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1714010

	registered interest
	date	25/04/2024
	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	Prescription Drugs: Shortages
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of shortages in the supply of prescription drugs.
	tabling member printed	The Lord Bishop of Southwark
	uin	HL4117
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p>There are approximately 14,000 medicines licensed for supply in the United Kingdom, and the overwhelming majority are in good supply. The medicine supply chain is complex, global, and highly regulated, and supply issues can be caused by a range of factors. For example, suppliers can encounter manufacturing problems, difficulty accessing raw materials, and surges in demand. These are commonly cited as the drivers of the recent supply issues, which have affected many countries, not just the UK.</p><p>Whilst we can’t always prevent supply issues, we have a range of well-established tools and processes to mitigate risks to patients. These include close and regular engagement with suppliers, use of alternative strengths or forms of a medicine to allow patients to remain on the same product, expediting regulatory procedures, sourcing unlicensed imports from abroad, adding products to the restricted exports and hoarding list, use of Serious Shortage Protocols, and issuing National Health Service communications to provide management advice and information on the issue to healthcare professionals, so they can advise and support their patients.</p> answering member printed Lord Markham question first answered 30/04/2024 11:37:26 answering member 4948 label Biography information for Lord Markham
	tabling member	4345 label Biography information for The Lord Bishop of Southwark

1713726

	registered interest
	date	24/04/2024
	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	First Aid: Adrenaline
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what guidance they have issued regarding the use of an adrenaline auto-injector on someone to whom it was not prescribed in a medical emergency.
	tabling member printed	Lord Kennedy of Southwark
	uin	HL4076
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) has published guidance on the use of adrenaline auto-injectors in schools, and there is provision in this guidance for the use of an adrenaline auto-injector on someone to whom it was not prescribed, in a medical emergency. However, regulation 238 of the Human Medicines Regulations 2012 provides an exemption from certain requirements related to the administration of medicines. Specifically, it allows for parenteral, rather than injected or absorbed, administration of specified medicines in emergency situations, where the purpose is to save a life. For instance, adrenaline prescribed for a specific person, or even to an unknown person, can be administered under this regulation, if it is necessary to save a life during an emergency. The use in emergencies is covered by schedule 19 and regulation 238, where age is not specified.</p><p>An Expert Advisory Group for Allergy was established in 2023, across the Government and clinical organisations, and chaired by the National Allergy Strategy Group and the Department, to recommend further action by the MHRA, Department of Health and Social Care, Department for Education, and the National Health Service. The Department of Health and Social Care and the MHRA are currently considering updates to the 2017 guidance, to ensure that any updated clarifications are supported by evidence, and that any open questions are answered.</p> answering member printed Lord Markham grouped question UIN HL4075 question first answered 30/04/2024 11:36:16 answering member 4948 label Biography information for Lord Markham
	tabling member	4153 label Biography information for Lord Kennedy of Southwark

1713725

	registered interest
	date	24/04/2024
	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	First Aid: Adrenaline
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what guidance they have issued on the administering of adrenaline auto-injectors by minors in medical emergencies.
	tabling member printed	Lord Kennedy of Southwark
	uin	HL4075
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) has published guidance on the use of adrenaline auto-injectors in schools, and there is provision in this guidance for the use of an adrenaline auto-injector on someone to whom it was not prescribed, in a medical emergency. However, regulation 238 of the Human Medicines Regulations 2012 provides an exemption from certain requirements related to the administration of medicines. Specifically, it allows for parenteral, rather than injected or absorbed, administration of specified medicines in emergency situations, where the purpose is to save a life. For instance, adrenaline prescribed for a specific person, or even to an unknown person, can be administered under this regulation, if it is necessary to save a life during an emergency. The use in emergencies is covered by schedule 19 and regulation 238, where age is not specified.</p><p>An Expert Advisory Group for Allergy was established in 2023, across the Government and clinical organisations, and chaired by the National Allergy Strategy Group and the Department, to recommend further action by the MHRA, Department of Health and Social Care, Department for Education, and the National Health Service. The Department of Health and Social Care and the MHRA are currently considering updates to the 2017 guidance, to ensure that any updated clarifications are supported by evidence, and that any open questions are answered.</p> answering member printed Lord Markham grouped question UIN HL4076 question first answered 30/04/2024 11:36:16 answering member 4948 label Biography information for Lord Markham
	tabling member	4153 label Biography information for Lord Kennedy of Southwark

