Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of the supply of HRT products in London.

The Department monitors and manages medicine supply at a national level so that stocks remain available to meet regional and local demand. Information on stock levels within London is not held centrally.

There are over 70 hormone replacement therapy (HRT) products, and the vast majority are in good supply. Previously there has been issues with the supply of a limited number of these products, primarily driven by very sharp increases in demand. Following the Department’s intensive engagement with industry, the supply position has improved considerably. As part of this we have met with suppliers on a very regular basis and have held seven HRT supply roundtables since April 2022, with the most recent in September 2024, with suppliers, wholesalers, and community pharmacists, to provide updates on the supply position and actions being taken to address them, to share data, and to discuss relevant policy developments and potential impacts.

We are aware of the supply issues affecting Estradot (estradiol) 50 microgram/24 hour, 75 microgram/24 hour, and 100 microgram/24 hour patches, for which we have issued comprehensive management guidance to the National Health Service, including Serious Shortage Protocols allowing community pharmacists to supply the equivalent strength patch of an alternative brand without the need for a new prescription. Alternative brands of estradiol patches remain available.