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1694863

registered interest
date	11/03/2024
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	Fluoxetine and Nortriptyline: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what estimate they have made of the number prescriptions for fluoxetine and nortriptyline issued in England each year since 2014 to patients under the age of 18.
tabling member printed	Lord Alton of Liverpool
uin	HL3162
answer	answer is ministerial correction date of answer 22/03/2024 answer text <p>The tables below show the total of prescription items for patients aged under 18 who were prescribed fluoxetine or nortriptyline for the partial year of April–Dec 2015, and then full calendar years 2016–23.</p><p>The NHS Business Services Authority does not hold patient level data prior to April 2015.</p><p>This information is extracted from ePACT2, using British National Formulary chemical substance, prescribed in England that are then dispensed in the community in England, Scotland, Wales, Isle of Man or the Channel Islands.</p><table><tbody><tr><td colspan="2"><p>Total number of items issued for Fluoxetine Hydrochloride</p></td></tr><tr><td><p>Time Period</p></td><td><p>Total items issued to age range (Under 18)</p></td></tr><tr><td><p>Part year 2015 (Apr – Dec)</p></td><td><p>91,685</p></td></tr><tr><td><p>2016</p></td><td><p>126,193</p></td></tr><tr><td><p>2017</p></td><td><p>129,205</p></td></tr><tr><td><p>2018</p></td><td><p>136,275</p></td></tr><tr><td><p>2019</p></td><td><p>143,271</p></td></tr><tr><td><p>2020</p></td><td><p>147,555</p></td></tr><tr><td><p>2021</p></td><td><p>155,398</p></td></tr><tr><td><p>2022</p></td><td><p>156,324</p></td></tr><tr><td><p>2023</p></td><td><p>149,839</p></td></tr></tbody></table><p> </p><table><tbody><tr><td colspan="2"><p>Total number of items issued for Nortriptyline</p></td></tr><tr><td><p>Time Period</p></td><td><p>Total items issued to age range (Under 18)</p></td></tr><tr><td><p>Part year 2015 (Apr – Dec)</p></td><td><p>1,481</p></td></tr><tr><td><p>2016</p></td><td><p>1,931</p></td></tr><tr><td><p>2017</p></td><td><p>1,673</p></td></tr><tr><td><p>2018</p></td><td><p>1,514</p></td></tr><tr><td><p>2019</p></td><td><p>1,616</p></td></tr><tr><td><p>2020</p></td><td><p>1,599</p></td></tr><tr><td><p>2021</p></td><td><p>1,777</p></td></tr><tr><td><p>2022</p></td><td><p>1,758</p></td></tr><tr><td><p>2023</p></td><td><p>1,915</p></td></tr></tbody></table><p> </p><p>Prescriptions do not state the purpose for which they are written, so there may be instances where medicines are used for other conditions.</p><p>Many medicines, including medicines used to treat depression, are licensed and prescribed for other conditions. The Department expects prescribers to always satisfy themselves that the medicines they consider appropriate for their patients can be safely prescribed.</p> answering member printed Lord Markham question first answered 22/03/2024 11:58:11 answering member 4948 label Biography information for Lord Markham
tabling member	738 label Biography information for Lord Alton of Liverpool

