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Written Question
Epilepsy: Women
Wednesday 19th March 2025

Asked by: Cat Smith (Labour - Lancaster and Wyre)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking with Cabinet colleagues to support women with epilepsy.

Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)

The Government is committed to prioritising women’s health, placing women’s equality at the heart of our agenda and ensuring women’s health is never again neglected.

At a national level, there are several initiatives supporting service improvement and better care for patients with epilepsy, including women, such as the RightCare Epilepsy Toolkit, and the Getting It Right First Time Programme (GIRFT) for Neurology and the Neurology Transformation Programme (NTP).

The GIRFT National Specialty Report made recommendations designed to improve services nationally and to support the National Health Service to deliver care more equitably across the country. The National Specialty Report highlighted differences in how services are delivered and offered an unprecedented opportunity to share successful initiatives between trusts to improve patient services nationally.

Building on the GIRFT National Specialty Report, the NTP has developed a model of integrated care for neurology services to support integrated care boards (ICBs) to deliver the right service, at the right time for all neurology patients, including providing care closer to home. A toolkit is being developed to support ICBs to understand and implement this new model.

The RightCare Epilepsy Toolkit includes specific recommendations regarding supporting women with epilepsy. For example, it states that support should be provided to women with epilepsy who are pregnant and those who are of childbearing age which makes clear the risks of certain anti-epileptic drugs that are known to cause birth defects, such as sodium valproate.

The Toolkit also makes clear that it is equally important to provide clear information and guidance on the risks of stopping an anti-epileptic drug treatment, which include Sudden Unexpected Death in Epilepsy, that is not related to causing birth defects, and the risks that poses to the mother and unborn baby to support balanced informed decisions on care.


Written Question
Prescription Drugs
Monday 24th February 2025

Asked by: Cat Smith (Labour - Lancaster and Wyre)

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 27 January 2021 to Question 137239 on Prescription Drugs, what information his Department holds on the number of patients who have been prescribed drugs categorised under the (a) (i) clonazepam and (ii) other benzodiazepines, (b) z-drugs, (c) antidepressants, (d) opioids, (e) pregabalin and (f) gabapentin drug groups in the (A) last 12 months and (B) the previous 12 month period for which data is available.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The following table shows the number of items dispensed and claimed for reimbursement for each of the categories requested, covering the most recently published 12-month period and the 12 months prior:

Drug group

Financial year

Total number of items

Clonazepam

2022/23

1,048,081

2023/24

1,059,421

Other benzodiazepines

2022/23

7,156,845

2023/24

6,814,129

Clonazepam and other benzodiazepines

2022/23

8,204,926

2023/24

7,873,550

Z-drugs

2022/23

5,316,627

2023/24

5,113,574

Antidepressants

2022/23

86,263,722

2023/24

89,131,582

Opioids

2022/23

39,401,517

2023/24

39,046,206

Pregabalin

2022/23

8,775,699

2023/24

9,180,793

Gabapentin

2022/23

7,413,759

2023/24

7,408,375

Source: NHS Business Services Authority.

In addition, the following table shows the patient identifiable information for the number of items dispensed and claimed for reimbursement for each of the categories requested, for the most recently published 12-month period and the 12 months prior:

Drug group

Financial Year

Total number of unique identified patients

Percentage of items where the patient has been identified

Clonazepam

2022/23

85,613

98.22%

2023/24

85,191

98.16%

Other benzodiazepines

2022/23

1,253,962

97.06%

2023/24

1,186,001

97.01%

Clonazepam and other benzodiazepines

2022/23

1,324,792

97.21%

2023/24

1,256,941

97.17%

Z-drugs

2022/23

795,959


98.29%

2023/24

764,743


98.27%

Antidepressants

2022/23

8,563,148


99.16%

2023/24

8,747,095


99.22%

Opioids

2022/23

5,593,035


98.92%

2023/24

5,562,718


98.94%

Pregabalin

2022/23

786,403


99.36%

2023/24

823,231


99.41%

Gabapentin

2022/23

808,562


99.36%

2023/24

799,144


99.41

Source: NHS Business Services Authority.

