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1686086

registered interest
date	30/01/2024
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	Antidepressants
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 Prior of Brampton on 23 July 2015 (HL1632), how many prescriptions for antidepressants have been issued in each year since 2014; what was the annual cost to the National Health Service of those prescriptions; and what guidance is given to doctors and patients about the use of antidepressants, their subsequent withdrawal and potential long-term effects.
tabling member printed	Lord Alton of Liverpool
uin	HL2020
answer	answer is ministerial correction date of answer 05/02/2024 answer text <p>The following table shows the latest data available on the number of prescriptions for antidepressants issued between 2014 and 2023, and the associated net ingredient cost:</p><table><tbody><tr><td><p>Time Period</p></td><td><p>Total Number of Items</p></td><td><p>Total Net Ingredient Cost (£)</p></td></tr><tr><td><p>2014</p></td><td><p>57,149,109</p></td><td><p>265,008,699</p></td></tr><tr><td><p>2015</p></td><td><p>61,021,662</p></td><td><p>284,746,655</p></td></tr><tr><td><p>2016</p></td><td><p>64,703,639</p></td><td><p>266,562,024</p></td></tr><tr><td><p>2017</p></td><td><p>67,530,457</p></td><td><p>235,076,090</p></td></tr><tr><td><p>2018</p></td><td><p>70,873,979</p></td><td><p>202,526,720</p></td></tr><tr><td><p>2019</p></td><td><p>74,814,621</p></td><td><p>201,729,659</p></td></tr><tr><td><p>2020</p></td><td><p>78,866,866</p></td><td><p>352,682,886</p></td></tr><tr><td><p>2021</p></td><td><p>82,620,542</p></td><td><p>288,099,250</p></td></tr><tr><td><p>2022</p></td><td><p>85,404,864</p></td><td><p>224,648,497</p></td></tr><tr><td><p>2023 (11 months)</p></td><td><p>80,970,256</p></td><td><p>211,852,277</p></td></tr></tbody></table><p> </p><p>The requirement to provide a patient information leaflet with licensed medicines in the United Kingdom is set out in Regulation 267 of the Human Medicines Regulations 2012. As set out in Schedule 27 of these regulations, the information that must be presented in the leaflet includes special warnings relevant to the safe use of the medicine, and instructions for proper use, including the risk of withdrawal effects and description of all side effects, both long and short term. The leaflet must reflect in lay language, the agreed Summary of Product Characteristics for a medicine, which would include information on risk of addiction, withdrawal and the long-term consequences of taking a medicine. The National Institute for Health and Care Excellence also set outs guidelines for the management and treatment of depression in adults.</p> answering member printed Lord Markham question first answered 05/02/2024 16:18:08 answering member 4948 label Biography information for Lord Markham
tabling member	738 label Biography information for Lord Alton of Liverpool