1694864

registered interest
date	11/03/2024
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	Mirtazapine
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how many prescriptions for mirtazapine were issued in each year since 2014; how many Yellow Card reports of sexual dysfunction and persistent sexual dysfunction the MHRA received for mirtazapine in each year since 2014; and what consideration NHS England has given to adding sexual dysfunction as a side effect on the patient information leaflets for mirtazapine.
tabling member printed	Lord Alton of Liverpool
uin	HL3163
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>The following table shows the total number of items issued for mirtazapine, each year since 2014 to 2023:</p><table><tbody><tr><td><p>Time Period</p></td><td><p>Total items issued</p></td></tr><tr><td><p>2014</p></td><td><p>6,056,918</p></td></tr><tr><td><p>2015</p></td><td><p>6,783,906</p></td></tr><tr><td><p>2016</p></td><td><p>7,526,200</p></td></tr><tr><td><p>2017</p></td><td><p>8,198,345</p></td></tr><tr><td><p>2018</p></td><td><p>8,938,362</p></td></tr><tr><td><p>2019</p></td><td><p>9,702,599</p></td></tr><tr><td><p>2020</p></td><td><p>10,532,577</p></td></tr><tr><td><p>2021</p></td><td><p>11,249,963</p></td></tr><tr><td><p>2022</p></td><td><p>11,776,025</p></td></tr><tr><td><p>2023</p></td><td><p>12,401,593</p></td></tr></tbody></table><p>Source: Data was provided by the NHS Business Services Authority, using the British National Formulary chemical substance mirtazapine</p><p>Note: Items have been dispensed, but not necessarily prescribed, in England.</p><p>The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for ensuring medicines, medical devices, and blood components for transfusion meet applicable standards of safety, quality, and efficacy. The MHRA rigorously assesses available data, including from the Yellow Card scheme, and seeks advice from their independent advisory committee, the Commission on Human Medicines, where appropriate to inform regulatory decisions.</p><p>The MHRA has received a total of 46 Yellow Card reports of sexual dysfunction related reactions suspected to be associated with mirtazapine, four of which include information that suggest the suspected adverse reactions persisted after mirtazapine was withdrawn. The following table shows the number of Yellow Card reports of suspected mirtazapine related sexual dysfunction, and reports of sexual dysfunction that persisted after the drug was withdrawn, each year from 2014 to 2024:</p><table><tbody><tr><td><p>Year</p></td><td><p>Reports of sexual dysfunction</p></td><td><p>Reports of sexual dysfunction that continued after mirtazapine was withdrawn</p></td></tr><tr><td><p>2014</p></td><td><p>3</p></td><td><p>0</p></td></tr><tr><td><p>2015</p></td><td><p>1</p></td><td><p>0</p></td></tr><tr><td><p>2016</p></td><td><p>2</p></td><td><p>0</p></td></tr><tr><td><p>2017</p></td><td><p>3</p></td><td><p>0</p></td></tr><tr><td><p>2018</p></td><td><p>1</p></td><td><p>0</p></td></tr><tr><td><p>2019</p></td><td><p>5</p></td><td><p>1</p></td></tr><tr><td><p>2020</p></td><td><p>3</p></td><td><p>0</p></td></tr><tr><td><p>2021</p></td><td><p>5</p></td><td><p>1</p></td></tr><tr><td><p>2022</p></td><td><p>10</p></td><td><p>1</p></td></tr><tr><td><p>2023</p></td><td><p>9</p></td><td><p>0</p></td></tr><tr><td><p>2024</p></td><td><p>4</p></td><td><p>1</p></td></tr></tbody></table><p>Source: data provided by the MHRA.</p><p>It is important to note that the inclusion of a particular report on the MHRA’s system does not necessarily mean that the adverse reactions reported have been caused by the suspect drug. Additionally, the number of reports received should not be used as a basis for determining the incidence of a reaction, as neither the total number of reactions occurring, nor the number of patients using the drug, is known.</p><p>The MHRA continuously monitors the safety of medicines on the United Kingdom’s market, including mirtazapine. Reports of suspected adverse reactions are reviewed weekly by a multidisciplinary team as part of the MHRA’s signal detection process. The term signal is used to define any suspected adverse reaction or potential safety concern that requires further evaluation.</p><p>Responsibility for adding a side effect to the product information leaflet sits with the MHRA. The product information for mirtazapine reflects the data currently available, and does not include sexual dysfunction as a possible side effect. However, data from Yellow Card reports and other sources such as published studies and periodic safety assessments are kept under continuous review by the MHRA. The marketing authorisation holder has recently submitted the latest periodic safety update report to the MHRA, and this will be carefully assessed. If there is sufficient evidence and associated data about the potential to experience sexual dysfunction as a side effect, the patient information for mirtazapine can be updated.</p> answering member printed Lord Markham question first answered 26/03/2024 14:30:21 answering member 4948 label Biography information for Lord Markham
tabling member	738 label Biography information for Lord Alton of Liverpool

