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Written Question
Obesity: Children
Monday 18th March 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

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 help support parents of children up to the age of five to tackle childhood obesity.

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

We are taking strong action to support children and their families in achieving and maintaining a healthier weight. The Government is investing approximately £300 million to improve support for families though the joint Department of Health and Social Care and Department for Education Family Hubs and Start for Life Programme. The programme will implement many elements of the Best Start for Life Vision and is delivering a step change in outcomes for babies, children, and their parents and carers in 75 local authorities in England, including those with high levels of deprivation.

The funding package includes £50 million to invest in infant feeding services, which will enable participating local authorities to design and deliver a blended offer of advice and support, in line with local needs.

We support more than three million children through the Healthy Foods Scheme. We also support parents with primary aged children in England to eat well, and move more, through Better Health Families. This includes healthy eating advice and easy recipes, a Food Scanner app to help families to swap less healthy foods and drinks to healthier alternatives, and the Healthy Steps email-programme to inspire and support parents to take easy steps to improve their families' health and wellbeing.

We work with the Department for Education to ensure that children are provided healthy food options in early years settings, and in school. For children aged zero to five years old, the Early Years Foundation Stage framework states that where children are provided with meals, snacks, and drinks, they must be healthy, balanced, and nutritious. The Eat Better, Start Better guidelines and example menus support parents, carers, and anyone working with children to provide healthy food options.

The School Food Standards are set in legislation and require that school caterers serve healthy and nutritious food and drinks, to ensure children get the energy and nutrition they need throughout the school day. Foods high in fat, salt, and sugar are restricted. We are also helping schools boost physical activity to help children maintain a healthy weight and good overall health through the Primary School PE and Sport Premium and the School Games Organiser Network.

In addition, primary school children are educated about healthy eating through the relationships, sex, and health education curriculum. By the end of primary school, pupils should know what constitutes a healthy diet, the principles of planning and preparing a range of healthy meals, the characteristics of a poor diet, and risks associated with unhealthy eating. We have programmes to identify children living with excess weight, and local authorities and the National Health Service in England provide weight management services.

The National Child Measurement Programme monitors the weight status of children at the start and end of primary school. The programme provides is a useful prompt to parents and schools to support healthy eating and physical activity. Data is used to help local authorities plan healthy weight, food and activity support and services for children and their families.

Local authorities can fund weight management services to support children and families, to achieve a healthier weight from their Public Health Grant. The NHS has commissioned a number of Complications from Excess Weight clinics across England for children and young people living with complications related to severe obesity. We are also delivering an ambitious programme of work to create a healthier environment to help people achieve and maintain a healthier weight.

Regulations on out of home calorie labelling for food sold in large businesses, including restaurants, cafes, and takeaways, came into force in April 2022. Restrictions on the placement of products high in fat, sugar, or salt in key selling locations, came into force on 1 October 2022.  We will be implementing restrictions on the sale of less healthy products by volume price, for instance three for two offers, and will introduce restrictions on the advertising of less healthy products before 9:00pm on television. We will also be implementing restrictions on paid for online advertising for less healthy products, from 1 October 2025.

We are working with the food industry to ensure it is easier for the public to make healthier choices and make further progress on reformulation. In addition, the Food Data Transparency Partnership will help enable and encourage food companies to voluntarily demonstrate progress on the healthiness of their sales.


Written Question
Obesity: Children
Monday 18th March 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she taking to help support parents to tackle obesity in their children.

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

We are taking strong action to support children and their families in achieving and maintaining a healthier weight. The Government is investing approximately £300 million to improve support for families though the joint Department of Health and Social Care and Department for Education Family Hubs and Start for Life Programme. The programme will implement many elements of the Best Start for Life Vision and is delivering a step change in outcomes for babies, children, and their parents and carers in 75 local authorities in England, including those with high levels of deprivation.

The funding package includes £50 million to invest in infant feeding services, which will enable participating local authorities to design and deliver a blended offer of advice and support, in line with local needs.

We support more than three million children through the Healthy Foods Scheme. We also support parents with primary aged children in England to eat well, and move more, through Better Health Families. This includes healthy eating advice and easy recipes, a Food Scanner app to help families to swap less healthy foods and drinks to healthier alternatives, and the Healthy Steps email-programme to inspire and support parents to take easy steps to improve their families' health and wellbeing.

We work with the Department for Education to ensure that children are provided healthy food options in early years settings, and in school. For children aged zero to five years old, the Early Years Foundation Stage framework states that where children are provided with meals, snacks, and drinks, they must be healthy, balanced, and nutritious. The Eat Better, Start Better guidelines and example menus support parents, carers, and anyone working with children to provide healthy food options.

