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Written Question
Medical Equipment: Reviews
Monday 22nd April 2024

Asked by: Caroline Dinenage (Conservative - Gosport)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to the Answer of 23 June 2023 to Question 189729 on Medicines and Healthcare products Regulatory Agency, whether she plans to initiate a priority review for medical devices.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The Priority Review programme is not currently planned, but the Government is taking other significant steps for medical device regulatory reform, as part of a broader Medical Technology Strategy. Further information on the Medical Technology Strategy is available at the following link:

https://www.gov.uk/government/publications/medical-technology-strategy/medical-technology-strategy

The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for regulating medical devices, and designates United Kingdom Approved Bodies to conduct conformity assessments against the relevant regulatory requirements. The MHRA works closely with Approved Bodies to ensure their timely assessment.

Following a consultation on the future regulation of medical devices in 2021, the MHRA is leading a programme of work to introduce updated regulations for medical devices that prioritise patient safety, improve patient access to innovative medical devices, and ensure the UK remains an attractive market for medical technology innovators. In January of this year, the MHRA published a MedTech Regulatory roadmap that sets out the main activities in implementing the future regulations throughout 2024 and 2025. An international recognition framework for medical devices will form part of the future regulatory framework, which will provide an alternative route to the UK’s market, by leveraging approvals from comparable international regulators. The MHRA aims to publish an outline of the International Recognition Framework for medical devices later this spring, aligned to the Life Sciences Council, subject to necessary approvals.

In addition, the MHRA is leading the reform of the medical devices regulatory landscape and includes a new pathway to accelerate access to safe, innovative medical devices to help meet the unmet needs of patients. The Innovative Devices Access Pathway aims to bring new medical technologies and solutions to the National Health Service, to support the medical needs that are not currently being met. There are eight innovative medical technologies included in the pilot phase.

We are working alongside others to further the Life Sciences Vision, particularly improving regulation and regulatory processes around medical devices, and supporting broader ambitions in the vision aligned to the conditions set out in the Major Conditions Strategy. As we work to update the medical devices regulatory landscape, the MHRA is taking the Major Conditions Strategy into consideration, including the six groups of major health conditions.

The National Institute for Health and Care Excellence (NICE) is not a regulator but makes recommendations for the NHS on whether selected medical devices should be routinely adopted by the NHS, based on an assessment of their costs and benefits. Medical devices are prioritised for the NICE’s evaluation, in line with NICE’s published topic selection manual.


Written Question
Medical Equipment
Monday 22nd April 2024

Asked by: Caroline Dinenage (Conservative - Gosport)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether she plans to develop a Priority Review programme for medical devices.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The Priority Review programme is not currently planned, but the Government is taking other significant steps for medical device regulatory reform, as part of a broader Medical Technology Strategy. Further information on the Medical Technology Strategy is available at the following link:

https://www.gov.uk/government/publications/medical-technology-strategy/medical-technology-strategy

The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for regulating medical devices, and designates United Kingdom Approved Bodies to conduct conformity assessments against the relevant regulatory requirements. The MHRA works closely with Approved Bodies to ensure their timely assessment.

Following a consultation on the future regulation of medical devices in 2021, the MHRA is leading a programme of work to introduce updated regulations for medical devices that prioritise patient safety, improve patient access to innovative medical devices, and ensure the UK remains an attractive market for medical technology innovators. In January of this year, the MHRA published a MedTech Regulatory roadmap that sets out the main activities in implementing the future regulations throughout 2024 and 2025. An international recognition framework for medical devices will form part of the future regulatory framework, which will provide an alternative route to the UK’s market, by leveraging approvals from comparable international regulators. The MHRA aims to publish an outline of the International Recognition Framework for medical devices later this spring, aligned to the Life Sciences Council, subject to necessary approvals.

In addition, the MHRA is leading the reform of the medical devices regulatory landscape and includes a new pathway to accelerate access to safe, innovative medical devices to help meet the unmet needs of patients. The Innovative Devices Access Pathway aims to bring new medical technologies and solutions to the National Health Service, to support the medical needs that are not currently being met. There are eight innovative medical technologies included in the pilot phase.

We are working alongside others to further the Life Sciences Vision, particularly improving regulation and regulatory processes around medical devices, and supporting broader ambitions in the vision aligned to the conditions set out in the Major Conditions Strategy. As we work to update the medical devices regulatory landscape, the MHRA is taking the Major Conditions Strategy into consideration, including the six groups of major health conditions.

