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882463

registered interest
date	13/04/2018
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	Epilepsy: Death
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the Public Health England report on deaths associated with neurological conditions in England 2001-14, what steps he is taking to reduce deaths associated with epilepsy.
tabling member constituency	Kingston upon Hull West and Hessle
tabling member printed	Emma Hardy
uin	135525
answer	answer is ministerial correction date of answer 23/04/2018 answer text <p>The Public Health England (PHE) report ‘Deaths associated with neurological conditions in England 2001 to 2014’, was developed by PHE’s Neurology Intelligence Network (NIN), and published on 27 February 2018. The report found that a greater proportion of epilepsy related deaths occur in areas of higher levels of deprivation. The rate of deaths associated with epilepsy in areas ranked as the most deprived in England is almost three times larger than in the least deprived; 13 deaths per 100,000 population compared to five deaths per 100,000 population. A copy of the report can be found at the following link:</p><p> </p><p><a href="http://www.gov.uk/government/publications/deaths-associated-with-neurological-conditions" target="_blank">www.gov.uk/government/publications/deaths-associated-with-neurological-conditions</a></p><p> </p><p>Wider research has shown that epilepsy prevalence varies with social deprivation, but this is not well understood, and it is not clear whether this inequality in mortality is the consequence of the increased prevalence seen in deprived areas, of poor care, or both. However, deprivation is a well-known determinant of poor general health, and although there is insufficient evidence to describe the relationship as causal, it underlines the health inequalities link in relation to epilepsy related deaths.</p><p> </p><p>The Government is acting broadly to reduce health inequalities by addressing the social causes of ill health, promoting healthier lifestyles for all and tackling differences in outcomes of NHS services, all underpinned by legal duties. Through the Mandate the Government has asked NHS England to ensure service commissioning focuses on measurable reductions in inequalities in access to health services, in people’s experience of the health system, and across a specified range of health outcomes which contribute to reducing inequalities in life expectancy and healthy life expectancy. National and local outcomes frameworks feature indicators to measure improvements across a range of areas, including inequalities, and the Mandate asks NHS England to do more in increasing the transparency on services and outcomes that these frameworks provide.</p><p> </p><p>At a national level, NHS England is the organisation responsible for securing and supporting high quality outcomes for people with epilepsy, and the vast majority of services for people with the condition are planned and commissioned by local clinical commissioning groups. Action is led locally to ensure the solutions put in place reflect the needs of individual communities.</p><p> </p><p>NHS England’s Rightcare programme provides practical support to local commissioners to tackle unwarranted variation, including in services for neurological conditions like epilepsy. NHS England is also working with the Neurological Alliance to support a new Neurology Advisory Group, led by Professor Adrian Williams, to align work across the system to improve neurological care. In addition to developing the neurology mortality report, PHE’s NIN provides a broad range of data on disease, services and outcomes, including for epilepsy, to support local commissioners to benchmark services and drive improvement. The new neurology mortality report will provide further focus for commissioners in considering whether there are any changes they need to make in terms of service planning and provision, including around the inequality issues identified.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 135527 question first answered 23/04/2018 16:24:45 answering member 4067 label Biography information for Steve Brine
tabling member	4645 label Biography information for Emma Hardy

