Folic Acid

Debate between Lord Rooker and Baroness Manzoor

Wednesday 9th January 2019 Lords Chamber

[Lord Rooker]

To ask Her Majesty’s Government when they will commence their consultation on the mandatory fortification of flour with folic acid to prevent foetal abnormalities.

[Baroness Manzoor (Con)]

My Lords, the House will understand that this is not a straightforward matter. It requires a robust impact assessment to accompany the consultation to meet our obligations under the public sector equality duty. That work is under way and we will announce soon when in 2019 we expect the consultation to launch. I am sorry that I cannot be more precise today, but we hope to be in a position to announce this shortly.

[Lord Rooker (Lab)]

The Minister knows that the average consultation lasts about 12 weeks. The Government made a very welcome and positive statement on 22 October, but that was 12 weeks ago. Bearing in mind that she cannot answer the Question about the date, the key question that also needs to be answered is: will it be a UK-wide consultation? Two years ago, the Scottish Government decided not to go it alone—and they have a better case than England on the blood-level issue—because of the impracticalities of the integration of the bread and flour industries. Therefore, the consultation has to be UK-wide, and I understand that the devolved Governments have requested that it be such.

[Baroness Manzoor]

My Lords, I pay tribute to the noble Lord, Lord Rooker, for raising this issue. I am delighted that the consultation will take place, so there has been movement, as he rightly said. I place on record that I had a meeting with the Secretary of State this morning to raise this issue with him personally. Like me, he is passionate to ensure that the consultation happens as soon as possible, but it is important that we undertake the impact assessment. On the question that the noble Lord just put to me, due to the milling process it is of course important that we have a UK-wide consultation.

Health: Neural Tube Defects

Debate between Lord Rooker and Baroness Manzoor

Wednesday 12th September 2018 Lords Chamber

[Lord Rooker]

To ask Her Majesty’s Government what proposals they have to reduce the incidence of Spina Bifida and related conditions resulting from neural tube defects.

[Baroness Manzoor (Con)]

My Lords, the Government recommend that all women should take a daily supplement of 400 micrograms of folic acid while they are trying to get pregnant and during the first 12 weeks of pregnancy, when the baby’s spinal cord and spine are developing, to prevent spina bifida and other neural tube defects—NTDs. Public Health England has published resources for local maternity systems and runs the Start4Life campaign for parents-to-be to raise awareness of planning and preparing for pregnancy.

[Lord Rooker (Lab)]

Half our pregnancies are unplanned. Is the Minister aware that in the United States of America there are three births with spina bifida per 10,000 live births? The NHS figure for England is six births per 10,000 live births—double. Is she aware that the United States officially put down the reason for their lower level since 1998 to the fact that they have fortified flour with folic acid based on the research of the UK Medical Research Council? More than 80 countries, all four chief medical officers and the Daily Mail support the policy, so why do we not get some action?

[Baroness Manzoor]

The noble Lord is right that around 55% of pregnancies are unplanned. No other EU country has fortified flour with folic acid, but a range of other countries have. The noble Lord mentioned one, the USA, where there has been mandatory fortification since 1998, as he said. There was an immediate and stable 28% reduction in NTDs and no clear evidence of an increase in the prevalence of B12 deficiency.