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Written Question
Medicines and Medical Devices Safety Independent Review
Thursday 22nd July 2021

Asked by: Saqib Bhatti (Conservative - Meriden)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to the report of the Independent Medicines and Medical Devices Safety Review report entitled First Do No Harm, published in July 2020, what recent steps he has taken to progress implementation of the recommendation that a register of the General Medical Council should be expanded to include a list of financial and non-pecuniary interests for all doctors, as well as doctors’ clinical interests and specialisms.

Answered by Nadine Dorries

The Government agrees that doctors’ financial and non-pecuniary interests should be available publicly. However, we do not think that the General Medical Council’s register is the best place to hold this information. We have engaged with healthcare professional regulators, to ensure it is a requirement that all registered healthcare professionals declare their interests and that this information is published locally by healthcare providers.

We are working with NHS England and NHS Improvement and the Independent Healthcare Providers Network to ensure this approach is consistently applied across the National Health Service and independent sector. We have worked with the Care Quality Commission to ensure that implementation is monitored. Our response has been informed by participants in a patient reference group and we have worked closely with the devolved administrations to ensure a consistent, United Kingdom-wide approach.


Written Question
Medicines and Medical Devices Safety Independent Review
Thursday 22nd July 2021

Asked by: Saqib Bhatti (Conservative - Meriden)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to the report of the Independent Medicines and Medical Devices Safety Review report entitled First Do No Harm, published in July 2020, what recent steps he has taken to progress implementation of recommendation seven of that report on establishing a central patient-identifiable database.

Answered by Nadine Dorries

NHS Digital has put together a programme of work to establish an information system to collect information on surgical implants and devices from healthcare providers in England, currently focussed on pelvic floor, or mesh and related procedures, as a priority.

This will be followed by the development of a United Kingdom-wide Medical Device Information System (MDIS) with regulations being made under section 19 of the Medicines and Medical Devices Act 2021. This system will mean that in future, subject to regulations, we can routinely collect medical device, procedure and outcome data from public and private provider organisations across the UK and data submitted directly from patients. Formal public consultation on the MDIS regulations will begin later this year with the aim of laying the regulations in due course.


Written Question
Medicines and Medical Devices Safety Independent Review
Tuesday 20th July 2021

Asked by: Saqib Bhatti (Conservative - Meriden)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to the report of the Independent Medicines and Medical Devices Safety Review report entitled First Do No Harm, published in July 2020, what recent steps he has taken to progress implementation of recommendation five of that report on the rollout of specialist centres.

Answered by Nadine Dorries

As of April 2021, eight National Health Service trusts are working with NHS England and NHS Improvement to provide specialised services for women with complications of mesh inserted for urinary incontinence and vaginal prolapse. We continue to consider specialist centres for those adversely affected by medicines taken during pregnancy. Further detail on this recommendation will be included in the full response to the report to be published this year.


Written Question
Medicines and Medical Devices Safety Independent Review
Tuesday 6th July 2021

Asked by: Huw Merriman (Conservative - Bexhill and Battle)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to the report of the Independent Medicines and Medical Devices Safety Review report entitled First Do No Harm and published in July 2020, what recent steps he has taken to progress implementation of recommendation five of that report on the rollout of specialist centres.

Answered by Nadine Dorries

There are now eight specialist centres in operation across England to provide services for women with complications of mesh inserted for urinary incontinence and vaginal prolapse. NHS England and NHS Improvement will announce the location of a provider in the south west in due course.

The recommendation of the establishment of specialist centres for those impacted by medication taken during pregnancy remains under careful consideration. We will respond to the Independent Medicines and Medical Devices Safety Review report in full this year.


Written Question
LGBT People
Monday 28th June 2021

Asked by: Crispin Blunt (Independent - Reigate)

Question to the Foreign, Commonwealth & Development Office:

To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, if he will make it his policy to make public statements condemning attacks by public authorities wherever they occur on LGBTI defenders.

Answered by Wendy Morton

The UK's approach to making public statements in cases of attacks on LGBT+ defenders is always informed by advice from civil society groups on the ground. Our first principle is always that we should "do no harm" and we seek advice from local LGBT+ Civil Society Organisations to ensure that our interventions are of genuine benefit to LGBT+ communities. Some interventions are therefore not public but are made privately.


