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705629

registered interest
date	27/02/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pharmacy: Internet
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to regulate the online sale of (a) antibiotics and (b) other medicine.
tabling member constituency	Thirsk and Malton
tabling member printed	Kevin Hollinrake
uin	65574
answer	answer is ministerial correction date of answer 07/03/2017 answer text <p>In the United Kingdom, there are legal controls on the retail sale, supply and advertising of medicines which are set out in the Human Medicines Regulations 2012. These apply without distinction to medicines advertised, sold or supplied through the internet.</p><p> </p><p>This means that Prescription Only (POM) and Pharmacy medicines (P) can only be sold or supplied at registered pharmacy premises by, or under the supervision of, a pharmacist. Furthermore, POMs can only be sold or supplied in accordance with a prescription from a doctor, dentist or relevant healthcare professional. POMs cannot be advertised to the general public.</p><p> </p><p>The vast majority of antibiotics are only available as POM for supply only under the supervision of a suitably qualified healthcare professional.</p><p> </p><p>Websites offering to supply POMs without a relevant prescription are in breach of UK legal requirements and the Medicines and Healthcare Products Regulatory Agency will investigate and take appropriate action including criminal investigation and prosecution.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 07/03/2017 10:37:42 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4474 label Biography information for Kevin Hollinrake

669001

registered interest
date	06/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Antibiotics: Drug Resistance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if his Department will take steps to set up a National Antibiotic Register for recording all hospital and community patients who have an antibiotic resistant infection.
tabling member constituency	Thirsk and Malton
tabling member printed	Kevin Hollinrake
uin	58778
answer	answer is ministerial correction date of answer 16/01/2017 answer text <p>Such a system already exists. Hospital microbiology laboratories routinely record the results of testing bacteria isolated from infections for susceptibility or resistance to antibiotics. These data are voluntarily submitted to a national antimicrobial resistance (AMR) database called Second Generation Surveillance System (SGSS) maintained by Public Health England. Currently, 98% of hospital laboratories submit their AMR data to SGSS.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 16/01/2017 16:56:07 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4474 label Biography information for Kevin Hollinrake

669006

registered interest
date	06/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Antibiotics: Drug Resistance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if his Department will take steps to record on death certificates antibiotic resistant infection as the patient's cause of death.
tabling member constituency	Thirsk and Malton
tabling member printed	Kevin Hollinrake
uin	58772
answer	answer is ministerial correction date of answer 16/01/2017 answer text <p>There is currently provision for recording resistant infections on death certificates. For example, guidance on recording deaths from MRSA was issued in 2005 by the then Chief Medical Officer. However, it is often the case that by the time someone dies they may have a number of diseases and complications of illness or treatment. It is, therefore, a matter of clinical judgment to decide whether a condition present at or just before death was a primary or secondary cause of a patient’s death.</p><p> </p><p>The World Health Organization is currently working on a revision (ICD 11) of its diagnostic coding system ICD 10. This is due in 2018 and will have a more comprehensive coverage of types of antimicrobial resistance.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 16/01/2017 16:27:56 answering member 4080 label Biography information for David Mowat
tabling member	4474 label Biography information for Kevin Hollinrake

669007

registered interest
date	06/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Antibiotics: Drug Resistance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether all blood assay results showing infection or resistance to antibiotics go onto a national register.
tabling member constituency	Thirsk and Malton
tabling member printed	Kevin Hollinrake
uin	58773
answer	answer is ministerial correction date of answer 16/01/2017 answer text <p>Hospital microbiology laboratories routinely record the results of testing bacteria isolated from blood for susceptibility or resistance to antibiotics. Since 1989, Public Health England (and its predecessors, the Public Health Laboratory Service and the Health Protection Agency) have requested that laboratories submit their stored data on resistance in bacteria isolated from blood to a national database called Second Generation Surveillance System (SGSS). Currently, 98% of hospital laboratories submit their antimicrobial resistance data.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 16/01/2017 16:55:14 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4474 label Biography information for Kevin Hollinrake

536471

registered interest
date	14/07/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Antimicrobials: Drug Resistance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what role he plans for the UK in discussing antimicrobial resistance at the G20 summit in September 2016.
tabling member constituency	Thirsk and Malton
tabling member printed	Kevin Hollinrake
uin	42800
answer	answer is ministerial correction date of answer 19/07/2016 answer text <p>Antimicrobial resistance (AMR) is growing, presenting huge costs to both society and the global economy – it is estimated that AMR will have a cumulative cost of $100 trillion by 2050. One of the main issues driving the increase in AMR is a market failure preventing enough new antibiotic drugs from getting to market. The United Kingdom sees the G20 as the best forum to discuss this economic issue and take action. The UK is calling for the G20 to look at how it can put in place innovative financing mechanisms to reinvigorate the antimicrobial development pipeline and help rectify this market failure.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 19/07/2016 13:46:45 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4474 label Biography information for Kevin Hollinrake

