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Written Question
Vaccination
Thursday 14th March 2024

Asked by: Peter Gibson (Conservative - Darlington)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment she has made of the adequacy of investment in establishing a vaccine library.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

Development of a vaccine library, including the adequacy of investment, will be a collaborative, global effort. The Government provides funding to the Coalition for Epidemic Preparedness Innovations (CEPI) through the Department of Health and Social Care and the Foreign, Commonwealth and Development Office. The CEPI plays a key role in funding and coordinating the global research and development effort to develop a vaccine library.

The UK Health Security Agency’s (UKHSA) Vaccine Development and Evaluation Centre (VDEC) makes a significant contribution to the development of a vaccine library through work in developing and evaluating new vaccines and vaccine technologies, some of which is funded by the CEPI.

The UKHSA is also reviewing the recommendations from the International Pandemic Preparedness Secretariat (IPPS) report, in the context of the United Kingdom, and working across Government to strengthen our 100 Days Mission endeavours even further.

More broadly, an established clinical countermeasures programme, including vaccines, is a core component of our pandemic preparedness and response capability. The programme is informed by scientific and clinical assessment of the evidence base, and is kept under review, building on lessons learned from previous outbreaks including COVID-19.


Written Question
Semaglutide
Thursday 14th March 2024

Asked by: Layla Moran (Liberal Democrat - Oxford West and Abingdon)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking to help ensure the adequacy of short-term supplies of the diabetes medication Ozempic or semaglutide.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

Following intensive work with industry, the broad supply position for glucagon-like peptide-1 receptor agonists (GLP-1 RAs) in the United Kingdom has improved. However, global supply issues remain with specific medicines, including ozempic (semaglutide). We issued updated guidance to healthcare professionals in the form of a National Patient Safety Alert on 3 January 2024, on how to manage patients requiring these medicines, with input from expert clinicians. We continue to work closely with manufacturers and others working in the supply chain to help ensure the continued supply of GLP-1 RAs for UK patients, and to resolve the remaining supply issues as quickly as possible, for example by asking suppliers to expedite deliveries.

We know how distressing and frustrating medicine supply issues can be, and the Department will continue to help ensure that these critical medicines reach diabetes patients. If any patient is concerned about their treatment, they should discuss this with their clinician at the earliest opportunity.


Written Question
Epilepsy: Drugs
Thursday 14th March 2024

Asked by: Lisa Nandy (Labour - Wigan)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps her Department is taking to help ensure adequate levels of supply of medications prescribed for epilepsy.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

There are around 14,000 medicines licensed for supply in the United Kingdom, and while most are in good supply, there can sometimes be supply issues with a limited number of medicines. The medicine supply chain is highly regulated, complex, and global. Supply disruption is an issue which affects the UK, as well as the other countries around the world.

The Department has been working intensively to address issues with the supply of some epilepsy medications. Guidance has been issued to healthcare professionals on how to manage patients requiring affected medicines while supply is disrupted.

We will continue to work closely with industry, the National Health Service, and others to help ensure patients continue to have access to an alternative treatment until their usual product is back in stock. The Department has been engaging with the Epilepsy Society, and we will continue to keep them updated on any developments.


Written Question
Sugar Beet: Production
Thursday 14th March 2024

Asked by: Lord Framlingham (Conservative - Life peer)

Question to the Department for Environment, Food and Rural Affairs:

To ask His Majesty's Government what estimate they have made of the fall in overall domestic sugar beet production resulting from the proposed changes in agricultural policies and payments.

Answered by Lord Douglas-Miller - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)

For around 2,300 growers in the East of England sugar beet plays a vital role in soil and crop health in the arable farm rotation, allowing a season of “rest” from cereal production. Farmers consider a range of factors, including global market developments in price, their soil type and their long-term agronomic strategy, when deciding which crops they should include in their crop rotation. Domestic disease and pest pressures and the weather will also impact the quality of the crop and resulting sugar production levels.

