Asked by: Catherine West (Labour - Hornsey and Wood Green)
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 potential implications for her policies of the report by Mahon, M.B. et al. entitled A meta-analysis on global change drivers and the risk of infectious disease, published in Nature on 8 May 2024.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
In December 2023 the UK Health Security Agency (UKHSA) published the Health Effects of Climate Change report, which is available at the following link:
https://www.gov.uk/government/publications/climate-change-health-effects-in-the-uk
This report details the potential risks and impacts of climate change on human health. The UKHSA will continue to work closely with other departments and agencies, to assess emerging evidence on drivers of infectious diseases, to inform future health policies.
Asked by: Fabian Hamilton (Labour - Leeds North East)
Question to the Foreign, Commonwealth & Development Office:
To ask the Deputy Foreign Secretary, what steps his Department is taking to support people facing food insecurity due to El Niño in (a) Colombia, (b) Ecuador, (c) Peru and (d) Bolivia.
Answered by David Rutley - Parliamentary Under-Secretary (Foreign, Commonwealth and Development Office)
The FCDO is a significant contributor to global humanitarian pooled funds which are activated to respond to a humanitarian crisis such as those caused by El Nino. This includes the UN Crisis Emergency Response Fund (CERF), Red Cross Disaster Relief Emergency Fund (DREF) and the NGO Start Fund.The UK is providing expertise through a multi-year Government-to-Government Agreement with Peru to support the reconstruction of the country's public service facilities following severe damage caused by El Niño flooding in 2017 and supporting Peru through the Start Fund and Save the Children in its humanitarian response to flooding caused by heavy rainfall and high sea temperatures in northern Peru in March this year. Since June 2023, the Start Fund has also provided £140,000 to support NGO responses to the health, water and food security impacts of drought in Colombia. These responses targeted assistance to thousands of people across the region.
Asked by: Gordon Henderson (Conservative - Sittingbourne and Sheppey)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the NHS England net zero supplier roadmap, for what reason NHS England’s (a) target date for reaching net zero emissions by 2045 and (b) scope to include reporting of global emissions differ from the requirements laid out in the guidance entitled Procurement Policy Note 06/21: Taking account of Carbon Reduction Plans in the procurement of major government contracts.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Health and Care Act 2022 compels the National Health Service to take action on climate and environmental issues, including by reducing its emissions. The NHS is committed to reducing its environmental impact, whilst delivering the best possible patient care and outcomes, as well as the best possible value for taxpayers.
The Climate Change Act 2008 requires all areas of the public sector to reduce their emissions, although the pace of change will differ between different segments of the public sector, depending on cost, feasibility, and innovation. The NHS in England has committed to reaching Net Zero by 2045. To achieve these goals, the NHS will require the support of its suppliers. In 2021, NHS England published the NHS Net Zero Supplier Roadmap, which sets out a series of milestones to support NHS suppliers in aligning with the NHS’s Net Zero ambitions. Further information is available at the following link:
https://www.england.nhs.uk/greenernhs/get-involved/suppliers/
The latest milestone, implemented from April 2024, sets out Carbon Reduction Plan (CRP) requirements for NHS suppliers aligned to the Procurement Policy Note (PPN) 06/21. As set out in PPN 06/21, NHS suppliers’ CRPs need to cover, at a minimum, their emissions in the United Kingdom, and outline their commitment to achieve Net Zero by 2050.
NHS England launched the Evergreen Sustainable Supplier Assessment in June 2023, which enables a two-way conversion with suppliers and the NHS. This online, voluntary self-assessment and reporting tool allows suppliers to understand how to align with the NHS Net Zero and sustainability ambitions. NHS England will continue to engage with regulators, suppliers, and industry bodies ahead of implementing future roadmap milestones, to inform policy development. Guidance setting out the detailed requirements of April 2027 will take into account suppliers’ feedback and readiness, and NHS England will aim to publish it well in advance of April 2027 to ensure suppliers have sufficient time to prepare.
Asked by: Fabian Hamilton (Labour - Leeds North East)
Question to the Foreign, Commonwealth & Development Office:
To ask the Deputy Foreign Secretary, whether his Department plans to take steps with (a) NGOs and (b) charities to tackle deficiencies in water (i) quality and (ii) access in South American countries due to El Niño.