Written Question
Refugees: Children and Females
Tuesday 22nd June 2021

Asked by: Lord Bishop of Southwark (Bishops - Bishops)

Question to the Home Office:

To ask Her Majesty's Government what assessment they have made of the findings published by Together With Refugees on 1 June that two-thirds of women and children currently accepted by the Government as refugees would be deemed inadmissible under their New Plan for Immigration, published on 24 March.

Answered by Baroness Williams of Trafford - Captain of the Honourable Corps of Gentlemen-at-Arms (HM Household) (Chief Whip, House of Lords)

I do not recognise the figures presented in the Together with Refugees publication of 1 June regarding women and children. Some mention is made in the report of illegal entry figures quoted in the New Plan for Immigration policy statement, and to wider published data, but neither support the specific conclusions made in the publication.

In drawing its conclusions, Together with Refugees states: “The new rules would mean that all those who claim asylum after arriving in the UK through an irregular route would face removal to a third country, with their asylum claim only progressing if removal is not possible…” That is not how the current policy operates, nor how we intend the future process to operate.

Our current policy is clear that decisions are made on a case-by-case basis, not rigidly or en masse. Irregular entry is not the sole criterion or even a necessary criterion on which inadmissibility processes operate. Inadmissibility applies only where someone has a connection to or has been present in a safe third country before coming to the UK.

There are many circumstances where the inadmissibility rules would not be applied, including: to an unaccompanied child; to someone who has had no opportunity to claim asylum in the safe third country, for instance, because they were under the control of traffickers; to someone who demonstrates that in their particular case, return to the third country would place them at risk of harm; and to someone who demonstrates that in their specific circumstances there are reasons under the Human Rights Act why they should remain in the UK.

There will be instances where the inadmissibility rules will apply to families. We know that some people, including women with children, reach safe EU countries where they have the opportunity to claim asylum and obtain the protection they need, but then as a matter of preference, choose to make further unnecessary and dangerous journeys to the UK. Such actions from people who have already reached safety exposes not only the claimants themselves to significant danger, but also their children and the individuals involved in their rescue.

Our inadmissibility rules aim to deter anyone thinking of making a dangerous journey to the UK when already in a safe country, and make it clear that those who could and should have claimed asylum in the first safe country they enter may not have their claims determined in the UK.


Written Question
Drugs: Crime
Wednesday 26th May 2021

Asked by: Crispin Blunt (Independent - Reigate)

Question to the Home Office:

To ask the Secretary of State for the Home Department, with reference to the Government report entitled An evaluation of the Government’s Drug Strategy 2010 which reported the finding that drugs market violence is an unintended consequence of enforcing drug laws, for what reason that finding was not tackled in the Drug Strategy 2017; and what steps the Government is taking to (a) monitor and (b) evaluate the ongoing effects of enforcement on market violence in the UK.

Answered by Kit Malthouse

No evaluation framework has been developed to assess the 2017 Drug Strategy. However, a number of initiatives that have been implemented under the 2017 Drug Strategy have been subject to assessment or evaluation, including;

  • The UK Government appointed Dr Ed Day as the Government’s Recovery Champion to provide national leadership around key aspects of the drug recovery agenda and advise the Government on where improvements can be made. His first annual report was published in January 2021, which includes an assessment of the current system. It can be found here; UK government Drug Recovery Champion annual report - GOV.UK (www.gov.uk)
  • In 2019, Public Health England and the Home Office published a report on a deep dive to understand the rise in crack cocaine use in six areas of England. PHE publish investigative report on increasing crack use - GOV.UK (www.gov.uk)
  • The Advisory Council on the Misuse of Drugs continues to carry out in-depth reviews on issues relating to drugs and drug harms. Its website includes reviews on the ageing cohort of drug users, on custody to community transitions and on homelessness and drug use for example.
  • Other projects within the 2017 Drug Strategy, such as the Holme House ‘drug recovery prison’ pilot and the Jobcentre Plus Individual Placement and Support (IPS) trial to support those with substance use dependence back into employment, are subject to ongoing evaluation.

