Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to The Bread and Flour (Amendment) (England) Regulations 2024, what steps he has taken to avoid harm to people unable to take folic acid.

The Government laid legislation in England on 14 November 2024 to introduce the mandatory fortification of non-wholemeal wheat flour with folic acid. Similar legislation in Scotland, Wales, and Northern Ireland has also been laid. The provisions will become mandatory in December 2026.

Non-wholemeal wheat flour is already the established vehicle for mandatory fortification, as it is currently fortified with calcium, iron, niacin, and thiamine. There was a United Kingdom-wide agreement to limit folic acid fortification to flour that is already fortified, so that individuals are able to avoid fortified flour if they choose to or need to. These individuals will continue to be able to consume wholemeal flour and other non-wheat products, including gluten-free products and soy and spelt flours.

To ensure people can easily identify products that are suitable for them, added vitamins and minerals, including folic acid, must be labelled in the flour’s ingredients list. This must also be declared when fortified flour is used as an ingredient. For individuals with specific dietary needs, personalised advice from a registered dietitian or healthcare professional is recommended to help manage intakes as part of a healthy, balanced diet. An impact assessment has been published alongside the legislation, and is available at the following link:

https://www.legislation.gov.uk/uksi/2024/1162/resources