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To ask His Majesty's Government whether the Medicines and Healthcare products Regulatory Agency was responsible for applying for the creation of a medical dictionary for regulatory activities code for post-SSRI sexual dysfunction in 2021.
To ask His Majesty's Government whether the Medicines and Healthcare products Regulatory Agency was responsible for applying for the creation of a medical dictionary for regulatory activities code for post-SSRI sexual dysfunction in 2021.
No, but the Medicines and Healthcare products Regulatory Agency did have discussions on the underlying data in this area with officials responsible for the medical dictionary for regulatory activities, which resulted in them adding the lower level term “post-SSRI sexual dysfunction” to the regulatory dictionary under sexual dysfunction.
To ask His Majesty's Government what steps they are taking to improve timely access to innovative therapies for people with blood cancers.
To ask His Majesty's Government what steps they are taking to improve timely access to innovative therapies for people with blood cancers.
Since the introduction of the severity modifier, the National Institute for Health and Care Excellence (NICE) has approved 34 out of 35 blood cancer medicines it evaluated, reflecting an approval rate of 97%. Of these topics, a severity weighting was applied in nine topics.
Chimeric antigen receptor T-cell (CAR-T) is a type of personalised immunotherapy in which a patient's own T-cells are harvested, genetically modified, and then reintroduced into the body so that they can detect and destroy cancer cells. England was the first country in Europe to deliver CAR-T. It has been available in selected specialist centres in the National Health Service in England since 2018.
As an innovative treatment option, NHS England has supported the development and subsequent refinement of a CAR-T specific tariff, working with NHS clinical and costing experts to ensure that CAR-T centres receive the funding they need to deliver these complex treatments safely and effectively. This work has informed the advice provided by the NHS to NICE.
To ask His Majesty's Government whether NHS England plans to publish the evidence base underpinning the decision to revise the CAR-T tariff; and what assessment they have made of the potential impact of the revised tariff on patients' access to treatment.
To ask His Majesty's Government whether NHS England plans to publish the evidence base underpinning the decision to revise the CAR-T tariff; and what assessment they have made of the potential impact of the revised tariff on patients' access to treatment.
Since the introduction of the severity modifier, the National Institute for Health and Care Excellence (NICE) has approved 34 out of 35 blood cancer medicines it evaluated, reflecting an approval rate of 97%. Of these topics, a severity weighting was applied in nine topics.
Chimeric antigen receptor T-cell (CAR-T) is a type of personalised immunotherapy in which a patient's own T-cells are harvested, genetically modified, and then reintroduced into the body so that they can detect and destroy cancer cells. England was the first country in Europe to deliver CAR-T. It has been available in selected specialist centres in the National Health Service in England since 2018.
As an innovative treatment option, NHS England has supported the development and subsequent refinement of a CAR-T specific tariff, working with NHS clinical and costing experts to ensure that CAR-T centres receive the funding they need to deliver these complex treatments safely and effectively. This work has informed the advice provided by the NHS to NICE.
To ask His Majesty's Government what assessment they have made of the impact of the severity modifier on recent NICE recommendations on blood cancer treatments.
To ask His Majesty's Government what assessment they have made of the impact of the severity modifier on recent NICE recommendations on blood cancer treatments.
Since the introduction of the severity modifier, the National Institute for Health and Care Excellence (NICE) has approved 34 out of 35 blood cancer medicines it evaluated, reflecting an approval rate of 97%. Of these topics, a severity weighting was applied in nine topics.
Chimeric antigen receptor T-cell (CAR-T) is a type of personalised immunotherapy in which a patient's own T-cells are harvested, genetically modified, and then reintroduced into the body so that they can detect and destroy cancer cells. England was the first country in Europe to deliver CAR-T. It has been available in selected specialist centres in the National Health Service in England since 2018.
As an innovative treatment option, NHS England has supported the development and subsequent refinement of a CAR-T specific tariff, working with NHS clinical and costing experts to ensure that CAR-T centres receive the funding they need to deliver these complex treatments safely and effectively. This work has informed the advice provided by the NHS to NICE.
To ask His Majesty's Government what steps they are taking to prevent puberty-suppressing hormones supplied directly to patients from outside the UK from being dispensed or used within the UK.
