The noble Baroness makes a very fair point about concerns about easily diminished medicines such as vaccines and isotopes. I reassure her that plans are very well advanced to provide adequate stocks. The Government have procured a buffer stock of 400,000 adult vaccines, and a large number of measures have been put in place, including the use of air freight, the search for alternative vaccines where necessary and the central stockpiling of very large numbers of medical supplies.
On isotopes, the Government recognise the concerns raised over the transport of products with short lives such as radioisotopes, which is why we have put in place a range of measures. These plans are being developed in close collaboration with the relevant manufacturers, NHS experts and other relevant departments.
My Lords, in my local pharmacy there is a poster on the wall asking patients not to blame pharmacy staff for the current shortages of medicines and medical devices. While accepting that it is not the pharmacies’ fault, can the Minister say whose fault it is?
The noble Baroness makes a very fair point that touches on the challenge of medical supplies that we live with whatever the circumstances, whether Brexit exists or not. Medical shortages happen and are part of the life of the NHS. If anything, this preparation for a no-deal Brexit has shone a light on our arrangements for medical supplies, and they have never been in better shape. One of the advantages of the process that we have gone through is to improve the circumstances. However, as the noble Baroness pointed out, shortages do happen in every country in Europe, including Britain. But I predict that these will happen less and less because of the investment of time and resources into understanding our medical supplies.
My Lords, I pay tribute to the extraordinary work of the noble Baroness, Lady Hollins, in this area, where she has worked so hard to improve the life chances of those with learning difficulties. The impact she has made is enormous. She is quite right that the life chances of those with learning disabilities are deeply hit by influenza. That is why the Minister of State for Care commissioned the mandatory training consultation. The response has been tremendous, with more than 5,000 submissions. It has taken longer than expected to work through this material, but publication is expected shortly. In the meantime, we are working with professional bodies and other stakeholders to reach agreement on the development of the core curriculum.
My Lords, is the Minister interested in the views of the pharmacist I consulted yesterday on this Question? He said that his difficulty was identifying the local people with learning difficulties, because unless they have a physical problem that keeps him and the local GP in contact with them, it is hard to get to know them and, therefore, to encourage them to have the flu vaccine. Does that not indicate the need for a major public information campaign in accessible terms to indicate the safety and efficacy of the flu vaccine and vaccines such as MMR?
The noble Baroness makes a very important point. The question of the learning difficulty register is undoubtedly one that affects this area enormously. Each GP should have a learning difficulty register where the names of those with learning difficulties are recorded, but it is recognised that those registers are not necessarily always up to date. At their board meeting on 27 June 2019, NHS England and NHS Improvement made a commitment to improve the quality of registers for people with learning disabilities for precisely that reason.