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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

934221

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	Endometriosis
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 women have been diagnosed with endometriosis in each of the last eight years.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	160103
answer	answer is ministerial correction date of answer 06/07/2018 answer text <p>No data is held centrally on the number of women diagnosed with endometriosis.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/07/2018 12:30:48 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	534 label Biography information for Chris Ruane

934242

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	Antimicrobials: Drug Resistance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what information he holds on the number of patients diagnosed with (a) antimicrobial- and (b) antibiotic-resistant diseases in England in each of the last five years.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	160097
answer	answer is ministerial correction date of answer 06/07/2018 answer text <p>Public Health England does not hold umbrella data on all antimicrobial and antibiotic-resistant diseases in England as there are over 100 antimicrobial drugs in use and a large number of bacteria, fungi and viruses that could show resistance to one or more of them. Data on specific bug/drug combinations are available in the attached table: Number of cases of antimicrobial/antibiotic resistant infections identified in specific drug combinations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/07/2018 13:31:18 answering member 4067 label Biography information for Steve Brine attachment 1 file name Table_PQ160097.pdf title PQ160097 attached table
tabling member	491 label Biography information for Dame Angela Eagle

934254

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	NHS: Drugs
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 any potential risks to the supply of medicines to patients in the event that the UK leaves the EU without an agreement.
tabling member constituency	Leeds Central
tabling member printed	Hilary Benn
uin	160075
answer	answer is ministerial correction date of answer 06/07/2018 answer text <p>Patient safety is paramount in our exit negotiations and maintaining continuity of supply of all medicines and medical isotopes is a key part of ensuring patients continue to receive the safe, high-quality care they need from day one of European Union exit and thereafter.</p><p> </p><p>Extensive work has been undertaken to understand the implications of our exit on the National Health Service, considering a range of negotiation outcomes, including exit without a withdrawal agreement. This has included a particular focus on continued access to medicines.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/07/2018 13:24:58 answering member 4067 label Biography information for Steve Brine
tabling member	413 label Biography information for Hilary Benn

934259

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	Patients: Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 19 June 2018 to Question 152793 on Patients: Safety, whether any steps have been taken to determine the reason for the increase in never events.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	160274
answer	answer is ministerial correction date of answer 09/07/2018 answer text <p>The Government is committed to eradicating Never Events and ensuring best practice is shared throughout the health care system.</p><p>That is why in December 2017, the Secretary of State commissioned the Care Quality Commission (CQC) to undertake a safety thematic review of Never Events, under Section 48 of the Health and Social Care Act 2008.</p><p>The CQC’s review, which is expected to report in autumn 2018, will examine the underlying issues in National Health Service trusts in England that contribute to the occurrence of Never Events and identify the learning that can be applied to wider safety issues.</p><p>The ‘Never Events Policy and Framework’ was revised in March 2015 and the definition of Never Events changed to provide further clarity over their purpose, and; to ensure incidents are easily identifiable when they occur and are not dependent on the severity of outcome of the incident.</p><p>The list of Never Events was reviewed at the same time to ensure that they were all compliant with the revised definition and to consider any new issues that were appropriate to be introduced as Never Events into the NHS in England.</p><p>Further revisions to the Never Events policy and framework and an updated Never Events list were published in January 2018. Therefore it is not possible to compare the number of Never Events reported on an annual basis.</p><p>As mentioned in my earlier reply to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2018-06-12/152793/" target="_blank">152793</a>, NHS providers are encouraged to report all Never Events, and the CQC regards failure to report a Never Event, a breach of a provider’s registration requirement.</p><p>The number of Never Events reported by independent providers is also increasing as they report more incidents to our National Reporting and Learning System.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 09/07/2018 16:40:10 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4418 label Biography information for Justin Madders