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1721323

	registered interest
	date	17/07/2024
	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	Gender Dysphoria: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether his Department is taking steps to ensure that those proscribed puberty blockers for the treatment of gender incongruence will continue to receive them.
	tabling member constituency	Lancaster and Wyre
	tabling member printed	Cat Smith
	uin	88
	answer	answer is ministerial correction date of answer 29/07/2024 answer text <p>The emergency banning order limiting the sale or supply of puberty blockers against private or non-United Kingdom prescriptions allows a child under 18 years old, who was already on a course of treatment with Gonadotrophin-Releasing Hormone Analogues before 3 June 2024 from a UK based private or National Health Service provider, to continue to have them supplied. Those who were already on a course of treatment prescribed by an EEA or Switzerland registered prescriber can legally switch to a UK based prescriber to continue their treatment.</p><p>This government has committed to implementing the expert recommendations of the Cass Review to ensure that young people presenting to the NHS with gender dysphoria are receiving appropriate and high-quality care. That is why NHS England and the National Institue of Health and Care Research – the research arm of the department – are working together to commission a study into the potential benefits and harms of puberty suppressing hormones as a treatment option for children and young people with gender incongruence. The study team is now in place and are finalising their application for funding which will be assessed by an independent scientific review study ahead of the commencement of wider approvals, including ethics, and set up.</p><p>Children and young people unable to access puberty blockers are strongly advised to meet with their clinician. We expect clinicians to be working with impacted patients to consider what the best care for them is going forward. Some children and young people may be concerned by these changes. If they are already under the care of a Children and Young People’s mental health provider or the Child and Adolescent Mental Health Services, they can contact their team for advice. If they are not, their general practice team will be able to assess whether further referrals for mental health support are required. Patients can also be signposted to the advice on getting mental health support available on the NHS.UK website. Anyone in need of urgent support can contact NHS 111 and choose the mental health option, option two. Further details are available at the following link:</p><p><a href="https://www.nhs.uk/nhs-services/mental-health-services/where-to-get-urgent-help-for-mental-health/" target="_blank">https://www.nhs.uk/nhs-services/mental-health-services/where-to-get-urgent-help-for-mental-health/</a></p> answering member constituency Gorton and Denton answering member printed Andrew Gwynne question first answered 29/07/2024 14:33:23 answering member 1506 label Biography information for Andrew Gwynne
	tabling member	4436 label Biography information for Cat Smith

1721324

	registered interest
	date	17/07/2024
	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	Gender Dysphoria: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether his Department has made a comparative assessment of the UK’s position on the prescription of puberty blockers for the treatment of gender incongruence with that of other European countries.
	tabling member constituency	Lancaster and Wyre
	tabling member printed	Cat Smith
	uin	89
	answer	answer is ministerial correction date of answer 29/07/2024 answer text <p>The Cass Review is one of the most comprehensive reviews of gender identity services for children and young people to date worldwide.</p><p>The Cass review included an assessment of evidence from other countries and concluded that there was a lack of evidenced-based guidelines and, therefore, limitations for adopting these for National Health Service gender services. Informed by the Cass review, we are now reforming transgender care for young people in this country, based on the best possible evidence. That means a holistic approach, with puberty suppressing hormones only considered within a much broader needs assessment, and only then in the context of a clinical trial. We are committed to implementing the recommendations of the Cass Review, as that is the care model we believe to be the best approach in the interests of patient safety.</p><p>It is simply not possible for pharmacists to check whether prescriptions issued from overseas registered prescribers have been issued in a similarly safe and effective way, and we know that some overseas providers who advertise their services do not follow this approach.</p> answering member constituency Bristol South answering member printed Karin Smyth question first answered 29/07/2024 14:25:58 answering member 4444 label Biography information for Karin Smyth
	tabling member	4436 label Biography information for Cat Smith