To ask His Majesty's Government what steps they are taking to prevent puberty-suppressing hormones supplied directly to patients from outside the UK from being dispensed or used within the UK.
Further to the answer provided on 28 September in response to question HL3452, since 1 January 2025, fulfilment of private prescriptions for puberty blockers for people under 18 years old with gender incongruence or gender dysphoria has been banned under the provisions of section 62 of the Medicines Act 1968. This includes prescriptions issued by prescribers in the European Economic Area (EEA) or Switzerland.
While United Kingdom pharmacies can otherwise dispense prescriptions issued by appropriately regulated prescribers in the EEA or Switzerland, they can refuse to dispense a prescription if they have concerns about whether it is genuine, clinically appropriate, or safe. The Government is currently considering the findings of our recent call for evidence on non-National Health Service prescribing, including on the recognition of EEA and Swiss prescriptions in the UK.
The regulatory oversight of clinics operating outside the England, and not providing regulated activities in England, is a matter for the governments in the jurisdiction in which those clinics are based.
The General Medical Council is clear that a decision about whether to enter into a shared care agreement is for the general practitioner (GP) to make. NHS England has provided specific guidance advising GPs against shared care agreements with unregulated providers in relation to hormone medication to children and young people under 18 years old as a response to gender incongruence or gender dysphoria.
To ask His Majesty's Government what assessment they have made of the prescribing of masculinising and feminising hormones to people under 18 for gender dysphoria or gender incongruence by providers based outside the UK; and whether they intend to bring such prescribing within statutory restrictions.
To ask His Majesty's Government what assessment they have made of the prescribing of masculinising and feminising hormones to people under 18 for gender dysphoria or gender incongruence by providers based outside the UK; and whether they intend to bring such prescribing within statutory restrictions.
Further to the answer provided on 28 September in response to question HL3452, since 1 January 2025, fulfilment of private prescriptions for puberty blockers for people under 18 years old with gender incongruence or gender dysphoria has been banned under the provisions of section 62 of the Medicines Act 1968. This includes prescriptions issued by prescribers in the European Economic Area (EEA) or Switzerland.
While United Kingdom pharmacies can otherwise dispense prescriptions issued by appropriately regulated prescribers in the EEA or Switzerland, they can refuse to dispense a prescription if they have concerns about whether it is genuine, clinically appropriate, or safe. The Government is currently considering the findings of our recent call for evidence on non-National Health Service prescribing, including on the recognition of EEA and Swiss prescriptions in the UK.
The regulatory oversight of clinics operating outside the England, and not providing regulated activities in England, is a matter for the governments in the jurisdiction in which those clinics are based.
The General Medical Council is clear that a decision about whether to enter into a shared care agreement is for the general practitioner (GP) to make. NHS England has provided specific guidance advising GPs against shared care agreements with unregulated providers in relation to hormone medication to children and young people under 18 years old as a response to gender incongruence or gender dysphoria.
To ask His Majesty's Government what regulatory oversight applies to online gender clinics that provide services to patients in the UK but are based and registered outside the UK and therefore fall outside the remit of the Care Quality Commission.
To ask His Majesty's Government what regulatory oversight applies to online gender clinics that provide services to patients in the UK but are based and registered outside the UK and therefore fall outside the remit of the Care Quality Commission.
Further to the answer provided on 28 September in response to question HL3452, since 1 January 2025, fulfilment of private prescriptions for puberty blockers for people under 18 years old with gender incongruence or gender dysphoria has been banned under the provisions of section 62 of the Medicines Act 1968. This includes prescriptions issued by prescribers in the European Economic Area (EEA) or Switzerland.
While United Kingdom pharmacies can otherwise dispense prescriptions issued by appropriately regulated prescribers in the EEA or Switzerland, they can refuse to dispense a prescription if they have concerns about whether it is genuine, clinically appropriate, or safe. The Government is currently considering the findings of our recent call for evidence on non-National Health Service prescribing, including on the recognition of EEA and Swiss prescriptions in the UK.
The regulatory oversight of clinics operating outside the England, and not providing regulated activities in England, is a matter for the governments in the jurisdiction in which those clinics are based.
