Speeches by Caliskan.

“I was a local councillor until I resigned last May, but I am not sure whether I need to declare that. I am a vice president of the Local Government Association, which will be relevant for the panel this afternoon.”

“Q I thank the panel members. I would like to dig down a bit on local plans, and to build on Ms Hills’s comments on the need for a chief planning officer. There are two parts to my question. The first is: what do you think about the lack of capacity in local authorities at the moment? It is all well and good having a ch…”

“Q I was thinking more about areas outside London because the demand in London is so great. James Stevens: That is why the devolution White Paper would give the mayors enhanced powers to do things such as bus franchising, drawing in investment, taking over trains, and increasing passenger numbers. Development of public …”

“Q And transport. There are good examples across the country where just the prospect of a train station unlocks thousands of homes because the land value means that developers are more interested in that area, but the lead up to granting that permission is so lengthy that it feels like a blockage. Does this Bill address…”

“Q May I take this opportunity to thank both of you for talking about the housing crisis in this country, and the people who are living in temporary accommodation and find themselves homeless? We have had some excellent panel members today who have made outstanding contributions, but I think you are the first two panell…”

“It is a pleasure to serve under your chairmanship, Mr Stuart. My constituents tell me over and over again about the poor performance and lack of accountability of residential estate management companies. In this country, the truth is that there is a complex web of operating companies, parent companies and, in some case…”

“Do you mean the targets to reduce AMR?”

“I want to ask a little more about the national action plan. You may have already addressed this, but it would be helpful to get a bit more of a sense of your assessment of how well the UK has made progress on human health alongside animal health, food and the environment as a whole. Clive Betts asked earlier whether we…”

“I am not trying to be provocative. I am just trying to get a sense of how those things not being in place helps this area.”

“My understanding, but correct me because I may be entirely incorrect, is that those targets derive from WHO and UN guidance. They are targets derived from what those two organisations are saying when it comes to the agenda. Therefore, if the Department of Health and Social Care, for example, or the NHS changes the targ…”

“Are those the local resilience plans?”

“That is really helpful, because one of my sub-questions was about the decision to move something from chronic to acute, and to what extent it is about the prevalence of the disease, if you like, versus its severity on an individual. Millions of people might have something, but that in itself does not give it an acute c…”

“So sewage being dumped in our waterways, rivers, streams and other open water sources is a public health issue.”

“I also want to ask about the sufficiency of resources. The NAO Report talks about the amount of money that has been allocated by Government directly for AMR programmes. It is just over £500 million. In cash terms, that has increased over four years, but the value remains broadly stable. I understand there are other pot…”

“Is that why a lot of the spending is on research rather than treatment?”

“That is quite all right. Somebody in this room will, and will be able to explain to me later, I am sure.”

“Thank you to the panel. I have a question about prescribing, but we may build on it later. Does it worry you that 20% of antibiotics prescribed in primary healthcare are inappropriate? I do not know what “inappropriate” means. Does it mean it is wrong? Is there a clinical consequence to that inappropriateness, or is it…”

“My final question is on the UK’s preparedness for AMR becoming an acute emergency. The Report details that the Cabinet Office currently distinguishes between acute and chronic risks, so will you say a bit about that? The Report also identifies that AMR is one of 26 chronic risk drivers. There is a potential that, altho…”

“My point was not about overprescribing, which I know is an issue in itself, but about the inappropriate prescription of an antibiotic, which, from my basic understanding, is also a problem, not least for the individual patient, because they are not getting the treatment that they need. To me, 20% seems quite a high fig…”

“My second question was going to be about what impact that might have, but it is not a helpful direction.”