1714036

	registered interest
	date	26/04/2024
	answering body	Department for Transport
	answering dept id	27
	answering dept short name	Transport
	answering dept sort name	Transport
	hansard heading	Railways: Ticket Offices
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Transport, whether he has held recent discussions with rail unions on the potential impact of ticket office closures on employment within the rail sector.
	tabling member constituency	Slough
	tabling member printed	Mr Tanmanjeet Singh Dhesi
	uin	23914
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p><strong> </strong></p><p>In October 2023, the Government communicated to the industry that no ticket offices should close following consultation when it became clear that industry-led proposals did not meet the high thresholds for service set by Ministers. The consultation raised several important issues which we are working with the industry on, including the modernisation of fares and ticketing and improving accessibility.</p><p> </p><p> </p> answering member constituency Bexhill and Battle answering member printed Huw Merriman grouped question UIN 23913 23915 question first answered 30/04/2024 11:30:09 answering member 4442 label Biography information for Huw Merriman
	tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1714035

	registered interest
	date	26/04/2024
	answering body	Department for Transport
	answering dept id	27
	answering dept short name	Transport
	answering dept sort name	Transport
	hansard heading	Railways: Ticket Offices
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Transport, what assessment his Department has made of the impact of closing train ticket offices on (a) elderly and (b) disabled passengers.
	tabling member constituency	Slough
	tabling member printed	Mr Tanmanjeet Singh Dhesi
	uin	23913
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p><strong> </strong></p><p>In October 2023, the Government communicated to the industry that no ticket offices should close following consultation when it became clear that industry-led proposals did not meet the high thresholds for service set by Ministers. The consultation raised several important issues which we are working with the industry on, including the modernisation of fares and ticketing and improving accessibility.</p><p> </p><p> </p> answering member constituency Bexhill and Battle answering member printed Huw Merriman grouped question UIN 23914 23915 question first answered 30/04/2024 11:30:09 answering member 4442 label Biography information for Huw Merriman
	tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1714038

	registered interest
	date	26/04/2024
	answering body	Department for Transport
	answering dept id	27
	answering dept short name	Transport
	answering dept sort name	Transport
	hansard heading	Railways: Tickets
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Transport, what steps his Department is taking to help support rail passengers who do not have access to digital ticketing, in the context of proposals to close ticket offices.
	tabling member constituency	Slough
	tabling member printed	Mr Tanmanjeet Singh Dhesi
	uin	23915
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p><strong> </strong></p><p>In October 2023, the Government communicated to the industry that no ticket offices should close following consultation when it became clear that industry-led proposals did not meet the high thresholds for service set by Ministers. The consultation raised several important issues which we are working with the industry on, including the modernisation of fares and ticketing and improving accessibility.</p><p> </p><p> </p> answering member constituency Bexhill and Battle answering member printed Huw Merriman grouped question UIN 23913 23914 question first answered 30/04/2024 11:30:09 answering member 4442 label Biography information for Huw Merriman
	tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1713415

	registered interest
	date	24/04/2024
	answering body	Treasury
	answering dept id	14
	answering dept short name	Treasury
	answering dept sort name	Treasury
	hansard heading	Sharing Economy: Taxation
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Chancellor of the Exchequer, whether he has received recent projections from the Office for Budget Responsibility on the potential impact of the model rules for reporting by platform operators with respect to sellers in the sharing and gig economy on (a) costs to HMRC and (b) tax revenues.
	tabling member constituency	West Worcestershire
	tabling member printed	Dame Harriett Baldwin
	uin	23476
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p>(a)</p><p>Please see:</p><p><a href="https://obr.uk/download/policy-measures-database-6/?tmstv=1714126499" target="_blank">https://obr.uk/download/policy-measures-database-6/?tmstv=1714126499</a></p><p> </p><p> </p><p>(b)</p><p>Please see:</p><p><a href="https://www.gov.uk/government/publications/autumn-statement-2023/autumn-statement-2023-html#policy-decisions" target="_blank">https://www.gov.uk/government/publications/autumn-statement-2023/autumn-statement-2023-html#policy-decisions</a></p> answering member constituency Mid Worcestershire answering member printed Nigel Huddleston question first answered 30/04/2024 11:29:51 answering member 4407 label Biography information for Nigel Huddleston
	tabling member	4107 label Biography information for Dame Harriett Baldwin

