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971413

registered interest
date	10/09/2018
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, what criteria is used to determine the referral of families to tertiary centres for the management of epilepsy.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	172557
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>No assessment has been made on the effectiveness of the implementation of a ketogenic diet for young people with epilepsy who are cared for in their own home. A ketogenic diet (high in fat and low in carbohydrates) may reduce seizures for some children whose epilepsy cannot be successfully managed with drugs. Information for the public on the use of ketogenic diets in the treatment of epilepsy is available on the NHS Choices website and is also provided by Epilepsy Action and the Epilepsy Society, the two leading charities for the condition in England. Information provided via NHS Choices can be found at the following link:</p><p> </p><p><a href="http://www.nhs.uk/Conditions/Epilepsy/Pages/Treatment.aspx" target="_blank">www.nhs.uk/Conditions/Epilepsy/Pages/Treatment.aspx</a></p><p> </p><p>The National Institute for Health and Care Excellence (NICE) clinical guideline, ‘The diagnosis and management of the epilepsies in adults and children in primary and secondary care’, published in 2012 and updated in 2018, sets out best practice for clinicians in the treatment of children with epilepsy. All children, young people and adults with epilepsy should have access via their specialist to a tertiary service when circumstances require. The NICE guideline states that if seizures are not controlled and/or there is diagnostic uncertainty or treatment failure, children, young people and adults should be referred to tertiary services soon for further assessment.</p><p> </p><p>The NICE guidance also makes clear that a named clinician should assume responsibility for the ongoing management of the young person with epilepsy during adolescence to ensure smooth transition of care to adult services. Whilst the Department does not directly assess compliance with NICE guidance, we expect commissioners to take it, and other examples of evidence based best practice, into account when planning and delivering services for local populations. The NICE guideline can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg137/resources/epilepsies-diagnosis-and-management-pdf-35109515407813" target="_blank">www.nice.org.uk/guidance/cg137/resources/epilepsies-diagnosis-and-management-pdf-35109515407813</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 172558 172559 172562 question first answered 17/09/2018 14:03:36 answering member 4067 label Biography information for Steve Brine
tabling member	4523 label Biography information for Catherine West

971414

registered interest
date	10/09/2018
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: Children and Young People
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 he has made of the level of compliance with NICE guidance for children and young people with epilepsy during the transition of care to adult services.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	172558
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>No assessment has been made on the effectiveness of the implementation of a ketogenic diet for young people with epilepsy who are cared for in their own home. A ketogenic diet (high in fat and low in carbohydrates) may reduce seizures for some children whose epilepsy cannot be successfully managed with drugs. Information for the public on the use of ketogenic diets in the treatment of epilepsy is available on the NHS Choices website and is also provided by Epilepsy Action and the Epilepsy Society, the two leading charities for the condition in England. Information provided via NHS Choices can be found at the following link:</p><p> </p><p><a href="http://www.nhs.uk/Conditions/Epilepsy/Pages/Treatment.aspx" target="_blank">www.nhs.uk/Conditions/Epilepsy/Pages/Treatment.aspx</a></p><p> </p><p>The National Institute for Health and Care Excellence (NICE) clinical guideline, ‘The diagnosis and management of the epilepsies in adults and children in primary and secondary care’, published in 2012 and updated in 2018, sets out best practice for clinicians in the treatment of children with epilepsy. All children, young people and adults with epilepsy should have access via their specialist to a tertiary service when circumstances require. The NICE guideline states that if seizures are not controlled and/or there is diagnostic uncertainty or treatment failure, children, young people and adults should be referred to tertiary services soon for further assessment.</p><p> </p><p>The NICE guidance also makes clear that a named clinician should assume responsibility for the ongoing management of the young person with epilepsy during adolescence to ensure smooth transition of care to adult services. Whilst the Department does not directly assess compliance with NICE guidance, we expect commissioners to take it, and other examples of evidence based best practice, into account when planning and delivering services for local populations. The NICE guideline can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg137/resources/epilepsies-diagnosis-and-management-pdf-35109515407813" target="_blank">www.nice.org.uk/guidance/cg137/resources/epilepsies-diagnosis-and-management-pdf-35109515407813</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 172557 172559 172562 question first answered 17/09/2018 14:03:37 answering member 4067 label Biography information for Steve Brine
tabling member	4523 label Biography information for Catherine West