The General Medical Council is clear that a decision about whether to enter into a shared care agreement is for the general practitioner (GP) to make. NHS England has provided specific guidance advising GPs against shared care agreements with unregulated providers in relation to hormone medication to children and young people under 18 years old as a response to gender incongruence or gender dysphoria.
To ask His Majesty's Government what assessment they have made of the adequacy of current arrangements for cross-border prescribing to UK patients by clinicians not registered with the General Medical Council.
To ask His Majesty's Government what assessment they have made of the adequacy of current arrangements for cross-border prescribing to UK patients by clinicians not registered with the General Medical Council.
Further to the answer provided on 28 September in response to question HL3452, since 1 January 2025, fulfilment of private prescriptions for puberty blockers for people under 18 years old with gender incongruence or gender dysphoria has been banned under the provisions of section 62 of the Medicines Act 1968. This includes prescriptions issued by prescribers in the European Economic Area (EEA) or Switzerland.
While United Kingdom pharmacies can otherwise dispense prescriptions issued by appropriately regulated prescribers in the EEA or Switzerland, they can refuse to dispense a prescription if they have concerns about whether it is genuine, clinically appropriate, or safe. The Government is currently considering the findings of our recent call for evidence on non-National Health Service prescribing, including on the recognition of EEA and Swiss prescriptions in the UK.
The regulatory oversight of clinics operating outside the England, and not providing regulated activities in England, is a matter for the governments in the jurisdiction in which those clinics are based.
The General Medical Council is clear that a decision about whether to enter into a shared care agreement is for the general practitioner (GP) to make. NHS England has provided specific guidance advising GPs against shared care agreements with unregulated providers in relation to hormone medication to children and young people under 18 years old as a response to gender incongruence or gender dysphoria.
To ask His Majesty's Government what guidance is in place for NHS general practitioners asked to enter shared-care or monitoring arrangements for patients receiving gender-related prescriptions from private or overseas providers; and whether general practitioners are under any obligation to do so.
To ask His Majesty's Government what guidance is in place for NHS general practitioners asked to enter shared-care or monitoring arrangements for patients receiving gender-related prescriptions from private or overseas providers; and whether general practitioners are under any obligation to do so.
Further to the answer provided on 28 September in response to question HL3452, since 1 January 2025, fulfilment of private prescriptions for puberty blockers for people under 18 years old with gender incongruence or gender dysphoria has been banned under the provisions of section 62 of the Medicines Act 1968. This includes prescriptions issued by prescribers in the European Economic Area (EEA) or Switzerland.
While United Kingdom pharmacies can otherwise dispense prescriptions issued by appropriately regulated prescribers in the EEA or Switzerland, they can refuse to dispense a prescription if they have concerns about whether it is genuine, clinically appropriate, or safe. The Government is currently considering the findings of our recent call for evidence on non-National Health Service prescribing, including on the recognition of EEA and Swiss prescriptions in the UK.
The regulatory oversight of clinics operating outside the England, and not providing regulated activities in England, is a matter for the governments in the jurisdiction in which those clinics are based.
The General Medical Council is clear that a decision about whether to enter into a shared care agreement is for the general practitioner (GP) to make. NHS England has provided specific guidance advising GPs against shared care agreements with unregulated providers in relation to hormone medication to children and young people under 18 years old as a response to gender incongruence or gender dysphoria.
To ask His Majesty's Government what impact the NHS Health Check has had on improving patient outcomes.
To ask His Majesty's Government what impact the NHS Health Check has had on improving patient outcomes.
The NHS Health Check programme was introduced in England in April 2009. It has been subject to a number of subsequent evaluations and reviews, the latest of which was published in 2021.
The programme currently engages over 1.3 million people each year and, through behavioural and clinical interventions, prevents approximately 500 heart attacks and strokes a year. The NHS Health Check also identifies over 333,000 cases of obesity, 340,000 cases of high blood pressure, and 900,000 cases of raised cholesterol each year.
We are refreshing the NHS Health Check’s Best Practice Guidance with practical examples and tips to help commissioners and providers to improve delivery and support uptake of the programme. We are also developing the NHS Health Check Online which will allow people to undertake their NHS Health Check at home, at a time and place convenient to them.
As announced in the recently published Cardiovascular Disease Modern Service Framework, we have commissioned the National Institute for Health and Care Research to conduct an evidence review on the scope of the programme, which includes an update to the modelling assumptions used to estimate its impact.