The National Institute for Health and Care Excellence (NICE) is not a regulator but makes recommendations for the NHS on whether selected medical devices should be routinely adopted by the NHS, based on an assessment of their costs and benefits. Medical devices are prioritised for the NICE’s evaluation, in line with NICE’s published topic selection manual.


Written Question
Medical Equipment
Monday 22nd April 2024

Asked by: Caroline Dinenage (Conservative - Gosport)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether (a) the Medicines and Healthcare products Regulatory Agency and (b) NICE will prioritise the regulatory timelines for medical devices that (i) respond to conditions outlined in the Major Conditions Strategy and (ii) where there is unmet need.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The Priority Review programme is not currently planned, but the Government is taking other significant steps for medical device regulatory reform, as part of a broader Medical Technology Strategy. Further information on the Medical Technology Strategy is available at the following link:

https://www.gov.uk/government/publications/medical-technology-strategy/medical-technology-strategy

The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for regulating medical devices, and designates United Kingdom Approved Bodies to conduct conformity assessments against the relevant regulatory requirements. The MHRA works closely with Approved Bodies to ensure their timely assessment.

Following a consultation on the future regulation of medical devices in 2021, the MHRA is leading a programme of work to introduce updated regulations for medical devices that prioritise patient safety, improve patient access to innovative medical devices, and ensure the UK remains an attractive market for medical technology innovators. In January of this year, the MHRA published a MedTech Regulatory roadmap that sets out the main activities in implementing the future regulations throughout 2024 and 2025. An international recognition framework for medical devices will form part of the future regulatory framework, which will provide an alternative route to the UK’s market, by leveraging approvals from comparable international regulators. The MHRA aims to publish an outline of the International Recognition Framework for medical devices later this spring, aligned to the Life Sciences Council, subject to necessary approvals.

In addition, the MHRA is leading the reform of the medical devices regulatory landscape and includes a new pathway to accelerate access to safe, innovative medical devices to help meet the unmet needs of patients. The Innovative Devices Access Pathway aims to bring new medical technologies and solutions to the National Health Service, to support the medical needs that are not currently being met. There are eight innovative medical technologies included in the pilot phase.

We are working alongside others to further the Life Sciences Vision, particularly improving regulation and regulatory processes around medical devices, and supporting broader ambitions in the vision aligned to the conditions set out in the Major Conditions Strategy. As we work to update the medical devices regulatory landscape, the MHRA is taking the Major Conditions Strategy into consideration, including the six groups of major health conditions.

The National Institute for Health and Care Excellence (NICE) is not a regulator but makes recommendations for the NHS on whether selected medical devices should be routinely adopted by the NHS, based on an assessment of their costs and benefits. Medical devices are prioritised for the NICE’s evaluation, in line with NICE’s published topic selection manual.


Written Question
Pharmacy: Finance
Friday 19th April 2024

Asked by: Caroline Dinenage (Conservative - Gosport)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential impact of medication costs on community pharmacies.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

Through the medicine margin survey, the Department assesses whether the reimbursement arrangements pay pharmacy contractors as agreed as part of the community pharmacy contractual framework (CPCF). The medicine margin survey considers what pharmacies paid for medicines by looking at their invoices compared to the amount reimbursed by the National Health Service. Where the survey finds that they have been underpaid, we increase the pharmacy contractors’ payments, and where they have been overpaid, we decrease payments.

Furthermore, where pharmacies cannot purchase products at or below the Drug Tariff NHS reimbursement price, Community Pharmacy England can request that the Department reassesses the reimbursement price. If a new reimbursement price is issued, this is known as a concessionary price.


Written Question
Pharmacy: Finance
Thursday 18th April 2024

Asked by: Caroline Dinenage (Conservative - Gosport)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether she plans to increase the scope of the Pharmacy First programme.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Pharmacy First was launched on 31 January 2024, and as the service embeds, we will monitor and evaluate the service, and keep the conditions covered by Pharmacy First under review.


Written Question
Pharmacy: Finance
Thursday 18th April 2024

Asked by: Caroline Dinenage (Conservative - Gosport)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether she plans to increase core community pharmacy funding.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

As part of the Community Pharmacy Contractual Framework five-year deal, we committed £2.6 billion every year to community pharmacy, and agreed not to recover £212 million in over delivered fees and margin from community pharmacies in recent years. In addition, we are now investing up to £645 million across 2023/24 and 2024/25 in Pharmacy First, for more blood pressure checks and more contraception consultations in pharmacy. We have begun the consultation with Community Pharmacy England on the national funding and contractual framework arrangements for 2024/25.


