First elected: 4th July 2024
Speeches made during Parliamentary debates are recorded in Hansard. For ease of browsing we have grouped debates into individual, departmental and legislative categories.
e-Petitions are administered by Parliament and allow members of the public to express support for a particular issue.
If an e-petition reaches 10,000 signatures the Government will issue a written response.
If an e-petition reaches 100,000 signatures the petition becomes eligible for a Parliamentary debate (usually Monday 4.30pm in Westminster Hall).
These initiatives were driven by Richard Tice, and are more likely to reflect personal policy preferences.
MPs who are act as Ministers or Shadow Ministers are generally restricted from performing Commons initiatives other than Urgent Questions.
Richard Tice has not been granted any Urgent Questions
Richard Tice has not been granted any Adjournment Debates
Richard Tice has not introduced any legislation before Parliament
Quantitative Easing (Prohibition) Bill 2024-26
Sponsor - Rupert Lowe (RUK)
The Business Impact Target, which was repealed by the previous government through the Retained EU Law (Revocation and Reform) Act, was the principal mechanism through which government made an estimate of the total annual cost of regulation to business. In its place, the reformed Better Regulation Framework encourages an earlier and more thorough assessment of impacts of individual regulatory proposals. This government will use the framework to ensure that new regulations achieve their objectives, with the lowest possible cost to businesses and households.
Critical minerals, including rate earth elements are crucial for the UK in terms of security, clean energy, industry and emerging technologies. That is why the Government is developing a critical minerals strategy to ensure we are diversifying our supply chains, delivering the security we need and supporting the many UK-based companies that mine and process around the world. The strategy will be published this year.
The transition to net zero is critical for driving growth and delivering new jobs. We have been clear that decarbonisation should not mean deindustrialisation.
Many companies that have decarbonised become more efficient and productive. The challenge can be the capital costs of transitioning and that is why the government is providing extensive support and access to funding for industry, including through the Industrial Energy Transformation Fund, Aerospace Technology Institute and Advanced Propulsion Centre UK. At the same time, the number of jobs in the low carbon and renewable energy economy grew by 27% between 2020 and 2022, more than 5 times faster than overall UK employment (source: https://www.gov.uk/government/publications/clean-power-2030-action-plan-assessment-of-the-clean-energy-skills-challenge/assessment-of-the-clean-energy-skills-challenge#fn:6)
The Government is in negotiations with British Steel’s shareholder regarding the company’s commercial plans to transition to productive and efficient methods of steel production.
As with any responsible Government, we continue to consider all possible outcomes, and we stand ready to support local workers and local communities as needed.
The steel industry declined more than 50% in the last decade because there was no strategy to protect and grow this strategically important sector. We are developing a Steel Strategy which we will publish in Spring 2025, and we have committed up to £2.5bn of investment to rebuild the UK steel industry.
Set out in the table below are the number of cases reported to and collected by the Citizens Advice consumer service over the past 5 years.
Cases | 2020/21 | 2021/22 | 2022/23 | 2023/24 | 2024/25 |
Tobacco | 1376 | 1471 | 1184 | 944 | 787 |
E-cig/Vape | 459 | 1883 | 3757 | 2398 | 1400 |
Alcohol | 1719 | 1749 | 1746 | 1014 | 766 |
The UK government recognises the strategic importance of the steel industry for economic growth and national security. We are committed to developing the sector.
Many countries, particularly across Europe, are replacing aging blast furnaces with Electric Arc Furnaces (EAFs). While the future of the remaining blast furnaces ultimately lies with British Steel, as I recently conveyed to the Hon Gentleman, the government is reviewing innovative technologies, such as Direct Reduced Iron, to support primary steelmaking in the future.
EAFs will also bolster our economic security by reducing our reliance on imports. This shift will enable us to use the abundant supply of scrap metal available in the UK, thereby increasing the resilience of our steel sector and the wider UK supply chain from global shocks.
The Green Homes Grant Voucher Scheme required that consumers seek advice from a suitably qualified TrustMark registered installer before they applied for a voucher. It also required that installations meet Publicly Available Standard (PAS) 2035.
