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Written Question
Tobacco and Vapes Bill
Thursday 28th March 2024

Asked by: Christopher Chope (Conservative - Christchurch)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will publish the Regulatory Policy Committee's original opinion on the Tobacco and Vapes Bill submitted to her Department on 12 February 2024; if she will outline the changes she has made to that Bill since receiving that opinion; and what discussions she has had with the Regulatory Policy Committee on the expected timetable for their submission of the revised opinion.

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

Smoking is responsible for approximately 80,000 deaths a year in the United Kingdom, and causes around one in four cancer deaths in the UK. It also costs our country £17 billion a year, and puts a huge burden on the National Health Service. That is why we have introduced the Tobacco and Vapes Bill to create the first smokefree generation, and enable us to further crack down on youth vaping. The Tobacco and Vapes Bill is available at the following link:

https://bills.parliament.uk/bills/3703

On 12 February 2024 the Regulatory Policy Committee (RPC) gave opinion on the Tobacco and Vapes Bill impact assessment and rated it green (fit for purpose). However, on 19 March 2024, ahead of the introduction of the bill, a revised version was sent to the RPC for comment. This included changes to reflect the inclusion of Northern Ireland in the bill, following the formation of a Northern Ireland Executive, and a power in the bill to enable the current notification system for nicotine vapes to also cover non-nicotine vapes and other consumer nicotine products, for instance nicotine pouches. The RPC have publicly stated that they welcome the resubmission of the revised impact assessment, and we expect a revised opinion to be issued shortly. The statement from the RPC is available at the following link:

https://www.gov.uk/government/news/the-tobacco-and-vapes-bill-statement-from-the-rpc


Written Question
Tobacco and Vapes Bill
Thursday 28th March 2024

Asked by: Christopher Chope (Conservative - Christchurch)

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 ensure that the Regulatory Policy Committee's revised opinion on the Tobacco and Vapes Bill is published by 16 April 2024.

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

Smoking is responsible for approximately 80,000 deaths a year in the United Kingdom, and causes around one in four cancer deaths in the UK. It also costs our country £17 billion a year, and puts a huge burden on the National Health Service. That is why we have introduced the Tobacco and Vapes Bill to create the first smokefree generation, and enable us to further crack down on youth vaping. The Tobacco and Vapes Bill is available at the following link:

https://bills.parliament.uk/bills/3703

On 12 February 2024 the Regulatory Policy Committee (RPC) gave opinion on the Tobacco and Vapes Bill impact assessment and rated it green (fit for purpose). However, on 19 March 2024, ahead of the introduction of the bill, a revised version was sent to the RPC for comment. This included changes to reflect the inclusion of Northern Ireland in the bill, following the formation of a Northern Ireland Executive, and a power in the bill to enable the current notification system for nicotine vapes to also cover non-nicotine vapes and other consumer nicotine products, for instance nicotine pouches. The RPC have publicly stated that they welcome the resubmission of the revised impact assessment, and we expect a revised opinion to be issued shortly. The statement from the RPC is available at the following link:

https://www.gov.uk/government/news/the-tobacco-and-vapes-bill-statement-from-the-rpc


Written Question
Dental Services: Finance
Wednesday 27th 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, how much additional funding will be provided to integrated care boards through the dentistry recovery plan by area.

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

We currently invest more than £3 billion in National Health Service dental services each year. Our plan to recover and reform NHS dentistry is backed with £200 million, delivering new initiatives to address the challenges facing NHS dentistry.

The amount spent by each integrated care board (ICB) will depend on a number of factors, including how many new patients are seen in each ICB, whether any practices in the ICB will benefit from the increase to the minimum Unit of Dental Activity value, and where Golden Hello payments are offered.


Written Question
Dental Services: Finance
Wednesday 27th 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 mechanism she plans to use to ringfence NHS dentistry budgets in financial year 2024-25.

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

We currently invest more than £3 billion in National Health Service dental services each year. We are committed to protecting this funding for dentistry purposes and we will ringfence this funding in 2024 to 2025. We will issue guidance to integrated care boards (ICBs) shortly through NHS England’s 2024 to 2025 revenue finance and contracting guidance. To ensure compliance against this requirement, and to strengthen oversight of funding that is used to deliver access to NHS dental care, NHS England will meet with and collect monthly returns from all ICBs to establish current and planned spend against the ringfenced dental allocations budget.


Written Question
Electronic Cigarettes: Sales
Wednesday 27th March 2024

Asked by: Adam Afriyie (Conservative - Windsor)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what estimate she has made of the number of non-compliant vapes sold on the UK market.

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

The Department works closely with the Medicines and Healthcare products Regulatory Agency, Trading Standards, and other regulatory enforcement agencies to ensure that products sold in the United Kingdom comply with regulations for all e-cigarette products, and that non-compliant products are removed from the market.

In April 2023, the Government announced £3 million investment over two years to enhance work on illicit vape enforcement. Led by National Trading Standards, this builds on existing work by local trading standards officers across the country. Through this work, they identified that 2.1 million illicit vapes were seized across England by Trading Standards between 2022 to 2023.

To strengthen our enforcement activity, the Government will also provide an additional £30 million of funding per year for enforcement agencies, including Trading Standards. This increase in investment will help to stamp out criminal activity by boosting the enforcement of illicit tobacco and vapes.


Written Question
Dental Services
Wednesday 27th 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, how much (a) NHS and (b) private work was completed by GDC registered dentists who qualified (i) in the UK, (ii) overseas and (iii) in total in each of the last 10 years.

