Found: Strategy 2022 –2027 aims to ensure that research is representative and reflects the diversity of the population

Found: The proportion of bilateral spending on population programmes/policies and reproductive health should

Found: increased risk of anxiety, depression and PTSD, than would be experienced in the general detained population

Found: it difficult to deliver adoption of digital solutions such as Digital Identity, E-signatures, pre-population

Found: Revolution matured and further advances in science and medicine were made, a period of unprecedented population

Found: Nevertheless, policymakers should prepare the economy and population for inevitable climate- related

Found: severe weather and finding alternative crops the provision of sufficient nutritious food to a growing population

Found: In particular: What is the relationship between climate change and population growth, and what are the

Found: 17.As extreme weather events, resource scarcity, and population displacement, continue to manifest,

Found: Nicholls, and Dr Avidan Kent Understanding the challenge: Impact of climate change on displacement and population

Found: import dependency are relatively high, even without considering any effects of climate change and population

Found: and the ministry participated; it is important to emphasise that this sample is not a representative population

Found: This is a region that is already vulnerable and has 1.1 billion inhabitants, a population that is

Found: and net zero supply chains.3.Questions Challenge What is the relationship between climate change and population

Found: In particular: What is the relationship between climate change and population growth, and what are the

Found: CCS0035 - Climate change and security Population Matters Written Evidence

Found: Effective management of the conflict between the needs of the growing human population and conservation

Found: growth, and what are the effects of this relationship on displacement and population flows, both within

Found: What is the relationship between climate change and population growth, and what are the effects of

Found: What is the relationship between climate change and population growth, and what are the effects of

Found: there clearly has historically been a relationship, albeit a loose one, between climate change and population

Found: As the UK population is also projected to increase by 20 percent to around 77.5 million by then,

Found: on Mexico’s Environmental Defenders) CCS0027 these are translated to the policy community and wider population

Found: , and what are the effects of this relationship on displacement and population flows, both within

Found: contexts where the national government is unable or unwilling to channel finance to certain areas or population

Found: It is a collective term referring to people who make up majority of the global population and are

Found: 1.1: What is the relationship between climate change and population growth, and what are the effects

Found: climate-induced migration and severe forms of modern slavery increase vulnerabilities in the affected population

Found: They also represent one-third of the global population and more than half of the population in

Found: CCS0035 - Climate change and security Population Matters Written Evidence

Found: Tailored advice for vulnerable groups exists, but this is not communicated more broadly to the general population

Found: fastest-warming region in the world and judged with high confidence the current wildfire risk to the population

Found: planning and development systems will be more resilient to climate change and better accommodate population

Found: The Combined Authority brings together Liverpool City Region’s six local authorities, covering a population

Found: The additional housing and population would contribute positively to the vitality of the community

Found: STW was identified in 2017 as having insufficient Flow to Full Treatment (FFT) capacity for the population

Found: However, for the UK to have water security in an era of population growth and climate change, water

Found: RichardHRBenyon/status/1787112340481090023Water UK WQI0038 Coming at a time of a significantly increased population

Found: responsible; there has been inadequate response to increased sewage inputs into the system from population

Found: Factory farms generate new pathogens quickly due to the network effect in the hyper-dense population

Found: highlights that more research and support is needed for this group of workers, 20% of the working population

Found: 3A.1 Primarily from a population and geographical level – funding should be allocated based on population

Found: this does not happen then all the government will be doing is putting a sticky plaster on the prison population

Found: Some years later I was to find out that there was quite a sizable population in the Rotherham area

Found: Marco Longhi: I mean the working population.

Found: not a big problem for the majority of people who can charge at home, but that is about 70% of the population

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking to ensure (a) clear and (b) transparent labelling of genetically modified foods.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Genetically modified organism (GMO) labelling rules stipulate that foods sold in Great Britain that contain genetically modified ingredients must be labelled. This labelling gives consumers the choice on whether to consume such foods containing, or consisting of, GMO ingredients, and the choice to avoid such foods, should they wish to do so. In the case of food sold loose, or where food has been cooked in genetically modified products such as cooking oil, this must appear on a notice, menu, ticket, or label which can be easily read by customers.

Information about any characteristic or property which renders a food consisting of or containing genetic modifications different from its conventional counterpart, such as its composition, nutritional value, the intended use of the food or feed, or any health implications for certain sections of the population, must also be included.

The Government maintains a list of GMOs authorised for use in food and feed. It is compulsory that the product adheres to mandatory traceability and labelling requirements, and that the product developer provides monitoring reports to the Food Standards Agency and Food Standards Scotland on an annual basis.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking to ensure traceability in the food chain for foods that contain genetically modified ingredients.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Genetically modified organism (GMO) labelling rules stipulate that foods sold in Great Britain that contain genetically modified ingredients must be labelled. This labelling gives consumers the choice on whether to consume such foods containing, or consisting of, GMO ingredients, and the choice to avoid such foods, should they wish to do so. In the case of food sold loose, or where food has been cooked in genetically modified products such as cooking oil, this must appear on a notice, menu, ticket, or label which can be easily read by customers.

Information about any characteristic or property which renders a food consisting of or containing genetic modifications different from its conventional counterpart, such as its composition, nutritional value, the intended use of the food or feed, or any health implications for certain sections of the population, must also be included.