Notes:

  1. for clonazepam and other benzodiazepines, this is the number of unique patients who have received any combination of clonazepam and/or other benzodiazepines, and no patient is counted twice even where multiple medications have been received;
  2. the figures for pregabalin and gabapentin refer to the combined category of gabapentinoids; and
  3. the data in this answer in both tables on opioids, is not directly comparable to data from the previous Parliamentary Questions, PQ137238 and PQ137239, referenced in the question, as these tables refer to opioids in general, while the previous Parliamentary Questions referred to opioid analgesics only.

Written Question
Prescription Drugs
Monday 24th February 2025

Asked by: Cat Smith (Labour - Lancaster and Wyre)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many prescriptions were issued for each drug categorised under the (a) (i) clonazepam and (ii) other benzodiazepines, (b) z-drugs, (c) antidepressants, (d) opioids, (e) pregabalin and (f) gabapentin drug groups in the (i) last 12 months and (ii) previous 12 month period for which data is available.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

The following table shows the number of items dispensed and claimed for reimbursement for each of the categories requested, covering the most recently published 12-month period and the 12 months prior:

Drug group

Financial year

Total number of items

Clonazepam

2022/23

1,048,081

2023/24

1,059,421

Other benzodiazepines

2022/23

7,156,845

2023/24

6,814,129

Clonazepam and other benzodiazepines

2022/23

8,204,926

2023/24

7,873,550

Z-drugs

2022/23

5,316,627

2023/24

5,113,574

Antidepressants

2022/23

86,263,722

2023/24

89,131,582

Opioids

2022/23

39,401,517

2023/24

39,046,206

Pregabalin

2022/23

8,775,699

2023/24

9,180,793

Gabapentin

2022/23

7,413,759

2023/24

7,408,375

Source: NHS Business Services Authority.

In addition, the following table shows the patient identifiable information for the number of items dispensed and claimed for reimbursement for each of the categories requested, for the most recently published 12-month period and the 12 months prior:

Drug group

Financial Year

Total number of unique identified patients

Percentage of items where the patient has been identified

Clonazepam

2022/23

85,613

98.22%

2023/24

85,191

98.16%

Other benzodiazepines

2022/23

1,253,962

97.06%

2023/24

1,186,001

97.01%

Clonazepam and other benzodiazepines

2022/23

1,324,792

97.21%

2023/24

1,256,941

97.17%

Z-drugs

2022/23

795,959


98.29%

2023/24

764,743


98.27%

Antidepressants

2022/23

8,563,148


99.16%

2023/24

8,747,095


99.22%

Opioids

2022/23

5,593,035


98.92%

2023/24

5,562,718


98.94%

Pregabalin

2022/23

786,403


99.36%

2023/24

823,231


99.41%

Gabapentin

2022/23

808,562


99.36%

2023/24

799,144


99.41

Source: NHS Business Services Authority.

Notes:

  1. for clonazepam and other benzodiazepines, this is the number of unique patients who have received any combination of clonazepam and/or other benzodiazepines, and no patient is counted twice even where multiple medications have been received;
  2. the figures for pregabalin and gabapentin refer to the combined category of gabapentinoids; and
  3. the data in this answer in both tables on opioids, is not directly comparable to data from the previous Parliamentary Questions, PQ137238 and PQ137239, referenced in the question, as these tables refer to opioids in general, while the previous Parliamentary Questions referred to opioid analgesics only.

Written Question
Gender Dysphoria: Puberty Suppressing Hormones
Wednesday 29th January 2025

Asked by: Cat Smith (Labour - Lancaster and Wyre)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will make an assessment of the impact of the restriction of puberty blockers for the treatment of gender incongruence on the (a) physical and (b) mental health of young trans people.