The UK has a high degree of food security, built on supply from diverse sources, strong domestic production as well as imports through stable trade routes. We produce 60% of all the food we need, and 73% of food which we can grow or rear in the UK for all or part of the year. These figures have changed little over the last 20 years: historical production figures, including for the commodities you reference, can be found in “Agriculture in the United Kingdom”, a publication of annual statistics about agriculture in the United Kingdom at GOV.UK. 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.

Domestically, the Government has committed to broadly maintain the current level of food we produce. This includes sustainably boosting production in sectors where there are post-Brexit opportunities, including horticulture and seafood, and the Agriculture Act imposes a duty on the Secretary of State to have regard to the need to encourage environmentally sustainable food production. Our farming reforms aim to support a highly productive food producing sector by supporting farmers to manage land in a way that improves food production and is more environmentally sustainable, and by paying farmers to produce public goods such as water quality, biodiversity, animal health and welfare and climate change mitigation, alongside food production.

Speaking at the recent National Farmers Union Conference in Birmingham, the Prime Minister and the Environment Secretary announced a range of measures to boost productivity and resilience in the sector, including the largest ever grant offer for farmers in the coming financial year, expected to total £427 million. This includes doubling investment in productivity schemes, bolstering schemes such as the Improving Farming Productivity grant, which provides support for farmers to invest in automation and robotics, as well as solar installations to build on-farm energy security. The Prime Minister also announced a new annual UK-wide Food Security Index, which will capture and present the data needed to monitor levels of food security, and announced plans to hold the Farm to Fork Summit annually.


Written Question
South Asia: Development Aid
Thursday 14th March 2024

Asked by: Lord Lancaster of Kimbolton (Conservative - Life peer)

Question to the Foreign, Commonwealth & Development Office:

To ask His Majesty's Government what are the (1) actual, and (2) projected, aid contributions to individual countries in South Asia, broken down by category of project.

Answered by Lord Benyon - Minister of State (Foreign, Commonwealth and Development Office)

We do not have a breakdown by project category of future spend. Programme allocations are continually reviewed to respond to changing global needs, including humanitarian crises, fluctuations in GNI and other ODA allocation decisions.

We do have information on project category spend for previous calendar years which is published in the statistics on international development. This data is based on calendar year not financial year and covers the whole of HMG. Please see below data based on 2022, the last available calendar year.

2022

2022 Total

Row Labels

Afghanistan

Bangladesh

Bhutan

India

Maldives

Nepal

Pakistan

Sri Lanka

Administrative costs (non-sector allocable)