If a homeowner believes that any installation work carried out in their home under a Government scheme is faulty, they should first contact the installer. Where the installer has failed to adequately resolve the issue or have ceased trading, they may refer to TrustMark’s website which contains further guidance on steps consumers can take if things go wrong and the dispute resolution process: (https://www.trustmark.org.uk/homeowner/support/complaints-process).
The Office of Budget Responsibility (OBR) published its analysis of the cost of reaching net zero by 2050 in chapter 3 of the July 2021 edition of its UK Fiscal Risk Report. As the OBR has noted, “the costs of failing to get climate change under control would be much larger than those of bringing emissions down to net zero.” Spending Review 2021 set out £26 billion of public capital investment in net zero over four years across Government.
This data is published by the Office for Budgetary Responsibility and Ofgem.
Renewables provide energy security by reducing our exposure to gas price volatility, as well as providing significant savings for those households and businesses directly benefitting from small-scale renewable measures, such as solar panels.
The Office of Budget Responsibility (OBR) published its analysis of the cost of reaching net zero by 2050 in chapter 3 of the July 2021 edition of its UK Fiscal Risk Report. As the OBR has noted, “the costs of failing to get climate change under control would be much larger than those of bringing emissions down to net zero.
The criticality of minerals, including Rare Earth Elements (REEs), are evaluated through the Critical Minerals Intelligence Centre (CMIC), led by the British Geological Survey. CMIC determines criticality on the basis of economic vulnerability and supply risk, through indicators including Environmental, Social and Governance standards.
Building on this assessment, the Department for Business and Trade will work with industry to publish a new Critical Minerals Strategy this year. This will help secure our supply chains, including for Rare Earth Elements, for the long term and support the green industries of the future.
The UK’s diverse power mix reduces dependence on one generation source, ensuring security of supply in a range of conditions. Transitioning away from fossil fuels and towards a range of home-grown clean energy technologies will reduce the UK’s vulnerability to unstable energy prices while ensuring energy security. The Government is accelerating the development and deployment of low-carbon flexible energy generation and storage, including batteries and pumped hydro, to manage the intermittency of wind and solar. The Clean Power 2030 action plan, set for release by year-end, will detail the Government's strategy for achieving a secure, clean power system by 2030.
Landowners, businesses and homeowners that have electrical equipment, such as pylons or towers, sited on their land have the right to compensation for the value of their land, as well as for any losses or expenses incurred. Acquiring authorities can also put in place discretionary schemes offering additional compensation. As compensation is provided by the electricity network licence holders, not the Government, we cannot provide an estimate of potential costs.
More broadly, the Government is committed to ensuring that communities who live near new clean energy infrastructure can see the benefits and is currently considering how to deliver this most effectively.
Developers of electricity networks and all nationally significant infrastructure projects in England and Wales need to assess the impacts of their proposals, including on agricultural land, natural habitats and in terms of construction and maintenance. This is done through Environmental Impact and Habitats Regulations Assessments, which are then considered during the consenting process. This includes consideration of safeguarding Best and Most Versatile agricultural land and ensuring the protection of natural habitats.
All electricity transmission network projects, regardless of location, must go through the independent and robust planning process. Developers must evidence that they have engaged and consulted with communities. They must take account of community views, environmental impacts, efficiency of the system and the cost to consumers, and consider alternative options.
According to data provided by the National Energy System Operator (NESO), the costs of procuring stability services in the Balancing Mechanism for the last five years are as follows:
2019/20 £211m
2020/21 £348m
2021/22 £176m
2022/23 £112m
2023/24 £83m
Based on actions introduced to address the high stability costs faced in 2020/21, NESO do not expect stability costs to increase significantly from 2023/24 levels over the next five years.
NESO also incurs stability costs through its stability network services procurement project. NESO has awarded tenders to five providers across seven sites, securing stability services until 31st March 2026. With a total contract exposure of £328m, NESO expects to save consumers between £52m to £128m over this period as a result of having to take fewer Balancing Mechanism actions to address system stability.