1713414

	registered interest
	date	24/04/2024
	answering body	Treasury
	answering dept id	14
	answering dept short name	Treasury
	answering dept sort name	Treasury
	hansard heading	Sharing Economy: Taxation
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Chancellor of the Exchequer, if he will make an assessment of the potential impact of the model rules for reporting by platform operators with respect to sellers in the sharing and gig economy on (a) costs to HMRC and (b) tax revenues.
	tabling member constituency	West Worcestershire
	tabling member printed	Dame Harriett Baldwin
	uin	23475
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p>(a)</p><p>Please see: <a href="https://www.gov.uk/government/publications/reporting-rules-for-digital-platforms/reporting-rules-for-digital-platforms" target="_blank">https://www.gov.uk/government/publications/reporting-rules-for-digital-platforms/reporting-rules-for-digital-platforms</a></p><p> </p><p>(b)</p><p>Please see:</p><p><a href="https://www.gov.uk/government/publications/autumn-statement-2023/autumn-statement-2023-html#policy-decisions" target="_blank">https://www.gov.uk/government/publications/autumn-statement-2023/autumn-statement-2023-html#policy-decisions</a></p> answering member constituency Mid Worcestershire answering member printed Nigel Huddleston question first answered 30/04/2024 11:27:16 answering member 4407 label Biography information for Nigel Huddleston
	tabling member	4107 label Biography information for Dame Harriett Baldwin

1713724

	registered interest
	date	24/04/2024
	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	Airports: Medical Equipment
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what requirements there are for airports to ensure adrenaline auto-injectors are available on their premises.
	tabling member printed	Lord Kennedy of Southwark
	uin	HL4074
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p>Following their review, the Adrenaline Auto-injector Expert Working Group (AAI EWG) recommended in principle that adrenaline auto-injectors (AAIs) should be made available in public locations, for use in treating anaphylaxis in unforeseen and critical circumstances, provided suitable safeguards can be implemented to ensure their effective and safe use. Challenges lie in ensuring correct and secure storage of AAIs, to ensure that the adrenaline does not deteriorate, and the device remains functional. Cinemas offering food for sale and other food outlets were identified as examples of locations where emergency AAIs might have particular potential to save lives.</p><p>The legislative change will therefore concern AAI supply, to specify or define individuals or organisations with the necessary competence to obtain and store AAIs for use in the event of an anaphylactic emergency. The AAI EWG advised the need for access to AAIs in a broad range of settings such as restaurants, gyms, cinemas, childcare facilities, youth groups, and music festivals. To support such wide-ranging access, the scope of legal supply will need to be linked to a requirement for training, to support safe use.</p><p>An Expert Advisory Group for Allergy was established in 2023, across the Government and clinical organisations, and chaired by the National Allergy Strategy Group and the Department, to recommend further action by the Medicines and Healthcare products Regulatory Agency (MHRA), Department of Health and Social Care, Department for Education, and the National Health Service. The Department of Health and Social Care and the MHRA are currently considering updates to the 2017 guidance, to ensure that any updated clarifications are supported by evidence, and that any open questions are answered.</p> answering member printed Lord Markham grouped question UIN HL4071 HL4072 HL4073 question first answered 30/04/2024 11:25:28 answering member 4948 label Biography information for Lord Markham
	tabling member	4153 label Biography information for Lord Kennedy of Southwark

1713723

	registered interest
	date	24/04/2024
	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	Aviation: Medical Equipment
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what requirements there are for airlines to ensure adrenaline auto-injectors are available on commercial flights.
	tabling member printed	Lord Kennedy of Southwark
	uin	HL4073
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p>Following their review, the Adrenaline Auto-injector Expert Working Group (AAI EWG) recommended in principle that adrenaline auto-injectors (AAIs) should be made available in public locations, for use in treating anaphylaxis in unforeseen and critical circumstances, provided suitable safeguards can be implemented to ensure their effective and safe use. Challenges lie in ensuring correct and secure storage of AAIs, to ensure that the adrenaline does not deteriorate, and the device remains functional. Cinemas offering food for sale and other food outlets were identified as examples of locations where emergency AAIs might have particular potential to save lives.</p><p>The legislative change will therefore concern AAI supply, to specify or define individuals or organisations with the necessary competence to obtain and store AAIs for use in the event of an anaphylactic emergency. The AAI EWG advised the need for access to AAIs in a broad range of settings such as restaurants, gyms, cinemas, childcare facilities, youth groups, and music festivals. To support such wide-ranging access, the scope of legal supply will need to be linked to a requirement for training, to support safe use.</p><p>An Expert Advisory Group for Allergy was established in 2023, across the Government and clinical organisations, and chaired by the National Allergy Strategy Group and the Department, to recommend further action by the Medicines and Healthcare products Regulatory Agency (MHRA), Department of Health and Social Care, Department for Education, and the National Health Service. The Department of Health and Social Care and the MHRA are currently considering updates to the 2017 guidance, to ensure that any updated clarifications are supported by evidence, and that any open questions are answered.</p> answering member printed Lord Markham grouped question UIN HL4071 HL4072 HL4074 question first answered 30/04/2024 11:25:28 answering member 4948 label Biography information for Lord Markham
	tabling member	4153 label Biography information for Lord Kennedy of Southwark