£273,832

£0

£0

£0

£0

£0

£150,105

£0

£423,938

Advanced technical and managerial training

£0

£0

£0

-£54,390

£0

-£2,535

£0

£0

-£56,924

Agricultural development

£1,292,411

£0

£0

£47,020

£0

£0

-£1,361,746

£0

-£22,316

Agricultural policy and administrative management

£0

£2,809

£0

-£152

£0

£0

£0

-£253,566

-£250,909

Agricultural research

£0

£0

£0

£240,948

£0

£0

£7,715

£0

£248,663

Agricultural services

£0

£0

£0

-£2,274,286

£0

£0

£0

£0

-£2,274,286

Anti-corruption organisations and institutions

£2,518,313

£576,402

£0

£0

£0

£175,805

£144,143

£0

£3,414,663

Basic drinking water supply

£0

£350,000

£0

£0

£0

£219,574

£0

£0

£569,574

Basic drinking water supply and basic sanitation

£0

£0

£0

£0

£0

£639,497

-£1,361,746

£0

-£722,250

Basic health care

£707,157

£250,000

£0

£0

£0

£2,994,645

£387,457

£0

£4,339,258

Basic life skills for adults

£0

£0

£0

£0

£0

£258,611

£0

£0

£258,611

Basic nutrition

£0

£712,997

£0

£0

£0

£14,770

£0

£0

£727,767

Basic sanitation

£0

£350,000

£0

£0

£0

£37,522

-£2,723,493

£0

-£2,335,971

Biodiversity

£0

£22,328

£0

£165,389

£74,068

£961,707

£37,573

£67,842

£1,328,907

Business development services

£0

£0

£0

£96,736

£0

£0

£0

£0

£96,736

Business policy and administration

£0

£0

£0

£565,783

£0

£0

£437,513

£0

£1,003,296

Civilian peace-building, conflict prevention and resolution

£4,130,547

£1,981,030

£0

£0

£0

£4,399

£2,225,242

£1,355,856

£9,697,073

Communications policy and administrative management

£0

£0

£0

£0

£127,531

£0

£44,422

£0

£171,953

COVID-19 control

£0

£23,407

£0

£802,602

£0

£0

£5,949

£0

£831,958

Culture

£0

£0

£0

£0

£0

£0

£61,341

£0

£61,341

Culture and recreation

£0

£0

£0

-£22,408

£0

£0

£85,158

£0

£62,750

Decentralisation and support to subnational government

£0

£0

£0

£0

£138,288

£2,475,959

£0

£0

£2,614,248

Democratic participation and civil society

£250,000

£1,394,795

£0

£0

£57,419

£973,571

£443,327

£0

£3,119,111

Domestic revenue mobilisation

£0

-£728,536

£0

£193,016

£0

£117,203

£1,059,571

£0

£641,254

Education and training in water supply and sanitation

£0

£0

£0

£0

£0

£12,737

£0

£0

£12,737

Education facilities and training

£0

£115,830

£0

£0

£0

£0

£1,464,741

£0

£1,580,571

Education policy and administrative management

£0

£577,278

£0

£97,983

£0

£0

£3,077,249

£0

£3,752,510

Educational research

£0

£361,000

£0

-£266,036

£0

£188,423

£594,639

£0

£878,026

Elections

£0

£12,027

£0

£0

£0

£0

£900

£0

£12,927

Electric mobility infrastructures

£0

£0

£0

£70,000

£0

£0

£0

£0

£70,000

Electric power transmission and distribution (centralised grids)

£0

£0

£0

£68,700

£0

£173,312

£0

£0

£242,012

Emergency food assistance

£128,041,086

£8,635,594

£0

£0

£0

£0

£0

£0

£136,676,679

Employment creation

£0

£0

£0

£0

£0

-£255,005

£0

£0

-£255,005

Ending violence against women and girls

£21,461,697

£1,009,135

£0

£0

£0

£728,846

£3,068,578

£0

£26,268,255

Energy generation, renewable sources - multiple technologies

£0

£0

£0

-£889,376

£0

£1,200,806

£0

£0

£311,430

Energy policy and administrative management

£0

£50,553

£0

£158,146

£0

£368,287

£0

£0

£576,985

Energy research

£0

£0

£0

£23,688

£0

£147,098

£0

£0

£170,786

Energy sector policy, planning and administration

£0

£0

£0

£1,479,122

£0

£0

£0

£0

£1,479,122

Environmental education/training

£0

£0

£48,668

£0

£0

£0

£0

£0

£48,668

Environmental policy and administrative management

£635,676

£6,904,699

£0

£24,064,426

£0

£4,380,855

£5,812,804

£0

£41,798,459

Environmental research

£0

£120,723

£0

£3,082,518

£0

£863,732

£0

£0

£4,066,974

Facilitation of orderly, safe, regular and responsible migration and mobility

£0

£102,902

£0

£0

£0

£234,377

£0

£0

£337,279

Family planning

£265,080

£565,862

£0

£0

£0

£102,500

£3,660,244

£0

£4,593,686

Financial policy and administrative management

£0

£0

£0

£507,690

£0

£0

£301,387

£0

£809,077

Formal sector financial intermediaries

£0

£0

£0

£49,665

£0

£0

£0

£0

£49,665

Health education

£338,898

£0

£0

£0

£0

£219,770

£0

£0

£558,668

Health personnel development

£0

£273,503

£0

£0

£0

£0

£0

£0

£273,503

Health policy and administrative management

£0

£1,760,392

£0

£3,122,660

£0

£2,298,530

£343,452

£0

£7,525,034

Higher education

£911,301

£649,203

£172,288

£2,693,479

£214,955

£434,329

£1,992,063

£395,690

£7,463,308

Human rights

£0

£1,775,384

£0

£0

£183,646

£0

£0

£0

£1,959,030

Immediate post-emergency reconstruction and rehabilitation

£4,081,072

£2,602,056

£0

£0

£0

£1,382,031

£12

£0

£8,065,171

Industrial development

£0

£0

£0

£0

£0

£317,516

£0

£0

£317,516

Industrial policy and administrative management

£0

£0

£0

£0

£0

£1,102,394

£0

£0

£1,102,394

Infectious disease control

£0

£344,911

£0

£106,589

£0

£721,591

£3,657

£0

£1,176,748

Informal/semi-formal financial intermediaries

£1,133,493

£0

£0

£65,012

£0

£129,305

£0

£0

£1,327,810

Information and communication technology (ICT)

