Author: Pulse Assent

The Medicines and Healthcare products Regulatory Agency (MHRA) has today announced Viagra Connect (containing sildenafil 50mg) will be formally classified from a prescription only medicine (POM) to a pharmacy medicine (P). This means it could be available without prescription for use by men over 18 who have erectile dysfunction.

This decision was made following a reassuring assessment of the safety of the Viagra Connect, advice from the Commission on Human Medicines, and a public consultation earlier this year with positive outcome.

If marketed, the medicine will be sold from pharmacies following a discussion with the pharmacist. Pharmacists will be able to determine whether treatment is appropriate for the patient and can give advice on erectile dysfunction, usage of the medicine, potential side effects, and if further consultation with a general practitioner is required.

Viagra Connect will not be sold to those with severe cardiovascular disorders; at high cardiovascular risk; liver failure; severe kidney failure; or taking certain interacting medicines. Use of Viagra Connect in these groups of men must continue to be under the supervision of a doctor.

Making this medication more widely available will help direct men who might not otherwise seek help into the healthcare system and away from the risks that come with buying medicines from websites operating illegally.

Erectile dysfunction medicines are a popular target for criminals selling unlicensed and counterfeit medicines. Over the past 5 years, investigators from MHRA have seized more than £50 million of unlicensed and counterfeit erectile dysfunction medicines.

Mick Foy, MHRA’s Group Manager in Vigilance and Risk Management of Medicines, said:

This decision is good news for men’s health. The move to make Viagra Connect more widely accessible will encourage men to seek help within the healthcare system and increase awareness of erectile dysfunction.

Erectile dysfunction can be a debilitating condition, so it’s important men feel they have fast access to quality and legitimate care, and do not feel they need to turn to counterfeit online supplies which could have potentially serious side effects.

A Downing Street spokesperson said:

The Prime Minister welcomed leaders from 10 British Overseas Territories to Downing Street for the start of their annual Joint Ministerial Council meeting. She opened by setting out the Government’s desire to cement the enduring partnership that exists between the UK and the Overseas Territories, and the UK’s ambition to support their diverse economies and natural heritage.

The PM reiterated the UK’s commitment to long-term reconstruction efforts following the devastating consequences of Hurricanes Irma and Maria, and invited Territory leaders of the islands worst affected – including Anguilla, the British Virgin Islands and Turks and Caicos – to speak of their experiences. As part of the UK’s continued efforts, the Prime Minister confirmed a new £70 million package of recovery and reconstruction support, supplemented by up to £300 million of UK loan guarantees for territories that need support to access finance. The leaders welcomed the financial commitment, and reiterated their appreciation for the UK’s rapid response that offered support within hours of the disaster.

The Prime Minister took the opportunity to update the leaders on the progress of our discussions with the European Union, and invited leaders to express their views so they could be properly reflected in our strategy for Brexit negotiations.

She also raised the issue of financial services, noting the increased focus on taxation and transparency that have come to the fore since the recently leaked Paradise Papers. The PM recognised that a lot of work had been done following the Panama Papers last year. She thanked the Territories for the leadership they have already shown, including steps they have already taken to implement international standards, and asked for similar leadership to show what more can be done to make further progress on the issue.

• Scheme offers immediate assistance to those in hardest to reach places
• More than 10,000 UK homes and businesses have already had their broadband speeds boosted through the initiative

The “Better Broadband Scheme” provides a subsidy of up to £350 to enable access to an affordable basic broadband service to those people unable to get broadband speeds of at least 2Mbps.

Minister for Digital, Matt Hancock said:

Thanks to the UK Government’s rollout of superfast broadband, more than 94 per cent of the UK can now access superfast broadband speeds and thousands more homes and businesses are being reached every week.

There is still more to be done to get decent broadband to all and the Better Broadband Scheme helps people with the very worst broadband, to provide immediate assistance to those most in need. I’m delighted to say we are extending the scheme to help people in some of the most rural and hard to reach areas of the country.