882465

registered interest
date	13/04/2018
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	Epilepsy: Mortality Rates
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the effect of (a) access to healthcare and (b) socioeconomic inequality on epilepsy mortality rates; and if he will make a statement.
tabling member constituency	Kingston upon Hull West and Hessle
tabling member printed	Emma Hardy
uin	135527
answer	answer is ministerial correction date of answer 23/04/2018 answer text <p>The Public Health England (PHE) report ‘Deaths associated with neurological conditions in England 2001 to 2014’, was developed by PHE’s Neurology Intelligence Network (NIN), and published on 27 February 2018. The report found that a greater proportion of epilepsy related deaths occur in areas of higher levels of deprivation. The rate of deaths associated with epilepsy in areas ranked as the most deprived in England is almost three times larger than in the least deprived; 13 deaths per 100,000 population compared to five deaths per 100,000 population. A copy of the report can be found at the following link:</p><p> </p><p><a href="http://www.gov.uk/government/publications/deaths-associated-with-neurological-conditions" target="_blank">www.gov.uk/government/publications/deaths-associated-with-neurological-conditions</a></p><p> </p><p>Wider research has shown that epilepsy prevalence varies with social deprivation, but this is not well understood, and it is not clear whether this inequality in mortality is the consequence of the increased prevalence seen in deprived areas, of poor care, or both. However, deprivation is a well-known determinant of poor general health, and although there is insufficient evidence to describe the relationship as causal, it underlines the health inequalities link in relation to epilepsy related deaths.</p><p> </p><p>The Government is acting broadly to reduce health inequalities by addressing the social causes of ill health, promoting healthier lifestyles for all and tackling differences in outcomes of NHS services, all underpinned by legal duties. Through the Mandate the Government has asked NHS England to ensure service commissioning focuses on measurable reductions in inequalities in access to health services, in people’s experience of the health system, and across a specified range of health outcomes which contribute to reducing inequalities in life expectancy and healthy life expectancy. National and local outcomes frameworks feature indicators to measure improvements across a range of areas, including inequalities, and the Mandate asks NHS England to do more in increasing the transparency on services and outcomes that these frameworks provide.</p><p> </p><p>At a national level, NHS England is the organisation responsible for securing and supporting high quality outcomes for people with epilepsy, and the vast majority of services for people with the condition are planned and commissioned by local clinical commissioning groups. Action is led locally to ensure the solutions put in place reflect the needs of individual communities.</p><p> </p><p>NHS England’s Rightcare programme provides practical support to local commissioners to tackle unwarranted variation, including in services for neurological conditions like epilepsy. NHS England is also working with the Neurological Alliance to support a new Neurology Advisory Group, led by Professor Adrian Williams, to align work across the system to improve neurological care. In addition to developing the neurology mortality report, PHE’s NIN provides a broad range of data on disease, services and outcomes, including for epilepsy, to support local commissioners to benchmark services and drive improvement. The new neurology mortality report will provide further focus for commissioners in considering whether there are any changes they need to make in terms of service planning and provision, including around the inequality issues identified.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 135525 question first answered 23/04/2018 16:24:45 answering member 4067 label Biography information for Steve Brine
tabling member	4645 label Biography information for Emma Hardy

874870

registered interest
date	29/03/2018
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	Epilepsy: 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, with reference to the recent Public Health England report on deaths associated with neurological conditions in England 2001-14, what steps his Department is taking to improve epilepsy services in the most deprived areas.
tabling member constituency	Kingston upon Hull West and Hessle
tabling member printed	Emma Hardy
uin	135171
answer	answer is ministerial correction date of answer 20/04/2018 answer text <p>The Public Health England (PHE) report Deaths associated with neurological conditions in England 2001 to 2014, was developed by PHE’s Neurology Intelligence Network (NIN), and published on 27 February 2018. The report found that a greater proportion of epilepsy related deaths occur in areas of higher levels of deprivation. A copy of the report can be found at the following link:</p><p> </p><p><a href="http://www.gov.uk/government/publications/deaths-associated-with-neurological-conditions" target="_blank">www.gov.uk/government/publications/deaths-associated-with-neurological-conditions</a></p><p> </p><p>Wider research has shown that epilepsy prevalence varies with social deprivation, but this is not well understood, and it is not clear whether this inequality in mortality is the consequence of the increased prevalence seen in deprived areas, of poor care, or both. However, deprivation is a well-known determinant of poor general health, and although there is insufficient evidence to describe the relationship as causal, it underlines the health inequalities link in relation to epilepsy related deaths.</p><p> </p><p>The Government is acting broadly to reduce health inequalities by addressing the social causes of ill health, promoting healthier lifestyles for all and tackling differences in outcomes of NHS services, all underpinned by legal duties. Through the Mandate the Government has asked NHS England to ensure service commissioning focuses on measurable reductions in inequalities in access to health services, in people’s experience of the health system, and across a specified range of health outcomes which contribute to reducing inequalities in life expectancy and healthy life expectancy. National and local outcomes frameworks feature indicators to measure improvements across a range of areas, including inequalities, and the Mandate asks NHS England to do more in increasing the transparency on services and outcomes that these frameworks provide.</p><p>At a national level, NHS England is the organisation responsible for securing and supporting high quality outcomes for people with epilepsy, and the vast majority of services for people with the condition are planned and commissioned by local clinical commissioning groups. Action is led locally to ensure the solutions put in place reflect the needs of individual communities.</p><p> </p><p>NHS England’s Rightcare programme provides practical support to local commissioners to tackle unwarranted variation, including in services for neurological conditions like epilepsy.</p><p> </p><p>NHS England is also working with the Neurological Alliance to support a new Neurology Advisory Group, led by Professor Adrian Williams, to align work across the system to improve neurological care. In addition to developing the neurology mortality report, PHE’s NIN provides a broad range of data on disease, services and outcomes, including for epilepsy, to support local commissioners to benchmark services and drive improvement. The new neurology mortality report will provide further focus for commissioners in considering whether there are any changes they need to make in terms of service planning and provision, including around the inequality issues identified.</p><p> </p><p>Ministers routinely meet the system leaders to discuss a broad range of issues concerning population health, including long term health problems. The Department works closely with NHS England and PHE to support delivery of the Mandate and systems objectives. The Department and NHS England are also represented on PHE’s NIN. NHS England officials hope to meet with the charity SUDEP (Sudden unexpected death from epilepsy) Action shortly to discuss the findings of the PHE report.</p><p> </p><p>We are investing over £1 billion a year in health research through the National Institute for Health Research (NIHR), and the NIHR has advised that it is not currently funding any research into premature epilepsy mortality. The usual practice of the NIHR is not to ring-fence funds for expenditure on particular topics: research proposals in all areas compete for the funding available. The NIHR welcomes funding applications for research into any aspect of human health, including epilepsy. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 135172 135173 135174 135175 question first answered 20/04/2018 13:47:31 answering member 4067 label Biography information for Steve Brine
tabling member	4645 label Biography information for Emma Hardy