Answered by David Rutley - Parliamentary Under-Secretary (Foreign, Commonwealth and Development Office)
The FCDO is a significant contributor to global humanitarian pooled funds which are activated to respond to a humanitarian crisis such as those caused by El Nino. This includes the UN Crisis Emergency Response Fund (CERF), Red Cross Disaster Relief Emergency Fund (DREF) and the NGO Start Fund. Since June 2023, the Start Fund has provided £750,000 across the region to support responses to water, health and food security impacts of drought, particularly in Venezuela, Guatemala and Colombia, with these responses targeting around 25,000 people.
Asked by: Gen Kitchen (Labour - Wellingborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will provide additional funding for the provision of out-of-hours GP appointments in (a) Wellingborough constituency and (b) Northamptonshire.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Under the general practice contract, practices must provide services during core hours, from 08:00 to 18:30 on all weekdays, except bank holidays. Out of hours services are those provided outside of core hours, which practices are paid for via the Global Sum Payment. Practices can opt out of providing these services with their commissioner’s approval, and the relevant deductions will be made to the Global Sum Payments. The amount of Global Sum funding received has been uplifted every year since 2013. Where a practice has opted out of delivering out of hours services, the commissioner must commission the services from an alternative provider, for that practice’s registered patients.
Asked by: Gordon Henderson (Conservative - Sittingbourne and Sheppey)
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 with NHS England of the impact of companies being unable to comply with the NHS England requirement for suppliers to commit globally by 2027 to achieve net zero by 2045 on NHS (a) supply and (b) services.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
In 2021, NHS England published the NHS Net Zero Supplier Roadmap, which sets out a series of milestones to support National Health Service suppliers to align with the NHS’s net zero ambitions. The 2027 requirement for suppliers to publicly report targets, emissions, and publish a Carbon Reduction Plan (CRP) for global emissions aligned to the NHS net zero target, will build on milestones implemented in 2023 and 2024.
The milestone of 1 April 2023 required that suppliers bidding for any new contracts above £5 million per annum publish a CRP for their UK Scope 1 and 2 emissions, and a subset of scope 3 emissions as a minimum. This requirement was proportionately extended to all new procurements from April 2024, with a full CRP required for new procurements above £5 million per annum, and new frameworks operated by in-scope organisations. A Net Zero Commitment is required for procurements of lower value, as set out in the above-mentioned guidance.
NHS England has proactively engaged with suppliers since the launch of the NHS Net Zero Supplier Roadmap, and continues to engage with regulators, suppliers, and industry bodies, ahead of implementing future roadmap milestones, such as the April 2027 milestone. NHS England’s engagement approach has included regular supplier forums with trade bodies, external webinars, and horizon scanning of both the global and the United Kingdom’s regulatory and reporting landscapes.
NHS England launched the Evergreen Sustainable Supplier Assessment in June 2023, which enables a two-way conversation with suppliers and the NHS. This online voluntary, self-assessment and reporting tool allows suppliers to understand how to align with the NHS net zero and sustainability ambitions. After completing the assessment, suppliers receive a sustainability maturity score, valid for 12 months, against NHS priorities, and which signposts their current position and pathway to progress.
The April 2027 milestone is anticipated to build on the approach set out in the published guidance on implementing the April 2023 and April 2024 NHS Net Zero Supplier Roadmap requirements, which includes consideration of the relevant and proportionate application of the policy within procurements.
Asked by: Catherine West (Labour - Hornsey and Wood Green)
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 shortages of medicines in pharmacies.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Department has a responsibility to work with United Kingdom medicine license holders, to help ensure continuity of supply. We monitor and manage medicine supply at a national level, so that stocks remain available to meet regional and local demand. There are approximately 14,000 medicines licensed for supply in the UK, and the overwhelming majority are in good supply. The medicine supply chain is complex, global, and highly regulated, and supply issues can be caused by a range of factors. For example, suppliers can encounter manufacturing problems, difficulty accessing raw materials, and surges in demand. These are commonly cited as the drivers of recent supply issues, which have affected many countries, not just the UK.
Whilst we can’t always prevent supply issues, we have a range of well-established tools and processes to mitigate risks to patients at a national level. These include close and regular engagement with suppliers, use of alternative strengths or forms of a medicine to allow patients to remain on the same product, expediting regulatory procedures, sourcing unlicensed imports from abroad, adding products to the restricted exports and hoarding list, use of Serious Shortage Protocols, and issuing National Health Service communications to provide management advice and information on the issue to healthcare professionals including pharmacists, so they can advise and support their patients.