The Government maintains a list of GMOs authorised for use in food and feed. It is compulsory that the product adheres to mandatory traceability and labelling requirements, and that the product developer provides monitoring reports to the Food Standards Agency and Food Standards Scotland on an annual basis.

Question to the Department for Environment, Food and Rural Affairs:

To ask the Secretary of State for Environment, Food and Rural Affairs, what assessment he has made of the risk of infectious zoonotic diseases (a) mutating in and (b) spreading from fur farms to other mammals; and what steps he is taking to mitigate that risk.

Answered by Mark Spencer - Minister of State (Department for Environment, Food and Rural Affairs)

The Government shares the British public’s high regard for animal welfare. Fur farming has been banned in England and Wales since 2000 (2002 in Scotland and Northern Ireland). Fur farming is legal in some EU countries. Where outbreaks of SARS-CoV-2 and avian influenza virus have occurred in fur farms in Europe in recent years, the governments in those countries took action to cull the affected farms to mitigate the risk of spread.

Nevertheless, together with the UK Health Security Agency (UKHSA) we are keeping a close eye on the findings of zoonotic pathogens such as SARS-CoV-2 and avian influenza in mink, foxes and other animals farmed for fur and the possible risk to human and animal health. We are vigilant to changes in risk and continue to use our established systems which include international disease monitoring programmes in the Animal and Plant Health Agency (APHA) and UKHSA to monitor the situation the outcomes of which are reviewed through our Veterinary Risk Group (VRG) and the Human Animal Infections and Risk Surveillance (HAIRS) group. The HAIRS group have published a risk assessment on the transmission from animals to humans of influenza of avian origin and on the risk SARS-CoV-2 infection in UK captive or wild Mustelidae populations presents to the UK human population. There is no direct exposure to infected fur farms for kept or wild mammals in the UK and there is no evidence to suggest an increased risk to wildlife.

International collaboration and knowledge exchange on avian influenza and other zoonotic pathogens is facilitated through discussions between the UK Chief Veterinary Officer and representatives from our national and international reference laboratories, and their counterparts in the EU and globally through the World Organisation for Animal Health (WOAH), the QUADs alliance and allied projects. Including through the joint WOAH-FOA Scientific Network on animal influenza OFFLU.

Question to the Department of Health and Social Care:

To ask His Majesty's Government what current guidance they have issued about the maximum recommended dietary intake of (1) saturated, and (2) unsaturated, fat per day; and on the basis of what scientific evidence they made such a recommendation.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government encourages everyone to have a healthy balanced diet in line with the United Kingdom’s healthy eating model, The Eatwell Guide, which shows that foods high in saturated fat, salt, or sugar should be eaten less often, or in small amounts. The Government’s dietary guidelines are based on recommendations from the Scientific Advisory Committee on Nutrition (SACN) and its predecessor, the Committee on Medical Aspects of Nutrition Policy (COMA), and based on comprehensive assessments of the evidence.

In its 1994 report, Nutritional aspects of cardiovascular disease, the COMA recommended a reduction in the average contribution of total fat to dietary energy in the population to approximately 35%, and that trans fats should provide no more than approximately 2% of dietary energy. In relation to unsaturated fatty acids, the COMA concluded that: monounsaturated fatty acids (MUFA) had no specific recommendation; for n-6 polyunsaturated fatty acids (PUFA), there should be no further increase in average intakes, and the proportion of the population consuming in excess of about 10% energy should not increase; linolenic acid provided at least 1% of total energy; and alpha linolenic acid provided at least 0.2% total energy. The report also included recommendations on saturated fats, which were updated by the SACN in 2019.

A joint SACN and Committee on Toxicity report, Advice on fish consumption: benefits and risks published in 2004, endorsed the recommendation that the population, including pregnant women, should eat at least two portions of fish per week, one of which should be oily. Two portions of fish per week, one white and one oily, contains approximately 0.45 grams per day of long chain n-3 PUFA. This recommendation represented an increase in the population’s average consumption of long chain n-3 PUFA, from approximately 0.2 grams to approximately 0.45 grams per day.

The SACN’s 2019 report on saturated fats and health recommended: the dietary reference value for saturated fats remains unchanged, and the population’s average contribution of saturated fatty acids to total dietary energy be reduced to no more than approximately 10%, which also applies to adults and children aged five years and older; and that saturated fats are substituted with unsaturated fats, as it was noted that more evidence is available supporting substitution with PUFA than substitution with MUFA.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent discussions she has had with (a) the British Heart Foundation and (b) other relevant organisations on the survival rate of people who suffer cardiac arrest outside of hospital.

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

Department officials met with the British Heart Foundation (BHF) and NHS England in November 2023 to discuss access to Automated External Defibrillators (AEDs) and AED cabinets. Officials also attended a workshop co-hosted by the BHF and NHS England in January 2024, on the same issue.

To improve survival rates for out-of-hospital cardiac arrest cases, the Government launched a new £1 million one-off fund that will expand community access to AEDs. The grant was made available from September 2023. We estimated 1,000 new defibrillators would be provided by the fund, with the potential for this to double as most applicants would be asked to match the funding they receive partially or fully. To date, the grant has successfully delivered 2,000 AEDs.

