Found: schools, 75% of registered attendee families qualify for FSM, 20% are SEND families and 25% have allergies

Found: Q46 Cat Smith: Yes—two issues, one being allergies and the other being a thank you, Secretary of

Found: patient records, so that any prescribing done by a pharmacist would be in full knowledge of any allergies

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether she has made an assessment of the potential merits of each Integrated care systems having a (a) specialist allergy nurse and (b) dietitian.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The majority of services for people living with allergies are commissioned locally through integrated care boards (ICBs), which are best placed to commission services according to local need. Specialised allergy services are provided for patients with severe and complex allergic conditions, or those who have common allergic conditions for which conventional management has failed and for whom specified specialist treatments are required. In 2023/24, these services are jointly commissioned by NHS England Specialised Commissioning and the ICBs, in line with the published Specialist Allergy Service Specification.

There is an established Clinical Reference Group (CRG), which is responsible for providing national clinical advice and leadership for specialised immunology and allergy services. The CRG uses its expertise to advise NHS England on the best ways to provide specialised services. This includes developing national standards in the form of service specifications and policies. The CRG commenced a review of the current service specification in May 2023, which is expected to be complete by summer 2024. The outcome of the service specification review will be an updated specification which references up-to-date guidance and takes into account the latest evidence base, to clearly define the standards of care for commissioned specialised services.

To help promote awareness of allergies, the National Institute for Health and Care Excellence (NICE) has published guidance on a range of allergy conditions, including food allergy in under 19-year-olds, anaphylaxis, and drug allergy. The NICE promotes its guidance via its website, newsletters, and other media.

To support clinicians in the implementation of clear care pathways, the NICE website has guidance to support diagnosis and treatment of a range of allergy conditions, including how to identify allergies and when to refer to specialist care, and how to ensure allergies are recorded in their medical records.  The NICE website also provides primary care practitioners with access to clinical knowledge summaries outlining the current evidence base and practical guidance on a range of skin conditions.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps her Department is taking to improve allergy awareness in health care settings.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The majority of services for people living with allergies are commissioned locally through integrated care boards (ICBs), which are best placed to commission services according to local need. Specialised allergy services are provided for patients with severe and complex allergic conditions, or those who have common allergic conditions for which conventional management has failed and for whom specified specialist treatments are required. In 2023/24, these services are jointly commissioned by NHS England Specialised Commissioning and the ICBs, in line with the published Specialist Allergy Service Specification.

There is an established Clinical Reference Group (CRG), which is responsible for providing national clinical advice and leadership for specialised immunology and allergy services. The CRG uses its expertise to advise NHS England on the best ways to provide specialised services. This includes developing national standards in the form of service specifications and policies. The CRG commenced a review of the current service specification in May 2023, which is expected to be complete by summer 2024. The outcome of the service specification review will be an updated specification which references up-to-date guidance and takes into account the latest evidence base, to clearly define the standards of care for commissioned specialised services.

To help promote awareness of allergies, the National Institute for Health and Care Excellence (NICE) has published guidance on a range of allergy conditions, including food allergy in under 19-year-olds, anaphylaxis, and drug allergy. The NICE promotes its guidance via its website, newsletters, and other media.

To support clinicians in the implementation of clear care pathways, the NICE website has guidance to support diagnosis and treatment of a range of allergy conditions, including how to identify allergies and when to refer to specialist care, and how to ensure allergies are recorded in their medical records.  The NICE website also provides primary care practitioners with access to clinical knowledge summaries outlining the current evidence base and practical guidance on a range of skin conditions.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether the federated data platform will include functionality to enable the creation of a consolidated national allergy register.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The current use cases for the Federated Data Platform (FDP) are:

- elective recovery, to address the backlog of people waiting for appointments or treatments;

- care coordination, to enable the effective coordination of care between local health and care organisations and services, reducing the number of long stays in hospital;

- vaccination and immunisation, to continue to support the vaccination and immunisation of vulnerable people while ensuring fair and equal access and uptake across different communities;

- population health management, to help integrated care systems proactively plan services that meet the needs of their population; and

- supply chain management, to help the National Health Service put resources where they are needed most, and buy smarter so that we get the best value for money.

The creation of a consolidated national allergy register, or identifiable national clinical data registries, is not in the current scope of the FDP, which will not be processing identifiable patient data at a national level. More products will be developed on the FDP throughout the lifecycle of this programme.

The FDP programme has developed a front door process and demand assessment framework which will be used for new requirements coming into the programme. The assessment framework assesses ideas and requests on the basis of their fit to the core FDP objectives and targeted business case outcomes, as well as assessing against the feasibility of successful delivery when considering things like cost, capacity, wider system dependencies, and other factors. In regard to a consolidated national allergy register, we would expect discussions to be held initially within the National Disease Registry Service.

Alongside the FDP, NHS England are investing in platform modernisation, including the Patient Outcomes and Registries Platform (ORP) which is a unified national registry platform integrated into NHS England’s system data infrastructure for improved data security, flow, linkage, and analysis, and faster pace of registry development.

The ORP’s directions cover all outcome registries, patient-reported outcome measures and patient-reported experience measures, and shared decision-making and data collections across a wide range of conditions, including all surgical and interventional procedures in the NHS and independent sector. A national allergy register or registry may be in the scope for the ORP’s coverage.

Make it mandatory that those providing meals e.g. colleges, schools, restaurants, cafés, hospitals etc. to provide Low Carbohydrate, high protein meals for diabetics.

Found: Many places cater for vegans, vegetarians, those who need gluten free and those with allergies.

We want the Government to increase education in schools on allergies, provide funding for schools, restaurants, hotels, etc to have emergency epipens, and provide funding for additional support through the NHS for people with allergies, including for advice and support from dietitians.

Found: Paying for epipens in schools, restaurants, hotels, etc, and increased NHS support for people with allergies

Found: This might include the size of the pet and property, how the tenant intends to look after the pet, allergies

Found: by other doctors out of hours 1 Records 8 There is a designated place for the recording of drug allergies

Found: be due to sp ecific reasons such as the pat ient being on maximum tol erated doses of medication, allergies

Found: due to specific reasons such as the patient being on maximum tolerated doses of medication, allergies

Found: due to specific reasons such as the patient being on maximum tolerated doses of medication, allergies

Found: may be due to specific reasons such as the patient being on maximum tolerated doses of medication, allergies

Found: Skin conditions or allergies 20. Cancer or other progressive illness not covered above 21.

Found: Skin conditions or allergies 20. Cancer or other progressive illness not covered above 21.

Found: Presenteeism is most often attributed to common health problems such as headache, cold/flu, asthma, allergies

Found: variable, such as depression, anxiety, dementia, angina, symptomatic congestive heart failure, seasonal allergies

Found: Opinion of the scientific panel on dietetic products, nutrition and allergies on a request from the