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Written Question
Food: Advertising
Tuesday 20th February 2024

Asked by: Baroness Ritchie of Downpatrick (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Written Statement by the Parliamentary Under Secretary of State for the Department of Health and Social Care on 9 December 2022 (HCWS433), what assessment they have made of the impact of the delays to the implementation of the regulations in the Health and Social Care Act 2022 on children's health.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

Further restrictions on the advertising of less healthy foods will come into force on 1 October 2025. The Government will simultaneously introduce a 9:00pm television watershed for products high in fat, salt, or sugar, and a restriction of paid-for advertising of these products online. This was delayed from January 2023 to ensure robust implementation. While it may take slightly longer for the projected health benefits of these restrictions to materialise, we do not anticipate a significant impact in the long term, either on obesity rates or the National Health Service.


Written Question
Respiratory Syncytial Virus: Vaccination
Wednesday 14th February 2024

Asked by: Baroness Ritchie of Downpatrick (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government when they intend to outline a timeline for the implementation of Respiratory Syncytial Virus vaccination programmes for infants and older adults; and what plans they have to increase public awareness of the virus.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government is engaging the market on its requirements for products that would enable Respiratory Syncytial Virus (RSV) programmes to be implemented for infants and older adults, following advice from the Joint Committee on Vaccination and Immunisation in 2023. A final decision on these programmes will be taken following the outcome of this process. If any RSV programmes are agreed to, their implementation will be announced to the public and health professionals in due course.

Whilst population wide immunisation is not currently available, the Government is increasing efforts to minimise the number of severe cases of RSV. This is currently done by a targeted immunisation offer to those known to be at highest risk of severe complications. The National Health Service has also published signs and symptoms of RSV, and advice on when parents should bring their children to seek medical attention. The UK Health Security Agency has also provided public health messaging on social, national, and regional media, highlighting the signs and symptoms of RSV and the steps that can be taken to reduce infections, including reducing risks to young children.


Written Question
Vaccination: Clinical Trials
Wednesday 14th February 2024

Asked by: Baroness Ritchie of Downpatrick (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of the number and diversity of vaccines proceeding through clinical trials, and the resources that will be required to assess their clinical and cost effectiveness in a timely manner.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

As part of its horizon scanning work, the Department works closely with the Joint Committee on Vaccination and Immunisation to stay abreast of vaccines under development and to factor them into future planning and prioritisation work as appropriate. This includes consideration of the expert and analytical resource that will be required to assess their effectiveness, both clinical and cost. The Medicines and Healthcare products Regulatory Agency also plays a role in considering vaccines proceeding through clinical trials and considers them for licensing as they become ready.


Written Question
Chickenpox: Vaccination
Wednesday 14th February 2024

Asked by: Baroness Ritchie of Downpatrick (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government when they intend to take forward the recommendation of the Joint Committee on Vaccination and Immunisation to introduce a vaccination programme for chickenpox.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government is considering the Joint Committee on Vaccination and Immunisation’s recommendation, published on 14 November 2023, on including a chickenpox programme in the routine immunisation schedule for children.

Potential changes to the immunisation programme need to be carefully scoped, taking into account a number of factors including product procurement, operational challenges and feasibility. The Government will decide whether to introduce a chickenpox programme when that careful work has concluded.


Written Question
Cervical Cancer
Tuesday 13th February 2024

Asked by: Baroness Ritchie of Downpatrick (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what work they are undertaking with the devolved administrations to extend the commitment to eliminate cervical cancers in all parts of the UK.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

NHS England has developed an implementation plan to eliminate cervical cancer by 2040 and will work collaboratively with key partners including National Health Service regions, charities and third sector stakeholders, as well as learning from the approaches being taken across the devolved nations.

NHS England’s plan covers activity for the human papillomavirus (HPV) vaccination and cervical screening pathways. To support increased access and uptake of the HPV vaccination to school aged children, NHS England continues to work with all key stakeholders at regional level to strengthen local initiatives and encourage innovative models to approach the robust delivery of school aged vaccinations.

An in-service evaluation is being commissioned by the National Institute for Health and Care Research to determine whether HPV self-sampling could be used to improve the NHS Cervical Screening Programme. Screening activity includes a review of the screening information materials, development of IT systems to give insights into behaviours, and a review of the colposcopy services.

Further work is planned to include a general practice opt-in option for trans men and non-binary people, pilot text reminders for all eligible patients, expanding access to a range of locations, and targeted upskilling of workforce.

Health is a devolved matter in Scotland and Wales and a transferred matter in Northern Ireland. While Department officials work closely with their counterparts in the devolved administrations, any decision on commitments on cervical cancer in Northern Ireland, Scotland and Wales are the responsibility of the respective governments in each country.


Written Question
Cervical Cancer
Tuesday 13th February 2024

Asked by: Baroness Ritchie of Downpatrick (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what implementation plans they are creating following NHS England's pledge to eliminate cervical cancer by 2040.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

NHS England has developed an implementation plan to eliminate cervical cancer by 2040 and will work collaboratively with key partners including National Health Service regions, charities and third sector stakeholders, as well as learning from the approaches being taken across the devolved nations.

