AMR and health inequalities data

#57 —

Science and Technology Committee (Commons)

Recommendation: The Government should ensure its ‘levelling up’ agenda includes specific policies to reduce health inequalities, with a particular focus on ensuring that certain groups, including people from Black, Asian and minority ethnic backgrounds, do not continue to face unequal health …

Response attribution not verified

#54 —

Science and Technology Committee (Commons)

Recommendation: Staff from Black, Asian and minority ethnic backgrounds are crucial to the NHS and care sectors. The covid-19 pandemic has brought the experiences of these staff into sharp focus. It is telling that the first ten NHS staff to die …

Response attribution not verified

#53 —

Science and Technology Committee (Commons)

Recommendation: During the initial phase of the pandemic Black, Asian and minority ethnic people experienced significantly higher levels of severe illness and death from covid than was typical the population as a whole. Research conducted so far suggests that the drivers …

Response attribution not verified

#57 —

Science and Technology Committee (Commons)

Recommendation: The Government should ensure its ‘levelling up’ agenda includes specific policies to reduce health inequalities, with a particular focus on ensuring that certain groups, including people from Black, Asian and minority ethnic backgrounds, do not continue to face unequal health …

Response attribution not verified

#54 —

Science and Technology Committee (Commons)

Recommendation: Staff from Black, Asian and minority ethnic backgrounds are crucial to the NHS and care sectors. The covid-19 pandemic has brought the experiences of these staff into sharp focus. It is telling that the first ten NHS staff to die …

Response attribution not verified

#53 —

Science and Technology Committee (Commons)

Recommendation: During the initial phase of the pandemic Black, Asian and minority ethnic people experienced significantly higher levels of severe illness and death from covid than was typical the population as a whole. Research conducted so far suggests that the drivers …

Response attribution not verified

#7 —

Environmental Audit Committee

Recommendation: We have heard disturbing evidence that sewage treatment works and the rivers that they discharge into are becoming breeding grounds for antimicrobial resistance. There will need to be cross-sector collaboration to reduce the growth of antimicrobial resistance genes in rivers. …

Response attribution not verified

#46 — VMD's animal health surveillance relies too heavily on private testing and limited species data.

Public Accounts Committee

Recommendation: For the clinical surveillance of animal health, VMD is very reliant on private testing of animals. Some infections of some species are reportable by law but VMD’s access to other data can be difficult.116 VMD told us that its routine …

Response attribution not verified

#45 — Strong indications link AMR to health inequalities, but routine data on this issue remains limited.

Public Accounts Committee

Recommendation: There are strong indications that AMR is also a health inequalities issue. The most deprived quintile of the population being nearly 50% more likely to get a drug-resistant bloodstream infection than the least deprived quintile (38.1 people per 100,000 as …

Response attribution not verified

#43 — Significant data collection gaps persist across UK sectors despite the 'One Health' approach.

Public Accounts Committee

Recommendation: The UK government’s ‘One Health’ approach encompasses human health, animal health, food safety, and the environment and is intended to facilitate collaboration between these sectors.108 DHSC commended the very close relationship in the UK between human health experts and vets, …

Response attribution not verified

#9 — Prioritise better data collection, sharing, and analysis across One Health sectors

Public Accounts Committee

Recommendation: There are shortcomings in data collection and sharing, hindering efforts to tackle AMR. The UK government operates a ‘One Health’ approach to AMR, encompassing human health, animal health, food safety and the environment, and intended to facilitate collaboration between these …

Response attribution not verified

#20 — Ensure refreshed Women's Health Strategy addresses poor outcomes for Muslim women's healthcare.

Women and Equalities Committee

Recommendation: Tackling disparities in women’s healthcare is a key focus of the Women’s Health Strategy. The Government is due to refresh the strategy in the coming months. The Government should ensure that addressing poor outcomes faced by Muslim women, including in …

Response attribution not verified

#17 — Provide key statistics on income and employment by religious affiliation, gender, and ethnic group.