874871

registered interest
date	29/03/2018
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	Epilepsy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the recent Public Health England report on deaths associated with neurological conditions in England 2001-14, what steps he is taking to prioritise (a) epilepsy care provision and (b) research on premature epilepsy mortality.
tabling member constituency	Kingston upon Hull West and Hessle
tabling member printed	Emma Hardy
uin	135172
answer	answer is ministerial correction date of answer 20/04/2018 answer text <p>The Public Health England (PHE) report Deaths associated with neurological conditions in England 2001 to 2014, was developed by PHE’s Neurology Intelligence Network (NIN), and published on 27 February 2018. The report found that a greater proportion of epilepsy related deaths occur in areas of higher levels of deprivation. A copy of the report can be found at the following link:</p><p> </p><p><a href="http://www.gov.uk/government/publications/deaths-associated-with-neurological-conditions" target="_blank">www.gov.uk/government/publications/deaths-associated-with-neurological-conditions</a></p><p> </p><p>Wider research has shown that epilepsy prevalence varies with social deprivation, but this is not well understood, and it is not clear whether this inequality in mortality is the consequence of the increased prevalence seen in deprived areas, of poor care, or both. However, deprivation is a well-known determinant of poor general health, and although there is insufficient evidence to describe the relationship as causal, it underlines the health inequalities link in relation to epilepsy related deaths.</p><p> </p><p>The Government is acting broadly to reduce health inequalities by addressing the social causes of ill health, promoting healthier lifestyles for all and tackling differences in outcomes of NHS services, all underpinned by legal duties. Through the Mandate the Government has asked NHS England to ensure service commissioning focuses on measurable reductions in inequalities in access to health services, in people’s experience of the health system, and across a specified range of health outcomes which contribute to reducing inequalities in life expectancy and healthy life expectancy. National and local outcomes frameworks feature indicators to measure improvements across a range of areas, including inequalities, and the Mandate asks NHS England to do more in increasing the transparency on services and outcomes that these frameworks provide.</p><p>At a national level, NHS England is the organisation responsible for securing and supporting high quality outcomes for people with epilepsy, and the vast majority of services for people with the condition are planned and commissioned by local clinical commissioning groups. Action is led locally to ensure the solutions put in place reflect the needs of individual communities.</p><p> </p><p>NHS England’s Rightcare programme provides practical support to local commissioners to tackle unwarranted variation, including in services for neurological conditions like epilepsy.</p><p> </p><p>NHS England is also working with the Neurological Alliance to support a new Neurology Advisory Group, led by Professor Adrian Williams, to align work across the system to improve neurological care. In addition to developing the neurology mortality report, PHE’s NIN provides a broad range of data on disease, services and outcomes, including for epilepsy, to support local commissioners to benchmark services and drive improvement. The new neurology mortality report will provide further focus for commissioners in considering whether there are any changes they need to make in terms of service planning and provision, including around the inequality issues identified.</p><p> </p><p>Ministers routinely meet the system leaders to discuss a broad range of issues concerning population health, including long term health problems. The Department works closely with NHS England and PHE to support delivery of the Mandate and systems objectives. The Department and NHS England are also represented on PHE’s NIN. NHS England officials hope to meet with the charity SUDEP (Sudden unexpected death from epilepsy) Action shortly to discuss the findings of the PHE report.</p><p> </p><p>We are investing over £1 billion a year in health research through the National Institute for Health Research (NIHR), and the NIHR has advised that it is not currently funding any research into premature epilepsy mortality. The usual practice of the NIHR is not to ring-fence funds for expenditure on particular topics: research proposals in all areas compete for the funding available. The NIHR welcomes funding applications for research into any aspect of human health, including epilepsy. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 135171 135173 135174 135175 question first answered 20/04/2018 13:47:31 answering member 4067 label Biography information for Steve Brine
tabling member	4645 label Biography information for Emma Hardy

