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1701604

	registered interest
	date	16/04/2024
	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	Sexual Dysfunction: Prescription Drugs
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government how many prescriptions for amitriptyline, imipramine and atomoxetine were issued in each year since 2014; how many Yellow Card reports of sexual dysfunction and persistent sexual dysfunction the MHRA has received for each of these drugs in each year since 2014; and whether they will ensure that persistent sexual dysfunction is listed as a side effect in the patient information leaflets for each these drugs.
	tabling member printed	Lord Alton of Liverpool
	uin	HL3835
	answer	answer is ministerial correction date of answer 29/04/2024 answer text <p>Over the next year, the Medicines and Healthcare products Regulatory Agency (MHRA) plans to review the risk of sexual dysfunction and whether these side effects persist for all antidepressants marketed in the United Kingdom. As a result of the review product information will be updated, as necessary, and consideration will be given to whether additional risk minimisation measures are needed.</p><p>The following table shows the total number of items in each calendar year between 2014 and 2023, as well as January 2024:</p><table><tbody><tr><td><p>Calendar Year</p></td><td><p>Amitriptyline Hydrochloride</p></td><td><p>Atomoxetine Hydrochloride</p></td><td><p>Imipramine Hydrochloride</p></td></tr><tr><td><p>2014</p></td><td><p>11,851,704</p></td><td><p>118,843</p></td><td><p>174,731</p></td></tr><tr><td><p>2015</p></td><td><p>12,404,537</p></td><td><p>125,680</p></td><td><p>167,072</p></td></tr><tr><td><p>2016</p></td><td><p>12,943,138</p></td><td><p>130,731</p></td><td><p>164,645</p></td></tr><tr><td><p>2017</p></td><td><p>13,256,893</p></td><td><p>134,785</p></td><td><p>156,555</p></td></tr><tr><td><p>2018</p></td><td><p>13,532,567</p></td><td><p>138,160</p></td><td><p>150,526</p></td></tr><tr><td><p>2019</p></td><td><p>13,975,389</p></td><td><p>141,907</p></td><td><p>151,889</p></td></tr><tr><td><p>2020</p></td><td><p>14,468,134</p></td><td><p>146,346</p></td><td><p>137,284</p></td></tr><tr><td><p>2021</p></td><td><p>14,930,177</p></td><td><p>158,339</p></td><td><p>123,450</p></td></tr><tr><td><p>2022</p></td><td><p>15,226,816</p></td><td><p>174,894</p></td><td><p>115,360</p></td></tr><tr><td><p>2023</p></td><td><p>15,662,619</p></td><td><p>178,150</p></td><td><p>108,197</p></td></tr><tr><td><p>January 2024</p></td><td><p>1,370,670</p></td><td><p>15,334</p></td><td><p>9,072</p></td></tr></tbody></table><p>Data Source: NHS Business Services Authority Open Data Portal, PCA data</p><p>The MHRA has received a total of 38 Yellow Card reports of sexual dysfunction related reactions suspected to be associated with amitriptyline, atomoxetine, and imipramine. Of these, 8 were for amitriptyline, 21 for atomoxetine, and 2 for imipramine.</p><p>‘Persistent sexual dysfunction’ does not represent a specific medical condition.</p><p>The following table shows a summary of these side effects listed in the product information:</p><table><tbody><tr><td><p> </p></td><td><p>Common (may affect up to 1 in 10 people)</p></td><td><p>Uncommon (may affect up to 1 in 100 people)</p></td><td><p>Rare (may affect up to 1 in 1,000 people)</p></td></tr><tr><td><p>amitriptyline</p></td><td><p>erectile dysfunction, libido decreased</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>imipramine</p></td><td><p>disturbances of libido, impotency or abnormal ejaculation</p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>atomoxetine</p></td><td><p>libido decreased, ejaculation disorder, erectile dysfunction, male genital pain</p></td><td><p>Ejaculation failure</p></td><td><p>Priapism</p></td></tr></tbody></table> answering member printed Lord Markham question first answered 29/04/2024 14:21:35 answering member 4948 label Biography information for Lord Markham
	tabling member	738 label Biography information for Lord Alton of Liverpool