Women and Equalities Committee

Recommendation: The Government should provide the key statistics on income and employment by religious affiliation and gender as well as by ethnic group in order that ongoing intersectional inequalities can be fully understood and addressed. This includes the statistics provided through …

Response attribution not verified

#16 — Insufficient up-to-date data on income and employment for Muslims and religious groups.

Women and Equalities Committee

Recommendation: There remains a lack of up-to-date data on income and employment related to Muslims and other religious groups. Current data based on ethnicity only offers a partial insight into current trends. It is disappointing that this data gap has not …

Response attribution not verified

#1 — Scotland's deindustrialisation created lasting legacies of worklessness and health inequalities in unsupported communities.

Scottish Affairs Committee

Recommendation: Scotland’s experience of deindustrialisation over the past four decades demonstrates the profound and lasting consequences of industrial transition when communities are not properly supported. The loss of major industries has left a legacy of worklessness and health inequalities. Despite Scotland’s …

Response status not verified

#8 —

Environmental Audit Committee

Recommendation: We welcome the Environment Act’s inclusion of a requirement on water companies to reduce the impact on public health of sewage discharges. We recommend that this includes consideration of antimicrobial resistance.

Response attribution not verified

#44 — Disconnected health data systems and lack of central repository hinder effective antimicrobial stewardship.

Public Accounts Committee

Recommendation: Lord O’Neill told us there is an underlying data problem in the health sphere, with many data systems not connecting properly.111 Better data in health would make it easier for clinicians making decisions on infection management and prescribing antimicrobials. The …

Response attribution not verified

#23 — Lack of progress on diagnostics target due to data limitations; no new quantitative goal.

Public Accounts Committee

Recommendation: The 2019–24 NAP had a target to be able, by 2024, to report on the percentage of prescriptions supported by a diagnostic test or decision support tool. However, this was not achieved due to continuing limitations with data, including diagnostic …

Response attribution not verified

#15 — Past animal health AMR targets were unchallenging; new plan lacks targets amid rising usage

Public Accounts Committee

Recommendation: We asked VMD whether the targets set for animal health in the 2019–24 NAP were challenging enough given that they were successfully achieved. VMD acknowledged that while reaching the targets was a big success, it also considered that this was …

Response attribution not verified

#8 — Develop a long-term strategy for securing adequate animal vaccine supply to the UK

Public Accounts Committee

Recommendation: The Department does not have a strategy to tackle shortages in animal vaccines. Vaccines play an important role in preventative health and disease control programmes in animals, including managing antimicrobial resistance. However, there have increasingly been 5 supply shortages of …

Response attribution not verified

#17 — Accelerate development of the maternal morbidity indicator and provide a clear timetable.

Health and Social Care Committee

Recommendation: We are concerned that progress on developing a maternal morbidity indicator has been unacceptably slow, despite a Government commitment to do so over two years ago. We recommend the Department work with the National Institute for Health and Care Research …

Response attribution not verified

#14 — Insufficient ethnicity data on maternal morbidity prevents monitoring and improving outcomes.

Health and Social Care Committee

Recommendation: Collecting robust, consistent, and equity-focused data on ethnicity and maternal morbidity is essential to enable health services to monitor and improve their services guiding improvements in maternal outcomes. Without it, it is significantly harder to produce accurate comparisons across all …

Response attribution not verified

#55 —

Science and Technology Committee (Commons)

Recommendation: People with learning disabilities have experienced significantly higher death rates from covid-19 than the country as a whole. Deaths have been especially high among younger adults with learning disabilities. Initial research suggests that people with learning disabilities entered the pandemic …

Response attribution not verified

#52 —

Science and Technology Committee (Commons)

Recommendation: The impact of covid-19 has been uneven across the population, with some sections of society suffering significantly higher illness and deaths than the nation as a whole.

Response attribution not verified

#55 —

Science and Technology Committee (Commons)

Recommendation: People with learning disabilities have experienced significantly higher death rates from covid-19 than the country as a whole. Deaths have been especially high among younger adults with learning disabilities. Initial research suggests that people with learning disabilities entered the pandemic …

Response attribution not verified

#52 —

Science and Technology Committee (Commons)

Recommendation: The impact of covid-19 has been uneven across the population, with some sections of society suffering significantly higher illness and deaths than the nation as a whole.