874872

registered interest
date	29/03/2018
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	Epilepsy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the Public Health England report on deaths associated with neurological conditions in England 2001-14, What steps his Department are taking to tackle the link between epilepsy mortality and deprivation highlighted in that report; and if he will make a statement.
tabling member constituency	Kingston upon Hull West and Hessle
tabling member printed	Emma Hardy
uin	135173
answer	answer is ministerial correction date of answer 20/04/2018 answer text <p>The Public Health England (PHE) report Deaths associated with neurological conditions in England 2001 to 2014, was developed by PHE’s Neurology Intelligence Network (NIN), and published on 27 February 2018. The report found that a greater proportion of epilepsy related deaths occur in areas of higher levels of deprivation. A copy of the report can be found at the following link:</p><p> </p><p><a href="http://www.gov.uk/government/publications/deaths-associated-with-neurological-conditions" target="_blank">www.gov.uk/government/publications/deaths-associated-with-neurological-conditions</a></p><p> </p><p>Wider research has shown that epilepsy prevalence varies with social deprivation, but this is not well understood, and it is not clear whether this inequality in mortality is the consequence of the increased prevalence seen in deprived areas, of poor care, or both. However, deprivation is a well-known determinant of poor general health, and although there is insufficient evidence to describe the relationship as causal, it underlines the health inequalities link in relation to epilepsy related deaths.</p><p> </p><p>The Government is acting broadly to reduce health inequalities by addressing the social causes of ill health, promoting healthier lifestyles for all and tackling differences in outcomes of NHS services, all underpinned by legal duties. Through the Mandate the Government has asked NHS England to ensure service commissioning focuses on measurable reductions in inequalities in access to health services, in people’s experience of the health system, and across a specified range of health outcomes which contribute to reducing inequalities in life expectancy and healthy life expectancy. National and local outcomes frameworks feature indicators to measure improvements across a range of areas, including inequalities, and the Mandate asks NHS England to do more in increasing the transparency on services and outcomes that these frameworks provide.</p><p>At a national level, NHS England is the organisation responsible for securing and supporting high quality outcomes for people with epilepsy, and the vast majority of services for people with the condition are planned and commissioned by local clinical commissioning groups. Action is led locally to ensure the solutions put in place reflect the needs of individual communities.</p><p> </p><p>NHS England’s Rightcare programme provides practical support to local commissioners to tackle unwarranted variation, including in services for neurological conditions like epilepsy.</p><p> </p><p>NHS England is also working with the Neurological Alliance to support a new Neurology Advisory Group, led by Professor Adrian Williams, to align work across the system to improve neurological care. In addition to developing the neurology mortality report, PHE’s NIN provides a broad range of data on disease, services and outcomes, including for epilepsy, to support local commissioners to benchmark services and drive improvement. The new neurology mortality report will provide further focus for commissioners in considering whether there are any changes they need to make in terms of service planning and provision, including around the inequality issues identified.</p><p> </p><p>Ministers routinely meet the system leaders to discuss a broad range of issues concerning population health, including long term health problems. The Department works closely with NHS England and PHE to support delivery of the Mandate and systems objectives. The Department and NHS England are also represented on PHE’s NIN. NHS England officials hope to meet with the charity SUDEP (Sudden unexpected death from epilepsy) Action shortly to discuss the findings of the PHE report.</p><p> </p><p>We are investing over £1 billion a year in health research through the National Institute for Health Research (NIHR), and the NIHR has advised that it is not currently funding any research into premature epilepsy mortality. The usual practice of the NIHR is not to ring-fence funds for expenditure on particular topics: research proposals in all areas compete for the funding available. The NIHR welcomes funding applications for research into any aspect of human health, including epilepsy. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 135171 135172 135174 135175 question first answered 20/04/2018 13:47:31 answering member 4067 label Biography information for Steve Brine
tabling member	4645 label Biography information for Emma Hardy