1721325

	registered interest
	date	17/07/2024
	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	Gender Dysphoria: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what his timetable is for the clinical trial being conducted on the use of puberty blockers for the treatment of gender incongruence.
	tabling member constituency	Lancaster and Wyre
	tabling member printed	Cat Smith
	uin	90
	answer	answer is ministerial correction date of answer 29/07/2024 answer text <p>The expert Cass Review, which is one of the most comprehensive reviews of gender identity services for children and young people to date, states that the rationale for early puberty suppressing hormones to treat gender dysphoria is unclear and the effects on cognitive and psychosexual development are unknown. This is why NHS England and the National Institute of Health and Care Research, the research arm of the department, are working together to commission a study into the potential benefits and harms of puberty suppressing hormones as a treatment option for children and young people with gender incongruence. The study team is now in place and are finalising their application for funding which will be assessed by an independent scientific review study ahead of the commencement of wider approvals, including ethics, and set up.</p> answering member constituency Bristol South answering member printed Karin Smyth grouped question UIN 443 question first answered 29/07/2024 14:21:24 answering member 4444 label Biography information for Karin Smyth
	tabling member	4436 label Biography information for Cat Smith

1721326

	registered interest
	date	17/07/2024
	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	Gender Dysphoria: Children
	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 his Department has made of the potential risks of harm being caused by restrictions on puberty blockers for treatments of gender incongruence.
	tabling member constituency	Lancaster and Wyre
	tabling member printed	Cat Smith
	uin	91
	answer	answer is ministerial correction date of answer 29/07/2024 answer text <p>The emergency banning Order, restricting the sale or supply of puberty blockers, was introduced by the previous Government. The Order enables those who were already on a course of treatment with Gonadotrophin-Releasing Hormone Analogues, before 3 June 2024 from a UK based private or National Health Service provider, to continue to have them supplied. Those who were already on a course of treatment prescribed by an EEA or Switzerland registered prescriber can legally switch to a UK based prescriber to continue their treatment.</p><p>The expert Cass Review, which is one of the most comprehensive reviews of gender identity services for children and young people to date, states that the rationale for early puberty suppressing hormones to treat gender dysphoria is unclear and the effects on cognitive and psychosexual development are unknown. This Government will always act in the interests of patient safety, which is why the Secretary of State signalled his intention to renew the Order and consult on a permanent ban (subject to the outcome of the ongoing judicial review).</p><p>We are committed to implementing the recommendations of the Cass Review to ensure that young people presenting to the NHS with gender dysphoria are receiving appropriate and high-quality care. That is why NHS England and the National Institute of Health and Care Research, the research arm of the Department, are working together to commission a study into the potential benefits and harms of puberty suppressing hormones as a treatment option for children and young people with gender incongruence. The study team is now in place and are finalising their application for funding which will be assessed by an independent scientific review study ahead of the commencement of wider approvals, including ethics, and set up.</p><p>We will continue to monitor the impacts of the Order, including on mental health. Professor Louis Appleby, Chair of the National Suicide Prevention Strategy Advisory Group, has examined evidence for a large rise in suicides claimed by campaigners. His paper, which was published on 19 July 2024, concluded that the data do not support the claim that there has been a large rise in suicide in young gender dysphoria patients at the Tavistock clinic.</p><p>Some children and young people may be concerned by these changes. If they are already under the care of a Children and Young People’s mental health provider or the Child and Adolescent Mental Health Services, they can contact their team for advice. If they are not, their general practice team will be able to assess whether further referrals for mental health support are required. Patients can also be signposted to the advice on getting mental health support available on the NHS.UK website. Anyone in need of urgent support can contact NHS 111 and choose the mental health option, option two. Further details are available at the following link:</p><p><a href="https://www.nhs.uk/nhs-services/mental-health-services/where-to-get-urgent-help-for-mental-health/" target="_blank">https://www.nhs.uk/nhs-services/mental-health-services/where-to-get-urgent-help-for-mental-health/</a></p><p>Professor Appleby’s paper is available at the following link:</p><p><a href="https://www.gov.uk/government/publications/review-of-suicides-and-gender-dysphoria-at-the-tavistock-and-portman-nhs-foundation-trust/review-of-suicides-and-gender-dysphoria-at-the-tavistock-and-portman-nhs-foundation-trust-independent-report" target="_blank">https://www.gov.uk/government/publications/review-of-suicides-and-gender-dysphoria-at-the-tavistock-and-portman-nhs-foundation-trust/review-of-suicides-and-gender-dysphoria-at-the-tavistock-and-portman-nhs-foundation-trust-independent-report</a></p> answering member constituency Gorton and Denton answering member printed Andrew Gwynne grouped question UIN 109 87 question first answered 29/07/2024 13:55:40 answering member 1506 label Biography information for Andrew Gwynne
	tabling member	4436 label Biography information for Cat Smith