Written Question
Military Bases: Gosport
Monday 25th March 2024

Asked by: Caroline Dinenage (Conservative - Gosport)

Question to the Ministry of Defence:

To ask the Secretary of State for Defence, what progress his Department has made on the disposal of Fort Blockhouse in Gosport.

Answered by James Cartlidge - Minister of State (Ministry of Defence)

The MOD continues to work closely with Gosport Borough Council and wider stakeholders to realise the full opportunities and constraints for this site locally. This has included extensive surveys into influencing factors such as heritage, flood risk, and habitats. Our focus, however, at present remains the critical repair works following the damage inflicted on the historic sea walls by Storm Ciaran.


Written Question
Motorcycles: Carbon Emissions
Thursday 1st February 2024

Asked by: Caroline Dinenage (Conservative - Gosport)

Question to the Department for Transport:

To ask the Secretary of State for Transport, pursuant to the Answer of 28 November 2023 to Question 3453 on Motorcycles: Carbon Emissions, what support the Government has provided to the Powered Light Vehicle Community in the last 12 months.

Answered by Anthony Browne - Parliamentary Under-Secretary (Department for Transport)

The Government has provided the powered light vehicle sector with a variety of support to assist in the transition to zero emission vehicles. The plug-in motorcycle grant, introduced in 2017 to stimulate the early market for zero emission mopeds and motorcycles, has provided over £8m to support the purchase of over 12,000 zero emission mopeds and motorcycles. To grow and develop the zero-emission powered light vehicle supply chain in the UK, the Government has made up to £350,000 of funding available for research and development projects.


Written Question
Motorcycles: Carbon Emissions
Tuesday 30th January 2024

Asked by: Caroline Dinenage (Conservative - Gosport)

Question to the Department for Transport:

To ask the Secretary of State for Transport, if he will make an assessment of the potential impact of (a) architectural and (b) safety requirements for L-Category vehicles on the transition of those vehicles to net zero emissions.

Answered by Anthony Browne - Parliamentary Under-Secretary (Department for Transport)

Zero emission L-category vehicles can currently be brought to market through the existing regulatory regime which includes electrical safety requirements. These type approval standards primarily flow from international regulations which are constantly monitored to ensure they remain fit for purpose with respect to evolving technology.

We expect to consult on introducing a new GB type approval scheme in the future which will provide an opportunity to reflect on the potential for new categories or technical requirements.


Written Question
Motorcycles: Carbon Emissions
Tuesday 30th January 2024

Asked by: Caroline Dinenage (Conservative - Gosport)

Question to the Department for Transport:

To ask the Secretary of State for Transport, pursuant to the Answer of 28 November 2023 to Question 3453 on Motorcycles: Carbon Emissions, what progress he has made on delivering powered light vehicle action plan items (a) 1, (b) 4, (c) 5, (d) 7, (e) 8 and (f) 10.

Answered by Anthony Browne - Parliamentary Under-Secretary (Department for Transport)

The Government continues to engage with industry to deliver the Motorcycle Industry Association and Zemo Partnership’s Action Plan where appropriate.

On action 1, pressures on the legislative timetable mean that Government is not planning to legislate for micromobility in the Fourth Session but remains committed to obtaining further evidence for future legislation to strengthen the evidence base.

On action 4, the plug-in motorcycle grant, introduced in 2017 to stimulate the early market for zero emission mopeds and motorcycles, has provided over £8m to support the purchase of over 12,000 zero emission mopeds and motorcycles.

On action 5, Government recently worked with the Energy Saving Trust to promote zero emission L-category vehicles to consumers and businesses where they had potential to significantly decarbonise personal transport and light freight, enabling people to choose how best to make journeys.

On action 7, the Government published its Future of Transport Rural Transport Innovation guidance in November 2023. This set out how innovative new transport technologies and services can help local authorities respond to rural-specific transport challenges, as well as making up to £3 million available for local authorities to trial and test these technologies.

On action 8, the Department will continue to engage with Local Authorities to help support them decarbonise their transport systems.

On action 10, as the zero-emission powered light vehicle sector grows, Government will continue to work with the sector to support and consider how to best overcome demand side challenges, including the infrastructure needs of these vehicles.