971415

registered interest
date	10/09/2018
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: Diets
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 is taking to ensure the accessibility of (a) guidance and (b) information on ketogenic diet for patients with epilepsy; and if he will make a statement.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	172559
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>No assessment has been made on the effectiveness of the implementation of a ketogenic diet for young people with epilepsy who are cared for in their own home. A ketogenic diet (high in fat and low in carbohydrates) may reduce seizures for some children whose epilepsy cannot be successfully managed with drugs. Information for the public on the use of ketogenic diets in the treatment of epilepsy is available on the NHS Choices website and is also provided by Epilepsy Action and the Epilepsy Society, the two leading charities for the condition in England. Information provided via NHS Choices can be found at the following link:</p><p> </p><p><a href="http://www.nhs.uk/Conditions/Epilepsy/Pages/Treatment.aspx" target="_blank">www.nhs.uk/Conditions/Epilepsy/Pages/Treatment.aspx</a></p><p> </p><p>The National Institute for Health and Care Excellence (NICE) clinical guideline, ‘The diagnosis and management of the epilepsies in adults and children in primary and secondary care’, published in 2012 and updated in 2018, sets out best practice for clinicians in the treatment of children with epilepsy. All children, young people and adults with epilepsy should have access via their specialist to a tertiary service when circumstances require. The NICE guideline states that if seizures are not controlled and/or there is diagnostic uncertainty or treatment failure, children, young people and adults should be referred to tertiary services soon for further assessment.</p><p> </p><p>The NICE guidance also makes clear that a named clinician should assume responsibility for the ongoing management of the young person with epilepsy during adolescence to ensure smooth transition of care to adult services. Whilst the Department does not directly assess compliance with NICE guidance, we expect commissioners to take it, and other examples of evidence based best practice, into account when planning and delivering services for local populations. The NICE guideline can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg137/resources/epilepsies-diagnosis-and-management-pdf-35109515407813" target="_blank">www.nice.org.uk/guidance/cg137/resources/epilepsies-diagnosis-and-management-pdf-35109515407813</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 172557 172558 172562 question first answered 17/09/2018 14:03:37 answering member 4067 label Biography information for Steve Brine
tabling member	4523 label Biography information for Catherine West

971418

registered interest
date	10/09/2018
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: Diets
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 he has made of the effectiveness of the implementation of the ketogenic diet for young people with epilepsy that are cared for in their own home.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	172562
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>No assessment has been made on the effectiveness of the implementation of a ketogenic diet for young people with epilepsy who are cared for in their own home. A ketogenic diet (high in fat and low in carbohydrates) may reduce seizures for some children whose epilepsy cannot be successfully managed with drugs. Information for the public on the use of ketogenic diets in the treatment of epilepsy is available on the NHS Choices website and is also provided by Epilepsy Action and the Epilepsy Society, the two leading charities for the condition in England. Information provided via NHS Choices can be found at the following link:</p><p> </p><p><a href="http://www.nhs.uk/Conditions/Epilepsy/Pages/Treatment.aspx" target="_blank">www.nhs.uk/Conditions/Epilepsy/Pages/Treatment.aspx</a></p><p> </p><p>The National Institute for Health and Care Excellence (NICE) clinical guideline, ‘The diagnosis and management of the epilepsies in adults and children in primary and secondary care’, published in 2012 and updated in 2018, sets out best practice for clinicians in the treatment of children with epilepsy. All children, young people and adults with epilepsy should have access via their specialist to a tertiary service when circumstances require. The NICE guideline states that if seizures are not controlled and/or there is diagnostic uncertainty or treatment failure, children, young people and adults should be referred to tertiary services soon for further assessment.</p><p> </p><p>The NICE guidance also makes clear that a named clinician should assume responsibility for the ongoing management of the young person with epilepsy during adolescence to ensure smooth transition of care to adult services. Whilst the Department does not directly assess compliance with NICE guidance, we expect commissioners to take it, and other examples of evidence based best practice, into account when planning and delivering services for local populations. The NICE guideline can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg137/resources/epilepsies-diagnosis-and-management-pdf-35109515407813" target="_blank">www.nice.org.uk/guidance/cg137/resources/epilepsies-diagnosis-and-management-pdf-35109515407813</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 172557 172558 172559 question first answered 17/09/2018 14:03:36 answering member 4067 label Biography information for Steve Brine
tabling member	4523 label Biography information for Catherine West

967407

registered interest
date	04/09/2018
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	Public Health
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether Public Health England will consult external stakeholders during the development of the reproductive health action plan referenced on page 5 of Public Health England’s A consensus statement: reproductive health is a public issue.
tabling member printed	Baroness Barker
uin	HL9908
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>Public Health England (PHE) has created a task and finish group made up of representatives from organisations across the sector including the Department, NHS England, the Local Government Association, the Association of Directors of Public Health, the Faculty of Sexual and Reproductive Health, the Royal College of General Practitioners, the Royal College of Nursing, the Royal College of Midwives, the Royal College of Gynaecology, Brook, and the Family Planning Association. The task and finish group will work together to inform the development and implementation of the reproductive health action plan. Alongside this, PHE is also working with a user reference group, made up of women who have experienced severe reproductive health issues in order to ensure the action plan reflects service users’ needs. The action plan is due to be published in March 2019.</p><p>In addition, PHE’s regional centres are developing an approach for localising the national research conducted and developing locally appropriate actions in addition to those being driven nationally. PHE are consulting with commissioners and providers in developing the action plan through workshops and presentations across the country and to ensure implementation of the action plan from 2019 onwards.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9907 HL9909 question first answered 17/09/2018 14:03:21 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2501 label Biography information for Baroness Barker