Applications for AEDs are selected in line with criteria to provide AEDs where there is greatest need. The criteria include remote communities with extended ambulance response times, places with high footfall and high population densities, hotspots for cardiac arrest including sporting venues and venues with vulnerable people, and deprived areas.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps the Government is taking to expand (a) access to and (b) provision of public automatic external defibrillators.

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

Department officials met with the British Heart Foundation (BHF) and NHS England in November 2023 to discuss access to Automated External Defibrillators (AEDs) and AED cabinets. Officials also attended a workshop co-hosted by the BHF and NHS England in January 2024, on the same issue.

To improve survival rates for out-of-hospital cardiac arrest cases, the Government launched a new £1 million one-off fund that will expand community access to AEDs. The grant was made available from September 2023. We estimated 1,000 new defibrillators would be provided by the fund, with the potential for this to double as most applicants would be asked to match the funding they receive partially or fully. To date, the grant has successfully delivered 2,000 AEDs.

Applications for AEDs are selected in line with criteria to provide AEDs where there is greatest need. The criteria include remote communities with extended ambulance response times, places with high footfall and high population densities, hotspots for cardiac arrest including sporting venues and venues with vulnerable people, and deprived areas.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will make an assessment of the adequacy of access to defibrillators.

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

To improve survival rates for out-of-hospital cardiac arrest cases, the Government launched a new £1 million one-off fund that will expand community access to Automated External Defibrillators (AEDs). The grant was made available from September 2023.

We estimated 1,000 new defibrillators would be provided by the fund, with the potential for this to double, as most applicants would be asked to match the funding they receive partially or fully. To date, the grant has successfully delivered 2,000 AEDs.

Research has shown that those in the most deprived areas of England had to travel over one kilometre to their nearest accessible, nonstop service public access defibrillator, which tended to be 99.2 metres further away than in the least deprived areas.

Applications for AEDs are selected in line with criteria to provide AEDs where there is greatest need. The criteria include remote communities with extended ambulance response times, places with high footfall and high population densities, hotspots for cardiac arrest including sporting venues and venues with vulnerable people, and deprived areas.

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 help tackle post-operative infections in the context of (a) an ageing population and (b) trends in the number of joint replacement operations.

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

The UK Health Security Agency manages a national surveillance programme, the Surgical Site Infection (SSI) Surveillance Service, which enhances the quality of patient care by providing hospitals with a framework for collection and comparison of their rates of SSI against national benchmarks. This information is used to review and guide clinical practice to reduce the risk of infection following surgery. Hip and knee replacements are two of the 17 categories of surgery under surveillance by hospitals. Surveillance in at least one orthopaedic surgical category per quarter, per financial year is mandatory for all National Health Service hospitals undertaking orthopaedic surgery, with hip and knee replacements being the most numerous.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to Annex A of the NHS publication entitled Specialised Commissioning – update on specialised services for delegation, published on 28 March 2024, whether she plans for the 32 specialised services retained by NHS England from April 2025 to be (a) delegated or (b) retained in perpetuity.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

The nine joint committee arrangements arose from a robust process, which included a readiness assessment, the Pre-Delegation Assessment Framework, made between integrated care boards (ICBs) and NHS England regional teams, followed by a National Moderation Panel and final decision taken by the NHS England Board. The NHS England Board papers for February 2023, December 2023, and March 2024 are available respectively at the following links:

https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-delegation-of-spec-comm.pdf

https://www.england.nhs.uk/long-read/specialised-commissioning-2024-25-next-steps-with-delegation-to-integrated-care-boards/

https://www.england.nhs.uk/long-read/specialised-commissioning-update-on-specialised-services-for-delegation/

The process concluded that a transitional year of joint commissioning would offer the most secure and stable transition towards delegation. NHS England is working alongside ICBs to ensure that delegation agreements are in place, including ensuring appropriate collaborative arrangements are developed to support ICB commissioning of specialised services. These arrangements will be monitored by NHS England through its assurance processes for specialised services.

On 28 March 2024, the NHS England Board approved the recommendation that the 32 specialised services listed in Annex A of Item 7 of Specialised Commissioning: update on specialised services for delegation, would be retained by NHS England.

Regardless of delegation status, NHS England will remain the accountable commissioner for the entire portfolio of specialised services, and as part of this role, will monitor the effectiveness of delegation and the lists of services. It should be noted that NHS England does have the ability to bring a service back under national commissioning control, under the safeguards put in place to support delegation.

All specialised services, whether retained or delegated, must comply with nationally developed standards, including service specifications and clinical commissioning polices. ICBs will be able to use specialised services funding to transform and develop services and pathways across their core and specialised responsibilities, to improve quality of care and equity of access and value, whilst also complying with national standards.