On the question of punishment for people who break the law, including buying illicit drugs, the Government is unashamedly clear that drug use is unacceptable and users must face the consequences. Prison is one possible punishment, however the police have a range of powers at their disposal to deal with drug-related offences in a way that is proportionate to the circumstances of the offender and the public interest. They also have discretion to engage a first-time young offender with local services to assess their needs including the risk of harm. How police choose to pursue investigations is an operational decision for chief constables, but we are clear that we expect them to enforce the law.

Addressing drugs and drug harms is not something that law enforcement alone can do and we must ensure that we intervene early and effectively to reduce the demand for drugs. We therefore take a balanced approach which brings together police, health, community and global partners to tackle the illicit drug trade, protect the most vulnerable and help those with a drug dependency to recover and turn their lives around.

Violence and exploitation is an inherent part of the business model of organised criminal gangs who supply drugs, and it is important that we continue to address this threat. Law enforcement partners are therefore cracking down on criminals who supply drugs, causing misery to families and communities. Violence Reduction Units and police forces work with local partners to understand and tackle the drivers of violence in their area. This year we have provided VRUs with £35.5m to continue this work, alongside an additional £30m of ‘Grip’ funding to the police force areas most affected by violent crime.

We know there is more to do to tackle drugs and the harms they cause, which is why the Home Office commissioned a major independent review, led by Dame Carol Black, to examine these issues. Part one of the Review was published in February 2020 and provided a detailed analysis of drug supply and demand. In July last year, DHSC announced the second part of the review led by Dame Carol to look at prevention, treatment and recovery which will be published later this year.

The Government continues to go further than the Drug Strategy 2017. In January, the Government announced a £148 million new investment to cut crime and protect people from the scourge of illegal drugs including;

  • £80 million for drug treatment services right across England – representing the largest increase in drug treatment funding for 15 years.
  • £28 million for Project ADDER – a new intensive approach to tackling drug misuse, which combines targeted and tougher policing with diversionary schemes and enhanced treatment and recovery services.
  • £40 million to tackle drugs supply and county lines and surge our activity against these ruthless gangs This will allow us to expand and build upon the successful results of our £25 million county lines programme which since November 2019 has seen more than 3,400 people arrested, more than 550 lines closed, drugs with a street value of £9 million and £1.5 million cash seized, and more than 770 vulnerable people safeguarded.

Together the funding represents a comprehensive drive by the Government to build back safer from the pandemic by helping people break free from the scourge of drug use and cutting drug-fuelled crime and violence.


Written Question
Drugs: Misuse
Wednesday 26th May 2021

Asked by: Crispin Blunt (Independent - Reigate)

Question to the Home Office:

To ask the Secretary of State for the Home Department, with reference to the Government report entitled An evaluation of the Government’s Drug Strategy 2010, which reported a lack of robust evidence as to whether capture and punishment serves as a deterrent for drug use, for what reason drug users continue to be criminalised given that lack of robust evidence.

Answered by Kit Malthouse

No evaluation framework has been developed to assess the 2017 Drug Strategy. However, a number of initiatives that have been implemented under the 2017 Drug Strategy have been subject to assessment or evaluation, including;

  • The UK Government appointed Dr Ed Day as the Government’s Recovery Champion to provide national leadership around key aspects of the drug recovery agenda and advise the Government on where improvements can be made. His first annual report was published in January 2021, which includes an assessment of the current system. It can be found here; UK government Drug Recovery Champion annual report - GOV.UK (www.gov.uk)
  • In 2019, Public Health England and the Home Office published a report on a deep dive to understand the rise in crack cocaine use in six areas of England. PHE publish investigative report on increasing crack use - GOV.UK (www.gov.uk)
  • The Advisory Council on the Misuse of Drugs continues to carry out in-depth reviews on issues relating to drugs and drug harms. Its website includes reviews on the ageing cohort of drug users, on custody to community transitions and on homelessness and drug use for example.
  • Other projects within the 2017 Drug Strategy, such as the Holme House ‘drug recovery prison’ pilot and the Jobcentre Plus Individual Placement and Support (IPS) trial to support those with substance use dependence back into employment, are subject to ongoing evaluation.

On the question of punishment for people who break the law, including buying illicit drugs, the Government is unashamedly clear that drug use is unacceptable and users must face the consequences. Prison is one possible punishment, however the police have a range of powers at their disposal to deal with drug-related offences in a way that is proportionate to the circumstances of the offender and the public interest. They also have discretion to engage a first-time young offender with local services to assess their needs including the risk of harm. How police choose to pursue investigations is an operational decision for chief constables, but we are clear that we expect them to enforce the law.