874873

registered interest
date	29/03/2018
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	Epilepsy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the Public Health England report on deaths associated with neurological conditions in England 2001-14, what steps his Department has taken to reduce the number of epilepsy related deaths; and if he will make a statement.
tabling member constituency	Kingston upon Hull West and Hessle
tabling member printed	Emma Hardy
uin	135174
answer	answer is ministerial correction date of answer 20/04/2018 answer text <p>The Public Health England (PHE) report Deaths associated with neurological conditions in England 2001 to 2014, was developed by PHE’s Neurology Intelligence Network (NIN), and published on 27 February 2018. The report found that a greater proportion of epilepsy related deaths occur in areas of higher levels of deprivation. A copy of the report can be found at the following link:</p><p> </p><p><a href="http://www.gov.uk/government/publications/deaths-associated-with-neurological-conditions" target="_blank">www.gov.uk/government/publications/deaths-associated-with-neurological-conditions</a></p><p> </p><p>Wider research has shown that epilepsy prevalence varies with social deprivation, but this is not well understood, and it is not clear whether this inequality in mortality is the consequence of the increased prevalence seen in deprived areas, of poor care, or both. However, deprivation is a well-known determinant of poor general health, and although there is insufficient evidence to describe the relationship as causal, it underlines the health inequalities link in relation to epilepsy related deaths.</p><p> </p><p>The Government is acting broadly to reduce health inequalities by addressing the social causes of ill health, promoting healthier lifestyles for all and tackling differences in outcomes of NHS services, all underpinned by legal duties. Through the Mandate the Government has asked NHS England to ensure service commissioning focuses on measurable reductions in inequalities in access to health services, in people’s experience of the health system, and across a specified range of health outcomes which contribute to reducing inequalities in life expectancy and healthy life expectancy. National and local outcomes frameworks feature indicators to measure improvements across a range of areas, including inequalities, and the Mandate asks NHS England to do more in increasing the transparency on services and outcomes that these frameworks provide.</p><p>At a national level, NHS England is the organisation responsible for securing and supporting high quality outcomes for people with epilepsy, and the vast majority of services for people with the condition are planned and commissioned by local clinical commissioning groups. Action is led locally to ensure the solutions put in place reflect the needs of individual communities.</p><p> </p><p>NHS England’s Rightcare programme provides practical support to local commissioners to tackle unwarranted variation, including in services for neurological conditions like epilepsy.</p><p> </p><p>NHS England is also working with the Neurological Alliance to support a new Neurology Advisory Group, led by Professor Adrian Williams, to align work across the system to improve neurological care. In addition to developing the neurology mortality report, PHE’s NIN provides a broad range of data on disease, services and outcomes, including for epilepsy, to support local commissioners to benchmark services and drive improvement. The new neurology mortality report will provide further focus for commissioners in considering whether there are any changes they need to make in terms of service planning and provision, including around the inequality issues identified.</p><p> </p><p>Ministers routinely meet the system leaders to discuss a broad range of issues concerning population health, including long term health problems. The Department works closely with NHS England and PHE to support delivery of the Mandate and systems objectives. The Department and NHS England are also represented on PHE’s NIN. NHS England officials hope to meet with the charity SUDEP (Sudden unexpected death from epilepsy) Action shortly to discuss the findings of the PHE report.</p><p> </p><p>We are investing over £1 billion a year in health research through the National Institute for Health Research (NIHR), and the NIHR has advised that it is not currently funding any research into premature epilepsy mortality. The usual practice of the NIHR is not to ring-fence funds for expenditure on particular topics: research proposals in all areas compete for the funding available. The NIHR welcomes funding applications for research into any aspect of human health, including epilepsy. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 135171 135172 135173 135175 question first answered 20/04/2018 13:47:32 answering member 4067 label Biography information for Steve Brine
tabling member	4645 label Biography information for Emma Hardy