Already more than 10,000 homes and businesses have benefitted from the Scheme, with subsidies that are worth over £3 million in total. Originally due to conclude at the end of 2017, the steadily growing popularity of the scheme means that it will now be extended until the end of 2018.

Households and businesses that are eligible to take advantage of the Scheme are provided with a unique code by the Government that they can use to obtain an affordable basic broadband connection. The code does not have a specific fixed value but the subsidy contributes towards the installation and hardware costs to ensure that the customer’s first year costs are no more than £400.

ENDS

Notes to Editors

1. Taking out a broadband service under this Scheme will not prevent your premises from being considered for superfast broadband in the future.
2. People can check what broadband services are already available to them by using the GoSuperfast checker , and what their current broadband speed is, using the ADSL availability checker.
3. If, after making these checks, they believe their speed is less than 2 Mb per second and they have no other options available enter your postcode below to find out how to apply for help.

A stark social mobility postcode lottery exists in Britain today where the chances of someone from a disadvantaged background succeeding in life is bound to where they live, the Social Mobility Commission’s ‘State of the nation’ report, published today (Tuesday 28 November) has found.

The report uncovers a striking geographical divide with London and its surrounding areas pulling away from the rest of the country, while many other parts of the country are being left behind economically and hollowed out socially.

It warns that Britain is in the grip of a self-reinforcing spiral of ever-growing division and calls on government to increase its proportion of spending on those parts of the country that most need it. Estimates suggest that the North is £6 billion a year underfunded compared to London.

At the heart of the report is the Social Mobility Index, which ranks all 324 local authorities in England in terms of their social mobility prospects for someone from a disadvantaged background. It uses a range of 16 indicators for every major life stage, from early years through to working lives, to map the nation’s social mobility hotspots and coldspots. A similar, but not comparable, approach has been taken for Scotland and Wales.

The report debunks the assumption that a simple north-south divide exists. Instead, it suggests there is a postcode lottery with hotspots and coldspots found in almost every part of the country. London dominates the hotspots, while the East and West Midlands are the worst performing regions. The best performing local authority area is Westminster and the worst performing area is West Somerset.

The index finds that the worst performing areas for social mobility are no longer inner city areas, but remote rural and coastal areas, and former industrial areas, especially in the Midlands. Young people from disadvantaged backgrounds living in these areas face far higher barriers than young people growing up in cities and their surrounding areas – and in their working lives, face lower rates of pay; fewer top jobs; and travelling to work times of nearly four times more than that of urban residents.

There is also no direct correlation between the affluence of an area and its ability to sustain high levels of social mobility. While richer areas tend to outperform deprived areas in the index, a number of places buck the trend. Some of the most deprived areas in England are hotspots, including most London boroughs – such as Tower Hamlets, Hackney and Newham. Conversely, some affluent areas – such as West Berkshire, Cotswold and Crawley – are amongst the worst for offering good education, employment opportunities and affordable housing to their more disadvantaged residents.

The report highlights that local policies adopted by local authorities and employers can influence outcomes for disadvantaged residents. But it also warns that there is a mind-blowing inconsistency of practice in how to improve social mobility outcomes, with little pooling of experience or evidence-based strategies.

The Rt Hon Alan Milburn, chair of the Social Mobility Commission, said:

The country seems to be in the grip of a self-reinforcing spiral of ever-growing division. That takes a spatial form, not just a social one. There is a stark social mobility lottery in Britain today.

London and its hinterland are increasingly looking like a different country from the rest of Britain. It is moving ahead as are many of our country’s great cities. But too many rural and coastal areas and the towns of Britain’s old industrial heartlands are being left behind economically and hollowed out socially.

Tinkering around the edges will not do the trick. The analysis in this report substantiates the sense of political alienation and social resentment that so many parts of Britain feel. A new level of effort is needed to tackle the phenomenon of left behind Britain. Overcoming the divisions that exist in Britain requires far more ambition and far bigger scale. A less divided Britain will require a more redistributive approach to spreading education, employment and housing prospects across our country.

