Tag: Baroness Masham of Ilton

The below Parliamentary question was asked by Baroness Masham of Ilton on 2016-10-11.

To ask Her Majesty’s Government what assessment they have made of the role of the school curriculum in educating children and young people about health promotion and preventing avoidable chronic disease in later life.

Lord Nash

All schools are required to teach a broadly balanced curriculum that promotes the spiritual, moral, cultural, mental and physical development of pupils, and prepares them for adult life.

The national curriculum focuses on the essential knowledge children need so that teachers can design a wider school curriculum that is responsive to the needs of their pupils. This teaching can include a range of topics, including lessons about health and chronic disease. These topics can fall under Personal, Social, Health and Economic (PSHE) education. We have made it clear in the introduction to the national curriculum that all schools should make provision for high quality; age appropriate PSHE.

To help schools plan their provision, the PSHE Association has produced a suggested programme of study for schools to follow, which includes content about ‘Health and Wellbeing’.

The below Parliamentary question was asked by Baroness Masham of Ilton on 2015-10-28.

To ask Her Majesty’s Government when they last reviewed the evidence base relating to dietary sodium intake as part of a balanced diet.

Lord Prior of Brampton

The evidence base relating to dietary sodium intake was extensively reviewed in the Scientific Advisory Committee on Nutrition’s (SACN) report ‘Salt and Health’, published in 2003. In reviewing the evidence, SACN noted that the greatest benefits were likely to be achieved by taking a population approach to reducing salt intakes rather than through individual targeted advice.

The SACN continues to monitor average salt intakes through a programme of dietary survey work.

New voluntary salt reduction targets have been developed for 76 specific food groups that contribute most to people’s salt intakes and major retailers, manufacturers and caterers are working to meet these targets by December 2017.

The SACN has also reviewed the evidence around the impact of low sodium intakes. It found no basis for changing the existing recommendation for a target reduction in average salt intake to 6 grammes per day for the adult population, equivalent to 2.4 grammes per day of sodium.

The SACN ‘Salt and Health’ report is attached and can be found at: www.gov.uk/government/publications/sacn-salt-and-health-report

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The below Parliamentary question was asked by Baroness Masham of Ilton on 2016-03-21.

To ask Her Majesty’s Government what assessment they have made of the ability of people living with HIV to experience continuity of HIV care across the numerous health services and providers that they access.

Lord Prior of Brampton

The National Health Service continues to offer world class Human Immunodeficiency Virus (HIV) treatment services.

In its role as the commissioner of specialised HIV care and treatment, NHS England has a service specification which emphasises the responsibility of commissioned providers to collaborate with other health, social care and third sector organisations as appropriate to help ensure the holistic needs of patients are met. This includes ensuring people living with HIV and other comorbidities have access and referral to appropriate services.

The effectiveness of HIV treatment means that more people will live well with HIV in old age. As people living with HIV get older, they will require access to services for the other conditions they may experience. Good communication with their HIV provider is important and this is required in the service specification.

In line with the Five Year Forward View, NHS England will continue to work closely with HIV organisations in order to inform its commissioning responsibilities with regard to specialised HIV care and treatment as well as ensuring primary and secondary health care services respond to the wider health needs of people living with HIV.

The Government’s Improvement Framework for Sexual Health includes the ambition that “older people with diagnosed HIV can access the additional health and social care services they need”. A copy is attached.

The below Parliamentary question was asked by Baroness Masham of Ilton on 2016-10-11.

To ask Her Majesty’s Government whether they have any plans to increase funding for preventative measures to support under 16 year olds to stay healthy and prevent avoidable chronic disease in later life.

Lord Prior of Brampton

Responsibility for commissioning public health services for children from 0-19 now lies with local authorities. This affords the opportunity to commission based on local need and recognises that local government is best placed to identify the needs of their populations and to influence many of the wider factors that affect health and wellbeing.

The Department launched Childhood Obesity: A Plan for Action in August this year. The plan focuses on actions that are likely to have the biggest impact on reducing childhood obesity and maintaining a healthy weight. Physical activity is a key strand of the plan and, from September 2017, we will double the Primary Physical Education and Sport Premium funding to £320 million. A copy of the plan is attached.

The below Parliamentary question was asked by Baroness Masham of Ilton on 2015-10-28.

To ask Her Majesty’s Government what consideration they have given to new evidence suggesting that their current campaign to reduce salt intake could be too generalised.

Lord Prior of Brampton

The evidence base relating to dietary sodium intake was extensively reviewed in the Scientific Advisory Committee on Nutrition’s (SACN) report ‘Salt and Health’, published in 2003. In reviewing the evidence, SACN noted that the greatest benefits were likely to be achieved by taking a population approach to reducing salt intakes rather than through individual targeted advice.

The SACN continues to monitor average salt intakes through a programme of dietary survey work.

New voluntary salt reduction targets have been developed for 76 specific food groups that contribute most to people’s salt intakes and major retailers, manufacturers and caterers are working to meet these targets by December 2017.

The SACN has also reviewed the evidence around the impact of low sodium intakes. It found no basis for changing the existing recommendation for a target reduction in average salt intake to 6 grammes per day for the adult population, equivalent to 2.4 grammes per day of sodium.