1700719

	registered interest
	date	15/04/2024
	answering body	Foreign, Commonwealth and Development Office
	answering dept id	208
	answering dept short name	Foreign, Commonwealth and Development Office
	answering dept sort name	Foreign, Commonwealth and Development Office
	hansard heading	The Gambia: Female Genital Mutilation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government whether they are working with the United Nations and World Health Organisation in their efforts to strengthen laws and policies to protect women and girls from female genital mutilation in The Gambia, as committed to in the International Women and Girls Strategy 2023 to 2030.
	tabling member printed	Lord Alton of Liverpool
	uin	HL3714
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p>The UK's position is clear that female genital mutilation (FGM) is a human rights violation. The Deputy Foreign Secretary spoke to The Gambia's Foreign Minister on 9 April and met with the Minister for Public Services on 29 April, to relay the UK's deep concern about the progress in The Gambia's National Assembly of the bill that would legalise FGM. He highlighted the serious implications if the bill were to become law, including for The Gambia's international reputation. The UK continues to engage broadly through regular contact with senior Gambian Government officials and other stakeholders. We are working with international partners to coordinate and complement messaging and activity.</p> answering member printed Lord Benyon question first answered 30/04/2024 16:29:53 answering member 1547 label Biography information for Lord Benyon
	tabling member	738 label Biography information for Lord Alton of Liverpool

1699267

	registered interest
	date	27/03/2024
	answering body	Foreign, Commonwealth and Development Office
	answering dept id	208
	answering dept short name	Foreign, Commonwealth and Development Office
	answering dept sort name	Foreign, Commonwealth and Development Office
	hansard heading	East Africa and Southern Africa: Droughts
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of the effect of the prolonged heatwave and drought on eastern and southern Africa, in particular on children, and what steps they are taking in response.
	tabling member printed	Lord Alton of Liverpool
	uin	HL3645
	answer	answer is ministerial correction date of answer 15/04/2024 answer text <p>We closely monitor climatic conditions in Africa - including recent drought conditions in parts of Eastern and Southern Africa, where over 80 million people are experiencing crisis levels of food insecurity. In 2023 the UK was the 4th largest bilateral donor to humanitarian appeals in sub-Saharan Africa. Our programmes in the region are directly tackling food insecurity and poor access to safe water, in order to improve the nutritional and health status of children. The UK is also raising the profile of humanitarian needs with our international partners, maintaining a focus on the need for long-term solutions to climate related crises in the region, including drought.</p> answering member printed Lord Benyon question first answered 15/04/2024 10:50:03 answering member 1547 label Biography information for Lord Benyon
	tabling member	738 label Biography information for Lord Alton of Liverpool

1699268

	registered interest
	date	27/03/2024
	answering body	Foreign, Commonwealth and Development Office
	answering dept id	208
	answering dept short name	Foreign, Commonwealth and Development Office
	answering dept sort name	Foreign, Commonwealth and Development Office
	hansard heading	Malawi: Droughts
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of reports from UNICEF that the 2023–24 El Niño phenomenon has led to the president of Malawi declaring a state of disaster in 23 out of the 28 districts in the country.
	tabling member printed	Lord Alton of Liverpool
	uin	HL3646
	answer	answer is ministerial correction date of answer 10/04/2024 answer text <p>We share UNICEF's assessment that the El Nino phenomenon has contributed to failed rains across Southern Africa, resulting in serious drought in both Zambia and Malawi, which in turn will have a serious impact on children and the most vulnerable. We welcome the swift actions of Presidents Hichilema (Zambia) and Chakwera (Malawi) in declaring a state of national disaster and emergency across Zambia and within 23 out of 28 districts in Malawi.</p><p>In Zambia, the UK is committing to the rapid expansion of the Social Cash Transfer scheme to reduce food insecurity for an additional 6 million people and pivoting our existing nutrition programmes to expand access to treatment. We deployed a UK Humanitarian Stabilisation Operations Team to support the Government of Zambia's drought response coordination. In Malawi, the UK has contributed to the Government's investment into disaster risk financing instruments which will provide an immediate response when triggered. The Malawian Government is currently preparing its own El Nino Response Plan which will outline further international assistance requirements. The UK will continue to monitor the situation closely.</p> answering member printed Lord Benyon grouped question UIN HL3648 question first answered 10/04/2024 11:07:25 answering member 1547 label Biography information for Lord Benyon
	tabling member	738 label Biography information for Lord Alton of Liverpool

