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1140920

registered interest
date	22/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	HIV Infection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many (a) outpatient and (b) inpatient appointments were (i) emergency and (ii) elective with a (A) primary and (B) secondary diagnosis of HIV in (1) England and (2) each clinical commissioning group area in each of the last 12 months; and what the average waiting time was for each such appointment.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	280283
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>The available information for England from NHS Digital is attached. Data at clinical commissioning group level is suppressed and therefore not available in the format requested.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/07/2019 11:40:45 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name Copy of 10692_280283_V2.1 formatted.xlsx title 10692_280283_V2.1 formatted previous answer version 131373 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
tabling member	4244 label Biography information for Jonathan Ashworth

1140924

registered interest
date	22/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Diabetes: Orthopaedics
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to tackle the recent increase in diabetes-related amputations.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	280192
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>Evidence suggests that multidisciplinary footcare teams (MDFTs) play a major role in a good diabetes footcare pathway and can significantly reduce amputations and subsequently the financial burden of diabetic foot disease.</p><p>The NHS Long Term Plan includes a commitment to “ensure that all hospitals in future provide access to MDFTs and diabetes inpatient specialist nursing teams to improve recovery and to reduce lengths of stay and future readmission rates”.</p><p>Since April 2017 NHS England has made £26 million available through the diabetes transformation funding to put in place 41 new or expanded MDFTs, reducing the risk of people with ulcers or other diabetes foot disease from having an amputation.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/07/2019 11:37:09 answering member 4455 label Biography information for Seema Kennedy previous answer version 131374 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
tabling member	1409 label Biography information for Mr Gregory Campbell

1140557

registered interest
date	19/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Kawasaki Disease: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will make an estimate of (a) the potential cost savings of improving early identification and treatment of Kawasaki disease and (b) the potential consequent reduction in demand for long-term specialist care for children with that disease.
tabling member constituency	Cardiff West
tabling member printed	Kevin Brennan
uin	279381
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>The requested information is not available and therefore no such estimate has been made.</p><p>NHS Improvement has previously published a Patient Safety Alert for the attention of providers of National Health Service-funded care to emphasise the high risk and atypical presentation of coronary artery aneurysms, coronary thrombosis and myocardial ischaemia or infarction in patients with Kawasaki disease, and to highlight the importance of specialist advice.</p><p>Guidance is also available from the National Institute for Health and Care Excellence (NICE) on the assessment and initial management of fever in children under five, and this guidance includes recommendations on recognising the symptoms of Kawasaki disease.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/07/2019 11:40:10 answering member 4455 label Biography information for Seema Kennedy previous answer version 131089 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
tabling member	1400 label Biography information for Kevin Brennan

1140558

registered interest
date	19/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Kawasaki Disease: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what support his Department is providing to (a) enable early treatment and (b) increase awareness amongst healthcare providers of Kawasaki disease .
tabling member constituency	Cardiff West
tabling member printed	Kevin Brennan
uin	279382
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>NHS Improvement has previously published a Patient Safety Alert for the attention of providers of National Health Service-funded care to emphasise the high risk and atypical presentation of coronary artery aneurysms, coronary thrombosis and myocardial ischaemia or infarction in patients with Kawasaki disease, and to highlight the importance of specialist advice.</p><p>Guidance is also available from the National Institute for Health and Care Excellence (NICE) on the assessment and initial management of fever in children under five, and this guidance includes recommendations on recognising the symptoms of Kawasaki disease.</p><p>NICE’s clinical guidelines help healthcare professionals deliver the best possible care based on the best available evidence; the guidelines are not mandatory, although health and care commissioners are expected to take them fully into account.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/07/2019 11:37:42 answering member 4455 label Biography information for Seema Kennedy previous answer version 131090 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
tabling member	1400 label Biography information for Kevin Brennan

1140585

registered interest
date	19/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions the Government has had with (a) patient groups and (b) professional bodies on the development of the serious shortage protocol.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	279391
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>A Serious Shortage Protocol is an additional tool to manage serious medication shortages and may be used in the exceptional and rare situation when other measures have been exhausted or are likely to be ineffective.</p><p>At present we are currently working on the governance process for developing Serious Shortage Protocols, should one be required, through engagement, including with professional bodies and patient groups. Following this we will issue guidance to health professionals in due course.</p><p>The Pharmaceutical Services Negotiating Committee, the organisation who represent National Health Service community pharmacy contractors in England, have developed a briefing note to support community pharmacies, who will need to consider training and changes to their standard operating-procedures to take account of the potential new processes.</p><p>Any Serious Shortage Protocol would be developed by senior, specialist doctors and pharmacists, with input from national experts, Royal Colleges and specialist societies. If a Serious Shortage Protocol is to be authorised then there will also be engagement with the relevant patient groups, who can assist in informing patients. Pharmacists still have to use their professional judgment as to whether supplying against the protocol rather than the prescription is appropriate and provide the patient with relevant information. If they determine supply is not appropriate, then the patient should be referred back to their prescriber.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 279390 question first answered 26/07/2019 11:36:13 answering member 4455 label Biography information for Seema Kennedy previous answer version 131085 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
tabling member	1439 label Biography information for Norman Lamb