967474

registered interest
date	04/09/2018
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	Prescription Drugs: Misuse
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to secure funding for existing prescribed medicines withdrawal centres.
tabling member printed	Lord Hunt of Kings Heath
uin	HL9967
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>The Parliamentary under Secretary of State (Steve Brine MP) commissioned Public Health England (PHE) to review the evidence for dependence on, and withdrawal from, prescribed medicines. The review was launched in January 2018 and is due to report in spring 2019 and we await its findings. It is the responsibility of local authorities to commission services, such as the provision of withdrawal centres for addiction to prescribed medicines, to meet assessed local need. The Government currently has no plans to increase the number of these centres.</p><p>The Government has no plans to introduce a separate national helpline to support people affected by prescribed drug dependence. Help and advice on prescribed drug dependence is already available from the 111 helpline or NHS Choices. People who feel that they might be dependent on either prescribed or over the counter medicines should seek help from a health professional in the first instance (such as a general practitioner or pharmacist).</p><p>PHE’s review includes prescribed benzodiazepine drug dependence but will not consider evidence further back than 10 years ago. There are no plans to establish a public inquiry into prescribed benzodiazepine drug dependence.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9968 HL9969 HL9971 question first answered 17/09/2018 14:06:06 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

967475

registered interest
date	04/09/2018
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	Prescription Drugs: Misuse
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have, if any, to increase the number of prescribed medicines withdrawal centres to cover the whole of England.
tabling member printed	Lord Hunt of Kings Heath
uin	HL9968
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>The Parliamentary under Secretary of State (Steve Brine MP) commissioned Public Health England (PHE) to review the evidence for dependence on, and withdrawal from, prescribed medicines. The review was launched in January 2018 and is due to report in spring 2019 and we await its findings. It is the responsibility of local authorities to commission services, such as the provision of withdrawal centres for addiction to prescribed medicines, to meet assessed local need. The Government currently has no plans to increase the number of these centres.</p><p>The Government has no plans to introduce a separate national helpline to support people affected by prescribed drug dependence. Help and advice on prescribed drug dependence is already available from the 111 helpline or NHS Choices. People who feel that they might be dependent on either prescribed or over the counter medicines should seek help from a health professional in the first instance (such as a general practitioner or pharmacist).</p><p>PHE’s review includes prescribed benzodiazepine drug dependence but will not consider evidence further back than 10 years ago. There are no plans to establish a public inquiry into prescribed benzodiazepine drug dependence.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9967 HL9969 HL9971 question first answered 17/09/2018 14:06:06 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

967476

registered interest
date	04/09/2018
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	Prescription Drugs: Misuse
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they will ensure that in establishing a 24 hour helpline for people affected by prescribed medicines addiction they will also ensure that adequate services are in place to refer patients to.
tabling member printed	Lord Hunt of Kings Heath
uin	HL9969
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>The Parliamentary under Secretary of State (Steve Brine MP) commissioned Public Health England (PHE) to review the evidence for dependence on, and withdrawal from, prescribed medicines. The review was launched in January 2018 and is due to report in spring 2019 and we await its findings. It is the responsibility of local authorities to commission services, such as the provision of withdrawal centres for addiction to prescribed medicines, to meet assessed local need. The Government currently has no plans to increase the number of these centres.</p><p>The Government has no plans to introduce a separate national helpline to support people affected by prescribed drug dependence. Help and advice on prescribed drug dependence is already available from the 111 helpline or NHS Choices. People who feel that they might be dependent on either prescribed or over the counter medicines should seek help from a health professional in the first instance (such as a general practitioner or pharmacist).</p><p>PHE’s review includes prescribed benzodiazepine drug dependence but will not consider evidence further back than 10 years ago. There are no plans to establish a public inquiry into prescribed benzodiazepine drug dependence.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9967 HL9968 HL9971 question first answered 17/09/2018 14:06:06 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

967478

registered interest
date	04/09/2018
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	Benzodiazepines: Misuse
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they will establish a public inquiry into the harmful effects of prescribed benzodiazepine drug dependence over the last 50 years.
tabling member printed	Lord Hunt of Kings Heath
uin	HL9971
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>The Parliamentary under Secretary of State (Steve Brine MP) commissioned Public Health England (PHE) to review the evidence for dependence on, and withdrawal from, prescribed medicines. The review was launched in January 2018 and is due to report in spring 2019 and we await its findings. It is the responsibility of local authorities to commission services, such as the provision of withdrawal centres for addiction to prescribed medicines, to meet assessed local need. The Government currently has no plans to increase the number of these centres.</p><p>The Government has no plans to introduce a separate national helpline to support people affected by prescribed drug dependence. Help and advice on prescribed drug dependence is already available from the 111 helpline or NHS Choices. People who feel that they might be dependent on either prescribed or over the counter medicines should seek help from a health professional in the first instance (such as a general practitioner or pharmacist).</p><p>PHE’s review includes prescribed benzodiazepine drug dependence but will not consider evidence further back than 10 years ago. There are no plans to establish a public inquiry into prescribed benzodiazepine drug dependence.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9967 HL9968 HL9969 question first answered 17/09/2018 14:06:06 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath