Report evidence summary
Concerns raised 6 Insufficient undergraduate teaching on the health effects of air pollution View source Insufficient postgraduate education on the health effects of air pollution View source Insufficient detail and monitoring capacity for air quality information View source Insufficient professional guidance on communicating the health effects of air pollution View source Low public awareness of sources of national and local pollution information View source National Particulate Matter limits exceeding WHO guideline levels View source See 3 more concerns
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised. 54
Action
Install up to 75 additional diffusion-tube and PM₂.₅ monitors by October 2021.
Stated by London Borough of Lewisham Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Establish and operate the Honor Oak Park supersite and expand diffusion-tube monitoring to 106 sites.
Stated by London Borough of Lewisham Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source
Action
Continue collaborative air-quality awareness work with the GLA, other local authorities and committed organisations.
Stated by London Borough of Lewisham Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source
Action
Implement a multimedia communications plan promoting air-quality monitoring tools through social media, advertising, websites and the residents’ newsletter.
Stated by London Borough of Lewisham Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source
Action
Add several flexible PM₂.₅ monitors, particularly in high-traffic areas, to feed the London-wide sensor network.
Stated by London Borough of Lewisham Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source
Action
Urge national and local government to tighten regulation of pollution-generating activity and improve public information.
Stated by Royal College of Physicians Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Add questions on air pollution to the examinations administered by the Royal College of Physicians.
Stated by Royal College of Physicians Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Work with relevant specialist societies to decide how to increase physicians’ knowledge of air-pollution health impacts.
Stated by Royal College of Physicians Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Review local delivery of the postgraduate internal medicine curriculum in light of air-pollution health impacts.
Stated by Royal College of Physicians Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Produce and actively promote resources helping medical professionals understand air pollution and discuss exposure reduction with patients and families.
Stated by Royal College of Physicians Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Introduce the Medical Licensing Assessment with social and population health content and relevant practical procedures.
Stated by General Medical Council Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source
Action
Explore with the Academy of Medical Royal Colleges whether environmental impacts, social inequality and health promotion should form transferable postgraduate learning content.
Stated by General Medical Council Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Update Outcomes for graduates to include environmental exposure, environmental health factors and mitigation of related hazards.
Stated by General Medical Council Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source
Action
Publish the Generic professional capabilities framework requiring doctors in training to address health inequalities and health promotion.
Stated by General Medical Council Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source
Action
Work with stakeholders and partners to develop a postgraduate wraparound professional development offer covering generalist skills and environmental determinants of health.
Stated by NHS England Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source
Action
Write to relevant medical Royal Colleges, the GMC and the NMC highlighting that curricula should consider awareness of air pollution’s health impacts.
Stated by NHS England Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Identify further activity to ensure registered professionals understand their obligations to communicate evidence about preventing and managing ill health.
Stated by Nursing and Midwifery Council Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Develop communication skills requirements covering evidence-based communication and sharing health information with patients, families and carers.
Stated by Nursing and Midwifery Council Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source
Action
Consider whether post-registration community nursing standards should strengthen proficiencies addressing prevention, management and communication of ill health.
Stated by Nursing and Midwifery Council Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Approve UK undergraduate programmes against the Future Nurse standards.
Stated by Nursing and Midwifery Council Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source
Action
Evaluate whether the Future Nurse standards support safe practice and are properly implemented to reduce communication-related risks.
Stated by Nursing and Midwifery Council Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Introduce Future Nurse standards of proficiency for registered nurses.
Stated by Nursing and Midwifery Council Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source
Action
Publish and promote a position statement on outdoor air quality, including guidance for paediatricians on communicating health impacts and reducing exposure.
Stated by Royal College of Paediatrics and Child Health Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source
Action
Fund research and pilot studies into low-cost air-quality sensors.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source
Action
Undertake a fundamental review of the UK-AIR website to improve functionality, user experience and information dissemination.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source
Action
Increase Air Quality Grant funding for local authorities to £8 million.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source
Action
Commission development of a publicly available specification for low-cost air-quality sensors.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Design an expanded air-quality monitoring framework to measure population exposure and evaluate policy effectiveness.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Set annual PM2.5 concentration and population-exposure reduction targets through the Environment Bill.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Expand particulate-matter monitoring networks using secured funding.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source
Action
Develop and conduct a public consultation on proposed air-quality targets, including evidence, achievability, interventions, costs and health benefits.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Invite local-authority proposals to improve air-quality information, awareness and public engagement.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Work with standards bodies to establish technical standards for low-cost sensor accuracy and performance.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source
Action
Undertake further work with general practitioners to provide air-quality advice and information to vulnerable groups.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Produce an updated position statement on air quality and lung health.
Stated by The British Thoracic Society Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Produce and publish evidence-based asthma management guidance addressing environmental factors, including air pollution, through the BTS/SIGN/NICE joint guideline.
Stated by The British Thoracic Society Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Provide signposting to air-pollution and respiratory-health resources through the Respiratory Futures partner website.
Stated by The British Thoracic Society Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source
Action
Provide scientific and clinical input to NICE information development through stakeholder consultation, including guidance on indoor and outdoor air pollution.
Stated by The British Thoracic Society Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source
Action
Continue raising awareness of poor air quality’s effects on lung health through guidance, conferences, short courses and expert input to stakeholders.
Stated by The British Thoracic Society Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source
Action
Amend the asthma guideline to acknowledge pollution-related asthma risks and include indoor and outdoor pollution exposure measures in personalised action plans.
Stated by National Institute for Health and Care Excellence Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source
Action
Complete an exceptional surveillance review of the asthma guideline to assess coverage of the link between air pollution and asthma.
Stated by National Institute for Health and Care Excellence Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source
Action
Advocate for incorporating WHO-recommended air-quality limits into UK law.
Stated by UK Health Alliance on Climate Change Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source
Action
Deliver a pilot developing air-pollution advice materials and training paediatricians and respiratory health professionals nationwide.
Stated by UK Health Alliance on Climate Change Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source
Action
Deliver a high-profile webinar for GPs incorporating air-pollution content within broader planetary-change coverage.
Stated by Royal College of General Practitioners Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Produce a planetary-health curriculum element against which all new GPs will be assessed.
Stated by Royal College of General Practitioners Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source
Action
Host stakeholder workshops to raise awareness of the Breathe London monitoring network and its benefits.
Stated by Greater London Authority Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Submit consultation responses advocating legally binding PM2.5 targets based on World Health Organization guidelines.
Stated by Greater London Authority Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source
Action
Publish real-time, localised Breathe London air-quality data through the network website.
Stated by Greater London Authority Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source
Action
Expand the Breathe London monitoring network with 135 additional air-quality sensors.
Stated by Greater London Authority Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source
Action
Work with national departments and London boroughs to share effective approaches, improve scientific understanding and promote air-quality information and campaigns.
Stated by Greater London Authority Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source
Action
Develop London health-and-care structures and engagement approaches to improve communication of air pollution risks and mitigation to clinicians and carers.
Stated by Greater London Authority Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source
Action
Operate Londonwide air-quality alerts through transport signs, station displays, email, social media and partner dissemination.
Stated by Greater London Authority Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source
Action
Fund 60 further Breathe London sensors over three years through sponsorship and network participation.
Stated by Greater London Authority Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source
Action
Review the Londonwide air-quality alerts system, including message testing and methods to reach vulnerable populations.
Stated by Greater London Authority Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source See 51 more actions
× Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.
PFD Monitor interpretation Insufficient undergraduate teaching on the health effects of air pollution
Wider context from the report “(3) The adverse effects of air pollution on health are not being sufficiently communicated to patients and their carers by medical and nursing professionals. The evidence at the inquest was that this needs to be addressed at three levels:
a. Undergraduate. I am informed that undergraduate teaching is the responsibility of the GMC, Health Education England and the NMC.
b. Postgraduate. I am informed that postgraduate education is the responsibility of the Royal Colleges, in this case the Royal College of Physicians, the Royal College of Paediatrics and Child Health, the Royal College of General Practitioners, and the NMC.
c. Professional guidance. In this case relevant organisations are NICE and the British Thoracic Society.
” Is this part of a recurring concern? No recurring-concern membership is currently published.
Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.
PFD Monitor interpretation Insufficient postgraduate education on the health effects of air pollution
Wider context from the report “(3) The adverse effects of air pollution on health are not being sufficiently communicated to patients and their carers by medical and nursing professionals. The evidence at the inquest was that this needs to be addressed at three levels:
a. Undergraduate. I am informed that undergraduate teaching is the responsibility of the GMC, Health Education England and the NMC.
b. Postgraduate. I am informed that postgraduate education is the responsibility of the Royal Colleges, in this case the Royal College of Physicians, the Royal College of Paediatrics and Child Health, the Royal College of General Practitioners, and the NMC.
c. Professional guidance. In this case relevant organisations are NICE and the British Thoracic Society.
” Is this part of a recurring concern? No recurring-concern membership is currently published.
Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.
PFD Monitor interpretation Insufficient detail and monitoring capacity for air quality information
Wider context from the report “(2) There is a low public awareness of the sources of information (such as UK-Air website) about national and local pollution levels. Greater awareness would help individuals reduce their personal exposure to air pollution. It was clear from the evidence at the inquest that publicising this information is an issue that needs to be addressed by national as well as local government. The information must be sufficiently detailed and this is likely to require enlargement of the capacity to monitor air quality, for example by increasing the number of air quality sensors .
” Is this part of a recurring concern? No recurring-concern membership is currently published.
Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.
PFD Monitor interpretation Insufficient professional guidance on communicating the health effects of air pollution
Wider context from the report “(3) The adverse effects of air pollution on health are not being sufficiently communicated to patients and their carers by medical and nursing professionals. The evidence at the inquest was that this needs to be addressed at three levels:
a. Undergraduate. I am informed that undergraduate teaching is the responsibility of the GMC, Health Education England and the NMC.
b. Postgraduate. I am informed that postgraduate education is the responsibility of the Royal Colleges, in this case the Royal College of Physicians, the Royal College of Paediatrics and Child Health, the Royal College of General Practitioners, and the NMC.
c. Professional guidance. In this case relevant organisations are NICE and the British Thoracic Society.
” Is this part of a recurring concern? No recurring-concern membership is currently published.
Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.
