Asked by: Barry Sheerman (Labour (Co-op) - Huddersfield)
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 measure the air quality of (a) hospitals and (b) hospital car parks.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The policy around outdoor air quality measurement is led by the Department for Environment, Food and Rural Affairs. This data is publicly available and used by National Health Service trusts, and NHS England. NHS England has set out a range of measures to reduce trusts’ impact on outdoor air quality, as part of its commitment to achieve Net Zero for direct NHS emissions by 2040. Specific actions are set out in its Net Zero Travel and Transport Strategy, Net Zero Estates Delivery Plan, and Clinical Waste Strategy, which are available respectively at the following links:
https://www.england.nhs.uk/long-read/net-zero-travel-and-transport-strategy/
https://www.jpaget.nhs.uk/media/588250/Estates-Net-Zero-Carbon-Delivery-Plan.pdf
https://www.england.nhs.uk/publication/nhs-clinical-waste-strategy/
The NHS’s guidance on indoor air quality is set out in the NHS technical memorandum 03-01: Specialised ventilation for healthcare premises, which is available at the following link:
https://www.england.nhs.uk/publication/specialised-ventilation-for-healthcare-buildings/
Asked by: Mark Menzies (Independent - Fylde)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the policy paper entitled Our plan to recover and reform NHS dentistry, published on 7 February 2024, what recent assessment she has made of the potential impact of those plans on (a) the availability of NHS dentists and (b) waiting times for NHS treatment.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Our Dentistry Recovery Plan, backed by £200 million, will make dental services faster, simpler, and fairer for National Health Service dental patients. It will fund approximately 2.5 million additional appointments, or more than 1.5 million additional courses of dental treatment. The plan sets out our actions to improve dental access for patients across the country, and to address the challenges facing NHS dentistry, including in Lancashire. A New Patient Premium is supporting dentists to take on new patients and since the end of January, nearly 500 more practices have said they are open to new patients.
We will deploy dental vans offering appointments to patients in need, including rural and coastal communities who have the most limited access to dentistry, starting later this year. A Golden Hello incentive will encourage dentists into under-served areas. We will offer Golden Hellos of £20,000 to up to 240 dentists who join existing NHS practices in areas where recruitment is particularly challenging. Patients unable to access an urgent dental appointment directly through an NHS dental practice are advised to contact NHS 111 for assistance.
Asked by: Barry Sheerman (Labour (Co-op) - Huddersfield)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has made an assessment with Cabinet colleagues of the potential (a) viability and (b) merits of creating a national indoor air quality observatory to monitor (i) levels and (ii) the potential health effects of indoor air pollution.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Department continues to work collaboratively across the Government to address the impact of air pollution. We are taking significant and wide-ranging action to drive improvements to air quality, as set out in the Department for Environment, Food and Rural Affairs’ Environmental Improvement Plan. The United Kingdom Health Security Agency’s (UKHSA) Cleaner Air Programme also aims to help reduce people’s exposure to air pollution, tackle disparities in exposure, and improve outcomes for all, including through increasing the evidence base and improving awareness and understanding of the health impacts of air pollution. The UKHSA has published a study quantifying the health burden in the population of England from key respiratory conditions associated with residential exposures to damp, mould, and formaldehyde.
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.
Asked by: Caroline Lucas (Green Party - Brighton, Pavilion)
Question to the Department for Environment, Food and Rural Affairs:
To ask the Secretary of State for Environment, Food and Rural Affairs, with reference to the statement by the US Centres for Disease Control and Prevention entitled Highly Pathogenic Avian Influenza A (H5N1) Virus Infection Reported in a Person in the US, published on 1 April 2024, what assessment he has made of the level of risk posed by H5N1; and whether he has had discussions with the (a) Secretary of State for Health and Social Care and (b) Deputy Prime Minister and Chancellor of the Duchy of Lancaster on the potential implications for the UK Biological Security Strategy of that statement.
Answered by Mark Spencer - Minister of State (Department for Environment, Food and Rural Affairs)
We are in close contact with counterparts in the United States on the incidents of influenza of avian origin in cattle in the USA. We know that the strain of virus involved has not been detected in the UK.
We are working closely with the Department of Health and Social Care, UK Health Security Agency, Food Standards Agency and Cabinet Office officials and with international partners on risk assessments to consider the routes of incursion, animal to animal spread and animal to human spill-over and to review our well-tested surveillance mechanisms and preparedness activities in light of this emerging situation.
Asked by: Lord Bishop of St Albans (Bishops - Bishops)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of the long-term financial viability of community pharmacies in rural areas.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The below table shows the total number of community pharmacies that have closed and opened in rural areas in England, as defined by the Department for Environment, Food and Rural Affairs’ Guide to applying the Rural Urban Classification to data, each year from 2019 to 2023:
Year | Number of rural pharmacies closed | Number of rural pharmacies opened |
2019 | 13 | 3 |
2020 | 6 | 1 |
2021 | 8 | 8 |
2022 | 8 | 3 |
2023 | 13 | 8 |
Community pharmacies are private businesses, contracted to provide National Health Service pharmaceutical services. My Rt hon. Friend, the Secretary of State for Health and Social Care is responsible for ensuring that patients can access medicines, and the Department is monitoring changes to the market closely. In areas where there are fewer pharmacies, the Pharmacy Access Scheme provides financial support to the pharmacies that are present.