£0

£277,978

£0

£0

£0

£0

£0

£0

£277,978

Legal and judicial development

£0

£562,328

£0

£0

£207,433

£219,762

£1,059,545

£23,435

£2,072,502

Legislatures and political parties

£0

£0

£0

£0

£86,128

£28,936

£0

£0

£115,064

Livestock

£1,133,493

£0

£0

£0

£0

£0

£0

£0

£1,133,493

Low-cost housing

£0

£0

£0

£7,590

£0

£0

£0

£0

£7,590

Material relief assistance and services

£133,863,525

£7,210,063

£0

£0

£0

£367,000

£13,753,266

£1,840,000

£157,033,854

Media and free flow of information

£0

£27,380

£0

£0

£85,021

£201,771

£0

£0

£314,172

Medical research

£0

£349,577

£0

£3,227,794

£0

£153,028

£1,625,422

£0

£5,355,821

Medical services

£0

£0

£0

£19,694

£0

£0

£0

£0

£19,694

Monetary institutions

£0

£0

£0

-£4,122,509

£0

£367,746

£0

£0

-£3,754,763

Multi-hazard response preparedness

£0

£3,119,353

£0

£0

£0

£2,296,059

-£346,074

£0

£5,069,339

Multisector aid

£10,000,000

£0

£0

£0

£0

£0

£0

£0

£10,000,000

Multisector education/training

£179,070

£2,964,257

£0

£10,757,244

£0

£1,082,590

£5,089,541

£1,148,813

£21,221,516

Participation in international peacekeeping operations

-£26,486,939

£0

£0

£0

£0

£0

£0

£0

-£26,486,939

Personnel development for population and reproductive health

£0

£628,071

£0

£0

£0

£0

£0

£0

£628,071

Population policy and administrative management

£0

£63,206

£0

£0

£0

£49,325

£159,552

£0

£272,083

Primary education

£677,795

£1,749,487

£0

£96,754

£0

£0

£1,368,615

£0

£3,892,652

Privatisation

£4,424

£0

£0

£62,081

£0

£0

£0

£0

£66,505

Public finance management (PFM)

