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934121

registered interest
date	03/07/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Drugs: Licensing
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will close the legal loopholes to make the market for unlicensed medicinal products less restricted.
tabling member constituency	Bath
tabling member printed	Wera Hobhouse
uin	160334
answer	answer is ministerial correction date of answer 06/07/2018 answer text <p>The Medicines and Health products Regulatory Agency (MHRA), the Government body responsible for the safety and licensing of medicines in the United Kingdom, is not aware of any legal loopholes for the supply of human unlicensed medicinal products.</p><p> </p><p>Before a human medicine can be marketed or sold in the UK, a number of licences are required. The product itself must have a licence called a ‘marketing authorisation’ unless an exemption applies.</p><p> </p><p>UK medicines legislation contains a provision for the supply of an unlicensed medicine (commonly known as ‘specials’) which is provided for by way of an exemption from the requirement for a marketing authorisation. In the interests of public health this exemption is narrowly drawn because these products, unlike products holding a marketing authorisation, will not have been assessed and approved against the criteria of safety, quality and efficacy in the UK.</p><p> </p><p>Unlicensed medicines can be manufactured in the UK under European Union good manufacturing practice or imported into the UK by the holder of an appropriate licence issued by the MHRA.</p><p> </p><p>Notifications prior to importation of unlicensed medicines are required and are assessed by the MHRA and objections may be raised where there are prohibitive safety or quality concerns. Any person that sells or supplies an unlicensed medicine is required to keep records and report suspected adverse drug reactions.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/07/2018 12:28:35 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4602 label Biography information for Wera Hobhouse

934134

registered interest
date	03/07/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Medical Examiners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the oral contribution of the Secretary of State for Health and Social Care of 16 June 2018, Official Report, column 178, what progress his Department has made on appointing independent medical examiners.
tabling member constituency	Bury North
tabling member printed	James Frith
uin	160347
answer	answer is ministerial correction date of answer 06/07/2018 answer text <p>On 11 June, the Government published its response to consultation on the introduction of medical examiners and reforms to death certification in England and Wales. This set out plans to introduce a system of medical examiners from April 2019.</p><p> </p><p>Medical examiners will scrutinise all non-coronial deaths, improve the quality and accuracy of the Medical Certificate of Cause of Death, improve national data on avoidable mortality and contribute to improved patient safety.</p><p> </p><p>Medical examiners will provide a service to the bereaved, increasing transparency and offering them the opportunity to raise concerns. They will provide a new level of scrutiny to help deter criminal activity and poor practice. On 18 June, the Government commenced section 21 of the Coroners and Justice Act 2009, to allow for the appointment of a National Medical Examiner to prepare guidance that will support the introduction of medical examiners. The Government is working with a range of stakeholders, including in the National Health Service, to establish delivery arrangements.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 06/07/2018 08:54:56 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4637 label Biography information for James Frith

934145

registered interest
date	03/07/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Internet: Harassment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with the Secretary of State for Digital, Culture, Media and Sport on (a) tackling online trolling and (b) the effect of online trolling on people’s psychological wellbeing.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	160190
answer	answer is ministerial correction date of answer 06/07/2018 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care had a meeting with the Secretary of State for Digital, Culture, Media and Sport (Matt Hancock) on 20 February 2018 which included discussion on the impact of social media on children and young people’s mental health.</p><p> </p><p>During the meeting they discussed how to make progress in this area, specifically around harmful content as well as age verification and long periods of time online. There was an acknowledgement of the need for more evidence in the area and also a recognition that social media has clear potential benefits as well as potential harms.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/07/2018 12:25:38 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

934146

registered interest
date	03/07/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Internet: Harassment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect of (a) internet trolling and (b) online abuse on people’s psychological wellbeing; and what steps his Department is taking to signpost the support that is available to victims of that abuse.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	160191
answer	answer is ministerial correction date of answer 06/07/2018 answer text <p>We are aware of the serious impacts that online abuse can have on users, which is why Government is taking forward the Internet Safety Strategy work, and bringing forward an Online Harms White Paper by the end of 2018.</p><p> </p><p>In order to improve the support available to those who receive abuse online, we are working with the Department for Digital Culture, Media and Sport to support the Online Harms White Paper. This includes potential legislative action around improved transparency reporting – which includes companies reporting exact figures of how many users who report abuse are signposted on to help – and a code of practice for social media companies.</p><p> </p><p>There is also work taking place across Government and with industry through the UK Council for Child Internet Safety (UKCCIS). UKCCIS is made up of more than 200 organisations drawn from across Government, industry, law, academia and charity sectors that work in partnership to help keep users safe online.</p><p> </p><p>To transform mental health services for children and young people’s we are making £1.4 billion available. We are also improving our offer of mental health support for all children and young people through the Green Paper, which is supported by a further £300 million.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/07/2018 12:21:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

934147

registered interest
date	03/07/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Internet: Harassment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he has had discussions with the Secretary of State for Justice on legislation in relation to internet trolling.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	160192
answer	answer is ministerial correction date of answer 06/07/2018 answer text <p>The Secretary of State for Health and Social Care has not had specific discussions with the Lord Chancellor and Secretary of State for Justice (David Gauke) on legislation in relation to internet trolling.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/07/2018 12:22:55 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