1721327

	registered interest
	date	17/07/2024
	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	Gender Dysphoria: Children
	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 meet with (a) young trans young people and (b) their families to discuss the prescription of puberty blockers for the treatment of gender incongruence.
	tabling member constituency	Lancaster and Wyre
	tabling member printed	Cat Smith
	uin	92
	answer	answer is ministerial correction date of answer 29/07/2024 answer text <p>The emergency banning order limiting the sale or supply of puberty blockers against private or non-United Kingdom prescriptions allows a child under 18 years old, who was already on a course of treatment with Gonadotrophin-Releasing Hormone Analogues before 3 June 2024 from a UK based private or National Health Service provider, to continue to have them supplied. Those who were already on a course of treatment prescribed by an EEA or Switzerland registered prescriber can legally switch to a UK based prescriber to continue their treatment.</p><p>This government has committed to implementing the expert recommendations of the Cass Review to ensure that young people presenting to the NHS with gender dysphoria are receiving appropriate and high-quality care. That is why NHS England and the National Institue of Health and Care Research – the research arm of the department – are working together to commission a study into the potential benefits and harms of puberty suppressing hormones as a treatment option for children and young people with gender incongruence. The study team is now in place and are finalising their application for funding which will be assessed by an independent scientific review study ahead of the commencement of wider approvals, including ethics, and set up.</p><p>We recognise the value of engaging with representative groups and want to reset the relationship the department has with LGBT+ groups. My rt. Hon. Friend, the Secretary of State for Health and Social Care, will be meeting with LGBT+ stakeholders as soon as possible to hear directly about the health and care issues that are most important to them.</p> answering member constituency Bristol South answering member printed Karin Smyth question first answered 29/07/2024 14:19:06 answering member 4444 label Biography information for Karin Smyth
	tabling member	4436 label Biography information for Cat Smith

1719565

	registered interest
	date	21/05/2024
	answering body	Department for Levelling Up, Housing and Communities
	answering dept id	211
	answering dept short name	Levelling Up, Housing and Communities
	answering dept sort name	Levelling Up, Housing and Communities
	hansard heading	Local Government: Elections
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Levelling Up, Housing and Communities, pursuant to the Answer of 20 May 2024 to Question 25652 on Local Government: Elections, if he will survey returning officers on the number of completed postal vote packs that arrived with the returning officer after the close of polls on 2 May 2024.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	uin	27406
	answer	answer is ministerial correction date of answer 24/05/2024 answer text <p>This information is not collected centrally by the Government.</p> answering member constituency North Dorset answering member printed Simon Hoare question first answered 24/05/2024 10:06:31 answering member 4494 label Biography information for Simon Hoare
	tabling member	4436 label Biography information for Cat Smith

1717145

	registered interest
	date	10/05/2024
	answering body	Department for Levelling Up, Housing and Communities
	answering dept id	211
	answering dept short name	Levelling Up, Housing and Communities
	answering dept sort name	Levelling Up, Housing and Communities
	hansard heading	Local Government: Elections
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Levelling Up, Housing and Communities, if he will make an estimate of the number of postal votes which arrived with returning officers after the close of polls on 2 May 2024.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	uin	25652
	answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>I refer the Hon Member to my answer to Question UIN <a href="https://questions-statements.parliament.uk/written-questions/detail/2024-02-20/14836" target="_blank">14836</a> on 27 February 2024.</p><p>At the elections on 2 May, the Government centrally funded a national ‘sweep’ by Royal Mail of their mail centres to ensure that completed postal ballot packs were pulled out at mail centres on the evening of polling day and delivered directly to local Returning Officers.</p> answering member constituency North Dorset answering member printed Simon Hoare question first answered 20/05/2024 13:49:08 answering member 4494 label Biography information for Simon Hoare
	tabling member	4436 label Biography information for Cat Smith