Every three years, local authorities in England undertake pharmaceutical needs assessments for their areas, to ensure provision continues to meet their population’s needs. Integrated care boards have regard to those assessments when commissioning services, and where a pharmacy closure impacts access to services, a new contractor can apply to open a pharmacy in the area.
When a local pharmacy closes, patients can choose to access pharmaceutical services through any alternative pharmacy, including any of the over 400 distance selling pharmacies that are required to deliver medicines to patients free of charge. In some rural areas, doctors are permitted to dispense medicines.
Asked by: Lord Bishop of St Albans (Bishops - Bishops)
Question to the Department of Health and Social Care:
To ask His Majesty's Government how many community pharmacies in rural areas closed in (1) 2019, (2) 2020, (3) 2021, (4) 2022, and (5) 2023.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The below table shows the total number of community pharmacies that have closed and opened in rural areas in England, as defined by the Department for Environment, Food and Rural Affairs’ Guide to applying the Rural Urban Classification to data, each year from 2019 to 2023:
Year | Number of rural pharmacies closed | Number of rural pharmacies opened |
2019 | 13 | 3 |
2020 | 6 | 1 |
2021 | 8 | 8 |
2022 | 8 | 3 |
2023 | 13 | 8 |
Community pharmacies are private businesses, contracted to provide National Health Service pharmaceutical services. My Rt hon. Friend, the Secretary of State for Health and Social Care is responsible for ensuring that patients can access medicines, and the Department is monitoring changes to the market closely. In areas where there are fewer pharmacies, the Pharmacy Access Scheme provides financial support to the pharmacies that are present.
Every three years, local authorities in England undertake pharmaceutical needs assessments for their areas, to ensure provision continues to meet their population’s needs. Integrated care boards have regard to those assessments when commissioning services, and where a pharmacy closure impacts access to services, a new contractor can apply to open a pharmacy in the area.
When a local pharmacy closes, patients can choose to access pharmaceutical services through any alternative pharmacy, including any of the over 400 distance selling pharmacies that are required to deliver medicines to patients free of charge. In some rural areas, doctors are permitted to dispense medicines.
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 support unpaid carers in rural areas.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
The Care Act (2014) requires local authorities to deliver a wide range of sustainable, high-quality care and support services, including support for unpaid carers. Local authorities are required to undertake a Carer’s Assessment for any unpaid carer who appears to have a need for support, and to meet their eligible needs on request from the carer.
Through the Accelerating Reform Fund (ARF), we are investing £42.6 million for innovative local projects focused on transforming the care sector. The purpose of the ARF is to support two or more projects in each area, with at least one of those having a particular focus on unpaid carers. More than half of the projects, and at least one in each integrated care system area, are focused on identifying, recognising, and supporting unpaid carers.
Asked by: Chi Onwurah (Labour - Newcastle upon Tyne Central)
Question to the Department for Science, Innovation & Technology:
To ask the Secretary of State for Science, Innovation and Technology, whether her Department has taken steps to align the activities of UK Research and Innovation and the UK Health Security Agency.
Answered by Andrew Griffith - Minister of State (Department for Science, Innovation and Technology)
UK Research and Innovation (UKRI) and UK Health Security Agency (UKHSA) have complementary roles in preparing for and responding to infectious diseases threats, working in partnership with Department of Health and Social Care/National Institute Health and Care Research and Department of Environment, Food and Rural Affairs taking a ‘One Health’ approach. To enhance UK preparedness and resilience, UKRI works closely with UKHSA and government departments to ensure the UK has appropriate infrastructure and capabilities to prevent, detect and respond to future threats. In responding to disease outbreaks, UKRI works with UKHSA and devolved administrations, who provide vital leadership on the nature of the threats and the research questions to be addressed.
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 her Department has made of the number of adult vapers that may return to tobacco products as a result of the disposable vapes ban.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The health advice on vaping is clear, vaping can play a role in helping adult smokers to quit, but if you don’t smoke, don’t vape, and children should never vape. However, youth vaping has tripled in the last three years, and one in five children have now used a vape. We know that disposable vapes have played a significant role in this rise, with 69% of 11 to 17-year-olds who vape now using disposables, compared to just 7% in 2021. Disposable vapes also cause significant environmental harm, with five million disposable vapes thrown away every week.
To protect children and the environment, the Government has taken the decision to ban the sale and supply of disposable vapes.
The Impact Assessment on the disposable vape ban, published by the Department for Food, Environment and Rural Affairs on 11 March 2024, states that it is difficult to quantify the number of people switching either between different types of vapes, disposable to reusable, switching from vaping to smoking cigarettes, or stopping vaping or smoking altogether, as a result of a ban on disposable vapes.
However, reusable and refillable vapes will still be available for adult smokers to use as a quit aid and as a more affordable option than smoking. Therefore, it will not be necessary for adult vapers to return to tobacco products because refillable vapes will remain easily available to them, at a small cost relative to most tobacco products.