NHS England’s plan covers activity for the human papillomavirus (HPV) vaccination and cervical screening pathways. To support increased access and uptake of the HPV vaccination to school aged children, NHS England continues to work with all key stakeholders at regional level to strengthen local initiatives and encourage innovative models to approach the robust delivery of school aged vaccinations.

An in-service evaluation is being commissioned by the National Institute for Health and Care Research to determine whether HPV self-sampling could be used to improve the NHS Cervical Screening Programme. Screening activity includes a review of the screening information materials, development of IT systems to give insights into behaviours, and a review of the colposcopy services.

Further work is planned to include a general practice opt-in option for trans men and non-binary people, pilot text reminders for all eligible patients, expanding access to a range of locations, and targeted upskilling of workforce.

Health is a devolved matter in Scotland and Wales and a transferred matter in Northern Ireland. While Department officials work closely with their counterparts in the devolved administrations, any decision on commitments on cervical cancer in Northern Ireland, Scotland and Wales are the responsibility of the respective governments in each country.


Written Question
Surgical Mesh Implants: Compensation
Wednesday 24th January 2024

Asked by: Baroness Ritchie of Downpatrick (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the Independent Medicines and Medical Devices Safety Review report First Do No Harm, published on 8 July 2020, what discussions they have had regarding the provision of monetary compensation for people adversely affected by clinical and surgical pelvic mesh.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government has asked the Patient Safety Commissioner, Dr Henrietta Hughes, to undertake work looking at redress for people harmed by pelvic mesh and sodium valproate. The work is intended to focus on the views of those affected, improving the understanding of how many people have been affected and how, the case for redress and what form it could take.

The Patient Safety Commissioner office has stated that the report setting out the findings from this work is expected to be published on 7 February this year. The Government will consider the report’s findings before deciding how to proceed on this matter.

The Government published its response to the Independent Medicines and Medical Devices Safety review in July 2021, which did not accept the recommendation to establish a redress agency, this position remains unchanged.


Written Question
Surgical Mesh Implants: Compensation
Wednesday 24th January 2024

Asked by: Baroness Ritchie of Downpatrick (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what recent assessment they have made of the recommendation for an Independent Redress Agency in the Independent Medicines and Medical Devices Safety Review report First Do No Harm, published on 8 July 2020.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government has asked the Patient Safety Commissioner, Dr Henrietta Hughes, to undertake work looking at redress for people harmed by pelvic mesh and sodium valproate. The work is intended to focus on the views of those affected, improving the understanding of how many people have been affected and how, the case for redress and what form it could take.

The Patient Safety Commissioner office has stated that the report setting out the findings from this work is expected to be published on 7 February this year. The Government will consider the report’s findings before deciding how to proceed on this matter.

The Government published its response to the Independent Medicines and Medical Devices Safety review in July 2021, which did not accept the recommendation to establish a redress agency, this position remains unchanged.


Written Question
Medicines and Medical Devices Safety Independent Review
Wednesday 24th January 2024

Asked by: Baroness Ritchie of Downpatrick (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government when they intend to implement all of the recommendations contained in the Independent Medicines and Medical Devices Safety Review report First Do No Harm, published on 8 July 2020.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

The Independent Medicines and Medical Devices Safety (IMMDS) Review was clear in its finding that the healthcare system failed to listen to patients’ concerns on the issues covered by the review. The Government’s 2021 response to the review set out which of the review’s recommendations the Government had accepted. We also published an update in an online-only format in December 2022 setting out progress made against those recommendations, which includes appointing the first ever Patient Safety Commissioner in England to champion patients’ voices in relation to the safety of medicines and medical devices. In April 2023, the Government also responded to the recommendations made by the Health and Social Care Committee in its report ‘Follow-up on the IMMDS report and the Government’s response’, published in January 2023. A copy of the follow-up report is attached.


Written Question
Medicines and Medical Devices Safety Independent Review
Wednesday 24th January 2024

Asked by: Baroness Ritchie of Downpatrick (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of the Independent Medicines and Medical Devices Safety Review report First Do No Harm, published on 8 July 2020.

Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)

The Independent Medicines and Medical Devices Safety (IMMDS) Review was clear in its finding that the healthcare system failed to listen to patients’ concerns on the issues covered by the review. The Government’s 2021 response to the review set out which of the review’s recommendations the Government had accepted. We also published an update in an online-only format in December 2022 setting out progress made against those recommendations, which includes appointing the first ever Patient Safety Commissioner in England to champion patients’ voices in relation to the safety of medicines and medical devices. In April 2023, the Government also responded to the recommendations made by the Health and Social Care Committee in its report ‘Follow-up on the IMMDS report and the Government’s response’, published in January 2023. A copy of the follow-up report is attached.