Asked by: David Evennett (Conservative - Bexleyheath and Crayford)
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 raise public awareness of obesity-linked illnesses.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is committed to action on obesity including raising awareness of obesity related illness. The Department’s ‘Better Health’ campaigns provide resources including free evidence-based digital tools, highlight health effects of obesity, and support people to make and sustain changes to improve their health. They include the Better Health websites, email programmes, and NHS Weight Loss, Food Scanner, Couch to 5K and Active 10 apps.
The NHS Health Check assesses the top risk factors for cardiovascular disease (CVD) and diabetes, including body mass index. Each year the programme engages over one million people aged between 40 and 74 years old and identifies around 317,000 people living with obesity who are made aware of the risks of developing CVD and diabetes and are then provided with advice and support to reduce their risk and referral for treatment if needed.
We have also recently published a Major Conditions Strategy case for change which highlights risk factors, such as obesity, in contributing to diseases that are collectively the greatest contributors to ill-health and early mortality. We will be publishing a final strategy next year.
Asked by: David Evennett (Conservative - Bexleyheath and Crayford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many obesity-related hospital admissions there were in each of the last five years.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Data for admissions related to obesity and hyperalimentation is only available from 2019 when it was first collected. The following table shows the number of these hospital admissions since 2019:
Year | Admissions |
2022/2023 | 8,970 |
2021/2022 | 7,935 |
2020/2021 | 4,095 |
2019/2020 | 11,025 |
Source: NHS England
Asked by: Andrew Rosindell (Conservative - Romford)
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 tackle obesity in people under 25 years old.
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 such as ‘buy one get one free’ or ‘3 for 2’ and will introduce restrictions on the advertising of less healthy products before 9pm on TV and paid for less healthy product advertising online 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 to support their communities to achieve and maintain a healthier weight.
Asked by: Kim Leadbeater (Labour - Batley and Spen)
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 support research into thyroid diseases; and what steps she is taking to support patients with hypothyroidism.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Department funds research on health and social care through the National Institute for Health and Care Research (NIHR). NIHR welcomes funding applications for research into any aspect of human health, including thyroid disease. It is not usual practice to ring-fence funds for particular topics or conditions.
NIHR funds and supports research into hyperthyroidism through its research infrastructure and research programmes, a current example being 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.
Health services for people with hypothyroidism are commissioned locally by integrated care boards (ICBs), which are best placed to make decisions regarding the provision of health services to their local population subject to local prioritisation and funding. In doing so, we expect ICBs to have due regard to relevant National Institute for Health and Care Excellence and other guidance when commissioning services.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
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 prevent the occurrence of cancers in women linked to obesity.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Obesity is the second biggest preventable cause of cancer, and the government is taking steps to tackle obesity and help prevent the occurrence of cancers linked to this, including in women. New regulations on out-of-home calorie labelling for food sold in large businesses including restaurants, cafes and takeaways and Regulations restricting the placement of less healthy products in key selling locations in store and online came into force in 2022. We are also working with the food industry to ensure it is easier for the public to make healthier choices and make further progress on reformulation. On 7 June 2023, as part of action to treat those who are already living with obesity, the Government announced plans for a two-year pilot backed by up to £40 million to look at ways of expanding access to new weight loss drugs outside of a hospital setting.
Furthermore, increasing the early diagnosis rates of cancers is a priority for this government. Several organisations, including the Department, are taking steps across England to increase diagnosis rates including setting stretching ambitions, supporting general practitioners (GPs) in referring patients, expanding diagnostic capacity, and enabling more precise diagnosis through technology.
Backed by £2.3 billion of capital funding, the department is expanding diagnostic capacity across the National Health Service by rolling out more community diagnostic centres (CDCs), delivering vital tests, scans, and checks. With 136 CDCs open already and up to 160 set to open by March 2025, these offer millions of patients the chance to access quicker, more convenient checks outside of hospitals, with capacity prioritised for cancer. This is contributing to the elective recovery delivery plan ambition for 75% of patients urgently referred by their GP for suspected cancer to receive a diagnosis or have cancer ruled out within 28 days.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
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 reduce waiting times for gastric band surgery for people who are clinically obese.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Cutting National Health Service waiting lists, including for gastric band surgery, is one of the Government’s top priorities. To facilitate this across elective services, we are increasing activity, with plans to spend more than £8 billion from 2022/23 to 2024/25, expanding capacity though creating a new network of community diagnostic centres, and maximising all available independent sector capacity. We are managing demand through specialised advice in primary care and giving patients more control over where they receive their care, and we are increasing productivity; through transforming outpatient services, developing new surgical hubs to increase theatre productivity, funded by part of £1.5 billion and working actively with trusts to support and challenge on their performance.
As a result, we met our target to virtually eliminate long waits of two years or more for elective procedures in July 2022, and as of September 2023, a total of 10,196 patients still remain, a reduction of almost 92% from the peak of 125,000 in September 2021. We continue to make progress to hit our next ambition of eliminating waits of 65 and 52 weeks.
