Medical Cannabis (Access) Bill
Debate between Sally-Ann Hart and Lia Nici
Sally-Ann Hart
I agree with my hon. Friend, because we have a regulatory pathway in place—I will come back to this a little later, when I can move on with my speech—under the Misuse of Drugs Act 1971 regulations and medicines regulation, through which cannabis-based medicines have already been approved for use in the NHS.
To go back to prescribing, the prescriptions are limited to specialist doctors and GPs working with those specialist doctors. They are not the first-line treatments, and patients will always be at a stage in their treatment pathway where they are in the care of a specialist doctor. While the evidence base remains limited—we have all spoken about how important it is to ramp up that evidence base—it is right that the decision to prescribe unlicensed products lies essentially with specialist doctors, because they have that expert knowledge in their field, and they take the responsibility for prescribing.
I completely understand why some groups have campaigned for greater access to unlicensed cannabis-based products for medicinal use funded by the NHS. However, I feel very strongly that these products—we are looking at a drug that has multiple chemicals in it, and I will come back to that later—have not had their safety and quality, and whether they work and are efficacious, assessed or assured by the Medicines and Healthcare Products Regulatory Agency or their clinical or cost-effectiveness assessed by NICE, and that has to be the basis for all NHS routine funding. The NHS has a duty of care. People trust it. We trust the NHS. We trust our doctors to ensure they are giving us the best possible advice and prescribing the best possible medicine that has been rigorously tested and has a clinical evidence base.
When GPs are looking at medicines and whether something is approved, they are looking at a cost-benefit analysis. Throughout covid, we have been looking at what age to give people vaccines. At the beginning, a cost-benefit analysis was made about whether the benefit of giving an over-18 a vaccine outweighed the cost or risks involved. We have to be very careful about that when taking any medication forward.
It is critical to progressing public funding decisions that manufacturers of these products invest in clinical trials and prove that their products are safe, effective and work. The National Institute for Health Research remains open to receiving good-quality proposals for research in this area as a priority, and it is clear, as I said earlier, that there is huge potential in cannabis-based medicines. Manufacturers need to ramp up putting quality proposals forward for research, so that more cannabis-based medicines can be approved for NHS use. That is not for us in this House to dictate, but for those businesses to put forward their proposals to get clinical trials going, so we have a much wider selection of drugs available for NHS prescriptions.
Lia Nici
Does my hon. Friend agree that it is not just about drug companies missing out on a huge business opportunity, as well as the health benefits? It is for the NHS and clinical commissioning groups to ask for, and to promote the fact that they are looking for good-quality research and good-quality products to put in their systems.
Registers of Births and Deaths Bill
Debate between Sally-Ann Hart and Lia NiciFriday 26th November 2021
(3 years ago)
Commons ChamberRead Full debate Registers of Births and Deaths Bill 2021-22 View all Registers of Births and Deaths Bill 2021-22 Debates Read Hansard Text Read Debate Ministerial Extracts
Sally-Ann Hart (Hastings and Rye) (Con)
I welcome the Bill introduced by my hon. Friend the Member for Meriden (Saqib Bhatti), which seeks to make provision on the keeping and maintenance of registers of births and deaths.
In Hastings and Rye we have Hastings register office and the beautiful Hastings town hall, and I thank all staff for all their hard work, particularly over the past 18 months when their patience and empathy has been so important for so many people in my constituency.
Since 2009 all birth and death registrations have been captured both electronically and on paper. This duplication of processes is unnecessary, does not represent value for money, and is time consuming. Furthermore, this is an old-fashioned process that uses a lot of paper—and, Madam Deputy Speaker, the same might be said about this place. With global warming and too much carbon being emitted, polluting our environment, we can see the value in going green and decreasing our carbon footprint. This Bill removes the requirement for paper registers to be held but does not remove the requirement of having a lovely birth certificate.
Sally-Ann Hart
My hon. Friend raises a valid point and I absolutely agree.
The Bill removes the requirement for paper registers to be held and stored securely in each registration district, and with records already stored electronically there is no need for on-paper storage. This will save space and eliminate the cost of that extra storage, as explained by my hon. Friend the Member for Meriden. As paper comes from trees, going paperless by utilising electronic document management systems helps cut down on deforestation and pollution, leaving more trees to absorb carbon dioxide, helping to mitigate climate change.
Sally-Ann Hart
My hon. Friend raises a very good point and I will come to it shortly if he will continue to listen to my little speech.
It has been estimated that a single person uses up to 10,000 paper sheets in one year; imagine the quantity of paper utilised by the register of births and deaths and many other organisations, including this place, and businesses globally.
But is going paperless really saving trees? Is going digital better for the environment? Many in the paper industry dispute this, saying that those who claim going paperless is better for the environment are misleading consumers and that such claims are not substantiated by adequate research. Obviously they have a vested interest and paper manufacturing does lead to deforestation and contributes significantly to climate change. At first glance, digitisation seems to be more sustainable and renewable—electronic products are used over and over again, and information is stored in an invisible cloud—but manufacturing electronic products also leaves a carbon footprint, and energy is needed to power them. What do we do with old computers and laptops, et cetera? These are all waste, which is something we have to think about.
Although there are some environmental benefits of going paperless, there are also cost savings, as highlighted by many Members today. When it comes to being fiscally sensible, as Conservatives are, and taking care of how we spend taxpayers’ money, cost savings are vital, especially if we can provide an equal or even better service.
The Bill would remove unnecessary duplication and facilitate a more efficient registration of births and deaths. Data could be accessed immediately, giving staff and service users the ability to make faster, better-informed decisions, for example, but we need to ensure, as my hon. Friend the Member for Christchurch (Sir Christopher Chope) highlighted, that digital security is paramount for all things stored or otherwise used online.
Digital files are far easier to copy, share, hack and destroy than physical files, and we must ensure that all legislation is up to date, which is why I welcome the passage this week of the Telecommunications (Security) Act 2021 to better protect people’s smartphones, smart televisions, smart speakers and tablets, and so on, which means people can safely register births and deaths with such devices.
Sally-Ann Hart
My hon. Friend makes a good point. If people really want to target us and steal paperwork from our house, they would have to break in. That might be a little more difficult than just hacking a computer, but I take her point.