According to data provided by the National Energy System Operator (NESO), the costs of procuring stability services in the Balancing Mechanism for the last five years are as follows:
2019/20 £211m
2020/21 £348m
2021/22 £176m
2022/23 £112m
2023/24 £83m
Based on actions introduced to address the high stability costs faced in 2020/21, NESO do not expect stability costs to increase significantly from 2023/24 levels over the next five years.
NESO also incurs stability costs through its stability network services procurement project. NESO has awarded tenders to five providers across seven sites, securing stability services until 31st March 2026. With a total contract exposure of £328m, NESO expects to save consumers between £52m to £128m over this period as a result of having to take fewer Balancing Mechanism actions to address system stability.
I have raised my concerns about the reporting of mobile connectivity with Ofcom, but according to Ofcom’s Connected Nations report (published on 5 December 2024) 99% of the Boston and Skegness constituency has 4G geographic coverage from all four mobile operators, and that 5G is available from at least one operator outside 99% of all premises.
The Government wants all areas of the UK, including Boston and Skegness constituency, to benefit from good quality mobile coverage. Our ambition is for all populated areas to have higher-quality standalone 5G by 2030.
We work closely with the mobile industry and are committed to ensuring we have the right policy and regulatory framework to support investment and competition in the market
His Majesty’s Treasury (HMT) is responsible for VAT policy. HMT has published its assessment of the impacts of removing the VAT exemption that applied to private school fees, which can be found on GOV.UK: https://www.gov.uk/government/publications/vat-on-private-school-fees/ac8c20ce-4824-462d-b206-26a567724643#who-is-likely-to-be-affected.
This overall assessment considers special educational needs and disability (SEND) but does not provide a separate assessment broken down by SEND.
Overall, the government predicts that, in the long-term steady state, there will be 37,000 fewer pupils in the private sector in the UK as a result of the removal of the VAT exemption applied to school fees. This represents around 6% of the current private school population. This movement is expected to take place over several years, and most moves will occur at natural transition points. Of this number, the government estimates an increase of 35,000 pupils in the state sector in the long-term steady state, with the other 2,000 consisting of international pupils who do not move into the UK state system, and domestic pupils moving into homeschooling. This state sector increase represents less than 0.5% of total UK state school pupils, of which there are over nine million.
The government expects the revenue costs of pupils entering the state sector in England to steadily increase to a peak of around £0.3 billion per annum after several years. However, the government expects to raise around £1.8 billion per annum by 2029/30 from this VAT policy and from removing private schools’ eligibility for business rates charitable rate relief.
Longer term impacts on those who move schools may be lessened by revenue raised by this measure being used to help the 94% of children who attend state schools.
It is important to note that pupils who need a local authority-funded place in a private school will not be impacted by the changes. The majority of pupils who have special educational needs (SEN) are educated in mainstream schools, whether state-maintained or private, where their needs are met. The overwhelming majority attend state schools. To protect pupils with SEN that can only be met in a private school, local authorities that fund these places are able to reclaim the VAT they are charged on those pupils’ fees.
The department supports local authorities to provide suitable school places for children and young people with SEND through annual high needs capital funding. This can be used to deliver new places in mainstream and special schools, as well as other specialist settings. At the Autumn Budget 2024, the government announced a £2.3 billion increase to the core schools' budget in 2025/26, increasing per pupil funding in real terms. This included a £1 billion uplift to high needs funding in 2025/26, providing additional support for the more than one million children in the state sector with SEND.
The proposals to require every local authority in England to maintain registers of children not in school, which are to be included in the future Children’s Wellbeing Bill, are intended to help local authorities identify all home educating families in their areas, so that they can ensure children are receiving a safe and suitable education. To ensure these registers can operate effectively, parents of eligible children will be required to provide some information to their local authorities but, as part of the implementation of the legislation, the department would engage with stakeholders to ensure that any burdens on families are minimised. In addition, the children not in school proposals will also include a duty on local authorities to provide support to home educating families should they want it, which will help more families to deliver a suitable education, ensuring more children receive the high standard of education they deserve.
The information requested can be found in the attached document.