PFD Monitor interpretation Low public awareness of sources of national and local pollution information
Wider context from the report “(2) There is a low public awareness of the sources of information (such as UK-Air website) about national and local pollution levels. Greater awareness would help individuals reduce their personal exposure to air pollution. It was clear from the evidence at the inquest that publicising this information is an issue that needs to be addressed by national as well as local government . The information must be sufficiently detailed and this is likely to require enlargement of the capacity to monitor air quality, for example by increasing the number of air quality sensors.
” Is this part of a recurring concern? No recurring-concern membership is currently published.
Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.
PFD Monitor interpretation National Particulate Matter limits exceeding WHO guideline levels
Wider context from the report “(1) The national limits for Particulate Matter are set at a level far higher than the WHO guidelines. The evidence at the inquest was that there is no safe level for Particulate Matter and that the WHO guidelines should be seen as minimum requirements. Legally binding targets based on WHO guidelines would reduce the number of deaths from air pollution in the UK.
” Is this part of a recurring concern? No recurring-concern membership is currently published.
Open source report
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Install up to 75 additional diffusion-tube and PM₂.₅ monitors by October 2021.
Verbatim wording from the response “in the process of adding several new monitors to monitor PM₂.₅, particularly in areas of high traffic. Due to technological advances, the measurement of PM₂.₅ no longer requires a large automatic monitoring station and more flexible monitors can now be placed around the Borough. These will feed into a London wide network of sensors providing greater data and coverage and will help to contribute to improved public awareness of air pollution levels across the capital. We are also in the process of adding yet more diffusion tubes, with up to another 75 monitors in total (both diffusion tubes and the new PM₂.₅ monitors) planned for installation by October this year.” Source location 2021-0113-Response-from-London-Borough-of-Lewisham-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Establish and operate the Honor Oak Park supersite and expand diffusion-tube monitoring to 106 sites.
Verbatim wording from the response “• An expansion of monitoring capacity: at the time of Ella’s tragic death there were diffusion tubes monitoring NO₂ levels at 47 sites and 4 automatic monitoring stations measuring, variously NO₂, PM₁₀ and SO₂ levels. The most significant addition shortly after Ella’s death was the creation of the Honor Oak Park ‘supersite’ automatic monitoring station which opened on 1 January 2019 and which monitors PM₁₀ and PM₂.₅. Further, by the end of 2020 the number of diffusion tube sites more than doubled to 106. Since the Inquest, capacity has grown even further and we are introducing important new technology as we are” Source location 2021-0113-Response-from-London-Borough-of-Lewisham-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Continue collaborative air-quality awareness work with the GLA, other local authorities and committed organisations.
Verbatim wording from the response “Finally, the London Borough of Lewisham will continue to work collaboratively and in partnership with the GLA, other local authorities and organisations who are committed to raising awareness of air quality issues. The important collaboration with the GLA includes ‘Breathe London’ which the Mayor of London has agreed to support until 2024. We have recently been in close discussion with counterparts at the GLA and are eager to support their important work in this field.” Source location 2021-0113-Response-from-London-Borough-of-Lewisham-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Implement a multimedia communications plan promoting air-quality monitoring tools through social media, advertising, websites and the residents’ newsletter.
Verbatim wording from the response “• Raising awareness: As the London Borough of Lewisham highlighted during the Inquest, the raising of awareness of air quality issues has improved significantly since Ella’s death. This is partly as a result of the transfer of the public health functions from the NHS to the Borough in April 2013, which led to a Joint Strategic Needs Assessment for Air Quality in 2018, which will be refreshed again in 2022 (and which has a target audience of those who commission, provide or use health, social or children’s services in Lewisham). It has also improved due to technology and social media, so that the London Borough of Lewisham is able to promote airTEXT, the Imperial College London Air webpage, the GLA air quality web page/alerts, and even its own air quality App. However, there is more work that can and will be done.” Source location 2021-0113-Response-from-London-Borough-of-Lewisham-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Add several flexible PM₂.₅ monitors, particularly in high-traffic areas, to feed the London-wide sensor network.
Verbatim wording from the response “• An expansion of monitoring capacity: at the time of Ella’s tragic death there were diffusion tubes monitoring NO₂ levels at 47 sites and 4 automatic monitoring stations measuring, variously NO₂, PM₁₀ and SO₂ levels. The most significant addition shortly after Ella’s death was the creation of the Honor Oak Park ‘supersite’ automatic monitoring station which opened on 1 January 2019 and which monitors PM₁₀ and PM₂.₅. Further, by the end of 2020 the number of diffusion tube sites more than doubled to 106. Since the Inquest, capacity has grown even further and we are introducing important new technology as we are” Source location 2021-0113-Response-from-London-Borough-of-Lewisham-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Urge national and local government to tighten regulation of pollution-generating activity and improve public information.
Verbatim wording from the response “12. Most important is government action to reduce air pollution, particularly more regulation of pollution generating activity. There needs to be a particular focus on initiatives that reduce the exposure of women, children, older people, and people in lower socioeconomic groups, in which ethnic minorities are overrepresented.” Source location 2021-0113-Response-from-Royal-College-of-Physicians-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Add questions on air pollution to the examinations administered by the Royal College of Physicians.
Verbatim wording from the response “5. The curriculum does not specifically mention air pollution, but it does reference the GMC’s General Professional Capabilities, which do include Health Promotion and Illness Prevention. We accept that there needs to be better understanding by doctors of the impacts of air pollution on health so we will” Source location 2021-0113-Response-from-Royal-College-of-Physicians-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Work with relevant specialist societies to decide how to increase physicians’ knowledge of air-pollution health impacts.
Verbatim wording from the response “5. The curriculum does not specifically mention air pollution, but it does reference the GMC’s General Professional Capabilities, which do include Health Promotion and Illness Prevention. We accept that there needs to be better understanding by doctors of the impacts of air pollution on health so we will” Source location 2021-0113-Response-from-Royal-College-of-Physicians-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Review local delivery of the postgraduate internal medicine curriculum in light of air-pollution health impacts.
Verbatim wording from the response “5. The curriculum does not specifically mention air pollution, but it does reference the GMC’s General Professional Capabilities, which do include Health Promotion and Illness Prevention. We accept that there needs to be better understanding by doctors of the impacts of air pollution on health so we will” Source location 2021-0113-Response-from-Royal-College-of-Physicians-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Produce and actively promote resources helping medical professionals understand air pollution and discuss exposure reduction with patients and families.
Verbatim wording from the response “6. There is lots of information available about the impacts of air pollution and the medical community does produce its own reports and events. The RCP and RCPCH 2016 report Every Breath You Take and its 2018 update, for example, were widely read and are still referenced and discussed. But we need to do more to communicate the large amount of scientific evidence available as it makes the case for why medical practitioners need to communicate with patients.” Source location 2021-0113-Response-from-Royal-College-of-Physicians-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Introduce the Medical Licensing Assessment with social and population health content and relevant practical procedures.
Verbatim wording from the response “Introduction of Medical Licensing Assessment” Source location 2021-0113-Response-from-General-Medical-Council-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Explore with the Academy of Medical Royal Colleges whether environmental impacts, social inequality and health promotion should form transferable postgraduate learning content.
Verbatim wording from the response “We will explore with the AoMRC whether the themes raised (environmental impacts/social inequality/health promotion) could be areas where key transferable content, knowledge and skills could be shared across postgraduate specialities.” Source location 2021-0113-Response-from-General-Medical-Council-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Update Outcomes for graduates to include environmental exposure, environmental health factors and mitigation of related hazards.
Verbatim wording from the response “We determine and publish the high-level outcomes all medical students are required to demonstrate in order to graduate. We updated our Outcomes for graduates in 2018 after extensive consultation. This is supplemented by a set of core Practical skills and procedures graduates must have achieved when they start work for the first time so they can practise safely. The content map which underpins the forthcoming Medical Licensing Assessment (explained in more detail later) is based on these outcomes and practical procedures.” Source location 2021-0113-Response-from-General-Medical-Council-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Publish the Generic professional capabilities framework requiring doctors in training to address health inequalities and health promotion.
Verbatim wording from the response “The curricula for postgraduate specialty training are set by individual medical royal colleges and faculties. In 2017 we published revised standards for curricula - Excellence by design - which requires curricula to be mapped against our Generic professional capabilities framework of shared generic and specialty-specific outcomes. The framework sets the essential capabilities which underpin professional medical practice and are a fundamental part of all postgraduate training programmes. The capabilities include a section on understanding health inequalities and health promotion, which is required of all doctors in training. Most royal colleges and faculties have now reviewed their specialty curricula against our revised standards.” Source location 2021-0113-Response-from-General-Medical-Council-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Work with stakeholders and partners to develop a postgraduate wraparound professional development offer covering generalist skills and environmental determinants of health.
Verbatim wording from the response “HEE continues to deliver a number of medical education reform proposals to improve the efficacy and flexibility of our medical education system. Building upon the findings of the Future Doctor engagement programme, HEE are working with stakeholders and partners to develop a wraparound professional development offer in postgraduate medical training to enhance the generalist skills of doctors. By embedding generalism in training, we aim to better equip doctors to understand and address the population health and care needs of the communities they serve, including to recognise and evaluate the environmental determinants of health.” Source location 2021-0113-Response-from-Health-Education-England-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Write to relevant medical Royal Colleges, the GMC and the NMC highlighting that curricula should consider awareness of air pollution’s health impacts.
Verbatim wording from the response “In response to Concern 3 raised in your report, HEE will write to the relevant medical Royal Colleges, GMC and NMC to highlight that improving awareness of the impact of air pollution on health should be considered when developing curricula.” Source location 2021-0113-Response-from-Health-Education-England-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Identify further activity to ensure registered professionals understand their obligations to communicate evidence about preventing and managing ill health.
Verbatim wording from the response “• We will identify if there is further activity that we can do to make sure that the professionals on our register understand their obligations to communicate clearly to their patients and their families about evidence related to the management and prevention of ill-health, and help prevent tragic cases such as Ella’s from occurring again.” Source location 2021-0113-Response-from-Nursing-and-Midwifery-Council-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Develop communication skills requirements covering evidence-based communication and sharing health information with patients, families and carers.