The School Food Standards are set in legislation and require that school caterers serve healthy and nutritious food and drinks, to ensure children get the energy and nutrition they need throughout the school day. Foods high in fat, salt, and sugar are restricted. We are also helping schools boost physical activity to help children maintain a healthy weight and good overall health through the Primary School PE and Sport Premium and the School Games Organiser Network.

In addition, primary school children are educated about healthy eating through the relationships, sex, and health education curriculum. By the end of primary school, pupils should know what constitutes a healthy diet, the principles of planning and preparing a range of healthy meals, the characteristics of a poor diet, and risks associated with unhealthy eating. We have programmes to identify children living with excess weight, and local authorities and the National Health Service in England provide weight management services.

The National Child Measurement Programme monitors the weight status of children at the start and end of primary school. The programme provides is a useful prompt to parents and schools to support healthy eating and physical activity. Data is used to help local authorities plan healthy weight, food and activity support and services for children and their families.

Local authorities can fund weight management services to support children and families, to achieve a healthier weight from their Public Health Grant. The NHS has commissioned a number of Complications from Excess Weight clinics across England for children and young people living with complications related to severe obesity. We are also delivering an ambitious programme of work to create a healthier environment to help people achieve and maintain a healthier weight.

Regulations on out of home calorie labelling for food sold in large businesses, including restaurants, cafes, and takeaways, came into force in April 2022. Restrictions on the placement of products high in fat, sugar, or salt in key selling locations, came into force on 1 October 2022.  We will be implementing restrictions on the sale of less healthy products by volume price, for instance three for two offers, and will introduce restrictions on the advertising of less healthy products before 9:00pm on television. We will also be implementing restrictions on paid for online advertising for less healthy products, from 1 October 2025.

We are working with the food industry to ensure it is easier for the public to make healthier choices and make further progress on reformulation. In addition, the Food Data Transparency Partnership will help enable and encourage food companies to voluntarily demonstrate progress on the healthiness of their sales.


Written Question
Obesity: Children
Monday 18th March 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

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 obesity in primary school children.

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

We are taking strong action to support children and their families in achieving and maintaining a healthier weight. The Government is investing approximately £300 million to improve support for families though the joint Department of Health and Social Care and Department for Education Family Hubs and Start for Life Programme. The programme will implement many elements of the Best Start for Life Vision and is delivering a step change in outcomes for babies, children, and their parents and carers in 75 local authorities in England, including those with high levels of deprivation.

The funding package includes £50 million to invest in infant feeding services, which will enable participating local authorities to design and deliver a blended offer of advice and support, in line with local needs.

We support more than three million children through the Healthy Foods Scheme. We also support parents with primary aged children in England to eat well, and move more, through Better Health Families. This includes healthy eating advice and easy recipes, a Food Scanner app to help families to swap less healthy foods and drinks to healthier alternatives, and the Healthy Steps email-programme to inspire and support parents to take easy steps to improve their families' health and wellbeing.

We work with the Department for Education to ensure that children are provided healthy food options in early years settings, and in school. For children aged zero to five years old, the Early Years Foundation Stage framework states that where children are provided with meals, snacks, and drinks, they must be healthy, balanced, and nutritious. The Eat Better, Start Better guidelines and example menus support parents, carers, and anyone working with children to provide healthy food options.

The School Food Standards are set in legislation and require that school caterers serve healthy and nutritious food and drinks, to ensure children get the energy and nutrition they need throughout the school day. Foods high in fat, salt, and sugar are restricted. We are also helping schools boost physical activity to help children maintain a healthy weight and good overall health through the Primary School PE and Sport Premium and the School Games Organiser Network.

In addition, primary school children are educated about healthy eating through the relationships, sex, and health education curriculum. By the end of primary school, pupils should know what constitutes a healthy diet, the principles of planning and preparing a range of healthy meals, the characteristics of a poor diet, and risks associated with unhealthy eating. We have programmes to identify children living with excess weight, and local authorities and the National Health Service in England provide weight management services.

The National Child Measurement Programme monitors the weight status of children at the start and end of primary school. The programme provides is a useful prompt to parents and schools to support healthy eating and physical activity. Data is used to help local authorities plan healthy weight, food and activity support and services for children and their families.

