Dear Mrs Rawden, Thank you for sending the Regulation 28: Report to Prevent Future Deaths to the Food Standards Agency; following an investigation into the death of Mr Dylan Paul Hill, which concluded with an inquest on 19 and 20 December 2017 . am saddened to hear about the death of Mr Hill, and my thoughts are with his friends and family. We are aware that the Department of Health and Social Care will be responding to you regarding measures to be put in place at a local level. In March , we will be meeting with representatives from other government departments (including the Department of Health and Social Care and Public Health England) and organisations involved in food allergy to discuss how we can better tackle the issue. We would, of course, welcome your contribution if you would like to take part in such discussions. Alternatively, we will keep you in touch with developments on this issue On raising awareness about food allergy, we provided stakeholders with messaging before and after the allergen information and labelling rules became enforceable in December 2014. These have been particularly around the changes in legislation, detailing the obligations and responsibilities of the business, but also to let consumers know how to look for allergen information. In relation to enforcement of allergens information and labelling rules, we have provided clarification in the Food Law Code of Practice and associated Practice Guidance, implemented in 2017, and are looking to further strengthen these documents to address allergen management and cross contamination issues. Later this year, we will be placing Floors 6 & 7 , Clive House 70 Petty France, London SWIH 9EX
020.7276 8627 FOOD HYGIENE RATING food gov uklratings Watery key

more emphasis on reporting of near misses and deaths from food allergy in the Practice Guidance_ We will also be to local authorities to highlight lessons learnt;, and reinforce our expectations on good allergen management practices: Food allergy remains one of the FSA's priority areas and we will continue to focus our efforts to help consumers make informed food choices, to help businesses to understand and comply with legislation relating to allergen information and labelling: Chun-Han Chan, who leads in the Food Allergy & Intolerance Branch on Allergen Legislation and Risk Assessment; will be organising the cross-Government discussions. would be grateful if you could contact her chun-han chan@foodgoV uk) if you wish to be involved in the discussions

Dear Mrs Rawden Re: Dylan Paul Hill (Deceased) May thank you for including our Trust in the circulation list for the Regulation 28 that you issued on 5 January 2018, and forwarded to Secretary of State for Health and Food Standards Agency: Whilst the Regulation 28 does not require a formal response from our Trust we have taken a decision to respond to the points that ycu have raised t0 improve working relationships between the Trust Trading Standards at Barnsley Metropolitan Council to improve the safety and care of people in the Barnsley locality: The purpose of my letter is to inform you that Barnsley Hospital NHS Foundation Trust has taken the following action to address the Coroner's concerns that were provided in your letter (dated 5 January
2018) and can be responded to as follows: Evidence was also given that the Trading Standards department if the local council had not been told of this incident to the death of Mr Hill; Had they known; would have arranged a priority visit: Our anaphylaxis draft protocol has been reviewed and updated in accordance with our internal governance processes (see enclosure 1). Evidence was given that there are no procedures in place for such communications between the health services and Trading Standards in cases of non fatal anaphylactic reactions. Our revised anaphylaxis draft protocol includes a referral form to inform Trading Standards of cases of anaphylactic reaction as a result of consuming food from commercial premises. In my opinion there is risk that future deaths may occur unless cases of non fatal anaphylactic reactions caused by the ingestion of purchases from food business operatives are reported to those regulatory authorities responsible for the supervision and monitoring of food safety and hygiene: The enclosed protocol has a clear algorithm on medicine management and how the detail of the consumption at the commercial premises is communicated to the Iocal authority to ensure the timely communication of potential risks WWWA barnsleyhospitalnhsuk @barnshospital www facebook com/barnsleyhospital prior they

The question therefore arises as to whether the emergency services and the health services within the area can work together to ensure that Trading Standards Departments are made aware of all anaphylaxis incidents relating to commercial premises so that the appropriate action can be taken as regards these premises: Our enclosed draft protocol has been circulated with the listed interested parties named in this Regulation 28 letter. The draft protocol will be taken to the Trust's Clinical Business Unit Governance Meeting on 23 March 2018 for it to be reviewed and ratified we will forward you the final protocol when this has been agreed.

From Steve Brine MP Parliamentary Under Secretary of State for Public Health and Care Department of Health 39 Victoria Street London SW1H OEU 020 7210 4850 1 2 MAR 'Zun8 PFD-1113293 FV_ Mrs Tanyka Rawden MAR 2019 HM Assistant Coroner; South Yorkshire (West) Office of HM Coroner The Medico-Legal Centre Watery Street Sheffield S3 7ET Dvrc Ms {Gwt, Thank you for your letter of 5 January to the Secretary of State about the death of Mr Dylan Paul Hill: Iam responding as Minister with responsibility for public health: I was extremely saddened to read of the circumstances surrounding Mr Hill's death. Please pass my condolences to his family and loved ones_ Ican only imagine how difficult a time this must be for them: Your Report raises the concern that future deaths might occur unless cases of non-fatal anaphylaxis brought on by the ingestion of food consumed commercial premises are reported to the relevant regulatory authorities overseeing food safety and hygiene. My officials have made enquiries with the Food Standards Agency (FSA); to which You also issued your Report, and I understand the Agency shares your concerns The FSA wishes to set up cross-government discussion to consider this matter further 1 this will be a welcome development and will provide assurance that the matter will be considered carefully: Iam advised that the FSA will update you on the outcome of discussions in due course_ At a local level, I am advised that Barnsley and Sheffield are working to explore the development of local notification systems in both primary and secondary care settings This includes collaborative working between Barnsley and Sheffield acute trusts to ensure there is consistency in the mechanisms in place, as well as consideration of the best way to raise awareness among GPs. This issue and the Primary from hope being - put

progress made on measures to address it will be monitored by the Sheffield and the Barnsley Health Protection Boards. The local NHS is mindful of any action that might be taken at a national level and clearly any developments will inform future local action. However, I hope are assured the local NHS is working to explore what measures can be put in place at a local level I hope this response is helpful. Thank you for bringing the circumstances of Mr Hill's death to our attention: Yiv (STEVE BRINE MP you