Verbatim wording from the response “In addition to the Platform itself, we have also developed a detailed list of communication skills that we expect our nursing professionals to demonstrate at point of registration. The communication skills draw together the communication techniques and skills required to communicate effectively, taking into account best practice and evidence the management of ill-health. Here is an excerpt from Paragraph 2 of the communication skills annexe to the standards:” Source location 2021-0113-Response-from-Nursing-and-Midwifery-Council-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Consider whether post-registration community nursing standards should strengthen proficiencies addressing prevention, management and communication of ill health.
Verbatim wording from the response “• We will consider the concerns that you have raised as part of our current consultation on post-registration standards, to ensure that the parts of our new Post Registration Standards for specialist community public health nursing and specialist practice qualifications for community nursing which relate to the prevention and management of ill health will reduce the risk of information not being communicated clearly.” Source location 2021-0113-Response-from-Nursing-and-Midwifery-Council-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Approve UK undergraduate programmes against the Future Nurse standards.
Verbatim wording from the response “The Future Nurse standards were approved by our Council, following extensive consultation and engagement over a two year period. All undergraduate programmes in the UK have been approved against the new Future Nurse standards. We expect the first nurses to graduate under these new standards in 2022.” Source location 2021-0113-Response-from-Nursing-and-Midwifery-Council-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Evaluate whether the Future Nurse standards support safe practice and are properly implemented to reduce communication-related risks.
Verbatim wording from the response “• We will consider the concerns that you have raised in our evaluation of our new Future Nurse pre-registration standards, focussing on whether those standards are continuing to meet the requirements of what is necessary for safe and effective practice. Moreover, whether the proper implementation of the standards by education institutions will play a part to reduce the risk of cases such as Ella’s arising again in the future.” Source location 2021-0113-Response-from-Nursing-and-Midwifery-Council-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Introduce Future Nurse standards of proficiency for registered nurses.
Verbatim wording from the response “In 2016, we embarked on a significant programme of change in relation to all of our education and training standards, which has included revising our standards of proficiency for nurses and midwives. We introduced new standards of proficiency for registered nurses in 2018, (described as the Future Nurse standards⁶), and midwives in 2019, (described as the Future Midwife standards⁷).” Source location 2021-0113-Response-from-Nursing-and-Midwifery-Council-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Publish and promote a position statement on outdoor air quality, including guidance for paediatricians on communicating health impacts and reducing exposure.
Verbatim wording from the response “Our position statement on outdoor air quality in the UK, strongly supports national policies, practices and legislations that aim to improve outdoor air quality and advocates for sharing information and supporting the public to act.⁶ We recognise that everyone has a responsibility for reducing air pollution and have urged paediatricians to be aware of our position on outdoor air quality, and use it to inform patients and their families of the health impacts and encourage and support them to make positive changes to improve air quality and reduce their exposure to air pollution. We also ask that paediatricians act as role models for others and make personal changes to reduce air pollution where possible, and that they encourage change within their workplace and the wider NHS.” Source location 2021-0113-Response-from-Royal-College-of-Paediatrics-and-Child-Health-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Fund research and pilot studies into low-cost air-quality sensors.
Verbatim wording from the response “35. As part of this process, in 2018/19 Defra commissioned the Environment Agency to carry out a strategic review of the monitoring network, including external engagement with end users and experts. It has secured £1M for this year (2021/2022) and initiated an expansion of particulates monitoring networks. Defra has also funded research and development and practical pilot studies into the use of new low-cost sensor technology (£2m over the last two years). In order to identify suitable technical standards for measurement of accuracy and other performance parameters (which is currently a significant barrier for the use of low-cost sensor technology), Defra is working with the British Standards Institute and the National Physics Laboratory and intends to commission the development of a Publicly Available Specification in the Summer.” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Undertake a fundamental review of the UK-AIR website to improve functionality, user experience and information dissemination.
Verbatim wording from the response “41. Defra’s User Needs research¹⁵ has highlighted that those searching for air quality information can often find it complex and difficult to interpret. The CDGs are committed to improving the provision of air quality data and information. In order to do this, the following actions are being taken forward:” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Increase Air Quality Grant funding for local authorities to £8 million.
Verbatim wording from the response “d) This year, Defra is increasing the amount of Air Quality Grant funding available for Local Authorities to £8million. We will invite specific proposals to use a proportion of this funding to enhance local air quality information and awareness, encouraging local health networks to work collaboratively with Local Authorities to pilot more effective methods of public engagement.” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Commission development of a publicly available specification for low-cost air-quality sensors.
Verbatim wording from the response “35. As part of this process, in 2018/19 Defra commissioned the Environment Agency to carry out a strategic review of the monitoring network, including external engagement with end users and experts. It has secured £1M for this year (2021/2022) and initiated an expansion of particulates monitoring networks. Defra has also funded research and development and practical pilot studies into the use of new low-cost sensor technology (£2m over the last two years). In order to identify suitable technical standards for measurement of accuracy and other performance parameters (which is currently a significant barrier for the use of low-cost sensor technology), Defra is working with the British Standards Institute and the National Physics Laboratory and intends to commission the development of a Publicly Available Specification in the Summer.” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Design an expanded air-quality monitoring framework to measure population exposure and evaluate policy effectiveness.
Verbatim wording from the response “34. In setting new targets through the Environment Bill, there is also a commitment to significantly enhancing the monitoring network, with a view to capturing population wide exposure, as well as supplemental monitoring in order to enhance its ability to assess progress and evaluate the effectiveness of policy interventions. The work to design an expanded monitoring framework is to be undertaken alongside the ascertainment of targets set out above.” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Set annual PM2.5 concentration and population-exposure reduction targets through the Environment Bill.
Verbatim wording from the response “5. The CGDs note the Coroner’s concern that the UK’s current national limits for particulate matter concentrations are higher than the guidelines set by the WHO. The CGDs accept that there is more work to be done at the national level to reduce overall concentrations of particulate matter. The Environment Bill currently making its way through Parliament will make provision for the introduction of a) an annual mean concentration target for PM₂.₅ in ambient air; and b) a population exposure reduction target for PM₂.₅. An extensive public consultation is being planned to take place over the course of the next year.” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Expand particulate-matter monitoring networks using secured funding.
Verbatim wording from the response “35. As part of this process, in 2018/19 Defra commissioned the Environment Agency to carry out a strategic review of the monitoring network, including external engagement with end users and experts. It has secured £1M for this year (2021/2022) and initiated an expansion of particulates monitoring networks. Defra has also funded research and development and practical pilot studies into the use of new low-cost sensor technology (£2m over the last two years). In order to identify suitable technical standards for measurement of accuracy and other performance parameters (which is currently a significant barrier for the use of low-cost sensor technology), Defra is working with the British Standards Institute and the National Physics Laboratory and intends to commission the development of a Publicly Available Specification in the Summer.” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Develop and conduct a public consultation on proposed air-quality targets, including evidence, achievability, interventions, costs and health benefits.
Verbatim wording from the response “5. The CGDs note the Coroner’s concern that the UK’s current national limits for particulate matter concentrations are higher than the guidelines set by the WHO. The CGDs accept that there is more work to be done at the national level to reduce overall concentrations of particulate matter. The Environment Bill currently making its way through Parliament will make provision for the introduction of a) an annual mean concentration target for PM₂.₅ in ambient air; and b) a population exposure reduction target for PM₂.₅. An extensive public consultation is being planned to take place over the course of the next year.” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Invite local-authority proposals to improve air-quality information, awareness and public engagement.
Verbatim wording from the response “d) This year, Defra is increasing the amount of Air Quality Grant funding available for Local Authorities to £8million. We will invite specific proposals to use a proportion of this funding to enhance local air quality information and awareness, encouraging local health networks to work collaboratively with Local Authorities to pilot more effective methods of public engagement.” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Work with standards bodies to establish technical standards for low-cost sensor accuracy and performance.
Verbatim wording from the response “35. As part of this process, in 2018/19 Defra commissioned the Environment Agency to carry out a strategic review of the monitoring network, including external engagement with end users and experts. It has secured £1M for this year (2021/2022) and initiated an expansion of particulates monitoring networks. Defra has also funded research and development and practical pilot studies into the use of new low-cost sensor technology (£2m over the last two years). In order to identify suitable technical standards for measurement of accuracy and other performance parameters (which is currently a significant barrier for the use of low-cost sensor technology), Defra is working with the British Standards Institute and the National Physics Laboratory and intends to commission the development of a Publicly Available Specification in the Summer.” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Undertake further work with general practitioners to provide air-quality advice and information to vulnerable groups.
Verbatim wording from the response “49. Another example of the work being undertaken is a Defra funded pilot project, conducted by Global Action Plan and the UK Health Alliance on Climate Change, investigating whether and how respiratory physicians and paediatricians could be trained to better deliver air quality advice to their patients, and act as champions for air quality within their places of work. Defra are keen to build on this work and are planning further work with general practitioners providing air quality advice and information to a range of vulnerable groups.” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Produce an updated position statement on air quality and lung health.
Verbatim wording from the response “BTS strongly supports the communication of the effects of air pollution by health care professionals to patients and carers. We intend to build upon the work undertaken to date in the following ways over the coming year:” Source location 2021-0113-Response-from-British-Thoracic-Society-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Produce and publish evidence-based asthma management guidance addressing environmental factors, including air pollution, through the BTS/SIGN/NICE joint guideline.
Verbatim wording from the response “The 2019 edition of the BTS/SIGN Guideline states that “Increased asthma symptoms in young children (mean age ≤9) have been linked, in observational studies, to exposure to air pollutants, including particulates, nitrogen dioxide, sulphur dioxide and ozone” (para 6.2.4): https://www.brit-thoracic.org.uk/quality-improvement/guidelines/ (asthma/). BTS and SIGN are now working in partnership with the National Institute for Health and Care Excellence (NICE) to produce a joint guideline on the management of asthma. Work will begin on the new joint guideline later in 2021, the scope of which will include reference to environmental factors including air pollution and with a planned publication date in 2023.” Source location 2021-0113-Response-from-British-Thoracic-Society-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Provide signposting to air-pollution and respiratory-health resources through the Respiratory Futures partner website.