The SACN ‘Salt and Health’ report is attached and can be found at: www.gov.uk/government/publications/sacn-salt-and-health-report

“

The below Parliamentary question was asked by Baroness Masham of Ilton on 2016-03-21.

To ask Her Majesty’s Government what plans they have to increase awareness of co-morbidities associated with living with HIV in the long term.

Lord Prior of Brampton

The National Health Service continues to offer world class Human Immunodeficiency Virus (HIV) treatment services.

In its role as the commissioner of specialised HIV care and treatment, NHS England has a service specification which emphasises the responsibility of commissioned providers to collaborate with other health, social care and third sector organisations as appropriate to help ensure the holistic needs of patients are met. This includes ensuring people living with HIV and other comorbidities have access and referral to appropriate services.

The effectiveness of HIV treatment means that more people will live well with HIV in old age. As people living with HIV get older, they will require access to services for the other conditions they may experience. Good communication with their HIV provider is important and this is required in the service specification.

In line with the Five Year Forward View, NHS England will continue to work closely with HIV organisations in order to inform its commissioning responsibilities with regard to specialised HIV care and treatment as well as ensuring primary and secondary health care services respond to the wider health needs of people living with HIV.

The Government’s Improvement Framework for Sexual Health includes the ambition that “older people with diagnosed HIV can access the additional health and social care services they need”. A copy is attached.

The below Parliamentary question was asked by Baroness Masham of Ilton on 2016-10-11.

To ask Her Majesty’s Government what action they are taking to encourage children to take up physical activity, in particular activity additional to school sport.

Lord Nash

We want all pupils to be healthy and more physically active, with the Government’s recent Childhood Obesity Plan setting out an ambition that young people should be active for at least 60 minutes every day, as recommended by the Chief Medical Officer.

Since 2013, the Government has provided over £450million of ring-fenced funding to primary schools to make additional and sustainable improvements to PE and Sport. We know this funding is making a difference, with 87% of primary schools reporting that the quality of PE teaching has increased since the introduction of the premium. The majority of schools have also introduced new sports in both curricular PE (74%) and extra-curricular sport (77%) since the premium was introduced. But we know there is more to do, which is why revenue from the soft drinks industry levy will be used to double the primary PE and sport premium to £320million a year from September 2017.

Through the Sport Strategy, we have also extended the remit of Sport England, to cover children aged 5 and above, outside of school. Sport England’s new strategy ‘Towards an Active Nation’ sets out a new £40million investment into projects that offer opportunities for families with children to get active and play sport together outside of school.

In relation to fitness testing, it is up to schools to determine how best they deliver a diverse and challenging PE curriculum. We are considering how we can track levels of physical activity in schools to help support children to have healthy and active lives and will be providing schools with further guidance and best practice examples to help deliver this.

The below Parliamentary question was asked by Baroness Masham of Ilton on 2015-10-20.

To ask Her Majesty’s Government what is the timetable for (1) the completion, and (2) the publication, of the hepatitis C improvement framework.

Lord Prior of Brampton

Completion and publication dates for the hepatitis C framework have not yet been confirmed. In the meantime, Public Health England continues working with NHS England and Operational Development Networks to establish a process of monitoring treatment access and uptake.

The below Parliamentary question was asked by Baroness Masham of Ilton on 2015-10-20.

To ask Her Majesty’s Government, to date, how many patients have commenced treatment under NHS England’s commissioning policy for the treatment of cirrhosis in adults with hepatitis C, and how much that commissioning policy has cost.

Lord Prior of Brampton

NHS England has invested in two policies enabling access to some of the new treatments (in advance of the publication of National Institute for Health and Care Excellence technology appraisals) for patients with hepatitis C with the greatest clinical need.

NHS England’s Interim Clinical Commissioning Policy Statement of April 2014 provided an Early Access Scheme for around 1,000 patients with decompensated cirrhosis. Then in June 2015, NHS England extended that policy so the next group of patients with the greatest clinical need, those with cirrhosis, could also benefit from the new Direct Acting Antivirals. A copy of both of these policies has been attached.

Between publication of the cirrhosis policy in June and 19 October, NHS England received over 1,900 notifications of decisions to treat under the policy. These notifications are submitted by treating clinicians and confirm that patients meet the policy criteria.

In order to confirm the actual cost of this policy, NHS England needs to complete a process of validating treatment notifications against actual trust reported activity and invoicing data on dispensed drugs. These data sources are submitted at different times and so an accurate assessment of the cost of the policy to date will not be able to be possible until the end of the year. Any data shared on the cost of the policy will need to observe commercial in confidence pricing agreements.

Based on preliminary modelling, NHS England set aside £190 million in 2015-16 for the treatment of hepatitis C.

The below Parliamentary question was asked by Baroness Masham of Ilton on 2015-10-20.

To ask Her Majesty’s Government how many Individual Funding Requests NHS England received in (1) 2013–14, (2) 2014–15, and (3) 2015–16 to date, and how many of those requests were accepted in each year.

Lord Prior of Brampton

NHS England has advised the following:

‒ In 2013-14, 1,283 Individual Funding Requests were received, of which 280 were accepted.

‒ In 2014-15, 1,436 Individual Funding Requests were received of which 535 were accepted.

‒ In 2015-16 (up to September 2015), 560 Individual Funding Requests were received of which 163 were accepted.