The evidence review is expected to be completed by the second half of 2027, and we will consider the findings as appropriate to inform future policy development.
To ask His Majesty's Government what plans they have to increase the annual uptake rate of those invited to take part in the NHS Health Check programme.
To ask His Majesty's Government what plans they have to increase the annual uptake rate of those invited to take part in the NHS Health Check programme.
The NHS Health Check programme was introduced in England in April 2009. It has been subject to a number of subsequent evaluations and reviews, the latest of which was published in 2021.
The programme currently engages over 1.3 million people each year and, through behavioural and clinical interventions, prevents approximately 500 heart attacks and strokes a year. The NHS Health Check also identifies over 333,000 cases of obesity, 340,000 cases of high blood pressure, and 900,000 cases of raised cholesterol each year.
We are refreshing the NHS Health Check’s Best Practice Guidance with practical examples and tips to help commissioners and providers to improve delivery and support uptake of the programme. We are also developing the NHS Health Check Online which will allow people to undertake their NHS Health Check at home, at a time and place convenient to them.
As announced in the recently published Cardiovascular Disease Modern Service Framework, we have commissioned the National Institute for Health and Care Research to conduct an evidence review on the scope of the programme, which includes an update to the modelling assumptions used to estimate its impact.
The evidence review is expected to be completed by the second half of 2027, and we will consider the findings as appropriate to inform future policy development.
To ask His Majesty's Government, further to their report Preventing illness and improving health for all: a review of the NHS Health Check programme and recommendations, published on 9 December 2021, what proportion of the estimated £2.93 return for every £1 spent on the NHS Health Check programme is attributable...
To ask His Majesty's Government, further to their report Preventing illness and improving health for all: a review of the NHS Health Check programme and recommendations, published on 9 December 2021, what proportion of the estimated £2.93 return for every £1 spent on the NHS Health Check programme is attributable...
The NHS Health Check programme was introduced in England in April 2009. It has been subject to a number of subsequent evaluations and reviews, the latest of which was published in 2021.
The programme currently engages over 1.3 million people each year and, through behavioural and clinical interventions, prevents approximately 500 heart attacks and strokes a year. The NHS Health Check also identifies over 333,000 cases of obesity, 340,000 cases of high blood pressure, and 900,000 cases of raised cholesterol each year.
We are refreshing the NHS Health Check’s Best Practice Guidance with practical examples and tips to help commissioners and providers to improve delivery and support uptake of the programme. We are also developing the NHS Health Check Online which will allow people to undertake their NHS Health Check at home, at a time and place convenient to them.
As announced in the recently published Cardiovascular Disease Modern Service Framework, we have commissioned the National Institute for Health and Care Research to conduct an evidence review on the scope of the programme, which includes an update to the modelling assumptions used to estimate its impact.
The evidence review is expected to be completed by the second half of 2027, and we will consider the findings as appropriate to inform future policy development.
To ask His Majesty's Government whether they still consider the estimate set out in their report Preventing illness and improving health for all: a review of the NHS Health Check programme and recommendations, published on 9 December 2021, that every £1 spent on the NHS Health Check programme generates a...
To ask His Majesty's Government whether they still consider the estimate set out in their report Preventing illness and improving health for all: a review of the NHS Health Check programme and recommendations, published on 9 December 2021, that every £1 spent on the NHS Health Check programme generates a...
The NHS Health Check programme was introduced in England in April 2009. It has been subject to a number of subsequent evaluations and reviews, the latest of which was published in 2021.
The programme currently engages over 1.3 million people each year and, through behavioural and clinical interventions, prevents approximately 500 heart attacks and strokes a year. The NHS Health Check also identifies over 333,000 cases of obesity, 340,000 cases of high blood pressure, and 900,000 cases of raised cholesterol each year.
We are refreshing the NHS Health Check’s Best Practice Guidance with practical examples and tips to help commissioners and providers to improve delivery and support uptake of the programme. We are also developing the NHS Health Check Online which will allow people to undertake their NHS Health Check at home, at a time and place convenient to them.
As announced in the recently published Cardiovascular Disease Modern Service Framework, we have commissioned the National Institute for Health and Care Research to conduct an evidence review on the scope of the programme, which includes an update to the modelling assumptions used to estimate its impact.