Whilst delegation is not an end in itself, moving to ICB-led commissioning supports a focus on population health management across whole pathways of care, and gives ICBs the powers they need to improve the quality of services, tackle health inequalities, and ensure best value. NHS England set out in detail the benefits of greater ICB involvement in the commissioning of appropriate specialised services in the Roadmap for Integrating Specialised Services within Integrated Care Systems, and subsequent board papers. This roadmap is available at the following link:

https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdf

These plans have been developed in close collaboration with NHS England’s regional teams, ICBs, specialised service providers, clinicians, and patients, and represent the outcome of a thorough assessment of ICB system readiness, and a comprehensive analysis of services to determine their suitability and readiness for more integrated commissioning. During 2024/25, specialised services commissioning teams will remain employed by NHS England. NHS England has a framework for commissioning support, and accesses a range of services from commissioning support units. For example, data and business intelligence, and programme and project management expertise and resources.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential imapct of delegating specialised services to Integrated Care Systems on continuity of care for patients.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

The nine joint committee arrangements arose from a robust process, which included a readiness assessment, the Pre-Delegation Assessment Framework, made between integrated care boards (ICBs) and NHS England regional teams, followed by a National Moderation Panel and final decision taken by the NHS England Board. The NHS England Board papers for February 2023, December 2023, and March 2024 are available respectively at the following links:

https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-delegation-of-spec-comm.pdf

https://www.england.nhs.uk/long-read/specialised-commissioning-2024-25-next-steps-with-delegation-to-integrated-care-boards/

https://www.england.nhs.uk/long-read/specialised-commissioning-update-on-specialised-services-for-delegation/

The process concluded that a transitional year of joint commissioning would offer the most secure and stable transition towards delegation. NHS England is working alongside ICBs to ensure that delegation agreements are in place, including ensuring appropriate collaborative arrangements are developed to support ICB commissioning of specialised services. These arrangements will be monitored by NHS England through its assurance processes for specialised services.

On 28 March 2024, the NHS England Board approved the recommendation that the 32 specialised services listed in Annex A of Item 7 of Specialised Commissioning: update on specialised services for delegation, would be retained by NHS England.

Regardless of delegation status, NHS England will remain the accountable commissioner for the entire portfolio of specialised services, and as part of this role, will monitor the effectiveness of delegation and the lists of services. It should be noted that NHS England does have the ability to bring a service back under national commissioning control, under the safeguards put in place to support delegation.

All specialised services, whether retained or delegated, must comply with nationally developed standards, including service specifications and clinical commissioning polices. ICBs will be able to use specialised services funding to transform and develop services and pathways across their core and specialised responsibilities, to improve quality of care and equity of access and value, whilst also complying with national standards.

Whilst delegation is not an end in itself, moving to ICB-led commissioning supports a focus on population health management across whole pathways of care, and gives ICBs the powers they need to improve the quality of services, tackle health inequalities, and ensure best value. NHS England set out in detail the benefits of greater ICB involvement in the commissioning of appropriate specialised services in the Roadmap for Integrating Specialised Services within Integrated Care Systems, and subsequent board papers. This roadmap is available at the following link:

https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdf

These plans have been developed in close collaboration with NHS England’s regional teams, ICBs, specialised service providers, clinicians, and patients, and represent the outcome of a thorough assessment of ICB system readiness, and a comprehensive analysis of services to determine their suitability and readiness for more integrated commissioning. During 2024/25, specialised services commissioning teams will remain employed by NHS England. NHS England has a framework for commissioning support, and accesses a range of services from commissioning support units. For example, data and business intelligence, and programme and project management expertise and resources.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential impact of delegating specialised services to Integrated Care Systems on patient outcomes.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

The nine joint committee arrangements arose from a robust process, which included a readiness assessment, the Pre-Delegation Assessment Framework, made between integrated care boards (ICBs) and NHS England regional teams, followed by a National Moderation Panel and final decision taken by the NHS England Board. The NHS England Board papers for February 2023, December 2023, and March 2024 are available respectively at the following links:

https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-delegation-of-spec-comm.pdf

https://www.england.nhs.uk/long-read/specialised-commissioning-2024-25-next-steps-with-delegation-to-integrated-care-boards/

https://www.england.nhs.uk/long-read/specialised-commissioning-update-on-specialised-services-for-delegation/

The process concluded that a transitional year of joint commissioning would offer the most secure and stable transition towards delegation. NHS England is working alongside ICBs to ensure that delegation agreements are in place, including ensuring appropriate collaborative arrangements are developed to support ICB commissioning of specialised services. These arrangements will be monitored by NHS England through its assurance processes for specialised services.

On 28 March 2024, the NHS England Board approved the recommendation that the 32 specialised services listed in Annex A of Item 7 of Specialised Commissioning: update on specialised services for delegation, would be retained by NHS England.

Regardless of delegation status, NHS England will remain the accountable commissioner for the entire portfolio of specialised services, and as part of this role, will monitor the effectiveness of delegation and the lists of services. It should be noted that NHS England does have the ability to bring a service back under national commissioning control, under the safeguards put in place to support delegation.

All specialised services, whether retained or delegated, must comply with nationally developed standards, including service specifications and clinical commissioning polices. ICBs will be able to use specialised services funding to transform and develop services and pathways across their core and specialised responsibilities, to improve quality of care and equity of access and value, whilst also complying with national standards.

