL7528), whether the revised NHS constitution consultation will include the previous proposals about recognising biological sex and protecting single-sex spaces.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

A consultation on the NHS Constitution, as part of a 10-year review, was launched by the previous administration in May 2024, and was superseded by the General Election in July 2024. The Government will launch a new consultation on the NHS Constitution, with the exact timings for this to be set out in due course.

The proposals that will be included within the upcoming consultation have been developed from a range of evidence, including feedback from the previous consultation, intelligence gathered as part of the 10-Year Health Plan engagement exercise, and the Government’s ambitions for the National Health Service.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 20 May (HL7198), whether they have carried out an impact assessment of reducing staff costs by 50 per cent for NHS England, including on the regional impacts; and if not, when an impact assessment will be carried out and published.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

Work is progressing at pace to develop the design and operating model for the new integrated organisation, and to plan for the smooth transfer of people, functions, and responsibilities

It is only right that with such significant reform, we commit to carefully assessing and understanding the potential impacts, as is due process. These ongoing assessments will inform our programme as appropriate.

The Government is committed to transparency and will consider how best to ensure that the public and parliamentarians are informed of the outcomes.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the answer by Baroness Merron on 12 March (HL Deb col 700), what consideration they have given to reviewing the priorities of the Human Fertilisation and Embryology Authority and its role with digital clinics.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

Digital clinics do not currently fall within the Human Fertilisation and Embryology Act and therefore are out outside of the Human Fertilisation and Embryology Authority’s (HFEA) remit at present.

The HFEA published Modernising Fertility Law in November 2023, which made a number of recommendations for legislative change, including around its regulatory powers.

Ministers have met with the HFEA Chair and discussed the emerging regulatory challenges. The Government is considering the HFEA’s priorities for changing the law and will decide how to take this forward at the earliest opportunity.

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Statement by Baroness Merron on 22 May (HLWS662), what assessment they have made of the effectiveness of the Advertising Standards Authority in its role as the frontline regulator of the measures in the Health and Care Act 2022 about the advertising of unhealthy food and drink on TV and online.

Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government has set a bold ambition to raise the healthiest generation of children ever, and will take action to address the childhood obesity crisis. As part of this, we are committed to implementing the advertising restrictions for less healthy food and drink on television and online.

The Government appointed Ofcom as the statutory regulator for the advertising restrictions and this was set out in primary legislation via the Health and Care Act 2022. Ofcom appointed the Advertising Standards Authority as the frontline regulator of the advertising restrictions, using powers in the Communications Act 2003. It consulted on this appointment and published the statement, Regulation of advertising for less healthy food and drink: Implementation of new statutory restrictions, following the consultation in July 2023.

Found: Copied from Tuesday 10th June Hansard debate. 4 We have sent four letters to Baroness Merron

Found: Policing and Crime Prevention 2 Marsham Street London SW1P 4DF www.gov.uk/home Baroness Merron

Found: From: Home Office, Advisory Council on the Misuse of Drugs, Baroness Merron and The Rt Hon Dame Diana

Found: Divestment and engagement and agree shared priorities David Lawson 09/01/2025 Roche Joint meeting with Baroness Merron

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Found: In December, the patient safety minister Baroness Merron pledged to work at pace on financial redress

Found: Policing and Crime Prevention 2 Marsham Street London SW1P 4DF www.gov.uk/home Baroness Merron

Found: From: Home Office, Advisory Council on the Misuse of Drugs, Baroness Merron and The Rt Hon Dame Diana

Found: Health Minister, Baroness Merron, said: “AI has huge potential to improve healthcare, and we need to