1685674

registered interest
date	29/01/2024
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	Menopause: Employment
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to inform and educate employers and occupational health professionals of the specific workplace adaptations that women experiencing menopause symptoms may require, and what assessment they have made of working conditions for frontline health workers experiencing menopause symptoms.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL1977
answer	answer is ministerial correction date of answer 02/02/2024 answer text <p>As set out in the Government’s Women’s Health Strategy, improving care and support for women experiencing menopause symptoms is a priority for the Government. Helen Tomlinson has been appointed as the Government’s first Menopause Employment Champion and is working with employers to increase understanding of menopause in the workplace and support for women. In October 2023 Helen published a report, No Time to Step Back, which provides guidance to help recruit, support and retain women experiencing the menopause and stop women considering giving up their employment.</p><p>The Government has also launched a new online only space for guidance on the Help to Grow website, providing businesses, large and small, with the resources they need to help educate their organisation and workers about the menopause.</p><p>In the 2023 Autumn Statement, the Government published the response to the Occupational Health: Working Better consultation and set out plans to imminently set up an expert group to support the development of a voluntary minimum framework for quality occupational health provision. The voluntary framework will take account of existing initiatives that support those with health conditions and disabilities in the workplace and aims to set out the minimum level of quality occupational health provision that employers can adopt to help employees return to work from sickness absence, and prevent health-related job loss.</p><p>The Government also announced that it will identify longer-term options to build multidisciplinary workforce capability in work and health, building on existing work with the sector and exploring opportunities for businesses and providers to improve support for their employees. The Occupational Health Workforce Expansion Funding Scheme launched in July 2023 funds doctors and nurses to undertake occupational health training courses and qualifications with 99 Doctors and Nurses funded as part of the first round of applications.</p><p>In terms of frontline health workers, a key focus of the NHS England National Menopause Care Improvement Programme is the development of a retention programme for the National Health Service workforce, which is looking at how best to support menopausal staff and line managers in NHS settings. In November 2022, NHS England launched Supporting our NHS people through menopause, a guidance document developed for NHS line managers and colleagues. They have launched two e-learning packages, for general guidance and occupational health colleagues, and are developing one for human resources and line managers. A health and wellbeing app, Shiny Mind, is available to the nursing workforce, and launched a menopause specific section in November 2023.</p> answering member printed Lord Markham question first answered 02/02/2024 13:31:53 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1685690

registered interest
date	29/01/2024
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	Cancer: Screening
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what oversight they are exercising over the NHS-Galleri trial.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1993
answer	answer is ministerial correction date of answer 05/02/2024 answer text <p>In 2021 the United Kingdom and devolved administrations set out their vision for the future of clinical research delivery, including for the NHS Galleri trial. Saving and Improving Lives: The Future of UK Clinical Research Delivery lays out the ambition to create a world-leading UK clinical research environment that is more efficient, more effective and more resilient, with research delivery embedded across the National Health Service. A copy of this document is attached.</p><p>The cross-sector partnerships built through the UK Clinical Research Recovery, Resilience and Growth (RRG) programme provide the strong foundations needed to succeed, drawing on expertise and support from industry, academia, charities, patients and the public, regulators, funders and the NHS. The RRG programme provides system leadership, oversight and strategic co-ordination of the work in order to implement the plans and deliver the ambitions set. It is co-ordinated by the Department and is making progress across a number of commitments.</p> answering member printed Lord Markham question first answered 05/02/2024 12:23:57 answering member 4948 label Biography information for Lord Markham attachment 1 file name The-future-of-UK-clinical-research-delivery.pdf title The Future of UK Clinical Research Delivery
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1685362

registered interest
date	26/01/2024
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	Contraceptives: Taxation
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to their policy paper 2024 voluntary scheme for branded medicines pricing, access and growth: summary of the heads of agreement, published on 20 November 2023, what assessment they have made of any potential detrimental impact on women's health if the tax on the contraceptive implant Nexplanon is increased to 35 per cent.
tabling member printed	Baroness Northover
uin	HL1963
answer	answer is ministerial correction date of answer 01/02/2024 answer text <p>The 2024 voluntary scheme for branded medicines pricing, access and growth (VPAG) introduces a new way of controlling the cost of older medicines that is explicitly pro-innovation and pro-competition. We do not anticipate this resulting in a detrimental impact on women's health or, given the available mitigations, on the supply of medicines.</p><p>Medicines for women’s health will be subject to the VPAG in the same way that all other medicines are. They will be subject to the top up payment percentage only when they have not seen a sufficient price decline since the active substance lost market exclusivity.</p><p>In exceptional circumstances, where a product would otherwise be uneconomic to supply, companies can apply to the Department for a price increase or for an adjustment to the top up payment percentage that applies.</p> answering member printed Lord Markham question first answered 01/02/2024 12:21:09 answering member 4948 label Biography information for Lord Markham
tabling member	2539 label Biography information for Baroness Northover