536279

registered interest
date	13/07/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Antibiotics
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of (a) the effect of the National Tariff on the choice of antibiotic therapy available in hospitals and (b) the implications of the cost of such therapy for that availability.
tabling member constituency	Thirsk and Malton
tabling member printed	Kevin Hollinrake
uin	42714
answer	answer is ministerial correction date of answer 20/07/2016 answer text <p>The Health and Social Care Act 2012 Act transferred responsibility for developing payment systems for health care services from the Department to NHS England and NHS Improvement (formerly Monitor). The costs of drugs that are used in the course of a patient’s stay in hospital are reimbursed via the Healthcare Resource Group tariff that the provider receives for that spell.</p><p> </p><p>We are advised by NHS England that they are not aware of issues with the national tariff having an impact on the choice of antibiotic therapy available in hospitals.</p><p><strong> </strong></p><p>The decision on whether to prescribe an antibiotic is entirely a matter for the clinician, based on his or her clinical judgement.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 20/07/2016 14:21:20 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4474 label Biography information for Kevin Hollinrake

532958

registered interest
date	05/07/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Antibiotics: Drug Resistance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to recommendation 9 of the final report of The Review on Antimicrobial Resistance, published in May 2016, whether and within what timescale the Government plans to consider possible changes to its purchase and distribution systems for antibiotics.
tabling member constituency	Thirsk and Malton
tabling member printed	Kevin Hollinrake
uin	41876
answer	answer is ministerial correction date of answer 13/07/2016 answer text <p>The Government will work with the international community to develop and agree a system which encourages the pharmaceutical industry to develop new antibiotics in line with the recommendations made in the final report of the Review on Antimicrobial Resistance. The Department will meanwhile continue its ongoing dialogue with the Association of the British Pharmaceutical Industry on antibiotic pricing and reimbursement in the hope of reaching agreement by the end of the year on a set of potential options for a reimbursement model suitable for piloting in England.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/07/2016 09:24:01 answering member 3918 label Biography information for Jane Ellison
tabling member	4474 label Biography information for Kevin Hollinrake

528073

registered interest
date	20/06/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Antibiotics
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, by what process his Department plans to evaluate and continue to develop national antibiotic prescribing targets for primary and secondary care.
tabling member constituency	Thirsk and Malton
tabling member printed	Kevin Hollinrake
uin	41033
answer	answer is ministerial correction date of answer 04/07/2016 answer text <p>The Department takes advice on the measurement of prescribing levels and the development of objectives for levels of prescribing of antibiotics from the Department’s Health’s Advisory Committee on Antimicrobial Resistance and Healthcare Associated Infections as well as the English Surveillance Programme for Antimicrobial Utilisation and Resistance.</p><p> </p><p>The English Surveillance Programme on Antimicrobial Use and Resistance, (ESPAUR), was established by Public Health England (PHE) in 2013 in response to the publication of the UK 5 year Strategy on Antimicrobial Resistance (AMR). ESPAUR provides the data on prescribing of antibiotics and levels of resistance to antibiotics in both primary and secondary care that allows the Department to evaluate progress.</p><p> </p><p>PHE uses the ESPAUR data to provide ongoing expert advice to NHS England to enable ongoing development of commissioning incentives to encourage healthcare providers to achieve the antibiotic prescribing quality measures recommended by the national expert Advisory Group on AMR and Healthcare Associated Infections for primary and secondary care.</p><p> </p><p>The Department’s Policy Research Programme has also commissioned the Imperial National Institute for Health Research Health Protection Research Unit to evaluate and research the impact of reduced antibiotic prescribing on hospital admissions and mortality.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 04/07/2016 14:20:19 answering member 3918 label Biography information for Jane Ellison
tabling member	4474 label Biography information for Kevin Hollinrake

514779

registered interest
date	21/04/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Antibiotics
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether his Department plans to reform the reimbursement of antibiotics.
tabling member constituency	Thirsk and Malton
tabling member printed	Kevin Hollinrake
uin	35027
answer	answer is ministerial correction date of answer 29/04/2016 answer text <p>Departmental officials are in discussion with the Association of the British Pharmaceutical Industry regarding pricing and reimbursement models for antibiotics.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 29/04/2016 12:40:37 answering member 3918 label Biography information for Jane Ellison
tabling member	4474 label Biography information for Kevin Hollinrake

514782

registered interest
date	21/04/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Antibiotics
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether his Department has had discussions with officials in HM Treasury on reforming the reimbursement of antibiotics.
tabling member constituency	Thirsk and Malton
tabling member printed	Kevin Hollinrake
uin	35012
answer	answer is ministerial correction date of answer 29/04/2016 answer text <p>Departmental officials are in discussion with the Association of the British Pharmaceutical Industry regarding pricing and reimbursement models for antibiotics. HM Treasury are aware of these discussions.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 29/04/2016 12:47:10 answering member 3918 label Biography information for Jane Ellison
tabling member	4474 label Biography information for Kevin Hollinrake