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Medicines and Medical Devices Bill

02 March 2020

Proposing MP
West Suffolk
Type
Bill Debate

At a Glance

Issue Summary

The statement discusses the Medicines and Medical Devices Bill, which aims to modernize regulatory systems for medicines and medical devices post-Brexit. The statement discusses the Medicines and Medical Devices Bill which aims to create a regulatory framework for life sciences in the UK that is efficient, innovative, and patient-safe. Matthew Hancock addresses concerns about the Medicines and Medical Devices Bill, clarifying that the bill aims to replace existing delegated powers from the European Communities Act 1972 with new powers under a clearer regulatory framework. The MP discusses the scrutiny of decisions in medicine regulation post-Brexit and the importance of aligning with EU regulations such as the in vitro diagnostic medical devices regulation. Chris Green discusses the Medicines and Medical Devices Bill, emphasizing its importance to patient safety and economic contribution of the life sciences sector. The statement discusses the Medicines and Medical Devices Bill, focusing on the importance of data-driven healthcare, the role of medical devices, and regulatory challenges. The statement discusses the necessity of the Medicines and Medical Devices Bill due to Brexit and the loss of the European Medicines Agency, highlighting concerns about delays in patient access to new drugs. The statement discusses the Medicines and Medical Devices Bill, focusing on patient safety, collaboration in medical research, and regulation of medical devices. The MP discusses concerns about the Medicines and Medical Devices Bill, including internet pharmacy regulation, sentencing powers in Scotland, consultation processes, and the impact of Brexit on healthcare. Luke Evans, a GP, discusses concerns about prescription waste and the need for more data on unused medications, as well as advocating for a duty of care in genomic testing. The speaker discusses the importance of patient safety and the need for thorough testing of medicines and medical devices before they are made available in the UK. The statement addresses concerns about the Medicines and Medical Devices Bill, arguing that it lacks ambition in granting regulatory powers post-Brexit and fails to address critical issues such as patient safety registries for medical devices. The statement discusses the necessity and impact of the Medicines and Medical Devices Bill on patient access to drugs, particularly focusing on rare diseases like PKU and issues with sodium valproate prescriptions. The statement discusses concerns about the Medicines and Medical Devices Bill's potential impact on patient safety, access to new medical innovations, and the competitiveness of the UK life sciences industry post-Brexit. The statement discusses concerns and questions regarding the Medicines and Medical Devices Bill's impact on patient safety, access to medicines and devices, and regulatory oversight. The statement discusses the Medicines and Medical Devices Bill, which aims to future-proof regulatory regimes for medicines, veterinary medicines, and medical devices post-Brexit. The statement addresses the Medicines and Medical Devices Bill, discussing its provisions related to regulatory powers, inspections by the MHRA, patient outcomes, and support for the life sciences sector.

Action Requested

The Bill proposes several key changes including the ability to depart from EU rules faster, enhance flexibility in amending regulations through secondary legislation, strengthen patient safety measures, and ensure quicker access to innovative treatments. It also includes provisions for updating veterinary medicine regulations and improving the regulatory framework for medical devices.