Verbatim wording from the response “It is of prime importance that health care professionals are aware of resources that can be used to inform patients and carers, and the BTS partner website “Respiratory Futures” provides signposting to resources on air pollution and respiratory health.” Source location 2021-0113-Response-from-British-Thoracic-Society-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Provide scientific and clinical input to NICE information development through stakeholder consultation, including guidance on indoor and outdoor air pollution.
Verbatim wording from the response “In addition, BTS provides regular scientific and clinical input to the development of information produced by NICE via the stakeholder consultation process, most notably in relation to guidance on indoor and outdoor air pollution.” Source location 2021-0113-Response-from-British-Thoracic-Society-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Continue raising awareness of poor air quality’s effects on lung health through guidance, conferences, short courses and expert input to stakeholders.
Verbatim wording from the response “BTS strongly supports the communication of the effects of air pollution by health care professionals to patients and carers. We intend to build upon the work undertaken to date in the following ways over the coming year:” Source location 2021-0113-Response-from-British-Thoracic-Society-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Amend the asthma guideline to acknowledge pollution-related asthma risks and include indoor and outdoor pollution exposure measures in personalised action plans.
Verbatim wording from the response “Following the inquest into Ella’s death, NICE carried out an exceptional surveillance review of its guideline on asthma to assess whether the link between air pollution and asthma was appropriately covered. As a result of this process, the decision was made to amend the NICE guideline on asthma: diagnosis, monitoring and chronic asthma management NICE guideline (NG80) to acknowledge the link between air pollution and asthma.” Source location 2021-0113-Response-from-National-Institute-for-Health-and-Care-Excellence-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Complete an exceptional surveillance review of the asthma guideline to assess coverage of the link between air pollution and asthma.
Verbatim wording from the response “Following the inquest into Ella’s death, NICE carried out an exceptional surveillance review of its guideline on asthma to assess whether the link between air pollution and asthma was appropriately covered. As a result of this process, the decision was made to amend the NICE guideline on asthma: diagnosis, monitoring and chronic asthma management NICE guideline (NG80) to acknowledge the link between air pollution and asthma.” Source location 2021-0113-Response-from-National-Institute-for-Health-and-Care-Excellence-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Advocate for incorporating WHO-recommended air-quality limits into UK law.
Verbatim wording from the response “However, we must recognise the limitations of healthcare in addressing this problem and we need urgent action to prevent air pollution from arising in the first place. The recommendation for WHO legal limits is something the UK Health Alliance on Climate Change fully supports, and has been calling for since at least 2018.⁷ While some of our other recommendations have been taken up, such as a ban on the sale of petrol and diesel vehicles, a binding limit for air quality has yet to be incorporated in law. The Environment Bill is a unique opportunity for policy-makers to ensure that this limit becomes a legal requirement which can be used to enforce action. Along with this legal limit, continued investment in active travel and scaling up Clean Air Zones will be vital measures in delivering cleaner air.” Source location 2021-0113-Response-from-UK-Health-Alliance-on-Climate-Change-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Deliver a pilot developing air-pollution advice materials and training paediatricians and respiratory health professionals nationwide.
Verbatim wording from the response “UKHACC fully supports the recommendations that health professionals offer advice to their patients around air quality, and be appropriately trained to do so. With Global Action Plan, UKHACC delivered a pilot project, jointly funded by Defra and Clean Air Fund, to educate and enable paediatricians and respiratory health professionals to provide better advice to their patients on air pollution. This included developing materials and delivering training online across the UK.⁵ The lessons from this pilot can help to inform future training for health professionals.” Source location 2021-0113-Response-from-UK-Health-Alliance-on-Climate-Change-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Deliver a high-profile webinar for GPs incorporating air-pollution content within broader planetary-change coverage.
Verbatim wording from the response “We are also aware that Health Education England are considering an on-line planetary education programme. RCGP is already in the process of producing a planetary health element of a curriculum that all new GP will be assessed against. In the near term we are also planning a high profile webinar that GPs would be able to access and whilst it would have a broader approach to planetary change, it would incorporate elements regarding pollution.” Source location 2021-0113-Response-from-Royal-College-of-General-Practitioners-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Produce a planetary-health curriculum element against which all new GPs will be assessed.
Verbatim wording from the response “We are also aware that Health Education England are considering an on-line planetary education programme. RCGP is already in the process of producing a planetary health element of a curriculum that all new GP will be assessed against. In the near term we are also planning a high profile webinar that GPs would be able to access and whilst it would have a broader approach to planetary change, it would incorporate elements regarding pollution.” Source location 2021-0113-Response-from-Royal-College-of-General-Practitioners-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Host stakeholder workshops to raise awareness of the Breathe London monitoring network and its benefits.
Verbatim wording from the response “I have also secured funding from Bloomberg Philanthropies who are contributing an additional £720,000 towards the Breathe London network to fund 60 more sensors over three years, in part to support a sponsorship programme that will enable organisations and individuals to apply for a free sensor. In response to demand, businesses and other groups will also be able to buy into the network, at a reduced rate, thereby choosing their own sensor location. Throughout June we will be hosting workshops with various stakeholder groups, including schools, businesses, and health organisations to raise awareness of the network and its benefits.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Submit consultation responses advocating legally binding PM2.5 targets based on World Health Organization guidelines.
Verbatim wording from the response “If London can meet the target, with the multiple challenges it faces, so also can the rest of England and Wales. The GLA has submitted responses to Government consultations on the draft Environment Bill and on setting new targets for PM₂.₅. In these responses we highlighted the importance and achievability of setting legally binding PM₂.₅ targets based on the WHO guidelines. The Environment Bill provides an ideal opportunity to do so. I previously called on Government to introduce a new Clean Air Act. In its absence I would encourage the Government to, at the very least, take this opportunity to amend the Bill to enshrine the WHO targets in law.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Publish real-time, localised Breathe London air-quality data through the network website.
Verbatim wording from the response “Following its successful pilot, I have since provided an additional £779,000 to fund 135 new Breathe London air quality sensors across London. These sensors are being delivered by Imperial College London. This new phase is prioritising hospitals, schools and community groups, as well as providing at least one sensor per borough. Sensors have already been installed at hospitals and reference sites with the remaining sensors to be installed by the end of July. Air quality data is now available through the Breathe London website (https://www.breathelondon.org/) which launched in March 2021, making it easier for all Londoners to access reliable, localised, real-time air quality data.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Expand the Breathe London monitoring network with 135 additional air-quality sensors.
Verbatim wording from the response “Following its successful pilot, I have since provided an additional £779,000 to fund 135 new Breathe London air quality sensors across London. These sensors are being delivered by Imperial College London. This new phase is prioritising hospitals, schools and community groups, as well as providing at least one sensor per borough. Sensors have already been installed at hospitals and reference sites with the remaining sensors to be installed by the end of July. Air quality data is now available through the Breathe London website (https://www.breathelondon.org/) which launched in March 2021, making it easier for all Londoners to access reliable, localised, real-time air quality data.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Work with national departments and London boroughs to share effective approaches, improve scientific understanding and promote air-quality information and campaigns.
Verbatim wording from the response “I have hosted several national and international air quality summits, bringing together central Government, Metro Mayors and city leaders from across the UK as well as academics and medical professionals from across the globe to raise awareness of the problem of air pollution. Furthermore, I work closely with environmental and health NGOs to inform and amplify my policies and awareness campaigns. Through London’s leadership of the C40 Air Quality Network, the GLA shares lessons from London’s successful policies and learns from other interventions implemented by cities across the world. I will continue to work closely with these organisations to inform and broaden the reach of my work wherever possible.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Develop London health-and-care structures and engagement approaches to improve communication of air pollution risks and mitigation to clinicians and carers.
Verbatim wording from the response “The London Health and Care Vision sets out the ambition shared by me, London Councils, the NHS and PHE to make London the world’s healthiest global city and the best global city in which to receive health and care services. Together we have identified 10 priority areas for pan-London collaboration, including improving air quality. Building on this, and in light of your PFD report, we have committed to work even more closely together to increase awareness of air pollution, its health impacts and mitigation measures, and to maximise health and care system support for vital structural changes such as the expansion of ULEZ and enabling more walking and cycling. This will also necessitate improved information sharing and communication across London’s health and care networks.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Operate Londonwide air-quality alerts through transport signs, station displays, email, social media and partner dissemination.
Verbatim wording from the response “Raising awareness about air pollution has been a major priority for me. In 2016, I instituted an alerts system to warn Londoners about air pollution episodes. During high and very high air pollution days, air quality alerts are displayed at:” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Fund 60 further Breathe London sensors over three years through sponsorship and network participation.
Verbatim wording from the response “I have also secured funding from Bloomberg Philanthropies who are contributing an additional £720,000 towards the Breathe London network to fund 60 more sensors over three years, in part to support a sponsorship programme that will enable organisations and individuals to apply for a free sensor. In response to demand, businesses and other groups will also be able to buy into the network, at a reduced rate, thereby choosing their own sensor location. Throughout June we will be hosting workshops with various stakeholder groups, including schools, businesses, and health organisations to raise awareness of the network and its benefits.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Review the Londonwide air-quality alerts system, including message testing and methods to reach vulnerable populations.
Verbatim wording from the response “However, I appreciate that some of the most vulnerable Londoners may not be aware of the alerts which is why my officers are currently undertaking a review of my Londonwide alerts system, including message testing and exploring additional methods to increase its use by vulnerable populations. As part of this process, we are working with the London boroughs to understand how they share the alerts with their communities and explore how we can support them further to share the messaging.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
×
Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Local authorities are responsible for communicating local pollution scores and considering air pollution in housing allocation decisions.
Verbatim wording from the response “17. Local authorities have an important role to play, not least in communicating local pollution scores and explaining what they mean to the community. This may include recommending that certain groups do not go out at times when pollution is particularly high, avoid particular roads or areas, and don’t open windows at certain times. Local authorities also have a role in making sure air pollution is a factor in housing allocation decisions.” Source location 2021-0113-Response-from-Royal-College-of-Physicians-Redacted
Open published response
×
Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation The regulator’s powers do not extend to mandating specific content in undergraduate medical curricula.
