Julian Lewis

The Medicines and Healthcare products Regulatory Agency (MHRA) is aware of concerns regarding modular neck hips and the risk of cobalt poisoning. We are investigating the issue with our stakeholders including the British Orthopaedic Association, British Hip Society, and the National Joint Registry to support.

The term modular neck covers a broad range of designs, and adverse incident reports of this sort typically include descriptions of symptoms rather than a definitive diagnosis of cobalt poisoning. In addition, it is not possible to uniquely identify cobalt poisoning from hip replacements in the ICD-10 coding scheme currently used in Hospital Episode Statistics.

The UK Medical Devices Regulations provide clear requirements for manufacturers to undertake post-market surveillance activities to ensure safety action is taken, when appropriate. The MHRA is working towards implementing a future regime for medical devices regulation. This will put in place strengthened legal requirements for how manufacturers monitor and report on their devices once they are being used in the real world.

The Autumn Budget 2024 announced a government grant funding uplift for the BBC World Service in 2025-26. The uplift is for the BBC World Service only, ensuring it can continue to operate in 42 languages and helping to maintain its crisis response capability. The BBC is operationally and editorially independent and sets its own budgets.

The Government continues to call for the human rights of all Afghans to be protected, including the freedom of religion or belief, and we regularly press the Taliban on this through our Doha based UK Mission to Afghanistan. Ministers and officials also engage regularly with a range of Afghans, including religious and ethnic minorities, to ensure our policy and programming reflect the needs of the entire population. In October, we co-sponsored a Human Rights Council resolution extending the mandate of UN Special Rapporteur, Richard Bennett, to monitor and report on the human rights situation in Afghanistan for another year, including that of minority groups.

There have been 31 tragedies, since August 2019, where 97 people are confirmed to have died and at least 14 people have been reported as missing at sea, presumed dead, as a result of or linked to attempting these dangerous crossings.

Numbers of fatalities

A total of eight minors are reported to have died in the fatal incidents that have occurred this year. Prior to this, the only known minor fatalities occurred as a result of an incident in October 2020 when an entire family group, including 3 children, died following the capsizing of a migrant vessel.

Almost all fatalities have occurred in French Territorial Waters (TTW). There has been one incident (on 14 December 2022), involving the deaths of 4 people, which undoubtedly took place within UK TTW. However, an earlier tragedy – the loss of 27 people in a single incident in November 2021 – was proven after investigation to have partially occurred within UK TTW. It is subject to an ongoing Art.2 Human Rights Inquiry led by Sir Ross Cranston.

A suspect arrested on suspicion of murder may be held in custody before charge where the custody officer a) is determining whether he has before him sufficient evidence to charge them with the offence for which he was arrested and b) has reasonable grounds for believing that the suspect’s detention is necessary to obtain evidence (for example, witness statements, interview, or medical examination) (PACE section 37). There are statutory limits on the time for which suspects can be held in custody without charge (section 41).

A suspect arrested, including on suspicion of murder, may be released within the authorised detention period on conditional or unconditional police bail, pre-charge, a) where there is as yet insufficient evidence to charge a suspect and they are released pending further investigation and b) where the police consider that there is sufficient evidence to charge, but the matter must be referred to the CPS for a charging decision (PACE section 35 and section 37).

Preconditions for police bail include the need to prevent offending by the suspect, the need to safeguard victims of crime and witnesses, the need to manage risks to the public and the need to secure the suspect’s surrender to custody (PACE section 50A). Where the individual’s release is required and no pre-conditions for bail are met, they must be released under investigation or subject to no further action (section 37).

Where a murder suspect is to be released on pre-charge bail, police should seek the views of close family members of the alleged victim, if it is reasonably practicable to do so, when deciding whether the suspect should be released on bail, and if so whether and what conditions should be imposed (section 47ZZA).

Under the Police and Criminal Evidence Act 1984 (PACE) and the Criminal Justice and Public Order Act 1994 (CJPOA 1994), suspects who have been charged with murder are not eligible for police bail pending appearance at court for that offence unless exceptional circumstances apply (PACE section 38(1)(c) and section 25 CJPOA 1994). They must be kept in police custody and brought before a court not later, in most cases, than the first sitting after they are charged with the offence (section 46).

The rules and procedures relating to police bail are governed by PACE and the Bail Act 1976.

This historic agreement protects the long-term secure operation of the UK-US base on Diego Garcia with Mauritius, which plays such a crucial role in regional and international security. We have full Mauritian backing for robust security arrangements, including preventing foreign armed forces from establishing themselves on the outer islands, or otherwise undermining the effective operation of the base, meaning the base is more protected than ever from foreign malign influence in a more insecure world.  This deal has been welcomed by a range of key international partners, including the US and India. It is our intention to pursue ratification in 2025 by submitting the treaty and a Bill to Parliament for scrutiny.

The Ministry of Defence continues to assess and monitor the evolving threat picture in Ukraine, including Russian use of chemicals as a method of warfare. The UK has been at the forefront of international support and assistance to the armed forces of Ukraine and has provided respirators and decontamination kits, as well as other protective measures to enhance Ukraine's protective capabilities against chemical weapons.

Our commitment to Ukraine is unwavering, we continue to work closely with our international partners to coordinate counter-CBRN support and assistance to the Armed Forces of Ukraine.

Both the Ministry of Defence (MOD) and Rolls-Royce Submarines (RRS) investigated a subcontractor's outsourcing of development work for a RRS intranet page; this IT system is separate to the RRS classified systems. The investigation found no evidence that Belarusian nationals had access to sensitive information and concluded that no change to MOD procurement policy was required. No formal sanctions were imposed.

Defence took steps to ensure and confirm that there had been no compromise of classified information. The safety and security of the United Kingdom's nuclear submarines and the Deterrent, including the Service personnel who operate it, remain our highest priority. Our security processes are under constant review to ensure best practice.

As set out in our consultation on proposed reforms to the National Planning Policy Framework, the government supports upward extensions as a route to urban intensification. Planning policy makes clear that local authorities should support upward extensions where the development would be consistent with the prevailing height and form, well designed (including complying with any local design policies and standards), and can maintain safe access and egress for occupiers.

The government will keep recent changes to permitted development rights under review and as per my response to the right hon. Gentleman’s oral question on Monday 28 October 2024 (Official Report HC, Volume 755, Column 524), I will reflect further on the specific concern he has raised.

Future plans for the Freeports Programme are being carefully considered as part of the ongoing Spending Review process.

This does not change the fact that Solent Freeport, alongside the other seven English Freeports and the two Scottish Green Freeports, has had tax sites designated and is open for business. Delivery is - and will continue to be - led by local partners and I thank all those involved for their continued hard work on the project.