1699269

	registered interest
	date	27/03/2024
	answering body	Foreign, Commonwealth and Development Office
	answering dept id	208
	answering dept short name	Foreign, Commonwealth and Development Office
	answering dept sort name	Foreign, Commonwealth and Development Office
	hansard heading	South Sudan: Droughts
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of reports from UNICEF that the 2023–24 El Niño phenomenon has led to the closure of schools in South Sudan.
	tabling member printed	Lord Alton of Liverpool
	uin	HL3647
	answer	answer is ministerial correction date of answer 15/04/2024 answer text <p>The El Niño phenomenon exacerbates regional climate patterns and extreme weather events. Last month, excessive heat caused the temporary closure of some schools in South Sudan. The UK is one of the largest donors to education in South Sudan: we engage closely with the government, UNICEF, and education partners and will monitor the impact of interruptions to education. Our Humanitarian Assistance and Resilience in South Sudan programme has assisted approximately three million people by providing critical life-saving support and helping people to better cope with shocks from conflict, drought and flooding.</p> answering member printed Lord Benyon question first answered 15/04/2024 10:57:06 answering member 1547 label Biography information for Lord Benyon
	tabling member	738 label Biography information for Lord Alton of Liverpool

1699270

	registered interest
	date	27/03/2024
	answering body	Foreign, Commonwealth and Development Office
	answering dept id	208
	answering dept short name	Foreign, Commonwealth and Development Office
	answering dept sort name	Foreign, Commonwealth and Development Office
	hansard heading	Zambia: Droughts
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of reports from UNICEF that the 2023–24 El Niño phenomenon has led to the declaration of a national emergency in Zambia.
	tabling member printed	Lord Alton of Liverpool
	uin	HL3648
	answer	answer is ministerial correction date of answer 10/04/2024 answer text <p>We share UNICEF's assessment that the El Nino phenomenon has contributed to failed rains across Southern Africa, resulting in serious drought in both Zambia and Malawi, which in turn will have a serious impact on children and the most vulnerable. We welcome the swift actions of Presidents Hichilema (Zambia) and Chakwera (Malawi) in declaring a state of national disaster and emergency across Zambia and within 23 out of 28 districts in Malawi.</p><p>In Zambia, the UK is committing to the rapid expansion of the Social Cash Transfer scheme to reduce food insecurity for an additional 6 million people and pivoting our existing nutrition programmes to expand access to treatment. We deployed a UK Humanitarian Stabilisation Operations Team to support the Government of Zambia's drought response coordination. In Malawi, the UK has contributed to the Government's investment into disaster risk financing instruments which will provide an immediate response when triggered. The Malawian Government is currently preparing its own El Nino Response Plan which will outline further international assistance requirements. The UK will continue to monitor the situation closely.</p> answering member printed Lord Benyon grouped question UIN HL3646 question first answered 10/04/2024 11:07:25 answering member 1547 label Biography information for Lord Benyon
	tabling member	738 label Biography information for Lord Alton of Liverpool

1699271

	registered interest
	date	27/03/2024
	answering body	Foreign, Commonwealth and Development Office
	answering dept id	208
	answering dept short name	Foreign, Commonwealth and Development Office
	answering dept sort name	Foreign, Commonwealth and Development Office
	hansard heading	Sudan: Malnutrition
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of the estimate by the General Coordination of Camps for the Displaced and Refugees in Sudan that over 560 children have died from malnutrition during the last 11 months of the war in that country, and of UNICEF’s prediction that 700,000 Sudanese children will suffer severe malnutrition in 2024, and what steps they are taking in response.
	tabling member printed	Lord Alton of Liverpool
	uin	HL3649
	answer	answer is ministerial correction date of answer 15/04/2024 answer text <p>We remain a committed donor to Sudan and provided £42.6 million in humanitarian aid to support people there in 2023-2024, including £12.2 million to UNICEF for lifesaving nutrition activities. In this new financial year, UK bilateral ODA to Sudan will nearly double to £89 million. Funding for South Sudan was increased to £7.75 million, which includes £3.5 million for food security in the Maban refugees camps. The lack of humanitarian access continues to make it extremely difficult for humanitarian organisations to provide the necessary levels of assistance. On 8 March, the UN Security Council adopted Resolution 2724, led by the UK, calling for an immediate cessation of hostilities in Sudan during the month of Ramadan and underlining the urgency of humanitarian access. We condemn the fact that the warring parties have not heeded this Resolution.</p> answering member printed Lord Benyon question first answered 15/04/2024 10:59:52 answering member 1547 label Biography information for Lord Benyon
	tabling member	738 label Biography information for Lord Alton of Liverpool

