We are aware of supply issues with three pancreatic enzyme replacement therapies: Creon 10000 gastro-resistant capsules; Creon 25000 gastro-resistant capsules; and Nutrizym 22 gastro-resistant capsules. We understand that these are due to limited availability of active pharmaceutical ingredients, and manufacturing constraints in producing the volumes required to meet demand. The Department has issued guidance to healthcare professionals regarding treatment of patients while there is a disruption to the supply of these pancreatic enzyme replacement therapies. We are having regular conversations with the suppliers of these products, to ask that they expedite deliveries and increase production forecasts, and to confirm that they are taking action to address the root causes of the issues, to ensure continuity of supply. We are also working with specialist importers to source unlicensed imports from abroad.<\/p>
Whilst we can\u2019t 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>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4044", "label" : {"_value" : "Biography information for Andrew Stephenson"} } , "answeringMemberConstituency" : {"_value" : "Pendle"} , "answeringMemberPrinted" : {"_value" : "Andrew Stephenson"} , "dateOfAnswer" : {"_value" : "2024-05-20", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2024-05-20T16:55:17.493Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2024-05-15", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Pancreatic Cancer: Medical Treatments"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, what steps she is taking to ensure that patients taking pancreatic enzymes continue to receive them.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4088", "label" : {"_value" : "Biography information for Stella Creasy"} } , "tablingMemberConstituency" : {"_value" : "Walthamstow"} , "tablingMemberPrinted" : [{"_value" : "Stella Creasy"} ], "uin" : "26452"} , {"_about" : "http://data.parliament.uk/resources/1718332", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1718332/answer", "answerText" : {"_value" : "
From 1 April 2023, responsibility for commissioning primary care dentistry to meet the needs of the local population has been delegated to integrated care boards (ICBs) across England. ICBs are responsible for undertaking oral health needs assessments, including any data collection, to identify areas of oral health need, inform local commissioning intentions, and determine the local priorities for investment. It is a contractual responsibility for all National Health Service dental practices to update their NHS.UK profiles at least once every 90 days. The Find a Dentist website gives details of the dental practices in an area, and whether they are accepting new patients, with further information available at the following link:<\/p>
https://www.nhs.uk/service-search/find-a-dentist<\/a><\/p> ICB-level data on the number of Units of Dental Activity and courses of treatment delivered, as well as the numbers of adults and children seen, is available at the following link:<\/p> https://digital.nhs.uk/data-and-information/publications/statistical/nhs-dental-statistics<\/a><\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4117", "label" : {"_value" : "Biography information for Andrea Leadsom"}
}
, "answeringMemberConstituency" : {"_value" : "South Northamptonshire"}
, "answeringMemberPrinted" : {"_value" : "Andrea Leadsom"}
, "dateOfAnswer" : {"_value" : "2024-05-20", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2024-05-20T16:21:49.087Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2024-05-15", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Dental Services"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Health and Social Care, if she will require integrated care boards to collect data on the availability of NHS dental care services in their locality.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/3973", "label" : {"_value" : "Biography information for Grahame Morris"}
}
, "tablingMemberConstituency" : {"_value" : "Easington"}
, "tablingMemberPrinted" : [{"_value" : "Grahame Morris"}
], "uin" : "26403"}
, {"_about" : "http://data.parliament.uk/resources/1718333", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1718333/answer", "answerText" : {"_value" : " Activity in National Health Service dentistry is measured by the number of Units of Dental Activity (UDAs) commissioned and delivered, and by the number of courses of treatment delivered, rather than by the number of appointments. Data on the number of UDAs commissioned and delivered is published each month on the NHS Business Services Authority Open Data Portal, which currently holds data up to February 2024, and is available at the following link:<\/p> https://opendata.nhsbsa.net/dataset/english-contractor-monthly-general-dental-activity<\/a><\/p> Data on the number of courses of treatment delivered in 2022/23, and in previous years, is published by NHS Digital, and available at the following link:<\/p> https://digital.nhs.uk/data-and-information/publications/statistical/nhs-dental-statistics<\/a><\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4117", "label" : {"_value" : "Biography information for Andrea Leadsom"}
}
, "answeringMemberConstituency" : {"_value" : "South Northamptonshire"}
, "answeringMemberPrinted" : {"_value" : "Andrea Leadsom"}
, "dateOfAnswer" : {"_value" : "2024-05-20", "_datatype" : "dateTime"}
, "groupedQuestionUIN" : {"_value" : "26405"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2024-05-20T16:10:41.897Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2024-05-15", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "NHS North East and North Cumbria: Dental Services"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Health and Social Care, how many NHS dental appointments have been commissioned by the North East and North Cumbria Integrated Care Board in the last 12 months.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/3973", "label" : {"_value" : "Biography information for Grahame Morris"}
}
, "tablingMemberConstituency" : {"_value" : "Easington"}
, "tablingMemberPrinted" : [{"_value" : "Grahame Morris"}
], "uin" : "26404"}
, {"_about" : "http://data.parliament.uk/resources/1718334", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1718334/answer", "answerText" : {"_value" : " Activity in National Health Service dentistry is measured by the number of Units of Dental Activity (UDAs) commissioned and delivered, and by the number of courses of treatment delivered, rather than by the number of appointments. Data on the number of UDAs commissioned and delivered is published each month on the NHS Business Services Authority Open Data Portal, which currently holds data up to February 2024, and is available at the following link:<\/p>