Verbatim wording from the response “Our powers don’t extend to mandating specific content in undergraduate curricula, but the outcomes do describe relevant key themes around the environmental factors contributing to health. These include requiring newly qualified doctors to:” Source location 2021-0113-Response-from-General-Medical-Council-Redacted
Open published response
×
Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Postgraduate specialty curricula are set by medical Royal Colleges and faculties, with curricula and assessment systems approved by the GMC.
Verbatim wording from the response “The curricula for postgraduate specialty training are set by individual medical Royal Colleges and faculties, and the GMC approves curricula and assessment systems for each training programme. The Academy Foundation Programme Committee coordinates and facilitates the work of the medical Royal Colleges and faculties to produce the curriculum for the Foundation Programme, the first two years of postgraduate medical training.” Source location 2021-0113-Response-from-Health-Education-England-Redacted
Open published response
×
Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Undergraduate medical and nursing curricula are set by individual schools and universities, subject to standards set and monitored by the GMC and NMC.
Verbatim wording from the response “The standards for medical and nursing education in the UK are set by the respective independent professional regulator, the General Medical Council (GMC) and Nursing & Midwifery Council (NMC).” Source location 2021-0113-Response-from-Health-Education-England-Redacted
Open published response
×
Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation The regulator does not set requirements for all postgraduate education of nursing professionals.
Verbatim wording from the response “Nurses and midwives who are initially registered with us may pursue additional qualifications that can also be registered with us. We describe these as post-registration qualifications. We do not set the requirements for all postgraduate education of nursing professionals.” Source location 2021-0113-Response-from-Nursing-and-Midwifery-Council-Redacted
Open published response
×
Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Existing nursing standards cover environmental factors affecting health through their reference to the wider determinants of health, despite not expressly mentioning them.
Verbatim wording from the response “While the standards do not expressly refer to environmental factors affecting health, we believe that these would be covered by the reference to “wider determinants of health” expressed in the standards.” Source location 2021-0113-Response-from-Nursing-and-Midwifery-Council-Redacted
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Achieving WHO particulate-matter guideline levels everywhere may not be technically or socio-economically feasible, particularly in densely populated urban areas.
Verbatim wording from the response “14. As recognised in the 2005 update the extent to which reductions in small particle concentrations to or below the guideline levels recommended by the WHO are technically feasible will vary from country to country and will depend on local circumstances.” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation WHO air-quality guidelines are not standards requiring direct adoption; national limits may reflect local health, feasibility, economic and social considerations.
Verbatim wording from the response “management and environmental policies. National standards will vary according to the approach adopted for balancing health risks, technological feasibility, economic considerations and various other political and social factors, which in turn will depend on, among other things, the level of development and national capability in air quality management. The guideline values recommended by WHO acknowledge this heterogeneity and, in particular, recognize that when formulating policy targets, governments should consider their own local circumstances carefully before adopting the guidelines directly as legally based standards.” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Government and other policymakers must regulate pollution-generating activity to significantly reduce air pollution risks to public health.
Verbatim wording from the response “The Society will do all it can to inform, educate and support respiratory health care professionals in this area, but we wish to emphasise that the risk of air pollution to public health will only be significantly reduced if government and other policy makers act in order to regulate pollution generating activity.” Source location 2021-0113-Response-from-British-Thoracic-Society-Redacted
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Tackling pollution from sources outside London requires a national approach and appropriate powers and funding from Government.
Verbatim wording from the response “The GLA has set out in detail the key sources of PM₂.₅ for London and the additional measures needed to meet the WHO guidelines in a report published in October 2019. Despite having some of the highest concentrations of PM₂.₅ in the UK the report shows that, with the delegation of appropriate funding and powers, such as over construction machinery, commercial cooking and woodburning, it would be possible for London to meet this target. Additionally, around half of all PM₂.₅ measured in London comes from sources outside of the city, such as from industry and agriculture. This means a national approach to tackling air pollution is needed.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation A national awareness campaign and national alerts system require central Government leadership beyond regional and local government’s capacity.
Verbatim wording from the response “I am fully committed to working closely with Defra, the Department for Transport and the Department for Health and Social Care as well as the London boroughs to share examples of what has worked in London, and to improve scientific understanding, including of the sources of pollution. I am also committed to working in partnership to promote existing and upcoming campaigns and sources of information to further raise public awareness. As part of this, I am exploring opportunities to bring together ministers and health professionals to agree on how best to take this collaboration forward in London.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Improving clinicians’ and carers’ communication requires Government leadership and national support from relevant professional organisations.
Verbatim wording from the response “The London Health and Care Vision sets out the ambition shared by me, London Councils, the NHS and PHE to make London the world’s healthiest global city and the best global city in which to receive health and care services. Together we have identified 10 priority areas for pan-London collaboration, including improving air quality. Building on this, and in light of your PFD report, we have committed to work even more closely together to increase awareness of air pollution, its health impacts and mitigation measures, and to maximise health and care system support for vital structural changes such as the expansion of ULEZ and enabling more walking and cycling. This will also necessitate improved information sharing and communication across London’s health and care networks.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised. 53 1 Refresh the Joint Strategic Needs Assessment for Air Quality in 2022.
Stated by London Borough of Lewisham Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source 2 Publish WHO-recommended air-quality levels alongside current UK limits in air-quality documents and communications.
Stated by London Borough of Lewisham Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source 3 Continue raising the profile of air pollution’s health impacts through collaboration with medical and climate-change organisations.
Stated by Royal College of Physicians Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 4 Consider how to help medical professionals become local advocates for reducing air pollution.
Stated by Royal College of Physicians Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source 5 Work with government and the NHS to improve incentives and systems indicating when air-pollution conversations with patients are necessary.
Stated by Royal College of Physicians Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source 6 Share the response with relevant senior health officials and organisations attending the multi-agency meeting.
Stated by General Medical Council Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source 7 Approve the new Foundation Programme curriculum, including core learning on health promotion and public health.
Stated by General Medical Council Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source 8 Work with the Academy of Medical Royal Colleges to develop a process for shared learning across postgraduate specialties.
Stated by General Medical Council Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 9 Develop a more proactive approach to supporting doctors’ lifelong learning and continuing professional development.
Stated by General Medical Council Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 10 Introduce GMC credentials to recognise expertise in specific practice areas and approve, quality assure and recognise credentials developed by other bodies.
Stated by General Medical Council Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 11 Continue monitoring the environmental impact of climate change on respiratory disease-related regulatory work.
Stated by Nursing and Midwifery Council Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source 12 Share the Prevention of Future Deaths responses with the General Medical Council and relevant health officials through the multi-agency meeting.
Stated by Nursing and Midwifery Council Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source 13 Share the responses with the Department of Health and Social Care and NHS England and Improvement for identification of common themes and potential joint work.
Stated by Nursing and Midwifery Council Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source 14 Develop asthma competencies for child health professionals and carers with NHS England and Health Education England.
Stated by Royal College of Paediatrics and Child Health Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 15 Provide educational training on improving asthma care that addresses wider determinants of outcomes for children.
Stated by Royal College of Paediatrics and Child Health Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source 16 Publish research and policy advocacy highlighting air quality threats to children’s health outcomes.
Stated by Royal College of Paediatrics and Child Health Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source 17 Develop and promote member training on sustainable healthcare, the climate crisis and communicating these issues with patients and families.
Stated by Royal College of Paediatrics and Child Health Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source 18 Mark Clean Air Day with members and support its campaign to protect children’s health from air pollution.
Stated by Royal College of Paediatrics and Child Health Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source 19 Support members to advocate for improved sustainability in clinical workplaces and contribute to the NHS net-zero ambition.
Stated by Royal College of Paediatrics and Child Health Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source 20 Continue working with UK health organisations to advocate for climate-change responses that protect and promote public health.
Stated by Royal College of Paediatrics and Child Health Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 21 Support the #AskAboutAsthma campaign promoting annual reviews, correct inhaler technique and understood asthma plans.
Stated by Royal College of Paediatrics and Child Health Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source 22 Establish a comprehensive member-driven programme addressing climate change, sustainability and children’s health.
Stated by Royal College of Paediatrics and Child Health Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 23 Work with health professionals and media organisations to test the updated Daily Air Quality Index and assess communication methods, including SMS alerts.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 24 Provide air-quality expertise and access to academic and expert networks to relevant professional organisations.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 25 Continue engaging broadcasters, social-media companies and other stakeholders to improve communication about air pollution risks and protective actions.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 26 Establish an expert group to oversee the overhaul and update of the Daily Air Quality Index.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 27 Assist professional organisations in engaging medical professionals to communicate air-pollution health effects to patients and the public.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 28 Pass legislation phasing out domestic sales of house coal and small volumes of wet wood.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source 29 Develop a priority action plan for reducing population exposure to PM2.5 through the Office for Health Promotion.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source 30 Develop and publish the phased National Bundle of Care for children and young people with asthma.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 31 Add the healthcare-profession voice to climate-change and air-pollution debates through membership of the UK Health Alliance on Climate Change and involvement in the Taskforce for Lung Health.
Stated by The British Thoracic Society Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 32 Work with the British Thoracic Society and Scottish Intercollegiate Guidelines Network to produce UK-wide guidance replacing the existing asthma guideline.
Stated by National Institute for Health and Care Excellence Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 33 Support Greener Practice Networks’ air-pollution work and encourage practices to participate in the Green Impact Award for Health.
Stated by Royal College of General Practitioners Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source 34 Disinvest from organisations involved with fossil fuels.
Stated by Royal College of General Practitioners Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source 35 Emphasise electric transport and support appropriate bicycle use through changed commercial policies and related arrangements.
Stated by Royal College of General Practitioners Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source 36 Undertake environmental audits of organisational activities.
Stated by Royal College of General Practitioners Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source 37 Collaborate with the Primary Care Respiratory Society on pollution’s effects on respiratory function.
Stated by Royal College of General Practitioners Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 38 Continue working to reduce the organisation’s carbon footprint.
Stated by Royal College of General Practitioners Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 39 Raise awareness of pollution impacts among policymakers, public-health stakeholders, members, practices and patients.
Stated by Royal College of General Practitioners Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 40 Enforce tougher heavy-vehicle emissions standards in the Londonwide Low Emission Zone.
