Asked by: Lord Brooke of Alverthorpe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to reports of the disproportionate impact COVID-19 has on people living with obesity, what plans they have to develop a campaign to encourage people to make healthy choices; with whom they have engaged on the development of any such plans; and whether they intend to publish those plans.
Answered by Lord Bethell
We published Tackling obesity: empowering adults and children to live healthier lives on 27 July. The strategy demonstrates an overarching campaign to reduce obesity, takes forward actions from previous chapters of the childhood obesity plan and sets our measures to get the nation fit and healthy, protect against COVID-19 and protect the National Health Service.
In addition, Public Health England has launched the Better Health campaign, which will call on people to embrace a healthier lifestyle and to lose weight if they need to, supported by a range of evidence-based tools and apps providing advice on how to reduce the waistline.
A copy of Tackling obesity: empowering adults and children to live healthier lives is attached.
Asked by: Lord Brooke of Alverthorpe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what plans they have to publish the evidence that informed their decision to include people with a BMI over 40 on the list of those most at risk of worse outcomes from COVID-19; and why people with a BMI lower than 40 who are overweight or obese were not in included in that category.
Answered by Lord Bethell
Having a Body Mass Index (BMI) of 40 or above is not one of the specific medical conditions that expert doctors in England identified as placing someone at greatest risk of severe illness from COVID-19 (clinically extremely vulnerable) and requiring them to shield.
It is, however, one of the health conditions identified as putting someone at a higher risk of severe illness from COVID-19 (clinically vulnerable). Those with BMI over 40 were eligible for a free influenza vaccination last winter, and that is the basis for including them in the clinically vulnerable cohort.
Asked by: Lord Brooke of Alverthorpe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what plans they have to convene a meeting with the Members of Parliament who represent the constituencies with the highest levels of child obesity to consider the Government's proposals for reducing obesity.
Answered by Lord Bethell
Ministers have regular conversations with hon. Members on measures to reduce obesity.
Asked by: Lord Brooke of Alverthorpe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what new steps they are planning to take to reduce obesity. [T]
Answered by Lord Bethell
The Government has outlined steps to halve childhood obesity rates by 2030 through cutting sugar from half the drinks on sale, funding more opportunities for children to exercise in schools, and working with councils to tackle child obesity locally through ground-breaking programmes.
However, it is also critical to understand how different factors, including obesity, could be disproportionally impacting how people are affected by COVID-19.
Public Health England launched a review into the factors affecting health outcomes from COVID-19, to include ethnicity, gender and obesity. This will be published by the end of May.
As outlined in the United Kingdom Government’s Recovery Strategy, the Government is committed to investing in preventative and personalised solutions to ill-health, empowering individuals to live healthier and more active lives, which will help to mitigate pressures faced by NHS services.
Asked by: Lord Brooke of Alverthorpe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what the five most prevalent underlying linked causes of COVID-19 death other than age.
Answered by Lord Bethell
According to the Office for National Statistics, in March 2020, the most common main pre-existing condition of people who died with COVID-19 in England and Wales was ischaemic heart diseases, with 541 deaths (14% of all deaths involving COVID-19). Pneumonia, dementia, chronic obstructive pulmonary disease and diabetes were also all in the top five most common pre-existing conditions. More information can be found online at GOV.UK at ‘Deaths involving COVID-19, England and Wales: deaths occurring in March 2020’.
More information about measuring pre-existing health conditions can be found online at GOV.UK at ‘Measuring pre-existing health conditions in death certification’.
Asked by: Lord Brooke of Alverthorpe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what assessment they have made of the level of inequality of access to drug and alcohol services for offenders across the UK; and what steps they are taking to address any such inequalities.
Answered by Baroness Blackwood of North Oxford
The Revolving Doors Agency, with support from Public Health England (PHE) and the Home Office, published Rebalancing Act in January 2017. The report addresses inequalities among offenders, including inequalities in accessing drug and alcohol services to help improve public safety, prevent offending and reoffending and reduce crime. It found that people in contact with the criminal justice system experience barriers to accessing services, because of complex health and social care needs, challenging personal and social circumstances and poorly designed services. A copy of the report is attached.
PHE takes steps to address any inequalities that offenders experience in accessing drug and alcohol services. This includes producing guidance to support local authorities and NHS England and NHS Improvement in commissioning services for people in contact with the criminal justice system.
Asked by: Lord Brooke of Alverthorpe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what assessment they have made of the impact of the reduction of NHS-operated drug and alcohol services on the training of psychiatrists; and what steps they are taking to address any shortfall in addiction-specialised psychiatrists.
Answered by Baroness Blackwood of North Oxford
No formal assessment has been made.
However, the Royal College of Psychiatrists is undertaking research to understand the issues with recruiting additional psychiatrists and how these might be resolved. The results of this work are due to be published imminently, and we will work with the Royal College of Psychiatrists to support them in taking forward any recommendations. This will form part of our efforts to meet our commitment in the Prevention Green Paper, Advancing our health: prevention in the 2020s, to developing a shared understanding of the difficulties facing the wider substance misuse workforce. In addition, we are holding a United Kingdom-wide ministerial drugs summit on 27 February, launching the next phase of the Dame Carol Black Review, and developing an addictions strategy, all of which will pick up on this theme.
Asked by: Lord Brooke of Alverthorpe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what plans they have for protecting, or increasing, current levels of investment in drug and alcohol services.
Answered by Baroness Blackwood of North Oxford
Local authorities are responsible for assessing local need and commissioning services to meet identified needs, including for drug and alcohol dependence, using the ring-fenced public health grant. The ring-fence requiring the grant to be spent on public health, including drug and alcohol services, remains in place for 2020/21. The grant will increase in real terms in 2020/21 meaning local authorities can continue to invest in prevention and essential frontline health services.
Asked by: Lord Brooke of Alverthorpe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the response by Baroness Williams of Trafford on 21 January (HL Deb, col 1043), what instructions they have given Public Health England about monitoring and assessing the efficacy of minimum unit pricing in Scotland; and when will Public Health England be reporting any such findings.
Answered by Baroness Blackwood of North Oxford
Public Health England have not been formally commissioned to undertake a review of the evidence of Minimum Unit Pricing (MUP) in Scotland. However, as part of their role in gathering evidence across areas to feed into the policy making process they are monitoring progress of MUP in Scotland and working closely with partners there to understand the impact of the policy. The Scottish Government is taking forward a comprehensive evaluation of the impact of introducing MUP. The Scottish legislation also includes a sunset clause and the Scottish Government are required to present a report on the impact of MUP to their Parliament five years after implementation. which will be published in 2023.
Asked by: Lord Brooke of Alverthorpe (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what was the purchase price of methadone, per unit, paid by the NHS in England in (1) 2005, (2) 2010, (3) 2015, and (4) 2019.
Answered by Baroness Blackwood of North Oxford
It has not proved possible to respond to this question in the time available before Dissolution. Ministers will correspond directly with the Member.