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If she will issue guidance on siting poultry sheds as close as possible to the place of slaughter.
If she will issue guidance on siting poultry sheds as close as possible to the place of slaughter.
Decisions on the location of agricultural buildings are a matter for the relevant local authority, which will assess each application on its merits taking into account its local plan. In addition to planning permission, an environmental permit is required for intensive poultry farms, and the Environment Agency will consider impacts such as noise and odour. However, through our food enterprise zones, which we are currently piloting, we are seeking to remove some of the barriers and make it easier for food enterprises to co-locate in the same geographic areas.
I am grateful to the Minister for his comprehensive answer. He will of course be aware that the Animal Welfare (Transport) (England) Order 2006 requires operators to minimise the journey time for
animals—rightly so—and his departmental guidance reflects that. Does he agree that that should be a material consideration in planning terms to ensure that, in modern animal husbandry, we minimise the distance that animals have to travel to abattoirs?
I am grateful to the Minister for his comprehensive answer. He will of course be aware that the Animal Welfare (Transport) (England) Order 2006 requires operators to minimise the journey time for
animals—rightly so—and his departmental guidance reflects that. Does he agree that that should be a material consideration in planning terms to ensure that, in modern animal husbandry, we minimise the distance that animals have to travel to abattoirs?
I understand the point that my hon. Friend makes. As he pointed out, there are robust regulations in place at both a European and a UK level, which specify, for instance, minimum journey times and rest times, and set-down requirements for the lorries carrying out that transport. It is not always possible to co-locate factories close to where poultry are because often the investment requires a large number of poultry farms supplying one abattoir.
What assessment he has made of the effect on applications to further education colleges of the removal of the cap on the number of university places.
What assessment he has made of the effect on applications to further education colleges of the removal of the cap on the number of university places.
I welcome the removal of the cap on university places, but what assessment has my right hon. Friend made of the effect on further education colleges, such as Wiltshire college in my constituency, given that they are fishing from the same pool in terms of vocationally based diplomas and apprenticeships?
I welcome the removal of the cap on university places, but what assessment has my right hon. Friend made of the effect on further education colleges, such as Wiltshire college in my constituency, given that they are fishing from the same pool in terms of vocationally based diplomas and apprenticeships?
I welcome my hon. Friend’s question. We have seen an increase in that, especially in FE colleges that offer higher education courses, which is exactly the kind of diversity and growth we want.
What plans he has for assisting local authorities to engage in joined-up health and social care.
What plans he has for assisting local authorities to engage in joined-up health and social care.
To ask the Secretary of State for Transport, what mitigation work is planned for Chicklade as part of the plans to dual the A303 at Stonehenge.
To ask the Secretary of State for Transport, what mitigation work is planned for Chicklade as part of the plans to dual the A303 at Stonehenge.
As the Amesbury to Berwick Down (Stonehenge) scheme is in the early stage of development, it is too soon to determine the mitigation work, say due to the impact of construction traffic or increases in traffic volumes on other sections of the A303.
To ask the Secretary of State for Transport, what estimate he has made of the increase in (a) traffic and (b) HGV traffic on the A303 at Chicklade in each year to 2030.
To ask the Secretary of State for Transport, what estimate he has made of the increase in (a) traffic and (b) HGV traffic on the A303 at Chicklade in each year to 2030.
The Government announced in December 2014 that we intend to upgrade all remaining sections of the A303 between the M3 and the A358 to dual carriageway standard, together with creating a dual carriageway link from the M5 at Taunton to the A303, as part of a long-term commitment to creating a new Expressway to the South West. We intend to start this process with three major improvements, as part of a total A303 / A30 / A358 corridor package of commitments worth £2 billion:
- Amesbury to Berwick Down
- Sparkford to Ilchester
- A358 Southfields to M5 Taunton
After previous attempts to improve the A303 have been shelved, the Government is determined to finally deliver this scheme.
Information on the future level of traffic on the A303 was published in the A303/A30/A358 Corridor Feasibility Study published in February 2015 (at https://www.gov.uk/government/collections/road-investment-strategy#feasibility-studies).
The study did not identify separate figures for Chicklade at this early stage of development. However, the study provides projections for 2021, 2031 and 2041 for the corridor between the A350 and A36 which includes Chicklade.
The study includes the cost of the whole A303 route improvement. The dualling of the A303 from Wylye to Mere was investigated in the study as two separate schemes: Chicklade Bottom to Mere with an estimated cost of between £199m to £293m; and Wylye to Stockton Wood. There is no separate estimate for Wylye to Stockton Wood.