Stated by Greater London Authority Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source 41 Work with partners to improve NHS coordination so alerts can reach health authorities and London GPs.
Stated by Greater London Authority Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 42 Set a statutory London target to meet World Health Organization PM2.5 guidelines by 2030.
Stated by Greater London Authority Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source 43 Develop an online tool to inform and encourage individual behaviour change regarding transport-related pollution exposure.
Stated by Greater London Authority Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source 44 Prepare updated borough-specific air-quality public-health guidance and share it with borough public-health officers.
Stated by Greater London Authority Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 45 Expand the Ultra Low Emission Zone to the North and South Circular Roads.
Stated by Greater London Authority Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source 46 Implement the central London Ultra Low Emission Zone.
Stated by Greater London Authority Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source 47 Share alerts-review findings and implement suggested improvements.
Stated by Greater London Authority Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source 48 Provide the London Schools Pollution Helpdesk to support schools in reducing staff and student pollution exposure.
Stated by Greater London Authority Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source 49 Explore convening ministers and health professionals to agree how Londonwide air-quality collaboration should proceed.
Stated by Greater London Authority Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 50 Update research on inequalities in London air-pollution exposure and reflect it in the ongoing air-quality programme.
Stated by Greater London Authority Stated plannedThe respondent said that this action was planned when they made their response on 21 April 2021. View source 51 Commission studies on air pollution, health and transport choices, and disseminate the findings with health and care stakeholders.
Stated by Greater London Authority Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 52 Fund and deliver air-pollution awareness campaigns, including anti-idling, ULEZ and exposure-reduction messaging.
Stated by Greater London Authority Stated in progressThe respondent said that this action was in progress when they made their response on 21 April 2021. View source 53 Join the WHO/UNEP Breathe Life Campaign to support safe air-quality levels by 2030.
Stated by Greater London Authority Stated completedThe respondent said that this action was complete when they made their response on 21 April 2021. View source Recipient positions A position is what a recipient says about a concern when they do not describe a specific action. 4 1 Widespread societal measures and regulation to significantly reduce air pollution depend on government and other policymakers.
Stated by Royal College of Physicians Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action. View source 2 Deciding what information doctors give patients is outside the regulator’s responsibility.
Stated by General Medical Council Outside remitThe respondent said that this matter was outside its role or authority. View source 3 Some particulate pollution episodes derive from transboundary sources and weather conditions beyond direct national control.
Stated by Department for Environment, Food & Rural Affairs and Department for Transport and Department of Health and Social Care Unable to actThe respondent said that a constraint prevented them from taking the relevant action. View source 4 Health care professionals cannot address the root causes of poor air quality through advice to patients, carers or parents.
Stated by The British Thoracic Society Unable to actThe respondent said that a constraint prevented them from taking the relevant action. View source
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Refresh the Joint Strategic Needs Assessment for Air Quality in 2022.
Verbatim wording from the response “• Raising awareness: As the London Borough of Lewisham highlighted during the Inquest, the raising of awareness of air quality issues has improved significantly since Ella’s death. This is partly as a result of the transfer of the public health functions from the NHS to the Borough in April 2013, which led to a Joint Strategic Needs Assessment for Air Quality in 2018, which will be refreshed again in 2022 (and which has a target audience of those who commission, provide or use health, social or children’s services in Lewisham). It has also improved due to technology and social media, so that the London Borough of Lewisham is able to promote airTEXT, the Imperial College London Air webpage, the GLA air quality web page/alerts, and even its own air quality App. However, there is more work that can and will be done.” Source location 2021-0113-Response-from-London-Borough-of-Lewisham-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Publish WHO-recommended air-quality levels alongside current UK limits in air-quality documents and communications.
Verbatim wording from the response “• WHO-specific reporting: Like the Coroner and Ella’s family (and, we understand, the Mayor of London), we are concerned about the discrepancy between the national limits which are set by central Government and the WHO guidelines. Whilst we understand that central Government has been asked to address this as a separate concern, as part of our commitment to provide additional and meaningful information around air quality levels, the London Borough of Lewisham will commit to identifying the WHO recommended levels alongside the current UK limits when publishing air quality data. We hope that this draws to greater public attention the difference between the limits, acts as a catalyst for other local authorities to do the same, and puts pressure on central government to take a more ambitious approach to limit values.” Source location 2021-0113-Response-from-London-Borough-of-Lewisham-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Continue raising the profile of air pollution’s health impacts through collaboration with medical and climate-change organisations.
Verbatim wording from the response “2. Air pollution is of great concern to all physicians, not just respiratory specialists, which is why we helped established the UK Health Alliance on Climate Change. Its impacts can be profound, particularly for the developing foetus, children and young people, and people living in more deprived areas. As well as adversely affecting lung development and growth, it can cause diseases and conditions of the lungs. It can also cause or exacerbate cancer, heart disease, cognitive problems and diabetes.” Source location 2021-0113-Response-from-Royal-College-of-Physicians-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Consider how to help medical professionals become local advocates for reducing air pollution.
Verbatim wording from the response “11. Finally, we will consider how we might help medical professionals become local advocates for reducing air pollution. The NHS’ adoption in 2020 of a multiyear plan to become the world’s first carbon net zero national health system and its Greener NHS campaign offer opportunities to raise the medical voice on this issue.” Source location 2021-0113-Response-from-Royal-College-of-Physicians-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Work with government and the NHS to improve incentives and systems indicating when air-pollution conversations with patients are necessary.
Verbatim wording from the response “10. At the same time, more needs to be done to help doctors and others know when to have these conversations. For example, electronic patient record systems in primary and secondary care could alert them when someone is living in an area of high pollution. An indicator could be added to the Quality and Outcomes Framework (QOF).” Source location 2021-0113-Response-from-Royal-College-of-Physicians-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Share the response with relevant senior health officials and organisations attending the multi-agency meeting.
Verbatim wording from the response “The GMC is committed to work with others in the health and care sectors to improve training of the professionals we regulate so that environmental factors contributing to ill health, are better recognised and treated. We have agreed to share our response with Professor ████████ (Chief Medical Officer), ████████ (Chief Nursing Officer for England) and all the organisations who attended a multi-agency meeting hosted by Dr ████████ on 1 June 2021. We are pleased to note that in our conversations with others across the system, there seems to be a real desire to address these issues holistically, and that will require cooperation across numerous areas of government, the health service, regulators and the public at large.” Source location 2021-0113-Response-from-General-Medical-Council-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Approve the new Foundation Programme curriculum, including core learning on health promotion and public health.
Verbatim wording from the response “Foundation Programme” Source location 2021-0113-Response-from-General-Medical-Council-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Work with the Academy of Medical Royal Colleges to develop a process for shared learning across postgraduate specialties.
Verbatim wording from the response “Shared learning across postgraduate specialties” Source location 2021-0113-Response-from-General-Medical-Council-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Develop a more proactive approach to supporting doctors’ lifelong learning and continuing professional development.
Verbatim wording from the response “Lifelong learning” Source location 2021-0113-Response-from-General-Medical-Council-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Introduce GMC credentials to recognise expertise in specific practice areas and approve, quality assure and recognise credentials developed by other bodies.
Verbatim wording from the response “Credentialing” Source location 2021-0113-Response-from-General-Medical-Council-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Continue monitoring the environmental impact of climate change on respiratory disease-related regulatory work.
Verbatim wording from the response “I would also like to share that, as part of our Five Year Strategy, we have identified the impact of climate change on respiratory diseases, and we will continue to monitor environmental impact on our work as a regulator.” Source location 2021-0113-Response-from-Nursing-and-Midwifery-Council-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Share the Prevention of Future Deaths responses with the General Medical Council and relevant health officials through the multi-agency meeting.
Verbatim wording from the response “I have shared our response to the Prevention of Future Deaths Reports with the GMC and Professor ████████, Chief Medical Officer as part of a multi-agency meeting hosted by Dr ████████ on 1 June 2021. At that meeting, we agreed to share our responses with Professor ████████ and ████████, Chief Nursing Officer for England, so that the Department and NHS England/Improvement can identify any common themes or joint work that the agencies can take forward together.” Source location 2021-0113-Response-from-Nursing-and-Midwifery-Council-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Share the responses with the Department of Health and Social Care and NHS England and Improvement for identification of common themes and potential joint work.
Verbatim wording from the response “I have shared our response to the Prevention of Future Deaths Reports with the GMC and Professor ████████, Chief Medical Officer as part of a multi-agency meeting hosted by Dr ████████ on 1 June 2021. At that meeting, we agreed to share our responses with Professor ████████ and ████████, Chief Nursing Officer for England, so that the Department and NHS England/Improvement can identify any common themes or joint work that the agencies can take forward together.” Source location 2021-0113-Response-from-Nursing-and-Midwifery-Council-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Develop asthma competencies for child health professionals and carers with NHS England and Health Education England.
Verbatim wording from the response “At a national level, the College is working with the children’s team at NHS England/Improvement and Health Education England to develop asthma competencies for child health professionals and carers. The College’s own educational course on improving asthma care considers the wider determinants of outcomes in asthma for children.” Source location 2021-0113-Response-from-Royal-College-of-Paediatrics-and-Child-Health-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Provide educational training on improving asthma care that addresses wider determinants of outcomes for children.
Verbatim wording from the response “At a national level, the College is working with the children’s team at NHS England/Improvement and Health Education England to develop asthma competencies for child health professionals and carers. The College’s own educational course on improving asthma care considers the wider determinants of outcomes in asthma for children.” Source location 2021-0113-Response-from-Royal-College-of-Paediatrics-and-Child-Health-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Publish research and policy advocacy highlighting air quality threats to children’s health outcomes.
Verbatim wording from the response “The College’s State of Child Health report reveals the UK as having one of the highest rates of asthma deaths among 10 to 24-year-olds in Europe.⁴ ⁵ Emergency admissions, and deaths, relating to asthma are largely preventable with improved management and early intervention, and sadly these poor outcomes are strongly associated with deprivation. In January 2020, we published two major pieces of research and policy advocacy to highlight the threat of air quality to health outcomes for children, which I will go on to describe.” Source location 2021-0113-Response-from-Royal-College-of-Paediatrics-and-Child-Health-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Develop and promote member training on sustainable healthcare, the climate crisis and communicating these issues with patients and families.