3-Nitrooxypropanol is the active ingredient in a methane suppressing feed product commercially known as Bovaer.
The Food Standards Agency has advised milk from cows given Bovaer, an authorised feed additive used to reduce methane emissions, is safe to drink. Bovaer has undergone a rigorous safety assessment and is approved for use in Great Britain.
Part (a) - The UK has a resilient food supply chain and is equipped to deal with situations with the potential to cause disruption. We produce 62% of all the food we need, and 75% of food which we can grow or rear in the UK for all or part of the year. Food security is built on supply from diverse sources, strong domestic production as well as imports through stable trade routes.
UK consumers have access through international trade to food products that cannot be produced here, or at least not on a year-round basis. This supplements domestic production, and also ensures that any disruption from risks such as adverse weather or disease does not affect the UK's overall security of supply.
Defra works with industry and across Government to monitor risks that may arise. This includes extensive, regular and ongoing engagement in preparedness for, and response to, issues with the potential to cause disruption to food supply chains.
Part (b) - Farmers are the backbone of Britain, and we recognise the strength of feeling expressed by farming and rural communities in recent weeks. We are steadfast in our commitment to Britain’s farming industry because food security is national security.
Around 500 claims each year will be impacted and farm-owning couples can pass on up to £3m without paying any inheritance tax.
Not only is the Government confident that these reforms will not impact food production, our Budget has set out a £5 billion farming budget over two years – dedicating more money than ever before to sustainable food production.
The Marine Management Organisation (MMO) is responsible for licensing foreign vessels to fish in English waters and for fisheries enforcement of vessels within English waters. The MMO has boarded and inspected foreign vessels at sea on 1451 occasions since the start of 2019 to the 31 October 2024. Infringements were detected during 585 of these inspections. In addition to these inspections at sea, 36 infringements by foreign vessels were detected remotely. The number of enforcement actions the MMO has taken against foreign fishing vessels operating illegally in English waters in each of the last five years is:
2024(YTD 31 October) | 156 |
2023 | 115 |
2022 | 127 |
2021 | 127 |
2020 | 47 |
2019 | 112 |
Fisheries control and enforcement is a devolved matter and, as such, Fisheries Authorities in Scotland, Wales and Northern Ireland are responsible for managing fisheries risk and conducting inspections in their respective waters.
The UK agricultural sector is both robust and adaptable and operates in an open market with the value of commodities established by those in the supply chain. We have seen evidence of this particularly in recent years following global events such as the Covid-19 pandemic and the war in Ukraine.
Recognising that farmers should always receive a fair price for their products, the Government is committed to tackling contractual unfairness wherever it exists.
Innovation is key in supporting our efforts to improve agricultural sustainability. The Government wants the UK to be a great place for technology innovators to start and grow their businesses, and access both domestic and international market adoption opportunities. We have already announced our intention to bring forward the secondary legislation needed to implement the Precision Breeding Act.
The Government is also fully committed to Environmental Land Management schemes and will optimise them so they produce the right outcomes for all farmers, while delivering food security and nature recovery in a just and equitable way.
Defra will continue to work closely with stakeholders from all farming sectors on the best way to support farmers and the agricultural industry over the long-term, designing our policies in partnership.
Improving local bus services is a key part of this government’s growth mission. The government will introduce a Buses Bill later this Parliamentary session. This will put the power over local bus services back in the hands of local leaders right across England, including in Boston and Skegness, to choose the model that works best in their area, whether that be franchising, high-quality partnerships with private operators or local authority ownership.
In addition, the government has confirmed £925 million for the 2025 to 2026 financial year to support and improve bus services in England outside London. Local authorities can use the £925 million to introduce new bus routes, make services more frequent and protect crucial bus routes for local communities. We have also confirmed over £150 million to introduce a new £3 cap on single bus fares in England outside London from 1 January 2025 to 31 December 2025, bringing total government bus investment confirmed at the budget to over £1 billion.
The government will continue working closely with local transport authorities including Lincolnshire County Council, and others, to deliver better bus services throughout England.