Key Facts

  • The Bill aims to give the UK the means to move at a faster pace than EU rules permit.
  • The Bill will allow research money from public, private, or third sectors to go further in bringing medicines and medical devices to NHS patients faster.
  • The Bill includes provisions for updating human medicine regulations to reflect changes in manufacturing methods and new product types.
  • It allows removal of barriers for small independent pharmacies joining hub-and-spoke dispensing arrangements.
  • The Bill aims to make the UK the best place in the world for designing and trialling medical innovations.
  • It proposes a statutory register of medical devices held by the MHRA, making registration mandatory with details such as manufacturer and supplier information.
  • The legislation will enable enhanced patient safety through improved post-market surveillance and recall processes.
  • The Medicines and Medical Devices Bill aims to replace delegated powers from the European Communities Act 1972.
  • Existing regulatory frameworks will be preserved as retained EU law at the end of the transition period.
  • Hancock clarifies that these new powers include safeguards on matters such as safety, availability, and attractiveness for the life sciences sector.
  • The in vitro diagnostic medical devices regulation is due to be implemented in 2022.
  • There were 62,000 adverse incident reports linked to medical devices between 2015 and 2018, with over 1,000 resulting in death.
  • The UK has the highest number of phase 1 clinical trials across the EU, as well as the highest number for rare and childhood diseases.
  • The life sciences sector contributes over £74 billion annually to the UK economy.
  • It employs nearly 250,000 people in the UK.
  • Data from personal medical devices can now be collected for long periods of time, generating vast amounts of data.
  • There is a need for confidence that patient data is secure and anonymised when used.
  • The statement highlights concerns about the current legal framework being complex and lacking consistency.
  • There are approximately 20 chief innovation officers across hospital trusts in the UK.
  • NICE prioritises level one data from randomised clinical trials ahead of real-world registry data for medical devices.
  • The UK market represents only 3% of the world pharmaceutical market compared to the EU which is a quarter.
  • Canada and Australia experience delays of six to twelve months before new drugs are launched in their markets.
  • The clinical trials directive (CTD) was first devised in 2001 but has not been updated yet.
  • The new measures on falsified and counterfeit medicines include unique identifier numbers and barcode scanning.
  • Collaboration in rare disease research is vital due to low patient numbers per country, involving international trials.
  • Half of all UK cancer trials are international with a significant portion involving at least one EU state.
  • The BEACON trial for recurrent neuroblastoma involves 10 countries.
  • There were 4,800 UK-EU clinical trials between 2014 and 2016.
  • The son of a constituent obtained large quantities of dihydrocodeine over the internet without seeing a GP.
  • In Scotland, optometrists can diagnose cataracts directly without referral through a GP.
  • Part 3 sets maximum sentences for offences against the Bill at six months in England and Wales, compared to 12 months in Scotland.
  • The MP is concerned about losing access to insulin and medical radioisotopes due to potential trade barriers post-Brexit.
  • Prescription waste is estimated to cost £300 million annually.
  • Some patients have been found to return up to 100 boxes of unused medication.
  • Evans suggests pharmacies should collect statistics on returns.
  • Charitable donation practices for medications need review.
  • GPs struggle with time constraints for reviewing repeat prescriptions each month.
  • The speaker references cases of valproate, Primodos, and surgical mesh as examples where patient safety standards were disregarded.
  • A private Member’s Bill is being brought forward by a colleague to address issues related to lip filler procedures.
  • An independent China tribunal report was released recently, detailing organ harvesting from unwilling political prisoners including Falun Gong practitioners and Uyghur Muslims.
  • The Bill does not give the Government power to create new regulations but only amend existing ones.
  • A comprehensive registry for medical devices is needed to track their journey from implantation to removal or replacement.
  • The International Medical Device Regulators Forum set out best practices for such registries in 2016.
  • There are no provisions in the Bill regarding increasing access to new medicines.
  • The Medicines and Medical Devices Bill is necessary to regulate medicines and medical devices post-Brexit.
  • Patients with Phenylketonuria (PKU) face difficulties accessing Kuvan, a drug available in other countries.
  • Concerns are raised about the digital exclusion of patients needing medication information.
  • Sodium valproate continues to be prescribed despite known risks to unborn children.
  • The speaker previously worked in the pharmaceutical industry before entering Parliament.
  • The Bill allows regulatory divergence from EU rules, raising concerns about patient safety and market competitiveness.
  • The EMA covers 25% of global medicines sales compared to the UK's 3%, potentially leading to slower access to new drugs for British patients.
  • Since 2016, the number of clinical trials conducted in the UK has fallen behind those in other countries like the USA and Germany.
  • The EU’s Clinical Trials Regulation (CTR) is due to be implemented in 2022 and could improve trial setup times and safety reporting.
  • The Bill aims to improve patient safety and availability of medicines and medical devices post-transition period.
  • Valproate, Primodos, surgical mesh, breast implants, and metal-on-metal hip implants have raised concerns about past patient safety issues.
  • There are approximately 80,000 different medical devices on the UK market.
  • Kuvan is a drug for PKU patients that has been unavailable on the NHS for over 10 years.
  • The Medicines and Medical Devices Bill is the first opportunity in 40 years for the UK to regulate medicines, veterinary medicines, and medical devices.
  • The life science sector contributes over £75 billion to the UK economy and almost 250,000 jobs.
  • The Bill aims to ensure patient safety, access to medicines and devices, and maintain market attractiveness for clinical trials.
  • The Bill includes regulation-making powers to address future technological advancements like artificial intelligence.
  • The MHRA will conduct inspections for manufacturing, distribution, clinical trials, laboratories, and pharmacovigilance.
  • The debate aims to ensure robust patient and clinician support in the UK.
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