The evidence review is expected to be completed by the second half of 2027, and we will consider the findings as appropriate to inform future policy development.
To ask His Majesty's Government whether they monitor the long-term NHS and social care savings arising from the NHS Health Check programme; and if not, why not.
To ask His Majesty's Government whether they monitor the long-term NHS and social care savings arising from the NHS Health Check programme; and if not, why not.
The NHS Health Check programme was introduced in England in April 2009. It has been subject to a number of subsequent evaluations and reviews, the latest of which was published in 2021.
The programme currently engages over 1.3 million people each year and, through behavioural and clinical interventions, prevents approximately 500 heart attacks and strokes a year. The NHS Health Check also identifies over 333,000 cases of obesity, 340,000 cases of high blood pressure, and 900,000 cases of raised cholesterol each year.
We are refreshing the NHS Health Check’s Best Practice Guidance with practical examples and tips to help commissioners and providers to improve delivery and support uptake of the programme. We are also developing the NHS Health Check Online which will allow people to undertake their NHS Health Check at home, at a time and place convenient to them.
As announced in the recently published Cardiovascular Disease Modern Service Framework, we have commissioned the National Institute for Health and Care Research to conduct an evidence review on the scope of the programme, which includes an update to the modelling assumptions used to estimate its impact.
The evidence review is expected to be completed by the second half of 2027, and we will consider the findings as appropriate to inform future policy development.
To ask His Majesty's Government what mechanisms are in place to monitor whether the NHS Health Check programme is delivering the long-term health, NHS, social care and economic benefits projected in their health economic modelling; and if no such monitoring is undertaken, why not.
To ask His Majesty's Government what mechanisms are in place to monitor whether the NHS Health Check programme is delivering the long-term health, NHS, social care and economic benefits projected in their health economic modelling; and if no such monitoring is undertaken, why not.
The NHS Health Check programme was introduced in England in April 2009. It has been subject to a number of subsequent evaluations and reviews, the latest of which was published in 2021.
The programme currently engages over 1.3 million people each year and, through behavioural and clinical interventions, prevents approximately 500 heart attacks and strokes a year. The NHS Health Check also identifies over 333,000 cases of obesity, 340,000 cases of high blood pressure, and 900,000 cases of raised cholesterol each year.
We are refreshing the NHS Health Check’s Best Practice Guidance with practical examples and tips to help commissioners and providers to improve delivery and support uptake of the programme. We are also developing the NHS Health Check Online which will allow people to undertake their NHS Health Check at home, at a time and place convenient to them.
As announced in the recently published Cardiovascular Disease Modern Service Framework, we have commissioned the National Institute for Health and Care Research to conduct an evidence review on the scope of the programme, which includes an update to the modelling assumptions used to estimate its impact.
The evidence review is expected to be completed by the second half of 2027, and we will consider the findings as appropriate to inform future policy development.
To ask His Majesty's Government, in light of the NHS Oversight Framework including vaccination metrics for only the measles, mumps, rubella and varicella and healthcare worker influenza vaccination programmes, what steps they will take to ensure robust accountability for all national vaccination programmes following the transfer of commissioning responsibilities to...
To ask His Majesty's Government, in light of the NHS Oversight Framework including vaccination metrics for only the measles, mumps, rubella and varicella and healthcare worker influenza vaccination programmes, what steps they will take to ensure robust accountability for all national vaccination programmes following the transfer of commissioning responsibilities to...
We have established a programme that will, alongside closer working and a safe transfer checklist, help to ensure that integrated care boards (ICBs) are ready to take on their new responsibilities for vaccination from April 2027. We will also ensure there is appropriate accountability for vaccination services after the responsibility for their commissioning is delegated to ICBs. Work is ongoing and aligned to the merger of the Department of Health and Social Care and NHS England.
No changes in the current reporting frameworks in this area are planned, but we keep all such matters under regular review.
The Department does not collect data on the costs of responding to outbreaks of vaccine-preventable infectious disease, but the methodology for assessing the cost-effectiveness of vaccination programmes routinely accounts for benefits such as avoided National Health Service and social care costs, as well as improved health outcomes.