1685187

registered interest
date	25/01/2024
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Dogs: Litter
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what is their policy on dog fouling; and whether they provide guidance to local councils on the penalties for dog fouling.
tabling member printed	Lord Campbell-Savours
uin	HL1917
answer	answer is ministerial correction date of answer 31/01/2024 answer text <p>It is unacceptable for people not to clean up after their dogs and we are giving local councils the tools they need to tackle this anti-social behaviour.</p><p> </p><p>Public Space Protection Orders (PSPOs) allow councils to require dog owners to pick up their dog’s faeces. Those who breach the terms of a PSPO may be prosecuted, which can lead to a criminal record and a fine of up to £1,000 on conviction. Alternatively, the council can issue a fixed penalty notice. As part of the Prime Minister’s Anti-Social Behaviour Action Plan, we will be increasing the upper limit on these fixed penalty notices to £500, up from the current maximum of £100.</p><p> </p><p>The Government has published <a href="https://www.gov.uk/government/publications/dealing-with-irresponsible-dog-ownership-practitioners-manual" target="_blank">practitioners' guidance on dealing with irresponsible dog ownership</a>, which covers the use of PSPOs. Copies of this manual and its annexes are attached to this answer.</p> answering member printed Lord Douglas-Miller attachment 1 file name dog-ownership-practitioners-manual-201411.pdf title Dog ownership practitioner's manual 2 file name dog-ownership-practitioners-manual-annexes-a-d.pdf title Dog ownership practitioner's manual annexes A-D question first answered 31/01/2024 15:21:25 answering member 5006 label Biography information for Lord Douglas-Miller
tabling member	499 label Biography information for Lord Campbell-Savours

1685189

registered interest
date	25/01/2024
answering body	The Senior Deputy Speaker
answering dept id	204
answering dept short name
answering dept sort name	Senior Deputy Speaker (HoL)
hansard heading	Public Bills
house id	2
legislature	25277 pref label House of Lords
question text	To ask the Senior Deputy Speaker during the past 14 years in respect of which public bills that started in the House of Commons has a motion been tabled to decline to give the bill a second reading in the House of Lords.
tabling member printed	Lord Grocott
uin	HL1919
answer	answer is ministerial correction date of answer 05/02/2024 answer text <p>There have been five such cases since 2010, including the motion on 29 January 2024 relating to the Safety of Rwanda (Asylum and Immigration) Bill. The other four bills, along with the dates they were debated on second reading, were the Health and Social Care Bill (11-12 October 2011); the Marriage (Same Sex Couples) Bill (3-4 June 2013); the Social Action, Responsibility and Heroism Bill (4 November 2014); and the Illegal Migration Bill (10 May 2023).</p> answering member printed Lord Gardiner of Kimble question first answered 05/02/2024 17:27:02 answering member 4161 label Biography information for Lord Gardiner of Kimble
tabling member	276 label Biography information for Lord Grocott

1685190

registered interest
date	25/01/2024
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	Office for Health Improvement and Disparities
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they plan to disband the Office for Health Improvement and Disparities.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1920
answer	answer is ministerial correction date of answer 05/02/2024 answer text <p>There are no plans to disband the Office for Health Improvement and Disparities (OHID). As part of an internal restructure in the Department, OHID teams have been integrated into the groups of three Director Generals, under the clinical and professional leadership of the Deputy Chief Medical Officer. Embedding health improvement and prevention focused teams across the Department reflects the importance of improving the nation’s health and tackling disparities. OHID continues its role in bringing together public health expertise, analysis and policy to support evidence-based policy development.</p> answering member printed Lord Markham question first answered 05/02/2024 12:08:22 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1685198