More modern Class 170 trains were introduced to this route in 2023, and additionally these trains will be completely refurbished over the next three years. Meanwhile, East Midlands Railway will continue to improve its timetable of strengthened trains and passenger handling in the summer peak, building on the success of the last two years.
Improving local bus services is a key part of this government’s growth mission, and the government has set out plans to deliver better bus services, grow passenger numbers and drive opportunity to under-served regions.
As announced in the King’s Speech on 17 July 2024, the government will introduce a Buses Bill later this session. This will put the power over local bus services back in the hands of local leaders right across England, including in Boston and Skegness, to ensure networks meet the needs of the communities who rely on them. The Bill will seek to increase the powers available to local leaders to choose the model that works best in their area, whether that be franchising, high-quality partnerships with private operators or local authority ownership.
In addition, the government has confirmed an additional £925 million for the 2025 to 2026 financial year to support and improve bus services in England outside London, bringing total bus investment at the Budget to over £1 billion. Local authorities can use the £925 million to introduce new bus routes, make services more frequent and protect crucial bus routes for local communities.
The government will continue working closely with local transport authorities including Lincolnshire County Council, and others, to deliver better bus and public transport services throughout England.
The Government takes the condition of local roads very seriously and is committed to maintaining and renewing the local road network. For England as a whole, the Government has a manifesto commitment to enable local highway authorities to fix up to a million extra potholes a year.
Lincolnshire County Council is the local highway authority for the Boston and Skegness constituency, and it is therefore responsible for the maintenance of its local highway network. Lincolnshire County Council will receive £43.6 million from this Department during 2024/25 to help it carry out its local highway maintenance responsibilities. It is up to the local authority to decide how that funding is used.
Lincolnshire County Council will also receive £3.3 million for small scale transport improvements including reducing congestion through the Integrated Transport Fund.
To help reduce congestion through improving traffic flow, the Department has also provided Lincolnshire County Council with £878,352 for traffic systems since 2021: £250,000 from the Traffic Signal Maintenance Grant in 2021, and £500,000 from the Green Light Fund, and £128,352 from the Traffic Signal Obsolescence Grant in 2024.
The Department does not hold the information to produce the requested calculation. We are, however, exploring the feasibility of developing suitable statistics related to the immigration status of non-UK / Irish customers. The Department will ensure that this work is done in line with the Code of Practice for Statistics.
The Department is exploring the feasibility of developing suitable Official Statistics related to the immigration status of non-UK/ Irish Universal Credit customers. The Department will ensure that this work is done in line with the Code of Practice for Statistics.
The Department has not made a projection of Universal Credit spend on the migrant groups requested. The Department’s published forecast of Universal Credit expenditure at Autumn Budget 2024 can be found here.
Given the substantial pressures faced by the public finances this year and next, the Government has had to make hard choices to bring the public finances back under control.
Winter Fuel Payments will continue to be paid to pensioner households with someone receiving Pension Credit or certain other income-related benefits. They will continue to be worth £200 for eligible households, or £300 for eligible households with someone aged over 80.
The Government also offers an array of support with energy costs for low-income groups in the winter months. This includes direct financial help to low-income pensioners through Pension Credit, Cold Weather Payments and the Warm Home Discount (in England & Wales).
The Warm Home Discount scheme provides eligible low-income households across Great Britain with a £150 rebate on their winter energy bill. This winter, we expect over 3 million households, to benefit under the scheme.
People struggling with the cost of living should contact their local council to see what support may be available to them, as they may be able to receive support from the Household Support Fund, Council Tax Reduction, or through energy support programmes such as the Homes Upgrade Grant and Energy Company Obligation.
The Home Upgrade Grant phase 2 provides energy efficiency upgrades and low-carbon heating measures to low-income households living in the worst performing, off gas grid homes in England to tackle fuel poverty.
For those with long-term health conditions or disabilities, the “extra costs” disability benefits, including Personal Independence Payment, provide a tax free, non-income-related contribution towards the extra costs people with a long-term health condition can face, such as additional heating costs. They are paid in addition to any other benefits received.
These benefits also give rise to a disability addition in Pension Credit and other income-related benefits.