Asked by: Feryal Clark (Labour - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the implications for his policies of childhood obesity levels in (a) Enfield North constituency, (b) the London Borough of Enfield and (c) London; and what steps his Department is taking to tackle childhood obesity in each of those areas.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Child Measurement Programme (NCMP) collects data on children aged four to five years old (Reception) and 10 to 11 years old (Year 6). The following table shows data from the NCMP on the percentage of children living with obesity in Reception and Year 6 in the academic year 2022-23. Data is not available at Parliamentary constituency level but is available at local authority and regional levels:
Area | Reception (%) | Year 6 (%) |
Enfield | 10.8 | 28.0 |
London | 9.3 | 24.8 |
Local authorities and the National Health Service provide weight management services to support children and families to achieve and maintain a healthier weight. Local authorities can fund behavioural weight management services from their Public Health Grant.
In England, new 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 less healthy products in key selling locations in store and online came into force in October 2022. The location restrictions are the single most impactful obesity policy in reducing children’s calorie consumption and are expected to accrue health benefits of over £57 billion and provide savings to the NHS of over £4 billion over the next 25 years.
We are also working with the food industry to make further progress on reformulation and ensure it is easier for the public to make healthier choices. We have seen important successes including the average sugar content of drinks subject to the Soft Drinks Industry Levy decreasing by 46% between 2015 and 2020. There has also been success in some categories of the sugar reduction programme, including a 14.9% reduction of sugar in retailer- and manufacturer-branded breakfast cereals and a 13.5% reduction in yogurts and fromage frais.
Asked by: Christian Wakeford (Labour - Bury South)
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 reduce childhood obesity.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
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 such as ‘buy one get one free’ or ‘3 for 2’ and will introduce restrictions on the advertising of less healthy products before 9pm on TV and paid for less healthy product advertising online. We are also 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, we are 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.
Asked by: Lord Bishop of St Albans (Bishops - Bishops)
Question to the Department of Health and Social Care:
To ask His Majesty's Government, following a survey by the School and Public Health Nurses Association and the British Dental Association in June which showed that 65 per cent of health practitioners reported that children’s health had got worse over the last year as a result of hunger, what plans they have to address hunger and poor nutrition in children.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government understands concerns regarding food inflation and its impact on the current cost of living, and as such is providing support of over £94 billion over 2022/23 and 2023/24 to help households and individuals.
Data from the Office for National Statistics shows prices of food and non-alcoholic beverages rose by 13.6% in the year to August 2023. This was down from 14.9% in July and a recent high of 19.2% in March 2023, which was the highest rate seen for over 45 years. This means that food prices are still increasing but at a slower rate than before.
Through the Healthy Food Schemes, the Government provides a nutritional safety net to those who need it the most. The three Healthy Food Schemes, namely Healthy Start, Nursery Milk and the School Fruit and Vegetable Scheme, together help more than three million children. They support wider Government priorities on obesity and levelling up. The schemes help to support children and babies when they are at home, in childcare and in early years at school, and pregnant women. From April 2021, the value of the Healthy Start increased from £3.10 to £4.25, providing additional support to pregnant women and families on lower incomes to make healthy food choices.
The School Fruit and Vegetable Scheme provides approximately 2.2 million children in Key Stage 1 with a portion of fresh fruit or vegetables each day at school. Around 419 million pieces of fruit and vegetables were distributed to children in 2022/2023. In addition, the Nursery Milk Scheme provides a reimbursement to childcare providers for a daily 1/3 pint portion of milk to children and babies.
Free school meals are provided to over one third of school children. This includes two million pupils who are eligible for benefits-related free school meals, making up 23.8% of all pupils, which is an increase from January 2021 when 1.7 million or 20.8% pupils were eligible. In addition, almost 1.3 million more infants enjoy a free and nutritious meal at lunchtime following the introduction of universal infant free school meals in 2014. A further 90,000 disadvantaged pupils in further education also receive a free meal at lunch time. Overall, we spend over £1 billion per annum delivering free lunches to a large proportion of school children.
The Government’s wider programme of work to create a healthier environment to help people achieve and maintain a healthy weight includes:
- regulations which restrict the placement of products high in saturated fat, salt or sugar in store and online;
- efforts to reformulate products high in calories, sugar and salt;
- the Soft Drinks Industry Levy; and
- calorie labelling regulations for food sold in large out of home businesses.
Asked by: Martyn Day (Scottish National Party - Linlithgow and East Falkirk)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department has taken to ensure that second generation GLP-1 weight management medications are being (a) sold and (b) marketed according to their licence specifications.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Department and the Medicines and Healthcare products Regulatory Agency (MHRA) are members of the GLP1-RA Incident Management Team. Risk management in relation to the advertising and sale of these medicinal products is a standing item for discussion.
MHRA is obliged to consider complaints received about the advertisement of prescription-only medicines (POMs) to the public. Advertising investigations are carried out on a case-by-case basis, having regard to the circumstances of the particular case. Completed advertising investigations leading to correction of advertising materials are available at the following link:
https://www.gov.uk/government/collections/advertising-investigations-by-mhra
MHRA works closely with other regulators to help ensure that the public are protected from the advertising of POMs. A joint enforcement operation is in place with the Advertising Standards Authority to take targeted action against weight-loss treatment providers who use social media to promote POMs.
MHRA takes proportionate action, on a case-by-case basis, to enforce the Human Medicines Regulations 2012 in respect of the advertisement, sale, and supply of second-generation glucagon-like peptide 1 weight management medications. In cases of serious non-compliance, this can include undertaking formal criminal investigations and, where appropriate and evidentially supported, prosecution through the Crown Prosecution Service.