Response attribution not verified

#13 — Public acceptance of phages is crucial for their effective role in tackling AMR

Science and Technology Committee (Commons)

Recommendation: The public will need to be convinced that phages are safe and effective. This will be key if phages are to play a role in addressing AMR in healthcare and as part of a One Health approach to addressing AMR …

Response attribution not verified

#12 — Integrate phage clinical use into medical training and ensure access information for healthcare staff

Science and Technology Committee (Commons)

Recommendation: If phages are to be used more widely within the UK’s healthcare system it is important that healthcare professionals are aware that they are an antimicrobial alternative, especially when antibiotics have failed or are failing. We recommend that information about …

Response attribution not verified

#11 — Require DHSC to respond to phage network proposals and outline plans for knowledge sharing

Science and Technology Committee (Commons)

Recommendation: We recommend that the Department for Health and Social Care responds to the UK’s Phage Knowledge Transfer Network’s proposals within six months of their publication. The Department should set out how it will help develop a network for phage-related knowledge …

Response attribution not verified

#10 — UK phage expertise and resources remain fragmented, hindering potential exploitation

Science and Technology Committee (Commons)

Recommendation: For the potential benefits of phages to be fully explored and, if possible, exploited in the UK, with competitive advantage, it is important that existing phage- related assets are properly aligned and integrated, connecting the various sectors, institutions, and actors …

Response attribution not verified

#7 — Set out steps and funding for developing new antibiotics for gonorrhoea and other STIs.

Women and Equalities Committee

Recommendation: It is worrying that we are seeing antibiotic resistance to some STIs—particularly gonorrhoea, where the rate of diagnoses has reached record levels, and for which young people and other communities at greatest risk are most likely to experience drug resistance. …

Response attribution not verified

#1 — Committee received evidence on the threat of antimicrobial resistance in the UK

Public Accounts Committee

Recommendation: On the basis of a report by the Comptroller and Auditor General, we took evidence from the Department of Health and Social Care (DHSC), NHS England, the UK Health Security Agency (UKHSA) and the Veterinary Medicines Directorate (VMD) at the …

Response attribution not verified

#23 — Ensure UK and partners disaggregate programme data by age, gender, ability, and displacement status

International Development Committee

Recommendation: The FCDO should ensure that the UK and partners disaggregate monitoring and programme data by age, gender, ability and displacement status at a minimum; do so systematically; and make this data available publicly. (Recommendation, Paragraph 104) 37

Response attribution not verified

#22 — Start systematically tracking and publishing official data on spending for refugees overseas

International Development Committee

Recommendation: To help determine a baseline and future targets, the FCDO should start systematically tracking and publishing official data on how much it spends on supporting refugees and internally displaced people overseas. (Recommendation, Paragraph 103)

Response attribution not verified

#21 — FCDO's sub-optimal data collection limits accurate targeting of displacement spending

International Development Committee

Recommendation: The FCDO may be limited in its ability to accurately target displacement- related humanitarian and development spending owing to its sub-optimal data collection. (Conclusion, Paragraph 102)

Response attribution not verified

#53 — Record detailed post-16 pathway and long-term outcome data for care-experienced individuals.

Education Committee

Recommendation: The Department must record data on post-16 pathways and attainment for those with care experience—including detailed data on qualifications, course types and completion rates. The Department should also monitor long-term outcomes—employment quality, income levels, and 100 higher education progression for …

Response attribution not verified

#45 — Utilise local data to address barriers in areas with below-average qualification attainment.