The Department checks immigration status when assessing eligibility for Universal Credit, but the requested statistics are not readily available. We are, however, exploring the feasibility of developing suitable statistics related to the immigration status of non-UK / Irish customers Universal Credit claimants.
The Department publishes quarterly statistics on National Insurance number allocations to adult overseas nationals entering the UK on Stat-Xplore. The latest statistics, for January 2002 to June 2024, can be compiled by rolling year end to June and nationality down to country level, and are available by Westminster parliamentary constituency (based on the address given at time of National Insurance number registration).
Users can log in or access Stat-Xplore as a guest and, if needed, can access guidance on how to extract the information required.
In the last five years, the Department has not provided ringfenced capital for the National Health Service’s Net Zero targets.
Direct investment in the decarbonisation of NHS buildings and operations is primarily supported by external grant funding. For example, NHS trusts have secured over £1.2 billion for heat-decarbonisation projects under the Department for Energy Security and Net Zero’s Public Sector Decarbonisation Scheme since 2020.
The Department works with NHS England to ensure that NHS national programmes and day-to-day capital budgets support decarbonisation objectives where appropriate.
We have also previously provided capital to improve trusts’ energy efficiency, with associated benefits for carbon reduction. For instance, in 2023/24 we worked with the Department for Energy Security and Net Zero to invest £40 million in NHS light emitting diode lighting and solar projects through the NHS National Energy Efficiency Fund. The substantial savings from such investments can be directed into frontline services.
The Government does not hold this data. We continue to work with the National Health Service as it delivers its three-year maternity and neonatal plan to grow our maternity workforce, develop a culture of safety, and ensure that women and babies receive safe, personalised, and compassionate care.
The information requested on the cost of recruitment fees, the average recruitment cost, and the cost of training for National Health Service staff recruited from overseas is not collected centrally.
The information requested on the cost of recruitment fees, the average recruitment cost, and the cost of training for National Health Service staff recruited from overseas is not collected centrally.
The following table shows the amount of money United Lincolnshire Hospitals Trust spent on translation and interpretation services each of the last five financial years:
Year | Total spend |
2019/20 | £158,395.00 |
2020/21 | £127,235.96 |
2021/22 | £162,501.32 |
2022/23 | £204,008.60 |
2023/24 | £248,547.00 |
In addition, the following table shows the amount of money Lincolnshire Community Health Services NHS Trust spent on translation and interpretation services in each of the last five financial years:
Year | Total spend |
2019/20 | £34,638 |
2020/21 | £43,790 |
2021/22 | £56,512 |
2022/23 | £71,885 |
2023/24 | £42,692 |
During the COVID-19 pandemic, spend on translation and interpretation services reduced due to the reduction in planned activity across the providers’ sites. Since then, providers have significantly increased the number of patients they see and treat, which has resulted in increased interpretation and translation costs.
Patient care is too broad a category and could encompass a wide range of spending. We are unable to break this down as it stands. However, the total administration spend for NHS England and the integrated care boards is available on page 177 of NHS England’s Annual Report and Accounts 2023/24, which is available at the following link:
The following table shows the number and proportion of full time equivalent (FTE) staff employed by National Health Service trusts and integrated care boards in England, by broad staff groups, as of July 2024:
| Number, FTE | Proportion |
Professionally Qualified Clinical Staff1 | 713,627 | 53.0% |
Support to Clinical Staff2 | 283,369 | 21.1% |
Administrative and Clerical Staff3 | 250,108 | 18.6% |
Managers and Senior Managers4 | 39,595 | 2.9% |
Other NHS Infrastructure Staff5 | 58,952 | 4.4% |
Other Staff or Those with Unknown Classification | 380 | 0.0% |
Total Staff | 1,346,030 |
|
Source: NHS England, NHS Hospital and Community Health Service Workforce Statistics
Notes:
Further data is available at the following link:
https://digital.nhs.uk/data-and-information/publications/statistical/nhs-workforce-statistics
The Medicines and Healthcare products Regulatory Agency’s (MHRA) role is to continually monitor the safety of medicines during their use. We have robust, safety monitoring and surveillance systems in place for all healthcare products. New medicines such as Mounjaro, which contains tirzepatide, are more intensively monitored to ensure that any new safety issues are identified promptly.