Whilst delegation is not an end in itself, moving to ICB-led commissioning supports a focus on population health management across whole pathways of care, and gives ICBs the powers they need to improve the quality of services, tackle health inequalities, and ensure best value. NHS England set out in detail the benefits of greater ICB involvement in the commissioning of appropriate specialised services in the Roadmap for Integrating Specialised Services within Integrated Care Systems, and subsequent board papers. This roadmap is available at the following link:

https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdf

These plans have been developed in close collaboration with NHS England’s regional teams, ICBs, specialised service providers, clinicians, and patients, and represent the outcome of a thorough assessment of ICB system readiness, and a comprehensive analysis of services to determine their suitability and readiness for more integrated commissioning. During 2024/25, specialised services commissioning teams will remain employed by NHS England. NHS England has a framework for commissioning support, and accesses a range of services from commissioning support units. For example, data and business intelligence, and programme and project management expertise and resources.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential impact of joint commissioning on the 59 specialised services approved by the NHS England Board in February 2023.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

The nine joint committee arrangements arose from a robust process, which included a readiness assessment, the Pre-Delegation Assessment Framework, made between integrated care boards (ICBs) and NHS England regional teams, followed by a National Moderation Panel and final decision taken by the NHS England Board. The NHS England Board papers for February 2023, December 2023, and March 2024 are available respectively at the following links:

https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-delegation-of-spec-comm.pdf

https://www.england.nhs.uk/long-read/specialised-commissioning-2024-25-next-steps-with-delegation-to-integrated-care-boards/

https://www.england.nhs.uk/long-read/specialised-commissioning-update-on-specialised-services-for-delegation/

The process concluded that a transitional year of joint commissioning would offer the most secure and stable transition towards delegation. NHS England is working alongside ICBs to ensure that delegation agreements are in place, including ensuring appropriate collaborative arrangements are developed to support ICB commissioning of specialised services. These arrangements will be monitored by NHS England through its assurance processes for specialised services.

On 28 March 2024, the NHS England Board approved the recommendation that the 32 specialised services listed in Annex A of Item 7 of Specialised Commissioning: update on specialised services for delegation, would be retained by NHS England.

Regardless of delegation status, NHS England will remain the accountable commissioner for the entire portfolio of specialised services, and as part of this role, will monitor the effectiveness of delegation and the lists of services. It should be noted that NHS England does have the ability to bring a service back under national commissioning control, under the safeguards put in place to support delegation.

All specialised services, whether retained or delegated, must comply with nationally developed standards, including service specifications and clinical commissioning polices. ICBs will be able to use specialised services funding to transform and develop services and pathways across their core and specialised responsibilities, to improve quality of care and equity of access and value, whilst also complying with national standards.

Whilst delegation is not an end in itself, moving to ICB-led commissioning supports a focus on population health management across whole pathways of care, and gives ICBs the powers they need to improve the quality of services, tackle health inequalities, and ensure best value. NHS England set out in detail the benefits of greater ICB involvement in the commissioning of appropriate specialised services in the Roadmap for Integrating Specialised Services within Integrated Care Systems, and subsequent board papers. This roadmap is available at the following link:

https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdf

These plans have been developed in close collaboration with NHS England’s regional teams, ICBs, specialised service providers, clinicians, and patients, and represent the outcome of a thorough assessment of ICB system readiness, and a comprehensive analysis of services to determine their suitability and readiness for more integrated commissioning. During 2024/25, specialised services commissioning teams will remain employed by NHS England. NHS England has a framework for commissioning support, and accesses a range of services from commissioning support units. For example, data and business intelligence, and programme and project management expertise and resources.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what engagement commissioning hub teams looking at specialised commissioning have with commissioning support units.

Answered by Helen Whately - Minister of State (Department of Health and Social Care)

The nine joint committee arrangements arose from a robust process, which included a readiness assessment, the Pre-Delegation Assessment Framework, made between integrated care boards (ICBs) and NHS England regional teams, followed by a National Moderation Panel and final decision taken by the NHS England Board. The NHS England Board papers for February 2023, December 2023, and March 2024 are available respectively at the following links:

https://www.england.nhs.uk/wp-content/uploads/2023/02/board-2-feb-23-item-7-delegation-of-spec-comm.pdf

https://www.england.nhs.uk/long-read/specialised-commissioning-2024-25-next-steps-with-delegation-to-integrated-care-boards/

https://www.england.nhs.uk/long-read/specialised-commissioning-update-on-specialised-services-for-delegation/

The process concluded that a transitional year of joint commissioning would offer the most secure and stable transition towards delegation. NHS England is working alongside ICBs to ensure that delegation agreements are in place, including ensuring appropriate collaborative arrangements are developed to support ICB commissioning of specialised services. These arrangements will be monitored by NHS England through its assurance processes for specialised services.

On 28 March 2024, the NHS England Board approved the recommendation that the 32 specialised services listed in Annex A of Item 7 of Specialised Commissioning: update on specialised services for delegation, would be retained by NHS England.

Regardless of delegation status, NHS England will remain the accountable commissioner for the entire portfolio of specialised services, and as part of this role, will monitor the effectiveness of delegation and the lists of services. It should be noted that NHS England does have the ability to bring a service back under national commissioning control, under the safeguards put in place to support delegation.