Education Committee

Recommendation: We also recommend that the Department utilises local authority-level data to identify and address the unique barriers in areas in which attainment across qualification pathways (including A Levels, T Levels, AGQs) is below the national average. (Recommendation, Paragraph 171)

Response attribution not verified

#17 —

Women and Equalities Committee

Recommendation: Poor housing conditions have adverse impacts on health; living in poor quality housing is an aggravating factor in experiencing coronavirus severely. Pre-existing housing inequalities may have exacerbated the impact of coronavirus on BAME people. We welcome the Social Housing White …

Response attribution not verified

#4 —

Environment, Food and Rural Affairs Committee

Recommendation: The Environment Bill should be amended to include a health inequalities target, to reduce the number of deaths associated with air pollution; and to require the Secretary of State to take account of human health considerations when setting or reviewing …

Response attribution not verified

#3 —

Environment, Food and Rural Affairs Committee

Recommendation: Many of the areas with the highest levels of social deprivation are also the most exposed to air pollution and this link is also more pronounced for people from ethnic minority backgrounds. Further research is urgently needed to fully understand …

Response attribution not verified

#33 — Produce clear Government statement on phages and comprehensive support plan for AMR.

Science and Technology Committee (Commons)

Recommendation: We recommend that the Government produces a clear statement on its assessment of phages. If it concludes that phages are to play a significant role in fighting AMR, it should produce a comprehensive plan as to how they will be …

Response attribution not verified

#32 — Government and agency statements on phage role in AMR lack clarity.

Science and Technology Committee (Commons)

Recommendation: If the antimicrobial use of phages is to move beyond ad hoc compassionate cases, the Government and its agencies should reflect on what role they are to play in the fight against AMR. At the moment, phages are referred to …

Response attribution not verified

#9 — Report annually on 'One Health' progress for phage technologies and therapies

Science and Technology Committee (Commons)

Recommendation: The Government, the World Health Organisation and a number of the witnesses we heard from have highlighted the importance of a “One Health” approach to tackling AMR across sectors including human and animal health, the food supply chain, and the …

Response attribution not verified

#1 — Robust clinical trial data lacking for long-term phage safety and immune interactions

Science and Technology Committee (Commons)

Recommendation: The safety of phages has been well established mainly on the basis of observational evidence drawn from specific clinical interventions. However, as with all medicines, robust clinical trial data is important to provide and develop assurances around all aspects of …

Response attribution not verified

#8 — Expand government support for fungal research, conservation, and legislative scope.

Science and Technology Committee (Commons)

Recommendation: Should our successor Committee wish to examine the Government’s approach to fungal research, we recommend it considers: • How the Government and UK Research and Innovation can support research into the antifungal resistance in the environment, animals, and humans, to …

Response status not verified

#1 —

Women and Equalities Committee

Recommendation: Comorbidities pose a risk for BAME people to experience coronavirus more severely and, at times, with adverse health outcomes. To tackle comorbidities, primary prevention should be prioritised. We are concerned that the decision to disband Public Health England could result …

Response attribution not verified

#26 — Publish clear guidance on interpreting official gambling statistics alongside new survey

Digital, Culture, Media and Sport Committee

Recommendation: Alongside its new gambling survey, the Gambling Commission should publish clear guidance about the interpretation of official gambling statistics.

Response attribution not verified

#25 — Explore conducting regular Patterns of Play-style gambling research with UKRI collaboration

Digital, Culture, Media and Sport Committee

Recommendation: We recommend that the Government and the Gambling Commission should work with UKRI to explore how a study similar to the Patterns of Play research could be conducted on a regular basis.

Response attribution not verified

#24 — Gambling data remains problematic; new research must be accurate, representative, and understood.

Digital, Culture, Media and Sport Committee

Recommendation: We recognise that much of the data relating to gambling is contested, misapplied, or entirely absent, and welcome that actions from the Government’s White Paper and changes to the Gambling Commission will mean that more research evidence can be commissioned. …

Response attribution not verified

#2 — Further clinical trials required to prove consistent effectiveness of phages and combinations

Science and Technology Committee (Commons)

Recommendation: Clinical data indicates that in many cases phages have been observed to reduce bacterial infections in patients. We also heard that their use in animals has also been shown to be effective. However, further clinical trials are required to prove …

Response attribution not verified