Due to the early stage of the schemes development it is too early to provide estimates of traffic noise and pollution in Chicklade from the proposed dualling the A303 at Stonehenge.
To ask the Secretary of State for Transport, what estimate he has made of the expected cost of dualling the A303 from Wylye to Mere.
To ask the Secretary of State for Transport, what estimate he has made of the expected cost of dualling the A303 from Wylye to Mere.
The Government announced in December 2014 that we intend to upgrade all remaining sections of the A303 between the M3 and the A358 to dual carriageway standard, together with creating a dual carriageway link from the M5 at Taunton to the A303, as part of a long-term commitment to creating a new Expressway to the South West. We intend to start this process with three major improvements, as part of a total A303 / A30 / A358 corridor package of commitments worth £2 billion:
- Amesbury to Berwick Down
- Sparkford to Ilchester
- A358 Southfields to M5 Taunton
After previous attempts to improve the A303 have been shelved, the Government is determined to finally deliver this scheme.
Information on the future level of traffic on the A303 was published in the A303/A30/A358 Corridor Feasibility Study published in February 2015 (at https://www.gov.uk/government/collections/road-investment-strategy#feasibility-studies).
The study did not identify separate figures for Chicklade at this early stage of development. However, the study provides projections for 2021, 2031 and 2041 for the corridor between the A350 and A36 which includes Chicklade.
The study includes the cost of the whole A303 route improvement. The dualling of the A303 from Wylye to Mere was investigated in the study as two separate schemes: Chicklade Bottom to Mere with an estimated cost of between £199m to £293m; and Wylye to Stockton Wood. There is no separate estimate for Wylye to Stockton Wood.
Due to the early stage of the schemes development it is too early to provide estimates of traffic noise and pollution in Chicklade from the proposed dualling the A303 at Stonehenge.
To ask the Secretary of State for Health, what estimate he has made of the proportion of delayed discharges from NHS hospitals due to the absence of community social care provision by local authorities in each year since 2010.
To ask the Secretary of State for Health, what estimate he has made of the proportion of delayed discharges from NHS hospitals due to the absence of community social care provision by local authorities in each year since 2010.
NHS England publishes monthly figures on the number of delayed discharges, including whether the delays are attributable to the National Health Service, social care or both.
In the year April 2011 to March 2012, 31% of delays were attributable to social care. In 2012 - 2013 this figure was 28%. In 2013 - 2014 and 2014 - 2015 respectively the figure was 26%. In the six months from April to September 2015, 31% of delays were attributable to social care.
Reducing the number of delays is an important issue, as delays can result in poorer outcomes for patients, interrupted patient flow and further pressure on acute services. Work is on-going across the Department and its arm’s length bodies to tackle this issue, including through the new Emergency Care Improvement Programme, implementation of high impact interventions to improve emergency care, sector-supported work across local government and work with the independent and voluntary sectors.
Maritime patrol aircraft featured large in last year’s referendum, but does my hon. Friend agree that they are pretty pointless, either manned or unmanned, unless there is the data-gathering and analysis technology to go with it, and the wherewithal to respond to any threats that emerge—something that the SNP failed to offer last year?
Maritime patrol aircraft featured large in last year’s referendum, but does my hon. Friend agree that they are pretty pointless, either manned or unmanned, unless there is the data-gathering and analysis technology to go with it, and the wherewithal to respond to any threats that emerge—something that the SNP failed to offer last year?
I entirely agree with my hon. Friend.
To ask the Secretary of State for Transport, what estimate he has made of the expected level of increased traffic (a) noise, (b) pollution in Chicklade as a result of the dualling of the A303 at Stonehenge.
To ask the Secretary of State for Transport, what estimate he has made of the expected level of increased traffic (a) noise, (b) pollution in Chicklade as a result of the dualling of the A303 at Stonehenge.
The Government announced in December 2014 that we intend to upgrade all remaining sections of the A303 between the M3 and the A358 to dual carriageway standard, together with creating a dual carriageway link from the M5 at Taunton to the A303, as part of a long-term commitment to creating a new Expressway to the South West. We intend to start this process with three major improvements, as part of a total A303 / A30 / A358 corridor package of commitments worth £2 billion:
- Amesbury to Berwick Down
- Sparkford to Ilchester
- A358 Southfields to M5 Taunton
After previous attempts to improve the A303 have been shelved, the Government is determined to finally deliver this scheme.