1694865

registered interest
date	11/03/2024
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Shein: London Stock Exchange
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, following reporting that Shein is considering listing on the London Stock Exchange, what steps they are taking to ensure that such listings do not violate the UK’s commitments to uphold the UN Guiding Principles on Business and Human Rights and International Labour Organization Conventions.
tabling member printed	Lord Alton of Liverpool
uin	HL3164
answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>The Government does not comment on individual companies. Furthermore, a decision to apply for a listing is for an individual firm to make. It is then for the independent regulator, the Financial Conduct Authority, to decide whether a firm meets the requirements of the UK listings rules.</p> answering member printed Baroness Vere of Norbiton question first answered 25/03/2024 16:59:08 answering member 4580 label Biography information for Baroness Vere of Norbiton
tabling member	738 label Biography information for Lord Alton of Liverpool

1694866

registered interest
date	11/03/2024
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	China: Internment
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by Lord Ahmad of Wimbledon on 7 March (HL2663), whether they have made any estimate of the number of camps, including the so-called anti-extremism centres and re-education camps, in (1) Tibet and (2) the rest of China.
tabling member printed	Lord Alton of Liverpool
uin	HL3165
answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>The Government refers to credible external estimates, in particular those from the United Nations, of numbers of individuals in China detained under various circumstances and within certain geographies. For example, the April 2023 UN Special Procedures found &quot;[h]undreds of thousands of Tibetans have reportedly been 'transferred' from their traditional rural lives to low-skilled and low-paid employment since 2015&quot; noting &quot;the labour transfer programme is facilitated by a network of 'vocational training centres', which focus less on developing professional skills and more on cultural and political indoctrination in a militarised environment.&quot; As noted in the Government's response to Written Question HL2663, with regard to the situation in Xinjiang, in 2018 the UN Committee on the Elimination of Racial Discrimination estimated &quot;upwards of a million people were being held in so-called counter-extremism centres and another two million had been forced into what the Chinese refer to as 're-education camps' for political and cultural indoctrination.&quot;</p> answering member printed Lord Ahmad of Wimbledon question first answered 25/03/2024 17:05:14 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
tabling member	738 label Biography information for Lord Alton of Liverpool

1694867

registered interest
date	11/03/2024
answering body	Women and Equalities
answering dept id	31
answering dept short name	Women and Equalities
answering dept sort name	Women and Equalities
hansard heading	Equality and Human Rights Commission
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government on which dates since 24 July 2018 the Minister for Women and Equalities contacted officers or board members of the Equality and Human Rights Commission and discussed the Commission’s operational matters; in each case, what operational matters were discussed, and what were the outcomes of those discussions.
tabling member printed	Baroness Barker
uin	HL3166
answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>As has been the case under successive administrations, the Government does not publish granular details of Ministerial meetings or discussions.</p> answering member printed Baroness Barran question first answered 25/03/2024 17:39:17 answering member 4703 label Biography information for Baroness Barran
tabling member	2501 label Biography information for Baroness Barker

1694868

registered interest
date	11/03/2024
answering body	Women and Equalities
answering dept id	31
answering dept short name	Women and Equalities
answering dept sort name	Women and Equalities
hansard heading	Equality and Human Rights Commission
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what discussions the Minister for Women and Equalities, or her officials or advisers, have had with Equality and Human Rights Commission (EHRC) about the EHRC's investigation of Baroness Falkner of Margravine; and what assessment they have made of the conduct of that investigation, including the EHRC's decisions to suspend and later to terminate it.
tabling member printed	Baroness Barker
uin	HL3167
answer	answer is ministerial correction date of answer 25/03/2024 answer text <p><em></em>As has been the case under successive administrations, the Government does not publish granular details of Ministerial meetings or discussions.</p><p>As an executive non departmental public body, the EHRC is operationally independent of Government. Any decisions related to the investigation are a matter for the EHRC to handle under its rules and procedures.</p> answering member printed Baroness Barran question first answered 25/03/2024 17:39:36 answering member 4703 label Biography information for Baroness Barran
tabling member	2501 label Biography information for Baroness Barker