1717185

	registered interest
	date	10/05/2024
	answering body	Home Office
	answering dept id	1
	answering dept short name	Home Office
	answering dept sort name	Home Office
	hansard heading	Alcoholic Drinks: Delivery Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for the Home Department, if he will make an assessment of the the potential merits of updating the Licensing Act 2003 to regulate online alcohol delivery services.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	uin	25653
	answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>The Government recognises that the way in which people purchase alcohol has changed in recent years, with sales increasingly being made online.</p><p>Accordingly, we recently ran a consultation that closed on 30 March this year that requested views on whether the Licensing Act 2003 should be amended to include a requirement for age verification to occur when alcohol purchased remotely is delivered. We also asked for views on whether the Act should be amended to specify that it is an offence to deliver alcohol to someone who is already intoxicated.</p><p>We are currently analysing the responses to this consultation and will publish a response in due course.</p><p>Home Office officials meet regularly with Alcohol Change UK to discuss the licensing framework in England and Wales.</p> answering member constituency Croydon South answering member printed Chris Philp grouped question UIN 25654 question first answered 20/05/2024 15:36:51 answering member 4503 label Biography information for Chris Philp
	tabling member	4436 label Biography information for Cat Smith

1717186

	registered interest
	date	10/05/2024
	answering body	Home Office
	answering dept id	1
	answering dept short name	Home Office
	answering dept sort name	Home Office
	hansard heading	Alcoholic Drinks: Delivery Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for the Home Department, if he will hold discussions with Alcohol Change UK on their research entitled The need for responsible alcohol delivery, published on 8 May 2024.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	uin	25654
	answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>The Government recognises that the way in which people purchase alcohol has changed in recent years, with sales increasingly being made online.</p><p>Accordingly, we recently ran a consultation that closed on 30 March this year that requested views on whether the Licensing Act 2003 should be amended to include a requirement for age verification to occur when alcohol purchased remotely is delivered. We also asked for views on whether the Act should be amended to specify that it is an offence to deliver alcohol to someone who is already intoxicated.</p><p>We are currently analysing the responses to this consultation and will publish a response in due course.</p><p>Home Office officials meet regularly with Alcohol Change UK to discuss the licensing framework in England and Wales.</p> answering member constituency Croydon South answering member printed Chris Philp grouped question UIN 25653 question first answered 20/05/2024 15:36:51 answering member 4503 label Biography information for Chris Philp
	tabling member	4436 label Biography information for Cat Smith

1717188

	registered interest
	date	10/05/2024
	answering body	Department for Culture, Media and Sport
	answering dept id	217
	answering dept short name	Culture, Media and Sport
	answering dept sort name	Culture, Media and Sport
	hansard heading	Alcoholic Drinks: Advertising
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Culture, Media and Sport, if she will take steps to ban alcohol advertising online.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	uin	25655
	answer	answer is ministerial correction date of answer 20/05/2024 answer text <p>The Advertising Standards Authority (ASA), which operates independently of Government, is responsible for regulating online advertising in the UK through its advertising codes. These codes state that alcohol adverts must not link it with social or sexual success, imply that it is indispensable or include elements that appeal particularly to children. Online platforms have also introduced stringent measures to monitor alcohol ads and ensure safe advertising, such as age gating and age verification.</p><p>The Government’s Online Advertising Programme aims to increase protections for children and young people under 18 from online exposure to advertisements for products and services that are illegal to be sold to them, including alcohol. We will legislate when parliamentary time allows, and will publish a second consultation on the details of the framework in due course.</p><p><strong> </strong></p> answering member constituency Hornchurch and Upminster answering member printed Julia Lopez question first answered 20/05/2024 10:27:03 answering member 4647 label Biography information for Julia Lopez
	tabling member	4436 label Biography information for Cat Smith