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1713279

	registered interest
	date	23/04/2024
	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	Health Professions: Regulation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what progress they have made towards the new regulatory system for health and care professionals; and which protected professional titles they are considering in scope of these regulations.
	tabling member printed	Baroness Bennett of Manor Castle
	type	WrittenParliamentaryQuestion
	uin	HL4020
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p>The Anaesthesia Associates and Physician Associates Order 2024 was made on 13 March 2024 which will bring anaesthesia associates and physician associates into regulation by the General Medical Council under a reformed regulatory framework. We are currently working on the next phase of reform, which will introduce a new regulatory framework for medical practitioners and the professions regulated by the Nursing and Midwifery Council and the Health and Care Professions Council.</p><p>As part of the Government’s regulatory reform programme, protected titles will be considered more broadly, as we take forward legislation for each regulator.</p> answering member printed Lord Markham question first answered 30/04/2024 16:54:38 answering member 4948 label Biography information for Lord Markham
	tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1712653

	registered interest
	date	22/04/2024
	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	Dental Services: Attendance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government how many missed dental appointments there have been in each of the past five years.
	tabling member printed	Lord Swire
	type	WrittenParliamentaryQuestion
	uin	HL4014
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p>Whilst the Department does not hold this information in the format requested, data is recorded on dental activity that has occurred. For example, the Department holds data on the number of Units of Dental Activity commissioned and delivered each month on the NHS Business Services Authority Open Data Portal in an online-only format. The portal currently holds data from April 2016 to November 2023.</p> answering member printed Lord Markham question first answered 30/04/2024 15:51:13 answering member 4948 label Biography information for Lord Markham
	tabling member	1408 label Biography information for Lord Swire

1712649

	registered interest
	date	22/04/2024
	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	Pharmacy: Rural Areas
	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 long-term financial viability of community pharmacies in rural areas.
	tabling member printed	The Lord Bishop of St Albans
	type	WrittenParliamentaryQuestion
	uin	HL4010
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p>The below table shows the total number of community pharmacies that have closed and opened in rural areas in England, as defined by the Department for Environment, Food and Rural Affairs’ <em>Guide to applying the Rural Urban Classification to data</em>, each year from 2019 to 2023:</p><table><tbody><tr><td><p>Year</p></td><td><p>Number of rural pharmacies closed</p></td><td><p>Number of rural pharmacies opened</p></td></tr><tr><td><p>2019</p></td><td><p>13</p></td><td><p>3</p></td></tr><tr><td><p>2020</p></td><td><p>6</p></td><td><p>1</p></td></tr><tr><td><p>2021</p></td><td><p>8</p></td><td><p>8</p></td></tr><tr><td><p>2022</p></td><td><p>8</p></td><td><p>3</p></td></tr><tr><td><p>2023</p></td><td><p>13</p></td><td><p>8</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p>Community pharmacies are private businesses, contracted to provide National Health Service pharmaceutical services. My Rt hon. Friend, the Secretary of State for Health and Social Care is responsible for ensuring that patients can access medicines, and the Department is monitoring changes to the market closely. In areas where there are fewer pharmacies, the Pharmacy Access Scheme provides financial support to the pharmacies that are present.</p><p>Every three years, local authorities in England undertake pharmaceutical needs assessments for their areas, to ensure provision continues to meet their population’s needs. Integrated care boards have regard to those assessments when commissioning services, and where a pharmacy closure impacts access to services, a new contractor can apply to open a pharmacy in the area.</p><p>When a local pharmacy closes, patients can choose to access pharmaceutical services through any alternative pharmacy, including any of the over 400 distance selling pharmacies that are required to deliver medicines to patients free of charge. In some rural areas, doctors are permitted to dispense medicines.</p> answering member printed Lord Markham grouped question UIN HL4009 question first answered 30/04/2024 15:50:48 answering member 4948 label Biography information for Lord Markham
	tabling member	4308 label Biography information for The Lord Bishop of St Albans