Local authorities can fund weight management services to support children and families, to achieve a healthier weight from their Public Health Grant. The NHS has commissioned a number of Complications from Excess Weight clinics across England for children and young people living with complications related to severe obesity. We are also delivering an ambitious programme of work to create a healthier environment to help people achieve and maintain a healthier weight.

Regulations on out of home calorie labelling for food sold in large businesses, including restaurants, cafes, and takeaways, came into force in April 2022. Restrictions on the placement of products high in fat, sugar, or salt in key selling locations, came into force on 1 October 2022.  We will be implementing restrictions on the sale of less healthy products by volume price, for instance three for two offers, and will introduce restrictions on the advertising of less healthy products before 9:00pm on television. We will also be implementing restrictions on paid for online advertising for less healthy products, from 1 October 2025.

We are working with the food industry to ensure it is easier for the public to make healthier choices and make further progress on reformulation. In addition, the Food Data Transparency Partnership will help enable and encourage food companies to voluntarily demonstrate progress on the healthiness of their sales.


Written Question
Obesity
Thursday 14th March 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will take steps to ensure health intervention programmes have a focus on reducing adult obesity.

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

We are delivering an ambitious programme of work to create a healthier environment, to help people achieve and maintain a healthy weight. Regulations on out of home calorie labelling for food sold in large businesses, including restaurants, cafes, and takeaways, came into force in April 2022. Restrictions on the placement of products high in fat, sugar, or salt in key selling locations came into force on 1 October 2022. We will be implementing restrictions on the sale of less healthy products by volume price, for instance three for two offers, and will introduce restrictions on the advertising of less healthy products before 9:00pm on television. We will also be implementing restrictions on paid for online advertising for less healthy products, from 1 October 2025.

We are working with the food industry to ensure it is easier for the public to make healthier choices, and make further progress on reformulation. In addition, the Food Data Transparency Partnership will help enable and encourage food companies to voluntarily demonstrate progress on the healthiness of their sales.

We are also supporting more than three million children through the Healthy Foods Schemes, and helping schools boost physical activity to help children maintain a healthy weight and good overall health through the Primary School PE and Sport Premium and the School Games Organiser Network. In addition, local authorities and the National Health Service provide weight management services and the NHS Health Check Programme, to support their communities in achieving and maintaining a healthier weight.


Written Question
Obesity: Children
Thursday 14th March 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

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 help tackle childhood obesity.

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

We are delivering an ambitious programme of work to create a healthier environment, to help people achieve and maintain a healthy weight. Regulations on out of home calorie labelling for food sold in large businesses, including restaurants, cafes, and takeaways, came into force in April 2022. Restrictions on the placement of products high in fat, sugar, or salt in key selling locations came into force on 1 October 2022. We will be implementing restrictions on the sale of less healthy products by volume price, for instance three for two offers, and will introduce restrictions on the advertising of less healthy products before 9:00pm on television. We will also be implementing restrictions on paid for online advertising for less healthy products, from 1 October 2025.

We are working with the food industry to ensure it is easier for the public to make healthier choices, and make further progress on reformulation. In addition, the Food Data Transparency Partnership will help enable and encourage food companies to voluntarily demonstrate progress on the healthiness of their sales.

We are also supporting more than three million children through the Healthy Foods Schemes, and helping schools boost physical activity to help children maintain a healthy weight and good overall health through the Primary School PE and Sport Premium and the School Games Organiser Network. In addition, local authorities and the National Health Service provide weight management services and the NHS Health Check Programme, to support their communities in achieving and maintaining a healthier weight.


Written Question
Obesity: Health Services
Friday 8th March 2024

Asked by: Preet Kaur Gill (Labour (Co-op) - Birmingham, Edgbaston)

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 adequacy of the accessibility of tier 3 weight management services for patients; and in which (a) Integrated Care Board areas and (b) NHS trusts those services are available.

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

Integrated care boards (ICBs) are responsible for commissioning tier three specialist weight management services (SWMS). These services are generally aimed at those living with severe obesity and associated co-morbidities. They provide support through a tailored programme of care from multidisciplinary teams able to assess and work with patients to establish the most suitable care, considering psychological, behavioural, dietary drivers, as well as underlying disordered eating or compulsions. These tier three SWMS are primarily delivered in secondary care, with occasional specialist primary and community-based provision.

In 2021, during the pandemic, NHS England oversaw a SWMS mapping exercise, via voluntary ICB and trust submission, to inform the COVID-19 recovery plan. Overall findings at the time suggested 37 out of 42 ICBs were commissioning provision of tier three SWMS, with approximately 35,000 patients in England accessing services. However, capacity constraints indicated an estimated 12,000 patients waiting to access services, with an average waiting time of six months nationally. ICBs who participated in the voluntary mapping exercise did not consent to the publication of identifiable information. NHS England does not routinely capture specific data on waiting times to access tier three SWMS.