Verbatim wording from the response “• developing and promoting training for our members on key aspects of sustainable healthcare and the climate crisis, including communication about this topic with patients and families” Source location 2021-0113-Response-from-Royal-College-of-Paediatrics-and-Child-Health-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Mark Clean Air Day with members and support its campaign to protect children’s health from air pollution.
Verbatim wording from the response “The RCPCH is a member of the UK Health Alliance on Climate Change¹⁰ and continues to work in partnership with others to advocate for responses to climate change that protects and promotes public health. In June we will be marking Clean Air Day with our members and showing our support for this year’s theme ‘let’s protect our children’s health from air pollution’.” Source location 2021-0113-Response-from-Royal-College-of-Paediatrics-and-Child-Health-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Support members to advocate for improved sustainability in clinical workplaces and contribute to the NHS net-zero ambition.
Verbatim wording from the response “• supporting our members to advocate for improved sustainability locally in their clinical work and workplaces as well as supporting the wider national ambition for the NHS to be net zero by 2040” Source location 2021-0113-Response-from-Royal-College-of-Paediatrics-and-Child-Health-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Continue working with UK health organisations to advocate for climate-change responses that protect and promote public health.
Verbatim wording from the response “The RCPCH is a member of the UK Health Alliance on Climate Change¹⁰ and continues to work in partnership with others to advocate for responses to climate change that protects and promotes public health. In June we will be marking Clean Air Day with our members and showing our support for this year’s theme ‘let’s protect our children’s health from air pollution’.” Source location 2021-0113-Response-from-Royal-College-of-Paediatrics-and-Child-Health-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Support the #AskAboutAsthma campaign promoting annual reviews, correct inhaler technique and understood asthma plans.
Verbatim wording from the response “We welcome the NHS Long Term Plan’s commitment to renew its NHS prevention programme and recognise the opportunities brought forward by the upcoming Health and Social Care Bill where integrated care systems (ICS) will provide the basis for health organisations and local authorities to improve upstream prevention of avoidable illness. It is critically important that children are represented at strategic level in ICSs so they reap the benefits of evidence-based planning with sufficient resource to meet their needs. We will be supporting this year’s #AskAboutAsthma campaign as the NHS in London ask sufferers to ‘take three small steps to improve lives.’ This includes a reminder to have an annual asthma review, ensure inhaler techniques are right and make sure an asthma plan is in place and well understood.” Source location 2021-0113-Response-from-Royal-College-of-Paediatrics-and-Child-Health-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Establish a comprehensive member-driven programme addressing climate change, sustainability and children’s health.
Verbatim wording from the response “We are committed to leading the way to adopt ways of working and policies that support improvements in outdoor air quality. In October 2020 we joined many other organisations in declaring a climate emergency, highlighting the detrimental impacts of air pollution on younger people.⁸ Climate change has been identified as a priority in our new College strategy for 2021-24, and we are in the process of establishing a comprehensive programme of work which will be driven by our members. Our ambitious aims include:” Source location 2021-0113-Response-from-Royal-College-of-Paediatrics-and-Child-Health-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Work with health professionals and media organisations to test the updated Daily Air Quality Index and assess communication methods, including SMS alerts.
Verbatim wording from the response “c) An updated DAQI could enable more specific messaging for different population groups and pollutant levels. This will assist health professions in advising patients when poor air quality is forecast. We will work with the health professions and media organisations, including weather forecasters to test the DAQI and how it can be most effectively communicated and consider the effectiveness of SMS alerts” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Provide air-quality expertise and access to academic and expert networks to relevant professional organisations.
Verbatim wording from the response “50. The CGDs recognise the important role of the medical profession in raising awareness of the availability and relevance of the Air Quality Information available, and will continue to: -” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Continue engaging broadcasters, social-media companies and other stakeholders to improve communication about air pollution risks and protective actions.
Verbatim wording from the response “e) Defra will continue to engage with broadcasters, local radio stations, social media companies, and other media outlets, to look at ways to improve communication on air quality. More broadly, the government will continue to work with a range of stakeholders and partners, including Global Action Plan, Asthma UK and the British Lung Foundation Partnership, or British Heart Foundation and weather forecasters to provide clear messages about the risks of air pollution and the actions people can take.” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Establish an expert group to oversee the overhaul and update of the Daily Air Quality Index.
Verbatim wording from the response “b) A fundamental component of communicating information on UK-AIR is the Daily Air Quality Index (DAQI), which gives advice, based on the level of pollution that is being forecast and measured. Evidence about its development was provided at the inquest. Defra, Public Health England and DHSC are working with the chairs of the Air Quality Expert Group (AQEG) and the Committee on Medical Effects of Air Pollutants (COMEAP) to establish an expert group to steer the overhaul and update the DAQI in the light of accumulated new evidence and experience.” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Assist professional organisations in engaging medical professionals to communicate air-pollution health effects to patients and the public.
Verbatim wording from the response “47. There is clearly a link between such awareness raising, so as to improve communications to the patients and their carers, and the efforts of CGDs and local authorities to raise public awareness of the sources of information available. For this reason, Defra and DHSC are assisting the professional organisations to take forward activities to further engage their membership in understanding air pollution and communicating information to patients and the wider public.” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Pass legislation phasing out domestic sales of house coal and small volumes of wet wood.
Verbatim wording from the response “In addition, Defra is continuing to drive forward the actions outlined in the Clean Air Strategy, and has passed legislation to phase out the sale of house coal and small volumes of wet wood for domestic burning which came into force on 1 May 2021, with a particular view to tackling PM₂.₅ pollution” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Develop a priority action plan for reducing population exposure to PM2.5 through the Office for Health Promotion.
Verbatim wording from the response “25. Further to considering the World Health Organisation guidelines and the advice of a wide range of independent experts in shaping both targets, the Government will commit that the new Office for Health Promotion, working across Government, will consider as a priority how public health benefits can be achieved through reductions in population exposure to PM₂.₅ via an action plan, taking into account the particular circumstances experienced in London and the South East.” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Develop and publish the phased National Bundle of Care for children and young people with asthma.
Verbatim wording from the response “42. From a health perspective, NHS England and Improvement’s (NHSEI) Children and Young People’s (CYP) Transformation Programme is working to increase awareness by promoting a systematic approach to asthma management which includes a comprehensive education programme, identifying environmental triggers, promoting personalised care, effective preventative medicine and improved accuracy of diagnosis. This includes a National Bundle of Care (“The Bundle”), a set of National Standards with associated Integrated Care System deliverables. The Bundle is developed with clinical and patient experts, Royal Colleges, Professional Bodies and the third sector, to provide a framework for Local Systems to lead work on a range of improvements to support Children and Young People with asthma. Phase one of the Bundle will be published end June 2021, with Phase two published by April 2022.” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Add the healthcare-profession voice to climate-change and air-pollution debates through membership of the UK Health Alliance on Climate Change and involvement in the Taskforce for Lung Health.
Verbatim wording from the response “- By adding the health care profession voice to the debate on climate change and air pollution through our membership of the UK Health Alliance on Climate Change and through our continued involvement in the Taskforce for Lung Health.” Source location 2021-0113-Response-from-British-Thoracic-Society-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Work with the British Thoracic Society and Scottish Intercollegiate Guidelines Network to produce UK-wide guidance replacing the existing asthma guideline.
Verbatim wording from the response “Separate to the above actions, the British Thoracic Society, Scottish Intercollegiate Guidelines Network and NICE are currently working together to produce UK-wide guidance on asthma diagnosis and monitoring and chronic asthma management that will update and replace the existing NICE guideline (NG80) once published. The expected publication date of this new joint guideline is yet to be scheduled.” Source location 2021-0113-Response-from-National-Institute-for-Health-and-Care-Excellence-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Support Greener Practice Networks’ air-pollution work and encourage practices to participate in the Green Impact Award for Health.
Verbatim wording from the response “As RCGP, we support the “Greener Practice Networks” approach, which has a significant emphasis on air pollution. See here for details. The RCGP has for several years encouraged engagement of practices in the Green Impact Award for Health (see here) which includes encouragement for practices to address the use of cars for transport by staff and patients; this is part of the work supported by the college's Climate Change Emergency Advisory Group which is jointly chaired by Dr ████████ and a former RCGP President, Dr ████████. We also work” Source location 2021-0113-Response-from-Royal-College-of-General-Practitioners-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Disinvest from organisations involved with fossil fuels.
Verbatim wording from the response “Finally, RCGP as an organisation has undertaken its own environmental audits and we continue to work to reduce our own carbon footprint. We were also the first Royal College to make a strategic decision to disinvest in organisations that are involved with fossil fuels.” Source location 2021-0113-Response-from-Royal-College-of-General-Practitioners-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Emphasise electric transport and support appropriate bicycle use through changed commercial policies and related arrangements.
Verbatim wording from the response “RCGP is supportive of the use of non-carbon transport. In line with a change to our commercial policies, we emphasise electric modes of transport as well as where appropriate, supporting the use of bicycles, such as that arranged by our Wessex Faculty (see here for details).” Source location 2021-0113-Response-from-Royal-College-of-General-Practitioners-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Undertake environmental audits of organisational activities.
Verbatim wording from the response “Finally, RCGP as an organisation has undertaken its own environmental audits and we continue to work to reduce our own carbon footprint. We were also the first Royal College to make a strategic decision to disinvest in organisations that are involved with fossil fuels.” Source location 2021-0113-Response-from-Royal-College-of-General-Practitioners-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Collaborate with the Primary Care Respiratory Society on pollution’s effects on respiratory function.
Verbatim wording from the response “As RCGP, we support the “Greener Practice Networks” approach, which has a significant emphasis on air pollution. See here for details. The RCGP has for several years encouraged engagement of practices in the Green Impact Award for Health (see here) which includes encouragement for practices to address the use of cars for transport by staff and patients; this is part of the work supported by the college's Climate Change Emergency Advisory Group which is jointly chaired by Dr ████████ and a former RCGP President, Dr ████████. We also work” Source location 2021-0113-Response-from-Royal-College-of-General-Practitioners-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Continue working to reduce the organisation’s carbon footprint.