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

Primary care dentistry in the National Health Service is delivered through contracts structured around Units of Dental Activity (UDAs). Each treatment is allocated a number of UDAs in proportion to the complexity and amount of work required. The following table shows the number of UDAs delivered by dentists who have qualified within the United Kingdom and outside thereof whilst working in the NHS in England for 2016/17 onwards:

Year

UK Qualified UDA Delivered

Non-UK Qualified UDA Delivered

Other UDA Delivered

Total UDA Delivered

2016/17

48,825,392

26,394,403

10,644,608

85,864,403

2017/18

48,640,153

26,323,343

8,363,069

83,326,565

2018/19

49,482,862

27,192,292

6,528,618

83,203,772

2019/20

48,144,326

27,032,548

4,666,855

79,843,728

2020/21

15,260,168

8,265,064

927,591

24,452,823

2021/22

35,781,811

20,777,093

1,210,218

57,769,122

2022/23

43,918,652

25,763,340

486,695

70,168,687

Source: NHS Business Services Authority

Notes:

  1. The dentist’s region of qualification is based on that as provided on the General Dental Council (GDC) register. It is important to note that not all dentists have a country of qualification on the GDC register as supplied to the NHS Business Services Authority, and so these dentists are placed into “other” as their region of qualification.
  2. The Department does not hold data on how much private dental work was completed in the last 10 years.

Written Question
Obesity
Wednesday 27th 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 recent assessment she has made of the implications for her policies of trends in the level of obesity; and what steps her Department is taking to help tackle obesity.

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

The Government is delivering a wide range of measures to reduce the numbers of both adults and children who are overweight, or living with obesity. To date this includes legislative measures to limit the advertising, and location and price promotion, of less healthy products, and to ensure calorie levels are provided on menus when eating out of the home. Impact assessments for the legislated measures suggest there will be substantial health benefits, as well as savings to the National Health Service, accrued.

We have seen important successes through the Soft Drinks Industry Levy (SDIL), which between 2015 and 2020 has seen sugar levels reduced by 46% in, and over 46,000 tonnes of sugar removed from, products in scope of the levy. Data from the National Diet and Nutrition Survey from 2019 shows that sugar intakes have fallen for some age groups. In older children and adolescents, this appears to be partly driven by soft drinks contributing less to sugar intakes, likely as a result of the changes made to drinks included in the SDIL. Further information from the survey is available at the following link:

https://www.gov.uk/government/statistics/ndns-results-from-years-9-to-11-2016-to-2017-and-2018-to-2019

A paper on the association of obesity in primary school children and the SDIL suggests that the reduction in the sugar content of soft drinks delivered by the SDIL could have prevented up to 5,000 cases of obesity in girls in the last year of primary school. Reductions were greatest in girls who attended schools in the 40% of the most deprived areas. Further information from the paper is available at the following link:

https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1004160

The voluntary reformulation programme requires businesses reduce levels of sugar, salt, and calories in everyday food and drink. Levels of sugar have reduced in breakfast cereals, yogurts, and pre-packed milk-based drinks by 15%, 13.5%, and 29.7% respectively, between 2015 and 2020. Levels of salt have reduced in some products by 20%.


Written Question
Electronic Cigarettes and Tobacco: Trading Standards
Wednesday 27th March 2024

Asked by: Adam Afriyie (Conservative - Windsor)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how much funding will be allocated to each local authority trading standards for enforcing the (a) disposable vapes ban and (b) generational tobacco ban.

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

The Government has committed to increasing investment for enforcement agencies by £30 million per year. The additional funding in England will boost agencies such as local trading standards, to enforce the new age of sale and vaping measures. It will also scale up HM Revenue and Customs and Border Force activity, to stamp out opportunities for criminals in the illicit tobacco trade.

Of this funding, over £100 million over five years will support HM Revenue and Custom’s and Border Force’s new illicit tobacco strategy, published on 29 January 2024. We are working closely with Trading Standards to consider how the new funding can best support their programmes of local-level enforcement.


Written Question
Pharmacy: Training
Wednesday 27th March 2024

Asked by: Diana Johnson (Labour - Kingston upon Hull North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many training places for pharmacists in England there were in each year since 2010.

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

The number of training places for pharmacists in England is uncapped and determined each year by health education providers. The following table shows the number of starters on the Foundation Pharmacist Training Scheme, which is the final year of training and must be completed by all pharmacists before they can sit their registration exam, for each year since 2010/2011:

Training Year

Starters on Pharmacist Foundation Training Scheme

2010/2011

2367

2011/2012

2518

2012/2013

2600

2013/2014

2619

2014/2015

2767

2015/2016

2768

2016/2017

2785

2017/2018

2845

2018/2019

2854

2019/2020

2566

2020/2021

2583

2021/2022

2392

2022/2023

2598

2023/2024

2626

Source: General Pharmaceutical Council

Note: Data may include trainees studying in England, but upon successful completion, they may register in other areas of the United Kingdom.

As set out in the NHS Long Term Workforce Plan, the ambition is to expand training places for pharmacists by 29% to approximately 4,300 by 2028/29, and to almost 5,000 by 2031/32.


Written Question
Kidneys: Transplant Surgery
Wednesday 27th March 2024

Asked by: John Hayes (Conservative - South Holland and The Deepings)

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 reduce waiting times for children in need of kidney transplants.

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

We are working with NHS Blood and Transplant to help reduce waiting times for children in need of kidney transplants. This includes implementing initiatives to improve the use of living donor kidney transplantation in paediatric centres, engaging with transplant centres to review patients who are too unwell to receive a transplant, and reducing long waiters, which are patients who wait more than 104 days for a transplant.

Nation-wide campaigns have been developed to increase paediatric registrations on the organ donor register, for example Ralph’s campaign, and the school’s education programme has been refreshed for younger children. A paediatric perfusion programme is also being developed to increase the use of kidneys from donors after circulatory death for paediatric patients.