All specialised services, whether retained or delegated, must comply with nationally developed standards, including service specifications and clinical commissioning polices. ICBs will be able to use specialised services funding to transform and develop services and pathways across their core and specialised responsibilities, to improve quality of care and equity of access and value, whilst also complying with national standards.

Whilst delegation is not an end in itself, moving to ICB-led commissioning supports a focus on population health management across whole pathways of care, and gives ICBs the powers they need to improve the quality of services, tackle health inequalities, and ensure best value. NHS England set out in detail the benefits of greater ICB involvement in the commissioning of appropriate specialised services in the Roadmap for Integrating Specialised Services within Integrated Care Systems, and subsequent board papers. This roadmap is available at the following link:

https://www.england.nhs.uk/wp-content/uploads/2022/05/PAR1440-specialised-commissioning-roadmap-addendum-may-2022.pdf

These plans have been developed in close collaboration with NHS England’s regional teams, ICBs, specialised service providers, clinicians, and patients, and represent the outcome of a thorough assessment of ICB system readiness, and a comprehensive analysis of services to determine their suitability and readiness for more integrated commissioning. During 2024/25, specialised services commissioning teams will remain employed by NHS England. NHS England has a framework for commissioning support, and accesses a range of services from commissioning support units. For example, data and business intelligence, and programme and project management expertise and resources.

Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, what assessment he has made of trends in the the number of people who are out of work because of a musculoskeletal condition.

Answered by Mims Davies - Minister of State (Department for Work and Pensions)

Information on the number of people who are out of work because of a musculoskeletal condition is not held by the Department for Work and Pensions.

The available published information on the number of disabled people aged 16 to 64 with a musculoskeletal condition by employment status in the UK is shown in the table below.

Number of disabled people (in thousands) aged 16 to 64 with a musculoskeletal condition by employment status, UK

Data source: Annual Population Survey (APS) - The employment of Disabled People 2023 (LMS003 and LMS004)

Notes:

• Numbers are rounded to and shown to the nearest 1000.
• Numbers are central estimates and subject to sampling variation. The precision of these estimates will be limited by sample size.
• Annual Population Survey data has not been reweighted to incorporate the latest estimates of the size and composition of the UK population.

Found: and the Middle East:12 • Kutupalong Expansion Site i n the Cox’s Bazar region of Bangladesh had a population

Found: and said there should not be an Israeli offensive in Rafah , where the majority of the Palestinian population

Found: and regions, (b) the effects of the provisions of this Act on socioeconomic inequalities, and on population

Found: calls and correspondence in 2023-24 by 1.1%.10 It also estimated that growth in the overall taxpayer population

Found: AI developers, users, impacted population members, etc.) have expectations of how a general -purpose

Found: Innovation Network Country Summary Singapore Science and Innovation Landscape Singapore has a population

Found: -probability sampling in which researchers rely on their own judgment when choosing members of the population

Found: innovation, growth and the greater benefits for science, our own planet’s environment, and the wider population

Found: [note 11] Population has been based on mid-year population estimates for each age group supplied by the

Found: The rates of FTEs per 100,000 people in the population are based on Office for National Statistics

Found: loved one who is older, disabled or seriously ill and this number is set to rise to 9 million as our population

Found: Base: All respondents: 1021 Claimant distribution generally reflected regional population sizes in

Found: Note 10 Population has been based on mid-year population estimates for each age group supplied by the

Found: Changes in the local district composition of demand were driven by projected local population changes

Found: 105 (Uswitch, 2024) 106 (Deloitte, 2019) 69 Looking ahead, it is predicted that 95% of the UK population

Found: Large and medium -sized businesses are over -represented in this survey compared to the business population

Found: Large and medium -sized businesses are over -represented in this survey compared to the business population

Found: This is compared to an ethnic minority representation of 18% in the UK population as a whole.

Found: The average youth custody population has fallen in each of the last five years, and in the year ending

Found: It is estimated that up to half of the adult prison population could be considered neurodivergent, covering

Found:  will support the NHS to address existing vacancies and meet the challenges of a growing and ageing population

Found: six-week election in India involving some 970 million voters – more than 10 per cent of the world’s population

Found: 3.03.13 Good practice will be used during any construction, to avoid or minimise impacts on population

Found: Examples include coverage in terms of: business functions, levels of service, geography, population,

Found: Examples include coverage in terms of: business functions, levels of service, geography, population,

Found: a generic value to represent the total population.

Found: a generic value to represent the total population.

Found: needs analysis and the Annual Delivery Plan (ADP) has been written to reflect the need of the current population

Found: It holds a complex population: many have committed serious crimes and are serving long or indeterminate

Found: AI developers, users, impacted population members, etc.) have expectations of how a general -purpose

Found: used in this table, [p] = provisional.Sources: Insolvency Service, Office for National Statistics (population

Found: Sources: Insolvency Service, Office for National Statistics (population estimates) For full monthly breakdowns

Found: This is the best estimate of the actual representation within the population. 3.

Found: This is the best estimate of the actual representation within the population.

Found: Population trends of Breeding Birds in the countries of the UK, to 2023

Found: In total these SPPs serve a population of more than 13 million people.