Verbatim wording from the response “Finally, RCGP as an organisation has undertaken its own environmental audits and we continue to work to reduce our own carbon footprint. We were also the first Royal College to make a strategic decision to disinvest in organisations that are involved with fossil fuels.” Source location 2021-0113-Response-from-Royal-College-of-General-Practitioners-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Raise awareness of pollution impacts among policymakers, public-health stakeholders, members, practices and patients.
Verbatim wording from the response “RCGP has been working to raise the profile of impact of pollution at public health and policy levels and also with members, practices and patients. In preparing this response, I am indebted to colleagues in helping to draft a reply to your Regulation 28 letter. I would particularly like to thank Dr ████████ and Dr ████████ for their assistance.” Source location 2021-0113-Response-from-Royal-College-of-General-Practitioners-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Enforce tougher heavy-vehicle emissions standards in the Londonwide Low Emission Zone.
Verbatim wording from the response “I have made tackling air pollution a priority, embedding it across my strategies for London, including my Transport, Environment and Health Inequalities Strategies and the London Plan, and identifying it as a priority in the London Health and Care Vision. This informed my decision to implement ambitious measures such as the early introduction of the world’s first Ultra Low Emission Zone (ULEZ) in central London in April 2019, its forthcoming expansion up to the North and South Circular Roads this October and the introduction of tougher standards for heavy vehicles operating in the existing Londonwide Low Emission Zone (LEZ), enforced from 1 March 2021.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Work with partners to improve NHS coordination so alerts can reach health authorities and London GPs.
Verbatim wording from the response “We are working with partners to improve our coordination with the NHS in order to enable the dissemination of the alerts to health authorities and London GPs. This process will require support from PHE and the NHS to ultimately enable the alerts to reach more vulnerable Londoners. This” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Set a statutory London target to meet World Health Organization PM2.5 guidelines by 2030.
Verbatim wording from the response “I fully agree with your area of concern on this issue. In 2018, I set a target in my statutory London Environment Strategy for London to meet current WHO guidelines for PM₂.₅ no later than 2030. I have also signed London up to the WHO/UNEP Breathe Life Campaign, a network of 73 cities, regions and countries that have joined to demonstrate their commitment to bring air quality to safe levels by 2030 and collaborate on the clean air solutions that will help achieve this.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Develop an online tool to inform and encourage individual behaviour change regarding transport-related pollution exposure.
Verbatim wording from the response “In 2021, we have commissioned a number of studies to provide additional evidence on the links between air pollution and health (respectively COVID-19 and other communicable diseases, and asthma). Additionally, we have commissioned work investigating how different transport choices can reduce an individual’s exposure to air pollution. This will be used to develop an online tool to inform and encourage individual behaviour change. The results of these studies will be published later this year and we will work with stakeholders from the health and care communities to ensure widespread dissemination of the findings.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Prepare updated borough-specific air-quality public-health guidance and share it with borough public-health officers.
Verbatim wording from the response “As discussed during the inquest, in 2012 the GLA produced borough-specific air quality public health guidance to inform each borough’s Joint Strategic Needs Assessments (JSNAs) on air quality and Health and Wellbeing Strategy. The inquest highlighted the value of these documents and officers from my Air Quality and Health teams have since begun the process of preparing updated JSNA guidance documents, in collaboration with PHE. These documents will be shared with borough public health officers this autumn. To my knowledge, no other similar resources have been developed for use outside of London.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Expand the Ultra Low Emission Zone to the North and South Circular Roads.
Verbatim wording from the response “I have made tackling air pollution a priority, embedding it across my strategies for London, including my Transport, Environment and Health Inequalities Strategies and the London Plan, and identifying it as a priority in the London Health and Care Vision. This informed my decision to implement ambitious measures such as the early introduction of the world’s first Ultra Low Emission Zone (ULEZ) in central London in April 2019, its forthcoming expansion up to the North and South Circular Roads this October and the introduction of tougher standards for heavy vehicles operating in the existing Londonwide Low Emission Zone (LEZ), enforced from 1 March 2021.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Implement the central London Ultra Low Emission Zone.
Verbatim wording from the response “I have made tackling air pollution a priority, embedding it across my strategies for London, including my Transport, Environment and Health Inequalities Strategies and the London Plan, and identifying it as a priority in the London Health and Care Vision. This informed my decision to implement ambitious measures such as the early introduction of the world’s first Ultra Low Emission Zone (ULEZ) in central London in April 2019, its forthcoming expansion up to the North and South Circular Roads this October and the introduction of tougher standards for heavy vehicles operating in the existing Londonwide Low Emission Zone (LEZ), enforced from 1 March 2021.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Share alerts-review findings and implement suggested improvements.
Verbatim wording from the response “review is already underway with both boroughs and health partners, and we intend to share the findings and implement the suggested improvements this autumn.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Provide the London Schools Pollution Helpdesk to support schools in reducing staff and student pollution exposure.
Verbatim wording from the response “During moderate, high and very high alerts, the alerts system directly emails over 3,000 school contacts informing them of the potential pollution episode and provides a link to more information. Schools are also provided with details of the London Schools Pollution Helpdesk, which I launched in February 2021 in partnership with Global Action Plan and Impact on Urban Health to provide further support to schools in helping reduce staff and student exposure to pollution. During these episodes, we also send a direct email to the London boroughs and encourage them to share the alert with their relevant stakeholders.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Explore convening ministers and health professionals to agree how Londonwide air-quality collaboration should proceed.
Verbatim wording from the response “I am fully committed to working closely with Defra, the Department for Transport and the Department for Health and Social Care as well as the London boroughs to share examples of what has worked in London, and to improve scientific understanding, including of the sources of pollution. I am also committed to working in partnership to promote existing and upcoming campaigns and sources of information to further raise public awareness. As part of this, I am exploring opportunities to bring together ministers and health professionals to agree on how best to take this collaboration forward in London.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Update research on inequalities in London air-pollution exposure and reflect it in the ongoing air-quality programme.
Verbatim wording from the response “The GLA also regularly commissions research to inform policy decisions and design effective communication and behaviour change interventions. For example, the GLA has published research exploring the inequalities in air pollution exposure across different groups in London, particularly across different income levels and ethnic groups. This research will be updated later this year as new air quality modelling data becomes available and I will ensure it is reflected in my ongoing air quality programme.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Commission studies on air pollution, health and transport choices, and disseminate the findings with health and care stakeholders.
Verbatim wording from the response “In 2021, we have commissioned a number of studies to provide additional evidence on the links between air pollution and health (respectively COVID-19 and other communicable diseases, and asthma). Additionally, we have commissioned work investigating how different transport choices can reduce an individual’s exposure to air pollution. This will be used to develop an online tool to inform and encourage individual behaviour change. The results of these studies will be published later this year and we will work with stakeholders from the health and care communities to ensure widespread dissemination of the findings.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Fund and deliver air-pollution awareness campaigns, including anti-idling, ULEZ and exposure-reduction messaging.
Verbatim wording from the response “I have arranged and funded regular marketing campaigns to raise awareness of the dangers of air pollution and ways individuals can reduce their contribution to it. In October 2017, I launched a hard-hitting advertising campaign to drive home the point that “if you could see London’s air, you’d want it clean too.” The campaign ran on social media and on posters across the TfL network. An example from the campaign is appended to this response.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Join the WHO/UNEP Breathe Life Campaign to support safe air-quality levels by 2030.
Verbatim wording from the response “I fully agree with your area of concern on this issue. In 2018, I set a target in my statutory London Environment Strategy for London to meet current WHO guidelines for PM₂.₅ no later than 2030. I have also signed London up to the WHO/UNEP Breathe Life Campaign, a network of 73 cities, regions and countries that have joined to demonstrate their commitment to bring air quality to safe levels by 2030 and collaborate on the clean air solutions that will help achieve this.” Source location 2021-0113-Response-from-Mayor-of-London-Redacted
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Widespread societal measures and regulation to significantly reduce air pollution depend on government and other policymakers.
Verbatim wording from the response “We think the actions we lay out will help increase understanding of and facilitate conversations with patients on avoiding and mitigating the dangers of air pollution. But the risk of air pollution to public health will only be significantly reduced if government and other policy makers agree to widespread societal measures, particularly more regulation of pollution generating activity. Initiatives need to be focused on reducing the exposure of women, children, older people, and people in lower socioeconomic groups, in which ethnic minorities are overrepresented.” Source location 2021-0113-Response-from-Royal-College-of-Physicians-Redacted
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Deciding what information doctors give patients is outside the regulator’s responsibility.
Verbatim wording from the response “The following section sets out our requirements and expectations for communication with patients, all of which has been revised since Ella’s death in February 2013. To clarify, the GMC’s role is to approve curricula and set standards of practice - we are not responsible” Source location 2021-0113-Response-from-General-Medical-Council-Redacted
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How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Some particulate pollution episodes derive from transboundary sources and weather conditions beyond direct national control.
Verbatim wording from the response “29. Defra recognises that the total mass of particulates, of varying chemical composition and origin, requires action to be taken in relation to many sources of pollution. By way of example, whilst undoubtedly of significant benefit, it is unlikely that measures targeting traffic and domestic combustion alone will achieve the necessary reductions in PM₂.₅ concentrations in areas such as London to meet the reduction targets. As the expert evidence heard during the course of the Inquest makes clear, spikes in pollution levels can be driven by factors beyond direct national control. In particular, transboundary pollution episodes of PM₂.₅ in South East England and London often derive from continental Europe (and on occasions further afield) in consequence of wind and weather conditions (see, for example the episode evidenced on day 3 of the Inquest).” Source location 2021-0113-Response-from-Central-Government-Departments-DEFRA-DFT-and-DHSC-Redacted
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Health care professionals cannot address the root causes of poor air quality through advice to patients, carers or parents.
Verbatim wording from the response “Finally, it is important to note that while health care professionals are able to provide advice to patients, their carers and in the case of children, parents, on actions that can be taken to mitigate against the effects of air pollution, they are not able to address the root cause of poor air quality.” Source location 2021-0113-Response-from-British-Thoracic-Society-Redacted
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