1694869

registered interest
date	11/03/2024
answering body	Department for Transport
answering dept id	27
answering dept short name	Transport
answering dept sort name	Transport
hansard heading	Railways: Compensation
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by Lord Davies of Gower on 6 March (HL2702), whether any proportion of the costs of the Delay Repay scheme have resulted in a direct cost to public funds; and if so, how much.
tabling member printed	Lord Bradshaw
uin	HL3168
answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>At the onset of the COVID-19 pandemic, when revenues dropped very significantly, the Government introduced emergency agreements that transferred day-to-day revenue and cost risks to the Department. These agreements protected services that key workers depended on. Under the agreements, the Government effectively receives the revenue and pays an operator’s reasonable costs, subject to the revenue incentive mechanism introduced recently to encourage operators to grow patronage and revenues.</p><p> </p><p>Operators are compensated by the Government for all reasonable costs incurred that are accumulated in accordance with the terms of the contract, including those in relation to Delay Repay.</p><p> </p><p>Payments made to rail passengers for Delay Repay as well as discretionary compensation are published annually, and for 2022-23 totalled £101 million.</p> answering member printed Lord Davies of Gower question first answered 25/03/2024 16:29:52 answering member 4499 label Biography information for Lord Davies of Gower
tabling member	2483 label Biography information for Lord Bradshaw

1694870

registered interest
date	11/03/2024
answering body	Department for Transport
answering dept id	27
answering dept short name	Transport
answering dept sort name	Transport
hansard heading	Railways: North of England
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by Lord Davies of Gower on 6 March (HL2700), when they expect the train service specification for the TransPennine route to be finalised and approved.
tabling member printed	Lord Bradshaw
uin	HL3169
answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>Network Rail will be using standard industry processes to progressively formalise train service changes as the programme progresses, in line with the TransPennine Route Upgrade’s (TRU’s) key delivery milestones. The last stage of the fully approved timetables will be in place in the early 2030s when the full service uplift, which TRU enables, is able to come on line.</p> answering member printed Lord Davies of Gower question first answered 25/03/2024 16:30:09 answering member 4499 label Biography information for Lord Davies of Gower
tabling member	2483 label Biography information for Lord Bradshaw

1694871

registered interest
date	11/03/2024
answering body	Department for Transport
answering dept id	27
answering dept short name	Transport
answering dept sort name	Transport
hansard heading	Chiltern Line
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by Lord Davies of Gower on 6 March (HL2701), whether they have received any representations from Chiltern Railways about ending the direct access services between Northolt Junction and Paddington.
tabling member printed	Lord Bradshaw
uin	HL3170
answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>There are no plans to reinstate direct access services from Northolt Junction to Paddington.</p><p> </p><p>Chiltern Railways used to run a twice-daily service from Northolt Junction (i.e. South Ruislip Station) to London Paddington. In December 2018, this route was cancelled with the closure of the Acton to Northolt line to enable High Speed 2 works. Chiltern Railways made representations to alternatively run to West Ealing via the Greenford branch line, however this was not possible due to Crossrail capacity constraints.</p> answering member printed Lord Davies of Gower question first answered 25/03/2024 16:25:15 answering member 4499 label Biography information for Lord Davies of Gower
tabling member	2483 label Biography information for Lord Bradshaw

1694872

registered interest
date	11/03/2024
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	Community Ownership Fund: Religious Buildings
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how much funding has been awarded in total from the Community Ownership Fund to communities seeking to turn places of worship into assets of community value.
tabling member printed	The Lord Bishop of Bristol
uin	HL3171
answer	answer is ministerial correction date of answer 22/03/2024 answer text <p>The £150 million Community Ownership Fund helps communities across England, Scotland, Wales, and Northern Ireland to take ownership of assets at risk of closure.</p><p>Current and former places of worship and their attached community hubs are one of the many asset types that the fund supports, though not specifically recorded as such. We recognise the important role these places have in building our social fabric and boosting pride in place by bringing people together. Some of the great projects we have already supported include The Light Church Bradford, The Open House in Sheffield, and The Old Synagogue in Belfast – all of which are providing valuable services to their community.</p><p>A full list of successful projects is available on GOV.UK at: <a href="https://www.gov.uk/guidance/community-ownership-fund-first-round-successful-bidders" target="_blank">Community Ownership Fund: successful bidders - GOV.UK (www.gov.uk)</a></p><p> </p> answering member printed Baroness Swinburne grouped question UIN HL3172 HL3173 question first answered 22/03/2024 13:06:48 answering member 4985 label Biography information for Baroness Swinburne attachment 1 file name HL3171 - Community Ownership Fund.pdf title Community Ownership fund
tabling member	4709 label Biography information for The Lord Bishop of Bristol