Key findings include:

• London accounts for nearly two-thirds of all social mobility hotspots
• The Midlands is the worst region of the country for social mobility for those from disadvantaged backgrounds – half of the local authority areas in the East Midlands and more than a third in the West Midlands are social mobility coldspots
• Some of the worst performing areas such as Weymouth and Portland, and Allerdale, are rural, not urban
• Coastal and older industrial towns – places such as Scarborough, Hastings, Derby and Nottingham – are becoming entrenched social mobility coldspots
• Some of the richest places in England, such as West Berkshire, Cotswold and Crawley, deliver worse outcomes for their disadvantaged children than places that are much poorer such as Sunderland and Tower Hamlets
• Apart from London, English cities are punching below their weight on social mobility outcomes. No other city makes it into the top 20%
• Early years – disadvantaged children are 14 percentage points less likely to be school ready at age 5 in coldspots than in hotspots: in 94 areas, under half of disadvantaged children reach a good level of development at age 5
• Schools – 51% of London children on free school meals achieve A* to C in English and maths GCSE compared to an average of 36% of children on free school meals in all other English regions: in the best place (Westminster), 63% get good English and maths GCSEs whereas in the worst (Isle of Wight), only 27% do
• A critical factor in the performance of top local authorities is the number and quality of teachers available. A secondary teacher in the most deprived area is 70% more likely to leave
• Schools in rural and coastal areas are isolated and lack partnerships with other schools. In Lancashire and West Yorkshire only 19% of all schools are either in a multi-academy trust or an equivalent trust compared to 35% in north east London and the East of England
• Youth – In Kensington and Chelsea, 50% of disadvantaged young people make it to university, whereas in Hastings, Barnsley and Eastbourne, the university participation rate for this group falls to just 10%
• One quarter of young people are NEET (not in education, employment or training) in the worst local authority area a year after GCSEs (South Ribble), compared to 1% in North Hertfordshire
• Working lives – In 71, largely rural areas, more than 30% of people earn below the voluntary living wage: average wages in the worst performing area, West Somerset, are £312 a week, less than half of the best performing areas of London such as Wandsworth, Richmond upon Thames and Westminster
• In Bolsover, just 17% of residents are in jobs that are professional and managerial positions, compared to 51% in Oxford
• City residents face barriers in their working lives with high housing costs and high rates of low paid work compared to commuter belt residents who benefit from higher rates of the top jobs and with more families owning their homes
• In Blaby, Rochford and Harborough, 80% of residents own their homes whereas in Tower Hamlets it is just 18%

Key recommendations:

• Every local authority should develop an integrated strategy for improving disadvantaged children’s outcomes and Pupil Premium funds should be invested in evidence-based practice
• Local authorities should support collaboration between isolated schools, subsidise transport for disadvantaged young people in isolated areas and encourage Local Enterprise Partnerships (LEP) to follow the North East LEP’s approach to improving careers support for young people
• Local authorities should all become accredited Living Wage employers and encourage others in their communities to do likewise
• Central government should launch a fund to enable schools in rural and coastal areas to partner with other schools to boost attainment
• Regional School Commissioners should be given responsibility to work with universities, schools and Teach First to ensure that there is a good supply of teachers in all parts of their regions
• The Department for Business, Energy and Industrial Strategy should match the Department for Education’s £72 million for the opportunity areas to ensure there is a collaborative effort across local education systems and labour markets
• Central government should rebalance the national transport budget to deliver a more equal share of investment per person and contribute towards a more regionally balanced economy

Notes for editors

1.The Social Mobility Commission is an advisory, non-departmental public body established under the Life Chances Act 2010 as modified by the Welfare Reform and Work Act 2016. It has a duty to assess progress in improving social mobility in the United Kingdom and to promote social mobility in England. It currently consists of four commissioners and is supported by a small secretariat.

2.The commission board currently comprises:

• Alan Milburn (chair)
• Baroness Gillian Shephard (deputy chair)
• Paul Gregg, Professor of Economic and Social Policy, University of Bath
• David Johnston, Chief Executive of the Social Mobility Foundation

3.The functions of the commission include:

• monitoring progress on improving social mobility
• providing published advice to ministers on matters relating to social mobility
• undertaking social mobility advocacy