Written Question
Obesity: Health Services
Friday 8th March 2024

Asked by: Preet Kaur Gill (Labour (Co-op) - Birmingham, Edgbaston)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will publish a breakdown of the number of people on waiting lists for tier 3 weight management services by (a) Integrated Care Board area and (b) NHS trust.

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

Integrated care boards (ICBs) are responsible for commissioning tier three specialist weight management services (SWMS). These services are generally aimed at those living with severe obesity and associated co-morbidities. They provide support through a tailored programme of care from multidisciplinary teams able to assess and work with patients to establish the most suitable care, considering psychological, behavioural, dietary drivers, as well as underlying disordered eating or compulsions. These tier three SWMS are primarily delivered in secondary care, with occasional specialist primary and community-based provision.

In 2021, during the pandemic, NHS England oversaw a SWMS mapping exercise, via voluntary ICB and trust submission, to inform the COVID-19 recovery plan. Overall findings at the time suggested 37 out of 42 ICBs were commissioning provision of tier three SWMS, with approximately 35,000 patients in England accessing services. However, capacity constraints indicated an estimated 12,000 patients waiting to access services, with an average waiting time of six months nationally. ICBs who participated in the voluntary mapping exercise did not consent to the publication of identifiable information. NHS England does not routinely capture specific data on waiting times to access tier three SWMS.


Written Question
Thyroid Gland: Research
Monday 4th March 2024

Asked by: Taiwo Owatemi (Labour - Coventry North West)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether the National Institute for Health Research is funding research projects relating to thyroid disorders as of 26 February 2024.

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

The Government funds research on thyroid disorders via the Department through the National Institute for Health Research (NIHR). The NIHR funds and supports research into thyroid disorders through its research infrastructure, namely facilities, services and research workforce, and its research programmes. This includes research on the broad range of conditions that may affect the function of the thyroid gland, including hypo- and hyper-thyroidism, thyroid cancer and thyroid removal following surgery.

An example of NIHR research is a study investigating the risks of developing obesity, cardio-metabolic conditions, and risk of death in a cohort of 25,000 newly diagnosed patients with hyperthyroidism, and to compare the risks of these outcomes between all three modalities used to treat hyperthyroidism.

The NIHR welcomes funding applications for research into any aspect of human health including thyroid disorders and applications are subject to peer review and judged in open competition, with awards being made based on the importance of the topic to patients and health and care services, value for money and scientific quality. It is not usual practice for the NIHR to ring fence funds for particular topics or conditions.


Written Question
Visual Impairment
Tuesday 27th February 2024

Asked by: Virendra Sharma (Labour - Ealing, Southall)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether her Department has made an assessment of the potential economic benefits of reducing the prevalence of sight loss.

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

The benefits of reducing sight loss for both the economy and an individual’s quality of life are clear. That is why prevention, early detection, and timely treatment are essential. In England, over 12 million free National Health Service sight tests are provided annually. Diabetic retinopathy screening is also offered annually to individuals aged 12 years old or over, with diabetes. The Government also has well established programmes on reducing smoking and obesity, both long terms risk factors for sight loss.

NHS England’s transformation programme is considering how eye care services should be commissioned for the future, to improve access to care and patient outcomes. The National Institute for Health and Care Research also continues to invest to support research into the diagnosis, prevention and treatment of eye conditions.


Written Question
Obesity: Surgery
Monday 19th February 2024

Asked by: Simon Lightwood (Labour (Co-op) - Wakefield)

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 increase access to NHS-provided weight loss surgery in the Mid Yorkshire NHS Trust.

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

Integrated care boards are responsible for commissioning National Health Service specialist and bariatric weight management services. Rates of bariatric surgery fell across West Yorkshire during the pandemic as hospitals focused on surgeries that were more clinically urgent. More patients are, however, starting to receive treatment again. To speed up access to surgery, the West Yorkshire Association of Acute Trusts, which includes the Mid Yorkshire Teaching NHS Trust, are working to ensure that people who have been waiting the longest times are offered the opportunity to have their surgery at an alternative hospital, if they wish.

Additionally, local areas and care providers in West Yorkshire are working together to review obesity and bariatric surgery commissioning policies and processes to ensure that they are providing care in the best and most efficient way possible, to make the most of resources and to offer treatment to more people who need it.