To ask His Majesty's Government what consideration they gave to placing a statutory duty on the Secretary of State to lay before Parliament an annual report on the performance of national immunisation programmes, including health inequalities and progress towards national targets, when developing the Health Bill.
To ask His Majesty's Government what consideration they gave to placing a statutory duty on the Secretary of State to lay before Parliament an annual report on the performance of national immunisation programmes, including health inequalities and progress towards national targets, when developing the Health Bill.
We have established a programme that will, alongside closer working and a safe transfer checklist, help to ensure that integrated care boards (ICBs) are ready to take on their new responsibilities for vaccination from April 2027. We will also ensure there is appropriate accountability for vaccination services after the responsibility for their commissioning is delegated to ICBs. Work is ongoing and aligned to the merger of the Department of Health and Social Care and NHS England.
No changes in the current reporting frameworks in this area are planned, but we keep all such matters under regular review.
The Department does not collect data on the costs of responding to outbreaks of vaccine-preventable infectious disease, but the methodology for assessing the cost-effectiveness of vaccination programmes routinely accounts for benefits such as avoided National Health Service and social care costs, as well as improved health outcomes.
To ask His Majesty's Government what assessment they have made of the costs associated with responding to outbreaks of vaccine-preventable diseases in 2025–26; whether they collect data on the costs of vaccine procurement and deployment, and outbreak response by disease; and, if so, whether they intend to publish this information.
To ask His Majesty's Government what assessment they have made of the costs associated with responding to outbreaks of vaccine-preventable diseases in 2025–26; whether they collect data on the costs of vaccine procurement and deployment, and outbreak response by disease; and, if so, whether they intend to publish this information.
We have established a programme that will, alongside closer working and a safe transfer checklist, help to ensure that integrated care boards (ICBs) are ready to take on their new responsibilities for vaccination from April 2027. We will also ensure there is appropriate accountability for vaccination services after the responsibility for their commissioning is delegated to ICBs. Work is ongoing and aligned to the merger of the Department of Health and Social Care and NHS England.
No changes in the current reporting frameworks in this area are planned, but we keep all such matters under regular review.
The Department does not collect data on the costs of responding to outbreaks of vaccine-preventable infectious disease, but the methodology for assessing the cost-effectiveness of vaccination programmes routinely accounts for benefits such as avoided National Health Service and social care costs, as well as improved health outcomes.
To ask His Majesty's Government what training is provided to NHS staff on the prevention of migraine and on the workplace adjustments that should be made for staff who experience migraine.
To ask His Majesty's Government what training is provided to NHS staff on the prevention of migraine and on the workplace adjustments that should be made for staff who experience migraine.
Improving care for people with migraine, including those whose symptoms are associated with menopause, is supported through a range of National Health Service initiatives. National Institute for Health and Care Excellence guidance provides evidence-based recommendations on the diagnosis and management of migraine, while NHS England supports improvements in headache and migraine services through initiatives such as the NHS RightCare Headache and Migraine Toolkit, which aims to improve pathways between primary and specialist care and ensure patients receive the right intervention at the earliest opportunity.
NHS England announced on 10 September that migraine would be added to the list of conditions for which individuals can get further support from participating prescribing pharmacies under the Pharmacy First programme, later this autumn. While migraine affects a higher proportion of women than men, the services referred to above are available to both men and women in need of support.
To ask His Majesty's Government what plans they have to apply the core pillars of the renewed women’s health strategy for England to the treatment of migraine, in light of its higher prevalence in women than men.
To ask His Majesty's Government what plans they have to apply the core pillars of the renewed women’s health strategy for England to the treatment of migraine, in light of its higher prevalence in women than men.
Improving care for people with migraine, including those whose symptoms are associated with menopause, is supported through a range of National Health Service initiatives. National Institute for Health and Care Excellence guidance provides evidence-based recommendations on the diagnosis and management of migraine, while NHS England supports improvements in headache and migraine services through initiatives such as the NHS RightCare Headache and Migraine Toolkit, which aims to improve pathways between primary and specialist care and ensure patients receive the right intervention at the earliest opportunity.
NHS England announced on 10 September that migraine would be added to the list of conditions for which individuals can get further support from participating prescribing pharmacies under the Pharmacy First programme, later this autumn. While migraine affects a higher proportion of women than men, the services referred to above are available to both men and women in need of support.