Answered by Karin Smyth - Minister of State (Department of Health and Social Care)

On 11 December 2024 the Government introduced The Medicines (Gonadotrophin-Releasing Hormone Analogues) (Restrictions on Private Sales and Supplies) Order 2024, which came into effect on 1 January 2025. Alongside this legislation the Government published a full impact assessment, which is available at the following link:

https://www.legislation.gov.uk/uksi/2024/1319/impacts


Written Question
Public Health
Monday 23rd December 2024

Asked by: Cat Smith (Labour - Lancaster and Wyre)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many public health representatives he has met to discuss (a) tobacco, (b) obesity and (c) alcohol harm; and whether he plans to meet more public health organisations in the New Year to discuss those issues.

Answered by Andrew Gwynne

Details of ministers’ meetings with external individuals and organisations are published quarterly in arrears on GOV.UK website. Data for the period of July to September 2024 will be published in due course.

I can confirm that Department ministers expect to continue to engage with prevention and public health stakeholders across a number of important issues next year.


Written Question
Department of Health and Social Care: Alcoholic Drinks
Tuesday 17th December 2024

Asked by: Cat Smith (Labour - Lancaster and Wyre)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many alcohol industry representatives Ministers in his Department have met since July 2024.

Answered by Andrew Gwynne

Details of ministers’ meetings with external individuals and organisations are published quarterly in arrears on GOV.UK website. Data for the period of July to September 2024 will be published in due course.


Written Question
Alcoholic Drinks: Misuse
Monday 16th December 2024

Asked by: Cat Smith (Labour - Lancaster and Wyre)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he plans to take to tackle alcohol harms.

Answered by Andrew Gwynne

Under our Health Mission, the Government is committed to prioritising preventative public health measures to support people to live longer, healthier lives. For too long there has been an unwillingness to lead on issues like smoking, alcohol harm, and obesity. It is unacceptable that alcohol deaths are now at record high levels. The Department will continue to work across Government to understand how we can best reduce alcohol-related harms.


Written Question
Alcoholic Drinks: Misuse
Monday 16th December 2024

Asked by: Cat Smith (Labour - Lancaster and Wyre)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps the Health Mission Board has taken to tackle rates of alcohol harm.

Answered by Andrew Gwynne

Under our Health Mission, the Government is committed to prioritising preventative public health measures to support people to live longer, healthier lives. For too long there has been an unwillingness to lead on issues like smoking, alcohol harm, and obesity. It is unacceptable that alcohol deaths are now at record high levels. The Department will continue to work across Government to understand how we can best reduce alcohol-related harms.


Written Question
Alcoholic Drinks: Misuse
Monday 16th December 2024

Asked by: Cat Smith (Labour - Lancaster and Wyre)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether he plans to meet (a) the Alcohol Health Alliance and (b) other public health representatives to discuss rates of alcohol harm.

Answered by Andrew Gwynne

Under our Health Mission, the Government is committed to prioritising preventative public health measures to support people to live longer, healthier lives. For too long there has been an unwillingness to lead on issues like smoking, alcohol harm, and obesity. It is unacceptable that alcohol deaths are now at record high levels. I can confirm that Department ministers plan to meet representatives from the Alcohol Health Alliance in the new year.


Written Question
Alcoholism: Death
Monday 16th December 2024

Asked by: Cat Smith (Labour - Lancaster and Wyre)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will meet the Alcohol Health Alliance to discuss what steps the Government can take to reduce alcohol related deaths.

Answered by Andrew Gwynne

Under our Health Mission, the Government is committed to prioritising preventative public health measures to support people to live longer, healthier lives. For too long there has been an unwillingness to lead on issues like smoking, alcohol harm, and obesity. It is unacceptable that alcohol deaths are now at record high levels. I can confirm that Department ministers plan to meet representatives from the Alcohol Health Alliance in the new year.