£0

-£4,128,373

£0

£0

£0

£820,701

£1,854,023

£0

-£1,453,650

Public sector policy and administrative management

£34,999

£576,042

£0

£859,780

£0

£789,046

£91,270

£0

£2,351,137

Relief co-ordination and support services

£59,853,084

£2,072,828

£0

£0

£0

£0

£6,022,939

£0

£67,948,851

Removal of land mines and explosive remnants of war

£5,000,000

£0

£0

£0

£0

£0

£0

£0

£5,000,000

Reproductive health care

£1,369,857

£1,435,386

£0

£52,362

£0

£490,359

£1,851,776

£0

£5,199,740

Research/scientific institutions

£378,625

£1,287,873

-£72,577

£740,328

£0

£1,049,080

£908,916

£2,760

£4,295,005

Road transport

£0

£0

£0

-£1,137,143

£0

£2,256,726

£1,800

£0

£1,121,383

Rural development

£0

£0

£0

£0

£0

£202,165

£0

£0

£202,165

Security system management and reform

£0

£43,536

£0

£0

£458,799

£69,946

£0

£0

£572,281

Site preservation

£0

£0

£0

£0

£0

£0

£0

£0

£0

Small and medium-sized enterprises (SME) development

£5,530

£0

£0

£1,245,753

£0

£0

£0

£0

£1,251,283

Social Protection

£0

£1,351,346

£0

£39,879

£0

-£345,949

£226,615

£0

£1,271,891

Solar energy for centralised grids

£0

£0

£0

£117,792

£0

£648,694

£0

£0

£766,486

Statistical capacity building

£0

£0

£0

£0

£0

£353,100

£0

£0

£353,100

Teacher training

£0

£508,061

£0

£0

£0

£0

£663,698

£0

£1,171,759

Trade facilitation

£5,530

£0

£0

£0

£0

£0

£133,722

£0

£139,252

Trade policy and administrative management

£6,637

£0

£0

£0

£0

£0

£203,275

£0

£209,912

Transport policy and administrative management

£0

£0

£0

£69,054

£0

£128,892

£1,200

£0

£199,146

Tuberculosis control

£0

£29,991

£0

£0

£0

£0

£0

£0

£29,991

Upper Secondary Education (modified and includes data from 11322)

£338,898

£897,000

£0

£0

£0

£0

£985,293

£0

£2,221,190

Urban development

£0

£0

£0

£542,146

£0

£0

£0

£0

£542,146

Urban development and management

£0

£1,050,000

£0

£78,000

£0

£695,269

£781,523

£0

£2,604,792

Vocational training

£0

£0

£0

£0

£0

£646,527

£0

£0

£646,527

Waste management/disposal

£0

£0

£0

£14,424

£0

£0

£0

£0

£14,424

Water resources conservation (including data collection)

£0

£0

£0

£0

£0

£219,574

£0

£0

£219,574

Water sector policy and administrative management

£0

£0

£0

£0

£0

£31,842

£0

£0

£31,842

Water supply - large systems

£0

£0

£0

£0

£0

£737,655

£0

£0

£737,655

Water supply and sanitation - large systems

£0

£0

£0

-£1,137,143

£0

£0

£0

£0

-£1,137,143

Women's rights organisations and movements, and government institutions

£0

£1,800,998

£0

£0

£0

£59,406

£1,444,631

£0

£3,305,036

Grand Total

£352,405,092

£54,672,670

£148,379

£45,728,404

£1,633,288

£37,241,408

£57,842,803

£4,580,830

£554,252,874


Written Question
Food Supply: Carbon Emissions
Tuesday 12th March 2024

Asked by: Ian Byrne (Labour - Liverpool, West Derby)

Question to the Department for Environment, Food and Rural Affairs:

To ask the Secretary of State for Environment, Food and Rural Affairs, when he expects the Food Data Transparency Partnership Eco Working Group to produce its report detailing proposals to measure and communicate carbon emissions in the food system.

Answered by Mark Spencer - Minister of State (Department for Environment, Food and Rural Affairs)

The Food Data Transparency Partnership (FDTP) was established in early 2023, as a means to work jointly across Defra, the Food Standards Agency, the Department of Health and Social Care, industry, academia and civil society. The FDTP aims to drive positive change in the food system through better and more transparent food data. On environmental sustainability, the FDTP has focused on the approach needed to deliver consistent, accurate and accessible data on quantifying and communicating the environmental impact of food across the agri-food system. This will support our agri-food industry to remain internationally competitive in the context of global growing demand for data on environmental impacts associated with products or services sold.

The FDTP Eco Working Group continues to develop the detail of proposals to measure and communicate greenhouse gas emissions in the food system. The group has identified several interim priorities for the short and medium term. These will be communicated to industry as part of the FDTP's continued programme of engagement.


Written Question
Drugs: Supply Chains
Monday 11th March 2024

Asked by: Karin Smyth (Labour - Bristol South)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what discussions she has had with the Secretary of State for Business and Trade on building resilient global supply chains for branded medicines.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The resilience of the United Kingdom’s supply chains is a key priority for the Government. Strong supply chains are crucial to building a resilient UK, which can withstand and proactively tackle the challenges of today and the future.

The Department of Health and Social Care (DHSC) regularly engages the Department of Business and Trade (DBT), and other departments, as well as the wider health and care system and industry, on building resilient medical supply chains.

For example, the DHSC engaged closely with the DBT on the publication of its Critical Imports and Supply Chain Strategy in January 2024, which sets out the Government’s overarching vision for the UK’s critical imports, and outlines the actions we will take to further enhance supply resilience. The strategy includes a spotlight on medical supply chains, and as part of the strategy’s development, medical industry representatives were invited to participate in DBT-led roundtables last year.