Addressing drugs and drug harms is not something that law enforcement alone can do and we must ensure that we intervene early and effectively to reduce the demand for drugs. We therefore take a balanced approach which brings together police, health, community and global partners to tackle the illicit drug trade, protect the most vulnerable and help those with a drug dependency to recover and turn their lives around.

Violence and exploitation is an inherent part of the business model of organised criminal gangs who supply drugs, and it is important that we continue to address this threat. Law enforcement partners are therefore cracking down on criminals who supply drugs, causing misery to families and communities. Violence Reduction Units and police forces work with local partners to understand and tackle the drivers of violence in their area. This year we have provided VRUs with £35.5m to continue this work, alongside an additional £30m of ‘Grip’ funding to the police force areas most affected by violent crime.

We know there is more to do to tackle drugs and the harms they cause, which is why the Home Office commissioned a major independent review, led by Dame Carol Black, to examine these issues. Part one of the Review was published in February 2020 and provided a detailed analysis of drug supply and demand. In July last year, DHSC announced the second part of the review led by Dame Carol to look at prevention, treatment and recovery which will be published later this year.

The Government continues to go further than the Drug Strategy 2017. In January, the Government announced a £148 million new investment to cut crime and protect people from the scourge of illegal drugs including;

  • £80 million for drug treatment services right across England – representing the largest increase in drug treatment funding for 15 years.
  • £28 million for Project ADDER – a new intensive approach to tackling drug misuse, which combines targeted and tougher policing with diversionary schemes and enhanced treatment and recovery services.
  • £40 million to tackle drugs supply and county lines and surge our activity against these ruthless gangs This will allow us to expand and build upon the successful results of our £25 million county lines programme which since November 2019 has seen more than 3,400 people arrested, more than 550 lines closed, drugs with a street value of £9 million and £1.5 million cash seized, and more than 770 vulnerable people safeguarded.

Together the funding represents a comprehensive drive by the Government to build back safer from the pandemic by helping people break free from the scourge of drug use and cutting drug-fuelled crime and violence.


Written Question
Drugs: Misuse
Wednesday 26th May 2021

Asked by: Crispin Blunt (Independent - Reigate)

Question to the Home Office:

To ask the Secretary of State for the Home Department, with reference to the Government report entitled An evaluation of the Government’s Drug Strategy 2010, whether the Government has developed an updated evaluation framework to assess the effectiveness and value for money of the Drugs Strategy 2017; and when she plans to publish the evaluation of that strategy.

Answered by Kit Malthouse

No evaluation framework has been developed to assess the 2017 Drug Strategy. However, a number of initiatives that have been implemented under the 2017 Drug Strategy have been subject to assessment or evaluation, including;

  • The UK Government appointed Dr Ed Day as the Government’s Recovery Champion to provide national leadership around key aspects of the drug recovery agenda and advise the Government on where improvements can be made. His first annual report was published in January 2021, which includes an assessment of the current system. It can be found here; UK government Drug Recovery Champion annual report - GOV.UK (www.gov.uk)
  • In 2019, Public Health England and the Home Office published a report on a deep dive to understand the rise in crack cocaine use in six areas of England. PHE publish investigative report on increasing crack use - GOV.UK (www.gov.uk)
  • The Advisory Council on the Misuse of Drugs continues to carry out in-depth reviews on issues relating to drugs and drug harms. Its website includes reviews on the ageing cohort of drug users, on custody to community transitions and on homelessness and drug use for example.
  • Other projects within the 2017 Drug Strategy, such as the Holme House ‘drug recovery prison’ pilot and the Jobcentre Plus Individual Placement and Support (IPS) trial to support those with substance use dependence back into employment, are subject to ongoing evaluation.

On the question of punishment for people who break the law, including buying illicit drugs, the Government is unashamedly clear that drug use is unacceptable and users must face the consequences. Prison is one possible punishment, however the police have a range of powers at their disposal to deal with drug-related offences in a way that is proportionate to the circumstances of the offender and the public interest. They also have discretion to engage a first-time young offender with local services to assess their needs including the risk of harm. How police choose to pursue investigations is an operational decision for chief constables, but we are clear that we expect them to enforce the law.