Found: This helps to support parental choice, pupil population movement, and general manageability of the system

Found: not significant and they had no significant concerns regarding the risk to the health of the local population

Found: Council has publicly acknowledged that the city has a “rent crisis” 3, with over one -third of the population

Found: needs analysis and the Annual Delivery Plan (ADP) has been written to reflect the need of the current population

Found: It holds a complex population: many have committed serious crimes and are serving long or indeterminate

Found: BritishEthnic minority group£0–14,999£15,000–49,999≥ £50,000Base: All module 2 adults (16+) grossed to English population

Found: minority group £0–14,999 £15,000–49,999 ≥ £50,000 Base: All module 2 adults (16+) grossed to English population

Found: Data to understand the health and wellbeing needs of the local school- age population • Office for

Found: contribute to our goals of increasing the diversity of our workforce to reflect the general Scottish population

Found: The Scottish Government is not on track to meet its 2034 smokefree target (less than 5% of the population

Found: Prison Population Letter from the Cabinet Secretary for Justice and Home Affairs to the Convener, 16

Found: up to Scottish Government Correspondence from the Convener to Christine McLaughlin, Co-Director of Population

Found: Nicky Coia of NHS Greater Glasgow, stressed that stigma acts as a barrier to the general population

Found: Our shared aim is to ensure we have robust data on changes in need and demand across the whole population

Found: will be used to reduce grey lag geese numbers and hopefully make a substantive dent in the their population

Found: • It is positive to see food security mentioned – being able to sustain food for our own population

Found: It is three and a half times greater than England's investment on a per population basis.

Found: For assessment stages and type s where the learner population that items can be trialled with is smaller

Found: Westminster benefit that ignores the cancers firefighters are far more likely to suffer than the general population

Found: First Minister asked for confirmation of the top 10 UK local authority areas by new cases per 100k population

Found: content will be used to develop high quality resilient crops, reducing inputs and allowing the Scottish population

Found: project, new tools developed to enhance monitoring and management of biodiversity and ecosystems, e.g. population

Found: The Soay sheep of Hirta, St Kilda, originate from the population on the island of Soay where they have

Found: Directorofhealthworkforce@gov.scot >; Director of Mental Health ; Director of Population

Found: Niven explained that 1% of Scottish population experience 65% of all violent crime, live in poorer communities

Question

To ask the Scottish Government what its position is on whether the First Minister's priority of prevention in health is being delivered. 

Answered by Minto, Jenni - Minister for Public Health and Women's Health

Our prevention agenda has seen the implementation of various strategies, addressing the fundamental drivers of inequality; encouraging early intervention and support; and promoting environments that support healthy lifestyles.

This has included tackling some of the root socioeconomic drivers of heath inequalities with the allocation of around £3 billion a year to a range of actions to tackle poverty and mitigate the impacts of the cost-of-living-crisis. We are also delivering Community Link Workers and Welfare Rights Advisors to offer advice on housing, social security and employability issues within GP practices across our rural and deprived communities.

To support and encourage positive health behaviours SG has continued to take forward a range of actions. This includes the implementation and subsequent expansion of Minimum Alcohol Pricing to reduce drinking at harmful levels by setting a floor price for each unit of alcohol. We are tackling the adverse effects of smoking through our Tobacco and Vaping Framework. We continue work to ensure that everyone eats well and has a healthy diet through our Diet and Healthy Weight Delivery Plan, we are currently consulting on a set of proposed regulations to restrict promotions of less healthy food and drink.

The Scottish Government remains committed to our ambition to improve the health of our population and tackle health inequalities. We know that to achieve this we must focus on preventing illness and promoting wellbeing and tackling some of the wider determinants of health. Going forward, we will build on this progress and continue to prioritise prevention as a key component of our wider healthcare strategy.

Question

To ask the Scottish Government how many young people are currently housed in the prison estate, broken down by the category of offence for which they have been charged or convicted.

Answered by Constance, Angela - Cabinet Secretary for Justice and Home Affairs

On the morning of Monday 6th May 2024 there were 192 people under the age of 21 held in the prison estate. This population is broken down by index offence group in the following table.

Where individuals in custody are accused or convicted of multiple offences, these are summarised by index offence. This is the offence for which they have received the longest sentence or, where they are on remand, which would on average receive the longest sentence. Some offences cannot be classified in this way because the charges originate in other jurisdictions or because the data required was not available at the time the snapshot was taken.

Question

To ask the Scottish Government how many people are currently being held in Scotland's prison estate for non-violent offences, broken down by offence type.

Answered by Constance, Angela - Cabinet Secretary for Justice and Home Affairs

The prison population on the morning of 6 May 2024 was 8,203 in custody. Excluding people held for index offences in Group 1 (Non-Sexual Crimes of Violence) or where the index offence could not be classified or originated outwith Scotland, provides a population of 3,927 people.

Further excluding Group 2 (Sexual Crimes) index offences of rape, attempted rape and sexual assault this population totals 2,466.

The full prison population is broken down by index offence type in the following table.

Where individuals in custody are accused or convicted of multiple offences, these are summarised by index offence. This is the offence for which they have received the longest sentence or, where they are on remand, which would on average receive the longest sentence. Each may have other associated offences for which they have received shorter sentences, or for which they have not yet been convicted, which may include acts of violence. Some offences cannot be classified in this way because the charges originate in other jurisdictions or because the data required were not available at the time the snapshot was taken.