Written Question
Fish Products: Norway
Monday 11th March 2024

Asked by: Baroness Bennett of Manor Castle (Green Party - Life peer)

Question to the Department for Environment, Food and Rural Affairs:

To ask His Majesty's Government what assessment they have made of the impact of the products of the Norwegian fish farming industry imported into the UK on global health insecurity and food shortage as a result of the industry's use of feed and fish oil from Mauritania.

Answered by Lord Douglas-Miller - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)

Addressing the ongoing global food security crisis and delivering sustainable food security for countries struggling with hunger and malnutrition is a priority for His Majesty’s Government. In 2022 the UK was one of the top 6 countries donors to the World Food Programme (over $400 million). Between 2016 and 2021, the UK spent £2.6 billion on longer-term food and agriculture programmes.

We are aware of recent reports that have suggested that the fishmeal industry based in Mauritania which supplies, among others, the Norwegian aquaculture sector is contributing to loss of livelihoods and malnutrition in West African nations. Assessments on the impact of supply chains to the Norwegian aquaculture sector are the responsibility of the Norwegian government.

The UK works directly to support food security and sustainable Ocean Management in West African countries affected by declining fish stocks. For example, as part of the £500 million Blue Planet Fund, the UK formalised a bilateral Ocean Country Partnership with Senegal in 2023. This partnership aims at reducing marine pollution, preserving marine biodiversity as well as helping fishing to be more sustainable.


Written Question
Liraglutide
Wednesday 6th March 2024

Asked by: Patricia Gibson (Scottish National Party - North Ayrshire and Arran)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what progress her Department has made on tackling shortages and disruption to supplies of liraglutide for patients with type 2 diabetes.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

Following intensive work with industry, the broad supply position for glucagon-like peptide-1 receptor agonists (GLP-1 RAs) in the United Kingdom has improved. However, global supply issues remain with specific medicines, including Victoza (liraglutide). We issued updated guidance to healthcare professionals in the form of a National Patient Safety Alert on the 3 January 2024 on how to manage patients requiring these medicines, with input from expert clinicians. We continue to work closely with manufacturers and others working in the supply chain to help ensure the continued supply of GLP-1 RAs for UK patients, and to resolve the remaining supply issues as quickly as possible, for example by asking suppliers to expedite deliveries.

We know how distressing and frustrating medicine supply issues can be, and the Department will continue to help ensure that these critical medicines reach diabetes patients. If any patient is concerned about their treatment, they should discuss this with their clinician at the earliest opportunity.


Written Question
Prescription Drugs: Shortages
Wednesday 6th March 2024

Asked by: Preet Kaur Gill (Labour (Co-op) - Birmingham, Edgbaston)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will publish a strategy to (a) tackle critical medicines shortages and (b) help improve the resilience of the community pharmacy sector.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The Department has no plans to publish a strategy. There are around 14,000 medicines licensed for supply in the United Kingdom, and most are in good supply. However, the medicine supply chain is highly regulated, complex, and global, which means that there can sometimes be supply issues which affect the UK, along with other countries around the world. Medicine supply problems may be caused by several factors, including manufacturing difficulties, regulatory non-compliance, demand surges, problems with the supply of raw materials, and issues related to distribution of the product. We work with industry, NHS England, the Medicines and Healthcare products Regulatory Agency, the devolved administrations, and other stakeholders to address these issues and help ensure patients continue to have access to the treatments they need. Communications about supply issues requiring active management are issued to healthcare professionals, and guidance is provided to help them manage their patients, where necessary.

Access to community pharmacies in England is good, with 80% of the population living within 20 minutes walking distance from a pharmacy, and twice as many pharmacies in the most deprived areas. We are funding pharmacies with £2.6 billion per year, and have invested up to an additional £645 million in the sector across this and next year, for the recently launched Pharmacy First service and the expansion of the existing Blood Pressure Check Service and Pharmacy Contraception Service. The contractual arrangements and funding for 2024/25 are being currently consulted on with Community Pharmacy England.