874874

registered interest
date	29/03/2018
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	Neurology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the Public Health England report on deaths associated with neurological conditions in England 2001-14, what discussions his Department has had with NHS England on the priority to be accorded to neurological services; and if he will make a statement.
tabling member constituency	Kingston upon Hull West and Hessle
tabling member printed	Emma Hardy
uin	135175
answer	answer is ministerial correction date of answer 20/04/2018 answer text <p>The Public Health England (PHE) report Deaths associated with neurological conditions in England 2001 to 2014, was developed by PHE’s Neurology Intelligence Network (NIN), and published on 27 February 2018. The report found that a greater proportion of epilepsy related deaths occur in areas of higher levels of deprivation. A copy of the report can be found at the following link:</p><p> </p><p><a href="http://www.gov.uk/government/publications/deaths-associated-with-neurological-conditions" target="_blank">www.gov.uk/government/publications/deaths-associated-with-neurological-conditions</a></p><p> </p><p>Wider research has shown that epilepsy prevalence varies with social deprivation, but this is not well understood, and it is not clear whether this inequality in mortality is the consequence of the increased prevalence seen in deprived areas, of poor care, or both. However, deprivation is a well-known determinant of poor general health, and although there is insufficient evidence to describe the relationship as causal, it underlines the health inequalities link in relation to epilepsy related deaths.</p><p> </p><p>The Government is acting broadly to reduce health inequalities by addressing the social causes of ill health, promoting healthier lifestyles for all and tackling differences in outcomes of NHS services, all underpinned by legal duties. Through the Mandate the Government has asked NHS England to ensure service commissioning focuses on measurable reductions in inequalities in access to health services, in people’s experience of the health system, and across a specified range of health outcomes which contribute to reducing inequalities in life expectancy and healthy life expectancy. National and local outcomes frameworks feature indicators to measure improvements across a range of areas, including inequalities, and the Mandate asks NHS England to do more in increasing the transparency on services and outcomes that these frameworks provide.</p><p>At a national level, NHS England is the organisation responsible for securing and supporting high quality outcomes for people with epilepsy, and the vast majority of services for people with the condition are planned and commissioned by local clinical commissioning groups. Action is led locally to ensure the solutions put in place reflect the needs of individual communities.</p><p> </p><p>NHS England’s Rightcare programme provides practical support to local commissioners to tackle unwarranted variation, including in services for neurological conditions like epilepsy.</p><p> </p><p>NHS England is also working with the Neurological Alliance to support a new Neurology Advisory Group, led by Professor Adrian Williams, to align work across the system to improve neurological care. In addition to developing the neurology mortality report, PHE’s NIN provides a broad range of data on disease, services and outcomes, including for epilepsy, to support local commissioners to benchmark services and drive improvement. The new neurology mortality report will provide further focus for commissioners in considering whether there are any changes they need to make in terms of service planning and provision, including around the inequality issues identified.</p><p> </p><p>Ministers routinely meet the system leaders to discuss a broad range of issues concerning population health, including long term health problems. The Department works closely with NHS England and PHE to support delivery of the Mandate and systems objectives. The Department and NHS England are also represented on PHE’s NIN. NHS England officials hope to meet with the charity SUDEP (Sudden unexpected death from epilepsy) Action shortly to discuss the findings of the PHE report.</p><p> </p><p>We are investing over £1 billion a year in health research through the National Institute for Health Research (NIHR), and the NIHR has advised that it is not currently funding any research into premature epilepsy mortality. The usual practice of the NIHR is not to ring-fence funds for expenditure on particular topics: research proposals in all areas compete for the funding available. The NIHR welcomes funding applications for research into any aspect of human health, including epilepsy. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 135171 135172 135173 135174 question first answered 20/04/2018 13:47:31 answering member 4067 label Biography information for Steve Brine
tabling member	4645 label Biography information for Emma Hardy