934148

registered interest
date	03/07/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Internet: Harassment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with the Secretary of State for Education on educating children and young people on online trolling; and what support is available to victims of such abuse in relation to (i) psychological wellbeing and (ii) building resilience.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	160193
answer	answer is ministerial correction date of answer 06/07/2018 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care has not had specific discussions with the Secretary of State for Education (Damian Hinds) around educating children and young people on online trolling. However, the Department for Education is working closely with the Department of Digital Culture, Media and Sport to ensure that teaching children about online safety is considered as part of the work to introduce compulsory Relationships Education in primary schools, Relationships and Sex Education in secondary schools and to consider making Personal, Social, Health and Economic Education compulsory in all schools.</p><p> </p><p>In order to improve the support available to those who receive abuse online, we are working with the Department for Digital Culture, Media and Sport to support the Online Harms White Paper. This includes potential legislative action around improved transparency reporting – which includes companies reporting exact figures of how many users who report abuse are signposted on to help – and a code of practice for social media companies.</p><p> </p><p>To transform mental health services for children and young people’s we are making £1.4 billion available. We are also improving our offer of mental health support for all children and young people through the Green Paper, which is supported by a further £300 million.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/07/2018 12:27:08 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

934282

registered interest
date	03/07/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Nurses: Recruitment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, hat progress has been made on the NHS Nurse recruitment drive; what assessment he has made of the implications of (a) the UK leaving the EU and (b) immigration policy on that recruitment drive; and if he will make a statement.
tabling member constituency	Blackburn
tabling member printed	Kate Hollern
uin	160238
answer	answer is ministerial correction date of answer 06/07/2018 answer text <p>The National Health Service has introduced a range of measures to support increased recruitment and retention across the health and care system, including a 25% increase in training places for nurses.</p><p> </p><p>NHS England, with the support of Department and Health Education England, has recently launched a major advertising campaign, aimed at encouraging recruitment to the NHS, retaining the existing workforce, and promoting the possibility of a return to the workforce for those who have previously worked in the NHS. The campaign has a strong focus on nursing, and builds upon Health Education England’s #KnowAboutNursing campaign, which has been running since May of this year.</p><p> </p><p>The Department continues to monitor and analyse overall staffing levels across the NHS and adult social care, and is working across Government to ensure there will continue to be sufficient staff to deliver the high quality services on which patients rely following the United Kingdom’s exit from the European Union.</p><p> </p><p>The latest nationality statistics show at March 2018 4,558 more EU nationals excluding the UK (EU27) employed in NHS trusts and clinical commissioning groups than in June 2016.</p><p> </p><p>The agreement between the UK and EU Commission on 8 December will guarantee the rights of the 158,000 EU nationals working in our health and care system. It means that EU citizens living lawfully in the UK and UK nationals living lawfully in the EU by 29 March 2019 will be able to stay and enjoy broadly the same rights and benefits as they do now.</p><p> </p><p>On the impact of immigration policy on nurse recruitment, my Rt. hon. Friend the Secretary of State for the Home Department (Sajid Javid) recently removed both doctors and nurses from the ambit of the Tier 2 visa cap. This means the NHS and others are able to recruit as many overseas nurses as they need.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 06/07/2018 11:27:53 answering member 4095 label Biography information for Steve Barclay
tabling member	4363 label Biography information for Kate Hollern

933867

registered interest
date	02/07/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Dialysis Machines: Cotswold
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what consultation took place prior to the contract for the Cotswold Dialysis Unit being transferred to Braun Medical.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	159493
answer	answer is ministerial correction date of answer 05/07/2018 answer text <p>This contract was awarded through competitive tender, and is a seven-year contract due to expire on 31 March 2019. A public consultation was not required as there was no change to the location or model of service provided.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 05/07/2018 11:10:22 answering member 4095 label Biography information for Steve Barclay
tabling member	252 label Biography information for Dr David Drew

933871

registered interest
date	02/07/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Dialysis Machines: Gloucestershire
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many patients have been fully trained to receive dialysis at home in the Gloucestershire Hospitals Trust area in each of the last five years for which data are available.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	159494
answer	answer is ministerial correction date of answer 05/07/2018 answer text <p>Gloucestershire Hospitals NHS Foundation Trust advises that, in the past five years, nine patients have successfully received home haemodialysis (HHD). More patients have undergone training for HHD but not progressed to receiving dialysis at home. The reasons for this include:</p><p>- the patient does not master the training;</p><p>- the patient dies before commencing HDD; or</p><p>- the patient has a successful transplant.</p><p> </p><p>It can take some patients up to six months to get to the stage where they are fully trained and the equipment is installed.</p><p> </p><p>In relation to peritoneal dialysis (PD), the Trust advises that around 200 patients have undertaken PD in the last five years. 41 patients are currently receiving PD at home.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/07/2018 14:15:04 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

933926

registered interest
date	02/07/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS: Staff
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure the maintenance of staff levels in the NHS in the event that the UK leaves the EU without a deal.
tabling member constituency	Blackburn
tabling member printed	Kate Hollern
uin	159622
answer	answer is ministerial correction date of answer 05/07/2018 answer text <p>The Department continues to monitor and analyse overall staffing levels across the National Health Service and adult social care, and we are working across Government to ensure there will continue to be sufficient staff to deliver the high quality services on which patients rely following the United Kingdom’s exit from the European Union.</p><p> </p><p>On 8 December the UK and EU Commission reached an agreement which delivered on the Prime Minister’s number one priority, to safeguard the rights of people who have built their lives in the UK and EU, following the UK’s exit from the EU.</p><p> </p><p>The latest nationality statistics show at March 2018 4,558 more EU nationals excluding the UK (EU27) employed in NHS trusts and clinical commissioning groups than in June 2016.</p><p> </p><p>The agreement will guarantee the rights of the 158,000 EU nationals working in our health and care system. It means that EU citizens living lawfully in the UK and UK nationals living lawfully in the EU by 29 March 2019 will be able to stay and enjoy broadly the same rights and benefits as they do now.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 05/07/2018 11:08:27 answering member 4095 label Biography information for Steve Barclay
tabling member	4363 label Biography information for Kate Hollern