1712648

	registered interest
	date	22/04/2024
	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	Pharmacy: Rural Areas
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government how many community pharmacies in rural areas closed in (1) 2019, (2) 2020, (3) 2021, (4) 2022, and (5) 2023.
	tabling member printed	The Lord Bishop of St Albans
	type	WrittenParliamentaryQuestion
	uin	HL4009
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p>The below table shows the total number of community pharmacies that have closed and opened in rural areas in England, as defined by the Department for Environment, Food and Rural Affairs’ <em>Guide to applying the Rural Urban Classification to data</em>, each year from 2019 to 2023:</p><table><tbody><tr><td><p>Year</p></td><td><p>Number of rural pharmacies closed</p></td><td><p>Number of rural pharmacies opened</p></td></tr><tr><td><p>2019</p></td><td><p>13</p></td><td><p>3</p></td></tr><tr><td><p>2020</p></td><td><p>6</p></td><td><p>1</p></td></tr><tr><td><p>2021</p></td><td><p>8</p></td><td><p>8</p></td></tr><tr><td><p>2022</p></td><td><p>8</p></td><td><p>3</p></td></tr><tr><td><p>2023</p></td><td><p>13</p></td><td><p>8</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p>Community pharmacies are private businesses, contracted to provide National Health Service pharmaceutical services. My Rt hon. Friend, the Secretary of State for Health and Social Care is responsible for ensuring that patients can access medicines, and the Department is monitoring changes to the market closely. In areas where there are fewer pharmacies, the Pharmacy Access Scheme provides financial support to the pharmacies that are present.</p><p>Every three years, local authorities in England undertake pharmaceutical needs assessments for their areas, to ensure provision continues to meet their population’s needs. Integrated care boards have regard to those assessments when commissioning services, and where a pharmacy closure impacts access to services, a new contractor can apply to open a pharmacy in the area.</p><p>When a local pharmacy closes, patients can choose to access pharmaceutical services through any alternative pharmacy, including any of the over 400 distance selling pharmacies that are required to deliver medicines to patients free of charge. In some rural areas, doctors are permitted to dispense medicines.</p> answering member printed Lord Markham grouped question UIN HL4010 question first answered 30/04/2024 15:50:48 answering member 4948 label Biography information for Lord Markham
	tabling member	4308 label Biography information for The Lord Bishop of St Albans

1701625

	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	Respiratory Syncytial Virus
	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 impact of infant respiratory syncytial virus on (1) paediatric intensive care bed capacity, (2) NHS elective care capacity, (3) GP visits, and (4) economic productivity.
	tabling member printed	Baroness Ritchie of Downpatrick
	type	WrittenParliamentaryQuestion
	uin	HL3856
	answer	answer is ministerial correction date of answer 30/04/2024 answer text <p>NHS England has not made specific assessments of the impact of infant respiratory syncytial virus (RSV) on paediatric intensive care bed capacity, National Health Service elective care capacity, and general practice visits, as RSV is often accompanied by other respiratory viruses and bacterial infections, and it is therefore difficult to measure the exact contribution of RSV. Neither has the Department assessed the wider productivity and economic benefits of RSV specifically.</p><p> </p><p>The NHS plans for a wide range of scenarios ahead of each winter, and will continue to adapt plans based on respiratory infections surveillance, including RSV, and NHS activity data. This includes specialised commissioning led winter surge planning for paediatric critical care, as well as wider winter planning. For RSV specifically, this includes the annual immunisation programme, which continues to be managed and reviewed in accordance with advice from the Joint Committee on Vaccination and Immunisation (JCVI). For 2024 to 2025, preparedness may include rolling out a new RSV vaccination programme following the JCVI’s recommendations issued in September 2023, subject to approval from the Department.</p><p> </p><p>The health impact of infant RSV was assessed in a scientific paper published in Lancet Regional Health Europe in January 2024, and has been assessed previously in scientific papers published by Public Health England and others. This work contributed to the JCVI’s assessment of RSV’s impact, and advice to implement an immunisation programme to prevent infant RSV.</p> answering member printed Lord Markham question first answered 30/04/2024 15:46:03 answering member 4948 label Biography information for Lord Markham
	tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

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
	type	WrittenParliamentaryQuestion
	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
	type	WrittenParliamentaryQuestion
	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
	type	WrittenParliamentaryQuestion
	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

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
	type	WrittenParliamentaryQuestion
	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
	type	WrittenParliamentaryQuestion
	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