Addressing drugs and drug harms is not something that law enforcement alone can do and we must ensure that we intervene early and effectively to reduce the demand for drugs. We therefore take a balanced approach which brings together police, health, community and global partners to tackle the illicit drug trade, protect the most vulnerable and help those with a drug dependency to recover and turn their lives around.

Violence and exploitation is an inherent part of the business model of organised criminal gangs who supply drugs, and it is important that we continue to address this threat. Law enforcement partners are therefore cracking down on criminals who supply drugs, causing misery to families and communities. Violence Reduction Units and police forces work with local partners to understand and tackle the drivers of violence in their area. This year we have provided VRUs with £35.5m to continue this work, alongside an additional £30m of ‘Grip’ funding to the police force areas most affected by violent crime.

We know there is more to do to tackle drugs and the harms they cause, which is why the Home Office commissioned a major independent review, led by Dame Carol Black, to examine these issues. Part one of the Review was published in February 2020 and provided a detailed analysis of drug supply and demand. In July last year, DHSC announced the second part of the review led by Dame Carol to look at prevention, treatment and recovery which will be published later this year.

The Government continues to go further than the Drug Strategy 2017. In January, the Government announced a £148 million new investment to cut crime and protect people from the scourge of illegal drugs including;

  • £80 million for drug treatment services right across England – representing the largest increase in drug treatment funding for 15 years.
  • £28 million for Project ADDER – a new intensive approach to tackling drug misuse, which combines targeted and tougher policing with diversionary schemes and enhanced treatment and recovery services.
  • £40 million to tackle drugs supply and county lines and surge our activity against these ruthless gangs This will allow us to expand and build upon the successful results of our £25 million county lines programme which since November 2019 has seen more than 3,400 people arrested, more than 550 lines closed, drugs with a street value of £9 million and £1.5 million cash seized, and more than 770 vulnerable people safeguarded.

Together the funding represents a comprehensive drive by the Government to build back safer from the pandemic by helping people break free from the scourge of drug use and cutting drug-fuelled crime and violence.


Written Question
Drugs: Misuse
Thursday 20th May 2021

Asked by: Crispin Blunt (Independent - Reigate)

Question to the Home Office:

To ask the Secretary of State for the Home Department, with reference to the Government's response to the Health and Social Care Committee’s First Report of Session 2019, on Drugs policy, HC 1178, what assessment she has made of the implications for her policies of the Committee’s recommendation that policy responsibility for drugs should move from the Home Office to the Department of Health and Social Care.

Answered by Kit Malthouse

The Government has not commissioned or published any recent analysis of the harms of psilocybin. Psilocybin, as an “ester of psilocin”, is controlled as a Class A drug under the Misuse of Drugs Act 1971 and is placed in Schedule 1 of the Misuse of Drugs Regulations 2001. Psilocin is also subject to the United Nations Convention on Psychotropic Substances of 1971, to which the United Kingdom is signatory.

We have no plans to move responsibility for drugs from the Home Office to the Department of Health and Social Care. Both departments have an important role to play in tackling the current issues around drug misuse.

This Government takes a balanced approach which brings together policing, health, community and global partners to tackle the illicit drug trade, protect the most vulnerable and help those with a drug dependency to recover and turn their lives around.

We have recently announced a £148million package aimed at dismantling the organised criminal gangs who encourage this terrible trade, helping those in drug treatment and recovery to stop drug-related crime, and dealing with the significant health-related harms drugs pose.

We know there is more to do which is why the Government commissioned a major independent review, led by Dame Carol Black, to inform the Government’s thinking on what more can be done to tackle the harm that drugs cause. Part One of Dame Carol Black’s review of drugs was published on 27 February 2020 at the Government’s UK Drugs Summit in Glasgow. It provides a detailed analysis of the challenges posed by drug supply and demand, including the ways in which drugs fuel serious violence. It is available at: www.gov.uk/government/publications/review-of-drugs-phase-one-report.

Part Two of Dame Carol Black’s Review of Drugs was announced at the Drugs Summit and is focusing on prevention, treatment services and recovery. The final report will be made available to Ministers later this year. The Review findings will feed into wider Government work to tackle the serious harms caused by substance misuse.