1699272

	registered interest
	date	27/03/2024
	answering body	Foreign, Commonwealth and Development Office
	answering dept id	208
	answering dept short name	Foreign, Commonwealth and Development Office
	answering dept sort name	Foreign, Commonwealth and Development Office
	hansard heading	Darfur: Vaccination
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of the warning by Médecins Sans Frontières of a critical vaccine shortage in Darfur, and what steps they are taking in response.
	tabling member printed	Lord Alton of Liverpool
	uin	HL3650
	answer	answer is ministerial correction date of answer 15/04/2024 answer text <p>We are concerned by reports of critical vaccine shortages in Darfur. The UK continues to provide support to the health sector in Sudan through the International Committee of the Red Cross (ICRC) and the Sudan Humanitarian Fund (SHF). We are also supporting Gavi, the Vaccine Alliance, in their essential work to improve access to vaccines for the world's most vulnerable children. However, access constraints and insecurity are limiting the ability of partners to deliver in many areas, including Darfur. We continue to work with the UN, other donors and trusted partners to improve and increase the delivery of aid across Sudan. The Minister for Development and Africa met Médecins Sans Frontières (MSF) on the Sudan/Chad border in late March and saw the vital work on vaccinations performed there.</p> answering member printed Lord Benyon question first answered 15/04/2024 11:00:31 answering member 1547 label Biography information for Lord Benyon
	tabling member	738 label Biography information for Lord Alton of Liverpool

1698208

	registered interest
	date	22/03/2024
	answering body	Cabinet Office
	answering dept id	53
	answering dept short name	Cabinet Office
	answering dept sort name	Cabinet Office
	hansard heading	Hikvision: CCTV
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what is the total cost to date of the removal of Hikvision cameras from Whitehall departments; and what estimate they have made of the cost to local authorities of removing Hikvision cameras from local council buildings.
	tabling member printed	Lord Alton of Liverpool
	uin	HL3549
	answer	answer is ministerial correction date of answer 09/04/2024 answer text <p>It is a long-standing policy that the Government does not comment on security arrangements including the details of security systems. However, the UK takes national security extremely seriously and has taken robust action to secure and protect its national security infrastructure.</p><p><strong> </strong></p><p>Following Royal Assent of the Procurement Act on 26 October 2023 the Government committed to publishing a timeline for the removal of surveillance equipment supplied by companies subject to the National Intelligence Law of China from sensitive sites within six months. This timeline is due to be published by 26 April.</p><p>Sensitive sites were defined “as any building or complex that routinely holds secret material or above; any location that hosts a significant proportion of officials holding developed vetting clearance; any location which is routinely used by Ministers; and any government location covered under the Serious Organised Crime and Police Act 2005.”</p><p>While local authorities may choose to follow the lead of central government in removing surveillance equipment they are under no obligation to do so. We encourage all organisations to follow NCSC supply chain security guidance when selecting a technology supplier. This guidance clearly sets the security standards that suppliers should meet and the considerations that organisations should be making during the procurement process.</p><p> </p> answering member printed Baroness Neville-Rolfe question first answered 09/04/2024 14:29:03 answering member 4284 label Biography information for Baroness Neville-Rolfe
	tabling member	738 label Biography information for Lord Alton of Liverpool

1698011

	registered interest
	date	21/03/2024
	answering body	Department for Education
	answering dept id	60
	answering dept short name	Education
	answering dept sort name	Education
	hansard heading	Visas: British National (Overseas)
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of the Hong Kong Watch report, Tuition Fees for BNO Visa Holders: The Case for Home Fee Status, and the impact of the cost of international fees on the ability of young British National (Overseas) (BNO) visa holders to attend university; and whether they will follow the Scottish Government in introducing home fees status for BNO visa holders after three years of residency in the UK.
	tabling member printed	Lord Alton of Liverpool
	uin	HL3505
	answer	answer is ministerial correction date of answer 08/04/2024 answer text <p>To qualify for home fee status in England, a person must have settled status or ’a recognised connection’ to the UK. A recognised connection includes persons who are covered by the EU Withdrawal Agreement, have long residence in this country or who have been granted international protection by the Home Office. There are also requirements associated with ordinary residence in the UK.</p><p>Subject to meeting the normal eligibility requirements, Hong Kong BN(O) status holders will be able to qualify for home fee status and student finance once they have acquired settled status in the UK (usually after 5 years). Education is fully devolved, and administrations are able to make their own arrangements for accessing home fee status.</p> answering member printed Baroness Barran question first answered 08/04/2024 11:13:03 answering member 4703 label Biography information for Baroness Barran
	tabling member	738 label Biography information for Lord Alton of Liverpool