Asked by: Gordon Henderson (Conservative - Sittingbourne and Sheppey)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what progress her Department has made on ensuring compliance by NHS suppliers with NHS England’s target for all suppliers to publicly report targets, emissions and publish a Carbon Reduction Plan for global emissions aligned to the NHS net zero target, for all of their Scope 1, 2 and 3 emissions by 2027.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
In 2021, NHS England published the NHS Net Zero Supplier Roadmap, which sets out a series of milestones to support National Health Service suppliers to align with the NHS’s net zero ambitions. The 2027 requirement for suppliers to publicly report targets, emissions, and publish a Carbon Reduction Plan (CRP) for global emissions aligned to the NHS net zero target, will build on milestones implemented in 2023 and 2024.
The milestone of 1 April 2023 required that suppliers bidding for any new contracts above £5 million per annum publish a CRP for their UK Scope 1 and 2 emissions, and a subset of scope 3 emissions as a minimum. This requirement was proportionately extended to all new procurements from April 2024, with a full CRP required for new procurements above £5 million per annum, and new frameworks operated by in-scope organisations. A Net Zero Commitment is required for procurements of lower value, as set out in the above-mentioned guidance.
NHS England has proactively engaged with suppliers since the launch of the NHS Net Zero Supplier Roadmap, and continues to engage with regulators, suppliers, and industry bodies, ahead of implementing future roadmap milestones, such as the April 2027 milestone. NHS England’s engagement approach has included regular supplier forums with trade bodies, external webinars, and horizon scanning of both the global and the United Kingdom’s regulatory and reporting landscapes.
NHS England launched the Evergreen Sustainable Supplier Assessment in June 2023, which enables a two-way conversation with suppliers and the NHS. This online voluntary, self-assessment and reporting tool allows suppliers to understand how to align with the NHS net zero and sustainability ambitions. After completing the assessment, suppliers receive a sustainability maturity score, valid for 12 months, against NHS priorities, and which signposts their current position and pathway to progress.
The April 2027 milestone is anticipated to build on the approach set out in the published guidance on implementing the April 2023 and April 2024 NHS Net Zero Supplier Roadmap requirements, which includes consideration of the relevant and proportionate application of the policy within procurements.
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 assessment has she made of the potential implications for her policies of public health approaches to alcohol from other countries; and whether she has made an assessment of which country provides the best practice model.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department maintains an interest in the effectiveness of policies implemented by other countries, to reduce alcohol harms. The 2016 Public Health England publication, The public health burden of alcohol: evidence review, reviewed effective policies for reducing alcohol harms in countries who are members of the Organisation for Economic Co-operation and Development. Officials in the Department frequently engage with international colleagues, and those in the devolved administrations, to exchange ideas, experience, and evidence when developing new policies.
The Government was involved in the work by the World Health Organization (WHO) to develop an action plan to strengthen the implementation of the Global Strategy to Reduce the Harmful Use of Alcohol. We were pleased that the action plan was adopted at the 75th World Health Assembly in May 2022. The United Kingdom will continue to work with the WHO and member states on alcohol harm reduction.
Asked by: Lord Oates (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what contingency planning, if any, they have conducted to anticipate the spread of tropical virus transmission to the United Kingdom.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The outbreak of an emerging infectious disease is a categorised risk, in the 2023 National Risk Register. Working closely with the Department and NHS England, the UK Health Security Agency (UKHSA) has a programme of work in place to plan and respond to this risk.
The UKHSA continues to monitor the global epidemiology of infectious diseases, to inform the assessment of risk to the United Kingdom’s population. Routine surveillance is carried out for a range of viral infections that may be acquired overseas. Data on some of these infections is published in the annual Travel-associated infections reports. Information collated from these various sources are routinely reviewed and assessed through the relevant UKHSA Horizon Scanning Group, with appropriate public health actions proposed to mitigate any threats.
The Rare and Imported Pathogens Laboratory has a small serological study, partnering with NHS Blood and Transplant and at-risk groups, to look for evidence of exposure to Usutu, West Nile, and tick-borne encephalitis viruses. The Medical Entomology and Zoonoses Ecology group study vector distribution, and look for the presence of tropical and other viruses in relevant arthropod species in an ongoing surveillance programme. The Animal and Plant Health Agency has a programme of surveillance in wild birds and mammals. The Department of Health and Social Care, the UKHSA, and the Department for Environment, Food and Rural Affairs published a national contingency plan for invasive mosquitoes that may spread vector-borne diseases, such as dengue, Zika and chikungunya.