1140586

registered interest
date	19/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Migraines: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department has taken to ensure the adequacy of provision of treatment for people with migraines.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	279402
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>The majority of patients with migraine can be managed through routine access to primary and secondary care. Migraine management is identified within the core competencies for the care for people with neurological conditions in the Royal College of General Practitioners’ (RCGP) GP curriculum. Migraines are also identified as an key area of clinical knowledge in the RCGP Applied Knowledge Test (AKT) content guide. The AKT is a summative assessment of the knowledge base that underpins general practice in the United Kingdom within the context of the National Health Service and is a key part of GPs’ qualifying exams. <br></p><p>The National Institute for Health and Care Excellence (NICE) guideline, ‘Headaches: Diagnosis and management of headaches in young people and adults’, published in 2012 and updated in 2015, sets out evidence based best practice for healthcare professionals in the care, treatment and support of people who suffer from migraines.</p><p> </p><p>The usual treatment approaches to migraine are designed to either stop or prevent attacks. Treatments for acute migraine attacks include medications such as analgesics, triptans and anti-emetics (as recommended in NICE's guideline on headaches in over 12s).</p><p>Treatments to stop or reduce the frequency of migraine attacks include medications such as beta blockers, tricyclic antidepressants and antiepileptics.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/07/2019 11:39:12 answering member 4455 label Biography information for Seema Kennedy previous answer version 131084 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
tabling member	1604 label Biography information for Mr Virendra Sharma

1140368

registered interest
date	18/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Obesity: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many and what proportion of children in reception class in (a) Barnsley, (b) South Yorkshire, (c) Yorkshire and the Humber, and (d) England have been classified as (i) overweight and (ii) obese in each year since 2010.
tabling member constituency	Barnsley East
tabling member printed	Stephanie Peacock
uin	279129
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>The attached tables set out the proportion of both children, in Reception year and Year Six, and adults classified as overweight or obese in Barnsley, South Yorkshire, Yorkshire and the Humber and England. Data are not collected on children in Year 11.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 279130 279131 279132 279133 question first answered 26/07/2019 11:39:22 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name 279129 tables formatted.docx title Obesity data
tabling member	4607 label Biography information for Stephanie Peacock

1140369

registered interest
date	18/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Obesity: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many and what proportion of children in (a) Barnsley, (b) South Yorkshire, (c) Yorkshire and the Humber, and (d) England have been classified as (i) overweight and (ii) obese in Year 6 in each year since 2010.
tabling member constituency	Barnsley East
tabling member printed	Stephanie Peacock
uin	279130
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>The attached tables set out the proportion of both children, in Reception year and Year Six, and adults classified as overweight or obese in Barnsley, South Yorkshire, Yorkshire and the Humber and England. Data are not collected on children in Year 11.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 279129 279131 279132 279133 question first answered 26/07/2019 11:39:22 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name 279129 tables formatted.docx title Obesity data
tabling member	4607 label Biography information for Stephanie Peacock

1140370

registered interest
date	18/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Obesity: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many children in (a) Barnsley, (b) South Yorkshire, (c) Yorkshire and the Humber, and (d) England have been classified as (i) overweight and (ii) obese in Year 11 in each year since 2010.
tabling member constituency	Barnsley East
tabling member printed	Stephanie Peacock
uin	279131
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>The attached tables set out the proportion of both children, in Reception year and Year Six, and adults classified as overweight or obese in Barnsley, South Yorkshire, Yorkshire and the Humber and England. Data are not collected on children in Year 11.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 279129 279130 279132 279133 question first answered 26/07/2019 11:39:22 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name 279129 tables formatted.docx title Obesity data
tabling member	4607 label Biography information for Stephanie Peacock

1140371

registered interest
date	18/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Obesity: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many and what proportion of children in Year 11 in (a) Barnsley, (b) South Yorkshire, (c) Yorkshire and the Humber, and (d) England have been classified as (i) overweight and (ii) obese in each year since 2010.
tabling member constituency	Barnsley East
tabling member printed	Stephanie Peacock
uin	279132
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>The attached tables set out the proportion of both children, in Reception year and Year Six, and adults classified as overweight or obese in Barnsley, South Yorkshire, Yorkshire and the Humber and England. Data are not collected on children in Year 11.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 279129 279130 279131 279133 question first answered 26/07/2019 11:39:23 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name 279129 tables formatted.docx title Obesity data
tabling member	4607 label Biography information for Stephanie Peacock