Question

To ask the Scottish Government what research it has undertaken, or plans to undertake, into the number of people who are rough sleeping in cars in each local authority area.

Answered by McLennan, Paul - Minister for Housing

The Scottish Government collects information on whether any member of a household making a homelessness application to a local authority slept rough:

(a) during the three months preceding and b) the night before the application.

This data is collected from all local authorities as part of the homelessness application (HL1) data collection. Annual totals of rough sleeping reported by applicant households, broken down by local authority, are published in the main tables supporting the main annual publication, available at Supporting documents - Homelessness in Scotland: 2022-23 - gov.scot (www.gov.scot) .

The data collection defines rough sleeping as any member of the applicant household who has slept outside, in the open air (such as on the streets, or in doorways, parks or bus shelters) or slept in a building or other place not designed for habitation (such as barns, sheds, car parks, cars, derelict boats, stations etc.). As households making an application for homelessness assistance are not specifically asked to define what form of rough sleeping they experienced, no specific figures relating to numbers of people rough sleeping in cars are available.

Data is not gathered for any household or individual rough sleeping who does not make a homelessness application to a local authority in Scotland and for this reason the statistics do not necessarily cover the entire homeless population. Those people who are experiencing homelessness but who do not appear in official statistics are often referred to as ‘hidden’.

It is not currently possible to estimate the scale of hidden homelessness in Scotland because of known complexities in reaching this population group. We are collaborating with the Office of National Statistics (ONS) researchers who are carrying out research which has potential to improve data collection in Scotland and across the UK on hidden homelessness, information available at "Hidden" homelessness in the UK: evidence review - Office for National Statistics (ons.gov.uk)

Question

To ask the Scottish Government how many electric vehicle (EV) charging points it has delivered since 2021. 

Answered by Hyslop, Fiona - Minister for Transport

Since 2011, Transport Scotland has invested over £65 million on behalf of Scottish Ministers to support the installation of public EV charge points across Scotland as part of the ChargePlace Scotland public EV charging network. As a direct result, Scotland has the best provision of public charge points per head of population of anywhere in the UK, outside of London, and the most rapid charge points per head of population of any region.

Last year, the Scottish Government published Vision for world class public electric vehicle charging network | Transport Scotland , highlighting the need for a transition towards a public charging network that is largely financed and delivered by the private sector. Through the £30m EV Infrastructure Fund we are supporting local authorities across Scotland to work with the private sector to leverage an additional £30m of private investment to continue to grow the provision of EV charging in Scotland at pace and scale.

Since 2021, 1,232 additional public EV charge points have been added to the Scottish Government funded ChargePlace Scotland network. We do not hold information relating to any other public electric vehicle charging networks.

Since 2021 a total of 15,615 EV charge points have been supported through Scottish Government grant funding for fleet, business, third sector and domestic charge point installations.

Question

To ask the Scottish Government what research it has undertaken, or plans to undertake, into the number of people who are "couch surfing" in each local authority area.

Answered by McLennan, Paul - Minister for Housing

The Scottish Government collects information on the property type that the main applicant making a homelessness application to a local authority became homeless from. This includes a category for those who have been ‘long-term sofa surfing’. This is defined as where an applicant has been moving between homes for a period of six months or more. Where only one or two different homes have been used for most of the period, another appropriate property type should be selected e.g. friends or relatives.

This data is collected from all local authorities as part of the homelessness application (HL1) data collection. Annual totals of long-term sofa surfing, reported by applicant households, are published in the data tables accompanying the main publication Supporting documents - Homelessness in Scotland: 2022-23 - gov.scot (www.gov.scot) .

Data is not gathered for anyone with experience of sofa surfing who does not make a homelessness application to a local authority in Scotland and for this reason the statistics do not necessarily cover the entire homeless population. Those people who are experiencing homelessness but who do not appear in official statistics are often referred to as ‘hidden’.

It is not currently possible to estimate the scale of hidden homelessness in Scotland because of known complexities in reaching this population group. We are collaborating with the Office of National Statistics (ONS) researchers who are carrying out research which has potential to improve data collection in Scotland and across the UK on hidden homelessness, information available at "Hidden" homelessness in the UK: evidence review - Office for National Statistics (ons.gov.uk) .

These plans would affect services across Scotland, including specialist neonatal units in University Hospital Wishaw which is award winning, Ninewells in Dundee and Victoria Hospital in Kirkcaldy.

The centralisation of neonatal services to three units in Glasgow, Edinburgh and Aberdeen could place additional stress on expectant parents and premature babies. Clinical whistleblowers have said that the decision to downgrade these facilities could endanger the lives of vulnerable babies and place remarkable strain on families.

There is a particular focus on retaining services at University Hospital Wishaw (Neonatal unit of the year 2023). Downgrading this unit would mean that NHS Lanarkshire, Scotland’s third largest health board, that serves a population of 655,000 people, may lose a high-functioning service for babies/families which would have a potentially disastrous knock on effect on services in NHS Greater Glasgow and Clyde, NHS Lothian and NHS Grampian.

Found: Downgrading this unit would mean that NHS Lanarkshire, Scotland’s third largest health board, that serves a population