registered interest
date	25/01/2024
answering body	Department for Culture, Media and Sport
answering dept id	217
answering dept short name	Culture, Media and Sport
answering dept sort name	Culture, Media and Sport
hansard heading	British Library and Cybersecurity
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assistance they intend to provide to the British Library to aid (1) its recovery from the ransomware attack on 31 October 2023, and (2) the continuation of its research services; and what additional measures they have put in place to assist British institutions to (a) improve overall resilience, and (b) defend against cyberattacks.
tabling member printed	The Marquess of Lothian
uin	HL1928
answer	answer is ministerial correction date of answer 05/02/2024 answer text <p>The National Cyber Security Centre and the Department for Culture, Media and Sport have been working closely with the British Library since the cyber-attack it sustained in October 2023. DCMS formed an incident response team, providing security guidance, recommendations and support to the British Library, and officials from the Department continue to work with their counterparts at the British Library.</p><p>The British Library is working hard to restore its services and began a phased return of key services on 15 January 2024.</p><p>Despite the cyber attack, the British Library’s buildings have remained open and well-used throughout, and it has maintained some key services including reading room access for personal study and some limited collection item ordering, exhibitions, learning events, business support, and onsite retail. In the immediate aftermath essential services such as WiFi and event ticket sales were quickly re-established.</p><p>On 15 January, the British Library restored a searchable online version of its main catalogue, comprising records of printed books, journals, maps, music scores and rare books.</p><p>The Government Cyber Security Strategy sets out our plan significantly to harden the Government’s critical functions against cyber attacks by 2025, with all Government organisations across the public sector being resilient to known vulnerabilities no later than 2030. We are working closely with publicly-funded institutions to enhance their overall cyber-resilience and to ensure that these targets are met.</p> answering member printed Lord Parkinson of Whitley Bay question first answered 05/02/2024 15:43:28 answering member 4728 label Biography information for Lord Parkinson of Whitley Bay
tabling member	259 label Biography information for The Marquess of Lothian

1685201

registered interest
date	25/01/2024
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	Breast Cancer: Screening
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 Markham on 24 January (HL1800), why the improvement plan for the NHS breast screening programme is not set to be published.
tabling member printed	Baroness Merron
uin	HL1931
answer	answer is ministerial correction date of answer 01/02/2024 answer text <p>NHS England has developed an internal national plan in collaboration with key stakeholders to improve uptake within the breast screening programme from 2023 and beyond. This plan will encompass a series of evaluative projects which are expected to report by April 2024</p><p> </p><p>There is currently no intention of publishing the internal plan, but it is available on the NHS Futures Platform. This is a collaboration platform that empowers everyone working in health and social care to safely connect, share and learn across boundaries.</p><p> </p><p>NHS England and the Department are working in collaboration to establish a set of improvement objectives. Rather than a timescale for reaching the target of 80%, each region has a local improvement plan and are working to reach the agreed efficiency standard following restoration of services post COVID-19 pandemic. It was agreed that a quantified focus on reducing variation was preferable to setting timescales.</p> answering member printed Lord Markham grouped question UIN HL1933 question first answered 01/02/2024 12:45:12 answering member 4948 label Biography information for Lord Markham
tabling member	347 label Biography information for Baroness Merron

1685202

registered interest
date	25/01/2024
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	Breast Cancer: Screening
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 Markham on 24 January (HL1798), in what circumstances the economic benefits of improved healthcare are assessed.
tabling member printed	Baroness Merron
uin	HL1932
answer	answer is ministerial correction date of answer 05/02/2024 answer text <p>Economic assessment is undertaken in support of Governmental decision-making, particularly where significant new or existing public resources are required. HM Treasury’s Green Book provides detail of this and sets out guidance on appraising the impacts of government policy. These include employment and productivity effects, environmental impacts and changes in risks to life or health.</p><p> </p><p>The Green Book guidance covers spending control processes, including the development of business cases, as well as regulatory control processes, including regulatory impact assessments.</p> answering member printed Lord Markham question first answered 05/02/2024 12:26:27 answering member 4948 label Biography information for Lord Markham
tabling member	347 label Biography information for Baroness Merron