870256

registered interest
date	23/03/2018
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	Dental Health: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the potential merits for children's oral health of providing supervised tooth-brushing schemes in nurseries; and if he will make a statement.
tabling member constituency	Kingston upon Hull West and Hessle
tabling member printed	Emma Hardy
uin	134120
answer	answer is ministerial correction date of answer 28/03/2018 answer text <p>Public Health England (PHE) has made an assessment of potential interventions for improving children's oral health, which includes supervised tooth brushing. The guidance is available at:</p><p> </p><p><a href="https://www.gov.uk/government/publications/improving-oral-health-an-evidence-informed-toolkit-for-local-authorities" target="_blank">https://www.gov.uk/government/publications/improving-oral-health-an-evidence-informed-toolkit-for-local-authorities</a></p><p> </p><p>The National Institute for Health and Care Excellence has published public health guidance which support local authorities to invest in programmes at a population level which have demonstrated improvement in children’s dental health and recommend supervised tooth brushing programmes in nurseries.</p><p> </p><p>Early Years Educator qualifications must cover the promotion of the health, safety and welfare of children. All early years’ providers have a responsibility to promote the health of children in their setting, set out in the Early Years Foundation Stage framework, good oral health can form a part of this and this may include supervised tooth brushing sessions.</p><p> </p><p>PHE worked with the Department for Education to publish in a toolkit for commissioners and providers considering a supervised tooth brushing programme in December 2016.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 134121 question first answered 28/03/2018 15:03:24 answering member 4067 label Biography information for Steve Brine
tabling member	4645 label Biography information for Emma Hardy

870257

registered interest
date	23/03/2018
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	Dental Health: Children
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 he has had with the Secretary of State for Education on the potential merits of school breakfast clubs to providing supervised tooth-brushing sessions; and if he will make a statement.
tabling member constituency	Kingston upon Hull West and Hessle
tabling member printed	Emma Hardy
uin	134121
answer	answer is ministerial correction date of answer 28/03/2018 answer text <p>Public Health England (PHE) has made an assessment of potential interventions for improving children's oral health, which includes supervised tooth brushing. The guidance is available at:</p><p> </p><p><a href="https://www.gov.uk/government/publications/improving-oral-health-an-evidence-informed-toolkit-for-local-authorities" target="_blank">https://www.gov.uk/government/publications/improving-oral-health-an-evidence-informed-toolkit-for-local-authorities</a></p><p> </p><p>The National Institute for Health and Care Excellence has published public health guidance which support local authorities to invest in programmes at a population level which have demonstrated improvement in children’s dental health and recommend supervised tooth brushing programmes in nurseries.</p><p> </p><p>Early Years Educator qualifications must cover the promotion of the health, safety and welfare of children. All early years’ providers have a responsibility to promote the health of children in their setting, set out in the Early Years Foundation Stage framework, good oral health can form a part of this and this may include supervised tooth brushing sessions.</p><p> </p><p>PHE worked with the Department for Education to publish in a toolkit for commissioners and providers considering a supervised tooth brushing programme in December 2016.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 134120 question first answered 28/03/2018 15:03:25 answering member 4067 label Biography information for Steve Brine
tabling member	4645 label Biography information for Emma Hardy

870258

registered interest
date	23/03/2018
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	Dental Health: Care Homes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the tends in the level of oral health problems in care home residents.
tabling member constituency	Kingston upon Hull West and Hessle
tabling member printed	Emma Hardy
uin	134122
answer	answer is ministerial correction date of answer 28/03/2018 answer text <p>There have been no national surveys on the oral health or tooth brushing habits of people in care homes. However, in 2016, Public Health England (PHE) reported on oral health in older people in England and Wales using data from existing surveys.</p><p> </p><p>The report found that: older adults living in care homes were more likely to have no natural teeth and less likely to have a functional dentition; older adults living in care homes were more likely to have higher levels of tooth decay; care home managers experienced greater difficulty in accessing dental care for residents than household resident older adults did and residents resisting oral care routines was the second most common oral health issue raised by care home managers. Further information can be found here:</p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/489756/What_is_known_about_the_oral_health_of_older_people.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/489756/What_is_known_about_the_oral_health_of_older_people.pdf</a></p><p> </p><p>In 2016, the National Institute for Health and Care Excellence (NICE) published guidance on oral health for adults in care homes. The aim of the guidance is to maintain and improve oral health and ensure timely access to dental treatment. The guidance can be found here:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/ng48" target="_blank">https://www.nice.org.uk/guidance/ng48</a></p><p> </p><p>In 2017, NICE published a quality standard on oral health in care homes, which was endorsed by the Department, and is aimed at commissioners and providers of care homes. The quality standard can be found here:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/qs151" target="_blank">https://www.nice.org.uk/guidance/qs151</a></p><p> </p><p>In summer 2018, PHE will be publishing ‘Commissioning better oral health for vulnerable older people’ to support commissioning of health and social care services that will have positive impacts on the oral health of vulnerable older people.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 134123 question first answered 28/03/2018 15:00:53 answering member 4067 label Biography information for Steve Brine
tabling member	4645 label Biography information for Emma Hardy