Information on the future level of traffic on the A303 was published in the A303/A30/A358 Corridor Feasibility Study published in February 2015 (at https://www.gov.uk/government/collections/road-investment-strategy#feasibility-studies).
The study did not identify separate figures for Chicklade at this early stage of development. However, the study provides projections for 2021, 2031 and 2041 for the corridor between the A350 and A36 which includes Chicklade.
The study includes the cost of the whole A303 route improvement. The dualling of the A303 from Wylye to Mere was investigated in the study as two separate schemes: Chicklade Bottom to Mere with an estimated cost of between £199m to £293m; and Wylye to Stockton Wood. There is no separate estimate for Wylye to Stockton Wood.
Due to the early stage of the schemes development it is too early to provide estimates of traffic noise and pollution in Chicklade from the proposed dualling the A303 at Stonehenge.
Does my right hon. Friend agree that full hospital services does not mean full services in every hospital, and that if we are to achieve our ambition of driving down excess weekend deaths, we will have to look again at concentrating services in regional and sub-regional centres, and, in addition, make sure that we network properly among smaller hospitals, where they exist?
Does my right hon. Friend agree that full hospital services does not mean full services in every hospital, and that if we are to achieve our ambition of driving down excess weekend deaths, we will have to look again at concentrating services in regional and sub-regional centres, and, in addition, make sure that we network properly among smaller hospitals, where they exist?
My hon. Friend speaks very wisely on this issue. Yes, this is not about making sure that every hospital is providing every service seven days a week. It is about making sure that in an urgent or emergency situation, people can access the care they need and that, for example, high dependency patients are reviewed twice a day, even at the weekends, by consultants. That happens across all specialties in one in 20 of our hospitals, which is why it is so important to get this right.
Agreed to on question.
Agreed to on question.
Unfortunately, every time I open a page of my local newspaper these days I am met with the beaming face of yet another general practitioner in his mid-50s who has decided to throw in his hand after many, many years of serving his community. These doctors are best placed to manage patients in primary care and ensure that they do not have to go to secondary care or A&E. What analysis has my right hon. Friend made of the reasons why these experienced professionals are leaving the profession prematurely, and what will his reforms do to stem the tide?
Unfortunately, every time I open a page of my local newspaper these days I am met with the beaming face of yet another general practitioner in his mid-50s who has decided to throw in his hand after many, many years of serving his community. These doctors are best placed to manage patients in primary care and ensure that they do not have to go to secondary care or A&E. What analysis has my right hon. Friend made of the reasons why these experienced professionals are leaving the profession prematurely, and what will his reforms do to stem the tide?
My hon. Friend makes a very important point. We have done extensive analysis, because of our commitment to transform the role of general practice, as to what the issues are. They include too much
bureaucracy and form-filling, which means that doctors do not spend enough time with patients, and a sense that successive Governments have not invested in general practice and primary care. That is exactly what we seek to turn around with the “Five Year Forward View”.
I congratulate my right hon. Friend on the action she has taken, particularly in relation to the wasteful onshore wind turbines that are blighting many areas of the countryside. In June, when she made her original announcement, she suggested that some of the RO money might be diverted to other forms of alternative power generation. Is she in a position to say what those alternatives may be?
I congratulate my right hon. Friend on the action she has taken, particularly in relation to the wasteful onshore wind turbines that are blighting many areas of the countryside. In June, when she made her original announcement, she suggested that some of the RO money might be diverted to other forms of alternative power generation. Is she in a position to say what those alternatives may be?
The key reason for reining back on onshore wind was its very success. The Government are absolutely committed to supporting renewable sources of energy, and onshore wind has been very successful. On the use of funds that may have been saved, I come back to the point that the Government are committed to staying within the levy control framework budget as far as is possible. That is the key reason we are taking steps to limit spending. Any further spending commitments, as my hon. Friend will be aware, are up to my right hon. Friend the Chancellor of the Exchequer.
The agricultural sector in this country is small, but important. One of the things that is holding it back is a lack of skills on the technical side of agriculture. Wiltshire college in Lacock is particularly concerned about that. What can my right hon. Friend do to assist in building up technical skills in agriculture in this country, and in particular to increase the number of apprenticeships in agriculture?
The agricultural sector in this country is small, but important. One of the things that is holding it back is a lack of skills on the technical side of agriculture. Wiltshire college in Lacock is particularly concerned about that. What can my right hon. Friend do to assist in building up technical skills in agriculture in this country, and in particular to increase the number of apprenticeships in agriculture?