Thyroid cancer has not been causally linked with Mounjaro or any other medicines that belong to the same therapeutic class as tirzepatide, specifically glucagon-like peptide-1 receptor agonists (GLP-1RAs), and it is currently not listed as a side-effect associated with GLP-1RA medicines in the approved United Kingdom prescribing information, also known as the Summary of Product Characteristics (SmPC).
A recent European Union review conducted by the European Medicines Agency (EMA) included a comprehensive class review of the available evidence related to all types of thyroid cancer, taking into consideration various types of evidence, including large observational studies, literature, clinical trial cases, and post-marketing cases. The EMA reached the decision that the overall evidence was insufficient to establish an association between GLP-1RAs and thyroid cancer. Furthermore, the addition of a precautionary warning to the SmPCs was not agreed upon given the limitations of the currently available evidence, unlike the Food and Drug Administration’s (FDA) approved product information. It is not uncommon for regulators to come to different decisions based on different assessments of risk. This can be due to factors such as differences in patient demographics, usage of a particular medicine in different countries, or differences in inclusion criteria for the product information for medicinal products. The difference in the United States’ labelling, in part, relates to the FDA’s interpretation of the data from animal studies, an area of research that is required for all new medicines prior to approval, and information related to thyroid cancer was added as a precautionary warning. However, the human relevance of the animal data is not known, and this is specified in the UK prescribing information.
A signal of thyroid cancer was not observed in the clinical trials for these medicines at the time of licensing, however it was acknowledged that clinical trials are not usually large or long-enough to observe cancer outcomes. Therefore, based on the need for further exploration of the risk about the human relevance, the pharmaceutical companies for all GLP-1RAs have been requested to assess the risk within a collaborative, long-term post-authorisation safety study evaluating medullary thyroid cancer events using United States cancer registries. The results from this study are not expected for a few years and will hopefully provide further information on this risk. Furthermore, the pharmaceutical companies are also monitoring all thyroid cancer types as part of their ongoing routine pharmacovigilance obligations.
Based on the current evidence, the benefits of GLP-1 RAs outweigh the potential risks when used for the licensed indications. The risk of thyroid cancer with this class of medicines remains under review by the MHRA and all pharmaceutical companies which hold a licence for a GLP-1RA. As part of our continuous monitoring procedures, we work with our international counterparts, such as the FDA, to gather information on the safety of medicines in other countries. When a safety issue is confirmed, we always act promptly to inform patients and healthcare professionals, and take appropriate steps to mitigate any identified risk.
The Government is committed to expanding the role of pharmacies and better utilising the skills of pharmacists and pharmacy technicians. That includes making prescribing part of the services delivered by community pharmacists, as we shift care from hospitals into the community.
Now that the budget for Government has been set, we will shortly be resuming our consultation with Community Pharmacy England regarding the funding arrangements for 2024/25. We are unable to say more until these have been concluded.
We know that patients are finding it harder than ever to see a general practitioner (GP). Patients can’t get through the front door of the National Health Service, so they aren’t getting the timely care they need.
We have pledged to guarantee a face-to-face appointment for all those who want one. We will make sure the future of GPs is sustainable by training thousands more GPs, ensuring increased capacity across the NHS to deliver this commitment and securing a future pipeline of GPs.
We have consistently supported hostage talks, and continue to work alongside our allies and partners in the region, exercising every possible diplomatic lever to see the hostages immediately and unconditionally released. Negotiations remain the best chance to get hostages home to their loved ones, and we call on all parties to return to the negotiating table. It is utterly appalling that hostages taken by Hamas terrorists on 7 October are still being held captive, including one British national, Emily Damari, and three other hostages with strong British links. In support of the ongoing hostage rescue activity, the UK Ministry of Defence conducts surveillance flights over the Eastern Mediterranean, including operating in airspace over Israel and Gaza. Surveillance aircraft are unarmed, do not have a combat role and are tasked solely to locate hostages.