My hon. Friend is absolutely right. That issue has come up a number of times in the agriculture sector, and there is more work to be done. My hon. Friend the Minister for Skills is working on seasonal apprenticeships, which will help to make a change.
To ask the Secretary of State for Health, if he will take steps to ensure that only hospitals offering endoscopy admit patients with acute gastrointestinal bleeding.
To ask the Secretary of State for Health, if he will take steps to ensure that only hospitals offering endoscopy admit patients with acute gastrointestinal bleeding.
The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) 3 July report Gastrointestinal Haemorrhage: Time to Get Control? recommends that patients with any acute gastrointestinal (GI) bleed should only be admitted to hospitals with 24/7 access to on-site endoscopy. It is for NHS England to consider whether to take action to take in light of this report.
The National Institute for Health and Care Excellence (NICE) has published a quality standard for the management of acute upper GI bleeding. The quality standard states that:
- people with severe acute upper gastrointestinal bleeding who are haemodynamically unstable should be given an endoscopy within two hours of optimal resuscitation; and
- people admitted to hospital with acute upper gastrointestinal bleeding who are haemodynamically stable should be given an endoscopy within 24 hours of admission.
The Health and Social Care Act (2012) places a duty on NHS England to have regard to NICE quality standards. NHS England would expect clinical commissioning groups to take into account NICE quality standards when commissioning services for people with acute upper GI bleeding.
The Department has no current plans to undertake a review to assess the ability of acute hospitals to manage patients with acute upper gastrointestinal bleeding and compare outcomes for patients with acute upper gastrointestinal haemorrhage in each hospital. This is more a matter for NHS England.
To ask the Secretary of State for Health, if his Department will undertake a review to (a) assess the ability of acute hospitals to manage patients with acute upper gastrointestinal bleeding and (b) compare outcomes for patients with acute upper gastrointestinal haemorrhage in each hospital.
To ask the Secretary of State for Health, if his Department will undertake a review to (a) assess the ability of acute hospitals to manage patients with acute upper gastrointestinal bleeding and (b) compare outcomes for patients with acute upper gastrointestinal haemorrhage in each hospital.
The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) 3 July report Gastrointestinal Haemorrhage: Time to Get Control? recommends that patients with any acute gastrointestinal (GI) bleed should only be admitted to hospitals with 24/7 access to on-site endoscopy. It is for NHS England to consider whether to take action to take in light of this report.
The National Institute for Health and Care Excellence (NICE) has published a quality standard for the management of acute upper GI bleeding. The quality standard states that:
- people with severe acute upper gastrointestinal bleeding who are haemodynamically unstable should be given an endoscopy within two hours of optimal resuscitation; and
- people admitted to hospital with acute upper gastrointestinal bleeding who are haemodynamically stable should be given an endoscopy within 24 hours of admission.
The Health and Social Care Act (2012) places a duty on NHS England to have regard to NICE quality standards. NHS England would expect clinical commissioning groups to take into account NICE quality standards when commissioning services for people with acute upper GI bleeding.
The Department has no current plans to undertake a review to assess the ability of acute hospitals to manage patients with acute upper gastrointestinal bleeding and compare outcomes for patients with acute upper gastrointestinal haemorrhage in each hospital. This is more a matter for NHS England.
To ask the Secretary of State for Health, which acute hospitals do not offer 24 hour, seven days a week upper gastrointestinal endoscopy.
To ask the Secretary of State for Health, which acute hospitals do not offer 24 hour, seven days a week upper gastrointestinal endoscopy.
The Department does not hold this information centrally. However, the recent report Gastrointestinal Haemorrhage: Time to Get Control? published by the National Confidential Enquiry into Patient Outcome and Death on 3 July 2015 found that 32% (60/185) of hospitals admitting gastrointestinal bleed patients did not have a 24/7 endoscopy service.
To ask the Secretary of State for Foreign and Commonwealth Affairs, what steps his Department is taking to mark International Day of Peace.
To ask the Secretary of State for Foreign and Commonwealth Affairs, what steps his Department is taking to mark International Day of Peace.
Consistent with our approach in the last Parliament, the Foreign and Commonwealth Office has no formal plans to mark the UN International Day of Peace. However, we remain strongly committed to conflict prevention, peacekeeping and peace-building, including through the United Kingdom’s role as a member of the UN Security Council.